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Hubungan Antara Usia Dan Paritas Dengan Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Seputih Banyak Desi Mailan Sari; Dessy Hermawan; Nita Sahara; T. Marwan Nusri
Malahayati Nursing Journal Vol 4, No 5 (2022): Volume 4 Nomor 5 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.601 KB) | DOI: 10.33024/mnj.v4i5.6412

Abstract

ABSTRACT The World Health Organization (WHO) states that the prevalence of anemia in pregnant women worldwide is 41.8% and in Indonesia, it is 48.9%. Anemia can have an impact on both the mother and the fetus it contains. The cause of anemia is closely related to nutritional intake and other risk factors such as age and maternal parity. The incidence of anemia in the working area of the Seputih Banyak Health Center tends to increase from 2019 to 2020. This study aimed to determine the relationship between age and parity with the incidence of anemia in pregnant women in the Work Area of the Seputih Banyak Health Center in 2020. This type of research uses quantitative analytical methods with a cross-sectional approach. The population in this study were all patients seeking treatment at the Seputih Banyak Public Health Center in 2020 with a total sample of 273 patients using a simple random sampling technique. Collecting data using a checklist sheet and processing data using chi-square analysis. The results showed that the distribution of the frequency of anemia was 55 women (20.1%), the distribution of the frequency of maternal age was mostly 20-35 years old as many as 225 mothers (82.4%), and at-risk parity as many as 253 mothers (92.7%). There is a relationship between age and the incidence of anemia with a p-value = 0.012 and OR: 2.38 (CI: 1.19-4.76). There is a parity relationship with anemia incidence with p-value = 0.037 and OR: 2.92 (CI: 1.13-7.54). There is a relationship between age and parity with the incidence of anemia in pregnant women in the work area of the Seputih Banyak Health Center in 2020 so prevention efforts are needed with health promotion, especially for pregnant women with age and parity at risk. Keywords: Age, Parity, Anemia. ABSTRAK Badan Kesehatan Dunia (WHO) menyebutkan prevalensi anemia pada ibu hamil di seluruh dunia adalah sebesar 41,8% dan di Indonesia sebesar 48,9%. Anemia dapat menimbulkan dampak baik bagi ibu maupun janin yang dikandungnya. Penyebab anemia sangat erat hubungannya dengan asupan nutrisi dan faktor risiko lainnya seperti usia dan paritas ibu. Angka kejadian anemia di wilayah kerja Puskesmas Seputih Banyak cenderung mengalami peningkatan sejak tahun 2019 sampai dengan 2020. Tujuan dari penelitian ini adalah untuk mengetahui adanya hubungan antara usia dan paritas dengan kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas Seputih Banyak Tahun 2020. Jenis penelitian ini menggunakan metode analitik kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian adalah seluruh ibu hamil di wilayah kerja Puskesmas Seputih Banyak tahun 2020 dengan jumlah sampel yang terpilih sebanyak 273 pasien dengan teknik purposive sampling. Pengumpulan data menggunakan lembar check-list dan pengolahan data menggunakan analisa chi square. Hasil penelitian menunjukkan distribusi frekuensi kejadian anemia sebanyak 55 ibu (20.1%), distribusi frekuensi usia ibu sebagian besar usia 20-35 tahun sebanyak 225 ibu (82,4%) dan paritas tidak berisiko sebanyak 253 ibu (92,7%). Ada hubungan usia dengan kejadian anemia dengan nilai p value = 0,012 dan OR: 2,38 (CI: 1,19-4,76). Ada hubungan paritas dengan kejadian anemia dengan nilai p-value = 0,037 dan OR: 2,92 (CI: 1,13-7,54). Kesimpulan dari penelitian ini adalah ada hubungan usia dan paritas dengan kejadian anemia pada ibu hamil di wilayah kerja di wilayah kerja Puskesmas Seputih Banyak Tahun 2020 sehingga diperlukan upaya pencegahan dengan promosi kesehatan khususnya pada ibu hamil dengan usia dan paritas berisiko. Kata Kunci: Usia, Paritas, Anemia.
HUBUNGAN MUTU PELAYANAN KESEHATAN DAN KEPUASAN PESERTA BPJS DI POLIKLINIK PENYAKIT DALAM RUMAH SAKIT ABDUL MOELOEK PROVINSI LAMPUNG2015 Jordy Oktobiannobel; Nita Sahara; Elitha Utari
Jurnal Ilmu Kedokteran dan Kesehatan Vol 6, No 2 (2019): Volume 6 Nomor 2
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.255 KB) | DOI: 10.33024/jikk.v6i2.2292

