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PENGARUH TINGKAT SPIRITUALITAS TERHADAP KUALITAS HIDUP PASIEN HIV/AIDS Fitri, Desi Yulia; Indawati, Eli; Suliati, Suliati; Rusli, Adria; Murtiani, Farida
Jurnal Ilmu Kesehatan Masyarakat Vol 19 No 3 (2023)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v19i3.37292

Abstract

Perkembangan epidemi infeksi Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS) menjadi masalah di seluruh dunia termasuk Indonesia. Penderita HIV/AIDS dalam kehidupan sehari-hari dituntut untuk mampu menghadapi masalah yang kompleks, baik fisik, psikis, maupun spiritual. Kompleksitas masalah yang dihadapi berdampak pada kualitas hidup penderita HIV/AIDS. Tujuan penelitian ini mengetahui pengaruh tingkat spiritualitas terhadap kualitas hidup pasien HIV/AIDS. Metode kuantitatif dengan rancangan penelitian deskriptif korelasional menggunakan pendekatan cross sectional. Sampel penelitian ini adalah pasien baru HIV yang pengobatan ARV sebanyak 44 pasien. Hasil penelitian menunjukkan rata-rata skor spiritualitas adalah 111,5 dan sebagian besar dengan tingkat spiritualitas kategori baik. Rata-rata skor kualitas hidup adalah 108,23 dan sebagian besar dengan tingkat kategori baik. Hasil uji statistic P value = 0,000 berarti ada pengaruh tingkat spiritualitas terhadap kualitas hidup pasien HIV/AIDS dengan korelasi kuat kearah postif.
Risiko Infeksi COVID-19 Pada Tenaga Kesehatan Ciuputri, Pauline; Isfandiari, Muhammad Atoillah; Nugroho, Anita Puspitasari Dyah; Hendrawati, Nunung; Herlina, Herlina; Murtiani, Farida
Jurnal Kesehatan Komunitas Vol 10 No 2 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss2.1765

Abstract

Healthcare workers are one of the groups at risk of COVID-19 infection. This study aims to determine the incidence of COVID-19 infection among healthcare workers in the Hospital. The research method used is cross-sectional. The study was conducted at Sulianti Saroso Infectious Disease Hospital (SSIDH) in March 2022. The sample in this study consists of healthcare workers at SSIDH who were infected with COVID-19, totaling 234 people. The source of secondary data is surveillance reports of healthcare workers infected with COVID-19 based on data from January-February 2022. The independent variable is the unit of work, and the dependent variable is COVID-19 infection. Data analysis was done univariately and bivariately. The results show that the majority of COVID-19 infections occurred in the category of more than 1x (>1x) with a total of 119 subjects (50.8%). High-risk work units in this study are the ICU, ER, Radiology, Laboratory, Central Surgical Installation, and negative pressure care rooms. Further analysis using the Chi-Square test yielded a P-value of 0.000. The conclusion drawn is that there is a relationship between work units and COVID-19 infection among healthcare workers.
Korelasi Kadar Prokalsitonin (PCT) Dengan Rasio Neutrofil Limfosit (RNL) Pada Pasien COVID-19 Apriliani, Isnawati; Fajrunni’mah, Rizana; Djajaningrat, Husjain; Widiantari, Aninda Dinar; Murtiani, Farida
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 1 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i1.855

Abstract

BACKGROUND: Covid-19 treatment should be done early before the disease progress. Inflammatory biomarker is needed to ascertain the severity of disease as soon as possible.  Neutrophil-to-lymphocyte ratio (NLR) and Procalcitonin (PCT) are two of biomarker that are clinically used around the world. NLR is simpler, can routinely be done and available in peripheral region while PCT is more effective to describe inflammation. PURPOSE: This study aims to determine the correlation of procalcitonin (PCT) levels with neutrophil lymphocyte ratio (NLR) in COVID-19 patients. METHOD: This study is an analytic observational with a cross sectional design. We extracted data from medical record. Samples were 415 COVID-19 patients undergoing inpatient care at the Budhi Asih Hospital, East Jakarta for January - December 2021. RESULTS: Prevalence of male patients more than ≥60 years were 78 patients (18,8%) while female patients were 68 patients (16,4%). Average of PCT level was 1,93 ng/mL (0,02-200 ng/mL). Average of NLR was 5,09 cells/mm3 (0,22-31 cells/mm3). Spearman test proved there was a significant correlation between PCT and NLR levels in COVID-19 patients (p value = 0,0001). CONCLUSION: The higher the PCT level, the higher the NLR value in COVID-19 patients.
Effectiveness Of Electronic Pediatric Triangle Assesment Flipchart To Nurse Knowledge Wasilah, Wasilah; Maryani, Maryani; Nuraidah, Nuraidah; Murtiani, Farida
Media Keperawatan Indonesia Vol 6, No 3 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.3.2023.184-190

