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Factors Associated with Hypertension Control Behavior in the Pre-Elderly Group in Padangsidimpuan City Raysyah Rahmadhani Hasibuan; Kintoko Rochadi; Fazidah Aguslina Siregar
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.15649

Abstract

Indonesia is currently facing a double burden of disease, namely communicable diseases and non-communicable diseases, where behavior is one of the causes of changes in the pattern of these diseases. One of the non-communicable diseases which is the main cause of premature death in the world, namely hypertension is a silent killer with the highest prevalence rate in Indonesia. Untreated hypertension can cause complications. The elderly population is the most vulnerable population suffering from hypertension. One of the areas in North Sumatra with an ever-increasing number of cases of hypertension is Padangsidimpuan City. This study aims to analyze factors related to hypertension control behavior in the pre-elderly group in Padangsidimpuan City. This type of research is quantitative analytic with cross sectional design. The total population in this study was 3104 with a total sample of 237 obtained using cluster sampling and proportional random sampling. The instrument in this study used a questionnaire. The data obtained were analyzed by univariate, bivariate, and multivariate using multiple logistic regression tests. The results showed that there was a relationship between intention (p=0.002), knowledge (p=<0.001), attitude (p=<0.001), affordability of information (p=<0.001), availability of facilities and infrastructure (p=0.020), and support social status (p=0.002) with hypertension control behavior. Multivariate analysis shows that the attitude variable is the variable most related to the behavior of the elderly in controlling hypertension with a Prevalence Ratio (RP) value of 4.869. The pre-elderly group is expected to be more active in adopting a healthy lifestyle, and an active role from the family and health workers is needed in providing support to hypertension sufferers to implement hypertension control behavior and avoid complications. Keywords:  Behavior, Hypertension Control, Pre-Elderly
Enhancement of The Participation of Elderly people in Posyandu Health Services in Sunggal District Towards Healthy Living Siregar, Fazidah Aguslina
Journal of Saintech Transfer Vol. 5 No. 2 (2022): Journal of Saintech Transfer
Publisher : Talenta Publisher Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jst.v5i2.9145

Abstract

Elderly people have susceptible to degenerative diseases that increase with their age. In Sunggal District, the number of elderly people is quite high as much as 8759 people, however, elderly people who have utilized the posyandu health services are still low. This impacted on the risk of degenerative diseases. The aim of this activity was trained cadres of posyandu to improve their performance, monitor the health status of elderly people, and educate them on the importance of monitoring health status. In this activity, training was carried out for the cadres to improve their performance in the implementation of posyandu. From the health status examination of elderly people, we found that many elderly people have a risk of metabolic syndrome, 47.76% of elderly people with obese, 40.30% of elderly people with systolic hypertension and 28.36% with diastolic hypertension, 20.90% of elderly people with high blood glucose levels, and 32.84% of elderly people with high cholesterol. Health education regarding monitoring health status through posyandu health services and improvement of the performance of cadres in the implementation of posyandu is necessary to enhance the participation of the elderly people in healthy living. Furthermore, it was expected that the performance of cadres in the implementation of posyandu will increase and the elderly people will regularly check their health status.
Health Education and Family Empowerment in Preventing Nutritional Problems in Early Childhood Siregar, Fazidah Aguslina
Journal of Saintech Transfer Vol. 6 No. 2 (2023): Journal of Saintech Transfer
Publisher : Talenta Publisher Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jst.v6i2.12777

