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All Journal Jurnal Kesehatan Masyarakat Indonesia Medula Juke Jurnal Pengabdian Pada Masyarakat Jurnal Dunia Kesmas Jurnal Medika Malahayati Jurnal 'Aisyiyah Medika NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) Buguh: Jurnal Pengabdian Kepada Masyarakat Action Research Literate (ARL) Journal of Language and Health Prosiding Konferensi Nasional PKM-CSR Jurnal Ilmu Medis Indonesia JCOMENT (Journal of Community Empowerment) Conferences of Medical Sciences Dies Natalis Journal Medical Informatics Technology Media Ilmiah Kesehatan Indonesia Majority JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Winda Trijayanthi Utama, Winda Trijayanthi
Faculty Of Medicine, University Of Lampung
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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HIPERTENSI PADA DIABETES MELLITUS: SEBUAH TINJAUAN PUSTAKA Febriyan, Heironimus Billy; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1729

Abstract

Hypertension in patients with diabetes mellitus is a significant clinical problem because it increases the risk of cardiovascular and renal complications. The pathophysiology of this condition involves interactions between insulin resistance, activation of the renin–angiotensin–aldosterone system (RAAS), endothelial dysfunction, and oxidative stress, which trigger vasoconstriction, sodium retention, and increased vascular stiffness. Various clinical guidelines, including those of the American Diabetes Association (ADA), set a blood pressure target of <130/80 mmHg to reduce the risk of long-term complications. Evidence from clinical trials such as ABCD shows that intensive blood pressure control provides benefits in terms of the progression of retinopathy, albuminuria, and stroke risk. This article was compiled using a narrative review approach by examining the latest literature from international journals and clinical guidelines related to hypertension in diabetes. Sources were selected based on relevance, recency, and strength of evidence. The analysis was descriptive to summarize pathophysiology, blood pressure target recommendations, treatment options, and the role of lifestyle changes. Management of hypertension in diabetes requires a combination of pharmacological therapy and lifestyle modifications. ACE inhibitors and ARBs are the first choice due to their renal protective benefits, while calcium antagonists and thiazide diuretics are used as adjunctive therapy. Lifestyle interventions such as salt restriction, increased fruit and vegetable consumption, regular physical activity, weight loss, and alcohol restriction provide moderate blood pressure lowering effects and improve metabolic health. A comprehensive approach encompassing metabolic, pharmacological, and lifestyle management is crucial for reducing morbidity and mortality in patients with diabetes and hypertension.
RESIKO KECELAKAAN KERJA PADA TENAGA KESEHATAN DAN PENCEGAHANNYA: SEBUAH TINJAUAN LITERATUR Pratiwi, Naisya Midary Mutia; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1730

Abstract

Healthcare workers represent an occupational group with a high risk of work related accidents, including biological exposure, injuries caused by sharp objects, exposure to hazardous chemical substances, and musculoskeletal disorders associated with ergonomic hazards. These risks are influenced by high workload, suboptimal use of personal protective equipment, and the incomplete implementation of safety procedures in healthcare settings. This study aims to identify the main types of hazards commonly experienced by healthcare workers and to analyze prevention strategies recommended in previous studies. The method used was a literature review by selecting relevant national and international scientific articles related to occupational accidents, needle stick injuries, chemical hazards, and ergonomic risks among healthcare workers. Selected articles were analyzed using a systematic literature review approach, focusing on key findings, contributing factors, and prevention recommendations reported in each study. The results indicate that needle stick exposure is the most frequently reported occupational accident among healthcare workers. In addition, chemical exposure from substances such as cytotoxic drugs and disinfectants, as well as musculoskeletal complaints caused by non ergonomic working techniques, are also commonly identified. Dominant contributing factors include inadequate occupational safety and health training, inconsistent use of personal protective equipment, weaknesses in healthcare facility risk management, and high workload. In conclusion, occupational accidents among healthcare workers are multifactorial and require comprehensive preventive measures through improved training, provision of safe working facilities, compliance with standard operating procedures, and strengthening of a safety culture in healthcare services.  
LOW BACK PAIN PADA TENAGA KESEHATAN DI RUANG OPERASI: SEBUAH TINJAUAN LITERATUR Poppy Monika Sari; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1732

