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All Journal E-Jurnal Medika Udayana The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Kumbara, Cokorde Istri Yuliandari Krisnawardani
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Health Professions Medicine & Pharmacology

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HUBUNGAN PENGETAHUAN DAN PERSEPSI TERHADAP PERILAKU PENCEGAHAN HIV/AIDS PADA REMAJA DI SEKOLAH MENENGAH ATAS Mahardani, Putu Nandika Tungga Yudanti; Merati, Ketut Tuti Parwati; Kumbara, Cokorde Istri Yuliandari Krisnawardani; Widiana, I Gde Raka
E-Jurnal Medika Udayana Vol 11 No 11 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i11.P11

Abstract

HIV/AIDS masih menjadi urgensi di masyarakat. Penelitian mengenai pengetahuan dan persepsi remaja terhadap HIV/AIDS berikut hubungannya dengan perilaku pencegahan belum pernah dilakukan di Denpasar sebagai wilayah dengan kasus HIV/AIDS tertinggi di Bali. Adapun penelitian ini merupakan penelitian cross sectional analitik, dengan pengumpulan data dilakukan dengan kuesioner yang terdiri dari empat bagian dan disebarkan secara online melalui google form. Penelitian dilaksanakan pada SMA Negeri 2 Denpasar selama lima bulan, dari bulan Januari hingga Mei 2021. Dari 130 reponden penelitian dominan perempuan (76,9%) dengan median usia 16 tahun, ditemukan bahwa distribusi pengetahuan siswa terkait HIV/AIDS tergolong baik (45,4%), tingkat persepsi positif (64,6%), dan tingkat perilaku pencegahan positif (69,2%). Pengetahuan siswa memiliki hubungan signifikan dengan perilaku pencegahan dengan tingkat korelasi lemah (p= 0.011, r = 0.221, 95% CI 0.051 - 0.392), dan tidak ditemukan hubungan yang signifikan antara persepsi dan perilaku pencegahan HIV/AIDS, (p= 0.233, r = 0.105, 95% CI = -0.068 – 0.279). Pengetahuan juga memiliki hubungan signifikan terhadap persepsi siswa SMA mengenai HIV/AIDS dengan tingkat korelasi moderat (p = 0.000, r = 0.445, 95% CI = 0.288 ? 0.601). Analisis multivariat menunjukkan bahwa pengetahuan dan persepsi dapat memprediksi perilaku sebesar 4,9%. Adapun media edukasi yang paling banyak menjangkau siswa SMA adalah pembelajaran dalam kurikulum sekolah dengan aktor berupa guru. Penelitian berikutnya sebaiknya diarahkan dalam pencarian faktor-faktor lain yang lebih predominan dalam mempengaruhi perilaku pencegahan HIV/AIDS, khususnya terkait faktor pendukung dan pendorong, sebaiknya pada target demografis lainnya mengingat data pengetahuan, persepsi, dan perilaku pencegahan pada siswa SMA yang ditemukan tergolong tinggi. Kata kunci : HIV, AIDS, Pengetahuan, Persepsi, Perilaku
Variasi dan Komplikasi Tekanan Darah Pasien Gagal Ginjal Terminal yang Menjalani Hemodialisis Reguler di RSUP Sanglah Denpasar Semadhi, Putu Gitanjani Mahadewi; Widiana, I Gde Raka; Merati, Ketut Tuti Parwati; Kumbara, Cokorde Istri Yuliandari Krisnawardani
E-Jurnal Medika Udayana Vol 12 No 2 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i02.P13

Abstract

ABSTRACT Introduction: Intradialytic hypertension and intradialytic hypotension in end-stage renal disease patients undergoing regular hemodialysis are the two factors that can increase the mortality risk associated with cardiovascular disease. Aim: To know the blood pressure variability, frequency of hypertension and hypotension intradialytic, also symptoms. Method: The research’s design is observational based on primary data through six times blood pressure observation and symptom observation. It’s also based on secondary data through medical records. There are 100 respondents who have met the inclusion and exclusion criteria. Results: The majority of respondents are male (62%), 51-50 years old (31%), with pre-dialytic and dry weight around 51-70 kg (61% and 60%), PNC as the etiology (56%), and mostly 1-5 years undergoing hemodialysis (44%). The variability has shown there’s a drop of blood pressure average from pre-hemodialysis to the fourth hour of hemodialysis by 11.03 mmHg, afterwards the blood pressure average increased on post-hemodialysis by 2.98 mmHg. According to statistics, the systolic blood pressure’s coefficient of variation is 16.6%, p< 0.001, the maximum value is 148.57 mmHg, the minimum value is 137.54 mmHg. The frequency of intradialytic hypertension is 19% and intradialytic hypotension is 32%. Lastly, the most common symptom is muscle cramp (13%). Conclusion: There’s a significant difference among blood pressure during hemodialysis with coefficient of variation 16,6%. The frequency of intradialytic hypertension is 19% and hypotension intradialytic is 32%. And the most common symptom is muscle cramp (13%). Keywords: intradialytic hypertension, intradialytic hypotension, blood pressure variability
HUBUNGAN SHIFT MALAM TERHADAP PENYAKIT REFLUKS GASTROESOFAGUS PADA PERAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH Handayani, Putu Novi; Kumbara, Cokorde Istri Yuliandari Krisnawardani; Widiana, I Gde Raka; Merati, Ketut Tuti Parwati
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P14

