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CHARACTERISTIC OF REPRODUCTIVE AGE WOMEN LIVING WITH HIV/AIDS IN VICTORY PLUS FOUNDATION, YOGYAKARTA, INDONESIA Rukmi, Dwi Kartika; Sari, Ike Wuri Winahyu; Lutfiyati, Afi
Jurnal Keperawatan Respati Yogyakarta Vol 7, No 2 (2020): MEI 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.859 KB) | DOI: 10.35842/jkry.v7i2.467

Abstract

Around 50% of people living with HIV/AIDS worldwide are women, and women of reproductive age are the group of women who are most infected by HIV/AIDS. Indonesia is a country that has increased the number of people with HIV/AIDS up to three folded since 2009-2014 and the number of women infected with HIV/AIDS also continues to increase. This study aims to look at the characteristics of women living with HIV / AIDS (WLWHA) in Victory Plus who are of reproductive age. This study is descriptive research with a cross-sectional approach that was conducted on 288 women with HIV / AIDS taken by purposive sampling who met the inclusion criteria in Victory Plus Foundation, Yogyakarta. Data were taken by questionnaire in March ? June 2019 and processed by univariate analysis according to the data. The results showed that respondents 100% underwent ART, they are 35.42 ± 6.91 years old, suffered HIV for 4.06± 3.21 years, and have a length of ART duration for 3.74±3.11 years. Most of WLWHA are Muslims (89,9%), Javanese (94,4%), married women (52,8%), senior high school educated (46,5%), housewives (68,8%), have living children (80,6%), have no child with HIV(87,5%), adherence on ART(85,4%), have steady sex partner (75,3%), disclosed their HIV status to their sexual partner (50,7%), disclosed their HIV status to others (50,7%), and having better health perception (73,3%). The conclusion that the characteristics of respondents are mostly Muslim, have a high school education background, work as a housewife, are married, have live children, have no children with HIV, are on ART, open to sexual partners, open to other than sexual partners and have improved health perception.
The BENAR RELAXATION THERAPY (BRT) DECREASING PSYCHOLOGIC SYMPTOMS IN DIABETES TYPE II IN CANDIBINANGUN DISTRIC Hidayati, Rizqi Wahyu; Rukmi, Dwi Kartika
Jurnal Keperawatan Respati Yogyakarta Vol 8 No 2 (2021): MAY 2021
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v8i2.606

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Diabetes prevalence in Yogyakarta is the second highest in Indonesia, and Diabetes sufferers are prone to experiencing physical and psychological disorders. Psychological disorders such as depression, stress, and anxiety are more at risk in Diabetes patients. This condition will be worsen the prognosis and outcome, so managing psychological disorders in Diabetes patients is essential. One of the efforts to manage mental disorders in Diabetes patients is non-pharmacological therapy such as Benar Relaxation Therapy (BRT). It combining between aromatherapy and Benson relaxation techniques which is effective for mild and moderate anxiety therapy. In this study, the BRT try to test the effectivity stress, anxiety, until depression. This therapy using three sickles of therapy and the dose of the aromatherapy was three drops in 20 ml of sterile water which formulated by the researcher. The aim study is evaluate the effect of Benar Relaxation Therapy (BRT) in reducing psychological symptoms in diabetes patients. This study did Quasi-experimental research with a pre-posttest without control group design. 14 adults Diabetes patients who ADL independently and have cellphones with video features in Candibinangun district purposively taken to this study. For three consecutive days, patients received therapy for 15 minutes. Their psychological symptoms were measured using the DASS 21 and PSQI questionnaires. Meanwhile, the measurement of physiological symptoms is to measure blood pressure, pulse, and blood glucose. The data processed using the T-test and Wilcoxon test according to the results of data normality. The results showed that Benar Relaxation Therapy effectively reduced psychological symptoms in the form of depression (p = 0.038) and improved sleep quality (p = 0.042). Physiologically, this therapy was also effective in lowering blood pressure (p = 0.00). However, this therapy is not significant in reducing psychological and physiological symptoms in stress, anxiety, pulse, and blood glucose levels. The conclusions is the Benar Relaxation Therapy in this study was effective in lowering depression scores and blood pressure. This therapy also improves the quality of sleep in type 2 Diabetes patients. However, this therapy significantly increases the patient's stress and anxiety and has no significant effect on pulse and blood glucose levels. Keywords: Benar Relaxation Therapy; Psychologic Symptoms
Complementary and Alternative Medicine use Among Cancer Patients Sari, Ike Wuri Winahyu; Rukmi, Dwi Kartika
Jurnal Keperawatan Respati Yogyakarta Vol 7 No 3 (2020): SEPTEMBER 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v7i3.563

