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Effect of Patients Behavior and Family Health Companion Role on Hypertension Complication Occurrence Israfil, Israfil; Sinaga, Mindo; Ludji, Ina Debora Ratu
Unnes Journal of Public Health Vol 7 No 2 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRACT Various efforts of hypertension complications prevention have been carried out properly but the prevalence of hypertensive complications in NTT Province is still very high. The study aimed to determine the effect of patient behavior and family health companion role on the incidence of hypertension complications. The study was carried out in the work area of Sikumana Health Center in Kupang City with a case-control design. A total of 40 case samples and 40 control samples were taken by simple-random sampling. Data were analyzed by bivariate (simple logistic-regression) and multivariate (multiple-logistic regression), with significant values of α <0.05 and OR> 1. The results showed that 70% of patients experienced Non-Hemorrhagic Stroke (SNH) complications and 30% experienced complications of Coronary Artery Disease (CAD). The results of the knowledge factor analysis (α=0.000, OR=4.775), attitude (α=0.998, OR=1.876), practice (α=0.000, OR=18.599), family health officer (α=0.000, OR=15.13) and simultaneously the practices of the patient (α=0.000, OR=17.233). There was a significant influence on patient knowledge, patient practices, and family health companion role on the incidence of hypertensive complications. The most influential variable was the patient's practices. Patients who had poor behavior had a risk of 17.233 times greater of complications of hypertension.   Keywords : behavior of patients, family health companion role, complications of hypertension   ABSTRAK Beragam upaya untuk mencegah komplikasi hipertensi, telah dilaksanakan dengan baik. Namun prevalensi komplikasi hipertensi di NTT masih sangat tinggi. Penelitian bertujuan untuk mengetahui pengaruh perilaku pasien dan peran pendamping kesehatan keluarga pada kejadian komplikasi hipertensi. Penelitian dilakukan di wilayah kerja Puskesmas Sikumana Kota Kupang dengan desain kasus-kontrol. Sebanyak 40 sampel kasus dan 40 sampel kontrol, diambil secara simple-random-sampling. Data dianalisis bivariat (regresi-logistic-sederhana) dan multivairiat (regresi-logistic-berganda), dengan nilai signifikan α<0,05 dan OR>1.  Hasil penelitian menunjukkan 70% pasien mengalami komplikasi Stroke Non Haemoragik (SNH) dan 30% mengalami komplikasi Coronary Artery Diseases (CAD). Hasil analisis faktor pengetahuan (α=0,000, OR=4,775), sikap  (α=0,998, OR=1876), tindakan (α=0,000, OR=18,599), peran pendamping kesehatan keluarga (α=0,000, OR=15,13), dan secara simultan tindakan pasien (α=0,000, OR=17,233). Ada pengaruh signifikan antara pengetahuan pasien, praktek/tindakan pasien, dan peran pendamping kesehatan keluarga terhadap kejadian komplikasi hipertensi. Variabel yang paling berpengaruh adalah praktek/tindakan pasien. Pasien yang memiliki praktek/tindakan kurang baik memiliki risiko 17,233 kali lebih besar terjadi komplikasi hipertensi.   Kata Kunci : perilaku pasien, peran pendamping kesehatan keluarga, komplikasi hipertensi

Glucose Blood Level, Blood Pressure, and Medication Behavior are Related to Cardiovascular Complication on Hypertension Patient in Sikumana Public Health Center Israfil, Israfil; Making, Maria Agustina
Unnes Journal of Public Health Articles in Press
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v0i0.28051

