scholarly journals Physical Environmental Factors and Its Association with the Existence of Mycobacterium Tuberculosis: A Study in The Working Region of Perak Timur Public Health Center

2019 ◽  
Vol 11 (1) ◽  
pp. 26
Author(s):  
Diah Dwi Lestari Muslimah

In 2017, Surabaya District Health Office reported an increasing number of new cases of pulmonary tuberculosis in the working region of of East Perak Surabaya Public Health Center (Puskesmas) and was reported as the highest rates of tuberculosis cases in Surabaya. Pulmonary tuberculosis can be transmitted through ambient air contamination initiated by the presence of Mycobacterium tuberculosis. This study aims to determine the association of physical environmental factors (temperature, humidity, lighting, ventilations’ size, floor materials, walls, ceilings, and density) in the presence of Mycobacterium tuberculosis in the air. This research is an observational analytic study with case control study design. The study sample consisted of 21 households/realtives of patients diagnosed with Pulmonary TB positive. The data was obtained from completed questionnaires by respondents, direct observation and laboratory examination of the presence of Mycobacterium tuberculosis in the air. Data analysis was conducted by Chi-square test supported by Fisher's Exact Test test. The results showed that the significant association between physical environment variables of temperature variables (p-value= 0,000), humidity (p-value= 0,000), lighting (p = 0,000), with the existence of mycobacterium tuberculosis inside of the room. While insignificant association was detected for the variables of ventilation (p = 0.397), floor materials (p = 0.229), the walls materials (p = 0.338), the ceiling condition (p = 0.331), and the dwellers density (p = 0.611), with the presence of Mycobacterium tuberculosis in the air of the common room this current study concludes that there is a significant association between temperature, humidity, and illumination with the presence of Mycobacterium tuberculosis in ambient of common room. Transmission of tuberculosis can be eliminated by using face masks, Despite the previous satisfied level of knowledge, the family behavior and practices when in contact with patients were insufficient to prevent pulmonary TB transmission.

2019 ◽  
Vol 13 (2) ◽  
pp. 92-101
Author(s):  
Wahid Tri Wahyudi ◽  
Suprihatin Suprihatin

ABSTRACT: KNOWLEDGE AND DETECTION OF PULMONARY TUBERCULOSIS AMONG COMMUNITY IN LAMPUNG-INDONESIABackground: Tuberculosis of Lung is an infectious disease caused by the bacterium mycobacterium tuberculosis, which most commonly affects the lungs. Mortality and morbidity due to mycobacterium tuberculosis bacteria in indonesia in 2009 there were 1.7 million people died. The incidence of tuberculosis of lung in Lampung until the end of December 2015, tuberculosis of lung is 8,492 cases from the estimated cases in 2015 as many as 32,128. Efforts to prevent the increase in cases of tuberculosis in Indonesia carried out with a description of the case detection efforts can be measured by knowing the number of TB cases found and recorded indicators of Case Notification Rate (CNR).Purpose: This study aims to determine the relationship of knowledge with the early detection tuberculosis of lung in the work area of the Way Kanan public health center district in 2017.Methods: The type of this research is quantitative research with cross sectional approach. The population in this research is all citizens suspect in working area of Public Health Center of Way Kanan regency. Instrument of data collection in this research use questioner. The data analysis used is chi square.Results: The statistical results show that there is a correlation between knowledge with early detection of pulmonary tuberculosis (p value = 0,00).Counclusion: Suggestions in the research are expected to motivate the community to actively participate in lung tuberculosis examination program.Keywords : Pulmonary, tuberculosis, knowledge, detection.Pendahuluan: Tuberkulosis Paru (TB Paru)  adalah  penyakit  menular  yang  disebabkan  oleh  bakteri mycobacterium tuberculosis, yang paling umum mempengaruhi paru-paru. Angka  kematian dan kesakitan akibat kuman mycobacterium tuberculosis di indonesia pada tahun 2009 terdapat  1,7  juta  orang meninggal. Angka kejadian TB paru di Lampung hingga akhir Desember tahun 2015, angka penemuan kasus penderita TB paru sebanyak 8.492 kasus dari estimasi kasus di tahun 2015 sebanyak 32.128. Upaya pencegahan peningkatan kasus TBC di Indonesia dilakukan dengan gambaran upaya penemuan kasus dapat diukur dengan mengetahui banyaknya kasus TB yang ditemukan dan tercatat indikator Case Notification Rate (CNR).Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dengan upaya deteksi dini penyakit tb paru di wilayah kerja puskesmas Negeri Agung kabupaten Way Kanan tahun 2017.Metode : Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Populasi  dalam  penelitian  ini adalah semua warga suspect di wilayah kerja puskesmas Negeri Agung kabupaten Way Kanan. Sampel dalam penelitian ini sebanyak 133 pasien. Tehnik pengambilansampel dengan metode Cross sectional.Analisa data menggunakan uji chi square.Hasil penelitian : Hasil penelitian menunjukkan terdapat hubungan antara pengetahuan dengan upaya deteksi dini penyakit tuberkulosis paru (p value = 0,00).Simpulan: Peneliti menganjurkan agar Puskesmas melakukan pencegahan berupa; Melakukan pencegahan deteksi dini melalui pemeriksaan-pemeriksaan sesuai kebijakan yang telah ditetapkan puskesmas dan Memotivasi masyarakat supaya aktif berpartisipasi dalam program pemeriksaan tuberkulosis paru


