scholarly journals Tuberculosis Case Finding And Diabetes Mellitus Screening In Vulnerable Populations Budi Luhur Nursing Home Jambi

2021 ◽  
pp. 55-64
Author(s):  
Helmi Suryani Nasution ◽  
Rd. Halim

Background: Indonesia was ranked third in 2018 for tuberculosis (TB) incidence among other countries in the world. Indonesia is also facing non-communicable diseases (NCDs) and re-emerging disease. One of the NCDs problems in Indonesia is diabetes mellitus. These two diseases are interrelated. The prevalence of TB and diabetes mellitus in the elderly is much higher than in the other age groups. The purpose of this study was to determine the proportion of TB and diabetes mellitus and risk factors associated with each of these diseases in the elderly. Methods: The research was conducted at the Budi Luhur Nursing Home. The number population and sample is 70 people. The research design was cross-sectional. Univariate analysis was shown in the distribution of frequencies and proportions and bivariate analysis was performed using a chi-square test. Results: The proportion of TB was 2.4% while the proportion of diabetes mellitus was 14.6%. History of diabetes mellitus was associated with diabetes mellitus (p-value=0.015 and POR 7.11 (95% CI 1.543 - 32.764)). Age, gender, nutritional status, stress, physical activity, and history of TB were not associated with diabetes mellitus. Conclusion: : It is recommended to conduct other studies with a better design and to consider a research method that is suitable for the elderly.

2019 ◽  
Vol 17 (2) ◽  
pp. 134-143
Author(s):  
Tyas Aulia Hanani ◽  
Diah Ratnawati

Elderly as an individual who is at risk of encountering health problems such as diabetes mellitus because the body's functional decline requires a family health task in the form of controlling blood glucose levels that are expected to be able to overcome the problem of diabetes mellitus for the elderly. The objective of this study is to determine the relationship of the implementation of family health tasks with controlling blood glucose levels on the elderly. The research design used was descriptive-analytic with a cross-sectional approach. The population of the families who cared for and lived with elderly suffering from diabetes who are older than 60 years was 136 families, so the researchers determined the sample based on a minimum sample using the Slovin formula. The samples obtained were 102 respondents selected by the stratified random sampling method. The univariate analysis used frequency proportions, and bivariate analysis used the chi-square test. The results of this study indicate that there was a relationship between the implementation of family health tasks with controlling blood glucose levels in the elderly with diabetes mellitus with p-value = 0,000 and OR = 56,893. Based on the results of the study, it was found that the implementation of family health tasks has an important role in controlling blood glucose levels on the elderly with diabetes mellitus. The conclusion of this study was there is a significant relationship between the implementation of family health tasks and controlling blood glucose levels on the elderly with diabetes mellitus in Limo Village, Depok.


