bluuebunny/crossref_metadata_2025 huggingface dataset:
Karakteristik ibu balita dalam pemantauan pertumbuhan dan perkembangan balita
Authors: Susilawati Susilawati
Published: February 2021

In monitoring the growth and development of children, the role of parents is very important. Early detection by parents can identify 1 – 6% of children who have developmental disorders. Parents who did not monitor their child's growth and development were 34.3%. It causes many children whose growth and development have not been observed. The incidence rate of developmental disorders in children is known to be around 33.5%. The purpose of this study was to determine the characteristics of mothers of children under five in monitoring the growth and development of infants in Pusksmas Babakan Sari Bandung City. Descriptive research design with cross-sectional approach. This study used Accidental Sampling, as many as 53 mothers of children under five—data analysis using univariate analysis. The results showed that the characteristics of mothers of children under five were mostly at the age of 20 - 35 as many as 30 mothers (56.6%), high school education as 29 mothers (54.8%), family income with a high category of 27 mothers (50.9%), having children ≥ 2 as many as 37 mothers (69.8%), and not working as many as 44 mothers (83%).
Efektivitas sempoa organisator hamil, anak dan ibu balita dalam perubahan perilaku pencegahan stunting
Authors: Mulyanti Lia , Purwanti Indri Astuti , Anggraini Novita Nining
Published: February 2021

In Indonesia, approximately 37% (nearly 9 million) of toddlers are stunted. There are 11 regencies in Central Java, including 100 priority areas for stunting reduction by the government. The 3 districts that had the highest prevalence of stunting were Blora (55.06%), Grobogan (54.97%), and Demak (50.28%). This research uses quasy experiment with a sample of 16 pregnant women in the control group and the experimental group. The results of the study, 92,4% of most pregnant women have good stunting prevention behavior except the behavior of eating animal protein foods. Based on the results of a comparative test of stunting prevention behavior based on tool intervention that shows a significant difference in the behavior of respondents who intervened with an abacus tool (0.003). Conclusion there are differences in community behavior based on intervention with the SEMOHAI tool (p value = 0.003) but there is no significant difference in community behavior based on intervention with conventional tools (p value = 0.083), and there is a significant difference (p value = 0.025) change in behavior based on intervention tools with conventional tools.
Efektivitas pelatihan kerja terhadap kinerja kader Posyandu
Authors: Darmiyanti Ni Made Darmiyanti , Adiputri Ni Wayan Ari
Published: February 2021

The number of Posyandu throughout Indonesia reaches 202,676 Posyandu, in Bali 4,791 Posyandu and Karangasem Regency 555 Posyandu, while in Manggis Village, there are 12 Posyandu. The level of utilization of Posyandu nationally in 2010 only reached 50.5%, where there was a 12% decrease in the utilization of Posyandu until 2015. This should be in past tense the effectiveness of job training on Posyandu cadre's performance in Manggis Village, Manggis District, Karangasem Regency in 2018. The study was conducted with a quasi-experiment research design with the design pre-test post-test method. The research subjects used 60 Posyandu cadre in the Manggis Village area. The analysis used the Wilxocon Sign Rank Test with a confidence level of 0.05. The results showed that the value of p = 0.00 <0.05, so that the job training given to Posyandu cadre had a significant effect on improving Posyandu cadre's performance.
PENERAPAN KOMUNIKASI SBAR UNTUK MENINGKATKAN KEMAMPUAN PERAWAT DALAM BERKOMUNIKASI DENGAN DOKTER
Authors: Mardiana Sri Siska , Kristina Tri Nur , Sulisno Madya
Published: February 2021

Komunikasi antara perawat dengan dokter merupakan salah satu elemen penting dari praktik kolaborasi dalam pelayanan kesehatan. Komunikasi yang terjalin baik antara dokter dan perawat diharapkan dapat menjadi sarana untuk menyampaikan hal - hal penting, menjalin diskusi, memutuskan secara bersama-sama serta dapat meminimalkan hambatan-hambatan yang ada dalam pemberian perawatan kepada pasien. Model teknik komunikasi SBAR (Situation Background Assessment Recommendation)  membantu perawat untuk mengorganisasi cara berfikir, mengorganisasi informasi, dapat memudahkan penyampaian pesan serta berdiskusi saat berkomunikasi dengan dokter. Penelitian ini bertujuan untuk membuktikan apakah penerapan komunikasi SBAR dapat meningkatkan kemampuan perawat dalam berkomunikasi lisan dengan dokter. Rancangan penelitian yang digunakan adalah quasi experiment dengan pre-post test with control group. Jumlah sampel sebanyak 18 peserta pada kelompok intervensi dan 18 peserta pada kelompok kontrol yang diambil dengan teknik pengambilan sampel purposive sampling. Penelitian ini menemukan bahwa penerapan komunikasi SBAR dapat meningkatkan kemampuan perawat dalam berkomunikasi dengan dokter.
PENINGKATAN KERJA INSULIN DENGAN ACTIVE STRETCHING EXERCISE PADA DMT2 DI KABUPATEN PEKALONGAN
Authors: Aktifah Nurul , Faradisi Firman
Published: February 2021

Physical exercise can significantly reduce weight and insulin sensitivity; hence, it can reduce blood glucose levels and improve blood glucose control. The main objective of this study was to determine the effectiveness of active stretching exercise to increase the function of insulin on Diabetes Mellitus Type 2(DMT2) at Pekalongan Regency. The design of this study was a randomized controlled trial (RCT) with one-group pretest-posttest design. 20 respondents were chosen by using total sampling technique on  August 3 - October 27, 2018. The data collection tools were a questionnaire, GlucoDrTM, and Autocheck®. The Shapiro-Wilk test was implemented as a normality test.To determine the effect of the treatment, a paireddependent T-Test was used. This study found out that there was no significant difference of the work of insulin, before and after the respondents did the active exercise, with a value of ρ 0.315. Therefore, it is strongly recommended that further research applies active stretching exercise combined with 7 self-management of diabetes.
KONFIRMASI TIGA VARIABEL YANG BERPENGARUH TERHADAP MOTIVASI IBU HAMIL MELAKUKAN KUNJUNGAN ANTENATAL CARE
Authors: Fatimah Jesy , Nafuri Sartika Rona
Published: February 2021

