Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam

GEJALA DEPRESI PADA REMAJA SMK SATU BANGSA HARMONI BATAM

Fitta Deskawaty, Andi Asda Astiah, Nurul Wahyudi Raharjo — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Background: One Nation Harmoni School is a formal educational institution under the auspices of the New Satubangsa Harmoni Foundation. The purpose of this study is to determine The correlations between bullying behavior with depression symptomps among Vocational High School in batam. Depression is a group of symptoms with the main picture of mood disorders that affect cognitive, psychomotor and psychosocial performance accompanied by difficulties in interpersonal relationships.

Methods: The research strategy employed in this study was a cross-sectional descriptive analytical survey. Total sampling with a sample size of 47 individuals was used in the sample procedure. In order to gather this information, questionnaires were distributed. Chi-Square test for data analysis.

Results: This research found that bullying behaviors were associated with depressive symptoms. Of those who participated, it is known that 48.1% were bullied whereas 51.1% were not. In the normal-mild group, 46.8% exhibited depressive symptoms, in the moderate group, 29.8%; and in the severe-very severe group, 23.4%. A p-value of 0.010 was produced by the statistical test known as the Chi-Square Test.

Conclusion: There was a significant correlation between Bullying Behavior and Depressive Symptoms among Vocational High School in batam.

Keywords: Bullying Behavior, Depression Symptoms, Adolescents

HUBUNGAN RASIO LINGKAR PERUT-TINGGI BADAN DENGAN TES JALAN BERJARAK 6 MENIT PADA PASIEN SINDROM KORONER KRONIS DI RS HJ BUNDA HALIMAH BATAM: SEBUAH STUDI PENDAHULUAN

Surya Marthias, Shania Aulia Putri, Andi Ipaljri Saputra — Tue, 14 Oct 2025 00:00:00 +0800

Abstract

Background: Chronic coronary syndrome (CCS) is a leading cause of global morbidity and mortality, closely associated with central obesity. The waist-to-height ratio (WHtR) is a sensitive anthropometric indicator for detecting visceral fat distribution and cardiometabolic risk. Meanwhile, functional capacity can be assessed through the 6-minute walk test (6MWT), reflecting patients' ability to perform daily activities. However, few studies have examined the relationship between WHtR and 6MWT, particularly in CCS

Objective: To determine the correlation between WHtR and 6MWT results in CCS patients at Hj. Bunda Halimah Hospital, Batam City.

Methods: This pilot study with cross-sectional design involved 20 selected patients with consecutive sampling. All patients were given optimal CCS treatment and were chronic patients of cardiac outpatient clinic. Data were collected through anthropometric measurements (waist circumference and height) and 6MWT following standard protocol. Pearson’s correlation test was used to analyze the relationship between WHtR and 6MWT results.

Results: Most respondents had central obesity with WHtR ≥ 0.5 (55%). The mean 6MWT distance was 448.10 m in the control group and 429.40 m in the intervention group (p<0.001). Pearson’s test revealed a significant negative correlation between WHtR and 6MWT (r = -0.719; p < 0.001). There was a significant negative relationship between WHtR and 6MWT results in CCS patient.

Discussion and Conclusion: This study shows that a higher WHtR results in a shorter 6MWT distance, or lower functional capacity, in patients with CCS who have received optimal treatment. This suggests that a high WHtR indicates the presence of residual risk factors such as inflammation and ongoing oxidative stress. WHtR is not only a simple indicator for predicting functional capacity and cardiometabolic risk in this population, but also serves as a target for cardiac rehabilitation to improve the functional capacity.

Keywords: Coronary artery disease; WHtR; 6-Minute Walk Test; functional capacity; central obesity.

