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TINJAUAN YURIDIS TINDAK PIDANA MALPRAKTEK MELAHIRKAN YANG DILAKUKAN OLEH BIDAN (BERDASARKAN TINJAUAN KASUS PUTUSAN 963/PID.SUS/2013/PN.Rta) Eka Lolita Eliyanti Pakpahan; Maitria Dwi Pradasel; Rosalia Gresella Br Malau; Samuel Brema Surbakti
The Juris Vol 5 No 1 (2021): JURNAL ILMU HUKUM : THE JURIS
Publisher : STIH Awang Long Samarinda

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Abstract

Provisions regarding the practice of health workers, both doctors and midwives, who commit criminal acts. Sometimes we hear of patients who have become disabled and even die after being treated by doctors or other health workers. Therefore, the community, especially those who are entangled in problems or whose families are affected by the case, can file a lawsuit such as in the Health Workforce Law regulations and the Midwifery Law provisions. Midwives must be trained and have experience in providing care in high risk situations. replied he did. So that a good work team must be concerned with women and their babies, and this can only be achieved by respecting each other's roles between the midwife and other team members involved in the process of caring for a mother and her baby. The method used in this research is Normative Juridical. The source of the data found was from existing sources, whether official, such as the applicable law and decisions. The results of this study were able to decide that someone who could be said to have committed childbirth malpractice behavior made by a midwife received a criminal incident listed in the Law No. must receive a fine in the case and be sentenced to prison.
Pengetahuan, Sikap dan Dukungan Sosial sebagai Aspek Pengelolaan Diri pada Pasien Hipertensi: Studi Cross-Sectional Jumadi Kipli Sinaga; Victor Trismanjaya Hulu; Mafe Robbi Simanjuntak; Eka Lolita Eliyanti Pakpahan
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i2.6338

Abstract

As a chronic disease, hypertension requires long-term management focused on patient fulfillment, where the active role of individuals in self-care contributes significantly to the prevention of complications and improving quality of life. This study aims to explore knowledge, attitudes, and social support regarding self-management in hypertensive patients. This study is a descriptive study with a cross-sectional design. The population of this study was all hypertensive patients who received treatment at the Pulo Brayan Community Health Center in Medan City in 2025. The study sample consisted of 216 people selected using a simple random sampling technique. Data collection was carried out by distributing questionnaires to hypertensive patients based on the variables of knowledge, attitudes, and social support. The data obtained were then analyzed descriptively. The results showed that 60.6% of respondents with hypertension had a poor level of knowledge regarding hypertension management, while 39.4% had good knowledge. 55.1% of respondents showed a positive attitude towards hypertension management, and 44.9% had a negative attitude. 57.9% of respondents received good social support, and 42.1% of respondents experienced poor social support. In conclusion, most respondents had poor knowledge regarding hypertension management. However, most respondents demonstrated positive attitudes and received good social support in implementing hypertension self-management.
HUBUNGAN PAPARAN POLUSI UDARA PM2,5 DENGAN RISIKO GANGGUAN KESEHATAN MASYARAKAT DI WILAYAH PERKOTAAN Eka Lolita Eliyanti Pakpahan; Enni Halimatussadiyah Pakpahan
Al Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences) Vol 14 No 2 (2025): Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sci
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kesmas.v14i2.3137

Abstract

Polusi udara partikulat halus berukuran ≤2,5 mikrometer (PM2,5) merupakan salah satu permasalahan lingkungan utama di wilayah perkotaan yang berkontribusi signifikan terhadap penurunan derajat kesehatan masyarakat. Paparan PM2,5 yang tinggi diketahui dapat menembus sistem pernapasan hingga ke alveoli paru-paru dan meningkatkan risiko berbagai gangguan kesehatan. Penelitian ini bertujuan untuk menganalisis hubungan antara paparan polusi udara PM2,5 dengan risiko gangguan kesehatan masyarakat di wilayah perkotaan. Penelitian menggunakan pendekatan kuantitatif dengan desain observasional analitik melalui studi potong lintang. Data paparan PM2,5 diperoleh dari stasiun pemantauan kualitas udara, sedangkan data kesehatan masyarakat dikumpulkan melalui data sekunder fasilitas pelayanan kesehatan dan survei responden. Analisis data dilakukan menggunakan uji statistik korelasional dan regresi untuk melihat hubungan antara tingkat paparan PM2,5 dan kejadian gangguan kesehatan, khususnya penyakit pernapasan dan kardiovaskular. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara tingginya konsentrasi PM2,5 dengan meningkatnya risiko gangguan kesehatan masyarakat di wilayah perkotaan. Kesimpulan penelitian ini menegaskan bahwa PM2,5 merupakan faktor risiko lingkungan yang penting dalam kesehatan masyarakat perkotaan. Oleh karena itu, direkomendasikan penguatan pengendalian pencemaran udara, peningkatan pemantauan kualitas udara, serta edukasi masyarakat sebagai upaya preventif untuk menurunkan dampak kesehatan akibat paparan PM2,5.
Analisis Faktor Risiko Penyakit Low Back Pain Pada Petani Sayur Di Desa Raya Kabupaten Karo Santy Deasy Siregar; Carla Vioren Ginting; Mika Trines Aulia Rajagukguk; Riky Suherman Simanjuntak; Eka Lolita Eliyanti Pakpahan
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.873

