International Journal of Public Health Excellence (IJPHE)

Factors affecting Bangladeshi high school students' practices of sanitation and hygiene

Bithe Saha — 2024-06-03

Background: Better sanitation and hygiene standards are beneficial for preventing infections, limiting the spread of pathogens, and fostering overall health in educational environments. On the other hand, not much is known about school-student's hygiene and sanitation habits. The purpose of this study is to identify and comprehend the variables that affect students' behavior related to sanitation and hygiene in classrooms. Method: This study was carried out at the Katiadi Government High School, a high school in a Bangladeshi upazilla town. An exploratory qualitative study design, based on the Integrated Behavioral Model for Water, Sanitation, and Hygiene (IBM-WASH) was used. Before utilizing them, the effectiveness and clarity of the semi-structured interview guides were tested, which included questions about behavior, access, and practices related to sanitation and hygiene. Result: The students had quite low sanitation and hygiene practices despite having a reasonable level of awareness and knowledge. Sanitation and hygiene practices were influenced by a wide range of interrelated factors, which also affected one another. Contextual factors (lack of upkeep and cleanliness, availability of sanitary products), socio-behavioral factors (norms, peer influence), and individual factors (gender awareness, perception, and sense of health benefits). Conclusion: To advance improved sanitation and hygiene practices among school students, multi-level interventions such as regular delivery of WASH-related materials and agents, promotion of low-cost WASH interventions, quality cleaning services improvement, close observation of cleaning activities, individual hygiene behavior promotion, and introduction of gender-sensitive WASH infrastructure and construction may be helpful.

Influence Green Bean Extract in Increasing Hemoglobin (Hb) Levels in Trimester II Pregnant Motherat Pratama Clinic of bunda Tessa Dusun 1A Sidourip Sub-District Beringin Deli Serdang Regency in 2023

Willhelmina Wahara — 2024-06-13

Introduction: Pregnant women with anemia are still many in Indonesia, including in North Sumatra which reached 39%. Pregnancy is very susceptible to anemia that can cause bleeding in pregnant women. Purpose: The purpose of this study was find out the influence Green Bean extract in increasing Hemoglobin Levels in Trimester II Pregnant Women in Pratama Clinic of Bunda Tessa Dusun IA Sidourip Subdistrict Beringin District Deli Serdang in 2023. Method: Types of Quasy Experiment with the design of One Group Pretest Posttest. The population was 20 people. Sampling technique with purposive sampling was a selection of samples based on certain characteristics as many as 10 people, the statistic test used wilcoxon test. Result: Based on the result showed that the data obtained was pre-test minimum value of 8.4 maximum 11.9 while post-test minimum 10.8 maximum13.7. From the results of statistical tests thatwas with wilcoxon test known value P-value= .11 <. 05. Conclusion: The ability in this study is the effect of green bean extract on increasinghemoglobin levels in trimester II pregnant women in Pratama Clinic of Bunda Tessa Dusun IA Sidourip Subdistrict Beringin District Deli Serdang in 2023. It is suggested to be an evaluation and reference material for health workers to be applied and can inform pregnant women who have anemia in a natural way that is by consuming green bean juice as much as 200 ml.

Risk Factors of Death in the Decision to Install Artificial Intelligence Systems in the Management of Diabetes

Asbath — 2024-06-24

Diabetes represents a significant public health concern, affecting millions of individuals worldwide. Its prevalence is increasing, driven in part by lifestyle factors and the aging of the global population. This systematic review explores the potential of artificial intelligence (AI) in enhancing diabetes prevention, diagnosis, and management. The review highlights the promise of personalized and proactive healthcare enabled through AI. The research methodology employed an exhaustive review of the literature, the formulation of specific inclusion and exclusion criteria, a data extraction process from selected studies that focused on the role of AI in diabetes, and a comprehensive analysis to identify the specific domains and functions in which AI makes a significant contribution. The results of the conducted literature review indicate that artificial intelligence (AI) can be regarded as a transformative force in the following eight key areas within the field of diabetes care: 1) Management and Care of Diabetes, 2) Diagnostic and Imaging Technologies, 3) Health Monitoring Systems, 4) Development of Predictive Models, 5) Public Health Interventions, 6) Lifestyle and Dietary Management, 7) Enhancement of Clinical Decision Making, and 8) Engagement and Self-Management of Patients. Additionally, the utilization of AI may result in a reduction in the risk of mortality from diabetes.

The Influence of Education and Mental Health on the Choice of Sports Recreation by Adolescents

Budi Sulistiyo Nugroho — 2024-06-24

The present study aimed to investigate the relationship between participation in sport and mental health through a literature review. While sport has long been recognized for its physical benefits, its impact on mental health has recently attracted greater attention. In order to analyze the literature addressing how sport affects mental health, both negatively and positively, a comprehensive search was conducted using data from journal articles, books as well as research reports published in the last two decades. It is crucial to maximize the benefits of exercise while minimizing the risks. This review reaffirms the significance of exercise as an efficacious intervention for mental health, underscoring the necessity for a balanced and informed approach to managing risks. Further research recommendations include longitudinal investigations of the long-term effects of exercise on mental health and studies of the psychological mechanisms behind its benefits. It is crucial to optimize exercise benefits while minimizing risks. This review corroborates the efficacy of exercise as an effective intervention for mental health and emphasizes the need for a balanced and informed approach to risk management. Further research is warranted to examine the long-term effects of exercise on mental health and to elucidate the underlying psychological mechanisms associated with its benefits.

Vitamin K Supplementation for Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review

Kevin Liora — 2024-07-07

This study was conducted to analyze the hSIL of Vitamin K Supplementation in Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review. Cardiovascular disease (CVD) is the leading source of morbidity and mortality worldwide, and chronic kidney disease (CKD) is a major contributor to this matter. Kidney disease is estimated to affect over 850 million people worldwide. The present systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We searched studies from electronic databases (PubMed Central, ScienceDirect, PLoS One, Google Scholar, Nature). Studies were considered eligible if they met the following criteria : (1) the study is a randomized controlled trial (RCT), (2) the study was published in the last 5 years (2018– 2022), (3) the study participants were adult patients with kidney disease from stage III to end-stage who were given vitamin K supplementation, (4) the study reported coronary artery calcium scores pre- and post- vitamin K supplementation, (5) the study was published in English. Risk of bias of each study was evaluated using Cochrane Risk of Bias (RoB) 2 tool. Data were descriptively examined and narratively reported. In conclusion, our results do not suggest that vitamin K supplementation may affect vascular calcification as measured by the CAC score. Up till now there is no treatment to reverse vascular calcification in ESKD patients. The current clinical practice should focus on prevention and retardation of its progression.

