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Life Quality of Pediatric Patient with Dengue Hemorrhagic Fever (DHF) Who Received Crystalloid and Colloid Fluid Treatment in PKU Muhammadiyah Hospital Yogyakarta Nasriyah, Chotijatun; Perwitasari, Dyah Aryani; Kurniawan, Nurcholid Umam
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 19, No 2: July 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.190229

Abstract

Dengue hemorrhagic fever (DHF) in the community can have an impact of panic, death, and reduced age of hope in the family. Research on the quality of life of DHF pediatric patient who got the treatment of crystalloid and colloid fluids has never been done before. The purpose of this study was to determine the quality of life of DHF pediatric patients who received crystalloids and colloids with PedsQL instruments. The study design was a cohort with block randomization. The inclusion criteria in this study were hospitalized DHF pediatric patients aged one month -18 years from February to May 2018. The exclusion criteria were DHF patients who came with referrals from other hospitals who had received fluid therapy. Research data include the length of stay (LOS) and quality of life score with the PedsQL questionnaire. The statistical analysis was using an independent t-test and the Mann Whitney test. The length of stay for the crystalloid group is five days longer than the colloid group, which is four days. From a total of 48 subjects studied, the score for the physical function of the crystalloid fluid group 84.54 ± 9.90 was higher than the colloid group of 77.58 ± 19.30 (p = 0.125). The emotional functions in the crystalloid group obtained a score of 81.88 ± 12.14 higher than the colloid group, i.e., 79.17 ± 18.5 (p = 0.552). The social function in the crystalloid group had a score of 92.08 ± 8.84 higher than the colloid group of 86.67 ± 13.96 (p = 0.232). The school functions in the crystalloid group had a score of 50.42 ± 33.68 higher than in the colloid group of 37.92 ± 36.62 (p = 0.225). The results of this study showed that the crystalloid group had a higher quality of life score compared to the colloid group, although it was not significant. 
The Association Between Exclusive Breastfeeding and the Occurrence of Stunting Among Children Aged 12-60 Months in Community Health Centers in Yogyakarta City Asqy Dendy, Eureka Raihan; Putri, Rachma Greta Perdana; Yuniasih, Dewi; Kurniawan, Nurcholid Umam
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 1 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i1.40723

Abstract

Background: Stunting is a condition of chronic malnutrition caused by suboptimal nutritional intake due to prolonged inadequate food consumption. Stunting, also known as being short, indicates a growth failure that occurs both before and after birth. The categorization of stunting based on the World Health Organization's (WHO) standard growth reference is a deficit in length or height for age with a Z-score < -2. Symptoms of stunting usually appear after the golden period of growth (2 years old). One of the contributing factors to stunting in toddlers is an imbalanced food intake. Exclusive breastfeeding is a critical component of nutritional intake to support a child's good nutritional status. It may contribute to the prevalence of stunting.Methods: This is a quantitative study with a cross-sectional research design. The data collection consists of secondary data from stunting medical record records. The inclusion criteria of the study are children aged 12-60 months with complete data of anthropometric. Exclusion criteria are endocrine disorder, skeletal abnormalities, dysmorphic disorder, chronic disease, history of familial short stature, and constitutional delay of growth and puberty. Analysis of the data using Chi-square.Results: There is a relationship between exclusive breastfeeding and the occurrence of stunting in children aged 12-60 months at the Community Health Centre in Yogyakarta City with a p-value of 0.00 (p < 0.05).Conclusion: There is a correlation between exclusive breastfeeding and the occurrence of stunting among children aged 12-60 months in primary healthcare care in Yogyakarta City.
Description of the Nutritional Status of Children Under Five Years of Age in the Province of Yogyakarta in 2023 Kurniawan, Nurcholid Umam; Yuniasih, Dewi; Selohandono, Andrianto; Nurulita, Febrianti Putri
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.38242