Abstract

Early childhood producing future human resources, is a group that is susceptible to a variety of health issues and nutritional disorders. It is important to pay attention to the fulfillment of excellent nutrition and to optimize every stage of its growth. According to estimates, 10% of the children in the Amanah Kahmi playgroup are malnourished due to nutritional abnormalities, and many parents lack awareness of the importance of feeding children a healthy diet. It could impact the risk of infectious disease and growth issues. This activity aims to inform parents about the monitoring of a child's nutritional condition and the preparation of nourishing foods for young children. The activity began with education on assessing children's nutritional status and putting it into practice by measuring the height and weight of 35 school students and then applying it using the WHO child nutrition monitoring chart. The results showed that 19 children with normal weight categories consisting of 5 boys and 14 girls; 8 children with poor nutritional status consisting of 7 boys and 1 girl; and 8 children close to the normal nutritional limit, consisting of 2 girls and 6 boys. The activity was followed by educating parents regarding balanced nutrition for children through the video presentation and preparation of nutritious food for children. This activity is expected to increase knowledge and assist parents in monitoring the growth and development of children and providing nutritious food for children to prevent nutritional disorders in early childhood.
Hubungan faktor metabolik dan konsumsi makanan minuman manis dengan kadar gula darah pada usia 30-60 tahun di Puskesmas Simalingkar Tarmizi, Muhammad; Siregar, Fazidah Aguslina
TROPHICO: Tropical Public Health J. Vol. 4 No. 1 (2024): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v4i1.14534

Abstract

High blood glucose levels (hyperglycemia) can be caused by several conditions, including diabetes mellitus (DM). Among the top 5 nations in the world with the most DM cases in 2021 is Indonesia. There are 161,267 DM patients in North Sumatra, with 31,482 cases in Medan. Simalingkar Community Health Center is one of the health centers in Medan with the highest number of DM cases in 2022. This study intends to examine the association between blood glucose levels in individuals aged 30 to 60 at Simalingkar Community Health Center and metabolic variables, particularly obesity as assessed by body mass index (BMI) and belly circumference, as well as the consumption of sugary foods and beverages. This research is a cross-sectional study. 120 participants were included in this research sample and use accidental sampling method. Data analysis was done univariately, bivariately using the chi-square test and multivariately using logistic regression. The results showed that BMI (RP=1.701; 95% CI=1.095–2.645; p=0.022), abdominal circumference (RP=2.124; 95% CI=1.253–3.600; p=0.003) and sweet foods and beverages consumption (RP=2.042; 95% CI=1.358–3.069; p=0.001) were significantly associated with blood glucose levels. The habit of consuming sweet foods and drinks is the most dominant factor influencing a person to experience hyperglycemia (OR=3,345; 95% CI=1,512-7,387). The community is advised to control blood glucose levels by maintaining ideal body weight and reducing consumption of sweet foods and beverages to prevent type 2 DM.
The Effect of Obesity, Carbohydrate, and Fat Intake on the Incidence of Type 2 Diabetes Mellitus at the Age of 30-50 Years in Medan Gifani Anastasya; Fazidah Aguslina Siregar; Taufik Ashar
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.18485

Abstract

Diabetes Mellitus (DM) is a disease that is synonymous with elevated blood glucose levels that have an impact on vascular and nervous system disorders.  In 2013, the prevalence of DM in Indonesia was 6.8 percent and increased to 8.5 percent in 2018. North Sumatra is in the twelfth position of provinces in Indonesia with a prevalence of 2 percent and Medan is the city with the highest cases with a total of 249.000 cases. In 2022 in Medan, the number of DM cases is known to be 21,515 cases. This study aims to analyze the effect of obesity, carbohydrate, and fat intake on the incidence of type 2 DM at the age of 30–50 years in Medan. The research method used a case-control unmatching design.  The study subjects were aged 30-50 years consisting of 65 DM cases and 65 non-DM as controls. Data analysis was carried out univariate, bivariate, and multivariate with SPSS software using multiple logistic regression tests. The results showed that there was an effect between overweight (p=0.014), carbohydrate intake (p= 0.013), and fat intake (p= 0.032) on the incidence of type 2 DM. Multivariate analysis shows that carbohydrate intake is the most influential variable in the incidence of type 2 DM with an Odds Ratio value of 5.696.   It is recommended for the community to carry out a healthy lifestyle by maintaining a diet, and an ideal weight, and exercising regularly. It is hoped that the Posbindu and Prolanis programs can be implemented massively at the community health center. Keywords: Carbohydrate, Fat, Obesity, Type 2 Diabetes Mellitus
Social Determinants of Hypertension in South Nias Herbert Wau; Ida Yustina; Fazidah Aguslina Siregar; Nurmaini
International Conference on Education, Science, Technology and Health (ICONESTH) 2023: ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.257

