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All Journal International Journal of Public Health Science (IJPHS) Jurnal Ilmiah Kursor Jurnal Kesehatan Komunitas Jurnal Ners Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Berita Kedokteran Masyarakat Jurnal Muara Medika dan Psikologi Klinis Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Indang Trihandini
Departemen Biostatistik Dan Ilmu Kependudukan Fakultas Kesehatan Masyarakat Universitas Indonesia
Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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The Effectiveness of Remote Patient Monitoring in Reducing the Risk of Rehospitalizations in COVID-19 Patients: A Meta-Analysis Riadi, Dela; Trihandini, Indang; Sari, Dewi Nirmala; Wijaya, Fikri
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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An integrated analysis of various Remote Patient Monitoring (RPM) studies is needed to evaluate the reduction rate of the risk of rehospitalization in COVID-19 patients. This meta-analysis aimed to provide an overview of the effectiveness of RPM. A literature search through online databases (PubMed, Science Direct, Scopus, ProQuest, and Embase) was conducted from 2019 to 2022. After using the Cochrane Collaboration's risk of bias tool, five studies on COVID-19 were selected. Based on the data collected from 2,685 participants (intervention = 1,060, control = 1,625), the use of RPM was found to reduce rehospitalization by 0.56 times compared to not using RPM (I2 = 9%; n = 2,685; OR 0.56 [95% CI 0.39-0.82]; p-value = 0.003). According to the characteristics analysis, sex, comorbidity of hypertension, heart failure, obesity, chronic lung, and chronic kidney disease had no significant effect on the risk being studied. It was only the comorbidity of diabetes that showed a significant impact. Both RPM intervention duration and long-term monitoring effectively reduced rehospitalization (>14 days). In brief, RPM may reduce hospitalizations in response to an impending epidemic. Future research should look into using RPM to treat chronic post-hospitalization conditions.
Potret Buram Pelayanan Kesehatan Lanjut Usia di Indonesia Trihandini, Indang
Kesmas Vol. 1, No. 5
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Jumlah dan proporsi kelompok lanjut usia (lansia) di seluruh dunia, terus meningkat, dan cenderung menjadi masalah kesehatan dan sosial sehingga mendapat perhatian dan dukungan yang serius. Resolusi PBB no 46/ 1991, 16 Desember 1991 menghimbau agar seluruh negara di dunia memberikan hak yang layak kepada kelompok lansia. Di Indonesia, populasi lansia pada tahun 2000 (17,2 juta) meningkat 3 kali lebih besar dari pada tahun 1970 (5,3 juta). Pada tahun 2020, jumlah dan proporsi kelompok lansia di Indonesia diprediksi akan mencapai 28 juta jiwa dan 9,5%. Aspek legal telah menempatkan lansia Indonesia pada tempat yang respek dan terhormat, tetapi, kenyataan memperlihatkan sebaliknya, lansia berada pada posisi yang lemah, tersisihkan dan tak berdaya. Tujuan pelayanan kesehatan lansia adalah mengantarkan mereka melintasi usia lanjut dalam keadaan sehat, berbahagia, produktif dan mandiri. Tanpa aksi nyata yang terencana, serius dan sinambung, lansia justru semakin terpuruk dan berkembang menjadi masalah kesehatan dan sosial yang serius. Jumlah lansia telantar dan berisiko tinggi terlantar adalah 3.274.100 dan 5.102.800 orang. Lansia yang menjadi gelandangan dan pengemis adalah 9.259 orang, dan yang mengalami tindak kekerasan 10.511 orang. Pengakuan hak lansia ternyata masih sebatas undang-undang belum diimplementasikan pada aksi nyata yang terencana, terukur, dan sinambung. Globally, the number and proportion of aging increase sharply and continuously. The importance of aging as public health problem has attracted serious attention and support by United Nation as shown by its resolution No 46/ 1991, 16 December 1991, that recommends the countries all over the world to provide appropriate rights for aging people. In Indonesia, the number of aging people in 1970 (5,3 milions) increases 3 times higher in 2000 (17, 2 millions). In 2020, the number and proportion of aging population in Indonesia are predicted to be about 28 millions and 9,5%, respectively. The Indonesian legal aspect has placed aging people in respectful and honored position. But, the reality shows the opposite side where the aging people are eliminated and being in a dependent position. The legal aspect must able to deliver Indonesian aging community pass through the old age in a healthy, happy, productive and independent condition. But, without planned, serious, and continuous real actions, the aging people condition will become worst and worst. The increasing number and proportion of aging people, if not followed by quality improvement of health services tend to be serious social and public health problem. The numbers of already neglected and high risk of neglected aging people in Indonesia are about 3.274.100 and 5.102.800 persons, respectively. The aging people who are homeless and begging on street is 9.259 persons, and those suffered from abuse is 10.511 persons. In Indonesia, the aging people’s rights is only shown on regulation but it has not implemented yet.
