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All Journal JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Journal of Education Research
Iyone E.T. Siagian
Bagian Ilmu Kedokteran Komunitas Fakultas Kedokteran Universitas Sam Ratulangi Manado
Humanities Education Mathematics Medicine & Pharmacology Social Sciences

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Gambaran Kebiasaan Makan Makanan Etnis Minahasa Yang Beresiko Penyakit Jantung Koroner di Lingkungan 5 Kelurahan Paal 2 Kota Manado Oley, Julia S.; Kandou, Grace D.; Siagian, Iyone E.T.; Ottay, Ronald I.; Rauw-Andries, Lilian; Pandelaki, August J.; Kaunang, Wulan P.J.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 2 Nomor 1 Februari 2014
Publisher : UNIVERSITAS SAM RATULANGI

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Coroner Heart Diseases (CHD) is one of the main cause of death in many countries, also is the number one cause ofdeath in Indonesia.The high number of CHD in Indonesia goes in line with the high consumption of saturated fattyacid from eating habit. The aim of this research is to picture the eating habit of Minahasa Ethnic, and CHD case atLingkungan 5 Kelurahan Paal 2 Manado. Descriptive research is the method of this research. The population that wasused is all Householders or Housewifes at Lingkungan 5 which are more than 40 years old as much as 355 householders,with 72 householders samples. Result of the research shows 5 kinds of food with the most frequency of beingeaten which are Kangkung Tumis (68,1%), Sayur Pait Ba (25%), Ayam Santan / Kari (20,8%), Brenebon Babi(20,8%), Babi Kecap (19,4), and 5 kinds of food with low frequency of being consumed, which are Paniki (98,6%),Babi Putar (98,6%), Tina’i/Usus Babi (98,6%), Tikus (98,6%), Babi Hutan (98,6%), and 2,8% cases of CHD in Lingkungan5. Conclusion: there were 5 types of frequently consumed food by community in Lingkungan 5 Paal 2 VillageManado City, which were Sayur Kangkung Tumis, Sayur Pait Ba, Ayam Santan/Kari, Brenebon Babi, Babi Kecap, and 5types of rarely consumed food were Paniki, Babi Putar, Tina’i/Usus Babi, Tikus dan Babi Hutan, and history of CHD2.8%, history of CHD in family were 6.9%, history of Diabetes Mellitus 8.3%, and 25% had history of Hypertension,Hyperuricemia, and Dyslipidemia.Keywords: Eating Habits, Coronary Heart Disease
Tingkat Kepuasan Pasien Universal Coverage Terhadap Pelayanan Kesehatan di Puskesmas Tuminting Manado Gaghana, Veicy F.; Siagian, Iyone E.T.; Palandeng, Henry M.F.; Monintja, Tyrsa
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 2 Nomor 1 Februari 2014
Publisher : UNIVERSITAS SAM RATULANGI

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Patient satisfaction for health care is a level of someone’s feeling after comparing the result of the service they get with their expectation.. Patient satisfaction provides information whether success or not of health care is. Universal Coverage is a free health care program for Manado citizens. Tuminting community health center is a health center that has most listed people in Universal Coverage Program. The purpose of this research is to determine the level of pa-tients satisfaction for health care in Tuminting community health center judges from reliability, responsiveness, as-surance, empathy, tangible and patient overall satisfaction. This is a descriptive research. Samples are collected using purposive sampling technique with sample size as much as 106 Universal Coverage patient who came to Tuminting community health center for medical treatment from October to November 2013. The results shows that 50,9% pa-tients are satisfied with reliability, 54,7% patients are satisfied with responsiveness, 77,4% patients are satisfied with assurance, 55,7% patients are satisfied with empathy, And 66% patients are satisfied with tangible. The overall Uni-versal Coverage patient satisfaction rate for health care is 51,9%. Based on this result, it can be concluded that the health care given by Tuminting community health center to Universal Coverage patient goes along with the order that satisfies patient the most is asssurance, tangibles, empathy, responsiveness, and reliability.Keywords: Satisfaction, health care, Universal Coverage
Hubungan Kualitas Pelayanan Kesehatan dengan Tingkat Kepuasan Pasien Jamkesmas Di Instalasi Hemodialisa Ruang Dahlia BLU RSUP Prof. DR. R. D. Kandou Rahim, Regina F.; Lampus, Benedictus S.; Siagian, Iyone E.T.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 2 Nomor 2 Mei 2014
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Health is an important aspect in human’s life as well as a right for every human being. Many things need to be considered to increase the public’s health, one of them is to organize health service. Hospital is one of the health service. As a public service, a hospital is consist of many facilities and infrastructures such as medical instruments and health workers. He-modialysis is one of hospital’s service for chronic disease. Evaluation in hemodialysis unit in Virgin de los Lirios Hospital showed that there was 16,7% death of hemodialysis patient on 2005-2008. In United States, hemodialysis patient’s death was 23% each year and it was the highest in worldwide. In 2011, Indonesia had 15.353 patients, and in 2012 the number were increase to 19.621 patients. Chronic kidney disease prevalence in Indonesia on 2012 according to National Hospital Data & Information Center, the number of chronic kidney disease’s client is about 50 persons every one million popula-tion. The purpose of this study was to analyze relation between service quality (reliability, responsiveness, assurance, attention, tangibles) with satisfaction level of Jamkesmas patient in hemodialysis installation. This study was analytical study with cross sectional method. Sample in this study were 31 Jamkesmas hemodialysis patient as respondent. Fisher Exact test result shows that there is significant relation between health service quality in reliability category with Jamkesmas patient satisfaction level (p=0,04) and there is significant relation between health service quality in respon-siveness category with Jamkesmas patient satisfactionn level (p=0,001).Keywords: service quality, patient satisfaction, Jamkesmas, hemodialysis
