Nelly Tina Widjaja
Departemen Ilmu Kesehatan Masyarakat Fakultas Kedokteran Unika Atma Jaya

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Frailty decreases physical health domain of quality of life in nursing home elderly Handajani, Yvonne Suzy; Widjaja, Nelly Tina; Turana, Yuda
Universa Medicina Vol 34, No 3 (2015)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.213-219

Abstract

BACKGROUND Approximately 10-27% of the population aged >65 years suffers from frailty. The percentage increases with age so that the prevalence of frailty in the population aged >85 years reaches 45%. The objective of this study was to determine the relationship between   frailty and quality of life (QOL) in nursing home elderly. METHODS This was a cross-sectional study of 138 subjects aged >60 years who were recruited from 4 nursing homes in West Jakarta. Participants with frailty status were evaluated by the Survey of Health, Ageing and Retirement in Europe (SHARE) instrument and QOL was evaluated by the WHOQOL-BREF questionnaire. One-way ANOVA and chi-square tests were used to find relations between the frailty syndrome and QOL. RESULTSThe percentages of respondents with pre-frail, frail, and non-frail status were 30.4%, 52.2%, and 17.4%, respectively. A decline in QOL scores of pre-frail and frail respondents was found for almost all QOL domains (physical, psychological and environment domains), except social relationships. The subdomains most influenced were “energy and fatigue” in the physical health domain, “thinking, learning, memory and concentration” in psychological health, and “opportunities for acquiring new information and skills” in the environment domain.CONCLUSIONS More than half of the nursing home elderly were frail and one-third were pre-frail. The main factor of frailty was weakness. The frailty syndrome in the elderly has a negative impact on QOL, especially in the physical health, psychological and environment domains in nursing home elderly.
PENGARUH KAFEIN TERHADAP PENINGKATAN FUNGSI EKSEKUTIF PADA MAHASISWA KEDOKTERAN Florencia Adeline,* Bernadius Realino Harjanto,* Yuda Turana,* Nelly Tina Widjaja*
NEURONA Vol. 33 No. 3 Juni 2016
Publisher : Neurona Majalah Kedokteran Neuro Sains

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

INTRODUCTION EXECUTIVE FUNCTION IS AN UMBRELLA OF COGNITIVE FUNCTIONS AND HAS AN IMPORTANT ROLE IN MEDICAL STUDENTS SEVERAL RESEARCHES SHOW THAT CAFFEINE IMPROVES COGNITIVE FUNCTION BUT THE IMPACT OF CAFFEINE ON EXECUTIVE FUNCTION IS NOT WELL UNDERSTOOD
Relationship among Sexual Knowledge, Sexual Attitudes, and Sexual Behavior of Junior High School Students in West Jakarta Djohan, Putra Brillian; Tjhay, Francisca; Hasan, Surilena; Widjaja, Nelly Tina
Jurnal Kedokteran Brawijaya Vol 31, No 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.12

Abstract

Lack of sexual knowledge and increasing negative sexual attitudes in Indonesia could lead to risky sexual behavior. This problem increases teenage pregnancy, sexually transmitted infections, and abortion among adolescents. This study aimed to determine the relationship between sexual knowledge and sexual attitudes towards sexual behavior among junior high school students in West Jakarta. This study was cross-sectional, conducted on 544 junior high school students in West Jakarta. Measuring instruments used were characteristic questionnaires, sexual knowledge questionnaires, sexual attitude questionnaires, and sexual behavior questionnaires. Data analysis was performed using bivariate (chi-square). This study shows 79.2% of the respondents had low sexual knowledge, 45.6% respondents had negative sexual behavior, and 48.2% respondents had risky sexual behavior. This study finds that most male respondents had low sexual knowledge (80.8%), low sexual attitude (56.8%), and “less-safe” risky sexual behavior (60.0%), while “not-safe” risky sexual behavior (2.7%) was found higher in female respondents. Bivariate analysis shows a significant relationship between sexual knowledge (p=0.006; 95% OR=1.763 |95% CI=1.151-2.698) and sexual attitude (p=<0.001; OR=2.852 | 95% CI=2.012-4.043) towards sexual behavior. In conclusion, low sexual knowledge and negative sexual attitudes increase the risk of risky sexual behavior.
HUBUNGAN KADAR GULA DARAH DAN TEKANAN DARAH TERHADAP FUNGSI KOGNITIF LANSIA DI KELURAHAN MERUYA, JAKARTA BARAT Magistra Cylvia Margaretha; Yuda Turana; Jimmy Barus; Nelly Tina Widjaja
Bahasa Indonesia Vol 19 No 2 (2020): Damianus : Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v19i2.1248