Pada tahun 2016 cakupan Kunjungan Pertama (K1) ibu hamil yang memeriksakan kehamilannya yaitu 97,68% dari target 97% sedangkan cakupan Kunjungan Keempat (K4) 85,35% dari target 92%. Cakupan K4 yang rendah menunjukkan motivasi ibu hamil yang kurang untuk melanjutkan pemeriksaan kehamilannya hingga trimester akhir (trimester III) masih rendah. Tujuan penelitian ini untuk mengetahui pengaruh fungsi keluarga, status ekonomi dan persepsi ibu terhadap motivasi ibu hamil melakukan kunjungan antenatal care di wilayah Puskesmas Sukaraja Kabupaten Lebong Tahun 2018. Penelitian ini menggunakan metode kuantitatif dengan rancangan cross sectional. Populasi ibu hamil trimester III sebanyak 32 orang, tekhnik sampel total sampling dengan jumlah 32 ibu. Instrumen penelitian ini kuesioner dan hasil diolah menggunakan SPSS dengan uji Regresi Logistik. Hasil penelitian fungsi keluarga P=0,011 dengan koefisien regresi 3,40 , status ekonomi P=0,020 dengan koefisien regresi 2,66, persepsi ibu P=0,024 dengan koefisien regresi 2,514 hal ini menunjukkan ada pengaruh fungsi keluarga, status ekonomi, dan persepsi ibu terhadap motivasi ibu hamil melakukan antenatal care di wilayah kerja Puskesmas Sukaraja Kabupaten Lebong Tahun 2017. Kesimpulannya adalah fungsi keluarga memiliki pengaruh terbesar dalam motivasi ibu hamil untuk melakukan kunjungan antenatal care.
HUBUNGAN KUALITAS TIDUR DENGAN KESIAPAN MENGIKUTI PROSES BELAJAR MAHASISWA S1 KEPERAWATAN SEMERTER IV STIKES MUHAMMADIYAH PALEMBANG
Authors: Fadlilah Maya , Aristoteles Aristoteles , Pebyana Bella
Published: February 2021

Pendahuluan : Tidur merupakan kebutuhan dasar yang dibutuhkan oleh setiap individu. Perubahan pola prilaku dan gaya hidup dapat mempengaruhi kualitas tidur, khususnya pada mahasiswa. Kualitas tidur yang buruk dapat mempengaruhi proses belajar karena mengantuk dan lelah akibat kurang tidur, sehingga mengakibatkan terganggunya kesiapan dalam proses belajar. Berdasarkan studi pendahuluan yang peneliti lakukan, kepada 15 orang mahasiswa/i PSIK STIKes Muhammadiyah Palembang yang diwawancarai, di dapatkan bahwa 6 orang memiliki kualitas tidur baik dan 9 orang lainnya memiliki kualitas tidur kurang baik, dikarenakan tidur yang larut malam. Kebiasaan yang menyebabkan mereka tidur larut yaitu memainkan handphone dan laptop sebelum tidur. Sedangkan, untuk kesiapan mengikuti proses belajar di dapatkan 8 orang memiliki kesiapan belajar baik, 7 orang memiliki kesiapan belajar cukup, dikarenakan tidur larut malam, tidak sarapan, kurang konsentrasi saat mengikuti proses belajar (mengobrol dan memainkan handphone) dan mengantuk di kelas. Hal tersebut dapat mempengaruhi proses belajar mahasiswa.Metode Penelitian : Penelitian ini merupakan penelitian survei analitik dengan menggunakan desain cross sectional dengan pendekatan kuantitatif. Tehnik sampling adalah Quota Sampling pada mahasiswa S1 Keperawatan semester IV yang berjumlah 91 orang dari populasi 118 orang. Hasil Penelitian : dari hasil penelitian didapatkan ada 24 responden yang memiliki kualitas tidur baik dengan hasil 17 responden memiliki kesiapan belajar baik dan 7 responden memiliki kesiapan belajar kurang baik. Sementara itu, ada 67 responden yang memiliki kualitas tidur buruk, 29 responden diantaranya memiliki kesiapan belajar baik dan 38 responden lainnya memiliki kesiapan belajar kurang baik. Berdasarkan uji statistik dengan menggunakan uji Chi Square diperoleh nilai p value = 0,038 (p value ≤ 0,05), artinya  diterima. Kesimpulan : Terdapat hubungan antara kualitas tidur dengan kesiapan mengikuti proses belajar mahasiswa/i S1 Keperawatan semester IV.
HUBUNGAN ANTARA UMUR DAN NILAI ANKLE BRAKHIAL INDEKS PADA PENDERITA DIABETES MELITUS
Authors: Suyanto Suyanto
Published: February 2021

Pendahuluan: Penurunan vaskuler perifer dapat dideteksi dengan menilai ankle brakhial indext (ABI). ABI dapat terjadi pada seseorang sejalan dengan meningkatnya umur, terlebih lagi pada pasien diabetes mellitus yang mengalami peningkatan resiko aterosklerosis. Tujuan penelitian ini untuk mengetahui hubungan antara umur dengan nilai ABI pada pasien diabetes mellitus. Metode: Cross sectional design digunakan dalam penelitian ini. Adapun jumlah sampelnya sebanyak 39 responden. Tehnik concecutive sampling digunakan pada penelitian ini dengan kriteria inklusinya adalah semua pasien yang mengalami diabetes mellitus tanpa adanya ulkus diabetikum. Analisis data dilakukan dengan uji product moment dengan tingkat kemaknaan (α ≤ 0,05).Hasil: Rata-rata umur responden adalah 54±7,90 rata-rata nilai ABI adalah 1,08±0,13,. Hasil uji analisis didapatkan tidak ada hubungan antara umur dengan nilai ABI (p value > 0,05).Kesimpulan: Banyak faktor yang dapat mempengaruhi nilai ABI pada pasien diabetes mellitus. Faktor utama yang mempengaruhi nilai ABI adalah adanya aterosklerosis yang dikaitkan dengan adanya kolesterol, hiperglikemia kronis. Sehingga perlu adanya penelitian lainnya mengenai hal-hal tersebut yang dihubungkan dengan nilai ABI.
FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PERAWAT DALAM MEMANTAU CAIRAN INFUS
Authors: Handayani Yuli , Lisum Kristina
Published: February 2021

