Komang Ayu Kartika Sari
Bagian Ilmu Kedokteran Komunitas Dan Ilmu Kedokteran Pencegahan Fakultas Kedokteran Universitas Udayana

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The compliance of hypertension patients in taking medication at Sukasada II Primary Health care from January - March 2016 Shobana Raveendran; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 9 No. 1 (2018): (Available online: 1 April 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.11 KB) | DOI: 10.15562/ism.v9i1.156

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Background: Hypertension is a chronic disease where the adherence to therapy should be given serious attention. Compliance behavior is to obey the doctor's advice or procedure from the doctor about the use of drugs which had been prescribed by a consultation process between the patient and the patient's family physician. The health providers were influenced by two factors: behavioral and non-behavior factors which determined or shaped by three main factors such as predisposing factors, enabling factors, and reinforcing factors. The aim of this study to assess the compliances of taking medication in hypertensive patients at the Sukasada II Buleleng primary health care.Method: It was a quantitative descriptive study. The respondents were all hypertension patients who come to the Sukasada II primary health care from the period of January to March 2016. Data were obtained through interviews and questionnaires distributed to respondents who met the inclusion criteria and exclusion. The univariate and bivariate analysis was conducted in this study.Results: The results of the research show the number of 84 sample contained 1 subjects with good adherence, 14 subjects with moderate adherence, and 69 subjects with less adherence. The cross tabulation showed that poor medication adherence in the elderly (90.9%), followed by male gender (84.1%), low education (82.7%), higher knowledge (85.0%), perception at close distance (85.7%), travel time ≥ 15 minutes (86.0%), route conditions (84.1), do not have access difficulties (83.9), good family support (82.9), the low role of health care (100%), and did not have any comorbidities (83.1%).Conclusion: The trend of hypertensive patients that are not taking medication mostly come from submissive to men, senior citizens, low educational level, and lesser role of healthcare personnel.
The correlation between demography and clinical status based on WHO staging in MSM HIV patients at Bali Medical Centre Dhanesh Sukumar Nair; I Nyoman Sutarsa; A A Sagung Sawitri; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1632.755 KB) | DOI: 10.15562/ism.v10i2.202

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Background: HIV stands for human immunodeficiency virus which is in the category of lentivirus (a subgroup of retrovirus) that causes HIV infection and can lead to acquired immunodeficiency syndrome (AIDS).  HIV affects specific cells of the immune system, called CD4 cells, or T cells. Over time, if left untreated, HIV can destroy so many of these cells that the body would not be able to fight off infections and disease. However, with proper medical care, HIV can be controlled. Treatment for HIV is called antiretroviral therapy (ART). It involves taking a combination of HIV medicines (called an HIV regimen) every day. Today, a person who diagnosed with HIV before the disease is far advanced and who gets and stays on ART can live a nearly normal lifespan.Aim: This study aims to investigate and analyze the predictors that influence WHO staging of homosexual MSM HIV patients treated at the BMC hospital in Bali. Indonesia, and to determine the factors that lead to differences in the WHO staging in MSM patients with HIV.Method: This study used a retrospective cohort method using secondary data from BMC Hospital. The sample population for this research is MSM HIV patients treated at the BMC hospital in Bali. Using the total sampling method yielded 271 samples.Result and Conclusion: the HIV incidence is a serious matter in Indonesia. One of the underlying factors for the delayed diagnosis of HIV is the lack of knowledge about the improved prognosis of early ARV treatment and a fear of being stigmatized by the community. Increased availability of HIV testing at hospitals, combined with enhanced knowledge of the prognosis of HIV treatment among crucial affected population, and the community at large and may improve earlier testing.
Gambaran dampak psikologis, sosial dan ekonomi pada ODHA di Yayasan Spirit Paramacitta Denpasar Nicholas Prathama Limalvin; Wayan Citra Wulan Sucipta Putri; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (400.038 KB) | DOI: 10.15562/ism.v11i1.208

