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Aderita, Novi Indah
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Risk Factors Affecting Multi-Drug Resistant Tuberculosis in Surakarta and Ngawi, Indonesia Aderita, Novi Indah; Murti, Bhisma; Suryani, Nunuk
Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The success rate of Tuberculosis treatment in Indonesia decreased by 81.3% in 2014, which below the 85% target. The current increasing problem in the developing world is multidrug resistance of Tuberculosis (MDR-TB). Many factors may contribute to MDR-TB. At the individual level these factors may include adherence to medication, perception of vulnerability, seriousness, benefit, barrier, and nutritional status. At the institutional level these factors may include the availability of drugs and implementation of DOTS program. This study aimed to analyze factors that affect MDR-TB in Surakarta and Wonogiri district, Central Java, Indonesia.Subjects and Method: This was an observasional analytic study with case control design. It was carried out in August-October 2016 in Surakarta and Ngawi, Indonesia. A total of 120 patients were selected by fixed disease sampling. Another sample of 44 health workers was also selected for the study. The endogenous variables: adherence, nutritional status, and implementation of the treatment of DOTS. The exogenous variables: perception of vulnerability, seriousness, benefits, barriers, the availability of anti Tuberculosis drugs. The data was collected by questionnaire and analyzed by path analysis.Results: Nutritional status (b=-2.98; 95% CI =-5.31 to -0.64; p = 0.012), adherence to anti Tuberculosis drugs (b=-3.38; 95% CI =-5.94 to -0.82; p = 0.010), treatment with DOTS for MDR TB (b=-0.88; 95% CI = 1.43-3.18 ; p = 0.456) were associated with MDR-TB. Perceived vulnerability (b= 2.81; 95% CI= 0.99 to 4.64; p = 0.003), seriousness (b=4.47; CI 95% = 2.38 to 6.57; p 0.001), benefits (b= 3.4; CI 95%= 1.52 to 5.18; p=0.001), barriers (b =-1.81; 95% CI=-3.48 to -1.39; p=0.034), as well as availability of DOTS treatment (b = 3.14; CI 95% = 0.95 to 5.32; p = 0.002), were associated with adherence to treatment.Conclusion: Nutritional status, adherence to treatment, implementation of DOTS strategy for MDR-TB affect the risk of MDR TB. Perceived vulnerability, seriousness, benefit, and barrier, as well as availability of DOTS treatment, affect adherence to treatment. Partnership between patients and health care personnel is recommended to increase the success of TB treatment.Keywords: tuberculosis, risk factor, MDR-TB, adherence to treatmentCorrespondence: Novi Indah Aderita. Polytechnic of Health Sciences Bhakti Mulia, Sukoharjo, Central Java Email: adherita_alhaniin@yahoo.comJournal of Health Promotion and Behavior (2016), 1(2): 86-99https://doi.org/10.26911/jepublichealth.2016.01.02.02 
Penatalaksanaan Terapi Musik Klasik dengan Masalah Keperawatan Gangguan Penurunan Curah Jantung pada Pasien Hipertensi di RSUD Dr. Soediran Mangun Sumarso Wonogiri Eva Pratama Sari, EVa; - Poltekkes Bhakti Mulia Sukoharjo, Novi Indah Aderita
IJMS - Indonesian Journal on Medical Science Vol 5, No 1 (2018): IJMS 2018
Publisher : IJMS - Indonesian Journal on Medical Science

