https://ejurnal.univbatam.ac.id/index.php/zonadokter/issue/feedZona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam2026-10-16T09:31:55+00:00dr. Andi Ipaljri, M.Kes[email protected]Open Journal Systems<p><strong>Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam</strong> is a peer-reviewed journal managed by the Medical Education Study Program, Universitas Batam. <strong>Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam</strong> aims to publish articles in the field of medicine that make a significant contribution to the development of medical science which include in the fields of Occupational Health, Medical Science Education, Public Health Sciences, Biomedical Sciences, Clinical medicine, Nutrition and other health fields. <strong>Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam</strong> Consistent with its objectives, <strong>Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam</strong> provides insights in the field of Medicine for academics, practitioners, researchers, regulators, students, and others interested in the development of medical science. <strong>Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam</strong> accepts quantitative or qualitative research manuscripts, which are written in Indonesian or English.<strong> Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam</strong> accepts manuscripts from Indonesian writers as well as writers from various parts of the world. <strong>Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam</strong> publishes three editions per year namely January, May, September.</p>https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2387HUBUNGAN PENCAHAYAAN, SCREEN TIME DAN MASA KERJA DENGAN COMPUTER VISION SYNDROM PADA ADMIN PT X BATAM TAHUN 20262026-09-08T09:39:39+00:00Krismadies[email protected]Diina Maulina[email protected]Taufiq Afdi Alfaruqhi[email protected]<p>Background: Intensive computer use among administrative workers increases exposure to visual ergonomic factors that may contribute to Computer Vision Syndrome (CVS). Workplace illumination, duration of computer use, and length of employment are important factors to consider in preventing occupational visual complaints. Objective: This study aimed to analyze the association between illumination intensity, duration of computer use, length of employment, and CVS complaints among administrative workers at PT. X in Batam City. Methods: A quantitative study with a cross-sectional design was conducted among 31 administrative workers. Workplace illumination intensity was measured using a lux meter, while the duration of computer use and length of employment were obtained from respondent data. CVS complaints were assessed using the Computer Vision Syndrome Questionnaire (CVS-Q). Bivariate associations were analyzed using Fisher's exact test at a significance level of α=0.05. Results: A total of 77.4% of respondents worked under illumination levels below the occupational standard, 38.7% used computers continuously for ≥120 minutes, 61.3% had worked for ≥5 years, and 80.6% experienced CVS. All respondents exposed to illumination below the standard experienced CVS. A statistically significant association was found between workplace illumination and CVS complaints (p<0.001). In contrast, the duration of computer use (p=0.059) and length of employment (p=0.653) were not significantly associated with CVS complaints. Conclusion: Workplace illumination was significantly associated with CVS complaints among administrative workers, whereas the duration of computer use and length of employment showed no statistically significant associations. Improving workplace illumination according to applicable standards and implementing visual ergonomic measures are recommended to prevent CVS among computer-based workers.<br>Keywords: Computer Vision Syndrome; visual ergonomics; illumination; screen time; length of employment</p>2026-10-01T00:00:00+00:00Copyright (c) 2026 Krismadies Krismadies, Diina Maulina, Taufiq Afdi Alfaruqhihttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2411PERUBAHAN PENGETAHUAN DAN KECEMASAN PASIEN ANESTESI SPINAL BERBASIS LEAFLET: STUDI PRETEST-POSTTEST DI RS HJ. BUNDA HALIMAH KOTA BATAM2026-09-14T12:40:50+00:00Indra Nur Hidayat[email protected]MHD Mustafa LBS[email protected]Azzah Farida Choirunnisa[email protected]<p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>Background: </em></strong><em>Surgical procedures often cause anxiety. Anxiety can stem from uncertainty about the outcome and unfamiliarity with the procedure, which can impact physiological stability. This study aimed to determine the effectiveness of pre-anesthesia education on patient knowledge and anxiety levels.