Insi Farisa Desy Arya
Center For Health System Studies; Department Of Public Health; Faculty Of Medicine; Universitas Padjadjaran; Indonesia

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Overview of Menstrual Patterns in Female Patients Diagnosed with Tuberculosis with a History of Infertility at DOTS Polyclinic Hasan Sadikin Hospital and Community Health Centers in Bandung City Madjid, Tita Husnitawati; Utomo, Suhendro Rahmat; Susilo, Artha Falentin Putri; Ritonga, Mulyanusa Amarullah; Arya, Insi Farisa Desy
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.725

Abstract

Introduction: Female genital tuberculosis (FGTB) is one of the leading causes of infertility in countries with high cases of tuberculosis. However, there is a lack of data showing the menstrual patterns of FGTB patients in Indonesia. This study was conducted to describe the menstrual patterns of female patients diagnosed with TB and who have a history of infertility at the Directly Observed Treatment Short Course Polyclinic of Hasan Sadikin Hospital and community health centers in Bandung City.Method: This is a descriptive observational study using primary data. The subjects were outpatient TB patients with a history of infertility in the Directly Observed Treatment Short Course polyclinic of Hasan Sadikin Hospital and community health centers in Bandung City from 2018 to 2022. Data collection was conducted through questionnaire-based interviews.Results: Out of 950 TB patients of childbearing age recorded in medical records, 41 patients matched the specified criteria. The menstrual disorders experienced by patients included polymenorrhagia, oligomenorrhea, amenorrhea, prolonged menstrual cycles, irregular cycles, hypomenorrhea, heavy menstrual bleeding, and intermenstrual bleeding.Conclusion: The most common menstrual disorders in TB patients with a history of infertility were irregular cycles (36.6%), hypomenorrhea (31.7%), and oligomenorrhea (19.5%).Gambaran Pola Menstruasi pada Pasien Perempuan dengan Diagnosis Tuberkulosis dan Riwayat Infertilitas di Poli DOTS RSHS dan Puskesmas Kota BandungAbstrakPendahuluan: Female genital tuberculosis merupakan salah satu penyebab utama infertilitas pada negara dengan kasus tuberkulosis yang tinggi. Sebagai salah satu dari gejalanya, belum ada data yang menunjukkan pola menstruasi dari pasien female genital tuberculosis di Indonesia. Penelitian ini bertujuan untuk mengetahui gambaran pola menstruasi pada pasien wanita dengan diagnosis tubekulosis dan memiliki riwayat infertilitas di Poliklinik Directly Observed Treatment Short Course Rumah Sakit Hasan Sadikin dan Puskesmas Kota Bandung.Metode: Penelitian deskriptif dengan menggunakan data primer. Subjek penelitian adalah pasien tuberkulosis wanita dengan riwayat infertilitas yang dirawat jalan di poliklinik Directly Observed Treatment Short Course Rumah Sakit Hasan Sadikin dan 4 Puskesmas di Kota Bandung dari tahun 2018 - 2022. Subjek diperoleh melalui wawancara berbasis kuesioner.Hasil: Dari 950 pasien tuberkulosis wanita usia subur yang terdata di rekam medis, didapatkan 41 data pasien yang sesuai dengan kriteria yang ditentukan. Gangguan menstruasi yang dialami pasien dapat berupa polimenore, oligomenore, amenore, siklus menstruasi yang memanjang, siklus yang irreguler, hipomenore, heavy menstrual bleeding, dan perdarahan intermenstrual.Kesimpulan: Gangguan menstruasi yang paling sering terjadi pada pasien TB dengan riwayat infertilitas adalah siklus yang irreguler (36.6%), hipomenore (31.7%), dan oligomenore (19.5%).Kata Kunci: Infertilitas, Kota Bandung, Pasien TB wanita, Pola Menstruasi.
Flash Card sebagai Media Pendidikan Kesehatan pada Remaja: Kajian Scoping Review Listriyati, Linda; Arya, Insi Farisa Desy; Dodi Suardi
Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini Vol. 9 No. 5 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/obsesi.v9i5.6977