Abstract

Although studies have shown that the use of complementary and alternative medicine (CAM) is common among cancer patients, there was limited data regarding CAM use among cancer patients in Indonesia. The aim of this study was to identify CAM use among cancer patients. This was a descriptive study with a cross-sectional approach conducted from July to August 2019 on 65 consenting cancer patients that selected purposively. Data were collected by sociodemographic questionnaires including a question about their CAM use. Data were analyzed using descriptive statistics. Overall, 29.2% reported that they had used or were using CAM. Herbal and vitamin supplement was the most commonly used in CAM (63.16%). Because there were still very few CAM users among cancer patients, it is important that health care professionals provide information about the CAM to the patients and aware of the extent to which cancer patients are using CAM.
Pengalaman Ibu Saat Pertama Kali Terdiagnosa HIV Rizqi Wahyu Hidayati; Dwi Kartika Rukmi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 3 (2020): Juli 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11313

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Increasing number of HIV cases were worried. The new case was found increasing 39% in sixteen years. Indonesia had 150.296 cases. ARV program and screening were used to hold the cases. On the other hand, this program had difficulties to improve because of the stigma. Most of them did not want to share their diagnosis. Because of that, self-disclosure of HIV person was an interesting thing to catch up. This aim of the research was to know the meaning of self-disclosure for mother who had seropositive HIV in Victory Plus Yogyakarta Foundation. The method was qualitative study with phenomenology design using IPA analysis. It was used in depth interview. Purposive sampling was used with inclusion criteria were mothers who were 26 to 45 years old and they had children. The result had 2 themes, there were (1) HIV was death shadow; (2) trying disappear from the world. Firstly, the person with HIV felt loneliness and darkness in their live. They also got isolation from society. Because of that, knowing what they felt and empathy for other were the only way to help them from their darkness live. Keywords: woman; HIV; seropositive ABSTRAK Peningkatan jumlah penderita HIV di dunia merupakan hal yang mengkhawatirkan. Penemuan kasus baru dalam rentang 16 tahun naik hingga 39%. Skrining awal dan penggunaan ARV merupakan upaya untuk melakukan pencegahan terhadap penyakit ini . Namun, program ini sulit untuk diupayakan karena adanya stigma. Bahkan, mayoritas penderita tidak mau membuka diri bahwa dirinya HIV positif. Oleh karena itu, keterbukaan diri merupakan hal yang menarik untuk dikaji terutama saat mereka pertama kali terdiagnosis. Tujuan penelitian ini adalah melihat makna keterbukaan diri ibu dengan seropositive HIV di Yayasan Victory Plus Yogyakarta. Penelitian ini menggunakan penelitian kualittaif dengan pendekatan fenomenologi intepretatif. Analisa data menggunakan IPA. Teknik pengambilan data menggunakan wawancara semiterstruktur. Teknik sampling menggunakan purposive sampling dengan kriteria inklusi wanita seropositive HIV berusia 26 sampai 45 tahun dan sudah memiliki anak. Jumlah partisipan yaitu 5 partisipan di Yayasan Victory Plus Yogyakarta. Hasil penelitian ini mendapatkan 2 tema untuk mencapai tujuan penelitian. Tema-tema tersebut yaitu (1) Menganggap HIV bayangan kematian; (2) Mencoba menghilang dari peredaran dunia. Oleh karena itu, seseorang yang terdiagnosa HIV untuk pertama kali merasa bahwa ia tidak memiliki arti dalam hidupnya lagi. Selain itu, mereka juga menarik diri dari lingkungan sosial. Salah satu upaya untuk membantu mereka adalah memahami arti keterbukaan dan empati pada penderita. Kata kunci: wanita; HIV; seropositif
HIV Disclosure and Quality of Life in People Living with HIV/AIDS in Yogyakarta Tutur Irfantoro; Dwi Kartika Rukmi
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 2 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.084 KB) | DOI: 10.18196/ijnp.v4i2.6989