Abstract

Low Back Pain (LBP) is one of the most common musculoskeletal disorders experienced by workers, including vegetable farmers in mountainous areas who repeatedly perform strenuous physical activities. Vegetable farmers in Desa Raya, Karo Regency face a high risk of LBP due to hilly working terrain, heavy lifting loads, non-ergonomic working positions, and long working hours. This study aimed to analyze the relationship between individual, ergonomic, and work environment risk factors and the incidence of LBP among vegetable farmers in Desa Raya, Karo Regency. This study used a quantitative approach with an analytical observational design and a cross-sectional approach. The sample consisted of 96 respondents determined using the Lemeshow formula and an accidental sampling technique. Data were collected through questionnaires and analyzed using the Chi-Square test (Continuity Correction/Fisher's Exact Test) at a 95% confidence level. The results showed that of the 96 respondents, 73 (76.0%) reported LBP complaints. Significant associations were found between age (p=0.008) and length of employment (p=0.043) with the incidence of LBP, while sex showed no significant association (p=0.657). Ergonomic risk factors, namely working position (p=0.242), lifting load (p=0.147), and working duration (p=1.000), as well as work environment conditions (p=1.000), showed no statistically significant associations. This study recommends ergonomic interventions and occupational health education for vegetable farmers to reduce the risk of LBP.
Pengaruh Pemberian Rebusan Air Teh Daun Kelor Dan Edukasi Gaya Hidup Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Di Puskesmas Perbaungan Eka Lolita Eliyanti Pakpahan; Dwi Fitria; Dameria
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.923

Abstract

Hypertension is a non-communicable disease characterized by a persistent increase in blood pressure with a systolic value ≥140 mmHg and diastolic ≥90 mmHg, and represents one of the leading causes of premature death worldwide. According to WHO (2023), 33% of the world's population suffers from hypertension, while the 2023 Indonesian Health Survey (SKI) recorded hypertension as the highest risk factor for mortality at 10.2%. At Puskesmas Perbaungan, 1,327 hypertensive patients were recorded in 2025. Non-pharmacological interventions such as Moringa oleifera leaf tea decoction—rich in antioxidants, potassium, magnesium, and anti-inflammatory compounds—combined with lifestyle education are considered an affordable and accessible complementary approach in blood pressure management. This study aimed to determine the effect of Moringa leaf tea decoction and lifestyle education on blood pressure reduction in hypertensive patients at Puskesmas Perbaungan, Serdang Bedagai Regency. This was a quantitative quasi-experimental study with a pre-test and post-test with control group design. Sampling used purposive sampling with a total of 60 respondents divided into an intervention group (n=30) and a control group (n=30). The intervention group received Moringa leaf tea decoction combined with lifestyle education, while the control group received no intervention. Blood pressure was measured using a sphygmomanometer before and after intervention. Data were analyzed using the Wilcoxon Signed Rank Test at a 95% confidence level. Results showed that in the intervention group, the mean systolic blood pressure decreased from 160.53 mmHg to 147.23 mmHg (a reduction of 13.30 mmHg), and the mean diastolic blood pressure decreased from 96.33 mmHg to 87.90 mmHg (a reduction of 8.43 mmHg). The Wilcoxon test showed p-value = 0.02 for systolic (Z = -3.051) and p-value = 0.00 for diastolic (Z = -3.501), both below the significance level of 0.05. The control group showed no significant change (p = 0.46). It is concluded that the combined administration of Moringa leaf tea decoction and lifestyle education significantly reduced both systolic and diastolic blood pressure in hypertensive patients. This intervention is recommended as a safe, affordable, and evidence-based complementary therapy in hypertension management at the primary health care level.
Hubungan Aktivitas Fisik Dan Kualitas Tidur Terhadap Risiko Hipertensi Pada Pasien Diabetes Melitus Di Puskesmas Medan Johor Tahun 2025 Eka Lolita Eliyanti Pakpahan; Dameria; Tiurma Purba; Marsel Mitra Nuji Simanjuntak
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i3.959

Abstract

Diabetes mellitus (DM) is a non-communicable disease with a continuously rising global prevalence and is frequently accompanied by hypertension as a complication that aggravates cardiovascular morbidity and mortality. Low physical activity and poor sleep quality have been proposed as modifiable behavioral risk factors, yet local evidence from primary-care settings in North Sumatra remains limited. This study analyzed the association between physical activity and sleep quality and the risk of hypertension among patients with DM at UPT Puskesmas Medan Johor in 2025. A quantitative analytical study with a cross-sectional design was conducted on 300 respondents selected through systematic random sampling. Physical activity was measured using the International Physical Activity Questionnaire (IPAQ), sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), and blood pressure was measured using a sphygmomanometer. Data were analyzed using the Chi-square test and binary logistic regression at α = 0.05. Bivariate analysis showed that physical activity (p = 0.003) and sleep quality (p = 0.001) were significantly associated with the risk of hypertension, while treatment adherence also showed a significant association (p = 0.000). Multivariate analysis indicated that the joint model containing physical activity, sleep quality, and treatment adherence was significantly associated with hypertension (omnibus p = 0.003; Nagelkerke R² = 0.060), although no single variable remained significant after adjustment. Physical activity and sleep quality are behavioral determinants that should be integrated into hypertension prevention programs for DM patients in primary care.