Correlation between intensive phase treatment of antituberculosis drugs with nutritional status of patients with tuberculosis in Kupang city

Background: Indonesia is a country with the third highest tuberculosis incident in the world. Nutritional status is very important to patients with tuberculosis, an optimal nutritional status created an optimal immune system. Lack of adequate nutritional intake, prolonged the anti-tuberculosis drug treatment and caused them to get a slower recovery. Therefore, the writer found the need of knowing the relation of intensive phase treatment of anti-tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Objectives: To know the relation between intensive phase treatment of anti tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Methods: This study was an observational analytic study with a nested cohort design conducted by 11 public health centers in Kupang City by taking secondary data from medical records. The sampling technique used consecutive sampling with 84 respondents who met the inclusion and exclusion criteria. The study was analyzed univariately, and bivariately using Mc Nemar.Results: From 84 respondents, before intensive phase tuberculosis treatment 61 respondents (72.6%) had abnormal nutrition status, and 23 respondents (27.4%) had normal nutritional status, while after intensive phase tuberculosis treatment from 84 respondents it was found that 50 respondents (59.5%) had abnormal nutrition status, and 34 respondents (40.5%) had normal nutritional status. The result of the bivariate analysis test shows a significant different in nutritional status before and after tuberculosis treatment with p value = 0.001.Conclusions: There was a significant different in nutritional status before and after tuberculosis treatment indicating that anti-tuberculosis drug treatment can affect the nutritional status of patients with tuberculosis.Cl

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STATUS GIZI, UMUR, PEKERJAAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 6-12 BULAN SAAT IBU KEMBALI BEKERJA

JURNAL KEPERAWATAN ◽

10.35790/jkp.v8i1.28408 ◽

2020 ◽

Vol 8 (1) ◽

pp. 23

Author(s):

Niwayan Ayu Damayanti ◽

Vanda Doda ◽

Sefti Rompas

Keyword(s):

Nutritional Status ◽

Exclusive Breastfeeding ◽

Sampling Technique ◽

Nutrition Status ◽

Bivariate Analysis ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Probability Sampling ◽

Chi Square Analysis

Abstract: Exclusive breastfeeding is giving ASI as early as possible after birth until the baby is 6 months old however, there were still mothers who did not exclusively breastfeed and each of them had a job. one of these studies showed that babies who were not breastfed would have a 6-10 times higher risk of dying in the first few months.This research method uses a cross sectional study design with a population of mothers who have babies aged 6-12 months. Sampling was done by non-probability sampling with pruposive sampling technique. The number of samples were 52 respondents. Data is presented in the form of Frequency Tables. Data analysis used is univariate and bivariate analysis using the chi-square analysis method. Results of research Respondents on average have a high school education. With normal nutritional status, the average mother has a age of 17-25 years, the average mother works as a private / entrepreneur. From the chi-square test results obtained p value for nutritional status ρ = 0.02 smaller than α = 0.05, p value for age ρ = 0.03, smaller than α = 0.05, and p value for work ρ = 0.03, smaller than α = 0.05. In conclusion, the results of this study indicate that there is a significant relationship between nutritional status, age, occupation and exclusive breastfeeding in infants aged 6-12 months when mothers return to work at Wilaya Work Center at Werdhi Agung Public Health Center, Dumoga Tengah District.Keywords: Nutrition Status, Age, Employment, and Exclusive Breastfeeding Abstrak: ASI Ekslusif adalah pemberian ASI sedini mungkin setelah lahir sampai bayi berumur 6 bulan namun masih didapatkan ibu yang tidak memberikan ASI secara ekslusif, dan masing-masing dari ibu tersebut memiliki pekerjaan salah satu penelitian ini menunjukan bahwa bayi yang tidak diberikan ASI akan memiliki resiko 6-10 kali lebih tinggi meninggal pada beberapa bulan pertama. Metode penelitian ini menggunakan desain penelitian cros sectional dengan populasi ibu yang mempunyai bayi usia 6-12 bulan. Pengambilan sampel dilakukan secara non probability sampling dengan teknik pruposive sampling. Jumlah sampel sebanyak 52 responden. Data disajikan dalam bentuk Frequency Table, Analisis data yang digunakan adalah analisis univariat dan bivariat dengan menggunakan metode analisis chi-square. Hasil penelitian Responden rata-rata memiliki pendidikan SMA. Dengan status gizi normal, rata-rata ibu memiliki umur 17-25 tahun, rata-rata ibu bekerja sebagai Swasta/Wirausaha. Dari hasil uji chi-square didapatkan hasil nilai p untuk status gizi ρ = 0,02 lebih kecil dari α = 0,05, nilai p untuk umur ρ=0,03, lebih kecil dari α = 0,05, dan nilai p untuk pekerjaan ρ=0,03, lebih kecil dari α = 0,05. Kesimpulan, hasil penelitian ini menunjukan ada hubungan yang bermakna antara status gizi, umur, pekerjaan dengan pemberian ASI Ekslusif pada bayi usia 6-12 bulan saat ibu kembali bekerja di Wilaya Kerja Puskesmas Werdhi Agung Kecamatan Dumoga Tengah.Kata Kunci: Status Gizi, Umur, Pekerjaaan, Dan Pemberian Asi Ekslusif