</em></p> <p><strong><em>Method: </em></strong><em>A single-group pretest-posttest approach was used for a pre-experimental design in 41 patients undergoing spinal anesthesia surgery at Hj. Bunda Halimah Hospital, Batam City. Leaflets were used before and after pre-anesthesia education to measure knowledge and anxiety levels. These data were then analyzed univariately and bivariately.</em></p> <p><strong><em>Results: </em></strong><em>Statistical test results showed that before the instruction, most respondents had poor knowledge (56.1%) and moderate anxiety (58.5%). However, after the pre-anesthesia instruction via paper sheets, the level of good knowledge increased to 73.2% and anxiety decreased, with the majority of respondents in the not anxious category (58.5%).</em></p> <p><strong><em>Conclusion: </em></strong><em>Pre-anesthesia education using leaflets is effective in increasing knowledge and reducing anxiety. Leaflets can be used as a simple, practical, and efficient educational method in healthcare</em></p> <table> <tbody> <tr> <td width="96"> </td> </tr> <tr> <td> </td> <td> </td> </tr> </tbody> </table> <p> </p> <p><strong><em>Keywords: </em></strong><em>Pra Anesthesia Education, Leaflet, Knowledge, Anxiety, Spinal Anesthesia</em></p>2026-10-01T00:00:00+00:00Copyright (c) 2026 Indra Nur Hidayat, MHD Mustafa LBS, Azzah Farida Choirunnisahttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2412THE ASSOCIATION BETWEEN GADGET ADDICTION AND EMOTIONAL WELL-BEING IN EIGHTH-GRADE STUDENTS AT YOS SUDARSO JUNIOR HIGH SCHOOL, BATAM CITY2026-09-14T12:44:12+00:00Fitta Deskawaty [email protected]Andi Asda Astiah [email protected]Dina Sari Rehulina Br Sihombing[email protected]<p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>Background:</em></strong><em> Gadget use among adolescents continues to increase with technological advances. Excessive use may lead to gadget addiction and affect adolescents' emotional condition.</em></p> <p><strong><em>Methods:</em></strong><em> This observational analysis utilized a cross-sectional format and involved 140 eighth-grade pupils from Yos Sudarso Junior High School located in Batam City, chosen through proportional random sampling. The reliance on electronic gadgets was evaluated with the "Smartphone Addiction Scale – Short Version" (SAS-SV), and the emotional condition was measured using the "Strengths and Difficulties Questionnaire" (SDQ). The data were examined using the Spearman correlation method.</em></p> <p><strong><em>Results:</em></strong><em> Most respondents had low gadget addiction (82.9%). Emotional difficulties were predominantly in the normal category (78.6%), while emotional strengths were mostly normal (57.1%). Significant correlations were found between gadget addiction and emotional condition on the difficulties scale (r=-0.756; p<0.001) and strengths scale (r=-0.628; p<0.001).</em></p> <p><strong><em>Conclusion: </em></strong><em>There was a significant relationship between gadget addiction levels and emotional conditions among eighth-grade students of Yos Sudarso Junior High School in Batam City. Higher gadget addiction levels were associated with greater emotional problems.</em></p> <p><em> </em></p> <p> </p> <p><strong><em>Keywords:</em></strong><em> Gadget Addiction; Adolescent Emotional Condition; SAV-SV; SDQ.</em></p>2026-10-01T00:00:00+00:00Copyright (c) 2026 Fitta Deskawaty , Andi Asda Astiah , Dina Sari Rehulina Br Sihombinghttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2419HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP IBU TENTANG POLA MAKAN BALITA TERHADAP STATUS GIZI BALITA DI KECAMATAN SIULAK KABUPATEN KERINCI PROVINSI JAMBI TAHUN 20262026-09-16T14:56:57+00:00Irdhon Husni[email protected]Mukharradhi Nanza[email protected]Kannisa Mulia Nurman[email protected]<p><strong><em>ABSTRACT</em></strong></p> <p><strong>Background: </strong><em>Nutritional problems among children under five remain a public health concern in Indonesia because they affect children’s growth and development. One factor influencing nutritional status is mothers’ knowledge and attitudes toward child feeding practices. This study aimed to determine the relationship between mothers’ knowledge and attitudes regarding child feeding practices and the nutritional status of children under five in Siulak District in 2026</em><em>.