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Status Partisipasi dan Kualitas Hidup Peserta Pos Pelayanan Terpadu Lanjut Usia Dewi, Syamsumin Kurnia; Kusnanto, Hari; Pramantara, I Dewa Putu; Rahayujati, Theodola Baning
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 1 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Demographic and epidemiologic transition now occurred in the District of Bantul could be followed by decreasing quality of life in elderly. Community elderly care service (CECS) is a primary service for elderly with potential to support increasing quality of life in elderly. Based on previous study, utilization of CECS was high (73.30%) at subdistrict of Bambanglipuro, Bantul. To know the relationship between participation status and quality of life in CECS participants at subdistrict of Bambanglipuro. Method: A cross-sectional study was conducted from April to May 2012. Samples were selected with consecutive sampling technique. Data were collected from 8 CECSs at subdistrict of Bambanglipuro. Quality of life was measured with short form 36 (SF-36) Health Survey, including physical component summary (PCS) and mental component summary (MCS). Data then were analyzed with descriptive and analytic methods using Chi-square test and multiple logistic regression. Results: Of 238 subjects investigated, 186 (78.20%) were good in PCS and 194 (81.50%) were good in MCS. Multivariate analysis showed that active in physical exercise of CECS program, absence of hypertension, and better economic status were related to better PCS (aPR: 5.31, 95%CI: 2.52-11.20; aPR: 3.41, 95%CI: 1.31-5.47; aPR: 2.68; 95%CI: 1.31-5.47) and better MCS (aPR: 3.97, 95%CI: 1.83-8.64; aPR: 3.08, 95%CI: 1.39-6.82; aPR: 6.38; 95%CI: 2.62-15.53). Conclusion: Dominant factors that related to better quality of life in CECS participants were: active in physical exercise program of CECS, absence of hypertension and better economic status.

Status Partisipasi dan Kualitas Hidup Peserta Pos Pelayanan Terpadu Lanjut Usia Dewi, Syamsumin Kurnia; Kusnanto, Hari; Pramantara, I Dewa Putu; Rahayujati, Theodola Baning
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 1 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Demographic and epidemiologic transition now occurred in the District of Bantul could be followed by decreasing quality of life in elderly. Community elderly care service (CECS) is a primary service for elderly with potential to support increasing quality of life in elderly. Based on previous study, utilization of CECS was high (73.30%) at subdistrict of Bambanglipuro, Bantul. To know the relationship between participation status and quality of life in CECS participants at subdistrict of Bambanglipuro. Method: A cross-sectional study was conducted from April to May 2012. Samples were selected with consecutive sampling technique. Data were collected from 8 CECSs at subdistrict of Bambanglipuro. Quality of life was measured with short form 36 (SF-36) Health Survey, including physical component summary (PCS) and mental component summary (MCS). Data then were analyzed with descriptive and analytic methods using Chi-square test and multiple logistic regression. Results: Of 238 subjects investigated, 186 (78.20%) were good in PCS and 194 (81.50%) were good in MCS. Multivariate analysis showed that active in physical exercise of CECS program, absence of hypertension, and better economic status were related to better PCS (aPR: 5.31, 95%CI: 2.52-11.20; aPR: 3.41, 95%CI: 1.31-5.47; aPR: 2.68; 95%CI: 1.31-5.47) and better MCS (aPR: 3.97, 95%CI: 1.83-8.64; aPR: 3.08, 95%CI: 1.39-6.82; aPR: 6.38; 95%CI: 2.62-15.53). Conclusion: Dominant factors that related to better quality of life in CECS participants were: active in physical exercise program of CECS, absence of hypertension and better economic status.

