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THE RELATIONSHIP BETWEEN GERMAS PROGRAM AND HYPERTENSION CONTROL IN LHOKNGA PRIMARY HEALTH CARE, ACEH BESAR, INDONESIA Mustaqim, Liza; Azwar, Eddy; Arifin, Vera Nazhira; Septiani, Riza
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 8, No 2 (2022): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v8i2.2070

Background: Hypertension is a global issue since its prevalence increased in line with changes in lifestyle, especially in dietary patterns and low physical activity. In Indonesia, “the Healthy Living Movement” or “Gerakan Masyarakat Hidup Sehat” (GERMAS) Program which was launched in 2016 consists of seven pillars including physical activity, consumption of fruits and vegetables, no smoking, no alcohol, early detection of disease, environmental health, and latrines usage. The aim of this study is to analyze the relationship between GERMAS Program and hypertension control among patients in Lhoknga Primary Health Care (PHC) in Aceh Besar, Indonesia. Method: This study is a cross-sectional, with the subjects of 60 patients with hypertension in Lhoknga PHC, chosen by proportional sampling. Data were collected by interview and observation of blood pressure patients between 8 March and 26 March 2021. Data were analyzed univariate and bivariate using chi-square with significance p0.05. Results: The results show relationship between physical activity (p=0.019), consumption of fruits and vegetables (p=0.001), no smoking (p=0.038), routine health check (p=0.001), and hypertension control. Recommendation: Health workers in PHC are suggested to educate the community including patients with hypertension about GERMAS Program and support them in starting and maintaining a healthy living movement. Massive health education and socialization about GERMAS through various media are also essential social marketing in improving health in the community.

ANALYSIS OF PARTICIPATION IN PROLANIS EXERCISE PROGRAM AND ITS IMPACT ON BLOOD PRESSURE OF PATIENTS WITH HYPERTENSION Oktarina, Mila; Hamisah, Irma; Adamy, Aulina; Arlianti, Nopa; Wardiati, Wardiati; Septiani, Riza
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 2 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i2.2069

Background: Hypertension remains a major public health problem globally. This disease is also one of the public health challenges in Indonesia. One of the health programs to promote health and maintaining controlled blood pressure among patients with hypertension is by optimizing the utilization of “the Chronic Disease Management Program” or “Program Pengelolaan Penyakit Kronis (Prolanis)”, and one of the interventions is exercise activities. This study aims to analyze factors associated with participation in the Prolanis exercise program and its impact on participants’ blood pressure. Method: This study uses a cross-sectional design with a sample of 106 patients with hypertension in two Community Health Centers (Puskesmas Lhoknga and Puskesmas Darul Imarah Aceh Besar). Data were collected by interview and observation of blood pressure. Data were analyzed univariate and bivariate using chi-square with significance p0.05 and unpaired t-test. Results: Chi-square analysis shows the relationship between knowledge (p-value:0.034), positive attitude (p-value 0.011), family support (p-value:0.018), self-motivation (p-value:0.022), health worker roles (p-value:0.032), and participation of Prolanis exercise program. Meanwhile, unpaired t-test analysis shows significant differences betweenmean values of blood pressure among patients with hypertension who participated and not participated in Prolanis exercise program. Recommendation: The Prolanis Exercise program has a significance impact in controlling blood pressure in hypertensive patients. It is recommended that health workers and health promotion staffs at Community Health Centers to promote and maintain the implementation of Prolanis exercise program, as well as support patients to join and actively participate in the program.

