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PENGARUH PENGETAHUAN DAN SIKAP SUAMI TERHADAP PERILAKU IBU DALAM PEMBERIAN ASI EKSKLUSIF DI DESA NEGERI SAKTI KECAMATAN GEDONG TATAAN KABUPATEN PESAWARAN Adelia Meutia Putri; Dian Isti Angraini; Sofyan Musyabiq Wijaya
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.114

Abstract

Breast milk is infant food that God made that can not be replaced with any food. Giving breast milk can increase emotional relationship between baby with their mother. The husband who is an integral part of the family and has the role of head of the family, is very necessary for his support so that exclusive breastfeeding is achieved. Some research shows that implementation on giving exclusive breastfeeding will increase if there is a family support. This research purpose is to knowing the effect of husband’s knowledge and attitude towards mother’s behavior on giving exclusive breastfeeding in Negeri Sakti Village, Pesawaran Regency. This research done with analytical observation with case control method. Data source is using secunder data from health centre’s noting and interview with a questionnaire of 60 respondents. The results shows a meaningful relation between husband’s knowledge towards mother’s behavior on giving exclusive breastfeeding in Negeri Sakti Village, Pesawaran Regency (p=0,00) with odds ratio 25,000. And there is a meaningful relation between husband’s attitude towards mother’s behavior on giving exclusive breastfeeding in Negeri Sakti Village, Pesawaran Regency (p=0,007) with odds ratio 4,571).
Penatalaksanaan Holistik pada Lansia dengan Isolated Systolic Hypertension (ISH), Suspek Retinopati Hipertensi dan Imobilitas: Penatalaksanaan Holistik pada Lansia dengan Isolated Systolic Hypertension (ISH), Suspek Retinopati Hipertensi dan Imobilitas Karimah Khitami Aziz; Dian Isti Angraini
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.130

Abstract

Isolated Systolic Hypertension (ISH) is an increase of systolic blood pressure (BP) without diastolic BP common in old age. ISH may develop from a history of chronic essential hypertension or result from arterial stiffness in normotensive person. Secondary causes of arterial stiffness are type 1 diabetes, osteoporosis with calcification, atherosclerosis, peripheral vascular disease, thyrotoxicosis and aortic disorders. Implementation of family medicine and evidence based medicine by identifying risk factors, clinical problems and management based on a patient centered and family approach. This study is a case report. Primary data were obtained through history taking, physical examination and home visit. The assessment based on the holistic initial diagnosis, process and final diagnosis by in-depth interviews, observation and notes. The patient complained of intermittent headaches and blurred vision since 1 week ago. Complaints for the first time and never been treated. The patient's concern with the complaint interferes with his activities and rest. The patient's expectation of complaints is reduced and not worsen. Patients' perceptions of complaints occur due to certain lifestyles causing diseases that are not known for sure by patient and their family. The patient was diagnosed with grade II ISH. The patient's father had history of hypertension and heart disease. The patient's treatment pattern is curative, rarely has light physical activity, lack of knowledge about the disease, inappropriate diet and eating habits, elderly age and lack of family knowledge about the disease and its complications. Functional degree 2. After the intervention shows clinical improvement and changes in behavior. ISH in the elderly with insufficient knowledge about risk factors, drug use and adherence to BP control can cause acute and advanced complications.
Hubungan Depresi, Ansietas, dan Stres dengan Status Gizi pada Mahasiswa Fakultas Kedokteran Universitas Lampung Sekar Ronna Fiskasari; Dian Isti Angraini; Muhammad Yusran
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.144

Abstract

Nutritional problems that are still faced by adolescents in Indonesia are underweight, overweight, and obesity, which are interpretations of malnutrition. Multiple factors play a role in the formation of nutritional status, including psychological factors that can be seen through depression, anxiety, and stress status. This research aimed to find the relationship between depression, anxiety, and stress with nutritional status in students of Medical Faculty Lampung University. A cross sectional research was performed involving 107 subjects, which calculated by unpaired categorical comparative formula, taken from students of Medical Faculty Lampung University by purposive sampling. Nutritional status, which determined by BMI, was measured by using body weight scale and stature meter, while depression, anxiety, and stress were measured by using Depression, Anxiety, Stress Scale 42 (DASS-42). Data were analyzed by using Chi-Square test. There were 45,5% subjects with poor nutritional status, 21,5% subjects with depression, 43,9% subjects with anxiety, and 26,2% subjects with stress. Bivariate analysis showed that there was no relationship between depression and nutritional status (p=0,321), there was no relationship between anxiety and nutritional status (p=0,100), and there was no relationship between depression and nutritional status (p=0,110). There were no relationship between depression, anxiety, and stress with nutritional status in students of Medical Faculty Lampung University.
Hubungan Otitis Media Akut Dengan Riwayat Infeksi Saluran Pernapasan Atas Pada Anak Lidya Angelina Purba; Mukhlis Imanto; Dian Isti angraini
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.145