Implementasi Sistem Informasi Bergerak Untuk Penguatan Surveilans Gizi di Puskesmas Banguntapan II Kabupaten Bantul Harnaningrum, L.N.; Anggoro, Sigit; Prayitna, Adiyuda; Dewi, Syamsumin Kurnia
Jurnal Buana Informatika Vol 5, No 2 (2014): Jurnal Buana Informatika Volume 5 Nomor 2 Juli 2014
Publisher : Universitas Atma Jaya Yogyakarta

Abstract. Severe malnutrition still exists as a health problem in District of Bantul. A preliminary study at Puskesmas Banguntapan II shows that severe malnutrition rate is still high and the nutrition surveillance is not done optimally. Surveillance activities, like: data collection, data compilation, data analysis and interpretation, and data report are carried out manually. This study is geared to build an application based on short message service to strengthen the nutrition surveillance. This study was conducted on March-November 2013 at Puskesmas Banguntapan II. Subjects were midwives and village health promoters in this area. The application that was built consist of interface set in the userÃ¢â‚¬â„¢s cellular phone and server. Data were saved in the puskesmasÃ¢â‚¬â„¢s database for the report need. This application is expected to increase the speed, accuracy, completeness and sustainability of data on nutrition surveillance, especially for child severe malnutrition detection, so an adequate treatment can be carried out promptly.Keywords: mobile information system, nutrition surveillance, severe malnutrition.Abstrak. Gizi buruk saat ini masih menjadi masalah kesehatan di Kabupaten Bantul. Studi pendahuluan di Puskesmas Banguntapan II menunjukkan bahwa selain angka gizi buruk yang masih tinggi, surveilans gizi juga belum berjalan optimal. Sebagian kegiatan surveilans berupa: pengumpulan data, pengolahan dan penyajian data, analisis dan interpretasi data, serta pelaporan, masih dilakukan secara manual. Oleh karena itu penelitian ini bertujuan untuk menghasilkan suatu aplikasi berbasis short message service untuk membantu penguatan surveilans gizi di lapangan. Penelitian dilakukan pada bulan Maret-November 2013 di Puskesmas Banguntapan II. Subjek penelitian adalah bidan dan kader posyandu di wilayah ini. Aplikasi yang dibangun meliputi: bagian antar muka yang ditanam di handphone pengguna dan bagian server. DataÃ‚Â selanjutnya disimpan ke dalam database di puskesmas untuk bahan laporan lebih lanjut. Dengan implementasi aplikasi ini diharapkan surveilans gizi, khususnya deteksi kasus balita gizi buruk, berjalan lebih cepat, akurat, lengkap, dan berkesinambungan sehingga dapat dilakukan penanganan yang segera dan adekuat.Kata Kunci: sistem informasi bergerak, surveilans gizi, gizi buruk

Level Aktivitas Fisik dan Kualitas Hidup Warga Lanjut Usia Syamsumin Kurnia Dewi
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 3: SEPTEMBER 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

A previous study showed active participation in physical exercise program was the major factorrelated to better quality of life in Community Elderly Care Services (CECS) participants. This study,therefore, undertaken to know the relationship between physical activity level and quality of life ofthe elderly at Bambanglipuro subdistrict, Bantul. A cross-sectional study was conducted from June-September 2017. Samples were 123 elderly subjects selected with consecutive sampling technique.Physical activity level was measured with IPAQ-short form. Quality of life was measured with The SF-36 Health Survey, including the Physical Component Summary (PCS) and Mental Component Summary(MCS). Data then were analyzed using chi-square test and Multiple Logistic Regression. Results showedmost of the elderly have better PCS and MCS (69,1%;76,4%). Multivariate analysis showed high physicalactivity level and the absence of hypertension was related to better PCS (aPR=9.38; 95%CI=1.81-48.45 vs aPR=5.12; 95%CI=1.55-16.93) and better MCS (aPR=11.87; 95%CI=2.50-56.33 vs aPR=4.39; 95%CI=1.16-16.70). High physical activity level and the absence of hypertension were related tobetter quality of life of the elderly.

WILLIAMS FLEXION EXERCISES DAN CORE STABILITY EXERCISES MENURUNKAN TINGKAT DISABILITAS PUNGGUNG BAWAH PEMBATIK DENGAN MYOGENIC LOW BACK PAIN Jinten Jumiati; Syamsumin Kurnia Dewi
Majalah Ilmiah Fisioterapi Indonesia Vol 10 No 2 (2022): Majalah Ilimiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MIFI.2022.v10.i02.p12

