Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam

HUBUNGAN TINGKAT STRESS AKADEMIK DAN KEJADIAN GASTROESOPHAGEAL REFLUX DISEASE (GERD) PADA MAHASISWA PROFESI DOKTER PROGRAM STUDI KEDOKTERAN, FAKULTAS KEDOKTERAN UNIVERSITAS BATAM

Muhammad Ali Sabisi, Erika Kusumawardani — Fri, 13 Mar 2026 00:00:00 +0800

Introduction: Gastroesophageal reflux disease (GERD) is an upper gastrointestinal disorder caused by repeated reflux of gastric contents into the esophagus, leading to symptoms or complications. One of the risk factors for GERD is stress, which is commonly experienced by university students. This study aimed to determine the relationship between academic stress levels and the incidence of GERD among medical professional students of the Medical Study Program, Faculty of Medicine, Universitas Batam. Methods: This study employed a quantitative observational analytic design with a cross-sectional approach and utilized the Chi-square test. Total random sampling was applied based on inclusion and exclusion criteria. GERD was assessed using the GERD-Q questionnaire, while academic stress levels were measured using the Medical Student Stressor Questionnaire (MSSQ). Results: The results showed that a small proportion of students, 14.5% (9 students), experienced GERD symptoms. Nearly half of the respondents, 48.4% (30 students), experienced moderate stress, while 30.6% (13 students) experienced mild stress. A smaller proportion, 19.4% (12 students), experienced severe stress, and only 1.6% (1 student) experienced very severe stress. The Chi-square analysis revealed a p-value of 0.680 (p > 0.05) for the relationship between academic stress level and GERD incidence. Conclusion: There was no statistically significant relationship between academic stress level and the incidence of GERD among medical professional students.

Keywords: Gastroesophageal reflux disease, GERD, GERD-Q, MSSQ, Academic stress

HUBUNGAN ANTARA AKTIVITAS FISIK DENGAN TINGKAT KESEIMBANGAN PADA LANSIA DI MAJELIS TAKLIM HUSNUL KHOTIMAH TAHUN 2025

Yani Christina, Sukma Sahreny, Silvia Haryati Angela Putri — Fri, 13 Mar 2026 00:00:00 +0800

ABSTRACT

Background: The elderly experience physiological decline as they age, affecting muscle strength, sensory systems, and postural stability, which in turn influences body balance. Optimal physical activity is known to improve dynamic balance and reduce the risk of falling. This study aims to determine the relationship between physical activity and balance level in the elderly at Majelis Taklim Husnul Khotimah in 2025.

Methods: This study used an observational analytic method with a cross-sectional approach. The sample consisted of 50 elderly individuals selected using total sampling. Physical activity was measured using the Physical Activity Scale for the Elderly (PASE) questionnaire, and dynamic balance was assessed using the Timed Up and Go Test (TUGT). Data were analyzed using the Chi-Square test.

Results: A total of 42.0% of elderly individuals had a low level of physical activity, and 46.0% had impaired balance. The chi-square test results showed a significance value (p-value) of 0.001.

Conclusion: There is a significant relationship between physical activity and balance level among the elderly at Majelis Taklim Husnul Khotimah in 2025. Elderly with low levels of physical activity tend to have impaired balance.

Keywords: Physical Activity, Balance, Elderly

HUBUNGAN INTENSITAS KEBISINGAN TERHADAP GANGGUAN PENDENGARAN AKIBAT BISING (NIHL) PADA PEKERJA BAGIAN PRODUKSI PT X BATAM

Elvita Nora Susana, Nopri Esmiralda, Kemas Muhammad Zaki — Fri, 13 Mar 2026 00:00:00 +0800

ABSTRACT

Background: Noise Induced Hearing Loss (NIHL) is a hearing impairment due to continuous or certain duration of noise exposure. This hearing impairment usually develops slowly over several years, this hearing impairment can occur due to several factors such as noise intensity that exceeds the threshold value, age and also length of service. This study aims to analyze the relationship between noise intensity and noise-induced hearing impairment (NIHL) in production workers at PT X.

