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Meta-Analysis of Correlations between Work Stress and Burnout with Work Satisfaction in Nurses Gunawati, Arista; Kristiyanto, Agus; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.04.06

Abstract

Background: Nurses are one of the human resources in the field of health services. Human resources who work in the service sector mostly have high levels of stress and burnout. The level of stress and burnout affect the work satisfaction of nurses. This study aims to determine the relationship between work stress and burnout with nurses’ work satisfaction.Subjects and Method: This study is a systematic review and meta-analysis by searching for articles published by the online database including PubMed, ResearchGate, Science Direct, Google Schoolar and EBSCO in 2007 to 2022. PICO variable work stress (Population: nurses, Intervention: heavy stress, Comparison: heavy stress, Outcome: work satisfaction). PICO variable burnout (Population: nurses, Intervention: heavy burnout, Comparison: heavy burnout, Outcome: work satisfaction). Data analysis was using RevMan software version 5.3.Results: Nurses who experience heavy or severe stress have a risk of lowering work satisfaction by 0.97 times compared to mild work stress, but it is not statistically significant (aOR= 0.97; 95% CI 0.78 to 1.20; p=0.750). Nurses who experience heavy burnout have a risk of reducing job satisfaction 0.87 times compared to mild job burnout, but it is not statistically significant (aOR= 0.87; CI 95% 0.58 to 1.30; p= 0.490).Conclusion: High stress levels can reduce nurses’ work satisfaction. A high level of burnout can reduce nurses’ work satisfaction. Keywords: burnout, nurse, work satisfaction, work stress. Correspondence:Arista Gunawati. Masters Program in Public Health Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: aristagunawati@gmail.com. Mobile: +6285647093646.
Meta-Analysis of the Effect of Prolonged Use of High Heels on Low Back Pain in Female Sales Employees Firmanurulita, Fadhila; Kristiyanto, Agus; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.06

