scholarly journals KAJIAN EPIDEMIOLOGI P. KNOWLESI DI PROVINSI ACEH TAHUN 2018-2019

2021 ◽  
Vol 8 (1) ◽  
pp. 47-63
Author(s):  
Raisuli Ramadhan ◽  
Fahmi Ichwansyah ◽  
Eka Fitria ◽  
Asnawi Abdullah ◽  
Maidar Maidar ◽  
...  

Kementerian Kesehatan Republik Indonesia telah menetapkan Indonesia akan mencapai fase eliminasi malaria pada tahun 2030. Tapi, periode tahun 2018-2019 di Provinsi Aceh dilaporkan masih adanya temuan 19 kasus positif infeksi P. knowlesi. Penelitian ini bertujuan melakukan analisis faktor risiko terhadap kasus infeksi P. knowlesi di Provinsi Aceh periode tahun 2018 s/d 2019. Penelitian observasional dengan desain penelitian kasus kontrol, dilakukan di 4 wilayah kabupaten/ kota yang menjadi lokasi penemuan kasus infeksi P. knowlesi di Provinsi Aceh. Populasinya seluruh masyarakat dari 4 kabupaten/kota yang menjadi lokasi penelitian yang potensial tinggal dekat hutan. Sampel penelitian sebanyak 74 orang (16 kasus: 58 kontrol). Analisa data dilakukan dengan menggunakan analisis regresi logistik. Hasil uji analisis bivariat didapatkan ada hubungan antara kebiasaan keluar malam hari (p=0,001) dengan kejadian infeksi P. knowlesi. Selanjutnya tidak ada hubungan antara keberadaan macaca, lingkungan hutan, obat anti nyamuk, kelambu, dan kawat kasa dengan kejadian infeksi P. knowlesi. Hasil analisis multivariat untuk keseluruhan variabel penelitian diketahui bahwa kebiasaan keluar malam hari merupakan prediktor paling dominan terhadap kejadian infeksi P. knowlesi ((OR=11,25) (95% CI: 3,01 – 42,08) p Value =0,000). Hasil penelitian secara umum menyimpulkan bahwa kebiasaan keluar malam hari secara signifikan memiliki pengaruh terhadap kejadian infeksi P. knowlesi di provinsi Aceh.   The Ministry of Health of the Republic of Indonesia has determined that Indonesia will reach the elimination phase of malaria in 2030. But, in period 2018 - 2019 Aceh Province is reported to have found 19 positive cases of P. knowlesi infection. This research aims to dorisk factor analysis of cases P. knowlesi infection in Aceh Province for the period 2018 to 2019. This observational study with a case control research design was conducted in 4 districts/ cities which were the location for finding cases of P. knowlesi infection in Aceh Province. Its populationAll people from the 4 districts / cities that are potential research locations live near the forest. The research sample was 74 people (16 cases: 58 control). Data analysis was performed using logistic regression analysis. The results of the bivariate analysis test showed that there was a relationship between the habit of going out at night (p=0.001) with the incidence of P. knowlesi infection. Furthermore, there is no relationship between the presence of macaca, forest environment, mosquito repellent, mosquito nets, and gauze with the incidence of P. knowlesi infection. The results of multivariate analysis for all research variables showed that nighttime out habits were the most dominant predictor of P. knowlesi infection ((OR = 11.25) (95% CI: 3.01 - 42.08) p value = 0.000). The results of the study generally concluded that the habit of going out at night had a significant effect on the incidence of P. knowlesi infection in Aceh province.

2018 ◽  
Vol 33 (4) ◽  
pp. 252-259
Author(s):  
Nana Chikhladze ◽  
Nino Tebidze ◽  
Tamar Chabukiani ◽  
Nana Chabukiani ◽  
Nikoloz Chkhartishvili ◽  
...  

Introduction: In developing a model of palliative care, the attitudes, needs, and requirements of its beneficiaries recognizing the limited remaining life expectancy need to be met. We aimed to map and compare these issues at the end of life in the groups of patients with advanced cancer and elderly individuals. Materials and Methods: The prospective study based on the analysis of semistructured interviews was conducted. Fifty individuals aged older than 85 and 50 incurable patients with advanced cancer were studied. Transcripts of interviews were analyzed qualitatively (the interviews were divided into logically completed themes, and the compliance of each with one of the levels of Abraham Maslow pyramid was determined) and quantitatively (data comparisons of 2 groups were tested in bivariate analysis using Pearson χ2 or Fisher exact test. Two-sided significance tests were used; P value of <.05 was deemed significant). Results: It was assumed that 120 themes were relevant to a certain level of Maslow pyramid. Their comparison showed small differences in the narratives of the patients with advanced cancer and elderly individuals aged 85 and older—concerning the past, present, and future terms of lives. In studied themes explicitly prevail the stories that are consistent with satisfaction of the upper levels of the hierarchy of needs and demands of Maslow: social relation (belonging), love, esteem, and transcendence. Conclusion: The attitudes, needs, and requirements at the end of life of the people are basically similar, regardless of what determined the sense of limitation of the remaining life—incurable disease or advanced age.


