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Survival analysis of diabetes mellitus and cardiovascular patients with COVID-19: a secondary data analysis Nugroho, Ariyanto; Fadlilah, Siti; Susanto, Herry; Damayanti, Santi; Suharto, Agus; Sugiyarto, Sugiyarto
Public Health of Indonesia Vol. 10 No. 2 (2024): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i2.788

Background: Patients with diabetes mellitus (DM) and cardiovascular disorders who suffer from COVID-19 may have an increased risk of death. Objective: This study aims to analyze the time of death and influencing factors in patients with DM and cardiovascular disorders with COVID-19. Methods: We used a retrospective observational cohort study using medical records of COVID-19 patients treated at Dr Soeradji and Penembahan Senopati hospitals from March 2020 to June 2022. There were 2,959 participants: patients without comorbidities, with DM, and with cardiovascular problems. We extracted sociodemographic and clinical data on patient characteristics using medical records. Data analysis used Kaplan-Meier and Cox regression analysis to estimate survival probability and investigate predictors of death with a 5% significance level. Results: The median survival time was highest in the group without comorbidities (70.00) and lowest in the DM+others group (21.75). Years of treatment, age, presence of comorbidities, and type of hospital were related to the survival rate of COVID-19 patients (p<0.05). Diabetes mellitus and cardiovascular system disorders are significantly associated with survival of COVID-19 patients (p<0.001). There were significant differences between patients without cardiovascular disorders and patients with cardiovascular disorders (Non-Hypertension, Hypertension, and Hypertension + Others) adjusted by year, gender, age, and hospital type (p<0.001). There were significant differences between patients without DM and patients with DM (DM only, DM+Hypertension, and DM+Others) adjusted by year, gender, age, and hospital type(p<0.001). Conclusion: Years of treatment, age, gender, comorbid DM, and cardiovascular problems are associated with the survival rate of COVID-19 patients. Older age, DM patients who have comorbidities other than hypertension, and patients with cardiovascular issues other than hypertension show a greater risk of death than other groups. Key words: COVID-19, Diabetes Mellitus, Hypertension, Cardiovascular Diseases, Survival Rate.

Emergency Situations and the Elderly: A Discussion Paper Priastana, I Ketut Andika; Artawan, I Kadek; Fadlilah, Siti
Babali Emergency and Disaster Research Vol. 1 No. 1 (2023): June
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bedr.2023.1111

Introduction: This discussion paper aims to explore the unique challenges and considerations regarding emergency situations involving elderly individuals. As the global population continues to age, understanding how to effectively respond to emergencies involving older adults becomes increasingly important. This paper discusses various factors that contribute to the vulnerability of the elderly during emergencies, such as physical limitations, cognitive impairments, social isolation, and existing health conditions. It also addresses strategies for emergency preparedness, response, and recovery that can help mitigate risks and enhance the well-being of older adults during crises. Method: This paper is based on literature research. Databases include ScienceDirect, PubMed, and the EBSCO Cumulative Index of Nursing and Allied Health Literature (CINAHL). Key Issues: The following are the primary implications and key findings related to emergencies involving the elderly: vulnerabilities of the elderly, individualized emergency preparedness, community outreach and education, caregiver and family involvement, specialized healthcare and medical services, psychological support, and long-term recovery and resilience. Conclusion: Recognizing the vulnerabilities of the elderly during emergencies and taking appropriate measures is vital for ensuring their safety. It is important to promote customized preparedness strategies tailored to each individual, raise awareness and educate communities about this issue, involve caregivers and families in the process, offer specialized healthcare and psychological support, and prioritize long-term recovery and resilience efforts.

