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Perbandingan Nilai APGAR Bayi Pada Kelahiran Presentasi Bokong Secara Pervaginam dan Perabdominal di RSUD Kebumen Tahun 2007 Sukmaningrum, -; Baehaqi, Akil; Kuntari, Titik
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i1.1587

Infant morbidity and mortality was higher in breech presentation than cephalic presentation. It is because of prematurity, asphyxia or trauma more often happening in breech presentation. Maternal morbidity rate was increased, which is caused of postpartum bleeding. The higher major caused of breech presentation perinatal mortality is asphyxia, which is can be identified by APGAR score. The objectives of this study are to compare the APGAR score among delivery history with breech presentation in pervaginam and perabdominal delivery. This research is a non experimental study using cross sectional study design. The subjects are patient with breech presentation and infant which is taking care in RSUD Kebumen during 2007. There is a significant infant APGAR score differences between pervaginam and perabdominal breech presentation delivery history (p value=0,00, IK95%). Infant APGAR score with breech presentation history wich is delivery by perabdominal is better than wich is delivery by pervaginam.Angka kematian bayi sangat dipengaruhi oleh kematian perinatal. Pada presentasi bokong morbiditas dan mortalitas bayi lebih besar bila dibandingkan dengan presentasi letak kepala. Hal ini disebabkan karena pada presentasi bokong lebih sering terjadi prematuritas, asfiksia, atau trauma. Angka morbiditas ibu juga meningkat yang disebabkan oleh perdarahan pasca persalinan. Penyebab kematian perinatal pada presbo yang tertinggi umumnya adalah karena asfiksia, yang bisa diidentifikasikan dengan nilai APGAR. Penelitian ini bertujuan untuk mengetahui perbedaan nilai APGAR pada persalinan dengan riwayat presbo secara pervaginam dengan perabdominal. Penelitian ini merupakan rancangan penelitian cross sectional dan data diambil secara retrospektif dibagian rekam medis. Subjek penelitian berasal dari pasien dengan presbo dan bayinya yang dirawat di RSUD Kebumen selama tahun. Ada perbedaan yang bermakna antara nilai Apgar pada bayi riwayat persalinan presentasi bokong pervaginam dengan perabdominal (nilai p=0,00, IK95%). Nliai Apgar bayi dengan riwayat presbo yang dilahirkan secara perabdominal lebih baik dibandingkan dengan yang dilahirkan secara pervaginam.

Determinan Abortus di Indonesia Titik Kuntari; Siswanto Agus Wilopo; Ova Emilia
Jurnal Kesehatan Masyarakat Nasional Vol. 4 No. 5 April 2010
Publisher : Faculty of Public Health Universitas Indonesia

Abortus menjadi masalah yang penting dalam kesehatan masyarakat karena berpengaruh terhadap morbiditas dan mortalitas maternal. Di Indonesia, belum ada data yang komprehensif tentang kejadian abortus, berbagai data yang ada sebelumnya berdasarkan survei dengan cakupan yang relatif terbatas. Abortus yang tidak aman bertanggung jawab terhadap 11% kematian ibu di Indonesia. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian abortus di Indonesia. Penelitian ini dilaksanakan dengan metode observasional menggunakan disain studi cross sectional. Data penelitian diperoleh dari data Survei Demografi dan Kesehatan Indonesia 2002-2003. Analisis data dilakukan secara bertahap yaitu: analisis univariat, analisis bivariat dan analisis multivariat dengan regresi logistik. Hasil menunjukkan bahwa risiko abortus meningkat seiring dengan peningkatan usia ibu. Wanita dengan paritas 0-2 berisiko lebih tinggi untuk mengalami abortus dibandingkan wanita dengan paritas 3 atau lebih (OR=5,2, IK 95%=3,49-7,89). Wanita yang bekerja berisiko 2,7 kali lebih tinggi untuk mengalami aborsi daripada wanita yang tidak bekerja (OR= 2,7 , IK 95%= 2,10-3,58). Selain itu, risiko abortus meningkat pada wanita yang menikah pada usia 30 tahun atau lebih (OR=1,8, IK95%= 1,30-2,48). Risiko abortus tidak berhubungan bermakna dengan riwayat abortus sebelumnya, tingkat pendidikan dan tingkat sosial ekonomi.Kata kunci : Abortus, tren abortus, determinan abortus, IndonesiaAbstractAbortion has become a main problem in public health because of its impact on maternal morbidity and mortality. There is no comprehensive data on abortion in Indonesia. So far, data were based on survey with limited coverage. Unsafe abortion is responsible to 11 percent of maternal mortality in Indonesia. This research objective is to determine factors related to abortion in Indonesia. The study was an observational method with cross sectional design. Thesedata are gathered from Indonesian Demography and Health Survey 2002–2003. Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The risk of an abortion increased in line with the increasing of maternal age. Women with 0-2 parity have higher risk than multiparity (OR=5.2, IK95%=3.49-7.89). Employed women have higher risk than unemployed (OR=2.7, IK95%=2.10-3.58). The risk of abortion increased among women married at 30 years old or over (OR=1.8, IK95%=1.30-2.48). There is no significant association between history of abortion, education, socioeconomic and risk of abortion.Key words : Abortion, trend of abortion, abortion’s determinant, Indonesia

