scholarly journals ANALISIS PERBEDAAN BIAYA RIIL DENGAN TARIF INA-CBG’s DAN FAKTOR YANG MEMPENGARUHINYA UNTUK CHRONIC KIDNEY DISEASE PADA ERA JAMINAN KESEHATAN NASIONAL

2021 ◽  
Vol 1 (1) ◽  
pp. 6-12
Author(s):  
Indriyati Hadi Sulistyaningrum ◽  
Arifin Santoso ◽  
Binarti
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Social Security ◽  
Health Sector ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
The Real ◽  
Real Cost ◽  
Real Costs

  Background: The National Social Security System (SJSN) is a system in the health sector that aims to provide comprehensive social security in order to create a just, prosperous and prosperous society. According to WHO growth in the number of Chronic Kidney Disease in 2013 increased by 50% from 2012 even in Southeast Asia to the number of sufferers of Chronic Kidney Disease> 380 million people. While in Indonesia, it has increased by 10% every year. This study aims to determine the differences between INA-CBG rates and the real costs of JKN-era Chronic Kidney Disease patients in RSISA Semarang. Method: This research is an observational study with a retrospective analytic descriptive design with quantitative data. The method used is the Cross Sectional method that makes observations, and can describe the factors that influence the real cost of hospitals. The population was 589 patients with Chronic Kidney Disease and 238 patients and analyzed using the chi-square statistical test with p-value <0.05. Results: The results of the study that as many as 14 patients (5.9%) aged 18-28 years, as many as 50 patients (21.0%) aged 29-39 years, as many as 82 patients (34.5%) aged 40-50 years , as many as 68 patients (28.6%) aged 51-60 years, as many as 21 patients (8.8%) aged 61-70 years as many as 3 patients (1.3%) aged 71-80 years. The research results obtained a p-value of 0,000. Conclusion: There is a Difference between Hospital Real Costs and INA-CBG's Rates for Chronic Kidney Disease in JKN Era in Semarang Hospital in 2018. There are no factors that affect the real costs in chronic kidney disease patients JKN participants in 2018 both class of care, length of treatment (LOS), and disease severity.

scholarly journals Asesmen Kebutuhan Spiritual Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisa Dengan Instrumen APSN dan SPNQ

2019 ◽  
Vol 6 (1) ◽  
pp. 1-12
Author(s):  
Fatchurozak Himawan ◽  
Anggorowati Anggorowati ◽  
Shofa Chasani
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Needs Assessment ◽  
Spiritual Needs ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Spiritual Assessment ◽  
Chi Square Test ◽  
Cross Sectional Design

Patients with chronic kidney disease (CKD) undergoing haemodialysis require fulfilment of physical, psychological and spiritual needs. In the effort to meet the spiritual needs, it is necessary to do an appropriate spiritual needs assessment of the patients. Assessing a Patient’s Spiritual Needs (APSN) and Spiritual Needs Questionnaire Scale (SpNQ) are such available instruments for use in spiritual assessment. This study aimed to determine the spiritual needs of patients with chronic kidney disease undergoing haemodialysis using the APSN and SpNQ instruments. This study used a quantitative observation with a cross-sectional design. The samples were 104 patients undergoing haemodialysis for more than three months at Kardinah Hospital and RSUI Harapan Anda Kota Tegal. The results showed that the need of prayers was the highest spiritual needs in APSN in the dimension ‘divine’ as reported by 80 respondents (76.92%). Meanwhile, in SpNQ, the dimension of religiosity was rated the highest with 98 respondents (94.23%). Patients with CKD had spiritual needs in all dimensions both in APSN and SpNQ. The result of chi-square test showed a p-value of 0.170, indicating that there was no difference in the assessment of spiritual needs of patients using the APSN and SpNQ instruments. The APSN and SpNQ instruments could be further considered as alternative instruments to assess the spiritual needs of patients with CKD undergoing haemodialysis.

