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Effectiveness “Kamio” on Treatment Compliance and Quality of Life Bipolar Disorder Patient in Dr. Iskak General Hospital, Tulungagung, East Java Prihantoro, Predito; Katmini, Katmini; Puspitasari, Yenny
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Bipolar Disorder is a chronic disease with various variations in the course of the disease that are often unknown, misdiagnosed and even when diagnosed are often not adequately treated. The aim of the study was to analyze the effectiveness of KamiO on quality of life in Bipolar Disorder patients at dr. Iskak Tulungagung Hospital.Subjects and Method: Observational study with randomized control trial was conducted at dr. Iskak General Hospital, Tulungagung, East Java, from May 25 to August 25, 2022. The study population were 160 patients with bipolar disorder. A 114 sample was selected using the simple random sampling divided into (1) 57 sample in the treatment group and (2) 57 sample in control group. In this study, the independent variable was KAMIO. The dependent variable is medication adherence and quality of life. While the measuring instrument used is a questionnaire. Data analysis using Mann Whitney test.Results: Patients in the intervention group more adherent to visit medical treatment (Mean= 63.00) than control group (Mean= 52.00), with p= 0.039. Quality of life in bipolar disorder patients in the intervention group (Mean= 72.25) was higher than in the control group (Mean= 42.75) and it was statistically significant (p<0.001).Conclusion: Quality of life in the intervention group (kamio cards) is higher than in the control group.Keywords: kamio effectiveness, treatment adherence, quality of life, bipolarCorrespondence: Katmini. STRADA Indonesian Institute of Health Sciences. Jl. Manila No. 37, Kediri, East Java 64123, Indonesia. Email: katminitini@gmail.com. Mobile: 0823-3466-2921.Indonesian Journal of Medicine (2022), 07(03): 337-343https://doi.org/10.26911/theijmed.2022.07.03.10

Implementation Of Occupational Health And Safety Culture In Maintaining Zero Accident Stability For Workers In Sugar Factories Ema Mayasari; Erina Esa Aisyarah; Tyas Wuryaningsih; Mohammad Saheri; Predito Prihantoro
Journal of Global Research in Public Health Vol. 9 No. 1 (2024): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v9i1.497

The application of occupational safety and health provides several benefits in every aspect of human life and provides benefits in every business activity and supports the progress of quality and sustainable development in the human resources, economic, social and environmental aspects. This research aims to find out and explore the application of occupational safety and health culture in maintaining zero accident stability. The informants in this research consisted of 4 main informants, namely installation workers, and 2 triangulation informants, namely occupational safety and health. The data analysis techniques used in this research are reduction, display and verification. Based on the research results, it was found that the implementation of occupational safety and health culture among production workers at the Sugar Factory where the research took place was classified as good and at an independent level, workers realized that work safety was a shared responsibility. Efforts to maintain zero accident stability include implementing good internal occupational safety and health communication, implementing discipline, monitoring and high work standards, and also in terms of investigating incidents the Company carries out quickly and responsively. However, during field observations, it was still found that workers were using incomplete PPE. The obstacle felt by workers and occupational safety and health parties is the return of PPE stock which sometimes takes a long time.

Application the Cognitive-Behavioral Model of Relapse in Preventing Bipolar Relapse at RSI. Madinah Tulungagung Agustin Widyowati; Katmini; Predito Prihantoro
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.392

Background: Mental health has a low early mortality rate, but contributes the most to disability and recurrence is an indicator of successful treatment of mental disorders, including bipolar. Bipolar relapse is caused by many factors or high-risk situations. Purpose: The purpose of this study was to analyze the determinants of bipolar relapse from a cognitive-behavioral model of relapse. Method: This research was conducted at Islamic Hospital of Madinah Tulungagung used a correlational design with a cross sectional approach to 108 respondents who were taken using a simple random sampling technique. The exogenous variables were genetics, age of onset, gender, occupation, marriage, family support, social capital, stigma, self-efficacy, motivation, medication adherence and the endogenous variable was bipolar relapse, using a questionnaire and analyzed path analysis. Results: Genetics, occupation, social capital, self-efficacy, motivation, medication adherence, community stigma and family support have a direct effect on bipolar relapse with a p-value <0.05. Community stigma has an indirect effect on bipolar relapse through medication adherence with a path coefficient (b) of 11.35. Family support has an indirect effect on bipolar relapse through medication adherence (b = 8.9), motivation (b = 11.89) and self-efficacy (b = 18.26). The most effective way to prevent bipolar relapse is family support which has an indirect effect on bipolar relapse through self-efficacy. Conclusion: Family support is expected to increase self-efficacy so that it is effective in preventing bipolar relapse.

