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Pengaruh pemberian obat anti tuberkulosis dengan vitamin D terhadap perubahan BTA pada penderita tuberkulosis paru di Kabupaten Pidie Rina Maulidar; Nurjannah Nurjannah; Aulina Adamy; Iskandar Iskandar
Jurnal SAGO Gizi dan Kesehatan Vol 2, No 1 (2020): Juli - Desember
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v2i1.442

Background: Tuberculosis (TB) is a global health problem, Indonesia had the second rank of the case in the world after India which is the fourth cause of death. Giving vitamin D together with anti-tuberculosis drugs can increase healing proses because vitamin D (anti-microbial immunomodulators) kills Mycobacterium tuberculosis.Objectives: This study aims to measure the effect of giving anti-tuberculosis drugs with vitamin D on changes in AFB in patients with pulmonary tuberculosis.Methods: This study was used a quasi-experiment design, pre-test and post-test control group was doing at 25th March – 25th July 2019. This research has been conducted in Pidie Regency. The intervention group (17 samples with tuberculosis drugs) was given Softgels vitamin D 5000 IU for 4 months, while the control group was only anti-tuberculosis drug therapy. The data were analyzed statistically using the Wilcoxon and Mann Whitney tests at a significance level of 95%.Results: Before the intervention, the BTA status of both the intervention and control group was similar (p= 0.061). After the intervention, there was a decrease in AFB interactions (p= 0.000). There was a decrease in the contribution of AFB in the control group before with after intervention (p= 0.000). There are those who support (p= 0.033) giving vitamin D the acceleration of pulmonary tuberculosis treatment. Conclusion: It is better to administer vitamin D to the successful treatment of pulmonary TB in patients undergoing anti-tuberculosis drug therapy.

Faktor-faktor yang berhubungan dengan persepsi body image pada tenaga kesehatan di RSUD Meuraxa Alfian Alfian; Asnawi Abdullah; Nurjannah Nurjannah
Jurnal SAGO Gizi dan Kesehatan Vol 2, No 1 (2020): Juli - Desember
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v2i1.467

Background: Body image reflects a person's health status, for health workers body image can describe professionalism. Health workers should be able to give a role models for hospital visitors in the health sector, especially in maintaining optimal body image.Objectives: This study aims to determine the factors associated with the perception of body image in health workers at Meuraxa Hospital, Banda Aceh City.Methods: This research was conducted by analytic descriptive with cross-sectional design. Data were collected using a questionnaire. The population in this study were all health workers at Meuraxa Hospital, amounting to 375 people. The sample size was taken based on the provisions of Krejcie and Morgan's statutory table, as many as 191 people. The statistical test used was logistic regression and was analyzed using the stata 14.Results: Perceptions of negative body image were more common in women (64.10%), and at the age of 25-29 years (70.18%). Factors related to the body image of health workers were gender (p= 0.004), food consumption behavior (p= 0.001), interpersonal relationships (p= 0.021). Meanwhile, age and medical conditions did not show a relationship with body image. The dominant factor causing body image is consumption behavior.Conclusion: The factors related to the body image of health workers are gender, food consumption behavior, and interpersonal relationships. While the dominant factor is food consumption behavior.

ANALISIS KEBUTUHAN TENAGA KEPERAWATAN BERBASIS BEBAN KERJA DENGAN METODE WORKLOAD INDICATOR STAFF NEED (WISN) DI INSTALASI GAWAT DARURAT (IGD) RUMAH SAKIT IBU DAN ANAK PROVINSI ACEH Nadia Fajri; Yusni Yusni; Said Usman; Irwan Syahputra; Nurjannah Nurjannah
Jurnal Kesehatan Vol 13 No 2 (2020): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v13i2.16304