Pendahuluan: Prevalensi Low Back Pain (LBP) pada pembatik cukup tinggi (86,70%). Gerakan kerja yang berulang, posisi duduk statis, dan durasi kerja 6-8 jam/ hari menyebabkan pembatik berisiko tinggi mengalami Myogenic LBP. Williams Flexion Exercises (WFE) dan Core Stability Exercises (CSE) merupakan bentuk terapi latihan yang mudah, murah, dapat dijadikan sebagai home program, serta terbukti efektif mengurangi nyeri, disabilitas punggung bawah, dan meningkatkan aktivitas fungsional pasien Myogenic LBP di rumah sakit. Penelitian ini bertujuan untuk mengetahui pengaruh WFE dan CSE dalam menurunkan tingkat disabilitas punggung bawah pembatik dengan Myogenic LBP. Metode: Studi Quasi-Experimental dengan desain One-Group Pretest-Posttest dilakukan pada bulan Juli–Oktober 2018. Subjek adalah 30 pembatik dengan Myogenic LBP di sentra batik Giriloyo, Wukirsari, Imogiri, Bantul, yang terpilih melalui purposive sampling. Teknik ini dipilih untuk memberikan hasil yang representatif dengan cara menerapkan kriteria inklusi dan eksklusi penelitian. Intervensi yang diberikan berupa WFE dan CSE yang dilakukan setiap hari selama 6 minggu. Tingkat disabilitas punggung bawah subjek diukur dengan Modifikasi Oswestri Disability Index (ODI) Bahasa Indonesia. Data dianalisis dengan Paired t-Test. Hasil: Mayoritas subjek berusia >40 tahun (80,00%), indeks massa tubuh normal (46,66%), masa kerja >5 tahun (96,67%), durasi kerja >2 jam (96,67%). Tingkat disabilitas punggung bawah sebelum intervensi mayoritas ringan (73,34%) dan setelah intervensi tidak ada disabilitas (50%). Uji Paired t-Test menunjukkan terdapat penurunan bermakna rerata skor ODI pasca intervensi (11,43 + 4,09 vs 5,43 + 3,84, p= 0,000; 95%CI = 4,80-7,20). Simpulan: Intervensi WFE dan CSE terbukti menurunkan tingkat disabilitas punggung bawah pembatik dengan Myogenic LBP. Kata Kunci: williams flexion exercises, core stability exercises, disabilitas punggung bawah, pembatik, myogenic low back pain

ANALISIS MASALAH KESEHATAN KABUPATEN BANTUL Maftuhah Nurbetl; Syamsumin Kurnia Dewi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 1, No 3, (2009)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Three years after great earthquake on May 2006, Bantul has succeeded to be recovered in many sectors, including health. However, Bantul still face many health problems that should be overcome in their limited resources. Therefore,this research identify, analyze, and set the priorities of health problems in order to give recommendations-for eficient and effective health policies and program planning in Bantul. This analysis is a descriptive observational research whichanalyzes secondary data from the Health Department of Bantul District. Health problem priority was set using Hanlon method. In a series, the top ten priority health problem are Maternal mortality, HIV/AIDS, Infant mortality, Tuberculosis,Diabetes Mellitus, Dengue Haemorhagic Fever, Hypertension, Malnutrition, mortality of children under five, and Diarrhea. Thereby, Bantul district still has double burden. In one side, infectious diseases are still in a high rate. On theother hand, the degenerative diseases also proceed to increase and reach a great number of sufferer.

Evaluation of Community Empowerment Program for Elderly Care: lesson learned from PUSAKA Wahyu Teratai Syamsumin Kurnia Dewi
Journal of Community Empowerment for Health Vol 5, No 3 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.62541

The current paradigm and health development policy in Indonesia has changed, from development to empowerment. The community empowerment program for elderly care “PUSAKA Wahyu Teratai” is a leading community empowerment programs in the subdistrict of Bambanglipuro, Bantul Regency. This study was conducted to evaluate The PUSAKA Wahyu Teratai program based on input, process, output, and outcome. A Cross-Sectional Study was conducted in December 2019. Data were collected by interviewing caretakers and participants, tracking organizational documents, activity reports, and observing activities implementation. Participant’s quality of life was measured by the Short Form-36 Questionnaire. Evaluation of the input showed: most of the caretakers were male (77.33%), entrepreneurs, senior high school education level (26.67%). Most of the facilities and infrastructure belong to the organization, the principal source of funds from Yayasan Kesejahteraan Sosial Teratai Jakarta, and were sufficient. Evaluation of the process showed: all main activities were well scheduled and carried out routinely and documented. Evaluation of the output showed: the level of participation in each activity is between 67.61% - 100.00%. The outcome evaluation showed: participants with good physical health quality 80.95% and good mental health quality 85.71%. Conclusion: PUSAKA Wahyu Teratai has sufficient capital input, a fair implementation process of activities, and produced better outputs and outcomes.