Abstract

Gastroesophageal reflux disease is one of the most frequently diagnosed gastrointestinal diseases in the world with a prevalence that continues to increase every year. There are several studies state that night shifts can increase the risk of GERD. One group of workers who often undergo night shift rotation are nurses who work in hospitals. This study aims to determine the correlation between night shift work and gastroesophageal reflux disease among nurses. This study is an analytical study with a cross-sectional design. The data collection technique was carried out by purposive sampling by distributing questionnaires to 161 nurses on duty at Single Hospital which were divided into 85 Inpatient Installation nurses who worked night shifts and 76 Outpatient Nurses who worked morning shifts. This study found a significant correlation between night shift work and gastroesophageal reflux disease (p value = 0.013; Prevalence Ratio = 3; 95% Confidential Interval 1.18-7.84) by the chi square test. Furthermore, by the logistic regression analysis of night shift and GERD, the AOR (Adjusted Odd Ratio) was 3.61 with 95% CI (1.05-12.52) and other variable like age, gender, BMI and fast food consumption habits on GERD did not shown any significant result. There is a significant correlation between night shift work and gastroesophageal reflux disease. Nurses who undergo night shifts have a 3.61 times higher risk of experiencing GERD. Keywords : Night Shift Work, Gastroesophageal Reflux Disease, Nurse
The Psychometric Hepatic Encephalopathy Score for Diagnosis of Minimal Hepatic Encephalopathy in Liver Cirrhosis Patient Kumbara, Cokorde Istri Yuliandari Krisnawardani; Wibawa, I Dewa Nyoman; Widiana, I Gde Raka
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 25, No 1 (2024): VOLUME 25, NUMBER 1, April, 2024
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/251202440-46

Abstract

Introduction: The psychometric hepatic encephalopathy score (PHES) is a tool that can be considered as a gold standard for detecting minimal hepatic encephalopathy (MHE) in liver cirrhosis patients. The PHES must be standardized based on the local healthy population before it can be used. The purpose of this study is to standardize the PHES with Indonesian local populations and set the cutoff point of PHES so it can be used to detect MHE in liver cirrhosis patients.Methods: PHES were administered to all enrolled subjects, which are healthy subjects and cirrhosis without overt encephalopathy subjects. The PHES consists of 5 psychometric tests. The influencing factors of PHES were assessed, and equations were developed to predict the expected result of each test. Diagnosis of MHE was built upon the deviation from the normal range value of PHES.Results: In total, 236 subjects participated in this research. The influencing factors of PHES of this study were age and education years. With the cutoff point of PHES less than -4, the prevalence of MHE was 37.7%, of which 7.6%, 50%, and 50% had Child-Turcotte-Pugh (CTP) grade A, B, and C respectively.Conclusions: The standardized version of PHES can be used to diagnose MHE in Indonesian liver cirrhosis patients. The PHES in this study were affected by age and education years. MHE was diagnosed if the PHES was less than -4. The incidence of MHE was found to increase along with the increase of the liver disease severity
Severity of Liver Injury and Its Relation to Clinical Outcome and Duration of Hospitalization in COVID 19 Patients Kumbara, Cokorde Istri Yuliandari Krisnawardani; Mariadi, I Ketut; Somayana, Gde; Wibawa, I Dewa Nyoman; Sindhughosa, Dwijo Anargha
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 25, No 1 (2024): VOLUME 25, NUMBER 1, April, 2024
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/251202447-52

Abstract

Background: Coronavirus Disease 2019 (COVID-19) can affect not only the respiratory system but also other organs such as the liver. Liver injury tends to occur in severe disease of COVID-19 patients and might contribute to clinical outcomes for patients. This study aimed to find the relationship between the severity of liver injury with clinical outcome and duration of hospitalizations.Methods: This study was a retrospective study of hospitalized COVID-19 patients period April 2020 to April 2021. The inclusion criteria were severe COVID-19 patients who developed a liver injury. The severity of the liver injury was classified into mild, moderate, and severe. The relationship between the severity of liver injury with clinical outcome and duration of hospitalization was analyzed. Univariate and logistic regression were used. Results: 90 samples fill the inclusion criteria. The liver injury severity was statistically significantly related to clinical outcome patients (p= 0.047), which is the increase in liver injury severity resulting in poor clinical outcomes. No significant relationship was found between the severity of liver injury with the duration of hospitalization.Conclusion: liver injury increases mortality in severe COVID-19 patients.
Co-Authors Dwijo Anargha Sindhughosa, Dwijo Anargha Gde Somayana Handayani, Putu Novi I Dewa Nyoman Wibawa I Gde Raka Widiana I Ketut Mariadi Ketut Tuti Parwati Merati Mahardani, Putu Nandika Tungga Yudanti Semadhi, Putu Gitanjani Mahadewi