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Dyah Mahendrasari Sukendra
Jurusan Ilmu Kesehatan Masyarakat Universitas Negeri Semarang Kampus Sekaran Gunungpati Semarang 50229 Jawa Tengah-Indonesia Telp. (024) 8058007
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Faktor yang Berhubungan dengan Kegagalan Pengobatan Tuberkulosis Paru di Kabupaten Klaten Az Zahro', Afifah Maulidia; Sukendra, Dyah Mahendrasari
HIGEIA (Journal of Public Health Research and Development) Vol 7 No 4 (2023): October 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7i4.69070

Abstract

Abstrak Pada tahun 2021, capaian keberhasilan pengobatan tuberkulosis di Kabupaten Klaten yaitu 80,99%. Itu artinya, kegagalan pengobatan sebesar 19,01%, dan masih belum memenuhi target (keberhasilan 90%). Tujuan penelitian ini adalah untuk mengetahui faktor apa saja yang berhubungan dengan kegagalan pengobatan pasien tuberkulosis paru. Penelitian ini dilakukan bulan September 2022 hingga Maret 2023 dengan jenis penelitian observasional analitik dengan rancangan cross-sectional. Populasi yaitu pasien tuberkulosis paru yang menjalani pengobatan pada bulan Januari tahun 2021 hingga bulan Juni 2022. Sampel dalam penelitian ini berjumlah 710 responden. Data dianalisis menggunakan aplikasi pengolah data dengan uji chi-square/fisher exact test dan regresi logistik. Hasil penelitian menunjukkan bahwa setelah mengontrol variabel lain, secara signifikan rejimen pengobatan, jenis kelamin, dan usia mempengaruhi kegagalan pengobatan tuberkulosis paru berturut-turut 3.43, 1.70, dan 1.63 kali lebih besar meningkatkan risiko terjadinya kegagalan pengobatan pada pasien tuberkulosis paru (p<0.05). Peningkatan kualitas fasilitas layanan kesehatan dan promosi kesehatan kepada masyarakat terkait kewaspadaan terhadap tuberkulosis dan pendidikan kepada pasien serta keluarganya mengenai tuberkulosis dan pengobatannya, maka risiko terjadinya kegagalan pengobatan pada pasien tuberkulosis dapat dikendalikan. Abstract In 2021, the success rate of tuberculosis treatment in Klaten Regency is 80.99%. That means, unsuccessful treatment was 19.01%, and still not meeting the target (90% success). The purpose of this study was to determine what factors were associated with unsuccessful treatment in pulmonary tuberculosis patients. This research was conducted from September 2022 to March 2023 as an analytic observational study with a cross-sectional design. The population is pulmonary tuberculosis patients who are undergoing treatment from January 2021 to June 2022. The sample in this study was 710 respondents. Data were analyzed using a data processing application with the chi-square/fisher exact test and logistic regression. The results showed that after controlling for other variables, treatment regimen, gender, and age significantly affected treatment unsuccessful of pulmonary tuberculosis respectively 3.43, 1.70, and 1.63 times more likely to increase the risk of unsuccessful treatment in pulmonary tuberculosis patients (p<0.05). Improving the quality of health service facilities and promoting health to the public regarding awareness of tuberculosis and educating patients and their families about tuberculosis and its treatment, so that the risk of unsuccessful treatment in tuberculosis patients can be controlled.
Gaya Hidup yang Memengaruhi Kejadian Hipertensi Usia Produktif (15-59 Tahun) di Puskesmas Toroh I Wulandari, Dela Putri; Sukendra, Dyah Mahendrasari
HIGEIA (Journal of Public Health Research and Development) Vol 8 No 2 (2024): April 2024
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v8i2.79007

