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INDONESIA
Indonesian Journal of Medicine
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490265     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Indonesian Journal of Medicine (IJM) is an international, open-access, and double-blind peer-reviewed journal, focusing on the intersection of biomedical science, clinical medicine, and community medicine. The journal began its publication on August 20, 2015, and is published online three times yearly. It is academically designed for all physicians, health researchers, and health care professionals, regardless of their medical specialties, or type of employment.
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Articles 8 Documents
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Search results for , issue " Vol 2, No 1 (2017)" : 8 Documents clear
Relationship between Knowledge and Family Support regarding Hypertension with Blood Pressure Control in Elderly Kusumawardana, Iin; Tamtomo, Didik; -, Sugiarto
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is one of the degenerative diseases that have frequently been found among the group of elderly. If hypertension goes uncontrolled, then it might escalate and cause complication. The level of knowledge for both of patients and their families in terms of preventive actions toward hypertension complication is expected to be able to control blood pressure. Among the hypertension patients, the role of family support is very important in order to maintain and to control that the blood pressure will not increase and to return it to the normal state. In relation to this background, the objective in conducting this study was to analyze the relationship between knowledge and family support regarding hypertension with blood pressure control among the elderly with hypertension in the Sangkrah Center of Public Health, City of Surakarta.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted in Sangkrah Community Health Center in the City of Surakarta on November 2016. A total sample of 147 elderly were selected for this study by purposive sampling. The dependent variables in this study was blood pressure and was measured by sphygnomanometer. The independent variables were knowledge and family support and were collected by a set of questionnaire. The data analyzed by logistic regression.Results: Family knowledge (OR= 0.38; 95% CI= 0.13 to 1.08; p= 0.070) increased the likelihood of blood pressure control. Elderly who came from family with good knowledge regarding hypertension had 0.4 times better blood pressure control in comparison to those who came from family with poor knowledge regarding hypertension. Family support (OR= 0.43; 95% CI= 0.18 to 1.02; p= 0.046) increased the likelihood of blood pressure control. Elderly with good family support had 0.4 times better blood pressure than those who had poor family support.Conclusion: Family knowledge and family support increase the probability of blood pressure control among elderly with hypertension.Keywords: knowledge, family support, blood pressure control, elderlyCorrespondence: Iin Kusumawardana. Masters Program in Family Medicine, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: iinkusuma90@gmail.comIndonesian Journal of Medicine (2017), 2(1): 1-9https://doi.org/10.26911/theijmed.2017.02.01.01
The Effectiveness of Chronic Disease Management Program in Blood Pressure Control among Hypertensive Patients Dyanneza, Frieska; Tamtomo, Didik; -, Sugiarto
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The prevention and management of hypertension are major public health challenges for Indonesia and the rest of the world. If the rise in blood pressure with age could be prevented or diminished, much of hypertension, cardiovascular and renal disease, and stroke might be prevented. In Indonesia, the Social Security Administration Agency (BPJS) has administered a government program to control chronic diseases, including hypertension, namely Prolanis (chronic disease management program). This study aimed to determine the effectiveness of chronic disease management program in controlling systolic blood pressure in hypertensive patients.Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Pratama Griya Husada Clinic 2 Tasikmadu, Karanganyar, Central Java, in April 2017. A sample of 120 hypertensive patients, consisting of 60 controlled hypertensive patients and 60 uncontrolled hypertension patients, were selected for this study using fixed disease sampling. The dependent variable was systolic blood pressure. The independent variable was chronic disease management program for systolic blood pressure control, consisting of health status monitoring, reminder, club activity, home visit, dietary education, and physical activity education. Data on diet were collected by Food Frequency Questionnaire (FFQ) based on the DASH eating plan. Physical activity data were collected by short-form International Physical Activity Questionnaire (IPAQ). The other data were collected using questionnaires. Multiple linear regression was used to analyze the data.Results: Blood pressure of hypertensive patients was reduced by chronic disease management program, including monitoring health status (ƅ= -6.34; 95% CI= -12.42 to -0.26; p= 0.041), reminder (b= -6.22; 95% CI = -13.30 to -0.87; p= 0.085), club activity (b= -3.46; 95% CI= -6.40 to -0.53; p= 0.021), home visit (b= -22.01; 95% CI= -41.85 to -2.17; p= 0.030), dietary education (b= -3.61; 95% CI= -6.66 to -0.57; p = 0.020), and physical activity education (b= -0.40; 95% CI= -0.79 to -0.01; p= 0.001).Conclusion: Chronic disease management program is effective to control blood pressure of hypertensive patients. The program’s components including monitoring health status, reminder, club activity, home visit, dietary education, and physical activity education, are effective in reducing blood pressure in hypertensive patients.Keywords: hypertension, chronic disease management programCorrespondence: Frieska Dyanneza. