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Endang Budiati
Universitas Mitra Indonesia
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F FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN PROGRAM RUJUK BALIK (PRB) PASIEN HIPERTENSI DI RSUD ALIMUDDIN UMAR KABUPATEN LAMPUNG BARAT Lia Puspita Sari; Dewi Rahayu; Aila Karyus; Dian Utama Pratiwi Putri; Endang Budiati
An Idea Health Journal Vol 4 No 01 (2024)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v4i01.135

Abstract

Referral Program (PRB) is a health service program that is provided to JKN participants with chronic diseases with stable conditions and still requiring treatment at first-level health facilities. Hypertension is a chronic disease that can only be controlled and requires long-term and even lifelong treatment so that patient compliance with hypertension treatment is required. Patient compliance is a determining factor for the success of hypertension therapy with controlled blood pressure results. This study was to determine what factors are associated with visits to the Referback Program for Hypertensive Patients at Alimuddin Umar Hospital, West Lampung Regency. The population of this study were 135 patients in the Internal Medicine Polyclinic who were included in the research criteria. This research was conducted from August 2022. This research includes quantitative research with a Cross Sectional approach. Data collection using medical records. The results showed that there was a relationship between hospital facilities and DRR visits for hypertension patients, there was a relationship between the competence of health workers and DRR visits for hypertension patients, and there was a relationship between ease of information and PRB visits for hypertension patients. The ease of information variable is the dominant variable in the referral patient visit. It is necessary to monitor and evaluate the implementation of the Referback Program, to conduct more intensive socialization regarding the Referback Program, to Health Facilities or participants about how useful this referral programs.
A Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Berat Badan Lahir Rendah Di Kabupaten Mesuji Tahun 2022 Rini Iwan Lestari; Dewi Rahayu; Endang Budiati; Sugeng Eko Irianto; Aila Karyus
An Idea Health Journal Vol 3 No 02 (2023): JULY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i02.157

Abstract

According to WHO (2020) 35.5% of infant deaths are caused by low birth weight (LBW). In Indonesia, 79.1% of deaths occur in infants. In Mesuji District, there were 97 cases of LBW from 2,786 births. The research objective was to analyze the factors associated with the incidence of low birth weight in Mesuji District. This type of quantitative research, with a case control approach design. study population, all newborns were 2,907 babies. The research sample is 124 respondents. The sampling technique was purposive sampling. The method of collecting data is by observing checking medical record books and MCH books. Based on statistical tests, it was found that there was a relationship between maternal age (p-value 0.035, OR 2.476), ANC visits (p-value 0.000, OR 24.537), maternal nutritional status (p-value 0.001, OR 4.253), and anemia (p-value 0.010 OR 3.133) with the incidence of low birth weight in Mesuji District.The ANC visit variable became the dominant variable (p-value 0.000 OR 22.624) with the incidence of LBW. Suggestions, it is hoped that the health office can facilitate increased collaboration in improving education and community empowerment in order to create public understanding of health behavior and optimal utilization of health services.
Determinants of Obstetric Ultrasound Utilization Among Pregnant Women in Efforts to Prevent the Infant Mortality Rate in Tulang Bawang Regency Afdinda Firtanti; Endang Budiati; Dewi Rahayu; Dian Utama Pratiwi Putri
Health Dynamics Vol 3, No 4 (2026): April 2026 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30404

Abstract

Background: Low utilization of ultrasonography (USG) examinations among pregnant women, at only 16.1% during the first antenatal care (ANC) visit and 18.7% during the last ANC visit, may hinder the early detection of pregnancy complications and contribute to the high infant mortality rate (IMR), which reached 34 cases in 2024 in Tulang Bawang Regency. This study aimed to analyze the determinants of USG examination utilization among pregnant women in Tulang Bawang Regency in 2025. Methods: This quantitative analytic study employed a cross-sectional design. From a population of 2,694 pregnant women in Tulang Bawang Regency in 2025, a sample of 267 respondents was selected using stratified random sampling from six primary health centers. Data were collected using questionnaires and secondary data sources. Data analysis included univariate, bivariate (Chi-square), and multivariate analyses using multiple logistic regression. Results: Of the 267 respondents, 141 (52.8%) adhered to ultrasound examinations. Knowledge (p=0.000), attitude (p=0.008), age (p=0.000), service availability (p=0.008), accessibility (p=0.000), and perception (p=0.013) were significantly associated with ultrasound examination adherence, whereas pregnancy risk status was not significantly associated (p=0.643). Age was identified as the dominant factor influencing ultrasound examination adherence (p=0.001; OR=3.660; 95% CI: 1.751–7.650). Conclusions: Ultrasound utilization among pregnant women was primarily influenced by age, accessibility, and knowledge. To improve ultrasound utilization as an innovation to strengthen ANC services, we recommend prioritizing screening among pregnant women aged <20 and >35 years, providing structured ultrasound education, implementing written scheduling systems, tiered reminders, and active follow-up for missed appointments. These efforts should be supported by flexible service hours and improved accessibility through scheduled transportation and mobile ultrasound services, subject to resource availability.
The Relationship Between Medical Staff Education and Hemodialysis Therapy Adherence to Improve Quality of Life in Patients with Chronic Kidney Disease (CKD) at RSUD Menggala Diajeng Ariwidowati; Endang Budiati; Sugeng Eko Irianto
Health Dynamics Vol 3, No 3 (2026): March 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30302

Abstract

Background: Chronic kidney disease (CKD) is a chronic condition that requires routine and continuous hemodialysis therapy. Patient adherence to hemodialysis at RSUD Menggala is crucial to prevent complications and improve quality of life. Various factors are suspected to influence adherence, including environmental factors, educational instruments/media, and individual factors. This study aimed to analyze the relationship between environmental, instrument, and individual factors and adherence to hemodialysis therapy among CKD patients at RSUD Menggala in 2025. Methods: This study used a quantitative analytical cross-sectional design to examine the relationship between healthcare professionals’ educational interventions and adherence to hemodialysis therapy among stage 5 CKD patients at RSUD Menggala in 2025. Data were collected from 84 respondents using structured questionnaires and analyzed using Chi-square and logistic regression tests with SPSS version 26 to identify factors associated with adherence to hemodialysis therapy. Results: The majority of respondents showed moderate to high adherence to hemodialysis therapy. Bivariate analysis revealed significant associations between environmental factors (p=0.004), educational instruments (p=0.003), and individual factors (p<0.001) with adherence. Patients with supportive environments, adequate educational media, and positive individual characteristics were more likely to adhere to therapy. Multivariate analysis showed that individual factors were the most dominant determinant (p=0.001; OR=12.308), indicating that patients with favorable individual factors had more than twelve times higher likelihood of adherence compared to those with unfavorable factors. Conclusion: Individual factors play the most significant role in improving adherence to hemodialysis therapy among CKD patients at RSUD Menggala.
Co-Authors Abdul Wakhid Afdinda Firtanti aila karyus aini aini aini Bambang Setiaji Cecep Jamani Dewi Rahayu Diajeng Ariwidowati Dian Utama Pratiwi Putri Dwi Yulia Maritasari Ferizal Masra Hermawan, Nur Sefa Arief Kodrat Pramudho Lia Puspita Sari Maryati Maryati Maulinda Setyaningrum Noviansyah Noviansyah Rini Iwan Lestari Santi Oktavia Sudasman, Fuad Hilmi Sugeng Eko Irianto Sugeng Irianto Sukmawati Sukmawati Syah Reza Manefo Syiefa Renanda Surya Ullya Sakinah William Arisandi Zumrotul Ula