Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
P-Index
This Author published in this journals
All Journal Public Health of Indonesia Media Penelitian dan Pengembangan Kesehatan
Wirasmi, Sundari
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Medicine & Pharmacology Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
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
ASSESSING INDIVIDUAL PERCEPTION IN UTILIZATION OF NON-COMMUNICABLE DISEASES POST (NCDS POST) USING A HEALTH BELIEF MODEL (HBM) APPROACH Faatih, Mukhlissul; Siregar, Riswal Hanafi; Su'udi, Amir; Despitasari, Mieska; Wirasmi, Sundari; Anggraini, Anggita Bunga; Syachroni, Syachroni; Marsini, Rani; Latifa, Rivana
Media Penelitian dan Pengembangan Kesehatan Vol. 33 No. 3 (2023): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v33i3.1662

Abstract

Fasilitas Posbindu PTM telah menjadi komponen penting dalam kebijakan kesehatan. Penelitian mengungkapkan bahwa hal tersebut belum dimanfaatkan secara optimal. Penelitian ini bertujuan untuk mengetahui hubungan persepsi peserta dengan pemanfaatan Posbindu PTM. Penelitian menggunakan desain cross-sectional dan dilakukan di lima provinsi di Indonesia. Pengumpulan data dilakukan dengan wawancara dan pengisian kuesioner pada bulan Agustus-Oktober 2021. Analisis dilakukan dengan uji statistik beda mean. Kami melibatkan 420 peserta dalam penelitian ini. Hasil penelitian menunjukkan sebagian besar peserta rentan terhadap PTM (52,6%). Peserta menilai seseorang yang menderita PTM memberikan dampak yang serius (53.6%), mengelola dan memeriksa kesehatan di Posbindu PTM mempunyai manfaat dalam mencegah PTM (62.6%), seseorang yang menderita PTM menimbulkan dampak yang serius (71.4%), melakukan kegiatan yang bermanfaat untuk menjaga kesehatan secara rutin khususnya pencegahan PTM (69,0%), mempunyai kemampuan, pengendalian, dan mempunyai cara untuk mencegah PTM (65,2%). Hasil uji beda rata-rata menunjukkan bahwa rata-rata rangking seluruh penilaian persepsi HBM peserta yang aktif mengikuti kegiatan Posbindu PTM lebih tinggi dibandingkan peserta yang kurang aktif (p<0,05). Pemanfaatan aktif Posbindu PTM mempunyai hubungan dengan persepsi peserta khususnya terhadap tingkat keparahan suatu penyakit, kerentanan seseorang terhadap penyakit, manfaat mengetahui risiko kesehatan, hambatan dalam melakukan pemeriksaan kesehatan, petunjuk tindakan, dan efikasi diri pasien terhadap penyakitnya.
Co-Authors Achmad Shidiq, Achmad Anggita Bunga Anggraini Dinar Widiantari, Aninda Harimat Hendarwan Herlina Herlina Latifa, Rivana Marsini, Rani Mieska Despitasari Mukhlissul Faatih Murtiani, Farida Nurhayati Nurhayati Siregar, Riswal Hanafi Su'udi, Amir Syachroni Syachroni, Syachroni Tanjungsari, Dian Wahyu Yulianto, Aris