scholarly journals Analysis Factors that Affect Preeklampsia Incident of Pregnan Women at RSUD Sultan Imaniddin Pangkalan Bun

2020 ◽  
Vol 4 (1) ◽  
pp. 64-69
Author(s):  
Santa Betty ◽  
Indasah Indasah ◽  
Yenny Puspitasari

Preeclampsia is a hypertension caused by pregnancy that is characterized by hypertension, edema,and proteinuria after the 20 week. One of the causes of maternal death is preeclampsia. The purpose of this study was to determine the factors that influence the incidence of preeclampsia at Sultan Imanuddin Pangkalan Bun The population is 236 respondents and the sample is 148 respondents with a random sampling technique. Data collection is observation. Data analysis using logistic regression test . Based on the logistic regression test results obtained a history  of  significance hypertensi  (0,000)., Gemelly significance (0.999)., Obesity significance (0.000). Simultaneously influenced the incidence of preeclampsia. The most influential variable was a history of hypertension with values (Exp.B: 131,238). History of hypertension (X1) obtained p value 0.000 <0.05 so there is a influence with the incidence of preeclampsia (Y) means H1 is accepted. Gemelly (X2) obtained p value 0.999> 0.05 so there is no influence with the incidence of preeclampsia (Y) means H1 is rejected. Obesity (X3) obtained p value 0.000 <0.05 so there is a influence with the incidence of preeclampsia (Y) means H1 is accepted The most dominant factor influenced the incidence of preeclampsia is a history of hypertension with a significance value of 0.000 <0.05 with (ExpB 131.238).

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Titin Susiyanti ◽  
Byba Melda Suhita ◽  
Nurdina Nurdina

The biggest cause of maternal mortality rates in developing countries, one of which is bleeding after childbirth or commonly called postpartum hemorrhage (PPP). This study was conducted to determine factors that influence the incidence of postpartum hemorrhage. Observational research design with a case control approach. held on 1 - 31 August 2018 with a population of 109 people and a sample of 90 mothers giving birth, sample random sampling technique. Data collection is independent and dependent variable by observation and questionnaire. Data analysis uses logistic regression test. Based on the results of logistic regression test obtained variable bleeding history postpartum p value value of 0.019, preeclampsia p value of 0.012, anemia p value of 0.009 at α = 0.05, the effect of the incidence of postpartum hemorrhage was influenced by a history of postpartum hemorrhage, preeclampsia and anemia significantly. Anemia is a dominant risk factor contributing to the incidence of postpartum hemorrhage. It is recommended that pregnant women take precautions as early as possible with regular pregnancy checks, knowing the factors preventing the occurrence of postpartum hemorrhage, be more careful to prevent complications at the time of delivery.


2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Sugiati Sugiati ◽  
Nurwijayanti Nurwijayanti ◽  
Nurdina Nurdina

Obstetric complications are complications that occur during the pregnancy process or complications that can occur after the mother gives birth, for example, KPD, Bleeding, Abortion, post date, Preeclampsia and Eclampsia and others that can cause risks to the mother and fetus that will affect labor (. The purpose of this study was to determine the effect of obstetric complications (KPD, Pre-eclampsia and Post Date) on the type of labor in Mojokasri Kawaananan, Mojokerto Regency in 2018. The design used in the study is Comparative. Population were all maternal obstetric complications (KPD, Pre Eklampsi, Post Date) in Mojokasri Hospital in June to August 2018 with a total of 186 people. The sample size is 126 respondents, using the simple random technique. Independent variables are Obstetric Complications (KPD, PEB and Post Date) the dependent variable is Type of Labor (Normal, Action, Sectio Caesarea). Data was collected using observation sheets, then analyzed using the Logistic Regression test. Statistical test results obtained from Kebidanan Complications obtained p value of 0,000 <α = 0.05, so that H0 is rejected and H1 is accepted. This means that the variable midwifery complication affects the type of labor Actions / sectio caesarea in Kawedanan Mojokasri, Mojokerto Regency