Abstract

Puskesmas Toroh I pada tahun 2021 menduduki posisi keempat dengan kasus hipertensi tertinggi mencapai 40,08%. Pada tahun 2022 mengalami kenaikan menjadi 68,77% sehingga menduduki posisi pertama di Kabupaten Grobogan. Penelitian ini bertujuan untuk mengetahui pengaruh gaya hidup terhadap kejadian hipertensi usia produktif (15-59 tahun) di Puskesmas Toroh I tahun 2023. Penelitian analitik observasional dengan desain studi cross sectional ini menggunakan data Posbindu PTM bulan Januari sampai Juni tahun 2023 sebagai sumber data. Populasi penelitian berjumlah 2.262 orang dengan sampel sebanyak 393 responden, diambil menggunakan teknik simple random sampling. Data dikelola melalui aplikasi pengolah data, dan dianalisis dengan analisis univariat, analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa variabel status merokok (p=0,005; PR=1,496; 95% CI=1,184-1,890), aktivitas fisik (p=0,000; PR=2,148; 95% CI=1,782-2,589) dan pola makan (p=0,000; PR=2,433; 95% CI=1,987-2,980) adalah variabel yang berhubungan dengan kejadian hipertensi. Variabel pola makan diketahui menjadi variabel paling dominan yang berhubungan dengan kejadian hipertensi. Toroh I Public Health Center in 2021 was in fourth position with the highest hypertension cases reaching 40,08%. In 2022, it will increase to 68,77% so that it occupies first position in Grobogan Regency. This research aims to determine the lifestyle influence on hypertension incidence in productive age (15-59 years) at the Toroh I Public Health Center in 2023. This observational analytic research with a cross sectional study design used Posbindu PTM data from January to June 2023. The research population were 2.262 people with a sample of 393 respondents, taken using simple random sampling technique. Data was managed through data processing applications with univariate analysis, bivariate analysis using the chi square test and multivariate analysis using logistic regression. The results showed that the variables were smoking status (p=0,005; PR=1,496; 95% CI=1,184-1,890), physical activity (p=0,000; PR=2,148; 95% CI=1,782-2,589) and dietary pattern (p=0,000; PR=2,433; 95% CI=1,987-2,980) is a variable associated with hypertension incidence. Dietary pattern variables were known to be the most dominant variables associated with hypertension incidence.
Lifestyle dengan Diabetes Melitus Tipe II pada Wanita Usia Produktif di Puskesmas Kedungmundu Dewanti, Nanda Putri; Sukendra, Dyah Mahendrasari
HIGEIA (Journal of Public Health Research and Development) Vol 8 No 3 (2024): July 2024
Publisher : Universitas Negeri Semarang

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

Abstract

Abstrak Kasus diabetes melitus (DM) tertinggi di Kota Semarang tahun 2020-2022 berada di Puskesmas Kedungmundu dengan prevalensi kasus pada tahun 2022 sebesar 1,48%. Puskesmas Kedungmundu merupakan salah satu puskesmas dengan kasus diabetes melitus tertinggi tahun 2023 sebesar 3.411 kasus dan 67,34% diantaranya terjadi pada wanita. Penelitian ini dilakukan untuk mengetahui hubungan lifestyle dengan kejadian DM tipe II pada wanita usia produktf (15-64 tahun) di wilayah kerja Puskesmas Kedungmundu. Jenis penelitian ini merupakan penelitian kuantitatif dengan rancangan cross sectional. Penelitian ini dilaksanakan pada akhir bulan Desember 2023-Januari 2024. Hasil penelitian menunjukkan ada hubungan antara tingkat aktivitas fisik (p value = 0,002), pola makan (p value = 0,017), dan konsumsi gula (p value = 0,001) dengan kejadian DM tipe II pada wanita usia produktif (15-64 tahun). Uji multivariat menunjukkan konsumsi gula (p value = 0,002). Konsumsi gula merupakan faktor yang paling dominan terhadap kejadian DM tipe II pada wanita usia produktif (15-64 tahun). Toroh I Public Health Center in 2021 was in fourth position with the highest hypertension cases reaching 40,08%. In 2022, it will increase to 68,77% so that it occupies first position in Grobogan Regency. This research aims to determine the lifestyle influence on hypertension incidence in productive age (15-59 years) at the Toroh I Public Health Center in 2023. This observational analytic research with a cross sectional study design used Posbindu PTM data from January to June 2023. The research population were 2.262 people with a sample of 393 respondents, taken using simple random sampling technique. Data was managed through data processing applications with univariate analysis, bivariate analysis using the chi square test and multivariate analysis using logistic regression. The results showed that the variables were smoking status (p=0,005; PR=1,496; 95% CI=1,184-1,890), physical activity (p=0,000; PR=2,148; 95% CI=1,782-2,589) and dietary pattern (p=0,000; PR=2,433; 95% CI=1,987-2,980) is a variable associated with hypertension incidence. Dietary pattern variables were known to be the most dominant variables associated with hypertension incidence.
Distribusi Kejadian DBD Berdasarkan Kepadatan Penduduk dan Jentik Nyamuk di Puskesmas Kedungmundu Febrian, Jayanti Evananda; Sukendra, Dyah Mahendrasari
HIGEIA (Journal of Public Health Research and Development) Vol 8 No 3 (2024): July 2024
Publisher : Universitas Negeri Semarang