Abstract

Low Back Pain is one of the most common musculoskeletal complaints among Healthcare Workers, especially nurses, and directly affects quality of life, work performance, and productivity. The high physical demands of healthcare services increase the risk of Low Back Pain through multiple factors. Individual factors include age, body mass index, level of physical activity, and a history of back injury. Occupational factors involve non-ergonomic working postures, patient lifting and transfer activities, repetitive movements, prolonged working hours, and heavy workloads. This study aims to review the literature related to risk factors, impacts, and the effectiveness of preventive interventions for Low Back Pain among Healthcare Workers. The method used is a literature review of scientific articles retrieved from relevant international databases, focusing on Healthcare Workers as the primary population. The review results show that more than half of Healthcare Workers in various countries report experiencing Low Back Pain, with occupational factors identified as the main contributors. Reported impacts include increased absenteeism, decreased work performance, and a higher risk of developing chronic musculoskeletal disorders. Preventive interventions such as workplace ergonomic modifications and posture education demonstrate more consistent effectiveness in reducing the incidence of Low Back Pain compared to physical activity-based interventions or stretching exercises alone. Stretching exercises provide limited benefits when not combined with ergonomic improvements. Therefore, prevention of Low Back Pain among Healthcare Workers requires an integrated approach that combines education, application of ergonomic principles, and systematic workload management to reduce prevalence and mitigate its negative impact.
DAMPAK BURNOUT PADA TENAGA KESEHATAN: TINJAUAN LITERATUR TENTANG FAKTOR PENCETUS DAN STRATEGI PENCEGAHAN Ni Putu Swastini; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1737

Abstract

Burnout is a common work-related stress syndrome among healthcare workers, characterized by emotional exhaustion, depersonalization, and reduced professional achievement. This condition has a negative impact on service quality, worker health, and patient safety. Factors contributing to burnout include personal characteristics, sociodemographic factors, work environment conditions, high workload, and lack of organizational support. This study aims to review the literature on the factors that trigger burnout in healthcare workers and effective prevention strategies at the individual and organizational levels. The study used a literature review design with a search of articles in the PubMed, ScienceDirect, and Google Scholar databases using the keywords “burnout,” “healthcare workers,” “risk factors,” and “prevention strategies.” The articles included were publications from the last ten years, in Indonesian and English, and relevant to the research objectives. Data were synthesized narratively to identify risk factors and prevention strategies for burnout. Factors contributing to burnout included individual factors (age, gender, personality type), working conditions (high workload, overtime, interaction with patients), and organizational environment (managerial support, work culture). Effective prevention strategies combine individual interventions, such as mindfulness, CBT, and coping training, with organizational interventions, including supportive leadership, flexible policies, open communication, and empowerment of healthcare workers. Preventing burnout in healthcare workers requires a holistic approach that integrates individual and organizational strategies. Management and leadership support that emphasizes employee well-being is key to reducing burnout and improving the quality of healthcare services.
Laporan Kasus: Nyeri Punggung Bawah Akibat Kerja pada Pekerja Pemanen Sawit Salsabila Nurislami; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1751

Abstract

Work-related diseases in the agricultural sector have shown a rising trend in recent years. Heavy physical activities involving non-ergonomic postures, heavy lifting, and repetitive movements increase the risk of injuries and musculoskeletal disorders. Low back pain is one of the most common musculoskeletal complaints among workers in this sector. This case report aims to analyze low back pain in an oil palm harvester using the application of the seven-step occupational diagnostic approach. The seven-step occupational diagnosis was applied to determine the causal relationship between occupational exposure and the patient’s symptoms. Clinical diagnosis and management were conducted in accordance with clinical guidelines.The patient was an oil palm harvester with recurrent episodes of low back pain. Occupational analysis showed that the patient worked in prolonged non-ergonomic postures—standing with neck extension, frequent forward bending, and repetitive heavy lifting—for 15 years, with daily work durations of 8–10 hours. Based on the seven-step occupational diagnostic assessment, the patient’s condition was classified as an occupational disease. Management included pharmacological therapy and ergonomic education. This case highlights that non-ergonomic working postures, the use of non-ergonomic tools, repetitive movements, and heavy lifting significantly contribute to the development of low back pain among agricultural workers. Pharmacological treatment must be accompanied by preventive strategies through ergonomic education. This case report underscores the importance of physicians’ competency in establishing occupational diagnoses and providing comprehensive management for workers with occupational diseases
Carpal Tunnel Syndrome Pada Petani : Tinjauan Pustaka Azzahra, Herina; Utama, Winda Trijayanthi
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1755

