scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN KUNJUNGANULANG PASIEN HIPERTENSI STADIUM II DI PUSKESMAS NGOMBOL KABUPATEN PURWOREJO

2015 ◽  
Vol 11 (2) ◽  
Author(s):  
E Ernawati ◽  
Radina Kolasari

Non-compliance in on the treatment programs is a major problem of patients with hypertension. Success in controlling high blood pressure is a joint effort between the patient and the doctor in charge. Compliance of a patient suffering from hypertension can not simply be based on compliance in taking antihypertensive drugs but also it requires the active role of patients and willingness to check their health to the doctor according to a specified schedule and recommended lifestyle changes. Some factors influencing the compliance of hypertensive patients that affect complience among hypertensive patients re-visit are age, education, economy, knowledge, and attitude.The aim of this study is to determine the factors influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center Purworejo.This study used an analytical method with cross sectional correlation. Analysis of data used frequency distributions and bivariate analysis using chi square statistic test followed by logistic regression analysis.Age factor influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.102. Education influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.010. Knowledge influenced the influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.000. Attitudes influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.000. Attitudes about hypertension is the most dominant factor influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center p: 0.034. Keywords: age, education, economy, knowledge, attitude, complience to re-visit, hypertensive patients

PUINOVAKESMAS ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 54-61
Author(s):  
Meiskha Bahar ◽  
Hany Yusmaini ◽  
Sri Wahyuningsih

  Compliance with treatment is an important factor in the health of hypertensive patients. Compliance is a prerequisite for the effectiveness of hypertension therapy, whereas patient non-compliance with antihypertensive drugs is one of the main factors in the failure of therapy. There are several factors that influence medication adherence and some basic principles of therapy that need to be considered to reach the target of therapy and reduce complications of hypertension. Hypertension sufferers in the Cisalak Pasar Community Health Center are quite numerous, they are generally elementary school and not schooled (74.2%). Kidney complications and a combination of heart and kidney are also quite large, which is 40%. This study aims to determine the pattern of antihypertensive administration and the relationship of age, education level, degree of hypertension, complications and type of therapy with the level of adherence to taking medication for hypertensive patients at the Cisalak Pasar Community Health Center. The research design used in this study was a descriptive cross-sectional. The subjects of the study were essential hypertension patients at the Cisalak Pasar Health Center, Depok who met the inclusion and exclusion criteria. The results of this study are that the pattern of antihypertensive administration is in accordance with JNC 8, there is no relationship between age, education level, hypertension degree and the number of drugs taken with medication compliance, and there is a relationship between the presence or absence of complications with medication compliance


2018 ◽  
Vol 25 (1) ◽  
pp. 9-17
Author(s):  
Nurul Khairani ◽  
Santoso Ujang Effendi ◽  
Desi Kurnia Putri

This study was based on the still high nutrient deficiency of  elderly in                  the working area of  Bentiring  Community  Health  Center   Bengkulu. This study aimed to study the relationship between education and knowledge with                        nutritional  status of  elderly in  Elderly  Integrated  Service  Post  working  area  of   Bentiring  Community  Health  Center Bengkulu. The  research type was Analytical Survey and the desain of research was Cross Sectional. The population of  this  study  was  all  elderly who visited  Elderly Integrated  Service Post                in  the  working  area  of Bentiring Community  Health  Center  Bengkulu                   in January to April 2017 which amounted to 52 elderly. Sampling technique in this research used   Total  Sampling. The data collected in this study used primary data and secondary data with data analysis technique done by univariate and bivariate analysis with Chi-Square test (c²) through SPSS 16 program. The result of  this research were : from 52 elderly,  there were  35 elderly (67,3%)  with basic education, 27 elderly  (51,9%)  who had  less knowledge, 20 elderly  (38,5%)  had  less  nutritional  status, there was significant relationship  between  education  with  nutritional  status of  elderly  with  medium category, and there was a significant relationship between knowledge with nutritional status  of  elderly with close category. It was expected to Bentiring Community Health Center Bengkulu to improve health services to the elderly by providing nutrition education and medical  examination  for  elderly.  Keywords : education, elderly, knowledge, nutritional status, elderly