Faktor Risiko Malnutrisi pada Balita Titik Kuntari; Nur Aisyah Jamil; Opi Kurniati
Jurnal Kesehatan Masyarakat Nasional Vol 7. No. 12 Juli 2013
Publisher : Faculty of Public Health Universitas Indonesia

Gizi buruk yang merupakan masalah penting di semua negara-negara miskin dan berkembang bertanggung jawab terhadap 60 persen kematian balita. Prevalensi balita gizi buruk di Indonesia tergolong tinggi, pada 2005, berbagai propinsi di Indonesia melaporkan 76.178 balita mengalami gizi buruk. Kasihan adalah salah satu kecamatan di kabupaten Bantul berbatasan dengan Kotamadya Yogyakarta yang menghadapi permasalahan gizi buruk. Tujuan penelitian adalah mengetahui angka kejadian dan faktor risiko gizi buruk di Kecamatan Kasihan, Kabupaten Bantul. Penelitian ini menggunakan desain studi kasus kontrol meliputi kelompok kasus 54 balita malnutrisi dan kelompok kontrol 54 balita gizi baik. Status gizi ditentukan berdasarkan Z score berat badan menurut umur. Hasil penelitian menunjukkan bahwa tingkat pendidikan ibu yang tinggi (OR = 0,4 ; 95% CI = 0,19 - 0,79), jarang kelahiran lebih dari 60 bulan (OR = 0,3; 95% CI = 0,11 - 0,90), berat lahir normal (OR = 0,2; 95% CI = 0,10 - 0,60), dan riwayat penyakit kronis (OR = 0,3; 95% CI = 0,14 - 0,80) merupakan faktor protektif malnutrisi pada balita. Malnutrisi tidak berhubungan dengan umur ibu, paritas, tingkat pendidikan ayah, pendapatan keluarga, riwayat ASI, anggota keluarga yang merokok dan imunisasi campak.Malnutrition is one of the leading causes of morbidity and mortality in children under five years of age in developing countries. Malnutrition significantly increases the risk of infant and child death. Although the incidence of malnutrition in Yogyakarta lower than other provinces in Indonesia, the prevalence of severe malnutrition of children under five years of age was 1.14%. the objective of this study were to identify and determine the risk factors for malnutrition in children under the five years of age in Kasihan 1, Bantul District. Case control design was conducted among 54 children under the age of five with malnutrition (z score <-2 Deviation Standart) and 54 comparison children from Kasihan 1. The data were collected using structured questionnaire. The children’s weight and length were measured using standardized and calibrated device. Nutrition state classified using Z score (weight for age) Anthropometry WHO software version 2011. The protective factors for malnutrition were high maternal education (OR = 0.4 ; 95% CI = 0.19 - 0.79), birth space more than 60 months (OR = 0.3; 95% CI = 0.11- 0.90), normal birth weight (OR = 0.2; 95% CI = 0.10 - 0.60), and no history of chronic disease (OR = 0.3; 95% CI = 0.14 - 0.80). There are no relationship between malnutrition with maternal age, parity, paternal education, income, history of breastfeeding, smoking member of family and measles immunization.

