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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) Jurnal Muara Medika dan Psikologi Klinis Jurnal Biostatistik, Kependudukan dan Informatika Kesehatan (BIKFOKES) 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
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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.
Co-Authors Amrina Rosyada Amrina Rosyada Ayu Diah Permatasari Bahar, Ryza Jazid Birjaman, Fathiyya Aliyah Chintya Putri Erlianti Devinita Ayu Nurcahyani Devinita Ayu Nurcahyani Dewi Syafitriani Diana, Tyra Septi Dieta Nurrika Diyanto, Aris Dwina Kuswardani Jayawarsa, A.A. Ketut Julhan Irfandi Khoiriyah, Latifatul Kurniawan, Rico Kurniawati, Dewi Candra Lutfi Rinaldi Syahbana M. Rahmat Widyanto Maimunah, Rana Minawati Minawati, Minawati Muthi’ah, Triska Alya Muyassar, Ibnu Popy Yuniar Putri, Hertina Raisa Ramadhianisa, Nadazaira Alifia Riadi, Dela Riko Setiawan, Riko Ryza BaharuddinNur Sari, Dewi Nirmala Serafina, Annabel Suwandi, Meilina Wijaya, Fikri Wulansari, Ika Yati Afiyanti Zita Atzmardina