Abstract

Introduction: A decline in cognitive function in the elderly occurs in the body due to aging. Internal and external factors influence the decline in cognitive function in the elderly. This research focuses on blood sugar, blood pressure, and the elderly's characteristics as a factor in decreasing the cognitive function of the elderly.Methods: This research uses the descriptive-analytic method with a cross-sectional design of 101 respondents. The independent variables of this study are blood sugar, blood pressure, and demographic characteristics. The dependent variable is the cognitive function of the elderly. Data obtained were analyzed both univariate and bivariate using the Chi-square test.Results: Blood pressure has a significant relationship with the impaired cognitive function in the elderly (p<0.05). Other factors, such as blood sugar, age, sex, and education level did not show any relationship with the cognitive function of the elderly (p>0.05).Conclusion: Blood pressure has a relationship with cognitive function in the elderly. In contrast, blood sugar does not have a relationship with cognitive function.
HUBUNGAN KADAR HEMOGLOBIN TERHADAP KETAHANAN AEROBIK DAN KEKUATAN OTOT PADA LANJUT USIA Sandy Theresia; Nelly Tina Widjaja; Maria Dara Novi Handayani
Bahasa Indonesia Vol 18 No 1 (2019): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v18i1.2195

Abstract

Introduction: The increase in the elderly population causes many health problems. One of them is the decline in physical function, making the elderly have difficulty performing daily activities. Some studies suggest the relation between decreased hemoglobin level with aerobic endurance and muscle strength. This study aims to determine the relation between hemoglobin and aerobic endurance, muscle strength in the elderly. Methods: This research is an analytic-correlative research conducted cross-sectionally on 84 respondents in Kelurahan Cideng, Central Jakarta. The data is collected from questionnaires, hemoglobin level (sodium lauryl sulfate-hemoglobin method), and physical performance tests (2-minutes test, arm curl test, and chair stand test). Results: The mean hemoglobin level is 14.37 g/dL. There was a significant relation between hemoglobin with aerobic endurance (p<0.05), whereas no significant relation between hemoglobin with upper and lower limb muscle strength (p>0.05). Conclusion: There was a relation between hemoglobin level with aerobic endurance in the elderly.
FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU SEKSUAL SISWA SMP DI JAKARTA BARAT Fransisca Theresia; Francisca Tjhay; Surilena Surilena; Nelly Tina Widjaja
Jurnal Kesehatan Reproduksi Vol 11 No 2 (2020): JURNAL KESEHATAN REPRODUKSI VOLUME 11 NOMOR 2 TAHUN 2020
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/kespro.v11i2.3142.101-113

