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RISK FACTORS AFFECTING THE OCCURRENCE OF DIABETES MELLITUS (TYPE 2) AT SULTAN ISKANDAR MUDA HOSPITAL NAGAN RAYA DISTRICT Desi Susila Wati; Susy Sriwahyuni
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 2 No. 4 (2023): January (January-March)
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v2i4.710

Abstract

Diabetes Mellitus (type 2) is a metabolic disease characterized by an increase in blood sugar levels caused by a decrease in insulin secretion or impaired insulin function. The aim of the study was to determine the risk factors that influence the incidence of type 2 diabetes mellitus at the Sultan Iskandar Muda Hospital, Nagan Raya Regency. The method used is quantitative with a cross-sectional research design. The sample in the study was 77 people using a purposive sampling technique. The research instrument uses a questionnaire sheet. The research analysis used univariate and bivariate analysis with the chi square test. The results of the study based on bivariate analysis found that there was a relationship between age (p-value=0.000), hypertension status (p-value=0.043), obesity status (p-value=0.019), consumption of risky foods: sweet foods (p-value= 0.039), sweet drinks (p-value=0.003), fatty/cholesterol foods (p-value=0.002), seasonings (p-value=0.016), fast food (p-value=0.002) , physical activity (p-value=0.023), and there was no relationship between gender (p-value=0.102), family history (p-value=0.364) and the incidence of type 2 diabetes mellitus. This study found that age, sex, family history, hypertension status, obesity status, consumption of risky foods and physical activity are risk factors that influence the incidence of type 2 diabetes mellitus. Suggestions, it is expected that type 2 .
Identifikasi Bahaya Dan Penilaian Risiko Di Stasiun Boiler Menggunakan Metode Hirarc Di Pt.Kim Nagan Raya Ester Yunisara Purba Siboro; Darmawan Darmawan; Danvil Nabela; Jun Musnadi is; Susy Sriwahyuni
An Idea Health Journal Vol 4 No 03 (2024)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v4i03.337

Abstract

Hazard identification and risk assessment to prevent it accident Work on operator. The aim of this research is to identify risk hazards at boiler stations using the HIRARC method at PT Sawit. This type of research is qualitative in nature which uses a natural setting for the purpose of interpreting phenomena that occur and is carried out by being involved in finding narrative images that give rise to the impact of a person's actions. The research was conducted at PT. Sawit, Nagan Raya Regency on 5 informants, of which the main informants were 3 operators at the Boiler Station, 1 person Health Safety Environment (HSE) as key informant, and 1 process assistant as supporting informant. Technique collection data done with observation And interview in-depth, data analysis using the HIRARC method Research results obtained from risk assessment use method HIRARC with table Risk Matrix so presentation risk moderate, namely 60%, is categorized as moderate, low risk presentation, namely 20%, is categorized as low, and high risk presentation, namely 20%, is categorized as high. The conclusion of the research is that at the Boiler Station, it was found that there were work accidents at a medium level of 60% while at a low level it was 20%, and at a high level it was only 20%, so it can be concluded that there were indication work accident occurs, and will increases if Boiler Station operators do not use Personal Protective Equipment (PPE).
Analisis Strategi Dinas Lingkungan Hidup Dalam Penanganan Sampah Liar di Kecamatan Johan Pahlawan Vera Amalia Azmi; Darmawan Darmawan; Ernawati Ernawati; Susy Sriwahyuni; Kiswanto Kiswanto
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1107

Abstract

This study aims to analyze the strategy of the Environmental Agency (Environmental Service) of West Aceh Regency in addressing illegal dumping sites in Johan Pahlawan District based on Agus Dwiyanto's five dimensions of public organizational performance, namely productivity, service quality, responsiveness, responsibility, and accountability. This study employed a qualitative approach with a case study design. Eight informants were selected using purposive sampling, consisting of main informants, supporting informants, and key informants. Data were collected through in-depth interviews, observation, and documentation, and were analyzed through data reduction, data display, and conclusion drawing. Data trustworthiness was ensured through source triangulation, technique triangulation, and data triangulation. The findings indicate that the Environmental Agency's strategy includes optimizing vehicle allocation and route distribution, scheduling operational activities, conducting patrols at illegal dumping hotspots, providing a WhatsApp-based complaint service, implementing standard operating procedures (SOP) for waste removal, enforcing the local Qanun through persuasive approaches and administrative responses, and applying digital reporting supported by before-and-after documentation. These strategies have improved the effectiveness of waste management services and enhanced environmental cleanliness at several illegal dumping sites. However, they have not fully prevented the recurrence of illegal dumping due to limited operational facilities, inconsistent law enforcement, and low public compliance. The study concludes that the effectiveness of illegal dumping management should be strengthened through hotspot-based monitoring, consistent enforcement of regulations, and increased participation of village governments and the community.
Hubungan Pelaksanaan Program Rujuk Balik (PRB) BPJS Kesehatan Dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Puskesmas Meurebo Kabupaten Aceh Barat Masriana Masriana; Susy Sriwahyuni; Meutia Paradhiba; Wintah Wintah; Siti Maisyaroh Fitri Siregar
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1109

