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All Journal Jurnal Kesehatan Masyarakat Berita Kedokteran Masyarakat
Widia Adiratna
Universitas Gadjah Mada
Nursing Public Health

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Journal : Berita Kedokteran Masyarakat

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Factors related with adherence score to iron chelation treatment in thalassemia patient (study at RSUD Tidar Magelang in 2019) Adiratna, Widia
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study is to analyze the factors associated with adherence score to iron chelation treatment in thalassemia patients at RSUD Tidar Magelang in 2019. Methods: Quantitative methods are used in this research.An analytical study was carried out with a cross-sectional design with total sampling. Subjects were thalassemia patients who had routine transfusions at RSUD Tidar in 2019.A list of patients was obtained from the transfusion visit book at Thalassemia’s Room, RSUD Tidar. Primary data was collected by interview using a standardized questionnaire. Interview with parents is done for respondents below 16 years old. The statistical test used was Pearson correlation and Independent sample t-test. Results: Of the 90 patients on the list, 84 were successfully interviewed. From that, 54 (64,4%) patients had an adherence score of iron chelation medication below the average. Duration of taking medication from patients was 1-16 years with an average of 7.5 years Results of bivariate analysis show that age (p=0,086;r=-0,189),sex (p=0,737;r=0,190),knowledge about thalassemia (p=0,000;r=0,491-0,554),knowledge about iron chelation (p=0,000;r=0,554), family support (p=0,000;r=0,570), health workers support (p=0,000; r=0,468), duration of taking medicine(p=0,040;r=-0,224),side effects (p=0,000;r=-0,518),access to hospital (p=0,403) and type of iron chelation (p=0,023). Conclusions: It can be concluded that knowledge about thalassemia, knowledge about iron chelation, family support, health workers support, side effects of medicine, type of iron chelation, duration of taking medicine have a significant relationship with adherence score to taking iron chelation in thalassemia patient. Update on knowledge related to thalassemia and iron chelation is needed for patients and their families. Attention and motivation from families and health workers are needed, especially for patients who are bored with treatment.
Epidemiological investigation of COVID-19 transmission at takziah cluster: The case from Gunungkidul Yogyakarta Adiratna, Widia
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Up to 1.5 years of the pandemic, Gunungkidul Regency reported approximately 12 types of clusters, one of which was the Takziah Cluster in Dusun Panggang I, Giriharjo, Panggang. On March 27, 2021, the Gunungkidul Regency Health Office received a report of 6 people from a family who were symptomatic with positive RT-PCR results. It is known that the family head of the family died with probable status. Epidemiological investigations are carried out to determine the magnitude of the problem, contact history with the suspect, and prevent the spread of the case. Method: This research uses a descriptive approach. Cases are people in Dusun Panggang I who have an epidemiological relationship with people who take part in takziah activities with positive RT-PCR results. Data were collected by interview and secondary data obtained from the Puskesmas and the Health Office. Results: Cases started from probable who were buried without a health protocol. A total of 40 confirmed cases were found through mass screening of 630 residents on March 27- April 26, 2021 (Attack Rate=6.50%) with 2 deaths (Case Fatality Rate=4.88%). The majority of cases were women (73.17%) and aged >60 years (41.46%). The most common symptoms experienced were fever (43.34%), cough (34.15%), and fatigue (29.3%). From the interviews, family and neighbors gather to cook and mourn without maintaining distance, and wearing masks are not correct. Conclusions: There has been a transmission of COVID-19 in Dusun Panggang I caused by a takziah event. The lack of proper use of masks and crowding without keeping a distance is one of the risk factors for transmission during takziah. Takziah by following health protocols is mandatory during the COVID-19 pandemic. Education and clear enforcement of regulations from local governments are very much needed.
Co-Authors Ari Udiyono Lintang Dian Saraswati