Analisis Ketahanan Hidup Lima Tahun Penderita Kanker Ovarium Epithelial di Rumah Sakit Kanker Dharmais Jakarta Trihandini, Indang; Nurrika, Dieta
Kesmas Vol. 5, No. 3
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Kanker ovarium merupakan salah satu penyebab utama kematian wanita. Dalam kasus kanker, jumlah serum albumin adalah indikator prognostik bertahan hidup yang penting, sementara probabilitas global pasien kanker ovarium dengan serum albumin ³ 3,6 g/dL dan ² 3,5 g/dL untuk bertahan hidup lima tahun masing-masing 23% and 10%. Namun di Indonesia, ketahanan hidup pasien-pasien kanker ovarium epithelial belum diteliti secara intensif. Penelitian yang dilaporkan ini bertujuan untuk menentukan probabilitas ketahanan hidup pasien-pasien kanker ovarium epithelial menurut tingkat serum albumin tertentu. Dengan menggunakan rancangan studi kohort retrospektif dan analisis ketahanan hidup, 48 orang pasien Rumah Sakit Kanker Dharmais Jakarta diamati sejak pertama kali mereka didiagnosis kanker ovarium epithelial sampai sembuh, meninggal atau tidak dapat ditindaklanjuti lagi. Ditemukan bahwa selama tahun 1996-2004, secara umum probabilitas pasien dengan bertahan hidup lima tahun adalah 26,2%. Secara spesifik, probabilitas pasien dengan serum albumin ³ 3,6 mg/dL dan < 3,6 mg/dL untuk bertahan hidup lima tahun masing-masing 36,1% dan 15,7%. Jika dikontrol dengan stadium kanker, kadar asite dan hemoglobin, risiko mati pasien karena kanker ovarium epithelial dengan kadar serum albumin < 3,6 mg/dL ternyata 2,077 kali lipat daripada pasien dengan serum albumin ³ 3,6 mg/dL. Disimpulkan bahwa di Indonesia ketahanan hidup lima tahun pasien-pasien kanker ovarium epithelial lebih tinggi daripada tingkat global. Ovarian cancer is one of the largest causes of death in women. In cancer, albumin serum level is an important prognostic indicator of survival, whereas globally the probability of ovarian cancer patient with serum albumin ³ 3,6 g/dL and ² 3,5 g/dL to survive for five years is 23% and 10%, respectively. In Indonesia, however, the survival of epithelial ovarian cancer patient with respect to serum albumin level has not been investigated intensively. The present study was to determine the probability of epithelial ovarian cancer patients to survive for five years at particular level of serum albumin. Using retrospective cohort design with survival analysis, 48 patients of the Dharmais Cancer Hospital Jakarta were observed from the time when the epithelial ovarian cancer was first diagnosed until they were cured, death, or lost to follow up. The results showed that during 1996-2004 the overall probability of five-year survival was 26,2%. Specifically, the probability of patients to survive for five years at serum albumin level ³ 3,6 mg/dL and < 3,6 mg/dL was 36,1% and 15,7%, respectively. When the cancer stages, ascites, and hemoglobin level were controlled, risk of death from epithelial ovarian cancer of the patients with an albumin level of < 3,6 mg/dL was 2,077 fold higher than those with an albumin level of ³ 3,6 mg/dL. It is concluded that in Indonesia the five-year survival probability of epithelial ovarian cancer patients is higher than that the global rate.