PERBEDAAN KAPASITAS VITAL PARU ANTARA PEROKOK DENGAN BUKAN PEROKOK Fadlilah, Siti; Sucipto, Adi; Aryanto, Eddy; Sumarni, Sumarni
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.72

Cigarette smoke can interfere with the diffusion process so that O2 supply decreases into the tissues causing hypoxia and disturbed cell metabolism and CO2 increases in the blood and decreased vital lung capacity. The aim of this study is to determine the difference in lung vital capacity between smokers and nonsmokers. This type of research is a comparative quantitative study with cross sectional design. The population in this study were all male students of Nursing Study Program at one campus in Yogyakarta as many as 98 people. The sampling technique used was accidental sampling with a sample of 30 smokers and 30 non-smokers. Data collection tools using a questionnaire and measurement of lung vital capacity using a Spirometer. Bivariate analysis using Chi Square test. The vital lung capacity in the majority of smokers experiences mild restriction, as many as 17 people (56.6%). While the lung's vital capacity in the majority of Non-Smokers groups experienced mild restriction as many as 27 people (90%). The bivariate analysis results of the p-value of 0,000 (p <0.05). There is a difference in the vital lung capacity between smokers and nonsmokers in the Nursing Force Study Program Student at a University in Yogyakarta.

Hubungan tingkat pengetahuan orang tua tentang kesehatan gigi dengan terjadinya karies pada anak prasekolah di TK Aisyiyah Bustanul Athfal Fadlilah, Siti
Journal of Oral Health Care Vol. 7 No. 1 (2019): 2019
Publisher : Poltekkes Kemenkes Yogyakarta

Preschool children are a period of growth for children. Dental caries is often observed among preschool children. The Basic Health Research reports that the prevalence rate of caries in Indonesia reaches 25.9%. This condition is very saddening because preschool-children need their parents to take care of their health, particularly dental health. In this case, parents’ knowledge is very much needed in providing more guidance and care in order that the children do not have dental caries. To was aimed at identifying the correlation between parents’ knowledge of dental health with the prevalence of dental caries among preschool children at Aisyiyah Bustanul Athfal Nursery School, Wedomartani, Ngemplak, Sleman, Yogyakarta. This research was a correlation analysis with a cross-sectional design. The subjects were parents, particularly mothers, whose children studied at Aisyiyah Bustanul Athfal Nursery School. It was a simple random sampling technique with 64 respondents. The data collection instrument consisted of a questionnaire and an observation sheet. The data were analyzed with the Spearman Rank statistics. This research found that the knowledge of dental health of 50.0% of the parents was categorized as good, the dental caries prevalence of the children were 71,9%. The research hypothesis was accepted with a p-value of 0.023 and the correlation coefficient was 0.285. There was a significant correlation between the parents’ knowledge of dental health with the prevalence of dental caries among preschool children at Aisyiyah Bustanul Athfal Nursery School, Wedomartani, Ngemplak, Sleman, Yogyakarta.

Survival analysis of COVID-19 outcomes in pregnant and non-pregnant women: A secondary data study Retnaningsih, Listyana Natalia; Fadlilah, Siti; Suharto, Agus; Widaryanti, Rahayu; Sugimoto, Hiroshi; Arifin, Hidayat
Pediomaternal Nursing Journal Vol. 11 No. 1 (2025): VOLUME 11 NO 1 MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i1.65421

Introduction: Pregnant women are a population vulnerable to health problems. The morbidity and mortality of pregnant women with COVID-19 are higher compared with the rest of the population. This study aims to determine the survival rate of pregnant versus non-pregnant women with COVID-19. Methods: The study used a retrospective observational cohort design. Data were collected from Dr Soeradji Tirtonegoro and Penembahan Senopati hospitals on patients treated between March 2020 and June 2022. A total of 923 women diagnosed with COVID-19 were included in the study. Sociodemographic and clinical data on patient characteristics were extracted from medical records. Data analysis was conducted using Kaplan-Meier and Cox regression analyses to estimate survival probability and investigate predictors of death, with a 5% significance level. Results: Among 932 women with COVID-19, 231 deaths occurred. The median survival time for all participants was 30.56 days, while for pregnant women, it was 11.21 days, and for pregnant women with comorbidities, it was 9.68 days. Years of treatment, age, comorbidities, number of comorbidities and pregnancy were associated with survival rate (P-value < 0.001). Consistent results were also obtained for pregnant women’s age and number of comorbidities (P-value < 0.05). Significant differences between pregnant and non-pregnant patients remained after adjustment for year, sex, age and hospital type (P-value < 0.001). Conclusion: Pregnant women with COVID-19 have a higher risk of death compared with non-pregnant women. Keywords: comorbidity; COVID-19, female; pregnant women; survival analysis