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Abstract: Health Central Java (2014) define the highest case with indications of the disease is not contagious by 2013 on a group of diseases of the heart and blood vessels essential hypertension is a disease. Hypertension meyebabkan artery aorta and large reduced his ability to accommodate the volume of blood pumped by the heart, resulting in a decrease in cheating heart. To cope with the decrease in the bulk of the heart that is by way of grant of classical music therapy. The purpose of this research is lower blood pressure in people with hypertension in the PROVINCIAL HOSPITAL of Dr. Soediran Mangun Sumarso Wonogiri. The design of this research is descriptive research using the approaches of nursing (nursing process). Research subject retrieval techniques with non probability sampling purposive. The subject of a number of 5 people who will be given a classical music therapy. The results of the study of 5 subjects found that the subjects said experiencing stress, have a history of hypertension in the family, experiencing shortness of breath, insomnia, pain in the back of the neck, feeling anxious, pounding, and anxious. Result of physical examination to research subject got result: good general condition, awareness compos mentis. The exterior is cold. Looking anxious, a strong palpable pulse. TTV: TD: 150-190 / 90-120 mmHg, N: 88-110 x / min, R: 20-22x / min, S: 36-36,7oC. CRT 2-3 seconds. The diagnosis of nursing decreased cardiac output. Intervention for decreased cardiac output is by giving classical music therapy for 20-30 minutes. After doing that action got result that the problem of decrease of cardiac output resolved on 1 subject that match with result criteria and resolved partially on 4 subject because blood pressure of research subject decreased but not in normal range. The results obtained blood pressure in the range 130-160 / 80-90 mmHg.Keywords: Hypertension, Penurunanan Heavy Heart, Classical Music Therapy                                                                                                        Abstrak: Depkes Jawa Tengah (2014) mendefinisikan kasus tertinggi dengan indikasi penyakit tidak menular tahun 2013 pada kelompok penyakit jantung dan pembuluh darah adalah penyakit hipertensi esensial. Hipertensi menyebabkan aorta dan arteri besar berkurang kemampuannya dalam mengakomodasi volume darah yang dipompa oleh jantung, mengakibatkan penurunan curang jantung. Untuk mengatasi penurunan curah jantung yaitu dengan cara pemberian terapi musik klasik. Tujuan penelitian ini menurunkan tekanan darah pada penderita hipertensi di RSUD dr. Soediran Mangun Sumarso Wonogiri. Desain penelitian ini merupakan penelitian deskriptif dengan menggunakan pendekatan keperawatan (nursing process). Teknik pengambilan subjek penelitian dengan non probability sampling (purposive). Subjek penelitian sejumlah 5 orang yang akan diberi terapi musik klasik. Hasil pengkajian dari 5 subjek didapatkan bahwa subjek penelitian mengatakan mengalami stress, mempunyai riwayat hipertensi di keluarganya, mengalami sesak nafas, susah tidur, merasa nyeri pada tengkuk, merasa gelisah, berdebar, dan cemas. Hasil pemeriksaan fisik kepada subjek penelitian didapatkan hasil: keadaan umum baik, kesadaran compos mentis. Ekstermitas teraba dingin. terlihat cemas, nadi teraba kuat. TTV: TD: 150-190/90-120 mmHg, N: 88-110 x/menit, R: 20-22x/menit, S: 36-36,7oC. CRT 2-3 detik. Didapatkan diagnosis keperawatan penurunan curah jantung. Intervensi untuk penurunan curah jantung yaitu dengan pemberian terapi musik klasik selama 20-30 menit.  Setelah dilakukan tindakan tersebut didapatkan hasil bahwa masalah penurunan curah jantung teratasi pada 1 subjek yang sesuai dengan kriteria hasil dan teratasi sebagian pada 4 subjek karena tekanan darah subjek penelitian menurun tetapi tidak dalam rentang normal. Hasil penelitian didapatkan tekanan darah dalam rentang 130-160/80-90 mmHg. Kata kunci: Hipertensi, Penurunanan Curah Jantung, Terapi Musik Klasik