HUBUNGAN EFIKASI DIRI DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2018 ◽  
Vol 5 (2) ◽  
pp. 56-63
Author(s):  
Abdul Wakhid ◽  
Estri Linda Wijayanti ◽  
Liyanovitasari Liyanovitasari
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Healing Process ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Kolmogorov Smirnov

Background: Self efficacy can optimize the quality of life of clients who undergo the healing process due to chronic diseases. Individuals with higher self-efficacy move their personal and social resources proactively to maintain and improve the quality and length of their lives so that they experience a better quality of life. Objectives: the purpose of this study was to find the correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency. Metode: This type of research was descriptive correlation with cross sectional approach. The samples in this study more 76 people with total sampling technique. The data collection tool for self efficacy was measured by General Self-Efficacy scale, for quality of life with WHOQoL-BREF. Statistical test used Kolmogorov-smirnov. Result: The result showed that self efficacy in patients with chronic kidney disease was mostly in moderate category (53,9%), quality of life in patients with chronic kidney disease was mostly in good category (68,4%). There was a correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency, the result obtained p-value of 0.000 <α (0,05). Suggestion: Patients with chronic kidney disease can maintain good quality of life by helping to generate positive self-esteem and high self efficacy.

scholarly journals HUBUNGAN KOMPLIKASI INTRA HEMODIALISIS DENGAN KUALITAS HIDUP PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) STAGE V YANG MENJALANI HEMODIALISIS DI RUANG HEMODIALISA BRSU TABANAN TAHUN 2017

2018 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Kadek G Pebriantari ◽  
IGA Puja Astuti Dewi
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Significant Relationship ◽  
Chi Square ◽  
Cross Sectional ◽  
Probability Sampling ◽  
Ckd Stage ◽  
Non Parametric

ABSTRAKLatar Belakang. Hemodialisis aman dan bermanfaat untuk pasien, namun bukan berarti tanpa efek samping. Berbagai komplikasi dapat terjadi pada saat pasien menjalani hemodialisis. Komplikasi ini dapat mengakibatkan timbulnya masalah baru yang lebih kompleks, yaitu dapat mempengaruhi kualitas hidup bahkan menimbulkan kematianTujuan. Untuk mengetahui hubungan komplikasi intra hemodialisis dengan kualitas hidup  pada pasien Chronic Kidney Disease (CKD) Stage V yang menjalani hemodialisis.Metode. Jenis penelitian adalah analitik korelasional dengan pendekatan cross-sectional. Sampel pada penelitian ini berjumlah 166 responden diambil dengan teknik non probability sampling yaitu total sampling. Pengumpulan data menggunakan kuesioner dan lembar observasi,dianalisa dengan uji non parametric (Chi Square).Hasil. Rata – rata jumlah komplikasi intra hemodialisis adalah kurang dari dua komplikasi (sedikit komplikasi). Hipertensi intra hemodialisis adalah komplikasi terbanyak yang ditemukan (52,3%). Kejang dan penurunan kesadaran merupakan komplikasi yang tidak pernah dialami oleh responden selama penelitian (0%).Kualitas hidup pasien CKD stage V yang menjalani HD di BRSU Tabanan masuk dalam kategori kualitas baik. Hasil uji statistik diperoleh nilai p < 0.001 bahwa ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani HD. Dari hasil analisis diperoleh pula nilai OR = 0,005, artinya responden yang memiliki banyak komplikasi mempunyai peluang 0,005 kali memiliki kualitas hidup buruk dibanding responden yang memiliki sedikit komplikasi.Kesimpulan. Ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani hemodialisis.KataKunci: Komplikasi Intra Hemodialisis, Kualitas Hidup, Hemodialisis ABSTRACTBackground: Hemodialysis is safe and beneficial to the patient. However, there are various complications may occur when the patients undergo hemodialysis. These complications can lead to the emergence of new problems which are more complex and affect to the quality of life and even cause death.Aim: To determine the relationship of intra hemodialysis complications with quality of life in patients with Chronic Stage Kidney Disease (CKD) Stage V who undergo hemodialysis.Method:This study employed correlational analytic design with cross-sectional approach. To conduct this study, there were 166 respondents recruited as the sample by using probability sampling with total sampling technique. The data were collected by using questionnaire and observation sheet. Further, the data were analyzed by non-parametric test (Chi Square).Finding: The findings indicated that the average number of intra hemodialysis complications is less than two complications (few complications). There were found that 52.3% patients who had complication of hypertension intra hemodialysis. On the other hand, there was 0%of the respondents experienced seizures and decreased awareness complications during the study. The quality of life of CKD stage V patients underwenthemodialysis at BRSU Tabanan is categorized as good quality. The statistical test obtained p <0.001, it meant that there was a significant relationship between intra hemodialysis complications with quality of life in patients underwenthemodialysis. It also found that the analysis results of OR = 0.005, it meant that respondents who had many complications have a chance of 0.005 times experienced poor quality of life rather than the patients who had few complications.Conclusion: There is a significant relationship between intra hemodialysis complications and quality of life in patients undergo hemodialysis. Keywords: Complications of Intra Hemodialysis, Quality of Life, Hemodialysis

scholarly journals Analysis Work Pressure of Hospital Employees During the Covid-19 Pandemic Study of Hospitals in Indonesia