Validitas dan Reliabilitas Two-Level Quick-Steadi Algorithm untuk Skrining Risiko Jatuh Lansia di Indonesia: Studi Observasional Analitik Syamsumin Kurnia Dewi
Majalah Ilmiah Fisioterapi Indonesia Vol 12 No 1 (2024): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor and Profession of Physiotherapy Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MIFI.2024.v12.i01.p14

Pendahuluan: Tingginya prevalensi jatuh pada lanjut usia (lansia) memiliki dampak signifikan terhadap morbiditas dan mortalitas. Skrining risiko jatuh menjadi penting untuk mengintervensi dan mencegah kejadian jatuh. Quick-STEADI Algorithm, modifikasi dari STEADI Algorithm, terbukti efisien dan memiliki nilai prediktif yang baik sebagai alat skrining risiko jatuh lansia. Meskipun demikian, telaah pustaka menunjukkan bahwa Algoritma ini belum diterapkan sebagai alat skrining risiko jatuh lansia di Indonesia. Penelitian ini bertujuan untuk menilai validitas dan reliabilitas Two-Level Quick-STEADI Algorithm (TLQSA) sebagai alat skrining risiko jatuh pada lansia berusia ?65 tahun. Metode: Penelitian observasional analitik cross-sectional dilakukan di Pedukuhan Prenggan, Sidomulyo, Bambanglipuro, Bantul, pada Desember 2023. Populasi penelitian adalah warga Pedukuhan Prenggan berusia ?65 tahun. Sampel penelitian, sebanyak 30 subjek, dipilih dengan teknik purposive sampling. Data dikumpulkan melalui wawancara menggunakan kuesioner Quick-STEADI Bahasa Indonesia dan pemeriksaan Timed Up and Go (TUG) Test. Penyajian data dilakukan dalam bentuk tabel. Analisis data dilakukan dengan metode deskriptif-analitik. Uji validitas TLQSA menggunakan Pearson Product Moment untuk construct validity, dan uji reliabilitas dilakukan dengan Cronbach Alpha untuk mengukur internal consistency. Hasil: Mayoritas subjek adalah laki-laki (53,3%), berusia 65-75 tahun (63,3%), janda/duda (53,3%), dan memiliki tingkat pendidikan SD (66,7%). Uji construct validity menunjukkan bahwa ke-5 item TLQSA memiliki nilai p<0,05, dengan nilai r untuk item 1: 0,652, item 2: 0,818, item 3: 0,652, item 4: 0,485, dan item 5: 0,890. Uji internal consistency menunjukkan koefisien reliabilitas ke-5 item sebesar 0,735. Simpulan: TLQSA terbukti valid dan reliabel sebagai alat skrining risiko jatuh pada lansia berusia ?65 tahun. Kata Kunci: validitas, reliabilitas, two-level quick-steadi algorithm, skrining, risiko jatuh lansia

DETEKSI DINI GANGGUAN PERKEMBANGAN ANAK DI TAMAN PENITIPAN BAYI DAN BALITA “PUSTEBLUME DAYCARE” YOGYAKARTA Jinten Jumiati; Syamsumin Kurnia Dewi
Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK) Vol 3, No 1 (2021)
Publisher : Universitas Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33660/jipmk.v3i1.44