AbstrakTerapi infus adalah tindakan yang dilakukan pada klien yang menjalani rawat inap sebagai jalur terapi intravena (IV) dengan pemberian obat, cairan dan pemberian produk darah. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan perawat dalam pemantauan  cairan infus sesuai dengan Standar prosedur operasional  di Ruang Medikal Bedah. Metode  yang digunakan pada penelitian ini adalah kuantitatif dengan design deskriptif korelasi, dan pendekatan cross sectional. Populasi pada penelitian adalah 66 perawat di Ruang Medikal Bedah. Pengumpulan data dilakukan dengan menggunakan tehnik observasi dan kuesioner sebagai instrument penelitian. Data dianalisa menggunakan metode Kendals Tau B dan Kendals Tau C. Hasil penelitian ini didapatkan bahwa 1; Ada hubungan antara Usia dengan nilai p Value= 0.000, 2; pendidikan dengan nilai p Value= 0.007, 3; level jenjang karier dengan nilai p Value= 0.014, 4; pengetahuan dengan p Value= 0.011, 5; tidak ada hubungan antara lama kerja dengan nilai p Value= 0.259 dengan kepatuhan perawat dalam pemantauan  cairan infus sesuai dengan SOP di Rumah Sakit swasta ini. Diharapkan perawat dapat meningkatkan kualitas asuhan yang diberikan dan memberikan pelatihan tentang pemantauan cairan infus yang diberikan oleh tim Nursing Education di RS, sehingga dapat menurunkan terjadinya komplain terhadap cairan infus yang tidak sesuai dengan kebutuhan pasien.Kata kunci: Pemantauan, terapi infus, kepatuhan perawat, Standar prosedur operasional
ANALISIS PEMBELAJARAN KELUARGA BERENCANA MAHASISWA PRODI DIII KEBIDANAN
Authors: Azizah Noor , Zumrotun Nisak Ana , Wigati Atun
Published: February 2021

Learning or support is basically an activity that is organized so that students learn. Adult learning methods that make learning a learning center or Student Center Learning (SCL). Process standards relating to the learning process, planning the learning process, implementing the learning process and learning burden on students.Descriptive qualitative research methods The subjects of this study are students and lecturers. The informant taking technique used was purposive sampling. Snowball sampling technique. Data collection methods in this study, interviews, observation and study documentation. Analysis of the data of this study uses an interactive model through data reduction, displaying data, concluding and gathering conclusions.Results: Planning the learning process of the family planning course, which is making a semester learning plan. This RPS contains course descriptions, learning achievements, subjects, instructional methods, structured assignments and discussions. RPS is prepared in accordance with the development of science and technology. The theory learning process using the Student Center Learning (SCL) method of lecturers as facilitators and motivators in family learning planning methods used are cooperative learning and Problem Based Learning (PBL). Laboratory learning uses role play and demonstration models. Assessment on learning theory is midterm, final semester examination and structured assessment assignment. Learning laboratory assessment list.It takes a combination of learning methods and laboratories so that students are not bored and are more interactive so that learning outcomes are more optimal.
HUBUNGAN SIKLUS MENSTRUASI DAN INDEK MASSA TUBUH (IMT) DENGAN KEJADIAN ANEMIA PADA REMAJA DI SMK ISLAM JEPARA
Authors: Cholifah Noor , Rusnoto Rusnoto , Himawan Rizka , Trisnawati Trisnawati
Published: February 2021

Latar Belakang :. Wanita mengalami kehilangan  zat besi akibat menstruasi sehingga zat besi yang harus diserap adalah 1,4 mg per hari menyebabkan meningkatnya kebutuhan rata-rata zat besi setiap harinya. Rendahnya IMT mempengaruhi durasi atau lamanya menstruasi. Tujuan :Tujuan dari penelitian ini adalah untuk mengetahui hubungan siklus menstruasi dan Indeks Massa Tubuh (IMT) dengan Kejadian Anemia Pada Remaja Di SMK Islam Jepara. Metode :Jenis penelelitian Survey Analitik dengan pendekatan Cross Sectional. Peneliti menggunakan stratified sampling dengan mengambil jumlah populasi di SMK Islam Jepara sebanyak 401 siswi, maka peneliti menggunakan sampel yang diambil dari populasi itu menggunakan rumus Slovin sekitar 81 siswi. Analisa Bivariat menggunakan uji Chi Square dan Instrumen menggunakan lembar kuesioner dan cheklist sedangkan alat ukur yamg digunakan GcHb dan Timbangan. Hasil : Hasil penelitian menunjukkan bahwa ada hubungan bermakna antara Indeks Massa Tubuh dengan kejadian Anemia didapatkan nilai p value sebesar 0,019 < (α = 0,05) yang berarti Ho ditolak maka Ha diterima .Tidak ada hubungan bermakna antara siklus menstruasi dengan kejadian Anemia didapatkan nilai p value sebesar 0,749 > (α = 0,05) yang berarti Ho diterima dan Ha ditolak. Kesimpulan : Ada hubungan indeks massa tubuh dengan kejadian anemia di SMK Islam Jepara. Tidak ada hubungan siklus menstruasi dengan kejadian anemia di SMK Islam Jepara.
PENGARUH PEER EDUCATION PMR TERHADAP KUALITAS HIDUP PASIEN DM
Authors: Putri Devi Setya , Sulistyawati Erna
Published: February 2021