Abstract

Background: Low Back Pain is the pain that is felt from the lower back area to the lower buttocks crease area (Gluteal inferior fold). One of the causes of Low Back Pain is a prolonged and excessive use of high heels. This study aims to analyze and estimate the effect of the use of high heels on Low Back Pain in sales promotion girls. Subjects and Method: Meta-analyses were carried out according to the PICO model. Population: female sales promotion employee. Intervention: Wearing High Heels. Comparison: Not using High Heels. Outcome: Low Back Pain. The article search in this study was conducted through databases that included PubMed, Google Schoolar, ScienceDirect. The keywords included: "Low Back Pain" AND "Low Back Pain" AND "High Heels" AND "Low Back Pain" "Employee sales" AND "High Heels" "Sales Low Back Pain" (aOR) "Employee sales" And "Employe sales" "Low Back Pain" AND "High Heels" AND "Employe sales", "High Heels AND High Heels" "Low Back pain Employee Sales" AND "High Heels". Full-paper articles with cross-sectional study design. The subjects of the study were users of high heels toward low back pain, the measure of association used was the adjusted odd ratio. The article selection used was PRISMA flow diagram. The analysis was performed using Revman 5.3 Results: A meta-analyss included 10 cross-sectional studies from Africa and Asia. Prolonged use of high heels increased the risk of low back pain in female sales promotion employee (aOR= 1.41; 95% CI= 1.16 to 1.171 p=0.001). Conclusion: Female sales promotion employee who wear high heels have a higher risk of experiencing low back pain. Keywords: sales promotion girl, high heels, low back pain. Correspondence:Fadhila Firmanurulita. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: missdhila18@gmail.com. Mobile. +6285740045026.  
Meta-Analysis Effectiveness of Massage on Spasticity in Children with Cerebral Palsy Muazarroh, Salma; Kristiyanto, Agus; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Children with spastic cerebral palsy generally experience spasticity in the upper and lower extremities. Spasticity is stiffness that occurs due to damage to the central nervous system caused during the child's growth and development from prenatal to postnatal. Spasticity can be controlled with intervention. The purpose of this study is to analyze, and estimate the effectiveness of massage for spasticity in children with cerebral palsy.Subjects and Method: This study uses a meta-analysis study design with PICO as follows: P= children with cerebral palsy, I= massage, C= non massage, O= Modified Ashworth Scale (MAS). The article search process was carried out between 2000-2020 using databases from PubMed, Google Scholar, PEDro, NCBI. Based on the database, there were 9 articles that met the inclusion criteria. This study involved 817 articles. The analysis was performed using Review Manager software (RevMan 5.3).Results A total of 9 Randomized Control Trial (RCT) studies from Europe, America, Asia and Africa were selected for systematic review and meta-analysis. COVID-19 patients receiving Ivermectin therapy decreased the duration of hospital stay by 1.52 units compared to standard therapy and this result was statistically significant (SMD= -1.52; 95% CI= -2.34 to -0.70; p= 0.003).Conclusion: Ivermectin can reduce the duration of hospital stay for COVID-19 patients.Keywords: Massage, cerebral palsy, Modified Ashworth Scale, meta analisisCorrespondence: Salma Muazarroh. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: salma.azza@gmail.com. Mobile: 085642431178.Indonesian Journal of Medicine (2022), 07(02): 209-218https://doi.org/10.26911/theijmed.2022.07.02.09
The Effects of Diet, Physical Activity, and Social Support on Overweight and Obesity in Female Adolescents Rahelli, Yeti; Kristiyanto, Agus; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Obesity is reaching global epidemic proportions with a threefold increase from 1975-2016. The percentage of adolescents aged 12-19 years old who are obese has increased from 5% -21% in the same period. The SCT can determine dietary behavior and regular physical activity. Study shows that a healthy diet, regular activity and social support contribute to weight gain. This study aims to estimate the effect of diet, physical activity, social support on overweight girls.Subjects and Method: This study was an observational analytic study with a cross sectional design. The sample size was 120 study subjects using stratified random sampling. Data analysis with path analysis using the Stata 14 program.Results: Overweight/ obesity was directly reduced by healthy diet (b= -3.62; 95% CI= -5.08 to -2.15; p<0.001), healthy behavior (b= -2.02; 95% CI= -3.40 to -0.67; p= 0.003), and high physical activity (b= -1.74; 95% CI= -3.40 to -0.10; p= 0.038). Overweight/ obesity was indirectly affected by vicarious learning, maternal education, family income, and family support.Conclusion: Overweight/ obesity is directly reduced by healthy diet, healthy behavior, and high physical activity. Overweight/ obesity is indirectly affected by vicarious learning, mater­nal education, family income, and family supportKeywords: diet, physical activity, family support, SCT, path analysisCorrespondence: Yeti Rahelli. Master of Public Health Sciences, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A Kentingan Surakarta 57126, Central Java, Indonesia. Email: yetirahelli@student.uns.ac.idJournal of Health Promotion and Behavior (2020), 05(03): 209-220https://doi.org/10.26911/thejhpb.2020.05.03.07 
Effects of Peers and Family Members on Smoking Habits in Adolescents: A Meta-Analysis Apriliyani, Florida Betty; Kristiyanto, Agus; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Nowadays, smoking is one of the biggest public health problems worldwide. It is a major cause of disease and mortality that can be prevented early. One out of 10 deaths worldwide is caused by tobacco use. 40 million people died each year due to tobacco. Adoles­cents start smoking in response to social effects, imitating the behavior of friends, family members, and others they admire. This meta-analysis study aimed to analyze the effect of peers and family members who smoked on smoking habits in adolescents.Subjects and Method: Meta-analysis was conducted by searching for articles from data­bases such as PubMed, SpringerLink, Elsevier, Science Direct, and Google Scholar. The key­words were "peers" OR "parenting style" OR "family influence" AND "smoking" AND "beha­vior" AND "adolescents" AND "cross-sectional". The inclusion criteria were full-text articles with a cross-sectional design, English and Indo­nesian languages, students aged 14-24 years as the study subjects. The final results of the study were presented using the adjusted odds ratio (aOR). The articles were analyzed using Revman 5.3 software.Results: 17 articles were analyzed. The results showed that peers and family members increased smoking habits in adolescents; the result was statistically significant with peers (aOR= 2.77; 95% CI= 1.67 to 4.60; p <0.001; I2= 96%) and family members (aOR= 1.69; 95% CI= 1.35 to 2.13; p<0.001; I2=65%).Conclusion: Peers and family members affects smoking habits in adolescents. It is statistically significant.Keywords: Peers, family members, smoking habits, adolescents, cross-sectionalCorrespondence: Florida Betty Apriliyani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ridhaflorida@gmail.com. Mobile: 0813­29329417.Journal of Health Promotion and Behavior (2020), 05(04): 248-263https://doi.org/10.26911/thejhpb.2020.05.04.03. 
The Effects of Physical Activity and Obesity on Hypertension in Adolescents: Meta-Analysis Berek, Maria Imakulata; Kristiyanto, Agus; Widyaningsih, Vitri
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The incidence of hypertension is always increasing every year both in Indo­nesia and in the world. Adolescents with high blood pressure are more likely to become adults with hypertension if not treated immediately. This study aimed to review the effects of phy­sical activity and obesity on hypertension in adolescents using meta-analysis.Subjects and Method: Meta-analysis was performed by searching for articles from the database, namely Pubmed, Science Direct, Springer Link and Google Scholar. The key­words used are "physical activity" AND "obe­sity" AND "hypertension" OR "high blood pres­sure" AND "adolescent" AND "cross-sectional". The inclusion criteria in this study were full-text articles with a cross-sectional design, in English, for the period of 2010-2020. Article analysis was using RevMan 5.3.Results: The total number of articles analyzed was 14 articles from Nigeria, Brazil, Gabon, Germany, Tunisia, Algeria, China, Egypt, Indo­nesia, Lithuania, Greece, and Ghana. The results of the meta-analysis showed that phy­sical activity increased the incidence of hyper­tension in adolescents (aOR= 2.70; 95% CI= 1.81 to 4.04; p<0.001; I2= 87%). Obesity increased the incidence of hypertension in adolescents (aOR = 1.71; CI 95% = 1.34 –2.17; p < 0.001; I2 = 41%).Conclusion: Physical activity affects the inci­dence of hypertension in adolescents. Obesity affects the incidence of hypertension in adolescents.Keywords: hypertension, physical activity, obesity, adolescentsCorrespondence: Maria Imakulata Berek, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: imma123433@gmail.com. Mobile: 085­311622368.Journal of Health Promotion and Behavior (2020), 05(04): 296-305https://doi.org/10.26911/thejhpb.2020.05.04.07. 
Persepsi Kelompok Penerima Manfaat terhadap Program Pekarangan Pangan Lestari (P2L) di Kota Surakarta Anantanyu, Sapja; Arif, Akbarudin; Kristiyanto, Agus; Saptaningtyas, Haryani; Suminah; Retnaningtyas, Triya Ayu
Jurnal Penyuluhan Vol. 21 No. 01 (2025): Jurnal Penyuluhan
Publisher : Department of Communication and Community Development Sciences and PAPPI (Perhimpunan Ahli Penyuluhan Pembangunan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25015/21202551299