Kehamilan yang Tidak Diinginkan dan Berat Badan Lahir Bayi Nurcahyani, Devinita Ayu; Trihandini, Indang
Kesmas Vol. 7, No. 8
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Berat badan lahir dianggap faktor penentu yang paling penting dari kesehatan dan kelangsungan hidup anak. Penelitian ini bertujuan untuk mempelajari besar risiko kehamilan tidak diinginkan terhadap berat bayi berdasarkan persepsi ibu di Indonesia tahun 2010 beserta faktor-faktor perancunya. Penelitian ini merupakan penelitian analitik dengan menggunakan data sekunder dari Riset Kesehatan Dasar tahun 2010. Namun, studi ini memiliki variabel dari hasil kehamilan sehingga memungkinkan menggunakan desain penelitian kohort retrospektif. Berdasarkan hasil analisis multivariat ditemukan bahwa ibu yang mengalami kehamilan tidak diinginkan berisiko melahirkan bayi dengan berat badan lahir rendah (BBLR) yang didasarkan pada persepsi ibu sekitar 1,27 kali lebih besar daripada ibu yang mengalami kehamilan diinginkan setelah dikontrol oleh usia ibu, usia kehamilan, frekuensi periksa kehamilan di pelayanan antenatal dan jumlah pil zat besi. Pada model probabilitas, risiko ibu dalam melahirkan BBLR pada kelompok kehamilan tidak diinginkan (4,42%), kelompok kehamilan diinginkan (3,52%) dengan kondisi usia ibu yang tidak berisiko (20 - 34 tahun), usia kehamilan cukup bulan, frekuensi pelayanan antenatal adekuat minimal 4 kali dan pil zat besi minimal 90 hari. Birth weight is considered to be one of the most important determinants of health and child survival. Therefore, this study aimed to study to explore the risk of unintended pregnancy on infant weight based on the perception of the mother in Indonesia in 2010 along with the risk of the counfonders. This study is analytical research and used data from Indonesia Basic Health Survey. This study had a variable pregnancy outcomes, therefore a retrospective cohort study design was performed in this study. Based on the multivariable analysis was found the risk ratio gave low birth weight on mothers who experiences unintended pregnancy 1,27 times compared mothers who have experienced desired pregnancy after adjustment by age of mother, age of pregnancy, antenatal care and the amount of iron tablets. The probability derived giving birth to LBW babies in mothers during her intended pregnancy is 4.42% compared 3.52% among mothers with desired pregnancy with certain conditions, such as age group (20 - 34 years), adequate of pregnancy age, four times antenatal care frequency, and adequate of the amount of zinc tablets minimum in 90 days.
Determinan Komplikasi Kronik Diabetes Melitus pada Lanjut Usia Rosyada, Amrina; Trihandini, Indang
Kesmas Vol. 7, No. 9
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Indonesia menghadapi jumlah penduduk lanjut usia (lansia) yang semakin meningkat dan diikuti oleh peningkatan frekuensi penyakit tidak menular kronis atau multimorbiditas. Penelitian ini bertujuan untuk mengetahui prevalensi dan faktor yang berhubungan komplikasi kronis pada lansia penderita diabetes melitus. Penelitian ini menggunakan data Riset Kesehatan Dasar (Riskesdas) Tahun 2007 dengan desain cross sectional representatif Indonesia dan metode cluster 2 tahap untuk pengambilan sampel. Sampel adalah 1.565 lansia penderita diabetes melitus. Metode analisis yang digunakan meliputi analisis deskriptif dan multivariat. Hasil analisis menunjukkan bahwa prevalensi komplikasi kronis pada lansia adalah sekitar 73,1%, dengan hipertensi sebagai komplikasi terbanyak. Berdasarkan analisis multivariat diketahui pula bahwa faktor-faktor yang berhubungan dengan komplikasi diabetes adalah usia, jenis kelamin, obesitas, merokok, dan aktivitas fisik dan faktor utama yang berhubungan adalah merokok (OR = 2,48). Hasil penelitian menyarankan program untuk mencegah kesakitan dan komplikasi diabetes pada lansia perlu ditingkatkan. Saat ini program Kementerian Kesehatan Republik Indonesia yaitu CERDIK meliputi cek kesehatan secara berkala, enyahkan asap rokok, rajin berolahraga, diet sehat kalori seimbang, istirahat yang cukup dan kendalikan stres perlu diperluas. Indonesia faces a growing number of elderly people is increasing, with increasing elderly, not infectious diseases increase chronic or multimorbidity, there by the study has aims to explore the prevalence of Chronic Complications on elderly with diabetes mellitus and related factors. The research used data from National Basic Health Research 2007. National Basic Health Research is a cross-sectional design survey, two stage cluster method for sampling. The result is shown that the prevalence of chronic complication on the elderly with diabetes mellitus is 73.1%. Hypertension disease is the most of chronic complication that has been frequent appeared on elderly with diabetes mellitus. Based on multivariate analysis revealed to diabetes mellitus complication related with age, gender, obesity, smoking, and physical activity. The study purposes to emphasize of prevention and promotion program such as CERDIK program from Ministry of Health, Republic of Indonesia. The CERDIK program has many intervention programs, for example, reducing smoking, delegating regularly exercise, balancing healthy-diet calorie, resting and taking control of stress.