Description of HbA1c Levels in Fatty Liver Disease Patients in a West Jakarta Private Hospital in 2018-2019

Steven Junius Chandra — 2024-07-07

Fatty liver disease is a chronic disease that is very often found in the community and is often called "silent" liver disease because there are no specific symptoms in patients. The incidence of fatty liver disease in Indonesia is quite high by 30 percent and this disease can develop into liver cirrhosis. The high incidence of fatty liver disease can be caused by various factors such as obesity, dyslipidemia, hypertension, unhealthy lifestyles and insulin resistance. Insulin resistance can be characterized by an increase in HbA1c levels in the blood. This study aims to determine the description of HbA1c levels in patients with fatty liver disease. This research is an observational descriptive study using a cross-sectional approach by using medical record data of fatty liver disease patients who have been on radiologic examination and doing HbA1c examination. Fatty liver disease affects more male sex groups by 55.4 percent, with the most age range at 51-60 years by 34.9 percent. Diabetes HbA1c levels (59%) are more than prediabetes (25.3%) and normal HbA1c levels (15.7%). Abnormal HbA1c levels (prediabetes and diabetes) were found to be higher in men (47 % vs 47,3%). The most accompanying diseases in patients with fatty liver disease are diabetes mellitus (51.8%), hypertension (33.7%), dyslipidemia (26.5%), dyspepsia (28.9%), and hyperuricemia (15.7%). Fatty liver disease patients were also found to have metabolic syndrome by 54.2% which was dominated by female sex by 53.3% with 91.1% having 3 components of metabolic syndrome and 8.9% having 4 components of metabolic syndrome

Factors Relating to the Activity of Mother’s Visits to the Posyandu

Yeti Trisnawati — 2024-07-07

A significant indicator that contributes to lessening efforts is the number of toddler trips to Posyandu. In the operational area of Tanjungpinang City's Mekarbaru Health Center, 36.40% of visitors are Posyandu visits in 2023. This coverage continues to fall well short of both national and provincial statistics, as well as the government's accomplishment goals. The purpose of this study is to determine the characteristics that influence toddler visits to Posyandu, Batu IX Village, Mekar Baru Health Center Working Area, Tanjungpinang City, in the province of the Riau Islands. With a cross-sectional methodology and a purposive sample strategy, 191 mothers of toddlers between the ages of 13 and 59 months make up the sample size for this kind of quantitative study. Surveys were used to collect measurements. The statistical test of chi-square was applied in data analysis. The findings of the study indicate that moms of toddlers who visit Posyandu have a relationship with perceptions of Posyandu services (p=0.001; OR=2.735) and family support (p = 0.000; OR=3.237). The mother's age, education, occupation, knowledge, and attitude have little bearing on how frequently she visits Posyandu. It was determined that the frequency of posyandu visits by mothers of toddlers at the Posyandu in the Mekar Baru Community Health Center Working Area was highly correlated with family support and perceptions of posyandu services.

The Relationship Between Flat Foot and Dynamic Balance in Basketball Players

Vida Nanda Chattalia — 2024-07-07

Basketball players always engage in highly mobile physical activities that need to be supported by normal foot anatomy. Most important parts influencing musculoskeletal and biomechanics in the foot is the arch of the foot. Flat foot, is one of the most common conditions encountered. It refers to a medical condition where the arch of the foot becomes flat. Balance is one of the most crucial coordination skills in basketball. Good dynamic balance can be achieved if athletes have normal foot arches. If the normal arch is lost, can lead to dynamic balance disturbances. This research method uses a cross-sectional analytical observational design to examine the relationship between flat foot and dynamic balance in basketball players. In this study, 26 individuals participated as research subjects. Dynamic balance measurements using the Y Balance Test (YBT). Arch of foot measurements using the wet footprint test. Data analysis in this study using the Pearson Correlation test. This research concludes that there is a significant relationship between flat foot and dynamic balance in junior high school basketball players in Denpasar. The findings of this study indicate a statistically significant relationship, as evidenced by p-values of 0.045 and 0.003 (p <0.05).

The Relationship Between Smartphone Usage and Student Achievement at SMP 21 Pekanbaru

Hamidah Sari Batubara — 2024-07-07

Morgan's research results (2015) in Indonesia, people aged 14-24 years who are dominated by 77% of students have and become the most active smartphone users compared to other ages. Smartphones have a certain impact on students. One of the impacts caused if used when learning activities are taking place is that it can lower students achievement. This study aims to determine the relationship of smartphone usage with student achievement in SMP Negeri 21 Pekanbaru 2019.Conducted in 25 february-28 february 2019 using primary and secondary data. This research is a quantitative analytic design with cross sectional approach with population of many as 770 people with a sample of 90 people using stratified proportionate random sampling technique. Processing data by using SPSS 17.0 then presented in tabular form. of research that from The results of the study revealed that the majority of smartphone use included in the medium category as many as 77.8% (70 people) and had good achievements much as 70.0% (63 people). Research shows that P Value ≥ α 0.388 ≥ 0.05, mean there is no relationship between smartphone usage with student achievement in SMP Negeri 21 pekanbaru 2019. This is due to the still high role of parents in paying attention to their children. Through this research, it is expected that educational institutions can use smartphones wisely so that they can improve learning achievement.

Misperception of the benefits and working mechanism of the National Health Protection in the District of Sumba Timur, Indonesia

Asnani — 2024-07-27

The National Health Insurance (NHI) of Indonesia covers the health care of nearly the whole population of Indonesia. However, misunderstandings of the benefits and the healthcare access mechanism are still evident. The study aims to identify misperceptions regarding the benefits and working mechanisms of the NHI in Waingapu, Sumba Timur District, Indonesia. A qualitative inquiry identifies the misperception about NHI's benefits and working mechanism. Thirty residents were recruited using the consecutive procedure to participate in the study. The data collections are semi-structured interviews, casual conversations, and inductively analyzed. The qualitative analysis identifies that people perceive that the administrative procedure of health care under NHI is complicated, has unlimited drugs and health care coverage, and the premium contribution is claimable. People perceive the management of NHI to treat them as debtors when they delay paying their contributions. People feel they are being treated unfairly because NHI does not provide all health services, but they ask for a guarantee if NHI does not cover health services. It is concluded that the people are underinformed about NHI's benefits and working mechanism. The management of NHI and associated stakeholders should implement ongoing educational programs and promotional efforts to increase awareness and understanding of the NHI system.

