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Radhiah Zakaria
Dosen Program Studi Magister Kesehatan Masyarakat, Pascasarjana Universitas Muhammadiyah Aceh
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Determinan kualitas tidur pada lansia daerah pesisir dan dataran tinggi di kabupaten Aceh Besar Sri Alna Mutia; Radhiah Zakaria; Hermansyah Hermansyah; Asnawi Abdullah; Nurjannah Nurjannah
Holistik Jurnal Kesehatan Vol. 18 No. 10 (2024): Volume 18 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i10.574

Abstract

Background: Sleep quality is one of the most common problems in the elderly. Many factors cause sleep disorders, such as psychological factors, non-communicable diseases, physical activity, diet and the environment. The environment plays a big role in the occurrence of sleep disorders in a person. Places such as coastal areas and highlands provide a comfortable atmosphere to live in. Purpose: To determine the determinants of sleep quality in elderly people in coastal and highland areas. Method: Quantitative research with analytical design and cross-sectional approach was conducted on March 17-May 17, 2022 in Aceh Besar Regency. The sample used was elderly aged 60-74 years, obtained as many as 168 respondents who live in the work area of ​​the Mesjid Raya Health Center (Pesisir) and 128 elderly people in the work area of ​​the Lembah Seulawah Health Center (Highlands). The total sample was 296 people obtained using the accidental sampling technique. Data collection was carried out using questionnaires and the results of checking the integrated development post book. Results: The most dominant regional factor related to the sleep quality of the elderly after adjusting for marital status is the coastal area (p=0.000; OR=2.66). The most dominant comorbid disease factor related to sleep quality in the elderly after adjusting for marital status was gout (p=0.000; OR=4.13). The mental health disease factor that is most dominantly related to the sleep quality of the elderly after adjusting for marital status is anxiety (p=0.000; OR=3.37). The most dominant physical factor related to sleep quality in the elderly after adjusting for marital status was moderate pain (p=0.000; OR=12.72). Apart from that, there was no relationship between perpetuating factors and sleep quality in the elderly (p=0.837; QR=0.83). Conclusion: There is a relationship between the area of ​​residence and the quality of sleep in the elderly. Comorbid disease factors, mental health, and physical health are related to the quality of sleep in the elderly. However, perpetuating factors have no relationship to the quality of sleep in the elderly who live in coastal and highland areas. Suggestion: Health workers should conduct regular checks on the elderly either during posbindu activities or home visits. In addition, it is hoped that health workers will also carry out interventions such as counseling, elderly gymnastics, or relaxation in improving the health and fitness of the elderly.   Keywords: Coastal; Elderly; Highlands; Sleep Quality.   Pendahuluan: Kualitas tidur menjadi salah satu masalah yang paling sering terjadi pada lansia. Banyak faktor yang menyebabkan gangguan tidur, seperti faktor psikologis, penyakit tidak menular, aktivitas fisik, pola makan, dan lingkungan. Lingkungan memegang peran yang besar terhadap terjadinya gangguan tidur seseorang. Tempat seperti daerah pesisir pantai dan dataran tinggi memberikan suasana yang nyaman untuk ditempati. Tujuan: Untuk mengetahui determinan kualitas tidur pada lansia daerah pesisir dan dataran tinggi. Metode: Penelitian kuantitatif dengan desain analitik dan pendekatan cross sectional dilakukan tanggal 17 Maret-17 Mei 2022 di Kabupaten Aceh Besar. Sampel yang digunakan adalah lansia berusia 60-74 tahun, diperoleh sebanyak 168 responden yang tinggal di wilayah kerja Puskesmas Mesjid Raya (Pesisir) dan 128 orang lansia di wilayah kerja Puskesmas Lembah Seulawah (Dataran Tinggi). Total sampel sebanyak 296 orang yang diperoleh menggunakan teknik accidental sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner dan hasil pemeriksaan buku posbindu. Hasil: Faktor wilayah yang paling dominan berhubungan dengan kualitas tidur lansia setelah disesuaikan dengan status perkawinan adalah wilayah pesisir (p=0.000; OR=2.66). Faktor penyakit komorbid yang paling dominan berhubungan dengan kualitas tidur lansia setelah disesuaikan dengan status perkawinan adalah asam urat (p=0.000; OR=4.13). Faktor penyakit kesehatan mental yang paling dominan berhubungan dengan kualitas tidur lansia setelah disesuaikan dengan status perkawinan adalah kecemasan (p=0.000; OR=3.37). Faktor fisik yang paling dominan berhubungan dengan kualitas tidur lansia setelah disesuaikan dengan status perkawinan adalah nyeri sedang (p=0.000; OR=12.72). Selain itu, tidak ada hubungan faktor perpetuating dengan kualitas tidur lansia (p=0.837; QR=0.83). Simpulan: Ada hubungan antara daerah tempat tinggal dengan kualitas tidur lansia. Faktor penyakit komorbiditas, kesehatan mental, dan fisik memiliki hubungan dengan kualitas tidur lansia yang tinggal di daerah pesisir dan dataran tinggi. Namun faktor perpetuating tidak memiliki hubungan dengan kualitas tidur lansia yang tinggal di daerah pesisir dan dataran tinggi. Saran: Petugas kesehatan agar melakukan pemeriksaan secara berkala pada lansia baik pada kegiatan posbindu atau kunjungan rumah. Selain itu, diharapkan petugas kesehatan juga melakukan intervensi seperti penyuluhan, senam lansia, atau relaksasi dalam meningkatkan kesehatan, dan kebugaran lansia.   Kata Kunci: Dataran Tinggi; Kualitas Tidur; Lansia; Pesisir.
Hygiene Air Rumah Tangga Sebagai Faktor Resiko Kejadian Stunting pada Balita Zakiah Zakiah; Aulina Adamy; Faisal Bin Abdurrahman; Radhiah Zakaria
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk348