Perbandingan Nilai APGAR Bayi Pada Kelahiran Presentasi Bokong Secara Pervaginam dan Perabdominal di RSUD Kebumen Tahun 2007 - Sukmaningrum; Akil Baehaqi; Titik Kuntari
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i1.1587

Infant morbidity and mortality was higher in breech presentation than cephalic presentation. It is because of prematurity, asphyxia or trauma more often happening in breech presentation. Maternal morbidity rate was increased, which is caused of postpartum bleeding. The higher major caused of breech presentation perinatal mortality is asphyxia, which is can be identified by APGAR score. The objectives of this study are to compare the APGAR score among delivery history with breech presentation in pervaginam and perabdominal delivery. This research is a non experimental study using cross sectional study design. The subjects are patient with breech presentation and infant which is taking care in RSUD Kebumen during 2007. There is a significant infant APGAR score differences between pervaginam and perabdominal breech presentation delivery history (p value=0,00, IK95%). Infant APGAR score with breech presentation history wich is delivery by perabdominal is better than wich is delivery by pervaginam.Angka kematian bayi sangat dipengaruhi oleh kematian perinatal. Pada presentasi bokong morbiditas dan mortalitas bayi lebih besar bila dibandingkan dengan presentasi letak kepala. Hal ini disebabkan karena pada presentasi bokong lebih sering terjadi prematuritas, asfiksia, atau trauma. Angka morbiditas ibu juga meningkat yang disebabkan oleh perdarahan pasca persalinan. Penyebab kematian perinatal pada presbo yang tertinggi umumnya adalah karena asfiksia, yang bisa diidentifikasikan dengan nilai APGAR. Penelitian ini bertujuan untuk mengetahui perbedaan nilai APGAR pada persalinan dengan riwayat presbo secara pervaginam dengan perabdominal. Penelitian ini merupakan rancangan penelitian cross sectional dan data diambil secara retrospektif dibagian rekam medis. Subjek penelitian berasal dari pasien dengan presbo dan bayinya yang dirawat di RSUD Kebumen selama tahun. Ada perbedaan yang bermakna antara nilai Apgar pada bayi riwayat persalinan presentasi bokong pervaginam dengan perabdominal (nilai p=0,00, IK95%). Nliai Apgar bayi dengan riwayat presbo yang dilahirkan secara perabdominal lebih baik dibandingkan dengan yang dilahirkan secara pervaginam.

Analisa Faktor Penentu Tingkat Kepuasan Pasien Di Rumah Sakit Pku Muhammadiyah Bantul Wijayanti Puji Lestari; Sunarto Sunarto; Titik Kuntari
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol1, No 1, (2009)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Growing of emulation between hospitals that is increasingly tight and sharply, hence every hospital claimed to heighten competitiveness by trying gives satisfaction to all the patients. For the purpose must be known factors which influencing level of satisfaction of the patient. And is a real thing necessary for we to know what which patient we require to fulfill their satisfaction to services which we give. This research aim to know factors determining satisfaction of patient takes care of lodging and installation of emergency, also knows is there is difference of determinant level of satisfaction between patients takes care of lodging, and installation of emergency. This research done in PKU Muhammadiyah Bantul Hospital. This research applies cross sectional research planning. Sampling method in this research is systematic random sampling.Instrument of research applied is questionair, containing patient characteristic, satisfaction determinant factors of patient, as well as satisfaction of patient. Analysis by using SPSS for windows15. Result show that determinant level of satisfaction most importantly in determining level of satisfaction of responder takes care of lodging and installation of emergency is factor reliability. Determinant level of satisfaction of patient to take care of lodging sorted from most importantly is, reliability, assurance, accessibility, responsiveness, tangible, and last of empathy. Determinant level of satisfaction of patient for IGD sorted from most importantly is, reliability, tangible, responsiveness, accessibility, assurance, and last, empathy. For takes care of lodging responder, men gender, age more than 25 years old, lower education or SMA, and production of Rp.799.999 or less, tends to satisfying to Hospital service, but it doesn't have a meaning statistically. For installation responder of Emergency, men gender, age more than 25 years old, higher education from SMA, and production more than Rp. 799999,- tends to satisfying to Hospital service, but it doesn't have a meaning statistically.Keywords : Satisfaction determinants, PKU MUHAMMADIYAH BANTUL