Abstract

Kepuasan adalah tingkat keadaan yang dirasakan seseorang yang merupakan hasil dari membandingkan penampilan produk yang dirasakan dalam hubungannya dengan harapan seseorang. Dalam rumah sakit, kepuasan pasien sangat penting untuk keberlangsungan rumah sakit dan yang mempengaruhi kepuasan tersebut yaitu mutu pelayanan rumah sakit yang ada. Tujuan penelitian ini untuk mengetahui hubungan mutu pelayanan kesehatan dan kepuasan peserta BPJS di poliklinik penyakit dalam RS dr. H. Abdul Moeloek Provinsi Lampung. Jenis penelitian ini adalah observasi analitik dengan pendekatan cross sectional. Penarikan sampel menggunakan accidental sampling dengan jumlah sampel 256 orang. Analisis data yang dilakukan adalah univariat dan bivariat dengan uji Chi-square. Hasil Penelitian didapatkan bahwa ada hubungan antara tangible = 0,000 (p < 0,05), reliability = 0,002 (p < 0,05), responsiveness = 0,000 (p < 0,05), assurance = 0,000 (p < 0,05), empathy = 0,000 (p < 0,05) dengan kepuasan peserta BPJS poliklinik penyakit dalam RS dr. H. Abdul Moeloek Provinsi Lampung 2015. Kesimpulan dari penelitian ini adalah ada hubungan antara mutu pelayanan kesehatan dan kepuasan peserta BPJS Poliklinik Penyakit Dalam RS dr. H. Abdul Moeloek Provinsi Lampung 2015.
HUBUNGAN ANTARA PEMBELAJARAN DALAM JARINGAN (DARING) DENGAN TINGKAT STRES SELAMA PANDEMI COVID-19 PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS MALAHAYATI BANDAR LAMPUNG ANGKATAN 2019 Ririn Pearl Risky; Nita Sahara; Ni Putu Sudiadnyani; Sri Maria Puji Lestari
Jurnal Ilmu Kedokteran dan Kesehatan Vol 9, No 4 (2022): Volume 9 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v9i4.8636

Abstract

Virus Corona merupakan virus baru yang masih belum terindentifikasi pada manusia sebelumnya, sehingga disebut 2019 Novel Coronavirus atau 2019-nCoV. Dengan adanya kebijakan WFH hampir semua perguruan tinggi di Indonesia melakukan pembelajaran Daring. Mekanisme adaptasi dari perkuliahan secara tatap muka menjadi perkuliahan Daring menurut beberapa teori dapat menimbulkan stress. Stres merupakan pengalaman paling sering dialami dalam lingkungan akademik, baik yang sedang belajar di tingkat sekolah ataupun perguruan tinggi. Penelitian ini diketahui hubungan antara pembelajaran Daring dengan tingkat stres selama pandemi Covid-19 pada mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Malahayati Bandar Lampung Angkatan 2019. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian adalah semua mahasiswa angkata 2019 sejumlah 136 orang, Sampel pada penelitian ini sejumlah 102 orang. Pengumpulan data menggunakan kuesioner. Analisis hubungan menggunakan uji Chi Square. Responden menyatakan pembelajaran Daring tidak efektif yaitu berjumlah 58 orang (56.9%), tidak mengalami stress yaitu berjumlah 65 orang (63,7%). Hasil penelitian menunjukkan ada hubungan antara pembelajaran Daring dengan tingkat stres selama pandemi Covid-19 pada mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Malahayati Bandar Lampung Angkatan 2019 (p value 0,007, OR 3,63). Ada hubungan antara pembelajaran Daring dengan tingkat stres selama pandemi Covid-19.
Dr. H. Abdul Moeloek Hospital Antibiotic Resistance Pattern Nita Sahara; Hidayat Hidayat; Gusti Mauladi; Tessa Sjahriani
JKM (Jurnal Kebidanan Malahayati) Vol 9, No 1 (2023): Volume 9 No.1 Januari 2023
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v9i1.9015

