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All Journal Nexus Kedokteran Klinik Jurnal Gizi dan Kesehatan
JB Prasodjo
Faculty of Medicine,SebelasMaret University
Agriculture, Biological Sciences & Forestry Health Professions Medicine & Pharmacology

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Prevalensi Pneumonia Nosokomial pada Pasien Rawat Inap di ICU RSUD Dr. Moewardi Periode April-Mei 2012 Gultom, Krismawarni; Prasodjo, JB; Hudiyono, .
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background  : Infectious diseases are the main causes of morbidity and mortality in the world. The prevalence of nosocomial infections still high  in development countries. Nosocomial infections often occured, especially in ICU’s patients, it is around 25-33%. A minimum research of the incidence of hospital acquired pneumonia in Dr. Moewardi Hospital is the background of this research. Thorax photo were obtained when the patient first entered the hospital and after being treated in hospital for more than 48 hours. It used as one of the diagnostic tests to assist the prevalence of hospital acquired pneumonia on ICU’s patient. Methods : This is a descriptive observational research method with a cross-sectional approach to obtain the prevalence of hospital acquired pneumonia in ICU Dr. Moewardi Hospital during April-May 2012. The sample is done by using a purposive sampling. The population of this study was all patients who are hospitalized in the ICU Dr. Moewardi Hospital in Surakarta during April-May 2012. Results : Total sample are 72 patients. The result of this research shows that the prevalence of hospital acquired pneumonia in April-May 2012 on patients who are hospitalized in the ICU Dr. Moewardi Hospital is 8.3%. The middle age group (48-64 years) and old age (65-88 years) are the greater group of getting risk of hospital acquired pneumonia. Discussion : The prevalence of  hospital acquired pneumonia is 8.3%. This may be caused by the use of respiratory mechanic devices, the immunocompromised patients,  hospital environmental factors, the use of immunosuppressive drugs and the time of patients hospitalized. It is recommended that all of medical team of this hospital need to develop an effective program to control and prevent nosocomial pneumonia infection. Key words : prevalence, hospital acquired pneumonia, thorax photo  
Hubungan Obesitas Dengan Kejadian Infark Serebral Pada Pasien Rawat Inap Bangsal Saraf RSUD Dr. Moewardi C N, Stefanny; Prasodjo, JB; Hudiyono, .
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background  :Obesity is closely associated with increased risk of atherosclerosis disease. Atherosclerosis occurs when a portion of the surface of the large arteries forming plaque. As a result, the plaque will cause blood vessel disorders, even cerebrovascular disease. Cerebral infarction is a cerebrovascular disease that can cause a drop in the supply of oxygen and glucose to a particular part of the brain that eventually lead to the onset of a stroke. The cerebral infarction’s high occurrence rate were the reason that made the researcher wanted to find out if there is a relationship between obesity and cerebral infarction in patients hospitalized in the neurological ward RSUD Dr.Moewardi. Methods :This was an observational analytic research with cross sectional design. This research was done in RSUD Dr.Moewardi. The sampling was done in consecutive sampling. This research’s populations were patients hospitalized in the neurological ward RSUD Dr.Moewardi during November-December 2012. Results :Total sample are 42 patients. The result of this research shows there were 21 samples of cerebral infarction case, which consisted of 17 obesity patients and 4 non-obesity patients. The other 21 samples were the non-cerebral infarction patients which consisted of 3 obesity patients and 18 non-obesity patients. The obtained data were analyzed using Chi-Square test and resulted in a significant relationship ( p< 0,01). Conclusions :There was a relationship between obesity and cerebral infarction in patients hospitalized in the neurological ward RSUD Dr.Moewardi. Key words :relationship, obesity, cerebral infarction.