HUBUNGAN PERILAKU CUCI TANGAN PAKAI SABUN DENGAN KEJADIAN DIARE DI SD ADVENT SARIO KOTA MANADO Djarkoni, Ilham Habib; Lampus, Benedictus S.; Siagian, Iyone E.T.; Kaunang, Wulan P.J.; Palandeng, Henry M.F.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 2 Nomor 3 (2014)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Diarrhea is a condition as the passage of three or more loose or liquid stools per day or more frequent passagethan is normal for individual . Research Objective: To analyze the relationship between hand-washing behavior toward theincidence of diarrhea in Manado Advent Sario Elementary School. Methods: This research using cross sectional survey approach.The population in this study were all children who are presence and attending the class and still active as the sixthgrade students. Sampling was done using purpossive random sampling, as many as 31 children were taken as samples.Results: The study shows the number of children who have a good handwashing with soap behavior is 31 children (90.3%),and those who have less behavior is 4 children (9.7%). Elementary school students who have a diarrhea occurence in thelast 6 month is 9 children (29%), while children who do not have any diarrhea incident is 22 children (71%). Conclusion:There is a relationship between the behavior of handwashing with soap toward the occurrence of diarrhea in children ofprimary school age in Manado Advent Sario Elementary School with p = 0.03, this means there is a significant relationshipbetween handwashing with soap and the occurrence of diarrhea.Keywords: washing hands with soap, diarrhea incidence, school children
Gambaran Pengetahuan dan Sikap Akseptor Keluarga Berencana (Kb) terhadap Penggunaan Metode Suntik di Puskesmas Teling Atas Kota Manado Pijoh, Angel P.O.; Siagian, Iyone E.T.; Lampus, Benny S.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 1 Nomor 1 Februari 2013
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Family Planning Program is one ofthe government's effortsin thesuppression ofthe populationinIndonesiathroughthe use ofcontraception. One typeof contraception thatattracted manyIndonesian people is contraceptive injection method. Data from Teling Atas Public Health Center also indicate that most widely family planning acceptors use contraceptive injection method. The objective of this research was to obtain the description of the knowledge and attitude of family planning acceptors on the use of injection method at Teling Atas Public Health Center Manado. This was a descriptive study using survey method. Samples taken were the family planning acceptors of injection methodwho visited the family planning clinic of Teling Atas Public Health Center during November-December 2012, which amounted to 50 people. The research instrument used was a questionnaire containing each 10 questions related to knowledge and attitude. Results showed that the knowledge offamily planning acceptorswere 54% goodand 46% less, andthe attitudeof family planning acceptorswere 82% goodand 18% less.Conclusion:Based on the results of this research, the knowledge and attitude of family planning acceptors on the use of injection method is mainly good. Keywords: attitude, family planning, family planning acceptors, injection method, knowledge
Pengetahuan Masyarakat tentang Demam Berdarah Dengue di Desa Maen Kecamatan Likupang Timur Kabupaten Minahasa Utara Sjarif, Indra Setiawan; Siagian, Iyone E.T.; Kaunang, Wulan Pingkan Julia
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 1 Nomor 1 Februari 2013
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Background:Dengue hemorrhagic fever (DHF) is an infectious disease caused by the dengue virus. As known, DHF is still one of the potentially infectious disease that can cause an outbreaks / extraordinary events (KLB). The main vector of dengue is Aedes aegypti were found both in Indonesia and other subtropical countries. One of the ways to prevent this disease is to break the chain of disease transmission by mosquito nest eradication program (PSN).This study aimed to determine the knowledge of the community in the village of Maen About Dengue Fever. Methods: In this study, the method used is the survey method with a descriptive approach. Furthermore, data collected through interviews using questionnaires and measured by using Guttman scale. Numbers of samples is determined by simple random sampling with a sample of 90 households. Results:This study found that over 50% of the responden (72,2%) answered yes. Conclusions: From this study it can be concluded that the knowledge of the people in the village Maen About Dengue Hemorrhagic fever are well-knowledge. Keywords: community, dengue fever, Knowledge, Maen village.
