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Asosiasi Paparan Iklan Rokok dengan Pengetahuan, Sikap, dan Perilaku Merokok pada Remaja Wibowo, Nimfa Christina Rachmawati; Probandari, Ari; Prasetyawati, Arsita Eka
Nexus Kedokteran Komunitas Vol 1, No 1 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Knowledge and attitude are factors influence smoking behavior among teenagers. Previous studies show that cigarette advertisements do not consistently affect on teenagers’ smoking behavior. This studyaimed to determine the association between cigarette advertisement exposure, knowledge, attitude, and smoking behavior among teenagers. Methods:A cross-sectional study was conducted during March 2012 among 98 students in SMP Negeri 01 Colomadu, Karanganyar. The sampling technique was a multistage cluster sampling. Cigarette advertisement exposure, knowledge, attitude, and smoking behavior data were collected using questionnaires, which were tested for its validity and reliability before. The data analyses used Spearman correlation and Chi-Square tests. Results:The study found a significant relationship between cigarette advertisement exposure and knowledge (r=-0.267; p=0.009). There was no significant relationship between cigarette advertisement exposure and teenagers’ attitude (r=-0.129; p=0.206). There were no significant relationships between cigarette advertisement exposure 1-10 times per week and past smoking(p=1,000; OR=0,917; CI95% 0,258-3,262),and with current smoking among teenagers (p=1,000; OR=0,971; CI95% 0,931-1,012). Cigarette advertisement exposure more than 11 per week increased a risk for past smoking 2.406 times (p=0,500; Cl95% 0,521-11,104), but not significantly. Conclusions:Cigarette advertisement exposure more than 11 per week associated with teenagers’ knowledge about cigarette and teenagers attitude to cigarette and smoking. There is no significant relationship between cigarette advertisement exposure and smoking behavior among teenagers. Keywords:cigarette advertisement, knowledge, attitude, behavior, and smoking.
Comparison of Effect between Inhalative Anesthetics with Isoflurane and Sevoflurane on Oxygen Saturation Setiawan, Prabuwinoto; Sudjito, M.H.; Probandari, Ari
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