Abstract

Children are very susceptible to Acute Otitis Media (AOM) because the anatomical shape of the eustachian tube is shorter, more flexible and more horizontal than adult. Two thirds of all children have an episode of acute otitis media in the first 3 years of life. Upper Respiratory Tract Infection (ARI) is one of the most common risk factors for causing acute otitis media (AOM) in children. This is because the inflammatory process that occurs in ARI causes damage to mucocilia, goblet cells, and mucus glands in the epithelium of the nasopharynx and middle ear. Children aged under 5 years will usually experience upper respiratory tract infections of two to seven episodes per year. Children who have frequent episodes of ARI are more likely to experience episodes of AOM. his is also in line with repeated episodes of ARI against the risk of AOM recurrence. Recurrent ARI is an ARI that occurs at least four times a year. Therefore, the diagnosis and management of ARI in children as early as possible must be done properly, so that the incidence of ARI in children does not progress to AOM. The causes of otitis media are multifactorial, the anatomical variation of the eutachian tube, and the invasive ability of the pathogen compared to the human's immune system. The diagnosis of otitis media can be confirmed by fulfilling 3 criteria: sudden appearance of the disease, found signs of effusion (known fluid) in the middle ear, found signs of middle ear inflammation.
THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND IMMUNONUTRITION INTAKE WITH IMMUNITY STATUS Dian Isti Angraini; Putu Risyaning Ayu
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.767 KB)

Abstract

Background: Immunity status is a system that protect the human body against foreign substances. Good immunity status can prevent various diseases. Several risk factors that make a person susceptible to infection is less nutritional status. Immunonutrition intake consists of some specific nutrient components that can form the immune system. This study aims to determine the relationship between nutritional status and intake of immunonutrition (proteins, zinc and iron) with the immunity status. Method: This study is an analytic observational study with cross sectional design at 78 students  of medical faculty in Lampung university. Sampling was taken by proportionated random sampling. Nutritional status was obtained from anthropometric examination using the body mass index criteria, the immunonutrition intake taken through 3x24 h food recall and the immunity status was taken by lymphocyte numbers. Result: The results showed that in general, the immunity status are good (58.97%), nutritional status are normal (66.67%), protein intake are adequate (62.82%), zinc and iron intake classified inadequate (71,79%; 65,38%). There is a significant association between the intake of protein and iron with the immunity status (p=0.004; p=0.014) and there is not significant association between nutritional status and intake of zinc with the immunity status (p=0.192; p=0.599). From the four independent variables that have a more meaningful relationship is the intake of protein and iron. Conclusion: The intake of immunonutrition (protein and iron) was associated with the immunity status. [JuKe Unila 2014; 4(8):158-165]
Penguatan Layanan Primer dalam Mencegah Kurang Energi Kronis pada Ibu Hamil di Kota Bandar Lampung Dian Isti Angraini; Delmi Sulastri; Hardisman Hardisman; Yusrawati Yusrawati
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.69492

Abstract

Prevalensi Kurang Energi Kronis (KEK) di Kota Bandar Lampung yaitu sebesar 17,36 persen. Hal ini setara dengan KEK di tingkat nasional sebesar 17,3 persen. KEK dalam kasus ibu hamil yang tidak ditangani dapat menyebabkan jumlah angka kesakitan dan angka kematian ibu dan anak menjadi tinggi. Terkait hal tersebut, Kota Bandar Lampung belum memiliki sistem, sarana dan prasarana yang baik untuk mendeteksi sejak dini keadaan KEK pada ibu hamil sehingga KEK belum bisa dicegah. Oleh karena itu, diperlukan adanya seperangkat sistem untuk mendeteksi dini melalui expert system yang bisa digunakan secara online oleh petugas kesehatan di layanan primer.
PENINGKATAN EFEKTIVITAS PROGRAM ‘SAFE MOTHERHOOD’ DI PUSKESMAS PONED DALAM MENURUNKAN AKI AKIBAT KEHAMILAN DAN PERSALINAN Efriyan Imantika; Rodiani Rodiani; Dian Isti Angraini
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I1.15159