Abstract

Kebijakan pertanian perkotaan menjadi strategi pemerintah dalam mendukung ketahanan pangan masyarakat kota. Program Pekarangan Pangan Lestari (P2L) dari Kementerian Pertanian bertujuan meningkatkan perekonomian dan kesejahteraan masyarakat kota melalui pemanfaatan lahan tidak produktif sebagai sumber pangan. Penelitian ini mengeksplorasi kebijakan dan implementasi P2L di Kota Surakarta, menganalisis persepsi kelompok penerima manfaat, serta faktor-faktor yang memengaruhinya. Penelitian ini menggunakanmixed method, menggabungkan studi kasus dengan wawancara mendalam terhadap 21 informan dan survei terhadap 125 responden dari 20 kelompok penerima manfaat. Hasil penelitian menunjukkan implementasi P2L umumnya sesuai petunjuk teknis, namun beberapa kelompok tidak lagi aktif karena program telah selesai. Partisipasi anggota kelompok masih rendah, sehingga pelaksanaan program kurang optimal. Berdasarkan hasil analisis, persepsi anggota kelompok penerima manfaat program terhadap aspek manfaat yaitu tidak baik (49,6%), serta terhadap aspek pelaksanaan dan keberlanjutan yaitu ragu-ragu (masing-masing 48,8% dan 54,4%). Uji regresi menunjukkan tingkat pendidikan dan dukungan lingkungan sosial ekonomi berpengaruh signifikan terhadap persepsi, sedangkan kekosmopolitan tidak berpengaruh. Kedepan, agar program optimal dan berkelanjutan, perlu dilakukan peningkatan partisipasi aktif melalui pembagian tugas yang jelas, penyusunan sistem insentif, dan pengenalan model pengelolaan berbasis komunitas; meningkatkan pemahaman dan kesadaran melalui pelatihan rutin dan penyuluhan tentang dampak positif program jangka panjang; serta pengembangan pasar lokal dan branding produk.
Menjelajahi perkembangan pariwisata olahraga paralayang: Studi kasus perbandingan di Bali dan Jawa Tengah Indriyani, Nur Afifah; Kristiyanto, Agus; Riyadi, Slamet
Jurnal SPORTIF : Jurnal Penelitian Pembelajaran Vol 11 No 1 (2025): Jurnal SPORTIF: Jurnal Penelitian Pembelajaran
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/js_unpgri.v11i1.25034