Abstract

Carpal Tunnel Syndrome (CTS) is a compression neuropathy resulting from increased pressure on the median nerve within the carpal tunnel, characterized by pain, paresthesia, and numbness affecting the thumb to the third finger. CTS represents one of the most common musculoskeletal disorders, particularly among workers engaged in repetitive hand movements, forceful manual tasks, or prolonged non-ergonomic wrist postures. Globally, its prevalence varies across populations and may reach 7–20% among industrial workers. In Indonesia, CTS remains an underreported condition and is often regarded as an iceberg phenomenon due to limited clinical detection and reporting. CTS may be idiopathic or secondary to conditions such as pregnancy, obesity, hypothyroidism, and diabetes mellitus. Diagnosis is primarily clinical, supported by provocative tests such as Phalen’s test, Tinel’s sign, and the wrist extension test, as well as neurophysiological assessments including electromyography and nerve conduction studies. Radiological imaging may assist in excluding other structural causes. Management consists of conservative measures such as activity modification, wrist exercises, splinting, and the use of analgesics or anti-inflammatory agents. In moderate to severe cases, surgical decompression through division of the transverse carpal ligament is required to reduce pressure on the median nerve. Preventive strategies focus on improving workplace ergonomics, controlling comorbid conditions, and providing education regarding safe hand-use practices.
Perbandingan Absolute Lymphocyte Count (ALC) Antara Pasien Terkonfirmasi Dengan Probable Covid 19 Di RSUD Pesawaran Kurniawan, Denny Andika; Utama, Winda Trijayanthi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1763

Abstract

Coronavirus Disease 2019 (COVID-19) is a broad group of viruses known to cause diseases with a diverse clinical spectrum, ranging from mild symptoms to severe disorders in humans. These viruses are zoonotic, meaning they can be transmitted from animals to humans, posing a major challenge in infection control efforts. In addition, variations in immune responses in each individual cause the clinical picture of Covid-19 to vary greatly, including changes in laboratory parameters such as absolute lymphocyte count (ALC). This study was conducted to analyze the differences in ALC values in patients with a confirmed diagnosis of Covid-19 compared to patients categorized as probable Covid-19 at the Pesawaran Regional General Hospital. The study design used an observational analytical method with a cross-sectional approach. Data processing and analysis were performed using an independent t-test to assess the difference in means between the two groups. The total sample consisted of 45 patients, namely 20 patients with confirmed Covid-19 and 25 patients with probable Covid-19. The results showed that the mean ALC value in the confirmed group was 1,241.5/µL, while in the probable group it reached 1,812.59/µL. These findings indicate a statistically significant difference between the mean ALC of the two groups, with a p-value of 0.0001. This difference also supports the findings of previous studies that lymphopenia is more commonly found in patients with verified Covid-19 infection. Thus, this study confirms that Covid-19 confirmation status is associated with changes in ALC, which can be a supporting clinical parameter in the evaluation and monitoring of patient conditions.
DRY EYE SYNDROME PADA PEKERJA KANTOR: TINJAUAN PUSTAKA Eltidar, Tyaradhia Ranita; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1779