2021 ◽  
pp. 82-88
Author(s):  
Suryono ◽  
Bambang Wiseno ◽  
Fannidya Hamdani Zeho
Keyword(s):  
Univariate Analysis ◽  
Health Sector ◽  
Sampling Technique ◽  
Medical Personnel ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hospital Employees ◽  
Work Pressure

The ongoing COVID-19 pandemic has had a very significant impact on every area of ​​the organization, especially the health sector, especially hospitals. One of the impacts experienced is the work pressure felt by hospital employees. This study aims to analyze the work pressure experienced by hospital employees during the covid-19 pandemic which was obtained from the type of work and stressor factors that influenced it. This type of research was quantitative with a cross sectional approach. The sample of this study was 120 employees at Hospital "X" in Indonesia. The sampling technique is probability sampling with random sampling method. Univariate analysis test was used to see the distribution of frequency and percentage of each variable and bivariate analysis with chi-square test to determine the relationship between variables (p value <0.05). It was found that the type of employee's work was significantly related to the employee's work pressure. Then an analysis of the level of work pressure is carried out with the influencing work pressure stressor. Based on the Spearman Correlation Test, a correlation value of 0.589 with a sig value of 0.000 means that the sig value is smaller than 0.05 (0.000 <0.05) indicating that there is a significant effect between stressor and work pressure at Hospital "X". The cause of high work pressure from this type of work is the demands of the organization in relation to the high role of tasks, especially medical personnel, which increases during the pandemic. Then the stressor factors that influence are role overload, role conflict and role ambiguity caused by the demands of the duties and roles of employees, poor communication, and lack of direct guidance from the leadership on the tasks and regulations given.

scholarly journals Differences in the quality of life of chronic kidney disease patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Ika Setyo Rini ◽  
Titik Rahmayani ◽  
Efris Kartika Sari ◽  
Retno Lestari
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Peritoneal Dialysis ◽  
Kidney Disease ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Life Quality ◽  
P Value ◽  
Minimal Amount ◽  
Cross Sectional

Background: Chronic kidney disease (CKD) is defined as a progressive disease that causes renal failure and requires extended and long-term therapies. CKD patients need to choose one of these therapies to improve their quality of life. This study aims to investigate differences in the quality of life of chronic kidney disease patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis (CAPD).Design and Methods: The study design used is similar to the cross-sectional design. Therefore, in this study observations were carried out, a EQ_5D life quality questionnaire sheet was administered to respondents, and a purposive sampling method was used. The total number of respondents was 250 and consisted of 125 hemodialysis and CAPD patients each.Results: The results obtained using the Mann Whitney method was a p-value (0.515)> α (0.05). These results also included five components, namely the ability to move/walk to an acceptable degree, adequate self-care, performance of usual activities, minimal amount of pain/discomfort during hemodialysis and CAPD, and acceptable levels of anxiety/sadness.Conclusions: This research concludes that there is no difference in the quality of life between CKD patients  undergoing hemodialysis and CAPD.

scholarly journals Hubungan antara Kadar 25-OH D3 dengan Derajat Fungsi Ginjal pada Pasien Lupus Sistemik Eritematosus

Sari Pediatri ◽  
2020 ◽  
Vol 21 (4) ◽  
pp. 213
Author(s):  
Aninditya Dwi Messaurina ◽  
Agung Triono ◽  
Retno Palupi Baroto ◽  
Cahya Dewi Satria ◽  
Sumadiono Sumadiono
Keyword(s):  
Chronic Kidney Disease ◽  
Vitamin D ◽  
Kidney Disease ◽  
T Test ◽  
Chi Square ◽  
Cross Sectional