2021 ◽  
Vol 2 (1) ◽  
pp. 97-104
Author(s):  
Andre Christian Ginting ◽  
Andrico Napolin Lumbantobing

A B S T R A C TIntroduction Tuberculosis is an infectious disease caused by bacteria in the form ofrods (bacilli) known as Mycobacterium tuberculosis. This disease is included as achronic infectious disease. The causes of the increase in TB cases each year are stillvarious. One of them is smoking behavior. A person who smokes will have twice therisk of contracting TB. This study aims to determine the relationship between smokingbehavior and the incidence of pulmonary tuberculosis in the work area of the MedanSunggal Puskesmas in 2019. Methods This study is an analytical study with a crosssectional design. The population of this study were patients with pulmonary TB in thework area of the Medan Sunggal Public Health Center in 2019. The sample size usedwas 104 people who had met the inclusion and exclusion criteria. In the second study,the data collection tool was through the Puskesmas medical records. Data analysis wasperformed using the statistical test is chi square. Results the result showed that therewas a relationship between smoking behavior and the incidence of pulmonarytuberculosis in Medan Sunggal Public Health Center with an OR (95% CI) value of105,125 (13,280-832,161), which means that respondents who smoke will have105,125 times the risk of suffering from pulmonary tuberculosis compared to non-smoking respondents. From the results of 95% CI, it can be seen that the lower limitand upper limit values (CI values) not include 1.00, so the results of the study arestatistically significant at the value of α = 0.001. Conclusion. Smoking behavior hasan insignificant relationship with the incidence of pulmonary tuberculosis at MedanSunggal Puskesmas in 2019. It is recommended that the primary care should providesupport and sources of information about smoking habits, especially for patients whohave been diagnosed with pulmonary TB.


2021 ◽  
Vol 4 (1) ◽  
pp. 42-49
Author(s):  
Herlia Sumardha Nasution ◽  
Purnama Handayani ◽  
Rizki Noviyanti Harahap

