Eka Diah Kartiningrum
Prodi Magister Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

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Pengetahuan Tes BTA Sebagai Prediktor Kepatuhan Pasien TB Menjalani Tes BTA Wahyuni Wijayati; Eka Diah Kartiningrum
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 18 No. 1 (2026): FEBRUARI
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v18i1.1177

Abstract

Acid-fast bacilli (AFB) smear testing in TB patients plays an important role in diagnosis and is crucial to the success of TB control. Many factors influence compliance with AFB smear testing. The aim of this study was to analyze knowledge of AFB testing as a predictor of TB patient compliance with AFB testing at Bhayangkara HS Samsoeri Mertojoso Hospital in Surabaya. This study used a cross-sectional design from March to May 2025 with a sample of 85 TB patients selected by simple random sampling according to inclusion criteria. Data were collected using a questionnaire and then analyzed using logistic regression. The results of the study explain that the majority of respondents were of productive age, worked as private employees, lived <10 km from health facilities, had a high school education, and had good knowledge about BTA. Knowledge had a significant effect on compliance (P value = 0.000; R2 = 0.389 and PR = 9.249). Patients with good knowledge were 9.249 times more likely to comply with BTA examinations. Respondent compliance was high but not optimal in terms of the timeliness of examinations and retests after treatment. Patients' technical understanding of the function of sputum smear microscopy is still lacking, affecting their perception of compliance. These findings are consistent with the Health Belief Model and Social Support Theory, emphasizing that education, access, and family support integrated into patient support strategies can improve compliance. TB control efforts require contextual education, family involvement, and continuous monitoring to ensure that sputum smear microscopy is performed on time and completely.
Pengaruh Mobilisasi Dini Terhadap Intensitas Nyeri Dan Waktu Pemulihan Fungsional (Studi Pada Pasien Post Sectio Caesarea) Dwiharini Puspitaningsih; Anndy Prastya; Eka Diah Kartiningrum; Novitasari
MEDICA MAJAPAHIT Vol. 18 No. 1 (2026): Maret
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v18i1.1232

Abstract

Cesarean section was a surgical procedure that was commonly associated with postoperative pain, which could limit physical movement and delay functional recovery in mothers. Pain experienced after surgery often led to fear of mobilization, resulting in prolonged bed rest and delayed return to daily activities. One non-pharmacological intervention that could be applied to manage postoperative pain and enhance recovery was early mobilization. Early mobilization was believed to reduce pain intensity and accelerate functional recovery by improving blood circulation, reducing inflammation, and stimulating physical activity. This study aimed to analyze the effect of early mobilization on pain intensity and functional recovery time in post-cesarean section patients. A quasi-experimental design with a time-series approach was used. The sample consisted of 34 respondents selected using simple random sampling, divided into an intervention group (n=17) and a control group (n=17). Data were collected using the Numeric Rating Scale (NRS) to assess pain intensity and an observation sheet to measure functional recovery time. Data were analyzed using the Friedman test and Mann-Whitney test. The results showed that before the intervention, all respondents in both groups experienced severe pain. After early mobilization, all respondents in the intervention group reported mild pain, while most respondents in the control group (82.4%) still experienced moderate pain. In terms of functional recovery, all respondents in the intervention group recovered within 24 hours, whereas the majority of the control group (52.9%) required 48 hours. Statistical analysis showed significant results (p=0.000 for pain intensity and p=0.001 for functional recovery time). In conclusion, early mobilization had a significant effect on reducing pain intensity and accelerating functional recovery in post-cesarean section patients.