Latar belakang. Defisiensi vitamin D banyak ditemukan pada anak lupus eritematosus sistemik (LSE) dibandingkan dengan anak normal. Berbagai penelitian membuktikan defisiensi vitamin D berkontribusi terhadap perkembangan chronic kidney disease. Belum ada penelitian hubungan vitamin D dengan derajat fungsi ginjal pada anak Lupus. Tujuan. Mengetahui hubungan antara 25-hidroksivitamin D dengan derajat fungsi ginjal pada anak Lupus.Metode. Menggunakan desain cross sectional dengan melibatkan 62 anak Lupus di bagian Ilmu Kesehatan Anak RSUP Dr. Sardjito yang telah mendapatkan protokol dari Januari 2014 sampai April 2018. Hubungan antara kadar serum 25-hidroksivitamin D dan derajat fungsi ginjal dianalisis menggunakan Independent T-test, sedangkan jenis kelamin, kalsium, steroid, dan aktivitas penyakit dengan uji chi-square. Defisiensi vitamin D didefinisikan konsentrasi 25-hidroksivitamin D<20 ng/ml, sedangkan gangguan ginjal didefinisikan GFR<90/ml/mnt/1.73m2.Hasil. Sebagian besar subyek berjenis kelamin perempuan, 93,5% vs 6,5% dengan rerata usia 14,6±3,1 tahun, dan rerata skor Mex-SLEDAI 7,6±5,6. Secara keseluruhan 66% subyek penelitian mengalami defisiensi vitamin D. Analisis dengan Independent T-tes menunjukkan rerata vitamin D yang mengalami gangguan ginjal 14,14±4,9 lebih rendah dibandingkan normal dengan rerata 19,43±10,3 dengan perbedaan yang bermakna p=0,004. Jenis kelamin, kalsium, steroid, dan aktivitas penyakit tidak berpengaruh signifikan terhadap derajat fungsi ginjal, p>0,05.Kesimpulan. Terdapat hubungan signifikan 25-hidroksivitamin D dengan derajat fungsi ginjal pada anak lupus.

scholarly journals Faktor-Faktor yang Berhubungan dengan Motivasi Kerja Tenaga di Bidang Kesehatan di Rumah Sakit (Risnakes 2017)

2020 ◽  
pp. 23-30
Author(s):  
Made Ayu Lely Suratri ◽  
Vebby Amelia Edwin ◽  
Galih Ajeng Kencana Ayu
Keyword(s):  
Work Motivation ◽  
Health Workers ◽  
Health Sector ◽  
Easy Access ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Study Population ◽  
High Motivation ◽  
Internal And External Factors

Abstrak Motivasi merupakan suatu proses psikologis pada diri seseorang yang dipengaruhi oleh berbagai faktor. Motivasi individu sangat dipengaruhi oleh faktor internal maupun eksternal. Tujuan dari analisis ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan motivasi kerja tenaga di bidang kesehatan di rumah sakit.Desain penelitian potong lintang. Sampel penelitian adalah petugas kesehatan di rumah sakit pemerintah dan swasta di seluruh Indonesia, masing masing berjumlah 30 orang di 2.325 rumah sakit. Pengambilan data dengan cara wawancara dan pengisian kuesioner oleh responden. Analisis data menggunakan analisis Chi-square dan multivariat regresi logistik. Total 66.994 responden direkrut dan didapatkan hasil, proporsi yang tinggi untuk tenaga di bidang kesehatan dengan motivasi tinggi di rumah sakit umum, lebih besar daripada tenaga di bidang kesehatan yang bekerja di rumah sakit khusus, (p-value=0,049), dengan OR= 1,051(95% CI 1,001–1,103). Tenaga di bidang kesehatan yang bekerja di rumah sakit terakreditasi memiliki proporsi motivasi tinggi lebih besar daripada tenaga di bidang kesehatan yang bekerja di rumah sakit tidak terakreditasi, (p=0,0001), dengan OR= 1,122 (95% CI 1,079–1,167). Tenaga di bidang kesehatan yang memiliki akses ke rumah sakit yang mudah, memiliki proporsi motivasi tinggi yang lebih besar daripada yang memiliki akses yang sulit, (p=0,0001, dengan OR= 1,165 (95% CI 1,081–1,255). Waktu perjalanan tenaga di bidang kesehatan ke rumah sakit tidak bermakna dengan motivasi kerja (p = 0,582). Jenis rumah sakit, akreditasi rumah sakit, dan akses ke rumah sakit berhubungan dengan motivasi kerja dari tenaga di bidang kesehatan di rumah sakit. Kata kunci: rumah sakit, tenaga di bidang kesehatan, motivasi kerja Abstract Motivation is a psychological process in someone and is influenced by various factors. Those factors could be both internal and external factors. The purpose of this analysis is to find out the factors associated with the work motivation of employees in the health sector in the hospital. The study design was cross-sectional. The study population was employees in the health sector in government and private hospitals throughout Indonesia. Thirty employees in the health sector were selected from each hospital in 2.325 hospitals. Data was collected by interviewing respondents using a structured questionnaire and a self-administered questionnaire. A total of 66.994 respondents were interviewed. The results showed that employees in the health sector in general hospitals had a higher proportion of high motivation than health workers in special hospitals (p-value = 0.049), with OR = 1.051 (95% CI 1.0011.103). Those who worked in accredited hospitals had a higher proportion of high motivation than health workers in hospitals that were not accredited (p= 0.0001), with OR= 1.122 (95% CI 1.079-1.167). Employees in the health sector who had easy access to hospitals, had a greater proportion of high motivation than those with difficult access, (p= 0.0001), with OR= 1.165 (95% CI 1.081-1.255). Travel time to the hospital was not significantly associated with work motivation (p= 0.582). The type of hospital, hospital accreditation, and access to the hospital were associated with the work motivation of employees in the health sector in the hospital. Keywords: hospital, employees in the health sector, work motivation