Hubungan Pengetahuan tentang Hipertensi dengan Komplikasi pada Lansia yang Berobat di Puskesmas Motoboi Kecil Kecamatan Kotamobagu Selatan Dukomalamo, Ayu Mutiah; Pangemanan, Jane M.; Siagian, Iyone E.T.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 4 Nomor 1 (2016)
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Hipertensi merupakan salah satu faktor risiko utama untuk kematian global.Hipertensi menempati peringkat pertama di Sulawesi Utara dengan jumlah kasus sebanyak 15%.  Dalam beberapa kelompok usia, terutama usia tua risiko penyakit kardiovaskular dua kali lipat untuk setiap kenaikan 20/10 mmHg tekanan darah, mulai dari 115/75 mmHg. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan tentang hipertensi dengan komplikasi pada lansia yang berobat di Puskesmas Motoboi Kecil.Jenis  penelitian ini merupakan penelitian analitik cross-sectional. Yang menjadi sampel dalam penelitian ini adalah semua pasien hipertensi lansia yang berobat di Puskesmas Motoboi Kecil.Sampel penelitian berjumlah 52 responden.Data diambil dengan menggunakan kuisioner dan dianalisis dengan menggunakan uji chi square.Sebanyak 57.7% responden pasien lansia yang menderita hipertensi di Puskesmas Motoboi Kecil memiliki pengetahuan yang baik sedangkan yang memiliki tingkat pengetahuan yang kurang baik sebesar 42.3%.Responden yang menderita komplikasi sebanyak 16 orang (50%) dan yang tidak menderita komplikasi jumlahnya juga 16 orang (50%). Hasil pengolahan data menggunakan uji chi Square didapatkan bahwa tidak ada hubungan yang bermakna antara kategori diagnosis komplikasi dengan tingkat pengetahuan, nilai p = 0,92 artinya p > 0,5.Kata Kunci:Hipertensi, Lansia, Komplikasi.
Gambaran Pengetahuan dan Tindakan Seks Bebas pada Wanita Tuna Susila terhadap Penularan HIV/AIDS di Kota Bitung Ticoalu, Lyvie Lavenia; Siagian, Iyone E.T.; Palandeng, Henry M.F.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 4 Nomor 1 (2016)
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Human Immunodeficiency Virus (HIV) merupakan virus yang menyebabkan penyakit Acquired Immuno Deficiency Syndrome (AIDS) yaitu infeksi yang terjadi karena rusaknya sistem kekebalan tubuh.Persentase faktor risiko AIDS tertinggi adalah karena seks bebas.Dinas Kesehatan Kota Bitung Sulawesi Utara menyatakan jumlah Wanita Tuna Susila (WTS) yang terdaftar di Kota Bitung terbanyak di satu tempat lokalisasi pada tahun 2015 berjumlah 75 orang.Sehubungan dengan itu, jumlah kasus HIV/AIDS di Kota Bitung dari waktu ke waktu terus mengalami peningkatan. Pada tahun 2013 terdapat 281 kasus HIV/AIDS, tahun 2014 terdapat 316 kasus, dan pada tahun 2015 terdapat 367 kasus.Penelitian ini bertujuan untuk mengetahui bagaimana gambaran pengetahuan dan tindakan seks bebas pada wanita tuna susila terhadap penularan HIV/AIDS.Desain penelitian yang digunakan adalah deskriptif dengan menggunakan pendekatan studi potong lintang (cross sectional) dimana variabel-variabel yang diteliti diukur dalam waktu yang bersamaan.Hasil penelitian menunjukkan bahwa responden berpengetahuan baik sebanyak 48 responden (64%) dari total 75 responden.Responden turut berperan dalam pencegahan HIV/AIDS, terlihat dari 64 responden (36%) yang menggunakan kondom. Kata kunci: Pengetahuan, Tindakan, Seks bebas, Wanita Tuna Susila, HIV/AIDS
Pengaruh Dukungan Keluarga terhadap Kepatuhan Minum Obat pada Penderita Tuberkulosis di Puskesmas Motoboi Kecil Kota Kotamobagu Irnawati, Ni Made; Siagian, Iyone E.T.; Ottay, Ronald I.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 4 Nomor 1 (2016)
Publisher : UNIVERSITAS SAM RATULANGI

