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Colorectal Cancer Prevalence in Palembang, South Sumatera, Indonesia Tiranda, Yulius; Safitriana, Safitriana
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Colorectal cancer is the third number of cancer diagnose worldwide. The incidence of this cancer is increasing year by year, particularly in developing countries. However, there is less known the number of CRC in Palembang, South Sumatera, Indonesia. Method: This study used a descriptive research design to describe the demography of epidemiology of CRC and the spread of colorectal cancer survivors in Palembang. This study used secondary data from 3 hospitals in Palembang municipality from 2013-2016. Results: The results of this study were found that the average age of CRC survivors 51,36 years which the number of CRC prevalence in a female was higher rather than male, rectal cancer was higher rather than colon cancer and the highest prevalence of this cancer is located at the sub-district of Seberang Ulu I (SU I). Conclusion: Determine the highest area of CRC could lead further action by related stakeholders on increasing healthy behavior of the community.

Colorectal Cancer Prevalence in Palembang, South Sumatera, Indonesia Tiranda, Yulius; Safitriana, Safitriana
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Colorectal cancer is the third number of cancer diagnose worldwide. The incidence of this cancer is increasing year by year, particularly in developing countries. However, there is less known the number of CRC in Palembang, South Sumatera, Indonesia. Method: This study used a descriptive research design to describe the demography of epidemiology of CRC and the spread of colorectal cancer survivors in Palembang. This study used secondary data from 3 hospitals in Palembang municipality from 2013-2016. Results: The results of this study were found that the average age of CRC survivors 51,36 years which the number of CRC prevalence in a female was higher rather than male, rectal cancer was higher rather than colon cancer and the highest prevalence of this cancer is located at the sub-district of Seberang Ulu I (SU I). Conclusion: Determine the highest area of CRC could lead further action by related stakeholders on increasing healthy behavior of the community.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN DAN KEMAUAN DIET DAN OLAHRAGA PADA PASIEN DM TIPE 2 DI RUMAH SAKIT BUKIT ASAM TANJUNG ENIM Tiranda, Yulius
Masker Medika Vol 1 No 2 (2013): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

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

DM tipe 2 adalah ganguan heterogen yang ditandai dengan kecendrungan genetic dan interkasi antara resistansi insulin dan penurunan fungsi sel Î² pancreas. Penatalaksanaan DM didasarkan pada rencana diet, latihan fisik dan pengaturan aktivitas fisik, agen-agen hipoglikemik oral, terapi insulin, pengawasan terapi insulin dirumah dan pengetahuan tentang diabetes dan perawatan diri. Penelitian ini bertujuan untuk untuk mengetahui faktor-faktor yang mempengaruhi kepatuhan dan kemauan diet dan olahraga pada pasien DM tipe 2. Desain penelitian adalah kuantitatif dengan pendekatan Cross Sectional. Sampel dalam penelitian ini adalah Penderita yang berobat di RSBA sebanyak 49 responden. Teknik pengambilan sampel dalam penelitian ini purposive Sampling. Hasil analisis univariat didapatkan mayoritas berusia dewasa yaitu sebanyak 41 responden (83,7%), yang berjenis kelamin perempuan sebanyak 29 responden (59,2%), yang berpendidikan tinggi sebanyak 26 responden (53,1%), yang berpengetahuan kurang sebanyak 27 responden (55,1%) yang memiliki dukungan keluarga tentang diet sebanyak 30 responden (61,2%) positif, dan responden yang patuh dalam diet sebanyak 36 responden (73,5%). Sedangkan analisis bivariat didapatkan Ada hubungan antara pendidikan (0,020), pengetahuan tentang diet (0,030), dukungan keluarga (0,022), pengetahuan tentang olahraga (0,004), dukungan keluarga tentang olahraga (0,004) dan tidak ada hubungan antara usia (0,422), jenis kelamin (0,898), usia (1,000), jenis kelamin (0,085), pendidikan (0,575) dengan kepatuhan olahraga pada pasien DM tipe 2 di Rumah Sakit Buki Asam Tanjung Enim . Penelitian ini sejalan dengan penelitian sebelumnya yang dilkukan oleh Hasbi (2012) dan penelitian Lestari (2012), dan diharapkan untuk peneliti selanjutnya agar dapat meneruskan penelitian ini. Kepada petugas kesehatan diharapkan agar meningkatkan pelayanan asuhan keperawatan khususnya penatalaksaan pada pasien DM tipe 2 serta sebagai edukasi dan discharge planning