AbstractBackground: The problem of shortage of medical personnel must be considered properly, whether it really requires additional manpower due to excessive workloads which will affect the quality provided or the amount of unproductive time spent by HR while on duty. This also happened at the Aceh Province Mother and Child Hospital, there are plans to increase the number of staff carried out at the Mother and Child Hospital who need to use workload calculations, the reality on the ground is that the planning of medical personnel in RSIA is only based on the request of the work unit and the comparison of calculations between the number of medical personnel with BOR, LOS and others or because of the increase in the class of the hospital and the lack of qualifications of each type of medical staff. Objective: to analyze the need for workload-based nursing personnel using the Workload Indicator Staff Need (WISN) method in the Emergency Departments (ED) Mother and Child Hospital, Aceh Province. Research Methods: This research is a descriptive study, using a work sampling method, namely all the activities of nurses who served in the IGD RSIA Aceh Province as respondents who were examined every time for four days. The population in this study were all nurses in the Emergency Departments (ED) of the Aceh Province Hospital in 2020 totaling 19 people, the samples in this study were all nurses in the Emergency Departments (ED) with a total sampling of 19 people. The calculation of the need for nurses using the WISN method. Results: the workload of health workers in RSIA Aceh Province can be seen from the details / job descriptions of the job, the amount of time required for each task, the time for completing tasks is a multiplication of the workload with the norm of time and the number of hours of effective working time. Besides being influenced by the number of workers, the workload of health workers can also be influenced by the number of patients and the conditions of the workplace environment. Conclusion: the results of the WISN calculation show that the health personnel at RSIA Provini Aceh still lacks 1 nurse in the ED. The shortage of health workers will have an impact on the high workload of health workers in each sector.

Systematic Review Of Point Of Care Testing In Emergency Care Nurjannah Nurjannah
Jurnal Kedokteran Syiah Kuala Vol 10, No 2 (2010): Volume 10 Nomor 2 Agustus 2010
Publisher : Universitas Syiah Kuala

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Abstract. The study aims to review systematically the evidence of using Point of Care Testing (POCT) in Emergency Departments (EDs). It will identify and qualitatively synthesise whether POCT in emergency care is safe, effective and has effective outcomes for patients. The systematic review was based on principles and guidelines produced in the report by the National Institute for Health Research {NIHR) Centre for Reviews and Dissemination (CRD), the University of York (2001) and the Critical Review Advisory Group (CRAG), by the School· of Health and Related Research (ScHARR), the University of Sheffield (1996). A thorough and systematic search strategy was adapted to identify, collate and .summanze a11 relevant studies the published research 1951 - 2008.There were 33 studies that met the inclusion criteria of the systematic review which consisted of 3 studies of Randomized Controlled Trial (RCT) design, 15 studies of diagnostic test design, 3 studies of before-and-after design and 12 articles of cohort design. There was clinical and methodological heterogeneity from all included studies. Thus, non-quantitative synthesis was performed. There is evidence that POCT in emergency care is safe, effective and bas effective outcomes for patients. In clinical outcomes, POCT may provide an independent and significant predictor for serious adverse events and death. However, POCT seems to be unlikely to reduce the mortality rate. In economical outcomes, POCT in EDs may decrease turnaround time and reduce unnecessary admission to hospital, in particular to Intensive Care Unit (ICU) and Coronary Care Unit (CCU), but there are inconsistencies in the results over reducing ED and hospital length of stay.(JKS2010;2:63-70)Key words: Point of Care Testing,EmergencyCare, EmergencyDepartment

HUBUNGAN TINGKAT SINDROM DEPRESI DENGAN INDEKS PRESTASI KUMULATIF PADA MAHASISWA UNIVERSITAS SYIAH KUALA BANDA ACEH Nurjannah Nurjannah; Subhan Rio Pamungkas
Jurnal Kedokteran Syiah Kuala Vol 13, No 3 (2013): Volume 13 Nomor 3 Desember 2013
Publisher : Universitas Syiah Kuala

