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All Journal Jurnal Psikologi Journal of Educational, Health and Community Psychology Intuisi Gadjah Mada Journal of Psychology Public Health of Indonesia JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Jurnal Gizi Klinik Indonesia Insight : Jurnal Pemikiran dan Penelitian Psikologi An-Nadaa: Jurnal Kesehatan Masyarakat Journal of Psychological Perspective Jurnal Kesehatan Saintika Meditory Personifikasi: Jurnal Ilmu Psikologi Berita Kedokteran Masyarakat Proceeding ISETH (International Summit on Science, Technology, and Humanity) Jurnal Psikologi Universitas Gadjah Mada Gadjah Mada Journal of Professional Psychology (GamaJPP) Buletin Psikologi Prosiding University Research Colloquium Jurnal Permata Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Ira Paramastri

Unknown Affiliation

Author-ID : 340098

Religion Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Peran Petugas Puskesmas dalam Promosi Kesehatan Berhenti Merokok pada Pasien dan Masyarakat Muhammad Daroji, Yayi Suryo Prabandari, Ira Paramastri
Berita Kedokteran Masyarakat (BKM) Vol 27, No 2 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Role of Health Center Staff in Health Promotion of Smoking Cessation of Patients and The CommunityBackgrounds: Smoking is a complex and global problem. Its impact to health is undeniable. Nevertheless, the prevalence of smoking increases in developing countries, whereas in developed countries the prevalence decreases. The prevalence of smoking in population always increases. In the Sleman district the prevalence of smoking in the population of above 10 years old reaches 26.7%, the prevalence of smoking household is 55.74%. Data of 8 major diseases causing mortality in hospitals at District of Sleman shows that 4 of them are diseases related to cigarettes. Health staffshave a very strategic role to promote smoking cessation in patientsand the community.Objectives: To identify the role of health center staff promoting healthty smoking cessation in patients and community and aspects related to it.Methods: The study used qualitative approach and phenomenological design. The main subject of the studywas staff of public health promotion, clinical coordinator and heads of health center. The supporting subjects were patients and the community and the officials of the health office. Selection of health centers were based on coverage of the highest and the lowest smoke free household, each representing one respondent. Data were obtained through indepth interview and observation.Results: Role of health center staff in the promotion of smoking cessation includes patient and family education,community and school children education, giving advices and medical instructions, providing information, becoming non smoking role model, creating a model of smoke free area, collaborating clinical services with psychologists. Aspects related to these comprised were staff’s attitudes, understanding of the need to quit smoking, responsibility, staff’s competence, community’s expectation, constraints and belief in success.Conclusions: Role of health center staff in the promotion of smoking cessation was not yet optimum due to limited competence, internal and external constraints, poor belief in success.Keywords: role of staff, health promotion, smoking cessation

Kepercayaan Ibu Rumah Tangga tentang Nyamuk Aedes dan Pencegahan Demam Berdarah Dengue di Kelurahan Endemis Aryani Pujiyanti, Ira Paramastri, Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Active community participation in controlling mosquito breeding sites (Pemberantasan Sarang Nyamuk/PSN) in Semarang especially apart from epidemic situation was difficult to be formed as a habit. It was shown by the high incidence of dengue hemorrhagic fever cases and the larva-free rate that haven’t met the national indicator of 95%. The lack of comprehension about DHF, vector and DHF prevention could be barriers in implementation of DHF prevention. This understanding was connected with local belief and social cultural factors in the community.Objective: To explore housewife’s belief of Aedes mosquitoes that might affect DHF prevention practice in endemic sub district, Tembalang district, Semarang.Method: Research was conducted with qualitative design, using case study. Subject of the study were 17 housewives which selected with purposive sampling. The data collection was carried out through focus group discussions, indepth interviews and observation. The techniques used to test data validity were triangulation and member checking method. Data were analyzed using content analysis approached.Results: Housewives who had small children felt more vulnerable toward DHF. The community would tend to pay attention to the seriousness of the threat when DHF cases were increased in the community. Aedes sp was more perceived as a nuisance rather than disease vectors. Barriers that arise from PSN were the implementation that was not all together and PSN needed specific time and energy.Conclusion: Housewives tend to use a biomedical model for understanding the causes, signs and treatment of critical stage of DHF. Housewives perception of Aedes could be explained by naturalistic model. PSN suggested by health practitioners was not suitable with cultural context. A program that could be suggested was a training of cadres to identify mosquito breeding sites, introduction of mosquito-stage development and the correct practice of 3M plus.Keywords: dengue hemorrhagic fever, belief, housewives, Aedes