Abstract

An epidemiological study in the United States involving 75,000 adults reported that 5,051 individuals, or 6.73%, were diagnosed with Dry Eye Syndrome (DES), highlighting its growing importance as a public health issue, particularly among office workers with prolonged digital screen exposure. The extensive use of computers, smartphones, and tablets contributes to DES primarily through reduced blink frequency and incomplete blinking, which increase tear evaporation and lead to ocular surface dryness. Prolonged screen exposure may also induce oxidative stress and inflammation on the ocular surface, accelerating DES development. Workplace environmental factors, including air conditioning, artificial lighting, and low humidity, further elevate the risk, while blue light from screens may disrupt circadian rhythms, reduce tear production, and exacerbate symptoms. Poor ergonomic practices, such as improper screen positioning and prolonged near work, add visual strain and worsen Digital Eye Strain. A cross-sectional study in Bangladesh in 2023 found that daily screen time exceeding 8 hours, blink rates below 10 blinks per minute, and air-conditioned work environments significantly increased DES risk among office workers. Similar findings were reported in a 2024 cross-sectional study from India, which also identified screen distances of less than 50 cm and workplace humidity below 30% as risk factors. In addition, a cohort study in the Netherlands showed that professionals in legal, health, business, and administrative sectors had a higher risk of developing DES, which has been shown to reduce work productivity after symptom onset.
Perbedaan Tingkat Pengetahuan Tentang Diabetes Melitus Dengan Kadar Gula Darah Sewaktu Pasien DM Tipe 2 Saribu, Samintola Dolok; Utama, Winda Trijayanthi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1806

Abstract

Diabetes mellitus (DM) is a degenerative disease characterized by elevated blood sugar levels or hyperglycemia. The incidence of DM continues to increase every year, influenced by various factors such as suboptimal recovery, the need for continuous consumption of antidiabetic drugs, uncontrolled blood sugar levels, and low patient knowledge about the disease. This condition can worsen complications and reduce the quality of life of patients. This study was conducted to determine the difference in the level of knowledge about diabetes mellitus with blood sugar levels in type 2 diabetes mellitus patients at Dr. H. Abdul Moeloek Regional General Hospital in Lampung Province. This study used a descriptive method with a cross-sectional study design. Sampling was conducted using non-probability sampling, specifically consecutive sampling, with instruments in the form of questionnaires to measure knowledge levels and random blood sugar level tests. Data were analyzed using the chi-square test to see the relationship between variables. A total of 35 respondents participated in this study, with 11.4% in the good knowledge category, 14.3% in the adequate category, and 74.3% in the poor category. The average blood sugar level of the respondents was 285 mg/dL. The statistical test results showed a p-value of 0.003, indicating a significant difference between the level of knowledge about diabetes mellitus and fasting blood sugar levels. Thus, this study concluded that the level of patient knowledge has a significant relationship with fasting blood sugar levels in type 2 DM patients.
Low Back Pain Pada Petani Karet: Sebuah Tinjauan Pustaka Pratama, Redi Bintang; Utomo, Muhammad Aditya; Utama, Winda Trijayanthi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1818