Perbandingan Peningkatan Pengetahuan Ibu Tentang Pijat Bayi Setelah Mendapat Penyuluhan dan Pemutaran VCD di Kelurahan Widodomartani, Ngemplak, Sleman, Yogyakarta Ayu Widya Ningsih; MTS Darmawan; Titik Kuntari
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 3, No 8, (2011)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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With the many benefits that can be obtained from the habit baby massage performed by the mother, it is necessary once baby massage is used as a habit. But this attitude has been influenced by knowledge of mothers on infant massage itself. Until now not known how the mother's level of knowledge in the area Widodomartani village, about the benefits of baby massage. The bjective of this research to obtain the comparative increase in maternalknowledge about infant massage after receiving counseling and VCD playback. This study is a descriptive research approach to the pre test and post test. This study found that the value of significance (p) is smaller then 0.05: On theextension of Ho rejected and Ha accepted means that there are significant differences between mother’s knowledge level of infant massage before and after extension. On playback VCD Ho rejected and Ha accepted. This means that there are significant differences between mother’s knowledge about infant massage before and after the VCD playback. On increasing knowledge is rejected and Ho Ha received. This means there is no significant differencebetween the increase in maternal knowledge about infant massage compared with VCD playback with increased knowledge counseling.This study conclude that there were significant differences between the mother’s knowledgeabout infant massage before and after counseling.There were significant differences between the mother’s knowledge about infant massage before and after VCD playback. There were no significant differences between theincrease of mother’s knowledge after VCD playback and counseling method.Key Words: Knowledge, Infant Massage, VCD, counseling, Widodomartani

Alasan Ketidaktepatan Waktu lbu untuk Melakukan lmunisasi Lengkap di Puskesmas Sawit Kabupaten Boyolali Taufiqurrochman Nur Amin; Titik Kuntari
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 2, No 5, (2010)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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The infant mortality rate in Indonesia is generally caused by the disease can be prevented by immunization (PD3I). In 2008 showed decreasing success rates of immunization. The complete success of immunization m Public Health Centers Sawit District Boyolali amounted 70-90%. This study aimed to identify factors that cause mothers to postpone the full immunization for children from birth through age 24 months. The study was non-analytic descriptive, using cross sectional method, the data used primary data obtained from questionnaires completed by respondents. Processed by descriptive statistics with proportion calculations and presented in tables and pie charts. Completed immunization showed number is 100% perfect. The timeliness of the implementation of immunization showed that the mother with right time just 30% while 70% delayed the immunization. The reasons of mother to delay immunization is because that their child had fever, coughing colds without fever, diarrhea, laziness mother to wait a long time, has other activity, and because the child exposed to DHF.

HUBUNGAN KLASIFIKASI ANAK AUTIS BERDASARKAN CARS DENGAN TINGKAT KECEMASAN IBU 01 SLB AUTIS BINA ANGGITA Maya Tika Sari; Moetrarsi Moetrarsi; Titik Kuntari
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 1, No 3, (2009)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Autism had become a problem which is experienced by the family around the world, and autism happened on 5 among every 10.000 birth. Autism can be classified as light autism, medium autism and heavy autism. With having autism child, will give the anxiety to their parent especially the mother. The objectives of the research is to determine the relation between the autism children classifications based on CARS with the level of mother anxiety in autism SLB of Bina Anggita. This research is in <J nalytically non-experimental research with using cross-sectional method. Numbers of thesubjects used are 23 children with their mother from autism SLB of Bina Anggita. The data colleted with two ways, first direct observation to the autism children and the second filling the form of questionnaire by the mother. The analysis of the data used is fisher test. The classification of autism in Bina Anggita autism is generally as light autism to heavy autism (52,2%). The level af anxiety happened to the mostly mother are the light anxiety to medium anxiety {65,2%). There is no significant relation between the classification of autism child based on CARS with level of mother's anxiety (p=0,67).

Hubungan antara Dukungan Sosial Dengan Stres pada Narapidana NAPZA di Lembaga Pemasyarakatan Narkotika Yogyakarta Tri Pujl Astuti; Titik Kuntari; Sufi Desrini
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 1, No 3, (2009)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Drug abuse (Narcotics, psychotropics, and addictives) as social illness is harmful to various aspects of human life such as health, education, security, and social economy, and this is a serious threat to Indonesia as a big nation. Drug abuse has strong relationship with str ss triggered by stressor. Some researches report that to prevent stress, social support is one of important sources applied beside constitution, intelligence, financial resources, faith and religion, hobbies and aspirations. The objective of this study is to determine the relationship between social support and stress among drug abuse inmates in Yogyakarta Narcotics Penitentiary. We used descriptive analysis with cross sectional method. This correlational study was conducted in Yogyakarta Narcotics Penitentiary with 52 subjects using stress scale and Social Support Questionnaire. Analysis on correlation using Kendall Tau formula. 51,9% of total respondent had medium stress level and 57,7% had very high social support level. Statistical test found significant relationship between stress with social support ( P-value = 0.002, t = -0 .328) and duration of drug abuse (P-value = 0.015, t = 0.312). There is significant relationship between social support and stress among drug abuse inmates in Yogyakarta Narcotics Penitentiary.

