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RISIKO FRAKTUR PADA PARUH BAYA DAN LANSIA Salsabella, Edellweisse Silvia; Harun, Hasniatisari; Pebrianti, Sandra; Pramukti, Iqbal
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 2 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i2.2588

Abstract

Paruh baya dan lansia berisiko mengalami fraktur osteoporosis berdasarkan peningkatan angka kejadian fraktur seiring bertambahnya usia, perubahan kebiasaan gaya hidup, terapi farmakologis, dan kondisi medis yang dapat meningkatkan risiko fraktur osteoporosis. Angka kejadian fraktur osteoporosis diperkirakan terus meningkat di masa yang akan datang. Berdasarkan fenomena tersebut, diperlukan upaya preventif dengan deteksi dini skrining risiko fraktur guna mengurangi dan mencegah fraktur osteoporosis pada paruh baya dan lansia di masa yang akan datang. Penelitian ini bertujuan untuk mengetahui risiko fraktur pada paruh baya dan lansia. Metode penelitian menggunakan deskriptif kuantitatif. Sampel penelitian berjumlah 120 responden  dengan teknik pengambilan sampel menggunakan consecutive sampling. Instrumen yang digunakan adalah FRAX® Tool tanpa BMD terdiri dari 11 item pertanyaan yang telah dinilai valid dan reliabel menjadi alat skrining risiko fraktur. Hasil penelitian ini menunjukkan bahwa seluruh paruh baya memiliki risiko fraktur osteoporosis mayor rendah (100%) dan risiko fraktur pinggul rendah (100%). Mayoritas lansia memiliki risiko fraktur osteoporosis mayor rendah (96,7%) dan risiko fraktur pinggul rendah (83,3%). Penelitian ini juga menunjukkan bahwa risiko fraktur osteoporosis mayor dan fraktur pinggul lebih tinggi pada lansia dibanding paruh baya. Upaya preventif perlu diimbangi dengan mengendalikan berbagai faktor risiko fraktur osteoporosis yang dapat dilakukan dengan menjalani pola hidup yang sehat, seperti melakukan aktivitas fisik teratur, peningkatan asupan nutrisi kalsium dan vitamin D, terpapar sinar matahari yang cukup, dan mengurangi kebiasaan merokok.
Embracing innovation framework and transformative paradigm: A practical application in the ultralight project Widiasih, Restuning; Pramukti, Iqbal; Aini, Farah Huwaida Qurrota; Popoola, Tosin
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2679

Abstract

Higher education, as a centre for research and innovation in the era of transformative learning, is encouraged to conduct research and innovation that can lead to innovation and impact in the areas of health, economy, and sustainability. Innovation requires a framework that functions as an essential guide for development. However, limited innovation frameworks can be applied in nursing, including maternity nursing. This study discusses the M-Motion framework as an alternative framework for developing maternity nursing innovation research. M-Motion comprises of three steps of: pre-innovation, innovation, and post-innovation and it is applied to the Ultralight Project. The project aims to improve pregnancy and fetal health by using the DetectMe device to integrate mothers’ self-monitoring data into online health systems so that the condition of pregnant women and their babies is promptly and accurately monitored. The application of the M-Motion framework to the Ultralight Project is a step in the right direction as it helps in illustrating the sequence between research and innovation, especially as it relates to the acceleration of reducing maternal and fetal mortality rates.
Hubungan Faktor Sosiodemografi dengan Pengetahuan dan Perilaku Orangtua yang Memiliki Balita dalam Pencegahan Stunting Haroen, Hartiah; Sari, Citra; Pramukti, Iqbal
Malahayati Nursing Journal Vol 7, No 2 (2025): Volume 7 Nomor 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i2.16418