Abstract

Abstract Background: Inappropriate sexual behavior with negative attitudes and low knowledge can reduce the quality of life of adolescents. Risky sexual behavior increases the spread of sexually transmitted diseases and abortion. Objectives: To determine factors that influence sexual behavior of junior high school students in West Jakarta. Methods: The study design was a cross-sectional study in 541 junior high school students in West Jakarta. The study sample was junior high school students in West Jakarta who attend school from June to September 2019. The research instrument used was characteristic questionnaire, sexual knowledge questionnaire, sexual attitude questionnaire, sexual behavior questionnaire, Rosernberg Self-Esteem Scale questionnaire, and child care pattern questionnaire directly filled in by respondents. Data analysis performed was univariate, bivariate, and multivariate. The dependent variable of research is sexual behavior. Results: There were 48% of respondents with risky sexual behavior and 2% with unsafe risky sexual behavior, 79% of respondents have low sexual knowledge and 46% of respondents have negative sexual attitudes. There were 35% of respondents with low self-image and 26% with exposure parenting and 12% permissive parenting. Bivariate analysis showed that there was significant relationship between sexual behaviour and age, gender, class level, sexual knowledge, and sexual attitudes (p <0.05). Multivariate analysis showed a significant relationship between age, sex, class level, sexual knowledge, sexual attitudes and sexual behaviour (p <0.05). The dominant factor influencing sexual behavior was class level. Conclusion: Low knowledge, negative sexual attitudes, low self-image and exposure care patterns increase the risk of risky sexual behavior. Factors of sexual knowledge, sexual attitudes, age, sex, and class level can help to prevent risky sexual behaviour among junior high school adolescents. Keywords: Sexual knowledge, Sexual attitude, Sexual behavior, Self-image, Parenting. Abstrak Latar Belakang: Perilaku seksual yang tidak tepat dengan sikap negatif dan pengetahuan yang rendah dapat menurunkan kualitas hidup remaja. Perilaku seksual yang berisiko mengakibatkan peningkatkan penyebaran penyakit menular seksual dan aborsi. Tujuan: Mengetahui faktor-faktor yang mempengaruhi perilaku seksual siswa SMP di Jakarta Barat. Metode: Desain penelitian ini adalah studi potong lintang pada 541 siswa SMP di Jakarta Barat. Sampel penelitian adalah siswa SMP Jakarta Barat yang bersekolah pada bulan Juni-September 2019. Instrumen penelitian yang digunakan merupakan kuesioner karakteristik, kuesioner pengetahuan seksual, kuesioner sikap seksual, kuesioner perilaku seksual, kuesioner Rosernberg Self-Esteem Scale, dan kuesioner pola asuh anak yang diisi langsung oleh responden. Analisis data yang dilakukan adalah secara univariat, bivariat, dan multivariat. Variabel dependen penelitian adalah perilaku seksual. Hasil: Empat puluh delapan persen responden memiliki perilaku seksual berisiko dan 2 persen berperilaku seksual berisiko tidak aman, 79 persen responden memiliki pengetahuan seksual rendah dan 46 persen responden memiliki sikap seksual negatif. Sebesar 35 persen responden memiliki citra diri rendah dan 26 persen memiliki tipe pola asuh exposure di antaranya 12 persen pola asuh tipe permisif. Analisis bivariat menunjukkan hubungan bermakna antara perilaku seksual dengan usia, jenis kelamin, tingkat kelas, pengetahuan seksual, dan sikap seksual (p£0,05). Analisis multivariat menunjukkan adanya hubungan bermakna antara perilaku seksual dengan usia, jenis kelamin, tingkat kelas, pengetahuan seksual dan sikap seksual (p£0,05). Faktor dominan yang mempengaruhi perilaku seksual adalah tingkat kelas. Kesimpulan: Pengetahuan rendah, sikap seksual negatif, citra diri rendah dan pola asuh exposure meningkatkan risiko terjadinya perilaku seksual berisiko. Faktor pengetahuan seksual, sikap seksual, usia, jenis kelamin, dan tingkat kelas dapat membantu mencegah perilaku seksual berisiko pada remaja SMP. Kata kunci: Pengetahuan seksual, Sikap-perilaku seksual negatif, Citra diri, Pola asuh, Remaja
VULVA HYGIENE AWARENESS TO CHANGES IN KNOWLEDGE, ATTITUDE AND BEHAVIOR OF TEENAGE STUDENTS Daniel Ardian Soeselo; Farren Oktavia Suhardi; Garry Grimaldy; Felicia Kurniawan; Nelly Tina Widjaja; Sandy Theresia; Sanny Winardi
Jambura Journal of Health Sciences and Research Vol 3, No 2 (2021): JAMBURA JOURNAL HEALTH AND SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v3i2.10618