Pulmonary TB is an infection caused by mycobacterium tuberculosis. These bacteria infect the lungs. Patients usually experience symptoms of a prolonged cough to bloody cough, decreased appetite, weight loss. This study aims to determine the effect of giving etawa milk on weight gain in pulmonary tuberculosis patients at Tanjung Rejo Public Health Center. This study used a research design with a quasi-experimental approach and one group pre and post-test design. The population was in this study was pulmonary tuberculosis patients. until as many as 30 people. The results of patients with pulmonary tuberculosis, the majority of pre-milk etawa, the weight of 45 kg pulmonary tuberculosis patients were 5 people (33.5%) and weight of 43 kg multi-drug resistant patients were 4 people (26.7%). The results of patients with pulmonary tuberculosis, the majority of post milk etawa, the weight of 47 kg pulmonary tuberculosis patients were 7 people (46.7%) and weight of 45 kg multi-drug resistant patients were 5 people (33.3%). Pulmonary tuberculosis patients (0.049) and multi-drug resistant patients (0.047) there is an effect of giving etawa milk on weight gain in pulmonary tuberculosis and multi-drug resistant patients at the Tanjung Rejo Public Health Center, Deli Serdang Regency, 2020. The results showed that giving etawa milk can improve appetite which results in body weight. It is recommended for patients to participate in practicing the efficacy of etawa milk for the traditional treatment of pulmonary TB disease.


2021 ◽  
Vol 9 (5) ◽  
pp. 1213-1218
Author(s):  
Weni Sartiwi ◽  
◽  
Rhona Sandra ◽  

Background:The achievement of countermeasures for tuberculosis treatment in Mentawai Islands District is still very low. This can be seen from the cure rate for new smear positive cases in 2016, which has not reached the target of 84.44%. While the data shows that of the 10 existing Puskesmas in Mentawai Islands District, the highest incidence of pulmonary Tuberculosis in Sikakap Health Center is 51 people. This study aims to determine the relationship between environmental sanitation with the incidence of pulmonary TB in Sikakap Health Center Mentawai Islands District in 2018. Methodology:This type of research is descriptive with a cross sectional study method. The population was all patients who visited the Sikakap Health Center who were examined by doctors the last 3 months (January to March 2018) totaling 315 people. A sample of 42 people was taken by simple random sampling method. Data collection was carried out through interviews using interview guidelines in the form of a questionnaire. Data analysis was univariate and bivariate using chi-square test. Results:Based on the results of the study found 59.5% of respondents experienced pulmonary Tuberculosis, 64.3% of respondents had environmental sanitation that did not meet the requirements. Statistically obtained the relationship between environmental sanitation with the incidence of pulmonary TB in Sikakap Public Health Center in Mentawai Islands District in 2018 (p = 0,024). Conclusion:Thereisasignificantcorrelationbetweenenvironmental sanitation with the incidence of pulmonary Tuberculosis. It is expected that health workers through the holder of the Pulmonary TB program to better screen patients who drop out of medication and improve counseling about prevention of pulmonary Tuberculosis.


Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2020 ◽  
Vol 10 (2) ◽  
pp. 111-116
Author(s):  
Marni Br Karo ◽  
Nurfauziah Cahyanti ◽  
Farida Simanjuntak ◽  
R. Haryo Bimo Setiarto

