scholarly journals HUBUNGAN PENGETAHUAN, SIKAP DAN PERILAKU PENGAWAS MINUM OBAT (PMO) TERHADAP KEJADIAN TUBERKULOSIS (TBC) BERULANG DI KABUPATEN MUARA ENIM

SPIRAKEL ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 51-61
Author(s):  
Marini Marini ◽  
Indah Margarethy ◽  
Nungki Hapsari Suryaningtyas

The discovery of repeated TB cases is a problem in TB control in Muara Enim Regency. One of the causes of failure and lack of discipline of TB patients in taking medication is influenced by the role of the drug taking supervisor (PMO). The role of PMO is very important in monitoring, reminding and ensuring regularity of treatment for TB patients in order to achieve optimal treatment results. This study aims to examine the relationship between the role of the family as a supervisor for taking medication on the incidence of recurrent tuberculosis in Muara Enim district. This study used a case-control design with a retrospective approach. The research subjects were PMO in patients with recurrent TB/MDR TB as a case group and PMO in former TB patients who recovered on schedule as a control group. The comparison of case samples (46 samples) and controls (92 samples) was one to two (1:2). Data on the level of knowledge, attitude and behavior variables were assessed using a scoring system. The analysis uses the chi square test to get the odds ratio (OR) value. The results of the analysis show that the level of PMO knowledge is still below the program's expectations. The level of knowledge, attitudes and behavior of PMO are not related to the occurrence of recurrent TB cases. To increase the role of PMO, health workers can conduct counseling by changing the extension technique using more varied and communicative extension media.

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Trixie Leunupun ◽  
Ani Margawati ◽  
Annastasia Ediati

Stunting is a condition that describes the growth of children due to long-term malnutrition. Stunting according to WHO is based on the index of the body length compared to age (PB/U) or height compared to the age (TB/U) with the Z-score limit of less than-2 SD. The age of toddlers is an age where child growth and development happens very quickly. In that age toddlers often experience health problems especially nutritional problems. Insufficient nutritional intake can cause stunting and can inhibit children's development. Design of observational analytic research with case-control design in toddlers aged 2-3 years. The population of this research is all toddlers who reside in the working area of Puskesmas Layeni subdistrict of Central Maluku district. Sample research is done using the Lameshow formula. The study used the ratio of 1:1 so that the number of research subjects in the case group was equivalent to the number of research subjects in the control group (i.e. 30 children per group), resulting in a total subject of 60 children. Analysis of the data used to see the difference between variables using the chi-square test. Variable dependent events are stunting and independent dietary variables. The results of the chi-square test show that there is no difference between the diet (the level of energy and protein adequacy) in a stunting toddler and not stunting the value (p > 0.05). The conclusion of the diet (adequacy of energy and protein) respectively in the group of cases is not too much of a significant difference. But in the control group more toddlers with good energy and protein adequacy levels. Keywords: toddler, diet, stunting


2017 ◽  
Vol 52 (1) ◽  
pp. 19
Author(s):  
Pudji Lestari ◽  
Ivan Rahmatullah ◽  
Dwi Susanti

Tuberculosis developed differently in each individual. The role of HIV in the disease development is widely known unlike the role of Hepatitis B and Hepatitis C infection. Therefore, this study is aimed at to describe the role of those co-infections in the TB development. The study employed observational – case control design with two groups, case and control group. Data collection include TB condition, whether latent or manifest, and history of Hepatitis B and Hepatitis C co-infection. The study successfully recruited the total of 32 respondents in each group. At the case group, the number of male and respondent is 19 and 13. Meanwhile, at the control group the number male respondent is 10 and the female respondent is 22. The study found that 20 and 12 respondents were positive Hepatitis B at the case and the control group. Chi-square test resulted significant different between two groups (P=0.0455 and a =0.05) with odd ratio p=0.479. Meanwhile, the study only tested one respondent with positive Hepatitis C at case group and one at control group. Comparison analysis found no significant different between groups (P=1 and a =0.05). This study reveals that TB patients are more likely to have history of Hepatitis B 2.7 times than those at the control group with the same infection but without TB development. Therefore, the possibility of Hepatitis B co-infection has role in the TB manifestation, but not for Hepatitis C co-infection.


