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Relationship with the Regularity of Visits Complications of Hypertension in Patients more than 45 Years Old Wahyu Wijayanto; Prijono Satyabakti
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Hypertension is a risk factor for various degenerative diseases, including coronary heart disease, stroke, and other vascular diseases. One of the risk factors that can increase hypertension is a poor lifestyle such as smoking, excessive salt consumption in food, and lack of exercise. This research was conducted to determine the relationship of the level of knowledge about hypertension complications with regular visits to patients with hypertension aged 45 years and over at the Public Health Center (PHC) of Tembok Dukuh, Surabaya. This type of research is observational with cross-sectional research design. The sample size was 48 people, namely hypertension patients aged 45 years and over who were taking treatment at PHC of Tembok Dukuh. The independent variable is the patient's knowledge of hypertension complications and the dependent variable is the regularity of the hypertension patient's visit to the PHC of Tembok Dukuh. Data analysis uses cross-tabulation. The results of the study with cross tabulation showed that 30 people from 48 respondents have less knowledge and affect the regularity of visits to the PHC of Tembok Dukuh. The conclusion that can be drawn is that most of the hypertensive patients aged 45 years and over who visit the PHC of Tembok Dukuh have less knowledge about the complications of hypertension which results in regular visits by hypertensive patients.

Prevention of HIV/AIDS in Indonesian Navy views of Knowledge, Attitude, and Practice Arwinda Yuhan Wirahayu; Prijono Satyabakti
Jurnal Berkala Epidemiologi Vol. 2 No. 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

HIV/AIDS is a disease that is spreading rapidly in many countries, including in Indonesia. This study to identify the prevention of HIV/AIDS views of knowledge, attitudes and practice. The methods used in this research was descriptive observational with the entire population in Indonesian Navy at east area of Satuan Kapal Eskorta Komando Armada RI Kawasan Timur. Sample size was 87 respondents were selected by purposive sampling technique. Variables in this research are respondent characteristics (age, education, marital status, years of work, mobility), and the prevention of HIV/AIDS from their knowledge, attitude, and practice. The results showed that the characteristics of the respondents most of comprised of age group 20–26 years (54.02%). Most respondents were graduate from high school (87.36%). Most respondents were single (52.87%). Most of respondents were working > 5 years (52.87%) and most of respondents mobility > 5 months (41%). The result of prevention HIV/AIDS showed most of respondents knowledge about HIV/AIDS were in good category (60.91%), most of respondents attitudes about HIV/AIDS were in good category (72.41%). And most of respondents practice about HIV/AIDS were in good category (93.10%). It could be conclude that prevention of HIV/AIDS on Indonesian Navy east area of Satuan Kapal Eskorta Komando Armada RI Kawasan Timur are seen from their knowledge, attitudes and practice are in good category.

The Relationship Between Personal Hygiene with Hepatitis a Incident in Students Dwika Sari Sasoka; Prijono Satyabakti
Jurnal Berkala Epidemiologi Vol. 2 No. 3 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

The prevalence and distribution of hepatitis A cases in recent years in Indonesia have increased. This causes Indonesia to be included in a country with Hepatitis endemic status. The purpose of this study was to analyze the relationship between individual hygiene and the incidence of Hepatitis A in Jember District. The study was conducted on students in educational institutions in the Jember District with an extraordinary case of Hepatitis A in 2013. This study used a case-control design with a quantitative analytic approach. The population of this research is students in educational institutions. Case respondents were selected using simple random sampling and control respondents were selected using purposive sampling. The number of respondents was 15 case respondents and 30 control respondents. The independent variable is the personal hygiene behavior of the respondents. The analysis was performed by the Chi-square test with a Confidence Interval (CI) of 95%. The results showed that the majority of respondents in the case group had poor personal hygiene behavior (53.3%) and the majority of the control group had good personal hygiene (83.3%). Chi-square test showed an association between personal hygiene and the incidence of Hepatitis A (p = 0.016; OR = 5.71; 95% CI = 1.17–2.15). The conclusion is that personal hygiene on the host is related to the incidence of Hepatitis A. It is recommended to increase awareness to maintain personal hygiene by implementing clean and healthy live behaviors.