</em></p> <p><strong>Methods: </strong><em>This analytical quantitative study employed a cross-sectional design involving 68 mothers with children aged 1–5 years. The independent variables were mothers’ knowledge and attitudes, while the dependent variable was the nutritional status of children under five. Data were collected using questionnaires and anthropometric assessment based on the Weight-for-Age (W/A) index and analyzed using univariate analysis and Spearman’s Rank correlation test (p<0.05)</em><em>.</em></p> <p><strong>Results:</strong> <em>Most mothers had good knowledge (52.9%) and positive attitudes (39.7%). Most children had normal nutritional status (83.8%). Significant relationships were found between mothers’ knowledge and children’s nutritional status (r=0.712; p=0.001) and between mothers’ attitudes and children’s nutritional status (r=0.482; p=0.012)</em><em>.</em></p> <p><strong>Conclusion: </strong><em>Mothers’ knowledge and attitudes regarding child feeding practices were significantly associated with the nutritional status of children under five in Siulak District in 2026</em><em>.</em></p> <p><strong>Keywords: </strong><em>Mothers’ Knowledge, Mothers’ Attitudes, Child </em></p>2026-10-01T00:00:00+00:00Copyright (c) 2026 Irdhon Husni, Mukharradhi Nanza, Kannisa Mulia Nurmanhttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2426HUBUNGAN USIA, MASA KERJA, DAN KELUHAN LOW BACK PAIN PADA PEGAWAI PEMERINTAH KOTA BATAM2026-09-21T08:33:46+00:00Indah Mutiara Youlpi[email protected]Andi Ipaljri Saputra[email protected]Florisya Loviana Gunawan[email protected]<p><strong><em>ABSTRACT</em></strong></p> <p><strong>Background: </strong><em>Low back pain (LBP) is one of the most common musculoskeletal disorders among office workers due to prolonged sitting, continuous computer use, and poor ergonomic posture. Age and length of employment are factors suspected to contribute to LBP complaints because they are associated with degenerative changes in the musculoskeletal system and cumulative exposure to occupational risk factors.</em></p> <p><strong>Methods: </strong><em>This study employed an analytical observational design with a cross-sectional approach. The study population consisted of all employees of the Department of Culture and Tourism and the Department of Communication and Informatics of Batam City Government who met the study criteria. A total of 86 respondents were selected using proportionate stratified random sampling. Data were analyzed using the Chi-Square test with a significance level of p<0.05.</em></p> <p><strong>Results:</strong> <em>Statistical analysis showed a significant relationship between age and Low Back Pain complaints (p=0.019) and a significant relationship between length of employment and Low Back Pain complaints (p<0.001).</em></p> <p><strong>Conclusion: </strong><em>There was a significant relationship between age and length of employment and Low back pain complaints among employees of the Department of Culture and Tourism and the Department of Communication and Informatics of Batam City Government</em></p> <p><strong>Keywords: </strong><em>Age, Length of Employment, Low back pain.</em></p>2026-10-01T00:00:00+00:00Copyright (c) 2026 Indah Mutiara Youlpi, Andi Ipaljri Saputra, Florisya Loviana Gunawanhttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2233KORELASI USIA, KADAR LEUKOSIT, DAN KADAR ALBUMIN TERHADAP LUARAN INFEKSI LUKA OPERASI PADA PASIEN PASCA AMPUTASI MAYOR2026-05-05T12:46:44+00:00Darul Ilham[email protected]Lauhil Mahfudz[email protected]Nanda Subhan[email protected]Muhammad Azmi Fanany[email protected]Khalikul Razi[email protected]Maria Meildi[email protected]<p>Surgical site infection (SSI) following major amputation is a serious complication with a global incidence of 7-30%, particularly in patients with diabetes mellitus. Major risk factors include advanced age, hypoalbuminemia, and uncontrolled diabetes, with dominant pathogens <em>E. coli</em> and <em>S. aureus</em>. This analytical observational study aimed to describe the profile of SSI patients post-major amputation and identify risk factors at RSU dr. Zainoel Abidin Banda Aceh from October-November 2023. Secondary data from 46 medical records of patients meeting inclusion criteria (SSI post-major amputation) were excluded if incomplete, and analyzed using univariate and bivariate methods with Spearman correlation test (P<0.05). Results showed most patients aged 56-65 years (37.0%), with leukocyte levels >10.0 × 10³/mm³ in 71.7%, <em>Escherichia coli</em> bacterial culture (41.3%), moderate infection severity (50.0%), and low albumin levels (60.9%). Significant correlations were found between age and albumin levels with SSI occurrence (P<0.05). Conclusion: Advanced age and hypoalbuminemia correlate with SSI following major amputation. Recommendations for future research include evaluation of prophylactic antibiotics, operative duration, and prevention strategies.