Novi primadewi
Faculty of Medicine, Sebelas Maret University

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Pengaruh Penyuluhan Mengenai Dismenore Terhadap Pengetahuan Dan Perilaku Penanganan Dismenore Pada Siswi Sma Muhammadyah 1 Surakarta Utami, Priyanka G; Raden, Abkar; primadewi, Novi
Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Objective:To determinethe influence of dysmenorrhea counseling towards SMA Muhammadyah 1 Surakarta’s female student’s knowledge and handling behaviour toward dysmenorrhea Background:Dysmenorrhea was the most frequent menstrual problem, but women still lack of consideration towards this symptom so that the handling of this symptom was still not enough.Women need to know that the handling of this symptom is depend on knowledge about this symptom causation. Methods:Samples, SMA Muhammadyah 1 Surakarta’s female students’ school year of 2011/2012. The number of sample: 53 female students. Sampling technique: purposive random sampling. Before the counseling began, a pretest was held to meassured students knowledge about dysmenorrhea and their handling behaviour to reduce  pain they had felt. After pretest, the counseling about dysmenorrhea; the differences between primary dysmenorrhea and secondary dysmenorrhea; and the management they should do towards certain condition was given. After that, there were question session, quiz session, and tutorial discussion session. Then, they received a post test to meassure wether if there were any level of knowledge and handling behaviour differences between after and before the counseling. Then the data was analyzed using  paired T test. Results: The result using paired T test showed that the number of significance are 0.00 <0,05 so that it was significance. Level of knowledge before the counseling is lower than after the counseling. The handling behaviours towards dysmenorrhea before and after counseling are also different.The resultshowed that,after the counseling, the number of handling behaviour’s preferences which were warming lower abdominal part, seeking for medical help, and consuming vegetables and fruits were increased. On the other side, the number of handling behaviour’s preferences which were consuming herbal medicine and AINSD (Anti Inflammation Non Steroid Drugs) were decreased. Conclusion:Counseling about dysmenorrhea could influence student’s level of knowledge and handling behavior towards dysmenorrhea   Key words:Counseling, level of knowledge, handling behaviour, dysmenorrhea
Hubungan Tingkat Religiusitas terhadap Kecemasan pada Mahasiswa Muslim Angkatan 2011 Universitas Sebelas Maret Surakarta Larasati, Sekar Ayu; Syamsulhadi, Much; Primadewi, Novi
Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Anxiety is a part of life; it is a normal phenomenon as long as not disturbing the human activity. The anxiety disorder of the students usually is an anxiety due to a frustration, i.e. everything which is disturbing individual’s ability to achieve their target with a lot of dependants. Religiosity consist of knowledge of religion, religious believes, religious ritual experience, religious experience, religious behavior (morality) and a religiosity social attitudes. With a high religiosity, the life will become more relaxed and peaceful; this is due to the appreciation and behavior that surrender to Allah SWT.   Methods: The method that used for the study is an Observational Analytic method with a cross sectional approach.  The subject of the study is a Sebelas Maret University of Surakarta’s Moslem student, class of 2011, which involved 150 students as participants.  The instruments that used for measurement were L-MMPI Questionnaire, Religiosity Scale and T-MAS Scale which are finally analyzed using Spearman Correlation Test.   Results: This study found that there is a negative correlation (inverse relationship), between religiosity level and anxiety, with a weak strengthness (r=-0.29) and statistically significant (p=0.040). Conclusions: Based on the study, there is a negative correlation (inverse relationship), between The Religiosity Level towards Anxiety of Sebelas Maret University of Surakarta’s  Moslem Students Class of 2011. Keywords: Religiosity level, Anxiety, Sebelas Maret University of Surakarta’s Muslim Students
Perbedaan Nilai Arus Puncak Ekspirasi antara Perempuan yang Memasak dengan Kayu Bakar dan LPG Arindha, Imaniar Hidayati; Setijadi, Ana Rima; Primadewi, Novi
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: There are a lot of report about obstruction phenomenon because of firewoods use for fuel consumption of cooking. Its known from decrease value of PEF examination. Methods: This research was an analytical descriptive research using cross sectional approach and had been done in March 2012 in Giripeni Wates. The subjects were a woman who cooking use firewood and LPG. Data was collected by using purposive random sampling method. Data was analyzed using Chi Square test through SPSS 17.00 for Windows. Results: This research showed a mean of peak flow value’s in woman who cooking use firewood are 63,49 ± 13,01 and LPG are 82,82 ± 6,57. t-test shows     p = 0,000 and Chi Square shows p = 0,003, Odd Ratio = 5,23. Conclusion: there were significant differences of PEF between a woman who cooking use firewood and LPG, firewood user  has risk 5,23 bigger than LPG user. Keyword: Peak Ekspiratory Flow (PEF), firewood, LPG 
