scholarly journals Risk Factor for Chronic Kidney Disease in Internist Polyclinic Patient at Rumah Sehat Terpadu Dompet Dhuafa Hospital in 2021

2021 ◽  
Vol 1 (1) ◽  
pp. 125-136
Author(s):  
Dessy Marlinda Cahaya ◽  
Munaya Fauziah

Based on the data reports of Riset Kesehatan Dasar, the national prevalence of CKD in Indonesia is 0.38%. The province of West Java is in the 8th rank of 34 other provinces, its prevalence is 0.48%. The number of new cases of CKD at the Rumah Sehat Terpadu Dompet Dhuafa Hospital in 2020 increased from 47 people to 51 people. The object of this study is to identify the risk factors that can affect the incidence of CRF in the Rumah Sehat Terpadu Dompet Dhuafa Hospital, the Year 2021. Case-control design with 91 respondents as the control group and 91 respondents as the case group, the source of the data come from the medical records of RST DD Hospital. The sampling technique used is simple random sampling. The data analysis technique used is the chi-square test with = 0.05. The influence of a history of diabetes mellitus (p-value = 0.002; OR :2.810; 95%CI: 1.493 – 5.287), history of hypertension (p-value = 0.005; OR :2.796; 95%CI: 1.407 – 5.557), history of obstructive nephropathy (p-value = 0.018; OR: 0.205; 95%CI: 0.056 – 0.744) against CKD. The risk factors that influence the incidence of CKD in the Rumah Sehat Terpadu Dompet Dhuafa Hospital are a history of diabetes Mellitus, hypertension, and obstructive nephropathy. The community must implement the Pola Hidup Bersih dan Sehat as their lifestyle. Health workers need to give an education on health to the community, especially for at-risk populations.

2016 ◽  
Vol 5 (2) ◽  
pp. 90 ◽  
Author(s):  
Nuning Saraswati ◽  
Mardiana Mardiana

Abstrak   Kejadian preeklampsia di Kabupaten Brebes meningkat dari tahun ke tahun. Pada tahun 2011 sebanyak 215 kasus (1.547 persalinan), tahun 2012 sebanyak 170 kasus (1.957 persalinan), tahun 2013 sebanyak 225 kasus (1.811 persalinan) dan tahun 2014 sampai dengan bulan September sebanyak 180 kasus (1.316 persalinan). Tujuan penelitian ini adalah mengetahui faktor risiko yang berhubungan dengan kejadian preeklampsia pada ibu hamil di RSUD Kabupaten Brebes tahun 2014. Jenis penelitian ini adalah survey analitik dengan pendekatan case control . Sampel sejumlah 145 orang untuk masing-masing kelompok kasus dan kontrol yang diambil dengan teknik simple random sampling. Analisis data menggunakan uji chi square dengan derajat kemaknaan (α) = 0,05. Hasil penelitian menunujukan bahwa faktor risiko yang berhubungan dengan kejadian preeklampsia adalah umur (p value = 0,0001; OR = 15,731), status gravida (p value = 0,009; OR = 2,173), riwayat keturunan ( p value = 0,033; OR = 2,618), pemeriksaan antenatal ( p value = 0,0001; OR = 17,111), riwayat preeklampsia (p value = 0,0001; OR = 20,529), riwayat hipertensi ( p value = 0,0001; OR = 6,026). Variabel yang tidak berhubungan adalah jenis pekerjaan, tingkat pendidikan, riwayat diabetes mellitus, dan riwayat kehamilan ganda.   Abstract   The incidence of preeclampsia in Brebes District was increasing from year to year. In 2011 there were 215 cases (1,547 births), in 2012 there were 170 cases (1,957 births), in 2013 there were 225 cases (1,811 births) and until September 2014 there were 180 cases (2,316 births). The purpose of this research was to determine the risk factors associated with the incidence of preeclampsia in pregnant women from Brebes district hospital in 2014. This research was an analytical survey with case control approach. The total sample was 145 people for each case and control group which was taken with simple random sampling technique. The data was analyzed using chi-square test with α = 0,05. The results of this research showed that the risk factors associated with the incidence of preeclampsia was age (p value = 0,0001; OR = 15,731), gravida status (p value = 0,009; OR = 2,173), heredity profile (p value = 0,033; OR = 2,618), antenatal examination (p value = 0,0001; OR = 17,111), history of preeclampsia (p value = 0,0001; OR = 20,529), history of hypertension (p value = 0,0001; OR = 6,026). The variables that were not related was the type of work, level of education, history of diabetes mellitus, and history of multiple pregnancy.