FACTORS AFFECTING THE QUALITY OF LIFE OF PATIENTS’ USING HEMODIALYSIS AT TGK CHIK DITIRO HOSPITAL, SIGLI Siddiq, T M; Aletta, Alma; Arifin, Vera Nazhira; Wardiati, Wardiati; Septiani, Riza
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 1 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i1.2072

Background: Chronic Kidney Disease (CKD) is a condition of progressive and permanent decline of kidney function resulting in various diseases. CKD patients may be at risk of their lives if they do not undergo periodic hemodialysis or kidney transplantation to replace severely damaged kidneys. The aim of this study is to analyze the Factors Influencing the Quality of Life of Patients Using Hemodialysis Therapy at Tgk Chik Ditiro Sigli Hospital in 2020. Method: This research is descriptive with a cross-sectional approach using a questionnaire as the data collection instrument. The study population consists of all patients undergoing Hemodialysis at Tgk Chik Ditiro Sigli Hospital in 2020. The sample consisted of 60 patients using total sampling technique. Data collection was conducted in November 2020. The quality of life assessment questionnaire used was the WHOQOL-BREF. Results: There is a relationship between self-efficacy (p value 0.040), motivation (p value 0.001), family support (p value 0.006), anxiety (p value 0.000) and the quality of life of hemodialysis patients. Recommendations: Pidie District Government may facilitate improvement of self-efficacy. self-motivation. and reduce the level of anxiety among patients. The Pidie District Health Office may implement socialization regarding kidney disease prevention efforts. Tgk Chik Ditiro Sigli Hospital may to provide excellent care in improving the quality of life of patients using hemodialysis therapy.

THE EVALUATION OF ELECTRONIC HEALTH RECORD ADOPTION AMONG HEALTH PROFESSIONALS IN HOSPITAL SETTING Septiani, Riza; Mairani, Tiara
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 7, No 1 (2021): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v7i1.1068

Background: Electronic Health Record (EHR) utilization has been improved nowadays and it is believed that the adoption of Information Technology (IT) that has been implemented in various setting may also accelerate qualified implementation in health care setting. This study aimed to evaluate EHR utilization in various settings by systemic literature review. Methods: systemic literature research was conducted with keywords (evaluat* model OR evaluat* framework) AND (health professional* OR health staff*) AND (electronic health record OR EHR) AND (us* OR engagement OR implementation OR adoption) AND hospital. Result: 833 literatures found at the beginning of literature search, after apply limitations, remove duplicates and exclude of irrelevant literatures, finally total 7 articles were included in the review. Conclusion: there are benefits and drawbacks of EHR utilization among health professional in different healthcare settings in some countries that included in this review. Some health professionals had positive experience of using EHR that its use can improve clinicians involvement, better clinicians representation and decrease workload. Meanwhile, others had different views that EHR use are ineffectiveness due to inability of the systems to meet users need, poor integration with existing workflows, poor IT skills among users and limited resources and training of EHR. Recommendation: Therefore, it is important to improve better design of EHR system with customized functionalities so it could improve the implementation and adoption of EHR by health professionals as end user.

FACTORS INFLUENCING SELF-MANAGEMENT BEHAVIOR IN HYPERTENSIVE PATIENTS AT LHOKNGA PRIMARY HEALTH CARE Ningsih, Rima Wirayudha; Wardiati, Wardiati; Fahdhienie, Farrah; Septiani, Riza
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 10, No 1 (2024): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v10i1.2071

Background: Hypertension is one of the non-communicable diseases suffered by a large number of people worldwide. Globally, it is estimated that 1.28 billion adults suffer from hypertension. The prevalence of hypertension is increasing, especially among those aged 60 and above. Self-management is one of the strategies for managing blood pressure in elderly with hypertension. This study aims to explore the relationship between age, gender, education, marital status, knowledge, family support, and self-management behavior among hypertensive patients at Lhoknga Primary Health Care, Aceh Besar District. Method: This study used a descriptive-analytic approach with a cross-sectional design. The study population included 510 hypertensive patients at Lhoknga Primary Health Care, Aceh Besar District. A sample of 85 individuals was selected using purposive sampling. Results: The study findings indicate a relationship between family support (p=0.012) and knowledge (p=0.001) with self-management behavior among hypertensive patients. However, no significant associations were found between the level of education (p=0.560), age (p=1.000), sex (p=0.756), comorbidities (p=0.805), and marital status (p=0.258) with self-management behavior among hypertensive patients. Recommendation: The findings of this study could serve as a basis for healthcare providers at primary healthcare centers to enhance education regarding self-management for hypertensive patients and their families, thereby increasing their awareness and motivation to implement hypertension self-management.