Rapid Diagnostic Test (RDT) untuk Mencegah Penularan Covid-19 di Kabupaten Sleman Yogyakarta Fadlilah, Siti; Nugroho, Ariyanto; Widayati, Ririn Wahyu; Wiyani, Cristin
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 6 No 4 (2022): November
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v6i4.5379

Corona Virus Disease 19 (Covid-19) masih menjadi sebuah penyakit pandemi di dunia. Jumlah positif Covid-19 di seluruh dunia 8 Juli 2020 mencapai 11.939.555, sembuh 6.841.773 dan meninggal 545.586. Jumlah kasus di Indonesia per tanggal 8 Juli 2020 sebanyak 68.079, dengan angka kesembuhan 31.585, dan kematian 3.359. Angka kejadian di DI Yogyakarta dikonfirmasi sebanyak 349, dengan kesembuhan 285 orang, dan kematian 8 orang (2,3%). Untuk mencegah penularan Covid-19 diperlukan adanya tes massal untuk penapisan awal pada orang yang dicurigai. penapisan awal dilakukan oleh Dinas Kesehatan Kabupaten Sleman dengan melibatkan relawan dari perawat anggota DPD PPNI Kabupaten Sleman. Penapisan awal dengan metode rapid diagnostic test (RDT) antibodi. Relawan perawat bertugas mengambil sampel darah vena yang digunakan untuk pemeriksaan. Pemeriksaan dilakukan dengan peserta kluster salah satu swalayan di Jalan Magelang Yogyakarta. Pemeriksaan RDT dilaksanakan sebanyak 3 tahap dan masing-masing tahap dibagi dua shift petugas. Pemeriksaan RDT didapatkan hasil dari 1.324 peserta, sebanyak 53 orangÂ (4.0%) dinyatakan reaktif (positif). Peserta dengan hasil RDT reaktif kemudian menjalani tes diagnostik lanjutan.

Health Promotion Through Audio Visual and Simulation Effectively Reduces Children's Anxiety Due to Hospitalization Fadlilah, Siti; Damayanti, Santi; Wijayanthi, Rachma Sukma; Widayati, Ririn Wahyu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Preschool-aged children who are hospitalized are prone to anxiety. This anxiety, if not treated, can hinder the treatment process, and the length of treatment will increase. This study aims to determine the effect of health promotion using audio-visual media and simulations on the anxiety of hospitalized children in Mimika, Papua, Indonesia. The research used a quasi-experimental with a pretest-posttest control group. The sample used the control and intervention groups with 24 people in each group, the sampling technique used consecutive sampling. The instruments used were animated videos about medical devices and procedures, medical devices for simulation, standard operating procedures, observation sheets, and the Modified Yale Preoperative Anxiety Scale (mYPAS) anxiety questionnaire. Bivariate analysis is Paired T-Test and Independent T-Test: The intervention group decreased the average posttest anxiety score more than the control group (30.0 more than 5.4). Bivariate test between gender and age with anxiety showed p less than 0.05. The pretest-posttest comparison in the control and intervention groups was p=0.343 and p=0.000. At the same time, the comparison of posttest between the control and intervention groups showed p=0.002. Age and gender are related to the anxiety of pediatric patients. Health promotion and simulation of health tools and measures effectively reduce anxiety in pediatric patients.Abstrak: Anak usia prasekolah yang dirawat di rumah sakit rentan terhadap kecemasan. Kecemasan ini jika tidak diobati dapat menghambat proses pengobatan, dan lamanya pengobatan akan bertambah. Penelitian ini bertujuan untuk mengetahui pengaruh promosi kesehatan menggunakan media audio visual dan simulasi terhadap kecemasan anak rawat inap di Mimika, Papua, Indonesia. Penelitian menggunakan eksperimen semu dengan pretest-posttest control group. Sampel menggunakan kelompok kontrol dan intervensi dengan jumlah masing-masing 24 orang, teknik pengambilan sampel menggunakan consecutive sampling. Instrumen yang digunakan adalah video animasi tentang alat dan prosedur medis, alat simulasi medis, prosedur operasi standar, lembar observasi, dan kuesioner kecemasan Modified Yale Preoperative Anxiety Scale (mYPAS). Analisis bivariat adalah Paired T-Test dan Independent T-Test: Kelompok intervensi mengalami penurunan rata-rata skor kecemasan posttest lebih besar dibandingkan kelompok kontrol (30,0 lebih dari 5.4). Uji bivariat antara jenis kelamin dan usia dengan kecemasan menunjukkan p kurang dari 0,05. Perbandingan pretest-posttest pada kelompok kontrol dan intervensi adalah p=0,343 dan p=0,000. Sementara itu, perbandingan posttest antara kelompok kontrol dan intervensi menunjukkan p=0,002. Usia dan jenis kelamin berhubungan dengan kecemasan pasien anak. Promosi kesehatan dan simulasi alat dan tindakan kesehatan secara efektif mengurangi kecemasan pada pasien anak.