ABSTRACT   Background: Inhalative anesthesia with isoflurane and sevoflurane are known to lower the oxygen saturation in patients. Both of these agents reduce the ventilation response to hypoxia. This study aimed to compare the effect of giving inhaled anesthetics isoflurane and sevoflurane to changes in oxygen saturation. Methods: This study was an observational analytic study with cross-sectional approach. The study was conducted at the Central Installation of Surgery dr. Moewardi Hospital. Samples were taken by consecutive sampling. There were two groups in this study, the group that received isoflurane anesthesia and sevoflurane anesthesia. Each group was observed for the changes in oxygen saturation during the operation using the bed side monitor. The data which have been collected then be analyzed using the Mann Whitney test and Pearson correlation test. Results: These results revealed that in both groups, isoflurane and sevoflurane, there was a decrease in oxygen saturation in the induction phase (sevoflurane = 97.42 ± 0.90; isoflurane = 97.00 ± 0.75; p = 0.113). However, after the induction phase the oxygen saturation among the patients of the isoflurane group was more fluctuating than the ones of the sevoflurane group (p intubation = 0.001; p incision 5’ = 0.117; p incision 10’ = 0.001; p incision 15’ = 0.048). The further analysis showed no statistically significant difference in oxygen saturation between the isoflurane and the sevoflurane groups (p = 0.113). Conclusions: There are no significant differences in changes of oxygen saturation between the isoflurane and sevoflurane anesthesia on the induction phase, 5 minutes after incision and 15 minutes after incision. Anesthesia with sevoflurane in oxygen saturation is more stable compared with isoflurane anesthesia on intubation phase up to 15 minutes after incision. Keywords: inhalation anesthesia, sevoflurane, isoflurane, hemodynamic, oxygen saturation
Efek Anestesi Inhalasi Sevofluran dan Isofluran Terhadap Frekuensi Nadi Fatimah, Aulia Nurul; Sudjito, Mulyo Hadi; Probandari, Ari
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anesthesia is an important part of the surgery. Sevoflurane and isoflurane are two inhalation anesthesia drugs have been commonly used. During anesthesia, one of indicators should be monitored is frequency of pulse. This research aimed to know the effects of these two drugs to the frequency of pulse. Methods: This research was an analytical observational research with the approach of cross sectional. The sample was taken by consecutive sampling after being selected based on the inclusion and exclusion criteria. Totally, 50 patients were divided into two groups of inhalation anesthetic sevoflurane and inhalation anesthetic sevoflurane and isoflurane. Data was analyzed with independent t test. Results: The p values on t-independent test in the early phase of the pulse frequency, phase induction and phase intubation were 0.04; 0.00; 0.02, and of the phase 5’ of incision, 10’of incision and 15’of incision were 0.02; 0,0; 0.03. This results showed statistical significant of mean of pulse-frequency difference between sevoflurane and isoflurane in each of phase of inhalation anesthesia. Conclusions: Both sevoflurane and isoflurane influence the frequency of pulse. The mean of pulse frequency by isoflurane is higher than sevoflurane. However, inhalation anesthesia sevoflurane provides better stability than isoflurane. Keywords: Anesthetic Inhalation, Frequency of Pulse, Isoflurane, Sevoflurane
Perbedaan Kekuatan Genggam Berdasarkan Status Gizi pada Pasien DM Tipe 2 (Handgrip Strength Difference based on Nutritional Status in Type 2 Diabetic Patients) Rohimah, Banun; Sugiarto, Sugiarto; Probandari, Ari; Wiboworini, Budiyanti
Indonesian Journal of Human Nutrition Vol 3, No 1 (2016): Suplemen "Malang Current Issues On Nutrition (MCION)"
Publisher : Jurusan Gizi, Fakultas Kedokteran, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.308 KB) | DOI: 10.21776/ub.ijhn.2016.003.Suplemen.2

