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All Journal CHMK HEALTH JOURNAL SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Manajemen Informasi dan Administrasi Kesehatan Jurnal Ners Indonesian Journal of Global Health research Indian Journal of Forensic Medicine & Toxicology Idea Pengabdian Masyarakat Jurnal Ilmiah Kesehatan Masyarakat Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health
Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7
Universitas Mulawarman
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Analisis Faktor -Faktor yang Berhubungan dengan Upaya Pencegahan Infeksi Menular Seksual Pada Anak Buah Kapal Tug Boat di Perairan Sungai Mahakam Nunuk Kusuma Wardani; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Ida Ayu Indira Dwika Lestari; Iryani Kamaruddin
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60262

Abstract

Infeksi Menular Seksual (IMS) merupakan masalah kesehatan masyarakat yang masih banyak ditemukan pada kelompok pekerja dengan mobilitas tinggi, termasuk Anak Buah Kapal (ABK) Tug Boat di Perairan Sungai Mahakam. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan upaya pencegahan IMS pada ABK Tug Boat. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional terhadap 193 responden yang dipilih secara purposive sampling. Data dikumpulkan melalui wawancara menggunakan kuesioner terstruktur dan dianalisis menggunakan uji Chi-square serta regresi logistik ganda. Hasil analisis bivariat menunjukkan bahwa lama berlayar, frekuensi pulang, pengetahuan IMS, tekanan sebaya, dukungan sosial, persepsi kerentanan, persepsi keseriusan, persepsi hambatan, isyarat bertindak, keyakinan diri, lama berlabuh, dan perilaku seksual berhubungan dengan upaya pencegahan IMS (p<0,05). Analisis multivariat menunjukkan bahwa frekuensi pulang merupakan faktor paling dominan yang memengaruhi upaya pencegahan IMS (OR=277,079; 95%CI=12,277–6253,514; p<0,001), diikuti tekanan sebaya, persepsi keseriusan, persepsi hambatan, keyakinan diri, dan perilaku seksual. Temuan ini menunjukkan perlunya program pencegahan IMS yang komprehensif melalui penguatan dukungan sosial dan peningkatan akses layanan kesehatan reproduksi. Kata kunci: Anak Buah Kapal, Health Belief Model, Infeksi Menular Seksual, pencegah
Analysis of Risk Factors for Pulmonary Function Disorders among Workers at PT X Coal Division, East Kalimantan Lisa Septiana; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Iriyani K.; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6146

Abstract

Pulmonary function impairment remains a critical occupational health issue among coal industry workers due to prolonged exposure to airborne pollutants. Despite the implementation of occupational health regulations, respiratory disorders continue to be prevalent, leading to decreased work capacity and increased health risks. Identifying key risk factors is essential to developing targeted preventive measures. Objective: This study aims to analyze the relationship between occupational risk factors and pulmonary function impairment among workers at PT X Coal Division, East Kalimantan. A cross-sectional study was conducted on 183 coal division workers selected through cluster random sampling. Data were obtained through structured questionnaires, spirometry tests, and workplace dust level measurements. Multivariate logistic regression analysis was used to determine the most influential factors associated with pulmonary function impairment. The analysis identified significant associations between pulmonary function impairment and a history of other diseases (p = 0.001; OR = 11.709; 95% CI: 2.901–47.257), work tenure of ≥3 years (p = 0.032; OR = 3.319; 95% CI: 1.109–9.934), heavy physical workload (p = 0.036; OR = 2.807; 95% CI: 1.071–7.361), and inadequate personal protective equipment (PPE) usage (p = 0.015; OR = 2.566; 95% CI: 1.205–5.463). Other factors such as age, body mass index (BMI), work location, dust exposure, exercise habits, and smoking were not significantly associated with pulmonary function impairment. Work-related exposures and individual health conditions play a crucial role in pulmonary function impairment among coal workers. Strengthening workplace safety measures, enforcing PPE compliance, and implementing regular health screenings are necessary to mitigate respiratory risks. Ensuring a safer work environment through targeted preventive strategies is essential for protecting workers from long-term pulmonary complications while enhancing occupational health policies in the coal industry.
Analysis of the Relationship Between Knowledge, Perception, and Workload of Nurses on Patient Safety Culture Norsehan Norsehan; Ratno Adrianto; Rahmat Bakhtiar; Irfansyah Baharuddin Pakki; Hilda Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6442