Abstract

Stunting is not only caused by a lack of nutrients, it is suspected that it also occurs due to other factors. This study aims to determine the relationship between household water hygiene and the incidence of stunting in toddlers in Central Aceh District. This was an analytic observational study using a case-control design. The samples in the study were 54 toddlers (24-59 months), consisting of 27 cases and 27 controls. The data that had been collected was analyzed using a multiple logistic regression test to determine the most dominant factor influencing the incidence of stunting. The results of the bivariate analysis showed that there was no relationship between the water factor, namely the source of drinking water, access to drinking water and the incidence of stunting. However, unprotected drinking water sources havd a 1.4 times greater risk of having stunted children than protected drinking water sources. Difficult access to drinking water was also 1.4 times at risk of having stunted toddlers compared to easy access to drinking water. The results of the bivariate analysis on behavioral factors also show that there was no relationship between the factors of latrine ownership, proper sanitation, hand washing habits and the incidence of stunting. However, without a latrines, the risk was 1.3 times greater for having stunted children under five, besides that inadequate sanitation was also 1.1 times more likely to had stunted children under five. Mothers with poor hand washing habits was 1.5 times more likely to have stunted toddlers.Keywords: stunting; toddler; hygieneABSTRAK Stunting selain disebabkan karena kekurangan zat gizi, diduga juga terjadi akibat faktor lainnya. Penelitian ini bertujuan untuk mengetahui hubungan antara hygiene air rumah tangga dengan kejadian stunting pada balita di Kabupaten Aceh Tengah. Penelitian ini bersifat observasional analitik menggunakan rancangan case-control. Sampel dalam penelitian sebanyak 54 balita (24-59 bulan), terdiri atas 27 case dan 27 control. Data yang telah terkumpul dianalisis dengan uji regresi logistik ganda untuk mengetahui faktor yang paling dominan mempengaruhi kejadian stunting. Hasil analisis bivariat menunjukkan bahwa tidak ada hubungan antara faktor air yaitu sumber air minum, akses air minum dengan kejadian stunting. Namun sumber air minum tidak terlindungi berisiko 1,4 kali lebih besar memiliki balita stunting dibandingkan dengan sumber air minum terlindungi. Akses air minum sulit juga berisiko 1,4 kali memiliki balita stunting dibandingkan dengan akses air minum mudah. Hasil analisis bivariat pada faktor perilaku juga diketahui bahwa tidak ada hubungan antara faktor kepemilikan jamban, sanitasi layak, kebiasaan cuci tangan dengan kejadian stunting. Namun ketiadaan jamban berisiko 1,3 kali lebih besar memiliki balita stunting, selain itu sanitasi tidak layak juga berisiko 1,1 kali memiliki balita stunting. Ibu dengan kebiasaan cuci tangan kurang baik berisiko 1,5 kali lebih besar memiliki balita stunting.Kata kunci: stunting; balita; hygiene
Depression among adolescents living in orphanages in central Aceh district, Indonesia Ajarni Ajarni; Radhiah Zakaria; Meutia Zahara; Asnawi Abdullah; Maidar Maidar
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.819