Abstract

Remaja mengalami fase transisi yang melibatkan perubahan fisik, kognitif, emosional, dan sosial, sehingga pendidikan kesehatan menjadi penting untuk mendukung kesehatan mereka. Salah satu media yang efektif untuk pendidikan kesehatan adalah flash card, yang dapat meningkatkan pengetahuan, sikap, dan perilaku sehat. Penelitian ini bertujuan untuk melihat pengaruh flash card terhadap pendidikan kesehatan pada remaja. Metode yang digunakan adalah scoping review, dengan mengumpulkan artikel dari platform Google Scholar, PubMed, dan Science Direct dan didapatkan enam artikel dari lima negara yang berhasil dianalisis dengan tiga tema utama yang ditemukan. Hasil penelitian menunjukkan bahwa flash card efektif dalam meningkatkan pengetahuan remaja mengenai isu kesehatan, menciptakan suasana pembelajaran yang interaktif dan fleksibilitas, serta mendorong remaja untuk berpikir kritis, meningkatkan peranan remaja dalam pendidikan kesehatan dan mudah diakses. Dapat disimpulkan bahwa flash card efektif meningkatkan pengetahuan remaja mengenai pendidikan kesehatan melalui pembelajaran yang interaktif, mudah dipahami, dan fleksibel. Studi ini mendukung pengembangan media partisipatif dan merekomendasikan inovasi digital salah satunya flash card sebagai media pendidikan kesehatan.
Effect of Diabetes Self-Management Education on Knowledge and HbA1c Levels among Patients with Type 2 Diabetes Mellitus in Occupational Health Care Margarita, Susan; Arya, Insi Farisa Desy; Mariani, Helni; Setiawati, Elsa Pudji; Kusumawati, Maya; Mutyara, Kuswandewi
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4070