Abstract

One of Indonesia's top priorities still is tourism, which helps to boost regional development, employment, and the national economy. Among its developing sub-sectors, sport tourism, especially paragliding, has become increasingly popular because of Indonesia's varied and breathtaking natural surroundings. Still, differences in the evolution of tourism locations make it difficult to reach fair and sustainable tourism expansion. This paper attempts to investigate the main elements affecting the growth of paragliding sport tourism by means of a comparative case study of RIUG Paragliding in Bali and the Kemuning Paragliding Community in Central Java. Using a qualitative descriptive-comparative approach, the study thoroughly investigates tourism development strategies from several regional settings. Six key informants, three from each site who directly oversee tourist management, were used in a purposeful sampling process to gather data. Under the direction of the 4A tourism framework (Attractions, Accessibility, Amenities, and Ancillary Services), the study used in-depth interviews, structured observations, and document analysis. Data were transcribed, coded, categorized, and triangulated to guarantee validity and dependability. The results expose several methods of development: Whereas the Kemuning Paragliding Community stresses local resource use and volunteer involvement, RIUG Paragliding Bali uses a corporate-based model with contemporary facilities, integrated promotion methods, and stakeholder collaboration. The study comes to the conclusion that efficient development of paragliding sports tourism calls for cooperative governance involving corporate businesses, local communities, and government institutions to support sustainable and inclusive tourism expansion. 
Effects of aerobic exercise and high-intensity interval training on muscle damage in an overtraining rat model Syetiawinanda, Amriansyah; Doewes, Muchsin; Purwanto, Bambang; Soetrisno, Soetrisno; Kristiyanto, Agus; Pamungkasari, Eti Poncorini
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.297

Abstract

Background: Overtraining is commonly associated with elevated oxidative stress, inflammatory responses, and structural damage to muscle fibers, all of which contribute to a decline in physical performance. This study aimed to assess the impact of aerobic exercise on biomarkers including malondialdehyde (MDA), interleukin-6 (IL-6), caspase-3, nitric oxide (NO), superoxide dismutase (SOD), as well as the integrity of the sarcolemma. Methods: A six-week experimental study was conducted using 24 rats, which were randomly divided into three groups (n = 8 per group): a negative control group (no treatment), an aerobic exercise group, and a high-intensity interval training (HIIT) group. The levels of biochemical markers, including malondialdehyde (MDA), interleukin-6 (IL-6), nitric oxide (NO), and superoxide dismutase (SOD), were measured using the enzyme-linked immunosorbent assay (ELISA) technique. Additionally, the expression of caspase-3 was determined through immunohistochemical (IHC) analysis. Muscle tissue damage was evaluated by means of histopathological examination. The data were analyzed using a one-way analysis of variance (ANOVA), followed by the Mann-Whitney post hoc test to assess differences between groups. Results: The findings indicated that aerobic exercise did not result in a statistically significant reduction in malondialdehyde (MDA) (p = 0.833), interleukin-6 (IL-6) (p = 0.800), nitric oxide (NO) (p = 0.791), or superoxide dismutase (SOD) (p = 0.520) levels. Nevertheless, the aerobic exercise group exhibited a significantly lower expression of caspase-3 compared to the other groups (p = 0.023). Furthermore, aerobic exercise was associated with a significant reduction in muscle tissue damage (p = 0.001). Conclusion: The findings of this study indicate that both aerobic exercise and high-intensity interval training (HIIT) have the potential to be utilized as therapeutic approaches for mitigating exercise-induced muscle damage, primarily through their positive influence on sarcolemma stability. However, additional clinical investigations are necessary to confirm these results and establish their relevance for clinical implementation.
The effects of overtraining protocol on markers of oxidative stress and inflammation Syetiawinanda, Amriansyah; Doewes, Muchsin; Purwanto, Bambang; Soetrisno, Soetrisno; Kristiyanto, Agus; Pamungkasari, Eti Poncorini
Physical Therapy Journal of Indonesia Vol. 6 No. 2 (2025): July-December 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i2.304

