Dwita Aryadina Rachmawati
Fakultas Kedokteran, Universitas Jember

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The Correlation Between Carbohydrate Consumption with Blood Pressure Levels of Elderly Communities in Sumbersari Jember Revin Fiona Cinintya; Dwita Aryadina Rachmawati; Yuli Hermansyah
Journal of Agromedicine and Medical Sciences Vol 3 No 1 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i1.4092

Abstract

The increasing population of elderly causes getting more complex illness because impairment in  organ function, one of them is the blood vessels. Blood vessels will have decreased nitrite oxide that causes atherosclerosis, as the primary cause of the hypertension. The change of lifestyle and nutrient factor is related to the incident of hypertension. Meanwhile, Indonesians tend to prefer food sources of carbohydrate. The purpose of this research is to analyze relations between consumption of carbohydrate with blood pressure on elderly from active members of Karang Wreda Sriwijaya and Semeru Jaya Sumbersari Jember about 47 samples. This research is an analytic observational research with the cross sectional methods. In this research, samples were interviewed to describe the charracteristic ( the age, sex, the history of hypertension). Then samples were interviewed to know their carbohydrate consumption using 24-hours Food Recall method three times in different time with the maximum of two weeks and the blood pressure was checked with a mercurial sphygmomanometer. The results of this research based on the correlation of Spearman obtained a value of p=0,00 for the number of subject’s carbohydrates consumption with systolic blood pressure and p=0,02 for diastolic pressure. The conclusion is there is a correlation between carbohydrates consumption with systolic and diastolic blood pressure.Keywords: carbohydrates consumption, blood pressure, elderly  
Analysis of Risk Factors for Obesity in Urban Children in Some Elementary School in Jember Regency Jasmine Fachrunnisa; Cholis Abrori; Dwita Aryadina Rachmawati
Journal of Agromedicine and Medical Sciences Vol 2 No 3 (2016)
Publisher : Faculty of Medicine, University of Jember

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Abstract

The prevalence of obesity in children has steadily increased, not only in the world but also in Indonesia. Urban area as a central of economic led the higher prevalence of childhood obesity than in rural areas. The objective of this study was to analyze the risk factors associated with obesity among urban elementary school childrens in Jember. A cross sectional study was conducted with a total sample of 176 pupils. Anthropometric status determined using body mass index for age and obesity stated if z-score exceed >+2SD based on WHO 2007. The questionnaire about risk factors was filled with interview. Analysis data performed with univariate, bivarate, and multivariate analysis. This study showed the prevalence of obesity was 17%. Overall, our result showed that in non modifiable risk factors, the prevalence of obesity was significantly higher in children who had obese parent when compared to children who hadn't. Children who had obese parent had the more risk of obesity by 6 times. In modifiable risk factors, children who had meal more than 3 times per day had the more risk of obesity by 2 times. Drinking milk frequently according to Dietary Guideline for American 2015 has a protective factors against obesity.Keywords: childhood obesity, urban, risk factor
AN ANALYSIS OF THE ASPECTS OF HEALTHCARE SERVICE QUALITY IN RELATION TO PATIENT LOYALTY Dwita Aryadina Rachmawati
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Healthcare facilities such as hospitals, public healthclinics, and private practices are places that peoplevisit to obtain thorough medical care. The state billno.44 of 2009 stipulates that hospitals areinstitutions that provide complete healthcare servicefor individuals. The service included is providinginpatient facilities, home care, and medicalemergency service. According to the bill, among thefunctions of a hospital is to establish and maintainthe quality standard of healthcare service within thehospital, which is then used as a blueprint or areference in day to day patient care.The general public are becoming evermoreconscientious on choosing which hospital to go towhen they become ill. Which is why for everyhospital that offers medical service, the challengethen arises on how to implement various strategiesin order to develop and not merely survive in thegrowing healthcare industry. Among the strategiesthat needs attention is sustaining the qualitystandard of the hospital care service.The quality standard of the hospital care service canbe measured using the SERVQUAL model (ServiceQuality model), which gives rate to the indicators ofvarious qualities of service (Tjiptono, 2011). Thereare 5 main aspects that are measured and arrangedbelow according to the relativesignificance/importance (Tjiptono dan Chandra,2011):A. Reliability, which signifies the institution's abilityto provide error-free and accurate medical careupon patient arrival, within the agreed upon timeconstraint.B. Responsiveness, signifies the healthcarepersonnel's availability and capability to provide fastresponse aid and cater to their needs and request. Italso involves the tactful knowledge of informing thepatient when the medical care will be given andperforming the promised care accordingly.C. Assurance, signifies how the healthcare personnelestablish trust with patients which in turn earns thepatient's trust towards the institution. This can beachieved by providing healthcare personnel whomaintain courteous conduct at all time yet possessthe skill and ability to answer any arising questionsor handle any given situation.Furthermore, it involves the institutions ability tofoster a safe and secure environment for patients.D. Empathy, signifies the ability of healthcarepersonnels to establish effective communicationwhile delivering proper diagnosis. Caring is anessential component which can be implemented bygiving personal attention to each patient.E. Tangibles, correlates with the physicalenvironment of the establishment, which can comein the form of an attractive office design, availabilityof a full range medical equipment, and furthercomplemented by the pleasant appearance of thehealthcare personnels.Delivering optimum service is essential forinstitutions who thrive on gaining customersatisfaction and building towards patient loyalty inthe long run.
The correlation between Mother's Knowledge About Language Stimulation and Language Development Of Toddlers in Lengkong, Mumbulsari, Jember Mardhiyyah Nurul Hasanah; Dwita Aryadina Rachmawati; Erfan Efendi
Journal of Agromedicine and Medical Sciences Vol 5 No 3 (2019)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v5i3.9628