Abstract

Maturation of female reproductive organs begins in adolescence. Education about vulvar hygiene is one of the efforts to improve the health of reproductive organs. The purpose of the study was to determine the level of knowledge and changes in attitudes and behavior of adolescent students towards vulva hygiene after receiving education about vulvar hygiene. The research method was pre-test and post-test using a questionnaire, a sample of 83 respondents through the inclusion criteria. Education about vulvar hygiene was given after the pre-test. The post-test was conducted immediately after the educational session and repeated one month later. The results of the study, the mean value of the pre-test regarding knowledge, attitudes, and behavior was 13.87; 16.57; and 4.78. The mean value of the post-test one month later regarding knowledge, attitudes, and behavior was 26.87; 44.90; and 12.53. Paired T-test on knowledge, attitudes, and behavior showed a p-value of 0.000; 0.000; and 0.000. Conclusion: It was found that the value of knowledge, attitude, and behavior was low before being given education about vulvar hygiene. There was a significant change in value after providing education about vulvar hygiene. This shows the importance of education about vulvar hygiene in adolescent students. Keywords: Vulvar Hygiene, Knowledge, Adolescent
Relationship among Sexual Knowledge, Sexual Attitudes, and Sexual Behavior of Junior High School Students in West Jakarta Putra Brillian Djohan; Francisca Tjhay; Surilena Hasan; Nelly Tina Widjaja
Jurnal Kedokteran Brawijaya Vol. 31 No. 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.12

Abstract

Lack of sexual knowledge and increasing negative sexual attitudes in Indonesia could lead to risky sexual behavior. This problem increases teenage pregnancy, sexually transmitted infections, and abortion among adolescents. This study aimed to determine the relationship between sexual knowledge and sexual attitudes towards sexual behavior among junior high school students in West Jakarta. This study was cross-sectional, conducted on 544 junior high school students in West Jakarta. Measuring instruments used were characteristic questionnaires, sexual knowledge questionnaires, sexual attitude questionnaires, and sexual behavior questionnaires. Data analysis was performed using bivariate (chi-square). This study shows 79.2% of the respondents had low sexual knowledge, 45.6% respondents had negative sexual behavior, and 48.2% respondents had risky sexual behavior. This study finds that most male respondents had low sexual knowledge (80.8%), low sexual attitude (56.8%), and “less-safe” risky sexual behavior (60.0%), while “not-safe” risky sexual behavior (2.7%) was found higher in female respondents. Bivariate analysis shows a significant relationship between sexual knowledge (p=0.006; 95% OR=1.763 |95% CI=1.151-2.698) and sexual attitude (p=<0.001; OR=2.852 | 95% CI=2.012-4.043) towards sexual behavior. In conclusion, low sexual knowledge and negative sexual attitudes increase the risk of risky sexual behavior.
Relationship of Depression and Sleep Quality among North Jakarta Medical Students during the COVID-19 Pandemic Annabella Naida Tanusetiawan; Surilena Surilena; Nelly Tina Widjaja; Dharmady Agus
Jurnal Kedokteran Brawijaya Vol. 32 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.9

Abstract

Medical students with high academic load have had elevated baseline rates of depression and poor sleep quality. During the COVID-19 pandemic, medical students are more susceptible to depression and poor sleep quality. This study aimed to analyze depression and sleep quality among medical students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia (FKIK UAJ) during the COVID-19 pandemic. A cross-sectional study was conducted among pre-clinical and clinical students of FKIK UAJ academic year 2020/2021. Respondents were selected through proportional systematic random sampling to fulfill the Patient Health Questionnaire-9 (PHQ-9) and Pittsburgh Sleep Quality Index (PSQI) for depression and sleep quality. The data were analyzed using Mann Whitney U-Test. There were 63.3% of 635 respondents with depression, in which 39.4% respondents had mild depression, 14.2% respondents with moderate depression, and 9.8% respondents with severe depression. There were 59,2% of respondents with poor sleep quality. Depression was highest in females (67.2%) and pre-clinical stage of 2020 intake year (74.6%), and among clinical level students of 2018 (56%) and 2019 (53.9%) intake year. Poor sleep quality was also highest in females (62.8%) and pre-clinical 2020 intake year (69.8%), and among clinical level students of 2018 (53%) and 2019 (51.9%) intake year. The Mann-Whitney U-test showed a significant difference between depression level and sleep quality in pre-clinical and clinical students of FKIK UAJ during the COVID-19 pandemic (p value=0.000). Depression and sleep quality among medical students of FKIK UAJ during the COVID-19 pandemic were significantly associated.
FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU SEKSUAL SISWA SMP DI JAKARTA BARAT Fransisca Theresia; Francisca Tjhay; Surilena Surilena; Nelly Tina Widjaja
JURNAL KESEHATAN REPRODUKSI Vol 11 No 2 (2020): JURNAL KESEHATAN REPRODUKSI VOLUME 11 NOMOR 2 TAHUN 2020
Publisher : IAKMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v11i2.14

