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Implementasi Manajemen Diet untuk Pasien Diabetes Mellitus di Lingkungan Rumah Sakit Suraya, Rani; Suwayya , Alya; Daulay , Annisya Dwi Putri BR; Bainun , Muthia Faith Salsabilla; Zein, Nona Adilla Syafitri; Arrazy, Syafran; Pratiwi, Sabila
Jurnal IPTEK Bagi Masyarakat Vol 4 No 3 (2025)
Publisher : Ali Institute of Research and Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55537/j-ibm.v4i3.1105

Abstract

The issue of food management for Diabetes Mellitus (DM) patients is a critical concern as it involves patient safety, therapeutic effectiveness, cost efficiency, and the quality of hospital services. The main objective of food management is to regulate the patient's blood sugar levels by providing a balanced diet, low in glycemic index, and rich in fiber, protein, and healthy fats. The research method used is qualitative with a descriptive phenomenological approach, aiming to provide a clear and in-depth description of the implementation of food management activities at the Nutrition Installation of RSUD H. Bachtiar Djafar, Medan City. Data collection was conducted using primary data through interviews with informants at the nutrition installation of RSUD H. Bachtiar Djafar, Medan City. The participants in this study were 38 DM patients at RSUD H. Bachtiar Djafar. The instrument used in this study was an observation sheet, which was carried out directly to obtain the results. The implementation of food for Diabetes Mellitus patients at RSUD H. Bachtiar Djafar has been carried out systematically, covering menu planning, procurement, processing, and serving, while paying attention to balanced nutrition, cost efficiency, variety, and cooking skills. The five-day menu cycle showed that nutritional needs were met, although improvements are needed in variety, calorie balance, and kitchen staff competency. Overall, this approach supports patient recovery and improves the quality of hospital services.
The Relationship Between Housing Physical Conditions and the Incidence of Acute Respiratory Infections (ARI) Among Coastal Communities in Medan City Arrazy, Syafran; Hidayat, Baihaqy Azro
Jurnal Sanitasi Profesional Indonesia Vol 6 No 01 (2025): Juni 2025
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jspi.v6i01.999

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant public health issue in Indonesia, including in the working area of UPT Puskesmas Teluk Putat, Labuhan Batu Regency. Poor environmental conditions such as substandard housing, open water containers, and inadequate waste management increase the risk of DHF transmission. This study aimed to analyze the relationship between environmental sanitation and DHF incidence using a case-control approach. A total of 63 respondents were involved, consisting of 21 DHF cases and 42 controls in a 1:2 ratio. Data were collected through structured questionnaires, environmental observations, and secondary data from the health center. The results showed a significant association between water storage conditions (p = 0.019; OR = 3.76; 95% CI: 1.25–11.34) and waste management (p = 0.000; OR = 10.00; 95% CI: 2.96–33.78) with DHF incidence. However, housing conditions were not statistically significant (p = 1.000). These findings suggest that specific aspects of environmental sanitation, particularly water and waste management, play a critical role in DHF prevention. It is recommended that DHF control programs focus more on public education regarding environmental hygiene and strengthening household-based preventive behavior.
Faktor Risiko Kelelahan Kerja pada Operator Internal Transfer Vehicle (ITV) di PT. Belawan New Container Terminal Lubis, Fatma Sri Ramadhan; Arrazy, Syafran; Eliska, Eliska; Batubara, Abdul Karim
Jurnal Biomedika dan Kesehatan Vol 8 No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

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Abstract

Background Occupational fatigue is an important issue in the field of occupational health and safety that is often experienced by workers in the industrial sector, especially workers who are involved in activities that are monotonous, repetitive, and last for a long duration of time. This condition can have an impact on reducing work productivity, increasing the risk of work accidents, and affecting the physical and mental health of workers. This study aims to analyze the risk factors associated with job fatigue in ITV (Internal Transfer Vehicle) Operators at PT Belawan New Container Terminal. Methods The research method uses a quantitative approach with a cross-sectional study design. The number of samples in this study were 39 respondents selected by total sampling technique. Data analysis was carried out through univariate analysis to describe the characteristics of respondents and bivariate analysis using the chi-square test to determine the relationship between independent variables, namely length of work, Body Mass Index (BMI), age, medical history, and work shifts with fatigue. Results The results showed a significant relationship between length of work (p = 0.005), BMI (p = 0.001), and work shift (p = 0.000) with job fatigue. However, the variables of age (p = 0.318) and medical history (p = 0.816) did not have a significant relationship. Therefore, the management is expected to formulate appropriate policies related to the setting of working hours. Conclusions The conclusion in this study is that there is a relationship between length of work, BMI, and work shifts with job fatigue, but there is no relationship between age and medical history. Therefore, management is expected to formulate appropriate policies related to setting working hours, structuring the shift system, and monitoring the nutritional status of workers in order to reduce the rate of fatigue.
Analysis of factors causing work accidents among oil palm harvesters at PTPN IV Dolok Ilir Ms, Saidana Wahyudi Putra; Aidha, Zuhrina; Arrazy, Syafran
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2043