2017 ◽  
Vol 19 (2) ◽  
pp. 95
Author(s):  
Hetriana Leksananingsih ◽  
Slamet Iskandar ◽  
Tri Siswati

Background: Riskesdas in 2013 showed that Yogyakarta (DIY) had a prevalence of stunted new kid in school is less than the national average, which is 14.9% (MOH, 2013). Stunted or short, is a linear growth retardation has been widely used as an indicator to measure the nutritional status of individuals and community groups. Stunted can be influenced by several factors: birth weight, birth length match and genetic factors. Objective: To determine the weight, length of low birth weight and genetic factors as predictors of the occurrence of stunted on elementary school children. Methods: The study was a case control analytic. Research sites in SD Muhammadiyah Ngijon 1 Subdistrict Moyudan. The study was conducted in May and June 2015. The subjects were school children grade 1 to grade 5 the number of cases as many as 47 children and 94 control children. With the inclusion criteria of research subjects willing to become respondents, was present at the time of the study, they have a father and mother, and exclusion criteria have no data BB and PB birth, can not stand upright. The research variables are BBL, PBL, genetic factors and TB / U at this time. Data were analyzed by chi-square test and Odd Ratio (OR) calculation. Results: In case group as much as 91.5% of normal birth weight and length of 80.9% of normal birth weight, most of the height of a normal mother and father as many as 85.1%. In the control group as much as 78.7% of normal birth weight and 61.7% were born normal body length, height mostly normal mom and dad that 96.7% of women and 90.4% normal normal father. Statistical test result is no significant correlation between height mothers with stunted incidence in school children, and the results of chi-square test P = 0.026 with value Odd Ratio (OR) of 3.9 and a range of values from 1.091 to 14.214 Cl95%. Conclusion: High maternal body of mothers can be used as predictors of the occurrence of stunted school children and mothers with stunted nutritional status have 3.9 times the risk of having children with stunted nutritional status.


2021 ◽  
Vol 5 (1) ◽  
pp. 49-56
Author(s):  
Rahmad Suryawan Ura ◽  
Yuly Peristiowati

Typhoid fever is a disease that is prone to occur in Indonesia, because of the characteristics of the climate that is very prone to diseases related to the seasons. The purpose of this study is to analyze factors related to the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. The research design used is quantitative analytics method using quantitative data. The type of approach used is case control. The population is 74 patients with typhoid fever. The large sample taken as many as 37 respondents, with a large comparison of samples between the number of respondents in the case group is 37 respondents, and 37 respondents as a control group, so the total number of samples is 74 respondents. Sampling techniques used in this study is a simple random sampling technique. Based on the results of the study, it is known that there is no relationship between age and the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. Chi-square test result obtained p-Value Sig (0.445) > α (0.05). While it is known that there is a relationship between the level of knowledge, the level of education, hygiene of individual respondents with the incidence of typhoid fever in the Work Area of the Health Office of Jayawijaya Regency. Chi-square test results obtained p- value (0.000) < α (0.05) and environmental sanitation with the incidence of Typhoid Fever in the Work Area of the Jayawijaya District Health Office. Chi-square test result obtained p-value (0.001) < α (0.05). Based on the results of the study is expected to increase kinship with patients as well as by providing health services visits to the patient's home.


2021 ◽  
pp. 205343452110616
Author(s):  
Budi Yanti ◽  
Nurdarlila Armita ◽  
Iskandar Zakaria