Abstract

Background: The nutritional status of children under five is a measure that describes the health condition of children under five based on the balance between nutrient intake and body needs for optimal growth, development, and body function. The nutritional status of children under five in the Special Region of Yogyakarta (DIY) in 2023 includes various important indicators such as stunting, wasting, and underweight. Objective: To provide a comprehensive picture of the nutritional status of children under five in Yogyakarta in 2023. Methods: The research design used was descriptive with a quantitative approach. The population in this study was all toddlers living in the Special Region of Yogyakarta in 2023. The sampling technique is purposive sampling, so that the data taken is data on toddlers aged 0-59 months who live in DIY and are contained in the SKI 2023. The data collection method used secondary data, namely the 2023 Indonesian Health Survey (IHS) data. Results: Stunting was highest in Gunungkidul (22.2%) and lowest in Sleman (12.4%). Underweight also had a significant prevalence, especially in Bantul (14.7%) and Gunungkidul (14.5%). Wasting had the highest prevalence in Bantul (7.9%). Conclusion: The most prevalent under-five nutritional status problem is stunting.
Understanding User Acceptance of Electronic Medical Records: A Mixed method Study Listiowati, Ekorini; Pratama, Dewanto Dika; Pramayanti, Yuyun; Samsudin, Mohammad Agus; Arini, Merita; Kurniawan, Nurcholid Umam
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9: SEPTEMBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7581

Abstract

Introduction: The advancement of information and communication technology has transformed healthcare delivery into digital systems, notably through the use of Electronic Medical Records (EMRs). The implementation of EMR faces challenges, such as limited human resources, technology adaptation, and slow recording processes. This study aims to evaluate users' acceptance of EMRs and to explore the supporting and inhibiting factors affecting their implementation in a private teaching hospital in Yogyakarta. Methods: A mixed method study with a parallel convergent approach using a cross-sectional (quantitative) and descriptive exploratory (qualitative) design. The quantitative sample was determined by proportionate stratified random sampling. The survey was conducted using a questionnaire based on the Technology Acceptance Model. Qualitative informants were determined purposively and focus group discussions and in-depth interviews were conducted. Quantitative data processing used IBM SPSS version 20 and SmartPLS, while qualitative data processing used thematic analysis, then integrated to obtain a comprehensive understanding. Results: Perceived usefulness scored very good (85%), perceived ease of use was categorized as good (82%), and behavioral intention to use was also good (84%). Structural modeling showed that perceived usefulness and ease of use significantly influenced behavioral intention (p = 0.000; R² = 0.538). Qualitative findings reinforced these results, highlighting key benefits such as improved data accessibility and work efficiency. However, implementation challenges included system security, ethical concerns, and document legality. Conclusion: This study offers methodological, contextual, and conceptual novelty by emphasizing a user-driven adoption process of EMRs. Users actively influenced system design and functionality, rather than relying solely on managerial or vendor decisions. Despite challenges, EMRs have reduced administrative burdens, enhanced operational efficiency, and strengthened clinical documentation. Continuous improvement should prioritize usability, legal compliance, and responsive technical support to optimize the benefits of EMR systems.
PENGARUH PEMBERIAN EKSTRAK DAUN JAMBU BIJI (Psidium guajava L) TERHADAP GAMBARAN KLINIS DAN LAMA RAWAT INAP PADA PASIEN ANAK DENGAN DEMAM BERDARAH Akrom, Akrom; Kurniawan, Nurcholid Umam; Ridho, Ery Al
Media Farmasi: Jurnal Ilmu Farmasi Vol. 16 No. 2: September 2019
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/mf.v16i2.13500

Abstract

Demam berdarah dengue (DBD) merupakan penyakit yang disebabkan virus dengue dan sampai saat ini belum ada pengobatan kuratif untuk mengatasi kebocoran plasma. Penelitian sebelumnya melaporkan daun jambu biji berfungsi sebagai penambah trombosit namun pengujian klinis ekstraknya sebagai antidengue masih sangat terbatas. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian ekstrak daun jambu biji (Psidium guajava L) terhadap perbaikan klinis, laboratoris dan lama rawat inap pada pasien DBD di bangsal anak RS PKU Muhammadiyah Bantul Yogyakarta. Design penelitian adalah eksperimental (RCT) dengan penyamaran single blind. Terdapat 2 kelompok yaitu kelompok intervensi yang mendapatkan terapi standar dan ekstrak daun jambu biji dan kelompok kontrol yang mendapatkan terapi cairan standar WHO. Variable yang diukur adalah suhu badan, trombosit, hematokrit dan lama rawat inap. Analisis data menggunakan program SPSS. Hasil penelitian menunjukkan tidak terdapat perbedaan signifikan antar kelompok terhadap jumlah rerata trombosit pada demam hari ke 1 sampai 10 (p>0,05). Pada parameter hematokrit dan lama rawat inap tidak ditemukan perbedaan yang signifikan antar kelompok dimana nilai p lebih besar dari 0,05 (p>0,05). Pada parameter suhu badan juga tidak terdapat perbedaan sgnifikan (p>0,05). Tidak terdapat perbedaan bermakna antara kelompok intervensi dan kontrol pada parameter laboratorium,klinis maupun lama rawat inap.