HUBUNGAN PENYAJIAN SUSU FORMULA DENGAN KEJADIAN DIARE PADA BAYI USIA 6 -12 BULAN DI PUSKESMAS LUBUK BAJA KOTA BATAM

Sarita Miguna, Isramilda, Elvita Nora Susana, Amanda Putri — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Background: Diarrhea is one of the leading causes of morbidity and mortality in infants in Indonesia. One contributing factor to the incidence of diarrhea is the improper preparation of formula milk that does not adhere to hygiene and sanitation standards. Infants who do not receive exclusive breastfeeding are more susceptible to gastrointestinal infections, including diarrhea. This study aims to analyze the relationship between formula milk preparation and the incidence of diarrhea in infants aged 6-12 months at Lubuk Baja Public Health Center, Batam City.

Methods: This study employed an analytical survey design with a cross-sectional approach. The sample consisted of 40 mothers with infants aged 6-12 months who consume formula milk, selected using a total sampling method. Data were collected through questionnaires and maternal and child health (MCH) book records, then analyzed using the chi-square test to determine the relationship between formula milk preparation and the incidence of diarrhea.

Results: The study results indicated that most infants who experienced diarrhea were associated with poor formula milk preparation practices. The chi-square test showed a significant relationship between formula milk preparation and the incidence of diarrhea in infants (p = 0.002).

Conclusion: Improper formula milk preparation that does not meet hygiene standards is associated with an increased risk of diarrhea in infants aged 6-12 months

Keywords: Diarrhea, Formula Milk, Baby

EFEKTIVITAS FISIOTERAPI (TENS DAN INFRARED) PADA PENANGANAN KASUS LOW BACK PAIN DITINJAU DARI FLEKSIBILITAS LUMBAL DI RSUD KOTA TANJUNGPINANG

Luis Yulia, Andi Ipaljri Saputra, Elca Anastasia Ramadhani — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Background: Low Back Pain (LBP) not only disrupts daily activities but can also negatively impact an individual's quality of life and productivity. Physiotherapy treatment has proven to be one of the effective non-pharmacological methods in managing LBP. Physiotherapy plays a role in increasing lumbar flexibility and reducing lower back pain. Various physiotherapy techniques can be applied, including TENS and Infrared.

Methods: This study uses a pre-experimental design with a one-group pre-post test approach. The sampling technique used is accidental sampling with 31 physiotherapy patients experiencing Low Back Pain at RSUD Kota Tanjungpinang. Data were collected using Schober test observation sheets and Visual Analogue Scale (VAS). Data analysis was performed with paired t-test statistics.

Results: The study results showed that after physiotherapy was performed, limited lumbar flexibility drastically decreased to 6.5%, while patients with normal flexibility increased to 93.5%. There was a significant improvement in pain levels, with 64.5% of patients experiencing mild pain, 35.5% experiencing moderate pain, and no patients experiencing severe or very severe pain. The paired sample t-test result obtained a p-value of 0.000.

Conclusion: Physiotherapy (TENS and Infrared) is effective in managing Low Back Pain cases viewed from lumbar flexibility at RSUD Kota Tanjungpinang.

Keywords: Low Back Pain, Physiotherapy, TENS, Infrared

HUBUNGAN PENGETAHUAN DAN PERILAKU VAGINAL HYGINE DENGAN KEJADIAN KEPUTIHAN PADA REMAJA PUTRI DI SMA KARTINI BATAM

Acholder T Perdoman Sirait, Nopri Esmiralda, Ance Purnama — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Background: Vaginal discharge is a common condition experienced by young women and can be physiological or pathological. The main factor that contributes to the incidence of vaginal discharge is knowledge and vaginal hygiene behavior. This study aims to determine the relationship between the level of knowledge and vaginal hygiene behavior and the incidence of vaginal discharge in adolescent girls at SMA Kartini Batam.

Methods: This research uses quantitative methods with a cross-sectional design. The research sample consisted of 129 female students selected using simple random sampling techniques. Data was collected using a structured questionnaire and analyzed using the Chi-Square test.