Abstract

Hypertension is very rarely reported because the disease is asymptomatic and people are less aware of their health. Data on risk factors needs to be obtained as soon as possible so that prevention can be carried out as early as possible to reduce the risk of death and disability. This study aims to determine the social of hypertension in South Nias. The research was conducted with a matched case-control study. The sample amounted to 100 people, where the case numbered 50 people and the control numbered 50 people. This research was conducted in the South Nias Regency. Cases were of essential hypertension who were diagnosed by doctors at the puskesmas and controls were neighbors of cases. Analyze with Mc Nemar X2 test, and calculate OR. The results showed that most subjects aged 41-62 years old, had high school and high school education and had jobs as farmers. The bivariate analysis found risk factors for hypertension are stress (OR = 2.01 CI 95% 1,234-3,285), excessive salt consumption (OR = 1.98 CI 95% 1,269-3,119), lack of physical activity (OR = 1, 87 95% CI 1,203-2,924), and obesity (OR = 1.81 CI 95% 1,094- 3,006). The conclusion of this study is the risk factors for the occurrence of essential hypertension are stress, excessive salt consumption, lack of physical activity, and obesity. Efforts to involve all stakeholders are needed to empower POSBINDU PTM, and the participation of community leaders in helping health workers promote health both in the village environment and in the Puskesmas.
ENSEFALITIS VIRUS HERPES SIMPLEX Makmur, Tri; Siregar, Fazidah Aguslina
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 19 No. 2 (2020): Juli 2020
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.476 KB) | DOI: 10.30743/ibnusina.v19i2.45

Abstract

Ensefalitis virus herpes simpleks adalah inflamasi jaringan parenkim otak yang berat dan bersifat fatal yang disebabkan virus herpes simpleks yang termasuk virus golongan DNA. Penyakit ini merupakan penyebab ensefalitis fokal akut sporadik di dunia dengan insidensi tahunan 1-3 kasus per 1.000.000 penduduk. Penyakit ini dapat mengenai semua kelompok umur, namun paling banyak mengenai kelompok umur diatas 20 tahun. Penyakit ini dapat mengenai baik pria maupun wanita. Penyakit ini disebabkan virus herpes simpleks tipe 1 yang sering menyebabkan ensefalitis pada anak dan dewasa sebagai reaktivasi dari infeksi laten, dan virus herpes simpleks tipe 2 yang menyebabkan ensefalitis pada neonatus. Manifestasi klinis diawali dengan gejala menyerupai flu dan berkembang secara progresif sampai terjadinya koma. Acyclovir diberikan sebagai obat pilihan pada pengobatannya. Prognosa penyakit bergantung pada usia penderita, derajat kesadaran, kecepatan dan ketepatan pengobatan.
PEMBERDAYAAN MASYARAKAT DALAM DETEKSI DINI DAN PENCEGAHAN PENYAKIT DEGENERATIF Siregar, Fazidah Aguslina; Asfriyati Nasution
Jurnal Abdimas Mutiara Vol. 6 No. 2 (2025): JURNAL ABDIMAS MUTIARA (IN PRESS)
Publisher : Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jam.v6i2.6161

