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Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Published by Universitas Batam
ISSN : 20877390     EISSN : 27214060     DOI : https://doi.org/10.37776/zked
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
The Zone of Medicine publishes research articles from a variety of topics in B idang Medicine and health, published issues include: Occupational Health Medical Science Education Public Health Sciences Biomedical Sciences Clinical Medicine Nutrition
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 288 Documents
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HUBUNGAN INTENSITAS KEBISINGAN TERHADAP GANGGUAN PENDENGARAN AKIBAT BISING (NIHL) PADA PEKERJA BAGIAN PRODUKSI PT X BATAM Elvita Nora Susana; Nopri Esmiralda; Kemas Muhammad Zaki
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i1.2110

Abstract

ABSTRACT Background: Noise Induced Hearing Loss (NIHL) is a hearing impairment due to continuous or certain duration of noise exposure. This hearing impairment usually develops slowly over several years, this hearing impairment can occur due to several factors such as noise intensity that exceeds the threshold value, age and also length of service. This study aims to analyze the relationship between noise intensity and noise-induced hearing impairment (NIHL) in production workers at PT X. Methods: This study is an observational analytical study with a cross-sectional approach. The study sample consisted of 67 workers in the production department of PT X. Data were obtained through workers' medical records and analyzed using the Chi-square test with a significance level of 95% (p ≤ 0.05). Results: Of the total 67 respondents, 35.8% were exposed to noise with an intensity of <85 dB and 64.2% were exposed to noise with an intensity of >85 dB. As many as 46.3% of workers did not experience noise-induced hearing loss (NIHL), and 53.7% of workers experienced noise-induced hearing loss (NIHL). Bivariate analysis showed a significant relationship between noise intensity and noise-induced hearing loss (NIHL) (p = 0.001). Conclusion: There is a significant relationship between noise intensity and noise-induced hearing loss (NIHL). Therefore, close monitoring and education regarding NIHL risk factors need to be improved to reduce the incidence and complications caused. Keywords: Noise Intensity, Hearing Loss, NIHL
HUBUNGAN KEPATUHAN ASUPAN FE DENGAN ANEMIA DEFESIENSI BESI PADA IBU HAMIL DI PUSKESMAS SEI LANGKAI Dino Gagah Prihadianto; Kasih Purwati; Christiana Lo
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i1.2111

Abstract

ABSTRACT Background: Anemia during pregnancy is a global health issue affecting nearly 50% of pregnant women worldwide. In Indonesia, the increasing prevalence of anemia reflects a persistent public health challenge. One contributing factor is poor adherence to iron tablet (Fe) supplementation. This study aimed to determine the relationship between compliance with iron tablet consumption and the incidence of iron deficiency anemia in pregnant women at the Sei Langkai Public Health Center. Methods: This was a quantitative study using a cross-sectional design. The sampling technique was accidental sampling with a total of 56 pregnant women. Data were collected through questionnaires and hemoglobin levels were measured using the Easy Touch device. Data analysis was performed using the Chi-Square test. Results: The Chi-Square test showed a significant relationship between compliance with iron tablet intake and the incidence of iron deficiency anemia (p = 0.001). Conclusion: There is a significant relationship between iron tablet compliance and the incidence of iron deficiency anemia in pregnant women at the Sei Langkai Public Health Center. Keywords: Compliance,iron Tablets,Anemia,Pregnant Women
FAKTOR INDIVIDU DAN FAKTOR PEKERJAAN YANG MEMPENGARUHI KELUHAN MUSCULOSKELETAL DISORDERS PADA PEKERJA PABRIK KELAPA SAWIT PT AGRINDO INDAH PERSADA Rusdani; Sukma Sahreny; Aulia Legita Zahari
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i1.2112

Abstract

ABSTRACT Background: Palm oil mill workers have a heavy work scope that is potentially prone to Musculoskeletal Disorders (MSDs). Musculoskeletal Disorders (MSDs) are disorders of the muscles and bones that often occur due to individual and work factors. Methods: This research uses a cross-sectional study design with total sampling technique involving 41 workers in the palm oil processing section at PT Agrindo Indah Persada. Data were collected through the Nordic Body Map questionnaire to measure the level of MSDs complaints and questionnaires related to individual factors (age, smoking habits, work duration, and body mass index) and work factors (work posture, work duration, and workload). Data analysis was conducted using Chi-Square and Fisher Exact Test statistical tests. Results: The research results show that individual factors such as age (p=0.000) and work duration (p=0.008) are associated with the risk of MSDs. Additionally, work factors such as work posture (p=0.000) and work duration (p=0.000) are related to the risk of MSDs. Conclusion: Individual and work factors play an important role in influencing MSDs complaints among palm oil mill workers. Preventive efforts such as applying ergonomic principles, reducing workload, and regulating work duration are necessary to reduce the risk of MSDs in workers. Keywords: Individual Factors, Work Factors, Musculoskeletal Disorders
ANALISIS RISIKO STRES DAN DEPRESI PADA IBU HAMIL DENGAN PLACENTA ACCRETA SPECTRUM DISORDER DI RSUD ARIFIN ACHMAD Sofyan Andri; Dhini Ayulie Novri; Fahreza Lazuardi Nasution; Akbar Husaini Angkat
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i1.2113