Abstract

AbstrakDiabetes melitus (DM) merupakan masalah utama kesehatan masyarakat. Kondisi malnutrisi dapat terjadi pada pasien DM. Malnutrisi menyebabkan kelainan sensorimotor dan pengecilan otot yang bervariasi pada tiap tahapannya. Penilaian penurunan kekuatan genggam disarankan sebagai metode untuk mendeteksi kekurangan gizi di bidang klinik. Penelitian ini bertujuan untuk mengetahui perbedaan kekuatan genggam berdasarkan status gizi IMT pada pasien DM tipe 2. Penelitian ini bersifat observasional dengan rancangan cross sectional. Jumlah sampel adalah 153 pasien DM tipe 2 di Poliklinik Penyakit Dalam rawat jalan RSUD Dr. Moewardi Surakarta. Teknik pengambilan sampel adalah purposive sampling. Semua sampel diukur kekuatan genggam menggunakan handgrip dynamometer dan untuk Indeks Massa Tubuh (IMT) dengan penimbangan berat badan menggunakan timbangan digital dan pengukuran tinggi badan menggunaan microtoise kemudian dimasukkan rumus IMT. Analisis yang digunakan yaitu uji t independen untuk mengetahui perbedaan nilai rerata kekuatan genggam, perhitungan koefisien korelasi Pearson untuk mengetahui hubungan kekuatan genggam dengan IMT, dan model regresi linear untuk prediksi skor dari karakteristik ke variabel kekuatan genggam. Hasil penelitian menunjukkan bahwa pada 153 subjek memiliki rentang usia 38-68 tahun dengan rata-rata 56±7,13 tahun. Terdapat perbedaan kekuatan genggam berdasar jenis kelamin dan pekerjaan pada status gizi baik dan kurang, sedangkan perbedaan kekuatan genggam berdasar pendidikan hanya pada status gizi baik. Nilai kekuatan genggam antara status gizi kurang vs. status gizi baik = 22,28±9,69 kg vs. 22,98±8,27 kg (p=0,807). Dapat disimpulkan bahwa tidak terdapat perbedaan yang signifikan kekuatan genggam antara status gizi kurang dan status gizi baik berdasarkan IMT pada pasien DM tipe 2.Kata kunci : Kekuatan genggam, IMT, DM Tipe 2 AbstractDiabetes mellitus is a major health problem. Malnutrition is common among diabetic patients. Malnutrition may cause sensory motor disorders and muscle wasting in varying degrees. Handgrip strength (HGS) asessment is recommended to detect undernutrition in clinical practice. The aim of this study was to determine the HGS in type 2 diabetic patients. This was an observational study with cross sectional design. 153 type 2 diabetes outpatients of internal medicine clinic in Dr Moewardi Hospital, Surakarta were recruited using purposive sampling technique. HGS level was measured using handgrip dynamometer. The bodyweight and height were measured using digital weight scale and microtoise, respectively. The body mass index (BMI) was determined from body weight in kilograms divided by the square of height in meters. Independent sample t test was used to determine the difference of HGS level based of BMI index; Pearson correlation coefficient  measures the correlation between HGS and BMI while linear regression models were used to predict score from characteristic to HGS variable. Overall, 153 type 2 diabetes patients aged 38-68 year-old were participated in this study. The mean level of age was 56±7,13 year-old. The difference of HGS level was found based on gender and type of jobs, both normoweight and underweight group while HGS difference based on educational level was only found in normoweight group. HGS between underweight vs. normoweight group was 22,28±9,69 vs 22,98±8,27 kgs (p=0,807). There was no significant difference of HGS in type 2 diabetic patients with underweight and normoweight status.Keywords: Handgrip Strength, BMI, Type 2 Diabetes.
EVALUASI STANDAR KUALITAS HIGIENE DAN SANITASI DI INSTALASI BEDAH SENTRAL RUMAH SAKIT UMUM DAERAH (RSUD) WATES Harun, Hilda; Probandari, Ari; Darmanto, Darmanto
Preventif Journal Vol 2, No 2 (2018): PREVENTIF JOURNAL
Publisher : Preventif Journal

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Abstract

Kondisi higiene sanitasi lingkungan rumah sakit yang tidak memenuhi syarat sangat berisikomenjadi faktor penyebab terjadinya infeksi nosokomial. Pengelolaan ruangan dan lingkungan rumah sakitharus dijaga kebersihan, kelembaban, penyinaran dan vent ilasinya, juga perlu monitoring angka kumanruangan secara per iodik, terutama ruang operasi, karena ruang operasi merupakan unit yang potensial terjadipenularan dan sangat ber isiko menimbulkan terjadinya infeksi nosokomial, beberapa diantaranya sepert it indakan invasif dan pembedahan yang disebabkan oleh mikroorganisme. Tujuan penelitian :Mengevaluasi masalah terkait tingginya angka kuman udara di ruang operasi yang tidak boleh lebih dari10 CFU/m3yaitu melakukan pengukuran dengan 2 pemeriksa (BBTKL dan BLK) serta melakukan penilaianterhadap higiene sanitasi di ruang bangunan IBS RSUD Wates. Metode penelitan : Studi kasus deskriptif,jenis studi kasus tunggal holistik. Kasus yang dipilih mampu menjadi bukti dari teori yang telah dibangundengan baik. Hasil dan pembahasan : Hasil penelitian menunjukkan pemeriksaan angka kuman udarayang dilakukan oleh BBTKL dan BLK secara keseluruhan menunjukkan angka kuman udara yang lebih tinggi daristandar. Penelitian ini memberikan bukti yang lebih mendalam tentang adanya masalah tingginya angka kumanudara di ruang operasi serta faktor-faktor atau aspek yang menjadi penyebab dari permasalahantersebut Penyebabnya adalah dari aspek interaksi kinerja petugas atau sumber daya manusia (brainware)dengan pedoman kerja (SOP) yang tidak sesuai (software) serta bangunan dan fasilitas yang kurangmendukung (hardware), sehingga menghasilkan suatu hasil kinerja yang tidak optimal. Kesimpulan dan saran: Perlu dilakukan revisi terhadap SOP dan renovasi terutama tata letak (sistem zonasi) ruang serta perbaikansarana dan fasilitas yang ada di ruang IBS agar dapat memenuhi standar sesuai apa yang disyaratkanoleh Kemenkes RI (2012), pedoman teknis bangunan ruang operasi rumah sakit dan KepmenkesNo.1204/Menkes/SK/X/2004, tentang persyaratan kesehatan lingkungan RS khususnya ruang operasi.Key words : Higiene, Sanitasi, Ruang Operasi, Angka Kuman Udara
EVALUASI STANDAR KUALITAS HIGIENE DAN SANITASI DI INSTALASI BEDAH SENTRAL RUMAH SAKIT UMUM DAERAH (RSUD) WATES Harun, Hilda; Probandari, Ari; Darmanto, Darmanto
Preventif Journal Vol 2, No 2 (2018): PREVENTIF JOURNAL
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (392.81 KB) | DOI: 10.37887/epj.v2i2.5431

