Probosuseno Probosuseno, Probosuseno
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THE ASSOCIATION BETWEEN SEXUAL FULFILLMENT PERCEPTIONS WITH MARITAL MOTIVATATION AMONG THE ELDERY IN MLATI DISTRIC SLEMAN PROVINCE YOGYAKARTA Suparti, Sri; Probosuseno, Probosuseno; Purwanta, Purwanta
medisains Vol 11, No 2 (2012)
Publisher : medisains

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Abstract

Background: Sexual needs is a basic human need that must be fulfilled, if this needs is not fulfilled it will causebody’s biological and psychological imbalance system. Asexual Sterotype on elderly often make the elderlypeople will make them feel improper and undeserved in fulfilling their sexual needs. One of legal ways to fulfill iswith marital relation. The phenomenon of marriage among the Elderly also happens in Mlati Distric SlemanRegency Yogyakarta. The true elderly perception on sexual needs is supporting the fulfillment and is related tomarital motivation.Objective: To identify the association and intensity of association between sexual fulfillment needs perceptionand marrital motivation among the elderly in Mlati DistricMethod: This study was analytic descriptive research with cross-sectional approach. Instrument usedQuestionnaire. Research samples was elderly without spouse consists of 20 widowers and 25 widows over ge60 years using accidental technique sampling. Data processing with correlation technique of Spearman Rankwith expectation level 95% or α = 0,05.Result: There are 22 elderly (48,9%) had poor perception and 28 of elderly (62.2%) had low marritalmotivation. The result of Spearman Rank test showed p= 0.0001 and r= 0.739, it means there was associationbetween sexual fulfillment perception with marrital motivation with strong correlation strength and positivecorrelation direction.Conclusion: There was association between the sexual fulfillment perceptions with the marrital motivation inMlati Distric Sleman Province YogyakartaKeywords: Sexual Perceptions, Marrital Motivation, Elderly
Pengaruh Konseling Farmasis terhadap Kepatuhan dan Kontrol Hipertensi Pasien Prolanis di Klinik Mitra Husada Kendal Dewi, Melani; Sari, Ika P.; Probosuseno, Probosuseno
Indonesian Journal of Clinical Pharmacy Vol 4, No 4 (2015)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (335.447 KB) | DOI: 10.15416/ijcp.2015.4.4.242

Abstract

dalam keberhasilan terapi hipertensi. Penelitian ini dilakukan untuk mengetahui pengaruh konseling oleh farmasis terhadap kepatuhan dan hubungan antara kepatuhan dan hasil terapi pasien hipertensi anggota program pengelolaan penyakit kronis (PROLANIS) di Klinik Mitra Husada Kabupaten Kendal. Penelitian dilakukan pada November 2013–Januari 2014 melalui desain eksperimen semu (control group design with pretest posttest). Sebanyak 55 pasien dikelompokkan secara random menjadi kelompok yang memperoleh intervensi konseling (28 pasien) dan kelompok tanpa intervensi atau kontrol (27 pasien). Subjek penelitian diikuti selama dua bulan untuk mengamati tingkat kepatuhan minum obat dengan kuesioner MMAS dan penurunan tekanan darah sebelum dan sesudah konseling. Konseling oleh farmasis menyebabkan tingkat kepatuhan minum obat berubah signifikan pada pasien hipertensi, pasien hipertensi dengan DM, maupun pasien hipertensi dengan penyakit lain (p=0,015; 0,025; 0,009). Tingkat kepatuhan pasien kelompok kontrol sebelum dan setelah penelitian diketahui tidak signifikan (p≥0,05). Pemberian konseling mampu menurunkan tekanan darah sistolik/diastolik sebesar 10,7/8,2 mmHg. Penurunan tekanan darah ini belum menunjukkan perbedaan yang bermakna jika dibandingkan dengan kelompok kontrol.Kata kunci: Hipertensi, kepatuhan minum obat, konseling farmasis, penurunan tekanan darahThe Influence of the Pharmacists Counseling on Patient Adherence and Hypertension Control on Patient of Prolanis at Mitra Husada ClinicsPatient adherence and intensive treatment in controlling blood pressure are important factors for achieving success therapy in hypertension. This study was conducted to determine the effect of pharmacist counseling on patient adherence and to determine the relationship of adherence and clinical outcomes of patients with hypertension who is joining chronic disease management program (PROLANIS) on Mitra Husada Clinics in Kendal.The study was conducted during November 2013–January 2014 using quasiexperimental design (pretest-posttest). Fifty five patients were randomly divided into the intervention group who received pharmacist counseling (28 patients) and control group (27 patients). The patients were followed for two months to observe the level of drug adherence using MMAS questionnaires and therapeutic outcomes (decreased blood pressure) before and after counseling. Pharmacist counseling caused a significant increase in the patient adherence on drug administration in intervention group (p<0.05) compared to control group. The reduction of systolic/diastolic blood pressure of hypertension patient in intervention group is higher than control group (SBP/DBP=10.7/8.2 mmHg). However, this reduction does not achieve a significant blood pressure reduction compared to control group.Keywords: Adherence of drug administration, blood pressure reduction, hypertension, pharmacist
Senam bugar lansia berpengaruh terhadap daya tahan jantung paru, status gizi, dan tekanan darah Thristyaningsih, Sri; Probosuseno, Probosuseno; Astuti, Herni
Jurnal Gizi Klinik Indonesia Vol 8, No 1 (2011): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.79 KB) | DOI: 10.22146/ijcn.17726