Results: The results showed that the majority of respondents had a good level of knowledge (94.6%) and good vaginal hygiene behavior (62%). Pathological vaginal discharge was found in 56.6% of respondents. Bivariate analysis showed that there was no significant relationship between knowledge and the incidence of vaginal discharge (p-value = 0.110). However, there is a significant relationship between vaginal hygiene behavior and the incidence of vaginal discharge (p-value = 0.000).

Conclusion: The conclusion of this study is that although a good level of knowledge is not directly related to the incidence of vaginal discharge, poor vaginal hygiene behavior increases the risk of pathological vaginal discharge.

Keywords: Knowledge, Behavior, Vaginal Hygiene, Vaginal Discharge

HUBUNGAN USIA, INDEKS MASSA TUBUH (IMT), DAN PEKERJAAN TERHADAP KEJADIAN HERNIA INGUINALIS DI RUMAH SAKIT BUDI KEMULIAAN KOTA BATAM

Muhammad Rifki, Kasih Purwati, Anggita Fitria Hartanti — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Background: Inguinal hernia is the most common type of hernia and is frequently encountered in the surgical department, particularly among males. Major risk factors suspected to contribute to inguinal hernia include age, body mass index (BMI), and types of occupation that increase intra-abdominal pressure. This study aims to determine the relationship between age, BMI, and occupation with the incidence of inguinal hernia at Budi Kemuliaan Hospital, Batam City.

Methods: This research used a retrospective Case-Control study design based on medical records from 2022 to 2024. The sample consisted of 162 patients, comprising 81 patients with inguinal hernia (case group) and 81 patients with other types of hernia (control group). Data were analyzed using the Chi-Square test and Odds Ratio (OR) calculation.

Results: The results showed a significant relationship between age (p=0.000) and occupation (p=0.000) with the incidence of inguinal hernia. However, there was no significant relationship between BMI and the incidence of inguinal hernia (p=0.432).

Conclusion: Age and occupation are significantly associated with the incidence of inguinal hernia, while body mass index does not show a meaningful relationship.

Keywords: Inguinal Hernia, Age, Body Mass Index, Occupation

HUBUNGAN STRES KERJA DENGAN GANGGUAN KESEHATAN PADA PEKERJA PT.X BATAM TAHUN 2025

Krismadies, Diina Maulina — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Work stress is one of the factors that can affect workers’ physical health. This study aimed to determine the relationship between work stress levels and physical health disorders among employees of PT. X Batam. A cross-sectional design was applied with 42 respondents selected through purposive sampling. Data were collected using the DASS-30 questionnaire and observation, then analyzed using the chi-square test. The findings revealed that most respondents experienced physical health disorders, including cardiovascular disorders (76.2%), sleep disorders (81%), digestive problems (90.5%), musculoskeletal disorders (59.5%), and decreased immune function (88.1%). Statistical analysis indicated a significant association between work stress levels and all five types of physical health disorders (p < 0.05), with the strongest correlation observed in digestive problems. This study highlights the importance of workplace stress management as a preventive strategy to reduce physical health disorders and enhance employee well-being.

Kata kunci: stres kerja, gangguan kesehatan pekerja

THE RELATIONSHIP BETWEEN CLINICAL FACTORS AND OUTCOMES OF GASTROSCHISIS PATIENTS AT DR. ZAINOEL ABIDIN REGIONAL HOSPITAL, BANDA ACEH

Darul Ilham, Nanda Subhan, Muhammad Azmi Fanany — Tue, 14 Oct 2025 00:00:00 +0800

Background: Gastroschisis is an abdominal wall defect without a covering membrane, leaving intra-abdominal organs, particularly the intestines, exposed. Globally, the incidence varies, ranging from 0.22 to 7.91 per 10,000 live births.
Objective: To determine the clinical associations of gastroschisis patients and identify risk factors that could potentially influence clinical outcomes at Dr. Zainoel Abidin Regional General Hospital, Banda Aceh.

Methods: This retrospective observational study using medical records of patients with gastroschisis born between January 1, 2015, and December 31, 2018. Univariate and bivariate data analysis using the chi-square test with a P value <0.05.