Abstract

HIV or Human Immunodeficiency Virus is a type of virus that infects white blood cells and causes the decline of human immune. Physical problems are more visible in people living with HIV/AIDS (PLWHA). On the other hand, there are still psychological, social and economic problems that are still getting less attention from the community which also affect the lives of PLWHA.Aim: The purpose of this research is to describe the psychological, social and economic impact on PLWHA in Yayasan Paramacitta Spirit Denpasar as well as the form of hope and support that expected by PLWHA.Method: This study used qualitative method with 8 informants interviewed at Yayasan Spirit Paramacitta Denpasar and Poli NAPZA Sanglah Hospital Denpasar.Result: Some informants showed rejection or denial of his HIV status. Denial form that looks like depression until the desire to commit suicide. Some informants said that the spiritual support and group of fellow PLWHA can reduce the denial. After some time PLWHA can change perception and start accepting their condition. Some informants are still withdrawing from the community and do not open their status to others for fear of stigma and discrimination from the public if they open their HIV status. In addition, if HIV status is not known, people living with HIV have not felt stigmatized and discriminated. Health workers complained of still providing stigma and discrimination on PLWHA. Family still plays an important role in providing financial support to PLWHA. An informant who lost their jobs is not because of their HIV status, but their physical condition.Conclusion:  The form of support that expected by PLWHA is the recognition of the community and they are treated by the same as others. HIV atau Human Immunodeficiency Virus adalah sejenis virus yang menyerang/menginfeksi sel darah putih dan menyebabkan turunnya kekebalan tubuh manusia. Di samping masalah fisik yang lebih terlihat pada ODHA (Orang dengan HIV/AIDS) masih ada masalah psikologis, sosial dan ekonomi yang masih kurang mendapat perhatian dari masyarakat yang tentunya juga mempengaruhi kehidupan dari ODHA.Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui gambaran dampak psikologis, sosial dan ekonomi pada ODHA di Yayasan Spirit Paramacitta Denpasar serta bentuk harapan dan dukungan yang diharapkan ODHA dari masyarakat.Metode: Penelitian ini menggunakan metode kualitatif dengan jumlah informan 8 orang yang diwawancarai di Yayasan Spirit Paramacitta Denpasar dan Poli Napza RSUP Sanglah Denpasar.Hasil: Dalam penelitian ini didapatkan bahwa sebagian informan memunculkan penolakan atau denial akan status HIV-nya. Bentuk denial yang terlihat seperti depresi hingga adanya keinginan untuk bunuh diri. Sebagian informan mengatakan bahwa dukungan spiritual dan kelompok sesama ODHA dapat meringankan masa denial-nya. Setelah beberapa waktu ODHA bisa merubah persepsi dan mulai menerima kondisinya. Sebagian informan masih menarik diri dari masyarakat dan belum terbuka pada orang lain karena khawatir akan stigma dan diskriminasi dari masyarakat apabila mereka membuka status HIV-nya. Di samping itu, apabila status HIV tidak diketahui, ODHA belum merasakan stigma dan diskriminasi. Tenaga kesehatan dikeluhkan masih memberikan stigma dan diskriminasi pada ODHA. Keluarga masih berperan penting dalam memberi dukungan finansial kepada ODHA. Seorang informan kehilangan pekerjaan bukan karena status HIV-nya melainkan karena kondisi fisiknya.Simpulan: Bentuk dukungan yang diharapkan ODHA adalah pengakuan dari masyarakat dan diperlakukan sama seperti orang lain. 
Proporsi depresi pada penderita diabetes melitus tipe 2 di RSUP Sanglah Denpasar Gede Aditya Ersa Krisnawan; Putu Aryani; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.993 KB) | DOI: 10.15562/ism.v10i2.246

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Introduction: Over 285 millions of people in 2010 in the world live with diabetes mellitus type 2 (DMT2). In Indonesia based on Riskesdas 2013, 2.45 millions of people live with DMT2 or around 1.5% of Indonesia’s total population. One of the disease causded by DMT2 is depression. 30% people with DMT2 has also experience depression. Depression in Indonesia based on Riskesdas 2013 has 19 millions of people suffering from it or 11.6% of Indonesia’s total population.Method: This research was a descriptive study with cross-sectional approach. The subjects was 51 patients diagnosed with diabetes melitus type 2 and did the follow-up in Diabetic Centre of RSUP Sanglah from October-November 2017.Data for this research was acquired  from interview using Zung Self Depression Scale (ZSDS).Result: The results showed 78.9% sample which experience depression higher in women (80.0%), the unemployeed subject (88.6%), medium educational degree (86.2%), duration of illness >5 years (87.5%), the usage of insulin (81.0%), and patient with complication history (78.8%).Conclusion: Higher depression was found in patients with DMT2 with female gender, not working, disease duration> 5 years, history of insulin use, and had a history of complications. The proportion of depression in DMT2 patient was high, thus further research on relation between depression and DMT2 is necessary to conduct
Pengaruh kepatuhan pendokumentasian asuhan medis terhadap kelengkapan dokumen pengajuan klaim JKN di Instalasi Rawat Inap RSUD Badung tahun 2018 Raditya Putra Pratama Suryadhi; Dyah Pradnyaparamita Duarsa; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.84 KB) | DOI: 10.15562/ism.v10i2.298