Abstract

ABSTRAKKondisi higiene sanitasi lingkungan rumah sakit yang tidak memenuhi syarat sangat berisikomenjadi faktor penyebab terjadinya infeksi nosokomial. Pengelolaan ruangan dan lingkungan rumah sakitharus dijaga kebersihan, kelembaban, penyinaran dan vent ilasinya, juga perlu monitoring angka kumanruangan secara per iodik, terutama ruang operasi, karena ruang operasi merupakan unit yang potensial terjadipenularan dan sangat ber isiko menimbulkan terjadinya infeksi nosokomial, beberapa diantaranya sepert it indakan invasif dan pembedahan yang disebabkan oleh mikroorganisme. Tujuan penelitian :Mengevaluasi masalah terkait tingginya angka kuman udara di ruang operasi yang tidak boleh lebih dari10 CFU/m3yaitu melakukan pengukuran dengan 2 pemeriksa (BBTKL dan BLK) serta melakukan penilaianterhadap higiene sanitasi di ruang bangunan IBS RSUD Wates. Metode penelitan : Studi kasus deskriptif,jenis studi kasus tunggal holistik. Kasus yang dipilih mampu menjadi bukti dari teori yang telah dibangundengan baik. Hasil dan pembahasan : Hasil penelitian menunjukkan pemeriksaan angka kuman udarayang dilakukan oleh BBTKL dan BLK secara keseluruhan menunjukkan angka kuman udara yang lebih tinggi daristandar. Penelitian ini memberikan bukti yang lebih mendalam tentang adanya masalah tingginya angka kumanudara di ruang operasi serta faktor-faktor atau aspek yang menjadi penyebab dari permasalahantersebut Penyebabnya adalah dari aspek interaksi kinerja petugas atau sumber daya manusia (brainware)dengan pedoman kerja (SOP) yang tidak sesuai (software) serta bangunan dan fasilitas yang kurangmendukung (hardware), sehingga menghasilkan suatu hasil kinerja yang tidak optimal. Kesimpulan dan saran: Perlu dilakukan revisi terhadap SOP dan renovasi terutama tata letak (sistem zonasi) ruang serta perbaikansarana dan fasilitas yang ada di ruang IBS agar dapat memenuhi standar sesuai apa yang disyaratkanoleh Kemenkes RI (2012), pedoman teknis bangunan ruang operasi rumah sakit dan KepmenkesNo.1204/Menkes/SK/X/2004, tentang persyaratan kesehatan lingkungan RS khususnya ruang operasKata Kunci Higiene, Sanitasi, Ruang Operasi, Angka Kuman Udara
The Correlation between Hearing Loss and the Quality of Life of Workers Exposed to the Noise in the Textile Industry Sumardiyono, Sumardiyono; Wijayanti, Reni; Hartono, Hartono; Probandari, Ari
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.18124