Abstract

Patient safety culture refers to a pattern of behavior of both individuals and organizations that consistently seek to reduce the risk of harm or injury to patients due to the services provided, based on shared beliefs and values. This study aims to analyze the relationship between knowledge, perceptions, and workload of nurses on patient safety culture at Beriman Hospital, Balikpapan City. The method used in this study is a quantitative approach with a cross-sectional design, involving all nurses working in the service unit of Beriman Hospital, Balikpapan City, totaling 129 respondents (total sampling). This study was conducted from February to March 2025, with data collection using a questionnaire that had been tested for validity and reliability. Univariate data analysis, chi-square test, and logistic regression. The results showed good knowledge 81.4%, good perception 51.2%, high workload 50.4% and patient safety culture value 58.9%. The results of the chi-square test sig value of knowledge: 0.600 and perception: 0.302, both (p> 0.05) indicating no relationship between knowledge and perception of nurses towards patient safety culture. However, the sig value for workload is 0.006 (p <0.05) indicating a relationship between workload and patient safety culture. The results of the logistic regression test show that nurses' workload has a significant effect on patient safety culture with a significance value (Sig) of 0.009. The Odds Ratio (OR) value of 2.712 indicates that nurses with a higher workload are 2.7 times more likely to influence patient safety culture compared to those with a low workload. The conclusion is that workload is the factor most related to patient safety culture.
An Analysis of Relationship Between Organization Climate, Work Culture, and Work Environment on Employee Job Satisfaction Nursakti Nursakti; Ratno Adrianto; Rahmat Bakhtiar; Irfansyah Baharuddin Pakki; Hilda Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6575

Abstract

The background of this research was based on the importance of job satisfaction in improving the quality of services in the health sector, especially in community health centers. This study aimed to analyze the relationship between organizational climate, work culture, and work environment on job satisfaction of employees at Klandasan Ilir Public Health Center and Manggar Baru Public Health Center in Balikpapan City. The research method used a quantitative approach with a survey technique conducted on employees at both public health centers using a cross-sectional approach. The sampling technique was total sampling with a total of 111 respondents. Data were collected through a questionnaire that included indicators of organizational climate, work culture, work environment, and job satisfaction. Data analysis was conducted using univariate analysis with frequency distribution, bivariate analysis with the chi-square test, and multivariate analysis with logistic regression. The study found that 80.2% of respondents were female, with the majority working in the General Services Unit. Most had a diploma-level education and more than three years of work experience. Bivariate analysis showed significant relationships between job satisfaction and all three independent variables. Multivariate analysis indicated that work culture was the most significant factor influencing job satisfaction (p = 0.001; OR = 0.147). Work culture had the strongest relationship with job satisfaction among Puskesmas employees. Efforts to improve work culture can lead to higher satisfaction and better service quality.
Analysis of Factors Related to the Incidence of Ventilator-Associated Pneumonia (VAP) in the Intensive Care Unit Yudi Jaya Cahyana; Irfansyah Baharuddin Pakki; Ida Ayu Indira Dwika Lestari; Ratno Adrianto; Yadi Yadi; Akhmad Azmiardi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6628

Abstract

Ventilator-associated pneumonia (VAP) occurs in patients who have been on mechanical ventilation with an endotracheal tube (ETT) for at least 48 hours. This type of pneumonia typically arises as a result of nosocomial infections or Healthcare-Associated Infections (HAIs) and is commonly linked to the use of ventilators in hospital settings. This study was to identify the factors associated with the incidence of VAP among patients admitted to the Intensive Care Unit of Abdoel Wahab Sjahranie Hospital, Samarinda. Method: A cross-sectional study was conducted. The study population consisted of all patients who had undergone mechanical ventilation in the ICU without a prior history of pneumonia, totaling 118 respondents, using the HAIs bundle observation tool and direct observation. Chi-square and multiple logistic regression were used for statistical analysis, along with a predictive model. The results showed that the prevalence of VAP among respondents in the ICU was 5.9%. Factors significantly associated with the incidence of VAP included duration of ventilator use (p = 0.000), oral hygiene procedures (p = 0.000), head-of-bed elevation to 30–45° (p = 0.007), hand hygiene compliance (p = 0.015), and aseptic suctioning procedures (p = 0.043). The multivariate analysis identified duration of ventilator use ≥96 hours as the most dominant factor, with the highest Odds Ratio (OR = 13.975; 95% CI: 0.753–227.435). Duration of ventilator use was the most significant factor associated with an increased risk of VAP, with patients ventilated for ≥96 hours being 13 times more likely to develop VAP compared to those ventilated for <96 hours. Proper oral hygiene, appropriate head-of-bed elevation (30–45°), compliance with hand hygiene, and aseptic suctioning procedures were also found to be significantly associated with VAP incidence among ICU patients at Abdoel Wahab Sjahranie Hospital
The Relationship Between Lipid Profile and HBA1C Levels in Type 2 Diabetes Melitus Patients Miako Pasinggi; Irfansyah Baharuddin Pakki; Yadi Yadi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6629