Abstract

According to the ILO every year more than 250 million people experience accidents at work. Throughout 2023, 224 thousand cases of work accidents occurred in the oil palm plantation sector Based on the Occupational Safety and Health Profile, according to data from BPJS Employment, cases of work accidents in North Sumatra in 2024 reached 9,319 work accidents. Work accidents that often occur at PT Dolok Ilir Palm Oil Plantation are impaled by palm thorns, crushed by palm fronds, cut by machetes, eyes exposed to palm waste, scratched by palm fruit thorns. The purpose of this study was to determine the factors that cause the incidence of work accidents in labor workers. This research method uses quantitative with a cross-sectional approach. Sampling using the sloving formula with cluster random sampling technique. The results of the study showed that there were factors that influenced the incidence of work accidents in oil palm harvesters were age, use of PPE, and attitudes with a Sig value. < 0,05. Attitude is the most dominant factor in the incidence of work accidents with an Exp B value = 3.892, which means that a negative attitude is 3.892 times more risky than a positive attitude. It is expected that workers can increase awareness about the importance of prioritizing safety when working.
Determination Of Risk Factors Of Musculoskeletal Disorders In Palm Oil Harvesting Workers In Batu Jong-Jong Village Br.SK, Dea Ananda; Arrazy, Syafran; Peralihan, Hotmatua; Wasiyem; Utami, Tri Niswati
Periodicals of Occupational Safety and Health Vol. 4 No. 1 (2025)
Publisher : Universitas Ahmad Dahlan

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Abstract

Background : Musculoskeletal disorders (MSDs) describe disorders of the musculoskeletal system that arise from exposure to static position pressure that is repeated over a long period of time. This condition often causes complaints in the joints, ligaments, and tendons, a condition that is commonly experienced by workers who harvest oil palm fruit. The purpose of this study was to identify the determination of risk factors (work posture, work duration, age, physical fitness, work period and body mass index (BMI)) for the occurrence of musculoskeletal disorders in oil palm fruit harvesters in Batu Jong-Jong Village. Methods: This study applies a cross-sectional design with the use of primary data as the main source. A total of 68 oil palm harvesters were selected as respondents through a Stratified Sampling technique. Data were collected using a questionnaire distributed to respondents, as well as the Rapid Entire Body Assessment (REBA) and Nordic Body Map (NBM) assessment methods. The data obtained were then analyzed using the Chi-Square statistical test. Results: The results of the study showed that there was a relationship between work posture (p-value 0.003 and PR 2.172), age (p-value 0.000 and PR 3.095), physical fitness (p-value 0.009 and PR 2.160), length of service (p-value 0.009 and PR 2.160) with the incidence of musculoskeletal disorders. While there was no relationship between the duration of work (p-value 0.287 and PR 1.290) and body mass index (BMI) (p-value 0.936 and PR 1.076) with the incidence of musculoskeletal disorders. Conclusion: It can be concluded that there is a relationship between work posture, age, length of service and physical fitness with the incidence of musculoskeletal disorders in oil palm fruit harvesters.
KONDISI FISIK RUMAH SEBAGAI FAKTOR RISIKO ISPA PADA MASYARAKAT PESISIR KOTA MEDAN Arrazy, Syafran; Putri, Adelia; Masyithah, Ruhul; Siregar, Siti Romaito
Jurnal Kesehatan Marendeng Vol. 9 No. 2 (2025): JURNAL KESEHATAN MARENDENG
Publisher : LPPM STIKES Marendeng Majene

