Praba Ginanjar
Universitas Diponegoro Semarang

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FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN KOMPLIKASI KRONIS PADA PASIEN DIABETES TYPE 2 Saraswati, Lintang Dian; Ginanjar, Praba
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 7 No 1 (2014): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRAK Diabetes melitus tipe 2 merupakan masalah dunia dan menjadi beban kesehatan dikarenakan jumlah pasien yang terus meningkat. Di kabupaten Kudus, prevalensinya nomor dua terbesar untuk penyakit tidak menular. Komplikasi kronis merupakan keluaran utama dari perjalanan penyakit diabetes mellitus tipe 2, yang mengurangi kualitas hidup pasien, menambah beban sistem pelayanan kesehatan dan meningkatkan angka kematian karena diabetes. Penelitian ini bertujuan untuk menentukan faktor risiko kejadian komplikasi kronis pada pasien diabetes tipe 2. Desain studi kasus kontrol dengan jumlah kasus 40 pasien NIDDM dengan komplikasi kronis dan 40 kontrol pasien NIDDM tanpa komplikasi kronis, yang didapat dari Rumah Sakit Umum Daerah Kudus. Data dianalisis menggunakan Chi Square dengan 95% Confidence Interval (CI) dan risiko dihitung menggunakan Odds Ratio (OR). Hasil menunjukkan faktor risiko komplikasi kronis antara lain lama mengalami NIDDM lebih dari 10 tahun (OR=4.622; 95% CI=1.24-17.226), kurangnya aktivitas fisik/olahraga (OR=4.636; 95% CI=1.593-13.494), pengobatan diabetes yang tidak teratur (OR=3.273; 95% CI=1.211-8.844), ketidakpatuhan diet diabetes (OR=6.667; 95% CI=2.44-18.212), dan stres (OR=3.77; 95% CI=1.205-11.789). Disarankan agar pasien NIDDM melakukan aktivitas fisik/olahraga secara teratur, patuh pada pengobatan diabetes dan diet, dan menguatkan kesehatan mental agar tidak mudah stres.   Kata kunci: lama DM, aktivitas fisik, komplikasi kronis, diabetes tipe 2  Kesmasindo, Volume 7( 1) Juli 2014, Hal 21-21
GAMBARAN PEMERIKSAAN KEHAMILAN PADA ANTENATAL CARE DI TEMPAT PELAYANAN KESEHATAN DI KABUPATEN BREBES TAHUN 2010 Saraswati, Lintang Dian; Ginanjar, Praba
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 4 No 1 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Antenatal Care (ANC) is a service provided to pregnant women by health workers to maintain pregnancy. Coverage of complete antenatal care visits in Brebes remains below the standard. This possibly related to the completeness of pregnancy examination privided in Brebes District.. This study aimed to describe pregnancy examination in the ANC in Brebes District. This was a descriptive study with rapid survey design and multistages sampling method. Research subjects were 210 mothers with 0-4 months baby. The results showed the majority of pregnant women in Brebes conceive a healthy reproductive age, low education level, and unemployed. Complete ANC (K4) coverage in January-May 2010 is 26.67%. Proportion of trimester visit I-III tends to decrease. Examination of pregnancy has not been fully compliant the 7T standard, including blood pressure measurements, giving of Fe tablets, urine and blood laboratory tests, the completeness of TT immunization, fundal height measurements, as well as pregnancy counseling. District Health Office Brebes is expected to improve the performance of health workers and health care facilities on pregnancy examination as an effort to improve Maternal and Child Health to improve antenatal care visits.  Key words : antenatal care, complete antenatal care Kesmasindo. Volume 4,( 1) Januari 2011, hlm. 24-37  
Hubungan Faktor Kesehatan Lingkungan dengan Tinggi Rendahnya House Index (HI) di Desa Endemis dan Desa Bebas Demam Berdarah Dengue di Kota Semarang Nurjazuli, Nurjazuli; Ginanjar, Praba
Jurnal Kesehatan Lingkungan Indonesia Vol 1, No 1 (2002): APRIL 2002
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.1.1.1 - 5

Abstract

Dengue Haemorhargic Fever was still one of the serious health problem, especially in urban area. Semarang is one of the endemic district area in central of Java with the highest incidence rate. In 1994, It had 15,24 per 10.000 population in incidence rate and 27,5 % of the house index. Three years after (1997), 124  among 177 villages ( 70,1 % ) in Semarang to be endemic. These situations  may be correlated to environmental factors i.e. water supply system and the housing condition. The objectives of this study was to know the relationship between the environmental health factor with the house index in free and endemic village of dengue haemorhargic fever ( DHF ). Cross-sectional design was used in this study. Samples were taken with stratified  random sampling  from two villages ( 75 from free area of DHF and 75 from endemic area. The study took place in Bendan Duwur ( as endemic area ) and Ngijo ( as free area )  of DHF. The collected data would be analyzed using Chi-Square techniques at 0,05 level of significance. The results of this study, there was no relationship between environmental health factor and the house index. On the other hand, trere was relationship between the cleaning of breeding places of mosquitoes and the house index ( p = 0,013 ). Keywords:  Environmental Health Factor, House Index, Semarang,1999