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All Journal JURNAL MUTIARA NERS Jurnal Keperawatan Priority Science Midwifery MAHESA : Malahayati Health Student Journal Journal of Applied Nursing and Health Journal of Pharmaceutical and Sciences.
Zebua, Arianus
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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SCOPING REVIEW ON RISK FACTORS ASSOCIATED WITH HYPERTENSION IN INDONESIA Hulu, Victor Trismanjaya; Saragih, Julwansa; S, Buenita; Damanik, Derma Wani; Zebua, Arianus; Yunia, Eva Anita; Rifai, Achmad; Dewi, Rani Sartika
Jurnal Ilmiah Keperawatan Vol 8 No 2 (2025): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v8i2.6076

Abstract

Background: Hypertension is a global health problem that contributes significantly to deaths from cardiovascular disease. Unhealthy lifestyles, including excessive salt consumption, physical inactivity, and obesity, are the primary factors. Without management, hypertension can lead to serious complications such as heart disease, stroke, and kidney failure. Objective: This study aims to investigate, summarise, and identify various scientific evidence related to hypertension risk factors. Methods: This study employed a scoping review approach organised according to the PRISMA protocol. The Population–Concept–Context (PCC) framework was utilised as an initial guideline in formulating research questions and searching for relevant articles. The literature search process was conducted using several databases, including Google Scholar and Scopus. The included articles had to meet the inclusion criteria, which were limited to open-access journals published between 2020 and 2025. From a total of 512 articles found, only 14 met the selection criteria and were suitable for analysis. The data extraction process was conducted by eight people on the 14 selected articles, followed by qualitative data analysis. Results: The findings indicate that factors such as age, gender, length of employment, consumption of salt, sugary drinks, high-fat foods, elevated total cholesterol levels, low vegetable intake, lack of physical activity, stress, and abdominal circumference that exceeds the recommended play a role in increasing the risk of hypertension. Conclusion: These factors trigger fluid retention, insulin resistance, dyslipidemia, and central obesity that together raise blood pressure and accelerate vascular damage.
The relationship between Hb examination and body height on the incidence of stunting in elementary schools Butarbutar, Maria Haryanti; Bangun, Herianto; Zebua, Arianus; Siregar, Riani Baiduri
Science Midwifery Vol 12 No 3 (2024): 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.v12i3.1651

Abstract

Stunting is known as a child's short or very short height. Stunting is a nutritional problem that can affect the quality of human resources. As a result, stunting includes increased mortality and morbidity as well as decreased growth in motor and mental abilities. Based on the monitoring results of the North Sumatra Provincial Government, the prevalence of stunting will be 18.9% in 2023. One of the global health problems, especially in developing countries, is anemia. The purpose of the study was to understand the relationship of Hb examination and anemia to the incidence of stunting in elementary schools in Medan. The method used in this study was quantitative method, namely survey with cross-sectional technique, the respondents were all public elementary school students. Sampling by cluster, namely class 1 as many as 28 samples. The results of Hb examination with the incidence of stunting p-value 0.061 which means less than 0.05 there is a relationship between Hb examination and the incidence of stunting. The results of height with the incidence of stunting p-value 2.652 which means greater than 0.05 that there is no relationship between less height and the incidence of stunting. Normal height with the incidence of stunting p-value 2.652. The type of food consumed by the body affects the absorption of iron in the body, especially non-heme iron of vegetable origin. Consumption of high doses of calcium (more than 40 mg) may inhibit iron absorption and lead to low haemoblogin and short stature in children.
Analisis Pelaksanaan Program Keselamatan Pasien IGD di RS Vina Estetika Medan Zebua, Arianus; Bangun, Herianto
MAHESA : Malahayati Health Student Journal Vol 4, No 11 (2024): Volume 4 Nomor 11 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i11.15729

Abstract

ABSTRACT Patient safety is defined as a service that aims not to injure and harm patients or as a system in which hospitals make patient care safer. The target of compliance with patient identification correctly, effective communication with SBAR procedures, compliance by officers in maintaining hand hygiene, and compliance with identification of patients at risk of falling are still below 100%. The purpose of this study is to analyze the Implementation of the Emergency Room Patient Safety Program at the Vina Aesthetic Hospital Medan in 2021. This type of research is using descriptive descriptive with naturalistic nature. The data obtained through interviews with several main informants and additional informants, namely ER patients with the Triangulation method, can be concluded: Input (HR, every nurse or implementer in the ER has carried out patient safety well), Process (Patient Safety has been carried out in accordance with SOPs by applying maximum patient identification), Output (ER patient, feels that the identification has been carried out properly). The conclusion in this study is that the implementation of patient safety in the emergency room has been carried out following the patient safety SOP as much as possible. Keywords: Patient Safety, Nurse, Hospital  ABSTRAK  Keselamatan pasien (patient safety) didefinisikan sebagai layanan yang bertujuan untuk tidak menciderai dan merugikan pasien ataupun sebagai suatu sistem yang dimana rumah sakit membuat asuhan pasien lebih aman. Sasaran kepatuhan identifikasi pasien secara benar, komunikasi efektif dengan prosedur SBAR, kepatuhan petugas dalam menjaga kebersihan tangan, dan kepatuhan identifikasi pasien yang beresiko jatuh pencapaiannya masih berada dibawah 100%. Adapun tujuan dalam penelitian ini yaitu menganalisis Pelaksanaan Program Keselamatan Pasien IGD di RS Vina Estetika Medan Tahun 2021. Jenis penelitian ini yaitu menggunakan kalitatif deskrftif dengan sifat naturalistik. Data diperoleh melalui wawancara beberapa informan utama dan informan tambahan yaitu pasien IGD dengan metode Triangulasi dapat disimpulkan: Input (SDM, setiap perawat atau pelaksana di IGD sudah melakukan pelaksanaan keselamatan pasien dengan baik), Process (Keselamatan Pasien yang sudah dilakukan dengan sesuai SOP dengan menerapkan identifikasi pasien secara maksimal), Output (Pasien Ruang IGD, merasa sudah dilakukan identifikasi dengan baik). Keseimpulan dalam penelitian ini bahwa pelaksanaan safety patient di ruang IGD sudah terlaksana mengikuti SOP keselamatan pasien semaksimal mungkin. Kata Kunci: Keselamatan Pasien, Perawat, Rumah Sakit
Efektivitas latihan range of motion (ROM) terhadap gangguan otot pada pasien stroke di lingkungan desa Kotasan Galang Butar-butar, Maria Haryanti; Saputra, Heri; Bangun, Herianto; Zebua, Arianus; Maryanti, Endang
Journal of Pharmaceutical and Sciences Suppl. 1, No. 1 (2023)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v6i5-si.264