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Abstrak. Depresi pada mahasiswa cenderung dapat menimbulkan efek negatif pada fungsi kognitif yang akhirnya dapat mempengaruhi prestasi belajar. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat sindrom depresi dengan indeks prestasi kumulatif (IPK) pada mahasiswa Universitas Syiah Kuala (Unsyiah). Penelitian ini bersifat analitik menggunakan cross sectional design. Teknik pengambilan sampel menggunakan non probability quota sampling dan sebanyak 400 orang responden dipilih dari setiap fakultas di Unsyiah. Data IPK berdasarkan data dari pusat informasi Unsyiah sedangkan sindrom depresi diukur menggunakan Beck Depression Inventory (BDI). Data dianalisis menggunakan Chi Square (χ2) untuk mengetahui adanya hubungan antara sindrom depresi dan IPK mahasiswa (α=0,05). Hasil penelitian menunjukkan bahwa dari seluruh responden, terdapat 222 responden (55,5%) tanpa gejala depresi, 106 (26,5%) dengan gejala depresi ringan dan 72 (18%) dengan gejala depresi sedang serta tidak ada responden yang mengalami gejala depresi berat. Tidak terdapat hubungan antara tingkat sindrom depresi dengan IPK (p=0,214). Mahasiswa non eksakta memiliki rata-rata skor BDI yang lebih tinggi dibandingkan dengan kelompok mahasiswa eksakta (p=0,044). Dapat disimpulkan bahwa sebagian kecil mahasiswa mengalami gejala depresi ringan dan sedang, akan tetapi hal ini tidak berhubungan dengan IPK. Disarankan bahwa walaupun persentase yang mengalami gejala depresi sedikit, namun ini menjadi data awal untuk screening, diagnosa dan penatalaksanaan sindrom depresi pada mahasiswa dimasa mendatang. Abstract . Students with depressive symptoms are more likely to have negative effects in cognitive functioning and, consequently, academic performance. This study examines the relation between depressive symptoms and Grade Point Average (GPA) of students at University of Syiah Kuala (Unsyiah). The study was analytics using cross sectional design. Non probability quota sampling was used and 400 respondents were selected from all faculties at Unsyiah. Academic performance was measured using GPA from the university data office and the depressive symptoms were measured using Beck Depression Inventory (BDI). Chi Square (χ2) analysis was performed to examine the relation between depressive symptoms and academic performance in this group (α=0,05). Results showed that out of all respondents, 222 students (55,5%) had no depressive symptoms, 106 (26,5%) with mild depressive symptoms, 72 (18%) suffered from moderate depressive symptoms and no one suffered from severe depressive symptoms. There was no relation between depressive symptoms and academic performance in this study group (p=0,214). Students of social sciences had significantly higher score of BDI than of students of non social sciences (p=0,044). It concluded that a few students experienced depressive symptom, but it has no relation with academic performances. It is suggested that eventhough the number of student had depressive symptom is low, it can be used as initial data for screening, diagnose and treatment for students with depression in the future.

Faktor Risiko Rinitis Alergi Pada Pasien Rawat Jalan Di Poliklinik THT-KL Rumah Sakit Umum Daerah Zainoel Abidin (RSUDZA) Banda Aceh Tahun 2011 Nurjannah Nurjannah
Jurnal Kedokteran Syiah Kuala Vol 11, No 2 (2011): Volume 11 Nomor 2 Agustus 2011
Publisher : Universitas Syiah Kuala

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Abstrak. Prevalensi penyakit alergi dilaporkan meningkat di berbagai negara. Penyakit alergi walaupun tidak banyak mengakibatkan kematian namun akan berjalan menahun dan akan mempengaruhi kualitas hidup seseorang. Dengan mengetahui faktor risiko alergi diharapkan dapat dilakukan pencegahannya. Penelitian ini bertujuan untuk mengetahui prevalensi rasio usia, jenis kelamin, riwayat keluarga dan riwayat atopi lainya terhadap kejadian rinitis alergi pada pasien rawat jalan di poliklinik THT-KL RSUDZA Banda Aceh. Pengumpulan data dilakukan terhadap 97 responden menggunakan metode accidental sampling. Hasil penelitian menunjukkan bahwa 37 responden (38,14%) didiagnosa rinitis alergi dengan usia terbanyak pada kelompok usia 20-29 tahun (65,71%). Dari jenis kelamin, laki-laki berisiko 0,53 kali lebih besar untuk menderita rinitis alergi. Responden yang memiliki riwayat atopi berisiko 2,87 kali lebih besar untuk menderita rinitis alergi, dan responden yang memiliki riwayat keluarga rinitis alergi dan atau atopi lainnya berisiko 5,55 kali lebih besar untuk menderita rinitis alergi. Terdapat hubungan yang signifikan antara semua faktor risiko dengan kejadian rinitis alergi (semua p=0,00, kecuali usia p=0,02).Abstract. It is reported that prevalence of allergic diseases increased in various countries. Allergic diseases are not more likely to cause death, but it could be chronic disease and affects the quality of life. By understanding the risk factors for allergic diseases, the prevention can be prepared. This study aims to determine the prevalence ratios for age, sex, family history and other history of atopy on the incidence of allergic rhinitis in the outpatient clinic of ENT RSUDZA Banda Aceh. The data was collected on the 97 respondents using accidental sampling method. Results showed that 37 respondents (38.14%) diagnosed allergic rhinitis with the majority of the age group of 20-29 years (65.71%). Of the sexes, males are 0.53 times greater risk for suffering from allergic rhinitis. Respondents who have a history of atopy are 2.87 times more likely to suffer from allergic rhinitis, and respondents who have a family history of allergic rhinitis and/or atopy syndromes are 5.55 times more likely to suffer from allergic rhinitis. There is a significant relationship between all risk factors with the incidence of allergic rhinitis (all p = 0.00, except for age p = 0.02).