Abstrak Latar belakang: Kandidiasis vulvovaginalis adalah infeksi mukosa pada vagina maupun vulva yang disebabkan oleh jamur Candida. Infeksi terjadi secara akut, subakut, dan kronis, baik endogen maupun eksogen yang menimbulkan keluhan pada vagina. Umumnya infeksi pertama di vagina disebut vulvitis. Tujuan: Penelitian ini bertujuan menganalisis hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada usia subur di Puskesmas Kecamatan Cipayung. Metode: Penelitian dilakukan dengan menggunakan pendekatan cross sectional. Penelitian dilakukan pada bulan Februari sampai Juli 2018 di Unit Infeksi Menular Seksual Puskesmas Kecamatan Cipayung. Populasinya adalah sejumlah orang yang datang ke Puskesmas Kecamatan Cipayung. Sampel adalah sebanyak 33 orang, metode pengambilan sampel adalah secara accidental sampling kemudian data dikumpulkan dengan menyebarkan kuesioner dan pemeriksaan laboratorium. Analisis statistik yang digunakan adalah Chi-Square.  Hasil: Hasil penelitian menunjukkan bahwa kebersihan vulva tidak baik (75,8%) dan berpengaruh positif terhadap kandidiasis vulvovaginalis di Puskesmas Cipayung (87,9%). Hasil uji statistik diperoleh nilai p = 0,036 (p<0,05), atau ada hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada wanita usia subur di Puskesmas Cipayung. Kesimpulan: Kebersihan vulva ada hubungannya dengan kejadian kandidiasis vulvovaginalis di Puskesmas Kecamatan Cipayung. Hal ini disebabkan oleh kurangnya kebersihan vagina pada wanita usia subur yang menyebabkan meningkatnya kejadian kandidiasis.   Kata kunci: Kebersihan vulva, kandidiasis vulvovaginalis, wanita usia subur, puskesmas cipayung   Abstract Background: Vulvovaginalis candidiasis is infection in the mucosal of vagina or vulva caused by Candida fungus. Infection can occur acutely, subacute, and chronic, both endogenously and exogenously which often cause symptoms in the vagina. Generally, first infection in the vagina called vulvitis. Objective: This study aims to determine the association of the vulva higiene with vulvovaginal candidiasis on fertile age in Cipayung sub-district Public Health Center (PHC). Method: The study used cross sectional design approach. The study was conducted from February to July 2018 in sexually transmitted infection unit. Total sample was 33 patients at Cipayung sub-district PHC. The sampling method is purposive sampling and data were collected by questionnaire and laboratory results. Statistical analysis used is Chi-Square. Results: The results showed that the vulva hygiene was poor (75.8%) and there was positive association with vulvovaginal candidiasis in Cipayung PHC (87.9%). The result of statistical tests obtained p-value = 0.036 (p <0.05), or there is a relationship of vulva hygiene with vulvovaginal candidiasis in women of childbearing age at Cipayung PHC. Conclusion: There is a relationship between vulva hygiene and vulvovaginal candidiasis at Cipayung sub-district PHC due to lack of vaginal hygiene on woman of childbearing age, which increased the incidence of candidiasis. Keywords: Vulva hygiene, vulvovaginal candidiasis, woman age reproductive, public health center cipayung


2018 ◽  
Vol 25 (1) ◽  
pp. 39
Author(s):  
Hertien Novi Roficha ◽  
Fatmawaty Suaib ◽  
Hendrayati Hendrayati

Mothers’ nutritional knowledge play an important role in nutritional status of children since mothers have responsibility to provide food for family, particularly for children. Although mothers have good knowledge in nutrition, but if their level of socioeconomic is low, it will affect to nutritional status of children.The aim of this research is to determine effect of mothers’ nutritional knowledge and socioecomic family on nutritional status of children aged 6 to 24 months at Tamalanrea Jaya public health center. The kind of this research is analityc research. Sample consists of 69 children aged 6 to 24 months and their mother are the respondents who are chosen by purposive sampling. The effect of variable is detected by chi-squared test and data is demonstrated by table and narration.Result of this research shows that there are influence of mothers’ nutritional knowledge and parents revenue with nutritional status of children aged 6 to 24 months which are explained by p-value = 0.002 < α = 0.05 and p-value = 0.026 < α = 0.05 respectively. However, level of mothers’ education and mothers’ job did not have influence to nutritional status of children aged 6 to 24 months which are proved by p-value = 0.587 > α = 0.05 and p-value = 0.69 > α = 0.05 respectively.This research is suggestible to mothers to improve their knowledge in nutritional problem by following nutritional counselling or reading nutrition books for increasing insight about nutritional problem