Abstract

Background: Diabetes Self-Management Education (DSME) is a structured self-care program for managing type 2 diabetes mellitus (T2DM), including treatment adherence and complications prevention. This study aimed to evaluate the effect of DSME on diabetes-related knowledge and hemoglobin A1c (HbA1C) levels among patients with T2DM.  Methods: A quasi-experimental pretest-posttest non-equivalent control group design was conducted from August 2023 to January 2024, involving 65 patients with T2DM in occupational health care in Cikarang and Tangerang, Indonesia.  The DSME program included five key components: (1) diabetes mellitus education, (2) medical nutrition therapy, (3) physical exercise, (4) pharmacological intervention; and (5) blood glucose self-monitoring. The intervention group received DSME in six sessions over three weeks (45–60 minutes each), while the control group only reviewed 40 educational slides for 30 minutes. Knowledge was assessed using the Diabetes Knowledge Questionnaire (DKQ-24), and HbA1c levels were measured twice, six months apart. Data were analyzed using independent t-tests, dependent t-tests, and ANOVA. Results: The intervention group (n=26) and control group (n=39) had similar baseline characteristics. A significant improvement in diabetes knowledge was observed in both groups. Interestingly, only the intervention group showed a notable reduction in HbA1c levels (−1.9%), from 8.5% to 6.6%. Post-intervention HbA1c levels differed significantly between groups (p<0.05), with the control group remaining at 8.2%.Conclusions: The DSME program effectively improves knowledge and reduces HbA1c levels in patients with T2DM. It is recommended for integration into occupational health care settings to promote healthy lifestyles and enhance diabetes management.
Rebon Shrimp Powder Addition Influence to Nutritional Values, Organoleptic Properties and Acceptance of Supplementary Food by Children Aged 4-5 Years Old Sulistiyono, Priyo; Herawati, Dewi Marhaeni Diah; Arya, Insi Farisa Desy
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Prevalensi gizi kurang dan stunting pada anak bawah lima tahun (balita) di Kota Cirebon masih cukup tinggi yaitu mencapai 13,9% dan 15,7%. Udang rebon (Acetes erythraeus) memiliki kandungan protein dan kalsium yang tinggi. Pengaruh penambahan udang rebon dalam makanan tambahan (bubur lemu dan bolu kukus) terhadap kualitas gizi diteliti. Penelitian ini bertujuan untuk mengetahui pengaruh bubuk udang rebon terhadap nilai gizi, sifat organoleptik dan daya terima. Uji laboratorium dan perangkat lunak Nutriservey digunakan untuk analisis nilai gizi bubuk udang rebon dan gizi makanan tambahan. Uji organoleptik menggunakan rancangan acak lengkap dengan empat perlakuan (bubuk udang rebon 0%, 5%, 10%, 15%) dilakukan dua kali pengulangan. Responden adalah 30 mahasiswa program studi gizi Cirebon, mrnggunakan 7 skala hedonik (uji organoleptik) dan 50 anak-anak usia 4-5 tahun di posyandu (uji daya terima). Hasilnya adalah kadar abu, protein dan kalsium bubuk udang rebon memenuhi Standar Nasional Indonesia. Energi, protein dan kalsium meningkat signifikan (nilai p < 0,05). Kandungan gizi per 100 gram bolu kukus dengan bubuk udang rebon 5% memenuhi angka kecukupan gizi energi 21,6%, protein 18,9% dan kalsium 25,9%. Tingkat kesukaan pada warna, aroma, rasa, tekstur dan keseluruhan berbeda signifikan (nilai p < 0,05). Bubur lemu dengan bubuk udang rebon 5% dapat diterima oleh 80% balita dan bolu kukus mencapai 88%. Malnutrition and stunting prevalence in under-five children in Cirebon City are still high that reach 13.9% and 15.7%. Rebon shrimp (Acetes erythraeus) contains high protein and calcium. Influence of adding rebon shrimp in supplementary food (lemu porridge and steamed sponge) towards nutrition quality was investigated. This study aimed to determine effects of rebon shrimp powder on nutritional values, organoleptic properties and food acceptance. Laboratory test and Nutriservey software were used to measure nutritional value of rebon shrimp powder and nutrition of supplementary food. Organoleptic test used completely randomized design with four treatments (0%, 5%, 10%, 15% shrimp powder) and two repetitions. Respondents were 30 students of Nutrition Studies Program in Cirebon with 7 hedonic scale (organoleptic test) and 50 children aged 4-5 years in integrated health care (acceptance test). As the result, the level of ash, protein and calcium of rebon shrimp powder met the Indonesian National Standard. Energy, protein and calcium significantly increased (p value < 0.05). Nutrient content of steamed sponge per 100 gram with 5% rebon shrimp powder supplied 21.6% energy, 18.9% protein and 25.9% calcium on recommended dietary allowances. Preference level of color, flavor, taste, texture and overall were significantly different. Lemu porridge with 5% rebon shrimp powder was accepted by 80% of the children and the steamed sponge acceptance reached 88%.
The Implementation of Family Centered Care in Hypertensive Patients at Private Clinic Say, Yosefina Dwikurnia Gufra Putri; Arya, Insi Farisa Desy; Amelia, Indah
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.83426

Abstract

Hypertension is a condition when a person has systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥ 90 mmHg when measured at a clinic or health facility. Hypertension can be a risk factor of important organs damage such as the brain, heart, kidneys, retina, large blood vessels (aorta) and peripheral blood vessels. To prevent the complications, hypertensive patients must control their blood pressure. One approach to achieving controlled blood pressure is involving the family in hypertension management, which is called Family Centered Care. This approach has been implemented at Mitra Sehati Clinic, a private clinic located in Bandung Regency, West Java. This study aims to determine the implementation of hypertension management using the Family Centered Care approach at Mitra Sehati Clinic. This research is a qualitative research using a single case study method. The data were obtained through in-depth interviews, observation and documentation and then analyzed using interpretive analysis methods in which emerging themes were interpreted based on the theory of Family Centered Care and hypertension so they became the basis for describing certain conclusions. The results obtained show that all elements of Family Centered Care in the management of hypertension have been carried out by health workers at the Mitra Sehati Clinic which are also included in several programs. In addition, a positive impact was found on patients, their families and health workers. However, in its implementation, obstacles were found, it was limited time. The solution was to use online consultations via the doctor's or nurse's personal cellphone number. Implementation of Family Centered Care in the management of hypertension has a good impact on patients, their families and health workers.
How physical exercises ameliorate dysmenorrhea in adolescence Wijaya, Aqsha; Anwar, Ruswana; Adnani, Qorinah Estiningtyas Sakilah; Susiarno, Hadi; Arya, Insi Farisa Desy; Setiawan, Iwan
Jurnal Keolahragaan Vol. 12 No. 1: April 2024
Publisher : Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/jk.v12i1.72075