Abstract

Abstract The first three years of age is an important period for the development of children’s languange. Early stimulation as a parent especially mother to promote children’s development needs to be done. Before doing stimulation, the mothers need sufficient knowledge about development stimulation so mothers can do stimulation properly to their children. The aim of this study is to analyze the correlation between the mother’s knowledge about language stimulation and language development of toddlers in Lengkong , Mumbulsari, Jember. An analitic observational study with cross sectional study design which the subjects were 70 mother who have toddlers at Lengkong, Mumbulsari, Jember who met inclusion and exclusion criteria. The result of spearman correlation test between mother’s knowledge about language stimulation and language development of children aged 1-3 years is p=0,000 (p<0.005) which mean there is significant correlation between the mother’s knowledge about language stimulation and language development of children aged 1-3 years in Lengkong , Mumbulsari, Jember. Keywords: knowledge, stimulation, language development.
Hubungan Indeks Kepuasan Pasien tentang Mutu Pelayanan Dimensi Kehandalan dengan Minat Berobat Kembali di RSD Kalisat Kabupaten Jember Davina Amalia; Dwita Aryadina Rachmawati; Hairrudin Hairrudin
Pustaka Kesehatan Vol 6 No 2 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i2.7668

Abstract

RSD Kalisat is one of the hospital that is very concern with the quality of health services. The reliability of service quality is often perceived as the most important dimension for the customer. Quality of service is very influential on patient satisfaction. If the health care provided is good, then the patient will be satisfied and the possibility to reuse services in health care-related agencies will increase. The purpose of this study was to determine the correlation between patient satisfaction index in the reliability of service quality with utility at RSD Kalisat. This study used cross sectional design with total sample of 84 respondents. The instrument used was RSD Kalisat profile and questionnaire to determine patient satisfaction index in the reliability of service quality and statement for utility. The results of statistical test by Spearman's Rho showed a significance value (p=0.021) and the correlation coefficient (r =0.252). Thus, it can be concluded that there was a significant correlation between patient satisfaction index in the reliability of service quality with utility at RSD Kalisat Jember with a weak correlation. Keywords: index satisfaction, reliability, service quality, utility
Severe Deficit in Energy and Protein Intake Correlates wih Stunting among Children Aged 12-24 Months in Plerean Sumberjambe Jember Nunung Nurhasanah; Dwita Aryadina Rachmawati; Ika Rahmawati Sutejo
Journal of Agromedicine and Medical Sciences Vol 7 No 2 (2021)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v7i2.24828