2018 ◽  
Vol 17 (3) ◽  
pp. 117-124
Author(s):  
Ampera Miko ◽  
Satrinawati Berkat

Smoking does not only endangers the smokers themselves but will also harm the people around them. These are the non-smokers also called the passive smokers or second-hand smoke.In particular pregnant women who are the second-hand smoke can lead low birth weight (LBW) babies. This study aims to determine the impact of second- hand smoke in pregnancy toward LBW   in the district of Aceh Besar in 2016. A case control study was done in district of Aceh Besar, Aceh province, Indonesia. The total sample was 120 neonates (1:1), 60 neonates were LBW (cases) and 60 neonates were normal weight (controls). Data collection was doneusing a questionnaire filled in by the parents. The univariate analysiswas described with percentages and the Wald-Wolfowithz run test was used for the bivariate analysis. The results showed that the majority of mothers had a good knowledge about the dangers of smoking, ie 91 or 75.8%. Most of the mothers had positive attitudes for male smokers. The smoking men are considered normal and acceptable, consisting of 73 mothers or 60.8%.  All the mothers in this study were non-smokers (100.0%). The majority of the fathers were smokers, 88   or   73.3%, and most of them smoked around their   pregnant wife, 55 fathers or 62.5%.  The results of the bivariate analysis indicated there was a significant impact of the second-hand smoke toward the LBW (P value <0.05). It means, mothers as a second-hand smoke during pregnancy have a risk to born the LBW baby


2021 ◽  
Vol 7 (1) ◽  
pp. 82-90
Author(s):  
Naimah Naimah ◽  
Asnawi Abdullah ◽  
Fahmi Ichwansyah

Background: Coronary Heart Disease (CHD) in Indonesia, especially Aceh Province, is the number one contributor to death at this time. The prevalence of CHD by province at the age ≥ 15 years was reported that Aceh ranks in the top two with the highest CHD provinces (D 0.7% and D/G 2.3%). This research needs to be analyzed further aimed to determine the determinants of CHD in Aceh Province because CHD in Indonesia is one of the main problems most noticed by the government. Various programs to anticipate and find solutions of health problems, especially CHD has beeen made for the good of the people of Indonesia. Methods: Further analysis of this secondary data is descriptive analytic using cross-sectional design. The research location in Aceh Province was conducted in May-June 2013. The secondary data was reprocessed by researchers in 2019. The population and samples in this study were 11.617 households and 40,951 household members. Data analysis was performed using univariate and bivariate analysis. Result: The results showed that there is a relationship between age and coronary heart disease (p value 0.001), gender (p value 0.001), low education level (p value 0.002), employment status (p value 0.008), Diabetes mellitus (p value 0.001), hypertension (p value 0.001), and smoking (p value 0.0001). Recommendation: It is hoped that the provincial government implements the No Smoking Area (KTR) policy in every public area such as schools, terminals, hospitals and create qanuns that truly public health precision.


