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All Journal e-CliniC Jurnal e-Biomedik JURNAL BIOMEDIK KESMAS Jurnal Vini Vidi Vici JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Juiperdo The Indonesian Journal of Public Health Universa Medicina Jurnal Kesehatan Medika Saintika Journal Health & Science : Gorontalo Journal Health and Science Community PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Promotif Preventif Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Pancasakti Journal Of Public Health Science And Research INTERNATIONAL JOURNAL OF EDUCATION, INFORMATION TECHNOLOGY, AND OTHERS Jurnal Kedokteran Meditek Asian Journal of Social and Humanities
Wariki, Windy M. V.
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Analysis of Ergonomic Risk Factors Related to Low Back Pain and Tension Neck Syndrome Complaints in Nurses at Maria Walanda Maramis Regional General Hospital, North Minahasa Regency Tangkudung, Yesika Merzy Indah; Wariki, Windy Mariane Virenia; Doda, Diana Vanda Daturara
Asian Journal of Social and Humanities Vol. 3 No. 9 (2025): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v3i9.556

Abstract

Ergonomic issues have a significant impact on health services, especially on nursing services. Various types of nursing work are done manually. Ergonomic risk factors include physical conditions (work posture, physical workload), psychosocial and individual (age, gender and Body Mass Index) (NIOSH, 2024). The purpose of this study was to analyze ergonomic risk factors for complaints of Low Back Pain and Tension Neck Syndrome in nurses at Maria Walanda Maramis Hospital, North Minahasa Regency. This study is a quantitative study with an observational research type, namely analytical using a cross-sectional study design (a cross-sectional study conducted at the Maria Walanda Maramis Regional General Hospital, North Minahasa Regency. Data analysis was carried out using univariate which explains the frequency distribution of research variables, bivariate analysis using the Spearman Rank and Chi-Square tests and multivariate analysis using the Multiple Logistic Regression test. The results of this study indicate that 130 nurses became respondents, where the average age of respondents was 31 years and most of them were female (75.4%). Low Back Pain complaints at low and moderate risk levels were experienced by 65 respondents (50%) each, and Tension Neck Syndrome complaints at low risk levels were 60 respondents (46.2%) and high risk levels were 70 respondents (53.8%). There is a relationship between Low Back Pain and gender (p=0.015), Body Mass Index (p<0.001), work posture (p<0.001), workload (p=0.015), and psychosocial (p<0.001) and there is no relationship between age and Low Back Pain (p=0.391). There is a relationship between Tension Neck Syndrome with, gender (p=0.018), Body Mass Index (p<0.001), work posture (p<0.001), workload (p=0.032), psychosocial (p<0.001) and there is no relationship between age and Tension Neck Syndrome (p=0.455). The results of the multivariate analysis showed that there was a relationship between Low Back Pain with Body Mass Index (p=0.002), work posture (p<0.001), workload (p= 0.180), psychosocial (p= 0.001) where work posture is the most dominant among all variables with an Exp(B) value of 13.912, meaning respondents with poor work posture are 13.9 times more at risk of experiencing Low Back Pain. And there is a relationship between Tension Neck Syndrome with Body Mass Index (p = 0.007) and psychosocial (p = 0.000) where the psychosocial variable is the most dominant variable with an Exp (B) value of 6.267 which means that respondents with poor psychosocial are 6.2 times more at risk of experiencing Tension Neck Syndrome. The conclusion of this study is that age, gender, Body Mass Index, work posture, workload and psychosocial are important factors that have a relationship with complaints of Low Back Pain and Tension Neck Syndrome. Especially the dominant factor that affects Low Back Pain is work posture and the dominant variable that affects Tension Neck Syndrome is psychosocial.
Analysis of Risk Factors Related To The Incidence of Type II Diabetes Mellitus at The Kolongan Health Center, North Minahasa Regency Lotulung, Cindy Celine; Wariki, Windy Mariane Virenia; Korompis, Grace Esther Caroline
Asian Journal of Social and Humanities Vol. 3 No. 9 (2025): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v3i9.557