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58554/jkm.v9i02.141

Abstract

Infeksi Saluran Pernapasan Akut (ISPA) adalah salah satu gangguan kesehatan yang umum terjadi di daerah pesisir, terutama pada masyarakat dengan kondisi rumah yang tidak memenuhi standar kesehatan. Studi ini bertujuan untuk mengkaji hubungan antara kondisi fisik rumah dan kasus ISPA pada masyarakat di daerah pesisir Kota Medan. Studi ini menggunakan pendekatan kuantitatif dengan desain potong lintang (cross-sectional) dan melibatkan 160 responden yang tinggal di Kecamatan Medan Labuhan dan Medan Belawan. Data dikumpulkan melalui observasi dan wawancara menggunakan kuesioner terstruktur. Variabel fisik rumah yang dianalisis meliputi langit-langit, dinding, lantai, jendela kamar tidur, jendela ruang keluarga, ventilasi, lubang asap dapur, dan pencahayaan. Analisis dilakukan menggunakan perangkat lunak JASP dengan uji chi square dan prevalence ratio (PR). Hasil analisis menegaskan bahwa terdapat hubungan yang bermakna antara kondisi langit-langit rumah (p=0,016), keberadaan jendela kamar tidur (p=0,048), dan pencahayaan alami (p=0,007) dengan ISPA. Sementara itu, variabel fisik lain tidak menunjukkan keterkaitan yang bermakna secara statistik. Dapat disimpulkan bahwa beberapa aspek fisik rumah yang tidak memenuhi standar layak huni berperan dalam tingginya angka kasus ISPA di daerah pesisir, sehingga intervensi berupa perbaikan fisik rumah dan edukasi rumah sehat sangat diperlukan. Langit langit rumah di pesisir sebaiknya menggunakan material tahan lembap seperti gypsum atau papan fiber semen untuk mencegah pertumbuhan jamur yang memperparah ISPA.
Pengaruh Konten Kesehatan yang Ada di Media Sosial Terhadap Perilaku Kesehatan Remaja di Era Digital Salsabila, Mutiara; Sundari, Sri; Israyani, Israyani; Arrazy, Syafran
Journal of Education Technology Information Social Sciences and Health Vol 4, No 2 (2025): September 2025
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/jetish.v4i2.5281

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Media sosial, sebagai salah satu produk utama dari era digital, kini menjadi sarana yang sangat populer untuk berbagi informasi, termasuk konten kesehatan, jumlah pengguna media sosial di seluruh dunia telah mencapai lebih dari 4,9 miliar, dengan remaja menjadi salah satu kelompok pengguna terbesar. Kondisi ini menunjukkan bahwa media sosial memiliki potensi besar dalam memengaruhi perilaku kesehatan remaja. Artikel ini bertujuan untuk mengeksplorasi pengaruh konten kesehatan di media sosial terhadap perilaku kesehatan remaja, baik dalam aspek positif maupun negatif. Metode yang digunakan dalam penelitian ini kuantitatif deskriptif adalah suatu pendekatan yang bertujuan untuk menggambarkan atau mendeskripsikan fenomena yang terjadi di lapangan berdasarkan data yang diperoleh. Hasil penelitian menunjukkan bahwa sebagian besar responden menggunakan media sosial setiap hari, dengan jumlah 48 responden atau sekitar 87.72% dari total responden. Sementara itu, hanya 7 responden atau 12.28% yang menggunakan media sosial secara jarang. Hal ini menunjukkan bahwa mayoritas pengguna media sosial memiliki kebiasaan untuk mengakses media sosial secara rutin setiap harinya. Kesimpulannya perkembangan pesat teknologi informasi, khususnya media sosial, mempengaruhi perilaku kesehatan remaja secara signifikan. Mayoritas remaja yang terlibat dalam penelitian ini mengakses media sosial secara rutin, dengan sebagian besar menggunakan platform seperti TikTok, Instagram, dan YouTube.
Implementation of the Smoke-Free Area (SFA) Policy in Islamic University Nahar, Syamsu; Ulfah, Fitria; Syam, Abdi Mubarrak; Siregar, Putra Apriadi; Suraya, Rani; Arrazy, Syafran
Public Health of Indonesia Vol. 11 No. 3 (2025): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i3.1004