Abstract

Diabetes Mellitus is a chronic disease with high morbidity and mortality rates, requiring comprehensive and integrated management. Dyslipidemia is an important risk factor contributing to the occurrence of both microvascular and macrovascular complications in individuals with Diabetes Mellitus. Optimal control of HbA1c levels and lipid profiles is considered essential in reducing the risk of complications and improving patient outcomes. Therefore, monitoring and managing these parameters is a critical component of diabetes care to prevent further complications. This study aims to analyze relationship between lipid profile with HbA1c levels in Type 2 Diabetes Mellitus (T2DM) patients at Puskesmas in Samarinda. A cross-sectional study was conducted involving 1,482 patients with T2DM, selected through a total sampling technique. Data were obtained from secondary sources, specifically medical records. Bivariat analysis using the Chi-Square test was performed to evaluate the relationship between lipid profile and HbA1c levels. The analysis identified significant relationship between TG (p = <0,001 ; OR = 3,350; 95% CI:2,701-4,157), TC (p = <0,001; OR = 1,862; 95% CI: 1,486-2,334), HDL-C (p = 0,003; OR = 1,567; 95% CI: 1,169-2,100), and LDL-C (p = 0,013; OR = 1,310; 95% CI: 1,063-1,614). This study found a significant association between all components of the lipid profile and HbA1c levels among patients with type 2 diabetes mellitus (T2DM) in Samarinda. Levels of triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were all significantly related to poor glycemic control. .
Analysis of Risk Factors for Chronic Kidney Failure Nunuk Sudarmiyati; Irfansyah Baharuddin Pakki; Iwan Muhamad Ramdan
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6649

Abstract

The background of this study focused on the increasing incidence of chronic renal failure at Kudungga Sangatta Hospital, East Kutai Regency, which is a serious concern in an effort to improve the quality of public health services. The general objective was to analyze the risk factors of chronic renal failure in Kudungga Sangatta Hospital, East Kutai Regency. This type of research is an analytic observational research with case control design or case control study. The non-random sampling method is purposive sampling as many as 140 people, as for data collection techniques, namely, the preparation stage (preparing a research permit, and conducting a preliminary study), after that there is an implementation stage (collecting respondent data, sorting samples according to sample criteria in two sample groups, filling out questionnaire data, and collecting research instruments). The data analysis techniques in the study were editing, coding, shorting, data entry, and data cleaning. Age was significantly associated with the incidence of acute renal failure (P < 0.001). Family history of hypertension is significantly associated with the incidence of acute renal failure (P < 0.001, OR = 69.750). Family history of diabetes mellitus was not significantly associated with the incidence of acute renal failure (P = 0.806). Taking Analgesic and NSAID drugs were not significantly associated with the incidence of acute renal failure (P > 0.05). The conclusion is that there is a relationship between age and family history of hypertension with the incidence of chronic renal failure and there is no relationship between family history of diabetes mellitus, and using analgesic drugs and NSAIDs is not significantly related to the incidence of acute renal failure at Kudungga Sangatta Hospital, East Kutai Regency.
Analysis of Factors Associated with the Incidence of Dengue Hemorrhagic Fever (DBD) Astuti Astuti; Irfansyah Baharuddin Pakki; Iwan Muhamad Ramdan
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6650

Abstract

Dengue fever is still a public health problem worldwide, especially in tropical and subtropical regions. Data from around the world shows that Asia ranks first in the number of Dengue Fever sufferers each year. The purpose of this study was to determine the factors that affect the incidence of Dengue Fever (DHF) in the work area of BLUD Puskesmas Sangatta Utara, Kecamatan Sangatta Utara, Kabupaten Kutai Timur. This study used a case-control design, with 115 positive cases of DHF and 115 control cases in the work area of BLUD Puskesmas Sangatta Utara, East Kutai Regency, making a total of 230 samples. The data collection techniques included a preparation stage (obtaining research permits and conducting a preliminary study), followed by an implementation stage (collecting respondent data, sorting samples according to criteria into two groups, filling out questionnaires, and collecting research instruments). This study found a significant association with the incidence of DHF in the following variables: knowledge (p < 0.001) OR 0.061, daytime activity (p < 0.001) OR 2.878, mosquito nest eradication efforts (p < 0.001) OR 0.118, and the habit of hanging used clothes in the house (p < 0.001) OR 8.576. It can be concluded that the habit of hanging used clothes in the house is the most dominant variable associated with the incidence of DHF in the work area of BLUD Puskesmas Sangatta Utara (Odds Ratio Exp(β) = 89.297).
Analysis of Risk Factors Influencing the Incidence of Diabetes Mellitus among Employees Ira Puspa Rachmawati; Irfansyah Baharuddin Pakki
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6697