Abstract

The current nutritional problems are still the world's attention, especially in developing countries, including Indonesia. The Global Nutrition Report shows that Indonesia is a country with three main nutritional problems: wasting, overweight, and stunting (under five) in infants. Stunting has short-term and long-term effects associated with growth and developmental disorders. This study wants to determine the correlation between energy and protein intake of children aged 12-24 months in Plerean, Sumberjambe, Jember. This is an observational research with cross sectional study design. The population of this study were all children aged 12-24 months in Plerean Village, Sumberjambe, Jember. A total of 48 parents/respondents were interviewed about the consumption history of the on the previous day. This is done to determine the energy and protein intake consumed by the research subjects. Measurement of energy and protein intake using 24-hours food recall method and stunting was obtained from secondary data obtained from Puskesmas Sumberjambe. This research used purposive sampling method. The data obtained is then converted into calorie units and processed using a statistical program. The results showed showed 28 subjects were male. Most parents of research subjects earn less than the Minimum Wage District (UMK). A total of 68.75% of subjects had severe deficit in energy intake. A total of 52.08% of subjects had a severe deficit protein. Using Spearman correlation test the correlation of energy intake with the incidence of stunting obtained p value = 0.000 with correlation coefficient -0.589. Then, the relationship of protein intake with the incidence of stunting obtained p = 0.001 with a correlation coefficient of -0.446. So it can be concluded that severe deficit in energy and protein intake correlates with stunting in the study subjects. Keywords: 24-hours food recall, Energy, Protein, Stunting
Hubungan antara Beban Kerja Fisik dengan Kualitas Hidup Kuli Panggul Alivia Octaviana; Dwita Aryadina Rachmawati; Yudha Nurdian
Al-Sihah : The Public Health Science Journal Volume 11, Nomor 1, Tahun 2019
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.021 KB) | DOI: 10.24252/as.v11i1.7218

Abstract

Pekerjaan di sektor informal merupakan salah satu pekerjaan yang kurang memperhatikan keselamatan dan kesehatan kerja (K3). Untuk mencapai tujuan K3, perlu diterapkan suatu prinsip ergonomi, yaitu prinsip kesesuaian antara beban kerja dengan kapasitas kerja. Adanya ketidakseimbangan, menyebabkan masalah-masalah terkait pekerjaan termasuk masalah kesehatan yang mengarah kepada penurunan kualitas hidup. Salah satu pekerjaan di sektor informal ialah kuli panggul. Beban kerja paling dominan yang dilakukan oleh kuli panggul ialah beban kerja fisik berupa aktivitas manual handling dan postur kerja. Tujuan dari penelitian ini adalah mengetahui apakah terdapat hubungan antara beban kerja fisik berupa manual handling dan postur kerja dengan kualitas hidup kuli panggul. Jenis penelitian yang digunakan adalah analitik observasional dengan desain cross-sectional. Populasi penelitian adalah seluruh kuli panggul pasar Pabean Surabaya dengan jumlah sampel sebanyak 84. Teknik sampling yang digunakan adalah consecutive sampling. Data penelitian didapatkan melalui pengisian kuesioner Modified Self Adminestered Questionnaire on Occupational Physical Demands dan kuesioner WHOQOL-BREF. Analisis yang dilakukan adalah univariat dan bivariat. Analisis bivariat menggunakan uji korelasi Spearman. Berdasarkan hasil analisis bivariat, diketahui bahwa beban manual handling memiliki hubungan yang signifikan dengan keempat domain kualitas hidup. Sedangkan beban postur kerja hanya memiliki hubungan dengan kualitas hidup pada domain kesehatan fisik dan lingkungan.
Effect of Cigarette Smoke Exposure Status on Pregnant Women as Passive Smokers with Birth Weight in Arjasa Health Center, Jember Regency Anis Talitha Damarawati; Dwita Aryadina Rachmawati; Hairrudin Hairrudin
Journal of Agromedicine and Medical Sciences Vol 6 No 2 (2020)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v6i2.9650