Food poisoning causes and prevention and what to know about hygiene

Md Mamunur Roshed — 2024-07-27

Food-borne diseases are the most common health problems globally, and they are particularly common in Third World countries like India due to poor public sanitation and hygiene. Broadly speaking, food poisoning refers to any illness brought on by eating food that contains bacteria or non-bacterial substances. Stated differently, it's an acute instance of gastroenteritis caused by ingesting chemicals-contaminated food or drink, animal or plant-derived poisons, or living microbes and their toxins. Acute gastroenteritis is one of the leading causes of morbidity and mortality. The most vulnerable are newborns and young children. The clinical symptoms of a foodborne infection are determined by the pathogenic mechanisms that underlie it. The main symptoms are headache, nervousness, intense thirst, abrupt vomiting, diarrhea, colicky discomfort, cold, clammy skin, slow heartbeat, rigours, and cramps. The provision of clean, drinkable water, appropriate disposal of human and animal sewage with isolation from water supplies, and fundamental food hygiene standards are all very effective ways to prevent the development of these disorders.

Intensity of Instagram Related Fear of Missing Out in Medical Student Community

Ira Aini Dania — 2024-07-27

Introduction: It is estimated that there are 175.4 social media users in Indonesia and around 160 million people are active on social media. It was found that around 64% of teenagers interacted with social media excessively, causing internet addiction, especially Instagram..Method This study is an observational analytic study with a cross sectional design. Sampling purposive sampling, data analysis with Somer's correlation test Results: There is a significant relationship between the intensity of using Instagram and Fear of Missing Out with a value of p=0.001, p<0.005. The intensity of Instagram users is moderate (41.7%), FoMO is in the low category (56.7%) and is found more in women (58.3%). Conclusion: There is a relationship between the intensity of Instagram usage and FoMO, even though the strength is weak but has a positive correlation

Identification of Injuries in Amateur Boxing Athletes in Gorontalo City: Study for Developing Prevention and Treatment Strategies

Ibrahim Suleman — 2024-07-31

Injuries in boxing athletes often occur in the upper extremities of the body, especially the head and face, which can result in concussions, cuts and bruises. This research aims to identify the types of injuries experienced by boxing athletes in Gorontalo City and explore their causes. The method applied is a survey using questionnaires as the main data collection technique. The population of this study consisted of 50 active female boxing athletes from Gorontalo City. The results showed that the most common injuries occurring in boxing were injuries to the head and face (44%), followed by injuries to the wrist (29%), shoulders (29%), knuckles (22%), knees (16%), and ankle (16%). The main factors causing injury include conditions during training or competition (36%) and the time of injury (32%). Based on the results of this research, it can be concluded that the parts of the body most frequently injured are the head and face with a percentage of 44%. These findings emphasize the importance of developing injury prevention and treatment strategies, especially to the head and face, to improve the safety and health of amateur boxing athletes in Gorontalo.

Factors Influencing the Risk of Early Marriage Among Adolescents at SMPN 5 Panyabungan, Mandailing Natal Regency in 2024

Rahmi Wahida Siregar — 2024-07-31

Indonesia is the country with the second highest early marriage rate in the ASEAN after Cambodia. Almost 10% of girls become mothers at the age of 16 in poor and developing countries with the highest rate, one of which is in Southeast Asia. The researcher's aim: to analyze of Factors That Influence Adolescents on the Risk of Early Marriage at SMPN 5 Panyabungan Mandailing Natal Regency 2024. Research method: namely a correlational method, the sample size is 55 people. The instrument used was a questionnaire. The results of the analysis prove that the majority of teenagers with poor knowledge are 27 people (49%), while the minority are teenagers with good knowledge as many as 6 people (10.9%). The results of the research show that there is a relationship between knowledge based on age (pvalue=0.021), and knowledge based on sources of information (pvalue=0.014) for young women regarding maturing marriage age and the risk of early marriage at SMP Negeri 5 Panyabungan, Mandailing Natal Regency. The conclusion of the research results was that there was a relationship between knowledge based on age and knowledge based on information sources for young women regarding early marriage at SMP Negeri 5 Panyabungan, Mandailing Natal Regency in 2024.

Breastfeeding Knowledge and Colostrum Provision at South Tapanuli Regional Hospital

Rya Anastasya Siregar — 2024-07-31

Colostrum is needed by newborns as an early nutrient that affects the development and growth of babies, besides colostrum also plays a role in the initial formation of the baby's immune system. The purpose of this study was to determine the relationship between the level of knowledge of breastfeeding mothers and the provision of first breast milk (colostrum) in the midwifery room at the South Tapanuli District Hospital in 2022. The sample in this study amounted to 45 people with total sampling technique. Data analysis used univariate and bivariate. The results showed that there was a significant relationship between knowledge of breastfeeding mothers and the provision of first breast milk (colostrum) in the obstetrics room of the South Tapanuli District Hospital as indicated by the Spearman correlation test value, the value of = 0.000 was obtained. The results of this study are to increase the knowledge of breastfeeding mothers about the first breastfeeding (colostrum).

The Influence of Postpartum Exercise on Uterine Involution Speed in Postpartum Mothers

Fatimah — 2024-07-31

The postpartum period begins a few hours after the birth of the placenta and continues until approximately 6 weeks after childbirth. According to the World Health Organization (WHO), an estimated 830 women die every day due to complications from pregnancy and childbirth. In 2015, approximately 303,000 women died during pregnancy, childbirth, or in the postpartum period. The theme of this study is to investigate the influence of postpartum exercise on the speed of uterine involution among postpartum mothers at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. This study utilized a quasi-experimental design with a pretest-posttest only design. The research was conducted at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. The population consisted of 10 postpartum mothers, with a sample size of 10. Data analysis included univariate and bivariate analyses. The results of the study showed a significant decrease in uterine fundus height among the 10 respondents, with a percentage of 2.70%. None of the respondents experienced subinvolution after the postpartum exercise intervention. However, 10 respondents faced challenges in decreasing uterine fundus height both before and after the intervention. The Wilcoxon ρ-value test of 0.004 indicates that postpartum exercise influences the speed of uterine involution among postpartum mothers. The implications of this study suggest that implementing postpartum exercise therapy can accelerate uterine involution among postpartum mothers. It is recommended that these findings be used to develop counseling programs related to postpartum exercise at BPM Mona Durryah Siregar, SKM.

