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Trend dan Faktor yang Berhubungan dengan Keberhasilan Pengobatan Pasien TB MDR Paduan Jangka Pendek di Indonesia 2017-2019 Nenden Siti Aminah; Ratna Djuwita
Pro Health Jurnal Ilmiah Kesehatan Vol. 3 No. 1 (2021): Pro Health Jurnal Ilmiah Kesehatan, January 2021
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.553 KB) | DOI: 10.35473/proheallth.v3i1.835

Abstract

TB problems in Indonesia are TB sensitive, Drug-Resistant TB and TB-HIV. TB-RO is the most challengging problem, the number of case finding is increase every year, but treatment rate is decrease. The use of short-term regiment since September 2017 is one of strategy to reduce default of TB treatment. This research was conducted to see trends and factors related to the TB treatment success rate among patients with Drug Resistance TB (TB RO) using Shorter Treatment Regiment (STR) in Indonesia 2017-2019. The study desain is restropective cohort. Data sources are all patients of TB RO using STR regiment, which is enrolled in the e-TB manager, Sud Directorate of Tuberculosis, MoH RI. The sampling method is total sampling that meets the inclusion and exclusion criteria. The analysis used was the chi-square test and the cox regression test. As many as 3,100 patients were included in the analysis, the trend of successful treatment of short-term mixed RO TB patients since 2017-2019 has continued to decline, with figures of 53.28%, 47.85% and 36.98%. The results of the analysis showed that factors related to treatment success were age, adherence, results of initial sputum examination of treatment, patterns of monoresistant and polyresistant resistance, and area of residence. Adherence is a dominant factor related to treatment success. Efforts should be made to strengthen compliance by conducting counseling as early as possible, PMO assistants from non-helath officers and initiating patient support groups in each MDR facility.
Peran Mindfulness Dalam Menurunkan Kecemasan pada Mahasiswa Dimoderasi Oleh Gender Nabilla Nathania; Ratna Djuwita; Joevarian Hudiyana
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.065 KB) | DOI: 10.36418/syntax-literate.v7i12.11318

Abstract

Kecemasan adalah salah satu masalah kesehatan mental yang penting untuk diperhatikan pada mahasiswa. Dari studi kepustakaan diketahui bahwa salah satu cara yang dapat menurunkan tingkat kecemasan adalah mindfulness. Namun dari penelitian terdahulu ditemukan adanya ketidakkonsistenan hubungan antara mindfulness dengan gender. Oleh dari itu penulis ingin mengetahui apakah gender dapat memoderasi mindfulness dalam menurunkan tingkat kecemasan pada mahasiswa. Metode sampling yang digunakan adalah convenience sampling, dengan jumlah partisipan 272 mahasiswa. Uji analisis yang digunakan adalah uji regresi dengan hasil p value 0.179 (p>0.05). Kesimpulan dari penelitian ini adalah tidak adanya efek moderasi gender terhadap mindfulness dalam menurunkan tingkat kecemasan pada mahasiswa.
Faktor-faktor yang Berhubungan dengan Status Gizi Lebih /Obesitas pada Remaja Siswa SMA Negeri di Kota Pekanbaru Ervira Dwiaprini As Syifa; Ratna Djuwita
Jurnal Kesehatan Komunitas Vol 9 No 2 (2023): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss2.1579

Abstract

Based on the 2013 and 2018 Basic Health Research, there was an increase in the prevalence of overnutrition and obesity in Riau province from 3.1% to 11.6%. This study aimed to analyze the factors associated with the incidence of overweight/obesity in adolescent students of public high schools in Pekanbaru City in 2023. The type of research is quantitative analytic with a cross-sectional design. The research was conducted in May-June 2023. Samples were class X and XI students in three high schools in Pekanbaru City, namely SMAN 4, SMAN 6, and SMAN 12. Sampling was done by purposive sampling. Independent variables were gender, adolescent knowledge, parental education, parental occupation, pocket money, parental obesity status, physical activity, sleep quality, fast food consumption, and sugary drink consumption. The dependent variable was overweight/obesity. Data were analyzed univariately, bivariate, and multivariate. The results showed that the dominant variable associated with overweight/obesity was parental obesity status (OR=3.12; 95% CI: 1.25-7.83). Adolescents with obese parents were three times more likely to experience overweight/obesity compared to adolescents who did not have obese parents. Other associated variables were student knowledge (OR=2.62; 95% CI: 1.27-5.39) and sweet food habits (OR=2.34; 95% CI: 1.04-5.27). For this reason, schools are expected to work with the Health Office and Community Health Center to organize counseling or seminars on nutrition and obesity in adolescents; schools can provide healthy canteens by limiting the availability of fast food and sugary drinks.
Hubungan Aktivitas Fisik dengan Kejadian Obesitas Sentral pada Usia ≥ 40 Tahun di Indonesia (Analisis Data Indonesian Family Life Survey 5) Syafira Anindya Dhika Maulani; Ratna Djuwita
Jurnal Vokasi Keperawatan (JVK) Vol. 6 No. 2 (2023): DESEMBER
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/jvk.v6i2.31047

Abstract

Peningkatan prevalensi obesitas sentral di Indonesia diikuti dengan terjadinya peningkatan prevalensi aktivitas fisik yang kurang. Risiko meningkat saat usia ≥40 tahun, hal ini berkaitan dengan pengurangan aktivitas fisik dan kecenderungan gaya hidup yang menetap yang membuat orang dewasa yang lebih tua lebih rentan untuk mengalami obesitas. Penelitian ini bertujuan untuk mengetahui hubungan aktivitas fisik terhadap kejadian obesitas sentral pada usia ≥ 40 tahun di Indonesia berdasarkan data IFLS 5. Penelitian ini merupakan studi analitik dengan desain cross sectional yang menggunakan data sekunder IFLS 5 Tahun 2014. Sampel yang dianalisis dalam penelitian ini berjumlah 9.124 orang. Analisis cox regression dilakukan untuk mengetahui besar risiko aktivitas fisik terhadap obesitas sentral. Hasil penelitian menjelaskan prevalensi obesitas sentral pada usia ≥ 40 tahun di Indonesia adalah  44,8%. Hasil penelitian menunjukan responden yang aktivitas fisiknya kurang lebih berisiko untuk mengalami obesitas sentral dibandingkan dengan responden yang aktivitas fisiknya cukup (PR = 1.049 ; 95% CI = 1.012-1.087). Kepada masyarakat disarankan  untuk melakukan aktivitas fisik sedang dan kuat dengan prinsip BBTT (Baik,Benar, Terukur, dan Teratur).