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KARAKTERISTIK FISIK RUMAH DENGAN KEJADIAN TB PARU DI WILAYAH KERJA PUSKESMAS SEI JANG KOTA TANJUNGPINANG Indra Martias; Hendra Dhermawan Sitanggang
Jurnal Riset Kesehatan Vol 7, No 1 (2018): MEI 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.928 KB) | DOI: 10.31983/jrk.v7i1.3212

Abstract

Tuberculosis remains a public health problem in Indonesia. While the percentage of unhealthy homes in Indonesia is still high at 75.1% and in the Riau Islands 76,3%. Construction of houses and the neighborhood does not meet health requirements would be a risk factor for pulmonary tuberculosis transmission source. This study aims to determine the relationship between the physical characteristics of the home (residential density, types of flooring, ventilation, lighting, temperature and humidity) and the incidence of pulmonary tuberculosis in Puskesmas Sei Jang Tanjungpinang. This study uses a case control design were analyzed by chi-square test and Fisher exact. The number of samples in this study were 36 cases and 36 controls. Cases were all TB patients with sputum examination results at the health center laboratory stated smear positive (suffering from pulmonary TB) 2016 to June 2017. Control is a neighboring group of cases have a history of not suffering from pulmonary TB. Results showed that the floor of the house (OR = 2.12; 95% CI: 0.364 to 12.049), ventilation (OR = 3.4; 95% CI 0.638 to 18.132), lighting (OR = 2.08; 95% CI: 0.779 to 5.552), population density (OR = 2.5; 95% CI: 0.962 to 6.498), and humidity (OR = 2.742; 95% CI: 0.496 to 15.168) who do not qualify is a risk factor to the incidence of pulmonary tuberculosis. However, this study found no statistically significant relationship. Suggested to the respondents whose homes are not eligible to be regularly open the window every morning before going on air circulation and sunlight can kill the TB germs.
PEMANTAUAN STATUS GIZI BALITA DAN ANAK USIA SEKOLAH SERTA EDUKASI PHBS DI DESA NYOGAN KAB. MUARO JAMBI Ummi Kalsum; Hendra Dhermawan Sitanggang; Evy Wisudariani
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 4 No. 2 (2021): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACT The nutritional problems of toddlers and children in the Anak Dalam Tribe are malnutrition and stunting. One of the factors is the lack of a sanitary and healthy living behavior in the community. The condition of environmental health and environmental sanitation that meets the requirements is only 50%, the decline in the behavior of mothers in monitoring the growth and development of children at the Posyandu and monitoring of nutritional status in schools tends not to be carried out. It is necessary to educate the public regarding sanitary and healthy living behavior and monitoring the nutritional status of toddlers and school-age children in Nyogan Village. Community service activities are carried out through counseling activities for school children at SDN 238 and training for toddlers and stunting cadres in Nyogan Village. The results of the activity showed a significant increase in students' knowledge with an average increase of 6.31 points. In the training of cadres, it was also found that there was an increase in cadre knowledge, the average knowledge during the pre-test was 15.63 and increased to 16.25 during the post-test. It is also seen that there is an increase in the skills of cadres in anthropometric measurements which is shown through practical activities in measurement simulations. All the participants of the activity looked enthusiastic and showed seriousness in participating until the end of the event. The results of monitoring nutritional status according to the Body Mass Index according to Age (BMI/U) of students who experience malnutrition are still high, reaching 35.8% and 9% being overweight and obese. This activity is expected so that students and families can apply sanitary and healthy living behaviors, both at school and at home, and the school can monitor the nutritional status on a regular basis for toddlers and school-age children both at Posyandu and in screening activities for school children through the program. UKS. Keywords: Nutritional Status, Sanitary living culture, Monitoring of Nutritional Status, Education, SAD, KAT    ABSTRAK Masalah gizi balita dan anak pada Suku Anak Dalam yaitu gizi kurang dan pendek. Salah satu faktornya adalah belum membudayanya perilaku hidup bersih dan sehat di masyarakat. Kondisi kesehatan lingkungan dan sanitasi lingkungan yang memenuhi syarat hanya 50%, menurunnya perilaku ibu dalam memantau tumbuh kembang anak di Posyandu serta pemantauan status gizi di sekolah cenderung tidak dilakukan. Perlu edukasi kepada masyarakat terkait perilaku hidup bersih dan sehat serta pemantauan status gizi balita dan anak usia sekolah di Desa Nyogan. Kegiatan Pengabdian kepada masyarakat dilaksanakan melalui kegiatan penyuluhan kepada anak sekolah SDN 238 dan pelatihan kader posyandu balita dan kader stunting di Desa Nyogan. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan siswa secara signifikan dengan rata-rata peningkatan sebesar 6,31 poin. Pada pelatihan kader juga diperoleh adanya peningkatan pengetahuan kader, rata-rata pengetahuan saat pre-test 15,63 dan meningkat menjadi 16,25 saat post test. Juga terlihat ada peningkatan keterampilan kader dalam pengukuran antropometri yang ditunjukkan melalui kegiatan praktik pada simulasi pengukuran. Seluruh peserta kegiatan terlihat bersemangat dan memperlihatkan keseriusan dalam mengikuti hingga selesai acara. Hasil pemantauan status gizi menurut Indeks Massa Tubuh menurut Umur (IMT/U) siswa yang mengalami gizi kurang masih tinggi yaitu mencapai 35,8% dan 9% berstatus Gizi lebih dan obesitas. Kegiatan ini diharapkan agar siswa dan juga keluarga dapat menerapkan perilaku hidup bersih dan sehat, baik di sekolah maupun di rumah, serta pihak Sekolah dapat melakukan pemantauan status gizi secara rutin pada balita dan anak usia sekolah baik di Posyandu maupun dalam kegiatan penjaringan anak sekolah melalui program UKS. Kata Kunci : Status Gizi, PHBS, Pemantauan Status Gizi, Edukasi, SAD, KAT
Determinan Perilaku Seks Pranikah pada Remaja Pria (15-24 Tahun) di Indonesia (Analisis SDKI 2017) Ana Sandra Pidah; Ummi Kalsum; Hendra Dhermawan Sitanggang; Guspianto Guspianto
Jurnal Kesmas Jambi Vol. 5 No. 2 (2021): Vol. 5 - No. 2 - September 2021
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v5i2.13878