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Latar Belakang : Infeksi nosokomial adalah masalah luas yang memperpanjang durasi pemulihan, meningkatkan biaya perawatan, dan meningkatkan angka kematian pasien. Antibiotik digunakan untuk mengobati infeksi bakteri yang menyebabkan kondisi tersebut. Di Indonesia, seperti halnya di negara-negara lain, penggunaan antibiotik sudah meluas dan berlebihan, bahkan banyak yang disalahgunakan. Tujuan : Untuk mengetahui pola resistensi antibiotik di RSUD Dr. H. Abdul Moeloek periode Januari sampai Maret 2018 dan mengetahui pola resistensi bakteri terhadap antibiotik.Metode Penelitian : Penelitian ini menggunakan penelitian deskriptif. Sampel diambil dari rekam medik pasien yang mendapatkan pengobatan antibiotik yang memiliki hasil uji sensitivitas.Hasil Penelitian : Kloramfenikol, Sulbaktam-ampi, dan Cephalexin memiliki rata-rata resistensi tertinggi (98%), diikuti oleh Cefadroxil (94%), Cefixime (91%), dan Trimethoprim (90%). Bakteri juga ditemukan paling sensitif terhadap Amikacin (> 93%), kecuali Streptococcus sp., yang ditemukan paling sensitif terhadap Amox-Clavulanic Acid (91%) dan Meropenem (82%).Kesimpulan : Sebagian besar bakteri yang diuji paling resisten terhadap Sulbaktam-Ampi (>97%) dan Penisilin (100%). Mayoritas bakteri yang teridentifikasi pada penelitian ini paling sensitif terhadap Amikasin (>92%), dengan rata-rata sensitivitas terhadap Amikasin sebesar 89% (kecuali Streptococcus sp.).Saran : pemangku kepentingan pengguna antibiotik di rumah sakit dapat mematuhi penggunaan antibiotik secara bijaksana dalam rangka mengatasi infeksi nosokomial. .Kata kunci : Antibiotik, pola bakteri, nosokomial, resistensi ABSTRACT Background : Nosocomial infections are a widespread issue that prolong recovery durations, raise maintenance costs, and raise patient mortality rates. antibiotics are used to treat the bacterial infection that caused the condition. In Indonesia, as in other nations, the use of antibiotics has become widespread and excessive, with many of them being misused.Aim : to determine the antibiotic resistant pattern on Dr. H. Abdul Moeloek hospital from January to March 2018 and to determine the bacterial resistance pattern of antibiotic.Method : This study was using a descriptive study. The samples were taken from medical records of patients who received antibiotic treatment which has a sensitivity test results.Result : Chloramfenicol, Sulbactam-ampi, and Cephalexin had the highest average resistance (98%), followed by Cefadroxil (94%), Cefixime (91%), and Trimethoprim (90%). They were also found to be most sensitive to Amikacin (> 93%), with the exception of Streptococcus sp., which was found to be the most sensitive to Amox-Clavulanic Acid (91%) and Meropenem (82%).Conclusion: Most of the bacteria tested were most resistant to Sulbactam-Ampi (> 97%) and Penicillin (100%). The majority of the bacteria identified in this study were most sensitive to Amikacin (> 92%), with an average sensitivity to Amikacin of 89% (with the exception of Streptococcus sp.,).Suggestion : It is hoped that stakeholders who use antibiotics can use antibiotics to increase caution in their use to treat nosocomial infections. Keywords : Antibiotic, bacterial pattern, nosocomial, resistance.
Clinical Identification and Management of Hypertension in a Primary Care Setting at Segala Mider Public Health Center Nita Sahara; Destriana Hasan; A Fatwa Alwaliu; Achmad Farhan; Adelia Putri Sardi; Adis Adelia; Ady Wahyu Pratama
Biomedical Research and Theory Letters Vol. 1 No. 2 (2025): Biomedical Research and Theory Letters
Publisher : CV. FOUNDAE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58524/brtl.v1i2.79