Abstract

Background: Indonesia's high prevalence of active smoking among young adults, despite WHO recommendations, underscores the need for Smoke-Free Area (SFA) in educational institutions to promote healthier environments. Objective: This investigation aimed to evaluate adherence to Smoke-Free Area (SFA) regulations across three Islamic universities in Indonesia and analyze the associated tobacco use behaviours among students and faculty members. Methods: The study used a cross-sectional design, conducting structured interviews with 7.040 participants from Universitas Islam Negeri Sumatera Utara, Universitas Islam Negeri Syarif Hidayatullah Jakarta, and Universitas Islam Negeri Wali Songo Semarang. The research focuses on the dissemination of information about the dangers of smoking, designated smoking areas, and cigarette butts. The study used a structured questionnaire and JASP version 19 software for data analysis, including spatial analysis with QGIS. Results: Universitas Islam Negeri Sumatera Utara has the lowest overall compliance with regulations, while Universitas Islam Negeri Syarif Hidayatullah and Universitas Islam Negeri Wali Songo show moderate compliance. Health Studies has the lowest adherence, particularly in "Signage." Education Studies leads in implementing smoking prevention measures, while Social Studies effectively disseminates information about smoking dangers. This data provides insights into smoking behavior and prevalence. Conclusion: The Smoke-Free Area (SFA) implementation and adherence varied among three Islamic universities in Indonesia, with Universitas Islam Negeri Sumatera Utara showing the lowest compliance rates, while Universitas Islam Negeri Syarif Hidayatullah and Universitas Islam Negeri Wali Songo showed moderate to high adherence. Keywords: health promotion; smoke-free Area (SFA); smoking; students; university
Efektivitas Penyuluhan Pola Hidup Sehat Terhadap Pencegahan Batuk Di Desa Sei Bejangkar Anjaini, Nurul; Salsabila, Assyifa Azzahra; Assyifa, Rumaisha; Arrazy, Syafran; Arika, Romiza
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1858

Abstract

Batuk merupakan salah satu dari tiga masalah kesehatan tertinggi di desa sei bejangkar, dengan 157 kasus tercatat dari Januari hingga Agustus 2025. Penelitian ini merupakan penelitian  kuantitatif dengan desain one group pretest-posttest mengenai pengaruh penyuluhan pola hidup sehat terhadap kejadian batuk di Desa Sei Bejangkar. Penelitian ini menggunakan 30 sampel dari masyarakat dewasa di desa tersebut yang diambil dengan teknik purposive sampling. Instrumen penelitian berupa kuesioner digunakan untuk mengukur pengetahuan, perilaku, dan tindakan responden sebelum dan sesudah penyuluhan. Hasil pre-test menunjukkan bahwa sebagian responden masih memiliki pengetahuan, perilaku, dan tindakan yang kurang baik terkait pola hidup sehat. Setelah diberikan penyuluhan, seluruh responden (100%) menunjukkan peningkatan yang baik. Analisis bivariat menggunakan paired sample t-test menunjukkan adanya perbedaan yang signifikan antara kondisi sebelum dan sesudah penyuluhan, dengan nilai p-value untuk pengetahuan, perilaku, dan tindakan masing-masing sebesar 0,001, 0,004, dan 0,001. Kesimpulannya, penyuluhan tentang pola hidup sehat terbukti efektif secara signifikan dalam meningkatkan pengetahuan, perilaku, dan tindakan masyarakat untuk mencegah batuk di Desa Sei Bejangkar.
Perception of officers in work safety protocols to achieve zero accidents at PT. Paramitha Build Means Alelga, Elsa; Susilawati, Susilawati; Arrazy, Syafran
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2102