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ASUPAN ZAT GIZI, STATUS GIZI DAN STATUS KESEHATAN PADA BALITA YANG MENDAPATKAN PMT-P

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v10i1.329 ◽

2018 ◽

Vol 10 (1) ◽

pp. 089-097

Author(s):

Kiki Angreancy Aghnita

Keyword(s):

Health Status ◽

Nutritional Status ◽

Statistical Tests ◽

Sampling Technique ◽

Nutrition Status ◽

Cross Sectional ◽

Experienced Pain ◽

Before And After ◽

Feeding Program ◽

Poor Nutrition

Children who experience malnutrition disorder will experience less physicalgrowth and mental disorders. Restore additional feeding program is one of the efforts intackling the problem of poor nutrition and lack of nutrition. This study aims to evaluatethe intake of nutrients, nutritional status and health status in toddlers who get PMTRecoveryin the working area in Bengkulu City Clinics 2016. This research is descriptiveresearch with cross sectional approach. Sampling purposive sampling technique was donewith as many as 43 samples. Data were collected through a questionnaire that has beenfilled by the mother of a toddler through the interview process which was then in theanalysis are univariate and bivariat. The results showed that intake of nutrients (energy,protein, fat and carbohydrates) toddler respondents have earned PMT-P average includescategories less than a number of nutritional adequacy. Toddler health status ofrespondents have earned PMT-P was almost entirely never experienced pain during thelast month. Based on the results of the statistical tests are known that there is ameaningful difference between the nutritional status before and after nutrition status on atoddler who has been getting PMT-P in the city of Bengkulu. P-PMT program that hasbeen running should be more optimized so that nutritional problems in toddlers can behandled. The need for monitoring back on intake of nutrients, nutritional status and healthstatus of toddlers who have been getting PMT-P in an attempt to increase the success ofthe program.

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HUBUNGAN ANEMIA DENGAN STATUS GIZI PADA REMAJA PUTRI

SEAJOM: The Southeast Asia Journal of Midwifery ◽

10.36749/seajom.v3i2.11 ◽

2019 ◽

Vol 3 (2) ◽

pp. 27-32

Author(s):

Roos Arum Parasdia ◽

Puspa Sari Sari ◽

Ari Indra Susanti ◽

Merry Widjayanti

Keyword(s):

Nutritional Status ◽

Adolescent Girls ◽

Sampling Technique ◽

Simple Random Sampling ◽

Nutrition Status ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Prevalence Of Anemia

Anemia can cause a risk to adolescent girls both long term and in the short term. One of the factors influence anemia in adolescents is nutrition status. This study aims to determine of anemia in adolescent with nutritional status in adolescent girls The Design of this study is cross sectional. The sample of this study is 84 adolesent girls, people was selected by simple random sampling technique from all student at class x ech high school on 2-3 August 2016. hemoglobin levels was checked by a digital, nutritional status examination of weight and height. Data were analyzed with univariate and bivariate chi square. The results of the study shows that the prevalence of anemia in adolescent is 45.2%, nutritional status underwieght is 14,3%. There is no relationship between anemia with nutrisional status (p-value=0,649). The conclusion of this research is the prevalence of anemia is still high,and there was no significant association between anemia and nutritisional status.