Hubungan Usia, Tingkat Pendidikan dan Tingkat Pengetahuan terhadap Cara Penggunaan Metered Dose Inhaler (MDI) pada Pasien Asma di RSUD Dr. Moewardi Kusumawardhany, Fitria Marizka; Setijadi, Ana Rima; Primadewi, Novi
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma is a chronic airway inflammatory disease that seriously impact on morbidity and mortality in the world. Most of the patients were taking medication prescribed for inhalation using a tool, not using inhalation devices correctly, approximately 90% of patients showed a wrong way to use MDI. For that, need to be investigated the factors associated with the occurrence of errors how to use MDI. This study aimed to analyze the relationship between age, education level and level of knowledge on how to use MDI in asthma patients. Methods: This analytic study was observational with cross-sectional approach. A sample of 40 study subjects was selected by purposive sampling from out asthma patients visiting the Pulmonary Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using suggested checklist and a set of questionnaire. The data was analyszed using chi-square and multiple logistic regression model on SPSS version 17 for Windows. Results: Patients aged ≥ 65 years had a good way of using MDI 4/10 times lower than patients aged <65 years (OR = 0.43; CI 95% 0. 0.07 to 2.89; p = 0.388). Patients with high education level have a good way of using MDI 2 times higher than patients with low education level (OR = 1.68; CI 95% 0.32 to 8.82; p = 0.539). Patients with a high level of knowledge of the importance of how to use the correct MDI had a good way of using MDI 14 times higher than patients with low levels of knowledge (OR = 13.58; CI 95% 2.37 to 77.76; p = 0.003).This estimate has controlled for the effects of long use of MDI as a confounding variable. Conclusions: There is a statistically significant association between knowledge on how to use MDI. There are also the association between age and education level on how to use MDI in asthma patients even though the data obtained was not statistically significant. This conclusion is drawn after controlling for the effects of long use of MDI as a confounding variable. Keywords: Asthma, how to use MDI, age, education, knowledge  
Hubungan Merokok dengan Konversi Sputum Penderita TB Paru Kasus Baru di RSUD Dr. Moewardi Surakarta Yonisa, Zefania; Harsini, .; Primadewi, Novi
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 (α = 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 
Hubungan Cara Persalinan dengan Apgar Score pada Kasus Ketuban Pecah Dini di RSUD Dr. Moewardi Sugiarto, Stephanie Indrawati; Angelia, Affi; Primadewi, Novi
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Premature rupture of membrane (PROM) occurs when amniotic membranes rupture without the signs of delivery. PROM occurs in 6 – 8% pregnancies and about 80% PROM occurs at term gestational age (>37 weeks). PROM is always terminated for preventing complication whether in mother and baby. Previews studies assumed that delivery process can affect the Apgar score of the newborn. This study aimed to know the relationship between delivery process with Apgar score in premature rupture of membrane case. Methods: This analytic study was observational using cohort retrospective approach. 151 study subjects were selected by fixed exposure sampling and simple random sampling from all PROM cases on January 2011 – December 2012 period at RSUD Dr. Moewardi and fulfill the intrinsic and extrinsic criteria. The data was collected from medical record. The data was analyzed using Chi square test and binary logistic regression test with Odd Ratio (OR) which shows the score of the relationship on SPSS 20 for windows. Result: This study showed that Sectio cesaria increases the risk of worse Apgar score than labor induction, although there is no significant relationship between delivery process with Apgar score in Chi square test (p = 0.198; OR = 1.861). So do the analysis multivariate with binary logistic regression test shows p = 0.404 and OR = 1.607. Conclusion: Sectio cesaria increases the risk of worse Apgar score than labor induction in PROM case at RSUD Dr. Moewardi. Keyword: premature rupture of membrane, delivery process, Apgar score. 
Hubungan Pernikahan Usia Dini dengan Kejadian Kanker Serviks di RSUD Dr. Moewardi Gayatri, Anindita Ratna; Angelia, Affi; Primadewi, Novi
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Every year the incidence of cervical cancer is increase and the risk of death from cervical cancer is also increased. One of the risk factor of cervical cancer is a history of early marriage. In Indonesia,there are many womenwho married in early age. The purpose of this study is to detemine whether early marriage may increase the risk of cervical cancer. Methods:This research is a case control based study. The sample consist of 30 cervical cancer patients and 30 normal women with total sample of 60 women. The data was collected from medical record and validated questionnaire. The data was analyzed with multiple logistic regression analysis. Results:There is a statistically significant relationship between early marriage and the incidence of cervical cancer. Women who had history of early marriage have risk to get cervical cancer 8,4 times bigger than women who didn’t have history of early marriage (p = 0.002; OR = 8,442). Conclusions:Based on this research women who had history of early marriage have risk to get cervical cancer 8,4 times bigger than women who didn’t have history of early marriage. Keywords:Early marriage, cervical cancer.