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Background: BPJS as a health insurance institution runs the National Health Insurance (JKN) program. JKN implements a prospective financing system whereby payments made after the provision of services are in accordance with the agreement at the beginning in the form of packages. As regard with the fee, the hospital should take an effort to submit the proof document as the condition for the filing of the claim.Aim: This study aims to determine the effect of medical documenting compliance with the completeness of the JKN claim filing documents at the inpatient installation of Badung Hospital.Method: This study is a cross-sectional analytic study with the sample used is 120 documents of in-patient medical treatment that has been repatriated at the in-patient installation of Badung General Hospital in February 2018.  Results: This research get result that the price rs = 0.861 and p-value = 0,003.Conclusion: There is an effect of compliance with documenting medical care on the completeness of claim filing documents in the in-patient installation of Badung General Hospital.
Gambaran persepsi ibu terhadap obesitas pada anak usia sekolah dasar di Kecamatan Canggu, Kabupaten Badung, Bali tahun 2018 Putu Eksa Bidja Yudha Putri; Komang Ayu Kartika Sari; Luh Putu Ariastuti
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.504 KB) | DOI: 10.15562/ism.v10i3.420

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Latar Belakang: Obesitas adalah suatu keadaan terjadinya penumpukan lemak tubuh yang berlebih, sehingga berat badan seseorang jauh melebihi norma. Pemasalahan gizi lebih di Indonesia harus mendapatkan perhatian, prevalensi obesitas pada anak di indonesia terus meningkat. Pada tahun 2007 sebesar 7,95%, di tahun 2013 meningkat menjadi 18,8%.Metode: Penelitian ini merupakan penelitian deskrtitif dengan rancangan penelitian cross sectional yang bertujuan untuk menggambarkan persepsi ibu terhadap obesitas pada anak usai sekolah dasar. Sempel dari penelitian ini adalah sebanyak 92 responden, dengan teknik pengambilan sempel random sampling dan penelitian ini menggunakan alat ukur kuesionerHasil: Ibu yang memiliki persepsi positif terhadap obesitas pada anak sebanyak 56,5% sedangkan ibu yang memiliki persepsi negatif terhadap obesitas pada anak sebanyak 43,5%Simpulan: Masih banyak ibu yang menganggap bahwa obesitas pada anak bukan maslah bagi ksehatan anak. Introduction: Obesity is a condition where there is excess body fat accumulation so that a person's weight is far above normal. The current problem of overnutrition in Indonesia must get attention; the prevalence of obesity in children in Indonesia continues to increase in 2007 by 7.95% and increased to 18.8% in 2013.Method: This study is a descriptive study with a cross sectional study design that aims to describe mothers' perceptions of obesity in children after primary school. The samples from this study were 92 respondents, with random sampling technique and the research using a questionnaire measuring instrument.Result: Mothers who have a positive perception of obesity in children as much as 56.5% while mothers who have a negative perception of obesity in children as much as 43.5%.Conclusion: Based on these results it can be concluded that there are still many mothers who consider that obesity in children is not a problem for children's health.
Hubungan antara perilaku duduk pengrajin ukir kayu dengan nyeri punggung bawah di Kecamatan Tegallalang, Gianyar, Bali Pande Nyoman Dhandy Wirakesuma; Anak Agung Sagung Sawitri; Komang Ayu Kartika Sari
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.631 KB) | DOI: 10.15562/ism.v10i3.475