Abstract

Abstrak Placenta Accreta Spectrum Disorder (PASD) merupakan komplikasi obstetri berat dengan risiko morbiditas dan mortalitas maternal yang tinggi. Selain dampak fisik, diagnosis PASD berpotensi menimbulkan reaksi stres akut dan meningkatkan risiko depresi pada ibu hamil. Penelitian ini bertujuan untuk membandingkan risiko stres dan depresi antara ibu hamil dengan dan tanpa PASD, serta menganalisis hubungan antara risiko stres dan depresi pada pasien PASD. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan potong lintang. Subjek penelitian terdiri dari 68 ibu hamil (34 PASD dan 34 non-PASD) yang menjalani antenatal care di RSUD Arifin Achmad Kota Pekanbaru periode Agustus–Oktober 2025, dengan teknik consecutive sampling. Risiko stres dinilai menggunakan Impact of Event Scale–Revised (IES-R), sedangkan risiko depresi dinilai menggunakan Edinburgh Postnatal Depression Scale (EPDS). Hasil penelitian menunjukkan bahwa risiko stres akut secara signifikan lebih tinggi pada kelompok PASD dibandingkan non-PASD (23,53% vs 0%; p = 0,001). Risiko depresi juga secara signifikan lebih tinggi pada kelompok PASD dibandingkan kontrol (p = 0,006). Terdapat hubungan yang sangat bermakna antara stres akut dan risiko depresi pada pasien PASD (p < 0,001; Cramér’s V = 1,00). Analisis multivariat menunjukkan bahwa pekerjaan dan penghasilan merupakan prediktor independen risiko stres (p = 0,009 dan p = 0,007), sedangkan suku, agama, dan pekerjaan berhubungan dengan risiko depresi pada pasien PASD. Kesimpulannya, diagnosis PASD berhubungan erat dengan peningkatan risiko stres akut dan depresi pada ibu hamil, sehingga skrining kesehatan mental perlu diintegrasikan dalam penatalaksanaan PASD. Kata kunci: Placenta Accreta Spectrum Disorder (PASD), Stress, Depresi, Kehamilan, IES-R, EPDS
HUBUNGAN KADAR HbA1c DAN PROFIL LIPID DENGAN KEJADIAN STROKE ISKEMIK PADA PASIEN DIABETES MELITUS TIPE 2 DI RUMAH SAKIT BADAN PENGUSAHAAN BATAM Andi Asda Astiah; Yusmahenry Galindra; Mukjizat Khiduar Mukzi
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i1.2114

Abstract

ABSTRACT Background: Ischemic stroke is one of the common macrovascular complications in patients with type 2 diabetes mellitus (T2DM). This study aims to determine the relationship between HbA1c levels and lipid profile with the incidence of ischemic stroke in T2DM patients at Badan Pengusahaan Batam Hospital. Methods: This research used a case-control design with a retrospective approach. The study sample consisted of 238 T2DM patients divided into two groups: the case group (patients with ischemic stroke) and the control group (patients without ischemic stroke). Data were collected from patient medical records, including HbA1c levels and lipid profiles (total cholesterol, LDL, HDL, and triglycerides). Data analysis was performed using the chi-square test to examine the relationship between independent variables (HbA1c levels and lipid profile) and the dependent variable (ischemic stroke). Results: There was a significant association between HbA1c levels >7.0% and the incidence of ischemic stroke (p=0.000; OR=3.497). Total cholesterol ≥200 mg/dL and LDL ≥130 mg/dL were also associated with an increased risk of ischemic stroke (p=0.000; OR=2.680 and OR=3.189, respectively). However, HDL and triglyceride levels did not show a significant association (p=1.00 and p=0.384). Conclusion: HbA1c levels, total cholesterol, and LDL were associated with the incidence of ischemic stroke in patients with type 2 diabetes mellitus. However, HDL and triglyceride levels did not show a significant association. Keywords : HbA1c, lipid profile, ischemic stroke, type 2 diabetes melitus
PENGARUH OBAT ANTI HIPERTENSI, PERUBAHAN GAYA HIDUP SERTA PERAN KELUARGA DALAM MANAJEMEN HIPERTENSI TERHADAP GOLD TREATMENT HIPERTENSI PADA PASIEN RUMAH SAKIT BUNDA HALIMAH BATAM Isramilda; Andi Ipaljri Saputra; Yevi Aprillia
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i1.2115