Indonesia saat ini menduduki rangking keempat dengan jumlah penyandang diabetes terbanyak setelah Amerika Serikat, China dan India. Menurut riset kesehatan dasar (Riskesdas) 2013 penderita diabetes mellitus mengalami peningkatan di seluruh provinsi di Indonesia termasuk di Jawa Tengah1.Berbagai keluhan terkait DM yang berlangsung dalam waktu yang lama dan terus menerus dapat mengganggu kualitas hidup penderita1.Kualitas hidup pasien seharusnya menjadi perhatian penting bagi para petugas kesehatan karena dapat menjadi acuan keberhasilan dari suatu tindakan/intervensi atau terapi1.Salah satu terapi tanpa obat pada pasien DM adalah olahraga. Olahraga yang disarankan adalah yang bersifat progressive. Peer education digunakan sebagai media untuk memberikan pengaruh kepada anggota lain baik dalam lingkup individu maupun kelompok atau pun masyakarat dalam kelompok sebaya yang sama sehingga terjadi perubahan melalui modifikasi pengetahuan, sikap, kepercayaan dan perilaku6.Tujuan penelitian ini menganalisa  pengaruh peer education PMR terhadap kualitas hidup pada pasien DM. Jenis penelitian  quasi eksperimen dengan rancangan one group pretest and posttest with control. Dengan penentuan sampel purposive sampling pada pasien DM. Hasil penelitian menunjukkan adanya perbedaan nilai kualitas hidup pada kelompok intervensi setelah dilakukan uji Wilcoxon Signed Ranks Test didapatkan nilai p: 0,000 sedangkan pada kelompok kontrol setelah dilakukan uji Dependent T-Test didapatkan nilai p: 0,099. Perbedaan nilai post test pada kelompok intervensi dan kelompok kontrol setelah dilakukan uji Independent T-Test didapatkan p: 0,000.Sehingga dapat disimpulkan ada pengaruh Peer Education Progressive Muscle Relaxation (PMR) terhadap kualitas hidup pasien DM.
PERBEDAAN SKOR KECEMASAN IBU HAMIL SELAMA PANDEMI
Authors: Islami Islami , Nasriyah Nasriyah , Asiyah Nor
Published: February 2021

Sejak masuk di Indonesia, pandemic covid 19 menimbulkan  perubahan semua tatanan kehidupan meliputi tatanan pendidikan, sosial, budaya, politik dan keagamaan. Pandemi Covid 19 juga menimbulkan kekhawatiran pada setiap orang tidak terkecuali ibu hamil. Berbagai upaya pelayanan kesehatan, termasuk  pemeriksaan kehamilan disesuaikan dengan kondisi pandemic untuk mengurangi penularan dan penyebaran covid 19.Tujuan  penelitian ini adalah untuk mengukur  perbedaan skor kecemasan ibu hamil selama masa pandemi covid 19 berdasarkan pengalaman melahirkan.Desain penelitian ini adalah studi cross sectional. Pengambilan data dilakukan dengan cara membagikan kuesioner tertutup  kepada ibu hamil  trimester 1 sampai dengan trimester 3 di kabupaten Kudus yang telah direkrut melalui bidan di masing-masing fasilitas pelayanan kesehatan. Data yang diperoleh dilakukan seleksi untuk memilih data yang sesuai, kemudian dilakukan coding.  Data dianalisis menggunakan uji Mann-Whitney untuk mengetahui perbedaan kecemasan pada ibu.Hasil penelitian  diperoleh skor kecemasan ibu hamil berbeda-beda selama pandemic berlangsung dari kondisi tidak cemas, cemas ringan, sedang maupun cemas berat. Hasil uji statistik menunjukan tidak terdapat perbedaan skor kecamasan pada ibu hamil berdasarkan pengalaman melahirkan. Namun demikian, kami menyarankan bahwa selama pandemi masih berlangsung penerapan protocol pencegahan penularan covid 19 tetap harus dipatuhi. Perlu dilakukan penilaian pada persepsi ibu hamil, dukungan keluarga dan status pekerjaan.
Omani ESL learners perception of their pronunciation needs
Authors: Zarzycki Łukasz
Published: February 2021

The aim of this study is to analyze Omani ESL learners perception of their pronunciation needs, problems related to Omani students’ pronunciation and strategies which students use to learn pronunciation. The paper also investigates if Omani students are conscious of their pronunciation obstacles. In this study, the observation and perception of Omani university students from Ad Dakhiliyah Region were examined in order to determine their pronunciation needs. As far as English as a Second Language (ESL) classes are concerned, language skills are frequently taught separately and teachers focus more on some skills i.e. grammar, reading, writing and vocabulary than on pronunciation. Seidlhofer (2000) states that some researchers have noted that teachers treat pronunciation skills as the “Cinderella” of ESL teaching and pronunciation is regarded as an extra add-on. It is essential to investigate for a teacher what aspects and strategies of teaching pronunciation are the best for ESL students. The method of data collection was a questionnaire using the sample questions presented by Derwing and Rossiter (2002). The questionnaire was distributed among Omani university learners in Ad Dakhiliyah Region. Students were asked to fill in the questionnaire and return it the next day. The major research problem is focused on the possibility of improvement of pronunciation teaching strategies. The research was conducted by the author during his professional work as a university lecturer in the Ad Dakhiliyah region in the Sultanate of Oman.
Burden and Quality of Life of Dependent Elderly Caregivers in Pakuncen Village Yogyakarta
Authors:   Faculty of Medicine, Universitas Duta Wacana Christian, Yogyakarta, Cendrasilvinia Herose , Widagdo The Maria Meiwati ,   Faculty of Medicine, Universitas Duta Wacana Christian, Yogyakarta, Manus Widya Christine ,   Faculty of Medicine, Universitas Duta Wacana Christian, Yogyakarta
Published: February 2021

