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Hubungan Tekanan Darah dengan Skor Kualitas Hidup Terkait Kesehatan Pasien Pasca Stroke Iskemik di RSUD Dr. Moewardi A Annisa Ashliyatul Aziza; O.S Hartanto; Dhoni Akbar Ghozali
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a major cause of disability and the fourth leading cause of death. The incidence and prevalence of stroke is directly proportional to the increase in blood pressure, any increase in systolic blood pressure of 10 mmHg and a diastolic blood pressure of 20 mm Hg will increase the incidence of stroke. High blood pressure in people with stroke adversely affect the quality of life of patients. This study was conducted to determine the relationship of blood pressure with quality of life score related to patients health after ischemic stroke in RSUD Dr. Moewardi. Methods: This study was an observational analytic study with cross sectional approach. This study was conducted in August-September 2014 in Neurology Outpatient Clinic of RSUD Dr. Moewardi. Sampling was done by exhaustive sampling, the selection was done by checking the inclusion and exclusion criteria of the sample. Measuring instrument used was a questionnaire Health Related Quality of Life (HR-QOL) SF-36. Data obtained were 36 research subjects and data analysis using multiple linear regression analysis test with SPSS 20.00 for Windows. Results: Seen from the patient's blood pressure, the average systolic blood pressure 143 mmHg and the average diastolic blood pressure of 88 mmHg with an average quality of life of patients with ischemic stroke was 340.27. It was found that there was negative and significant correlation between systolic blood pressure with the quality of life of patients with ischemic stroke b = -3.86; p = 0.003 (p <0.05), there is negative correlation between diastolic blood pressure with the quality of life of patients with ischemic stroke b = -0.77; p = 0771 (p> 0.05), for confounding factors, there were negative and significant correlation between age and quality of life of patients with ischemic stroke b = -4.52; p = 0.008 (p <0.05). Adjusted R2 value = 0.59 showing 59% suitability model in population. Conclusions: Each 1 mmHg increase in systolic blood pressure will lower the quality of life score as much as 3.86 points and each 1 mm Hg increase in age would lower the quality of life score as much as 4.52 points. Keywords: Blood Pressure, Quality of Life, Ischemic Stroke
The Effect of Ischemic Stroke to Cognitive Disorders in RSUD Dr. Moewardi Arwindya Galih Desvitarini; Subandi .; Dhoni Akbar Ghozali
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is the fourth highest cause of death in the world after heart disease, cancer, and chronic lower respiratory tract disease. In Indonesia, stroke is the major cause of death, covering about 15.4% of deaths. Damage to brain cells due to stroke may cause cognitive dysfunction. Two-thirds of stroke patients may reveal cognitive degradation in various domains such as attention, language, memory, executive function, and visuospatial ability. This study aimed to analyze the effect of ischemic stroke to cognitive disorders. Method: This was an observational analytic study with cross-sectional approach which was conducted from July to September2014 at Neurology Outpatient Clinicof RSUD Dr. Moewardi Surakarta. A total of 50 subjects were obtained by fixed exposure sampling. The data were retrieved by using MoCA-Ina questionnaire and interviewing the respondents. The data were analyzed by Chi Square test and multiple logistic regression using SPSS 20.0 program for Windows. Result: Three independent variables were analyzed, which consisted of ischemic stroke, age, and level of education. Ischemic stroke was the only independent variable that associated with cognitive disorders significantly (p = 0.010). There were no association with cognitive disorders found in both age (p = 0.279 and level of education (p = 0.074). Conclusion: There is a significant association between ischemic stroke and cognitive disorders. Keywords: Ischemic stroke, cognitive disorder, MoCA-Ina