Abstract

Background: Stroke sufferers suffer from unmovable muscle disorders that are the result of cerebral bleeding. muscle contractions necessary to perform daily activities and a decrease in blood supply to the brain as a result of stroke. Objective: function of the musculoskeletal system with the effectiveness of a range of motion training (ROM) against muscle disorders in stroke patients in the neighborhood of Kotasan Galang village. Methods: The research type is quasi-experimental, using one-group pretest and posttest design approaches. The research intervention was by doing ROM exercises. (Range of motion). The population of stroke patients who experienced muscle disorders of patients using Wilcoxon's trial was 22 patients. Result: Muscle disorders before and after performing the ROM action obtained the minimum muscle disorder value on scale 2 and the maximum muscle disturbance value on scale 4 with an average of 3.20. Conclusion: There is the effectiveness of range of motion (ROM) exercises against muscle disorders in stroke patients in the neighborhood of Kotasan Galang Village.
Flexible Work Shift Policy, Burnout, and Performance among Hospital Administrative Staff: A Cross-Sectional Correlational Study Jannah, Miftahul; Zebua, Arianus
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.464

Abstract

Background: Flexible work shift policies are increasingly adopted to promote employee well-being and productivity. However, empirical evidence regarding their impact on burnout and job performance among non-medical hospital staff in Indonesia remains limited, creating a gap in understanding how such policies function in this context. This study aimed to analyse the effects of flexible work-shift policies on burnout and performance among administrative staff at Medan Adventist Hospital. Methods: A cross-sectional correlational design was used, following the STROBE reporting guideline, involving 50 administrative employees selected through saturated sampling. Instruments included the Flexible Work Shift Questionnaire, Maslach Burnout Inventory, and a performance questionnaire based on Robbins’ theory. All tools demonstrated acceptable validity and reliability. Data analysis employed Pearson correlation with a significance level of p < 0.05, accompanied by effect size (r²) calculations. Results: Flexible work shifts were negatively associated with burnout (r = –0.512, p = 0.001, r² = 0.26) and positively associated with performance (r = 0.628, p < 0.001, r² = 0.39). Burnout also showed a negative correlation with performance (r = –0.473, p = 0.002, r² = 0.22).. Conclusion: Flexible work shift policies significantly reduce burnout and enhance job performance. These findings highlight the value of structured, well-supervised flexibility as an evidence-based HR strategy that supports employee well-being and strengthens hospital operational quality.
Machine Learning Models Prediction Medication Nonadherence Risk in Type 2 Diabetes: A Systematic Review Hulu, Victor Trismanjaya; Hulu, Yusuf Panserito; Telaumbanua, Kharis Meiwan K; Sirait, Reni Aprinawaty; Zebua, Arianus; Simatupang, Rumiris
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7859

Abstract

The prediction of medication nonadherence among patients with T2DM can be improved in accuracy and speed using machine learning (ML). This study aimed to develop an ML model to predict the risk of medication nonadherence among patients with T2DM. Methods, inclusion criteria comprised English-language, open-access journal articles published between 2020 and 2025 that developed and validated ML–based prediction models, including ensemble methods, gradient-boosting models, SVMs, and neural networks. Exclusion criteria included review articles, non-English papers, studies published before 2020, studies lacking prediction model development or validation, and studies using only traditional statistical methods, such as logistic regression. The article search was conducted in PubMed, Scopus, ScienceDirect, and Google Scholar. Prediction Model Risk of Bias Assessment Tool (PROBAST) to assess the methodological quality and usefulness of the qualified studies. This narrative synthesis examines the characteristics of ML-based prediction models, their performance, and the factors that predict adherence among patients with T2DM. The papers were sourced from various scientific journal databases. The results show that cross-sectional and cohort studies were among the research designs used in the five papers reviewed. The AUROC of the internal test was 0.782, and the AUROC of the external test was 0.771. The learned-feature classification model achieved an average accuracy of 79.7%. Among these algorithms, the AUC of the best-performing algorithm was 0.866 ± 0.082. The SVM classifier outperformed the others, achieving a recall of 0.9979 and an AUC of 0.9998. The conclusion indicates that predictive capacity is influenced by clinical metrics and the number of prescribed medications.
Co-Authors ACHMAD RIFAI BANGUN, HERIANTO Butar-Butar, Maria Haryanti Butarbutar, Maria Haryanti Damanik, Derma Wani Dewi, Rani Sartika Hulu, Yusuf Panserito Maryanti, Endang Miftahul Jannah S, Buenita Saputra, Heri Saragih, Julwansa Simatupang, Rumiris Sirait, Reni Aprinawaty Siregar, Riani Baiduri Telaumbanua, Kharis Meiwan K Victor Trismanjaya Hulu Yunia, Eva Anita