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


2017 ◽  
Vol 24 (3) ◽  
pp. 37-44
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Andrek Sarnandes

The impact of the incidence of anemia in pregnant women who have less knowledge during pregnancy are abortion, preterm labor, fetal and uterine disorders, low birth weight (LBW), and high maternal mortality. This study aimed to study the relationship between the level of knowledge with the incidence of anemia in pregnant women at Tanjung Kemuning Community Health Center Kaur District. This type of research was Descriptive Correlation and the design used was Cross Sectional. The data in this study used the primary data obtained by distributing questionnaires. The population in this study was all pregnant women who checked pregnancy and did not check their pregnancy at Tanjung Kemuning Community Health Center of Kaur Regency from January to June 2016 as many as 66 pregnant women. Sampling technique are Total Sampling and obtained sampel counted 35 respondents. Data analysis was done by univariate and bivariate analysis with Chi-Square test and to know closeness using Contingency Coefficient (χ2) statistic test. The result of the research showed that there were 14 respondents (40.0%) of good knowledge, and 19 respondents (54,3%) did not experience anemia. There was a significant relationship between knowledge with the incidence of anemia in pregnant women in working area of Tanjung Kemuning Community  Health  Center Kaur District with a close category. Suggestion for Tanjung Kemuning  Community  Health Center Kaur District                   to increase the intake of iron nutrition in pregnant women by doing  health promotion about  anemia  and giving  iron  tablets  to pregnant  woman. Keywords : anemia, knowledge, pregnant women


2021 ◽  
Vol 4 (4) ◽  
pp. 344
Author(s):  
Irmina Tulle ◽  
Atika Atika ◽  
Baksono Winardi

AbstractBackground: The intrauterine device (IUD) is an effective and efficient long-term method of contraception which has effect of delaying and spacing more than three years of birth. NTT is one of the province with the most dominant short-acting contraception methods usage and IUD contraceptive usage is lowest in Boawae Community Health Center. The low use of IUD can be influenced by two factors such as mother’s knowledge and husband’s support. This study aims to analyse relationship between mother’s knowledge and husband’s support. with the use of IUD. Method: This study was observational analytic study with cross sectional approach. There were 104 mothers consisted of 52 IUDs and 52 non IUDs, were selected by simple random sampling technique and assessed with questionnaire. The independent variable are mother's knowledge and husband's support, while the dependent variable is the use of IUD.  Data analysis was achieved by chi square and multiple regression logistic test. Results: The results showed that most of mothers with IUD had good knowledge as much as 67.3% and most of non-IUDs’s mothers had less knowledge of 40,4%. Husband’s support of mother’s with IUDs was 67,3% and in non-IUD’s mothers was only 15,4%. There were significant association between mother’s knowledge (p value =0,000) and husband’s support (p value = 0,000) with the use of IUD. Multiple logistic regression test showed that husband support was the most dominant factor with p value = 0,000 (p <0.05). Conclusion: There were relationship between knowledge and husband’s support with the use of IUD. Husband's support is the most dominant factor in the use of IUD.  