Abstract

ABSTRACT Stunting remains a problem that has persisted despite various challenges and obstacles due to the low level of community participation. The participation of parents, particularly mothers, is crucial in the prevention of stunting, given their pivotal role in fostering healthy behaviors. Stunting prevention behaviors are influenced by a multitude of factors, including the level of knowledge and sociodemographic characteristics. To determine the relationship between sociodemographic factors and the knowledge and behavior of parents with toddlers in stunting prevention. This descriptive correlational study used a cross-sectional design with a purposive sampling technique involving 125 parents who have toddlers in Sukamulya Village, Rancaekek. The questionnaire instrument used to measure knowledge and behavior in stunting prevention consisted of 33 questions and its validity and reliability had been tested. Descriptive analysis related to sociodemographic factors was carried out using frequency distribution and cross tabulation. Meanwhile, data analysis with a contingency correlation test was used to determine the relationship between sociodemographic factors and knowledge and behavior in stunting prevention. Most parents in this study had good knowledge (59.2%) and behavior (52.0%) in efforts to prevent stunting. Sociodemographic factors are known to have no significant relationship to parental knowledge and behavior. However, there is a tendency that younger parents, with a nuclear family type, and having more than 4 family members, have better knowledge and behavior in preventing stunting.Health education and counselling program is essential to enhance parental knowledge and behavior, thereby increasing community participation in stunting control programs. Keywords: Knowledge, Behavior, Parent, Stunting Prevention  ABSTRAK Stunting masih menjadi permasalahan yang hingga saat ini mengalami berbagai tantangan dan hambatan salah satunya diakibatkan oleh rendahnya partisipasi masyarakat. Partisipasi orangtua khususnya ibu sangat diperlukan mengingat peran penting mereka dalam menerapkan perilaku pencegahan stunting. Perilaku pencegahan stunting dipengaruhi oleh berbagai faktor salah satunya tingkat pengetahuan dan aspek sosiodemografi. Mengetahui hubungan faktor sosiodemografi terhadap pengetahuan dan perilaku orangtua yang memiliki balita dalam pencegahan stunting. Penelitian deskriptif korelasional ini menggunakan desain cross-sectional dengan teknik purposive sampling yang melibatkan 125 orangtua yang memiliki balita di Desa Sukamulya, Rancaekek. Instrumen kuesioner yang digunakan untuk mengukur pengetahuan dan perilaku pencegahan stunting terdiri dari 33 butir pertanyaan dan sudah teruji validitas reliabilitasnya. Analisis deskriptif terkait faktor sosiodemografi dilakukan menggunakan distribusi frekuensi dan tabulasi silang. Sementara itu, analisis data dengan uji korelasi kontingensi digunakan untuk mengetahui hubungan antara faktor sosiodemografi dengan pengetahuan dan perilaku pencegahan stunting. Sebagian besar orangtua dalam penelitian ini memiliki pengetahuan (59,2%) dan perilaku (52,0%) yang baik dalam upaya pencegahan stunting. Faktor sosiodemografi diketahui tidak memiliki hubungan yang signifikan terhadap pengetahuan dan perilaku orangtua. Namun, terdapat kecenderungan bahwa orangtua yang lebih muda, dengan tipe keluarga inti, dan memiliki jumlah anggota keluarga lebih dari 4 orang, memiliki pengetahuan dan perilaku pencegahan stunting yang lebih baik. Pendidikan kesehatan dan konseling guna meningkatkan pengetahuan dan perilaku orangtua masih sangat diperlukan dalam rangka meningkatkat partisipasi masyarkat dalam program penanggulangan stunting. Kata Kunci: Pengetahuan, Perilaku, Orangtua, Pencegahan Stunting
RISIKO FRAKTUR PADA PASIEN HUMAN IMMUNODEFICIENCY VIRUS Rohmah, Maishyela; Pramukti, Iqbal; Shalahuddin, Iwan
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 2 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i2.2566

