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All Journal PROSIDING SEMINAR NASIONAL Jurnal Kesehatan Masyarakat Indonesia MEDIA MEDIKA INDONESIANA Jurnal Ekologi Kesehatan Jurnal Ilmu Keperawatan dan Kebidanan Proceedings of the International Conference on Applied Science and Health Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Pena Medika : Jurnal Kesehatan Jurnal Ilmiah Medsains

Suharyo Hadisaputro

Unknown Affiliation

Author-ID : 1842077

Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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FAKTOR RISIKO KEJADIAN NEFROPATI DIABETIKA STADIUM 3-5 Sri Wahyuningsih Roesipin; Heri Nugroho Hario Seno; Suhartono Suhartono; Suharyo Hadisaputro; Mateus Sakundarno
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 8 No 2 (2018): Oktober
Publisher : LPPM STIKES KENDAL

Nefropati diabetika merupakan penyebab utama kejadian gagal ginjal. Prevalensi di negara-negara Asia sangat tinggi. Sebanyak 20%-40% penderita diabetes akan berkembang menjadi nefropati diabetika, jika tidak dilakukan pencegahan dengan pengelolaan faktor risikonya. Namun penelitian tentang faktor risiko nefropati diabetika di Indonesia masih jarang dilakukan. Penelitian ini bertujuan untuk mengetahui faktor-faktor risiko tersebut. Desain penelitian ini adalah studi kasus kontrol dengan jumlah sampel 43 kasus dan 43 kontrol. Kasus adalah penderita diabetes dengan komplikasi nefropati diabetika stadium 3-5 dan kontrol adalah penderita diabetes dengan nilai eGFR>60ml/menit/1,73m2 dengan proteinuria negatif. Pengambilan sampel menggunakan teknik consecutive sampling pada pasien diabetes yang dirawat inap. Variabel bebas meliputi riwayat keluarga menderita penyakit vaskuler, lama menderita diabetes, riwayat obesitas, kadar gula darah puasa, kadar kolesterol total, status hipertensi, kebiasaan merokok, status hiperurisemia, kualitas tidur, pola konsumsi obat dan aktifitas fisik. Data diolah secara univariat, bivariat dan multivariat menggunakan regresi logistik berganda. Hasil analisis regresi logistik berganda menunjukkan bahwa yang terbukti merupakan faktor risiko kejadian nefropati diabetika stadium 3-5 adalah hiperurisemia (OR 9,36; 95%CI: 3,035-28,863) dan hipertensi (OR 3,75; 95%CI:1,090-12,934. Hipertensi dan hiperurisemia merupakan faktor yang dapat diperbaiki, sehingga penderita diabetes disarankan untuk mengendalikan tekanan darah dan kadar asam uratnya sedini mungkin utnuk mencegah komplikasi nefropati diabetika. Kata kunci: Nefropati diabetika, Faktor risiko THE RISK FACTORS OF DIABETIC NEPHROPATHY IN STAGE 3-5 ABSTRACT Diabetic nephropathy is a major cause of kidney failure. The prevalence in Asian countries is very high. As many as 20% -40% of diabetics will develop into diabetic nephropathy, if not prevented by managing risk factors. However, research on the risk factors for diabetic nephropathy in Indonesia is still rare. This study aimed to determined the risk factors for diabetic nephropathy. The study design was a case control study with a total sample of 43 cases and 43 controls. The cases were diabetics with stage 3-5 of diabetic nephropathy and the controls were diabetics with eGFR> 60ml / minute / 1.73m2 with negative proteinuria. Sampling used consecutive sampling technique in hospitalized diabetic patients. Independent variables were family history of vascular disease, duration of diabetes, history of obesity, fasting blood sugar levels, total cholesterol levels, hypertension status, smoking habits, hyperuricemia status, sleep quality, medicines consumption patterns and physical activity. Data was processed in univariate, bivariate and multivariate using multiple logistic regression. The results of multiple logistic regression analysis showed that the significant risk factors for stage 3-5 of diabetic nephropathy were hyperuricemia (OR 9.36; 95% CI: 3.035-28.863) and hypertension (OR 3.75; 95% CI: 1.090-12.934). Hypertension and hyperuricemia are modifiable risk factors, so that diabetic patients are advised to control their blood pressure and uric acid levels as soon as possible to prevented the diabetic nephropathy. Keywords: Diabetic nephropathy, risk factors.

