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Hubungan Antara Pemahaman Hak dan Kewajiban Serta Pemahaman Prosedur Pelayanan Kesehatan Peserta Jamkesmas dengan Pemanfaatan Pelayanan Kesehatan Jamkesmas Di Puskesmas Sedayu I Kabupaten Bantul Adigama Priamas Febrianto; Endang Sutisna; . Sumardiyono
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Jamkesmas is a health care insurance program for the poor and unwealthy using social health insurance principal. The purpose is increasing the access and the quantity of health care toward whole of the poor and unwealthy in order to achieve optimal level of public health effectively and efficiently. Preliminary research indicates there is a Correlation between The understanding of Jamkesmas with the use of Jamkesmas Program. The understanding of Jamkesmas is holding potensial role in influencing health care seeking behavior of Jamkesmas participants. Lack of the understanding on rights and obligations, and procedures as Jamkesmas participants in terms of health care impedes health care seeking behavior in Puskesmas (health centers) and hospitals. This study aims to identify and analyze the Correlation between Jamkesmas participants understanding of rights and obligations and service procedures with the level of utilization of Jamkesmas health care at Puskesmas Sedayu I Bantul regency. Methods: This research is an observational analytic research by cross-sectional approach. A total of 100 subjects were selected by purposivesampling is a participant Jamkesmas who check-up their health in Puskesmas Sedayu I Bantul Regency who met the inclusion criteria. Data were collected by direct interview using a questionnaire to patients. That research data were analyzed using Chi Square and processed with the Statistical Product and Service Solutions (SPSS) 21:00 for Windows. Results: There is a statistically significant Correlation between the understanding of rights and obligations of Jamkesmas with Jamkesmas Health Care Utilization and there is no significant Correlation between the Understanding of Jamkesmas Health Care Procedure with Jamkesmas Health Care Utilization Conclusions:There is a statistically significant Correlation between the understanding of rights and obligations of Jamkesmas with Jamkesmas Health Care Utilization and there is no significant Correlation between the Understanding of Jamkesmas Health Care Procedure with Jamkesmas Health Care Utilization. Keywords:Jamkesmas, Understanding, Rights and Obligations, Care Procedure

Asosiasi antara Jenis Tempat Penampungan Air (TPA) dan Kejadian Demam Berdarah Dengue (DBD) di Wilayah Kota Surakarta Nita Prasasti; . Sumardiyono; Ari N Probandari
Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Dengue Hemorrhagic Fever (DHF) is a health problem in Indonesia, which has been the potential to be the cause of epidemic, because of its widespread distribution from year to year. One of the factors considered to influence the incidence of DHF is the condition of water container, which includes the type of landfill, landfill color, and size of the landfill. However, these factors are limited studied in the laboratory and still little information gained from field research until now. This study aimed to investigate the association between type of water container and the occurance of DHF in the city of Surakarta. Methods: This study was an observational study particularly a matched case-control design. It was conducted from June to October 2012 at five health centers located in the city of Surakarta. The total sample size was 68 subjects (34 subjects as cases with DHF, and 34 other subjects as free-DHF controls). Data were analyzed using McNemar test. Results: The study found a stastical significant relationship between the type of water container and DHF occurance with odds ratio of 7.5 (p= 0.001; CI 95% 1.715-32.79). Conclusion: There is a stastical significant association between the occurance of DHF and type of water container in the city of Surakarta. The use of non-cheramik type water container, increases a person's risk for DHF at 7.5 times higher. Keywords: DHF, type of water container, color of water container

Hubungan Kualitas Pelayanan Kesehatan dengan Tingkat Kepuasan Pasien Jamkesmas di Puskesmas Sedayu I Kabupaten Bantul Hendra Wardhana; Endang Sutisna; . Sumardiyono
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Jamkesmas (Public Health Insurance) patients as the customers who used health care service in puskesmas need a high-quality health service to cure the diseases they suffer from and to generate satisfaction with the health service they receive from the personnel of puskesmas. As we know, puskesmas is one form of comprehensive health service organizations encompassing health promotion, prevention, curing and recovery aspects for all people so that the society will get a high-quality and affordable health service. The preliminary study shows that there is a relationship between health service quality and the satisfaction level of Jamkesmas (Public Health Insurance) patient. The higher the quality of health service, the higher is the satisfaction level received by the Jamkesmas patient. The bad health service given by the health service provider will decrease the satisfaction level of Jamkesmas patients. This study aimed to find out and to analyze the relationship between health service quality and the satisfaction level of Jamkesmas patients in Puskesmas Sedayu I of Bantul Regency. Methods : This study was an analytical observational research with cross-sectional approach. Thirty subjects of research selected using purposive quota sampling technique were the participants of Jamkesmas who had had them examined in Puskesmas Sedayu I of Bantul Regency and met the inclusion criteria. The data collection was carried out through direct interview with the patients using questionnaire. The data of research was analyzed using Chi Square test. Results : This study showed that the Quality of Health Service was related significantly to the Satisfaction Level of Jamkesmas Patient (p = 0.003). Conclusions : There was a statistically significant relationship between Health Service Quality and the Satisfaction Level of Jamkesmas patients of 52.80%. Keywords:Jamkesmas, Service Quality, Satisfaction.

