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All Journal Majalah Kedokteran Bandung Althea Medical Journal Jurnal Sistem Kesehatan Narra J
Kuswandewi Mutyara, Kuswandewi
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Knowledge and Attitude of Senior High School Students in Jatinangor towards Sexually Transmitted Infections in 2013 Hendrana, Aisyah Riseta Aini; Mutyara, Kuswandewi; Rowawi, Rasmia
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (575.72 KB)

Abstract

Background: Sexually transmitted infections (STIs) are major health problem. Until today, the prevalence of STIs is still high and the incidence is increasing. Almost half of STIs new cases occur in adolescents andyoung adults. It is assumed that there is a positive correlation of knowledge about STIs with attitude and practices; therefore, giving proper information of STIs to adolescents could influence their safe sexual practices, and further, it can prevent STIs to occur. The objective of this study is to discover knowledge and attitude of senior high school students in Jatinangor towards STIs.Methods: This descriptive study was conducted in Sekolah Menengah Atas Persatuan Guru Republik Indonesia (SMA PGRI) Jatinangor and Sekolah Menengah Atas Negeri (SMAN) Jatinangor from May to September 2013. Questionnaires were completed by 278 respondents selected by stratified cluster random sampling.Results: More than half respondents had poor knowledge about STIs (56.5%) while 53.2% of the respondents had positive attitude towards STIs. Most mentioned choices as the information source of STIs were teacher(66.5%), followed by television/radio (45.3%), friends (37.8%), newspaper/magazine (21.2%), mother (16.2%), sibling (7.2%), and father (6.5%). Conclusions: More detail information about STIs is needed by adolescents as a way to encourage safe sexual practices. Teacher and parents are expected to be the source information of STIs while mass media can alsobe used to educate adolescents. Education on STIs for teachers is also needed since they are as the main source for educating the adolescents. [AMJ.2015;2(4):568–74] DOI: 10.15850/amj.v2n4.655
Students’ Perception on Ideal Age of Marriage and Childbearing Subranmiam, Mohanambehai; Mutyara, Kuswandewi; Syam, Hanom Husni
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Background: Early-age marriage is still common in Indonesia, especially in the rural areas. There are many negative effects of the marriage; the young brides may get lower education, lower social status, minimum reproduction control, higher maternal mortality, higher domestic violence rate and others. Thus, this study is conducted to identify the students’ perception on the ideal age of marriage and childbearing.Methods: A cross-sectional descriptive study was conducted from June to September 2013 in Jatinangor using secondary data from Jatinangor Cohort Survey Team. The data comprised two hundred and twenty students from Jatinangor Senior High School and PGRI Vocational School. A hundred and ten males and a hundred and ten females were chosen by random sampling. Questionnaires were given after the written informed consent was obtained from the students.Results: The results showed 74.55% of the students chose 19¬–24 years old as the ideal age of marriage for a woman and 68.64% students chose 25–30 years old as the ideal age of marriage for a man. Moreover, forchildbearing, 25–30 years old was chosen to be the ideal age for both man and woman. The percentage of students agreed to this was 74.55% and 54.09% respectively.Conclusions: Majority of the students agreed on 19–24 years old and 25–30 years old as the ideal age of marriage for woman and man respectively. For childbearing, 25–30 years old was concluded as the ideal agefor both genders. [AMJ.2015;2(4):591–6] DOI: 10.15850/amj.v2n4.661
Mother’s Knowledge, Attitude, Practice toward Safe Water Usage and Incidence of Diarrhea in Children at Baleendah Bandung Mutyara, Kuswandewi; Ermaya, Yudith Setiati; Setiawati, Elsa Pudji; Fattima, Eliza Techa
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Background: Poor environmental conditions contribute to the high incidence of diarrhea, most of those caused by unsecure water and poor health knowledge. This study was conducted to evaluate the mother’s knowledge, attitude, and practice toward safe water usage in Baleendah, Bandung.Methods: A cross sectional descriptive study was conducted in Baleendah during September−October 2012, participated by 210 mothers with 12−59 months children, and using rapid survey method. This study used a questionnaire to measure the three domains, which consists of 8 questions of knowledge, 10 questions of attitudes, 16 questions of practice, and 7 questions of diarrhea. The collected data were analyzed and presented in table.Results: As much as 168 (80%) of mothers were in moderate knowledge status, 126 (60%) of mothers were in moderate attitude status. Practically, 127 (54.7%) of mothers used water from borehole/tube well. Most of the mothers (54.6%) use drinking water from refillable water store.Conclusions: Most mothers who participated have varied moderate knowledge and attitude status, and practice toward safe water usage. DOI: 10.15850/amj.v2n3.503
Pelayanan Preventif Terhadap Pasien Anak Yang Diberikan Oleh Dokter Praktek Umum Mandiri Di Kecamatan Soreang Mushlih, Abdullah; Arisanti, Nita; Mutyara, Kuswandewi
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.414 KB) | DOI: 10.24198/jsk.v2i3.11959