Abstract

Orang dengan HIV (ODHIV) seringkali memiliki risiko terjadinya komplikasi, salah satunya yaitu fraktur osteoporosis akibat terjadinya penurunan densitas tulang yang dapat disebabkan oleh virus, efek samping pengobatan ART, faktor klinis seperti penurunan fungsi fisiologis tubuh akibat proses penuaan serta gaya hidup yang tidak sehat seperti merokok dan mengonsumsi alkohol. Risiko fraktur osteoporosis pada ODHIV diperkirakan terus meningkat seiring dengan proses penuaan. Berdasarkan hal tersebut diperlukan deteksi dini skrining risiko fraktur sebagai upaya pencegahan dan pengurangan risiko fraktur di masa yang akan datang. Penelitian ini bertujuan untuk memprediksi dan menggambarkan risiko fraktur dalam 10 tahun ke depan pada ODHIV sehingga hasilnya dapat menjadi salah satu sumber informasi dan acuan untuk tindakan intervensi perawat atau tenaga medis lainnya terhadap upaya mengurangi dan mencegah fraktur osteoporosis pada ODHIV. Metode penelitian menggunakan deskriptif kuantitatif dengan jumlah responden 76 orang yang dipilih menggunakan teknik consecutive sampling, penelitian ini dilakukan pada November - Desember 2023 di Poli Klinik Teratai RSUD Sumedang. Risiko fraktur diukur menggunakan algoritma FRAX® tool tanpa BMD. Hasil penelitian ini menunjukkan bahwa seluruh ODHIV memiliki risiko fraktur osteoporosis mayor rendah dengan median 2,20% (IQR 2) dan risiko fraktur pinggul rendah dengan median 0,2% (IQR 0,4). Meskipun termasuk dalam kategori risiko yang rendah hal ini tetap menunjukkan perlu adanya upaya untuk menciptakan intervensi farmakologis maupun non-farmakologis yang berkelanjutan dan perlu adanya pemantauan kesehatan tulang secara rutin serta upaya pencegahan melalui gaya hidup sehat dan manajemen medis yang tepat untuk meningkatkan kualitas hidup pasien HIV.
Healthy and Productive Villages: Utilization Local Technology for Organic Waste Management Maziyya, Nur; Rahayuwati, Laili; Pramukti, Iqbal; Luthfi, Wazirul; Agustina, Habsyah Saparidah; Ibrahim, Kusman; Lukman, Mamat; Witdiawati, Witidiawati
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.59117

Abstract

Waste management has become a crucial environmental issue as an increase of waste volume due to population growth and rapid urbanization. Lack of effective waste management can have an impact not only on polluting the environment, but can also threaten public health. Therefore, it is important to implement effective waste management to prevent environmental damage caused by waste. This Community Service aims to increase the ability and active role of the community in managing household waste through the establishment of a Healthy Productive Village program. This activity was carried out through several stages and a series of activities including socialization, demonstrations and training on household waste processing for 13 cadres and also 15 assisted families. The results of the service showed that participants knew and were able to sort waste based on its type, namely organic and inorganic, the formation of fostered families who were able to implement waste sorting and the creation of eco enzymes and hand washing soap from processing household waste. The result of this activity, namely the Healthy Productive Village Program, is expected to be a program that is not only implemented in Compreng village but also in other villages and districts in Indonesia to overcome the waste problem with effective and economically valuable waste management. Keyword: Productive healthy village, eco enzyme, waste management.
Estimating the 10-year fracture risk among persons with HIV and person without HIV: A comparative study Pramukti, S.Kp., MsC, Iqbal; Ibrahim, Kusman; Lukman, Mamat; Harun, Hasniatisari; Nugraha, Andri; Lin, Chung-Ying
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2715