The Effectiveness of Infant Massage on Weight Gain of Preterm Infants

Tika Ayu Pratiwi — 2024-08-09

A preterm birth is a high-risk event occurring when the gestational age is less than 37 weeks. This can result in adverse outcomes, such as a low birth weight (LBW). The immaturity of the lungs in premature infants increases the likelihood of developing respiratory distress syndrome (RDS). To address this, it is essential to enhance nutritional fulfillment in premature babies with LBW and RDS through targeted intervention. This can be achieved through techniques like massage therapy and nesting installation, which have been shown to stimulate infants' growth and development. The objective of this case study is to determine the effectiveness of combined massage therapy and nesting in increasing the weight of premature babies with LBW accompanied by RDS. The research employed a case study approach. The subjects were premature babies with LBW accompanied by RDS in the perinatology room of the National Referral Hospital in Indonesia. This case study revealed that combined massage and nesting therapy resulted in a 6.1%–7.8% increase in body weight and a stabilization of oxygen saturation from days one to three of therapy. This outcome can be attributed to the fact that massage stimulates the release of gastrointestinal hormones that contribute to weight gain, and that nesting encourages the production of growth hormones resulting from restorative sleep. The integration of these two therapies has been found to significantly enhance body weight and maintain oxygen saturation levels within an optimal range. It is therefore evident that the role of nurses as nursing care providers must be enhanced in order to provide the necessary stimulation interventions for premature babies with LBW accompanied by RDS.

Benefits of Inggir-Inggir Fruit (Solanum Sanitwongsei Craib.) for Reducing Hypertension Pressure

Taufiq Qurrohman — 2024-08-09

Hypertension is one of the silent killer diseases known as cardiovascular disease. Increased blood pressure and an unbalanced lifestyle can increase the risk factors for the emergence of various diseases such as coronary arteries, heart failure, stroke, and kidney failure. The purpose of this research is to determine the blood pressure lowering effect of inggir-inggir fruit ethanol extract on normotensive Wistar rats and to determine the blood pressure lowering effect of inggir-inggir fruit ethanol extract on hypertensive Wistar rats. This study uses an experimental method that is to determine the effect of the independent variable on the dependent variable with the research stages. The results of statistical analysis showed that the EEBI group doses of 50 mg / kg bw, 100 mg / kg bw and 150 mg / kg bw were not significantly different (p> 0.05) with the control group (CMC-Na 0.5%) or the positive comparison group (bisoprolol) in reducing TDS, TDD, DJ and TAR of normotensive Wistar rats. The results of statistical analysis showed that EEBI doses of 50 mg / kg bw, 100 mg / kg bw and 150 mg / kg bw can reduce TDS, TDD, and TAR of hypertensive Wistar rats significantly (p < 0.05) compared to the normal group without any administration and the CMC-Na 0.5% control group but could not reduce the DJ of hypertensive Wistar rats significantly (p> 0.05) with the normal group without any administration and the CMC-Na 0.5% group. EEBI dose of 50 mg/kg bw is the best group to reduce TDS, TDD and TAR.

The Impact of Directly Observed Therapy of Weekly Iron Supplementation Program in Female Adolescent Hemoglobin Status

Lilin Turlina — 2024-08-12

In adolescents, nutrition is an important factor in the growth and development process, especially during the growth spurt period that occurs in early adolescence and is characterized by physical, cognitive, and reproductive organ growth and maturation of reproductive organs. Inadequate nutrition during adolescence will cause various problems, one of which is anemia. Anemia has negative impacts, including impaired growth and development, decreased learning achievement, and impaired immunity, thus increasing the occurrence of infections and reproductive disorders. This research is quasi-experimental with a one-group pretest-posttest approach. The research was conducted at Muhammadiyah I Lamongan Vocational School with a total of 44 female students. The sampling technique used in this research was total sampling. Research data analysis was carried out using the paired T-test statistical test. The results of the study showed that carrying out Directly Observed Therapy (DOT) while administering Fe tablets for 12 weeks was able to significantly increase Fe levels in adolescents, with a p-value of 0.000 (p<0.05).

The Recovery from Grade II Burns in Test Mice (Mus Musculus Linn) After Using Iodine Leaf Latex Gel (Jatropha Multifida Linn)

Saelan Saelan — 2024-08-27

Burn injuries are emergencies that pose a severe threat and require immediate action to save lives. The saponins, tannins, alkaloids, and flavonoids in iodine leaf latex gel (Jatropha multifida Linn) are known to speed up the healing process for burn wounds. The research aimed to investigate the effect of iodin leaf latex gel on the recovery of grade II burn wounds in male mice (Mus musculus Linn). The research employed a true-experimental laboratory method with-a-post-test-only control design group at the Kusuma Husada University Laboratory in Surakarta. A total of 24 test mice were manipulated and divided into three groups: the positive control group, the negative control group, and the iodine leaf latex gel group. Burn wounds utilized a 1,5 cm superheated mental surface applied to the backs of the mice for 5-10 seconds to induce burn injuries. The observed parameters included the burn wound area, the percentage of burn wound healing, and the duration of burn wound healing. Data analysis operated One-Way ANOVA. The research revealed that iodine leaf latex gel had a restorative time of 8 days and healing percentage of 30,75%. It was better than the other control groups. The statistical analysis indicated significance (<0,05) in the burn wound recovery percentage. In conclusion, a 6% concentration of iodine leaf latex gel had a more favorable effect on burn wound healing than other control groups.

