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All Journal e-Journal Pustaka Kesehatan Jurnal Berkala Epidemiologi Journal of Agromedicine and Medical Sciences UNEJ e-Proceeding Al-sihah: The Public Health Science Journal
Dwita Aryadina Rachmawati
Department Of Public Health, Faculty Of Medicine, University Of Jember, Jember, Indonesia
Education Health Professions Immunology & microbiology Library & Information Science Public Health

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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 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
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.
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 IMPACT OF KNOWLEDGE, ATTITUDE AND PRACTICE OF EATING BEHAVIOR ON STUNTING AND UNDERNUTRITION IN CHILDREN IN THE AGRICULTURAL AREA OF JEMBER DISTRICT, INDONESIA Ancah Caesarina Novi Marchianti; Dwita Aryadina Rachmawati; Ida Srisurani Wiji Astuti; Angga Mardro Raharjo; Rony Prasetyo
Jurnal Berkala Epidemiologi Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I22022.140-150

Abstract

Background: Indonesia as an agricultural country is still having nutritional problems (stunting and undernutrition) caused by mothers’ lack of knowledge, attitude and practice of eating behavior. Purpose: This research aims to investigate the impact of knowledge, attitude, and practice of eating behavior of mothers of children under five on stunting and undernutrition prevalence in the agricultural communities in Jember. Methods: This cross-sectional research used questionnaires as a method to collect data from respondents i.e. mothers who have toddlers about the knowledge, attitudes and practice of eating behavior. The research was conducted in 2018-2019 in Jember. A total of 414 respondents who met the inclusion criteria (those resided in the study area and were willing to participate in this study) were chosen through random sampling. The data were then analyzed by using Spearman rho’s test to search the effect of the knowledge and attitudes of the mothers of under fives toward stunting and undernutrition. While eating behavior was described based on the results of interviews with respondents on 2x24 hours of food recall and food frequency questionnaires.  Results: This study showed that knowledge and attitudes of mothers regarding eating behavior were related to the occurrence of stunting (p = 0.01; p = 0.04) and malnutrition (p = 0.04), except for the attitude variable towards malnutrition (p = 0.81). Data analysis results regarding eating behavior showed that there was still a lack of fulfillment of certain nutrients, both macronutrients (fiber) and micronutrients (Vitamin B1, Vitamin C, Vitamin E, Potassium, Sodium, Calcium and Folic Acid.) to the RDA reference which was recorded as severe deficiency in 60-97% of children under five. Conclusion: Adequate knowledge and attitudes of mothers of diet can be a factor that prevents nutritional problems (stunting and malnutrition). The consumption pattern assessed showed that there was still a lack of fulfillment of certain nutrients both macro (fiber) and micronutrients against RDA reference. Further research needs to be done to explore the right promotive and prevention approach based on the lack of nutrition found in each area.
The Role of Pili Protein 38,6 kDa Klebsiella pneumoniae as a Hemagglutinin and Adhesin Protein which Serves as a Virulence Factor Regina Finka; Dini Agustina; Dwita Aryadina Rachmawati; Enny Suswati; Diana Chusna Mufida; Ali Shodikin
Journal of Agromedicine and Medical Sciences Vol 5 No 2 (2019)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v5i2.9558

Abstract

Klebsiella pneumoniae is an infectious bacteria in various parts of the body. The presence of proteins in pili that will bind to cell surface receptors (adhesin proteins) and cell membrane sugar molecules (hemagglutinin proteins) is a very influential factor in the ability of K. pneumoniae to enter the human body. The purpose of this study was to determine the role of pili 38.6 kDa K. pneumoniae protein as a hemagglutinin and adhesin protein which functions as a virulence factor. This type of research is pure experimental research using the electrophoresis method (SDS-PAGE) to obtain protein. The protein obtained was then tested for hemagglutination and adhesion test using erythrocyte cells and enterocytes of BALB / C mice to determine their role as hemagglutinin and adhesin proteins. Conclusion of this study pili protein 38.6 kDa Klebsiella pneumoniae acts as a hemagglutinin and adhesion protein which functions as a virulence factor. Keywords: Klebsiella pneumonia, 38,6 kDa Protein, Hemagglutinin, Adhesin
The Correlation between Fat Consumption and Atherogenic Index on Type 2 Diabetes Melitus Patients in dr. Soebandi Hospital Mega Ratnasari; Ali Santosa; Dwita Aryadina Rahmawati
Journal of Agromedicine and Medical Sciences Vol 4 No 1 (2018)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v4i1.6317