</p> <p>Keywords: Surgical site infection, albumin, leukocytosis, age, amputation, diabetes</p>2026-10-01T00:00:00+00:00Copyright (c) 2026 Darul Ilham, Lauhil Mahfudz, Nanda Subhan, Muhammad Azmi Fanany, Khalikul Razi, Maria Meildihttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2446HUBUNGAN ASIMETRI PUNGGUNG DENGAN KELUHAN NYERI PUNGGUNG BAWAH PADA MAHASISWI ASRAMA PUTRI FAKULTAS KEDOKTERAN UNIVERSITAS BATAM2026-10-01T03:21:27+00:00Yani Christina[email protected]Nanang Rudy Utantyo[email protected]Vanessa Amelia[email protected]<p><strong><em>ABSTRACT</em></strong></p> <p><a name="_Toc93504384"></a><strong><em>Background:</em></strong> <em>Back asymmetry is a form of postural imbalance that may affect load distribution on the spine and contribute to low back pain complaints</em><em>.</em></p> <p><strong><em>Objective:</em></strong><em> This study aimed to determine the relationship between back asymmetry and low back pain complaints among female students of the Women's Dormitory, Faculty of Medicine, Universitas Batam.</em></p> <p><strong><em>Methods:</em></strong><em> This study used an observational analytic design with a cross-sectional approach. A total of 71 respondents were selected using total sampling. Back asymmetry was assessed using the <strong>Adam’s Forward Bending Test</strong>, while low back pain was measured using the <strong>Visual Analog Scale (VAS)</strong>. The relationship was analyzed using the <strong>Chi-Square test</strong>.</em></p> <p><strong><em>Results:</em></strong><em> A total of 38 respondents (53.5%) had back asymmetry, while 33 (46.5%) had symmetrical backs. Eighteen respondents (36.6%) experienced low back pain complaints. Among respondents with back asymmetry, 18 (68.4%) experienced low back pain. The Chi-Square test showed a significant relationship between back asymmetry and low back pain complaints (<strong>p = 0.000</strong>). </em></p> <p><strong><em>Conclusion:</em></strong><em> There was a significant relationship between back asymmetry and low back pain complaints.</em></p> <p><strong><em>Keywords:</em></strong><em> Back Asymmetry, Low Back Pain, Female Students</em></p>2026-10-16T00:00:00+00:00Copyright (c) 2026 Yani Christina, Nanang Rudi Utantyo, Vanessa Ameliahttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2447HUBUNGAN USIA DAN JENIS KELAMIN DENGAN LARYNGITIS KRONIK PADA PASIEN POLI THT DI RUMAH SAKIT X KOTA BATAM2026-10-01T03:24:04+00:00Elvita Nora Susana[email protected]Nopri Esmiralda[email protected]Julian Palloge[email protected]<p><a name="_Toc93504384"></a><strong><em>ABSTRACT</em></strong></p> <p><strong><em>Background:</em></strong><em> Chronic laryngitis is an inflammation of the laryngeal mucosa lasting more than three weeks and may be influenced by individual characteristics, including age and sex. This study aimed to determine the relationship between age and sex and the incidence of chronic laryngitis among ENT outpatients at Hospital X, Batam City.</em></p> <p><strong><em>Methods:</em></strong><em> This study used an analytical observational design with a retrospective cross-sectional approach. A total of 150 patients were selected using total sampling based on medical records from 2023–2024. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of α=0.05.</em></p> <p><strong><em>Results:</em></strong><em> Most patients were adults, comprising 84 patients (56.0%), and female, comprising 86 patients (57.3%). A total of 116 patients (77.3%) had chronic laryngitis. There were significant relationships between age and chronic laryngitis incidence (p=0.021) and between sex and chronic laryngitis incidence (p=0.030).</em></p> <p><strong><em>Conclusion:</em></strong><em> Age and sex were significantly associated with the incidence of chronic laryngitis.