Claim Missing Document
Check
Articles

Penyegaran Pemahaman Tuberkulosis Paru Bagi Kader Kesehatan di Kelurahan Tanjung Raya Kecamatan Kedamaian Kota Bandar Lampung Tahun 2024 Syahrul Hamidi Nasution; Fajriani, Indah; Nasution, Helmi Suryani; Musyabiq, Sofyan
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 9 No. 2 (2024): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v9i2.3365

Abstract

Tuberculosis (TB) is a chronic infectious disease caused by bacteria (Mycobacterium tuberculosis) and usually attacks the lungs. Tuberculosis (TB) is one of the top 10 causes of death globally. Indonesia is still ranked third in the world and is one of the biggest challenges facing Indonesia and requires attention from all parties, because it causes a high burden of morbidity and mortality. One effort that can be made is strengthening the understanding of TB among health cadres who are part of health services in the community. The service activities carried out include measuring prior knowledge (pre test and post test), counseling for posyandu cadres with the aim of information obtained by health cadres being disseminated to sufferers and their families in the community. The activity was attended by 10 health cadres, after the outreach there was a 30% increase in knowledge about tuberculosis.Keywords: health cadres, counseling, tuberculosis.
DEPRESSION-RELATED FACTORS IN PULMONARY TUBERCULOSIS PATIENTS: SECONDARY ANALYSIS OF THE INDONESIAN HEALTH SURVEY 2023: Faktor Terkait Depresi pada Kasus Tuberkulosis Paru: Analisis Sekunder Survei Kesehatan Indonesia 2023 Regina, Agave; Nasution, Helmi Suryani; Syukri, Muhammad; Halim, Rd.; Putra, Ashar Nuzulul; Pratiwi, Dessy; Yuliana, Roma
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.62-71

Abstract

Background: Depression is highly prevalent among tuberculosis (TB) patients, with reported rates reaching 31-61%, and it is strongly associated with poor medication adherence and adverse treatment outcomes. Despite this considerable burden, mental health screening for TB patients has not yet been integrated into routine TB care. Purpose: This study aimed to identify factors associated with depression among TB patients. Methods: This secondary data analysis used the Survei Kesehatan Indonesia (SKI) or Indonesian Health Survey 2023 with a cross-sectional design. A total sampling approach was applied, to all TB patients who met the inclusion criteria, resulting in 1,163 respondents. Statistical analyses included the chi-square test and multiple logistic regression, with a significance level of p < 0.05. Results: The prevalence of depression among TB patients was 5.38% (95% CI: 3.26–8.76%). Multivariate analysis showed that being female [aPOR = 15.90, 95% CI (1.99-143.09)], age 15-40 years [aPOR = 5.80, 95% CI (1.17-28.67)], TB treatment duration ≤6 months [aPOR = 5.22, 95% CI (1.67-16.34)], smoking [aPOR = 11.33, 95% CI (2.07-61.97)], and stress [aPOR = 39.04, 95% CI (11.23-135.66)] were significantly associated with depression in TB patients. Stress was identified as the most influential factor. Conclusion: Depression remains a relevant issue among TB patients in Indonesia, with stress emerging as the strongest associated factor. Routine depression screening and integrated mental health support within TB programs are strongly warranted, particularly for high-risk groups such as women, younger adults, patients in the early phase of treatment, smokers, and those experiencing stress.
Faktor Faktor Keteraturan Minum Obat pada Penderita Tuberkulosis di Indonesia (Analisis Data SKI 2023) Trynanda Samosir; Helmi Suryani Nasution; Rd Halim
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1055

Abstract

Tuberculosis (TB) remains one of the leading infectious causes of death worldwide and continues to pose a major public health challenge. The disease is caused by Mycobacterium tuberculosis and is transmitted through airborne droplets when infected individuals cough or speak. Without treatment, TB has a mortality rate of approximately 50%; however, about 85% of patients can be successfully treated with anti-tuberculosis drugs administered for 4–6 months according to standard guidelines. Indonesia is among the eight countries contributing the highest number of TB cases globally, yet national treatment adherence remains suboptimal. This study aimed to analyze factors associated with medication regularity among pulmonary TB patients in Indonesia using data from the 2023 Indonesian Health Survey. A cross-sectional design was applied using secondary data from respondents aged ≥15 years who had been diagnosed with TB and received treatment, with a weighted sample of 667,421 individuals. Data were analyzed using univariate, bivariate (Rao-Scott Chi-Square), and multivariate logistic regression with backward elimination. The prevalence of regular medication intake was 72.21%. Education level, residence, presence of a treatment supervisor (PMO), type of therapy, and comorbidities were significantly associated with medication regularity. Multivariate analysis identified the presence of a PMO as the most dominant factor, followed by higher education and absence of comorbidities. Strengthening treatment supervision and implementing Health Belief Model–based health education are essential to support the 2030 TB elimination target in Indonesia.  
Biopsychosocial factors related to emotional disorders among adolescents Herda, Herda; Butar Butar, Marta; Nasution, Helmi Suryani; Sitanggang, Hendra Dhermawan
JOURNAL OF Mental Health Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i1.2564