Background: Elderly people face health problems associated with reduced health and increased disability. Dependent elderly on caregivers who cause a burden affecting the quality of life of caregivers. The aim of this study was to analyze the correlation between the burden and quality of life among dependent elderly caregivers. Subjects and Method: A cross-sectional study was carried out in Pakuncen Village, Yogyakarta. The study subjects were 30 informal caregivers who cared for their family member aged ≥ 60 years with moderate dependence. Instruments used to screen dependent elderly included Activities of Daily Living (ADL) and Instrument Activities of Daily Living (IADL) to measure level of independence, MMSE and AD-8 to assess cognitive function of elderly. Caregivers aged ≥ 60 years underwent MMSE and those with scores <24 was excluded. Caregivers’ burden ware measured using The Zarit Burden Interview (ZBI) and Caregiver Reaction Assessment (CRA). Measurements of quality of life among caregivers was conducted by WHOQOL-BREF. Data were analyzed using Spearman-rank correlation. Results: Out of 30 caregivers, 24 were female and 6 were male with an average age of 49 years. Most respondents had light to moderate burden (Mean= 34.27; SD=18.94). Caregivers’ quality of life were low (<60) in psychological (Mean= 58.17; SD= 12.31), social relation (Mean= 59.77; SD= 9.04), and the environment domains (Mean= 51.90; SD= 10.00). Caregivers’ quality of life was high (≥60) in physical health domain (Mean= 63.30; SD=12.83). There were negative correlations between caregiver burden (ZBI and CRA) and the quality life of caregivers (WHOQOL-BREF). Conclusion: In Yogyakarta, the burden of caregivers (ZBI and CRA) and the quality of caregivers’ lives (WHOQOL-BREF) are negatively correlated. Keywords: caregiver, burden, quality of life, dependent, elderly Correspondence: Herose Cendrasilvinia. Faculty of Medicine, Universitas Duta Wacana Christian, Yogyakarta. Jl. Dr. Wahidin Sudirohusodo 5-25 Yogyakarta, 55224. Email: herosecendrasilvinia@gmail.com. Mobile: 081226466770. DOI: https://doi.org/10.26911/the7thicph.01.08
Determinant Factors of Covid-19 Transmission among of Health Personnel: A Systematic Review
Authors:   Master Program in Public Health, Faculty of Public Health, Universitas Indonesia, Wiharsini Wenny , Sulistiadi Wahyu ,   Faculty of Public Health, Universitas Indonesia
Published: February 2021

Background: The number of Covid-19 infected cases is still increasing, pandemic has yet to be controlled. This can increase the risk of Covid-19 transmission among health personnel in hospitals. Data as of September 7, 2020, the Indonesian Doctors Association (IDI) states that more than 100 doctors in Indonesia who have died due to Covid-19 infection. The phenomenon of transmission in health personnel is urgent. This study aimed to systematically review the determinant factors of covid-19 transmission among of health personnel. Subjects and Method: This was a systematic review study from various article sources that have been done previously. The databases used in this study were Science Direct and Scopus, journals published from February to September 2020. The articles were extracted using the Preferred Reporting System for Systematic Review and Meta-analysis (PRISMA) 2009 flowchart. Results: Total of 5 articles were reviewed. The results of this study showed that the variables of gender, age, and profession showed significant results on Covid-19 transmission in 2 articles, but the results were not significant in 3 other articles. Meanwhile, the work location variable shows significant results in 2 articles that raise this variable with the location of the work place, including the medical ward and the emergency department. Ethnic variables, raised by one article with insignificant results and for the variable personal protective equipment and masks showed significant results related to Covid-19 transmission. Conclusion: Workplace arrangements, especially for Covid-19 special isolation and the use of good personal protective equipment, can reduce the transmission of Covid-19 to health personnel, especially those in emergency rooms and medical wards. Keywords: determinants, Covid-19, health personnel, personal protective equipment, Correspondence: Wenny Wiharsini. Universitas Indonesia. Depok, West Java, Indonesia. Email: wennywiharsini@gmail.com. Mobile: 081316790160 DOI: https://doi.org/10.26911/the7thicph.01.17
Development of Surveillance for Stunting in Parigi-Moutong, Central Sulawesi
Authors:   Assistant for Economy and Development Parigi Moutong Regency Faculty of Medicine, Universitas Gadjah Mada, Tilaar Revy , Asmarafia Asmarafia ,   Assistant for Economy and Development Parigi Moutong Regency Faculty of Medicine, Universitas Gadjah Mada, Kurniati Kurniati ,   Assistant for Economy and Development Parigi Moutong Regency Faculty of Medicine, Universitas Gadjah Mada, Hardianti Ismi Maudilah ,   Assistant for Economy and Development Parigi Moutong Regency Faculty of Medicine, Universitas Gadjah Mada, Sanusi Rossi ,   Assistant for Economy and Development Parigi Moutong Regency Faculty of Medicine, Universitas Gadjah Mada
Published: February 2021

Background: The prevalence of stunting in Parigi-Moutong District (Parimo District) was 33.7% at 10 villages. Stunting prevention effort are structured into a response-surveillance system (SSR) that includes all stages of the natural course of child growth disorders (GPA) to detect (Dx) and provide action (Rx) on the agent-environment (primordial prevention) and the host (primary prevention to rehabilitation). This study aimed to examine the development of a stunting-response surveillance system in Parigi-Moutong District, Central Sulawesi. Subjects and Method: This was a qualitative study conducted at Faculty of Medicine, Public Health and Nursing, Gajah Mada University, Yogyakarta from November 26 to 30. The development of SSR Stunting in Parimo Regency was carried out by means of a Training of Trainer (ToT), the following stages: (1) ToT 1 in the health sector (secondary and tertiary prevention); (2) training in 10 locus villages, sub-districts and districts by trainer from parimo district; (3) establishing ssr stunting; (4) ToT 2 across sector (primordial prevention, primary prevention and rehabilitation); (5) training throughout parimo district; and, (6) establishing the sr system for priority diseases. Results: SSR officers are able to train Individual Health Effort (UKP) officers, Information technology (IT) officers, Surveillance-Response (SR) officers Conclusion: SSR follows the WHO SSR pattern which consists of four components: (1) Main functions; (2) Supporting functions; (3) Structure; and, (4) quality criteria. Keywords: stunting, SSR, surveillance Correspondence: Rossi Sanusi. Faculty of Medicine, Universitas Gadjah Mada. l. Farmako, Senolowo, Sekip Utara, Depok, Sleman, Daerah Istimewa Yogyakarta 55281. DOI: https://doi.org/10.26911/the7thicph.01.18
Factors Related to Malnutrition Events in Under-Five Children in Kabukarudi Village, East Nusa Tenggara
Authors:   Non-governmental organization Sumba foundation, Rade Nepriana Buta , Puspitawati Theresia ,   Public Health Study Program, Faculty of Health Sciences, Universitas Respati Yogyakarta, Untari Jati ,   Public Health Study Program, Faculty of Health Sciences, Universitas Respati Yogyakarta
Published: February 2021