Pola Pencegahan Primer Stroke Oleh Pasien Hipertensi Di Rumah Sakit Muhammadiyah Palembang: Studi Deskriptif Afriza Rianti; Sukron Sukron; Yulius Tiranda
Jurnal Keperawatan Muhammadiyah Vol 4, No 2 (2019): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v4i2.3127

Background: Hypertension can lead stroke complications if not handled optimally. Disruption of blood flow causes the diameter of blood vessels of shrink, resulting in a lack of oxygen and glucose supply to the brain. Prevention is one of the best strategies to reduce the incidence of stroke. One of them is by implementing primary preventions such as regulating healthy food consumption, getting enouh rest, checking health regurarly, arranging nutrition diets, maintaining ideal body weight, doing physical activities regurarly, stop smoking, and avoiding drinking alcohol. Objective: To describe the primary preventions of stroke by hypertensive patients in Muhammadiyah Hospital of Palembang in 2019. Method: This was quantutative descriptive study using survey design. Result: Most of the respondents limited their consumption of foods containing excess salt (64.4%) and consumed protein foods regurarly such as fish (93.2%); all respondents consumed vegetables and fruits (100%), checked their health every month and did not consume alcohol. Conslusion: Primary prevention of stroke by hypertensive patients was considered as good category since they had a fairly healthy and good life behavior.

Hubungan Aktivitas Fisik Dengan Tekanan Darah Pada Penderita Hipertensi Di Rumah Sakit Muhammadiyah Palembang Siti Maskanah; Suratun Suratun; Sukron Sukron; Yulius Tiranda
Jurnal Keperawatan Muhammadiyah Vol 4, No 2 (2019): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v4i2.3128

Objective: To find out the relationship between the physical activity and blood pressure hypertensive patients of Muhammadiyah Hospital of Palembang. Methode: Cross sectional method was used with the number of sample of 67 hypertensive patients taken by using purposive sampling technique: The Fisher Exact test was used to analyze the relationship between physical activity and blood pressure.Results: The result showed that most of the activities carrie d out were moderate activities (67,2%). The result pf the analysis showed that there was a significant relationship between physical activity and systole and diastolic blood pressure with each p value of 0,003, OR: 6,458 and p value 0, 013, OR: 144. Conclusion: There was a significant relationship between phsical activity and blood pressure. It is expected that health workers be able to play an active role and involve families in optimizing phsical activity for patient with hypertension.

The Delay Factors of Early Breast Cancer Detection Patients in Indonesia Seni Mariska; Yulius Tiranda; Windy Astuti C.N
Caring: Indonesian Journal of Nursing Science Vol. 3 No. 2 (2021): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v3i2.7156

Breast cancer is the number one death caused to women. The higher mortality rate is because the patients are diagnosed at the advanced stage. The cancer patients do not know the signs and symptoms of breast cancer and cannot do a breast self-examination (SADARI) because the cancer education in the community is insufficient. Delaying in detecting breast cancer will delay the treatment. This research aims to explore the delay factors of early breast cancer detection. It used a literature review approach with 4 electronic databases, including Google Scholar, Pubmed, Garuda, and Perpusnas, with published years of 2015-2020. The keywords are delay factors, detection, medical checkup, treatment, and breast cancer. Of 892 identified articles, only 9 articles fulfilled the inclusion criteria. The reviewed articles are the researcher and supervisor's discussion and validation using the Prisma Guideline. The 9 articles show delay factors of detecting breast cancer, including education, knowledge, income, information/mass media, husband/family support, health service center distance, health facilities, treatment cost, alternative treatment, age, pain, and fear. The research concluded that the 12 factors causing the breast cancer patients late in receiving treatment and already in advance stage cancer because they did not do breast cancer detection.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN DAN KEMAUAN DIET DAN OLAHRAGA PADA PASIEN DM TIPE 2 DI RUMAH SAKIT BUKIT ASAM TANJUNG ENIM Yulius Tiranda
Masker Medika Vol 1 No 2 (2013): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