Pengaruh Pendidikan Gizi Terhadap Tingkat Kepatuhan Minum Tablet Fe Dan Kadar Hemoglobin Pada Ibu Hamil Trimester II Di Kabupaten Wonosobo Prihantina Utami, Okbrinta Wulandari; Prasodjo, JB; Sulaeman, Endang Sutisna
Jurnal Gizi dan Kesehatan Vol 3, No 1 (2016)
Publisher : Program Studi Ilmu Gizi Pascasarjana Universitas Sebelas Maret

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Latar belakang: Beberapa faktor yang menyebabkan cakupan ibu hamil mendapat tablet Fe rendah yang paling umum adalah kekurangan zat besi sehingga terjadi penurunan kadar hemoglobin pada ibu hamil. Rendahnya pendidikan gizi menyebabkan rendahnya pengetahuan tentang informasi kesehatan yang membentuk perilaku dapat mempengaruhi ketidakpatuhan dalam mengkonsumsi tablet Fe dan zat gizi yang baik.Metode: menggunakan penelitian quasi eksperimen. Populasi penelitian yaitu 66 ibu hamil dengan sampel menggunakan random sampling dengan sampel sebanyak 66 ibu hamil trimester II. Analisis data menggunakan paired sample t-test, independent sample t-test dan chi-square.Hasil: Tidak terdapat pengaruh pendidikan gizi terhadap karakteristik usia (p=0,107), gravida (p=0,647), pendidikan terakhir ibu hamil (p=0,246) dan pendapatan suami (p=0,291). Pengaruh pendidikan gizi terhadap pekerjaan ibu hamil (p=0,002).Terdapat pengaruh pendidikan gizi tanpa media power point dan leaflet terhadap tingkat pengetahuan (p=0,004). Sedangkan tidak ada pengaruh pendidikan gizi terhadap tingkat kepatuhan minum tablet fe (0,161) dan kadar hemoglobin (p=0,536). Terdapat pengaruh pendidikan gizi dengan media power point dan leaflet terhadap tingkat pengetahuan (p=0,017), tingkat kepatuhan minum tablet fe (p=0,000) dan kadar hemoglobin (p=0,002). Terdapat perbedaan pendidikan gizi media power point dan leaflet serta tanpa media power point dan leaflet terhadap tingkat pengetahuan (p=0,027), tingkat kepatuhan minum tablet fe (p=0,010), kadar hemoglobin (p=0,000) setelah perlakuan. Terdapat pengaruh tingkat kepatuhan minum tablet fe terhadap kadar hemoglobin (p=0,001).Kesimpulan: Terdapat pengaruh pendidikan gizi dengan media power point dan leaflet atau tanpa media power point dan leaflet terhadap tingkat kepatuhan minum tablet fe, kadar hemoglobin dan tingkat pengetahuan. Tidak terdapat pengaruh pendidikan gizi terhadap kadar hemoglobin pada kelompok kontrol. Terdapat perbedaan pendidikan gizi dengan media power point dan leaflet serta tanpa media power point dan leaflet terhadap tingkat kepatuhan minum tablet fe, kadar hemoglobin dan tingkat pengetahuan setelah perlakuan. Kata Kunci : Pendidikan gizi, pengetahuan, kepatuhan minum tablet fe, hemoglobin
Pengaruh Konseling Gizi, Aktivitas Fisik, Dan Asupan Makanan Terhadap Penurunan Berat Badan Remaja SMA Yang Kegemukan Emilia, Emilia; A. R, Risya Cilmiaty; Prasodjo, JB
Jurnal Gizi dan Kesehatan Vol 3, No 1 (2016)
Publisher : Program Studi Ilmu Gizi Pascasarjana Universitas Sebelas Maret

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Latar Belakang: Remaja SMA kegemukan di pengaruhi dua faktor utama, yaitu faktor  internal dan eksternal. Hormon & genetik merupakan faktor internal dan asupan makanan merupakan  faktor eksternal yang dapat dikendalikan. Konseling gizi salah satu upaya untuk mengintervensi remaja kegemukan dengan cara mengubah prilaku  tanpa pemberian makanan. Penelitian ini bertujuan menganalisis pengaruh konseling gizi, aktivitas fisik, dan asupan makanan terhadap penurunan berat badan remaja SMA yang kegemukan.Metode: Jenis penelitian analitik,  desain penelitian  quasi exsperimental dengan rancangan“ Pretest-Postest Control Group Design". Teknik pengambilan sampel dengan  cara stratified purposive sampling. Sampel  berjumlah 46 subjek yang dibagi dalam 3 kelompok perlakuan, setiap kelompok berjumlah 16 subjek. Data aktivitas fisik menggunakan  kuesioner IPAQ, data asupan makanan menggunakan kuesioner FFsQ, data  berat badan dan tinggi badan menggunakan antropometri. Analisis data menggunakan uji one way anova, uji Product moment (person korelation), dan uji  multiple regression linier .    