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Pelayanan preventif dapat menghemat biaya kesehatan dan sesuai dengan masalah kesehatan yang banyak terjadi pada anak, namun pelaksanaan pelayanan ini masih rendah. Pelayanan preventif yang menjadi kompetensi dokter umum antara lain imunisasi, skrining dan pengurangan risiko. Penelitian ini bertujuan untuk mengeksplorasi jenis dan faktor yang memengaruhi perilaku pemberian pelayanan preventif pada pasien anak. Metode penelitian ini menggunakan metode kualitatif yang dilakukan terhadap dokter praktik umum mandiri di Kecamatan Soreang. Pengambilan data dilakukan dengan wawancara mendalam kepada dokter mengenai pelayanan preventif yang diberikan kepada pasien anak dan faktor yang memengaruhinya sampai didapat jawaban pertanyaan yang jenuh. Analisis data dilakukan dengan transkripsi, reduksi dan kategorisasi. Penelitian ini dilakukan dari September sampai Desember 2015. Penelitian ini telah mendapat persetujuan etik dari Komisi Etik Penelitian Kesehatan Fakultas Kedokteran Universitas Padjadjaran. Hasil wawancara mendalam dilakukan kepada 5 orang informan. Dua dari lima informan melakukan pelayanan imunisasi, namun hanya jenis imunisasi dasar. Seluruh informan tidak melaksanakan skrining, identifikasi risiko, dan pengurangan risiko secara rutin hanya yang menjadi bagian dari proses pengobatan pasien yang dilakukan. Perilaku pemberian pelayanan preventif dipengaruhi oleh, motivasi dan pengetahuan dokter, sosial ekonomi pasien, waktu pelayanan, fasilitas, permintaan pasien, pedoman dan peraturan. Kesimpulan perilaku pemberian pelayanan preventif terhadap pasien anak yang diberikan oleh dokter umum praktek mandiri belum menjadi kegiatan yang rutin diberikan. Terdapat beberapa faktor yang memengaruhinya antara lain motivasi dan pengetahuan dokter, waktu pelayanan, fasilitas, sosial ekonomi pasien, permintaan pasien, pedoman, dan peraturan.Kata Kunci: Anak, dokter umum, pelayanan preventif
Knowledge, Attitude and Nutritional Status in Pregnant Women Widiastuti, Wiwit; Mutyara, Kuswandewi; Siddiq, Amillia
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Nutrition during pregnancy is essential for a healthy pregnancy and childbirth. Malnutritionduring pregnancy may cause a negative impact for both mother and fetus. Pregnant women have to replenishtheir nutritional intake so they have to know nutritional needs for pregnancy. This study aims to evaluatethe association between knowledge towards the attitude and nutritional status among pregnant women inJatinangor Primary Health Care.Methods: This was a cross-sectional study and the subjects were 75 pregnant women selected by consecutive sampling while they attending Puskesmas Jatinangor for antenatal follow up in October until November2012. Knowledge and attitude was assessed using a questionnaire. The level of knowledge and attitudes were categorized into insufficient, sufficient and good. Nutritional status was assessed by measuring themid upper arm circumference. The level of nutritional status was categorized into good nutritional statusand lower nutritional status.Result: Out of 75 respondents, 24 respondents had good knowledge, 39 respondents had sufficientknowledge and 12 respondents had insufficient knowledge. 15 respondents had good attitude, 51respondents had sufficient attitude, 9 had insufficient attitude. 62 respondents had good nutritional statusand 13 respondents had lower nutritional statusConclusion: Most of subjects have sufficient knowledge and attitude, and majority of the respondents havegood nutritional status. There was significant relationship between knowledge and attitude (p=0.02) andno significant relationship between knowledge and nutrition status (p=0.666). Based on this study, it isexpected to conduct further study about other factors which affect the knowledge, attitude, and practice ofpregnant women to improve the nutritional status. [AMJ.2015;2(1):231–4]
Kepatuhan Minum Obat Pada Pasien Lupus Eritematosus Sistemik di RSUP Dr. Hasan Sadikin Bandung Sheba, Shiane Hanako; Djuhaeni, Henni; Setiabudiawan, Budi; Sunjaya, Deni K.; Mutyara, Kuswandewi; Rinawan, Fedri Ruluwedrata
Majalah Kedokteran Bandung Vol 50, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (496.569 KB) | DOI: 10.15395/mkb.v50n1.1229