PENGARUH PERSEPSI TENTANG PENYAKIT TERHADAP KEPATUHAN MINUM OBAT PASIEN BIPOLAR DI RSI. MADINAH TULUNGAGUNG Widyowati, Agustin; Prihantoro, Predito
Jurnal Penelitian Keperawatan Vol 10 No 1 (2024): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v10i1.714

Gangguan bipolar memerlukan proses pengobatan dan manajemen jangka panjang sehingga tidak menutup kemungkinan penderita akan tidak patuh dalam pengobatan. Salah satu faktor penyebab yaitu persepsi pasien terhadap penyakitnya. Tujuan penelitian adalah menganalisis pengaruh persepsi tentang penyakit terhadap kepatuhan minum obat. Penelitian ini deskriptif analitik dengan pendekatan cross sectional pada pasien bipolar sebanyak 108 responden dengan teknik simple random sampling. Variabel independent persepsi penyakit dan variabel dependent kepatuhan minum obat. Pengumpulan data menggunakan kuesioner dan dianalisis uji statistik koefisien kontingency. Hasil penelitian sebagian besar memiliki persepsi positif (60,2%), sebagian besar memiliki kepatuhan minum obat (64,8%) dan memiliki signifikansi persepsi penyakit terhadap kepatuhan minum obat (p <0.001 dan C=0.578). Peningkatan persepsi terhadap penyakit diperlukan penderita bipolar untuk meningkatkan kepatuhan minum obat sehingga mencegah terjadinya kekambuhan.

EFFECTIVENESS OF PROVIDING DIRECT VISUALIZATION ABOUT THE DANGERS OF CIGARETTES TO THE LUNGS ON THE KNOWLEDGE AND ATTITUDES OF STUDENTS OF SMAN 1 KANDAT Octavi Hemi, Chrisita; Ukik Agustina; Predito Prihantoro
Indonesian Journal of Nutritional Epidemiology and Reproductive Vol. 9 No. 1 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/ijner.v9i1.362

Cigarettes are a major cause of health problems, particularly serious lung disease. Smoking habits among adolescents are increasing and can pose long-term health risks. Effective education about the dangers of smoking is crucial from an early age. The use of direct visualization media is believed to improve students' understanding and awareness better than conventional methods. This study aims to analyze the effectiveness of direct visualization about the dangers of smoking on the lungs in improving the knowledge and attitudes of students at SMAN 1 Kandat. This research was pre-experimental study with one-group pretest-posttest design. The research samples were 95 eleventh-grade students. The Samples were chosen with accidental technique sampling that selected based on discussions conducted by all examiners and guidance counselors at SMAN 1 Kandat. The main instrument was a valid and reliable questionnaire to measure knowledge and attitudes before and after visualization intervention with simulation. The study showed a significant increase in knowledge, from the “poor” category (86.3%) before the intervention to “good” (88.4%) after the intervention. Attitudes also shifted from predominantly negative (76.8%) to more positive (89.5%) after the intervention. The Wilcoxon Signed Ranks Test showed a significant difference in knowledge and attitudes before and after the intervention (p < 0.05), so there was a difference in knowledge and attitudes before and after direct visualization. This study found that the use of direct visualization as "shock therapy" was more effective in increasing students' knowledge and modifying their attitudes than conventional educational methods. This innovative strategy is recommended as a component of school health programs to foster awareness and preventative behavior among adolescents.