Distribusi Jentik Nyamuk di Desa Mlopoharjo Kabupaten Wonogiri Hanik Nada Amalia; Ihda Fadhilatuz Zahra; Joan Pemila; Kalayfa Nabilah Tazakka; Khairani Azlina; Titik Setyaningsih; Dhoni Akbar Ghozali
Nexus Kedokteran Komunitas Vol 7, No 1 (2018): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Pendahuluan: Demam Berdarah Dengue (DBD) adalah salah satu masalah kesehatan yang masih banyak terjadi di Indonesia. DBD disebabkan oleh infeksi virus dengue yang ditransmisikan melalui vektor nyamuk Aedes aegypti betina. Jumlah tempat perkembangbiakan nyamuk dan densitas larva menjadi faktor risiko terjadinya persebaran nyamuk. Penelitian ini bertujuan untuk mengetahui House Index (HI) dan angka bebas jentik (ABJ) di wilayah radius 200 meter dari rumah yang positif kasus DBD di desa Mlopoharjo.Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional. Data didapat secara primer melalui wawancara dan observasi lapangan secara langsung terhadap 20 rumah. Hasil: Hasil dari penelitian ini diperoleh angka HI sebesar 5% dan ABJ sebesar 95 % . Berdasarkan HI termasuk kategori Density Figure (DF) 2 yang berarti kepadatan jentik atau transmisi nyamuk Aedes aegypti dalam kategori sedang. Kesimpulam: Pada wilayah radius 200 meter dari rumah penderita DBD di desa Mlopoharjo, dapat disimpulkan DF termasuk dalam kategori sedang dan berpotensi rendah terhadap penyebaran penyakit DBD. Oleh karena tidak ditemukannya penderita DBD lainnya, wilayah tersebut tidak diindikasikan fogging dan larvasidasi.Kata Kunci : Dengue Hemorrhagic Fever; House Index; Larvae Free Index; Density Figure
Perbedaan Penurunan Fungsi Kognitif pada Pasien Stroke Iskemik Lesi Hemisfer Kanan dan Kiri Di RSUD Dr. Moewardi Adya Sitaresmi; FX Soetedjo Widjojo; Dhoni Akbar Ghozali
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a major health problem in many parts of the world and is increasing in prevalence in line with modernization. Damage to brain cells after stroke cause cognitive function disability that affect the quality of life and independence of the patient. Decline in cognitive function relates to size and location of the lesion. This research aims to find out the differences in cognitive function loss between right and left hemisphere ischemic stroke patients. Methods: This research is observational analytic study with retrospective cohort design performed in an Outpatient Neurology Clinic at RSUD Dr. Moewardi. There are 30 patients as subject consists of 14 right hemisphere and 16 left hemisphere ischemic stroke patients. Sampling techniques is exhaustive sampling. Cognitive function of patients with ischemic stroke was measured using Indonesian version of MoCA (Montreal Cognitive Assessment) questionnaires. The data collected are presented in tabular form and analyzed using the multiple linear regression analysis through SPSS 20.00 program for Windows. Results: The location of lesions influence cognitive function score significantly (p = 0,027) and there is a difference inwhich patients with left hemisphere lesion score lower cognitive functionthan patients withright hemisphere lesion with regression coefficient (? =-4.604). Age is a confounding variable on the relationship between lesion location with cognitive function. Age has negative effect on cognitive function, where the increase of age correlates with the declining cognitive function (p = 0.040; ? = 0.228-). Conclusions: The decline of cognitive function in left hemisphere ischemic stroke patients is more severe than right hemisphere ischemic stroke patients. Keywords: Cognitive Function Decline, Right Hemisphere Ischemic Stroke, Left Hemisphere Ischemic Stroke
Perbedaan Kualitas Hidup Pasien Hipertensi Ringan yang Melakukan Exercise dan Tidak Melakukan Exercise di Posyandu Lansia Saiful Hidayat; Yuliana Heri Suselo; Dhoni Akbar Ghozali
Smart Medical Journal Vol 3, No 2 (2020): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v3i2.27158