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: frieskadyanneza@yahoo.co.id. Mobile: +6285741667850Indonesian Journal of Medicine (2017), 2(1): 52-62https://doi.org/10.26911/theijmed.2016.01.03.06
The Influencial Factors on Counselling Effectiveness Using Decision-Making Tools in Selecting Long-Term Contraceptive Methods in Kendal District Sundari, Ana; Murti, Bhisma; Sutrisna, Endang
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: One of the efforts to increase the usage of Long-term Contraceptive Methods is an effective counselling using decision-making tools. This counselling is very important to assist acceptors in making decisions and providing convenience to problem solving, behaviour changes or attitudes towards contraception. This study aimed to analyse the counselling effectiveness using decision-making tools in selecting methods of long-active reversible contraception.Subjects and Method: This was an analytic observational study with case-control design. This study was conducted at District of Kendal, Central Java, from May 18 to August 18, 2016. Population of this study was the entire contraceptive acceptors who were at district of Kendal. The samples were as much as 100 people, 35 contraceptive acceptors in case group and 65 in control group using quota sampling technique. The exogenous variables were counselling on Decision-Making Tools, self-efficacy, subjective norms, behaviour of women of reproductive age, ages of women of reproductive age, parity of women of reproductive age, levels of education of women of reproductive age. The endogenous variables were the usage of long-term contra­ceptive methods. The data were collected by a set of questionnaires and analyzed by path analysis.Results: Age≥35 years old (b=-2.19; CI 95%=-3.60 to -0.77; p=0.002), multiparity (b=-2.04; CI 95%=-3.99 to -0.09; p=0.040). Primary education level(b=-0.55; CI 95%=0.12 to 1.85; p= 0.359). There was a positive correlation between counselling and behaviour (b=0.98; CI 95%=0.12 to 1.85; p=0.025). There was a correlation between counselling and efficacy (b=1.56; CI 95%=0.62 to 2.50; p= 0.001). There was a correlation between behaviour and participation in the long-term contraceptive methods (b=4.02; CI 95%=1.71 to 6.34;p=0.001). There was a correlation between self-efficacy and participation in the long-term contraceptive methods (b=3.23; CI 95%=0.71 to 5.75; p=0.012). There was a correlation between subjective norms and participation in the long-term contraceptive methods (b=3.25; CI 95%=0.92 to 5.59; p=0.006).Conclusion: Counselling using decision-making tools influences behaviour and self-efficacy in using the long-term contraceptive methods indirectly. Keywords: long-term contraceptive methods, counselling, decision-making toolsCorrespondence: Ana Sundari. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: ana.sundari@yahoo.com.Journal of Medicine (2017), 2(1): 10-20https://doi.org/10.26911/theijmed.2017.02.01.02
Association between Hemodialysis Adequacy, Family Support, and Quality of Life in Chronic Renal Failure Patients Winata, Leo Chandra Wisnu Pandu; Putranto, Wachid; Fanani, Mohammad
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:  Hemodialysis is one of renal replacement therapy for patients with chronic renal failure (CRF). The quality of hemodialysis is largely determined by the recommended dose of hemodialysis. Biological and psychological changes are often faced by patients undergoing hemodialysis, which can affect their quality of life. Family support is an important factor that serves as a support system for the patients to face the health problems. This study aimed to determine the association between hemodialysis adequacy, family support, and quality of life in chronic renal failure patients.Subjects and Method: This was an analitic observational study with cross sectional design.  It was conducted at Kasih Ibu Hospital,  Surakarta, Central Java. A total sample of  102 patients with chronic renal failure who underwent hemodialysis were selected for this study using random sampling. The dependent variable was quality of life. The independent variables were hemodialysis adequacy and family support. The quality of life was assessed using the WHOQoL questionnaire. The hemodialysis adequacy  was measured by Ureum Reduction Rate (URR) formula.  Family support was measured by family support questionnaire. The data were analyzed using Chi Square test, Mann Whitney test, and logistic regressionResults: Patients with chronic renal failure had better quality of life if they underwent adequate hemodialysis (OR= 5.34 95% CI= 2.20 to 12.98 p= 0.001) and received strong family support (OR= 7.74; 95% CI= 3.13 to 19.13  p= 0.001).Conclusion: Quality of life of the patients with chronic renal failure is determined by hemodialysis adequacy and family support.Keywords: chronic renal failure, hemodialysis, adequacy, family support, quality of lifeCorespondence: Leo Chandra Wisnu Pandu Winata. Masters Programs in Family Medicine, Sebelas Maret University, Jl. Ir Sutami 36A, Surakarta. Email: leochandrawisnupw@gmail.comIndonesian Journal of Medicine (2017), 2(1): 63-72https://doi.org/10.26911/theijmed.2017.02.01.07