Pemberdayaan Keluarga dalam Rehabilitasi Medik Paru pada Penderita Penyakit Paru Obstruksi Kronik di Balai Pengobatan Penyakit Paru-Paru Yogyakarta Ana Adina Patriani, Ira Paramastri, M. Agus Priyanto
Berita Kedokteran Masyarakat (BKM) Vol 26, No 2 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Chronic Obstructive Pulmonary Disease (COPD) is one of the main causes of morbidity, a leading cause of death and disability in worldwide. In addition COPD imposes a significant burden in terms of disability and impaired quality of life. COPD is projected to increase in much of the world as smoking frequencies rise, the population ages and the contribution in door and out door air pollution. Pulmonary rehabilitation program has been shown in improving quality of life patients with COPD. The success of pulmonary rehabilitation program was influenced by patient’s motivation and support by family members. The family empowerment through training on pulmonary rehabilitation was expected could improve knowledge and skill of the family members of COPD patients and in turn could improve the development of pulmonary function to COPD patients.Objectives: Assess the influence of family empowerment through training on pulmonary rehabilitation in improving the knowledge and skill of family members on pulmonary rehabilitation.Methods: This research was quasi-experimental study by pre and post test with control group design. Subject of the research were 63 family members that was selected randomly. The subject divided into experimental groups (31) and control groups (32). Data collected was conducted by using questionnaires of knowledge and check lists of skill. Data analysis used paired t-test and independent sample t-test with significant level of p=0,05.Results: Level of education, age, knowledge and skill about pulmonary rehabilitation before intervention were not significantly different. After get training on pulmonary rehabilitation, improvement of knowledge and skill in the intervention group was significantly (p<0,05). There was significant difference on knowledge and skill between intervention group with control group. Module has function to resist the family knowledge and skill one month after training.Conclusions: Training pulmonary rehabilitation on family members to COPD patient can improve knowledge and skill about COPD and pulmonary rehabilitation.Keywords: COPD, pulmonary rehabilitation, family empowerment

Komunikasi dan Hubungan Terapeutik Perawat-Klien terhadap Kecemasan Pra Bedah Mayor Sri Mulyani, Ira Paramastri, Much. Agus Priyanto
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: A patient who will carry a surgical operation has uncertainty feeling, fear, doubt and anxiety. Anxiety can laid to psychological disruption or functional body disruption of a patient that can affect the surgical operation and anesthesia achievement. Based on pre-research study that has been carried by researcher on June 2007 of 40 patients on in-room at surgery and non-surgery room, it is found that 52,5% at the medium rate of anxiety. By so, we need effective way to decrease anxiety rate of patient. This research is aimed to find the effect of communication and nurse-patient therapeutic relation in decreasing anxiety rate of pre-major surgery patient.Method: Type of the research is experimental quasi with pre-test and post-test group design. The samples of the research consist of 30, that we are given communication treatment and nurse-patient therapeutic relation, and of 30, that we are not given the treatment. The sample is chosen used purposive technique. The technique of collecting data is questionnaire. The data analyzing to know the difference of anxiety with paired samples test, whereas to examine the effect of communication and nurse-patient therapeutic relation with independent samples test with significance rate p=0,05.Result and Discussion: The result of research showed that there is no difference at age characteristics, sex, education, ill period, and marriage status of both group (p>0,05). There is significantly difference anxiety (p<0,05) between the groups. Patients of pre-major surgical operation, that were given therapeutic relation and communication treatment by nurse, have anxiety rate much more lowly why were not given. Test result showed therapeutic relation and communication treatment is carried between nurse and patient can decrease anxiety of pre-major surgical operation with p=0,00 (p<0,05).Conclusion: Therapeutic relation and communication of nurse and patient can decrease anxiety of pre-major surgical operation.Keywords: Therapeutic relation and communication, nurse and client, anxiety, premajor surgical operation