Abstract

The high rate of occupational accidents indicates that the implementation of Occupational Safety and Health (OSH) in the construction sector still needs to be strengthened, including at the PT. Paramitha Bangun Sarana (Soci Mas) project, where worker compliance with the use of personal protective equipment (PPE) and standard operating procedures (SOPs) remains low. This study aims to describe the implementation of safety protocols and the achievement of the zero-accident program at the project site. A descriptive quantitative method was applied using a total sampling of 50 field workers. Data were collected through questionnaires and observations. Frequency distribution results show that most respondents were aged 18–33 years (82%), male (94%), and high-school graduates (82%). The level of OSH protocol perception was very good, with 94% of respondents agreeing and 6% strongly agreeing on the optimization of safety protocols. Zero-accident achievement was also high, indicated by 94% agreeing and 4% strongly agreeing with the program's application. These findings confirm that consistent application of OSH protocols, strong management support, and a solid safety culture can create a safe work environment, support the realization of zero-accident targets, and contribute to Sustainable Development Goal (SDG) 8 on decent work and economic growth.
Co-Authors ABdul Karim Batubara, ABdul Karim Agung Aji Perdana Ahsan, Abdillah Alelga, Elsa Alfareza, Alditia Aminuddin Aminuddin Andhani, Intan Andi Susilowati Anindya, Nazla Anissa Rizkianti Anita Rahmiwati Anjaini, Nurul Ansar Arika, Romiza Arini Fajriani Assyifa, Rumaisha Ayu Ardillah Azhari Akmal Tarigan Bainun , Muthia Faith Salsabilla Balqis, Alya Alfianti Barus, Dila Diwani Br Billa, Nurna br Ginting, Nurkholisah Br.SK, Dea Ananda Bunga Christita Rosha Damanik, Kemala sari Daulay , Annisya Dwi Putri BR Desy Nuri Fajarningtiyas Dias, Monica Amelia Dwi Astuti, Ikes Eliska, Eliska Elvi Sunarsih Fadilah, Sylva Qamara Nur Fahrul Islam Fatimah Azzahra Fithia Dyah Puspita Fitri Hayati Fitria Ulfah Fitriana, Ranti Gurendro Putro Haeranah Ahmad Hamonangan Pasaribu, Asrul Hasibuan, Seri Rahmadani Hazrin, Yosita Heny Lestary Hidayat, Baihaqy Azro Ika Saptarini Indah Rahayu Ritonga Indri Yunita Putri Iram Barida Maisya Israyani, Israyani Joko Pambudi Kadar Ramadhan Kadijah Hamid, St. Kadillah Suherry Kencana Sari Laila Sari Lestari, Ninis Lubis, Delfi Yunita Lubis, Fatma Sri Ramadhan Manik, Hubban Fathani Masnaeni Ahmad Masyithah, Ruhul Milwiyandia Milwiyandia Mochamad Iqbal Nurmansyah Ms, Saidana Wahyudi Putra Muhammad Ancha Sitorus Muhammad Sahputra Muhammad Syukri Muhammad Syukri Albani Nasution Mutia Azuba Nahar, Syamsu Naldo, Jufri Naldo Nasri Mohammed Nasution, Amalia Rahmi Nasution, Dinda Azria Nasution, Nur Chairani Rizki Nathasya, Diva Aulia Ningsih, Nining Ade Nofi Susanti Noor Edi Widya Soekotjo Novianti Novianti Nurbaya Nurhayati Nurhayati Nurhayati Nurillah Amaliah Pardosi, Fadhila Azzahra Peralihan, Hotmatua Permata Amalia Mursyid Pohan, Arja Adi Jaya Pratiwi, Sabila Purnama, Tri Bayu Putra Apriadi Siregar Putri, Adelia Putri, Hikmathine Osella Rahmadillah, Al Fiza Putri Rambe, Desi Rapotan Hasibuan Raspiyahni Rika Rachmalina Rina Khairuna Nasution Rina Marina Riska, Zamharira Rizka Fadilla, Septiani Rizki, Aprida Aulia Rizqika, Indah Salsabila, Assyifa Azzahra Salsabila, Mutiara Sibarani, Adinda Azima Riskiya Sintia, Ayunda Siregar, Deborah Siregar, Siti Romaito Siti Masitoh Sugiharti Sugiharti Sumiati Sumiati Sundari, Sri Suparmi Suparmi Suraya, Rani Susilawati Susilawati, Susilawati susilawati, Susilawati Suwayya , Alya Syafa Rangkuti, Nur Ashilah Syafina Aisyah Syah, Dwiki Wardana Syahputri, Nuri Nabila Syahrani, Putri Syahrial Arif Hutagalung Syam, Abdi Mubarrak Ulfa, Syahla Shatira Utami, Arvina Putri Utami, Tri Niswati WAHYUDI Wahyudi Wahyudi Wahyuni, Raduwi Wasiyem, Wasiyem Yulia Khairina Ashar Yunita Warina Zahrani, Windi Zata Ismah Zein, Nona Adilla Syafitri Zuhrina Aidha