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Background: Hypertension remains a major public health problem, particularly in primary health care settings. The coexistence of diabetes mellitus may contribute to increased hypertension severity; however, evidence from primary care data in Indonesia remains limited. Objective: This study aimed to examine the association between diabetes mellitus and hypertension severity among patients attending a primary health care center in Indonesia. Methods: A cross-sectional study was conducted using secondary data obtained from medical records at a primary health care center in 2025. A total of 84 patients with hypertension were included using total sampling. Hypertension severity was classified into stage 1 and stage 2. Bivariate analysis was performed using the Chi-square test or Fisher’s exact test as appropriate, with statistical significance set at p < 0.05. Data were analyzed using SPSS version 26. Results: Of the 84 participants, 33.3% had diabetes mellitus. Stage 2 hypertension was more prevalent than stage 1 hypertension. Diabetes mellitus was significantly associated with hypertension severity (p = 0.029), with a higher proportion of patients with diabetes mellitus presenting with stage 2 hypertension. Conclusion: Diabetes mellitus was significantly associated with greater hypertension severity in a primary health care setting. These findings highlight the importance of integrated management of diabetes mellitus in patients with hypertension at the prizary care level.

Polycystic Ovary Syndrome (PCOS) is a chronic condition that not only impacts reproductive and metabolic functions, but also has a major impact on the mental health of women who experience it. This study aims to explore the factors that affect mental health in women with PCOS through a biopsychosocial approach. The method used was a review of the narrative literature on 11 scientific articles obtained through Google Scholar. The results of the study show that there are three main dimensions that are interrelated, namely biological factors (insulin resistance, obesity, hyperandrogenism, menstrual disorders, and infertility), psychological factors (neuroticism, coping style, and body image), and social factors (social stigma and social support). These three dimensions interact in a complex way and can contribute to the appearance of psychological disorders such as depression, anxiety, and low self-esteem. Therefore, a biopsychosocial approach is important to understand and treat the mental health of people with PCOS holistically. Interventions that are integrated between medical, psychological, and social aspects are needed to improve the emotional well-being and quality of life of women with PCOS in a sustainable manner.

Increased blood sugar levels due to the body's impaired insulin production are a sign of a chronic metabolic disease known as diabetes mellitus. As seen in Batam, cases of diabetes mellitus in Indonesia are relatively high. This study aims to determine how long type II diabetes mellitus wounds last in Batam City. This study used a cross-sectional approach to conduct quantitative descriptions. This study involved 60 people. The Chi-Square test was used to conduct data analysis. The results showed that there was a significant correlation between age and the healing time of diabetes mellitus wounds, with a sig P value of 0.001 <0.05; gender had a significant correlation, with a sig P value of 0.007 <0.05; sugar control had a significant correlation, with a sig P value of 0.001 <0.5; and anemia had a significant correlation, with a sig P value of 0.001 <0.5. The results indicate that there is a relationship between these variables and the healing time of type II diabetes mellitus wounds. It is hoped that this study can be used as literature for further research.

This study aims to understand the factors that influence elderly satisfaction in a nursing home environment, focusing on social, physical and psychosocial aspects. Through a qualitative approach, data was collected from in-depth interviews with residents and direct observation at the nursing home, which was then thematically analyzed. The results showed that harmonious social relationships with fellow residents and staff play a crucial role in increasing the sense of security, respect and acceptance of the elderly. In addition, a clean and comfortable physical environment supports their well-being, while the various activities provided help maintain mental and physical health. These findings emphasize the importance of building a family atmosphere and paying attention to the holistic needs of the elderly to improve their quality of life in nursing homes.