Abstract

Background: Aging that happens naturally in human life does not only cause physical dysfunction but also have an impact to mental and social aspects. In the elderly there is a problem of degenerative disease. Hypertension has become a serious health problem and a major challenge of public health worldwide because of either high prevalence or major risk factor for cardiovascular disease. Pharmacological as well as non-pharmacological efforts have been made to prevent and cure the disease; however until today the growing number of hypertensive patients has not been successfully controlled. Consequently behavioral intervention has to be made to cure hypertensive patients. One of the recommended interventions is fitness exercise for the elderly.Objective: The study aimed to identify the effect of fitness exercise to increasing stamina of heart and lung, nutrition status and reduced blood pressure of hypertensive elderly at integrated service post of Sub district of Pahandut, Palangkaraya Municipality.Method: The study was an experiment (before and after) without control group using one group pretest posttest study design. Subject of the study was a group with pre experimental, evaluation, effect of variables and post experimental evaluation. Measurement was made in week two, three and four to blood pressure, heart and lung stamina, nutrition status of hypertensive elderly, discipline in exercise and food recall 24 hours. The interventions made were lecture and fitness exercise package D for the elderly.Results: There was significant association between elderly fitness exercise and systolic blood pressure, heart and lung stamina and nutrition status of hypertensive elderly (p<0.05). Result of Wilcoxon signed ranks test and paired sample test between gymnastic elderly on increase of endure capacity heart lung are significantly associated (p=0,001) and so on nutritional status (p=0,002) and decrease systolic tension (p=0,001) and diastolic tension (p=0,002).Conclusion: There was significant association between elderly fitness exercise and the increase of heart and lung stamina, nutrition status and the decrease of blood pressure in hypertensive elderly.
Pemanfaatan internet untuk edukasi gizi bagi penyandang diabetes mellitus Isaura, Emyr Reisha; Probosuseno, Probosuseno; Rialihanto, Muhammad Primiaji
Jurnal Gizi Klinik Indonesia Vol 10, No 2 (2013): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.549 KB) | DOI: 10.22146/ijcn.18849