Abstract

This study aims to determine the effectiveness of electronic PAT flipchart to the Nurse’s knowledge. The research is Quasi Experiment without control group. The sample was the nurses in the emergency room and the pediatric inpatient room who met inclusion and exclusion criteria.We collected sample using total sampling technique and collected 46 samples. Our study showed that knowledge score before the intervention was 16.37 and most of them had good knowledge, namely 38 (82.6) while after the intervention was 19.22 and most of them had good knowledge, namely 45 (97.8). We proved significant difference in knowledge scores before and after giving the PAT electronic flipchart (Pvalue=0.000).
Screening for Latent Tuberculosis Infection using Interferon-Gamma Release Assay Test among Healthcare Workers Rosamarlina, Rosamarlina; Mariana, Nina; Sundari, Titi; Setianingsih, Tri Yuli; Jahiroh, Jahiroh; Pertiwi, Intan; Widiantari, Aninda Dinar; Setiawaty, Vivi; Murtiani, Farida
Global Medical & Health Communication (GMHC) Vol 11, No 2 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i2.10927

Abstract

Healthcare workers (HCWs) represent a significant demographic for screening latent tuberculosis infection (LTBI) due to their potential exposure to infectious patients. Tests based on immunology detection, such as the tuberculin skin test (TST) and the interferon-gamma release assay (IGRA), have been pivotal in diagnosing LTBI. The objective of this study was to evaluate the efficacy of the IGRA test in detecting LTBI compared to the TST among HCWs in an infectious disease hospital. In a cross-sectional study conducted in August 2019 at the Sulianti Saroso Infectious Disease Hospital, we examined 84 HCWs selected through consecutive sampling. Participants were assessed using questionnaires, and the IGRA and TST tests were performed. The findings revealed that 42 (50%) HCWs tested positive for LTBI based on the IGRA test. Most were female, aged 36–45 years, had direct exposure to TB patients, and had been in the healthcare profession for over a decade. The concordance between the TST and IGRA test, as indicated by a κ value, was 0.234. Furthermore, a significant correlation was observed between the incidence of LTBI and the duration of the healthcare profession (p=0.016). In conclusion, our research suggests that both TST and IGRA tests can effectively detect LTBI. The IGRA test had a higher positivity rate among HCWs with over ten years of service. 
Diphtheria Outbreak among Children in 2017–2018: a Single Centre Study in Indonesia Aliza, Nur; Maemun, Siti; Yoenoes, Dedet Hidayati; Syafendra, Mega Oktariena; Amin, Desrinawati Muhammad; Afrina, Yeni; Rahmawani, Atika; Aryanto, Dara Tyas Putri; Murtiani, Farida
Global Medical & Health Communication (GMHC) Vol 11, No 2 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i2.10951

Abstract

Diphtheria is an acute infectious disease caused by the bacterium Corynebacterium diphtheriae. Accurate and prompt diagnosis is essential for effective case management, predicting disease prognosis, preventing complications, and ensuring cost-effective medical intervention. This study aimed to assess the variety of clinical symptoms exhibited by pediatric diphtheria cases during an outbreak. An observational cross-sectional study was conducted using data from the medical records of pediatric diphtheria cases at Sulianti Saroso Infectious Disease Hospital from November 1, 2017, to February 28, 2018. The study involved 202 cases, and statistical analysis was performed using the chi-square test. Out of the 202 cases, 58.4% were male. Age distribution was <1 year: 7.4%, 1–2 years: 3.5%, >2–5 years: 24.8%, >5–12 years: 45.5%, and >12 years: 18.8%. Anamnestic findings revealed the presence of fever in 88.1% of patients, pain upon swallowing in 73.3%, and cough in 55.4%. Clinically, every patient exhibited pseudomembrane formations. Other findings included bilateral tonsillar involvement in 53%, lymphadenopathy in 40.1%, bullneck in 17.8%, and snoring in 7.9%. Four significant variables were associated with the diphtheria diagnosis: fever, snoring, bullneck, and snoring (p<0.05) respectively. Clinical signs and symptoms are pivotal in establishing a diphtheria diagnosis in pediatric cases.
Profile of Clinical, Radiological and Laboratory Pattern in TB-HIV Coinfection in National Infection Centre of Indonesia Rosamarlina, Rosamarlina; Hatta, Mochammad; Murtiani, Farida; Widiantari, Aninda Dinar
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 13, No 2 (2024): September 2024
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v13i2.3959