Author(s):  
Fauziah Andika ◽  
Faradilla Safitri

ABSTRAKDi Provinsi Aceh kejadian hipertensi banyak dijumpai baik wanita maupun pria. Jumlah kejadian hipertensi di provinsi Aceh tahun 2015 sebanyak10% rawat jalan dan rawat inap 87 orang,Tahun 2017 sebanyak rawat jalan 29%, rawat inap 90 0rang dan 2 diantaranya meninggal. Tujuan dari penelitian ini adalah menganalisis factor risiko yang berhubungan dengan kejadian hipertensi di RSUD dr. Zainoel abidin Provinsi Aceh. Desain penelitian ini adalah Cross sectional dengan jumlah populasi 774 orang dan jumlah sampel 80 orang. Pengumpulan data dengan cara observasi dan wawancara dan menggunakan kuesioner. Analisis yang digunakan adalah analisis univariat dan analisis bivariat menggunakan uji chi square dengan CI (Confident Interval) 95%.. Hasil bivariat diperoleh hasil ada hubungan antara kejadian hipertensi dengan umur (P value=0.003, OR=5.113), Jenis Kelamin (p value = 0.743), pekerjaan (p value = 0.341), Stress (p value = 0.274), konsumsi kopi (p value= 0.400), obesitas (p value = 0.041, OR=3.361), Riwayat keluarga (p value =0.0001, OR=6.616). Berdasarkan analisis multivariat diperoleh variabel yang paling dominan adalah variabel riwayat keluarga (p value = 0.001, OR=7.321). Berdasarkan hasil penelitian dapat disimpulkan bahwa ada hubungan signifikan antara umur, obesitas dan riwayat keluarga dengan kejadian hipertensi di RSUD dr. Zainoel Abidin Provinsi Aceh.Kata-kata kunci : Hipertensi, faktor risiko  ABSTRACTIn the Province of Aceh the incidence of hypertension is found in both women and men. The number of hypertension events in Aceh province in 2015 was 10% outpatient and 87 inpatient care, 2017 as many as 29% outpatient care, 90 inpatient hospitalizations and 2 of them died. The purpose of this study was to analyze the risk factors associated with the incidence of hypertension in RSUD dr. Zainoel abidin the Province of Aceh. The design of this study was cross sectional with a population of 774 people and a total sample of 80 people. Data collection by means of observation and interviews and using questionnaires. The analysis used was univariate analysis and bivariate analysis using the chi square test with CI (Confident Interval) 95%. Bivariate results were obtained. There was a relationship between the incidence of hypertension and age (P value = 0.003, OR = 5.113), Gender (P value = 0.743), employment (p value = 0.341), stress (p value = 0.274), coffee consumption (p value = 0.400), obesity (p value = 0.041, OR = 3,361), family history (P value = 0.0001, OR = 6.616). Based on multivariate analysis, the most dominant variable was obtained from the family history variable (p value = 0.001, OR = 7.321). Based on the results of the study it can be concluded that there is a significant relationship between age, obesity and family history with the incidence of hypertension in RSUD dr. Zainoel Abidin Aceh Province.Keyword: Hipertention, risk factor


2021 ◽  
Vol 5 (11) ◽  
pp. 1219-1224
Author(s):  
Debby Andhika Putri ◽  
Hamzah Hasyim ◽  
Hilda Zulkifli ◽  
Ahmad Ghiffari ◽  
Chairil Anwar

Background: Malaria is still one of the main infectious diseases of concern in the world.  Lahat Regency is a moderate malaria-endemic area in South Sumatra, where there are still several villages with an API value above 1 and indigenous cases, although the average API value in all health facilities is below 1. Methods: Quantitative research with a case-control design was employed. The sampling technique used stratified random sampling with year strata, namely 2018, 2019 and 2020 with 50 case respondents and 100 control respondents. The total number of samples collected was 150. Case respondents were people who suffered from malaria and are recorded in the Malaria Surveillance Information System in the working area of the community health center, which has a village with an API value of 1 and the presence of indigenous cases. Control respondents were the closest neighbours of cases with the same age characteristics as the case. This study aimed to identify and analyse risk factors for preventive behaviour related to malaria incidence in the endemic area of the Lahat Regency. Results: : Bivariate analysis revealed that the habit of using insect repellent was connected with the incidence of malaria in the endemic region of Lahat Regency, with a p-value of 0.042 and an odds ratio of 2.160 in the endemic area. The results of multivariate analysis showed that the most dominant risk factor was the habit of using mosquito repellent. Conclusions: The habit of using mosquito repellent is a risk factor for malaria incidence in endemic areas of the Lahat Regency. It is necessary to increase individual self-prevention behaviour and counselling activities regarding preventive behaviour by local health service facilities.


