scholarly journals THE INFLUENCE OF PHARMACIST COUNSELING ON CHANGES IN HEMOGLOBIN LEVELS OF PREGNANT WOMEN AT A COMMUNITY HEALTH CENTER IN INDONESIA

2017 ◽  
Vol 10 (17) ◽  
pp. 114
Author(s):  
Puji Lestari Heryadi ◽  
Rani Sauriasari ◽  
Retnosari Andrajati

 Objectives: Anemia during pregnancy is a common problem among women. Iron deficiency can result from low compliance to consuming iron supplement tablets (ISTs) as well as consumption patterns that may affect iron uptake. The purpose of this study was to provide knowledge regarding anemia during pregnancy, to increase adherence to consumption of IST, and to improve IST consumption patterns.Methods: The study design was experimental with a randomized pre-post control design. There were 192 respondents who were divided into two groups: 96 respondents were not counseled and 96 respondents had received media leaflet counseling. The research was conducted at the community health center (CHC) of the Pagedangan Sub-district, Tangerang District, and Banten Province. All respondents were interviewed, and the hemoglobin (Hb) value was examined using the Hemocue Hb 301 Analyzer photometry method.Results: The results were analyzed using a Chi-square test to assess significant differences between the two groups (p<0.05) and multivariate analysis was conducted using binary logistic regression. The results showed that the influence of counseling could increase the Hb value by 8.6 times compared to the non-counseling group (OR=8.6; p<0.05) after controlling for number of IST per month, consumption pattern of IST with calcium, consumption pattern of IST with foods/beverages that inhibit the absorption of iron, level of education, and gestational age.Conclusions: Gestational age in the third trimester tends to increase the Hb value by 5.1 times compared with the first- and second-trimester gestations (OR=5.1, p<0.05). Thus, counseling from pharmacists can improve the success of anemia treatment in pregnant women in the CHC of the Pagedangan Sub-district, Tangerang District.

2020 ◽  
Vol 28 (1) ◽  
pp. 16
Author(s):  
Putri Ancila Citra Prasetya ◽  
Baksono Winardi ◽  
Djohar Nuswantoro

Objective: To analyze association between anemia in the first trimester and preeclampsia during pregnancy in Sidotopo Wetan Community Health Center Surabaya.Materials and Methods: This study was a analytic case control study. The samples were 49 women with preeclampsia as case group and 49 women non-preeclampsia as control group. The data were secondary data collected from medical record of pregnancy women on Sidotopo Wetan Community Health Center Surabaya from January 2016 – Desember 2017. The analysis was done by Chi Square Statistics.Results: 79,6% women in preeclampsia group and 93.9% women in non-preeclampsia group was not anemia in the first trimester. There is association between anemia in the first trimester and preeclampsia during pregnancy in Sidotopo Wetan Community Health Center Surabaya (p = 0.037; OR = 3.932 (CI 95% = 1.010 – 15.303)).Conclusion: There is association between anemia in the first trimester and preeclampsia during preg-nancy in Sidotopo Wetan Community Health Center Surabaya.


2017 ◽  
Vol 3 (3) ◽  
pp. 102-106
Author(s):  
Anita Rosanty ◽  
Reni Yunus

Background: Insufficient hemoglobin levels are one of the most vulnerable health problems during pregnancy. Hemoglobin levels less than 11 g/dL indicate anemia in pregnant women. However, it is assumed that there is a difference of hemoglobin levels between pregnant women in coastal and plateau areas. Objective: To compare the hemoglobin levels in pregnant women who live in the coastal and plateau areas in the working area of the Community Health Center of Mata, Kendari. Methods: This was an observational analytic research with cross sectional approach, conducted in May-June 2014. There were 38 pregnant women using quota sampling, divided into 19 respondents in coastal areas and 19 respondents in plateau areas. Blood sampling was performed in each respondent, and categorized into mild, moderate, and severe anemia. Data were analyzed using chi-square test. Results: The proportion of pregnant women with anemia in the working area of the Community Health Center of Mata was 94.74%. Chi-square test showed p-value 0.307 (0.05). Conclusion: There was no significant difference in hemoglobin levels in pregnant women in coastal and plateau areas in the working area of the Community Health Center of Kendari district. 