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Background: Victory Plus Foundation is a Non-Government Organization that helps the population directly affected by HIV/AIDS in Yogyakarta. Status disclosure’s research on People Living with HIV/AIDS (PLWHA) in Victory Plus Foundation is scarce. Even though the status disclosure is one of HIV spreading prevention, it has two-sided effects, both negative and positive, so its result can affect the quality of life despite PLWHA having tried to find a support system. Therefore, it is essential to know how the quality of life of PLWHA has opened up their status.Purpose: This study aimed to determine the relationship between HIV status disclosure and the quality of life of PLWHA in the Victory Plus Foundation, Yogyakarta.Method: This descriptive-analytic correlation study with a cross-sectional approach was conducted in June-July 2019 on 68 PLWHA at the Victory Plus Foundation. Purposively, samples were asked to fill out a disclosure questionnaire and WHOQOL-BREF. Univariate data presented in descriptions and Chi-Square tested bivariate data.Result: Most of the HIV status disclosure of PLWHA in the Victory Plus foundation was classified into a moderate category (77.9%) and low quality of life (64 %). The bivariate test result found a significant relationship between the HIV status disclosures with the quality of life in general (p = 0.001) with a moderate relationship closeness (r=0.403).Conclusion: Consequently, there is a relationship between the HIV status disclosures with the quality of life of PLWHA in the Victory Plus Foundation in Yogyakarta.
The Correlation Between Being Informed on Complementary and Alternative Medicine and Its Reported Use Among Cancer Patients in Yogyakarta Ike Wuri Winahyu Sari; Dwi Kartika Rukmi
IJNP (Indonesian Journal of Nursing Practices) Vol 5, No 1 (2021): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.028 KB) | DOI: 10.18196/ijnp.v5i1.9558

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Background: Previous studies have indicated that the majority of cancer patients have used self-selected Complementary and Alternative Medicine to relieve disease-related symptoms and treatment-related adverse effects untreated by conventional treatment to improve the quality of life. Unfortunately, studies on Complementary and Alternative Medicine use among cancer patients, especially in Yogyakarta, the city with the highest cancer prevalence in Indonesia, are still limited.Objective: This present study aims to identify the correlation between being informed on Complementary and Alternative Medicine and its reported use among cancer patients.Methods: This study was a descriptive correlational study on 75 consenting cancer patients. The respondents were selected using a purposive sampling technique. Data about their Complementary and Alternative Medicine use were collected by administered questionnaires and analyzed using descriptive statistics and bivariate analysis.Results: 25.3% of respondents had used Complementary and Alternative Medicine. Being informed on Complementary and Alternative Medicine and its reported use among cancer patients were significantly correlated (r=0.331; p=0.002).Conclusion: Complementary and Alternative Medicine use among cancer patients was still limited. Health providers need to discuss Complementary and Alternative Medicine use with their patients openly.
Edukasi Kanker Payudara Pada Wanita di Desa Singkil Wetan, Kecamatan Ngombol, Purworejo Dwi Kartika Rukmi
JPKMI (Jurnal Pengabdian Kepada Masyarakat Indonesia) Vol 3, No 2: Mei (2022)
Publisher : ICSE (Institute of Computer Science and Engineering)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36596/jpkmi.v3i2.361

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Abstrak: Kanker payudara (KP) merupakan kanker dengan insiden tertinggi untuk semua jenis kanker di Indonesia. KP di Indonesia seringkali ditemukan sudah dalam stadium lanjut dan sudah sulit untuk dilakukan pengobatan. Tindakan skrining dini perlu dilakukan untuk mendeteksi sel-sel abnormal sebelum berkembang menjadi kanker yang mematikan. Sebelum menuju kearah skrining kanker payudara, masyarakat perlu untuk diberikan pemahaman terkait dengan KP, hal ini dikarenakan pemahaman yang rendah dapat menjadi faktor yang berkontribusi terhadap peningkatkan kejadian KP. Edukasi KP dilakukan pada wanita di Desa Singkil Wetan untuk mengetahui tingkat pengetahuan sebelum dan sesudah diberikan edukasi. Hasil kegiatan edukasi mendapatkan bahwa nilai pretest sebelum edukasi rata rata 51,5± 4,95 dengan nilai minimal-maksimal adalah 43-61.  Setelah diberikan edukasi didapatkan ada perbedaan signifikan (pv:0,000) untuk tingkat pengetahuan KP dibandingkan dengan tingkat pengetahuan sebelum mendapatkan edukasi. Dimana nilai posttest didapatkan rata rata 58,7 ±3,78 dengan nilai minimal-maksimal adalah 46-62. Kategorisasi tingkat pengetahuan sebelum edukasi didapatkan sebanyak 53,8% peserta berada pada kategori sedang. Setelah edukasi, sebesar 96,2% peserta berada dalam kategori tinggi untuk tingkat pengetahuan terkait kanker payudara.Abstract: Breast cancer (BC) is cancer with the highest incidence in Indonesia. BC is often found in an advanced stage and is already in a problematic condition for treatment. Early detections need to detect abnormal cells earlier before they develop into deadly cancer. Before heading towards BC screening, someone needs to understand BC itself; because low understanding can contribute to the increasing of BC incidence. BC education was carried out on women in Singkil Wetan Village to determine the level of knowledge before and after being given education. The educational activity found that the average pretest score before education was 51.5 ± 4.95 with a minimum-maximum score of 43-61. After being given education, it was found that there was a significant difference (PV: 0.000) for the level of KP knowledge compared to the level of knowledge before receiving education. The post-test score obtained an average of 58.7± 3.78 with a minimum-maximum score of 46-62. The categorization of the level of knowledge before education was found that 53.8% of participants were in the medium category. After education, 96.2% of participants were in the high category for knowledge related to breast cancer.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Terapi ARV pada ODHA di Yogyakarta Erika Agustin Wulandari; Dwi Kartika Rukmi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 5, No 3 (2021)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.642 KB) | DOI: 10.22146/jkkk.49663

