Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam https://ejurnal.univbatam.ac.id/index.php/zonadokter <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> Universitas Batam en-US Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam 2087-7390 <p>Manuskrip yang diserahkan penulis haruslah sebuah karya yang tidak melanggar hak cipta (copyright) yang ada. Naskah yang dimasukkan harus yang belum pernah diterbitkan dan tidak dikirimkan pada waktu yang bersamaan kepada penerbit lain. Hak cipta atas semua material termasuk yang berbentuk cetak, elektronik dan bentuk lainnya dipegang oleh Zona Kedokteran. Setelah manuskrip telah melewati proses penyuntingan substansi dan positif diterima, penulis mengirimkan berkas Pernyataan Hak Cipta ke alamat redaksi Zona Kedokteran.</p><p><a href="https://creativecommons.org/licenses/by-sa/4.0/" target="_blank"><img src="data:image/png;base64,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" alt="" /></a></p> HUBUNGAN INDEKS MASSA TUBUH DENGAN KUALITAS HIDUP PADA PASIEN RHEUMATOID ARTHRITIS DI PUSKESMAS BOTANIA BATAM https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1351 <p>Background: The problem of nutritional status is closely related to a person's quality of life. Because if someone can achieve a good quality of life, then his life will lead to prosperity. Quality of life is the result of a person's benchmark in health status which is influenced by social, economic and cultural backgrounds. A good quality of life can direct us to opportunities to be free from various diseases, including Rheumatoid Arthritis. Methods: This study took an observational analytic research design with an approach cross sectional. This research was conducted at the Puskesmas Botania Batam in August 2023. The sample in this study was 60 respondents. By sampling technique is the accidental sampling. To find out the relationship between Body Mass Index and Quality of Life, the data analysis used was a test Pearson Chi Square. Results: Out of a total of 60 respondents, the majority of respondents had obesity BMI I as many as 21 respondents (34%), and the least number was obesity BMI II as many as 4 respondents (7%). Respondents with a good quality of life were 27 respondents (45%), while those with a bad quality of life were 33 respondents (55%). QThere is a relationship between Body Mass Index and Quality of Life with a p value of 0.002 (p &lt;0.05). Conclusion: Based on the results of this study, it can be concluded that the higher/lower a person's BMI, the poorer their quality of life is.</p> Brain Gantoro Nopri Esmiralda Asrida Sakinah Copyright (c) 2024 Brain Gantoro, Nopri Esmiralda, Asrida Sakinah http://creativecommons.org/licenses/by-sa/4.0 2024-04-08 2024-04-08 13 3 423 438 10.37776/zked.v14i1.1351 HUBUNGAN KUALITAS TIDUR DENGAN MEMORI JANGKA PENDEK (SHORT-TERM MEMORY) PADA PELAJAR KELAS XII SMA KRISTEN BASIC BATAM https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1352 <p>Background: : Sleep is defined as a subconscious state where a person can still be awakened by providing sensory stimulation or other stimuli. Sleep is also a form or way to relieve one's physical or mental fatigue. Sleep quality can affect brain function in concentrating and recalling knowledge storage or also called memory. Methods: The method used is Observational Analytics. The sample in this research isThere are 57 class XII students at Batam Basic Christian High School in 2023. Sampling used total sampling technique. Data collection techniques use observation and questionnaires. The data analysis technique uses Chi-Square Test. Results: There is a relationship between sleep quality and short-term memory where the results obtained are good sleep quality, there are 78.3% of respondents who have high short-term memory, 21.7% have medium short-term memory, and 0% who have low short term memory. Of respondents with poor sleep quality, 20% had high short-term memory, 36% had medium short-term memory, and 44% had low short-term memory. Conclusion: It can be concluded that there issignificant relationship between sleep quality and short-term memory in class XII students of Batam Basic Christian High School in 2023 with a p-value = 0.000.