PROBABILITAS PERILAKU SEDENTARI TERHADAP HIPERTENSI PADA PEGAWAI DAERAH PERIMETER PELABUHAN Eka Oktaviarini; Suharyo Hadisaputro; Shofa Chasani
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 1 (2019): Januari
Publisher : LPPM STIKES KENDAL

Hipertensi adalah peningkatan tekanan darah sistol ≥140 mmHg atau diastol ≥90 mmHg. Hipertensi sering disebut the silent killer karena tidak menimbulkan gejala sehingga pengobatannya seringkali terlambat. Hipertensi merupakan salah satu penyakit yang berhubungan dengan pekerjaan. Pegawai menghabiskan waktu kurang lebih delapan jam sehingga tidak memiliki kebiasaan olahraga secara teratur. Perilaku sedentari merupakan perilaku yang berisiko terhadap salah satu penyakit pembuluh darah. Proporsi hipertensi berdasarkan survei deteksi dini penyakit tidak menular pada pegawai kantor di daerah perimeter adalah 33,68%. Penelitian ini merupakan penelitian observasional analitik menggunakan desain case control dengan jumlah 76 sampel terdiri dari 38 kasus dan 38 kontrol yang diambil secara consecutive sampling pada populasi pegawai perimeter pelabuhan yang tercatat dalam survei deteksi dini tahun 2017. Data dianalisis secara univariat, bivariat dan multivariat. Hasil statistik yang diperoleh adalah jenis kelamin (p=0,010; OR adjusted 6,179; 95%CI 1,553-24,587) dan perilaku sedentari (p=0,034; OR adjusted 0,338; 95%CI 0,124-0,921). Umur, riwayat keluarga, kebiasaan olahraga, riwayat stres kerja dan jadwal kerja tidak terbukti sebagai faktor risiko hipertensi. Hormon merupakan salah satu penyebab hipertensi pada laki-laki cenderung lebih tinggi. Otot seseorang yang kurang melakukan aktivitas fisik cenderung akan mengendor sehingga peredaran darah akan terhambat dan kerja jantung akan lebih berat. Kata kunci : Hipertensi, pegawai, pelabuhan, sedentari SELF-CONCEPT OF PATIENTS WITH CHRONIC RENAL FAILURE WHO UNDERWENT HEMODIALYSIS ABSTRACT Hypertension is an increase in systolic blood pressure ≥140 mmHg or diastolic ≥90 mmHg. Hypertension is often called the silent killer because it does not cause symptoms so the treatment is often late. Hypertension is a work-related disease. Officers spend approximately eight hours so they do not have regular exercise habits. Sedentary is a risky behavior for one of the vascular diseases. The proportion of hypertension based on early detection of non-communicable diseases in the perimeter area is 33,68%. This research is an analytic observational study using a case control design with 76 samples consisting of 38 cases and 38 controls taken by consecutive sampling in the population of port perimeter officers recorded in the early detection survey in 2017. Data were analyzed by univariate, bivariate and multivariate. Results obtained were gender (p=0,010; adjusted OR 6,179; 95%CI 1,553-24,587) and sedentary behavior (p=0,034; adjusted OR 0,338; 95%CI 0,124-0,921). Age, family history, exercise habits, history of work stress and work schedules are not proven to be risk factors of hypertension. Hormone is one of the causes of hypertension in men tend to be higher. The muscle of someone who is less physically active tends to relax so that blood circulation will be hampered and the heart will work harder. Keywords: Hypertension, officers, port, sedentary.

FAKTOR LINGKUNGAN DAN PERILAKU YANG BERPENGARUH TERHADAP KEJADIAN FILARIASIS Yusuf Lensa Hamdan; Suharyo Hadisaputro; Ari Suwondo; Muchlis AU Sofro; Sakundarno Adi
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 1 (2019): Januari
Publisher : LPPM STIKES KENDAL