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Background: Knowledge is something that can influence individual behaviour, and it is also one of the factors that can affect adherence. On the other hand, an individual who has knowledge about HIV/AIDS does not always has good adherence to ARV (antiretroviral) therapy.Objective: Determine the correlation between the level of HIV/AIDS knowledge with the adherence to ARV therapy in people living with AIDS (PLWHA) at the Victory Plus Foundation, Yogyakarta.Methods: This research was a correlative analytic study with a cross-sectional design approach. A total of 67 PLWHA who underwent ARV therapy at the Victory Plus Foundation Yogyakarta were chosen as respondents through purposive sampling technique, between May and July 2019. Data collection used the HIV/AIDS Knowledge Level Questionnaire and The Morisky Medication Adherence Scale (MMAS-8), which have been considered as valid and reliable. Somers' D Test used to analyze obtained data.Results: The level of knowledge of PLWHA in this study was in the high category (92,5%), while adherence to ARV therapy was in the moderate category (40,3%). There is no significant correlation between the level of knowledge and adherence to ARV therapy (r= 0,113; p-value= 0,153).Conclusion: The level of knowledge of HIV patients undergoing ARV therapy at the Victory Plus Foundation Yogyakarta is high and their adherence to ARV therapy is moderate, but there is no relationship between these two variables. Consequently, healthcare provider should focus on other scientific-proven factors, than HIV/AIDS knowledge, to increase ARV therapy adherence among patients for successful HIV treatment. ABSTRAKLatar Belakang: Pengetahuan merupakan salah satu faktor yang dapat memengaruhi perilaku individu dan kepatuhan. Namun, individu yang memiliki pengetahuan yang baik tentang HIV/AIDS tidak selalu memiliki kepatuhan terapi ARV (antiretroviral) yang baik.Tujuan: Mengetahui hubungan tingkat pengetahuan HIV/AIDS dengan kepatuhan terapi ARV pada orang dengan HIV AIDS (ODHA) di Yayasan Victory Plus Yogyakarta.Metode: Penelitian ini merupakan penelitian analitik korelatif dengan pendekatan desain cross sectional. Sebanyak 67 ODHA yang menjalani terapi ARV di Yayasan Victory Plus Yogyakarta dipilih sebagai responden dengan teknik purposive sampling, antara bulan Mei hingga Juli 2019. Pengumpulan data menggunakan kuesioner Tingkat Pengetahuan HIV/AIDS dan Morisky Medication Adherence Scale (MMAS-8), yang sudah valid dan reliabel. Uji Somers' D digunakan untuk menganalisis data yang diperoleh.Hasil: Tingkat pengetahuan ODHA dalam penelitian ini termasuk dalam kategori tinggi (92,5%), sedangkan kepatuhan terapi ARV dalam kategori sedang (40,3%). Tidak ada hubungan yang signifikan antara tingkat pengetahuan dengan kepatuhan terapi ARV (r= 0,113; p-value= 0,153).Kesimpulan: Tingkat pengetahuan pasien HIV yang menjalani terapi ARV di Yayasan Victory Plus Yogyakarta tinggi dan kepatuhan terapi ARV sedang, tetapi tidak ada hubungan antara kedua variabel tersebut. Dampaknya, penyedia layanan kesehatan harus fokus pada faktor-faktor ilmiah lain, selain pengetahuan HIV/AIDS, agar dapat meningkatkan kepatuhan terapi ARV di antara pasien untuk pengobatan HIV yang berhasil.
Pelatihan Pemeriksaan Payudara Sendiri (SADARI) untuk Peningkatan Derajat Kesehatan Wanita di Desa Singkil Wetan, Kecamatan Ngombol, Purworejo Dwi Kartika Rukmi; Rizqi Wahyu Hidayati; Novita Nirmalasari; Ike Wuri Winahyu Sari
The Journal of Innovation in Community Empowerment Vol 4 No 1 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i1.684