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

Abstract

Puskesmas Kedungmundu merupakan puskesmas dengan kasus Demam Berdarah Dengue (DBD) tertinggi di Kota Semarang. Pada tahun 2022 kasus DBD mengalami kenaikan >2 kali dari tahun 2021 dengan nilai IR 66,99 per 100.000 penduduk. Penelitian ini bertujuan untuk mengetahui distribusi kejadian DBD berdasarkan kepadatan penduduk dan jentik nyamuk di wilayah kerja Puskesmas Kedungmundu. Jenis penelitian ini menggunakan penelitian deskriptif rancangan cross sectional dengan pendekatan studi geografis menggunakan Sistem Informasi Geografis (SIG). Sampel yang digunakan pada penelitian ini adalah total kasus DBD di Puskesmas Kedungmundu pada tahun 2022. Penelitian dilakukan pada bulan Oktober-November 2023. Teknik pengambilan sampel pada penelitian ini menggunakan metode total sampling. Data dalam penelitian ini dianalisis dengan menggunakan analisis univariat dan analisis pemetaan dengan metode klasifikasi dan overlay menggunakan QGIS. Hasil penelitian menunjukkan bahwa kepadatan penduduk dan jentik nyamuk mempengaruhi tingginya kejadian DBD di suatu wilayah. Sendangmulyo merupakan kelurahan dengan kasus tertinggi serta angka kepadatan penduduk dan jentik nyamuk tergolong kategori tinggi. Kedungmundu Health Center is the health center with the highest Dengue Hemorrhagic Fever (DHF) cases in Semarang City. In 2022, DHF cases increased >2 times from 2021 with an IR value of 66.99 per 100,000 population. This study aims to determine the distribution of DHF incidents based on population density and mosquito larvae in the Kedungmundu Health Center. This type of research uses a descriptive research cross sectional design with a geographic study approach using a Geographic Information System (GIS). The sample was the total number of DHF in the Kedungmundu Health Center in 2022. The research was conducted in October-November 2023. The sampling technique in this study used the total sampling method. The data in this study were analyzed using univariate analysis and mapping analysis with classification and overlay methods using QGIS. This study concluded that population density and mosquito larvae influence the high incidence of DHF in an area. Sendangmulyo is the sub-district with the highest cases and population density and mosquito larvae are in the high category.
Risk Behavior and Psychological Stress on the Incidence of Hypertension among Productive Age in Urban Communities Prahassiwi, Alifia Apriliani; Sukendra, Dyah Mahendrasari
International Journal of Science and Society Vol 6 No 1 (2024): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v6i1.999

Abstract

Indonesia has an increasing trend of hypertension cases annually. The incidence of hypertension in Indonesia was 25,8% in 2013 and 34,1% in 2018, with a higher prevalence in urban areas. Although the prevalence of hypertension is higher in older age, the potential burden of disease is greater at a younger age in experiencing cardiovascular disease and kidney failure in the future. This study aims to determine the relationship between risk behavior and psychological stress on hypertension among productive age in urban Indonesia. This is analytical observational research with a cross-sectional design that uses secondary data from the fifth Indonesian Family Life Survey (IFLS-5). The sample size was 3193 respondents who met the inclusion and exclusion criteria. The analysis is univariate, bivariate, and multivariate. Bivariate analysis using Chi-square and Fisher test obtained factors related to hypertension incidence are age 55-64 years old (p<0,001), age 45-54 years old (p<0,001), age 35-44 years old (p<0,001), education level (p=0,004), physical activity (p=0,020), and obesity (p<0,001). There is no significant relationship in other variables, including psychological stress. While through the test of logistic regression in multivariate analysis, factors that affect hypertension are age (p<0,001), gender (p=0,011), and obesity (p<0,001). The study concludes that obesity is the strongest influential variable on the incidence of hypertension among productive age in urban Indonesia. After controlling for other variables, obese individuals had 3,538 times more potential to develop hypertension compared to non-obese individuals (OR=3,538; 95% CI=2,763-4,532).
Co-Authors Abdillah, Azizah Nur Agcrista Permata Kusuma Andriani, Ragil Arofah, Dwi Arum Siwiendrayanti Ash Shiddieqy, Muhammad Hasbi Az Zahro', Afifah Maulidia Bambang Wahyono Dewanti, Nanda Putri Dewi, Annisa Arum Kartika Dewi, Annisa Arum Kartika Diptyanusa, Ajib Fandika, Rizky Ayu Febrian, Jayanti Evananda Fitri Indrawati Fitri, Anisa Fitriyana Fitriyana, Fitriyana Hardaningsih, Ignatius Hermawati, Bertakalswa Inayah, Atiya Irawan, Ella Wahyu Isnaini, Dewi Nur Isnaningsih, Isnaningsih Isnaningsih, Isnaningsih Kusuma, Agcrista Permata Kusuma, Agcrista Permata Kusumawati, Nila Maharani, Rifka Maharhani, Arvia Dhitya Muanifah, Erna Zuliana Muhammad Atiq Shidqon Nasifah, Siti Lailatin Nur Siyam Nuzzilah, Nur Arifatun Nuzzilah, Nur Arifatun Prahassiwi, Alifia Apriliani Pratiwi, Eka Dian PS, Yunita Dyah Puspita Santik, Yunita Dyah Puspitarani, Fitriana Puspitarani, Fitriana Riza, Luluk Listiarini Rizkia, Salma Rudatin Windraswara Santi, Yunita Dyah Puspita Shiddieqy, Muhammad Hasbi Ash Syafriati, Siti Yuliana Syafriati, Siti Yuliana Syahbani, Aswi Nur Tri Baskoro Tunggul Satoto Versari, Arniyati Wahyono, Bambang Wahyono Widya Hary Cahyati Wulandari, Dela Putri Wulandhari, Shobiechah Aldillah Yunita Dyah Puspita Santik, Yunita Dyah Puspita Zukhruf, Isnaini Alfazcha