Abstract

Angka Kematian Ibu (AKI) merupakan salah satu indikator kesehatan dan kemajuan pembangunan sebuah negara. Data SDKI tahun 2013 menunjukkan AKI di Indonesia 228/100.000 kelahiran hidup. Dari data Renstra Dinas Kesehatan Provinsi Lampung, dilaporkan oleh pemerintah dikabupaten/ kota selama 2009-2013 AKI berfluktuasi yaitu terdapat 152 pada 2011, meningkat 178 kasus tahun 2012 kemudian menurun 158 tahun 2013. Salah satu upaya pemerintah dalam menurunkan AKI ditetapkannya Program Safe Motherhood yang dimulai sejak 1997. Empat Pilar Safe Motherhood meliputi program Keluarga Berencana, Antenatal Care (ANC), Persalinan bersih dan aman, dan pelayanan Obstetri Essensial yang dilaksanakan di Pusat Kesehatan Masyarakat (Puskesmas) sebagai sarana pelayanan kesehatan tingkat pertama untuk dapat diakses seluruh lapisan masyarakat. Masih tingginya AKI di Indonesia khususnya di Provinsi Lampung menjadi perhatian khusus bagi pemerintah dalam memenuhi target pencapaian pembangunan dalam RPJM tahun 2015-2019. Tujuan kegiatan pengabdian ini diharapkan membantu mengevaluasi permasalahan yang dihadapi dalam pelaksanaan Program Safe Motherhood di Puskesmas Poned sehingga dapat lebih efektif dan berperan dalam menurunkan AKI di Indonesia khususnya Provinsi Lampung. Metode yang digunakan yaitu menetapkan tolak ukur penilaian pada evaluasi program Safe Motherhood yang belum memenuhi target di Puskesmas Panjang Tahun 2021 berdasarkan Permenkes No.4 tahun 2019. Hasil kegiatan menunjukkan bahwa Persentase capaian masing-masing pilar dalam program safe motherhood yaitu persalinan aman bersih oleh nakes di Puskesmas 79,5 %, antenatal care 72,9 %, pelayanan masa nifas 99,7 % dan program Keluarga Berencana 57,6 %.Ketercapaian program safe motherhood di wilayah kerja Puskesmas PONED Panjang meningkat sebesar 20 % dari tahun sebelumnya sehingga efektivitasnya dalam menurunkan AKI akibat kehamilan dan persalinan > 85 %.
MODEL “PIN SENJA” (PUSAT INFORMASI DAN KONSELING REMAJA) SEBAGAI UPAYA PENINGKATAN KESEHATAN REPRODUKSI REMAJA Dian Isti Angraini; Efrida Warganegara; Ety Apriliana; Novita Carolia; Merry Indah Sari; Efriyan Imantika
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I1.15011

Abstract

The PIN SENJA model (youth information and counseling center) is a model designed and modified for adolescent reproductive health and CIE activities, training on how to maintain the cleanliness and health of adolescent genital and reproductive organs and forming a PIN SENJA ambassador. This model is also designed in order to prepare family life for adolescents who are managed from, by and for adolescents in order to provide information and counseling services on reproductive health, how to protect and prevent reproductive health problems such as premarital sex, teenage pregnancy, early marriage, and genital infection. and sexually transmitted infections, HIV-AIDS, psychotropic narcotics and other addictive substances (drugs) and pornography. The aim of this program is to increase knowledge, attitudes and behavior of adolescents regarding reproductive health, improve adolescent skills to maintain personal hygiene and forming PIN SENJA ambassadors. The method that will be carried out is by providing counseling, training skills, and forming PIN SENJA ambassadors as CIE agents to 40 MA Dinniyah Putri Lampung students. The results of the evaluation of the implementation of community service showed that there was an increase in the participants' understanding by 90% which became a good understanding, and 10% of participants had sufficient understanding of reproductive health for adolescents. The CIE ability of MA Dinniyah Putri Lampung as a participant is also quite good, almost 95% of participants already understand and are able to do CIE through simulation evaluation and discussion. The mean pretest result was 57.87 and an increase in post-test results was 84. Based on the analysis using the Wilcoxon test, it was found that there was a statistically significant difference between the pretest and posttest scores of the participants regarding reproductive health (p = 0.000). Improving the ability of MA Dinniyah Putri Lampung students to conduct CIE on adolescent reproductive health in an effort to prevent adolescent health problems with the PIN SENJA model has proven effective.
Edukasi Kesehatan Tentang Pencegahan Covid-19 dalam Mendukung Program Desa Tanggap Covid-19 Fitria Saftarina; Dian Isti Angraini; Maya Ganda Ratna; Suharmanto Suharmanto; Rodiani Rodiani
Jurnal Abdimas ADPI Sains dan Teknologi Vol. 3 No. 1 (2022): Jurnal Abdimas ADPI Sains dan Teknologi
Publisher : Asosiasi Dosen Pengabdian kepada Masyarakat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47841/saintek.v3i1.79

