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Hubungan Efikasi Diri dengan Kualitas Hidup Penderita Penyakit Paru Obstruktif Kronik (PPOK) di RSUD Dr. Moewardi Sarah Nadya Roosana; . Harsini; . Suradi
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Chronic Obstructive Pulmonary Disease COPD) is one of the causes of respiratory disorder that is often found in the world. Along with the increase in COPD complications, patients require a special effort to prevent lung decline of function in order to improve the quality of life. One of the ways is increasing self-efficacy. This study aims to determine the relationship between self-efficacy and quality of life in patients with COPD at RSUD Dr. Moewardi. Methods: This study was an observational analytic with cross-sectional approach. Samples of this study were 40 COPD patients in the outpatient pulmonary clinic of RSUD Dr. Moewardi were selected using purposive sampling technique. The independent variable of this study is self-efficacy which was measured with the COPD Self-Efficacy questionnaire (CSES). The dependent variable of this study is quality of life as measured by COPD Assesstment Test (CAT) questionnaire. The confounding variables of degree of smoking, duration of COPD, and the degree of breathlessness measured by respondent characteristics questionnaire and Modified Medical Research Council scale (mMRC scale). The data were analyzed using multiple logistic regression models. Results: Results of multiple logistic regression analysis showed the results OR = 72.055; CI 95% from 1300 to 3944.041; and p = 0.037. This result has controlled the confounding variables, namely the long-suffering COPD, degree of smoking and degree of breath shortness. Patients who have good self-efficacy have a good quality of life for seventy-two times greater than patients who have poor self-efficacy. Conclusions: There is significant correlation between self-efficacy and quality of life of patients with Chronic Obstructive Pulmonary Disease (COPD) at RSUD Dr. Moewardi. Keywords: COPD, Self-Efficacy, Quality of life.

Perbedaan NilaiArus Puncak Ekspirasi (APE) antara BuruhProses Pencelupan dengan Buruh Administrasi Industri Batik Anisa Nur Rahma; . Harsini; . Muthmainah
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: One of the negative impactsof industy development is the occurance of occupational disease. The respiratory disease is one of the occupational disease that can cause lung disfunction. The function of lung can be observed by peak expiratory flow (PEF) value. The aim of this study is to know the difference on the percentage of measured PEF value compared with predictive PEF value, between immersion processing workers and administrative workers in batik industry. Methods: This study was an observational study with cross sectional design. Study was conducted in July-September 2013 in the batik industry in Laweyan District. Samples were taken by stratified random sampling. Samples that consisted of 60 workers were divided into two groups: 30 immersion processing workers and 30 administrative workers in batik industry. The measurement of PEF used the Peak Flow Meter. The measured PEF valuewas compared with the predictive PEF value and then expressed on percentage form. Data were analyzed using the Mann Whitney test (a=0.05). Result:This study showed the mean value of percentage of measured PEF compared with predictive PEF on administrative workers was 75,6% 8,7, the mean value of percentage of measured PEF compared with the predictive PEF on immersion processing workers was 62,9% 11,7. Mann-Whitney test showed that p=0.000 (p<0.005), so there was a significant difference between the value on the administration workers and the value on Immersion Processing Workers in Batik Industry. Conclusion:The percentage of measured PEF value compared with predictive PEF valueon administrative workers wassignificantly higher than the percentage of measured PEF value compared withpredictive PEF value on Immersion Processing Workers in Batik Industry. Keywords: Batik, PEF value, administration workers, Immersion Processing Workers in Batik Industry

Hubungan Indeks Massa Tubuh (IMT) dengan Frekuensi Serangan Asma pada Pasien Asma Wanita yang Menggunakan Kontrasepsi Hormonal dan Tidak Aninda Dwi Anggraeni; . Harsini; Arif Suryawan
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Asthma is the most common chronic disease throughout the world which the prevalence of asthma is greater in women. The evidence suggest that sex steroid hormones play an important role in respiratory health. Further, although asthma increased with increasing BMI in all women, this increase was stronger among women taking oral contraception. Therefore, it needs study about correlation BMI with asthma attack frequency in women patient with asthma using hormonal contraception and not. Methods: This study is an observational study with cross sectional conducted in June July 2014 in Dr. Moewardi general hospital and BBKPM Surakarta. Sampling was done by purposive sampling. Subject to fill (1) bio-data form, (2) Questionnaire. Treatment in respondent (1) Measurement height and weight. Data obtained by 60 subjects and analyzed using Spearman correlation through SPSS 20.00 for Windows. Result: This study shows the value of Spearman correlation r = 0,432; p < 0,05, which means there is a positive correlation was statistically significant between BMI and asthma attack frequency among women taking hormonal contraception with a moderate correlation strength. Whereas among women taking nonhormonal contraception shows the value of Spearman correlation r = 0,363; p < 0,05 which means there is a positive correlation was statistically significant between BMI and asthma attack frequency with a weak correlation strength. Conclusion: There is a moderate positive correlation and statistically significant between BMI and asthma attack frequency among women taking hormonal contraception. And then there is a weak positive correlation and statistically significant between BMI and asthma attack frequency among women taking nonhormonal contraception. Keywords: BMI, Asthma Attack Frequency, Contraception