Perilaku Kesehatan Reproduksi Anak Perempuan Korban Trafficking di Manado Sesca Diana Solang, Ira Paramastri, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: There were 23 girls who escaped from bar “F” in Timika Province of Papua. In 29 August 2002 during medical examination, it was found that one of the girls suffered from HIV/AIDS, others had sexual diseases, and there were some of them who were pregnant. The government paid attention to them and hence, they were invited to a skill course and will be given an asset; nevertheless, only five girls who attended.Objective: This research was aimed to find out knowledge of girls who were being prostitute regarding the threat of reproductive health disease, role of customer, procuress, health care provider, friend and family in giving support on the unwanted pregnancy, sexual transmitted disease (STD) and HIV/AIDS as well as how is the reproductive health behavior toward prevention of unwanted pregnancy, STD and HIV/AIDS during trafficking in Timika.Method: This research was an explorative qualitative one and it was conducted with focus group discussion toward research subject of girls who were being prostitute in Timika and in-depth interview toward research subject and program manager in the provincial level as informant key. The subjects were chosen with purposive sampling that used selected criteria. Qualitative data analysis was used from data collection until forming an explanation of data validity by using source and method triangulation.Result: In general, AYLA did not experience unwanted pregnancy because they used contraception. Condom can be obtained from health care provider or bought to be offered to their guest when having sexual relationship although most of the guests refused to use it. This condition showed the low bargaining position of girls who were being prostitute in the transaction process. People surrounding girls who were being prostitute has reminded each other to have self protection toward prevention of unwanted pregnancy, STD and HIV/AIDS with contraception. They know the risk if they did not use condom in having sexual relationship. The low bargaining position caused girls who were being prostitute had high risk toward reproductive health disease and could not have safe sex in order to be avoided from the transmission of STD even HIV/AIDS.Conclusion: Most girls who were being prostitute already know unwanted pregnancy, STD and HIV/AIDS, but they still have bad attitude and behavior on the risk of sexual disease when their guests were not using condom because of girls who were being prostitute low bargaining position and behavior on washing reproductive organ with toothpaste after having sexual relationship caused irritation and reproductive system disorder.Keywords: reproductive health behavior, girl, sacrifice trafficking

Pengaruh hipnosis lima jari terhadap penurunan kecemasan pasien kanker leher rahim Adin Mu'afiro, Ova Emilia dan Ira Paramastri
Berita Kedokteran Masyarakat (BKM) Vol 20, No 4 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3689

Background: The incidence of cervical cancer in Indonesia is still the highest among gynecological cancers. Cervical cancer patients generally have anxiety since the uterus has biological and psychological meaning for women. When the anxiety persists and is severe, it can decrease the body immune system. Therefore, an effective way should be sought to decrease anxiety. This study was aimed at examining the role of five-digit hypnosis in reducing anxiety of cervical cancer patient. Methods: The research was a quasi experiment with an equivalent control group design. The subjects of the study were 30 people who were given treatment of five-digit hypnosis and 30 people without treatment. Sample was selected with simple random sampling. The data collection method was questionnaire. The anxiety difference score of the patient was analyzed with pair samples test, while independent samples test was used to examine the influence of five-digit hypnosis with significance level p=0.05. Result and Discussion: The result indicated that there were no significant difference in age, education and length of medication between the two groups (p>0.05). There was a significant anxiety difference

Promosi Kesehatan Oleh Kader Dan Petugas Kesehatan Tentang Pencegahan Penyakit Demam Berdarah Dengue Di Kecamatan Umbulharjo, Kota Yogyakarta Citraningsih Yuniarti, Soesanto Tjokrosonto dan Ira Paramastri
Berita Kedokteran Masyarakat (BKM) Vol 20, No 1 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3709

Background: Discussion method of health promotion facilitated by health officer or cadre using folder is needed. The success of health promotion is depended on the skill of the facilitator to modify the behavior of other individuals. The problem is whether or not there is a difference of the skill between health officer and cadre in increasing people s knowledge about DHF prevention. The research aims to know the difference in people s knowledge of DHF prevention given by the officer and cadre.Methods: This was randomized pretest-posttest control group designs. The subject were 30 mothers who given the promotion of DHF prevention by health workers and 30 mothers were given by cadre. The technique of sampling was purposive sampling. The data were analyzed using t-test.Result: The result showed that both facilitators, health workers and cadre, improved the mothers knowledge about DHF preventation.Conclusion: Both health workers or cadre can improve mothers knowledge about DHF prevention and there was no significant difference of promotion between health workers and cadre.Keywords: health promotion, health facilitator, DHF

Kemampuan Negosiasi Perempuan Pekerja Seks Jalanan dalam Penggunaan Kondom terhadap Pencegahan Penyakit Menular Seksual dan HIV/AIDS di Kota Jayapura Tahi Ganyang Butarbutar, Suharyanto Supardi, Ira Paramastri
Berita Kedokteran Masyarakat (BKM) Vol 19, No 3 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3727