Filariasis merupakan suatu penyakit yang masih menjadi masalah kesehatan di Indonesia. Kecamatan Pekalongan Selatan merupakan salah satu daerah endemis filariasis. Pada tahun 2014 - 2016 didapat 71 kasus filariasis yang mungkinkan oleh berbagai faktor lingkungan yang banyak terdapat rawa dan kolam dan digenangi air serta ditumbuhi oleh tanaman air. Faktor lain selain dari faktor lingkungan adalah faktor sosial, ekonomi dan perilaku masyarakat. Tujuan penelitian ini mengetahui faktor-faktor risiko lingkungan fisik (genangan air), lingkungan biologi (tanaman air, ikan predator), Lingkungan sosial ekonomi (pekerjaan, pendidikan dan penghasilan) dan faktor perilaku (kebiasasaan keluar malam hari, kebiasaan menggunakan obat anti nyamuk dan kebiasaan menggunakan baju pelindung diri dari gigitan nyamuk) yang berpengaruh terhadap kejadian filariasis. Jenis penelitian ini merupakan penelitian observasional dengan rancangan studi kasus kontrol. Kasus adalah penduduk yang menderita filariasis dan kontrol adalah penduduk yang tidak menderita filariasis. Jumlah kasus dan kontrol adalah 80. Pengambilan data dilakukan melalui observasi dan wawancara. Analisis dilakukan secara bivariat dan multivariat dengan menggunakan regresi logistik. Analisis Multivariat menunjukkan bahwa dari 11 (sebelas) variabel yang dianalisis terdapat 1 variabel yang terbukti berpengaruh terhadap kejadian filariasis di Kecamatan Pekalongan Selatan, yaitu : Pemakaian Obat Anti Nyamuk (OR = 35,286, CI 95% = 7,390 – 168,476). Penggunaan obat anti nyamuk merupakan faktor risiko yang paling dominan untuk terjadinya penularan filariasis. Masyarakat disarankan menggunakan kelambu atau anti nyamuk sewaktu tidur, memakai pelindung diri (baju dan celana panjang) waktu keluar rumah pada malam hari. Perlu adanya tindakan penyuluhan dan penyebarluasan informasi tentang filariasis dalam rangka meningkatkan pengetahuan masyarakat. Kata kunci: filariasis, lingkungan, perilaku. VARIOUS ENVIRONMENTAL AND BEHAVIOR FACTORS THAT INFLUENCE THE FILARIASIS EVENT ABSTRACT Filariasis is a disease that is still a health problem in Indonesia. South Pekalongan District is one of the endemic areas of filariasis. By the year 2014 - 2016, it was found about 71 cases of filariasis. This is caused by many factors in the environment, such as swamp and pool that was flooded with water with many water plants. Other factor, that caused by are sosio economic and community behavior. The objective of this study was to determine physical factors (swamp / pool), Biological (water plants, fish / animal predators) of the environment. Socio ecomic factor (education, job and income), behaviour factor the habitat of (going outside at night, habit of using mosquito repellent and wearing clothes to protect from mosquitoes bite) that may give influence the filariasis cases in South Pekalongan District. This research was an observasional research with a case-control approach. Case in this study was filariasis cases and for control was people suffer from filariasis. Total sampler were 80 sample. Data was taken by observation and interview. Data collected was analyzed by using logistics regression. Multivariate analysis showed that from 11 variables, there are 1 variable were proved to be the risk factor of filariasis at South Pekalongan District, which are : respondent, habit of using mosquito repellent (OR = 35,286, CI 95% = 7,390 – 168,476). The use of mosquito repellent is the most dominant risk factor for filariasis transmission. It is suggested that people sould use mosquito net or repellent when bed time, self protection dress when they go out at night. It is necessary to perform health promotion and extend the information related to filariasis in order to improve people knowledge . Keyword : Filariasis, Environmental, Behavioral.

FAKTOR-FAKTOR YANG MEMPENGARUHI KETIDAKPATUHAN MINUM OBAT SEBAGAI UPAYA PENCEGAHAN FILARIASIS DI KOTA PEKALONGAN Harfaina Harfaina; Suharyo Hadisaputro; Djoko Trihadi Lukmono; Mateus Sakundarno
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 1 (2019): Januari
Publisher : LPPM STIKES KENDAL