The Roles of Medical Doctor and Family on Patient Health Behavior in Controlling HbA1C Level Among Patients with Type 2 Diabetes Mellitus at Dr. Moewardi Hospital Pranoto, Hosea Puspitasari; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Mellitus is one of non-communicable diseases with high prevalence of  complication and mortality at productive age. Patients with type 2 DM need to control their blood glucose level to attain optimal blood glucose. Thereby, it is expected to prevent or minimize the incidence of complication. This study aimed to examine the roles of medical doctor and family on patient health behavior in controlling HbA1C level among patients with type 2 diabetes mellitus at Dr. Moewardi Hospital, Surakarta.Subjects and Methods: This was an analytic observational study with case control design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from April to May, 2017. A sample of 50 patients with type 2 Diabetes Mellitus and 100 control group were selected by fixed disease sampling. The dependent variable was HbA1C blood level. The independent variables were roles of medical doctor, roles of family, treatment compliance, physical activity, diet, and duration of illness. HbA1C blood level was measured by clinical laboratory test. The independent variable was measured by a set of questionnaire. The data were analyzed by path analysis. Results: HbA1C blood level was affected by duration of illness  (b= 0.04; SE= 0.01; p<0.001), diet (b=0.18; SE=0.09; p=0.044), and physical activity (b=0.16; SE=0.07; p=0.024). Diet was affected by the role of medical doctor (b= 0.02; SE= 0.07; p= 0.766), the role of family (b= 0.13; SE=0.07; p=0.082), duration of illness (b=0.01; SE=0.01; p=0.063), and treatment compliance (b=0.32; SE=0.11; p=0.002). Physical activity was affected by the role of medical doctor (b=0.17; SE=0.08; p=0.025), the role of family (b=0.21; SE=0.09; p=0.017), diet (b=0.27; SE=0.10; p=0.005) and duration of illness  (b= 0.03; SE= 0.01; p< 0.001). Treatment compliance was affected by the role of medical doctor (b= 0.18; SE= 0.05; p<0.001) and the role of family (b=0.24; SE= 0.05; p< 0.001).Conclusion: HbA1C blood level was directly affected by duration of illness, diet, and physical activity. HbA1C blood level was indirectly affected by the role of medical doctor, the role of family, duration of illness, and treatment compliance, and diet.Keywords: HbA1C level, diabetes mellitus, healthy behaviorCorrespondence: Hosea Puspitasari Pranoto. Masters Program in Public Health, Sebelas Maret University, Surakarta.  Email: hoseapuspita@gmail.com. Mobile: +6281804452941.Indonesian Journal of Medicine (2017), 2(1): 21-34https://doi.org/10.26911/theijmed.2017.02.01.03
The Diffrentiation of the Angles of Eustachian Tubes In the Patient Chronic Suppurative Otitis Media With and without Cholesteatoma Nasution, Rissa Ardika; Zahara, Devira; Aboet, Askaroellah
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is one of the major health problems found in many populations in the world and a cause of high morbidity and high mortality. However, there is no single theory that explains how and why chronic otitis media occurs. There are many studies on the function of Eustachian tube. However, the role of the Eustachian tube angle and the relationship with the occurrence of CSOM has not been widely studied. This study aimed to evaluate the mean of Eustachian tube angle and to examine the diffrentiation between angle of Eustachian tube in Chronic Suppurative Otitis Media (CSOM) patient with and without cholesteatoma. Subjects and Methods: This research is a case-control study. Study group consist of 27 patients of CSOM with cholesteatoma and 27 patients of CSOM without cholesteatoma included as controlling. All patients are examined by using CT temporal and measured the angle of Eustachian tube using Multiplanar Reconstruction (MPR) technique on osirix program. The data was analyzed using independent T testResults: The mean of the Eustachian tube angle in CSOM with cholesteatoma in female patients was 28.690 and male 27.780 whereas in the CSOM group without cholesteatoma in female patients was 33.810 and men 31.870. The mean of Eustachian tube angle in CSOM patients with cholesteatoma is 28.220 and CSOM without cholesteatoma is 33.000. In independent T test, the result showed significant differentiation (p= 0.001) between the angle of Eustachian tube in patients CSOM with and without cholesteatoma.Conclusion: The advance of technology makes easier to measure of Eustachian tube angle. In men found that the Eustachian tube angle is more horizontal than women. There is diffrence between the angle of the Eustachian tube with the occurrence of cholesteatoma in CSOM.Keywords: angle of Eustachian tube, CSOM Correspondence: Rissa Ardika Nasution. RSUP H. Adam Malik, Medan.  FK USU, Jln. Sembada Pasar V no. 27 P. Bulan Medan. Email: nrissaardika@yahoo.com. Mobile: 082277767660.Indonesian Journal of Medicine (2017), 2(1): 73-78https://doi.org/10.26911/theijmed.2017.02.01.08