SURVEY OF THE IMPACT OF THE COVID-19 PANDEMIC ON SMOKING BEHAVIOR IN ACEH Septiani, Riza; Jannah, Miftahul; Laila, Nurnarita; Hasnur, Hanifah; Presilawati, Febyolla; Na’imah, Na’imah; Gusweni, Mira
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 2 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i2.1986

Background: The COVID-19 pandemic has significantly impacted the decline in human quality of life across various aspects. The direct impact of the COVID-19 pandemic is evident in the health aspect, such as the high number of positive cases and deaths due to COVID-19. One of the groups considered vulnerable to Coronavirus infection is smokers. This research aims to understand the impact of the COVID-19 pandemic on smoking habits and changes in smoking patterns, as well as smoking behavior (cigarette consumption, smoking areas, access, and ease of purchasing cigarettes) during the COVID-19 pandemic in Aceh. Method: This research employs descriptive analytics using a Cross-sectional approach. The sampling technique used in this study is Convenience/Accidental sampling with a sample of 255 respondents. The instrument used was an online survey in Google Form format distributed through WhatsApp, and the data were analyzed using Univariate analysis. Results: The survey indicates that concerning the intention to quit smoking, 22% of respondents stated that during the COVID-19 period, they had already tried to quit smoking, and another 48% of respondents intended to quit, although they had not succeeded yet. Based on the number of cigarettes consumed, 54% of respondents had reduced smoking, and 26% of respondents intended to reduce but found it challenging. Regarding respondents' knowledge about cigarettes and COVID-19, 90% of respondents had good to fairly good knowledge about preventing the spread of COVID-19, 69% of respondents had received information from various media, with the majority receiving information from social media and print media. Concerning access to purchasing cigarettes, 77% of respondents directly purchased from stalls, shops, or local stores, and the majority bought cigarettes every day or every 2-3 days. In terms of respondents' perceptions of cigarettes and COVID-19, 22% of respondents stated that cigarettes were a risk factor for COVID-19, 1% considered cigarettes to be a protective factor, and 77% were undecided. Conclusion: The survey indicates a change in the number of cigarettes consumed by respondents before and after the COVID-19 pandemic. Therefore, there is a need to maximize of health promotion related to cigarettes and COVID-19, as well as strengthened the implementation of smoke-free areas (KTR - Kawasan Tanpa Rokok) and smoke-free homes. Consistent implementation of smoke-free areas is expected to improve public health, especially in controlling the risk factors for diseases and deaths caused by smoking and enhancing a healthy and clean living culture within society.

Hubungan Penerapan Perilaku Hidup Bersih dan Sehat dengan Status Gizi pada Balita di Pulau Nasi Kabupaten Aceh Besar Bancin, Zahwa Aurellia Lolona; Arbi, Anwar; Septiani, Riza
Jurnal Penelitian Inovatif Vol 4 No 3 (2024): JUPIN Agustus 2024
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jupin.681