Introduction Health workers are at high risk of contracting the disease because they are at the forefront of assisting COVID19 patients. Globally, Indonesia has the worst death toll of health workers. Many previous studies have shown the differences in knowledge, attitudes, and behavior of health workers in handling with the COVID19 pandemic. This study aims to asses the role of knowledge, attitudes, and health workers' preparedness during the COVID-19 pandemic in Aceh Pidie Jaya District. Methods A cross-sectional study and the data were collected by distributing online questionnaires about knowledge, attitudes, behavior, and preparedness related to the COVID-19 at 12 Pidie Jaya District health centers. The knowledge, behavior, and preparedness parameters used Guttman and Likert scales to measure the workers' attitudes. Chi-square test was used to evaluate the relationship between knowledge, attitudes, behavior, and preparedness. Results In this study, 377 health workers were selected, the majority of respondents' education level was diploma, level 3 (257, 76.3%), and one-third of the respondents did not attend training. There are 197 (58.5%) respondents who had good knowledge, 177 (52.5%) positive attitudes, 283 (84%) good behavior, and 173 (51, 3%) well prepared. Furthermore, good knowledge, positive attitude, and good behavior had a significant correlation statistically with well prepared during the pandemic (p < 0.05). Discussion Most of the health workers in Aceh Pidie Jaya have good knowledge, positive attitudes, and good behavior that create adequate preparedness. Even though training is still very limited, educational attainment would remain the cornerstone for preparedness to encounter COVID-19.


2022 ◽  
Vol 7 (2) ◽  
pp. 150-160
Author(s):  
Putri Rahmadani ◽  
Besral Besral ◽  
Masrizal Masrizal

Background: The measles rubella (MR) immunization coverage rate in Padang City is only 30.82%, still far below Indonesia's national target of 95%. The coverage of measles rubella immunization at the Rawang Health Center is around 62.1%. This study aims to determine the role of health workers in the success of measles rubella immunization in the Rawang Public Health Center, Padang City. Methods: This study used a cross sectional design. The study was conducted in October 2018-July 2019. The research population is mothers who have children aged 12-59 months (toddlers) as many as 1807 respondents. The sampling method is proportional random sampling with a sample of 87 respondent. Data was collected by interview using a questionnaire. Results: The results showed that 37.9% of children under five had not been immunized against measles rubella and 44.8% of health workers had an unfavorable role. The results of the chi-square test showed a significant relationship  between  the role of officers in  the success of measles rubella immunization  (p-value=0.020). Recommendation: It is hoped that health workers can increase health promotion activities regarding the risks due to children not being immunized against measles rubella and intensify door-to-door programs in the implementation of measles rubella immunization


Author(s):  
Dwi Kurnia purnama Sari

Every minute of one baby indonesia died because they did not to obtain breast milk (BM) in the first hour of birth, problems in the provision of breastfeeding can because production breastfeeding not out.One way to overcome the incomplete milk production is by doing a massage of oxytocin through the back. This message can relax the mother’s so that stimulate oxcytocin reflex and milk production also smoothly. The purpose of this research to know the influence of massage oxytocin through the back to production breastfeeding on the post partum. This research using design Quasy experimental that involves 30 respondents taken with systematic random sampling. Respondents divided into 2 groups, namely the control group were 15 respondents and group experimental were 15 respondents.Data collection use observation checklist.Data analyzed using chi-square test with a significant degree α ≤ 0.05. The results of statistical tests chi square obtained p value = 0,028 (α< 0,05)thus H1 accepted that mean there are influence massage oxytocin through the back to production breastfeeding on the post partum. The research at the clinic Permata BundaSubdistrict Babat that is the massage oxytocin through the back to production breastfeeding. Because massage oxytocin through the back can stimulate reflexes oxytocin hormone. Expected for health workers can provide health education about massage oxytocin through the back to the community so later expected all the community be able to apply massage oxytocin through the back to overcome it swift sailboat production breastfeeding.


2014 ◽  
Vol 2 (1) ◽  
pp. 93
Author(s):  
Niken Enestasia Anggraini ◽  
Lucia Yovita Hendrati