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

DM tipe 2 adalah ganguan heterogen yang ditandai dengan kecendrungan genetic dan interkasi antara resistansi insulin dan penurunan fungsi sel β pancreas. Penatalaksanaan DM didasarkan pada rencana diet, latihan fisik dan pengaturan aktivitas fisik, agen-agen hipoglikemik oral, terapi insulin, pengawasan terapi insulin dirumah dan pengetahuan tentang diabetes dan perawatan diri. Penelitian ini bertujuan untuk untuk mengetahui faktor-faktor yang mempengaruhi kepatuhan dan kemauan diet dan olahraga pada pasien DM tipe 2. Desain penelitian adalah kuantitatif dengan pendekatan Cross Sectional. Sampel dalam penelitian ini adalah Penderita yang berobat di RSBA sebanyak 49 responden. Teknik pengambilan sampel dalam penelitian ini purposive Sampling. Hasil analisis univariat didapatkan mayoritas berusia dewasa yaitu sebanyak 41 responden (83,7%), yang berjenis kelamin perempuan sebanyak 29 responden (59,2%), yang berpendidikan tinggi sebanyak 26 responden (53,1%), yang berpengetahuan kurang sebanyak 27 responden (55,1%) yang memiliki dukungan keluarga tentang diet sebanyak 30 responden (61,2%) positif, dan responden yang patuh dalam diet sebanyak 36 responden (73,5%). Sedangkan analisis bivariat didapatkan Ada hubungan antara pendidikan (0,020), pengetahuan tentang diet (0,030), dukungan keluarga (0,022), pengetahuan tentang olahraga (0,004), dukungan keluarga tentang olahraga (0,004) dan tidak ada hubungan antara usia (0,422), jenis kelamin (0,898), usia (1,000), jenis kelamin (0,085), pendidikan (0,575) dengan kepatuhan olahraga pada pasien DM tipe 2 di Rumah Sakit Buki Asam Tanjung Enim . Penelitian ini sejalan dengan penelitian sebelumnya yang dilkukan oleh Hasbi (2012) dan penelitian Lestari (2012), dan diharapkan untuk peneliti selanjutnya agar dapat meneruskan penelitian ini. Kepada petugas kesehatan diharapkan agar meningkatkan pelayanan asuhan keperawatan khususnya penatalaksaan pada pasien DM tipe 2 serta sebagai edukasi dan discharge planning

Health service for diabetic foot ulcer patients during covid-19 pandemic Hermawati Hermawati; Yulius Tiranda; Sukron Sukron
Media Keperawatan Indonesia Vol 4, No 4 (2021)
Publisher : Universitas Muhammadiyah Semarang

In early 2020, the whole world was shocked by the COVID-19 pandemic, which impacted all aspects of life. One was changes in the service system and health care for patients with diabetic foot ulcers (DFU). Wound care in DFU patients should be routine but while minimizing hospital visits to reduce the risk of exposure to COVID-19. The objective of this study was to explore the health services provided to DFU patients during the COVID-19 pandemic at the hospital. This study used a literature review approach with six electronic databases, namely National Library, PubMed, Science Direct, ProQuest, Springer Nature, and Wiley, in 2019-2021. The keyword used were health service, diabetic foot ulcer and COVID-19. around 669 articles identified, 12 articles met the inclusion. The articles reviewed were obtained from the result of discussion and validations between researcher and supervisors following the Prisma Guideline. Health services for DFU patients during the COVID-19 pandemic may be conducted through several stages including a) online consultation or telemedicine as the first stage, b) continued with triage process, and c) screening for individual patients needs. Health services for DFU patients during the COVID-19 pandemic have changed according to the following conditions. The first procedure was to conduct an online consultation (telemedicine) to assess the client’s condition related to complaints, then proceed with the triage process to prioritize care and service needs. The health of each patient and screening to check for symptoms of COVID-19 as well as carried out additional screening, CT Thorax and Swab if the patient had to go to the hospital.

Hubungan Antara Tingkat Fatique Dengan Self Care Pada Pasien Penyakit Ginjal Kronis (PGK) Yang Menjalani Hemodialisa Di RS Pusri Palembang Joko Tri Wahyudi; Indri Maharani; Yulius Tiranda
Masker Medika Vol 10 No 2 (2022): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52523/maskermedika.v10i2.501

Background : Hemodialiysis is a management therapy for patinets with Chronic Kidney Disease (CKD) which functions as kidney replacement, and can last a lifetime. Data from Indonesian Renal Registry (IRR) in 2018 recorded 66,433 new and active patients during hemodialysis. Commonly the hemodialysis theraphy affecting various of physical complication, such as fatique. Patient chronic kidney disease with fatique, weakness, and lost of energy might be affect to the self care. Methods : The design in this study was quantitative, with a crosssectional approach using chi square analysis. Total sampling was used to measure the fatique, also the self care CKD index. This study was followed on the ethical clearance No: 0159/KEPK/ Adm2/II/2022. Result : The P value was 0.001 (P Value 0.05) there significant relationship between the level of fatique and self care in patients with chronic kidney disease during hemodialysis. Discussion : The increaciang level of fatique sequence to the level of dependence. We suggest need more explore on factor affecting the fatique level and dependence level.

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