2019 ◽  
Vol 4 (2) ◽  
pp. 359
Author(s):  
Vina Novela ◽  
Listiani Kartika

<p><em>Malnutrition in pre-school childrenstill found in Guguk Panjang Community Health Center. This data can be found from Bukittinggi Health Office in 2017 which stated that 800 under-fives children had less nutrition. In Guguk Panjang Community Health Centerin 2017, malnutrition cases were found in 162 people. This study aims to find out some factors related to malnutrition in the Guguk Panjang Community Health Center in 2018. The type of this research was descriptive analytic with a cross sectional study design.. </em><em>The population in this reseacrh as many 1.106 population and 92 samples preschool-aged mothers</em><em>. Then, the samples were taken from purposive sampling technique. The data were analyzed by univariate and bivariate by using Chi-Square statistical test. The results of this research showed that 54.3% of them had high level of knowledge. Then, 52.2% of themhad poor parenting. Next, the mothers did not provide exclusive breastfeeding were around 63.0%. Moreover, based on bivariate analysis there was a relationship between knowledge p value 0.008), parenting (p value 0.001) history of exclusive breastfeeding with malnutrition (p value 0.021). In short, it can be concluded that there were some factors related to malnutrition in preschool children. They were knowledge, parenting, and exclusive breastfeeding history. Then, it is expected that the health workers provide more information about nutrition and education about good parenting for children and also provide brochures or leaflets about nutrition.</em></p><p><em><br /></em></p><p><em><em>Kasus gizi kurang pada anak pra sekolah masih ditemukan diwilayah kerja puskemas guguk panjang. Hal ini terlihat data dari dinas kesehatan kota bukittinggi mencatat bahwa pada tahun 2017 balita dengan gizi kurang sebanyak 800 orang. Puskesmas guguk panjang pada tahun 2017 mempunyai gizi kurang sebanyak 162 orang. Tujuan penelitian, untuk mengetahui faktor-faktor yang berhubungan dengan gizi kurang pada anak prasekolah. Jenis penelitian ini adalah deskriptif analitik dengan desain cross sectional study. Populasi dalam penelitian sebanyak 1.106 orang dengan sampel 92 orang ibu anak prasekolah. Teknik pengambilan sampel porposive sampling. Pengolahan data dengan analisisunivariat dan bivariat  menggunakan uji statistik Chi - Square.Hasil penelitian menunjukkan terdapat 54,3% tingkat pengetahuan tinggi. Ibu yang pola asuh kurang baik sebanyak 52,2% . Ibu yang tidak memberikan ASI Ekslusif sebanyak 63,0%. Dari uji statistik didapatkan ada hubungan bermakna antara pengetahuan dengan gizi kurang (p value 0,008). Ada hubungan antara pola asuh dengan gizi kurang (p value 0,001) dan ada hubungan antara riwayat pemberian ASI Eksklusif dengan gizi kurang (p value,021).Disimpulkan bahwa faktor yang berhubungan dengan gizi kurang pada anak prasekolah adalah pengetahuan, pola asuh, dan riwayat pemberian ASI Eksklusif</em></em></p><p><strong> </strong></p>


2021 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Nelly Mariati ◽  
Sarma Lumban Raja ◽  
Rina Hanum

Efforts to reduce population growth are carried out by controlling births through family planning. The contraceptive method recommended by the government is the Long Term Contraception Method (MKJP) because it is more efficient, safe, and effective. Data at the state, provincial, district / city level, as well as data from the Community Health Center, the use of non-MKJP (73.4%) is more desirable than the Long-Term Contraception Method (MKJP) (26.6%). Many factors cause someone to choose to use MKJP based on Green's theory. The purpose of this study was to analyze the factors that influence EFA in the selection of the Long-Term Contraception Method (MKJP). This type of research is an analytic survey with a cross sectional design. The research was conducted in the working area of ​​the Medan Teladan Community Health Center. The population of PUS mothers was 2,897 people, and the sample was obtained 110 people. Data analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The results showed that the variables that had an effect on the selection of MKJP in the Medan Teladan Community Health Center were knowledge (p = 0.002), family / husband support (p = 0.038), and the role of cadres (p = 0.001). The variables that had no effect were attitude (p = 0.153), accessibility (p = 0.061), and peer support (p = 0.098). The most dominant factor was the role of the cadre variable with a value of Exp (B) / OR = 8.819, which means that respondents who stated that the role of cadres was supportive had the opportunity to choose MKJP by 8.8 times higher than stating that the role of cadres was not supportive. The conclusion of this study is that the selection of MKJP by Fertile Age Couples (PUS) is influenced by knowledge, family / husband support, and the role of cadres. It is recommended that KB cadres increase counseling to husbands and wives about MKJP by offline (face to face, leaflets, brochures, etc.) and online (internet) during the Covid-19 period.  