ABSTRACT Background: Malnutrition has become an urgent global health problem. Millions of people are killed or disabled every year due to insufficient nutrition. Indirectly influenced by upbringing, food availability, socio-economic, cultural, and environmental factors. Based on the regency, the highest percentage is in West Sumba (12.20%). This study aimed to find out the factors related to malnutrition events in under-five children in Kabukarudi village, East Nusa Tenggara. Subjects and Method: This was a cross sectional study conducted in Kabukarudi Village, Lamboya District, West Sumba Regency, East Nusa Tenggara. A sample of 99 was selected by purporsive sampling. The data was analyzed by chi square. Results: Relationship between knowledge level (p = 0.047), type of foodstuff (p <0.001), and infectious diseases (p <0.001) it was statistically significant. Conclusion: Malnutrition events in under-five children is associated with knowledge level about nutrition, type of food consumed and infectious disease. Keywords: malnutrition, knowledge, food variant, infection desease Correspondence: Theresia Puspitawati. Public Health Study Program, Faculty of Health Sciences, Universitas Respati Yogyakarta. Jl. Laksda Adisucipto KM.6,3, Ambarukmo, Caturtunggal, Sleman distric, Yogyakarta 55281 E-mail: thpuspitawati@gmail.com. Mobile: +628122719110. DOI: https://doi.org/10.26911/the7thicph.01.21
Predisposing and Reinforcing Factors in Patients with Breast Cancer in Samarinda, East Kalimantan
Authors:   Public Health Study Program, Faculty of Health and Pharmacy,, Kurniasari Lia ,   Muhammadiyah University of East Kalimantan, Irfannur Aji Mohammad ,   Public Health Study Program, Faculty of Health and Pharmacy,,   Muhammadiyah University of East Kalimantan, Mardiana Ayu ,   Public Health Study Program, Faculty of Health and Pharmacy,,   Muhammadiyah University of East Kalimantan, Natalia Elvi ,   Public Health Study Program, Faculty of Health and Pharmacy,,   Muhammadiyah University of East Kalimantan, Sulviana Erlinda Rara ,   Public Health Study Program, Faculty of Health and Pharmacy,,   Muhammadiyah University of East Kalimantan, Jariah Nur Ainun ,   Public Health Study Program, Faculty of Health and Pharmacy,,   Muhammadiyah University of East Kalimantan
Published: February 2021

ABSTRACT Background: Breast Cancer can be disturbed for health and psychologically. Breast cancer has reached the second deadly disease. Causative factors include age, marital status, use of hormonal contraception, history of breastfeeding, family history, family support, self-acceptance, stress levels and knowledge of breast self-exam. This study aimed to investigate the factors predisposing and reinforcing the incidence of breast cancer in Samarinda, East Kalimantan. Subject and Method: This was a cross sectional study conducted in Samarinda, East Kalimantan. A total of 216 samples by using accidental sampling were selected for this study. The dependent variable was incidence of breast cancer. The independent variables were education, marital status, use of hormonal contraception, history of breastfeeding, family history, family support, self-acceptance, stress levels and knowledge of breast self-exam. The data were collected by questionnaire via google form. Data analysis used Chi Square test. Results: The significant risk factors of breast cancer were education, marital status, hormonal contraception, history of breastfeeding, stress conditions, and self-acceptance. family history and family support, and breast self-exam knowledge were insignificantly associate with the risk of breast cancer. Conclusion: The significant risk factors of breast cancer are education, marital status, hormonal contraception, history of breastfeeding, stress conditions, and self-acceptance. Family history and family support, and breast self-exam knowledge are insignificantly associate with the risk of breast cancer. Keywords: Breast cancer, predisposing, reinforcing. Correspondence: Lia Kurniasari. Public Health Study Program, Faculty of Health and Pharmacy, Muhammadiyah University of East Kalimantan, Indonesia. Email: liakesmas@umkt.ac.id. Mobile: +6285231669773. DOI: https://doi.org/10.26911/the7thicph.01.32
Spatio-Temporal Analysis on Endemicity of Dengue Hemorrhagic Fever in Sragen District, Central Java
Authors:   School of Health Polytechnics, Ministry of Health, Surakarta, Setyaningsih Wiwik
Published: February 2021

ABSTRACT Background: In recent decades, the incidence of dengue hemorrhagic fever (DHF) has risen significantly around the world. In Indonesia, studies reported 77.96 cases per 100,000 person-years in 2016 with the highest average number of cases in West Java. This study aimed to investigate the spatio-temporal analysis on endemicity of dengue hemorrhagic fever in Sragen Regency, Central Java. Subjects and Method: This was a descriptive study with cross-sectional design conducted in Sragen, Central Java from 2016 to 2018. A total of 1,354 cases was selected by total sampling. The main variable under study was the DHF incidence. The data were described by frequency distribution tables. Data were analyzed by spatio-temporal analysis method with overlay function using Geographic Information System (GIS). Results: The spatio-temporal analysis showed an increased DHF incidence in all sub-districts in Sragen Regency for three consecutive years 2016 to 2018. The highest incidence was 94 cases per 100,000 population in 2016. Sragen Regency was considered endemic areas of DHF. Conclusion: All sub-districts in Sragen Regency were endemic areas of DHF from 2016 to 2018. Keywords: spatio-temporal analysis, GIS, DHF, endemic Correspondence: Wiwik Setyaningsih. School of Health Polytechnics, Ministry of Health, Surakarta. Jl. Letjen. Sutoyo, Mojosongo, Surakarta, Central Java. Email: wiwikwonorejo@yahoo.com. Mobile: +628122593472. DOI: https://doi.org/10.26911/the7thicph.01.33
Biopsychosocial Determinants of Quality of Life in Post Stroke Patients: A Multiple Logistic Regression Analysis
Authors:   Masters Program in Public Health, Universitas Sebelas Maret, Zamzam Maki , Tamtomo Didik Gunawan ,   Department of Anatomy, Facuty of Medicine, Universitas Sebelas Maret, Widyaningsih Vitri ,   Faculty of Medicine, Universitas Sebelas Maret
Published: February 2021