A study of the teenage population in the Portibi subdistrict of the North Padang Lawas Regency

Nurhaslinda — 2024-08-16

The percentage of teenage pregnancies in Indonesia is 0.02% at the age of <15 years and 1.97% at the age of 15-19 years in Portibi sub-district, North Padang Lawas District. Adolescent mothers are known to have low exclusive breastfeeding coverage rates. The purpose of this study was to determine the factors that influence exclusive breastfeeding in adolescent mothers in Portibi sub-district, North Padang Lawas Regency. This study used a survey method with a cross-sectional design. The study population was teenage mothers who had babies aged 6-24 months in Portibi sub-district, North Padang Lawas Regency. Data collection using questionnaires. Bivariate analysis used chi square and fisher's exact test while multivariate analysis used logistic regression. The results showed 46.7% of teenage mothers provided exclusive breastfeeding. Bivariate analysis showed that pregnancy status (p=0.029), perceived birth experience (p=0.045), perceived breastfeeding (p=0.005), husband support (p=0.009), family support (p=0.000) were associated with exclusive breastfeeding, education level (p=0.143) and employment status (p=0.352) were not associated with exclusive breastfeeding. Multivariate analysis showed that family support (p=0.014; RP=7.637) and breastfeeding perception (p=0.015; RP=9.746) were associated with exclusive breastfeeding. Family support was the most dominant factor in exclusive breastfeeding among adolescent mothers. Adolescent mothers who received support from their family and had a positive perception of breastfeeding had a 72.7% probability of exclusive breastfeeding.

Thyroid imbalance and hypothyroidism: A review

Afrida Hasan — 2024-09-03

Hypothyroidism, which occurs when the thyroid gland in the neck is unable to produce enough thyroid hormone to fulfill the body's demands, is one of the most common disorders in the world. This can lead to heart problems, infertility, and poor brain development in infants. A person's quality of life may be impacted by hypothyroidism if they have depressed symptoms, weariness, weakness, and weight fluctuations. An inadequate consumption of iodine through diet is the main cause of hypothyroidism in developing countries. Therefore, iodizing salt is a common approach made by many countries to increase iodine consumption. This review discuss about the gland, position, hormone, features of hypothyroidism.

Overview of Heart Disease Patients' Lifestyle in Sidikalang Regional General Hospital, Dairi District in 2024

Roberth Harnat Silalahi — 2024-08-30

Background: Heart disease is not only a threat of pain but also a disease that lurks with the threat of death. This disease can cause a high death rate. According to WHO 2018, around 31% of all deaths in the world, and the majority or around 8.7 million, are caused by heart disease. According to Riskesdas 2018, the prevalence in Indonesia reached 1.5%. Heart disease can be triggered by various lifestyle factors, including a lifestyle with smoking habits, consuming alcohol, exercise habits, the habit of consuming pickled and preserved foods, and a history of obesity. Objective Objective: find out the description of the lifestyle of heart disease sufferers at the Sidikalang Regional General Hospital, Dairi District in 2024. Method: This type of research was descriptive, and carried out from January to April 2024. The population in this study is 235 people with heart disease, using an accidental sampling technique, the total sample was 70 people. Results: Lifestyle after suffering from heart disease, the majority did not smoke as much as 61.42% and were heavy smokers as much as 10%, the majority did not have the habit of consuming alcohol as much as 68.51% and had the habit of consuming alcohol frequently alcohol 12.85%, the majority do exercise enough as much as 22.4% and do not exercise 14.7%, the majority sometimes consume pickled and preserved foods as much as 37.14%, and those who do not consume salted and preserved foods as much as 21.42% , the majority were not obese as much as 37.1% and obesity was 11.9%. Better health services are expected to provide education about the lifestyle of heart disease sufferers.

Influencing Factors on Nurses' Hand Washing Compliance

Linda Amalia — 2024-09-15

Poor hand washing of nurses and unhealthy hospital environments contribute to the occurrence of nosocomial infections. Nurses who do not wash their hands before and after the procedure can become an intermediary for infection in patients at the service site or hospital and spread various multi-resistant organisms. This research aims to identify nurses' hand washing compliance and related factors. A descriptive correlation design was conducted in a hospital in West Java. Data on nurse characteristics and hand washing compliance were taken using a five moments test questionnaire cross-sectionally among nurses using the total sampling method and analyzed univariately and bivariately using descriptive analysis and the chi square test. A total of 67 nurses were involved in this research, the majority of respondents were aged 25-35 years (43/64.2%), women (42/62.7%), had a bachelor's degree (36/53.8%), had worked less than 5 years (42/62.7%) , lack of knowledge (35/52.2%), and have a positive attitude (38/56.7%), generally do not comply with hand washing protocols (34/50.7%). The nurse's age is related to hand washing compliance (p 0.002 < α 0.05), while gender (p 0.242), education (p 0.534), length of work (p 0.874), knowledge (p 0.907), and attitude (p 0.397) have α value > 0.05. Nurses' hand washing compliance is still less than the target. Age is related to nurses' compliance in implementing hand hygiene. Meanwhile, gender, education, length of work, knowledge and attitudes are not related to nurse compliance. Efforts are needed to increase nurses' knowledge to increase nurses' compliance in washing hands.

The Effect of Mocaf Flour and Yellow Pumpkin Flour (Cucurbita Moschata) Proportion on the Acceptability and Physicochemical Quality of Wet MI

Isna Khairun Ni’mah — 2024-09-30

Overcoming dependence on wheat flour as raw material, researchers want to develop a wet noodle product by using mocaf flour to substitute wheat flour and adding pumpkin flour to increase the nutritional value of wet noodles, namely potassium minerals as an alternative main food that can help lower blood pressure in hypertension sufferers.To determine the effect of the proportion of mocaf flour and pumpkin flour on the physicochemical quality of wet noodles. This type of research uses an experimental study design with a Completely Randomized Design (CRD). The comparison of the proportions of mocaf flour and pumpkin flour is P0 (100g : 0g), P1 (95g : 5g), P2 (90g :10g), P3 (85 g :15g), P4 (80g :20g). Physical quality and chemical quality test data were analyzed using the Independent T-test. The research results show that the percent water absorption capacity; percent elongation; potassium levels; and sodium levels, namely P0 (58.5% ; 19.8% ; 16.5mg/100 g; 5.64 mg/100g), P2 (70.3% ; 8.8% ; 55.95 mg/100g ; 5.55 mg/100g). The best treatment P2 does not meet the adult RDA percentage and cannot be classified as high in potassium. Wet noodle products cannot yet be used as an alternative to foods high in potassium for preventing hypertension.