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NUTRITIONAL STATUS;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.03.3253 ◽

2019 ◽

Vol 26 (03) ◽

Cited By ~ 1

Author(s):

Farah Batool ◽

Samina Kausar ◽

Shaier Khan ◽

Mansoor Ghani ◽

Meshal Margrate

Keyword(s):

Nutritional Status ◽

Study Design ◽

Immunization Coverage ◽

Sampling Technique ◽

Nutrition Status ◽

P Value ◽

Nutritional Knowledge ◽

Cross Sectional ◽

Adequate Knowledge ◽

Nutritional Status Of Children

Background: Malnutrition is one of the major public health concerns in developing countries. In Pakistan more than 38% of the children are under weight and stunted. Malnutrition in children has been found associated with nutritional knowledge of mothers. The current study has been conducted to assess the nutrition status of children from 6 months to 5 years of age. Objectives: To determine the association of child’s nutritional status to immunization and maternal nutritional knowledge. Study Design: Cross sectional descriptive study design was used. Setting: Mustafa Abad, District Kasur, Pakistan. Period: April to June 2018. Methods: Convenient sampling technique was used. For data collection a self-structured questionnaire was used. Nutritional status of children was measured in term of stunting, wasting and under-weight, according to the WHO’s criteria of malnutrition. Data were entered in SPSS version-20 and analyzed. Results: There was significant association (p-value <0.05) between child’s nutrition status with mothers’ nutritional knowledge. The majority of the mothers with adequate knowledge had children with normal nutrition status whereas the children whose mothers had poor nutritional knowledge were presented with stunting. The immunization coverage of this area was good as it was 99%. Conclusion: Malnutrition is prevalent in our children at alarming level. There is a need to improve the nutritional knowledge of mothers because it has a definite association with nutritional status of children under the age of five years.

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Correlation between Age, Sex, Status of Immunization and Nutrition with the Occurence of Pneumonia in Infants Under Two Years of Age (Baduta)

Jurnal Biometrika dan Kependudukan ◽

10.20473/jbk.v8i1.2019.42-51 ◽

2019 ◽

Vol 8 (1) ◽

pp. 42

Author(s):

Elza Nur Fitriyah

Keyword(s):

Nutritional Status ◽

Health Center ◽

Secondary Data ◽

Simple Random Sampling ◽

Bivariate Analysis ◽

P Value ◽

Children Under Five ◽

Under Five ◽

Primary Health ◽

The Relationship

Pneumonia is the leading cause of death among children under five years of age in the world. Based on Riskesdas 2007, in Indonesia the percentages of infants and children under five years who died due to pneumonia were 23.8 percent and 15.5 percent respectively. Using a non-reactive unobstructive method, this study aimed at analyzing the relationship between nutrition and the immunization status and the incidence of pneumonia among children under two years old. This study employed secondary data of Laporan Bulanan Kesehatan Ibu dan Anak dan Laporan Gizi (monthly reports of maternal care, child wellbeings, and nutritions) at Bulak Banteng primary health center in the year of 2015. The sample in this study was 604 children under two years selected using a simple random sampling method. The data was obtained by collecting data of children under two years and the incidence of pneumonia among children under two years at Bulak Banteng health center in 2015. Using a bivariate analysis, it showed that there was relationship between variables of age, sex, immunization, and nutritional status, and the incidence of pneumonia. The p value and OR variables used respectively are 0.00 OR 3.6; 0.00 OR 1.6; 0.00 OR 3.2 and 0.00 OR 16.6. The conclusion of this study is that there was a significant relationship between the variables of age, sex, immunization, and nutritional status and the incidence of pneumonia among children under two years. The advice to primary health centers is to give PMT (additional nutritious food) to children under two years without good nutritional statuses and to monitor the health status of patients who have pneumonia with home visits to avoid recurrence.

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HUBUNGAN STATUS GIZI DENGAN KEJADIAN ISPA PADA BALITA DI WILAYAH KERJA PUSKESMAS TANJUNG AGUNG KABUPATEN OGAN KOMERING ULU TAHUN 2019

Masker Medika ◽

10.52523/maskermedika.v8i1.399 ◽

2020 ◽

Vol 8 (1) ◽

pp. 233-239

Author(s):

Eichi Septiani

Keyword(s):