Abstract

Background: Inappropriate sexual behavior with negative attitudes and low knowledge can reduce the quality of life of adolescents. Risky sexual behavior increases the spread of sexually transmitted diseases and abortion. Objectives: To determine factors that influence sexual behavior of junior high school students in West Jakarta.Methods: The study design was a cross-sectional study in 541 junior high school students in West Jakarta. Thestudy sample was junior high school students in West Jakarta who attend school from June to September 2019.The research instrument used was characteristic questionnaire, sexual knowledge questionnaire, sexual attitudequestionnaire, sexual behavior questionnaire, Rosernberg Self-Esteem Scale questionnaire, and child care patternquestionnaire directly filled in by respondents. Data analysis performed was univariate, bivariate, andmultivariate. The dependent variable of research is sexual behavior. Results: There were 48% of respondents with risky sexual behavior and 2% with unsafe risky sexual behavior,79% of respondents have low sexual knowledge and 46% of respondents have negative sexual attitudes. Therewere 35% of respondents with low self-image and 26% with exposure parenting and 12% permissive parenting.Bivariate analysis showed that there was significant relationship between sexual behaviour and age, gender, classlevel, sexual knowledge, and sexual attitudes (p <0.05). Multivariate analysis showed a significant relationshipbetween age, sex, class level, sexual knowledge, sexual attitudes and sexual behaviour (p <0.05). The dominantfactor influencing sexual behavior was class level.Conclusion: Low knowledge, negative sexual attitudes, low self-image and exposure care patterns increase therisk of risky sexual behavior. Factors of sexual knowledge, sexual attitudes, age, sex, and class level can help toprevent risky sexual behaviour among junior high school adolescents. Latar Belakang: Perilaku seksual yang tidak tepat dengan sikap negatif dan pengetahuan yang rendah dapatmenurunkan kualitas hidup remaja. Perilaku seksual yang berisiko mengakibatkan peningkatkan penyebaranpenyakit menular seksual dan aborsi. Tujuan: Mengetahui faktor-faktor yang mempengaruhi perilaku seksual siswa SMP di Jakarta Barat.Metode: Desain penelitian ini adalah studi potong lintang pada 541 siswa SMP di Jakarta Barat. Sampel penelitianadalah siswa SMP Jakarta Barat yang bersekolah pada bulan Juni-September 2019. Instrumen penelitian yangdigunakan merupakan kuesioner karakteristik, kuesioner pengetahuan seksual, kuesioner sikap seksual, kuesionerperilaku seksual, kuesioner Rosernberg Self-Esteem Scale, dan kuesioner pola asuh anak yang diisi langsung olehresponden. Analisis data yang dilakukan adalah secara univariat, bivariat, dan multivariat. Variabel dependenpenelitian adalah perilaku seksual. Hasil: Empat puluh delapan persen responden memiliki perilaku seksual berisiko dan 2 persen berperilaku seksualberisiko tidak aman, 79 persen responden memiliki pengetahuan seksual rendah dan 46 persen responden memilikisikap seksual negatif. Sebesar 35 persen responden memiliki citra diri rendah dan 26 persen memiliki tipe polaasuh exposure di antaranya 12 persen pola asuh tipe permisif. Analisis bivariat menunjukkan hubungan bermakna antara perilaku seksual dengan usia, jenis kelamin, tingkat kelas, pengetahuan seksual, dan sikap seksual (p0,05).Analisis multivariat menunjukkan adanya hubungan bermakna antara perilaku seksual dengan usia, jenis kelamin, tingkat kelas, pengetahuan seksual dan sikap seksual (p0,05). Faktor dominan yang mempengaruhi perilakuseksual adalah tingkat kelas. Kesimpulan: Pengetahuan rendah, sikap seksual negatif, citra diri rendah dan pola asuh exposure meningkatkanrisiko terjadinya perilaku seksual berisiko. Faktor pengetahuan seksual, sikap seksual, usia, jenis kelamin, dantingkat kelas dapat membantu mencegah perilaku seksual berisiko pada remaja SMP.