ABSTRACT Background: The impact of stroke on health may be disastrous. Stroke can affect multiple domains of quality of life. The purpose of this study was to examine biopsychosocial determinants of quality of life in post stroke patients. Subjects and Method: A cross sectional study was conducted at Surakarta hospital, Central Java, from September to October 2019. A sample of 200 post stroke patients was selected for this study purposively. The dependent variable was quality of life. The independent variables were age, gender, empoyment, income, family income, marital status, history of stroke attack, co-morbidity, duration of illness, functional disorder, depression, and family support. The data were collected by medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: Quality of life of post stroke patients increased with married (b= 1.79; 95% CI= 0.24 to 3.35; p= 0.024), employed (b= 1.93; 95% CI= 0.13 to 3.72; p= 0.035), mild fuctional disorder (b=1.68; 95% CI= 0.11 to 3.25; p= 0.036), and strong family support (b= 2.17; 95% CI= 0.46 to 3.88; p= 0.013). Quality of life of post stroke patients decreased with age ≥60 years (b= -1.99; 95% CI= -3.80 to -0.17; p= 0.032), female (b= -1.74; 95% CI= -3.28 to -0.19; p= 0.027), stroke attack >1 time (b= -1.87; 95% CI= -3.59 to -0.15; p= 0.033), length of illness ≥6 months (b= -2.12; 95% CI= -3.87 to -0.36; p= 0.018), co-morbidity (b= -1.96; 95% CI= -3.67 to -0.24; p= 0.025), and depression (b= -1.40; 95% CI= -2.97 to 0.16; p= 0.078). Conclusion: Quality of life of post stroke patients increases with married, employed, mild fuctional disorder, and strong family support. Quality of life of post stroke patients decreases with age ≥60 years, female, stroke attack >1 time, length of illness ≥6 months, co-morbidity, and depression. Keywords: stroke, quality of life, depression, functional disorder Correspondence: Maki Zamzam. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: makizz477@gmail.com. Mobile: +6281251543935 DOI: https://doi.org/10.26911/the7thicph.01.35
Biopsychosocial Determinants of Hepatitis A Outbreaks in Pacitan, East Java
Authors:   Masters Program in Public Health, Universitas Sebelas Maret, Retyono Sugeng , Rahardjo Setyo Sri ,   Faculty of Medicine, Universitas Sebelas Maret, Murti Bhisma ,   Masters Program in Public Health, Universitas Sebelas Maret
Published: February 2021

ABSTRACT Background: Little studies have examined biopsychosocial factors associated with Hepatitis A. The purpose of this study was to biopsychosocial determinants of hepatitis a outbreaks in Pacitan, East Java. Subjects and Method: A case-control study was conducted in Pacitan, East Java, from January to February 2020. A sample of 200 adults was selected by fixed disease sampling, including (1) 50 Hepatitis A patients (case), and (2) 150 non Hepatitis A patients (control). The dependent variable was Hepatitis A. The independent variables were age, education, income, history of Hepatitis A vaccination, hand wash behavior, eating behavior, clean water availability, and latrine availability. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: The risk of Hepatitis A decreased with age ≥40 years old (b= -2.89; 95% CI= -4.46 to -1.31; p<0.001), high education (b= -1.95; 95% CI= -3.56 to -0.33; p= 0.018), high income (b= -1.93; 95% CI= -3.60 to -0.26; p= 0.023), and had Hepatitis A immunization (b= -2.60; 95% CI= -5.03 to -0.17; p= 0.036). The risk of Hepatitis A increased with poor washing hands behavior (b= 1.66; 95% CI= 0.28 to 3.05; p= 0.019), unhygienic eating behavior (b= 2.27; 95% CI= 0.88 to 3.66; p= 0.001), poor sanitation water (b= 3.12; 95% CI= 1.70 to 4.54; p<0.001), and latrine availability (b= 1.56; 95% CI= 0.35 to 2.78; p= 0.012). Conclusion: The risk of Hepatitis A decreases with age ≥40 years old, high education, high income, and had Hepatitis A immunization. The risk of Hepatitis A increases with poor washing hands behavior, unhygienic eating behavior, poor sanitation water, and latrine availability. Keywords: biopsychosocial determinants, Hepatitis A Correspondence: Sugeng Retyono. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Utami 36A, Surakarta 57126, Central Java. Email: sugengretyono@gmail.com. Mobile: +6287758732030. DOI: https://doi.org/10.26911/the7thicph.01.38
Path Analysis on the Biopsychosocial Factors Influencing the Quality of Life of Elderly in Surakarta Central Java
Authors:   Masters Program in Public Health, Universitas Sebelas Maret, Kumalasari Dwi Tour , Murti Bhisma ,   Masters Program in Public Health, Universitas Sebelas Maret, Widyaningsih Vitri ,   Faculty of Medicine, Universitas Sebelas Maret
Published: February 2021