2021 ◽  
Vol 1 (02) ◽  
pp. 68-75
Author(s):  
Anissa Triani Sari

Introduction: The total number of pulmonary TB cases in Indonesia in 2019 was 562,049 cases. West Java became the top 3 provinces with the incidence of pulmonary TB in Indonesia. in Depok City there are 4,695 cases of pulmonary TB cases. Irenk Medical Center Clinic serves Pulmonary TB Referral services, with a total of 90 cases in 2019-2020. This study aims to determine whether there is a relationship between the physical condition of the house, air circulation, and history of contact with pulmonary TB patients. The benefits of this research are that it can be used as a reference and consideration in making a program that can solve problems in environmental-based pulmonary TB cases, especially in the city of Depok and information facilities add public insight in making environmental health efforts, especially the home environment. Methods: The research design used was case control, the population of this study was people with pulmonary TB, and the control population was people who did not have pulmonary TB. The sample of this study amounted to 74 respondents, consisting of 37 cases and 37 controls, the instrument used was a questionnaire and the data were analyzed by univariate, bivariate, and multivariate with logistic regression test. The variables studied included the physical condition of the house, air circulation, and history of contact with pulmonary TB patients. Multivariate analysis was performed by logistic regression test Results: There are three variables related to the incidence of pulmonary TB, namely the physical condition of the house, air circulation, and history of contact with patients with pulmonary TB. The physical condition of the house is a risk factor for the incidence of pulmonary TB with an aOR of 11.95 (2.86-50.89; p=0.039). Air circulation has an aOR value of 5.86 (1.09-31.46; p=0.000), history of contact with patients with pulmonary TB has an aOR value of 27.39 (5.42-138.48); p=0.001). Discussion: Health promotion strategies need to be carried out in the form of counseling to control the incidence of pulmonary TB. Especially in the service area of the Irenk Medical Center Clinic, Depok. The counseling is centered on improving physical conditions and air circulation in the house as well as maintaining contact with sufferers


Author(s):  
Mansyur Muhammad ◽  
Fadli Fadli

ABSTRAKTuberculosis Multi-Drug Resistnce adalah salah satu jenis resistensi basil TB terhadap setidaknya dua obat anti tuberkulosis (OAT) lini pertama yaitu isoniazid dan rifampisin, dua obat OAT yang paling efektif. Tujuan penelitian ini untuk mengetahui hubungan faktor penyebab kejadian kejadian MDR-TB. Jenis penelitian ini merupakan penelitian kuantitatif menggunakan desain observasional analitik dengan pendekatan case control. Jumlah sampel dalam penelitian ini adalah 31 responden dengan teknik pemgambilan sampel menggunakan teknik consecutive sampling. Hasil penelitian ini menggunakan uji statistik chi square dan uji multiple logistic regression. Sehingga hasil penelitian menunjukkan bahwa ada hubungan faktor dukungan keluarga terhadap kejadian MDR-TB (p value =0,021); ada hubungan faktor penegtahuan dengan kejadian MDR-TB (p=0,030); ada hubungan faktor keteraturan minum obat terhadap kejadian MDR-TB (p value =0,045); ada hubungan faktor keaktifan petugas terhadap kejadian MDR-TB (p value =0,001). Sedangan hasil uji multiple logistic regression diperoleh hasil bahwa faktor keteraturan minum obat dengan nilai p value = 0,000 dan (OR=11,218). Diharapkan petugas kesehatan memberikan konseling kepada pasien TB MDR mengenai pengobatan TB MDR, cara menanggulangi efek samping obat, serta motivasi kepada pasien TB MDR.Kata-kata kunci : Faktor resiko, tuberculosis multi-drug resistnceABSTRACTTuberculosis Multi-Drug Resistance is one type of TB bacillary resistance to at least two first-line anti-tuberculosis (OAT) drugs, namely isoniazid and rifampicin, the two most effective OAT drugs. The purpose of this study was to determine the relationship of factors causing the incidence of MDR-TB. This type of research is a quantitative study using an analytic observational design with a case control approach. The number of samples in this study were 31 respondents with a sampling technique using consecutive sampling techniques. The results of this study use the statistical test fisher's exact test and multiple logistic regression test. So the results of the study indicate that there is a relationship between family support factors for the incidence of MDR-TB (p = 0.021); there is a relationship between knowledge and MDR-TB incidence (p = 0.030); there was a correlation between the regularity of taking medication to the incidence of MDR-TB (p = 0.045); there is a correlation between the activeness factor of the officer towards the MDR-TB incidence (p = 0.001). Whereas multiple logistic regression test results showed that the regularity of taking medication with p value = 0,000 and (OR = 11,218). It is expected that health workers provide counseling to MDR TB patients regarding MDR TB treatment, how to cope with drug side effects, as well as motivation to MDR TB patients.Keywords: Risk factors, Tuberculosis Multi-Drug Resistance