Uji Daya Analgetik Ekstrak Etanol Daun Sirsak (Annona Muricata L) Terhadap Mencit Jantan Galur Swiss Parmadi, Anom; Aderita, Novi Indah; Septianingsih - Poltekkes Bhakti Mulia, Widy
IJMS - Indonesian Journal on Medical Science Vol 7, No 2 (2020): IJMS 2020
Publisher : IJMS - Indonesian Journal on Medical Science

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Abstract: One of the traditional plants used as painkillers or analgesics is soursop leaves because of the content of the alkaloid chemical, tannins. Pain is a disturbing and uncomfortable condition for the sufferer, but pain can be used as a sign of tissue damage. Pain caused by mechanical, chemical or physical stimuli (heat, electricity) can cause tissue damage. This study aims to determine the effect of soursop leaf ethanol extract as an analgesic and prove that soursop leaf ethanol extract can reduce the amount of stretching in mice induced with acetic acid. This research is an experimental research. With variations in the ethanol extract of soursop (Annona muricata L.) leaves in mice. The analysis was carried out by observing organoleptic extracts and the amount of stretching caused after acetic acid induction and% analgesic power. Data analysis techniques using the ANOVA one-way test with the help of the SPSS program. The ethanol extract of Soursop leaves has analgesic effect. The results of the Post Hoc Test (LSD) analysis between positive control (acetosal) 65 mg / kgBW, Soursop leaf extract 1.5 g / kgBW, 3 g / kgBW showed significant values 0.0001 <from 0.05 and soursop leaf extract 6 g / kgBB shows a significant value of 0.019 <0.05 which means that there are significant differences between treatment groups. The results of the increase in the analgesic effect on soursop leaf extract dose of 1.5 g / kgBB 14.38%, dose of 3g / kgBB 20.8%, dose of 6g / kgBB 30.16%.Keyword : Ethanol Extract Soursop Leaves, Analgesic Power, Mice. Abstrak: Salah satu tanaman tradisional yang dimanfaatkan sebagai antinyeri atau analgetik adalah daun sirsak karena kandungan zat kimia alkaloid, tanin. Nyeri merupakan keadaan yang menganggu dan tidak nyaman bagi penderita nya, namun nyeri dapat digunakan sebagai tanda adanya kerusakan jaringan. Nyeri yang disebabkan oleh rangsangan mekanis, kimiawi atau fisis (kalor, listrik) dapat menimbulkan kerusakan pada jaringan. Penelitian ini bertujuan untuk mengetahui efek ekstrak etanol daun sirsak sebagai analgetik serta membuktikan bahwa ekstrak etanol daun sirsak dapat mengurangi jumlah geliat pada mencit yang diinduksi dengan asam asetat. Penelitian ini adalah penelitian eksperimental. Dengan variasi dosis ekstrak etanol daun sirsak (Annona muricata L.) pada mencit. Analisis dilakukan dengan  mengamati organoleptis ekstrak dan jumlah geliat yang ditimbulkan setelah diinduksi asam asetat serta % daya analgetik. Teknik analisis data mengunakan uji one-way ANOVA dengan bantuan program SPSS. Ekstrak etanol daun Sirsak memiliki efek analgetik. Hasil dari analisis Post Hoc Test (LSD) antara kontrol positif (asetosal) 65 mg/kgBB, Ekstrak daun sirsak 1,5 g/kgBB, 3 g/kgBB menunjukan nilai signifikan 0,0001 < dari 0,05 dan ekstrak daun sirsak 6 g/kgBB menunjukan nilai signifikan 0,019 < 0,05 yang berarti menunjukan ada perbedaan yang bermakna antar kelompok perlakuan. Hasil presentase kenaikan efek analgetik pada ekstrak daun sirsak dosis 1,5 g/kgBB 14,38%, dosis 3 g/kgBB 20,8%, dosis 6 g/kgBB 30,16%.Kata kunci : Ekstrak Etanol Daun Sirsak, Daya Analgetik, Mencit
Perawatan Kaki Spa Kaki Atasi Masalah Ketidakefektifan Perfusi Jaringan Perifer Pada Pasien Diabetes Millitus Tipe II Fitriani, Laila Rizqa Nur; Aderita-Politeknik Kesehatan Bhakti Mulia, Novi Indah