ABSTRACTOsteoarthritis represent disease at most found in the world, including in Indonesia. This disease cause pain in bone and disability at patient so disturb everyday activity. One of removed occurrence  of knee Osteoarthritis  was obesity. Other factors like age, gender, physical activity, and habit smoke were risk factors of knee Osteoarthritis . This research was the relationship of obesitas and individuals factors with occurrence knee osteoarthritis at Surabaya Islamic Hospital. The methods of this research was an observation with case control design. Level of sampel was 64 which consist of 32 case group and 32  control group from incomed patient to radiology unit  Islamic Hospital Surabaya for X-Ray photo. The dependent variable was occurence of knee osteoarthritis . The independent variables were obesity, gender, age, physical activity, habit smoke. The instrument used was a questionnaire and form BMI measurement. Data analysis used Chi-Square test with α=0,05 and to know oods ratio (OR)  used statclac. The results showed significant relationship between occurence of knee osteoartritis with obesity (p=0,001,OR=7,20), age (p=0,012,OR=3,67) , gender (p=0,005,OR=4,69). For the characteristic of habit smoke (p=0,268,OR=0,56) and physical activity (p=0.919,OR=0,71) were’nt associated with  occurence of knee Osteoarthritis  at Surabaya Islamic Hospital.  The conclusion there is relationship between obesity with knee osteoarthritis  at Surabaya Islamic Hospital. Risk factor knee osteoarthritis like gender and age also there were relation with occurence of knee osteoarthritis , for the risk factor of physical activity and habit smoke were’nt relation with occurence of knee osteoarthritis. Keyword : Knee osteoarthritis, obesity, individual factors


Author(s):  
Tri Ratna Ningsih ◽  
Moh Ali Mansur ◽  
Arif Efendi

Nutrition fulfill was an important thing to be considered in increasing the nutrition status of under-fives, because under five years old children had rapid growth phase. Therefore, the intake of nutrition need to get more attention. The purpose of this research was to analyze the correlation between self-efficacy of mother from poor families with nutritional parenting pattern of under-fives in the area of Mojokerto Regency East Java. The research design used case control with case population which was poor mother with healthy under-fives and control population was poor mother with under-fives who had nutritional problems. The number of sample was 79 people for case group and 41 people for control group. The sampling technique used multi stage sampling. The data collection used questionnaire which had beed tested the validity and reliability to 30 people. The data analysis used statistic chi square test. The research result showed that the correlation of self-efficacy with good parenting pattern as many as 68 people (81,0%) the analysis result with chi square obtained uji p = 0,000, self-efficacy  with good love pattern as many as 52 people (61,9 %) the result analysis with chi square test obtained p = 0,000, self-efficacy with sharpening pattern as many as 57 people (67,9%) the analysis result of chi square test obtained p = 0,000, self-efficacy with nutritional parenting pattern as many as 44 people (52,4%) the result of analysis with chi square test obtained p = 0.001,  value of α = 0,05, meant there was correlation between self-efficacy with nutritional parenting pattern of under-fives. The nutritional parenting of under-fives was important to be considered because it had huge impact and prolonged impact on health status, physic and mental development, and also the productivity of children when they grew up, so self-efficacy was needed to give nutrition to their under-fives.


2016 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Kiki Agustin Fatmala

Leprosy elimination in several areas in Indonesia still late. It caused by knowledge, social and economic factor of Multi Drug Therapy (MDT) treatment. Leprosy treatment is very important to eliminate cases of leprosy because leprosy can be cured by taking medication regularly. If patient of leprosy take medication irregularly, leprosy bacteria can become resistant, so the symptoms will be persisted and even worse. This study was aimed to analyze the factors related with compliance of taking medicine by patient of leprosy in Disctrict Pragaan Sumenep. This study used cross sectional approach. The number of sample in this study were 40 patients who were taken with simple random sampling. Chi-square test in Statcalc of epi-info was used to know the relation between independent variables and dependent variable with (α = 0,05). Based on study result, there was asscociation between knowledge about leprosy with compliance of taking medicineby patient of leprosy (p = 0,012)). There was association between family support with compliance of taking medicineby patient of leprosy (p = 0,003).There was association between stigma with compliance of taking medicineby patient of leprosy (p = 0,000). There was association between the role of health workers with compliance of taking medicineby patient of leprosy (p = 0,014). There was asscociation between availabiliy of MDT with compliance of taking medicineby patient of leprosy (p = 0,006). The conclusion of this study was knowledge about leprosy, family support, stigma, availability of MDT were factors that related with compliance of taking medicineby patient of leprosy. Effective socialization will give patient motivations to be obedient of taking medicine. Keywords: compliance, leprosy, multi drug therapy.


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