Results: In this study, the majority of patients were male (52.6%) with a birth weight ranging from 1,500 to 2,500 grams (63.2%). The most frequently performed intervention was primary closure (84.2%), predominantly conducted on day 0 of life (36.8%). A mild Apgar score was observed in 68.4% of the patients. There were statistically significant associations between survival duration and birth weight (p=0.016), type of surgical intervention (p=0.007), Apgar score (p=0.022), and timing of the intervention (p=0.000).

Conclusion: Gastroschisis patients at this hospital are generally low-birth-weight boys born to young mothers. Factors such as birth weight, type of procedure, Apgar score, and age at procedure are associated with survival.

HUBUNGAN POLA TIDUR DENGAN KEJADIAN AKNE VULGARIS DI PT X KABUPATEN TEBO PROVINSI JAMBI

Sudarsono, Sukma Sahreny, M. Salman Alfarisy — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Background: Acne vulgaris is a common skin disorder involving the pilosebaceous unit, influenced by multiple factors including sleep patterns. Poor sleep quality reduces melatonin levels, increases androgen hormones, and stimulates excessive sebum production, contributing to acne development.

Methods: This study used an analytical observational design with a cross-sectional approach. The sampling technique was purposive sampling. The study population was 235 PT X workers, with 100 respondents as the sample. Data analysis used the Chi-Square test..

Results: Most respondents had good sleep patterns (55%), while poor sleep patterns accounted for 45%. Acne vulgaris occurred in 47% of respondents. Respondents with poor sleep patterns who experienced acne vulgaris were 68.9%, compared to 29.1% among those with good sleep patterns. The Chi-Square test showed a p-value of 0.000 (p < 0.05).

Conclusion: There is a significant relationship between sleep patterns and the incidence of acne vulgaris at PT X, Tebo Regency, Jambi Province.

Keywords: Sleep Pattern, Acne Vulgaris, Employees

COMPARISON OF ALVARADO SCORE AND RIPASA SCORE IN DIAGNOSIS OF ACUTE APPENDICITIS AT HJ. BUNDA HALIMAH HOSPITAL BATAM

Muhammad Azmi Fanany, Fachrul Jamal, Malahayati Rusli Bintang, Raju Sabran — Tue, 14 Oct 2025 00:00:00 +0800

ABSTRACT

Background: Acute appendicitis is the most common abdominal surgical emergency, requiring rapid and accurate diagnosis to prevent serious complications. The Alvarado and RIPASA scores are widely used diagnostic tools, but they differ in characteristics and performance, particularly in Southeast Asian populations. This study sought to compare the Alvarado and RIPASA scores for diagnosing acute appendicitis at Hj. Bunda Halimah Hospital, Batam.

Methods: This retrospective cross‑sectional analytic study included 125 patients with suspected acute appendicitis who underwent surgery at Hj. Bunda Halimah Hospital between 1 January 2022 and 31 December 2024. Histopathology served as the gold standard. Diagnostic metrics were calculated for an Alvarado cut‑off ≥ 7 and a RIPASA cut‑off ≥ 8

Results: The Alvarado score showed a sensitivity of 87.7%, specificity of 63.6%, PPV of 96.1%, NPV of 33.3%, and accuracy of 85.6% with an AUC of 0.797. The RIPASA score has a higher sensitivity of 91.2% but lower specificity of 54.5%, PPV of 95.4%, NPV of 37.5%, accuracy of 88%, and an AUC of 0.847. The ROC comparison shows that the AUC value of RIPASA reflects better discriminatory ability in establishing the diagnosis of acute appendicitis.

Conclusion: The RIPASA score has been shown to be more sensitive and provide better discriminatory performance. Although the Alvarado score is more specific, the higher sensitivity and accuracy of RIPASA make it a superior alternative in the initial evaluation of appendicitis.

Keyword : Acute appendicitis, Alvarado score, RIPASA score