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Tuberkulosis (TB) adalah penyakit infeksi menular yang disebabkan oleh bakteri Mycobacterium tuberculosis, yang dapat menyerang berbagai organ, terutama paru.Pengobatan TB dapat diberikan dalam 2 tahap, yaitu tahap intensif 2 bulan pengobatan dan tahap lanjutan 4-6 bulan berikutnya. Untuk mencapai keberhasilan pengobatan, bukan semata-mata menjadi tanggung jawab penderita, namun harus dilihat bagaimana faktor-faktor lain yang mempengaruhi perilaku penderita dalam melengkapi dan mematuhi pengobatannya.Ada beberapa faktor yang berhubungan dengan kepatuhan pengobatan yaitu faktor penderita individu, dukungan sosial, dukungan petugas kesehatan, dan dukungan keluarga. Tujuan penelitian ini untuk mengetahui pengaruh dukungan keluarga terhadap kepatuhan minum obat pada penderita tuberkulosis di Puskesmas Motoboi Kecil. Penelitian ini merupakan penelitian analitik yang dilakukan dengan caraCross Sectional. Sampel sebanyak 75 penderita Tuberkulosis.Penelitian dilaksanakan pada bulan September-Desember 2015 di Puskesmas Motoboi Kecil, Kecamatan Kotamobagu Selatan, Kota Kotamobagu.Pengambilan data dilakukan dengan mengadakan wawancara dengan responden melalui kuesioner.Pada penelitian didapatkan hubungan antara dukungan keluarga dengan kepatuhan minum obat anti-tuberkulosis.Kata Kunci :Dukungan keluarga, Kepatuhan, Tuberkulosis
Hubungan Tingkat Pengetahuan Masyarakat dengan Tindakan Pencegahan Hipertensi di Desa Motoboi Kecil Kecamatan Kotamobagu Selatan Angkawijaya, Arsenius Agung; Pangemanan, Jane M.; Siagian, Iyone E.T.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 4 Nomor 1 (2016)
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Hipertensi atau tekanan darah tinggi merupakan penyebab kematian dan kesakitan yang tinggi. Riwayat penyakit hipertensi yang bersamaan dengan pola hidup tidak sehat seperti mengkonsumsi  tinggi lemak, merokok, konsumsi garam berlebih, kurang olahraga, alkohol dan stres akan memperberat resiko komplikasi seperti, stroke, gagal ginjal, infark miokardium bahkan sampai kematian. penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan masyarakat dengan tindakan pencegahan hipertensi di desa Motoboi Kecil Kecamatan Kotamobagu Selatan. Jenis penelitian merupakan penelitian analitik dengan menggunakan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah masyarakat yang bertempat tinggal di desa Motoboi Kecil Kecamatan Kotamobagu Selatan sebesar 104 responden. Analisis data dengan menggunakan SPSS. Hubungan tingkat pengetahuan masyarakat dengan tindakan pencegahan hipertensi menunjukan dengan uji chi square tersebut tidak ada hubungan yang signifikan antara tingkat pengetahuan dengan tindakan pencegahan hipertensi dengan hasil P Value 1,000 (>0,05). Dalam penelitian ini tidak terdapat hubungan yang signifikan antara tingkat pengetahuan dengan tindakan pencegahan hipertensi. Perlu di adakan penyuluhan kesehatan sehingga dapat membantu meningkatkan pengetahuan masyarakat tentang hipertensi serta tindakan pencegahan yang baik dan benar.Kata kunci: Hipertensi, Tingkat Pengetahuan, Tindakan Pencegahan
Co-Authors A.J. Pandelaki Angel P.O. Pijoh Arsenius Agung Angkawijaya, Arsenius Agung August J. Pandelaki Ayu Mutiah Dukomalamo, Ayu Mutiah Benedictus S. Lampus Benny S. Lampus Elcya Natalia S. Mangando Grace Debbie Kandou Henry M. F. Palandeng Ilham Habib Djarkoni Indra Setiawan Sjarif Jane M. Pangemanan, Jane M. Jeffry Sony Junus Lengkong Juan J. Rumondor, Juan J. Julia S. Oley Lilian Rauw-Andries Lyvie Lavenia Ticoalu, Lyvie Lavenia Marlon B.M. Lumintang Ni Made Irnawati, Ni Made Pijoh, Victor David Regina F. Rahim Ronald I. Ottay Sapulete, Ivonny Melinda Tyrsa Monintja Veicy F. Gaghana Wulan P.J. Kaunang Wulan Pingkan Julia Kaunang Yovana P. M. Mamesah