Perbedaan Nilai Apgar antara Kelahiran Pervaginam dan Kelahiran Seksio Sesarea pada Partus Macet Rizky Mas'ah; Tri Budi Wiryanto; . Sumardiyono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Labour is considered obstructed when the presenting part of the fetus cannot progress into the birth canal, despite strong uterine contractions. Obstructed labour can leading fetal asphyxia that indicate low APGAR score. In this case the delivery method can affect the state of the fetus. This study aimed to determine the difference APGAR score between vaginal delivery and caesarean section in obstructed labour. Methods: This analytic study was observational using cross sectional approach. The population of this study was all infants who was born by mother with vaginal delivery and caesarean section deliveries in obstructed labor at RSUD Dr. Moewardi. A total of 30 subjects were selected by purposive sampling method in accordance with the inclusion criteria. The data of APGAR score was collected by viewing the medical records from the subject. The data was analyzed using Independent T Test on SPSS 16.0 for Windows program. Results: The analysis showed a difference between APGAR score (first and fifth minute) in each group was significant. The first minute APGAR score has p 0.021 obtained for delivery method. APGAR score at five minute has p 0.041 obtained for delivery method. APGAR score at ten-minute was not significant with the delivery method, with a p-value 0.059. Conclusions: There is statistically significant differences between APGAR score at first and fifth minute in vaginal delivery and caesarean section in obstructed labor. Keywords: apgar score,obstructed labour,delivery.

Perbedaan Depresi pada Pasien Asma Persisten dengan Pasien PPOK di RSUD Dr. Moewardi Arum Alfiyah Fahmi; Ana Rima Setijadi; . Sumardiyono
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Asthma and COPD are most pulmonary chronic disease. Recurrence dispnea attack in both can trigger the depression. Beside that, in COPD patient has mediator proinflamation are TNF-? and IL-6 that can make severe depression. Methods: This study is an observational analytic with cross sectional approach. The subjects are moderate to severe persistent asthma and moderate to severe Chronic Ostructive Pulmonary Disease (COPD) who came to pulmonary medicine clinic of Dr. Moewardi Hospital on April until June 2013. Subject were selected through purposive sampling. The study data obtained by doing interview qoestionnaire Beck Depression Inventory II (BDI-II). The data were analyze by t-test through SPSS Program 18 for Windows. Results: Data from 39 subjects consisting of 21 moderate to severe persistent asthma patients and 18 moderate to severe COPD patients. Median score of BDI-II moderate to severe COPD (11.89) is higher than moderate to severe persistent asthma (8.71). Data was also analyze by t-test by the significance p = 0.062. Conclusion: The study suggested no significant differences of depression between moderate to severe persistent asthma and moderate to severe COPD in Dr. Moewardi Hospital. Keyword: moderate to severe persistent asthma, moderate to severe COPD, depression.

The Relationship of Knowledge and Attitude towards Handwashing Behavior of Students of SMPN 1 Surakarta and SMPN 6 Surakarta Abdullah M Azam; . Sumardiyono; Bhisma Murti
Nexus Kedokteran Komunitas Vol 5, No 2 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Health status of the child at this time can not be said to be good because of the high frequency of health problems, especially in school children. Problems often arise at school-age children was the lack of concern for personal hygiene. One of them is handwashing behavior before eating and drinking or activities. Therefore, researchers wanted to analyze the relationship between the level of knowledge, attitudes towards Handwashing Behavior with soap in junior high school students. Methods: This study was an observational analytic research with cross sectional approach. The research was conducted in SMPN 1 and SMPN 6 Surakarta. Subjects in this study were drawn from the target population, then reduced to a junior high school student population source (affordable) students of SMPN 1 and SMPN 6 Surakarta. The samples in this study were the second-grade students of SMPN 1 and SMPN 6 contained in the population and meet the inclusion criteria. The number of samples taken was 300 students from the source population of 480 students. Results: The relationship between knowledge level and handwashing behavior with soap (OR = 22.06; CI 95% 12.09 40.24, p=0.000). The relationship between attitude and handwashing behavior with soap (OR = 3.66; CI 95% 2.21 6.06, p=0.000). Conclusion: The students with a good level of knowledge have a greater possibility to do handwashing with soap. The students with a good attitude have a greater possibility to do handwashing with soap. Keywords: Knowledge, Attitude, Handwashing Behavior