ABSTRAK Hipertensi merupakan penyakit kardiovaskuler dimana tekanan darah sistolik > 140 mmHg secara kronis yang jika tidak ditangani dengan baik akan merusak fungsi organ vital seperti jantung, otak dan ginjal. Tujuan penelitian ini untuk melihat hubungan faktor risiko (usia, jenis kelamin, glukos darah, kolesterol darah, tekanan darah, konsumsi obat, dan kontrol kesehatan) dengan komplikasi kardiovaskuler pada pasien Hipertensi di Puskesmas Sikumana Kota Kupang. Desain penelitian adalah analitik non eksperimen dengan rancangan cross sectional. Jumlah sampel sebanyak 87 orang pasien hipertensi di Puskesmas Sikumana Kota Kupang yang diambil 30% dari populasi 292 orang pasien. Data hasil penelitian dianalisis dengan menggunakan uji statistik corelasi spearman rho dengan nilai signifikan ? < 0.01. Hasil penelitian menunjukkan 21,8% responden telah mengalami komplikasi stroke non haemoragic (SNH), 16,1% mengalami komplikasi penyakit jantung koroner/ coronaria arteri deseases (CAD), 3,4% mengalami komplikasi vaskuler pada otak dan jantung (SNH + CAD), dan terdapat 1,1% yang mengalami komplikasi penyakit kardiovaskuler lainnya ; anggina pecotris. Faktor risiko komplikasi ; usia (? = 0.404, r = 0.091), jenis kelamin (? = 0.161, r = -0,152), kadar glukosa darah (? = 0.000, r = -0,390), kadar kolesterol darah (? = 0,272, r = -0.119) tekanan darah (? = 0.000, r = +0.417), konsumsi obat (?= 0.000, r = +0,439), kontrol kesehatan (? = 0.000, r = +0,490). Beradasarkan hasil analisis dapat disimpulkan bahwa tidak ada hubungan yang signifikan antara usia, jenis kelamin, dan kadar kolesterol darah dengan komplikasi kardio vaskuler pada pasien hipertensi di Puskesmas Sikumana Kota Kupang. Terdapat hubungan yang siginifikan antara kadar glukosa darah, tekanan darah, konsumsi obat dan control kesehatan dengan komplikasi kardiovaskuler pada pasien hipertensi di Puskesmas Sikumana Kota Kupang. Saran kepada petugas kesehatan agar terus meningkatkan upaya promotif, preventif, curative dan rehabiltatif dalam upaya penanggulangan dan pencegahan komplikasi kardiovaskuler pada pasien hipertensi di wilayah kerja Puskesmas Sikumana Kota Kupang. Kata Kunci : Hipertensi, Komplikasi Hipertensi, Fakto Risiko Komplikasi

Literature Review: Risk of Death in Covid-19 Patients Israfil, Israfil; Wiliyanarti, Pipit Festi; Selasa, Pius
Unnes Journal of Public Health Vol 9 No 2 (2020): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v9i2.38121

Covid-19 is a contagious pulmonary infectious disease caused by a new type of coronavirus (SARS-COV-2). Covid-19 is a global pandemic that has infected millions of people and killed thousands of people in the world. Cases of death in Covid-19 patients were first discovered in China in December 2019. In Indonesia, since it was first discovered, cases of death of Covid-19 patients continue to increase and has become one of the countries with the highest fatality rate in the world reaching 9.11 percent. The purpose of this study is to determine risk factors for death in covid-19 patients in China in order to get guidance in preventing death in Covid-19 patients in Indonesia. This type of research is a literature review. The results of the study found five risk factors for death in Covid-19 patients, namely age, Covid-19 complications, the immune system (immunity), concomitant diseases (cormobidity), and treatment facilities. Suggestions of various risk factors for death in Covid-19 patients in China are expected to be a guide in efforts to prevent death in Covid-19 patients that occur in Indonesia.