</em></p> <p><em> </em></p> <p> </p> <p><strong><em>Keywords:</em></strong><em> Age, Sex, Chronic Laryngitis, ENT Outpatients.</em></p>2026-10-16T00:00:00+00:00Copyright (c) 2026 Elvita Nora Susana, Nopri Esmiralda, Julian Pallogehttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2448HUBUNGAN INFEKSI SALURAN KEMIH SEBAGAI FAKTOR RISIKO KETUBAN PECAH DINI PADA IBU HAMIL2026-10-01T03:32:20+00:00Bratasena[email protected]Isramilda[email protected]Putri Amelia Cempaka[email protected]<p><strong><em>ABSTRACT</em></strong></p> <p><strong>Background: </strong><em>Anatomical and physiological changes in the urinary tract during pregnancy increase pregnant women's susceptibility to urinary tract infections (UTIs). These infections can trigger inflammation that weakens the amniotic membranes, thereby increasing the risk of premature rupture of membranes (PROM). As a pregnancy complication, PROM is associated with increased maternal and neonatal morbidity and mortality, making early detection and appropriate management essential.</em></p> <p><strong>Methods: </strong><em>This study used a cross-sectional design involving 252 pregnant women selected through total sampling. Data on urinary tract infections (UTIs) and preterm rupture of membranes (PROM) were obtained from medical records and analyzed using the chi-square test with a significance level of α = 0.05.</em></p> <p><strong><em>Results: </em></strong><em>The results of the study showed that of 252 pregnant women, 124 (49.2%) had urinary tract infections and 92 (36.5%) experienced premature rupture of membranes. The chi-square test revealed a significant association between urinary tract infections and the occurrence of premature rupture of membranes (p < 0.001).</em></p> <table> <tbody> <tr> <td width="97"> </td> </tr> <tr> <td> </td> <td> </td> </tr> </tbody> </table> <p><br><strong>Conclusion: </strong><em>There is a significant relationship between urinary tract infections and the incidence of premature rupture of membranes in pregnant women at Budi Kemuliaan Hospital, Batam, during the period of May–September 2025. Early detection, diagnosis, and management of urinary tract infections during pregnancy are necessary to reduce the risk of premature rupture of membranes.</em></p> <p><strong><em>Keywords</em></strong><em>: Urinary tract infection, premature rupture of membranes, pregnant women</em></p>2026-10-16T00:00:00+00:00Copyright (c) 2026 Bratasena, Isramilda, Putri Amelia Cempakahttps://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/2449HUBUNGAN USIA DAN VOLUME PROSTAT DENGAN KEJADIAN RETENSI URINE PADA PASIEN BENIGN PROSTATIC HYPERPLASIA DI RSUD dr. SOBIRIN2026-10-01T03:35:06+00:00Muhammad Rifki[email protected]Kasih Purwati[email protected]Yurizsa Silva Sabillah[email protected]<p><strong><em>ABSTRACT </em></strong></p> <p><strong><em>Background:</em></strong> <em>Benign Prostatic Hyperplasia (BPH) triggers progressive Bladder Outlet Obstruction (BOO). Advancing age and increased prostate volume accelerate the detrusor decompensation phase, leading to urinary retention.</em></p> <p><strong><em>Methods:</em></strong> <em>This was an analytical observational study with a cross-sectional approach using medical records. A sample of 105 patients was selected using purposive sampling. Metabolic comorbidities and neurological diseases were strictly excluded to eliminate confounding bias. Bivariate data analysis utilized the Chi-Square test with category adjustments.</em></p> <p><strong><em>Results:</em></strong> <em>The prevalence of urinary retention in this referral facility reached 70.5%. There was a significant relationship between age and the incidence of urinary retention (p=0.005), peaking at 92.3% in the age group ≥ 80 years. Prostate volume was also significantly associated (p=0.001), with an absolute retention incidence (100%) in Grade 4 prostates ≥ 80 cc.</em></p> <p><strong><em>Conclusion:</em></strong> <em>Age degeneration and massive prostate volume accelerate the risk of bladder emptying failure. The high rate of complications confirms selection bias at the referral center, while also reflecting delayed early detection in primary care facilities.</em></p> <p><strong><em> </em></strong></p> <p> </p> <p><strong><em>Keywords:</em></strong> <em>Benign Prostatic Hyperplasia, Age, Prostate Volume, Urinary Retention, Decompensation.</em></p>2026-10-16T00:00:00+00:00Copyright (c) 2026 Muhammad Rifki, Kasih Purwati, Yurizsa Silva Sabillah