Abstract

Perilaku seks pranikah merupakan salah satu masalah remaja yang sedang menuju dewasa. Transisi sosial dan budaya yang mengakibatkan remaja rentan terpengaruh dampak negatif. Tujuan penelitian menganalisis determinan perilaku seks pranikah pada remaja pria (15-24 tahun) di Indonesia tahun 2017. Penelitian ini menggunakan sebagian data SDKI tahun 2017 dengan desain Cross Sectional. Populasi penelitian yang digunakan adalah remaja pria (15-24 tahun) di Indonesia. Jumlah sampel sebanyak 12.453 remaja pria. Analisis bivariate menggunakan Chi-Square dan analisis multivariate menggunakan regresi logistik berganda model prediksi. Perilaku seks pranikah pada remaja pria sebanyak 7,7%. Faktor yang berhubungan dengan perilaku seks pranikah pada remaja pria yaitu umur (POR=4,30;95% CI=3,63-5,10), pendidikan (POR=1,42;95% CI=1,19-1,69), status pekerjaan (POR=2,28; 95% CI: 1,93-2,70), status ekonomi keluarga (POR=1,32;95% CI: 1,09-1,59), pendidikan orang tua (POR=1,35; 95% CI: 1,02-1,77), pengetahuan kesehatan reproduksi (POR=1,47; 95% CI: 1,09-1,97), pengetahuan alat kontrasepsi (POR=0,42;95% CI: 0,34-0,51), sikap (POR=22,01;95% CI: 18,23-26,55), gaya berpacaran (POR= 59,27;95% CI: 35,95-98,26), dan pengaruh teman sebaya (POR=11,96;95% CI: 9,93-14,41). Faktor yang dominan tehadap perilaku seks pranikah remaja pria adalah gaya berpacaran (POR=20,51;95% CI: 12,13-34,69) artinya remaja pria dengan gaya berpacaran berisiko memiliki risiko 20 kali untuk berperilaku seks pranikah. Untuk itu perlu adanya peningkatan edukasi pada remaja mengenai dampak gaya berpacaran yang berisiko serta pergaulan yang salah.Kata Kunci: Perilaku Seks Pranikah, Remaja Pria, SDKI
GAMBARAN KESINTASAN 3 TAHUN PASIEN HIV/AIDS BERDASARKAN KETIDAKPATUHAN BEROBAT DI RUMAH SAKIT PENYAKIT INFEKSI PROF. DR. SULIANTI SAROSO TAHUN 2010-2012 Hendra Dhermawan Sitanggang; Tri Yunis Miko Wahyono; Adria Rusli; Mondastri Korib Sudaryo
The Indonesian Journal of Infectious Diseases Vol 2, No 2 (2015): THE INDONESIAN JOURNAL OF INFECTIOUS DISEASES
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.673 KB) | DOI: 10.32667/ijid.v2i2.24