Survival of COVID-19 patients research trends 2020-2022: a bibliographic study Riadi, Dela; Trihandini, Indang
BKM Public Health and Community Medicine Vol 38 No 11 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i11.6077

Abstract

Purpose: With a bibliography analysis, this study attempted to reveal research trends in COVID-19 patient's survival from 2020-2022. Furthermore, it attempted to determine keyword co-occurrences and the bibliographic coupling of countries and sources. Understanding the trends within research on COVID-19 patients' survival is essential, and analysis might provide some information. Methods: Patients who had COVID-19 survived, based on the Scopus database. All articles could be stored in the research information system (.ris) and comma-separated values (CSV) versions. Using Microsoft Excel and the VOSviewer, analysis data mapping was accomplished. Results: The analysis's results show that during the period of three years, there have been various changes in the development of papers regarding the Survival of COVID-19 patients. It was determined that research on this subject increased from 2020 to 2021 but declined from 2021 to 2022 in the time from 2020 to 2022. The studies were composed by Tang N. (top publication), Li Y. (top author by document), and Chen X. Participants were published mainly in the USA (top country), PLOS One (top source). The keyword "human" comes the most (1730), while "covid-19" is the author's keyword (1281). There are many 304 total occurrences for the survival keyword. The strongest connections for collaborations occur between China and the United States, and for source, between Frontiers in Immunology and the Journal of Clinical Medicine. Conclusion: The COVID-19 patient's research survival in the years 2020–2022, however, was largely dependent on US-China collaboration. The Publication of Clinical Medicine and Frontiers in Immunology had the strongest association, per the co-author source, even though PLOS One was the most widely used journal for COVID-19 patients' survival studies. Research on COVID-19 patients' survival shows a decline in 2022.
Spatial analysis of tuberculosis cases diffusion based on population density in Bekasi Regency in 2017-2021 Inggarputri, Yuanita Rizky; Trihandini, Indang; Novitasari, Prihatini Dini; Makful, Martya Rahmaniati
BKM Public Health and Community Medicine Vol 39 No 01 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i01.6462

Abstract

Purpose: This research aims to examine the spatial relationship between tuberculosis cases and population density and their spatial diffusion patterns in Bekasi Regency in 2017-2021. Methods: Research using an ecological study design using spatial analysis to estimate and analyze the distribution of tuberculosis prevalence related to population density in 23 sub-districts in Bekasi Regency, compare data from 2017 to 2021 and evaluate the spatial correlation. The data is taken from secondary data from the Bekasi District Health Office for 2017-2021. Results: This study shows a spatial autocorrelation between tuberculosis cases and population density from 2017 to 2021 (I>E; p-value <0,05). There is spatial diffusion of cases characterized by expanding clusters with high tuberculosis cases. High-high cluster in 2017, there was one sub-district. In 2018 there was also one sub-district. In 2019 there were two sub-districts. In 2020, there were three sub-districts. And in 2021, there were five districts. Conclusion: This research shows a positive spatial autocorrelation in the incidence, which is influenced by population density in Bekasi Regency from year to year (2017-2021) with a clustering pattern.
Mapping the spread of dengue hemorrhagic fever (DHF) with the level of insecurity in Kepahiang Regency in 2021 Dwitasari, Indah; Trihandini, Indang; Indriyani; Makful, Martya Rahmaniati
BKM Public Health and Community Medicine Vol 39 No 01 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i01.6491

Abstract

Purpose: This study aims to map the distribution of dengue cases in Kepahiang Regency based on the distribution of dengue cases, population density, and air temperature. Furthermore, mapping was carried out based on the level of vulnerability and priority of sub-district-based dengue disease management in Kepahiang Regency. Method: Research using a descriptive method using Geographic Information System (GIS) with scoring and overlay techniques. The data was taken from secondary data from the Kepahiang Regency Health Office and Kepahiang Regency Meteorology and Geophysics Agency in 2021. Results: This study shows that out of 8 sub-districts, there is one with a high level of vulnerability with priority handling, namely Kepahiang Regency. The priority of dengue insecurity can be an effort to prevent and handle dengue disease by the Government. Conclusion: Mapping the level of dengue insecurity in Kepahiang Regency using parameters (dengue cases, population density, and temperature) resulted in 1 in 8 sub-districts being in priority 1 with a high level of insecurity, priority 2 (1 sub-district) with a moderate level of insecurity, priority 3 (1 sub-district) with a low level of insecurity, and priority 4 (5 sub-districts) with a very low level of insecurity.