Several problems occur in patients with diabetes mellitus, one of which is anxiety. Anxiety is a vague feeling of worry and is usually related to worrying about unexpected dangers that occur in the future. Anxiety can increase blood cortisol levels and increase the risk of progressive insulin resistance, which can lead to increased blood sugar levels.The purpose of this study was to describe the factors that influence anxiety in patients with diabetes mellitus.The type of research taken in this study is descriptive research, which is to see a description of the phenomena that occur in a certain population with a cross sectional data collection level. Data collection with AIS, DSES, HDFSS questionnaires with 114 respondents at RSI Sultan Agung Semarang with purposive sampling technique and data analysis using univariate analysis. Of the 114 respondents, the research results showed that the age of 51-60 was 45 people (39.5%), female gender was 75 people (65.8%), Muslim religion totaling 114 people (100%), long suffering from DM 1-5 years as many as 79 people (69.3%), did not have complications as many as 62 people (54.4%), low education (Not in School, Elementary School, Junior High School) as many as 79 people (69.3%), self-employed work as many as 57 people (50%), and income> Rp. 2. 500-000 - Rp 3,500.00 / month as many as 35 people (30.7%), moderate self-acceptance as many as 67 people (58.8%), good spirituality level as many as 86 people (75.4%), and high family support as many as 83 people (72.8%). The results of this study show that the factors that influence the anxiety of patients with diabetes mellitus are age, gender, religion, duration of DM, complications, education, occupation, income, self-acceptance, level of spirituality, family support.

The wound healing duration in Diabetes Mellitus (DM) patients is influenced by factors such as age, nutritional status, blood sugar levels, diet adherence, physical activity, and medication compliance. In diabetic foot ulcer cases, healing is often impaired, increasing the risk of amputation if not properly managed. This study investigates factors affecting wound healing duration in DM patients at Hanifah Pratama Clinic, Tangerang City. A quantitative cross-sectional design was used, with a sample of 40 DM patients with diabetic foot ulcers selected through total sampling. Instruments included weight scales and height meters for nutritional status, Easy Touch® GCU for blood glucose levels, the Morisky Medication Adherence Scale (MMAS) for medication compliance, and the Bates-Jensen Wound Assessment Tool (BWAT) for wound assessment. Data analysis utilized the Chi-Square bivariate test and backward logistic regression multivariate test. Results showed that nutritional status significantly influenced wound healing duration (p < 0.05), with an OR of 28.884 (95% CI 2.760-302.240), indicating that patients with good nutritional status are 28.884 times more likely to heal faster. In conclusion, nutritional status is the dominant factor affecting wound healing duration in DM patients at Hanifah Pratama Clinic. This study highlights the importance of improving treatment quality and wound care while encouraging better nutritional interventions in diabetic foot ulcer management.

Objective: This scoping literature review is intended to identify factors that influence Psychological well-being and see the gap synthesis of previous studies. Introduction: Students as the next generation of the nation often face various challenges, both in academic, social, and personal fields. These challenges can affect their psychological well-being, which is an important aspect in supporting the success of studies and life as a whole. Methods and analysis: This study uses 5 main stages, namely the stage of identifying questions, identifying relevant studies, selecting study results, data extraction, data synthesis. Specifically using the PCC framework and paying attention to inclusion and exclusion criteria so that the final results are obtained. Results: The results found from the data selection found a total of 8,401 articles from 1 database and duplication was done twice (in the first check using Rayyan.ai the second work during data selection with Rayyan.ai n = 807 After duplication of data selection based on inclusion exclusion criteria, 63 relevant articles were found. After manual re-detection, the final results were 13 articles that were most relevant to the research topic.    

This study aims to analyze the factors that influence the sleep quality of final year students, focusing on the role of stress, anxiety, physical activity and parental support. Final year students often deal with high levels of academic pressure, such as writing a thesis, which can disrupt their sleep patterns. This research uses a qualitative descriptive approach with literature study to identify the main themes related to students' sleep quality. Findings suggest that high levels of stress and anxiety, especially related to academic deadlines, negatively impact sleep quality. Apart from that, intense physical activity and lack of social support from parents also contribute to sleep disorders. The implications of this research demonstrate the importance of managing stress and anxiety, as well as the need for emotional and practical support to help students maintain the quality of their sleep. This research provides insights for universities to design programs that support student well-being, as well as contributing to research related to final year student mental health and sleep.    