Abstract

Hypertension is a chronic disease that requires long-term treatment; however, medication adherence among patients with hypertension remains a major challenge in achieving optimal blood pressure control and preventing complications. Although the BPJS Kesehatan Back-Referral Program (BRP) has been implemented to ensure continuity of care for patients with chronic diseases, many patients with hypertension remain non-adherent to their prescribed medication. This study aimed to analyze the relationship between the implementation of the BPJS Kesehatan Back-Referral Program (BRP) and medication adherence among patients with hypertension at Meurebo Community Health Center, West Aceh Regency. This study employed a quantitative approach using a cross-sectional design. The study population consisted of 365 hypertensive patients enrolled in the BPJS Kesehatan Back-Referral Program, and a sample of 79 respondents was selected using an accidental sampling technique. Data were collected through structured questionnaire-based interviews and analyzed using the Chi-square test with a 95% confidence level. The results showed that 72.2% of respondents experienced a high level of Back-Referral Program implementation, while 75.9% demonstrated good medication adherence. Bivariate analysis revealed a statistically significant relationship between the Back-Referral Program and medication adherence among patients with hypertension (p = 0.001). Patients with a high level of Back-Referral Program implementation were 18.2 times more likely to adhere to their medication than those with a moderate level of program implementation (OR = 18.200; 95% CI = 5.144–64.395). It can be concluded that the implementation of the BPJS Kesehatan Back-Referral Program was significantly associated with medication adherence among patients with hypertension. Optimizing the implementation of the Back-Referral Program through improved healthcare services, health education, and routine patient monitoring is expected to enhance medication adherence and support sustainable hypertension management.
Efektivitas Edukasi Kesehatan Lingkungan Rumah terhadap Peningkatan Pengetahuan Dan Efikasi Diri Ibu dalam Pengasuhan Anak Berkebutuhan Khusus di SLB Negeri Meulaboh Kabupaten Aceh Barat Qasrina Qasrina; Ernawati Ernawati; Safrizal Safrizal; Susy Sriwahyuni; Firman Firdauz Saputra
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1113

Abstract

A healthy home setting plays a vital role in supporting the developmental progress of children with special needs, while a mother's ability toestablish such conditions is strongly shaped by the level of knowledge and self-efficacy she possesses. This research was conducted toassess how effective home-based environmental health education is in enhancing maternal knowledge and self-efficacy among mothers who care for children with special needs at SLB Negeri Meulaboh, West Aceh Regency. Using a quasi-experimental design with a non-equivalent control group pretest-posttest format, the study involved 63 participants split into an experimental group (n=32) that receivededucational sessions delivered through home visits, and a control group (n=31) that received no such intervention. Statistical testing wascarried out using McNemar's test, the Wilcoxon Signed-Rank test, and the Mann-Whitney U test. The results revealed a statisticallysignificant rise in knowledge across both groups (p<0.001); however, the gain in self-efficacy proved more uniform within the experimental group, where every single participant demonstrated improvement, whereas the control group still included several participants whose scores declined. Comparisons made between the two groups following the intervention further confirmed that the experimental group attained markedly higher scores in both knowledge and self-efficacy relative to the control group (p<0.001). Overall, these outcomes suggest that home environmental health education serves as an effective means of boosting both maternal knowledge andself-efficacy, pointing to its viability as a family-centered promotive intervention model that other special-needs schools with comparable populations could potentially adopt.
Identifikasi Potensi Bahaya dan Analisis Risiko Keselamatan dan Kesehatan Kerja Menggunakan Metode Job Safety Analysis (JSA) pada Tim Dapur Satuan Pelayanan Pemenuhan Gizi (SPPG) X Naria Juwita; Safrizal Safrizal; Susy Sriwahyuni; Jun Musnadi Is; Fakhrurradhi Luthfi
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1119

Abstract

The work environment at the Nutrition Service Unit (SPPG) poses various potential hazards that can affect workers’ safety and health, particularly during food processing and portioning activities. Preliminary observations indicate that workers are at risk of injuries from sharp equipment, heat exposure, and fatigue, as well as inconsistent use of personal protective equipment (PPE). This study aims to identify potential hazards, analyze occupational safety and health risk levels using the Job Safety Analysis (JSA) method, and develop risk control recommendations for the SPPG X kitchen team. The study employed a qualitative method with a descriptive approach. Seven informants were selected through purposive sampling, consisting of the SPPG head, the kitchen manager, the cooking team, and the portioning team. Data collection was conducted through observation, in-depth interviews, and documentation, and was subsequently analyzed using the Miles and Huberman model. The results showed that potential hazards for the cooking team included cuts, burns from hot oil and steam, fire risks from gas stoves, and musculoskeletal disorders resulting from prolonged standing. For the serving team, potential hazards were dominated by ergonomic factors such as static work postures, heavy lifting, and work-related fatigue. The risk assessment indicates that frying and the use of gas stoves fall into the high-risk category, while most other activities fall into the moderate-risk category. Risk control measures must be implemented through the application of SOPs, occupational safety and health (K3) training, consistent use of PPE, ergonomic improvements, routine equipment inspections, and ongoing supervision to create a safer work environment.