Sri Ratna Rahayu, Rr.
Public Health Perspective Journal

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Analisis Total Status Antioksidan (TSA) Pasien Tuberkulosis (TB) Paru Kelompok Usia 30-60 Tahun di Wilayah Kerja Puskesmas Kecamatan Genuk Kota Semarang Altika, Sifa; Sri Ratna Rahayu, Rr.
Public Health Perspective Journal Vol 2, No 3 (2017): December 2017
Publisher : Universitas Negeri Semarang

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Abstract

Kondisi sepsis (infeksi) oleh M. tuberculosis dapat menyebabkan Peningkatan Reaktive Oxygen Species (ROS) yang mengakibatkan penurunan kadar antioksidan antioksidan. Penelitian ini bertujuan untuk menganalisis total status antioksidan pada pasien TB kelompok usia 30-60 tahun di Wilayah Kerja Puskesmas Kecamatan Genuk Kota Semarang. Desain penelitian ini adalah case control. Sampel TB sebanyak 30 pasien yang dipilih dari puskesmas Bangetayu dan puskesma Genuk yang sesuai dengan kriteria inklusi dan eksklusi sesuai kedatangan (consecutive sampling), sedangkan control dipilih secara volunter. 2,5 mililiter darah diambil dari setiap sampel, kemudian dilakukan pemeriksaan kadar TSA dengan metode DPPH.Hasil penelitian menunjukkan bahwa sampel pasien TB paru dengan TSA yang rendah / kurang dari normal. Rerata TSA pada pasien TB paru 0.61±0.103 lebih tinggi dibandingkan dengan kelompok kontrol yaitu 0.58±0.090. Hasil uji statistik Mann Whitney menunjukkan bahwa tidak terdapat perbedaan antara total status antioksidan pada responden TB paru dengan responden sehat, nilai p=0.318 (p>0,05).  Hal ini menunjukan bahwa secara statistik kondisi sakit TB ataupun kondisi tidak sakit tidak memberikan pengaruh yang berbeda terhadap total status antioksidan.The condition of sepsis (infection) by M. tuberculosis can cause an increase in Reactive Oxygen Species (ROS) resulting in decreased levels of antioxidants. The purpose of this study was to analyze the total antioxidant status in TB patients age group 30-60 years in the Working Area community health centers Genuk Districts Semarang City. The design of this research is case control. Samples of TB were 30 patients selected from Bangetayu and Genuk community health centers in accordance with inclusion and exclusion consecutive sampling criteria, while control was selected by volunter. 2.5 milliliters of blood taken from each sample, then examined TSA levels by DPPH method.The results showed that samples of pulmonary TB patients with TSA were low / less than normal. The mean of TSA in pulmonary tuberculosis patients was 0.61 ± 0.103 higher than the control group of 0.58 ± 0.090. Mann Whitney statistical test results showed that there was no difference between total antioxidant status in pulmonary tuberculosis respondents with healthy respondents p = 0.318 (p> 0,05). This shows that statistically the condition of TB disease or the condition of pain does not give a different effect on the total antioxidant status.
Analisis Faktor Individu dan Faktor Penguat dengan Kepatuhan pada Kewaspadaan Universal di Layanan Kesehatan Kartika M.H, Restiana; Sri Ratna Rahayu, Rr.
Public Health Perspective Journal Vol 2, No 3 (2017): December 2017
Publisher : Universitas Negeri Semarang