The Correlation between Family Support with the Quality of Life of Patients with Diabetes Mellitus Nilla Retnowati; Prijono Satyabakti
Jurnal Berkala Epidemiologi Vol. 3 No. 1 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Diabetes Mellitus (DM) is a disease that will accompany a lifetime and require long-term care so that it can reduce the quality of life of sufferers. This study aims to analyze the relationship between family support and the quality of life of people with diabetes mellitus. This type of research is observational analytic with a cross-sectional study design. The study population was all people with diabetes mellitus who visited the Public health center (PHC) of Tanah Kalikedinding in January - March 2014. Patients were diagnosed with diabetes mellitus through laboratory tests using venous plasma blood serum. The size of the study sample is 45 respondents who were selected by simple random sampling. The variables studied included family support, respondent characteristics (age, sex, level of education, income, marital status, and employment status), duration of DM, complications of DM, and quality of life. Chi-square test results with continued Fisher's exact test showed variables that were significantly related to quality of life including family support (p = 0,000), level of education (p = 0.039), income (p = 0.034), marital status (p = 0.003 ) and DM complications (p = 0.007). The Mantel-Haenszel test results show that all the variables studied were confounding on the relationship of family support to quality of life. The confounding variable which has the biggest contribution is DM complications. The conclusion is that family support is significantly related to the quality of life of people with diabetes mellitus at the PHC of Tanah Kalikedinding. PHC is expected to be able to carry out educational and health promotion programs for people with diabetes mellitus and their families to improve patients’ quality of life.

The Difference of Nosocomial Urinary Tract Infection Risk Based on Chateterization Urine, Age, and Diabetes Mellitus Edel Weisela Permata Sari; Prijono Satyabakti
Jurnal Berkala Epidemiologi Vol. 3 No. 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Urinary nosocomial infection is a type of nosocomial infection that often occurs in patients with fixed catheters. Factors causing nosocomial urinary tract infections include host, agent, and urinary catheterization factors. This study aims to analyze the differences in the risk of urinary nosocomial infections based on urinary catheterization, age, and diabetes mellitus (DM). This study uses a case-control design with a sample size of 20 in each case and control group. Case samples were patients diagnosed with urinary tract infections while control samples were patients who were not diagnosed with urinary tract infections at the Haji Public Hospital (RSU Haji), Surabaya from 2013 to 2014. Independent variables were a timeline of catheter placement, urinary catheterization frequency, age, and DM, while the dependent variable is nosocomial urinary tract infection. Data processing uses risk difference (RD) analysis in Epi-info. The results showed that the difference in the risk of urinary nosocomial infection based on the duration of urinary catheter installation was RD = 0.52, meaning that if a catheter replacement effort was made every 7 days, it could prevent 0.52 of 0.71 or 73.53% of urinary tract infections, the frequency of urinary catheterization of RD = 0.44 means that if efforts are made to reduce urine catheterization up to 1 time, it can prevent 0.44 of 0.79 or 55.94% of urinary tract infections, age of 0.40 means that if indicated proper installation and installation procedures in patients> 55 years old, can prevent 0.40 of 0.68 or 59.26% incidence of urinary tract infections and DM of RD = 0.42 means that if prevention efforts are made against DM, it can prevent 0.42 of 0.75 or 55.56% incidence of urinary tract infections.

Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance Ajeng FS Kurniawati; Prijono Satyabakti; Novita Arbianti
Jurnal Berkala Epidemiologi Vol. 3 No. 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Nosocomial infection is still a global public health problem. At the same time, there is a problem of bacterial resistance to several classes of antibiotics called multidrug resistance organisms (MDROs). The incidence of MDROs is higher in the Intensive Care Unit (ICU) compared to other service units. Bacterial transmission can be prevented by hand hygiene. The purpose of this study is to analyze the differences in the risk of MDROs according to risk factors and compliance with hand hygiene. This study uses a case-control design with a sample size of 20 in each case and control group. Case samples were MDROs patients at ICU “Y“ Hospital (RS “Y”) Surabaya, while the control sample was ICU “Y” Hospital Surabaya patients who were not MDROs. The independent variable is the duration of use of antibiotics, length of stay, use of ventilator medical devices and compliance with hand hygiene of health workers. Data analysis uses the Odds Ratio (OR) and Risk Difference (RD) analysis. The results showed that the difference in the risk of MDRO infection was based on the duration of antibiotic use (OR=10,23; 95%CI=1,12<OR<93,35; RD=0,47), length of stay (OR=7,36; 95%CI=1,34<OR<40,55; RD=0,44), use of a ventilator medical device (OR=9,00; 95%CI=1,64<OR<49,45; RD=0,48), and hand hygiene compliance (OR=6,00; 95% CI=1,46<OR<24,69; RD=0,42). Based on the results of the study, it can be concluded that maintaining hygiene before taking medical measures, including tools, environment and health workers' bodies must be carried out so that they do not become a medium for the growth of MDRO bacteria.

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