Abstract

 Low Back Pain (LBP) is one of the most common musculoskeletal disorders experienced by agricultural workers, including rubber farmers, due to heavy physical demands, repetitive activities, and non-ergonomic work postures. The high prevalence of LBP among rubber farmers has the potential to reduce work productivity, increase the risk of disability, and negatively impact quality of life. This study aims to review the literature related to the incidence, prevalence, risk factors, and prevention and management efforts for Low Back Pain in rubber farmers. The method used is a literature review by searching for scientific articles through the Google Scholar, PubMed, ScienceDirect, and Garuda databases. The articles included were original studies in Indonesian and English published in the last ten years and discussed LBP in rubber farmers or agricultural workers with similar work characteristics. The results of the study showed that the prevalence of LBP among rubber farmers was relatively high, ranging from 33% to more than 70%. The main risk factors include heavy workloads, non-ergonomic work postures, repetitive work activities, prolonged standing or bending, and working without ergonomic training. Individual factors such as age, length of service, body mass index, and smoking habits also contribute to an increased risk of LBP. Recommended LBP prevention and management efforts include applying ergonomic principles at work, regulating work and rest times, occupational health education, stretching and back muscle strengthening exercises, and controlling individual risk factors. The conclusion of this literature review indicates that LBP among rubber farmers is a multifactorial occupational health problem that requires ergonomic interventions and continuous occupational health promotion.
Co-Authors Adinur, Bima Aditia, Arianda Alghani, Sulthan Rafi Amanah, Nur Suci Amelia, Maya Rizky Amir, Anzela Ananda, Amallia Andari, Michelle Safna Andini Pramesti Ningrum Andriani, Silvia Anggraini, Dian Isti Anisa Adelia Anisa Nuraisa Jausal Annisa Auliya Dien Safitrie Arifah Putri Desenia Asep Sukohar Asyifa, Takhfa Nur Azelia Nusadewiarti Azhar, Hafidz Sirojudhin Azmi, Aulia Salma Azzahra, Herina Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Daulay, Suryani Agustina Dharmesti, Rizky Aleyda Dian Pratiwi Dian Puspita Larasati Dita Ayu Permata Dewi Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Eltidar, Tyaradhia Ranita Eniwati Eniwati Evi Kurniawaty Fadhilah, Retno Suci Fadhillah, Paisal Fatharanni, Mentari Olivia Fathia, Nauriel Febriyan, Heironimus Billy Ferdian, Ruben Fitri Maharani Fitria Saftarina Hafizh, Ahmad Fauzan Haq, Rais Amaral Helmi Ismunandar Indika Poloriani Tunang Indriyani, Reni Intan Kusumaningtyas Intanri Kurniati Intanri Kurniati Iqbal Lambara Putra Irawati, Nur Ayu Virginia Istiqomah, Dinni Jovita, Hasna Laili Khairun Nisa Kurniawan, Denny Andika Kurniawaty, Evi Kusuma, Febriyani Dyah Lariza Serafina Tobroni M. Yogie Fadli Maharani, Ardila Putri Maharani, Calista Putri Maharani, Raihan Syifa Maharani, Shella Marcellia, Selvi Mersiana, Putri Febi Muhammad Aditya, Muhammad Muhammad Maulana Muhartono Muhartono Nasser, Ghalib Abdul Ni Putu Swastini Novita Carolia Novita Carolia Nurhardita, Fika Nuriah Nuriah Nurladira, Salsanisa Tisno Nurliwayka Qodri, Amari Oktadoni Saputra Oktafany, Oktafany Pamarta, Rachel Dwyana Poppy Monika Sari Pratama, Redi Bintang Pratiwi, Naisya Midary Mutia Prayogi, Norbertus Marcell Puspitasari, Ratna Dewi Putra, Ruchpy Cahya Putri Puspa Devi Putri, Asyifa Dinda Raehana, Nabila Salwa Raharjo, Shafana Azzahra Rasmi Zakiah Oktarlina Ratna Dewi PS Ratna Dewi Puspita Sari Ratu Nirmala Wahyunindita Reni Indriyani Reni Indriyani Reni Indriyani Reynhard Theodorus Xaverius Saragih Riandini, Sabrina Risti Graharti Rizal Effendi, R E Sahputra, Rahmat Tridhandy Salma Alya Ihsan Salsabila Alifiyah Setiawan Salsabila Dzakiyyah Zahra Salsabila Nurislami Sany Setiawan Saribu, Samintola Dolok Satria Adi Nugraha Septia Eva Lusina Septiani, Linda Setiorini, Anggi Shinta Nareswari, Shinta Silvia Andriani Sirait, Naomi Elfriede Situmorang, Cindy Miranda Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Stevani Febeline Steven, Nixon Suarto, Sutarto Suharmanto Suharyani Suharyani Suryawinata, Arli Sutarto Sutarto Sutarto Sutarto Sutarto Sutarto Sutarto Sutyarso Sutyarso Syazili Mustofa Syifa Rahmi Fadhila TA Larasati Tasya Nadia Putri Tri Umiana Soleha Utomo, Muhammad Aditya W, Sofyan Musyabiq Waluyo Rudiyanto Wardani, Nanda Fitri Widjaja, Jovan Zahra, Tsurayya Fathma