Background: The data on HIV/AIDS in Papua by 30 August 2002 reveal 882 cases. 70 cases of HIV/AIDS are recorded in Jayapura municipality. The highest percentage of HIV/AIDS infection is for reproductive age (15-39) group, i.e., 82,9%. One of the factors affecting the intensity of HIV/AIDS infection rate in street commercial sex workers is the low level of condom use. The objectives of this research are to identify the factors that make street commercial sex workers not use condom, the social aspects that influence the negotiation, the form negotiation of condom use, and how to get a condom.Methods: The study was applied a qualitative method using a focus group discussion, in-depth interview and participatory observation. The number of subjects were 38 per-sons consisting of 20 persons from the group discussion, 13 were in-depth interviewed, and 5 were in the participatory observation type of data collection.Results: In general, despite knowing that everyone, including him or her, was vulner-able to AIDS infection, the respondents ignore asking guests or partners for condom use. Most do not ask for condom use due to their fear of either being the target of guest's anger and bad words, or losing money from them. Most of them say that they do not have written nor spoken agreement with their peers, the room and hotel owners. They do not encourage condom use, as condom is not available in the room where they do practices. Moreover, the condom package is regarded inappropriate, as it is not in accordance with the local language and cultural characteristics.Conclusion: The low capability of street commercial sex workers for negotiating con-dom use with the guest/customers results from; misperception on "safe-sex" behavior and the behavior for seeking "help", physical, psychologic and economic pressure, free and uncontrolled companion-relation, unavailability of condom in the room, and con-dom package which is not in accordance with the street commercial sex workers char-acteristic. This research results serve as a preliminary study of the need, which will be developed in to a comprehensive promotion strategy. Keywords: sexually transmitted diseases and HIV/AIDS, sexual behavior, negotiation, health promotion strategy and practice

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

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.

Mudik during the Covid-19 pandemic, anxiety, and depression among students in Indonesia Metta Rahmadiana; Supra Wimbarti; Ira Paramastri; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 37, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Purpose: This study explores the occurrence and different levels of anxiety and depression among male and female students who perform or do not perform mudik (homecoming). Investigate the primary source of COVID-19 related information among students. Methods: Online questionnaires consisting of the self-report level of anxiety and depression were delivered to study participants after completing the online informed consent. Quantitative analysis was conducted using the IBM SPSS version 20.0.Results: From a total of 2018 study participants, n=936 were students. Depression (M=8.68; SD= 5.45) was higher among students who did not perform mudik. Meanwhile, the prevalence rate of depression (M=7.18; SD=4.99) was also higher among students who performed mudik. A significant difference [sig (2-tailed) = 0.017; p <0.05)] regarding the level of anxiety was reported higher among female students (M=7.80; SD=4.6) than male students (M=7.03; SD=4.7) and no significant difference [sig (2-tailed) = 0.173; p> 0.05] was reported for the level of depression between male and female students. Instagram was reported as the primary source of COVID-19 related information. Conclusion: This current study supports the notion regarding the occurrence of common mental disorders among students as an impact of the COVID-19 pandemic, regardless of whether homecoming was performed or not. Different levels of anxiety and depression were reported between the male and female student population.

Co-Authors - Supriyati - Supriyati A.A. Ketut Agung Cahyawan W Afrita Harlianty, Rully Amini, Nurhuzaifah Anisa Fariani Anisa Fariani, Anisa Asniar Khumas Atik Triratnawati Avin Fadilla Helmi Djamaluddin, Mihir Endang Ekowarni Endy Paryanto Prawirohartono Endy Paryanto Prawirohartono, Endy Paryanto Fatimah, Malida Fatma Kusuma Mahanani, Fatma Kusuma Febriana Ndaru Rosita Gani, Nasfira binti Che Abdul Harpeni Siswatibudi Hera Nurlita Hermahayu Indah Islawati Indah Islawati, Indah Ira Rahmawati Ismail, Djauhar Ismail Ismi Mufiddah J. E. Prawitasari J. E. Prawitasari Kwartarini Wahyu Yuniarti Lisa Nur Farida Luthfan Lazuardi M. Agus Priyanto M. Noor Rochman Hadjam Maria Goretti Keshia Sawitri Martalena Purba Martaria Rizky Rinaldi Metta Rahmadiana Mihir Djamaluddin MOCHAMMAD THAHA Mora Claramita Moya A. D. Martiningtyas Moya A. D. Martiningtyas, Moya A. D. Muchammad A. Priyanto Nur Istiqomah Nurhuzaifah Amini Nurlita, Hera Priyanto, M. Agus Purba, Martalena Ria Lumintuarso Rieka Esti Saraswati Rizqina, Fathi sandra dewi Sawitri, Maria Goretti Keshia Siswanto ,, Siswanto Siswanto Siswanto Soenarto Sastrowijoto, Soenarto Subandi Supra Wimbarti Toto Sudargo Trisno Agung Wibowo Vonny Syafira Wahida, Dina Winarti, Yuliani Wiwik Salistyaningsih Theresia Puspitawati Dwi Kurniawan Nugroho Yayi Suryo Prabandari Yofhi Rio Nicha Dewi Yuseran Yuseran Yuseran, Yuseran

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