Author(s):  
Y. Widyastuti Y. Widyastuti

ABSTRACT Preeclampsia is a disease with signs of hypertension, edema, and protein urine due to pregnancy. In Indonesia preeclampsia is still one of the cause of maternal death, range 1,5 % - 2,5 %. The purpose of this study is to determine the relationship between maternal disease and a history of gravida with severe preeclampsia incidience in the General Hospital Center Dr. Mohammad Hoesin Palembang in 2012. The method used in this reserch is Analytical research with Cross Sectional Design. The Population in this research is a case of delivering mothers with severe preeclampsia and control mothers with lower preeclampsia. The number of samples is 242 maternal, 181 maternal with weight preeclampsia and 61 maternal with lower preeclampsia. The data analysis conducted univariate and bivariate statistics with Chi-Square test with significance level α = 0,05. For the univariate analysis of 242 maternal, 181 mothers ( 74,8 % ) with  severe preeclampsia.which belong to the category of mother with primigravida as much as 131 people ( 72,3 % ) and maternal with history of genetic maternal illnes of 90 people ( 49,7 % ) . while the results of the bivariate analysis, Chi-square statistical test showed that there was sifnificant association between gravida status with weight preeclampsia accident where ( p value = 0,008 ) and also significant relationship between history of genetic maternal illnes with weight preeclampsia accident where ( p value = 0,012 ). We hope this research can be turn of weight preeclampsia accident Suggestion with prevention, early diagnose and prompt treatment with Antenatal Care Consistenly.   ABSTRAK  Preeklampsia adalah penyakit dengan tanda-tanda hipertensi, edema, dan protein urine akibat kehamilan. Diindonesia preeklampsia berat masih merupakan salah satu penyebab kematian ibu berkisar antara 1,5% - 2,5 %.. Tujuan penelitian ini adalah untuk mengetahui hubungan antara status gravida dan riwayat penyakit genetik pada ibu hamil dengan kejadian preeklampsia berat di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Metode yang digunakan dalam penelitian ini adalah Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah kasus ibu hamil dengan preeklampsia berat dan kontrol yaitu ibu hamil dengan preeklampsia ringan. Jumlah sampel yang diperoleh sebanyak 242 ibu hamil, terdapat 181 ibu yang menderita Preeklampsia berat dan 61 ibu menderita preeklampsia ringan. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square melalui tingkat kemaknaan α = 0,05. Untuk hasil analisa univariat dari 242 ibu hamil, 181 ibu ( 74,8 % ) menderita preeklampsia berat. Yang termasuk kategori ibu dengan primigravida sebanyak 131 orang ( 72,3 % ) dan ibu yang mempunyai riwayat penyakit genetik sebanyak 90 orang ( 49,7 % ). Sedangkan hasil dari analisa bivariat, uji statistik Chi-Square menunjukan bahwa ada hubungan yang bermakna antara status gravida dan kejadian preeklampsia berat dimana ( p value = 0,008 ) dan ada hubungan yang bermakna antara riwayat penyakit genetik dengan kejadian preeklampsia berat dimana ( p value = 0,012 ). Hasil penelitian ini diharapkan dapat menurunkan angka kejadian preeklampsia berat tentunya dengan melakukan pencegahan dan deteksi dini melalui pemeriksaan secara  teratur.  


2018 ◽  
Vol 18 (3) ◽  
pp. 497
Author(s):  
Tina Yuli Fatmawati

Word Health Organization (WHO) estimates the incidence of Acute Respiratory Infections (ISPA) in the World with infant mortality rates above 40 per 1000 live births and 15% -20% per annum in under-five age groups. In Jambi, ISPA is the most common disease of the 10 major diseases. The purpose of this study was to determine whether there was a relationship between maternal characteristics, knowledge and smoking habits with the incidence of ISPA in infants in the Posyandu Kelurahan Kenal Asam Bawah. This reseach is a description corelation with a cross sectional design, carried out in December 2017. The sample were mothers who had toddlers aged 1-5 years who were in 2 Posyandu in Kenali Asam Bawah, with a sample of 90 respondents with Total sampling technique. Data analysis used was univariate analysis and bivariate analysis with Chi-Square test. The results showed that from 90 respondents most of the education of highly educated respondents were 61 (67.8%), most of the age of toddlers at 1-3 years old were 57 (63.3%), the majority of respondents had low knowledge of 48 mothers (53.3%), Most of them were family smokers, 62 respondents (58.9%), there was a relationship between maternal education, knowledge and smoking habits with the incidence of ISPA in infants in Posyandu Kelurahan Kenali Asam Bawah with p-value 0.023, 0.004 and 0.000 (p <0, 05). It is recommended that Puskesmas can increase activities in planning disease control programs, especially ISPA.