Abstract

The aim of this study is to analyze the risk factors of type II diabetes mellitus at Kolongan Public Health Center, North Minahasa Regency. This research is an analytical observational study with a case-control approach matched by gender. The study was conducted at the Kolongan Public Health Center, North Minahasa Regency, during February–March 2025. The population consisted of 505 respondents diagnosed with Type II Diabetes Mellitus from January to December 2024. The sample was selected using a 1:1 ratio between the case group and the control group, based on the Lemeshow formula (1997) for matched case-control studies, resulting in a minimum required sample of 63 cases and 63 controls. Bivariate analysis using the Chi-Square Test and Logistic Regression Test showed a significant relationship between age and the incidence of type II diabetes mellitus (p-value = 0.005; OR = 2.985). A significant association was also found between family history and the incidence of type II diabetes mellitus (p-value = 0.001; OR = 3.520). However, no significant relationship was found between physical activity and the incidence of type II diabetes mellitus (p-value = 0.251; OR = 1.378). The conclusion of this study is that age and family history are associated with the incidence of type II diabetes mellitus at the Kolongan Public Health Center, North Minahasa Regency. Meanwhile, physical activity is not associated with the incidence of type II diabetes mellitus at the same location.
Analysis of Barriers to the Implementation of Electronic Medical Records in the Outpatient Clinic of Gunung Maria Hospital, Tomohon Goni, Angelina; Pertiwi, Junita Maja; Wariki, Windy
Pancasakti Journal Of Public Health Science And Research Vol 5 No 2 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i2.1908

Abstract

The implementation of EMR is expected to improve the quality of healthcare services by facilitating faster access to patient data, reducing recording errors, and enhancing coordination among medical personnel. However, various challenges have been identified in practice, which hinder the system’s effectiveness. This study aims to analyze the barriers to EMR implementation in the Outpatient Clinic of Gunung Maria Hospital, Tomohon. A qualitative approach was employed, using in-depth interviews with informants directly involved in the EMR implementation process. The findings reveal that the barriers arise from multiple aspects. From the human resources perspective, additional time and training are needed to enable staff to adapt to the new system. In terms of technological infrastructure, unstable network connectivity and the limited availability of hardware, such as computers and printers in certain service units, hamper the data input process. Regarding software, the existing system does not fully meet the hospital’s operational needs. Procedurally, insufficient dissemination of the standard operating procedures (SOPs) has resulted in some staff not fully understanding the system’s workflow. Furthermore, the evaluation aspect remains problematic due to the absence of a fully functioning monitoring mechanism. External disturbances, such as power outages, have also contributed to service delays by disrupting the electronic documentation process. In conclusion, the EMR implementation at the outpatient clinic still faces various technical and non-technical challenges. Therefore, improvements and strengthening efforts across multiple aspects are required to ensure that the EMR system can operate more effectively and efficiently in supporting the enhancement of healthcare service quality.
Optimalisasi Big Data Tuberkulosis Untuk Memprediksi Jumlah Penderita Tuberkulosis di Provinsi Sulawesi Utara Tahun 2025-2030 Sumanti, Kevin Marvil; Doda, Diana V. D.; Wariki, Windy M. V.
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.48320

Abstract

Abstrak Pelayanan keperawatan yang berkualitas memerlukan pengambilan keputusan klinis yang tepat dan berbasis bukti. Namun, masih banyak perawat di layanan primer yang mengandalkan intuisi daripada pendekatan ilmiah. Penelitian ini bertujuan untuk mengevaluasi efektivitas pelatihan evidence-based nursing (EBN) terhadap kemampuan pengambilan keputusan klinis perawat. Metode yang digunakan adalah quasi-experimental dengan desain pretest-posttest control group. Sebanyak 30 perawat dibagi menjadi dua kelompok: intervensi dan kontrol. Intervensi berupa pelatihan EBN selama dua hari. Hasil penelitian menunjukkan bahwa terjadi peningkatan skor signifikan pada kelompok intervensi (rerata 88,4) dibandingkan kelompok kontrol (rerata 74,2) dengan nilai p < 0,05. Perubahan ini juga terlihat pada perilaku profesional seperti keterampilan berpikir kritis dan penggunaan sumber ilmiah. Penelitian ini menyimpulkan bahwa pelatihan EBN secara signifikan meningkatkan kemampuan pengambilan keputusan klinis perawat dan dapat dijadikan strategi peningkatan mutu pelayanan keperawatan. Kata Kunci: evidence-based nursing, pengambilan keputusan klinis, pelatihan, perawat, mutu pelayanan Abstract Quality nursing care requires accurate and evidence-based clinical decision-making. However, many nurses in primary care still rely on intuition rather than scientific approaches. This study aimed to evaluate the effectiveness of evidence-based nursing (EBN) training on nurses’ clinical decision-making abilities. A quasi-experimental design with a pretest-posttest control group was used. A total of 30 nurses were divided into intervention and control groups. The intervention consisted of a two-day EBN training. The results showed a significant increase in the intervention group's posttest scores (mean 88.4) compared to the control group (mean 74.2), with p < 0.05. Improvements were also observed in professional behavior, including critical thinking and the use of scientific sources. This study concludes that EBN training significantly enhances nurses’ clinical decision-making skills and may serve as a strategic approach to improving the quality of nursing services. Keywords: evidence-based nursing, clinical decision-making, training, nurses, service quality
Effectiveness of medium-chain triglyceride diet and low glycemic index therapy in drug-resistant childhood epilepsy: a systematic review, meta-analysis, and meta-regression Wiradarma, Elbert; Khosama, Herlyani; Warouw, Finny; Wariki, Windy M. V.; Jehosua, Seilly Yunita; Pertiwi, Junita Maja
Universa Medicina Vol. 44 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.245-256