Background: Basic immunization services for children in Indonesia have been integrated starting from Posyandu, Community Health Centers and hospitals, however the overall basic immunization coverage is still below the target set by the government. Data from the Hamparan Perak Community Health Center shows that coverage of all types of complete basic immunization did not reach the target, and Deli Serdang Regency with the lowest IDL coverage in North Sumatra Province is Deli Serdang Regency. Objective: This study aims to analyze the factors that influence maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Method: The research used quantitative research methods with a cross sectional study design which was carried out in the work area of ​​the community health center in Hamparan Perak sub-district, Deli Serdang district, starting from preparing the thesis to obtaining research results. The population in this study were mothers aged ≥ 18 years in the working area of ​​the health center in Hamparan Perak sub-district, Deli Serdang district. The sampling technique used in this research is probability sampling using simple random sampling with a sample size of 73 respondents. Results: The results of the study showed a significant influence between knowledge (p=0.03) and maternal compliance in providing immunizations, and there was no influence between perception (p=0.47), quality of immunization services (p=0.10), number children (p=0.46), distance to health services (p=0.74) and maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Conclusion: the factor that most influences maternal compliance in providing complete basic immunization is knowledge. Suggestion: It is necessary to increase the role of health workers in providing good information to the public about the importance of immunization for babies, and it is hoped that this can also increase the public's positive perception of immunization.

This research aims to identify factors that influence repeat crime and explore prevention strategies that can reduce this tendency. Through a case study approach, this research analyzes several recidivism cases involving repeat offenders in Indonesia. Findings suggest that internal factors such as weak self-control and intimacy with religion, as well as external factors such as economic problems and negative social environments, play an important role in increasing the risk of recidivism. Criminological theories such as Social Structure Theory, Becker's Economic Theory, Opportunity Theory, and Social Learning Theory are used to understand the phenomenon of recidivism and identify effective prevention strategies. Based on the case analysis, comprehensive efforts are needed from various parties, including government agencies, communities, and non-profit organizations, to provide effective rehabilitation, increase supervision and social control, and provide social support to former drivers in order to reduce the risk of recidivism and strengthen community security overall.

Missed care (MNC) is a global health care problem that primarily incorporates elements of optimal nursing care needed by patients that are skipped or delayed by nurses. This research is quantitative research with a cross sectional approach, namely research where data is collected only one observation/measurement. Objective: This research aims to determine the independent variables, namely Work Load, Education Level and Years of Work and the dependent variable, namely missed nursing care. Method: This research was carried out in the inpatient room of Bakti Timah Karimun Hospital. The time for carrying out this research until data processing was carried out in March-April 2023. The respondents in this study were all inpatient nurses at Bakti Timah Karimun Hospital who had met the inclusion criteria, totaling 44 respondents using total sampling techniques. The analysis is Univariate Analysis and Bivariate Analysis with statistical testing using the chi-square test. The data collection process was carried out by researchers using a questionnaire. Results: 17 respondents (38.6%) with missed nursing care in the high category. Vocational education level (D3) 26 respondents (59.1%), working period ≤ 3 years 9 respondents (20.5%) and heavy workload 20 respondents (45.5%). Conclusion: that there is a significant relationship between level of education, length of service and workload with the incidence of missed nursing care in the inpatient ward of Bakti Timah Karimun Hospital.

This study aims to gather information about what workload factors have an impact on the work stress of police officers. The research method used is a literature study, where several previous studies are collected and reviewed in more depth to find out about what workload factors affect work stress in police officers. The results of this study indicate that workload has an impact on work stress. Workload itself can be divided into two categories, namely quantitative and qualitative workload. Quantitative workload includes aspects such as working hours, volume of work, and the quality of the difficulty of the work carried out. Meanwhile, qualitative workload is related to the individual's ability to complete tasks well and the individual's perception of the workload faced. This is reinforced by research results from previous studies which indicate that there is a relationship between workload and job stress. It is hoped that the results of this study can provide a more comprehensive perception of how workload affects work stress in police officers, and become the basis for developing better stress management strategies in the police work environment.