2021 ◽  
Vol 4 (2) ◽  
pp. 4-14
Author(s):  
Feby Esmiralda ◽  
Aila Karyus ◽  
Kodrat Pramudho

DM is a chronic metabolic disease characterized by hyperglycemia and cause serious complications with an increasing prevalence rate. Control of risk factors that affect the incidence of DM is needed to prevent the emergence of DM and delay disease complications. The purpose of this study is to determine the risk factors that influence the incidence of type 2 diabetes outpatients at the DKT Bandar Lampung Hospital. This type of research is quantitative observational analytic with a case control approach. The population came from all patients undergoing outpatient treatment at the Internal Medicine Department of the DKT Hospital in Bandar Lampung with 44 case samples and 44 control samples. Data analysis used univariate analysis with percentages, bivariate analysis with Chi Square and multivariate analysis with multiple logistic regression. The results showed that there was a significant influence between the risk factors for age (p value 0.017), hereditary history of diabetes (p value 0.03), physical activity (p value 0.002) and obesity (p value 0.001) with the incidence of type 2 diabetes, while a history of hypertension has no effect on the incidence of type 2 diabetes mellitus (p value 0.135). Meanwhile, the most dominant variable influencing the incidence of outpatient type 2 diabetes mellitus at DKT Bandar Lampung Hospital is physical activity with OR 5.29. Maximum promotive, preventive, curative and rehabilitative efforts are needed to control risk factors for type 2 diabetes


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT [Preeclampsia is a disease with signs of hypertension, edema, and protein urine due to pregnancy. In Indonesia preeclampsia is still one of the cause of maternal death, range 1,5 % - 2,5 %. Until recently, the cause of severe preeclampsia is unknown. Some risk factors include severe preeclampsia parity, age mother, gravida status, history of preeclampsia in the family, history of Genetic maternal illness and others. The purpose of this study is to determine the relationship between parity and age maternal disease weight preecklampsia mother with genesis in the General Hospital Center Dr. Mohammad Hoesin Palembang in 2012. The method used in this reserch is Analytical research with Cross Sectional Design. The Population in this research is a all maternal three semester. The number of samples is 157 maternal, 90 maternal with weight preeclampsia and 67 maternal that happen’t weight preeclampsia . The data analysis conducted univariate and bivariate statistics with Chi-Square test with significance level α = 0,05. For the univariate analysis of 157 maternal, 90 maternal (57,3%) with weight preeclampsia. Which belong to the category of mother with high resico parity as 60 maternal (38,2%), and mother with low resico parity as 97 maternal (61,8%). Mother with high resico age  as 84 maternal (53,5%), and mother with low age as 73 maternal (46,5%) . While the results of the bivariate analysis, Chi-square statistical test showed that there was sifnificant association between parity with weight preeclampsia accident where (p value=0,007) and also significant relationship between    age   maternal   with    weight      preeclampsia    accident      where. (p value = 0,000). We hope this research can be turn of weight preeclampsia accident Suggestion with prevention, early diagnose and prompt treatment with Antenatal Care Consistenly.     ABSTRAK Preeklampsia adalah penyakit dengan tanda-tanda hipertensi, edema, dan protein urine akibat kehamilan. Di Indonesia preeklampsia berat masih merupakan salah satu penyebab kematian ibu berkisar antara 1,5% - 2,5 %. Sampai saat ini penyebab terjadinya preeklampsia berat belum diketahui, beberapa faktor resiko terjadinya preeklampsia berat antara lain paritas, usia ibu, status gravida, riwayat preeklampsi dalam keluarga, riwayat penyakit genetik ibu, dsb. Tujuan penelitian ini adalah untuk mengetahui hubungan antara paritas dan usia ibu hamil dengan kejadian preeklampsia berat pada ibu hamil di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Metode yang digunakan dalam penelitian ini adalah Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang pernah di rawat di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang. Jumlah sampel yang diperoleh sebanyak 157 ibu hamil, terdapat 90 ibu hamil yang mengalami preeklampsia berat dan 67 ibu hamil yang tidak mengalami preeklampsia berat. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square melalui tingkat kemaknaan α = 0,05. Untuk hasil analisa univariat dari 157 ibu hamil, 90 ibu hamil (57,3%) menderita preeklampsia berat. Yang termasuk kategori ibu dengan paritas resiko tinggi sebanyak 60 ibu hamil (38,2%), dan ibu dengan paritas resiko rendah sebanyak 97 ibu hamil (61,8%). Ibu yang mempunyai usia resiko tinggi sebanyak 84 ibu hamil (53,5%), dan ibu yang mempunyai usia resiko rendah sebanyak 73 (46,5%). Sedangkan hasil dari analisa bivariat, uji statistik Chi-Square menunjukan bahwa ada hubungan yang bermakna antara paritas dan kejadian preeklampsia berat dimana (p value = 0,007) dan ada hubungan yang bermakna antara usia ibu hamil dengan kejadian preeklampsia berat dimana (p value = 0,000). Hasil penelitian ini diharapkan dapat menurunkan angka kejadian preeklampsia berat tentunya dengan melakukan pencegahan dan deteksi dini melalui pemeriksaan secara  teratur.    


