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All Journal Indonesian Journal of Global Health research Jurnal Pengabdian Masyarakat Kedokteran
Kamilia Dwi Utami
Universitas Islam Sultan Agung
Dentistry Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health Veterinary

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Deteksi Dini Penyakit Ginjal Kronis pada Pasien Hipertensi dan Diabetes Melitus di Puskesmas Srondol Ulfah Dian Indrayani; Kamilia Dwi Utami
Jurnal ABDIMAS-KU: Jurnal Pengabdian Masyarakat Kedokteran Vol 1, No 1 (2022): Januari
Publisher : Fakultas Kedokteran, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.24 KB) | DOI: 10.30659/abdimasku.1.1.34-38

Abstract

Penyakit Ginjal Kronis (PGK) adalah komplikasi yang sangat sering terjadi pada pasien dengan diabetes mellitus dan hipertensi. PGK sangat berpengaruh terhadap kualitas hidup penderita dan meningkatkan beban ekonomi kesehatan karena penatalaksanaan PGK stadium akhir memerlukan pembiayaan yang besar. Berdasarkan data profil Kesehatan Kota Semarang 2019 menunjukkan jumlah kasus hipertensi dan diabetes melitus meningkat tajam dibandingkan tahun 2015.  Kondisi ini berpotensi untuk meningkatkan jumlah penderita PGK di kota Semarang. Namun demikian, perkembangan PGK pada pasien dengan hipertensi dan diabetes mellitus dapat dicegah atau diperlambat dengan pengendalian gula darah dan tekanan darah serta deteksi dini PGK. Tujuan kegiatan ini adalah untuk deteksi dini terhadap gangguan fungsi ginjal, meningkatkan pengetahuan tentang pengendalian tekanan darah dan gula darah untuk mencegah PGK, serta mengetahui faktor-faktor penghambat kepatuhan minum obat pasien hipertensi dan diabetes. Mitra pada pengabdian masyarakat ini adalah Puskesmas Srondol. Metode pengabdian berupa penyuluhan, pengisian kuesioner, serta pemeriksaan kreatinin dan Hb untuk deteksi dini PGK. Indikator keberhasilan program ini adalah tersedianya data pemeriksaan penunjang fungsi ginjal sebagai acuan pengelolaan lanjutan dan data faktor penghambat kepatuhan minum obat.  Chronic Kidney Disease (CKD) is a very common complication in patients with diabetes mellitus and hypertension. CKD is very influential on the quality of life of patients and increases the economic burden on health because the management of end-stage CKD requires large funding. Based on data from the health profile of the City of Semarang in 2019 shows that the number of cases of hypertension and diabetes mellitus increased sharply compared to 2015. This condition could potentially increase the number of CKD sufferers in the city of Semarang. However, the development of CKD in patients with hypertension and diabetes mellitus can be prevented or slowed by controlling blood sugar and blood pressure and early detection of CKD. The purpose of this program is to carry out early detection of impaired kidney function, increase knowledge about controlling blood pressure and blood sugar to prevent CKD, as well as determine the factors inhibiting drug adherence in patients with hypertension and diabetes. The partner in this community service is the Srondol Health Center. The method of this service program is in the form of counseling, filling out questionnaires, and checking creatinine and Hb for early detection of CKD. An indicator of the success of this program is the availability of data on supporting examinations of kidney function as a reference for further management and data on factors inhibiting drug adherence.
Factors that Influence Medication Compliance in Pulmonary Tuberculosis Patients Bayu M.A Nugroho; Conita Yuniarifa; Kamilia Dwi Utami
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.5884

Abstract

Pulmonary tuberculosis is a chronic infectious disease that has a significant impact on global health, including Indonesia. Bandar I Health Center, Batang Regency was chosen as the research location because it has a low complete rate of taking medication (29.09%). Objective to analyze factors that influence medication compliance in pulmonary tuberculosis patients, including knowledge, attitudes, access to health services, drug side effects, family support, and support from health workers. An analytical observational design with a cross-sectional method. Data were collected through questionnaires from 68 pulmonary tuberculosis patients who met the inclusion criteria. Bivariate analysis used the Chi-Square test to determine the relationship between each independent variable and compliance, while multivariate analysis was performed to determine the dominant influencing factors. The knowledge, attitude, family support, and health worker support had a significant relationship with patient compliance (p < 0.05). Health worker support was a dominant factor with an Exp(B) value of 28.7, which means that patients with good health worker support have a 28.7 times greater chance of compliance. In contrast, access to health services did not show a significant relationship (p > 0.05). The compliance of tuberculosis patient’s is influenced by education, positive attitude, family support, and attention from health workers. Interventions focused on strengthening patient education and increasing support from health workers are recommended to improve the success of tuberculosis treatment.
Co-Authors Bayu M.A Nugroho Conita Yuniarifa Ulfah Dian Indrayani