Abstract

Abstrak : Penelitian ini bertujuan untuk mengetahui gambaran kesintasan 3 tahun pasien HIV/AIDS berdasarkan ketidakpatuhan berobat. Penelitian ini menggunakan desain kohort retrospektif di RSPI Prof. Dr. Sulianti Saroso tahun 2010-2012. Probabilitas survival kumulatif pasien HIV/AIDS di RSPI Prof dr. Sulianti Saroso pada tahun kedua (bulan ke-24) adalah 95,6% dan tahun ketiga (bulan ke-36) adalah 91%. Probabilitas kesintasan 3 tahun pasien yang patuh minum obat (97,6%) lebih tinggi dibandingkan pada yang tidak patuh minum obat (83,1%). Berdasarkan ketidakpatuhan terhadap janji ambil obat, probabilitas kesintasan 3 tahun pasien yang patuh ambil obat (93,8%) juga lebih tinggi dibanding yang tidak patuh (88,1%). Ketidakpatuhan minum obat dapat menyebabkan kegagalan terhadap penekanan replikasi virus HIV, sehingga meningkatkan kemungkinan bermutasinya virus HIV yang dapat menyebabkan resisten terhadap obat dan akhirnya dapat meningkatkan risiko kematian. Ketidakpatuhan terhadap janji ambil obat pada 1 tahun pertama juga diasumsikan juga akan menunjukkan ketidakpatuhan terhadap janji ambil obat selanjutnya dan menunjukkan ketidakpatuhan minum obat, sehingga meningkatkan risiko kematian. Perlu dilakuakan monitoring cakupan kepatuhan minum obat pasien HIV/AIDS secara berkala sebagai kewaspadaan dini terhadap risiko kematian pasien HIV/AIDS. Abstract :The objective of this study was to described 3-years survival of patients with HIV/AIDS based on non-compliance medication. This study used a retrospective cohort design at RSPI Prof. Dr. Sulianti Saroso in 2010-2012. The cumulative survival probability of patients with HIV/AIDS at RSPI Prof. dr. Sulianti Saroso in the second year (24th month) was 95.6% and the third year (in the 36th) was 91%. Probability 3-years survival patients with HIV/AIDS whom were adherence (97,6%) was higher than non-adherence (83,1%). Based on incompliance to appointment of taking drugs, probability 3-years survival among patient whom were compliance (93,8%) was also higher than incompliance (88,1%). Nonadherence to ART may caused a failure of the suppression on HIV viral, thus increase the possibility of HIV virus mutations that can lead to drug-resistant and ultimately increase the risk of death. Poor compliance to appointments of taking drugs in the first year also assumed the poor adherence of the next assignment to take drugs in the further, and show disobedience to ART, so it will increase the risk of death. Need to monitor coverage of medication adherence of patients with HIV/AIDS in a regular basis as the early warning on the risk of death among patients with HIV/AIDS.
Hubungan Personal Hygiene dengan Kejadian Skabies di Pondok Pesantren Madani Unggulan, Kabupaten Bintan Kholilah Samosir; Hendra Dhermawan Sitanggang; M. Yusuf MF
Jurnal Ilmu Kesehatan Masyarakat Vol 9 No 03 (2020): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v9i03.499

