Diffah Hanim
Department of Public Health Sciences, Faculty of Medicine, Universitas Sebelas Maret, Surakarta 57126, Indonesia

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Perbedaan Kecenderungan Somatisasi Antara Mahasiswa Semester IV yang Memiliki Tingkat Kecemasan Tinggi dan Rendah di Fakultas Kedokteran Universitas Sebelas Maret Surakarta . Arifa; Djoko Suwito; Diffah Hanim
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Somatization disorder is the presence of somatic complaints (physic) which can not be found the adequate medical explanation. Anxiety is a feeling disorder which characterized by a feeling of fear or concern that deep and sustained. Anxiety can occur in the fourth semester students. This research aims to find out is there any difference of the somatization tendencies between semester IV students who have high and low levels of anxiety in Medical Faculty of Sebelas Maret University Surakarta. Methods: This was an analytic observational research with case-control design. The subject were fourth semester students in Medical Faculty of Sebelas Maret University who meet established criteria. The sampling technique using total sampling of a large population of 237 people. The data analysed by using SPSS for Windows version 17.0 programme with the normality test by Shapiro-Wilk continued by Mann-Whitney because the data that taken was not normal distribution. Results: Students with high anxiety level was obtained an average IRS score of 15.75 and SD 6.883. Students with low anxiety level was obtained an average IRS score of 5.33 and SD 3.467. The difference of somatization tendencies between semester IV students who had high and low levels of anxiety generate significant value (p = 0.000) Conclusions: There were difference of somatization tendencies which statistically significant betweet semester IV students who had high and low levels of anxiety. Students who had high level of anxiety are more likely to experience somatization compared to students who had low level of anxiety. Keywords: Level of anxiety, somatization tendencies, medical students.
The Differences of Schizoid Personality Score on Medical Students of Sebelas Maret University Years 2013 with High and Low Emotional Quotient Ivonny Rembulan Zilmi; Aris Sudiyanto; Diffah Hanim
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Emotional quotient is needed to control emotional changes during teenager. Teenager is also known with personality finding. Personality is a combination of emotional, attitudes, and behavior patterns of individuals. Some teenagers may have a personality disorder. Schizoid personality is one of the exsample of personality disorder. Someone with schizoid personality is tilted to be alone, over introspection, do not have best friend (only one friend) and do not want to have a relation like that and also not sensitive with rules or social habit. This research aims to see the differences of schizoid personality score on medical students of Sebelas Maret University years 2013 with emotional quotient high and low. Methods : This is an observational analytic research with case control studies approach. The research was done in Faculty of Medicine Sebelas Maret University Surakarta. Sample used are medical students years 2013 who are 18-21 years old. The sampling method used was purposive sampling after inclusive and exclusive selection based on research criteria. Dependent variable is schizoid personality, and independent variable is emotional quotient. Research subject completed (1) informed consent, (2) L-MMPI questionnaire, (3) emotional quotient questionnaire, (4) schizoid personality questionnaire. As much as 72 data were collected and analyzed using Mann Whitney. Result : There are 72 samples who 18 years old (30.6 %), 19 years old (53.8 %), 20 years old (11.1 %) and girls (68.1 %). Students with high emotional quotient have schizoid personality score lower, and vice verca. The averages of schizoid personality score on high emotional quotient is 62.19 and on low emotional quotient is 69.83 (p = 0.000). Conclusion : Statistically, there is a significant differences of schizoid personality score on medical students of Sebelas Maret University years 2013 with high and low emotional quotient. Keywords : schizoid personality, emotional quotient
HUBUNGAN ASUPAN ENERGI, PROTEIN, VITAMIN B6, NATRIUM DAN KALIUM TERHADAP STATUS GIZI PADA PASIEN GAGAL GINJAL KRONIK DENGAN HEMODIALISIS Risda Sari; Sugiarto Sugiarto; Ari Probandari; Diffah Hanim
Jurnal Akademika Baiturrahim Jambi Vol. 6 No. 2 (2017): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v6i2.27