Abstract

Background Drug-resistant epilepsy (DRE) challenges clinical management, with many patients failing to find relief. Medium-chain triglyceride diet (MCTD) and low glycemic index therapy (LGIT) are emerging variants of the ketogenic diet. MCTD and LGIT show promise but lack clear efficacy data. The purpose of this systematic review was to evaluate and compare the efficacy of MCTD and LGIT in the management of pediatric patients with DRE. Methods Four databases were searched (PubMed, Embase, Scopus, and Cochrane Library) from November 2024 to February 2025. Two independent reviewers meticulously screened titles, abstracts, and full texts, ensuring adherence to predefined criteria.  Data extraction encompassed study characteristics, participant demographics, intervention details, and outcomes, including seizure frequency, percentage reduction, and adverse events. Statistical analyses were performed using R 4.2.2 software, assessing heterogeneity with Cochrane Q and I² and utilizing random-effects and common-effects models. Results From 1489 articles found, 487 duplicates were removed, 897 were excluded based on title and abstract screening, and of the 47 full-text articles assessed for eligibility, 31 articles were excluded, resulting in 16 articles (9 MCTD and 7 LGIT) included in this review. The pooled estimates for the proportion of children achieving seizure freedom, ≥90% seizure reduction, and ≥50% seizure reduction following the intervention were comparable between the MCTD and LGIT groups. Based on the random-effects model, the overall success proportion of MCTD in reducing seizure frequency was 0.20 [95 % Confidence Interval (CI), 0.14-0.27] (p<0.01). Meanwhile, in the LGIT group, the overall success proportion was 0.27 [95% CI,0.14- 0.45] (p<0.01). Conclusion Both MCTD and LGIT demonstrate comparable efficacy, and no definitive conclusion can be drawn regarding the superiority of one diet over the other.
Determinan Kepatuhan Konsumsi Tablet Fe dan Hubungannya dengan Anemia pada Ibu Hamil di Manado, Indonesia Dalema, Anggreani Sintia; Manoppo, Jeannete I Ch; Wariki, Windy M. V.; Bolang, Alexander
Jurnal Promotif Preventif Vol 8 No 4 (2025): Agustus 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i4.2243

Abstract

Anemia dalam kehamilan masih menjadi masalah kesehatan masyarakat utama yang terkait dengan hasil yang merugikan seperti kelahiran prematur, berat badan lahir rendah, dan kematian ibu. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kepatuhan konsumsi tablet zat besi (Fe) dan hubungannya dengan anemia pada ibu hamil di Puskesmas Tuminting, Manado. Desain potong lintang digunakan dengan 41 ibu hamil trimester ketiga yang dipilih melalui total sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis dengan Chi-square dan regresi logistik. Prevalensi kepatuhan rendah terhadap konsumsi tablet Fe adalah 37%, sementara anemia dilaporkan pada 85,3% peserta. Hasil uji chi-square menunjukkan hubungan Pengetahuan (p=0,001), sikap (p=0,000), dukungan keluarga (p=0,003), dan peran petugas kesehatan (p=0,001) secara signifikan dengan kepatuhan. Analisis multivariat menemukan dukungan keluarga sebagai prediktor terkuat (OR=0,303; p=0,003). Temuan ini menyarankan perlunya intervensi yang melibatkan keluarga dan penyedia layanan kesehatan untuk meningkatkan kepatuhan konsumsi Fe dan mengurangi risiko anemia dalam kehamilan.
Evaluasi Implementasi Tata Kelola Mutu Dalam Pencapaian Indikator Nasional Mutu Pada Dinas Kesehatan Kota Manado Tahun 2021-2024 Wangean, Yati Suriani; Manoppo, Jeannette I. Ch.; Wariki, Windy Mariane Virenia; Rombot, Dina Victoria; Lampus, Harsali Fransiscus
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50466