Abstract

Background: The risk of osteoporotic fracture among persons with HIV was higher than the persons without HIV. Traditional factors are also found as the risk factor affecting fracture risk among persons with HIV and general population. Predicting the fracture risk among the high-risk group is important to develop a comprehensive fracture prevention program. Purpose: This study aimed to compare the estimation of the 10-year fracture risk between persons with HIV and persons without HIV using the FRAX™ algorithm. Methods: This study recruited 245 participants from August to November 2023, while 221 participants agreed to participate. The participants consist of 107 persons with HIV and 114 persons without HIV. The estimation of the ten-year probability of major osteoporotic and hip fractures was calculated using the FRAX™ algorithm. The participant's characteristics related to osteoporotic fracture risk was analyzed using a Chi-Square analysis. Results: The overall mean score of 10-year probability of major osteoporotic fracture (MOF) was 3.1% (SD 1.9) for the HIV group and 2.7% (SD 2.3) for non-HIV. For the 10-year probability, hip fracture (HF) risk was 0.5% (SD 0.5) for the HIV group and 0.6% (SD 0.9) for non-HIV. For MOF, HIV persons with fracture history showed a lower score (3.5%) compared to persons without HIV (5.3%). Smoker HIV persons showed the same MOF score (4.6% vs. 4.6%) but lower HF score (0.8% vs. 1.6%) when comparing to persons without HIV, respectively. HIV persons with glucocorticoid use showed a higher MOF probability score than persons without HIV (2.8% vs 2.7%). Conclusions: The 10-year fracture risk was higher among persons with HIV compared to persons without HIV. Fracture history, smoking behavior, and glucocorticoid use were identified as the potential factors associated with the risk. Further analysis using multivariate regression analysis may require to confirm the factors associated with high fracture risk.
Retention in HIV care among Southeast Asian people living with HIV: A systematic review and meta-analysis Maulana, Sidik; Ibrahim, Kusman; Pramukti, Iqbal; Amirah, Shakira; Hartantri, Yovita
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3719

Abstract

Background: Despite the effectiveness of antiretroviral therapy (ART) in reducing HIV-related morbidity and mortality, the retention of HIV care remains suboptimal in Southeast Asia. Objective: This systematic review and meta-analysis aimed to investigate the coverage of retention in care and the likelihood factors for retention in HIV care among Southeast Asian people living with HIV, to inform targeted interventions and policy improvements. Methods: Following the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA) guidelines, this study included observational studies reporting factors associated with retention in HIV care among Southeast Asian adults, with searches conducted in PubMed, Scopus, Cochrane Library, and CINAHL up to July 15, 2024. Demographic and clinical factors were analyzed using a random-effects model with the generalized linear mixed-effect model (GLLM) to estimate proportion and the DerSimonian-Laird method to estimate odds ratios (OR) with 95% confidence intervals (CI), assessing heterogeneity using the I² statistic. Results: Among the eleven studies with 46,480 pooled participants analyzed, the coverage of retention in care revealed a pooled proportion of 75.2% (95% CI: 66.7-82.1). Significant clinical factors associated with a higher likelihood of retention included high CD4 count (≥200 cells/mm³) (OR 2.17 (95%CI: 1.19-3.97, p = 0.01), WHO stage 3-4 (OR 2.06, 95%CI: 1.09-3.87, p = 0.02), not being on ART (OR 6.88, 95%CI: 1.89-25.06, p = 0.001), hemoglobin levels ≥10 g/dL (OR 0.50, 95% CI: 0.25-0.99, p = 0.04), and demographic factors of employment (OR 1.18, 95% CI: 1.02-1.38; p = 0.03). Other clinical factors, such as HIV stage, TB co-infection, drug abuse/substance use, and hemoglobin levels, did not significantly affect the likelihood of retention. Similarly, demographic factors such as age, gender, education, marital status, and geographic setting also showed no significant impact on likelihood retention. Conclusion: Retention in care among Southeast Asian people living with HIV was still below 95%. Clinical factors, particularly high CD4 counts, WHO stage, and the absence of ART, were likelihood factors for retention in HIV care, whereas other clinical and demographic factors studied did not show a significant impact. A universal test and treatment strategy is required to improve retention in care.
Community-Based Interventions for People Affected by Leprosy: A Narrative Review Masala, Clausewitz Welmatus; Haroen, Hartiah; Pramukti, Iqbal
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.460