Abstract

Latar belakang. Pada pasien gagal ginjal kronik dengan hemodialisis beresiko hingga 80% mengalami status gizi buruk akibat kurang energi protein gizi, yang pada akhirnya menyebabkan morbiditas dan mortalitas. Selain asupan energi dan protein pada pasien GGK HD ini  juga beresiko mengalami defisiensi atau kelebihan satu atau lebih mikronutrien baik vitamin atau trace elemen. Hal ini dapat terjadi karena asupan yang tidak adekuat, adanya gangguan absorbsi karena akibat obat atau toksin uremik, gangguan metabolisme atau akibat selama proses hemodialisis. Tujuan. Penelitian ini mengetahui dan menganalisis hubungan asupan energi, protein, natrium dan kalium dengan status gizi berdasarkan Subjective Global Assessment (SGA)  pada pasien gagal ginjal dengan hemodialisis.Metode. Desain penelitian ini cross sectional dengan subjek penelitian dipilih secara consecutive sampling. Jumlah sampel 142 orang. Penelitian ini dilakukan di RSUD Dr Moewardi Surakarta pada bulan Februari-Maret 2017. Karateristik subjek, asupan energi, protein, natrium dan kalium diperoleh dengan wawancara dan 3x24 jam food recall, Status gizi diperoleh dengan wawancara dari kuisioner SGA. Data bivariat dianalisis dengan uji Chi Square. Data multivariate dengan uji regresi logistik.Hasil. Asupan energi yang adekuat 43 subjek (30,3%), rata-rata asupan energi subjek 1229 kkal±406,07 kkal, asupan protein yang adekuat 47 subjek (33,1%), rata-rata asupan protein 44,73 gr ±14,94 gr, asupan vitamin B6 yang adekuat 40 subjek (28,2%), rata-rata asupan vitamin B6 0,7 mg±0,76 mg, asupan natrium yang adekuat 46 subjek (32,4%), rata-rata asupan natrium 424,37 mg±267,76 mg, asupan kalium yang adekuat 40 subjek (28,2%), rata-rata asupan kalium 928,57 mg±523,80 mg.Tidak ada hubungan asupan energi, asupan vitamin B6, dan natrium  dengan status gizi berdasarkan SGA (p =0,273 ; p=0,734; p=0,678),  ada hubungan asupan protein dan kalium dengan status gizi berdasarkan SGA (p=0,000 OR= 0,140 (0,062-0,313); p=0,000 OR =0,124  (0,054-0,284).Dari hasil uji multivariate asupan kalium paling berhubungan dengan status gizi berdasarkan SGA p=0,000 OR=0,124. Asupan makronutrien dan mikronutrien yang adekuat  memberikan kontribusi 24,4% terhadap status gizi baik berdasarkan SGA sebesar 24,4%. Kesimpulan. Adanya hubungan asupan protein dan kalium yang adekuat dengan status gizi berdasarkan SGA pada pasien gagal ginjal dengan hemodialisis, memperkuat teori bahwa perlu adanya pemantauan secara berkala mengenai asupan pasien gagal ginjal dengan hemodialisis untuk mencegah terjadinya malnutrisi pada pasien GGK HD.
HUBUNGAN ASUPAN MAKANAN, SUPLEMENTASI Fe DAN ASAM FOLAT DENGAN KADAR HEMOGLOBIN PADA IBU HAMIL RIWAYAT KURANG ENERGI KRONIS DAN ANEMIA SAAT MENYUSUI (THE RELATIONSHIP OF FOOD INTAKE, Fe AND FOLIC ACID SUPPLEMENTATION ON HEMOGLOBIN LEVEL IN PREGNANT WOMEN) Indah Kusumawati; Dono Indarto; Diffah Hanim; Suminah Suminah
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 39 No. 2 (2016)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v39i2.5155.

Abstract

Pregnant women with past history of CED have a higher risk 2,76 times to suffer anemia than normal pregnant women. Fe and folic acid supplementation is one program to overcome iron deficiency anemia in the pregnant women in Boyolali but the incidence rate of anemia remains high (42,9%). This study was to analyze the relationship of food intake, Fe and folic acid supplementation on hemoglobin level in pregnant women with history of CED and anemia of breastfeeding women. This research study used analytic observation with cross sectional approach. The subject of 42 breastfeeding women with past history of CED and anemia in the third trimester of pregnancy in five public health centers in Boyolali. Data of supplementation and nutrient intake was obtained by interview. Nutritional status was determined using upper arm circumference and BMI. Hemoglobin level was measured by using cyanmethemoglobin method. Statiscally analyzed using correlation and multiple regression tests. The breastfeeding women had low food intake (<70% RDA) including macro and micro nutrients. Food intake and nutritional status in breastfeeding women negatively affected hemoglobin level in breastfeeding women (B=-0,005; p=0,040 and B=-0,134; p=0,016 respectively). Fe and folic acid supplementation in pregnant women  with CED and anemia significantly influenced hemoglobin level during breastfeeding (B=0,720; p=0,016). Completed supplementation of iron-folic acid in pregnant women with CED and anemia could increase 0,720 g/dL hemoglobin levels during breastfeeding.Ibu hamil dengan kurang energi kronis (KEK) berpeluang menderita anemia 2,76 kali dari pada ibu hamil normal. Suplementasi Fe dan asam folat merupakan salah satu cara mengatasi anemia defisiensi besi tetapi angka kejadian ibu hamil di Kabupaten Boyolali dengan anemia masih tinggi (42,9%). Penelitian ini bertujuan menganalisis hubungan asupan makanan, suplementasi Fe dan asam folat dengan kadar hemoglobin pada ibu hamil riwayat KEK dan anemia saat menyusui. Jenis penelitian observasional analitik dengan pendekatan cross sectional. Subjek penelitian 42 ibu menyusui dengan riwayat KEK dan anemia pada trimester III dari lima Puskesmas di Boyolali. Data suplementasi Fe dan asam folat serta asupan zat gizi diperoleh dengan wawancara. Status gizi ditentukan dengan LILA dan IMT. Kadar hemoglobin ditentukan dengan metode cyanmethemoglobin. Analisis statistik menggunakan uji korelasi dan multivariat regresi ganda. Hasil menunjukkan bahwa asupan energi, lemak, karbohidrat, zat besi dan asam folat pada ibu menyusui termasuk kategori defisit (<70% AKG). Asupan makanan dan status gizi ibu menyusui berhubungan negatif terhadap kadar hemoglobin saat menyusui (B=-0,005, p=0,040 dan B=-0,134, p=0,016). Suplementasi Fe dan asam folat pada ibu hamil riwayat KEK dan anemia berhubungan secara signifikan terhadap kadar hemoglobin saat menyusui (B=0,720, p=0,016). Dapat disimpulkan bahwa suplementasi Fe dan asam folat pada ibu hamil KEK dan anemia berpeluang menaikkan 0,720 g/dL kadar hemoglobin ibu saat menyusui.