IJMS - Indonesian Journal on Medical Science Vol 8, No 1 (2021): IJMS 2021
Publisher : IJMS - Indonesian Journal on Medical Science

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Abstract: In 2018 there was an increase in people with diabetes mellitus, starting from 6.9% in 2013 to 8.5%. Java Island, especially Central Java, had diabetes mellitus in 2018 amounting to 2.1%. One of the problems experienced is the neuropathic system, including: decreased sensation, pain, and paresthesia, one of the actions that can be taken to overcome these problems is a diabetic foot spa. The purpose of this study was to describe the management of foot care with the ineffective peripheral tissue perfusion nursing problem. This descriptive research uses a case study approach. Methods of data collection by observation, measurement, and documentation. The case study instrument uses the medical surgical nursing care format, nursing kit, measurement sheet. Results: The study found that the subject data said the feet felt tingling, dry, numb, thick. The objective data obtained were: the feet looked dry, there were no wounds, no edema, TTV: BP: 120/80 mmHg-130/90 mmHg, RR: 20-21x / minute, N: 80-98x / minute, S: 36,30C-36,60C, GDS: 173 mg / dL-190 mg / dL, ABI: 1.3-1.4. Nursing problem is ineffective peripheral tissue perfusion. The nursing action plan that will be carried out is a diabetic foot spa for 5 visits. Nursing actions include conducting an assessment of the condition of the feet, observation, doing a diabetic foot spa. The results after doing diabetic foot spa for 5 visit for 2 weeks showed that problem of ineffective peripheral tissue perfusion was resolved. Conclusion: diabetic foot spa action can improve blood circulation in diabetes mellitus patientsKeywords: diabetic foot spa, ineffective peripheral tissue perfusion, Diabetes Mellitus (DM).            Abstrak: Pada tahun 2018 terjadi peningkatan dengan penderita diabetes mellitus, mulai dari 6,9% pada tahun 2013 hingga kini telah menjadi 8,5%. Pulau Jawa khususnya Jawa Tengah diabetes mellitus pada tahun 2018 sejumlah 2,1%. Masalah yang dialami salah satunya pada sistem neuropati, antara lain: penurunan sensasi, nyeri, dan parestesia, salah satu tindakan yang dapat dilakukan untuk mengatasi masalah tersebut yaitu spa kaki diabetik. Tujuan dari penelitian ini adalah mendeskripsikan penatalaksanaan perawatan kaki dengan masalah keperawatan ketidakefektifan perfusi jaringan perifer. Penelitian deskriptif ini menggunakan pendekatan studi kasus. Metode pengumpulan data dengan observasi, pengukuran, dan dokumentasi. Instrument studi kasus menggunakan format asuhan keperawatan medical bedah, nursing kit, lembar pengukuran. Hasil penelitian: Pengkajian didapatkan data subjek mengatakan kaki terasa kesemutan, kering, kebas/mati rasa, tebal. Data objektif yang didapatkan yaitu: kaki tampak kering, tidak terdapat luka, tidak terdapat edema, TTV: TD: 120/80 mmHg-130/90 mmHg, RR: 20-21x/menit, N: 80-98x/menit, S: 36,30C-36,60C, GDS: 173 mg/dL-190 mg/dL, ABI:1.3-1.4. Masalah keperawatan yaitu ketidakefektifan perfusi jaringan perifer. Rencana tindakan keperawatan yang akan dilakukan yaitu spa kaki diabetik selama 5 kali kunjungan. Tindakan keperawatan meliputi melakukan pengkajian terhadap keadaan kaki, observasi, melakukan spa kaki diabetik. Hasil setelah dilakukan spa kaki diabetik sebanyak 5 kali kunjungan selama 2 minggu didapatkan hasil masalah ketidakefektifan perfusi jaringan perifer teratasi. Simpulan: tindakan spa kaki diabetic dapat meningkatkan sirkulasi darah pada pasien diabetes mellitus.Kata kunci: spa kaki diabetik, ketidakefektifan perfusi jaringan perifer, Diabetes Mellitus (DM).