Skrining dan Penyuluhan Penyakit Tidak Menular sebagai Inisiasi Program Posyandu Lansia di Kecamatan Turi, Sleman Titik Kuntari; Fadilla Riesty; Angga Ardhan Deriawan; Fanny Anggiastuti Fatima; Muhammmad Yusuf Ilham; Ramadhania Afifah Putri; Fathia M Sekaringtyas; Putri Nur Khodijah
Jurnal ABDIMAS-KU: Jurnal Pengabdian Masyarakat Kedokteran Vol 2, No 2 (2023): Mei
Publisher : Fakultas Kedokteran, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/abdimasku.2.2.62-68

Perubahan gaya hidup, kemajuan teknologi dan transisi demografi menyebabkan peningkatan insidensi penyakit tidak menular (PTM). Hipertensi dan diabetes mellitus merupakan dua PTM yang paling sering ditemukan dan berkaitan erat dengan berbagai permasalahan kesehatan lain, seperti stroke, gangguan jantung, penyakit ginjal dan bahkan kematian. skrining dan edukasi untuk meningkatkan pengetahuan serta keberhasilan terapi perlu terus dilakukan. Pedukuhan Dadapan dan Selowangsan di Kabupaten Sleman saat ini belum memiliki posyandu lansia. Kegiatan pengabdian masyarakat dilakukan untuk skrining dan edukasi tentang PTM kepada masyarakat di daerah tersebut. Pemeriksaan kesehatan meliputi pengukuran tekanan darah, gula darah sewaktu (GDS) dan lingkar perut terhadap 49 lansia yang hadir. Pemberian edukasi tentang PTM dilakukan dengan cara penyuluhan. Kegiatan ini melibatkan tenaga kesehatan Puskesmas Turi, perangkat desa dan kader kesehatan agar kegiatan dapat ditindak lanjuti dengan baik. Kami memberikan bantuan sumbangan alat kesehatan agar dimanfaatkan pada kegiatan berikutnya. Hasil pemeriksaan menunjukkan bahwa 73,3% lansia mengalami hipertensi. Tiga lansia (6,1%) terdiagnosis hiperglikemia. Sekitar 42,9% lansia memiliki lingkar perut lebih dari rerata normal dan memiliki risiko tinggi untuk mengalami gangguan kesehatan. Lansia yang terdiagnosia hipertensi atau diabetes mellitus (DM) atau memiliki risiko tinggi selanjutnya diberikan surat rujukan untuk melakukan pemeriksaan dan terapi dari puskesmas Turi. Kegiatan ini diharapkan ditindaklanjuti dengan pembentukan posyandu lansia di wilayah tersebut. Lifestyle changes, technological advances and the demographic transition have increased the incidence of non-communicable diseases (NCDs). Hypertension and diabetes mellitus are the two most common NCDs and are closely related to various other health problems, such as stroke, heart problems, kidney disease and even death. Screening and education must be carried out continuously to improve knowledge and therapeutic success. Dadapan and Selowangsan hamlets in Sleman Regency currently do not have an elderly posyandu. Community service activities are carried out for screening and education about NCDs in the community in the area. Health checks include measuring blood pressure, blood sugar (GDS) and abdominal circumference of 49 elderly people who attend. Providing education about NCDs is done through counselling. This activity involved Turi Health Center health workers, village officials and health cadres so that activities could be followed up appropriately. We provided donations of medical equipment to be utilized in the next activity. The examination results showed that 73.3% of the elderly had hypertension. Three elderly (6.1%) were diagnosed with hyperglycemia. About 42.9% of the elderly had more abdominal circumference than the average and had a high risk of health problems. Elderly diagnosed with hypertension or DM or high risk are then given a referral letter for examination and therapy from the Turi health centre. This activity is expected to be followed up with establishing an elderly posyandu in the area.

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