Abstract

Background: Hypertension is a major health concern in Indonesia and worldwide, often associated with unhealthy dietary patterns and a sedentary lifestyle. This condition increases the risk of cardiovascular diseases, which can lead to severe complications and even death. Effective hypertension management involves pharmacological therapy with antihypertensive drugs, lifestyle modifications, and family support to help patients achieve optimal treatment targets. Methods: This study mploye dan analytical observational design with a cross-sectional approach. The sample consisted of 124 hypertensive patients who met the inclusion and exclusion criteria. Data were collected using a questionnaire and analyzed using the Spearman correlation test to examine the relationship between antihypertensive drug adherence, lifestyle changes, and family support in achieving successful Gold Treatment hypertension management. Results: The findings indicated a significant relationship between adherence to antihypertensive medication, the adoption of a healthy lifestyle, and family support in achieving successful hypertension management based on the GOLD Treatment approach. These factors play a crucial role in controlling blood pressure and improving patients’ quality of life. Conclusion: Optimal hypertension management requires a comprehensive approach that includes regular medication adherence, healthy lifestyle changes, and active family involvement in supporting patients. Implementing these strategies can enhance treatment effectiveness and reduce the risk of hypertension-related complications.
HUBUNGAN PENGETAHUAN DENGAN TINDAKAN DETEKSI DINI KANKER SERVIKS MELALUI METODE PAP SMEAR DI RSUD EMBUNG FATIMAH KOTA BATAM Acholder Tahi Perdoman Sirait; Malahayati Rusli Bintang; Winda Jaya
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i1.2116

Abstract

Background: Cervical cancer is a leading cause of death among Indonesian women, mainly due to late diagnosis. Pap Smear is an effective early detection method, yet its coverage remains low despite frequent education efforts. Women's knowledge is believed to influence screening decisions. Methods: A descriptive correlative study with a cross-sectional approach was conducted on 96 married women aged 20–65 years, selected via purposive sampling. Data were collected through questionnaires and analyzed using Fisher Exact Test. Results: Most respondents had good knowledge about cervical cancer (86.5%) and early detection of Pap Smear (89.6%), but only 26.0% had ever had a Pap Smear examination. Bivariate analysis showed that there was no significant relationship between knowledge of cervical cancer and Pap Smear examination (p = 0.503). However, there was a significant relationship between knowledge of early detection of Pap Smear and Pap Smear examination (p = 0.059). Conclusion: Specific and applicable knowledge about Pap Smear has been proven to influence early detection actions, while general knowledge about cervical cancer is not enough to encourage screening actions. Health education should be focused on practical aspects to encourage increased participation of women in cervical cancer screening.
KOMUNIKASI PERAWAT-PASIEN DAN HAMBATANNYA DI INSTALASI GAWAT DARURAT RS ANDINI PEKANBARU Chrismis Novalinda Ginting; Muhammad Faridz Syahrian; Octisa Almira Chalida Hutasuhut
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstract The Emergency Department (ED) requires effective communication between nurses and patients to ensure patient safety and quality of care; however, various barriers to communication remain prevalent. This study aimed to analyze differences in communication barrier factors between nurses and patients in the ED of Andini Hospital, Pekanbaru. This observational analytic study employed a retrospective cohort approach and involved 80 respondents (40 nurses and 40 patients) selected through consecutive sampling using a questionnaire. Data analysis was performed using an independent t-test or the Mann–Whitney test with a significance level of p < 0.05. The results demonstrated no statistically significant difference in nurse-related factors between the nurse and patient groups (p = 0.134). In contrast, health system–related factors showed a significant difference (p < 0.001), with nurses perceiving system-related communication barriers to be higher than patients. These findings indicate that communication barriers in the ED are more predominantly influenced by health system factors rather than individual nurse-related factors. Therefore, strengthening service systems and institutional support is necessary to improve communication effectiveness and enhance patient safety in the ED. Keywords: Nurse–patient communication, communication barriers, emergency department, health system, patient safety.

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