Abstract

Background: Overtraining can elevate reactive oxygen species (ROS), suppress endogenous antioxidant activity, and trigger systemic inflammation. Monitoring oxidative stress and inflammation is essential to prevent muscle damage. This study aimed to examine the effects of an overtraining protocol on oxidative stress and inflammatory markers MDA, IL-6, NO, and SOD in male Wistar rats. Methods: The experimental was conducted over two weeks using male Wistar rats at the Bioscience Institute Laboratory, Universitas Brawijaya, Malang, Indonesia as a preliminary study. Three rats were examined to assess the effects of overtraining on MDA, IL-6, NO, and SOD levels. Observations were made one day after overtraining protocol for the intervention group value (KP) and six weeks after overtraining for the control group value (K1). Results: Three male rats underwent an overtraining protocol, and blood samples were collected one day post-overtraining (KP) to assess MDA, IL-6, NO, and SOD levels. The mean values at KP were MDA: 370.3 ± 10.3, IL-6: 5.9 ± 0.7, NO: 61.0 ± 8.4, and SOD: 0.05 ± 0.03. At six weeks post-overtraining (K1), MDA (192.8 ± 10.3), IL-6 (3.3 ± 1.9), and NO (41.7 ± 21.6) levels were lower, while SOD (0.3 ± 0.2) was higher compared to KP. Conclusion: Overtraining can elevate ROS and inflammatory responses, as indicated by increased MDA, IL-6 levels, and NO, along with reduced SOD expression.
Co-Authors Agus Margono Alfira fitriana Anggriani, Atika Febri Aprilia, Khalida Nawa Apriliyani, Florida Betty Arif, Akbarudin Ayuningtiyas, Citra Bambang Purwanto Berek, Maria Imakulata Bhisma Murti Brian Wasita Cahyo Seftyono Daniyar, Pamogsa Ratri Adha Daryanto Daryanto Dono Indarto Edy Legowo, Edy Ellyas, Intan Suraya Eti Poncorini Pamungkasari Faidillah Kurniawan Fiola Indah Putri Pratama Firmanurulita, Fadhila Forestry, Silmi Furqon Hidayatullah, Furqon Gontara, Satria Yudi Gunawati, Arista Hangga Kusuma, Hangga Hari Hanggoro, Hari Herry Widyastono, Herry Hidayatullah, M.Furqon Ian Alfian Riyanto, Ian Alfian Indriyani, Nur Afifah Istiqomah, Isnanda Putri Nur Juego, Bonn Kardiyanto, Deddy Whinata Khoirul Huda Kiyatno Kiyatno Kristiana, Irma Lelono, Sarjoko M.Pd S.T. S.Pd. I Gde Wawan Sudatha . Mariyanto, Muhammad Maryanto, Muhammad Muazarroh, Salma Muchsin Doewes Muhammad Furqon Hidayatullah Muhammad Hisyam Muthmainah Muthmainah Nenot'ek, Frislin Paskaliner Yonatan NINGRUM, TYAS SARI RATNA Noer Rachma Nugroho, Kristanto Adi Prasetya, Hanung Pratama, Andika Priya Rachman, M Erika Rahardjo, Setyo Sri Rahelli, Yeti Restian Gigih sejati, Restian Gigih Retnaningtyas, Triya Ayu Risya Cilmiaty, Risya Rokhayah, Fajar Rokhayah, Fajar Rony Syaifullah, Rony Sadullah, Akhmad Safitri, Lina Eta Sapja Anantanyu, Sapja Sapta Kunta Purnama Saptaningtyas, Haryani Sholikah, Mutiana Agustin Sima Asmara Dewa Marya Mahardika Putri Slamet Riyadi Soetrisno Soetrisno Sugiyanto - Sumaryanto Sumaryanto, Sumaryanto Suminah Sunardi Sunardi Suprayogi, Dody Susilo, Fahmi Eko Syetiawinanda, Amriansyah Tonang Dwi Ardyanto Triasmono, Haris Kukuh Utomo, Tri Aprilijanto Vania Martha Yunita Vitri Widyaningsih Widayat, Tulus Windiartha, Abdy Windiartha, Abdy Wulandari, Cahyani Wulansari, Dasih Ayu Yoga Yuniadi Yuyun Ari Wibowo Zaidah, Lailatuz Zalaff, Katsran Zulkarnain, Alfian Noha