Status gizi adalah ukuran keberhasilan dalam pemenuhan nutrisi untuk anak yang diindikasikan oleh berat badan dan tinggi badan anak. Salah satu faktor yang menyebabkan kurangnya status gizi pada balita adalah perilaku hidup bersih dan sehat (PHBS). Cakupan PHBS yang rendah dapat menyebabkan suatu individu atau keluarga mudah terjangkit penyakit sehingga derajat kesehatan menjadi rendah dan dapat memicu terjadinya masalah gizi. Namun, masih banyak masyarakat yang tidak menerapkan PHBS dan masih jarang yang datang ke posyandu untuk melakukan pengecekan kesehatan pada balita. Penelitian ini bertujuan untuk mengetahui hubungan PHBS dengan status gizi pada balita. Metode yang digunakan adalah kuantitatif dengan pendekatan cross- sectional. Pengambilan sampel dilakukan dengan teknik pengambilan total sampling. Populasi yaitu ibu yang memiliki balita dengan jumlah 80 orang. Teknik pengumpulan data yang di gunakan adalah angket, dan wawancara sedangkan teknik analisis data yang digunakan dalam bentuk tabel dan narasi untuk menginterpretasikan hasil data yang diolah. Hasil analisis univariat menunjukkan bahwa status gizi balita kurang 50,0%, normal 32,5% dan lebih 17,5%, memberikan ASI Eksklusif 51,2%, menimbang balita setiap bulan 31,3%, penggunaan air bersih 23,8%, melakukan CTPS 20%, menggunakan jamban sehat 20% dan merokok didalam rumah 46,3%. Hasil analisis bivariat ada hubungan antara pemberian ASI Eksklusif (p value = 0,014), menimbang balita setiap bulannya (p value = 0,005), penggunaan air bersih (p value = 0,015), CTPS (p value = 0,002) dengan status gizi balita. Tidak ada hubungan antara jamban sehat (p value = 0,076), tidak merokok didalam rumah (p value = 0,652) dengan status gizi balita. Kesimpulan dari penelitian ini adalah ibu semakin paham akan pentingnya PHBS untuk meningkatkan derajat kesehatan dan menekan angka terjadinya permasalahan gizi pada balita.

HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KEKAMBUHAN PASIEN SKIZOFRENIA DI WILAYAH KERJA PUSKESMAS SIMPANG TIGA KABUPATEN PIDIE Ulfina; Ichwansyah, Fahmi; Septiani, Riza
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.33504

Permasalahan jiwa dalam kehidupan seseorang menimbulkan ketidakstabilan dalam menjalani kegiatan sehingga menjadi permasalahan serius dalam kehidupan. Skizofrenia merupakan salah satu gangguan jiwa kronis yang mempengaruhi 24 jiwa atau 1 dari 300 jiwa (0,32%) diseluruh dunia. Tujuan penelitian ini ialah untuk mengetahui hubungan dukungan keluarga dengan tingkat kekambuhan pasien skizofrenia di wilayah kerja Puskesmas Simpang Tiga Kabupaten Pidie. Penelitian ini menggunakan metode kuantitatif dengan desain penelitian bersifat observasional analitik dengan pendekatan cross sectional. Teknik sampling yang digunakan adalah total populasi, berjumlah 41 pasien skizofrenia di wilayah kerja Puskesmas Simpang Tiga Kabupaten Pidie dengan waktu penelitian dilaksanakan selama 7 hari dari tanggal 23 Desember s/d 29 Desember 2023. Instrumen yang digunakan adalah kuesioner. Analisa data yang digunakan adalah Analisa univariat dan bivariat dengan uji statistic chi-square. Hasil penelitian univariat menunjukkan mayoritas pasien laki-laki (73,2%), dan mayoritas umur Usia dewasa akhir (39,0%). Tingkat kekambuhan rendah (43,9%), sedang (24,4%) dan tinggi (31,7%). Analisis bivariat menunjukkan ada hubungan antara dukungan keluarga p = 0,000 dengan tingkat kekambuhan pasien skizofrenia. Kesimpulan dari penelitian ini ada hubungan antara semua variabel dukungan keluarga dengan tingkat kekambuhan pasien skizofrenia. sehingga diharapkan kepada keluarga dan tenaga kesehatan untuk dapat memenuhi semua dukungan secara maksimal, baik dukungan instrumental, informasional, penilaian, dan emosional untuk meminimalisir kekambuhan pada pasien.

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