Abstract

Since the discovery of Covid-19, it has spread widely, causing a global pandemic that continues to this day. For this reason, promotive and preventive efforts are needed for the Karanganyar Village community regarding the prevention of Covid-19. This service aims to increase public knowledge about Covid-19 prevention. The target of the activity is 30 people. This community service activity was carried out using a health education, used presentation slides, leaflets, and videos. The results obtained showed that knowledge before education was 46.3 ± 8.9, and when health education was carried out, there was an increase in knowledge to 86.7 ± 9.2. From the results of the paired-t test analysis, it was found that p < 0.001, so that health education provided to the public about the prevention of Covid-19 could increase public knowledge. For practicing WHO handwashing practices correctly, 93.3% of participants were good at washing their hands. This activity needs to be carried out on an ongoing basis by the Puskesmas and Karanganyar Village governments in an effort to break the chain of transmission of Covid-19 and support the Covid-19 Response Rural Program.
THE RELATIONSHIP OF ACADEMIC PROCRASTINATION AND ACADEMIC DISHONESTY IN UNDERGRADUATE MEDICAL STUDENTS Dwita Oktaria; Sharlene Sabrina Azzahra; Dian Isti Angraini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63137

Abstract

Background: The act of academic dishonesty is a dishonest act taken by students in completing assignments and examinations which include several attempts such as cheating and plagiarism. Studies show that 20% of students begin cheating behavior from the first year of college. One of the patterns of behavior related to academic dishonesty is procrastination. Academic procrastination is a form of behavior when someone delays starting a job or completing it.Aims: This study aims to illustrate academic procrastination, academic dishonesty, and the relationship between procrastination habits and academic dishonesty among undergraduate medical students at Faculty of Medicine, Universitas Lampung.Methods: This study is an observational analytic study using a cross-sectional design. The research respondents were 120 undergraduate medical students from Faculty of Medicine Universitas Lampung. The sampling method used proportionate stratified random sampling. Data were collected using the Procrastination Assessment Scale-Students questionnaire and the Academic Practices Survey.Results: The results of this study are processed using computer software and Gamma testing method. Obtained r = 0.464 and p = 0.428 (p>0.05).Conclusion: There is no relationship between the academic procrastination habits and academic dishonesty in undergraduate medical students at Faculty of Medicine, Universitas Lampung. 
Co-Authors Adelia Meutia Putri agustyas tjiptaningrum Ahdalifa, Pinkan Akhmad Rizki Farhan Akmal, Vina Amelia Al Supartinah Al Supartinah, Al Ali, Muhammad Chaidar Amourisva, Assyiva Putri Andriansah, M. Anggraeni, Liza Anisa Maulidia Anjaya, Putri Ulayya Aurelina, Renata Bagus Pratama Bambang Pujianto Bayu Anggileo Pramesona Daulay, Suryani Agustina Deddy Nur Wachid Delmi Sulastri Dita Rifzian, Malyca Rachmaniar Dwi Indria Anggraini Dwita Oktaria Dyah Wulan S.R Wardani Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Emantis Rosa Ety Apriliana Ety Apriliana Fathaniah, Widya Firdawati, Firdawati Fitri, Dilla Syahra Noor Fitria Saftarina Ginting, Kristian Pieri Happy, Terza Aflika Hardisman Harmaina, Harmaina Intanri Kurniati Karimah Khitami Aziz Karyus, Aila Khairun Nisa Khairunnisa, Lyliani Khairunnisa, Salma Kirana, Falahdila Rebika Kristian Pieri Ginting Leni Ervina, Leni Liana Sidharti, Liana Lidya Angelina Purba Maya Ganda Ratna Mayasari, Diana Merry Indah Sari Merry Indah Sari Miranda, Alyzah Nabila Muhammad Abdul Ghoni Sutardi Muhammad Iz Zuddin Adha Muhammad Jundi Nasrullah Muhammad Yusran Mukhlis Imanto Nisa Karimah Nisa, Lutfi Khoirun Novita Carolia Novita Carolia Novita Carolia Nurtandhee, Mutiara Putu Risyaning Ayu Ramadhan, Rifqi Ihza Ramadhana Komala Reni Zuraida Renti Kusumaningrum Samosir Riska Oktavioni Salsabilla Rizki Arisandi Rizki Hanriko Rodiani Salsabila, Hasri Aghnia Sekar Ronna Fiskasari Sharlene Sabrina Azzahra Sofyan Musyabiq Wijaya Soraya Rahmanisa Sormin, Merris Hartati Sri Hasnawati Suharmanto Suharmanto Suharmanto Suryadi Suryadi Susianti Susianti Sutarto Sutarto Taufiqy, Athaya Wachid, Deddy Nur Winata, Afriza Wiwi Febriani Wuryaningsih Dwi Sayekti Yaktiworo Indriani Yoga, M. Agung Prasetya Adnyana Yuliana Yunianto, Andi Eka Yusrawati Yusrawati Zenith Puspitawati