Terapi Bekam Basah guna Memperbaiki Status Hemodinamik pada Pasien Hipertensi Sucipto, Adi; Fadlilah, Siti; Muflih, Muflih
Faletehan Health Journal Vol 10 No 02 (2023): Faletehan Health Journal, July 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i02.446

The increasing number of patients and the threat of complications make hypertension need to be watched. Non-pharmacotherapeutic treatment of hypertension can implement wet cupping therapy. This study aimed to determine the effects of wet cupping on the pulse and blood pressure of hypertensive patients. This research used a quasi-experimental method with pretest and posttest control group design. The samples consisted of control and intervention group consisting of 40 respondents in each and were selected by consecutive sampling technique. Wet cupping intervention was carried out once by a nurse as an assistant. The instrument used standard operating procedures, cupping tools, a digital sphygmomanometer, and an observation sheet. The statistical test used paired t-test and Wilcoxon test. The difference test used independent t-test and Mann Whitney. The control group experienced an increase in pulse and diastolic (3.98 times/minute and 1.77 mmHg), while the systolic was decreased (5.9 mmHg). The intervention group experienced a decrease in pulse, systolic and diastolic (1.05 times/minute, 8.13 mmHg, and 3.75 mmHg). The bivariate test in control group on the pulse, systolic, and diastolic variable showed p value of 0.035, 0.773, and 0.106. The bivariate test in the intervention group on the pulse, systolic, and diastolic variable showed p value<0.001, <0.001, and 0.001. The difference test on the pulse, systolic, and diastolic variable obtained p value of 0,057, 0.003, and 0.079. Cupping therapy effectively reduces hypertensive patients' pulse and blood pressure so that it can be used as an inexpensive therapeutic option.

PERBEDAAN KAPASITAS VITAL PARU ANTARA PEROKOK DENGAN BUKAN PEROKOK Fadlilah, Siti; Sucipto, Adi; Aryanto, Eddy; Sumarni, Sumarni
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.72

Cigarette smoke can interfere with the diffusion process so that O2 supply decreases into the tissues causing hypoxia and disturbed cell metabolism and CO2 increases in the blood and decreased vital lung capacity. The aim of this study is to determine the difference in lung vital capacity between smokers and nonsmokers. This type of research is a comparative quantitative study with cross sectional design. The population in this study were all male students of Nursing Study Program at one campus in Yogyakarta as many as 98 people. The sampling technique used was accidental sampling with a sample of 30 smokers and 30 non-smokers. Data collection tools using a questionnaire and measurement of lung vital capacity using a Spirometer. Bivariate analysis using Chi Square test. The vital lung capacity in the majority of smokers experiences mild restriction, as many as 17 people (56.6%). While the lung's vital capacity in the majority of Non-Smokers groups experienced mild restriction as many as 27 people (90%). The bivariate analysis results of the p-value of 0,000 (p <0.05). There is a difference in the vital lung capacity between smokers and nonsmokers in the Nursing Force Study Program Student at a University in Yogyakarta.

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