2018 ◽  
Vol 13 (1) ◽  
pp. 55-61
Author(s):  
Elika Puspitasari ◽  
Mochammad Hakimi ◽  
Evi Nurhidayati

Abstact: The purpose of this study was to investigate the association ofsociodemographic factors with antenatal care visits. Types of analyticsurvey research with cross sectional design. Sampling with quota samplingwas obtained 100 trimester pregnant women 3. Bivariate analysis usingchi-square test. Multivariate analysis with logistic regression test. Theresults showed that the factors unrelated to ANC were Age (p-value =0.46), occupation (p-value = 0,55), knowledge (p-value = 0.88), andincome -value = 0.22). While the factors of education and distance ofpregnancy is related to antenatal care visit (p-value <0,02). ConclusionsAge, occupation, knowledge and income are unrelated to antenatal visitswhereas education and pregnancy distances are related to antenatal carevisits.


2021 ◽  
Vol 7 (1) ◽  
pp. 81-94
Author(s):  
Dewi Taurisiawati Rahayu

The nutritional status and health of the mother during pre-pregnancy, pregnancy, and during breastfeeding was very critical periods for children's growth and development. The aim of this research was to determine the relationship between anemia during pregnancy and the incidence of stunting. The method used in this research was observational correlational analytic, which looking for the relationship between two independent and dependent variables used a cohort-retrospective approach, with the independent variable anemia during pregnancy and the dependent variable the incidence of stunting. The research was conducted from 2 July – 29 August  2020 in Gayam  Village, Kediri Distric used MCH book instrument. Total population was 512 toddlers with judgement sampling technique as many as 88 toddlers consisted of 38 stunting and 50 non-stunting toddlers. Analysis used the Spearman Rho with the results of the Spearman value showed that total of 66 toddlers, 4 (6.1%) of stunting toddlers were found with no history of anemia, 13 (19.7%) of stunting toddlers with a history of mild anemia and 5 (7.6%) of stunting toddlers with a history of moderate anemia. Spearman rho test results p value = 0.000. This mean that the p value <α = 0.05, because the p-value <α, H1 accepted, that there was a relationship between a history of anemia during pregnancy and the incidence of stunting on toddlers. Anemia during pregnancy was very risky for the development of fetus and the development of baby that will beb born can caused stunting.  


2018 ◽  
Vol 9 (2) ◽  
pp. 164-182
Author(s):  
Hairil Akbar

Family Planning Program is an effort to measure the number and distance of child that is desired. In order to achieve this program, several options are made to prevent or delay pregnancy through the implementation of quality family planning services. The purpose of this study was to determine the factors associated with the use of contraception in couples of childbearing age in Lohbener Village, Indramayu Regency. This study applied observational-analytic study, with a cross sectional study design. The population in the study were all women of childbearing age aged 15-49 years and married, while the sample in this study were parts of women of childbearing age aged 15-49 years and married in Lohbener village, Indramayu Regency. The sampling technique was conducted using simple random sampling and logistic regression test. Based on the results of logistic regression test, factors related to the use of contraception in of women of childbearing age in Lohbener Village, Indramayu Regency were husband's support (p value = 0.000; CI: 4.229-70.362), and knowledge (p value = 0.000; CI: 3.012-34.233 ), while unrelated factors were work status (p value = 0.577; CI: 0.214-15.902), parity (p value = 0.319; CI: 0.193-1.710), and access to family planning services (p value = 0.984; CI: 0.315-3.250) with the use of contraceptives in Lohbener Village, Indramayu Regency. Therefore it is advised that women of childbearing ages over ≥ 20 years to pay more concern to their health through good family planning such as regulating the number of births, sparing pregnancies, and more actively consulting to the health workers to conduct family planning programs.