Abstract

Skabies merupakan penyakit menular yang masih menjadi masalah kesehatan masyarakat. Scabies adalah penyakit kulit yang disebabkan infestasi dan sensitisasi tungau Sarcoptes scabiei. Penyakit scabies umumnya menyerang individu yang hidup berkelompok seperti asrama dan pesantren. Prevalensi scabies di Pondok Pesantren Madani Unggulan Kab.Bintan dari tahun ketahun meningkat dari 35 menjadi 40 orang, dan tahun 2018 masih terdapat 20 orang. Hal ini dikarenakan faktor lingkungan dan personal hygiene yang tidak bersih. Tujuan penelitian untuk mengetahui hubungan personal hygiene dengan kejadian scabies di Pondok Pesantren Madani Unggulan Kecamatan Toapaya Kabupaten Bintan. Penelitian ini menggunakan desain cross sectional di Pondok Pesantren Madani Unggulan Kecamatan Toapaya Kabupaten Bintan Tahun 2018. Jumlah populasi dan sampel dalam penelitian ini adalah seluruh siswa sebanyak 106 Siswa dengan teknik sampel jenuh. Hasil responden yang mengalami kejadian skabies sebesar 18,9%. Hasil analisis multivariat dengan uji regresi logistik dikontrol variabel jenis kelamin dan ventilasi yang merupakan variabel konfounder dalam hubungan personal higiene dengan kejadian scabies dan merupakan sebagai faktor risiko terhadap kejadian skabies dengan nilai aPR=3,447 (95%CI : 0,973-12,215). Hal ini dikarenakan penularan skabies yang dapat terjadi secara langsung melalui jabat tangan dan skabies, khususnya di Pondok Pesantren.
Studi Kualitatif Keberadaan Penyakit Kusta di Desa Dendun Kecamatan Mantang Kabupaten Bintan Harvensica Gunnara; Rian Yuliyana; Rinaldi Daswito; Ratna Juwita; Hendra Dhermawan Sitanggang
Jurnal Kesehatan Terpadu (Integrated Health Journal) Vol 11 No 2 (2020): Jurnal Kesehatan Terpadu (Integrated Health Journal) November 2020
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkt.v11i2.105

Abstract

Indonesia is in the third position in the world with the most leprosy sufferers after India and Brazil. Leprosy is commonly found in developing countries, as a result of the country's limited ability to provide adequate services in the fields of health, education, and socioeconomic welfare for the community. Dendun Village in Mantang District had the most cases of leprosy, 5 (five) cases in the Bintan Regency area in 2018. The study was used as a qualitative approach with a case study method. Content analysis was used in the analysis process of this research. Testing the results of research used source triangulation by cross-checking data with facts from other sources (informants) and triangulation methods by collecting data through in-depth interviews with informants and reviewing documents. The level of knowledge, negative stigma, adherence to treatment, history of contact with leprosy sufferers, and access to health services were important factors for the existence of leprosy in Dendun Village, Mantang District, Bintan Regency. Patients are expected to comply with the treatment program seriously to prevent transmission, cure, and recovery due to diseases carried out by the Bintan District Health Office and Mantang Puskesmas.
PEMICUAN JAMBAN SEHAT SEBAGAI SOLUSI BEBAS BUANG AIR BESAR SEMBARANGAN PADA MASYARAKAT KAMPUNG BULANG KOTA TANJUNGPINANG Kholilah Samosir; Hendra Dhermawan Sitanggang
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 2 No. 1 (2020): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4991.744 KB) | DOI: 10.22437/jssm.v2i1.11166