Abstract

Noise is a stressor for hearing loss among workers. Unfortunately, hearing loss also affect worker’s quality of life. This study aimed to investigate the correlation between hearing loss and quality of life among workers in textile industry. The study design was a cross-sectional survey.  The study population were 200 workers exposed to the noisy textile industry. The data were analyzed using Spearman's rank correlation coefficient. The findings showed a significant relationship between hearing loss and the quality of life of the workers (rs=-0.698; p=0.000). The dimensions of quality of life associated with hearing loss were the Physical Functioning (rs=-0.493; p=0.000), Role-Physical (rs=-0.501; p=0.000), Bodily Pain (rs=-0.516; p=0.000), General Health (rs=-0.497; p=0.000), Vitality (rs=-0.527; p=0.000), Social Functioning (rs=-0.521; p=0.000), Role-Emotional (rs=-0.521; p=0.000), and Mental Health (rs=-0.517; p=0.000). This study concludes that hearing loss decreases the quality of life among workers exposed to the noise of the textile industry.
ANALYSIS OFRISK FACTORS INCREASE BLOOD PRESSURE IN THE TEXTILE INDUSTRY WORKERS -, Sumardiyono; -, Hartono; Probandari, Ari; Setyono, Prabang
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: Proceeding International Seminar of Occupational Health and Medical Sciences (I-SOCMED) 2017 “
Publisher : Universitas Muhammadiyah Semarang

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Abstract

The risk factors for high blood pressure are industrial noise exposure, age, body mass index, and length of exposure to noise. Exposure to noise is often found in industrial workers. Therefore, workers are at increased risk for high blood pressure. The purpose of this study is to investigate the association of noise level, age, body mass index, and length of exposure to noise with blood pressure on textile industryworkers. This study was observational research with cross sectional design. The population were textile industry workers in Surakarta. The sample selection used purposive random sampling. Inclusion criterias were women, length of working at least one year, less disciplined use ear protection equipment.The total samples were 245 peoples.Statistical analysis used bivariate correlations and multiple linear regression. There was an association between all variables with blood pressure.However, on multiple linear regression test, length of exposure to noiseexclused. Variables that associated with systolic blood pressure were the noise level (p=0.026), age (p=0.002), body mass index (p=000). Variables thatassociated with diastolic blood pressure were the noise level (p=0.011), age (p=0.15), body mass index (p=0.000). The risk factors for high blood pressure among industrial worker are the noise level, age, and body mass index. Keyword: blood pressure, textile industry workers
The Relationship between Frequency of High-Sugar, Salt and Fat Food Consumption and The BMI in Adolescents Jokomarsono, Elisabet Puspita; Probandari, Ari; Wiboworini, Budiyanti
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2022: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.2638

Abstract

Purpose: To identify and analyze preliminary data on the consumption habits of sugar, salt, and fat and their relationship to the Body Mass Index (BMI) in adolescents.Methodology: Observational study with a cross-sectional approach to high school adolescents in Surakarta. The number of incidental respondents aged 15-18 years was 31 students. Data on the characteristics of research respondents were obtained through questionnaires and the frequency of high-sugar, salt, and fat food consumption used the FFQ. Statistical data analysis of sugar and fat consumption on BMI using Fisher Exact and salt consumption on BMI using Chi-Square showed a p-value <0.05.Results: The descriptive analysis results indicated that 61.3% of adolescents often consumed high-sugar foods and drinks, bivariate statistical analysis results showed a p-value of 0.026 (<0.05), meaning that there was a relationship between the frequency of high-sugar food and drink consumption and BMI in adolescents. 38.7% of adolescents often consumed high-fat food and drinks, meaning that there was a relationship between the frequency of high-fat food and drinks consumption and BMI with a p-value of 0.026 (<0.05). 54.8% of adolescents often consumed high-salt foods. However, based on the results of statistical tests, there was no relationship between the frequency of salt consumption and BMI as shown by a p-value of 0.889 (>0.05). Applications/Originality/Value: The differences in research respondents, period and results that provide empirical evidence as the basic for the research to be carried out on the frequency of high sugar, salt, fat food consumption and the BMI of High School adolescents.
PENGUKURAN KEMAMPUAN BELAJAR MANDIRI PADA MAHASISWA PENDIDIKAN PROFESI DOKTER Pamungkasari, Eti Poncorini; Probandari, Ari
Jurnal Penelitian dan Evaluasi Pendidikan Vol. 16 No. 2 (2012)
Publisher : Graduate School, Universitas Negeri Yogyakarta in cooperation with Himpunan Evaluasi Pendidikan Indonesia (HEPI) Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/pep.v16i2.1128