Abstract

Background: Adolescence is a critical developmental period marked by biological, psychological, and social changes that increase vulnerability to mental-emotional disorders. Mental-emotional disorders among adolescents may impair academic performance, social relationships, and overall well-being. In Indonesia, particularly at the regional level, evidence regarding comprehensive biopsychosocial determinants among junior high school students remains limited. Purpose: To identify the biopsychosocial determinants associated with mental-emotional disorders among adolescents. Method: A cross-sectional design conducted from May to November 2025. A total of 101 students were selected using proportional stratified random sampling. Mental-emotional disorders were measured using the Strengths and Difficulties Questionnaire (SDQ). Independent variables included physical activity, sleep quality, academic burnout, smartphone addiction, peer support, bullying, parenting style, and sex. Data were analyzed using univariate and bivariate analyses with the chi-square test and prevalence ratio (PR) at a significance level of 0.05. Results: The prevalence of mental-emotional disorders among students was 41.6%. Significant associations were found between mental-emotional disorders and low physical activity (PR=2.7; 95% CI: 1.750–4.393), poor sleep quality (PR=2.4; 95% CI: 1.483–3.974), high academic burnout (PR=2.5; 95% CI: 1.604–4.162), smartphone addiction (PR=1.9; 95% CI: 1.269–3.109), low peer support (PR=1.8; 95% CI: 1.150–3.032), and experiences of bullying (PR=13.7; 95% CI: 4.558–41.760). Sex and parenting style were not significantly associated with mental-emotional disorders. Conclusion: Mental-emotional disorders among adolescents are significantly influenced by multiple biopsychosocial factors, particularly lifestyle behaviors, academic stress, peer relationships, and bullying experiences. School-based promotive and preventive interventions focusing on physical activity, sleep hygiene, stress management, strengthening peer support, and bullying prevention are strongly recommended. Keyword: Academic Burnout; Adolescents; Biopsychosocial Factors; Bullying; Mental-Emotional Disorders.
Factors associated with emotional mental disorders among adolescents Indri Putri Umairoh; Marta Butar Butar; Helmi Suryani Nasution; Hendra Dhermawan Sitanggang
JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i2.3192

Abstract

Background: Emotional mental disorders among adolescents are an increasing public health concern. The I-NAMHS survey reported that 34.9% of adolescents experience mental health problems, while a preliminary survey at Senior High School 5 Kota Jambi found that 52.4% of students were indicated to have emotional mental disorders. Purpose: To analyze factors associated with emotional mental disorders among adolescents. Method: A quantitative analytic study with a cross-sectional design was conducted among 200 students selected using proportionate stratified random sampling. Data were analyzed using chi-square tests. Results: Gender (p=0.004; PR=1.64; 95% CI: 1.13–2.37) and bullying (p<0.001; PR=3.04; 95% CI: 1.56–5.95) were significantly associated with emotional mental disorders, while parental involvement was not significantly associated (p>0.05). Conclusion: Gender and bullying were identified as factors associated with emotional mental disorders among adolescents. Keywords: Adolescents; Emotional Mental Disorders; Senior High School.
The Influence of Mentoring and Education on the Knowledge of Posyandu Cadres, Especially for the Suku Anak Dalam in Bungo Regency, Jambi Province Listiawaty, Renny; Kalsum, Ummi; Noerjodianto, Dwi; Haryadi, Haryadi; Adriani, Adriani; Sibuarian, Jodion; Rahayu, Sri; Ridwan, M.; Halim, Rd.; Utomo, Praditia Eko Prasetyo; Sitanggang, Hendra Dhermawan; Nasution, Helmi Suryani; Hasanuddin, Hasanuddin
Jurnal Kesmas Jambi Vol. 9 No. 3 (2025): VOLUME 9 - NUMBER 3 - November 2025
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v9i3.56574

