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All Journal Indonesian Journal of Global Health research Jurnal Siti Rufaidah Papua Medicine and Health Science
afriyanti, uni
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Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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The Relationship Between Constipation and Physical Activity and the Recurrence of Hemorrhoids in the Working Area of Pelambuan Public Health Center, Banjarmasin Wati, Irma; Afriyanti, Uni; Rosefa, Wika Rispudyani; Sary, Era Widia
Papua Medicine and Health Science Vol. 2 No. 1 (2025): Vol. 2 No. 1 (Juni 2025) : Papua Medicine and Health Science
Publisher : Fakultas Kedokteran, Universitas Papua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64141/pmhs.v2i1.24

Abstract

Lifestyle changes and demographic shifts have contributed to the rising prevalence of non-communicable diseases in developing countries, one of which is hemorrhoids. Hemorrhoids are a common anorectal condition with a high recurrence rate, influenced by factors such as constipation and physical activity. Constipation increases intra-abdominal pressure during defecation, while low levels of physical activity slow intestinal motility. Additionally, vigorous physical activity can increase pressure on the hemorrhoidal veins due to excessive strain on the anal region. This study aimed to examine the relationship between constipation and physical activity and the recurrence of hemorrhoids in the working area of Pelambuan Public Health Center, Banjarmasin. A correlational analytic design with a cross-sectional approach was used, involving a total sampling of 83 respondents with a history of hemorrhoids. Data were collected using a constipation questionnaire based on the Rome III criteria and the Global Physical Activity Questionnaire (GPAQ). Analysis using the Spearman’s Rank Correlation Test showed a significant relationship between constipation and hemorrhoid recurrence (p = 0.000 < α = 0.05), as well as between physical activity and hemorrhoid recurrence (p = 0.000 < α = 0.05). It can be concluded that both constipation and physical activity are significantly associated with hemorrhoid recurrence. Individuals with hemorrhoids are advised to consume high-fiber foods, maintain regular bowel habits, and perform vigorous physical activities properly as preventive measures against recurrence.
Association of Gender and Body Mass Index With Hemorrhoid Recurrence at Pelambuan Public Health Center, Banjarmasin Aisyah, Siti; Afriyanti, Uni; Sary, Era Widia; Hadriyanti, Dessy
Papua Medicine and Health Science Vol. 2 No. 1 (2025): Vol. 2 No. 1 (Juni 2025) : Papua Medicine and Health Science
Publisher : Fakultas Kedokteran, Universitas Papua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64141/pmhs.v2i1.26

Abstract

Non-communicable diseases are a major health burden in developing countries, one of which is hemorrhoids. Hemorrhoids are abnormal anorectal conditions commonly characterized by anal bleeding. Hemorrhoids have the highest recurrence rate among anorectal disorders. Various factors may contribute to hemorrhoid recurrence, including gender and body mass index (BMI). In males, hemorrhoids may be caused by more intense physical activity, while in females, they may be influenced by the hormone progesterone, which inhibits contractions in the digestive tract. Excess BMI or body fat levels can lead to increased intra-abdominal pressure, which is considered a contributing factor to hemorrhoid recurrence. This study aimed to determine the association of gender and body mass index with hemorrhoid recurrence at Pelambuan Public Health Center, Banjarmasin. A correlational analytical design with a cross-sectional approach was employed, involving total sampling of 83 respondents with a history of hemorrhoids. Data were collected using a questionnaire. Analysis using the Chi-Square statistical test showed a significant association between gender and hemorrhoid recurrence (p = 0.035 < α = 0.05), as well as between body mass index and hemorrhoid recurrence (p = 0.001 < α = 0.05). It is concluded that gender and body mass index are significantly associated with hemorrhoid recurrence. Hemorrhoid sufferers are advised to maintain regular physical activity, a healthy body weight, nutritious eating habits, and avoid excess fat accumulation as preventive measures against recurrence.
Factors Associated with the Incidence of Dyspepsia in the Working Area of Teluk Tiram Public Health Center, Banjarmasin City Marini, Tjitra; Afriyanti, Uni; Pramono, Yosra Sigit; Hadrianti, Dessy
Papua Medicine and Health Science Vol. 2 No. 1 (2025): Vol. 2 No. 1 (Juni 2025) : Papua Medicine and Health Science
Publisher : Fakultas Kedokteran, Universitas Papua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64141/pmhs.v2i1.27