Abstract

ABSTRAKPendahuluan: Hipertensi diderita oleh sekitar 1,13 milyar orang di seluruh dunia, di mana prevalensinya lebih banyak pada lansia dan mengakibatkan penurunan kualitas hidup mereka. Exercise dapat meningkatkan kualitas hidup melalui efeknya pada peningkatan kesehatan fisik dan mental. Penelitian ini bertujuan untuk membuktikan bahwa kualitas hidup pasien hipertensi ringan yang melakukan exercise lebih baik dibandingkan pasien hipertensi ringan yang tidak melakukan exercise di posyandu lansia.Metode: Penelitian ini merupakan penelitian eksperimental quasi dengan posttest only control group design. Subjek adalah wanita berusia 45-70 tahun dengan hipertensi ringan, mampu membaca dan menulis, tidak merokok, tidak rutin meminum obat anti hipertensi, tidak memiliki penyakit terminal, dan telah rutin mengikuti kegiatan senam lansia selama satu tahun untuk kelompok pertama. Subjek berjumlah 35 orang yang dibagi dalam dua kelompok, kelompok pertama sejumlah 18 orang mendapatkan perlakuan berupa exercise berdurasi 10 menit selama 3 kali seminggu, sedangkan kelompok kedua yang berjumlah 17 orang sebagai kontrol. Kualitas hidup diukur menggunakan kuesioner SF-36 versi Bahasa Indonesia yang terdiri dari delapan domain yaitu fungsi fisik, peran fisik, peran emosional, energi, kesehatan emosional, fungsi sosial, nyeri, dan kesehatan umum. Data dianalisis menggunakan uji t independent dan Mann Whitney dengan tingkat kemaknaan α=0,05.Hasil: Kualitas hidup kelompok pertama lebih tinggi dibandingkan kelompok kedua pada semua domain. Akan tetapi, hanya tiga domain yang menunjukkan perbedaan signifikan yaitu fungsi fisik (p=0,003), peran fisik (p=0,013), dan energi (p=0,016).Kesimpulan: Pasien hipertensi ringan yang melakukan exercise memiliki kualitas hidup yang lebih baik dibandingkan pasien hipertensi ringan yang tidak melakukan exercise di posyandu lansia. Introduction: Hypertension affects around 1.13 billion people worldwide. The prevalence mostly are elderly and reduce their quality of life. Exercise improves quality of life through improving physical and mental health. This study aims to prove the quality of life of patients with mild hypertension who exercise were better than those who do not exercise at Posyandu Lansia.Methods: This study was a quasi-experimental study with posttest only control group design. Subjects were women aged 45-70 years with mild hypertension, literate, do not smoke, do not regularly take anti-hypertensive drugs, and without terminal illness. In the first group there was an additional criteria, that was had been exercising regularly for one year. Thirty-five subjects were divided into two groups, the first group of 18 people received treatment in the form of 10 minutes of exercise three times a week for four weeks, the second group of 17 people as controls. The research was conducted at Posyandu Lansia in the working area of Puskesmas Pucang Sawit, Surakarta, Indonesia. Quality of life was measured using the Indonesian version of the SF-36 questionnaire which was consisted of eight domains, namely physical function, physical role, emotional role, energy, emotional health, social function, pain, and general health. Data were analyzed using independent T test and Mann Whitney (α = 0.05).Results: Quality of life in the first group was higher than the second group in all domains, but only three domains showed significant differences: physical function (87.59 ± 11.63 vs 62.31 ± 31.13; p = 0.003), physical role (75.46 ± 33.64 vs 47.06 ± 35.22; p = 0.013), and energy (74.72 ± 14.50 vs 63.42 ± 13.76; p = 0.016).Conclusion: Patients with mild hypertension who exercise have a better quality of life than those who do not exercise at Posyandu Lansia.
Physical Activity and Low Back Pain in Medical Student Filza Febiningrum; Dhoni Akbar Ghozali; Siti Munawaroh; Yunia Hastami
Ahmad Dahlan Medical Journal Vol. 2 No. 2 (2021): November 2021
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (730.593 KB) | DOI: 10.12928/admj.v2i2.4866