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Abstract

Kecelakaan kerja di layanan kesehatan yang disebabkan blood borne infection (HIV/AIDS, HBV, HVC) melalui luka tusuk jarum suntik pada petugas kesehatan meningkat. Studi menunjukkan bahwa kepatuhan pada penerapan kewaspadaan universal diantara petugas kesehatan untuk menghindari paparan mikroorganisme masih rendah. Tujuan penelitian ini untuk mengidentifikasi faktor individu dan faktor penguat yang berhubungan dengan kepatuhan kewaspadaan universal di layanan kesehatan. Penelitian ini menggunakan desain cross sectional study. Populasi penelitian adalah seluruh perawat dan bidan pelaksana yang bekerja di RSUP Dr. Kariadi dan  RSUD Tugurejo. Teknik penetapan sampel pada penelitian ini menggunakan purposive sampling  yaitu 60 perawat dan bidan pelaksana di unit perawatan yang berisiko tinggi  di Instalasi Care Unit, Instalasi Gawat Darurat, Ruang Penyakit Dalam, Ruang Bersalin di RSUP Dr. Kariadi dan RSUD Tugurejo. Hasil penelitian menggunakan uji chi square terhadap 30 perawat dan bidan di RSUP Kariadi, bahwa faktor individu (pengetahuan, sikap, persepsi terhadap risiko, risk taking personality, efficacy of prevention) dan faktor penguat (pengalaman pajanan sebelumnya) tidak berhubungan dengan kepatuhan petugas kesehatan. Hasil penelitian terhadap 30 perawat dan bidan faktor individu (pengetahuan) berhubungan dengan kepatuhan petugas kesehatan di RSUD Tugurejo. Faktor penguat (pengalaman terhadap pajanan sebelumnya) tidak memiliki hubungan dengan kepatuhan petugas kesehatan RSUD Tugurejo.Occupational accidents in health services caused by blood borne infections (HIV / AIDS, HBV, HVC) through injection needle injuries to health workers increased. Studies show that adherence to the application of universal precautions among health workers to avoid exposure to microorganisms is still low. The purpose of this study was to identify individual factors and reinforcing factors related to universal precautions in health services. This research use cross sectional study design. The study population was all nurses and midwives who worked in Dr. Kariadi and RSUD Tugurejo. Sample determination technique in this research use purposive sampling that is 60 nurses and midwife executor in high risk treatment unit in Installation Care Unit, Emergency Installation, Internal Disease Installation, Maternity Room at Dr. Kariadi and RSUD Tugurejo. The result of this research is chi square test to 30 nurses and midwives in RSUP Kariadi, that individual factor is not correlated significantly with the compliance of health officer in RSUP Dr. Kariadi. While the individual factors related to the compliance of health personnel in RSUD Tugurejo is only knowledge while the reinforcing factor that is experience of previous exposure has no significant relationship with the compliance of health officer in Dr. Kariadi and RSUD Tugurejo.
The Effect of The Perception of Unnes Public Health Study Program Students on Early Detection of Breast Cancer Using Bse (Breast-Self Examination) Fadhila, Efina Daitia; Kuswardinah, Asih; Sri Ratna Rahayu, Rr.
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
Publisher : Universitas Negeri Semarang

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Breast cancer is the leading cause of death of women in the world as well as in Indonesia. Nearly 70% of patients come to the hospital in an advanced stage, so it causes death. The most effective prevention strategy is early detection. BSE is a way of early detection with breast examination by self to detect any abnormalities that exist in the breast. Health action plans are grown with individual beliefs and perceptions of the diseases described through Health Belief Models. This study aims to analyze the effect of the perception of UNNES Public Health Study Program students on early detection of breast cancer using BSE.The study design used analytic with cross sectional approach through survey method. The population was all of undergraduate students of Public Health Program UNNES of fifth and seventh semester in 2017/2018. The samples were 74 respondents with the sampling technique used purposive sampling was continued quota sampling. Chi square test results show that there is significant an effect of perceived susceptibility on early detection of breast cancer using BSE (0,007); there is significant an effect of perceived severity on early detection of breast cancer using BSE (0,009); there is significant an effect of perceived benefits on early detection of breast cancer using BSE (0,003); and there is significant an effect of perceived barrier on early detection of breast cancer using BSE (0,000). Logistic regression test results show that perceived susceptibility has p-value 0,036 and OR 4.002; perceived severity has p-value 0,018 and OR 4.744; perceived benefits has p-value 0,004 and OR 7.247; and perceived barrier has p-value 0,048 and OR 3.435; concluded that the perception of benefit is the most influential variable to the the early detection of breast cancer using BSE. This study provides benefits as a thought contribution to the development of science in the field of reproductive health, disease concept, and behavioral science related to its application in early detection of breast cancer using BSE.
Analysis of The Effect of Hatha Yoga on The Quality of Sleep and Immune System Among The Students in Public Health Postgraduate Program At UNNES Nopitasari, Dewi; Sri Ratna Rahayu, Rr.
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
Publisher : Universitas Negeri Semarang

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Abstract

The sleep quality of a person is said to be good if it does not show any signs of lack of sleep and he or she has no problems in sleeping. Lack of sleep can also cause changes in cytokine tissue. So, the immune system will work less effectively. Hatha yoga exercises is one of the non-pharmacological therapy that can improve the quality of sleep and immune system. The purpose of this study is to analyze the effect of Hatha Yoga exercises on the quality of sleep and immune system.among the students in Public Health Postgraduate Program at Unnes.The method used here was quasi experiment with pretest and posttest with control group design. The population in this study was all students in Public Health Postgraduate Program at Unnes. The samples were selected based on inclusion and exclusion criteria by purposive sampling technique. The samples obtained were 24 respondents, divided into two groups to perform hatha yoga exercises in the intervention group. The study instrument used was questionnaire on the quality of sleep and leukocyte examination to find out the respondent's immunity.The study results showed that there was a significant difference in the quality of sleep between the intervention group and control group after the provision of hatha yoga exercises in intervention group with p value of 0.000 (p <0.05) and there was no significant effect on the immunity between the control group and the intervention group after the provision of hatha yoga exercises with p value of 0.092 ( p> 0.05). Conclusion: Hatha yoga exercises had an effect on the quality of sleep but hatha yoga exercises had no effect on immunity.