scholarly journals Gambaran tingkat depresi terhadap kejadian peningkatan interdialytic weight gain pada pasien Penyakit Ginjal Kronik yang menjalani hemodialisis di Rumah Sakit Umum Dr. Zainal l Abidin, Banda Aceh

2020 ◽  
Vol 20 (2) ◽  
Author(s):  
Maryatun Hasan
Keyword(s):  
Chronic Kidney Disease ◽  
Weight Gain ◽  
Kidney Disease ◽  
Public Hospital ◽  
Rating Scale ◽  
P Value ◽  
Cross Sectional ◽  
Interdialytic Weight Gain ◽  
Hamilton Rating Scale ◽  
Banda Aceh

Abstrak. Penyakit ginjal kronis (PGK) merupakan penyakit yang dapat mengakibatkan penderitanya mengalami stress jangka panjang dan akhirnya bermanifestasi menjadi depresi. Depresi yang ditimbulkan dapat mempengaruhi perilaku pasien dalam hal pengaturan cairan sehingga dapat berakibat terhadap peningkatan Interdialytic Weight Gain (IDWG). Jika IDWG meningkat maka akan menimbulkan komplikasi yang dapat menghambat keberhasilan terapi hemodialisis.  Penelitian ini bertujuan untuk mengetahui gambaran tingkat depresi terhadap terjadinya peningkatan Interdialytic Weight Gain pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh. Jenis penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan pada bulan Desember 2019 menggunakan teknik accidental sampling dengan responden adalah pasien di unit hemodialisis RSUDZA Banda Aceh. Pengumpulan data dilakukan dengan menggunakan kuesioner Hamilton Rating Scale for Depression kemudian dilakukan analisis univariat untuk mengatahui gambaran dari penelitian dan bivariat dengan menggunakan uji korelasi Spearman. Berdasarkan hasil analisis statistik dengan menggunakan uji Spearman, didapatkan p value sebesar 0,000 (p0,05) dengan koefisien korelasi Spearman sebesar 0,729. Hal ini menunjukkan adanya hubungan yang signifikan antara tingkat depresi dengan peningkatan IDWG pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh.Kata Kunci: Penyakit Ginjal Kronis, Hemodialisis, Depresi, Interdialytic Weight GainAbstract. Chronic kidney diasease (CKD) might cause stress which generally leads to depression. Depression is correlated to significant impairment in a patient's daily life, such as excessive Interdialytic Weight Gain (IDWG) caused by an overload of fluids. Excessive Interdialytic Weight Gain might also cause other complications that are able to interfere the process of hemodialysis therapy. The objective of this research was to identify the overview of and the correlation between depression types and Interdialytic Weight Gain (IDWG) of the chronic kidney disease patients undergoing hemodialysis therapy in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh. This descriptive analytical research was conducted by means of a cross-sectional study approach. The data were collected in December 2019 by using an accidental sampling technique. The data were collected by distributing the Hamilton Rating Scale for Depression. Those data were then analyzed by using a univariate data analysis and a bivariate data analysis, especially the Spearman Correlation Coefficient. Based on the statistical analysis with the Spearman test, p-value of 0.000 (p0.05) with a Spearmen Correlation Coefficient of 0.729 was found. Hence, a significant correlation between depression levels or types and IDWG in chronic kidney disease patients undergoing hemodialysis in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh was indicated.Keywords: Chronic Kidney Disease, hemodialysis, Depression, Interdialytic Weight Gain

scholarly journals Clinico-biochemical profile of chronic kidney disease patients in elderly age group in a tertiary care centre