Kehamilan pada Usia Remaja Sebagai Faktor Risiko Terjadinya Ketuban Pecah Dini Prasetyo, Kevin Wahyudy; Angelia, Affi; Primadewi, Novi
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Premature Rupture of Membranes (PROM) is a complication that happens in 10% of pregnancy and it increases the risk of fetal death. Teenagers who get pregnant have risk for having PROM. This condition is related to nutrition factor that changes the immunity of mother. The goal of this research is to acknowledge teenage pregnancy as risk factor of PROM. Methods: This research is a case control based study. The sample used by researcher is term pregnant women with and without PROM complication with a total sample of 30 people. The data is collected from medical record and questionnaire. The data, afterwards, analyzed with multiple logistic regression analysis. Result: There is a statistically significant relationship between teenage pregnancy and PROM. Pregnant teenagers have risk to get PROM 11,808 times bigger than those of adult (p = 0,021; OR = 11,808). Conclusion: Based on the result, it can be concluded that teenage pregnancy has risk to get PROM 11,808 times bigger than those of adult. Keyword: teenage pregnancy, Premature Rupture of Membranes 
Miopia sebagai Faktor Risiko Terjadinya Penurunan Prestasi Belajar pada Anak SDN Cemara Dua Surakarta Indrakila, Senyum; Primadewi, Novi
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Academic achievement is result of learning, which can be obtained by test. It is influenced by many internal factors (including five senses condition) and external factors. When there was an abnormality in the eye (including myopia), it will influence the learning procces, so the children cant get their best academic achievement. This study has a purpose to know if myopia is a risk factor for decreased academic achievement in children at SDN Cemara Dua Surakarta. Methods: This study is a case control study, conducted at SDN Cemara Dua Surakarta. Sample is divided into 2 groups (case group and control group) based on progress of academic achievement by end-semester report in year 2012/2013 (decreased or still/increased). And then refraction test by noncycloplegic autorefractometer is done to know myopia state of children. Independent variable is myopia, dependent variable is decreased academic achievement, and confounding factors are sex and tutoring. This study uses Chi-Square and multiple logistic regression to analyse data. Results: Students with myopia have probability 0.714 less than students without myopia to have a decreased academic achievement, but this relationship is not significant. (OR = 0.714; Cl 95% 0.252 s.d. 2.025; p = 0.525). Multiple logistic regression is not done because based on result of Chi-Square, confounding factors have p > 0.25 (sex p = 0.701, tutoring p = 0.750). Conclusions: Relationship between myopia and decreased academic achievement is not significant, so myopia is not a risk factor of decreased academic achievement in children at SDN Cemara Dua Surakarta. Keywords: Myopia, decreased academic achievement, case control, noncycloplegic autorefractometer.  
Hubungan Tinggi Badan menurut Umur dengan Kejadian Miopia pada Anak di SDN Cemara Dua Surakarta Aprillia, Wahyu; Indrakila, Senyum; Primadewi, Novi
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Myopia is one of refractive errors most often occurs in children. Axial length appears to be a major determinant of refractive error. It has been theorized that a larger body might be associated with a greater axial length (AL) simply as a function of larger overall body size. Some studies suggest that taller people were more myopic than short people. This study aimed to analyze the relationship between height for age with myopia in children at  SDN Cemara Dua Surakarta. Methods: An analytical observational study using a cross sectional design, was performed in Cemara Dua Surakarta Elementary School on May-June 2013. Total respondents were 180 people, taken by fixed disease sampling. Height for age was determined by respondents height z-score analysis that adjusted for TB/U growth chart based on WHO child growth standard. Status myopia obtained by screening using autorefractometer. Analysis of data was bivariate chi square, using SPSS program version 20.0 for windows. Results: This study shows 6 (3,3%) subject were stunted, 163 (90,6%) subject were normal, and 11 (6,1%) subject were heigt. Number of taller children in myopia were 7 people (63.6%) and not myopia were 4 people (36.4%). Chi Square test showed the results of p value = 0.351 (p < 0,05). Conclusions: There is no relationship between height for age with myopia in children at SDN Cemara Dua Surakarta. Keywords: Height, Age, Myopia.