Methods: This study is an observational analytical study with a cross-sectional approach. The study sample consisted of 67 workers in the production department of PT X. Data were obtained through workers' medical records and analyzed using the Chi-square test with a significance level of 95% (p ≤ 0.05).

Results: Of the total 67 respondents, 35.8% were exposed to noise with an intensity of <85 dB and 64.2% were exposed to noise with an intensity of >85 dB. As many as 46.3% of workers did not experience noise-induced hearing loss (NIHL), and 53.7% of workers experienced noise-induced hearing loss (NIHL). Bivariate analysis showed a significant relationship between noise intensity and noise-induced hearing loss (NIHL) (p = 0.001).

Conclusion: There is a significant relationship between noise intensity and noise-induced hearing loss (NIHL). Therefore, close monitoring and education regarding NIHL risk factors need to be improved to reduce the incidence and complications caused.

Keywords: Noise Intensity, Hearing Loss, NIHL

HUBUNGAN KEPATUHAN ASUPAN FE DENGAN ANEMIA DEFESIENSI BESI PADA IBU HAMIL DI PUSKESMAS SEI LANGKAI

Dino Gagah Prihadianto, Kasih Purwati, Christiana Lo — Fri, 13 Mar 2026 00:00:00 +0800

ABSTRACT

Background: Anemia during pregnancy is a global health issue affecting nearly 50% of pregnant women worldwide. In Indonesia, the increasing prevalence of anemia reflects a persistent public health challenge. One contributing factor is poor adherence to iron tablet (Fe) supplementation. This study aimed to determine the relationship between compliance with iron tablet consumption and the incidence of iron deficiency anemia in pregnant women at the Sei Langkai Public Health Center.

Methods: This was a quantitative study using a cross-sectional design. The sampling technique was accidental sampling with a total of 56 pregnant women. Data were collected through questionnaires and hemoglobin levels were measured using the Easy Touch device. Data analysis was performed using the Chi-Square test.

Results: The Chi-Square test showed a significant relationship between compliance with iron tablet intake and the incidence of iron deficiency anemia (p = 0.001).

Conclusion: There is a significant relationship between iron tablet compliance and the incidence of iron deficiency anemia in pregnant women at the Sei Langkai Public Health Center.

Keywords: Compliance,iron Tablets,Anemia,Pregnant Women

FAKTOR INDIVIDU DAN FAKTOR PEKERJAAN YANG MEMPENGARUHI KELUHAN MUSCULOSKELETAL DISORDERS PADA PEKERJA PABRIK KELAPA SAWIT PT AGRINDO INDAH PERSADA

Rusdani, Sukma Sahreny, Aulia Legita Zahari — Fri, 13 Mar 2026 00:00:00 +0800

ABSTRACT

Background: Palm oil mill workers have a heavy work scope that is potentially prone to Musculoskeletal Disorders (MSDs). Musculoskeletal Disorders (MSDs) are disorders of the muscles and bones that often occur due to individual and work factors.

Methods: This research uses a cross-sectional study design with total sampling technique involving 41 workers in the palm oil processing section at PT Agrindo Indah Persada. Data were collected through the Nordic Body Map questionnaire to measure the level of MSDs complaints and questionnaires related to individual factors (age, smoking habits, work duration, and body mass index) and work factors (work posture, work duration, and workload). Data analysis was conducted using Chi-Square and Fisher Exact Test statistical tests.

Results: The research results show that individual factors such as age (p=0.000) and work duration (p=0.008) are associated with the risk of MSDs. Additionally, work factors such as work posture (p=0.000) and work duration (p=0.000) are related to the risk of MSDs.

Conclusion: Individual and work factors play an important role in influencing MSDs complaints among palm oil mill workers. Preventive efforts such as applying ergonomic principles, reducing workload, and regulating work duration are necessary to reduce the risk of MSDs in workers.

