Hartono Hartono
Department of Public Health, Universitas Prima Indonesia

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Occupational stress and fatigue as risk factors for hypertension among employees at PT. Perkebunan Milano, Kebun Sei Daun Eva Ellya Sibagariang; Jesika Meyanti Saragih; Hartono Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8440

Abstract

Background: Hypertension is a major public health problem with increasing prevalence and is a primary risk factor for various cardiovascular diseases. Workers exposed to work stress and work fatigue are at higher risk. This study aimed to determine the relationship between work stress and work fatigue with the incidence of hypertension among employees at PT. Milano Kebun Sei Daun.  Method: This quantitative study used a cross-sectional design. The population comprised all 52 employees, and total sampling was used to include all as respondents. Data were collected using questionnaires, observation sheets, and blood pressure measurements. Univariate analysis described frequency distributions, and bivariate analysis used the chi-square test (α=0.05). Results: The study found that 14 respondents (26.9%) had hypertension. Among those with high work stress, 2 had hypertension; among those with high work fatigue, 3 had hypertension. Chi-square tests showed significant associations between work stress and hypertension (p=0.044) and between work fatigue and hypertension (p<0.001). Conclusion: There are significant relationships between work stress and work fatigue with the incidence of hypertension among employees at PT. Milano Kebun Sei Daun. Workplace interventions to reduce stress and fatigue are recommended.
Coffee consumption and lifestyle factors associated with hypertension risk in working-age residents of Tanjung Gusta, Medan Ulan Azmi; Eva Ellya Sibagariang; Hartono Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8447

Abstract

Background: Hypertension is a non-communicable disease with increasing prevalence, including among productive age adults. Coffee consumption habits and unhealthy lifestyles are suspected to increase the risk of hypertension. This study aimed to determine the relationship between coffee consumption and lifestyle with the incidence of hypertension among productive age adults in Tanjung Gusta Village, Medan City.  Method: This quantitative study used a cross-sectional design. The sample comprised 98 respondents selected using accidental sampling. Data were collected through structured questionnaires and blood pressure measurement using a sphygmomanometer. Data were analyzed using the chi-square test with a significance level of 0.05. Results: Among 98 respondents, 18 (18.4%) had hypertension. Coffee consumption was significantly associated with hypertension (p=0.033), and lifestyle was also significantly associated with hypertension (p=0.041). Respondents who frequently consumed coffee and had unhealthy lifestyles showed higher proportions of elevated blood pressure. Conclusion: There are significant relationships between coffee consumption and lifestyle with the incidence of hypertension among productive age adults in Tanjung Gusta Village, Medan City. Limiting coffee intake and adopting a healthy lifestyle are recommended for hypertension prevention.
Hypertension knowledge, preventive behaviors, and primary care integration among patients at Medan Johor Community Health Center Aqila Amelia Afni; Pahala Maringan Jubel Simangunsong; Hartono Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8459

Abstract

Background: Hypertension is a non-communicable disease that can lead to serious complications if not managed properly. Patients' knowledge level is hypothesized to influence their preventive behaviors, particularly within the context of Primary Care Integration (Integrasi Layanan Primer, ILP) implemented at community health centers. This study aimed to determine the relationship between knowledge level and preventive behaviors for hypertension complications among patients in the ILP program at Medan Johor Community Health Center.  Method: A quantitative survey design was used. Data were collected in April–May 2026 using printed questionnaires. The population comprised 7,648 hypertension patients, with a sample of 99 respondents determined using the Slovin formula and purposive sampling. Univariate and bivariate analyses (Chi-square test) were performed. Results: Most respondents were aged 55–64 years (53.5%), female (69.7%), had senior high school education (59.6%), and were housewives (62.6%). The majority had good knowledge (72.7%) and good preventive behaviors (90.9%). The Chi-square test showed a p-value of 0.669 (p > 0.05), indicating no significant relationship between knowledge level and preventive behaviors for hypertension complications in this population. Conclusion: Although most hypertensive patients had good knowledge and good preventive behaviors, knowledge was not significantly associated with preventive behavior in the context of ILP implementation. Other factors such as family support, motivation, and healthcare access may play more influential roles.