Nutritional Status ◽

Respiratory Tract ◽

Significant Relationship ◽

Univariate Analysis ◽

Nutrition Status ◽

Bivariate Analysis ◽

P Value ◽

Check List ◽

Chi Square ◽

Cross Sectional

Latar Belakang: Infeksi saluran pernapasan adalah penyakit infeksi yang menyerang salah satu bagian dari saluran nafas yang berlangsung selama 14 hari. Berbagai macam faktor penyebab terjadinya ISPA, salah satunya adalah status gizi yang tidak baik. ISPA merupakan salah satu penyebab utama kunjungan pasien pada sarana kesehatan. Berdasarkan data yang didapat di wilayah kerja puskesmas Tanjung Agung pada periode Januari-Maret 2019 terdapat Penderita ISPA berjumlah 391 balita. Tujuan: Untuk mengetahui Hubungan antara status gizi dengan kejadian ISPA pada balita di UPTD Puskesmas Tanjung Agung Kabupaten Ogan Komering Ulu tahun 2019. Metode: Populasi dalam penelitian adalah ibu yang memiliki balita di UPTD PuskesmasTanjung Agung Kabupaten Ogan Komering Ulu pada bulan Juli Tahun 2019 yang berjumlah 76 orang. Analisa data menggunakan analisa univariat dan analisa bivariat dengan menggunakan tabel distribusi dan uji statistik Chi-Square, dengan derajat kepercayaan 95%. Penelitian ini menggunakan metode analitik dengan pendekatan cross sectional. Pengumpulan data dengan melalui wawancara langsung terhadap responden dengan menggunakan check list yang berkaitan dengan kejadian ISPA dan pengamatan terhadap status gizi. Hasil penelitian: Variabel yang diteliti pada penelitian ini Status Gizi pada balita dan Kejadian ISPA. Pada analisa bivariat didapatkan ada hubungan yang bermakna antara Status Gizi Balita dengan Kejadian ISPA di UPTD PuskesmasTanjung Agung Kabupaten Ogan Komering Ulu pada bulan Juli Tahun 2019 dengan p value 0,023. Kesimpulan: Ada hubungan yang bermakna antara Status Gizi Balita dengan Kejadian ISPA Background: Respiratory tract infection is an infectious disease that attacks one part of the respiratory tract that lasts for 14 days. Various factors cause ARI, one of which is poor nutritional status. ARI is one of the main causes of patient visits to health facilities. Based on data obtained in the working area of the Tanjung Agung puskesmas in the JanuaryMarch 2019 period, there were 391 children with ARI. Objective: To find out the relationship between nutritional status and the incidence of ARI in infants in Tanjung Agung UPTD Puskesmas Ogan Komering Ulu in 2019. Methods: The population in this study was mothers who had children under five years old at UPTD Puskesmas Tanjung Agung, Ogan Komering Ulu Regency in July 2019, totaling 76 people. Data analysis uses univariate analysis and bivariate analysis using distribution tables and Chi-Square statistical tests, with a 95% confidence level. This research uses analytic method with cross sectional approach. Collecting data through direct interviews with respondents using a check list related to ARI events and observations of nutritional status. Results: In the bivariate analysis there was a significant relationship between Toddler Nutrition Status and ARI in UPTD Puskesmas Agung Tanjung Ogan Komering Ulu in July 2019 with p value 0.023. Conclusion: There is a significant relationship between Toddler Nutrition Status with ARI.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STATUS GIZI BALITA DI PUSKESMAS SIDOMULYO PEKANBARU TAHUN 2016

Jurnal Endurance ◽

10.22216/jen.v3i1.2074 ◽

2018 ◽

Vol 3 (1) ◽

pp. 146

Author(s):

Nelfi Sarlis ◽

Cindy Netta Ivanna

Keyword(s):

Nutritional Status ◽

Significant Relationship ◽

Sampling Technique ◽

Total Sample ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Consecutive Sampling ◽