Abstract

Background: The pattern of disease incidence has changed nowadays as indicated from epidemiological transition, from infection to noninfection diseases or noncommunicable diseases. The quantity of diabetes mellitus (DM) patients in Indonesia is increasing every year. Integrated management of DM requires synergy from different parties. According to Act No. 36/2009 on Health, article 17 paragraph 1 states that the government is responsible for the availability of access to information, education, and health facilities to improve and maintain highest health status.Objective: The study aimed to analyze the utilization of the internet or online media in the dissemination of recommended eating pattern and physical activities of DM patients as prevention against complication.Method: The study used cross-sectional design and was carried out in January 2013 at Surabaya Municipality. It used e-survey, with secondary data from hospitals at Surabaya Municipality. Samples were DM patients of 20-50 years old registered in hospitals and agreed with informed consent. Samples were taken purposively involving 66 respondents.Results: There was a difference in eating pattern among DM patients utilizing online and those using nononline media (OR=3.33; CI 95%=1.06-10.43; p=0.03); and in physical activities (OR=0.09; CI 95%=0.01-0.75; p=0.008).Conclusion: The utilization of online media affected eating pattern and physical activity pattern in DM patient as much as 3.33 times and 0.09 times greater than in those not using online media in looking for communication, information, and education resources in supporting prevention against DM complication. Thus online media could be one of the effective and efficient methods for the delivery of communication, information, and education for DM patients by health staff.
Pemberian diet modifikasi komersial dan pengaruhnya terhadap asupan makanan dan status gizi pasien penyakit ginjal kronik prehemodialisis di RSUP DR. M. Djamil Padang Balgis, Pitri; Probosuseno, Probosuseno; Astuti, Herni
Jurnal Gizi Klinik Indonesia Vol 5, No 2 (2008): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.209 KB) | DOI: 10.22146/ijcn.17552

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Background: Chronic kidney disease causes progressive deterioration of kidney function and is commonly irreversible, leading to nausea and vomiting as a consequence of high ureum and creatinine in the blood. This condition results in declining appetite which greatly affects food intake and degrading nutritional status that causes high mortality among chronic kidney patients. Therefore efforts are made on how to increase intake of chronic kidney patients.Objective: To identify the effect of nutrition therapy through commercial diet modification to nutrition intake and status of pre-hemodialysis chronic kidney patients at DR. M. Djamil Hospital, Padang.Method: The study was a quasi experiment which used pre-test and post-test with control group design. Population of the study were all patients of pre-hemodialysis chronic kidney disease hospitalized at DR. M. Djamil Hospital of Padang. Samples were patients of pre-hemodialysis chronic kidney disease at internal medicine ward. The experiment group consisted of 11 patients who got modified diet within 6 days and control group consisted of 11 patients who got hospital standard diet with α = 0.05 and ß = 10%. The study were collected from January-March 2008. Data of intake were analyzed using Nutri Survey program. Statistical t-test and chi-square were used to identify the effect of commercial modified diet to food intake, nutritional status, and increase of ureum and creatinine. Absorption level was measured from the quantity of commercial nutrition used. Perception of the patients about commercial diet was obtained through questionnaires and analyzed to get the score.Results: The group with modified diet had better energy and protein intake than the group with hospital standard diet (p < 0.05). However, there was no significant difference in nutritional status, ureum and creatinine changes between patients who got modified diet and those who got hospital standard diet (p < 0.05). The result of analysis on perception of patients about commercial diet showed that patients could accept commercial diet.Conclusion: Commercial modified diet could increase intake of energy and protein of pre-hemodialysis chronic kidney patients.
PERBANDINGAN RESPON KLINIK NIKARDIPIN DENGAN DILTIAZEM PADA HIPERTENSI EMERGENSI Palupi, Poppy Diah; Rahmawati, Fita; Probosuseno, Probosuseno
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.146