Abstract

Dyspepsia is a common digestive disorder and is classified as a non-communicable disease with a high prevalence in Indonesia, including in the working area of Teluk Tiram Public Health Center, Banjarmasin City. Several factors such as age, gender, dietary patterns, and stress are suspected to contribute to the incidence of dyspepsia. This study aims to identify the factors associated with the incidence of dyspepsia in the specified area. A quantitative method with a cross-sectional design was employed. The sample consisted of 106 respondents selected through purposive sampling based on inclusion and exclusion criteria. Data were collected using a questionnaire and analyzed using Spearman’s rank correlation test. The results showed significant associations between age (p=0.000), gender (p=0.034), dietary patterns (p=0.000), and stress (p=0.000) and the incidence of dyspepsia. The strength of the relationships based on Spearman correlation values was as follows: gender (r=0.206, weak), age (r=–0.462, moderate), dietary patterns (r=–0.949, strong), and stress (r=0.554, moderate). It can be concluded that these factors significantly contribute to the incidence of dyspepsia, with dietary patterns emerging as the most dominant factor. Targeted educational interventions focusing on dietary and stress management should be strengthened, particularly among vulnerable groups such as the elderly and women.
The Effectiveness of Autogenic Relaxation on Sleep Quality and Fatigue Levels in Cancer Patients Undergoing Chemotherapy Afriyanti, Uni; Ra’uf, Muhammad; Negara, Candra Kusuma; Prawira, Ricky
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6829

Abstract

Fatigue and sleep disturbances are two common symptoms experienced by cancer patients undergoing chemotherapy. These conditions negatively impact quality of life and the effectiveness of treatment. One promising non-pharmacological approach is autogenic relaxation, a relaxation technique that combines self-suggestion, controlled breathing, and focused attention on bodily sensations to achieve physical and mental calmness. This study aims to evaluate the effectiveness of autogenic relaxation in improving sleep quality and reducing fatigue levels in cancer patients undergoing chemotherapy. The study employed a quasi-experimental design with a pretest–posttest and control group. A total of 30 patients were divided into two groups: intervention (n = 15) and control (n = 15). The sampling technique used was purposive sampling. The intervention was conducted for two weeks, twice a day, using an audio guide. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), and fatigue was assessed using the Fatigue Assessment Scale (FAS). The intervention group showed a decrease in mean PSQI scores from 11.2 to 8.1 (p = 0.017) and FAS scores from 34.5 to 28.3 (p = 0.031). Data analysis was performed using the Shapiro–Wilk normality test, followed by the Wilcoxon test for analysis within groups, and the Mann–Whitney test for between groups. The control group did not show any significant changes. These results indicate that autogenic relaxation stimulates a physiological relaxation response that contributes to improved sleep and reduced fatigue. Autogenic relaxation is an effective and applicable non-pharmacological supportive intervention for cancer patients during chemotherapy.
Hubungan Kemandirian Lansia dalam Pemenuhan Kebutuhan Dasar dengan Kualitas Hidup di Yayasan Uma Kandung Banjarmasin Malinda Ayu Sri Melati; Agustina, Anita; Afriyanti, Uni
Jurnal Siti Rufaidah Vol. 3 No. 3 (2025): AGUSTUS :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i3.216

Abstract

Elderly life is characterized by a decline in biological, psychological, and social functions. This condition often limits the ability of the elderly to meet basic needs independently, which ultimately can affect their quality of life. Independence in daily activities is a crucial factor because it is directly related to physical and psychological well-being. A good quality of life in the elderly reflects not only physical health but also social, emotional, and environmental aspects. Therefore, research on the relationship between elderly independence and quality of life is important, especially for elderly people living in social institutions such as the Uma Kandung Foundation in Banjarmasin. This study used a quantitative approach with a cross-sectional design. The study sample consisted of 110 elderly people selected using a purposive sampling technique. The instruments used included the Katz Index questionnaire to measure the level of independence of the elderly in meeting basic needs, and the WHOQOL-BREF to assess quality of life. Data were analyzed using the Spearman Rank test to examine the relationship between the two variables. The results showed that the majority of elderly respondents were in the partially dependent category (76.4%), while the quality of life of the majority of respondents was in the sufficient category (75.5%). The Spearman Rank test yielded a significance value of p = 0.000 with a correlation coefficient of r = -0.665, indicating a significant relationship between elderly independence in meeting basic needs and quality of life. A negative relationship indicates that the lower the elderly's dependency or the higher their level of independence, the better their quality of life. The conclusion of this study is that independence in meeting basic needs plays a significant role in the quality of life of the elderly.
Co-Authors Anita Agustina, Anita Candra Kusuma Negara, Candra Kusuma Hadrianti, Dessy Hadriyanti, Dessy Malinda Ayu Sri Melati Marini, Tjitra Pramono, Yosra Sigit Ra’uf, Muhammad Ricky Prawira Rosefa, Wika Rispudyani sary, era widia Siti Aisyah Wati, Irma