Nutritional Status Of Children ◽

The Relationship

Based on data in 2010 show 4 million children under five are malnourished in Indonesia, 700 thousand of them suffering from severe malnutrition. The purpose of this study was to determine the factorsassociated with the nutritional status of children in the Puskesmas Sidomulyo Pekanbaru in 2016. Type of quantitative research with analyticcorrelations and in cross sectional study design.The place is in the puskesmas research Sidomulyo Pekanbaru, population that will be taken are mothers who have children numbering 280 people in the period on August to October 2015. The total sample of 165 people. The sampling technique using consecutive sampling. Analysis processing techniques with univariate and bivariate. The result of the bivariate analysis of the relationship between knowledge of the nutritional status of children, in the can P-value= 0.000, a=0,05. ThenHo is rejected and Ha received means that there is a significant relationship between knowledge of the nutritional status of children, there is a relationship between the opinion of the nutritional status of children, in the P-value=0.000, a= 0,05. Then Ho is rejected and Ha received means that there is a significant relationship between the opinion of the nutritional status of children, while the relationship between Exclusive breastfeeding with infant nutritional status, P-value= 0.709, a= 0,05. Then Ho is accepted and Ha rejected meaning there is no significant relationship between breastfeeding with infant nutritional status in Puskesmas Sidomulyo Pekanbaru 2016. Berdasarkan data tahun 2010 memperlihatkan 4 juta balita di Indonesia kekurangan gizi, 700 ribu diantaranyamengalami gizi buruk. Tujuan penelitian ini adalah untuk mengetahuifaktor-faktor yang berhubungan dengan status gizi balita di Puskesmas Sidomulyo Pekanbaru Tahun 2016.Jenis penelitian kuantitatif dengan analitik kolerasi dan desain penelitian secara crosssectional. Tempat penelitian yaitu di Puskesmas Sidomulyo Pekanbaru. Populasi yang akan diambil adalah seluruh ibu yang memiliki balita berjumlah 280 orang periode bulan Agustus hingga Oktober 2015. Jumlah sample sebanyak 165 orang. Denganteknikpengambilansampelmenggunakan consecutive sampling. Teknik pengolahan dengan analisis univariat dan bivariat. Hasil analisis bivariatterdapat hubunganantara pengetahuan dengan status gizi balita, didapat P-value = 0.000,α=0,05. Maka disimpulkan terdapat hubungan yang bermakna antara pengetahuan dengan status gizi balita, terdapat hubungan antara pendapatan dengan status gizi balita, didapat P-value = 0.000, α=0,05. Maka disimpulkanterdapat hubungan yang bermakna antara pendapatan dengan status gizi balita, sedangkan hubungan antara ASI Ekslusif dengan status gizi balita, P-value = 0.709, α=0,05. Maka disimpulkan tidak terdapat hubungan yang bermakna antara ASI Ekslusif dengan status gizi balita di wilayah kerja Puskesmas Sidomulyo Pekanbaru Tahun 2016.

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PENGARUH AROMATERAPI KENANGA (CANANGA ODORATA) TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI

Jurnal Keperawatan Priority ◽

10.34012/jukep.v3i2.1145 ◽

2020 ◽

Vol 3 (2) ◽

pp. 102-110

Author(s):

Kristina L. Silalahi ◽

Patimah Sari Siregar ◽

Fajar Amanah Ariga

Keyword(s):

Blood Pressure ◽

Diastolic Blood Pressure ◽

Statistical Tests ◽

Alternative Therapy ◽

Sampling Technique ◽

Bivariate Analysis ◽

P Value ◽

Significance Level ◽

Lower Blood ◽

Before And After

Hypertension is one of the biggest problems that cause death because many are undiagnosed and hypertensive sufferers often experience asymptomatic events causing difficulty to know the causes of hypertension. Treatment of hypertension can perform by pharmacology and non-pharmacology. Non-pharmacological treatment may be in the form of aromatherapy. This study aimed to determine the effect of aqueous aromatherapy on the decrease of blood pressure in hypertensive patients at Royal Prima Hospital Medan in 2017. The study design was quasi-experiment with one group pretest-postest design provided with aromatherapy for 10 minutes. The population consisted of 28 people. The 10 people as sampling were drawn by a purposive sampling technique. Data collection was performed by interview and observation. The bivariate analysis used was paired sample t-test with a significance level of 0.05 (5%). The results showed that the level of systolic and diastolic blood pressure before aromatherapy aqueous treatment was 156.60 mmHg and 92.40 mmHg. Systolic and diastolic blood pressure after aqueous aromatherapy administration was 142.60 mmHg and 81.80 mmHg. Based on the results of statistical tests it was found that there was a difference in blood pressure between before and after aromatherapy, {systolic, p-value = 0.000 (p <0.05) and diastolic, p-value = 0.000 (p <0.05)}. The results of this study concluded that there is an effect of giving aqueous aromatherapy (Kananga odorata) on the decrease of blood pressure in hypertension patients at Royal Prima Hospital Medan in 2017. It is suggested that aqueous aromatherapy can be applied as an alternative therapy to lower blood pressure.