Pengaruh Pendidikan Kesehatan Makanan Jajanan terhadap Pengetahuan, Sikap dan Perilaku dalam Pemilihan Makanan Jajanan pada Siswa Sekolah Dasar Negeri 01 Madegondo Grogol Aderita - Poltekkes Bhakti Mulia, Novi Indah
IJMS - Indonesian Journal on Medical Science Vol 7, No 2 (2020): IJMS 2020
Publisher : IJMS - Indonesian Journal on Medical Science

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Abstract: Snack food is closely related to school-age children. Research result from the Indonesian Consumers Foundation (YLKI) stated that 98.7% of elementary school children enjoy consuming snacks at school. However, problems often arise from the use of hazardous substances in food, the behavior of children consuming unsafe snacks and the lack of parental supervision of childrens snack behavior. So a strategy is needed to determine the selection of healthy snacks, one of which is by providing health education. This study aims to analyze the effect of health education on increasing knowledge, attitude, and behavioral changes in the selection of snack foods in elementary school 01 Madegondo Grogol. The research design used a pre-post experiment with a pre-test and post-test design approach. The research was conducted in September-November 2019 at elementary school 01 Madegondo Grogol. The number of research subjects with a fixed exposure sampling subject technique. The technique of collecting data with a questionnaire. Data analysis using t-test. The result of this study are: based on the t-test carried out on the knowledge variable, the value of p = 0.000 is obtained, the value of the attitude variable is p=0.033, and the value for the behavior variable is p = 0.000. The results show that there is an effect of health education on increasing knowledge, attitude and behavior changes in the selection of healthy snack food which are proven to be statistically significant. Cooperation between the school and parent is needed to encourage children to behave in healthy lives.Keyword: Health Education, Knowledge, Attitude, Behaviour, Food Snack. Abstrak: Makanan jajanan erat kaitannya dengan anak usia sekolah.  Hasil penelitian Yayasan Lembaga Konsumen Indonesia (YLKI) menyebutkan bahwa 98,7% anak Sekolah Dasar (SD) senang mengkonsumsi jajanan di sekolah. Namun seringkali timbul masalah penggunaan zat-zat berbahaya dalam makanan, perilaku anak mengkonsumsi jajanan yang tidak aman dan kurangnya pengawasan orang tua terhadap perilaku jajan anak. Sehingga diperlukan strategi untuk mengetahui pemilihan jajanan yang sehat, salah satunya dengan upaya memberikan pendidikan kesehatan. Penelitian ini bertujuan untuk menganalisis pengaruh pendidikan kesehatan terhadap peningkatan pengetahuan, sikap, dan perubahan perilaku dalam pemilihan makanan jajanan di Sekolah Dasar Negeri (SDN) 01 Madegondo Grogol. Desain penelitian menggunakan pre-post eksperimen dengan pendekatan pre test-post test desain. Penelitian dilaksanakan pada September – November 2019 di SDN 01 Madegondo. Jumlah subjek penelitian yang digunakan sejumlah 50 subjek dengan teknik pengambilan subjek fixed exposure sampling. Teknik pengumpulan data dengan kuesioner. Analisis data menggunakan t test. Hasil penelitian ini adalah: berdasarkan uji t yang dilakukan pada variable pengetahuan didapatkan nilai p = 0.000, pada variabel sikap didapatkan nilai p = 0.033, dan pada variabel perilaku didapatkan nilai p = 0.000. Hasil menunjukkan bahwa terdapat pengaruh pendidikan kesehatan terhadap peningkatan pengetahuan, sikap dan perubahan perilaku dalam pemilihan makanan jajanan sehat yang terbukti secara statistic signifikan. Kerjasama antara pihak sekolah dan orang tua diperlukan untuk mendorong anak berperilaku hidup sehat. Kata Kunci:  Pendidikan Kesehatan, Pengetahuan, Sikap, Perilaku, Makanan Jajanan
Co-Authors Anom Parmadi Bhisma Murti Eva Pratama Sari, EVa Fitriani, Laila Rizqa Nur Nunuk Suryani Septianingsih - Poltekkes Bhakti Mulia, Widy