Spatial autocorrelation of stunting prevalence among children under five years in West Bandung Regency in 2022 Minawati; Trihandini, Indang; Sipahutar, Tiopan; Salsabila, Syefira
BKM Public Health and Community Medicine Vol 40 No 01 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i01.11645

Abstract

Purpose: This study aims to determine whether there is spatial autocorrelation based on the prevalence of stunting and their spatial diffusion pattern. It also aims to find areas that will become stunting hotspots and cold spots area in West Bandung Regency in 2022. Method: This research employed an ecological study design using spatial analysis to estimate and analyze the distribution pattern of stunting prevalence in the West Bandung Regency in 2022. The data used results from a child monitoring record in Posyandu (Integrated Service Post) carried out by the West Bandung Regency Health Office regarding the prevalence of stunting among children under five years. This study used Moran Index and Local Indicators Autocorrelation (LISA) for spatial pattern analysis. Results: This study shows that there is negative spatial autocorrelation, or the distribution of stunting prevalence forms a random pattern (I<E). This study also indicates that there is statistically no spatial correlation between sub-district areas based on stunting prevalence in West Bandung Regency in 2022 (p-value > 0,05). There is no hotspot and cold spot area of stunting in West Bandung Regency in 2022. Conclusion: The prevalence of stunting in West Bandung Regency in 2022 is not spatially related between sub-district areas, with a random or scattered pattern. The area that is the main priority for intervention is Saguling Subdistrict, the subdistrict with the highest prevalence of stunting. The intervention program implemented in Cililin Subdistrict can be implemented in Saguling Subdistrict to reduce stunting prevalence.
Pola Sebaran Spasial pada Kejadian Stunting di Provinsi Lampung Tahun 2019 -2023 Nugroho, R Nasrullah Nur; Trihandini, Indang; Makful, Martya Rahmaniati
Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Vol. 5, No. 3
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Stunting merupakan gangguan pertumbuhan dan perkembangan yang dialami anak-anak akibat gizi buruk, infeksi berulang dan stimulasi psikososial yang tidak memadai. Menurut Survei Kesehatan Indonesia (SKI) 2023, prevalensi stunting di Indonesia sebesar 21,5%, sementara Lampung 14,9% yang menempatkannya pada posisi ke-empat terendah setelah Bali, Jambi dan Riau. Penelitian ini bertujuan untuk menganalisis pola sebaran spasial dan autokorelasi spasial kejadian stunting di Provinsi Lampung tahun 2019–2023 dengan pendekatan studi ekologi. Sampel penelitian adalah 13 kabupaten dan 2 kota di Provinsi Lampung. Metode analisis spasial yang digunakan adalah Moran’s I untuk mengukur autokorelasi spasial global dan Local Indicators of Spatial Association (LISA) untuk mengidentifikasi klaster lokal. Hasil penelitian menunjukkan bahwa pada tahun 2019–2022 tidak terdapat autokorelasi spasial yang signifikan. Namun, pada 2023 terdeteksi autokorelasi spasial positif yang signifikan. Hal ini mengindikasikan adanya pengelompokan wilayah dengan prevalensi stunting serupa, termasuk identifikasi klaster hotspot. Kurangnya konvergensi program penurunan stunting pada level kebijakan dan implementasi di masing-masing wilayah selama 2019-2020 berkontribusi terhadap tidak adanya autokorelasi spasial. Temuan ini menggarisbawahi perlunya penguatan kebijakan intervensi yang lebih terfokus secara spasial hingga ke tingkat desa, serta komitmen bersama dari seluruh pemangku kepentingan untuk menentukan strategi intervensi yang tepat sasaran.
Co-Authors Amrina Rosyada Amrina Rosyada Ayu Diah Permatasari Bahar, Ryza Jazid Birjaman, Fathiyya Aliyah Chintya Putri Erlianti Dela Riadi Devinita Ayu Nurcahyani Devinita Ayu Nurcahyani Dewi Syafitriani Diana, Tyra Septi Dieta Nurrika Diyanto, Aris Dwina Kuswardani Dwitasari, Indah Fachry Abda El Rahman Indriyani Inggarputri, Yuanita Rizky Jayawarsa, A.A. Ketut Julhan Irfandi Khoiriyah, Latifatul Kurniawan, Rico Kurniawati, Dewi Candra Lutfi Rinaldi Syahbana M. Rahmat Widyanto Maimunah, Rana Makful, Martya Rahmaniati Minawati Minawati Minawati, Minawati Muthi’ah, Triska Alya Muyassar, Ibnu Novitasari, Prihatini Dini Nugroho, R Nasrullah Nur Popy Yuniar Putri, Hertina Raisa Ramadhianisa, Nadazaira Alifia Riko Setiawan, Riko Ryza BaharuddinNur Sari, Dewi Nirmala Serafina, Annabel Sipahutar, Tiopan Suwandi, Meilina Wijaya, Fikri Wulansari, Ika Yati Afiyanti Zita Atzmardina