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PERBEDAAN USIA DAN JENIS KELAMIN TERHADAP KETUNTASAN PENGOBATAN TB PARU DI PUSKESMAS DI KOTA KUPANG Lestari, Ni Putu Widaria Atik; Dedy, Maria Agnes Etty; Artawan, I Made; Buntoro, Ika Febianti
Cendana Medical Journal Vol 10 No 1 (2022): April (Terbitan 23, Tahun 2022)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v10i1.6802

Abstract

Tuberkolosis adalah suatu penyakit yang disebabkan langsung oleh kuman TB (Mycobacterium tuberculosis). Walaupun telah ditemukan obat-obat dalam mengatasi penyakit TB, namun jumlah kasus TB di Indonesia khususnya Kota Kupang masih banyak. Penyebab terjadinya kegagalan pengobatan TB dapat dipengaruhi oleh faktor obat, penyakit dan penderitanya sendiri. Berdasarkan faktor penderita sendiri, yaitu usia dan jenis kelamin. Semakin bertambahnya usia seseorang dapat mempengaruhi sistem imun seseorang untuk melawan infeksi. Berdasarkan jenis kelamin dapat mempengaruhi ketuntasan pengobatan dilihat dari gaya hidup laki-laki tidak sehat dibandingkan perempuan yang dapat mempengaruhi daya tahan tubuh sehingga mempengaruhi ketuntasan pengobatan TB. Tujuan penelitian ini untuk mengetahui perbedaan usia dan jenis kelamin terhadap ketuntasan pengobatan Tuberkulosis Paru di Puskesmas Kota Kupang. Metode penelitian ini merupakan analitik observasional dengan pendekatan cross sectional dengan menggunakan uji beda nonparemetik. Sampel dalam penelitian ini diambil menggunakan teknik Cluster Sampling, dimana untuk sampel diambil berdasarkan jumlah kasus TB terbanyak di Puskesmas Kota Kupang yaitu pada Puskesmas Oesapa, Puskesmas Sikumana, Puskesmas Oebobo dan Puskesmas Bakunase dengan jumlah kasus TB paru sebanyak 225 kasus. Dari jumlah kasus yang memenuhi kriteria inklusi dan ekslusi yaitu sebanyak 174 orang. Pengumpulan data menggunakan rekam medic dan dianalisis menggunakan uji Mann-whitney. Hasil berdasarkan penelitian ini dari 174 sampel, berdasarkan usia didapatkan 156 responden tuntas dalam pengobatan. Berdasarkan Jenis kelamin di dapatkan 78 responden perempuan tuntas dalam pengobatan, sedangkan untuk jenis kelamin laki-laki sebanyak 96 tuntas dalam pengobatan. Hasil Uji analisis bivariat diperoleh hasilp=0,251 (p>0,05) pada usia dan p=0,594 (p>0,005) pada jenis kelamin. Kesimpulan penelitian berdasarkan ketuntasan pengobatan Tb paru tidak terdapat perbedaan yang signifikan antara usia dan jenis kelamin terhadap ketuntasan pengobatan.
HUBUNGAN PENGETAHUAN DAN SIKAP TERHADAP PERILAKU PENCEGAHAN COVID-19 PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS NUSA CENDANA Tegu, Irwanda V. S. P; Wungouw, Herman Pieter L; Sagita, Sidarta; Dedy, Maria Agnes Etty
Cendana Medical Journal Vol 10 No 1 (2022): April (Terbitan 23, Tahun 2022)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v10i1.6813

Abstract

Kasus harian yang menurun di Indonesia tidak menjadi alasan untuk tidak menjalankan protokol kesehatan, karena walaupun sudah divaksin masih banyak masyarakat yang terinfeksi Covid-19. Pengetahuan dan sikap seseorang mempunyai peran penting dalam perilaku pencegahan virus Covid-19, dikarenakan secara teori sikap dan pengetahuan seseorang dapat langsung mempengaruhi individu untuk berperilaku dalam pencegahan Covid-19. Mahasiswa fakultas kedokteran sebagai bagian dari tenaga kesehatan telah dibekali tentang upaya pencegahan Covid-19 di tingkat perkuliahan ataupun di kepaniteraan umum, serta sebagai media promosi untuk menurunkan angka kejadian Covid-19. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dan sikap terhadap perilaku pencegahan Covid-19 pada Mahasiswa Fakultas Kedokteran. Metode jenis penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Teknik pengambilan sampel dilakukan secara stratified random sampling dengan jumlah sampel sebanyak 160 orang. Pengumpulan data menggunakan kuesioner. Analisis data yang digunakan adalah uji korelasi Rank Spearman. Hasil analisis bivariat menunjukan bahwa secara statistik terdapat hubungan yang bermakna antara Pengetahuan dan Sikap dengan Perilaku Pencegahan pada mahasiswa Fakultas Kedokteran Universitas Nusa Cendana. Kesimpulan penelitian ini terdapat hubungan yang signifikan antara Pengetahuan dan Sikap dengan Perilaku Pencegahan Covid-19 pada mahasiswa Fakultas Kedokteran Universitas Nusa Cendana
HUBUNGAN POLA MAKAN DENGAN SINDROMA DISPEPSIA PADA MAHASISWA PRE KLINIK FAKULTAS KEDOKTERAN UNIVERSITAS NUSA CENDANA Kefi, Clarensius Giovani Boni; Artawan, I Made; Dedy, Maria Agnes Etty; Lada, Christina Olly
Cendana Medical Journal Vol 10 No 1 (2022): April (Terbitan 23, Tahun 2022)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v10i1.6818