2021 ◽  
Vol 5 (4) ◽  
pp. 119-122
Author(s):  
Dhiana Setyorini ◽  
Intim Cahyono ◽  
Jenie Palupi ◽  
Nur Hasanah

One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the reason that underlies an action done by an individual. The method used was quasi-experimental using 2 groups. This study used the non equivalent control group, pre test post test design. The population in this study were 2220 posyandu cadres in the working area of the health centers in the Jember District. The subjects of this study were 100 posyandu cadres in Jember district in 2019 who met the criteria. The sampling technique was carried out by simple random sampling by selecting from a list of names of cadres in each health center. There was differences (p-value = 0.021) of cadre motivation between treatment and control group. The cadre motivation of intervention group was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The cadre motivation of treatment group increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals. Keywords: cadre motivation; DABA method; childbirth referrals


2019 ◽  
Vol 7 (4) ◽  
pp. 79
Author(s):  
Hasri Yulia Sasmita ◽  
Irma Prasetyowati ◽  
Pudjo Wahjudi

Tuberculosis (TB) is one of cause of death in infectious disease domain. The control of TB is complicated because the inclination of case numbers people with Diabetes Mellitus. Diabetes Mellitus (DM) is an important risk factor for TB development, with prove that more than ten percent of TB patient is DM patient. People with DM have risk three times more likely to suffer from TB than people without DM. The results of TB treatment with comorbid DM will be easier to be failed. Puskesmas Patrang have the highest bacteriologically confirmed BTA TB cases and DM cases in Jember during 2014 until 2016. The aim of this research is to know the DM prevalence in TB patients and to analyze the correlation between DM risk factors in TB patient to TB-DM incidence at Puskesmas Patrang Jember in 2017. The research uses observasional analytic with cross sectional approach. The sampling technique uses simple random sampling with 47 samples. The independent variables include respondent characteristics (age, sex, type of TB, medication category, and family history of DM), central obesity and smoking behavior. While the dependent variable is the DM status. The result shows that the prevelance of DM in TB patients at Puskesmas Patrang Jember regency is 23,4%. Factors associated with TB-DM are age (p-value = 0,012), family history of DM (p-value = 0,003), and smoking status (p-value = 0,035). Factors that do not associated with TB-DM are sex (p-value = 0,731), type of TB (p-value = 0,170), treatment category of TB (p-value = 0,560), central obesity (p-value = 0,435), the number of cigarette (p-value = 1,000) and smoking duration (p-value = 1,000). The most important factor of TB-DM is family history of DM that 10,850 times higher of getting TB-DM than patients without family history of DM.


2020 ◽  
Vol 6 (1) ◽  
pp. 60-67
Author(s):  
Liyusri ◽  
Tasnim ◽  
Sultan Akbar Toruntju

Cases of low birth weight (LBW) are at risk of increasing mortality and morbidity, it is necessary to identify identification of LBW incidence factors. This study analyzed the risk factors for LBW events. This research is a study consisting of two groups and case control designed with a case study design. The population is mothers who have been collected with a sample of 54 respondents divided into two case groups and a control group. Sampling in the study group with a simple random sampling technique and in the control group took samples that matched the age group so that they obtained the same number of samples between the case group and the control group. Variables published were age at pregnancy, parity, diet  and disease history, analysis of data using Odd Ratio and multivariate logistic regression (a = 0.05).Factors associated with low birth weight during pregnancy were age (p = 0.013), parity (p = 0.002), diet (p = 0.001) and disease history (p = 0.000). The results of logistic regression analysis showed that the age during pregnancy was a risk factor for LBW and the most influential factor (OR = 13,311; 95% CI 1,753-101,080). age (<20 and> 35 years) has a risk of 13 times giving birth to babies with low births compared to mothers aged 20-35 years. It is expected that the mother avoids the risk of pregnancy at age (<20 years and> 35 years) and the dissemination of related health workers about risky pregnancies to reduce the risk of LBW. Keywords : Age; parity;diet; history of disease; LBW.