Factors Affecting the Incidence of Filariasis in Welamosa Village Ende District East Nusa Tenggara Irfan Irfan; Norma Tiku Kambuno; Israfil Israfil
Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Universitas Islam Bandung

Filariasis is a chronic communicable disease caused by filarial worms, which consists of three species: Wucherria bancrofti, Brugaria malayi, and Brugaria timori. This disease is transmitted through mosquito bites, infects lymph tissue (lymph) and causes swelling of the legs, breasts, arms and genital organs. Welamosa village, Ende district, located in East Nusa Tenggara (NTT) province is reported as one of the highest cases of 40 cases in 2015. This research aims to analyze the influence of social factor of demography and socio-cultural environment factor to elephantiasis incident in Welamosa village, Ende district. The study was conducted in July–September 2016 in Welamosa village and Wolowaru sub-district, Ende district. The type of research was observational analytic with case-control with 49 people as sampling. The research instrument used questionnaire and check list. The data analysis used statistical test of SPSS program with backward regression logistic test. The results showed five variables as risk factors of elephantiasis occurrence, age (OR=42.518), education (OR=38.248), occupation (OR=8.404), outdoor activity at night (OR=5.097) and sex (OR=0.193). In conclusion, social demographic factors (age, gender, occupation, and education) and environmental and social-cultural factors of attitude (outdoor activities at night) are risk factors for filariasis incidence in Welamosa village, Ende district. FAKTOR YANG MEMENGARUHI KEJADIAN PENYAKIT FILARIASIS DI DESA WELAMOSA KABUPATEN ENDE NUSA TENGGARA TIMURFilariasis adalah penyakit menular menahun yang disebabkan oleh parasit berupa cacing filaria yang terdiri atas tiga spesies, yaitu Wucherria bancrofti, Brugaria malayi, dan Brugaria timori. Penyakit ini menginfeksi jaringan limfe (getah bening) dan menular melalui gigitan nyamuk, serta menyebabkan pembengkakan kaki, tungkai, payudara, lengan, dan organ genital. Desa Welamosa, Kabupaten Ende terletak di Provinsi Nusa Tenggara Timur (NTT) dilaporkan sebagai salah satu kecamatan dengan kasus filariasis tertinggi, yakni 40 kasus pada tahun 2015. Tujuan penelitian adalah menganalisis pengaruh faktor sosial demografi dan faktor lingkungan sosial budaya terhadap kejadian filariasis di Desa Welamosa, Kabupaten Ende. Penelitian dilaksanakan pada bulan Juli–September 2016 di Desa Welamosa dan Kecamatan Wolowaru, Kabupaten Ende. Jenis penelitian merupakan analitik observasional dan pengambilan sampel menggunakan case control sebanyak 49 orang. Instrumen penelitian menggunakan kuesioner dan ceklis. Analisis data menggunakan uji statistik program SPSS dengan backward regression logistic test. Hasil penelitian menunjukkan lima variabel yang merupakan faktor risiko kejadian filariasis, yaitu usia (OR=42,518), pendidikan (OR=38,248), pekerjaan (OR=8,404), aktivitas di luar rumah pada malam hari (OR=5,097), dan jenis kelamin (OR=0,193). Simpulan, faktor sosial demografi (usia, jenis kelamin, pekerjaan, dan pendidikan) serta faktor lingkungan sosial budaya sikap (aktivitas di luar rumah pada malam hari) merupakan faktor risiko terhadap kejadian filariasis di Desa Welamosa, Kabupaten Ende.