2020 ◽  
Vol 4 (1) ◽  
pp. 70-77
Author(s):  
Ikke Winar Rachmawaty ◽  
Yuly Peristiowati ◽  
Novita Ana Anggraini

The need for data and information is currently growing very rapidly both in quantity and quality. With the enactment of Law Number 14 Year 2008 regarding Openness of Public Information (KIP), the availability of data and information is needed by the public. The data and information every year changes with the times, including the Hospital Information System (SIRS). The purpose of this study was to analyze the Factors Influencing the Implementation of Online SIRS in Hospitals in the District of Kediri. The design of this study was an observational quantitative study with a cross section approach with the focus of the research directed to be analyzing the Factors Influencing the Implementation of Online SIRS in Hospitals in the District of Kediri with a sample of 166 respondents taken with the Simple Random Sampling technique. The findings found that the majority of respondents had moderate motivation as many as 91 respondents (54.8%). Most respondents have knowledge in the medium category of 112 respondents (67.4%). Most respondents had a high category reward of 93 respondents (56.1%). Most respondents had a discrepancy with the sanctions provided by 88 respondents (56.3%). Most respondents lacked in conducting SIRS Online reports as many as 141 respondents (85.3%). The results of the study using the Logistic Regression Test showed that the most influential variable with a p-value of 0.006 <0.05 then H0 was rejected and H1 was accepted so it was concluded that there was a significant effect on the motivation of officers on the implementation of SIRS online at Hospitals in Kediri Regency . The effectiveness of implementing SIRS Online in hospitals can be influenced by the motivation of officers in implementing SIRS Online, the knowledge of officers in carrying out SIRS Online, rewards and sanctions received by officers. However, to be more effective in order to increase the motivation of officers to be willing to do SIRS Online reporting routinely and correctly.


2020 ◽  
Vol 3 (2) ◽  
pp. 390-397
Author(s):  
Endri Mustofa

Hypertension is a degenerative disease which is a serious problem nowadays. Hypertension is categorized as the silent disease or the silent killer because the sufferer does not know he has hypertension or does not know before checking his blood pressure. The aim of this study was to find out the factors that affected hypertension of the Indonesian Army, Denkeslap Kesdam V / Brawijaya Malang. The research was conducted on 11-14 November 2018 at DENKESLAP Kesdam V / Brawijaya Malang, Observational study design with cross sectional approach.  The total population is 65 people and a sample of 56 people with a random sampling technique. Data collection of independent variables and dependent variables by means of observations and questionnaires. Data analysis using logistic regression test. Based on the results of the logistic regression test, the stress variable p value is 0.027; anxiety 0.033 and sleep pattern 0.39 at α: 0.05, the incidence of hypertension is significantly affected by stress, anxiety and sleep patterns. The dominant factors affecting hypertension are stress. Stress is a condition or condition of the body that is disturbed due to psychological stress. The relationship between stress and the incidence of hypertension occurs through sympathetic nerve activity. Increased nerves can increase blood pressure intermittently (erratic). So that prolonged stress can result in high sedentary blood pressure. Stress will increase peripheral vascular resistance and cardiac output so it will stimulate sympathetic nerve activity. Soldiers are advised to adopt a healthy lifestyle, exercise and maintain a diet, avoiding things that can become stressors so as to minimize hypertension


2019 ◽  
Vol 7 (1) ◽  
pp. 66-81
Author(s):  
Meylani Dewi Wowor ◽  
Ni Luh Widani ◽  
Emiliana Tjitra

Background: Chronic kidney failure (chronic renal failure) is a chronic disease that causes disruption of kidney function, so it requires kidney replacement therapy with long-term hemodialysis that must comply with fluid diets and can cause anxiety. Aims: Research to assess the effect of nursing psychoeducation on reducing anxiety levels and adherence to fluid diets in chronic renal failure patients with hemodialysis. Methods: The study was conducted in April-July 2018 in three private hospitals in Tomohon and Manado. This research is a quantitative study with a quasi-experimental pre-post test design with a control group of 112 respondents (82 in the intervention group and 30 in the control). Psychoeducation interventions are given according to the education module for 4 weeks, 2 times a week for a total of 8 meetings. Anxiety was assessed using the Beck Anxiety Inventory (BAI) questionnaire and adherence was assessed by the End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) before and after the study and weight observations at each visit. Results: Wilcoxon test results showed significant differences in anxiety levels (p <0.005) and fluid diet compliance (p <0.005) before and after the intervention. Mann Whitney test results showed no significant difference in decreasing anxiety level (p = 0.456) and increasing levels of fluid diet compliance (p = 0.495) between the intervention and control groups. The results of the ordinal logistic regression test, psychoeducation reduced anxiety levels by an OR of 6.5 times compared to the control group. The results of the binary logistic regression test, psychoeducation increased the level of adherence to the liquid diet with an OR value of 2.4 times compared to the control group. Conclusion: Psychoeducation can help reduce the level of anxiety and adherence to the fluid diet of patients with chronic renal failure with hemodialysis.


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