Abstract

Hipertensi emergensi merupakan suatu kedaruratan medik dan memerlukan tindakan yang cepat dan tepat untuk menyelamatkan jiwa penderita. Secara umum, obat antihipertensi yang digunakan pada pasien hipertensi emergensi diberikan secara parenteral. Tujuan penelitian adalah untuk mengetahui respon klinik nikardipin dengan diltiazem intravena dalam menurunkan tekanan darah, mean arterial pressure, dan denyut jantung pada pasien hipertensi emergensi. Penelitian merupakan penelitian analitik dengan rancangan retrospective cohort study. Data diambil dari rekam medik pasien hipertensi emergensi yang dirawat di Instalasi Gawat Darurat (IGD), Intensive Care Unit (ICU), maupun bangsal rawat inap selama periode Januari sampai Desember 2014 di RSUD Kota Semarang. Jumlah subjek penelitian sebanyak 117 pasien, terdiri dari 66 pasien kelompok nikardipin dan 51 pasien kelompok diltiazem. Nikardipin dapat menurunkan mean arterial pressure (MAP) sebesar 14,45%, sedangkan diltiazem sebesar 12,20%. Nikardipin menurunkan tekanan darah sistolik 17,69%, sedangkan diltiazem sebesar 17,63%. Nikardipin menurunkan tekanan darah diastolik 21,56% dan denyut jantung sebesar 1,74%, sedangkan diltiazem menurunkan tekanan darah sebesar 20,30% dan denyut jantung sebesar 7,83%. Tidak terdapat perbedaan signifikan dalam menurunkan tekanan darah dan MAP antara nikardipin dan diltiazem. Namun, terdapat perbedaan signifikan dalam menurunkan denyut jantung antara nikardipin dan diltiazem.
Kualitas hidup lansia hipertensi dengan overweight dan tidak overweight Khasana, Tri Mei; Kertia, Nyoman; Probosuseno, Probosuseno
Jurnal Gizi Klinik Indonesia Vol 17, No 1 (2020): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.38913

Abstract

The quality of life in elderly hypertension with overweight and non-overweightBackground: Indonesia will enter the period of aging and an increase in several elderlies with chronic diseases. The biggest health problems of the elderly are degenerative diseases, namely hypertension which significantly disrupts the quality of life both in terms of physical and mental health. One of the causal conditions associated with hypertension is overweight and obesity, which is known at this time the prevalence of obesity is growing progressively in old age. However, the results of research related to the influence of obesity on quality of life are still controversial.Objective: To determine differences in quality of life between hypertensive elderly who are overweight and non-overweight.Method: Cross-sectional study conducted in Yogyakarta City in Januari-April 2017 with a subject of 200 elderly people aged 60-74 years. Overweight was determined based on BMI measurements (>23 kg/m2) with an estimation of elderly height using depa length, quality of life of the elderly was measured using WHOQOL-BREF questionnaire, and compared the quality of life by age, gender, education, occupation, income, marital status, comorbidity, and disease history. Data analysis used independent t-test and linear regression.Results: Mean of environmental domain score was significantly higher (p=0,012) in elderly hypertension with overweight (26,69±3,28) compared to elderly hypertension non-overweight (25,44±3,58). Overweight protective effect on the low quality of life of the environment domain because it is influenced by other factors such as marital status, income, and education. Multivariate analysis shows that income and marital status are external factors that consistently influence the quality of life of the elderly both in total scores and per domain. High-income elderly people with married status have a better quality of life score.Conclusions: The mean score of the environmental domain is higher in elderly hypertension with overweight. Quality of life scores will be better in high income elderly and married.
PENGARUH PUASA DUA KALI SEMINGGU TERHADAP BERAT TUBUH DAN PERSEN MASSA LEMAK DENGAN PEMANTAUAN MELALUI WHATSAPP DI YOGYAKARTA Nabawiyah, Hafidhotun; Probosuseno, Probosuseno; Rahmawati, Neni Trilusiana
GIZI INDONESIA Vol 42, No 1 (2019): Maret 2019
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v42i1.290

Abstract

The incidence of overweight and obesity in Indonesia is experiencing an upward trenin almost all levels of society; overweight women and obesity tend to be more than men. Fasting becomes one of the alternative supporters of a healthy lifestyle to lose weight and body fat mass. Objective of the study was to determine the effect of fasting intermittent twice a week on weight loss by monitoring WhatsApp. Method: Quasi experimental non-randomized pre-post control trial. The study sample was women aged 20 - 46 years who were divided into control group and intervention  group. Intervention groups were given intermittent fast twice each week for eight weeks.The research was conducted in Yogyakarta.  Results showed there was an average body weight difference of -0.07 ± 1.3 in the control group and -1.74 ± 1.5 in the intervention group with p value 0.97 and 0.00 respectively. Conclusions: There was a significant decrease in the intervention group but no differences in the variable body weight and fat mass between the control group and the intervention group. There is a difference in body weight in the intervention group.