Abstract

Seseorang dengan pola makan yang tidak teratur akan mempengaruhi proses kerja lambung. Kebiasaan mengonsumsi makanan dan minuman misalnya makanan pedas atau asam, minum teh atau kopi dan minuman berkarbonasi lainnya dapat meningkatkan resiko munculnya sindroma dispepsia. Pemberian terapi yang kurang efektif untuk mengontrol gejala dispepsia dapat mengganggu aktifitas sehari-hari dan meningkatan biaya pengobatan. Tujuan penelitian ini bertujuan untuk menganalisis adanya hubungan pola makan dengan sindrom dispepsia pada mahasiswa pre klinik Fakultas Kedokteran Universitas Nusa Cendana Kupang. Metode penelitian ini menggunakan desain penelitian observasional analitik dengan rancangan cross sectional dengan menggunakan tiga kuisioner yaitu kuisioner perilaku makan, kuisioner sindroma dispepsia dan kuisioner FFQ yang telah dilakukan uji validitas dan reabilitas kuisioner. Pengambilan sampel menggunakan cara simple random sampling dan didapatkan sampel sebanyak 116 sampel. Variabel pada penelitian ini adalah pola makan (perilaku makan, pola konsumsi makanan dan minuman iritatif) dan sindroma dispepsia. Analisis data secara univariat untuk mengetahui distiribusi dari pola makan dan sindroma dispepsia dan analisis bivariate menggunakan uji regresi linear berganda untuk mengetahui hubungan antara variabel pola makan dengan sindroma dispepsia. Hasil data penelitian dari 116 responden menunjukan bahwa sebanyak 38,8% mengalami sindroma dispepsia ringan, 19,8% mengalami sindroma dispepsia sedang dan 2,6% mengalami sindroma dispepsia berat. Sebanyak 99 responden (85,3%) mahasiswa FK Undana mempunyai perilaku pola makan yang baik. Sebanyak 99 responden (85,3%) jarang mengonsumsi minuman iritatif dan sebanyak 67 responden (57,8%.) jarang mengonsumsi makanan iritatif. Dari hasil uji bivariat pada penelitian ini, menggunakan uji regresi linear berganda didapatkan hasil nilai p=0,01 dan nilai r=0,330. Kesimpulan penelitian ini terdapat hubungan pola makan dengan sindrom dispepsia pada mahasiswa pre klinik Fakultas Kedokteran Universitas Nusa Cendana Kupang.
HUBUNGAN TINGKAT DEPRESI DENGAN KUALITAS HIDUP PERAWAT RSUD PROF. DR. W Z JOHANNES DI ERA PANDEMI COVID-19 Matulessy, Giovanni Kathlix immanuel; Buntoro, Ika Febianti; Etty Dedy, Maria Agnes
Cendana Medical Journal Vol 11 No 2 (2023): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v11i2.7304

Abstract

Background: The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has caused an outbreak of Coronavirus Disease (COVID19) which affects various fields in the world, one of which is the health sector. Nurses are one group of health workers who have the largest proportion of the number with a high level of work intensity in the hospital. High levels of work intensity, difficulty establishing relationships with family members, difficulties in caring for critical patients, risk of infection, and other factors can cause psychological disorders such as depression for nurses. Depression in nurses will have an impact on emotional, cognitive, motivational changes, feelings of anxiety, restlessness, feelings of deterioration which can reduce work effectiveness and can affect the quality of life of the nurses themselves. Poor quality of life has an important role for welfare in living life and will affect health problems that may arise in the future Objective: To determine the relationship between the level of depression and the quality of life of nurses during the COVID-19 pandemic era at Prof. Dr. W. Z. Johannes Kupang Methods: This research is an observational analytic study with a cross sectional design conducted on nurses in the NICU, ICU and Komodo rooms at Prof. Dr. W. Z. Johannes Kupang, by filling in the Beck Depression Inventory II (BDI-II) questionnaire. and The World Health Organization Quaity Of Life (WHOQOL) –BREF questionnaire. The sampling technique used total sampling with 44 respondents who met the inclusion and exclusion criteria. The study was analyzed by univariate, bivariate using the chi-square test. Results: From 44 respondents, it was found that 29 respondents (65.9%) had no depression, 12 respondents (27.27%) had mild depression and 3 respondents (6.8%) had moderate depression. From 44 respondents also found 30 respondents (68.18%) had a bad quality of life and 14 respondents (31.18%) had a good quality of life. The results of the bivariate analysis test in this study obtained p = 0.035 (p <0.05). Conclusion: There is a significant relationship between the level of depression and the quality of life of nurses during the COVID-19 pandemic era at Prof. Dr. W. Z. Johannes Kupang.
THE INFLUENCE OF THE COVID-19 PANDEMIC ON THE SELF-CONFIDENCE OF CLINICAL CLERKSHIP STUDENTS, FACULTY OF MEDICINE, NUSA CENDANA UNIVERSITY Sulla, Paula Beatric Alexis; Dedy, Maria Agnes Etty; Damanik, Efrisca Meliyuita Br; Sagita, Sidarta
Cendana Medical Journal Vol 10 No 2 (2022): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v10i2.9117