Abstract

Dysmenorrhea is frequently reported by adolescents. Physical exercises is one method of overcoming the symptoms of primary dysmenorrhea. Consistent physical activity has been shown to induce the synthesis of endorphins, which function as analgesics within the body. This study presents a comprehensive review to synthesize evidence regarding the relation between physical activity or exercise with dysmenorrhea and how exercise can ameliorate dysmenorrhea in adolescents. This study followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) method to identify articles published within the last three years (2021-2023) via PubMed, Scopus, ScienceDirect, and Google Scholar. This process yielded seven pertinent studies. The studies have demonstrated that engaging in physical activity can effectively alleviate the symptoms associated with menstrual discomfort. Physical exercise in regular time for a minimum of thirty minutes, three times per week, can also contribute to the alleviation of pain associated with menstrual discomfort among adolescent females diagnosed with primary dysmenorrhea. Isometric exercise, massage therapy, yoga, electrotherapy, connective tissue manipulation, stretching, kinesio tape, progressive relaxation exercise, aviva stretching exercise, stretching exercises, core strengthening exercise and aerobic exercise are the recommended forms of physical exercise in reducing the impact of primary dysmenorrhea. However, the extent to which one experiences these benefits is contingent upon the nature and intensity of the exercise.
Co-Authors Adi Imam Cahyadi Agoes, Ridad Amelia, Indah Anggraini Alam Anggraini Alam, Anggraini Ari indra Susanti Arif Budiman Arifani, Ilma Ariyati Mandiri Aziz, Muhammad Alamsyah Balqis, Maryam Dadang Hudaya Somasetia Dadang Hudaya Somasetia Dewi Marhaeni Diah Herawati Dida Akhmad Gurnida Dodi Suardi Edwin Armawan Efendi, Jusuf S. Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Fadillah, Reza Arif Fajar Tri Waluyanti Firda Dewi Yani Gilang Yubiliyana Ginna Megawati Gita Widya Pradini Guswan Wiwaha Hadiyati Fudla Hassan, Rozaliamisah Binti Helni Mariani Ilma Arifani Indah Amelia Insan Sunan Kurniawansyah, Insan Sunan Irvan Afriandi Irwan Supriyanto Iwan Setiawan Iyan Sopyan Jen-Jiaun Liaw Kusumawati, Maya Kuswandewi Mutyara Lay Johan Gautama Listriyati, Linda Loganathan, Reashnaa Lukman Hilfi M Syafril Firdaus M Syafril Firdaus, M Syafril Madjid, Tita Husnitawati Margarita, Susan Maria Damayanti Gufra Putri Say Mariani, Helni Maryam Balqis Metha Solihati Rayuna Milawati Milawati Mulya Nusa A Ritonga Nadya, Siti Fairuz Nanan Sekarwana Nani Nurhaeni Nita Arisanti Nita Arisanti Nita Arisanti Oki Suwarsa Priyo Sulistiyono Qorinah Estiningtyas Sakilah Adnani Rahmani, Shofiatunisa Firdhausy Reashnaa Loganathan Ridad Agoes Ritonga, Mulya Nusa A Ritonga, Mulyanusa Amarullah Rozaliamisah Binti Hassan Rudi Wisaksana Ruswana Anwar Sasongko, Elsa Pudji Setiawati Say, Yosefina Dwikurnia Gufra Putri Sekar Ayu Paramita Shely Karma Astuti Shifa Nadya Rahma Sihotang, Hetty Maria Siti Aisyah Siti Fairuz Nadya Siti Nur Fatimah Siti Nur Fatimah Sri Mulyati Sri Yusnita Irda Sari Sulistiyono, Priyo Susiarno, Hadi Susilo, Artha Falentin Putri Utomo, Suhendro Rahmat Wijaya, Aqsha Yeni Rustina Zubaidah, and