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PENGARUH TEKNIK BACK MASSAGE (MASASE PUNGGUNG) TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN POST OPERASI APPENDIKSITIS DI RSU ROYAL PRIMA MEDAN 2018

Jurnal Keperawatan Priority ◽

10.34012/jukep.v2i2.548 ◽

2019 ◽

Vol 2 (2) ◽

pp. 25

Author(s):

Tiarnida Nababan ◽

Karmila Kaban

Keyword(s):

Pain Intensity ◽

Emotional Experience ◽

Sampling Technique ◽

Wilcoxon Test ◽

Bivariate Analysis ◽

P Value ◽

Experienced Pain ◽

Before And After ◽

Research Population ◽

Back Massage

Pain is an unpleasant sensory and emotional experience due to actual and potential tissue damage. One of the non-pharmacological therapies to deal with pain is the back massage technique. The technique can reduce the intensity of pain in postoperative appendicitis patients so that the therapy can provide comfort for the patient. This study aims to explore the effect of back massage technique on reducing pain intensity in patients with postoperative appendicitis. This type of research is pre-experimental using a one-group pre-post design test. The research population included 13 patients postoperative appendicitis at Royal Prima Hospital Medan in 2018. The research samples were drawn by using the Accidental Sampling technique. The research was conducted on March 2018 at Royal Prima hospital Medan. The research data were analyzed using Wilcoxon Test with a significant value of α = 0.05. The patient experienced pain before back massage was provided and after the administration of back massage technique, patient experiencing mild pain was 60% and 40% experienced moderate pain. The results of bivariate analysis showed that p-value = 0.034. This showed that there was a difference between the intensity of pain before and after the back massage technique was performed in patients with postoperative appendicitis. From the results of the above research, it is suggested that the implementation of back massage techniques has an effect on the decrease in pain intensity in patients with postoperative appendicitis. This back massage technique can be applied at hospitals as a measure of pain management which is an independent action of the nurse to handle the patient's pain.

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DAMPAK KONSELING TERHADAP TINGKAT KECEMASAN KLIEN DENGAN RISIKO TINGGI HIV AIDS DI DAERAH PARIWISATA SENGGIGI LOMBOK BARAT

Jurnal Ilmiah Mandala Education ◽

10.36312/jime.v6i1.1115 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

I Putu Artawan Prayoga ◽

Akhmad Fathoni ◽

Muhammad Sunarto

Keyword(s):

Data Analysis ◽

High Risk ◽

Medical Tourism ◽

Sampling Technique ◽

Hiv And Aids ◽

Bivariate Analysis ◽

P Value ◽

Parametric Data ◽

Before And After ◽

Spiritual Counseling

Individuals with high risk of HIV and AIDS who come to the service center VCT (Voluntary Counseling and Testing) feel worried or anxious that he has contracted HIV so he wants to know about his condition. They are usually worried or anxious about the implications of AIDS itself physically, psychologically, spiritually and socially namely the stigma and discrimination of society. Aim: this study was to determine the effect of counseling on changing anxiety levels of clients at high risk of HIV and AIDS. Methods: The design of this study was pre-experiment with one group pre-post-test design approach because before being given treatment, the client first assessed the level of anxiety, then after being given treatment the level of anxiety was re-examined, whether decreased anxiety level or not. The instrument used in this study was the HARS questionnaire. The instrument used in this study was the HARS questionnaire. The sampling technique used was purposive sampling with 21 samples. Univariate data analysis used is in the form of narration, frequency and percentage distribution tables, and bivariate analysis using parametric data analysis techniques, namely t-test dependent. Result: This study shows that from 21 respondents before and after counseling, they have a difference of 6.19 with a standar deviation of 4.98. The p value of 0.000 indicates that the value is smaller when comparing the alpha value of 5% (0.05), meaning that there are differences in anxiety before and after counseling, so it can be concluded that there is an influence of spiritual counseling on the level of anxiety in high risk clients of HIV and AIDS in the area Senggigi medical tourism center. Conclusion: provision of counseling that has been going well in order to be maintained and enhanced by holding professional counselors training regularly and continuously.

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