2019 ◽  
Vol 13 (2) ◽  
pp. 69
Author(s):  
Nilda Yulita Siregar ◽  
Silfana Hiola ◽  
Nurfatimah Nurfatimah

Anemia in pregnant women is a health problem associated with a high incidence and complications that can arise both in pregnant women and their fetuses. This study aims to determine the factors associated with the incidence of anemia in the third trimester of pregnancy in the Mapane Community Health Center. This study uses analytic survey method with cross sectional design. The population in this study was 3rd trimester pregnant women in the Mapane Community Health Center. The sample in this study were 39 people, the technique of determining the sample in total sampling. The results found 36 people (92.3%) of respondents who experienced mild anemia, mothers aged 20-35 years 29 people (96.7), high school education 14 people (100%), multigravida 28 people (93.3%), primacy parity category of 8 people (100%), Economy above 13 people UMK (100%) and consumption of Fe tablets not compliant 2 people (100%). The results of the bivariate chi-square test that there is no significant relationship between maternal age with the incidence of anemia (p = 0.062), there is no significant relationship between education and the incidence of anemia (p = 0.491), there is no significant relationship between gravida and the incidence anemia (p = 0.661), there was no significant relationship between parity and anemia (p = 0.784), there was no significant relationship between the economy and anemia (p = 0.202), there was no significant relationship between consumption of Fe tablets with the incidence anemia (p = 0.675). So it can be concluded that there is no significant relationship between age, education, gravida, parity, economy and consumption of Fe teablet with the incidence of anemia in pregnant women.


2018 ◽  
Vol 3 (3) ◽  
pp. 568
Author(s):  
Ainal Mardiah ◽  
Arni Amir ◽  
Andi Friadi ◽  
Ellyza Nasrul

<p><em>Iron deficiency anemia is anemia caused by iron deficiency in the blood. Maternal iron deficiency affects the low iron reserves in neonates </em><em>and it also influences on </em><em>Brain Derived Neurotropic Factor (BDNF) </em><em> which affects cognitive function.</em><em> </em><em>The purpose of this study was to determine the difference mean of BDNF in neonates from normal pregnant women and pregnant women with iron deficiency. </em><em>The design of this research was Cross Sectional</em><em> </em><em>design. This research was conducted in Community Health Center of Lubuk  Buaya, Ambacang Community Health Center, Community Health Center of Ikur Koto Health Center and Biomedical Laboratory of Andalas University on February 2017 to April 2018. There were 42 pregnant women was selected as sample e of this research. The samples were chosen by Consecutive Sampling. Then, the sample is divided into two groups: normal pregnant women and pregnant women with iron deficiency anemia. BDNF are examined by the ELISA. Next, the data were analyzed by using T test. The levels of BDNF neonates in normal pregnant group was 3.65(ng/ml) and the anemia pregnant group was 1.74(ng/ml) (p &lt;0.05). There was significant difference of BDNF levels in neonates from normal pregnant women and pregnant women with iron deficiency anemia. </em><em>The conclusion of this study is there is a difference of average BDNF in neonates from normal pregnant women and pregnant women with iron deficiency.</em></p><p> </p><p>Anemia defisiensi besi adalah anemia yang disebabkan karena kekurangan zat besi dalam darah. Defisiensi besi  maternal berdampak pada rendahnya cadangan besi pada neonatus dan berdampak terhadap ekspresi Brain Derived Neurotropic Factor (BDNF) yang berpengaruh pada fungsi kognitif. Tujuan penelitian ini adalah untuk mengetahui perbedaan rerata kadar BDNF pada neonatus dari ibu hamil normal dan ibu hamil defisiensi besi. Desain penelitian ini adalah Cross Sectional. Penelitian dilakukan di Puskesmas Lubuk Buaya, Puskesmas Ambacang, Puskesmas Ikur Koto dan Laboratorium Biomedik Universitas Andalas pada bulan Februari 2017 – Juli 2018. Sampel Penelitian adalah ibu hamil sebanyak 42 orang yang dipilih secara Consecutive Sampling, sampel dibagi menjadi dua kelompok yaitu ibu hamil normal dan ibu hamil anemia defisiensi besi. BDNF diperiksa dengan metode ELISA. Data dianalisa menggunakan uji T test. Kadar BDNF neonatus pada ibu kelompok normal adalah 3,65(ng/ml) dan kelompok ibu anemia adalah 1,74(ng/ml) (p&lt;0,05). Terdapat perbedaan bermakna kadar BDNF pada neonatus dari ibu hamil normal dan ibu anemia defisiensi besi. <em></em></p>


Author(s):  
Wahyuni Herda ◽  
Insan Sosiawan A Tunru ◽  
Yusnita Yusnita

Tuberculosis is a disease of global concern. By 2015 six countries contributing to 60% of the global total are India, Indonesia, China, Nigeria, Pakistan and South Africa. China, India and Indonesia alone accounted for 45% of cases in the world.The World Health Organization (WHO)has recommended the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control by involving Drug Supervisors (PMO). It aims to achieve patient recovery, prevent transmission, and avoid drug resistant cases. This study aims to determine the relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.This research was conducted by Cross-Sectional non-experimental quantitative method. Population and sample are the patient of adult pulmonary and extrapulmonary tuberculosis at community health center of Johar Baru Central Jakarta in 2016. Samples are selected by using Simple Random Sampling. The data were collected by interview using questionnaire. Data analysis using SPSS with Chi-Square test.There were 45 respondents (80,4%) succeed in TB treatment and respondent with PMO roles category were 40 (71,4%). Result of statistical test using Chi-Square test obtained P value = 1,000 (> 0,05).There is no relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.