Abstract

One of the risk factor that can be changed in type 2 diabetes melitus is food consumption. Fat is one of the macronutrients that have significant influence in consumption. Unhealthy diet can be a trigger to macrovascular complication that is coronary heart disease (CHD) which started with atherosclerosis. Atherogenic index is a good predictor for CHD. This study aims to determine the correlation between fat consumption with atherogenic index in DMT 2 patients at RSD dr. Soebandi. This is an analitic observational study with cross sectional design, using 74 type 2 diabetes melitus patients from Internal Poly at RSD dr. Soebandi who met inclusion and exclusion criteria. Fat consumption were obtained with 24-hours food recall interview and atherogenic index were obtained from TG and HDL levels in medical record. The average of fat consumption is 34,01% and as much 33 subjects (44,6%) have high risk of CHD (AI>0,21). Spearman correlation test between fat consumption with atherogenic index is p=0,025 which mean there is significant correlation between fat consumption and atherogenic index in type 2 diabetes melitus patients at RSD dr. Soebandi Keywords: DM Type 2, fat consumption, carbohydrate consumption, atherogenic index
The Difference of Plasma Malondialdehyde (MDA) Level in Farmers Using Chemical Pesticides and Farmers Using Organic Pesticides Nikmatul Maula Nur Rahmadani; Dwita Aryadina Rachmawati; Ulfa Elfiah
Journal of Agromedicine and Medical Sciences Vol 4 No 3 (2018)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v4i3.6794

Abstract

Many farmers still use chemical pesticides. Chemical pesticides inside the body will form free radicals that will bind to unsaturated fatty acids (cell membrane structures) that cause increased levels of malondialdehyde (MDA). Organic pesticides can be used as an alternative to control pests. Organic pesticides leave no residues to plants and the environment. This study aims to determine the difference of plasma malondialdehid (MDA) levels in farmers who use chemical pesticides in Dawuhan Village, Tenggarang Subdistrict, Bondowoso Regency and farmers who use organic pesticides in Lombok Kulon Village, Wonosari Sub-district, Bondowoso District. This was an observational analytic research with cross sectional research design conducted on 30 farmers who use chemical pesticides and 30 farmers who use organic pesticides. Blood sampling was taken from Mediana cubiti vein. Measurements of plasma malondialdehyde (MDA) were performed using the TBARS method. Based on the result of Unpaired T-test, it was found that p < 0.001 which showed significant difference in plasma malondialdehyde (MDA) level in farmers using chemical pesticides and farmers using organic pesticides. The plasma malondialdehyde (MDA) level average were higher in farmers using chemical pesticides. Keywords: Chemical Pesticide, Organic Pesticide, Plasma Malondialdehyde
Risk Factor Analysis of Dengue Shock Syndrome Occuring to Children in RSD dr. Soebandi Jember Regency Oessi Salsabila; Muhammad Ali Shodikin; Dwita Aryadina Rachmawati
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.v3i1.4099

Abstract

Dengue Shock Syndrome is a medical emergency situation caused by shocking DHF. Some factors that can influence the DSS. The purpose of this research know some risk factors that might cause DSS. Those are age, nutritional status, gender, and amount of platelet and hematocrit. This research was retrospective case control doing in dr. Soebandi Hospital Jember. The sample were divided into 2 groups. Those were DSS (case group) and non-DSS group (control group). Data analysis was done by Chi-Square test using SPSS 21 version. These were 136 patients which were divided into 94 patients of control group and 42 patients of case group. In this research, there were p-value for ages, nutritional status, gender, amount of platelet and hematocrit on each 0,450; 0,490; 0,198; 0,001; 0,007 respectively. In this search, it could be concluded that age, nutritional status, and gender were not significantly related to DSS case although amount of platelet and hematocrit were significantly related to DSS case.Keywords:dengue shock syndrome, age, nutritional status, gender, hematocrit, platelet.
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.
Co-Authors Ali Santosa Alif Mardijana Alivia Octaviana Ancah Caesarina Novi Marchianti Angga Mardro Raharjo Anis Talitha Damarawati Asyirah Mujahidah Fillah Bagus Hermansyah Cholis Abrori, Cholis Davina Amalia Diana Chusna Mufida Dini Agustina Elly Nurus Sakinah, Elly Nurus ENNY SUSWATI Erfan Efendi Erma Sulistyaningsih Hairrudin Hairrudin I Ketut Sudiana Ida Srisurani Wiji Astuti Ika Rahmawati Sutejo Indah Amin Sugiharti Jasmine Fachrunnisa Justina Evy Tyaswati Laila Auliya Noviyanti Laksmi Indreswari Lathifa Rusyda Gani Luh Putu Ratna Sundari M. Ali Shodikin Mardhiyyah Nurul Hasanah Mega Ratnasari Muhamad Hasan Nafiys Hilmy Nidya Husna Kholidah Nikmatul Maula Nur Rahmadani Novita Dwi Cahyani, Nunung Nurhasanah Oessi Salsabila Ranindya Putri Cipta Indraswari Regina Finka Rena Normasari Revin Fiona Cinintya Rony Prasetyo Sugiyanta Sugiyanta Ulfa Elfiah Warda Ayu Nadira Yudha Nurdian Yuli Hermansyah Yunita Armiyanti Zuliyatul Masnunah