ABSTRAK Latar Belakang. Penelitian-penelitian terdahulu menunjukkan prevalensi gangguan perkembangan pada anak usia 0-5 tahun masih tinggi. Gangguan ini akan semakin kompleks jika tidak terdeteksi secara dini dan mendapatkan penanganan yang tepat. Oleh karena itu, program ini bertujuan untuk mendeteksi secara dini gangguan perkembangan pada siswa Pusteblume Daycare Yogyakarta. Target dan luaran program ini adalah: diketahuinya capaian perkembangan setiap siswa, terdeteksinya gangguan perkembangan siswa dan rujukan ke ahlinya secara dini, guru pengasuh/ pendamping dan orang tua memahami capaian perkembangan anak dan dapat memberikan stimulasi yang sesuai. Metode. Program ini dilaksanakan terhadap 32 siswa Pusteblume Daycare Yogyakarta pada bulan November 2019. Untuk mendeteksi gangguan perkembangan anak digunakan Denver Development Screening Test (DDST) II versi Bahasa Indonesia. Sesudah deteksi, dilakukan sesi konsultasi dan edukasi kepada guru pendamping masing-masing siswa. Hasil. Persentase siswa dengan suspect keterlambatan perkembangan ringan: motorik kasar (6,25%), bahasa (9,37%), motorik halus (12,50%), dan personal-sosial (3,12%). Terdapat 1 siswa yang dirujuk ke terapis wicara terkait keterlambatan perkembangan bahasa. Guru dan orang tua telah diedukasi tentang bagaimana menstimulasi siswa berdasarkan capaian perkembangannya. Simpulan. Mayoritas siswa Pusteblume Daycare Yogyakarta memiliki capaian perkembangan yang normal. Kata kunci: deteksi dini, perkembangan anak, DDST II ABSTRACT Background. Previous studies showed the prevalence of developmental disorders in children aged 0-5 years is still high. This disorder will be more complex if it is not early detected and got the appropriate intervention. Therefore, this program aimed to detect early developmental disorders of Pusteblume Daycare Yogyakarta students. The target and output of this program were: students' developmental achievements were known, students' developmental disorders were early detected and referred to the expert, teachers and parents understood their child's development and providing appropriate stimulation. Methods. This program was carried out on 32 students of Pusteblume Daycare Yogyakarta in November 2019. The Denver Development Screening Test (DDST) II-Indonesian version was used to detect the developmental disorder. After the detection, consultation and the educational session were carried out for the teachers accompanying each student. Results. Students suspected of mild delay in development were: gross motoric (6.25%), language (9.37%), fine motoric (12.50%), and personal-social (3.12%). One student delayed in language development was referred to the speech therapist. Teachers and parents were educated on how to stimulate the students based on their development achievement. Conclusion. Most Pusteblume Daycare Yogyakarta students have normal developmental achievements. Keywords: early detection, child development, DDST II

Risk Factors of Pulmonary Tuberculosis in Type 2 Diabetes Mellitus in Yogyakarta Nuraisyah, Fatma; Juliana, Ningsih; Astaria, Dana; Khalisah, Noor; Fatih, Dzikrina Miftahul Fitri Al; Dewi, Syamsumin Kurnia; Sunarti; Marwati, Triyani
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.06

Background: The prevalence of pulmonary tuberculosis (TB) increases along with the increasing prevalence of Type 2 Diabetes Mellitus (T2DM) patients. The frequency of TB in type 2 DM patients (10 to 15%) and the prevalence of this infectious disease is 2 to 5 times higher in DM patients compared to non-diabetics. This study aimed to analyze the risk factors for pulmonary TB in T2DM patients in Yogyakarta.Subjects and Method: This study uses a case-control study design conducted at RESPIRA Lung Hospital Yogyakarta from January 16 to February 20, 2023. The number of samples was 52 people with a total of 26 people in the case and control groups. Samples were taken by consecutive sampling technique. The independent variables were age, gender, employment, education, BMI, smoking status, clinical symptoms, family history of TB, previous history of TB, and income level). The dependent variable is the incidence of TB in DM patients. Control groups are respondents without a diagnosis of DM and TB patients. Conversely, the cases are personal with diagnosis TB and DM patient Data were collected using a questionnaire. Data analysis was carried out descriptively, bivariate with Chi-square, and multivariate with multiple logistic regression.Results: The demonstrated research that the risk factors that influence the incidence of TB in T2DM patients are gender (aOR = 9.60; 95% CI: 0.14 to 55.96; p=0.012), Age (aOR=0.24; 95% CI: 0.07 to 0.76; p=0.015).Conclusion: The female sex has a 9.60 times higher risk of experiencing TB compared to men in T2DM patients.

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