Abstract

Hypertension remains a major global health challenge and a leading contributor to cardiovascular morbidity and mortality. Its asymptomatic nature causes many individuals to remain undiagnosed, increasing the risk of severe complications such as stroke, coronary artery disease, and renal impairment. Despite advancements in diagnostic and therapeutic approaches, hypertension awareness and treatment adherence remain low, particularly in primary care settings where early detection is crucial. This study describes the clinical identification and management process of a hypertensive adult patient at Segala Mider Public Health Center as an illustration of the essential role of primary healthcare services in improving hypertension control at the community level. Clinical data were collected through patient interviews, vital sign assessment, physical examination, and review of medical records. The patient, a 42-year-old male, presented with recurrent dizziness triggered by physical activity and consumption of sweet foods. Initial evaluation showed severely elevated blood pressure at 164/122 mmHg with otherwise normal cardiopulmonary findings. The patient had previously been taking amlodipine 5 mg daily with suboptimal response. Management involved titration of amlodipine to 10 mg daily for 15 days, accompanied by short-term furosemide therapy and vitamin B complex supplementation. The intervention produced symptomatic improvement and facilitated better blood pressure control during follow-up. The findings highlight the importance of timely recognition of uncontrolled hypertension, appropriate pharmacological adjustment, and continuous monitoring. This report emphasizes the relevance of primary care in initiating evidence-based treatment, identifying modifiable risk factors, and ensuring patient education regarding lifestyle modification. The novelty of this study lies in demonstrating how structured evaluation and treatment optimization in a resource-limited primary care setting can effectively support hypertension control while preventing long-term complications, reinforcing the vital role of frontline healthcare facilities in managing chronic diseases.
The association of age, sex, residence, and parental occupation with acute lymphoblastic leukemia in children A Fatwa Alwaliu; Resti Arania; Zaleha Ulfa; Nita Sahara
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4126

Abstract

Background: The Association of Age, Sex, Place of Residence, and Parental Occupation with Acute Lymphoblastic Leukemia in Children at Dr. H. Abdul Moeloek Regional General Hospital, Bandar Lampung. Acute lymphoblastic leukemia (ALL) represents the predominant hematologic malignancy affecting the pediatric population, with its development believed to be associated with both demographic and environmental determinants. Purpose: To examine the associations of age, sex, place of residence, and parental occupation (mother) with ALL among pediatric leukemia patients. Method: This analytical observational study used a cross-sectional design and secondary data from the medical records of 123 pediatric patients with leukemia at Dr. H. Abdul Moeloek Regional Hospital, Bandar Lampung, Indonesia, from January 2024 to December 2025. Total sampling was used. Data were analyzed using the Chi-square test or Fisher's exact test. Results: Among 123 pediatric leukemia patients, 104 (84.6%) were diagnosed with ALL. Most patients were aged 1–5 years (44.7%), male (71.5%), lived in regency areas (81.3%), and had parents working as farmers/laborers (47.2%). Sex was significantly associated with ALL (p = 0.011; OR = 3.511; 95% CI: 1.283–9.607). Parental occupation was also significantly associated with ALL (p = 0.001). Age (p = 0.059) and place of residence (p = 0.196) were not significantly associated with ALL. Conclusion: Sex and parental occupation were significantly associated with ALL among pediatric leukemia patients, whereas age and place of residence were not. Further studies should assess specific occupational and environmental exposures to clarify potential risk factors for childhood ALL.
The Association of Genetic and Demographic Factors With Hyperthyroid Status at Dr. H. Abdul Moeloek Regional General Hospital, Bandar Lampung Puteri Aulia Zulham; Mala Kurniati; Govindha Putri; Nita Sahara
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 4 No. 2 (2026): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v4i2.755

Abstract

Background: Hyperthyroidism is an endocrine disorder caused by excessive thyroid hormone production that may lead to severe hypermetabolic complications if left untreated. Genetic predisposition and demographic characteristics are considered important factors associated with hyperthyroidism status.Aims: This study aimed to analyze the association between genetic and demographic factors and hyperthyroidism status among patients at Dr. H. Abdul Moeloek Regional General Hospital, Bandar Lampung.Methods: This quantitative study employed a cross-sectional design involving 55 participants recruited through simple random sampling. Information was obtained using a structured data collection form and patients’ medical records at the internal medicine outpatient clinic of Dr. H. Abdul Moeloek Regional General Hospital. Variables analyzed included family history, age, sex, ethnicity, education, occupation, and socioeconomic status. Statistical analysis was performed using Fisher’s Exact Test and Likelihood Ratio tests with a significance level of p < 0.05.Results: The results showed that genetic factors represented by family history were significantly associated with hyperthyroidism among the study participants (p = 0.003). Significant associations were also found between hyperthyroidism status and age (p = 0.002), sex (p < 0.001), and ethnicity (p < 0.001). In contrast, education level (p = 0.167), occupation (p = 0.579), and socioeconomic status (p = 0.530) were not significantly associated with hyperthyroidism status. Family genogram findings demonstrated the occurrence of hyperthyroidism across one to three generations, indicating possible hereditary susceptibility.Conclusion: Family history, as an indicator of genetic predisposition, and several demographic factors, particularly age, sex, and ethnicity, were associated with hyperthyroidism status among the study participants. These findings highlight the potential value of assessing family history and demographic characteristics to support early detection and preventive strategies. However, the findings should be interpreted cautiously