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Background: Low back pain is one of the health problems that are often encountered in workers. Some risk factors for low back pain are non-ergonomic sitting position, duration of work, working period, and rest breaks. Woodcarving craftsmen in Pupuan Village have a risk to experiencing low back pain complaint. The purpose of this study is determine whether sitting behaviors is related to low back pain.Methods: An analytical observational study, designed in the form of a cross sectional study to determine the relationship between sitting behaviours with low back pain in Pupuan Village. Samples selected by a non-random consecutive sampling produced 69 samples and analysed using SPSS version 17.Results: Most respondents complained of back pain (89.1%), especially in the lower back (85.5%), after work (95.2%), and improved with changes in sitting position (95.2%). The results of the bivariate analysis showed a significant relationship between age, sitting position, duration of work, length of work, and rest periods with complaints of low back pain (P <0.05).Conclusion: There is a significant relationship between age, sitting position, duration of work, working period, and rest breaks with of low back pain complaint in wood carving craftsmen in Pupuan Village.
Hubungan perilaku penggunaan gadget terhadap miopia pada anak sekolah dasar kelas 6 di Kota Denpasar Gede Anantha Restu Permana; Komang Ayu Kartika Sari; Putu Aryani
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.522 KB) | DOI: 10.15562/ism.v11i2.694

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Introduction: Myopia is a state of vision in which light fall in front of retina that causes blurred appearance of distant objects. The prevalence of myopia in Indonesia reaches 25% in adults and 10-12% in children.Method: This study aimed to identify the relationship of gadget usage behavior and myopia on sixth grade of elementary school children in Denpasar. This study was conducted by analytical method with cross-sectional design. Gadget usage behavior included position, visibility, and duration of gadget usage which were measured by questionnaire. Myopia was measured by snellen chart.  Samples of this study were 100 sixth grade children of Saraswati 2 Elementary School in Denpasar which were selected by simple random sampling technique.Result: Results of this study showed that there was no relationship between position of gadget usage and myopia (p value=0.059).  There was a relationship between eye to gadget distance and myopia (p value=0.000).  Duration of gadget usage per day was not related to myopia with (p value=0.490).Conclusion: The results of this study are useful for early prevention to children about risk factors of the gadget usage behavior towards myopia.  Researchers suggest to other researchers to examine using other research methods and besides examining factors related to myopia such as genes, light intensity, and outdoor or indoor activities.  Latar Belakang: Miopia merupakan keadaan penglihatan dimana cahaya jatuh di depan retina yang menyebabkan objek jauh terlihat kabur. Prevalensi miopia di Indonesia mencapai 25% pada orang dewasa dan 10-12% pada anak-anak. Penelitian ini bertujuan untuk mengidentifikasi dan menguraikan hubungan perilaku penggunaan gadget terhadap miopia pada anak sekolah dasar kelas 6 di Denpasar.Metode: Penelitian ini dilakukan dengan metode analitik menggunakan desain potong-lintang. Perilaku penggunaan gadget meliputi posisi, jarak pandang, dan durasi penggunaan gadget dinilai dengan menggunkan kuisioner. Status miopia sendiri diukur menggunakan snellen chart. Sampel penelitian adalah 100 orang anak kelas 6 di SD Saraswati 2 Denpasar yang dipilih melalui teknik simple random sampling.Hasil: Hasil penelitian ini menunjukkan bahwa tidak terdapat hubungan antara posisi penggunaan gadget terhadap miopia dengan nilai p=0,059. Terdapat hubungan antara jarak pandang penggunaan gadget terhadap miopia dengan nilai p=0,000. Durasi penggunaan gadget perhari tidak berhubungan terhadap miopia dengan nilai p=0,490.Simpulan: Hasil dari penelitian ini bermanfaat untuk melakukan pencegahan sejak dini kepada anak-anak tentang faktor risiko dari perilaku penggunaan gadget terhadap miopia. Peneliti menyarankan agar penelitian selanjutnya dilakukan dengan menggunakan metode penelitian lain serta meneliti pula faktor yang berhubungan dengan miopia seperti gen, intensitas cahaya, aktivitas luar ruangan dan dalam ruangan.
Faktor risiko kejadian berat bayi lahir rendah di RSUP Sanglah, Denpasar, Bali, Indonesia I Gusti Ngurah Yuda Bagus Aryana; Komang Ayu Kartika Sari; Putu Aryani
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.584 KB) | DOI: 10.15562/ism.v12i2.1006