Mental health issues in adolescents should also be a major concern for the government. Mental health issues that can occur in adolescent life phases include Napza/Gadget abuse, peer pressure, school demands, disorientation and sexuality, media influence, risky sexual relationships and violent behavior.The risk of having a mental health disorder will be higher for children who often experience conflicting families, violence experienced by family members, and negative experiences. Bad environmental factors such as the influence of the Internet, negative experiences at home or in the school environment experienced by children can have a negative impact on their cognitive and emotional development. This research aims to identify the factors that affect mental health in teenagers in the UPT Puskesmas Sambau Working Area. This research design is quantitative descriptive with crossectional. The sample in this study is 10 to 18 years old teenagers who are in the UPT Puskesmas work area that have been detected have mental health problems of a total of 80 people using purposive sampling techniques. Analysis of this research data using chi-square. The results revealed that there was a relationship between family factors and mental health in adolescents in UPT Puskesmas Sambau with a p-value of 0,013. There was a relation between environmental factors and psychological health in teenagers in the UPT Sambau working area with a value of 0,036. Advice to health care can be helpful for routine screening of the child's development. In addition, children who are suspected of mental health disorders are expected to be referred to for examination and therapy.

Background​ Pregnancy risk tall is dangerous pregnancy​ life Mother or the baby she was carrying . Furthermore number pain or death mother and fetus during pregnancy , childbirth and the postpartum period will happens to everyone pregnancy with factor high risk .​ Pregnancy risky tall can influenced by factors medical and non- medical . Pregnancy risk tall is something pregnancy Where soul and health mother and or baby can threatened . Purpose For  know the influencing factors pregnancy risk high at the Evie sub-district clinic babalan regency step 2024. Method Research design used​​  in  study  This  is  Descriptive analytic   with  Retrospective approach . Deep sample  study  This  is all over Mother  pregnant women with risk data  tall as many as 55 mothers  pregnant. Analysis data using analysis univariate and bivariate . From the statistical test results obtained The p value is 0.22 (p<0.005) which is significant There is meaningful relationship​ between Education and pregnancy risk tall . From the statistical test results obtained The p value is 0.000 (p<0.005) which is significant There is meaningful relationship​ between Knowledge with pregnancy risk tall . From the statistical test results obtained The p value is 0.980 (p<0.005) which means None meaningful relationship​ between Attitude with pregnancy risk tall.

Traffic accidents due to rear-end collisions are the highest contributor to the death rate in traffic accidents that occur on toll roads. It is suspected that vehicle, environmental, weather and driver factors as well as high speed gaps contribute to the occurrence of accidents. This study aims to determine the relationship between vehicle, environmental, weather and driver factors with the occurrence of speed gaps through observations of rear light brightness levels, vehicle visibility and speed. This study uses a descriptive observational method. The sample is a vehicle that passes through the Cipali Toll Road KM 188-108 towards Jakarta, on Sunday, January 29, 2024 at 19.30-21.00 WIB. The observer vehicle speed is 80-100 km/hour. The brightness level is measured using a luxmeter. The results of the study obtained dark weather, no rain, some toll roads did not have street lights, there were 316 minibus, bus and truck vehicles that passed or passed the researcher's route. A total of 240 vehicles (75%) of the minibus type had appropriate rear light brightness, visibility and speed. As many as 56 vehicles (23%) of the truck type had low rear light brightness, poor visibility, and speeds below regulations, resulting in a high speed gap which has a high potential to cause rear-end collisions.

Anaemia is a global problem for pregnant women. The WHO states that the incidence of anaemia in pregnant women is 48.9%. Central Java's anaemia rate is 57.7%, while Brebes Regency's anaemia rate is 50%. According to the Brebes District Health Office, this problem lies in pregnant women's adherence to taking iron supplement tablets. The study aimed to determine the factors influencing the consumption of blood-supplemented tablets by pregnant women at the Buaran Health Center. This research method was a quantitative analytic survey with a cross-sectional design, with a population of 96 third-trimester pregnant women. The sampling technique was purposive sampling with 49 respondents. The instrument used is a questionnaire. Data analysis was performed univariately and bivariately (using chi-square statistics). The results showed that the factors associated with the consumption of iron tablets were knowledge (p-value=0.013), motivation (p-value=0.037), family support (p-value= 0.019), ANC visits (p-value=0.000), and compliance (p-value=0.002). The suggestion is that pregnant women at the Buaran Health Centre increase awareness about consuming blood-supplemented tablets to maintain the health of the mother and baby and that advice from health workers is needed every time pregnant women carry out an ANC examination at a health facility.