Abstract

Low back pain (LBP) is a disease that can negatively affect all people with the prevalence of 38% per year. Risk factors of LBP are lifestyle and physical activities, incorrect sitting and lifting position, age, and psychological factors such as stress. Medical students become one of the risk groups of LBP due to limited time of physical activity that leads to inactivity. This research is aiming to understand the correlation between physical activity and LBP in medical students. This is an analytical observational research with cross sectional study design. The subject was 100 medical students of Sebelas Maret University who fulfill the criteria of sampling. Sampling was done using purposive sampling technique. Data was collected using IPAQ-SF (International Physical Activity Questionnaire Short Form) and Oswestry Low Back Pain Disability Index questionnaire. Data was then analyzed with Rank Spearman Correlation Test. As a result of this research, 57 medical students of Sebelas Maret University do moderate physical activity and 91 medical students have LBP with minimal disability. Results showed there was no significant correlation between physical activity and LBP with p = 0,064 (p>0,05) and there was also no significant correlation between gender and LBP with p = 0,176 (p>0,05) in medical students of Sebelas Maret University.In conclusion, there was no significant correlation between physical activity, gender, and LBP in medical students of Sebelas Maret University.
Hubungan Antara Riwayat Pekerjaan Dengan Derajat Osteoarthritis Pada Wanita Usia Di Atas 65 Tahun Deni Prasetyo Utomo; Dhoni Akbar Ghozali; Rhyan Darma Saputra; Udi Heru Nefihancoro
Plexus Medical Journal Vol. 1 No. 2 (2022): Plexus Medical Journal
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v1i2.23

Abstract

Introduction: Osteoarthritis is a chronic degenerative disease characterized by pain and joint cartilage damage. Osteoarthritis is a disease that disrupts the homeostasis of cartilage metabolism so that it damages the proteoglycan structure in cartilage caused by age, excessive joint wear, anatomic defects, mechanical or chemical stress, obesity, genetics and humoral. Osteoarthritis generally occurs in the knees, feet, shoulders, hands, spine, and hips. Certain work conditions that require more strenuous physical movements such as lifting heavy weights and going up and down stairs are a risk factor for osteoarthritis. The purpose of this study was to determine the relationship between work history and the degree of osteoarthritis in women aged over 65 years. Methods: This is an analytical observational research with cross sectional study design. The Subject in this research is medical record patient RSUD DR MOEWARDI SURAKARTA Hospital who have met the criteria. Sampling was done using simple random sampling technique. Data was collected and then analyzed using Spearman correlation test. Results: The analysis result from 46 samples using Spearman correlation test obtained a p value of less than 0.05 indicating that there is a significant relationship between work history and the degree of osteoarthritis in women aged over 65 years. Conclusion: There is a significant relationship between work history and the degree of osteoarthritis in women aged over 65 years. Keywords: Osteoarthritis; Occupational History; Degree of OA
PROFIL DAYA TAHAN KARDIOVASKULAR MAHASISWI Mukti, Ibrah Fastabiqi Bawana; Gandasari, Maharani Fatima; Ghozali, Dhoni Akbar; Wibisana, Muh. Isna Nurdin; Pribadi, Heri Purnama
Jambura Health and Sport Journal Vol 6, No 2 (2024): Agustus
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jhsj.v6i2.27074