Keywords: Individual Factors, Work Factors, Musculoskeletal Disorders

ANALISIS RISIKO STRES DAN DEPRESI PADA IBU HAMIL DENGAN PLACENTA ACCRETA SPECTRUM DISORDER DI RSUD ARIFIN ACHMAD

Fri, 13 Mar 2026 00:00:00 +0800

Abstrak

Placenta Accreta Spectrum Disorder (PASD) merupakan komplikasi obstetri berat dengan risiko morbiditas dan mortalitas maternal yang tinggi. Selain dampak fisik, diagnosis PASD berpotensi menimbulkan reaksi stres akut dan meningkatkan risiko depresi pada ibu hamil. Penelitian ini bertujuan untuk membandingkan risiko stres dan depresi antara ibu hamil dengan dan tanpa PASD, serta menganalisis hubungan antara risiko stres dan depresi pada pasien PASD. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan potong lintang. Subjek penelitian terdiri dari 68 ibu hamil (34 PASD dan 34 non-PASD) yang menjalani antenatal care di RSUD Arifin Achmad Kota Pekanbaru periode Agustus–Oktober 2025, dengan teknik consecutive sampling. Risiko stres dinilai menggunakan Impact of Event Scale–Revised (IES-R), sedangkan risiko depresi dinilai menggunakan Edinburgh Postnatal Depression Scale (EPDS). Hasil penelitian menunjukkan bahwa risiko stres akut secara signifikan lebih tinggi pada kelompok PASD dibandingkan non-PASD (23,53% vs 0%; p = 0,001). Risiko depresi juga secara signifikan lebih tinggi pada kelompok PASD dibandingkan kontrol (p = 0,006). Terdapat hubungan yang sangat bermakna antara stres akut dan risiko depresi pada pasien PASD (p < 0,001; Cramér’s V = 1,00). Analisis multivariat menunjukkan bahwa pekerjaan dan penghasilan merupakan prediktor independen risiko stres (p = 0,009 dan p = 0,007), sedangkan suku, agama, dan pekerjaan berhubungan dengan risiko depresi pada pasien PASD. Kesimpulannya, diagnosis PASD berhubungan erat dengan peningkatan risiko stres akut dan depresi pada ibu hamil, sehingga skrining kesehatan mental perlu diintegrasikan dalam penatalaksanaan PASD.

Kata kunci: Placenta Accreta Spectrum Disorder (PASD), Stress, Depresi, Kehamilan, IES-R, EPDS

HUBUNGAN KADAR HbA1c DAN PROFIL LIPID DENGAN KEJADIAN STROKE ISKEMIK PADA PASIEN DIABETES MELITUS TIPE 2 DI RUMAH SAKIT BADAN PENGUSAHAAN BATAM

Andi Asda Astiah, Yusmahenry Galindra, Mukjizat Khiduar Mukzi — Fri, 13 Mar 2026 00:00:00 +0800

ABSTRACT

Background: Ischemic stroke is one of the common macrovascular complications in patients with type 2 diabetes mellitus (T2DM). This study aims to determine the relationship between HbA1c levels and lipid profile with the incidence of ischemic stroke in T2DM patients at Badan Pengusahaan Batam Hospital.

Methods: This research used a case-control design with a retrospective approach. The study sample consisted of 238 T2DM patients divided into two groups: the case group (patients with ischemic stroke) and the control group (patients without ischemic stroke). Data were collected from patient medical records, including HbA1c levels and lipid profiles (total cholesterol, LDL, HDL, and triglycerides). Data analysis was performed using the chi-square test to examine the relationship between independent variables (HbA1c levels and lipid profile) and the dependent variable (ischemic stroke).

Results: There was a significant association between HbA1c levels >7.0% and the incidence of ischemic stroke (p=0.000; OR=3.497). Total cholesterol ≥200 mg/dL and LDL ≥130 mg/dL were also associated with an increased risk of ischemic stroke (p=0.000; OR=2.680 and OR=3.189, respectively). However, HDL and triglyceride levels did not show a significant association (p=1.00 and p=0.384).