Hasil Penelitian: Jumlah subjek sebanyak 42, disebabkan karena menolak pengisian form, melakukan penimbangan, dan konseling individu yang terjadi pada bulan kedua dan ketiga pengumpulan data. Hasil uji statistik menunjukkan bahwa tidak terdapat hubungan bermakna antara konseling gizi dengan penurunan berat badan p= 0.219, tidak terdapat hubungan bermakna antara aktivitas fisik dengan penurunan berat badan(kelompok kontrol nilai  p=0.556, kelompok P1 nilai p=0.592, kelompok P2 nilai p=0.991), tidak terdapat hubungan bermakna antara asupan makanan  dengan penurunan berat badan (kelompok kontrol nilai  p=0.495, kelompok P1 nilai p=0.154, kelompok P2 nilai p=0.884). Uji  multivariat tidak terdapat hubungan bermakna antara konseling gizi, aktivitas fisik, dan asupan makanan dengan penurunan berat badan(p=0.247), dengan koefisien determinasi (R2) 0.31%.Kesimpulan Penelitian : Konseling gizi, aktivitas fisik, dan asupan makanan  tidak mempengaruhi penurunan berat badan remaja SMA yang kegemukan Kata Kunci: Konseling Gizi, Aktivitas Fisik, Asupan Makanan, Berat Badan Remaja SMA Yang Kegemukan.
Prevalensi Pneumonia Nosokomial pada Pasien Rawat Inap di ICU RSUD Dr. Moewardi Periode April-Mei 2012 Gultom, Krismawarni; Prasodjo, JB; Hudiyono, .
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background  : Infectious diseases are the main causes of morbidity and mortality in the world. The prevalence of nosocomial infections still high  in development countries. Nosocomial infections often occured, especially in ICU’s patients, it is around 25-33%. A minimum research of the incidence of hospital acquired pneumonia in Dr. Moewardi Hospital is the background of this research. Thorax photo were obtained when the patient first entered the hospital and after being treated in hospital for more than 48 hours. It used as one of the diagnostic tests to assist the prevalence of hospital acquired pneumonia on ICU’s patient. Methods : This is a descriptive observational research method with a cross-sectional approach to obtain the prevalence of hospital acquired pneumonia in ICU Dr. Moewardi Hospital during April-May 2012. The sample is done by using a purposive sampling. The population of this study was all patients who are hospitalized in the ICU Dr. Moewardi Hospital in Surakarta during April-May 2012. Results : Total sample are 72 patients. The result of this research shows that the prevalence of hospital acquired pneumonia in April-May 2012 on patients who are hospitalized in the ICU Dr. Moewardi Hospital is 8.3%. The middle age group (48-64 years) and old age (65-88 years) are the greater group of getting risk of hospital acquired pneumonia. Discussion : The prevalence of  hospital acquired pneumonia is 8.3%. This may be caused by the use of respiratory mechanic devices, the immunocompromised patients,  hospital environmental factors, the use of immunosuppressive drugs and the time of patients hospitalized. It is recommended that all of medical team of this hospital need to develop an effective program to control and prevent nosocomial pneumonia infection. Key words : prevalence, hospital acquired pneumonia, thorax photo  
Co-Authors . Hudiyono A. R, Risya Cilmiaty Emilia Emilia Endang Sutisna Sulaeman Krismawarni Gultom Prihantina Utami, Okbrinta Wulandari Stefanny C N