2019 ◽  
Vol 7 (11) ◽  
pp. 4227
Author(s):  
Atul V. Rajkondawar ◽  
Amit Yele
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Elderly Patients ◽  
Tertiary Care ◽  
P Value ◽  
Age Group ◽  
Elderly Age ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Significant Difference

Background: Chronic kidney disease (CKD) remains one of the major health problems in India. Renal function steadily deteriorates as age advances and advancing age has been indicted to have adverse implications in the disease progression to end stage renal disease (ESRD). With the present study, clinico-biochemical profiling of chronic kidney disease patients in geriatric age group as well as comparison with non-elderly patients was undertaken.Methods: In this cross-sectional observational study, 100 patients of CKD admitted in the tertiary care study centre were enrolled consecutively and assessed for symptoms, signs and biochemical parameters over two years. Study subjects were divided into two groups:- Group 1: Elderly patients- aged 60 years or more, and Group 2: Non-elderly patients- less than 60 years of age. Relevant comparisons were drawn statistically and tested for significance.Results: Pallor and pedal edema were observed to be the commonest clinical features across groups. Elderly group shows higher prevalence of severe anaemia (mean hemoglobin- 7.4 gm%). Higher prevalence of clinical and biochemical derangement was found in patients with relatively lower GFR. Elderly age group also had more prevalence of electrolyte abnormalities compared with non-elderly population, with statistically significant difference observed for hyponatremia (p value- 0.023), hypoproteinemia (p value- 0.0078) and blood urea level (p value- 0.0054).Conclusions: Understanding beforehand the biochemical abnormalities associated with old age in CKD patients helps in appropriate modifications in patient management.

scholarly journals PENGEMBANGAN MODEL MOTIVASI JUMANIOR (JURU PEMANTAU JENTIK JUNIOR) DALAM PERILAKU PSN (PEMBERANTASAN SARANG NYAMUK) AEDES AEGEPTY BERBASIS INTEGRASI MODEL LAWRANCE GREEN DAN Mc. CLELLEAND

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Nian Afrian ◽  
Dhina Widayati ◽  
Dwi Setyorini
Keyword(s):  
Dengue Fever ◽  
School Environment ◽  
Health Sector ◽  
Cross Sectional Study ◽  
P Value ◽  
School Students ◽  
Chi Square ◽  
Cross Sectional ◽  
Positive Direction ◽  
Environment And Health

Dengue fever is a disease in humans caused by a virus that infects an estimated 50 million people in the tropics and sub-tropics every year. Aedes aegypti is the main vector of the disease that has a high adaptability to cans in breeding. Various attempts have been made to reduce the incidence of this disease, including PSN (mosquito nest elimination), fumigation, and abatisasi but in fact until now the incidence of dengue fever is still quite high. The purpose of this study to determine the relationship of knowledge and attitude with motivation of Jumanior to elimination nest mosquito in SD NU and Nurul Islam Pare. This research method using correlational design with cross sectional study. The sample in this study is Jumanior (elementary school students as larva monitoring juniors) of 40 people obtained by purposive sampling. The dependent variable are the knowledge and attitudes, independent variable is Jumanior’s motivation measured in the implementation of PSN by questionnaire. Data analized with a statistical test Chi Square. The results showed relationship between the level of knowledge and motivation with strong relationships and a positive direction (cc= 0.733 and p-value = 0.002) and relationship between attitude and motivation with the power relationships in a strong category, positive direction, (cc = 0.724 and p value = 0.014). Jumanior with good knowledge about the prevention of dengue fever will affect the attitude which will lead to Jumanior in implementing PSN. PSN should be included in the material in UKS or extracurricular engaged in the health sector, so that it can be a medium of information for students who play an important role in this regard as change agent in the home environment and health to maintain a healthy school environment.

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