Conclusion: HbA1c levels, total cholesterol, and LDL were associated with the incidence of ischemic stroke in patients with type 2 diabetes mellitus. However, HDL and triglyceride levels did not show a significant association.

Keywords : HbA1c, lipid profile, ischemic stroke, type 2 diabetes melitus

PENGARUH OBAT ANTI HIPERTENSI, PERUBAHAN GAYA HIDUP SERTA PERAN KELUARGA DALAM MANAJEMEN HIPERTENSI TERHADAP GOLD TREATMENT HIPERTENSI PADA PASIEN RUMAH SAKIT BUNDA HALIMAH BATAM

Isramilda, Andi Ipaljri Saputra, Yevi Aprillia — Fri, 13 Mar 2026 00:00:00 +0800

Background: Hypertension is a major health concern in Indonesia and worldwide, often associated with unhealthy dietary patterns and a sedentary lifestyle. This condition increases the risk of cardiovascular diseases, which can lead to severe complications and even death. Effective hypertension management involves pharmacological therapy with antihypertensive drugs, lifestyle modifications, and family support to help patients achieve optimal treatment targets.

Methods: This study mploye dan analytical observational design with a cross-sectional approach. The sample consisted of 124 hypertensive patients who met the inclusion and exclusion criteria. Data were collected using a questionnaire and analyzed using the Spearman correlation test to examine the relationship between antihypertensive drug adherence, lifestyle changes, and family support in achieving successful Gold Treatment hypertension management.

Results: The findings indicated a significant relationship between adherence to antihypertensive medication, the adoption of a healthy lifestyle, and family support in achieving successful hypertension management based on the GOLD Treatment approach. These factors play a crucial role in controlling blood pressure and improving patients’ quality of life.

Conclusion: Optimal hypertension management requires a comprehensive approach that includes regular medication adherence, healthy lifestyle changes, and active family involvement in supporting patients. Implementing these strategies can enhance treatment effectiveness and reduce the risk of hypertension-related complications.

HUBUNGAN PENGETAHUAN DENGAN TINDAKAN DETEKSI DINI KANKER SERVIKS MELALUI METODE PAP SMEAR DI RSUD EMBUNG FATIMAH KOTA BATAM

Acholder Tahi Perdoman Sirait, Malahayati Rusli Bintang, Winda Jaya — Fri, 13 Mar 2026 00:00:00 +0800

Background: Cervical cancer is a leading cause of death among Indonesian women, mainly due to late diagnosis. Pap Smear is an effective early detection method, yet its coverage remains low despite frequent education efforts. Women's knowledge is believed to influence screening decisions.

Methods: A descriptive correlative study with a cross-sectional approach was conducted on 96 married women aged 20–65 years, selected via purposive sampling. Data were collected through questionnaires and analyzed using Fisher Exact Test.

Results: Most respondents had good knowledge about cervical cancer (86.5%) and early detection of Pap Smear (89.6%), but only 26.0% had ever had a Pap Smear examination. Bivariate analysis showed that there was no significant relationship between knowledge of cervical cancer and Pap Smear examination (p = 0.503). However, there was a significant relationship between knowledge of early detection of Pap Smear and Pap Smear examination (p = 0.059).

Conclusion: Specific and applicable knowledge about Pap Smear has been proven to influence early detection actions, while general knowledge about cervical cancer is not enough to encourage screening actions. Health education should be focused on practical aspects to encourage increased participation of women in cervical cancer screening.

KOMUNIKASI PERAWAT-PASIEN DAN HAMBATANNYA DI INSTALASI GAWAT DARURAT RS ANDINI PEKANBARU

Fri, 13 Mar 2026 00:00:00 +0800

Abstract

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

Keywords: Nurse–patient communication, communication barriers, emergency department, health system, patient safety.