2013 ◽  
Vol 7 (10) ◽  
pp. 453
Author(s):  
Nurul Aeni

Angka Kematian Ibu (AKI) di Kabupaten Pati bergerak fluktuatif dan menunjukkan status tertinggi pada tahun 2011 dengan 126 per 100.000 kelahiran hidup. Tujuan penelitian ini adalah menggambarkan kematian ibu di Kabupaten Pati dan menganalisis faktor risiko kematian maternal di Kabupaten Pati Tahun 2011. Penelitian menggunakan pendekatan observasional analitik dengan metode kasus kontrol. Jumlah sampel adalah 24 untuk setiap kelompok kasus dan kelompok kontrol. Analisis data menggunakan uji univariat, bivariat dan multivariat. Hasil dari penelitian adalah tiga penyebab utama kematian ibu di Kabupaten Pati adalah penyakit jantung, preeklamsi/eklamsi, dan perdarahan. Kematian ibu tersebar di 16 kecamatan dari 21 kecamatan yang ada dan sebagian besar kematian terjadi pada masa nifas. Analisis regresi logistik menunjukkan bahwa faktor yang berpengaruh terhadap kematian ibu adalah komplikasi kehamilan (OR = 12,198, nilai p = 0,010), komplikasi persalinan (OR = 9,94, nilai p = 0,020) dan riwayat penyakit (OR = 27,735, nilai p = 0,011). Secara bersama-sama, ketiga variabel tersebut berkontribusi terhadap 64,3% kematian ibu yang terjadi di Kabupaten Pati Tahun 2011.Maternal Mortality Ratio (MMR) of Pati Regency fluctuated and showed the highest state in 2011 with 126 per 100.000 live births. This research aimed to describe maternal mortality cases in Pati Regency and to analyze risk factors of maternal mortality happened in 2011. This research used observational analysis, i.e. cases control study. The number of samples was 24 in each of case group and control group. Data was analyzed with univariate, bivariate, and multivariate. This research resulted that three major causes of maternal mortality were heart disease, preeclampsia/eclampsia, and hemorrhage. Maternal mortality spread on 16 from 21 sub-districts on Pati Regency and the majority of them happened in post delivery period. Logistic regression analysis concluded that risk factors influenced maternal mortality were pregnancy complication (OR = 12.198, p value = 0.010), delivery complication (OR = 9.94, p value = 0.020) and history of illness (OR = 27.735, p value = 0.011). Collectively, those variables contributed to 64.3% of maternal mortality in Pati Regency 2011.


2018 ◽  
Vol 6 (2) ◽  
pp. 182
Author(s):  
Dewi Fitria Permatasari ◽  
Sri Sumarmi

ABSTRACTBackground: Stunting reflects the largely result of inadequate nutrition and attacks recurring infections in the first 1.000 days of life, that cause in develepmental obstacles. Purpose: This study was to analyze the differences born body length, history of infectious diseases, development between stunting, and non stunting children age 24-36 months. Methods: The type of this research was observational analytic with case control study. The sample size was 68 toddlers consist of 34 stunting childrens as case group and 34 non stunting children as control group in the catchment area of Jagir Public Helath Center in Surabaya. Sampling technique using simple random sampling. The observed variabls were born body length, history of infectious diseases, and child development. The data were collected using microtoise, questionnaire, and Denver Developmental Screening Test (DDST) sheets. Data were analyzed using chi square test. Results: This research showed significancy between stunting and non stunting children with difference of born body length (p = 0,01), history of infectious diseases (p = 0,01), and toddlers’ development (p = 0,01). Conclusion: There were difference variables of born body length, history of infectious diseases, and development between stunting and non stunting children age 24-36 months. 


2019 ◽  
Vol 2 (2) ◽  
pp. 59
Author(s):  
Reski Agustia ◽  
Nurdin Rahman ◽  
Hermiyanty Hermiyanty