Abstract

Background: The study aims to map TB (Tuberculosis) – HIV (Human Immunodeficiency Virus) patients based on clinical, radiological, and laboratory patterns. Objective: This study is expected to provide previous research investigating radiologic and laboratory examinations in TB-HIV patients. Method: We conducted a cross-sectional study based on medical records of TB-HIV patients at RSPI Sulianti Saroso from January 2004 - March 2017. Samples were 240 TB-HIV patients from a population of 1014 People Living with HIV/AIDS (PLWHA). Inclusion criteria were PLWHA, aged over 18 years, diagnosed with TB with completed medical record status. Result: Characteristics of the majority of patients were in the productive age group (99.2%) with an average age of 33 years and male sex (78%). The main symptom is cough (91.7%) and cough with phlegm (59.1%). Most patients (83.37%) have not received ART (Anti-Retroviral Therapy). Pulmonary physical examination showed that most patients had Ronchi (95.8%) while others got wheezing (5%). Laboratory tests revealed an initial CD4 cell count of 71.6 cells/ml and a negative Acid-Fast Bacillus (AFB) smear (59.2%). The patient's radiology was mainly with an infiltrate (82.5%); most infiltrate was presented in apex (52.4%). Conclusion:  The majority of TB-HIV coinfected patients are young males, presenting with common TB symptoms, low CD4 counts, and negative AFB smears, complicating diagnosis. Radiological findings frequently show infiltrates, particularly in the apex. These findings emphasize the importance of early diagnosis and ART initiation to improve outcomes in TB-HIV coinfected patients
Anemia in Human Immunodeficiency Virus Infection: Exploring the Interplay Between Antiretroviral Therapy, Opportunistic Infections, Iron Status, and Anemia Murtiani, Farida; Tanjungsari, Dian Wahyu; Shidiq, Achmad; Herlina, Herlina; Dinar Widiantari, Aninda; Nurhayati, Nurhayati; Wirasmi, Sundari; Despitasari, Mieska; Yulianto, Aris; Hendarwan, Harimat
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.848

Abstract

Background:Anemia is a prevalent hematological complication among individuals with Human Immunodeficiency Virus (HIV), contributing significantly to increased morbidity and mortality. This study investigates the intricate relationships between antiretroviral therapy (ART), opportunistic infections (OIs), iron metabolism, and anemia in HIV-positive patients in Indonesia. Objective:To elucidate the multifactorial associations among ART regimens, opportunistic infections, iron biochemical parameters, and anemia development in individuals living with HIV. Method:A cross-sectional epidemiological study was conducted at Sulianti Saroso Infectious Disease Hospital, Indonesia, from July to November 2023. The study involved 300 adult HIV-positive patients undergoing ART, with exclusion criteria encompassing pregnant or postpartum individuals, those with recent blood transfusions, and patients with chronic kidney diseases. Data collection included anemia status, ART regimen details, history of opportunistic infections, and iron metabolic profiles (serum iron, total iron-binding capacity [TIBC], and ferritin levels). These were obtained through systematic medical record reviews and laboratory diagnostics. Descriptive statistics, bivariate, and multivariate analyses were employed to explore predictive factors for anemia. Results:The study identified an anemia prevalence of 24.3%, with significantly higher rates among female patients (p = 0.004) and older age groups (p = 0.031). Multivariate regression analysis highlighted critical predictors of anemia: second-line ART (adjusted odds ratio [AOR]: 2.536, p = 0.028), serum iron concentrations (AOR: 0.984, p < 0.001), ferritin levels (AOR: 1.002, p = 0.023), and absolute lymphocyte count (AOR: 0.516, p = 0.003). Conclusion:The findings emphasize the necessity of longitudinal monitoring of hematologic and biochemical parameters to enhance anemia management in HIV-infected populations. The complex interplay between ART regimens, immune status, and iron metabolism underscores the importance of tailored, patient-centered clinical interventions.  Keywords:anemia; HIV; antiretroviral therapy; opportunistic infections; iron metabolism
Pengaruh Edukasi melalui Video Animasi terhadap Pengetahuan dan Sikap Ibu Hamil Primigravida Trimester III tentang Persiapan Persalinan Agustin, Agustin; Darmawan, Flora Honey; Nurhayati, Fitri; Murtiani, Farida; Norma, Norma
Jurnal Peduli Masyarakat Vol 6 No 4 (2024): Jurnal Peduli Masyarakat: Desember 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i4.4705