</p> Elvita Nora Susana Sukma Sahreni Chandra Pratama Gulo Copyright (c) 2024 Elvita Nora Susana, Sukma Sahreni, Chandra Pratama Gulo http://creativecommons.org/licenses/by-sa/4.0 2024-04-08 2024-04-08 13 3 439 447 10.37776/zked.v14i1.1352 GAMBARAN POLA LUKA PADA KORBAN KECELAKAAN LALU LINTAS DI RUMAH SAKIT UMUM DAERAH RAJA AHMAD TABIB PROVINSI KEPULAUAN RIAU PERIODE JANUARI-DESEMBER TAHUN 2022 https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1362 <p>Background: Traffic accidents are a leading cause of death in developing countries, and the incidence continues to rise with population growth and increased transportation mobility. This study aims to analyze the pattern of injuries in traffic accident victims treated at Raja Ahmad Tabib Regional General Hospital, Riau Islands Province, during the period from January to December 2022. Methods: This study utilized a retrospective descriptive design with a cross-sectional approach. The population consisted of 1,533 traffic accident victims during the January-December 2022 period, and a sample of 318 individuals was selected using purposive sampling. Data analysis was conducted using descriptive statistics. Results: The study revealed that 69.5% of the victims were aged over 30 years, 66.7% were male, and 84.0% survived the accidents. The most common injury pattern among pedestrians was abrasions (37.9%), motorbike riders most frequently experienced abrasions (48.0%), car drivers mostly suffered from lacerations (43.4%), and car passengers predominantly had contusions (50.0%). Conclusion: This research concludes that the injury patterns in traffic accident victims at Raja Ahmad Tabib Regional General Hospital in the Riau Islands Province during 2022 show that abrasions are dominant among motorbike riders, lacerations are predominant among car drivers, and contusions are prevalent among car passengers.</p> Dyah Marianingrum Kasih Purwati Muhammad Raflin Ilhami Pratama Copyright (c) 2024 Dyah Marianingrum, Kasih Purwati, Muhammad Raflin Ilhami Pratama http://creativecommons.org/licenses/by-sa/4.0 2024-04-08 2024-04-08 13 3 448 456 10.37776/zked.v14i1.1362 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN HEMOROID PADA PASIEN DI POLI BEDAH RSUD RAJA AHMAD TABIB TAHUN 2019-2022 https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1353 <p>Background: Hemorrhoids, also known as piles, are a common medical condition worldwide. Hemorrhoids occur when blood vessels in the anal or rectal area swell and become inflamed. Factors contributing to the occurrence of hemorrhoids include age, occupation, obesity, gender, constipation, and prolonged sitting during bowel movements. This research aims to provide valuable information for the Indonesian community, doctors, and researchers regarding the risk factors associated with hemorrhoid occurrence. Methods: The research design used in this study is an Observational Case Control with a Retrospective approach. The population in this study consisted of patients who visited the surgical department of RSUD Raja Ahmad Tabib from 2019 to 2022, totaling 6,549 patients. Sample selection was done using Simple Random Sampling, with a total sample size of 82 individuals. The research results were analyzed using the Chi-Square test. Results: In this study, the Chi-Square test analysis revealed factors related to the occurrence of hemorrhoids: Based on Age (p=0.672), Based on Gender (p=0.004), Based on Obesity (p=0.049), and Based on Occupation (p=0.000). Conclusion: Based on the research findings, it can be concluded that there is a significant association between Gender, Obesity, and Occupation with the occurrence of hemorrhoids among patients in the surgical outpatient department of Raja Ahmad Tabib Regional General Hospital from 2019 to 2022.</p> Muhammad Rifki Rusdani Rusdani Nadia Eryaningrum Copyright (c) 2024 Muhammad Rifki, Rusdani Rusdani, Nadia Eryaningrum http://creativecommons.org/licenses/by-sa/4.0 2024-04-08 2024-04-08 13 3 457 467 10.37776/zked.v14i1.1353 HUBUNGAN PEMBERIAN MP-ASI DENGAN STATUS GIZI BAYI 6-11 BULAN DI WILAYAH KERJA PUSKESMAS SAMBAU KOTA BATAM https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1354 <p>Background: the nutritional status of infants greatly influences their growth and development. To find out the nutritional status of infants can be seen from what they consume. Babies aged 6-11 months get nutrition from MP-ASI and ASI. The purpose of this study was to determine the relationship between complementary feeding and nutritional status at the Sambau Health Center. Method: Type of quantitative research with a cross-sectional study design. This research was conducted in December 2022. The population was infants aged 6-11 months who attended Posyandu activities in December as many as 69 people were taken using the total sampling technique. Data on MP-ASI administration, frequency, and form of MP-ASI were obtained using a questionnaire and measuring weight/PB. The data were analyzed using the chi-square test. Results: Giving MP-ASI to infants 6-11 months was 63.8%. The frequency of giving MP-ASI was mostly according to age, namely 75.4%. Most of the MP-ASI forms are age-appropriate, namely 76.8%. The nutritional status of infants aged 6-11 months is mostly good, namely 92.8%. The results of the chi-square test obtained a p-value of 0.856 for the relationship between MP-ASI and nutritional status, and the relationship between MP-ASI frequency and nutritional status obtained a p-value of 0.003. Meanwhile, the relationship between complementary feeding and nutritional status obtained a p-value of 0.861. Conclusion: There is no significant relationship between the provision of MP-ASI and the nutritional status of infants 6-11 months at the Sambau Health Center with a value of p=0.586 (p&gt;0.05).