Pengaruh Promosi Kesehatan Perilaku Hidup Bersih dan Sehat (PHBS) pada Tatanan Sekolah terhadap Pengetahuan PHBS Siswa Kelas IV dan V di SD Negeri Ngemplak Surakarta Nur Izah Ameta; Bambang Soebagyo; . Sumardiyono
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Health promotion can improve knowledge, attitudes and behavior, particullary knowledge of Clean and Healthy Behavior. This study aims to prove the effect of health promotion on knowledge of Clean and Healthy Behavior. Methods: This research is a pre-experimental design with the plan of one-group pretest posttest design was held on 12 April 2013 at SD Negeri Ngemplak Surakarta. The study population was all students of SD Negeri Ngemplak Surakarta totaling 230 people. While the sampling carried out by simple random sampling in grade students IV and V. The sample consisted of 32 grade students IV and 38 grade students V. Then the total number of samples is 70 students. The independent variable in this study is a health promotion of clean and healthy behavior in the order of school a measurement tool slides and posters. As for the dependent variable is the knowledge of clean and healthy behavior are measured using a questionnaire that have been tested for validity and reliability. Analyzed using marginal homogeneity test through SPSS 16.0 for Windows program. Results : This research shows a increased knowledge after health promotion Clean and Healthy Behavior a number of 62 students or 88.57% of all students in attendance, knowledge of students decreased a number of 2 students or 2.8% and a fixed 6 students or 8.57 % and the marginal homogeneity test results showed p = 0.000. Conclusion:. There is the influence of health promotion of clean and healthy behavior in the order of school to knowledge clean and healthy behavior students in class IV and V SD Negeri Ngemplak Surakarta. Students who are knowledgeable well after the intervention more than ever before. Keywords: health promotion of PHBS, knowledge PHBS

Hubungan antara Usia Menarke dengan Tinggi Badan dan Panjang Kaki Saat Dewasa Anindita Putri Hapsari; Tri Budi Wiryanto; . Sumardiyono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Menarche happens when estrogen activity at the peak, that is showed with high level estrogen. In other words, age at menarche is the first onset of high level estrogen. Estrogen not just has important role in reproduction system but also in bone growth. Low level estrogen, or estrogen level when estrogen activity has not at peak yet during puberty time, can stimulate bone growth with growth hormone stimulation mechanism while high level estrogen, or estrogen level when estrogen activity at the peak, can accelerate the closure of epiphysial growth disks so the bone growth will stop in stages. Based on that theory, there is correlation between age at menarche with adult height and leg length. But there are still pros and cons about the result of correlation between age at menarche with final height and leg length from researchers in different places. Therefore, research about age at menarche in relation with adult height and leg length is needed. Methods: This research is analytic observational cross sectional. The data about age at menarche, height and leg length is gained from interview and measurement with 60 medical students of Sebelas Maret University. The data gained from the research is analyzed statistically using t test and Pearson Correlation test. Results: The average of age at menarche is 12.42 years old. In t test, there is no significant average difference of height (p = 0.612) and leg length (p = 0.341) between later age at menarche (higher than the average) group with early age at menarche (lower than the average) group. In Pearson Correlation test, there is no correlation between age at menarche with adult height (p = 0.985) and leg length (p = 0.443). Conclusions: In conclusion, there is no correlation between age at menarche with adult height and leg length. Keywords: age at menarche, height, leg length

Hubungan Tingkat Pengetahuan Orangtua tentang Pencetus Asma dengan Frekuensi Serangan pada Pasien Asma Anak Puji Rahmawati; Ismiranti Andarini; . Sumardiyono
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Asthma is a chronic inflammatory airway disease characterized by episodic wheeze, coughe, and tightness in chest due to airway obstruction. Asthma attack is usually preceded by various kinds of triggers and different in each person. Asthma management is very complex and requires collaboration between patient with their families, especially parent. In order to properly manage asthma, patient and parent should have specific knowledge about asthma. This study aimed to determine the association between parent knowledge about asthma triggers and asthma attack frequency in children. Methods: This analytic study was observational using cross sectional approach. The population of this study was child patient with asthma at RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat. A sample of 33 study subjects was selected by purposive sampling from outpatient and inpatient with asthma who visited Pediatric Clinics, RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat and suitable with the inclusion criteria. The data was collected by interview using a set of questionnaire from Asthma General Knowledge Questionnaire (AGKQ) and International Study of Asthma and Allergies in Childhood (ISAAC) filled by the parent of patients. The data was analyzed using Chi Square test (?2) on SPSS 17.0 for Windows program. Results: From the analysis of relationship of parent knowledge about asthma triggers and asthma attack frequency on children obtained ?2 count rate of 5.629, p = 0.026, and C = 0,382. The C value indicates level of relationship of parent knowledge about asthma triggers and asthma attack frequency on children is 38,2%. Conclusions: There is a statistically significant relationship of parent knowledge about asthma triggers and asthma attack frequency on children. Keywords: parent knowledge, asthma attack frequency

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