Abstract

This narrative review aims to explore community-based program interventions among patients with leprosy. This study employs the PCC (Population, Concept, Context) framework and collects data from six literature reviews accessed through the PubMed database. Keywords adjusted according to Medical Subject Headings (MeSH) terms ("Community-Based Program" OR "Community Intervention" OR "Community Health Program" OR "Community Engagement") AND ("Social Support" OR "Peer Support" OR "Community Support" OR "Psychosocial Support") AND ("Leprosy" OR "Hansen’s Disease"). Analysis of six articles, primarily from Asian and African contexts, reveals that community-based interventions are effective in reducing stigma, enhancing socio-economic participation, and strengthening leprosy detection and prevention strategies. These programs succeed through a multidimensional approach involving social support, education, and economic empowerment. The findings underscore that integrating psychosocial support and economic empowerment within community-led health initiatives is fundamental to achieving holistic and sustainable outcomes in leprosy care.
Combined HT7 Acupressure (Shenmen) and Murattal Therapy for Depression and Insomnia in Elderly: A Case Report Aquino, Afnani; Susanti, Raini Diah; Pramukti, Iqbal
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/3ee4h086

Abstract

Older adults are vulnerable to psychological disorders such as depression and insomnia, which are often interrelated and can affect both physical and emotional well-being. This study aimed to evaluate the effect of combining HT7 (Shenmen) acupressure and murattal therapy on reducing depression and insomnia in the elderly. A case report design was used, involving a 68-year-old woman residing in a social care facility who experienced severe depression and insomnia. The intervention consisted of 12 sessions over four weeks (10 minutes per session), in which the client performed self-acupressure at the HT7 point while listening to murattal as a visual-auditory calming stimulus. Depression and insomnia levels were assessed using the GDS-15 and KSPBJ-IRS instruments. Results showed a reduction in GDS-15 score from 12 to 5 (mild depression) and in KSPBJ-IRS score from 30 to 23 (mild insomnia). The client also reported emotional calmness and motivation to continue the therapy independently. This study suggests that the combined intervention is a safe and effective non-pharmacological option. Further research, such as experimental studies, is recommended with more diverse subjects and varied clinical conditions.
Relationship Between Age, Gender, and Marital Status with The Intention to Disclose HIV Status Among PLHIV Hutomo, Wahyuni Maria Prasetyo; Pramukti, Iqbal; Sari , Sheizi Prista
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3524

Abstract

Globally, Human Immunodeficiency Virus (HIV) remains a public health problem. The World Health Organization (WHO) reports 39.0 million (33.1-45.7 million) people living with HIV by the end of 2022, with two-thirds (25.6 million) in the African region. Based on national data in 2022, West Java has the 3rd highest number of HIV cases based on data and reporting from 2010-2022, which amounted to 52,970 cases, so it is necessary to disclose the status to the closest people to prevent transmission. HIV-positive status disclosure is the decision of PLWHA to disclose personal information about their disease and transmit it to others. This study aims to determine the relationship between age, gender, and marital status in disclosing HIV status in PLWHA. This study is a quantitative research, analytic research design with a cross-sectional design conducted on 74 PLWHA in Sumedang Regency Hospital. Data were analyzed using the chi-square test and Fisher's exact test. The results of bivariate analysis showed age Ϸ=0.033 and OR 2.739 (CI 95% 1.184-6.337), gender Ϸ=0.002 and OR 5.091 (CI 95% 1.712-15.139), single marital status Ϸ=0.004 and OR 4.4381 (CI 95% 1.628-12.099). (CI 95% 1.628-12.099) so that it is known that the variable most associated with disclosure of HIV-positive status in PLWHA at Sumedang District Hospital and the most associated with disclosure of HIV-positive status.