2018 ◽  
Vol 9 (1) ◽  
pp. 33
Author(s):  
Rahmi Kurnia Gustin ◽  
Saskia Andiny

Myopia or nearsightedness is a form of the refractive disorder that can cause blindness. The prevalence of myopia has been reported to be as high as 70% -90% in some Asian countries, 30% -40% in Europe and the United States and 10% -20% in Africa. Survey of the Ministry of Health of the Republic of Indonesia 1993-1996 obtains refractive abnormalities in Indonesia of 24.72% ranks first in 10 most eye diseases. The case of myopia in RSUD Dr. Adnaan WD Payakumbuh as many as 725 people. This study aims to determine the factors associated with the incidence of myopia in RSUD Dr. Adnaan WD Payakumbuh. Research type using analytic study with cross-sectional approach. The research was conducted at Poli Mata RSUD Dr. Adnaan WD Payakumbuh in April to September Year 2017. The population of this study was all patients who visited the Eye Poly RSUD Dr.Adnaan WD Payakumbuh Year 2016 as many as 725 people. Sampling using non-random sampling technique (Nonprobability) with the number of 88 people.Data collection using doctoral questionnaires and diagnosis. The data analysis result of research includes univariate and bivariate analysis using the chi-square test. The results obtained from 88 respondents as many as 48 respondents (54.5%) myopia, 52 respondents (59.1%) age are not at risk, 54 respondents (61.4%) have a history of myopia and 7 respondents (8.0%) close looking activity is quite heavy The result of age analysis with myopia occurrence obtained p-value = 0,000, Family History with myopia incidence obtained p-value = 0.000 and Activity View With the occurrence of myopia obtained p-value = 0.000. It can be concluded that age, family history and near seeing activity have a connection with the incidence of myopia. It can be concluded that age, family history, and near looking activity are statistically related to the incidence of myopia. It is recommended to all people to avoid bad habits and always check eye health to the doctor.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


2020 ◽  
Vol 7 (2) ◽  
pp. 213-222
Author(s):  
Nonik Ayu Wantini ◽  
Novi Indrayani

Infeksi HPV dan pre kanker serviks (sel-sel abnormal pada leher rahim yang dapat menyebabkan kanker) telah menurun secara signifikan sejak vaksin HPV digunakan.Cakupan vaksinasi HPV masih rendah di Indonesia.Orang tua adalah pemegang tanggung jawab dan kewajiban utama di dalam penjaminan pemenuhan hak dasar anak untuk mendapatkan vaksinasi. Tujuan penelitian adalah untuk mengetahui faktor yang berhubungan (sikap, kepercayaan, dukungan orang tua) dengan kesediaan vaksinasi pada remaja putri. Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di SD Muhammadiyah Macanan, Ngemplak dan SMPN 1 Berbah, Sleman pada Mei-Juli 2019. Jumlah sampel 127 remaja putri beserta orang tuanya dipilih dengan accidental sampling. Instrumen kuesioner dan telah dilakukan uji validitas. Analisis bivariat dengan uji chi square (dukungan instrumen, emosional, kepercayaan orang tua) dan uji fisher exact (dukungan informasi dan sikap). Hasil penelitian menunjukkan 92,9% orang tua tidak memberikan dukungan informasi, 85% tidak memberikan dukungan instrumen, 75,6% memberikan dukungan emosional kepada putrinya terkait vaksinasi. Faktor yang berhubungan dengan kesediaan vaksinasi adalah dukungan instrumen (p-value = 0,048). Faktor yang menjadi pertimbangan terbanyak orang tua untuk mengijinkan anaknya di vaksinasi adalah keamanan vaksin (81,1%). Kesimpulan: Ada hubungan dukungan instrumen orang tua dengan kesediaan vaksinasi HPV pada remaja putri. HPV infections and cervical precancers (abnormal cells on the cervix that can lead to cancer) have dropped significantly since HPV vaccine has been in use. HPV vaccination coverage is still low in Indonesia. Parents are the main responsibility and obligation in guaranteeing the fulfillment of the child's basic rights to get a vaccination. The purpose of this study was to determine the related factors (attitudes, beliefs, parental support) with the willingness to participate in HPV vaccination among adolescent girls. This type of the study was analytic survey with cross sectional approach. The study was conducted at SD Muhammadiyah Macanan, Ngemplak and SMPN 1 Berbah, Sleman in May-July 2019. The sample was 127 adolescent girl and their parents selected by accidental sampling. The instrument used questionnaire and already undergone validity test. The bivariate analysis used chi square test (instrument and emotional support, parental trust) and fisher exact test (information support and attitude). The results showed 92.9% of parents did not provide information support, 85% did not provide instrument support, 75.6% provided emotional support to their daughters related to vaccination. Factors related to the willingness of vaccinations were instrument support (p-value = 0.048). The factor that was considered by most parents to allow their children to be vaccinated was vaccine safety (81.1%). Conclusion: There was a correlation between parental instrument support and HPV vaccination willingness of adolescent girls.


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 &lt; 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 &lt;0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


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