2018 ◽  
Vol 4 (2) ◽  
pp. 27
Author(s):  
Endang Susilowati

AbstrakPemberian Imunisasi Dasar Lengkap (IDL) pada bayi, merupakan suatu keharusan. Hasil survei Riskesdas tahun 2013 didapatkan data cakupan imunisasi HB-0 (79,1%), BCG (87,6%), DPT-HB-3 (75,6%), Polio-4 (77,0%), dan imunisasi campak (82,1%). Cakupan imunisasi lengkap di Jawa Tengah pada tahun 2013 mengalami penurunan. Jumlah sasaran bayi pada tahun 2013 adalah 575.011 menurun dibanding tahun 2012 sebanyak 592.712. Dampak dari cakupan imunisasi yang rendah yaitu cukup tingginya proporsi kematian bayi yang disebabkan karena tetanus neonatorum (TN) di Indonesia,  meningkatnya angka morbiditas dan mortalitas. Tujuan dari penelitian ini adalah mengetahui faktor-faktor  apa yang mempengaruhi minat ibu dalam pelaksanaan program lima imunisasi dasar lengkap di Wilayah Puskesmas Bangetayu Kota Semarang, Jenis penelitian yang digunakan adalah explanatory research, adapun pendekatannya menggunakan rancangan cross sectional. Hasil analisis dengan chi square diperoleh hasil signifikansi p value = 0,000 pada karakteristik umur, pendidikan dan pengetahuan, karena p value < 0,05 maka secara statistik ada hubungan yang signifikan antara umur, pendidikan dan pengetahuan  ibu dengan minat ibu dalam pelaksanaan lima imunisasi dasar lengkap.Kata Kunci : Minat ; Lima Imunisasi Dasar Lengkap THE AFFECTING FACTORS OF INTEREST OF MOTHERS TO IMPLEMENT FIVE BASIC IMMUNIZATIONS PROGRAM IN  BANGETAYU PUBLIC HEALTH CENTER,  SEMARANG DISTRICT Abstract In the immunization program, the provision of Complete Basic Immunization in infants is a must. The result of Riskesdas survey in 2013 revealed immunization coverage of HB-0 was 79,1%, BCG was 87,6%, DPT-HB-3 was 75,6%, Polio-4 was 77,0%, and measles immunization was 82.1%. The coverage of complete immunization in Central Java in 2013 has decreased. The number of targeted infants in 2013 was 575,011, decreased from 592,712 in 2012. The impact of low immunization coverage was the high proportion of infant deaths due to Tetanus Neonatorum (TN) in Indonesia, morbidity and mortality rates among infants also increase. The purpose of this research was to know factors that influence interest of mothers to implement five basic immunization program in Bangetayu Public Health Center, Semarang District. The research type is explanatory research with cross sectional design. The result of analysis with chi square showed p value = 0,000 on the characteristics of age, education and knowledge. As p value <0,05, therefore there is a significant correlation between age, education and mother knowledge with interest of mother to implement five complete basic immunization. Keywords: Interest; Five Basic Immunizations Program


2021 ◽  
Vol 2 (6) ◽  
pp. 723-732
Author(s):  
Amran Sebayang

In patients with mental disorders, almost all patients experience recurrence repeatedly. Data from medical records at the Sepatan Health Center, the presentation of recurrence of mental illness patients at the Sepatan Health Center in 2019 was 26.8%. The same was true for the Kedaung Barat Puskesmas at 22%. To determine the relationship between the level of control adherence and the recurrence rate of mental disorders clients at the Sepatan Public Health Center and the Kedaung Barat Tangerang Public Health Center in 2020. Including an analytical survey with a cross sectional approach. The population in this study were all schizophenia patients at the Sepatan Health Center and the Kedaung Barat Health Center, Tangerang Regency in 2020, as many as 109 people. Samples were taken based on the slovin as many as 109 respondents. This study used univariate and bivariate analysis with the Chi Square test. Based on univariate analysis of 109 people, the majority with mental disorders clients who did not relapse were 58 people (53.2%), and the adherence level of adherent controls was 61 people (56%). The results of the bivariate analysis with the chi square test found that there was a relationship between control compliance (p-value 0.000), with mental disorders client recurrence. There is a relationship between the level of control adherence with the recurrence rate of mental disorders clients, with a possible rate of 29,871. It is hoped that it can provide information and be able to provide education on nursing services, especially for the client's family of mental disorders to motivate clients with mental disorders to comply with control.


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