Filariasis adalah penyakit infeksi yang disebabkan oleh cacing Wuchereria Bancrofti, Brugia Malayi, dan Brugia Timori yang menyebabkan cairan limfe tidak dapat tersalurkan dengan baik sehingga menyebabkan pembengkakan pada tungkai dan lengan. Meskipun tidak ada penyebab kematian tetapi menyebabakan cacat permanen dan stigma sosial. Eliminasi Filariasis dilakukan dengan Program Pengobatan Massal ke seluruh penduduk di daerah endemis setahun sekali selama 5 tahun. Keberhasilan program ini memerlukan kepatuhan minum obat pencegahan filariasis. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi ketidakpatuhan minum obat sebagai upaya pencegahan filariasis. Penelitian ini Populasi dalam penelitian ini adalah penduduk berusia 15-65 tahun di dua kelurahan endemis yaitu kelurahan kuripan kertoharjo dan kelurahan jenggot selama mei-juli 2018. Sampel dalam penelitian ini 80 kasus dan 80 kontrol dengan teknik cluster random sampling. Variabel yang terbukti berpengaruh yaitu persepsi kerentanan negatif (OR=4,093) 95%CI=1,356-12,350 dan self efficacy negatif (OR=30,298) 95%CI=8,986-102,156. Persepsi kerentanan negatif dan self efficacy negatif merupakan faktor perilaku yang mempengaruhi ketidakpatuhan minum obat pencegahan filariasis. Diharapkan ada penelitian lanjutan tentang ketidakpatuhan minum obat pencegahan filariasis bukan berwujud persepsi tetapi dengan pengukuran faktor lingkungan sosial secara objektif dengan melakukan intervensi berupa perubahan perilaku. Kata kunci : Filariasis, Ketidakpatuhan, Minum Obat, Mix Method FACTORS THAT INFLUENCE DRINKING DRUG PREVENTION NON COMPLIANCE OF FILARIASIS IN PEKALONGAN CITY ABSTRACT Filariasis is an infectious disease caused by worms Wuchereria Bancrofti, Brugia Malayi, and Brugia Timori, adult worm lives and damage reulting in blockage of lymph channels, causing swelling of the legs and arms. Although no cause of death but causes permanent disability and social stigma. Filariasis elimination done with the Mass Treatment Program to the entire population in endemic areas a year for 5 year. Succesfully this program required a medication adherence. The purpose of this study was to determine the factors that influence drug disobedience as an effort to prevent filariasis. This study uses a mix method. The population in this study were residents aged 15-65 years in two endemic villages, namely kuripan kertoharjo and jenggot villages during May-July 2018. Samples in this study were 80 cases and 80 controls with cluster random sampling technique. Variables that proved influential were perceptions of negative vulnerability (OR = 4,093) 95% CI = 1,356-12,350 and negative self efficacy (OR = 30,298) 95% CI = 8,986-102,156. Negative vulnerability perceptions and negative self efficacy are behavioral factors that influence non-compliance with filariasis prevention drugs. It is expected that further research on non-compliance with taking drugs to prevent filariasis is not a form of perception but objective measurement of social environmental factors by intervening in the form of behavior change. Keywords: Filariasis, Noncompliance, Medication, Mix Method

ESTRAK IKAN GABUS (CHANNA STRIATA ) UNTUK MENINGKATKAN KADAR HEMOGLOBIN PADA IBU NIFAS ANEMIA DI RSUD Hj.ANNA LASMANAH BANJARNEGARA admjurnalsiji polibara; Umi Nur Fajri; Suharyo Hadisaputro; Ariawan Soejoenoes
Jurnal Ilmiah Medsains Vol 6 No 2 (2020): Edisi Desember
Publisher : Unit Penelitian dan Pengabdian Masyarakat, Politeknik Banjarnegara

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In labor with CS, the mortality rate is twice the rate of vaginal deliveries. SC action can result in changes in the physiological functions of the body, including loss of a lot of blood during surgery which can cause anemia. The research objective was the effect of snakehead fish extract (Channa Striata) on the increase in hemoglobin levels in anemic postpartum mothers. Snakehead fish has the highest albumin content compared to other fish. Albumin has the function of accelerating the recovery of divided / damaged body cell tissues and also as a means of carrying materials that are less water-soluble through blood plasma and cell fluids, one of these materials is iron.This type of research is quasy experimental with pre test post test control group design. Sample of 30 respondents. The intervention group was given snakehead fish extract, antibiotics and Fe tablets for the control group was given antibiotics and Fe tablets. The independent variable was snakehead fish extract and the dependent variable was hemoglobin level. The research instrument of snakehead fish extract using observation sheets, for Hb levels using a spectrophotometer. Data analysis using Independent t test. Research result; 1000 mg of snakehead fish extract for 14 days increased the average hemoglobin level by 1.08 g%. Suggestion: postpartum mothers who have anemia in addition to drinking Fe tablets also drink snakehead fish extract. Keyword : Snakehead Fish Extract, Hemoglobin Level, Anemia, Post Post SC

Co-Authors admjurnalsiji polibara Anies Anies Apoina Kartini Ari Suwondo Ariawan Soejoenoes Awan Hariyanto Bagoes Widjanarko Didik Sumanto Djoko Trihadi Lukmono Eka Oktaviarini Emy Herliani Halena Isrumanti Duke Harfaina Harfaina Hertanto Wahyu Subagio Ishak Martinus Ismi Puji Astuti K. Heri Nugroho HS, K. Heri Marsetyawan HNE Soesatyo Mateus Sakundarno Mateus Sakundarno Adi, Mateus Sakundarno Muchlis AU Sofro Muhammad Saleh Ratna Muliawati Sakundarno Adi Sayono Sayono Shofa Chasani Siti Susanti Sri Andarini Indreswari Sri Djokomoeljanto Sri Rahayu Widyastuti Sri Wahyuningsih Roesipin Suhartono Suhartono Suhartono, Suhartono Sumy Hastry Purwanti Supriyadi - Tjokorda Gde Dalem Pemayun Umi Nur Fajri Yudhy Dharmawan Yusuf Lensa Hamdan

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