Abstract

The problem of open defecation (BABS) is still a public health problem in Tanjungpinang City. Based on data from the Health Office in 2018, there is no urban village that has ODF, including the people who live in the Kampung Bulang Urban Village. Most of them still throw their fists directly into the sea and some stills use swamps and drainage as places for defecation. It has become a habit for people to regard the sea as a giant septic tank, so they don't have to bother spending money to build proper disposal facilities. One of the efforts to reduce the number of open defecation, we made and installed latrines and septic tanks in the coastal area of Kampung Bulang Urban Village RW 10 RT 1, Tanjungpinang City.
Kebersihan Tempat Tidur Dan Sprei Sebagai Faktor Risiko Keluhan Penyakit Kulit Di Wilayah Pesisir, Kampung Bugis, Kota Tanjungpinang Tahun 2018 Hendra Dhermawan Sitanggang
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 16 No. 2 (2020): 2
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.508 KB) | DOI: 10.29238/jtk.v16i2.888

Abstract

Symptoms of skin disease were still a public health problem, globally and in Indonesia, especially in coastal areas in Tanjungpinang City. Several studies showed that personal hygiene and environmental sanitation as a risk factor for skin problems. The objective of this study was to determine the risk factors for symptoms of skin disease in RW 6, Kampung Bugis, which is a coastal area in Tanjungpinang in 2018. This study used cross-sectional design with 99 sample size and used purposive technique sampling. Data were collected by interviews and observation with a questionnaire and observation sheets. Data were analyzed with the chi-square test. The results revealed a relationship between hygiene beds and bed linen with symptoms of skin diseases (PR= 2.464 with 95% CI: 1.632 to 3.721). It means that the hygiene beds and bed linen were a risk factor for skin disease. The results also found that 92.9% of respondents had bad behavior towards the hygiene beds and bed linen. This behavior may be related to the condition of the living area which is a coastal area so that there is not enough space for them to dry the mattress. Therefore, people are advised to open windows regularly in the morning so that the mattress gets enough sunlight.
Determinant Factors of Type 2 Diabetes Mellitus of Visitors in the Integrated Guidance Posts of Jambi’s Kenali Besar Community Health Center Vinna Juniarti Fatimah; Rd. Halim; Hendra Dhermawan Sitanggang; Evy Wisudariani
East Asian Journal of Multidisciplinary Research Vol. 1 No. 8 (2022): September 2022
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/eajmr.v1i8.1362

Abstract

The study aims to discover the proportion and determinants of type-2 DM cases in the Integrated Guidance Posts of Kenali Besar Community Health Center in 2019. The study was a quantitative analysis with cross sectional design, the sample amounted to 278  ≥ 15 years old individuals. Study results indicated that 21.9% visitors of Integrated Guidance Posts suffered from type-2 diabetes mellitus, 18% with low education, 21.2% with family history of DM, 26.6% were smoking, 47.1% fell in the obese category of BMI, 55.8% were lacking physical activities, 23.7% with hypertension, and 64.4% fell in the central obesity category. Family history of DM, lack of physical activities, and hypertension were correlated with type-2DM cases in visitors of the Integrated Guidance Posts of Kenali Besar Community Health Center’s.
Stress as the Dominant Factor of Hypertension Rd. Halim; Ledy Uli Vidi Gultom; Hendra Dhermawan Sitanggang
East Asian Journal of Multidisciplinary Research Vol. 1 No. 9 (2022): October 2022
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/eajmr.v1i9.1612

Abstract

Hypertension is one of the non-communicable diseases (NCD) which became a major public health problem both in Indonesia and in the world. Data from the Public Health Office of Jambi showed that hypertension rate was 11.33% in 2019, 3.15% in 2020 and 4.00% in 2021. This study aimed to determine the factors associated with the incidence of hypertension at the Paal Lima Public Health Centre of Jambi City. This study used a cross-sectional design with 214 respondents aged ≥ 18 years old selected through accidental sampling. Data were analysed through chi-square test for bivariate analysis and cox regression for multivariate analysis. The prevalence of hypertension in the study was 33.2%. The multivariate analysis indicated that age (aPR= 2.502; 95% CI: 1.302 to 4.809), salt consumption (aPR= 1.799; 95% CI: 1.086 to 2.978), and stress (aPR= 3.963; 95% CI: 2.355 to 6,670) were correlated with the incidence of hypertension. Age, salt consumption, and stress were the risk factor of the incidence of hypertension. The most dominant factor affecting the incidence of hypertension was stress. Therefore, stress managements are required to reduce stress experienced by people apart from consuming low-sodium food.