The Effect of Humanistic Nursing Practices on Compliance of Taking Medication in Hypertensive Patients in the Working Area of the Public Health Center Trivonia Sri Nurwela; Israfil Israfil; Maria Agustina Making
Indonesian Journal of Global Health Research Vol 3 No 2 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Hypertension is a chronic non-communicable disease that has threatened the health of Indonesian people. Hypertension complications have resulted in various types of disability and death. One of the factors causing complications of hypertension is patients’ non-compliance in taking anti-hypertension drugs. The purpose of this study was to determine the effect of humanistic nursing practice on compliance in taking medication for hypertensive patients in the working area of Public Health Center in Sikumana, Kupang City, East Nusa Tenggara Province, Indonesia. This experimental research method was conducted through a quasi-experimental design. The number of samples were 20 hypertensive patients who were taken by purposive sampling technique. The study sample was divided into two groups, namely the treatment group consisting of 10 patients and the control group consisting of 10 patients with inclusion criteria. The instruments used in the study were nurses worked as a therapist and a checklist to control the medication compliance. Therapy was given using the humanistic nursing practice therapy. The results of the study in the treatment group showed that 40% of the patients never took medication while 60% of the patients took medication occasionally. The reason for not taking medicine was because there were no complaints by 50%, herbal medicine consumption by 30% and running out medicine by 20%. The results of Manwhitney Test analysis of pre and post treatment obtained α = 0.000, z = -4.11. It can be concluded that there was a significant effect of humanistic nursing practice on the compliance in taking medication for hypertensive patients at the Public Health Center in Sikumana. Patients who were given humanistic nursing practice had 4.11 times greater compliance than patients who did not receive humanistic nursing practice services.

Peran Perawat Komunitas dalam Pencegahan Komplikasi Pada Pasien Hipertensi di Puskesmas Sikumana Kota Kupang Israfil Israfil; Maria Agustina Making
JURNAL INFO KESEHATAN Vol 17 No 2 (2019): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Complications of hypertensive patients are expected to continue to increase. Integrated Health Center of Sikumana, Kupang City is one of the major health centers that have a high case of hypertension complications in Kupang City, NTT Province. The objective of this study is to determine the role of community nurses in the prevention of complications in hypertensive patients at the Integrated Health Center of Sikumana, Kupang City. The research method is descriptive with a survey design. The population in research is nurses in the Integrated Health Center of Sikumana, Kupang City comprising 21 people. The sample was taken from the total population with inclusion criteria of PNS (civil servant) and PTT (non-permanent employee) nurses from the government, minimum education of Nursing D-III, and working period ≥ 2 years. The results showed 52.4% of nurses assessed risk factors for complications in hypertensive patients, 81% formulated nursing diagnoses, 76.2% developed intervention plans, 76.2% implemented, 54.5% conducted community empowerment, 85.7% conducted health education, 95.5% conducted referral in prevention complications in hypertensive patients. It can be concluded that the role of community nurses in the prevention of complications in hypertensive patients in Integrated Health Center of Sikumana, Kupang City has largely been conducted well, and it is recommended that nurses at the Integrated Health Center have participated actively in following various training and work on the community nursing process to comply with the latest instructions and regulations.

Evaluasi Implementasi “POMP” Filariasis terhadap Perubahan Aspek Pengetahuan, Lingkungan dan Perilaku Penderita Filariasis Irfan Irfan; Israfil Israfil; Marieta Kristina Sulastiawati Bai
JURNAL INFO KESEHATAN Vol 17 No 2 (2019): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Filariasis is an infectious disease caused by filarial worms and transmitted by mosquitoes. Efforts to suppress the case of filariasis are eliminated through the administration of filariasis Mass Drug Prevention (MDP). The filariasis MDP program in Ende Regency has been conducted since 2011-2015, and the first phase evaluation was conducted in 2017. This study aims to find a picture of community knowledge about the filariasis elimination program in Ende Regency, to find a picture of behavioral change and environmental management after the implementation of the filariasis elimination program. This research is qualitative research with an ethnographic approach. There were 20 informants consisting of 10 sufferers, 5 patients' families, 3 health workers, and 2 village officials. The results showed that almost all informants had known the Filariasis MDP program and had taken the filariasis drug. Most informants still had behaviors that were at risk of filariasis. The environment where the informant lives did not have a risk for filarial worm breeding. The conclusion of the research shows that the success in handling and preventing filariasis in Detusuko and Welamosa villages are supported by the community's understanding of the MDP program and consuming filariasis medicine, vanishing filarial mosquito breeding places. However, it was still found that community behavior has not changed which are activities outside the home at night, not using long-sleeved clothes and the habit of hanging dirty clothes.

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