ABSTRACT Background: Health-related quality of life (HRQoL) is a commonly used measure of health outcome. It reflects several dimensions of health, including physical, psychological, social, cognitive function, as well as general well-being, including in elderly population. The association between social capital and HRQoL in elderly has been rarely studied in Indonesia. The purpose of this study was to investigate the biopsychosocial factors influencing the quality of life of elderly using path analysis. Subjects and Method: A cross sectional study was conducted in Surakarta, Central Java, in December 2019. A sample of 200 elderly was selected by simple random sampling. The dependent variable was quality of life. The independent variables were education, income, marital status, body mass index (BMI), physical activity, locus of control, family support, peer support, social capital. The data were collected by questionnaire and analyzed by path analysis run on Stata 13. Results: Quality of life in elderly was directly increased by high physical activity (b= 2.01; 95% CI= 0.55 to 3.45; p= 0.007), education ≥Elementary school (b= 2.38; 95% CI= 0.79 to 3.97; p= 0.003), BMI 18.5 to 25 (b= 3.45; 95% CI= 1.60 to 5.30; p<0.001), income ≥Rp 1,800,000 (b= 2.96; 95% CI= 1.33 to 4.59; p<0.001), strong social capital (b= 2.01; 95% CI= 0.56 to 3.44; p= 0.006), married (b= 2.15; 95% CI= 0.63 to 3.67; p= 0.005), and internal locus of control (b= 2.29; 95% CI= 0.69 to 3.90; p= 0.005). Quality of life in elderly was directly increased by physical activity, education, peer support, social capital, and marital status. Conclusion: Quality of life in elderly is directly increased by high physical activity, education ≥Elementary school, BMI 18.5 to 25, income ≥Rp 1,800,000, strong social capital, married, and internal locus of control. Quality of life in elderly is directly increased by physical activity, education, peer support, social capital, and marital status. Keywords: quality of life, biopsychosocial, path analysis, elderly Correspondence: Dwi Tour Kumalasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: kumalasari.azzah-ra@gmail.com. Mobile: +6281216417536. DOI: https://doi.org/10.26911/the7thicph.01.41
Biological, Social, and Economic Risk Factors of Child Tuberculosis in Surakarta Central Java: A Multiple Logistic Regression
Authors:   Masters Program in Public Health, Universitas Sebelas Maret, Saputri Dyah Ayu , Dewi Yulia Lanti Retno ,   Faculty of Medicine, Universitas Sebelas Maret, Murti Bhisma ,   Masters Program in Public Health, Universitas Sebelas Maret
Published: February 2021

ABSTRACT Background: Tuberculosis (TB) disease in children under 15 years (pediatric TB) is a public health problem of special significance because it is a marker for recent transmission of TB. This study aimed to analyze biological, social, and economic risk factors of child TB. Subjects and Method: A case control study was carried out at 25 villages in Surakarta, from August to September 2019. A sample of 200 chilren aged 0-18 years was selected by fixed disease sampling. The dependent variable was TB. The independent variables were birthweight, BCG immunization, exclusive breastfeeding, nutritional status, family income, smoke exposure, family history of TB. Data on TB cases were obtained from medical record. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of TB increased with poor house sanitation (OR= 4.50; 95% CI= 1.18 to 17.12; p= 0.027), smoke exposure (OR= 4.13; 95% CI= 1.05 to 16.22; p= 0.042), and had history of TB (OR= 5.54; 95% CI= 1.49 to 20.61; p= 0.011). The risk of TB decreased with normal birthweight ≥2,500 g (OR= 0.18; 95% CI= 0.05 to 0.57; p= 0.003), BCG immunization (OR= 0.18; 95% CI= 0.06 to 0.58 p= 0.004), exclusive breastfeeding (OR= 0.11; 95% CI= 0.02 to 0.55; p= 0.006), good nutritional status (OR= 0.10; 95% CI= 0.02 to 0.48; p= 0.004), and family income ≥Rp1,802,700 (OR= 0.09; 95% CI= 0.02 to 0.36; p= 0.001). Conclusion: The risk of TB increases with poor house sanitation, smoke exposure, and had history of TB. The risk of TB decreases with normal birthweight ≥2,500 g, BCG immunization, exclusive breastfeeding, good nutritional status, and high family income. Keywords: Tuberkulosis, biological, sosial dan ekonomi. Correspondence: Dyah Ayu Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ayusaputridyah7@gmail.com. Mobile: 081353236388. DOI: https://doi.org/10.26911/the7thicph.01.45
Risk Factor of Dry Eyes Syndrome Toward Elderly with Diabetes Mellitus
Authors:   Lecturer at the Faculty of Medicine, Universitas Diponegoro, Nugroho Trilaksana , Julianti Hari Peni ,   Lecturer at the Faculty of Medicine, Universitas Diponegoro, Wildan Arief ,   Lecturer at the Faculty of Medicine, Universitas Diponegoro, Saubig rnila Novitasari ,   Lecturer at the Faculty of Medicine, Universitas Diponegoro, Darma Andhika Guna ,   Lecturer at the Faculty of Medicine, Universitas Diponegoro, Seyorini Desti Putri ,   Desti Putri Seyorini
Published: February 2021

ABSTRACT Background: Chronic metabolic disorder diabetes is a rapidly developing global problem with huge social, health and economic consequences. Indonesia is expected to reach 21.3 million people by 2030, and the incidence of diabetes is still increasing. Type 2 diabetes (T2DM) is an expanding global health problem closely related to the obesity epidemic. Type 2 diabetes (T2DM) is an expanding global health problem closely related to the obesity epidemic. Prolonged diabetes mellitus (DM) causes autonomic neuropathy in the lacrimal glands, which leads to reduced tear production, leading to dry eye syndrome (DES). This study aimed to analyze risk factor of dry eyes syndrome toward elderly with diabetes mellitus. Subjects and Method: A cross sectional study was conducted at community health center Gunungpati and Graha Syifa clinic, Semarang. A sample of 28 elderlies was selected by consecutive sampling. The dependent variable was incidence of DES. The independent variables were gender, duration of DM, DM control, incidence of diabetic retinopathy, type of work, exposure to cigarette smoke, exposure to gadgets, incidence of hypertension, incidence of dyslipidemia, incidence of cataracts. The data were collected by examination, questionnaire and in-depth interview. The data were analyzed by logistic regression and Chi square. Results: The logistic regression test results showed that gender, (p = 0.393), duration of diabetes (p = 0.208), and the incidence of diabetic retinopathy (p = 0.264) were not risk factors for DES. The results of the logistic regression test showed that controlling diabetes (p = 0.002), gadget exposure (p = 0.023) were risk factors for DES incidence. DM control and gadget exposure contributed 75% as risk factors for DES events. Conclusion: Uncontrolled DM and exposure to gadgets> 2 hours continuously a day are risk factors for DES. Keywords: Dry eyes, Diabetes Mellitus, Elderly Correspondence: Trilaksana Nugroho. Faculty of Medicine, Universitas Diponegoro. Jl. Prof. Sudarto No.13, Tembalang, Kec. Tembalang, Kota Semarang, Jawa Tengah 50275. DOI: https://doi.org/10.26911/the7thicph.05.26