Abstract

Daya tahan kardiovaskular (VO2Max) merupakan komponen penting untuk menentukan kebugaran jasmani seseorang. Sebagai mahasiswa Pendidikan Jasmani, Kesehatan, dan Rekreasi (PJKR) awal semester, sebaiknya memiliki daya tahan kardiovaskular yang baik karena akan menghadapi kuliah praktik yang banyak. Penelitian ini bertujuan untuk mengetahui daya tahan kardiovaskular dan penyebab yang mempengaruhi daya tahan kardiovaskular mahasiswi PJKR pada salah satu Universitas di Kabupaten Landak. Mahasiswi PJKR dipilih menggunakan Teknik random sampling. Penelitian ini menggunakan test berupa multistage fitness test (MFT) dan wawancara dengan melibatkan 18 mahasiswi PJKR. Hasil penelitian menunjukkan bahwa daya tahan kardiovaskular mahasiswi PJKR dikategorikan sangat kurang. Hal ini disebabkan karena keinginan untuk berolahraga sangatlah kurang karena minimnya sarana prasarana untuk menunjang aktifitas berolahraga. Ditemukan juga bahwa pola hidup yang kurang baik menjadi penyebab kebugarannya kurang. Berdasarkan hasil penelitian tersebut, dapat disimpulkan bahwa mahasiswi PJKR perlu meningkatkan daya tahan kardiovaskular (VO2Max) agar tidak mudah kelelahan saat melaksanakan aktifitas fisik berat. Mahasiswi PJKR sebaiknya melakukan latihan fisik seperti jogging dan senam aerobik untuk meningkatkan VO2Max. Selain itu, penting menjaga dan memperhatikan nutrisi makanan serta menjaga gaya hidup sehat  dengan lebih banyak mengkonsumsi buah dan sayuran agar daya tahan VO2Max meningkat.
Hubungan tingkat aktivitas fisik dan indeks massa tubuh terhadap agility pada mahasiswa FK UNS Pramudita, Andika Putra; Hastami, Yunia; Ghozali, Dhoni Akbar; Munawaroh, Siti
Jurnal Sport Science Vol 13, No 2 (2023)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um057v13i2p87-94

Abstract

Technology and life today have a big influence, especially on the phenomenon of people’s physical activity and body mass index, plus medical students who have a heavy study load will certainly have an influence on these two things. Low physical activity and uncontrolled body mass index will have a major impact on a person's physical fitness, one of the its components is agility. This study aims to determine the relationship between physical activity level and body mass index on agility. This research is a quantitative research with an observational study with a cross sectional approach on 35 students majoring in medicine at Sebelas Maret University who were selected using random sampling techniques. Physical activity was tested using the Indonesian version of the IPAQ SF questionnaire, BMI was tested by measuring the students' height and weight and agility was tested using the Illinois Agility Run Test. The results showed that most of the medical students fell into the moderate category of physical activity level (18 people) and normal body mass index (16 people) but were not too far from those included in the obese category (15 people), none of the students' agility fell into the category good & excellent and most of them fall into the below average (13 people) and poor (12 people) categories. The results obtained were then calculated using Spearmann correlation analysis showing that the physical activity and agility variables had a significance value of p=0.000 with a correlation coefficient of 0.646. The variables body mass index and agility have a significance value of p=0.227 with a correlation coefficient of 0.210. The relationship between the physical activity variable and agility is significant with a strong correlation, while the body mass index variable and agility has an insignificant relationship
Working Posture and Low Back Pain among Female Home Convection Workers: A Cross-Sectional Study Harahap, Aletta Khaerunnisa Putri; Ghozali, Dhoni Akbar; Munawaroh, Siti; Handayani, Selfi; Hastami, Yunia
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 1 (2024): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i1.20337

Abstract

Low back pain (LBP) is a significant contributor to global musculoskeletal disorders, often associated with uncomfortable working postures prevalent among home convection workers. This study investigates the correlation between work posture and LBP incidence in 36 female home convection workers aged 20-55, selected through total sampling. This study employed an analytical observational design with a cross-sectional approach. Conducted from March 31 to June 17, 2023, in Sragen, the study utilized RULA with an ordinal scale for posture analysis and the Modified ODI questionnaire, also employing an ordinal scale for LBP measurement. Results revealed 52.78% with low-risk and 47.22% with high-risk postures. Most LBP cases were mild (35 individuals). Kendall’s tau correlation test showed no significant relationship between work posture and LBP incidence (p-value = 0.175, p 0.05). This research concluded that there was no significant relationship between work posture and the incidence of LBP among female home construction workers. However, no significant correlation was found; 47.22% faced a high risk of other musculoskeletal disorders, highlighting the need for immediate posture changes among these workers.