Family and Peer Group Support Related to The Quality of Life of Thalassemic Adolescents in Outpatient Settings

Elis Komariah — 2024-10-04

Thalassemia in Indonesia is dominated by teens. Thalassemic adolescents often experience psychosocial problems. The role of family and peer group support in the quality of life of thalassemic adolescents is still inconclusive. This study aim to determine the association between family and peer group support on the quality of life of thalassemic adolescents in one government hospital in Jakarta, Indonesia. An analytical observational study with a cross-sectional approach on β-thalassemia sufferers aged 12-18 years who came to the Children's Polyclinic and intervention room in November-December 2023. Family and peer group support was measured using the Social Support Scale, while quality of life was measured using the validated Generic Pediatric Quality of Life Inventory Version 4.0 (PedsQL). The data obtained were analyzed using Chi-Square and logistic regression tests. Forty-three patients were involved in this study. The average age of respondents was 14.4 years (range 13.8 – 15.1), the average time of diagnosis was 9.49 years (range 8.0 – 11.0), the average hemoglobin (Hb) level was 9.2 gr/dl (range 8.7 – 9.6 gr/dl). The majority of respondents were male (65.1%), had low education (60.5%), and had a good adherence to iron chelation therapy (100%). The association between family and peer group support on quality of life obtained a p-value of 0.014 and 0.006 with an Odd Ratio (OR) of 4.976 and 7.333 respectively. There is a significant relationship between family and peer group support on the quality of life of thalassemic adolescents. It is recommended for health workers to improve the quality of life of thalassemic adolescents with a family and peer group support approach. Further studies are needed to confirm the results of this study.

Increasing Self-Compassion and State-Mindfulness to Maintain Mental Health of Health Care Professionals through e-WellMind App: A Cluster Randomized Controlled Trial

Abdul Ghofur — 2024-10-07

Background: Work pressure and tight schedules have an effect on mood swings, boredom and burnout. This pressure has an impact on the quality of interaction between doctors/nurses and patients. This situation also has an impact on service providers who have the potential to experience mental health problems. Objective: This study was conducted to determine the effect of the e-WellMind digital application on self-compassion and state-mindfulness of professional health service providers in maintaining mental health. Method: The use of the Wellmind application is for 60 training sessions, with a duration of 5-10 minutes. This activity was attended by 22 health care professionals and 21 other people did not participate in this program. The effect of the Wellmind application was measured before and after the intervention was changes in self-compassion and state-mindfulness in health care professionals. This data is sourced from on Dryad. https://doi.org/10.5061/dryad.0zpc8672x. Results: The results showed that both groups had the same characteristics (homogeneous) for the variables of self-compassion (mean±SD) (28.8±6.93; p=0.680) and state-mindfulness (29.6±08.; p=0.564). There was a significant change after the application of the e-WellInd application to self-compassion (d1=.649; 95%CI=-.360 to -.035; p=.000; d2=.479; 95%CI= -.509 to -.100; p=.002 and trait-mindfulness (d₁=.761; 95%CI=-39.3001 sampai -8.346; p=.010; d₂=.634; 95%CI= -4.242 sampai -3.358; p=.023). Conclusions: The application of the e-WellMind digital application has an impact on protecting self-compassion and trait-mindfulness health care professionals in maintaining and maintaining mental health.

The Effect Propioceptive Training on Ladder Drill Training Variation in Dynamic Balance of Futsal Players

Maulidia Risma Hanani — 2024-10-07

Futsal is a multidirectional sport requiring players to move dynamically, it needs dynamic balance to create good performance. The combination of proprioceptive training interventions to ladder drill variations can affect dynamic balance for futsal players. This research method uses a pretest- posttest two group design. The research sample consisted of 30 people with 15 people in each group. Group 1 was given proprioceptive training and ladder run training, while group 2 was given proprioceptive training and ladder jump training. Dynamic balance measurement with Y balance test. The results of average test on dynamic balance variable, the results of paired sample t test showed differences in pretest and posttest values, group 1 (95.8 ± 4.4) with ( p = 0.00) while group 2 ( 98.2 ± 3.8) with ( p = 0.000). The results of the independent t test with a value of ( p = 0.127). The conclusion of this study is the combination of proprioceptive training and ladder run training interventions is as well as proprioceptive training and ladder jump training for dynamic balance of futsal players.

The Diagnosis and Management of Bladder Cancer: A Literature Review

Haznur Ikhwan — 2024-10-18

Cancer is still one of the health problems around the world. Cancer is an uncontrolled (abnormal) cell division and can invade surrounding tissues and can also spread to other parts of the body through the blood and lymphatic system known as metastasis. This disease is often diagnosed in men aged 50-80 years with an average age of 73 years. Bladder cancer is divided into transitional cell carcinoma (95%), squamous cell carcinoma (3%), adenocarcinoma (2%), and less than 1% small cell tumors (paraneoplastic syndrome). Risk factors for this disease are smoking, exposure to carcinogenic substances, drugs, infection with the parasite Schistosoma haematobium, chronic irritation (stone disease), physical trauma (in the uroepithelial layer), infectious diseases and those that have not been proven to be the cause are coffee, alcohol, saccharin and cyclamate sweeteners. The prognosis of the disease depends on histologic examination to see the stage of the disease and by tissue biopsy. Methods: This paper is based on a literature search of clinical practice guidelines, scientific literature, websites, and textbooks on the topic of bladder cancer. Results and Discussion: Hematuria is the main clinical symptom in addition to other symptoms as a complaint of bladder cancer. The disease is divided into non-muscle-invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC). Non-invasive and invasive cancer conditions play an important role in the treatment and prognosis of the disease. MIBC is a disease condition with high morbidity and mortality. Conclusion: Cystoscopy followed by biopsy resection is the diagnostic standard followed by anatomic pathology examination (histology and cytology) for definitive diagnosis of the disease. The prognosis will be better if the disease is still at superficial and non-invasive stage (Ta), so that only transurethral tumor resection followed by chemotherapy drugs, intravesical and results will be more satisfactory.

Knowledge and Attitudes of Female Students at Stikes Sehat Medan on Human Papillomavirus Infection and Vaccination

Adistyra Arya Putra — 2024-10-19

Cervical cancer is a malignancy that can occur in a woman's cervix and has a fairly high mortality rate. The virus that causes cervical cancer is Human Papillomavirus (HPV). One way to prevent HPV infection is to get the HPV vaccination. The purpose of this research is to analyze the relationship between knowledge and attitudes of STIKes Sehat Medan students regarding Human Papillomavirus infection and vaccination. The method used is descriptive analytical research with a cross-sectional approach, sampling using a total sampling method of 124 STIKes Sehat Medan students in 2024. Data analysis used the Spearman correlation test. The results of this study showed that of the 124 respondents, 95 students (76.6%) of STIKes Sehat Medan students had good knowledge about HPV infection and 102 people (82.3%) had a good attitude about HPV infection. Furthermore, as many as 118 people (95.2%) of STIKes Sehat Medan students had good knowledge about HPV vaccination and as many as 102 people (82.3%) had a good attitude about HPV vaccination. Based on the results of the Spearman correlation test, the relationship between knowledge and attitudes of STIKes Sehat Medan students regarding HPV infection in 2024, the value of p=0.010 was obtained, which means that there is a significant relationship between the knowledge and attitudes of STIKes Sehat Medan students regarding HPV infection and the value of p=0.015 was obtained, which is This means that there is a significant relationship between the knowledge and attitudes of STIKes Sehat Medan students regarding HPV vaccination.