Abstract

Pimigravida merupakan fase penting dalam kehidupan seorang wanita, di mana banyak perubahan fisik dan emosional terjadi. Selama periode ini, ibu hamil sering kali mengalami kecemasan dan ketidakpastian mengenai proses persalinan dan perawatan bayi baru lahir. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan video animasi terhadap pengetahuan dan sikap ibu hamil trimester ketiga primigravida terkait persiapan persalinan. Penelitian ini menggunakan desain pra-eksperimental dengan pendekatan one-group pretest dan posttest. Penelitian dilakukan di RW 05 Desa Cikadu, Sindangkerta, Kabupaten Bandung Barat pada tahun 2023. Populasi penelitian adalah semua ibu hamil trimester ketiga primigravida di RW 05 Cikadu tahun 2023. Teknik pengambilan sampel menggunakan Total sampling, dengan total 31 partisipan. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Wilcoxon. Hasil penelitian sebelum diberikan pendidikan menunjukkan bahwa lebih dari setengahnya, yaitu 19 orang (61,3%) ibu hamil trimester ketiga primigravida memiliki pengetahuan yang kurang, dan 5 orang (16,1%) memiliki sikap negatif. Setelah diberikan pendidikan, lebih dari setengahnya, yaitu 20 orang (64,5%) memiliki pengetahuan yang baik, dan seluruhnya (100,0%) memiliki sikap positif. Berdasarkan hasil uji Wilcoxon, ditemukan adanya pengaruh pemberian pendidikan melalui media video animasi terhadap pengetahuan dan sikap ibu hamil trimester ketiga primigravida dengan nilai p 0,000 < alpha (0,05). Oleh karena itu, dapat dikatakan bahwa pemberian pendidikan melalui media video animasi berpengaruh terhadap pengetahuan dan sikap ibu hamil primigravida di trimester ketiga.
Ko-Infeksi TB-HIV terhadap Kegagalan Pengobatan Pasien Tuberkulosis Resistan Obat di Indonesia Laili, Fitrianur; Ronoatmodjo, Sudarto; Murtiani, Farida
The Indonesian Journal of Infectious Diseases Vol. 10 No. 2 (2024): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v10i2.309

Abstract

Latar belakang: Tuberkulosis merupakan infeksi oportunistik utama di antara orang dengan infeksi HIV. Berdasarkan data Kemenkes RI bahwa prevalensi ko-infeksi TB-HIV pada pasien Tuberkulosis Resisten Obat (TB RO) di Indonesia tahun 2021-2022 sebanyak 3,1%. Sedangkan angka kegagalan pengobatan TB RO berkisar 50–55% (target 20%) di Indonesia. Tujuan: Menganalisis ko-infeksi TB-HIV terhadap kegagalan pengobatan pasien TB RO di Indonesia. Metode: Desain studi penelitian ini menggunakan kohort retrospektif dengan data Sistem Informasi Tuberkulosis (SITB) tahun 2022-2023 di Indonesia dengan total sampling sebanyak 4.261 subyek. Analisis data dilakukan dengan uji chi-square, uji stratifikasi dan regresi logistik berganda dengan metode backward. Hasil: Sebanyak 68,0% pasien TB RO dengan ko-infeksi TB-HIV mengalami kegagalan pengobatan di Indonesia pada tahun 2022-2023. Pasien ko-infeksi TB-HIV memiliki risiko 2,3 kali lebih besar (95% CI: 1,6 – 3,2) untuk mengalami kegagalan pengobatan TB RO dibandingkan pasien tanpa ko-infeksi TB-HIV setelah dikontrol variabel usia. Kesimpulan: Pasien ko-infeksi TB-HIV memiliki risiko lebih tinggi terhadap terjadinya kegagalan pengobatan TB RO di Indonesia.