Abstract

The health status of the Suku Anak Dalam (SAD) community remains a serious concern, particularly regarding mortality, morbidity, nutrition, and reproductive health. Nutritional problems among toddlers, adolescents, women of reproductive age, and the wider community continue to contribute to poor health outcomes. In addition, childbirth and reproductive health complications are still major factors causing high infant mortality rates within SAD communities. This study aimed to evaluate the effectiveness of mentoring and educational interventions for SAD Posyandu cadres in improving their knowledge and practical skills. The study used a pre-experimental method with a one-group pretest-posttest design and was conducted at the SAD community hall in Dwi Karya Bakti Village, Pelepat District, Bungo Regency, Jambi. The study population consisted of all SAD Posyandu cadres, totaling 19 participants. Most cadres were unemployed, with 6 men (31.6%) and 13 women (68.4%). Fourteen participants (73.7%) had low educational backgrounds, while 5 participants (26.3%) had higher education levels. The youngest respondent was 12 years old, and the oldest was 31 years old, with an average age of 18.53 years and a standard deviation of 5.037 years. Statistical analysis showed a p-value of 0.002 (<0.05), indicating a significant increase in knowledge after the educational intervention. Therefore, continuous mentoring and training are recommended to strengthen cadre competencies and sustain independent health services. Strengthening community participation through regular Posyandu activities may also help reduce preventable diseases, maternal complications, and infant deaths among SAD families.
FAKTOR-FAKTOR KEBERHASILAN PENGOBATAN PASIEN TUBERKULOSIS RESISTEN RIFAMPISIN (TB-RR) DI PROVINSI JAMBI Helmi Suryani Nasution; Ria Rizky; Ashar Nuzulul Putra; Marta Butar Butar
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.3016

Abstract

The success rate of drug-resistant tuberculosis (DR-TB) treatment in Jambi Province has not yet reached the target. This study aims to determine factors contributing to treatment success in patients with rifampicin-resistant tuberculosis (RR-TB) in Jambi Province. The study was conducted in Jambi Province using a retrospective cohort design. Data were obtained from the Tuberculosis Information System (SITB) for the period 2020–2023. A total of 122 patients were included using a total sampling technique. The inclusion criteria comprised patients who received treatment between 2020 and 2023 with complete data. Exclusion criteria included patients who had not completed treatment, had incomplete or duplicate data, or whose treatment outcomes had not been evaluated. The instrument used was the TB RO.03 report. Data were analyzed using the Chi-square test and log-linear Poisson regression. The treatment success rate for RR-TB was 61.5%. Age was significantly associated with treatment success, with an adjusted relative risk (aRR) of 1.65 (95% CI: 1.03–2.66). In contrast, no significant associations were found between treatment success and gender, history of previous treatment, anti-tuberculosis drug regimen, diabetes mellitus status, or HIV status. Age was identified as the most dominant factor influencing treatment success. Therefore, special attention should be given to patients aged over 50 years to improve TB treatment outcomes.
EDUKASI KECAPI (KENALI, CATAT, PERIKSA) MELALUI KEGIATAN INVESTIGASI KONTAK TUBERKULOSIS DI DESA KASANG LOPAK ALAI, PROVINSI JAMBI Sari, Rumita Ena; Rahayu Ningsih, Vinna; Mekarisce, Arnild Augina; Rahmat, Andree Aulia; Hidayati, Fajrina; Butar Butar, Marta; Sari, Puspita; Nasution, Helmi Suryani
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 7 No. 2 (2026): Vol. 7 No. 2 (2026): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v7i2.55491

Abstract

Tuberculosis (TB) remains a significant global public health concern. Early case detection through Contact Investigation (CI) plays a crucial role in interrupting disease transmission; however, limited community knowledge and TB-related stigma remain major barriers in Kasang Lopak Alai Village. This community service program aimed to optimize TB case detection through the KECAPI (Recognize, Record, Examine) educational intervention among close contacts of TB patients. The program was implemented using a community-based, door-to-door intervention involving 40 close contacts (household and non-household) from five index TB cases. The effectiveness of the intervention was evaluated using pre-test and post-test questionnaires assessing knowledge of TB symptoms, contact identification, and motivation to undergo health screening. The results demonstrated a substantial improvement in participants' knowledge, with the proportion of respondents categorized as having good knowledge increasing from 15% to 70%. Contact investigation identified a ratio of 1:8 (five index cases to 40 close contacts), facilitated sputum specimen collection from symptomatic contacts, and provided education on Tuberculosis Preventive Treatment (TPT). The KECAPI educational intervention proved effective in improving awareness and participation among close contacts in early TB case detection while reducing psychological barriers associated with TB-related stigma, thereby supporting efforts to accelerate TB elimination in the service area of Kasang Pudak Primary Health Center.
Determinants of Diarrhea Incidence in Toddlers in the Work AreaPaal V Health Center 2024 Widya Dina Fitri; Adelina Fitri; Andree Aulia Rahmat; Helmi Suryani Nasution; Kasyani Kasyani
International Journal of Medicine and Health Vol. 4 No. 1 (2025): International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i1.5612