Praktik Tim dan Kerjasama Tim Antar Profesional Pemberi Asuhan dalam Implementasi Interprofessional Collaboration di RSUD Meuraxa Kota Banda Aceh Sri Wahyuni; Nova Dian Lestari; Nurjannah Nurjannah; Dedy Syahrizal
Jurnal Kedokteran Syiah Kuala Vol 21, No 3 (2021): Volume 21 Nomor 3 Desember 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i3.20714

Pendahuluan: Praktik Interprofessional Collaboration (IPC) merupakan bentuk kerjasama antar tenaga kesehatan yang dilakukan secara kolaboratif untuk memastikan asuhan pasien berjalan secara optimal dan berkesinambungan. Profesional Pemberi Asuhan (PPA) dengan profesi dan keilmuan yang berbeda dituntut untuk bisa berkontribusi secara individu maupun dalam tim. Penelitian ini bertujuan untuk mengetahui gambaran praktik tim dan kerjasama tim antar PPA dalam implementasi Interprofessional Collaboration di RSUD Meuraxa Kota Banda Aceh.Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi menggunakan metode in-depth interview dan Focus Group Discussion (FGD). Data direkam, ditranskripsi kemudian dianalisis menggunakan analisis tematik. Informan penelitian ini sebanyak 12 orang PPA yang terdiri dari Dokter Penanggung Jawab Pasien (DPJP), perawat, apoteker, dan dietisien. Penelitian dilakukan di RSUD Meuraxa Kota Banda Aceh selama bulan Juni-Juli tahun 2020.Hasil: Hasil penelitian menggambarkan bahwa tim dan kerjasama tim secara interprofessional di RSUD Meuraxa belum efektif. Kegiatan visite bersama yang melibatkan keempat profesi belum pernah dilakukan. Profesi apoteker dan dietisien yang dibutuhkan dalam melakukan kolaborasi tidak cukup dari segi kuantitas. Perawat sesuai kompetensi klinis dalam melaksanakan kolaborasi belum sesuai. PPA belum memahami konsep IPC dengan baik sehingga dominansi kerjasama tim dilakukan oleh profesi dokter-perawat.Diskusi: Rumah Sakit harus melakukan tela’ah staf untuk menyediakan dan mendistribusikan PPA yang cukup secara kuantitas maupun kualitas sesuai kebutuhan kolaborasi. Sosialisasi tentang regulasi dan pelaksanaan Interprofessional Collaboration perlu dilakukan secara berkala agar PPA memahami konsep IPC dengan baik.

HUBUNGAN TINGKAT SINDROM DEPRESI DENGAN INDEKS PRESTASI KUMULATIF PADA MAHASISWA UNIVERSITAS SYIAH KUALA BANDA ACEH Nurjannah Nurjannah; Subhan Rio Pamungkas
Jurnal Kedokteran Syiah Kuala Vol 13, No 3 (2013): Volume 13 Nomor 3 Desember 2013
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v13i3.3419

Abstrak. Depresi pada mahasiswa cenderung dapat menimbulkan efek negatif pada fungsi kognitif yang akhirnya dapat mempengaruhi prestasi belajar. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat sindrom depresi dengan indeks prestasi kumulatif (IPK) pada mahasiswa Universitas Syiah Kuala (Unsyiah). Penelitian ini bersifat analitik menggunakan cross sectional design. Teknik pengambilan sampel menggunakan non probability quota sampling dan sebanyak 400 orang responden dipilih dari setiap fakultas di Unsyiah. Data IPK berdasarkan data dari pusat informasi Unsyiah sedangkan sindrom depresi diukur menggunakan Beck Depression Inventory (BDI). Data dianalisis menggunakan Chi Square (χ2) untuk mengetahui adanya hubungan antara sindrom depresi dan IPK mahasiswa (α=0,05). Hasil penelitian menunjukkan bahwa dari seluruh responden, terdapat 222 responden (55,5%) tanpa gejala depresi, 106 (26,5%) dengan gejala depresi ringan dan 72 (18%) dengan gejala depresi sedang serta tidak ada responden yang mengalami gejala depresi berat. Tidak terdapat hubungan antara tingkat sindrom depresi dengan IPK (p=0,214). Mahasiswa non eksakta memiliki rata-rata skor BDI yang lebih tinggi dibandingkan dengan kelompok mahasiswa eksakta (p=0,044). Dapat disimpulkan bahwa sebagian kecil mahasiswa mengalami gejala depresi ringan dan sedang, akan tetapi hal ini tidak berhubungan dengan IPK. Disarankan bahwa walaupun persentase yang mengalami gejala depresi sedikit, namun ini menjadi data awal untuk screening, diagnosa dan penatalaksanaan sindrom depresi pada mahasiswa dimasa mendatang. Abstract . Students with depressive symptoms are more likely to have negative effects in cognitive functioning and, consequently, academic performance. This study examines the relation between depressive symptoms and Grade Point Average (GPA) of students at University of Syiah Kuala (Unsyiah). The study was analytics using cross sectional design. Non probability quota sampling was used and 400 respondents were selected from all faculties at Unsyiah. Academic performance was measured using GPA from the university data office and the depressive symptoms were measured using Beck Depression Inventory (BDI). Chi Square (χ2) analysis was performed to examine the relation between depressive symptoms and academic performance in this group (α=0,05). Results showed that out of all respondents, 222 students (55,5%) had no depressive symptoms, 106 (26,5%) with mild depressive symptoms, 72 (18%) suffered from moderate depressive symptoms and no one suffered from severe depressive symptoms. There was no relation between depressive symptoms and academic performance in this study group (p=0,214). Students of social sciences had significantly higher score of BDI than of students of non social sciences (p=0,044). It concluded that a few students experienced depressive symptom, but it has no relation with academic performances. It is suggested that eventhough the number of student had depressive symptom is low, it can be used as initial data for screening, diagnose and treatment for students with depression in the future.