2018 ◽  
Vol 12 (2) ◽  
pp. 84
Author(s):  
Dien Gusta Anggraini Nursal ◽  
Rahmi Kasman

High-risk pregnancy is a pregnancy with more dangerous aftermath to pregnancy/labor than normal pregnancy and labor. At Pauh Health Center work zone, there’s an increasing rate of high-risk pregnancy from 19.8% at year 2013 to 21.7% at year 2014. The objective of this research is to find out mother behavior, husband and midwife support to high-risk pregnancy at Pauh Community Health Center Padang, 2015. This study is an analytic research with cross sectional study design done in Pauh Community Health Center work zone from January to August 2015. Research population was all of pregnant women (673) in Pauh  Community Health Center work zone. Sampling technique used was purposive sampling to get 61 women. Data was analyzed using chi-square statistical test. Univariate data analysis showed 66,7% respondents had high-risk pregnancy. Bivariate analysis knowledge (p=0,011), attitude (p=0,000), husband (p=0,000), and midwives  (p=0,024) Concluded that high-risk pregnancy incident rate is still high. There’s a correlation between knowledge, attitude, husband/family supports, and midwives roles with high-risk pregnancy at Pauh Health Center work zone. It’s suggested to midwives working in Pauh Community Health Center to give more information about high-risk pregnancy.


Author(s):  
Dian Indahwati Hapsari ◽  
Ria Risti Komala Dewi ◽  
Selviana Selviana

ABSTRAKStunting merupakan salah satu permasalahan kesehatan yang menyumbang angka cukup besar di Kabupaten Sintang Provinsi Kalimantan Barat dengan prevalensi mencapai 44,1% pada Tahun 2017. Puskesmas Darajuanti merupakan Puskesmas di wilayah 3T ( Tertinggal, Terdepan, dan Terluar) yang menduduki peringkat pertama kejadian stunting khususnya di Kecamatan Sintang dengan prevalensi sebesar 27,02% pada Tahun 2017. Tujuan penelitian adalah untuk mendapatkan faktor determinan kejadian stunting pada balita di Wilayah Kerja Puskesmas Darajuanti Kabupaten Sintang. Desain penelitian menggunakan observasional analitik dengan pendekatan cross sectional. Populasi adalah seluruh balita usia 24 – 59 bulan di wilayah kerja Puskesmas Darajuanti. Sampel diambil dengan metode proportional random sampling dengan jumlah sampel 72 responden. Instrumen penelitian ini menggunakan kuisioner dengan teknik wawancara, observasi dan pengukuran dengan menggunakan microtoice. Analisis data bivariate menggunakan uji chi square dan multivariat menggunakan uji regresi logistik ganda. Hasil penelitian menunjukkan terdapat hubungan antara KEK dengan kejadian stunting (p value = 0.029), riwayat ASI eksklusif dengan kejadian stunting ( p value = 0,002), pola asuh dengan kejadian stunting (p value = 0,021 personal hygiene dengan kejadian stunting ( p value = 0,011), sedangkan tidak terdapat hubungan antara pengetahuan dengan kejadian stunting (p value = 0,593) dan riwayat imunisasi dasar dengan kejadian stunting (p value = 1,000). Hasil analisis multivariat menunjukkan variabel yang paling dominan adalah personal hygiene (OR: 12,027) dan (p value = 0.003). Kesimpulan penelitian ini adalah faktor yang paling dominan mempengaruhi kejadian stunting adalah personal hygiene.Kata-kata Kunci: Stunting, balita, Puskesmas DarajuantiABSTRACTStunting is one of the health problems that contributes to a large number in West Kalimantan. Especially in Sintang District, the prevalence reached 44.1% in 2017. Darajuanti Community Health Center is a health center that was ranked first in the stunting incidence in Sintang Subdistrict with a prevalence of 27.02% in 2017. The purpose of this study was to obtain the determinants of stunting occurrence in toddlers in the Darajuanti Community Health Center Working Area in Sintang District. The study design used observational analytics with a cross sectional approach. The population is all toddlers aged 24 - 59 months in the Dara Juanti Community Health Center work area. Samples were taken by proportional random sampling method with a sample of 72 respondents. The instrument of this study used a questionnaire with interview techniques, observation and measurement. Data analysis using chi square test. The results showed there was a relationship between KEK and the incidence of stunting (p value = 0.029), history of exclusive breastfeeding with the incidence of stunting (p value = 0.002), parenting with the incidence of stunting (p value = 0.021 personal hygiene with the incidence of stunting (p value = 0.011 ), whereas there is no relationship between knowledge with the incidence of stunting (p value = 0.593) and history of basic immunization with the incidence of stunting (p value = 1,000) The results of multivariate analysis showed that the most dominant variable was personal hygiene (OR: 12,027) .The conclusion of this study was that the most dominant factor affecting the incidence of stunting was personal hygiene.Keywords: Stunting, toddlers, Puskesmas Darajuanti