Abstract

Background: COVID-19 first appeared in Wuhan Province, China in 2019 to the extent that it spread worldwide including Indonesia. COVID-19 cases have declined but vaccine targets have not been fully met, and the number of health workers who died during the COVID-19 pandemic has been one of the things that impact the confidence level of the clinical clerkship students. Objective: This study aims to identify the effect of the COVID-19 pandemic on the confidence of clinical clesrkship students at the faculty of medicine, Nusa Cendana University. Methods: The research was conducted analytically observational with a cross sectional approach conducted on 88 respondents of the Faculty of Medicine of Nusa Cendana University using google form. Sampling is performed using stratified random sampling techniques. This study was analyzed univariate and bivariate using Linear Regression tests. Result: Out of 88 respondents, 83 (94.3%) agreed to have sufficient confidence, 4 respondents (4.5%) strongly agreed to have sufficient confidence, and 1 respondent (1.1%) did not agree to have sufficient confidence. Meanwhile, 87 people (98,9%) were concerned about the pandemic of COVID-19 and 1 person (1,1%) who were not concerned about the pandemic of COVID-19 with the results of the bivariate analysis of both variables were obtained a p= 0,070. Conclusion: There was no significant effect from the COVID-19 pandemic on the confidence of clinical clesrkship students at the faculty of medicine, Nusa Cendana University.
Savitry Rambu Maudy Djunaidi Djunaidi, Savitry R. Maudy; Amat, Anita Lidesna Shinta; Rini, Desi Indria; Dedy, Maria Agnes Etty
Cendana Medical Journal Vol 11 No 1 (2023): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v11i1.10759

Abstract

Background: Hyperuricemia is a condition where there is a metabolic disorders shown by increased of uric acid levels in the serum, such excessive amount of uric acid can manifest as gout. Soursop leaf (Annona muricata L.) contains active compounds that has the potential to reduce uric acid levels in rats. Research purposes: To determine the dose of ethanol extract of Soursop leaves that can reduce uric acid levels in rat’s blood. Method: This research was a true experimental, 24 white rats (Rattus novergicus) of Sprague Dawley were divided into 6 groups consisting of the normal control group without any treatment. the negative control group was induced by chicken liver juice, the positive control group was given allopurinol 18 mg /200gBB, and the 3 treatment groups that was given soursop extract with leveled dosage (10, 40 and 70 mg/200gBW) for 12 days. The difference between uric acid before and after the treatment of each group was done using One Way Annova, followed by Post hoc analysis. The changes in uric acid levels per day of observation, were analysis using Repeated Anova, followed by Post hoc analysis. Results: Ethanol extract of soursop leaves can reduce uric acid levels in the blood and is not significantly different from allopurinol (p>0.05). Doses of 10, 40 and 70 mg/200gBW had the same effect in reducing uric acid levels in rats, with the peak of decrease occurring on day 26, specificly 1.58 mg/dl (p<0.05) Conclusion: The ethanol extract of soursop leaves (Annona muricata L.) can reduce uric acid levels in rats. Doses of 10, 40 and 70 mg/200gBW had the same effectiveness as allopurinol in lowering the levels of uric acid in rats
Hubungan Pekerjaan dan Peran Pengawas Menelan Obat Terhadap Keberhasilan Pengobatan Tuberkulosis di Kota Kupang Etty Dedy, Maria Agnes; Sagita, Sidarta; Artawan, I Made
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 5 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i5.394

Abstract

Tuberculosis is the second leading cause of death from infectious diseases in the world and Indonesia ranks third in the country with the highest burden of TB that can affect the success of treatment is the role of the Drug Swallowing Supervisor (PMO) in helping pulmonary TB patients to recover. Pulmonary TB treatment takes time which is very long, to ensure regularity of treatment required a PMO who will help sufferers during the treatment phase. World Health Recommendations Organization (WHO) in the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control since 1995 is the involvement of PMO. PMO's Role It is very important for adherence and regularity to take medication to achieve healing, prevent transmission and avoid cases of drug resistance. The purpose of this research is to determine the relationship between the role of PMO on the success of treatment of pulmonary TB patients in Indonesia Kupang City. This research method is a research with observational method analytic and cross sectional approach. The population in the study includes all patients Pulmonary TB who has completed treatment in Kupang City. The sample is 79 sample, taken using probability sampling technique. The results of the Chi Square test results obtained p-value: 0.000 (p 0.05). The conclusion of this study is that there is a relationship between the role of PMO on the success of treatment of pulmonary TB patients in Kupang City