Perbedaan Aktivitas Fisik pada Pasien Asma Terkontrol Sebagian dengan Tidak Terkontrol di RSUD Dr. Moewardi Olivia Dwimaswasti; . Harsini; . Isdaryanto
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Asthma can interfere with the fulfillment of the needs and proven to reduce the productivity and quality of life for the sufferer. Although asthma rarely cause death, disease often cause problems in both children and adults. Asthma can cause interference with daily activities and emotional disorders (anxiety, depression). Asthma can be mild and do not interfere with daily activities but also be persistent and interfere with daily activities. This studyaimedto determine differencesof physicalactivity between partlycontrolled andnotcontrolledasthma patient at theRSUDDr. Moewardi. Methods:This analytic study was observational using cross sectional approach. A sample of 60 study subjects was selected by purposive sampling from outpatients who visited Pulmonology Clinics, RSUD Dr. Moewardi Surakarta. The data was collected by interview and some datas taken from the medical records. The data was analyzed using logistic regression model on SPSS 17.00 for windows. Results:Inpartilycontrolledasthmawithlowphysical activity11 people(36.7%), moderate physicalactivity10people(33.3%) andhigh activity9people(30%). While in thenot controlledasthma with low activity24people(80%), moderate activity5 people(16.7%) and thehighactivity 1 person(3.3%).Differencesin physical activityin asthma patientspartlycontrolledand not controlledwithlowphysical activityx2=12.895, p= 0.002; OR=19.6(95% CI2.20up to174.72, p =0.008)and thedifferences inphysical activityin patientspartlycontrolledasthmaand not controlledwithmoderate physicalactivityx2=12.895, p= 0.002; OR=4.5 (CI 95%0.44up to46.17, p =0.205). Conclusions:There are differencesof physicalactivity between partlycontrolled andnotcontrolledasthma patient. Keywords:asthma bronchiale, control asthma, physical activity

Hubungan Merokok dengan Konversi Sputum Penderita TB Paru Kasus Baru di RSUD Dr. Moewardi Surakarta Zefania Yonisa; . Harsini; Novi Primadewi
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Tuberculosis or TB is an infectious disease caused by Mycobacterium tuberculosis complex and still a major health problem in Indonesia. Smoking TB patients have a greater risk for treatment failure and persistent infection. This study aims to determine the relationship between smoking and sputum conversion among patients with new cases pulmonary tuberculosis in Dr. Moewardi Hospital, Surakarta. Methods:This study was an observational analytic cross sectional approach. Subjects were new cases of pulmonary TB patients who have completed the intensive phase of treatment in Dr. Moewardi Hospital from January 2010 until March 2013. Patients with new cases pulmonary TB interviewed with a questionnaire to determine their smoking history. Sputum examination results seen in TB Treatment Card 01. Results were analyzed by Chi-Square statistical test (? = 0.05). Results: Of the 49 samples, a total of 26 pulmonary TB patients were smokers and 23 samples of patients with pulmonary tuberculosis are not categorized as smokers. Sputum conversion occurs more frequently in non-smoking pulmonary TB patients than smokers with pulmonary TB. Chi Square statistical test results showed a significant relationship between smoking and sputum conversion among patients with new cases pulmonary TB with p = 0.03 (p <0.05). Conclusions: There is astatistically significant association between smoking and sputum conversion among patients with new cases pulmonary TB. Smoking has a risk that sputum conversion does not occur after 2 months intensive phase of TB treatment. Keywords: smoking, sputum convertion, pulmonary tuberculosis

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