Abstract

Kemampuan belajar mandiri adalah otonomi pembelajar dalam me-ngontrol proses pembelajarannya. Kemampuan belajar mandiri bisa dikem-bangkan dalam proses pembelajaran. Penelitian terdahulu tentang pembel-ajaran pendidikan profesi dokter menyatakan masih adanya hambatan dalam kemampuan belajar mandiri mahasiswa. Tujuan penelitian ini adalah mengetahui perbedaan kemampuan belajar mandiri mahasiswa tahap pen-didikan profesi sebelum dan sesudah menjalani pembelajaran di suatu departemen klinik. Penelitian ini merupakan penelitian observasional de-ngan pendekatan comparative cross sectional. Subjek penelitian adalah maha-siswa pendidikan profesi dokter yang menjalani pendidikan profesi di satu bagian dengan masa pembelajaran 4 minggu, selama Agustus- September 2012, sejumlah 33 orang, dengan teknik purposif sampling. Lokasi peneli-tian di salah satu rumah sakit pendidikan di Surakarta. Instrumen yang digunakan merupakan alih bahasa dan modifikasi kuesioner yang dikem-bangkan oleh Fischer, King dan Tague tahun 2001. Analisis data dilakukan dengan uji-t. Hasil penelitian menunjukkan tidak ada perbedaan yang sig-nifikan secara statistik antara rerata kemampuan belajar mandiri mahasiswa sebelum (149,6) dan sesudah (151,9) menjalani pembelajaran tahap pendi-dikan profesi di satu bagian pendidikan profesi dokter (p=0,47). Ini berarti tidak ada perbedaan yang signifikan secara statistik antara kemampuan belajar mandiri mahasiswa sebelum dan sesudah menjalani pembelajaran tahap pendidikan profesi di satu departemen. Perlu penelitian lebih lanjut tentang alternatif intervensi yang perlu dilakukan untuk meningkatkan kemampuan belajar mandiri mahasiswa dalam pembelajaran profesi dokter. Kata kunci: kemampuan belajar mandiri, pendidikan profesi dokter, mahasiswa pendidikan profesi dokter______________________________________________________________MEASUREMENT ON SELF-STUDY PERFORMANCE OF MEDICAL EDUCATION PROFESSIONALS STUDENTAbstract The ability of self directed learning is learners' autonomy to control their learning process. The ability to perform self-directed learning can be developed during the learning process. Previous studies showed potential barriers to perform self-directed learning among medical students. This study aimed to analyse difference of self-directed learning ability among medical students before and after undergoing professional education program in a certain clinical department.This study was an observational study with comparative cross-sectional approach. The subjects were medical students on the professional education program at a certain clinical department at a teaching hospital Surakarta city. Thirty-three students undergoing a 4-week program from August to September 2012, were selected by purposive sampling.  The instrument used from Fischer, King and Tague was further translated into Bahasa Indonesia and validated. Data was analysed using t-test. The study found no statistically significant difference on average self-directed learning ability before (149,6) and after (151,9) following the professional education program at a certain clinical department (p=0,47). More studies are needed particularly to investigate alternatives of interventions to increase self-directed learning ability in the professional phase of medical education.Keywords: self-directed learning, medical professional education, medical students