The emergence of turnover generally begins with turnover intentions (intention to leave) from employees. There are several factors that influence a nurse's intention to leave their job, namely individual characteristics such as age, gender, education level, length of service, marital status, work status, socio-economic conditions, and level of satisfaction. Objective: to determine the factors that influence nurse turnover intention. This type of quantitative research uses a cross sectional design method with a sample size of 105 respondents. The data collection technique uses a questionnaire. Data analysis in this study used the chie square test. Results: The turnover intention rate for nurses at Azra Hospital is quite high, namely 54.3%, the majority of nurses answered that they were dissatisfied with compensation 61%, supervision 50.5%, career development 56.2%, coworkers 50.5%, organizational policies 51.4%. Nurse characteristic variables such as age, marital status, work status, length of service and satisfaction variables regarding compensation, supervision, career development, co-workers and organizational policies have an influence on nurse turnover intention at Azra Hospital. Conclusion: The high level of nurse turnover intention is influenced by nurse characteristic factors, such as young age, marital status, work status as a contract employee, and length of service. The level of dissatisfaction in aspects of job satisfaction, especially those related to compensation, supervision, career development, coworkers, and organizational policies, can trigger nurse turnover intention.

Diabetes mellitus (DM) is a serious chronic disease caused by the pancreas that does not produce enough insulin. His high blood sugar levels marked the influence of factors that occur. Therefore, the patient must understand what influences make his blood sugar levels higher. This study aims to analyze the factors that affect blood sugar. The research method used correlational analysis with sectional design and total sampling techniques.

Immunization is an act of providing immunity to children against diseases that can be prevented by immunization before the age of 12 months, namely tuberculosis, polio, hepatitis B, diphtheria, pertussis, tetanus and measles. Complete and regular basic immunization by receiving all types of basic immunization when children are less than 11 months old can reduce morbidity and mortality rates for toddlers by around 80-95%. Incomplete basic immunization, maximum can only provide 25-40% protection. The role of a mother in the immunization program is very important, because the use of health facilities by babies/children is related to factors that influence the mother. The aim of this study was to determine the relationship between factors that influence mothers on basic immunization status in babies aged 12-24 months. This research uses a descriptive correlation design with a cross sectional approach. The number of samples in this study was 40 people. Sampling was taken using the total population. This research was conducted in Nauli Village, Sigumpar District, Toba Regency in 2023. The instrument in this research was a questionnaire. Data analysis used chi-square. From the research results, it was concluded that there was a significant relationship between maternal age with a value of p=0.001, education with a value of p=0.004, employment with a value of p=0.001, number of children with a value of p=0.000, and knowledge with a value of p=0.000 on basic immunization status . From this research, it is hoped that health workers will improve the quality of health services, health promotion efforts in the form of social support, namely improving the quality of health education, providing motivation in utilizing health services, especially immunization.

The main cause of the bleeding trimester is KET, abortion and molar pregnancy. KET occurs when products of conception implant, grow and develop beyond the normal endometrium. Genesis KET is the largest gynecological cases which is third in hospitals Bangkinang years 2019. There are some predisposing factor KET them are maternal age, maternal parity, KET Previous history and history of hormonal contraceptive use. The research objective was to determine the factors predisposing KET in space Bangkinang Obstetrics Hospital in 2019. Methode performed using analytical research with case control study design with a population of 314 mothers then retrieved a sample of 62 mothers who consisted of 31 mothers in the sample cases were taken using purposive sampling and 31 mothers as a control sample taken using systematic random sampling technique. The analysis used were univariate and bivariate using Chi Square test, it was found that four independent variables (age, parity, previous KET history and history of hormonal contraception has a significant relationship to the occurrence of KET for the value pvalue < a (0.05) . Hoped that staff health can provide antenatal care according to the standard so that if there is a sign of danger to the mother can be immediately detected.