</p> Ibrahim Ibrahim Isramilda Isramilda Siska Dwi Permatasari Copyright (c) 2024 Ibrahim Ibrahim, Isramilda Isramilda, Siska Dwi Permatasari http://creativecommons.org/licenses/by-sa/4.0 2024-04-08 2024-04-08 13 3 468 475 10.37776/zked.v14i1.1354 HUBUNGAN TINGKAT KECEMASAN DENGAN SIKLUS MENSTRUASI PADA SISWI SMK N 07 BATAM https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1355 <p>Background: : Menstruation is uterine bleeding that occurs cyclically and is experienced by most women of reproductive age. The menstrual cycle has a significant relationship with hormonal changes that occur in the body. One of the things that can affect the menstrual cycle is psychological conditions such as depression and anxiety. Methods: This research method is observational analytic with a cross sectional approach which was carried out at SMK N 07 Batam City in June 2023. The sampling technique in this study used the nonprobability sampling method with a quota sampling technique with a sample size of 193 respondents. This research was conducted by collecting questionnaire data. Data analysis used the Spearman's Rho test. Results: The results of the research on 193 respondents showed a significant relationship between anxiety levels and the menstrual cycle in female students at SMK N 07 Batam in 2023. From the results of the Spearman rho test, a p-value of 0.002 was obtained and an r-value of 0.168 so that H<sub>o</sub> was rejected and Ha was accepted. Conclusion: Based on the results of this study it can be concluded that there is a significant relationship between anxiety levels and the menstrual cycle in students of SMK N 07 Batam in 2023.</p> Acholder Tahi Perdoman Andi Asda Tilfi Izzaturrahmah Copyright (c) 2024 Acholder Tahi Perdoman, Andi Asda, Tilfi Izzaturrahmah http://creativecommons.org/licenses/by-sa/4.0 2024-04-16 2024-04-16 13 3 476 483 10.37776/zked.v13i3.1355 HUBUNGAN KEBIASAAN SARAPAN DAN AKTIVITAS FISIK DENGAN KONSENTRASI BELAJAR SISWA/I KELAS VIII SMPN 28 BATAM TAHUN 2023 https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1356 <p>Background: Learning concentration is the ability to focus the mind on something without being influenced by the surrounding circumstances. Learning concentration is influenced by two factors, namely internal and external. Breakfast habits and physical activity are included in the internal factors of learning concentration. The purpose of this study was to determine the relationship between breakfast habits and physical activity with the concentration of learning students of grade VIII SMPN 28 Batam. Method: This type of research is quantitative with a&nbsp;cross-sectional&nbsp;approach. The population of this study was class VIII students at SMPN 28 Batam as many as 292 people. The study sample was taken from as many as 72 people with&nbsp;purposive techniques. Data on breakfast habits and physical activity were obtained by questionnaire and study concentration using&nbsp;the Stroop test. The data were analyzed using&nbsp;the chi–square test. Results:&nbsp;Breakfast habits respondents had good breakfast habits by 82.4%. The frequency of physical activity of respondents was categorized at a moderate physical activity level of 45.6%. The frequency of respondents' learning concentration obtained balanced results between good and bad concentration by 50%. The results&nbsp;of the chi-square&nbsp;test obtained p value = 0.525 for the relationship between breakfast habits with learning concentration, and the relationship between physical activity with learning concentration obtained&nbsp;p value&nbsp;= 0.084. Conclusion:&nbsp;There is no significant relationship between breakfast habits and physical activity of grade VIII students of SMPN 28 Batam.</p> Malahayati Rusli Bintang Mariaman Tjendera Sinta Tri Wulandari Copyright (c) 2024 Malahayati Rusli Bintang, Mariaman Tjendera, Sinta Tri Wulandari http://creativecommons.org/licenses/by-sa/4.0 2024-04-16 2024-04-16 13 3 484 491 10.37776/zked.v13i3.1356 HUBUNGAN DERAJAT HIPERTENSI DENGAN STADIUM GAGAL GINJAL KRONIK DI UNIT HEMODIALISA RUMAH SAKIT BADAN PENGUSAHAAN BATAM TAHUN 2019-2020 https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1357 <p>Background: Chronic Kidney Disease (CKD) is a progressive and irreversible kidney function disorder, in which the body is unable to maintain metabolism and fails to maintain fluid and electrolyte balance which results in an increase in urea.The risk factors for chronic kidney failure from hypertension are 3.2 times greater than those who do not have hypertension.The study aims to determine the relationship between the degree of hypertension and the stage of Chronic Kidney Failure in the hemodialysis unit at Badan Pengusahaan Batam Hospital in 2019-2020. Methods: The research design using analytic observational with a cross sectional approach in