2018 ◽  
Vol 1 (1) ◽  
pp. 053
Author(s):  
Juli Gladis Claudia ◽  
Wirdawaty S Adam

Exercise in pregnancy have positive effect on the pregnancy outcomebecause stumulate to strengthen and maintain elasticity in abdominalmuscles and pelvic muscles which was associated with labor that whenstraining the muscles will relax actively that the head baby will outeasily and the pelvic floor muscle is weak, will not easily tear when willgive birth. The incidence of perineum rupture at Limboto CommunityHealth Center is 46,7%. The purpose of this study was to analyze theeffectiveness of gymnastics pregnancy against rupture perineum inMaternity at Limboto Community Health Center. The method of researchwas used pre-experimental research with statistical group comparisondesign with using chi square test. The population in this study were allthirty pregnant trimester III which amounted 30 people. The sample inthis study were 15 case groups and 15 control groups. The variablepregnant exercise was independent variabel and the dependentvariable was incidence of perineal rupture. The result of this researchby using chi square statistic test was showed t arithmetic 8,571, thatmean the respondent who have high pregnancy exercise did notexperience rupture perineum. Results p - value 0.009 with degree ofsignificance 0.05 (p < 0.05). The conclusion there was a significant effectof pregnancy exercise effectiveness on the incidence of perineal rupturein maternal mothers at Limboto Community Health Center.


2018 ◽  
Vol 1 (1) ◽  
pp. 330-335
Author(s):  
Rika Mayasari Alamsyah

Kehamilan merupakan suatu proses fisiologis yang menimbulkan perubahan pada tubuh wanita baik fisik maupun psikis. Selama kehamilan terjadi perubahan pada rongga mulut terkait dengan perubahan hormonal, perubahan pola makan, perubahan perilaku dan berbagai keluhan seperti ngidam, mual dan muntah. Ibu hamil menjadi sangat rentan terhadap penyakit gingival danpenyakit periodontal akibat dari kebiasaan mengabaikan kebersihan gigi dan mulut. Tingginya tingkat terjadinya penyakit mulut juga dapat berdampak pada kualitas hidup yang berhubungan dengan kesehatan rongga mulut pada ibu hamil. Tujuan penelitian ini untuk mengetahui persentase perdarahan gingiva dan kualitas hidup ibu hamil di beberapa Puskesmas di Medan. Jenis penelitian ini adalah penelitian survei deskriptif. Populasi penelitian ini adalah ibu hamil yang datang ke Puskesmas, dengan sampel sebanyak 100 orang. Pengambilan data perdarahan gingiva dan kualitas hidup menggunakan instrument Oral Health Impact Profile (OHIP-14) dilakukan dengan wawancara dan dicatat dalam kuesioner. Hasil penelitian menunjukkan 74% sampel mengalami perdarahan gingiva. Pada pengukuran kualitas hidup diperoleh 12% pada dimensi keterbatasan fungsi mengalami kesulitan pengecapan, 16% pada dimensi rasa sakit fisik mengalami tidak nyaman mengunyah makanan, 2% pada dimensi ketidaknyamanan psikis mengalami rasa cemas, 16% pada dimensi ketidakmampuan fisik mengalami terhenti saat makan, 20% pada dimensi ketidakmampuan psikis mengalami rasa malu, 6% pada dimensi ketidakmampuan social mengalami mudah tersinggung dan hanya 1% pada dimensi hambatan mengalami tidak mampu beraktivitas. Dapat disimpulkan kondisi rongga mulut dapat mempengaruhi kualitas hidup ibu hamil selama masa kehamilan, terutama pada dimensi ketidakmampuan psikis, rasa sakit fisik dan ketidakmampuan fisik. Pregnancy is a biological process which causes the changes in a woman’s body physically and psychologically. During pregnancy, oral cavity change due to hormonal change, diet change, behavior change, and other demands such as craving, feeling sick, and vomiting. Pregnant women become more susceptible to gingival and periodontal diseases caused by a habit to ignore dental and oral hygiene. The high probability of oral diseases may happen and affect the life quality related to pregnant women oral cavity. This research aimed to find gingival hemorrhage percentage and the life quality of pregnant women at Community Health Center in Medan. This was a survey descriptive research. The population was 100 pregnant women who came to Community Health Center. The gingival hemorrhage data collection was conducted using Oral Health Impact Profile (OHIP-14) instrument through interviews and questionnaires. The result indicated that 74% of samples experienced gingival hemorrhage. The life quality measurement resulted with 12% had trouble in tasting, 16% felt discomfort due the pain when chewing, 2% experienced anxiety, 16% had sudden stops while eating, 20% felt ashamed, 6% were easily offended, and only 1% experienced the inability to do any activity.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


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