Abstract

Masalah mengenai kanker payudara masih menjadi tantangan khusus bagi wanita usia subur di Indonesia. Pencegahan yang digalangkan di Indonesia adalah dengan melakukan SADARI (Periksa Payudara Sendiri). Pemerintah Desa Singkil Wetan berusaha untuk mendapatkan informasi terkait kesehatan wanita untuk meningkatkan kualitas kesehatan wanita diwilayahnya. Salah satunya mengenai pelatihan SADARI sebagai tindak lanjut edukasi kanker payudara yang pernah dilakukan. Tujuan pengabdian ini untuk mengetahui tingkat ketrampilan sebelum dan sesudah pelatihan SADARI pada wanita di Desa Singkil Wetan. Hasil kegiatan didapatkan bahwa pelatihan diikuti oleh 26 peserta yang rata rata berusia 43,07 ± 9,82 tahun, berlatar belakang Pendidikan SMA (65,45%) dan memiliki aktivitas sebagai ibu rumah tangga (57,7%). Mayoritas peserta tidak pernah melakukan cek rutin terkait kondisi payudaranya ke dokter (96,2%), tidak dapat melakukan SADARI 61,5%, dan tidak rutin melakukan SADARI (76,9%). Setelah diberikan pelatihan didapatkan bahwa ada perbedaan yang signifikan (pv:0,000) untuk tingkat ketrampilan pemeriksaan payudara sendiri (SADARI) sebelum dan sesudah mendapatkan pelatihan dimana skor ketrampilan sebelum pelatihan untuk para peserta rata rata adalah 7,85 ± 0,97 dan skor ketrampilan setelah pelatihan para peserta rata rata adalah 12,2 ± 1,05. Kategorisasi tingkat ketrampilan dalam melakukan SADARI didapatkan sebelum dilakukan pelatihan semua peserta (100%) berada pada kategori sedang, sedangkan pada hasil kategorisasi setelah dilakukan pelatihan didapatkan bahwa sebanyak 84,6% peserta sudah berada dalam kategori tinggi dan hanya 15,4% yang masih berada dalam kategori sedang. Peningkatan motivasi untuk melakukan SADARI perlu terus diupayakan dengan memanfaatkan hasil pelatihan yang sudah didapatkan.
FAKTOR RISIKO KANKER PAYUDARA PADA WANITA DI RSUD PANEMBAHAN SENOPATI BANTUL Dwi Kartika Rukmi; Dwi Handayani
MEDIA ILMU KESEHATAN Vol 3 No 3 (2014): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The incidence of breast cancer is increasing, particularly in previously low incidence areas such as Asia. In fact in Indonesia, it is considered as the leading cancer among women in certain metro such as Yogyakarta. The exact etiology of breast cancer remains unknown but the risk factors responsible for the causation of breast cancer may be population specific. Identifying these factors holds great promise in reducing the incidence, morbidity and mortality due this disease. Objective: To unveil risk factors related to breast cancer cases in Panembahan Senopati Hospital of Bantul. Methods: This study applied case control study method with 33 respondents for either case group or control group involved inclusion criteria. Data were surveyed by using a purposeful questionnaire and data of breast cancer cases was attained from patient’s medical record. Data analysis applied Chi-Square (α=0.05) and double logistic regression. Results: Risk factors related to breast cancer cases according to multivariable analysis were; age of first pregnancy >30 years old (OR: 44,67;CI: 3,25–614,11; p=0,004), Parity History >2 children (OR: 10,07;Cl:1,59–63,91; p=0,014), age of menarche <12 (OR : 15,84; CI: 1,27–198,29;p=0,032), age of menopause >55 years old (OR: 0,007;CI: 0,00–0,18; p=0,003), and history of benign tumor infection (OR:62,15;CI: 3,33–1158,97; p=0,006). History of benign tumor infection was the risk factor with the most significant influence. The result of dual variable test with chi-square described a relation between age >30 years old, history of exclusive breastfeeding, radiation exposure, family history, and application of hormonal contraceptive. Conclusions: Risk factors that had relations to breast cancer cases were age of first pregnancy >30 years old, parity history >2 children, age of menarche <12 years old, age of menopause >55 years old, and history of benign tumor infection. Keywords: Breast cancer, risk factors