Abstract

In Indonesia, there are around 65.6 million women and 43 million children exposed to cigarette smoke and thus act as passive smokers. If pregnant women act as passive smokers, then it can increase the risk of pregnancy complications, including LBW. Babies with LBW are one of the public health problems that must be considered because LBW is a major predictor of infant mortality, especially in the first month of life. The purpose of this study was to determine the effect of exposure to cigarette smoke on pregnant women as passive smokers on the incidence of LBW in Arjasa Health Center, Jember Regency. This type of research uses an observational analytic method with a retrospective case control study design. The sample of this study amounted to 60 people. The bivariate analysis using the chi square test stated that there was a significant relationship between exposure to 2x3 cigarette smoke (p = 0.031), exposure to 2x2 cigarette smoke (p = 0.030; OR = 4) and age of pregnant women (p = 0.033; OR = 5.2) with birth weight at Arjasa Community Health Center, Jember Regency. While the results of bivariate analysis using the chi square test stated that there was no significant relationship between jobs (p = 0.422; OR = 1.78), history of parity (0.784; OR = 1.3), and ANC frequency (p = 1,000; OR = 1.17). the results of multiple logistic regression analysis revealed that there was a significant effect between exposure to cigarette smoke (p = 0.050; OR = 3.39) and age (p = 0.037; OR = 4.6) on birth weight at Arjasa Health Center, Jember Regency. The conclusion of this study is that exposure to cigarette smoke has a significant relationship with birth weight and age is the most influential risk factor for birth weight in Arjasa Health Center, Jember Regency. Keywords: Birth weight, LBW, cigarette smoke exposure
Hubungan antara Tingkat Kecemasan dengan Kualitas Hidup pada Pasien Chronic Kidney Disease (CKD) yang Menjalani Hemodialisis di RSD dr. Soebandi Jember (Correlation between the Level of Anxiety and Quality of Life of Chronic Kidney Disease (CKD) Patients Novita Dwi Cahyani,; Justina Evy Tyaswati; Dwita Aryadina Rachmawati
Pustaka Kesehatan Vol 4 No 2 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Chronic Kidney Disease (CKD) is a chronic disease that results in the progressive decline in renal function and irreversible. Patients with end stage CKD requiring hemodialysis therapy. CKD patients who undergo hemodialysis therapy largely experiencing symptoms of anxiety and changes in quality of life. The aim of this study was to determine the correlation between the anxiety level and the quality of life of patients with CKD during hemodialysis therapy at dr. Soebandi Regional Hospital Jember. Research using Cross Sectional Design with the total number of respondents as many as 30 people and was carried out in November 2015. The respondent's anxiety level was measured using a HARS questionnaire and assessment of quality of life using the WHOQOL-BREF questionnaire. The results revealed respondents with mild anxiety were 16,67% (10% with good quality of life and 6,67% with bad quality of life), respondents with moderate anxiety were 40% (10% with good quality of life and 30% with bad quality of life), and respondents with severe anxiety were 43,33% with bad quality of life. Spearman correlation test showed the significance (p) 0,00 with correlation coefficient (r) – 0,517. Thus, it can be concluded that there was a correlation between the level of anxiety and quality of life of CKD patients during hemodialysis therapy at dr.Soebandi Regional Hospital Jember.   Keywords: Chronic Kidney Disease (CKD), hemodialysis, anxiety, quality of life.
Hubungan Indeks Kepuasan Pasien tentang Mutu Pelayanan Dimensi Jaminan dengan Minat Berobat Kembali di Poli Interna RSD Kalisat Jember (The Relationship between Patient’s Satisfaction Index on Assurance of Service Quality and Utility at Internal Medicine Zuliyatul Masnunah; Dwita Aryadina Rachmawati; Sugiyanta Sugiyanta
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

The increasing number of hospitals causes competition among hospitals to get patients so that each hospital must provide quality services to reach patient’s satisfaction. Patient’s satisfaction determines patients behavior in the future, include their interest in utility. The purpose of this study was to find out the relationship between patient satisfaction index on assurance of service quality and utility. This study used cross-sectional design with 50 respondents. Patient’s satisfaction index and utility were measured using ServQual questionnaire. The results of statistic test with Spearman's Rho correlation test showed that the significance (p) = 0,030 with correlation coefficients (r) = 0.308. So, it can be concluded that there was a weak relationship between patient’s satisfaction index about assurance of service quality and utility at Interna Medicine Polyclinic Kalisat Hospital Jember. Keywords: Patient’s satisfaction, service quality, assurance, utility.