the Hemodialysis unit at the Badan Pengusahaan Batam Hospital in July 2023. The sample of this study was 95 patients with Chronic Kidney Failure who visited the Hemodialysis unit at Badan Pengusahaan Batam Hospital in 2019-2020selected by random sampling method. Analysis data using the Chi-Square correlation hypothesis test. Results: A total of 38 people (29.5%) respondents were in the age group 46-55 years and 48 people (50.5%) respondents were male, 62 people (65.3%) had grade 2 hypertension, 83 people(87.4%) of respondents had stage V chronic kidney failure. There was a significant relationship between the degree of hypertension and the stage of chronic kidney failure in patients at the Hemodialysis Unit RSBP Batam&nbsp; 2019-2020 (p=0.042). Conclusion: There is a significant relationship between the degree of hypertension and the stage of chronic kidney failure in patients at the RSBP Batam Hemodialysis Unit 2019-2020.</p> Muhammad Azmi Fanany Yani Christina Tia Helvita Sari Nasution Copyright (c) 2024 Muhammad Azmi Fanany, Yani Christina, Tia Helvita Sari Nasution http://creativecommons.org/licenses/by-sa/4.0 2024-04-16 2024-04-16 13 3 492 499 10.37776/zked.v13i3.1357 HUBUNGAN KEBIASAAN KONSUMSI MINUMAN ENERGY DRINK DENGAN KEJADIAN HIPERTENSI PADA BURUH ANGKUT DI PASAR PALMERIAM KOTA JAKARTA TIMUR TAHUN 2023 https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1358 <p>Background: Energy drink refers to drinks containing caffeine combined with other ingredients such as taurine, guarana and vitamin B, which are claimed to provide extra energy for users. The results of a study regarding the effects of energy drinks on healthy subjects aged 18-45 years, consuming 1-3 cans of energy drinks, the subjects experienced an average increase in systolic blood pressure of 3.5 mmHg and also had an average 10-msec prolongation in QT interval. Method: This research method is observational analytic with a cross sectional approach which was carried out at Palmeriam Market in East Jakarta City in 2023. The sampling technique in this research used a total sampling method with a sample size of 45 respondents. This research was carried out by collecting questionnaire data. Data analysis uses the Chi Square test. Result: The results of research on 45 respondents showed a significant relationship between consuming energy drinks and the incidence of hypertension in transport workers at Palmeriam Market in East Jakarta City in 2023. From the results of the Chi Square test, it was found that the p-value was 0.000 (p&lt;0.05), so that H<sub>0</sub> was rejected and H<sub>a</sub> was accepted. Conclusion: Based on the results of this study, it can be concluded that there is a significant relationship between consuming energy drinks and the incidence of hypertension in transport workers at Palmeriam Market in East Jakarta City in 2023.</p> Saiful Batubara Julahir Hodmatua Siregar Copyright (c) 2024 Saiful Batubara, Julahir Hodmatua Siregar http://creativecommons.org/licenses/by-sa/4.0 2024-04-16 2024-04-16 13 3 500 504 10.37776/zked.v13i3.1358 HUBUNGAN HIPERGLIKEMIA DENGAN TINEA KORPORIS PADA PASIEN DIABETES MELITUS TIPE 2 DI RUMAH SAKIT GRAHA HERMINE BATAM TAHUN 2021 https://ejurnal.univbatam.ac.id/index.php/zonadokter/article/view/1359 <p>Background: Tinea corporis or also known as ringworm, is a superfisial fungal infection of The skin that can effect people of all ages and genders. Hyperglycemia is a risk factor for tinea corporis in diabetic patients (especially type 2 diabetes mellitus), so that glycemic control plays an important role in The prevention and management of this condition. This study aims to determine the relations between hyperglycemia and tinea corporis in type 2 diabetes mellitus patients at Graha Hermine Hospital Batam in 2021. Methods: This study is an observational analytic study with a cross-sectional design in 71 type 2 diabetes mellitus patients visiting Graha Hospital Hermine Batam in 2021 which was selected using the purposive sampling method. Data is secondary data derived from medical records. Data analysis was performed with The Fisher statistical test. Results: The average age of the research respondents was in the 46-55 year group and based on the gender of the respondents in this study, 52.1% were male and 47.9% female. As many as 57.7% of respondents experienced hyperglycemia and 7.0% experienced tinea corporis. There is no relationship between hyperglycemia and the incidence of tinea corporis in diabetes mellitus patients at Graha Hermine Hospital Batam in 2021 (p=0,644). Conclusion: There is no relationship between hyperglycemia and the incidence of tinea corporis in diabetes mellitus patients at Graha Hermine Hospital Batam in 2021.</p> Sudarsono Sudarsono Andi Ipaljri Niswatun Shaleha Copyright (c) 2024 Sudarsono Sudarsono, Andi Ipaljri, Niswatun Shaleha http://creativecommons.org/licenses/by-sa/4.0 2024-04-16 2024-04-16 13 3 505 512 10.37776/zked.v13i3.1359