Estradiol and Leptin in Women with Obesity, Overweight, and Normal Body Weight Fitri, Yulia; Tann, Gino; -, Rusdiana
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Prevalence of obesity on women was higher than men. Obesity was related to the resistance of leptin hormone. Estradio hormone also played an important role in energy  metabolism and body weight control. The study aimed to discover the relationship between estradiol  concentration with leptin concentration on women with obesity, overweight and normal body weight in Banda Aceh City.Subjects and Method:  The study was an analytic observational study with case control design. There were a total of 75 women of 20-40 year- old who were selected as research subjects by using purposive sampling. The research subjects were divided into 3 groups, namely obesity, over weight, and normal body weight. The study was conducted in Banda Aceh City in July – October 2014.  Dependent variable of the study was women’s body weight. Independent variables were leptin concentration which was investigated by using ELISA technique and estradiol concentration which was investigated by using AxSYM Estradiol Assay. The data was analyzed by using Spearman correlation test.Results: The result of the study obtained the median value of estradiol concentration on normal group was higher than on obesity and overweight group, that was 63 Pg/mL (18-420). The average concentration of leptin on normal group is higher than obesity and overweight group, that was 4.56 ng/mL (up to ± 3.48). However, it did not find any correlation between the concentration of  estradiol and the concentration of leptin on women with obesity, overweight and normal weight (R= 0.03; p= 0.121;).Conclusion: The study showed that women with obesity experienced the decreasing concentration of estradiol and leptin, however it did not find significant correlation between estradiol and leptin.Keywords:  estradiol, leptin, women with obesity, overweight, normal body weightCorrespondence: Yulia Fitri. Health Polytechnic, Poltekkes of Aceh, Banda Aceh.Indonesian Journal of Medicine (2017), 2(1): 36-41https://doi.org/10.26911/theijmed.2017.02.01.04
Effectiveness of Acupuncture and Infrared Therapies for Reducing Musculoskeletal Pain in the Elderly Widowati, Risna; Murti, Bhisma; Pamungkasari, Eti Poncorini
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: According to the World Health Organization, the most frequent health problems experienced by the elderly is musculoskeletal pain. The common treatment for musculoskeletal pain is Non-Steroidal Anti-Inflammatory Drugs (NSAID) drugs. These drugs, however, give undesireable side effects such as disorders in digestion, renal function, and increased blood pressure. Acupuncture and infrared therapies have been widely known as cheap and safe for musculoskeletal pain. However, their relative effectiveness are not yet clear. This study aimed to determine the effectiveness of acupuncture and infrared therapies for reducing musculoskeletal pain in the elderly.Subjects and Method: This was an experiment study with randomized controlled trials design. The study was conducted at the elderly integrated health post Klodran, Karanganyar, Central Java, in May, 2016. A total sample of 60 elderlies was selected for this study using random sampling technique. This sample was randomized into 4 groups, each consisting of 15 study subjects: (1) acupressure; (2) acupuncture; (3) infrared; (4) acupuncture and infrared. The dependent variable was musculoskeletal pain. The independent variable was type of  pain relief therapy. The data was analyzed by Kruskall Wallis Test, and post-hoc test using Mann-Whitney.Results: Kruskall Wallis Test showed mean differences in the reduction of musculosceletal pain between the four groups, and they were statistically significant, as follows: acupressure (mean= 1.3; SD= 0.5), acupunture (mean= 2.3; SD= 0.5), infrared (mean= 1.6; SD= 0.6), and acupuncture and infrared (mean= 3.9; SD= 0.4). Mann-Whitney test showed the most effective treatment for reducing musculoskeletal pain was acupunture and infrared combination therapy (mean difference= 2.53; p<0.001).Conclusion: Acupunture and infrared combination is the most effective treatment for reducing musculoskeletal pain in the elderly.Keywords: musculoskeletal pain, acupressure, acupuncture, infrared, elderlyCorrespondence: Risna Widowati. Acupuncture Unit, School of Health Polytechnics, Ministry of Health, Surakarta, Central Java. Email: risna.widowati@gmail.com. HP +6281555742729.Indonesian Journal of Medicine (2017), 2(1): 41-51https://doi.org/10.26911/theijmed.2017.02.01.05

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