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The effectiveness of exclusive breastfeeding counseling in expectants in Kutai Kartanegara Ismi Mufiddah; Ira Paramastri; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.472 KB) | DOI: 10.22146/bkm.6708

Abstract

Effectiveness of counseling to increase exclusive breastfeeding practice among pregnant women in Tenggarong, Kutai KartanegaraPurposeThis research aimed to examine the effectiveness of breastfeeding counseling, to increase knowledge, attitudes, perception for behavioral control, intention and behavior of mothers in exclusive breastfeeding (EBF).MethodsA quasi-experiment study was conducted by comparing an experimental group (29 participants) and a control group (29 participants). The research was conducted in two public health center at different districts at Kutai Kartanegara. Respondents were pregnant women attending antenatal care. The independent variable was breastfeeding counseling, while dependent variables included knowledge, attitudes, perceived behavioral control, intention and behavior of mother on exclusive breastfeeding.ResultsBreastfeeding counseling during pregnancy increased knowledge about EBF. Counselling increased intentions to EBF as well. However, statistical analyses showed that counseling did not make changes to pregnant women’s attitude, perceived behavioral control, and intention to provide EBF. Similarly, there was no difference regarding the behavioral control and attitude towards EBF.ConclusionCounseling increased knowledge and intention to EBF. However, knowledge and intention were not necessarily improved with behavior in terms of EBF. Further research is needed to improve educational techniques. 
Perilaku merokok pasien jantung koroner: studi di rumah sakit Saras Husada Debsy Vonneke Pattilima; Anggoro Budi Hartono; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.404 KB) | DOI: 10.22146/bkm.11661

Abstract

Smoking behavior of patients with coronary heart diseases: a study in the Saras Husada hospitalPurposeThis study aimed to examine the determinants of smoking behavior in patients with coronary heart disease (CHD) in Saras Husada hospital Purworejo.Methods A cross sectional study was conducted involving 205 respondents. Dependent variable was smoking behavior in patients with coronary heart diseases, while independent variables were knowledge about dangers of smoking, exposure to cigarette advertising and smoking behavior of family members with confounding variables: age, sex, and education. Data were collected through interviews using a structured questionnaire and analyzed using bivariate and multivariate tests.ResultsThis study found no correlation of cigarette advertisement exposure, smoking behavior of family members, gender, and education with smoking behavior in CHD patients. Multivariate analysis showed that gender variables influence the determinant of smoking behavior in CHD patients.ConclusionThis study provides knowledge that gender is the strongest determinant affecting smoking behavior in CHD patients. It is necessary to apply the local regulation ban on smoking, especially for men in public places, workplaces and schools.
Penyelidikan KLB keracunan makanan acara ruwahan di desa Mulo, Gunung Kidul provinsi DIY Mur Prasetyaningrum; Z. Chomariyah; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018): Proceedings the 3rd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.843 KB) | DOI: 10.22146/bkm.37616

Abstract

Tujuan: Studi ini untuk mengetahui gambaran KLB keracunan pangan yang terjadi di desa Mulo menurut deskripsi epidemiologi, faktor risiko dan penyebab KLB keracunan makanan. Metode: Studi ini menggunakan studi analitik case control, dimana kasus adalah orang yang mengalami sakit pada tanggal 7 - 8 Mei 2017, tinggal di desa Mulo dan mengkonsumsi makanan olahan dari bapak S dan K. Instrument menggunakan kuesioner. Hasil: KLB terjadi di Desa Mulo RT 5 dan 6 dengan jumlah kasus sebanyak 18 orang dari total population at risk 112 orang dengan gejala utama diare (100%), mual (72,2%), demam (66,6%), pusing (66,6%) dan muntah (50%). Dari diagnosa banding menurut gejala, masa inkubasi dan agent penyebab keracunan, kecurigaan kontaminasi bakteri mengarah pada E. Coli (ETEC). Masa inkubasi 1-16 jam (rata-rata 9 jam) dan common source curve. Penyaji makanan ada dua (pak K dan pak S). Dari perhitungan AR, berdasarkan sumber makanan mengarah pada makanan dari pak S (AR=42,8%). Bedasarkan menu, perhitungan OR dan CI 95 % jenis makanan yang dicurigai sebagai penyebab KLB adalah urap/gudangan (OR=4,33; p value0,0071) dan sayur lombok (OR=6,31; p value 0,0071). Sampel yang didapatkan adalah sampel air bersih, feses, dan muntahan penderita, sampel makanan tidak didapatkan karena keterlambatan informasi dari masyarakat. Hasil laboratorium, Total Coliform sampel air bersih melebihi ambang batas, sampel feses dan muntahan mengandung bakteri Klebsiella pneumonia.Simpulan: Terdapat 3 (tiga) faktor yang diduga sebagai penyebab keracunan pada warga Desa Mulo yaitu air bersih untuk mengolah makanan tercemar bakteri patogen, pengolahan makanan tidak hygienis dan penyajian makanan pada suhu ruang lebih dari 1 jam.
Co-Authors Anggoro Budi Hartono Debsy Vonneke Pattilima Ira Paramastri Ismi Mufiddah Mur Prasetyaningrum Z. Chomariyah