2021 ◽  
Vol 7 (1) ◽  
pp. 91-98
Author(s):  
Nopa Arlianti ◽  
Wardiati Wardiati ◽  
Humairah Lutfia

Background: The increase in the number of elderly in the world causes a variety of problems, one of which is the low quality of life of the elderly which is influenced by several factors such as housing factors, physical and psychological conditions, and social and cultural factors. This study aims to find out the difference in the quality of life of elderly people living in communities and living in nursing home. Methods: This study uses cross-sectional design with a population consists of 2 groups, namely the elderly living in the communities and nursing home. The elderly sample in the nursing home is determined by the total method of the population. While sampling elderly samples in the communities using purposive sampling method with a sample ratio 1:1. Data collection was conducted by interview using the WHOQOL-Bref questionnaire. Univariate and bivariate analysis was used to analyze the data and t-test independent was utilized to examine the difference in the quality of life among studied groups. Result: The results showed that the average age of the elderly living in the nursing home was younger, and majority of respondents did not graduate from elementary school. Univariate analysis shows that elderly people living in the nursing home have a better quality of life compared to the elderly living in the community. Bivariate analysis showed that there is a significant differences between the quality of life of eldery people living in nursing home and in the community, both from the physical domain of the eldery (p-value: 0.0003), the psychological domain (p-value: 0.0349), the social domain (p-value: 0.0001), and the environmental domain (p-value: 0.0001). Recommandation: Efforts to improve the elderly’s quality of life are required to be done by families, communities, and governments. Thus, the elderly can go through their old age in a healthy, safe and comfortable manner.


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Weni Lidya Hendayani ◽  
Ridhyalla Afnuhazi

According to WHO (World Health Organization) depression is the third largest psychological disorder that is thought to occur in (5%) of the world's population and the onset of depression has a relationship with several factors one of which is family support. The purpose of this study was to determine the relationship of family support with the level of depression in the elderly in the Social Home Tresna Werdha Kasih Sayang Batusangkar. This research use cross sectional approach. The study was conducted at the Tresna Werdha Social House of Mother Love Batusangkar in July 2017 with a population of 53 elderly people who suffer from depression. Sampling technique with total sampling. Data processing is done computerized using computerized program. The result of univariate analysis showed that (67,9%) respondents got good support and (39,6%) respondents had moderate depression. In bivariate analysis p value = 0.008 means there is a relationship of family support with depression level in elderly. It is expected that Tresna Werdha Social Welfare officer Kasih Ibu Batusangkar to raise awareness and always give support to elderly. It is intended that the level of depression in the elderly in the Social House Tresna Werdha Valentine's Love Batusangkar decreased even none.