Determinants of Complete Basic Immunization in Children Aged 12-23 Months in Indonesia Nur Najikhah; Nurjannah Nurjannah; Mudatsir Mudatsir; Said Usman; Irwan Saputra
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 4 (2021): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i4.2639

Complete basic immunization is an effort to prevent disease outbreaks by carrying out complete immunizations with a predetermined schedule and dose, complete basic immunization coverage is one of the five priority health issues in Indonesia, complete basic immunization coverage in Indonesia in 2018 has decreased by 57, 9%, compared to 2013 which was 59.2%. This study identifies the problem of decreasing complete basic immunization coverage based on maternal, child and socio-economic determinants. This study aims to identify the relationship and distribution of complete basic immunization mapping based on maternal age, place of delivery, number of ANC, the child, child's gender, parent's education, parent's occupation and place of residence. Research Methods: The method used is cross-sectional with a total sampling of 6849 respondents. Statistical analysis used was chi square test and logistic regression test was performed using SPSS 24 and thematic maps were generated by ArcGIS. The results of the chi-square test found that there was a relationship between place of delivery, number of ANC, th child, parents' education, parents' occupation, place of residence with complete basic immunization (p≤0.05), had no relationship between maternal age and gender with complete basic immunization (p≥0.05), based on logistic regression test the number of ANC was obtained with (p≤0.05) and based on the mapping of immunization coverage of the third highest category in Central Java, West Nusa Tenggara and East Kalimantan. While the three lowest categories are in the DI Yogyakarta, West Kalimantan and Papua regions. The most dominant factor associated with complete basic immunization is the number of ANC.

Determinants of Depression among Diabetes Mellitus Patients in Indonesia: a Cross-sectional Study Rosalia Putri; Marthoenis Marthoenis; Said Usman; Irwan Saputra; Nurjannah Nurjannah
Budapest International Research in Exact Sciences (BirEx) Journal Vol 4, No 3 (2022): Budapest International Research in Exact Sciences, July
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v4i2.5673

Depression is a chronic disease among people around the world and seriously global health threat. People with diabetes are 2 to 3 times more likely to experience depression, someone who is depressed will be at bad risk during the treatment process so that it can increase the risk of morbidity and mortality prevalence. Depression can make a person pay less attention to self-care such as not complying with medication instructions, and at high risk for macrovascular and microvascular complications. This study aims to identify the determinants of depression among patients with diabetes mellitus. The method from this research is a cross-sectional approach using a convenience sampling technique with a sample size of 137 respondents. The research results is the prevalence of depression was 8.8%. Southeast Asia is the first ranks with the largest people with depression sufferers reach 27% compared to the West Pacific Region 21%. There was significant correlation between complications and depression in patients with diabetes mellitus (P <.001). However, there was no significant relationship between age (P = .749) employment status (P = .179), gender (P = .082), level of knowledge (P = .968), utilization of health facilities (P = .504, medication adherence (P = .249), level HbA1c (P = .908), and body mass index (P = .573). The results of the multivariable linear regression test showed that complications affected depression (P = .002, r = .300, R2 = .090). The conclusion for this study, Complications are one of the determinants of depression in people with diabetes mellitus in the City of Banda Aceh and Aceh Besar.

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