Abstract

Penelitian ini bertujuan untuk mengevaluasi implementasi tata kelola mutu dalam pencapaian Indikator Nasional Mutu (INM) pada Dinas Kesehatan Kota Manado periode 2021–2024. Latar belakang penelitian ini berangkat dari rendahnya capaian beberapa indikator utama, khususnya keberhasilan pengobatan tuberkulosis (TB) dan cakupan antenatal care (ANC) sesuai standar, yang masih jauh dari target nasional meskipun kebijakan, regulasi, dan sistem informasi telah tersedia. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Informan terdiri dari enam pihak kunci, yaitu Kepala Dinas, Sekretaris Dinas, Kepala Bidang Pelayanan Kesehatan, Kepala Bidang Kesehatan Masyarakat, Kepala Bidang Pencegahan dan Pengendalian Penyakit, dan Kepala Puskesmas. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis dengan metode analisis tematik. Hasil penelitian menunjukkan bahwa aspek input berupa kebijakan dan pembiayaan sudah tersedia, tetapi keterbatasan anggaran dan distribusi SDM masih menjadi kendala. Pada aspek proses, indikator kebersihan tangan, penggunaan APD, identifikasi pasien, dan kepuasan pasien relatif berhasil dicapai, sementara capaian indikator TB (57–85%) dan ANC (15–45%) konsisten tidak memenuhi target. Aspek output memperlihatkan adanya peningkatan jumlah Puskesmas yang melaporkan capaian, tetapi kualitas capaian belum merata. Penelitian ini menyimpulkan bahwa hambatan terbesar implementasi tata kelola mutu bukan hanya bersifat teknis, melainkan juga dipengaruhi faktor sosial-budaya masyarakat. Penelitian ini merekomendasikan penguatan SDM, integrasi sistem informasi kesehatan, intervensi berbasis komunitas, serta kampanye kesehatan berbasis budaya lokal untuk meningkatkan pencapaian INM di Kota Manado.
Co-Authors Aaltje E Manampiring Aaltje E Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Abram Babakal Adam, Avelia Gustia Anastasya Adrian Jonathan Angir Adrian Umboh Ai Hori Alan Hopni Sasube Ari Astram B H. R. Kairupan Billy Karundeng Bogar, Bryan D. Bolang, Alexander Budi Setiawan Christof Toreh Daichi Suzuki Dalema, Anggreani Sintia Dewi Indra Purwanti Dhanny E. P. Lagarense Dina Rombot Djony E. Tjandra Doda, Diana V.D. Doda, Diana Vanda Daturara Eko Arianto Erika Ota Fidya Lestari Putri Abubakar Fitriya Adam Frelly Kuhon Frelly V. Kuhon Frendy Wihono Goni, Angelina Grace D. Kandou Grace Korompis Gustaaf A. E. Ratag Gustaaf Ratag Harsali F. Lampus Henry M. F. Palandeng Herlyani Khosama Hessyani Raranta Idris Sudin Iftitah M. P. Sonda Ishak Halim Octawijaya Ishak Halim Octawijaya Jehosua S. V. Sinolungan Jehosua, Seilly Yunita Jimmy Posangi Jimmy Posangi John Johannes Ezechiel Wantania Karel Pandelaki Korompis, Grace Esther Caroline Lampus, Harsali Fransiscus Lotulung, Cindy Celine Lucyana Leonita Pongoh Manoppo, Firginia M Manoppo, Jeannete I Ch Manoppo, Jeannette I. Ch. Masao Ichikawa Mercy Taroreh Moh Yudawan Prasetya Momole, Ansye Grace Nancy Mukhran Mokodompit Nathaniel Pali Nelwan, Ester Jeini Ngantung, Denny Nico Lumintang Nova Hellen Kapantow Novie H. Rampengan Novita Tombokan Paskah Thalia Lengkong Pasla, Gersom Figo Chrystianto Paulus Oroh Pertiwi, Junita Maja Porajow, Zwingly C. J. G. Repi, Noviano B. Richard Sumangkut Rizal Tumewah Ronald I. Ottay Ruitan, Lidia S. Sapulete, Margareth Rosalinda Sigit Wicaksono Silaban, Natalina Simangunsong, Natasya Glory Meicharisty Stivan Manopo Sumanti, Kevin Marvil Supit, Injilia Chintami Surotinoyo, Celline Vanessa Laurina Tandililing, Sherly Tangkudung, Yesika Merzy Indah Tommy Suharso Torondek, Julia Tumboimbela, Melke Vemy Tamaledu Wangean, Yati Suriani Warouw, Finny William William Wiradarma, Elbert Wulan P. J. Kaunang Wullur, Raetasya Rachelea Rinda Wurangian, Prisilia Karina Yuansun Khosama Zeinevaltines Tampian Zwingly Christian Porajow