2018 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Juliana Juliana

<p><em>Dysmenorrhea is one of gynecological disorder which commonly found in women. The preliminary survey at SMAN 2 Bagan Sinembah revealed that many female students were absent from school because of suffering from dysmenorrhea. The objective of the research was to identify the determinants of the factors which were correlated with dysmenorrhea at SMAN 2 Bagan Sinembah, Rokan Hilir Regency, in 2016. The research used cross sectional designand 141 of them were used as the samples. The research variables were anemia, the habit of doing sport, history of family, and nutritional status. The data were analyzed by using univariate analysis, bivariate analysis, and multivariate analysis with logistic regression test. The result of bivariate analysis showed the variables of anemia (p=&lt;0.000), the habit of doing sport (p=&lt;0.000), history of family (p=&lt;0.000), and nutritional status (p=&lt;0.000), while the result of multivariate analysis showed that nutritional status had p-value=0.000 (p&lt;0.05), OR=5,508 (95% CI; 2.842-23.824). The conclusion was that there was the correlation of anemia, the habit of doing sport, history of family, and nutritional status with dysmenorrhea. The factor which had the most dominant correlation was nutritional status. The respondents should improve their knowledge of determinants of dysmenorrhea, either from their eating pattern or from their habitual actions</em></p><p><em><br /></em></p><p>Dismenorea atau nyeri haid merupakan salah satu keluhan ginekologi yang paling umum pada perempuan muda. Berdasarkan survey pendahuluan yang peneliti lakukan di SMAN 2 Bagan Sinembah banyak siswi yang izin tidak masuk sekolah, dan alasan yang didapat oleh peneliti mereka izin tidak masuk sekolah dikarenakan dismenorea yang mereka alami. Penelitian ini bertujuan untuk mengidentifikasi determinan faktor-faktor yang berhubungan dengan dismenorea di SMAN 2 Bagan Sinembah Kabupaten Rokan Hilir Tahun 2016. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel sebanyak 141 orang. Variabel dalam penelitian ini adalah, anemia, kebiasaan olahraga, riwayat keluarga dan status gizi. Analisis data digunakan secara bertahap mencakup analisis univariat, analisis bivariat, serta analisis multivariat dengan uji regresi logistik. Hasil analisis bivariat diperoleh variabel anemia (p=&lt;0,000), kebiasaan olahraga (p=&lt;0,000), riwayat keluarga (p=&lt;0,000) dan status gizi (p=&lt;0,000), sedangkan analisis multivariat menunjukkan status gizimemiliki nilai p=0,000 (p&lt;0,05), OR = 5,508 (95% CI; 2,842-23,824). Kesimpulannya adanya hubungan anemia, kebiasaan olahraga, riwayat keluarga dan status gizi dengan dismenorea, serta faktor yang paling dominan adalah status gizi. Disarankan kepada responden untuk lebih menambah pengetahuannya tentang determinan dismenorea baik dari segi menjaga pola makanannya serta kebiasaan yang dilakukannya.</p><p><em><br /></em></p>


2021 ◽  
Vol 21 (3) ◽  
pp. 1218
Author(s):  
Dwi Saputri Mayang Sari ◽  
Yudi Budianto

Placenta previa is a one of the risks in pregnancy. The research objectives are the factors that influence the incidence of placenta previa in the City Hospital of Prabumulih in 2019. The research method is analytic, using the Cross Sectional approach. The population of this research was all of the maternity mothers in the midwifery room of the Prabumulih City which were 1712 people. The research sample is part of the population of 324 people. The research instrument was a checklist. The results of the study based on univariate analysis revealed that from 324 respondents there were 53 respondents (16.4%) who had placenta previa and 271 respondents (83.6%) who did not have placenta previa, there were 22 respondents (6.8%) who were diagnosed with multiple pregnancy and 302 respondents (93.2%) who were not diagnosed with multiple pregnancy, there were 51 respondents (15.7%) who had a history of curettage and 273 people (84.3%) who had no history of curettage, there were 21 respondents ( 6.5%) who had a tumor and 303 people (93.5%) who did not have a tumor. From the bivariate analysis it is Conclusion there is a significant relationship between multiple pregnancy with the incidence of placenta previa with a P value of 0.000 <α 0.05, there is a significant relationship between the history of curettage with the incidence of placenta previa with a value of P value 0,000 <0.05 and there is a significant relationship between the tumor and the incidence placenta previa with a P value of 0,000 <0.05


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


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