LITERATURE STUDY ON TUBERCULOSIS ELIMINATION 2030: CHALLENGES AND INNOVATIONS IN INDONESIA Agustin Widyowati; Predito Prihantoro
Indonesian Journal of Nutritional Epidemiology and Reproductive Vol. 9 No. 2 (2026): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/ijner.v9i2.371

Indonesia occupies the second highest case burden in the world, so it faces a major challenge in reducing the death rate due to Tuberculosis (TB). This research aims to synthesize strategic barriers and map the most feasible innovations to accelerate the TB elimination target by 2030. This study used Systematic Review. This study used a Systematic Review. The search strategy was developed using Boolean operators with structured keywords, resulting in 185 articles spanning the period 2017-2026. These articles were re-identified using inclusion and exclusion criteria until 15 primary articles were obtained. Analyzed using the Thematic Analysis technique The analysis showed four main obstacles: catastrophic non-medical costs that trigger drug discontinuation, social stigma that hinders early detection, fragmentation of surveillance data, and uneven access to diagnostics. However, digital innovations such as AI and telemedicine offer new efficiencies in outbreak prediction and compliance monitoring. TB elimination requires a paradigm shift towards a holistic approach that integrates patient economic protection, national data synchronization, and adoption of Society 5.0 technology to permanently break the chain of transmission.

EFFECTIVENESS OF PROVIDING DIRECT VISUALIZATION ABOUT THE DANGERS OF CIGARETTES TO THE LUNGS ON THE KNOWLEDGE AND ATTITUDES OF STUDENTS OF SMAN 1 KANDAT Chrisita Octavi Hemi; Ukik Agustina; Predito Prihantoro
Indonesian Journal of Nutritional Epidemiology and Reproductive Vol. 9 No. 1 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/ijner.v9i1.362

Cigarettes are a major cause of health problems, particularly serious lung disease. Smoking habits among adolescents are increasing and can pose long-term health risks. Effective education about the dangers of smoking is crucial from an early age. The use of direct visualization media is believed to improve students' understanding and awareness better than conventional methods. This study aims to analyze the effectiveness of direct visualization about the dangers of smoking on the lungs in improving the knowledge and attitudes of students at SMAN 1 Kandat. This research was pre-experimental study with one-group pretest-posttest design. The research samples were 95 eleventh-grade students. The Samples were chosen with accidental technique sampling that selected based on discussions conducted by all examiners and guidance counselors at SMAN 1 Kandat. The main instrument was a valid and reliable questionnaire to measure knowledge and attitudes before and after visualization intervention with simulation. The study showed a significant increase in knowledge, from the “poor” category (86.3%) before the intervention to “good” (88.4%) after the intervention. Attitudes also shifted from predominantly negative (76.8%) to more positive (89.5%) after the intervention. The Wilcoxon Signed Ranks Test showed a significant difference in knowledge and attitudes before and after the intervention (p < 0.05), so there was a difference in knowledge and attitudes before and after direct visualization. This study found that the use of direct visualization as "shock therapy" was more effective in increasing students' knowledge and modifying their attitudes than conventional educational methods. This innovative strategy is recommended as a component of school health programs to foster awareness and preventative behavior among adolescents.

Treatment Compliance Education Strategy for Mentally Disordered Patients at the Bangunjaya Public Health Center, Tulungagung Regency Predito Prihantoro; Yuly Peristiowati
Journal of Community Engagement in Health Vol. 6 No. 2 (2023): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v6i2.501

Mental disorders are a condition where a person has a pattern of behavior that is related to distress, which causes disturbances in their life system. People with mental disorders or what are usually called ODGJ will be accompanied by symptoms in the form of hallucinations, illusions and strange behavior, for example Catatonic or aggressive, ODGJ experience disorders in the form of behavioral disorders, thought disorders, and emotional disorders so that their function as humans will also experience obstacles. The aim of this research is to provide an overall picture of Treatment Compliance Education Strategy for Mentally Disordered Patients at the Bangunjaya Public Health Center, Tulungagung Regency. Design The research used USG method in this research. Referring to the problem, the author proposes an idea to optimize the delivery of education to the families of patients who visit the to carry out routine checks. Treatment compliance carried out at public health centers can be the right place to do this. With this education, it is hoped that knowledge will increase to always comply with the treatment being carried out.

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