Factors Related to Premenstrual Syndrome in Young Women at MTsN Labuhanbatu in 2024

Novica Jolyarni — 2024-10-22

Premenstrual syndrome (PMS) is a complex and poorly understood condition consisting of one or more of a number of physical and psychological symptoms that begin in the luteal phase of the menstrual cycle. World Health Organization (WHO) in 2020 PMS has a higher prevalence in Asian countries compared to western countries. The purpose of this study was to determine the factors associated with Premenstrual syndrome in adolescent girls at MTsN 1 Labuhanbatu in 2024. This research design uses an analytic survey, namely research trying to explore how and why the phenomenon occurs. Then analyze the dynamics of the correlation between phenomena, both between related factors (Indipendent) and effect factors (Dependent). The approach used in this research is cross sectional. The population in this study was 291 people. The sample in this study amounted to 74 people. Data analysis used univariate analysis and bivariate analysis using the chi-square test. The results of statistical tests with stress categories obtained using the chi-square test at a confidence level of 95% are known that psig 0.000 is smaller than 0.05, the results of chi-square tests with consumption patterns at a confidence level of 95% are known that psig 0.000 is smaller than 0.05, the results of statistical tests with premenstrual syndrome incidence obtained using the chi-square test at a confidence level of 95% are known that psig 0.000 is smaller than 0.05. In conclusion, it is known that there is a relationship between stress, consumption patterns and exercise with the incidence of premenstrual syndrome in adolescent girls at MTsN 1 Labuhanbatu in 2024. It is suggested that the results of this study can add insight, knowledge and experience about premenstrual syndrome that can occur at any time.

Positive Deviance in Nutritional Practices for Two-Year-Olds in Poor Fisherman Families in the Belawan Health Center Area, 2022

Ramadhani Syafitri Nasution — 2024-10-22

The problem of malnutrition is still the main problem faced in human resource development. The problem of growth and development of Baduta is a serious problem because at this age the process of physical and intellectual growth and development is critical. Malnutrition problems mostly occur in poor families but are not caused by poor families who have well-nourished children. The Belawan Community Health Center working area is one of the community health centers with the highest number of cases of malnutrition in Medan City. To overcome this, a program is needed that is believed to be effective and sustainable. One of the existing programs to overcome the problem of malnutrition and malnutrition is positive deviation. This research aims to identify positive behavior in feeding (type of food, processing of food ingredients, mealtimes and method of feeding) of toddlers who are well-nourished in poor fishing families in the Belawan Community Health Center Working Area in 2022. This research method is qualitative research with a narrative approach. Researchers studied individual lives by asking one or several individuals to tell stories about their lives related to positive behavior in feeding well-nourished animals. This information is then retold by the researcher in a narrative chronology. The findings of this research indicate that addressing nutritional challenges in children can be effectively achieved by leveraging the potential and resources within the community. This is done through the identification of positive deviant behaviors, particularly those related to beneficial feeding practices. These practices encompass aspects such as the types of food provided, the methods of food preparation, the timing of meals, and the approach to food administration. Keep up the great work! The way you’re thinking about integrating community strengths is spot-on for creating sustainable solutions.

Self-Reported Mental Health of Nurses at Dr. M.M. Dunda Hospital, Gorontalo Regency

Ibrahim Suleman — 2024-11-04

Mental Health is a condition where an individual can develop physically, mentally, spiritually and socially so that the individual is aware of his or her own abilities, can handle pressure, can work productively, and is able to contribute to his or her community. Several factors cause mental disorders, namely a work environment with a high risk of violence, facing various types of stress and an uncomfortable workplace. Mental disorders can take the form of changes in the mental and emotional atmosphere which have an impact on physical disorders and are rarely recognized by sufferers, including nurses. Nursing is a profession that has a very high risk of stress, because nurses have very high duties and responsibilities for the safety of human life. The aim of the research is to determine the self-reporting of mental health of nurses at RSUD Dr. M.M Dunda Limboto, Gorontalo Regency. The research design is a descriptive design, with a sampling technique using non-probability sampling, namely snowball sampling. The sample in this study using the Slovin formula obtained 175 respondents. The results of this research showed that 131 respondents (74.9%) were not indicated, and 44 respondents were indicated (25.1%). The conclusion of this study shows that the majority of nurses at RSUD M.M. Dunda Limboto has no indication of a mental health disorder which is known from the Self Reporting Questionnaire assessment. It is hoped that nurses can maintain mental health by doing self-rewards to increase their capacity as nurses.

Synbiotic Soygurt Tempe Extract as A Functional Beverage

Agnes Sri Harti — 2024-11-07

Synbiotic tempeh extract soyghurt is a Krenova (creative and innovative) food product because it is novelty and unique as healthy and safe food, functional food, fun for diet and one for all. The result of probiotic fermentation of Lactic Acid Bacteria (LAB) and based on synbiotic tempeh extract (rice bran and chitosan) which has multifunctional anti-hyperglycemia and anti-hypercholesterolemia properties. Research objective: to analyze the effectiveness of synbiotic tempeh soyghurt as a functional drink. The research method analyzes the nutritional content and quality of synbiotic tempeh soygurt products which refer to SNI 7552:2009 concerning flavored fermented milk. Data analysis used bivariate and multivariate Anova tests. The Hedonic test results showed a semi-solid texture, white color, synbiotic tempeh extract aroma, sour taste in the formulation with the addition of 15% skim milk, 1% chitosan, 1:1 ratio LAB starter mix and 5% inoculum. The results of physical chemical and mycobiological quality tests show that the synbiotic tempeh extract meets the quality test as a functional drink.