2021 ◽  
Vol 7 (3) ◽  
pp. 421-425
Author(s):  
Didah Didah ◽  
Sri Astuti ◽  
Arfina Arfina

Background : Posyandu (Integrated Service Post in Indonesian) activities are highly dependent on its cadre, in which they play a pivotal role in helping the Posyandu activities. Posyandu’s cadre also plays a pivotal role to attract the community to come to the Posyandu. The success of Posyandu could be seen in their toddlers and infants visitation rate. The visitation number of Jatinangor Community Health Center (or, “Puskesmas Jatinangor” in Indonesian) in 2017 is 64.7%, which is still lower than both the National target and the Community Health Centertarget it self. Therefore, it is necessary for the cadre to contribute in increasing the visitation rate. Purpose : This study was to determine the relationship between the role of posyandu cadres with the number of visits for infants and toddlers at the posyandu in the working area of the Jatinangor Health Center. Method :  Study is correlational analysis with the cross sectional approach with a population of 383 active cadres. The sampling method that was used in this study is the multistage random sampling and 192 samples was obtain from the calculation. This study using a questionnaire with bivariate analysis with spearman rank test. Result : The results showed there is a correlation between the cadre’s role towards the visitation rate (p = 0.000). Conclusion :  the study showed that there is a significant correlation between the cadre’s role towards the toddlers and infants visitation rate at Jatinangor Community Health Center.Suggestions for posyandu cadres to continue to improve their roles and functions during posyandu service activities so that the coverage of MCH targets increases according to what has been targeted.Keywords: The Toddlers and Infants Visitation Rate, Posyandu Cadre, The Cadre Role ABSTRAK Latar belakang : Pelaksanaan kegiatan posyandu bergantung kepada peran kader, dimana kader merupakan ujung tombak keberhasilan kegiatan posyandu. Kader memiliki peran yang besar dalam menggerakkan masyarakat untuk datang ke posyandu. Keberhasilan posyandu sendiri dapat dilihat dari jumlah cakupan kunjungan bayi dan balita. Cakupan kunjungan balita di wilayah kerja Puskesmas Jatinangor tahun 2017 sebesar 64,7%. Jumlah tersebut masih kurang dari target puskesmas maupun nasional sehingga diperlukanlah peran kader untuk meningkatkan kunjungan bayi dan balita ke posyandu.Tujuan : Penelitian untuk mengetahui hubungan peran kader posyandu dengan jumlah cakupan kunjungan bayi dan balita di posyandu wilayah kerja Puskesmas Jatinangor.Metode :  Penelitian ini adalah analitik korelatif dengan pendekatan cross sectional dengan populasi sebanyak 383 kader posyandu yang aktif. Teknik pengambilan sampel menggunakan multistage random sampling dengan besar sampel sebanyak 192 orang. Data yang diambil menggunakan kuesioner dengan  menggunakan analisis bivariat dengan  uji Spearman rank.Hasil :  Penelitian didapatkan bahwa terdapat hubungan antara peran kader dengan jumlah cakupan kunjungan bayi dan balita dengan nilai p=0,000.Kesimpulan : Terdapat hubungan yang signifikan antara peran kader dengan jumlah cakupan kunjungan bayi dan balita di wilayah kerja Puskesmas Jatinangor.Saran bagi kader posyandu agar terus meningkatkan peran dan fungsi nya pada saat kegiatan pelayanan posyandu agar cakupan sasaran KIA meningkat sesuai dengan yang telah di targetkan. Kata Kunci: Cakupan Kunjungan Bayi dan Balita, Kader Posyandu, Peran Kader


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