Abstract

Background: Mental health is an important aspect of human life. Traumatic experiences in childhood are associated with increased mental health morbidity. Factors such as lack of parental support, low self-esteem, and social difficulties play a role in increasing the risk of risky behavior in adolescents. Purpose: To determine the determinant factors that influence the incidence of depression in adolescents living in orphanages in Central Aceh Regency. Method: Used a Cross Sectional design in four orphanages in August 2023. The sample consisted of 302 adolescents aged 8-18 years, selected by purposive sampling. The analysis used logistic regression with 95% confidence. Results: A total of 121 respondents (40.07%) experienced depression. Related factors were education, region of origin, family visits, social support, and social discrimination. Social support was the most dominant factor (AOR=5.64; p=0.000). Conclusion: Social support plays a major role in preventing depression in adolescents in orphanages, so interventions that increase social support need to be prioritized. Suggestion: Explore other psychosocial factors such as quality of relationship with caregivers, trauma experiences, and adolescent coping strategies.
Evaluasi Program Pengelolaan Hipertensi di Puskesmas Keumala Kabupaten Pidie Provinsi Aceh Nurul Rahmi; Afrilliansyah Afrilliansyah; Novrillia Novrillia; Dharina Baharuddin; Radhiah Zakaria
SEHATI: Jurnal Kesehatan Vol 5, No 2 (2025)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v5i2.101

Abstract

Hypertension is a global health problem that contributes to high morbidity and mortality. A hypertension evaluation program in health services is needed to assess the effectiveness of interventions and to improve the quality of health services. The purpose of this study was to evaluate the hypertension management program at the Keumala Community Health Center, Pidie Regency, Aceh Province, in 2022–2024. The research method used a descriptive approach with a mixed method. Data collection techniques used the Keumala Community Health Center performance report for 2022–2024. The results of the study have shown progress in the implementation of community-based services. Increased human resources, budget, and logistics have provided a strong foundation for carrying out educational and preventive activities for hypertension patients. The implementation of routine exercise, regular drug distribution, and group education are the main pillars of this program’s success. The conclusion of this study is that this program has been effective in the short term, but long-term success depends heavily on the system’s ability to measure, monitor, and improve its implementation on an ongoing basis
Co-Authors Afrilliansyah Afrilliansyah Agustina Agustina Ajarni Ajarni Anwar Arbi Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Aulina Adamy Badrul Laili Dedi Andrian Dharina Baharuddin Faisal Bin Abdurrahman Faisal Bin Abdurrahman Farrah Fahdhienie Firman Ihsan Hafnidar A. Rani Hambali Manik Hermansyah Hermansyah Indah Yani Irma Linda M. Marthoenis Maidar Maidar Maidar Maidar Meutia Zahara Nofita Yulandari Nora Usrina Novrillia Novrillia Nurjannah Nurjannah Nurul Rahmi Sri Alna Mutia Vera Nazhira Arifin Zakiah Zakiah Zukifli Zukifli