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Introduction: Maternal and child health has become a primary health focus in Indonesia and the maternal and child mortality rate in Indonesia is higher than those in South-East Asia countries. The incidence of Low Birth Weight (LBW) contributes to more than 50% of all neonatal mortality of all births in Indonesia. Therefore, identification of the risk factors that contributes to the incidence of LBW is important.Method: This retrospective case-control study involved 50 cases of LBW and 50 controls (baby with normal birth-weight), The data were analyzed using SPSS version 22.Result: The results of multivariate analysis showed that the factors significantly associated with LBW incidence were maternal blood pressure (p=0.000), history of giving birth to LBW babies (p=0.000), and the mode of current labor (p=0.034). The maternal age, maternal education level, maternal occupation, maternal anemia, parity, history of smoking, history of alcohol consumption, history of abortion, parity distance, and maternal BMI had no significant association (p>0.005).Conclusion: Thus, the incidence of LBW can be prevented through maternal blood control during the pregnancy. Careful history taking of past history of giving birth to LBW babies and the mode of delivery must be done to reduce the incidence of LBW.  Pendahuluan: Kesehatan ibu dan anak merupakan salah satu fokus utama kesehatan di Indonesia. Kasus kematian ibu dan anak di Indonesia lebih tinggi dibandingkan dengan negara-negara di Asia Tenggara. Kejadian bayi berat lahir rendah (BBLR) berkontribusi terhadap lebih dari 50% total kematian neonatal di seluruh kelahiran di Indonesia. Oleh karena itu, identifikasi faktor-faktor risiko yang mendasari kejadian BBLR menjadi penting untuk dilakukan.Metode: Penelitian kasus kontrol retrospektif ini melibatkan 50 kasus (BBLR) dan 50 kontrol (bayi lahir dengan berat badan normal. Data yang diperoleh kemudian dianalisis menggunakan perangkat SPSS versi 22.Hasil: Hasil analisis multivariat didapatkan faktor-faktor yang memiliki hubungan signifikan dengan kejadian BBLR adalah tekanan darah ibu (p=0,000), riwayat melahirkan bayi BBLR (p=0,000), dan tipe persalinan bayi saat ini (p=0,034). Sebaliknya, faktor usia ibu, tingkat pendidikan ibu, pekerjaan ibu, anemia pada ibu, jumlah paritas, riwayat merokok, riwayat konsumsi alkohol, riwayat abortus, jarak paritas, dan IMT ibu tidak memiliki hubungan yang signifikan (p>0,005).Simpulan: Pencegahan kejadian BBLR dapat dilakukan dengan mengontrol tekanan darah ibu selama kehamilan. Penggalian riwayat melahirkan bayi BBLR sebelumnya dan pemilihan metode persalinan juga harus dilakukan dengan seksama untuk mengurangi kejadian BBLR.
Association between blood glucose level with glycemic load, physical activity and compliance to medication among Diabetes Mellitus (DM) patients in Buleleng District General Hospital, Bali Province Ketut Adi Jaya Sutana; Komang Ayu Kartika Sari; I Wayan Weta; Ketut Suastika
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p09

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Background and purpose: The prevalence of diabetes mellitus (DM) in Indonesia is increasing, including in Buleleng District, Bali Province. Studies regarding determinants of blood glucose control in DM patients show varied findings. This study aims to examine association between blood glucose level with physical activity, compliance to medication and glycemic load among DM patients. Methods: A cross-sectional survey was conducted in Buleleng District General Hospital from March to April 2017. A total of 73 patients were concecutively recruited to participate in our study. Data were collected through interview, observation and measurement. Data collected included socio-demographic characteristics, fasting blood glucose level, 1-hour and 2-hour postprandial blood glucose levels, carbohydrate intake, body mass index, glycemic index, glycemic load, physical activity, genetic or family history, and compliance to medication. A bivariate analysis was performed to examine association between independent variables and blood glucose levels. Multivariate analysis was also conducted to calculate adjusted odd ratio using a binary logistic regression. Results: Our study found that blood glucose levels of most respondents were relatively well managed–63% for fasting, 61.6% for 1-hour postprandial, and 63% for 2-hours postprandial. Multivariate analysis revealed that fasting blood glucose level were associated with regular physical activities (AOR=74.09; 95%CI: 7.52-729.69) and compliance to medication (AOR=11.90; 95%CI: 2.24-63.29). Furthermore, 1-hour postprandial blood glucose level were associated with breakfast glycemic load (AOR=0.63; 95%CI: 0.47-0.85) and compliance to medication (AOR=27.29; 95%CI: 2.29-323.95), while 2-hour postprandial blood glucose level were associated with breakfast glycemic load (AOR=0.69; 95%CI: 0.54-0.89) and compliance to medication (AOR=19.81; 95%CI: 2.31-170.14). Conclusions: Factors associated with fasting blood glucose level were regular physical activities and adherence to medication, while 1-hour and 2-hours postprandial blood glucose levels were both influenced by breakfast glycemic load and compliance to medication.