PRIMA WIYATA HEALTH

MAPPING PNEUMONIA IN TODDLERS: THE ROLE OF POPULATION DENSITY, SANITATION, AND HEALTH FACILITIES IN NORTH SUMATERA PROVINCE 2022-2023

2025-07-17T21:31:34+07:00

Background: Pneumonia is one of the leading causes of death in children under five years of age in Indonesia. This age group is vulnerable due to their immature immune systems. Environmental factors such as population detnsity, poor sanitation, and limited health care facilities exacerbate this condition.

Objectives: This study aims to map the spatial distribution of pneumonia cases in toddlers in North Sumatra Province in 2022–2023, as well as analyze its relationship with population density, sanitation conditions, and the number of health facilities.

Methods: This study used a region-based ecological design with spatial analysis. Secondary data were obtained from the North Sumatra Central Statistics Agency and analyzed using QGIS through spatial overlay techniques.

Results: Deli Serdang Regency recorded the highest number of pneumonia cases in both years, with 1,322 cases (2022) and 2,452 cases (2023). Although Medan City has the highest population density, the number of cases is not always proportional. Areas with poor sanitation access, such as South Nias, showed an increase in cases, while areas with high health facilities continued to record high incidents.

Conclusion: Environmental factors collectively influence the distribution of pneumonia in toddlers in North Sumatra. Spatial analysis is effective for identifying priority areas for public health interventions.

THE RELATIONSHIP BETWEEN IRON INHIBITORS AND SLEEP QUALITY WITH HEMOGLOBIN LEVELS IN ADOLESCENT GIRLS

2025-11-17T19:56:39+07:00

Background: Adolescents are at greater risk of anemia. One indicator of anemia is hemoglobin. Frequent consumption of iron inhibitors can inhibit iron absorption, thereby lowering hemoglobin levels. Furthermore, adolescents with poor sleep quality are 2.9 times more likely to experience low hemoglobin levels. The negative impact of low hemoglobin levels can lead to decreased concentration and academic achievement, ultimately impacting the quality of human resources in the long term.

Objective: This study aims to analyze the relationship between the frequency of iron inhibitor consumption and sleep quality on hemoglobin levels in female adolescents at SMAN 6 Bekasi.

Methods: This study is a quantitative study with a cross-sectional design. The sample size was 100 female students of SMAN 6 Bekasi, selected by the consecutive sampling method. Data were collected using questionnaires, namely the Food Frequency Questionnaire and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Validity and reliability tests have been conducted on the PSQI questionnaire, with the results of 19 valid and reliable questions. This device measures the hemoglobin level in a blood sample using a brief electrical potential change generated by the chemical interaction between the electrode and the strip.

Results: The results of the analysis using Chi-square showed a p-value on the variable frequency of consumption of iron inhibitors > 0.05 and variable sleep quality < 0.05 with OR 2.923 (95% CI OR: 1.245-6.865).

Conclusion: Most respondents consumed iron inhibitor sources, but the frequency of consumption was not related to hemoglobin levels, while sleep quality showed a significant relationship with hemoglobin levels.

THE INFLUENCE OF HEALTH EDUCATION MEDIA BOOKLET ON FOOT HYGIENE CARE ON DIABETES MELLITUS PATIENTS AT MELIA MEDIKA CLINIC PAMEKASAN

2025-11-18T11:01:24+07:00

Background: Lack of knowledge about proper foot hygiene is a risk factor for diabetic foot ulcers in patients with diabetes mellitus. Health education using booklets is seen as an educational strategy that can improve understanding and practice of foot care.

Objective: This study aims to analyze the effect of health education using booklet media on foot hygiene care in diabetes mellitus patients at the Melia Medika Pamekasan Clinic.

Methods: This study used a quasi-experimental design with a pretest–posttest approach with a control group. The sample consisted of 46 respondents, divided into an intervention group and a control group of 23 respondents each, selected using a simple random sampling technique. The intervention group received health education using a booklet, while the control group received health education without a booklet. Data were collected using a foot hygiene care questionnaire and analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05.

Results: The analysis showed a difference in foot hygiene scores before and after the intervention in the group receiving health education using booklets (p < 0.05). Changes in scores in the control group did not show a significant increase compared to the intervention group.

Conclusion: Health education using booklets has significantly improved foot hygiene care in patients with diabetes mellitus. Booklets can be used as a supportive educational tool for the ongoing prevention of diabetic foot complications.

THE EFFECT OF GINGER BREWING ON BLOOD PRESSURE IN ELDERLY HYPERTENSION IN TUGUSUMBERJO VILLAGE

2025-12-10T08:59:49+07:00

Background: Hypertension in the elderly is caused by changes in blood vessels that increase the risk of cardiovascular disease. Ginger contains gingerol and flavonoids, which can improve blood circulation, helping to lower blood pressure in hypertensive elderly people.

Objective: This study aimed to determine the effect of boiled ginger on blood pressure in elderly people with hypertension in Tugusumberjo Village.

Methods: This research design used the Quasi-Experimental method with a One-Group Pretest-Posttest design. The sample consisted of 37 respondents determined using the Isaac and Michael formula through a purposive sampling technique. The data collection tool was an observation sheet, and data analysis used the Wilcoxon Test because the data was not normally distributed, so the analysis was carried out with a non-parametric test.

Results: This reduction in blood pressure occurs due to the gingerol and flavonoids in ginger, which help dilate blood vessels and improve circulation. With wider blood vessels, blood can flow more smoothly, so the heart doesn't have to work as hard to pump it. Ginger also stimulates the release of the hormone adrenaline, which helps improve blood flow, ultimately helping to lower blood pressure more naturally.

Conclusion: Research shows that boiled ginger is effective in lowering blood pressure in elderly people with hypertension. The natural ingredients in ginger support blood vessel health, making this herbal drink worth considering as part of a healthy lifestyle to control blood pressure when consumed regularly.

SELF-HELP GROUP INTERVENTION TO IMPROVE DIETARY COMPLIANCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

2026-01-05T12:58:38+07:00

Background: Dietary non-compliance remains a major challenge in the management of patients with Type 2 Diabetes Mellitus (T2DM) and contributes to poor glycemic control and disease complications. Social support–based interventions, such as self-help groups, have been increasingly recognized as effective strategies to improve self-management behaviors among patients with chronic diseases.

Objectives: This study aimed to examine the effect of a self-help group intervention on dietary compliance among patients with Type 2 Diabetes Mellitus.

Methods: This study employed a pre-experimental one-group pretest–posttest design. A total of 60 patients with Type 2 Diabetes Mellitus who attended a primary health care center were selected using purposive sampling. Dietary compliance was measured using a structured questionnaire before and after the self-help group intervention. The intervention consisted of group education sessions, peer discussion, and mutual support activities. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of p < 0.05.

Results: Before the intervention, the majority of participants (85.0%) were categorized as non-compliant with dietary recommendations. After the self-help group intervention, dietary compliance significantly increased, with 78.3% of participants categorized as compliant. Statistical analysis showed a significant difference in dietary compliance before and after the intervention (p = 0.000).

Conclusion: The self-help group intervention significantly improved dietary compliance among patients with Type 2 Diabetes Mellitus. This approach can be considered an effective and feasible strategy for diabetes management education in primary health care settings.