Abstract

Permasalahan yang dihadapi Puskesmas Muliorejo adalah tingginya jumlah penderita penyakit degeneratif seperti hipertensi dan Diabetes mellitus. Selain itu pengetahuan masyarakat tentang penyakit degeneratif dan pemeriksaan kesehatan untuk deteksi dini juga masih rendah. Dalam rangka mewujudkan masyarakat yang sehat dan terhindar dari penyakit degeneratif maka perlu mensosialisasikan pentingnya memeriksakan kesehatan secara rutin untuk deteksi dini penyakit degeneratif dan kemudian menerapkan perilaku hidup sehat dalam kehidupan sehari hari untuk pencegahan penyakit degeneartif. Kegiatan Pengabdian ini berfokus pada 3 sub- kegiatan yaitu pemeriksaan kesehatan, edukasi tentang risiko, gejala penyakit degeneratif, dan edukasi cara pencegahan melalui pengaturan pola makan yang sehat dan gaya hidup yang sehat Target luaran yang akan dihasilkan berupa 1] penulisan artikel di jurnal serta 2] pembuatan video perilaku hidup sehat. Diharapkan pengetahuan tentang penyakit degeneratif dan kesadaran masyarakat akan perilaku hidup sehat akan meningkat sehingga terjadinya penyakit degeneratif dapat dicegah. Kegiatan yang telah dilakukan meliputi 3 aspek yaitu 1]. Pemeriksaan kesehatan 2]. Edukasi risiko dan gejala penyakit degeneratif 3]. Edukasi cara pencegahan penyakit degeneratif melalui penerapan perilaku hidup sehat.
Community Empowerment in The Prevention of Stunting for Children Under Five : by Optimizing the Role of Cadres, Health Education and Family Assistance Siregar, Fazidah Aguslina; Surdayati, Etti; Nurmaini
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2020): ABDIMAS TALENTA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (853.343 KB) | DOI: 10.32734/abdimastalenta.v5i2.4963

Abstract

Stunting is a health problem needs serious attention. In Bagan Deli Village, the proportion of children who are stunted was 10.37% and children with poor nutritional status was 2.9%. It has an impact on growth disorders, immune system, and furthermore, impaired children's intelligence. Optimizing the role of cadres and family involvement in stunting prevention is necessary. The aims of this activity was to educate cadres and parents in monitoring the growth of children under five, nutritional intake of children and implement of nutritional intake in daily life. From this activity, it can be seen that the cadres' knowledge increases in monitoring the growth and nutrition of children under five after training. From the health status examining on children, it was found that 33.3% of children under five were malnourished, 33.3% were with poor nutrition and 33.3% were with good nutrition. Education and family assistance are provided to parents in preparing a balanced healthy menu for children. It was suggested that parents prepared daily healthy menu and monitoring the nutrition of children under five. Therefore, community empowerment in preventing stunting in children under five is necessary
PENINGKATAN MUTU PELAYANAN MELALUI PENGUATAN KAPASITAS TENAGA KESEHATAN DI DINAS KESEHATAN KABUPATEN DAIRI Yustina, Ida; Siregar, Fazidah Aguslina; Aini, Fadilah
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 5 No. 2 (2024): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v5i2.34023

Abstract

Dairi District Health Office North Sumatra Province is a type A health service that oversees 18 Health Centers recorded from the Community Health Development Index (IPKM) 2018, which is at a value of 0.6044, and this still does not meet the indicator set by the Ministry of Health of 0. 6087, it is assumed that the IPKM is 0. indicator set by the Ministry of Health 0. 6087, it is assumed that the low IPKM is caused by the low quality of services provided by the health centers. low GPA is caused by the low quality of services provided by health workers in Dairi Regency. health workers in Dairi Regency. This service aims to improve the quality ofservices of health workers at the Dairi District Health Office through capacity building and planning. capacity building and planning. The targets in this service were 50 health workers at the Dairi Regency Health Office. The results of the service are shown by the existence of planning documents prepared by health workers at the puskesmas level. As an effort to improve quality of health services, monitoring and evaluation of health workers is needed, especially health workers, especially from health centers.