Factors Influencing Language Development in Preschool Children in Karanganyar Regency, Central Java

Roy Romey Daulas Mangunsong — 2024-11-07

Children under five years old are an important period in a child's developing body. Child growth and development is a continuous process, not only experiencing physical growth, brain development, there is also a learning process in the development of intelligence, motor skills, speech, language and social and independence. Fulfillment of nutrition is very necessary to support good child growth and development.The purpose of this study was to analyze the factors that influence the language development of preschool children in Karanganyar Regency, Central Java. Subjects and Methods: This study used a cross-sectional research design, which was conducted in Karanganyar Regency, Central Java from April to August 2024. A sample of 112 children was selected using a purposive sampling technique. The dependent variable is language development. The independent variables are cognitive ability, stunting, breastfeeding, immunization and gender. Data collection using questionnaires and analyzed by logistic regression using Stata 13. Results: The language development of preschool children can be delayed in children with cognitive abilities (b = 2.52; 95% CI = 0.03 to = 0.28; p = 0.013), stunting (b = 2.82; 95% CI = 0.05 to 0.30; p = 0.006), non-exclusive breastfeeding (b = 2.97; 95% CI = 0.07 to 0.38; p = 0.004), in boys (b = 7.2; 95% CI = 0.33 to 0.28; p <0.001), and children with incomplete immunization. Conclusion: The language development of preschool children is related to children's cognitive abilities, the incidence of stunting, non-exclusive breastfeeding, incomplete immunization and male gender.

Testing the Antihyperurisemic Effectiveness of the Ethanol Extract of Henna Leaf (Lawsonia Mermis L.) on Induced Male Mice (Mus Musculus) with Chicken Liver and Potassium Bromate

Muhammad Gunawan — 2024-11-08

Hyperuricemia is a condition that is marked by an increase in blood pressure in the blood that exceeds the normal level, ie above 7.0 mg/dl in the patient and above 6.0 mg/dl in women. It is generally intended to address hyperuricemia in the use of synthesized drugs that can give rise to the effect of retinal pain, vomiting, diarrhea, damage to the liver, nephritis in the brain and hypertheritivity. By therefore developing alternative treatments using plant medicine as well as parsley nails (Lawson mermis L.). This research is aimed at identifying extracurricular nephew nails (EEDPK) against decreasing levels of pregnancy in males who are induced by liver cancer and galleria. This research uses experimental methods with gathering and processing materials, identification of growth, making implicit, making extracts, determining water levels, preparing animal trials, and testing EEDPK effects. Animals used 24 eggs were divided into 6 groups of tests, group divisions included normal groups, induction, comparison, and EEDPK in 3 doses of 150 mg/kg body weight, 300 mg/kg body weight, and EEDPK 600 mg/kg body weight version 25 with 95% confidence level. The results of the EEDPK water level assessment were 3.33%. The results of the efficacy of hyperuricides will be shown that EEDPK provides the effect of the most effective extracts as antihyperuricemia is 300 mg/kgBB compared to other groups of extract.

Application of Knee Pain Exercise to Pain Intensity in Osteoarthritis Patients

Agung Widiastuti — 2024-11-08

Knee osteoarthritis in the elderly can cause pain due to joint capsules and cartilage damage in the bone joints. Osteoarthritis cases increase the risk of mobility disorders and have an effect on disability. Improving the quality of life in patients with joint disease is very necessary, namely by providing pain management through knee pain exercise. Knee pain exercise can maintain muscle strength so that it can reduce pain, increase functional activity in patients with knee osteoarthritis. This study aims to determine the effect of knee pain exercise in reducing pain intensity in osteoarthritis patients. The research design used Quasy Experiment One Group Pretest - Posttest Control Group Design. The population in this study were all knee osteoarthritis patients who experienced joint pain. The sampling technique used the purposive sampling method. Knee pain exercise was given 3 times a week and was carried out for 2 weeks, pain scale measurements using the Numeric Rating Scale (NRS) were carried out before and after knee pain exercise was given. The average pre-test results showed that the level of pain intensity in the intervention group was 5.05 and the average post-test value was 1.09, while in the control group the average pre-test results were 5.05 and the post-test value was still within the average range of 5.00. The Wilcoxon test results in the intervention group showed a p value of 0.0001 while in the control group a p value of 0.36 was obtained. The conclusion of this study is that there is a change in the level of pain before and after knee pain exercise in the intervention group, so there is an effect of knee pain exercise in reducing pain intensity in osteoarthritis sufferers.

Application SIMPUS (Sistem Informasi Manajamen Puskesmas) with TAM Theory (Technology Acceptance Model) at Puskesmas Setabelan in Surakarta

Frieda Ani Noor — 2024-08-30

Based on the results of the preliminary study, Puskesmas Setabelan in implementing the SIMPUS application has not been maximized because at the end of each month the internet network is often erroneous because it does not have a good provider, there are still new employees who have not received socialization related to the use of the SIMPUS application, and the patient's online registration has not been opened due to the condition of the community who are still unfamiliar with technology. So the researcher is interested in analyzing how effective the acceptance of the use of the SIMPUS (Puskesmas Management Information System) application is using the TAM (Technology Acceptance Model) theory at the Setabelan Health Center in Surakarta City. This type of research is qualitative and descriptive with data collection methods in-depth interviews with 11 informants including SIMPUS coordinators, SIMPUS programmers, nurses, midwives, pharmacists, dental nurses and administrative staff. The sample selection method used purposive sampling method.

Characteristics of Hypertensive Patients at Medan Johor Community Health Center: An Analysis Based on Age, Occupation, and Body Mass Index

Rosa Zorayatamin Damanik — 2024-11-15

According to the World Health Organization (WHO), approximately 1.13 billion people worldwide suffer from hypertension. In Indonesia alone in 2018, the prevalence of hypertension reached 34.1% in people over 18 years of age. Knowledge of the relationship between hypertension characteristics and the degree of hypertension in the Medan Johor area will help the community health center in the prevention and management of hypertension. This study used a cross-sectional design with hypertension patients who participated in the referral program at the Medan Johor health center. The data collection technique used secondary data in the form of medical record data at the Medan Johor health center. Data analysis was performed using chi-square analysis. The results showed that gender (p=0.131) and uric acid levels (p=0.182) did not have a significant relationship with the degree of hypertension. While age (p=0.008), occupation (p<0.001), body mass index (p=0.013), total cholesterol level (p<0.001) and blood sugar level (p=0.031) have a significant relationship with the degree of hypertension.