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disorder that remains a major public health concern globally. Its prevalence is influenced by various lifestyle and hereditary factors. This study aims to analyze the risk factors contributing to the incidence of DM among employees at Segiri Community Health Center. A retrospective case-control study was conducted using secondary data from health screenings and fitness assessments of Segiri Community Health Center employees in September 2023. From 50 staff members, 40 with complete records were included: 10 DM cases and 30 non-DM controls (1:3 ratio). Data included medical history, lifestyle behaviors, and anthropometric measurements. Analysis involved univariate and bivariate tests using cross-tabulation and Odds Ratio (OR). The most significant risk factor was abnormal Body Mass Index (BMI), as all DM cases had abnormal BMI values. Other influential factors included parental history of diabetes (OR = 18.0), personal history of hypertension (OR = 9.3), and parental history of hypertension (OR = 6.0). Additional contributing factors were low fruit and vegetable intake (OR = 4.0), excessive salt intake (OR = 1.63), and abnormal waist circumference (OR = 1.31). Smoking and alcohol consumption were not significantly associated with DM in this sample. Abnormal BMI and a family history of diabetes and hypertension significantly contribute to the incidence of DM. Targeted interventions focusing on these modifiable and non-modifiable risk factors are essential for effective workplace prevention strategies.
Analysis of the Relationship Between the Implementation of the Clinical Pathway for NSTEMI Disease and Service Variance Palupi Setyo Hapsari; Ratno Adrianto; Irfansyah Baharuddin Pakki
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6773

Abstract

This research was conducted to address the increasing number of NSTEMI (Non-ST Elevation Myocardial Infarction) cases, which represent a significant portion of heart attack patients (85%) according to the 2023 Ischemic Myocardial Infarction National Audit. The challenge for healthcare providers is to ensure optimal care for these patients. Clinical Pathways are structured guidelines designed to improve service quality, but despite a relatively high compliance rate (82%) for filling out Clinical Pathways at Taman Husada Bontang Hospital, there has been no clear analysis of how Clinical Pathway implementation benefits patient outcomes. Therefore, the study aims to evaluate the relationship between the implementation of Clinical Pathway and the quality of care provided to NSTEMI patients. The study aims to analyze the relationship between the implementation of the Clinical Pathway for NSTEMI patients and the quality of service at Taman Husada Bontang Hospital. Quantitative research method with a cross-sectional case study approach. The sample technique used is non-probability sampling; the number of samples is 50 Clinical Pathway forms from NSTEMI patients treated at the hospital during the 2022-2023 period. The Chi Square test on the service variance variable has a significant relationship with the implementation of Clinical Pathway, with a p value of 0.000 < 0.05, incomplete documentation resulting in a lack of information about the service variance provided with an OR value of 1.5. The conclusion is that the implementation of Clinical Pathway is significantly related to the quality of services, especially the variance of actions given to patients. To improve service quality, improvements are needed in documentation and regular evaluation of the implementation of the Clinical Pathway.
Co-Authors Adrianto, Ratno Agustina Simanangi Pamowa Akhmad Azmiardi Akhmad Azmiardi Alwan Zakki Nozomi Anita Sari Asrianti, Tanti Astuti Astuti Ayudhia Rachmawati Chaerunnisa AR Desy Hajizah Dian Ayu Fitriani Dian Margi Utami Dwi Astuti Noor Wijayanti Endah Dwi Setianingtyas Gloria Priska Britani Sumlang Heny Surya Widiyaningsih Heny Surya Widiyaningsih Hesty Erika Silitonga Hilda Hilda Hilda Hilda Ida Ayu Indira Dwika Lestari Indah Ribka Baware Intan Kurnia Ira Puspa Rachmawati Iriani Iriani Iriyani K Iryani Kamaruddin Ismail AB Iwan Muhamad Ramdan Iwan Muhammad Ramdam Lestiani Aulia Hasmy Lisa Septiana Miako Pasinggi Mochamad Makin Muh Amri Arfandi Muh Amri Arfandi Muh. Amri Arfandi Muhammad Imam Utama Namira Dwi Faza Nindy Nurhalizah Noor Hariyani Norsehan Norsehan Nunuk Kusuma Wardani Nunuk Sudarmiyati Nur Rohmah Nurlianti Nurlianti Nursakti Nursakti Palupi Setyo Hapsari Rahmad Bakhtiar Rahmat Bahtiar Rahmat Bakhtiar Ratno Andrianto Rikha Nur Risdayanti Rilla Nadhirah Rina Tri Agustini Rinna Rahmatika Purwanti Risva S Siswanto Saefurrohim, Muhamad Zakki Samsinar Basri Siswanto Siswanto Siswanto Sumarni Sumarni Verry Asfirizal Yadi Yadi Yadi Yasir Yudi Jaya Cahyana Yulvia Septi Annnisa Zulhijrian Noor