Background & Objective: Stunting is a malnutrition that illustrates stunted growth, which is long and takes time to recover. Poboya gold mining is the largest source of entry of mercury metals, the danger posed that affects the growth. This study aims to determine the risk factors of exclusive breastfeeding, infectious diseases and immunization status with the incidence of stunting in children aged 12-59 months in the Poboya Mine Region . Material and Methods:  This type of research is quantitative with case control method. The number of samples used in this study were 84 respondents consisting of 21 cases and 63 controls with a ratio of 1: 3. Sampling using total sampling technique. Exclusive breastfeeding data, infectious diseases and immunization status were obtained through interviews using questionnaires. Data analysis used univariate and bivariate analysis. Data obtained from statistical analysis using Odds ratio (OR). Results: Toddlers who get exclusive breastfeeding are 28.6% (case group) and 65.1% (control group). Toddlers who suffer from infectious diseases are 81.0% (case group) and 55.6% (control group). The immunization status incomplete 52.4% (case group) and 22.2% (control group). The toddlers were not exclusively breastfed OR = 4,659 (95% CI 1,583-13,708), history of infectious disease OR = 3,400 (95% CI 1.027-11,257) and immunization status OR = 3,850 (95% CI 1,358-10,916) stunting event. Conclusion: The conclusions of this study are non-exclusive breastfeeding, history of infectious diseases and incomplete immunization is a risk factor for stunting.


Author(s):  
Priyo Mukti Pribadi Winoto ◽  
Ahsan Ahsan ◽  
Tina Handayani Nasution

The patients with coronary artery disease are susceptible to experience the relapse so that the control towards the risk factors of coronary artery disease is needed such as a history of hypertension, dyslipidemia, suffering from diabetes mellitus, medication adherence, and history of obesity. This study aimed at knowing the relationship between the risk factor of diabetes mellitus and the relapse of coronary artery disease. This study was an analytical observation by using retrospective cohort. The total respondent was 189 people taken by using purposive sampling technique. The finding showed that nearly all patients (82.5%) did not suffer from diabetes mellitus, and most of them (72.5%) experienced the relapse of CAD. The result of the chi-square analysis showed that the p-value of 0.009 < α = 0.05, indicating a significant relationship between Diabetes Mellitus and the relapse of coronary artery disease. The patient with diabetes mellitus has a higher risk of experiencing the relapse of CAD. The nurse should concern and control the risk factors of coronary artery disease that affects the relapse.


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sri Evi New Yearsi Pangadongan ◽  
Agustina Rahyu ◽  
Selvy Pasulu

Bronchial Asthma generally starts from childhood which is condition where respiration channel experiences constriction because of hyperactivity with some specific stimulation which cause inflammation. Some risk factors are smoking exposure of cigarette smoke, weather changes, mite on house dirt, pet and history of family sickness. The purpose of this research is to know Relation of mite on house dirt, exposure of cigarette smoke  and history of family sickness with bronchial asthma incident to child 5 – 10  years old on working area of Puskesmas Lempake Samarinda City in 2016. Method which used was analytic survey with Case Control approaching. The total sample was 36 children which consisted of 18 case group and 18 control group with matching by using age and gender which submitted with Purposive Sampling technique. Data Analysis used Chi Square with wrong degree α = 0,005. The result showed that there was relation of mite of house dirt (p = 0,006), history of family sickness (p = 0,001) and no relation with exposure of cigarette smoke (p = 0,370) with bronchial asthma incident to child 5 – 10 years old on working area of Puskesmas Lempake Samarinda City in 2016.


2020 ◽  
Vol 7 (1) ◽  
pp. 71-87
Author(s):  
Tasbihul Anwar ◽  
Anwar Wardi Warongan ◽  
Fitrian Rayasari

Laparotomy is one of the major surgeries. Laparotomy is an operative technique that can be performed on digestive and urinary sistem disorders that will cause pain. This study aims to determine thes effects of kinesio taping on the level of pains in post laparotomy patients. The methods of this study use a pre-post and control group quasi experimental design research. Consisting of the intervention group and the control group, the number of sample was 24 samples with 12 respondent in the kinesio taping installation intervention group and 12 respondent in the control group giving standar drug, using a simple random sampling technique. Dependent t-test obtained an average difference of 2.08 in the control group while ansaveragesdifferencesof 3.84 insthe intervention group. Independent T test results obtained P value (0.001)<(0.05). The conclusion there was assignificant difference in the level of pain in the kinesio taping intervention group and the control group that did not have kinesio taping. Variable confounding has been performed statistically. The results shows that here is no relationships between age, attitude and belief in the pain of Laparotomy, while age is related to post-Laparotomy pain, kinesio taping can be used as an independent nursing intervention to reduce the intensity of pain in post-Laparotomy patients.


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