Abstract

Background: Diarrhea is a condition in which a person experiences bowel movements more than three times a day with liquid-textured feces, often accompanied by mucus or blood, and occurs more often than usual. The purpose of this study was to determine the determinants of diarrhea in toddlers in the work area of ​​the Paal V Health Center in 2024. This study is a quantitative study using a Cross Sectional approach method. The sample in this study was 167 mothers of toddlers with a purposive sampling technique. The study was conducted from August 2024 to January 2025. The research instrument used a questionnaire and observation sheet. The variables used were CTPS habits, exclusive breastfeeding, visits to integrated health posts, maternal employment status, clean water sources, healthy toilets. Cronbach's results Validity Test Diarrhea incidence (0.404), CTPS habits (0.632), exclusive breastfeeding (0.636), visits to integrated health posts (0.690). The results of the CTPS habit analysis obtained p-value (0.034), exclusive breastfeeding (0.016), visits to integrated health posts (0.107), maternal employment status (0.042), clean water sources (0.154), healthy toilets (1.000). There is a relationship between CTPS habits, exclusive breastfeeding, maternal employment with the incidence of diarrhea in toddlers. There is no relationship between visits to integrated health posts, clean water sources, healthy toilets with the incidence of diarrhea.
Faktor-Faktor yang Berhubungan dengan Perilaku Keluarga dalam Pencegahan Penularan Tuberkulosis di Puskesmas Kenali Besar Kota Jambi Tahun 2025 Ainun Nazmi Hasibuan; Helmi Suryani Nasution; Ashar Nuzulul Putra; Muhammad Syukri
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 2 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss2.2607

Abstract

Tuberculosis remains a major public health problem in Indonesia, including in Jambi City. The risk of tuberculosis transmission is highest among household contacts; therefore, the behavior of family members of TB patients plays an important role in preventing transmission. This study aimed to analyze the factors associated with family behavior in preventing tuberculosis transmission in the working area of the Kenali Besar Public Health Center, Alam Barajo District, Jambi City, in 2025. The study population consisted of all family members living in the same household as tuberculosis patients, with a total sample of 88 respondents selected using a total sampling technique. The independent variables included age, sex, education level, occupation, income, knowledge, and attitude, while the dependent variable was tuberculosis transmission prevention behavior. Data were collected using a structured questionnaire and analyzed using univariate and bivariate analyses with a 95% level of significance. The results showed that education level, income, knowledge, and attitude were significantly associated with family behavior in preventing tuberculosis transmission.
Co-Authors . Asparian, . Adelina Fitri Adriani Adriani ADRIANI ADRIANI Affifah Khairani Ainun Nazmi Hasibuan Amanta, Shakira Zahra Aminah, Nenden Siti Andini, Melati Puti Andree Aulia Rahmat Arnild Augina Mekarisce Ashar Nuzulul Putra Budi Aswin Butar Butar, Marta Butar, Marta Butar Butar, Marta Butar Dwi Noerjoedianto Eko Prasetyo Evy Wisudariani Fahrul Rusdianto Fajriani, Indah Fajrina Hidayati Febriyani, Hilda Gaol, Miranda Lumban Girsang, Yohanna Febrianty Gusdian, Mellani Guspianto Guspianto Halim, Rd Halim, Rd. Haryadi - Haryadi Haryadi Hasanuddin Hasanuddin Hendra Dhermawan Sitanggang Herda, Herda Hilda Febriyani Hisran Hisran Husni, Virra Ibnu Rahmad, Rizki Indri Putri Umairoh Ismi Nurwaqiah Ibnu Jodion Siburian Kasyani Kasyani Kasyani, Kasyani Kurnia Gusti Nanda Nanda La Ode Reskiaddin Lesmana S, Oka Listiawaty, Renny M. Dody Izhar M. Ridwan M. Ridwan M. Ridwan Marbun, Tesalonika Graciella Marisa, Amelia Mega Fatimah Rosana Muhammad Syukri Noerjodianto, Dwi Oka Lesmana paradiba, anggia Pratiwi, Dessy Puspita Sari Putri, Fitria Eka Rahayu Ningsih, Vinna Ratna Djuwita Rd. Halim Regina, Agave Renny Listiawaty Ria Rizky Rindu Desilva Nabila Rini, Willia Novita Eka Rizki Ibnu Rahmad Roma Yuliana Sahanggamu, Paulus Daniel Sayuti, Solihin Siagian, Adelia Debora Sibuarian, Jodion Sisca Septiani Sitanggang, Hendra D. Soelistyo, Soelistyo Sofyan Musyabiq Wijaya SRI RAHAYU Sri Rahayu Sugiarti Sugiarti Syahrul Hamidi Nasution Taqwin, Zalra Muhammad Tetrianti, Lia Tri Yunis Miko Wahyono Trynanda Samosir Ummi Kalsum Usi Lanita Utomo, Praditia Eko Prasetyo Vinna Rahayu Ningsih Widya Dina Fitri