Abstract

Lupus eritematosus sistemik (LES) merupakan penyakit autoimun kronik yang mengharuskan penyandangnya minum obat dalam waktu lama bahkan seumur hidupnya. Keadaan ini selain menimbulkan dampak fisik, psikis maupun sosial juga menyebabkab biaya tinggi sehingga LES digolongkan sebagai penyakit catastrophic. Ketidakpatuhan minum obat penyandang LES akan berpengaruh langsung terhadap memburuknya outcome penyakit lupus. Penelitian bertujuan mengeksplorasi pelaksanaan dan kepatuhan minum obat pada pasien LES dengan harapan terjadinya perbaikan penatalaksanaan LES yang berdampak pada peningkatan kualitas hidup serta penurunan angka kematian karena LES. Telah dilakukan penelitian kualitatif terhadap 6 informan pasien LES suku Sunda di klinik reumatologi RSUP Dr. Hasan Sadikin Bandung pada bulan Juli sampai September 2016 dengan menggunakan pedoman wawancara mendalam open question yang dikembangkan sesuai dengan jawaban informan. Paradigma penelitan adalah constructivism dengan triangulasi terhadap 2 orang keluarga pasien dan 3 dokter konsultan klinik reumatologi RSUP Dr. Hasan Sadikin Bandung. Data yang diperoleh dianalisis secara bertahap melalui proses transkripsi, reduksi, koding, kategorisasi, penyusunan tema, interprestasi data serta pembangunan konsep. Hasil penelitian menunjukkan ada 57 koding, 14 kategori, dan 3 tema yang mengarah kepada kepatuhan minum obat pasien LES. Ke-14 kategori kepatuhan tersebut terdiri dari: karakteristik individu, daya ingat, pengetahuan, eksperimen, dan manajemen konsumsi (faktor predisposing); karakteristik penyakit, karakteristik obat, biaya, kebijakan rumah sakit, akses ke rumah sakit, terapi alternatif dan enabler agent (faktor enabling); karakteristik tenaga kesehatan dan dukungan eksternal dari berbagai pihak (faktor reinforcing). Konsep dan konstruk yang ditemukan membangun konstruk lokal Jawa Barat berlatar belakang karakteristik masyarakat Sunda dan bersifat kontekstual terhadap penyakit lupus.Kata kunci: Kepatuhan minum obat, lupus eritematosus sistemik, odapusDrug Adherence Drug in Systemic Lupus Erythematosus Patients in Dr. Hasan Sadikin General Hospital BandungSystemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that requires prolonged treatment. SLE creates physical, psychological, social, and economic burden for the patients; therefore, it is categorized as a catastrophic illness. Non-adherence to medication in SLE patient isan important factor that directly leads to poor outcome. The aim of this study was to explore the management and adherence of patients with SLE to improve the quality of life and to reduce the mortality rate. A qualitative study was undertaken to 6 sundanese SLE patients at the Rheumatology clinic in Dr. Hasan Sadikin General Hospital Bandung in July-September 2016 by using open-ended questions in in-depth interviews with probing based on informant answers. The paradigm used was constructivism with triangulation to family members of 2 patients and 3 rheumatologist consultants in Dr. Hasan Sadikin General Hospital Bandung. Data collected were analyzed gradually through transcription, reduction, coding, categorizing, theme analysis, data interpretation, and theorizing. The results showed 57 codes, 14 categories, 3 themes that focused on the medication adherence of Lupus patients.The themes were categorized as predisposing (individual characteristics, memory, knowledge, experimentation, and consumption management), enabling (drug characteristic, cost, hospital policies, access to hospital, alternative therapy, and enabler agent), and reinforcing (characteristics of health care professionals and social support) according to the predetermined theory. This study has also identified the local concepts and constructs Sundanese people in West Java, which is contextual to the lupus disease.Key words: Adherence, systemic lupus erythematosus, odapus
Patient Satisfaction with National Health Insurance and Public Health Center Accreditation: Lessons Learnt from Majalengka Regency, Indonesia Ruhiyat, Yayat; Sunjaya, Deni Kurniadi; Gondodiputro, Sharon; Mutyara, Kuswandewi; Sujatmiko, Budi; Arisanti, Nita
Althea Medical Journal Vol 10, No 4 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n4.2743

Abstract

Background: Perceptions of patient satisfaction influence the quality of the public health center (Pusat Kesehatan Masyarakat, Puskesmas) services. This study aimed to determine the differences in the level of patient satisfaction with national health insurance and the accreditation status of Puskesmas.Methods: This quantitative analytical study using a cross-sectional method was conducted at four Puskesmas in Majalengka Regency from October to November 2021 using a purposive sampling technique. The instrument used was the community satisfaction instrument (IKM-29) questionnaire , with the variable measured being the level of satisfaction. Data was transformed into numerical form using Rasch modelling and analyzed using the Chi-Square, independent-t, and one-way ANOVA tests.Results: A total of 273 respondents consisted of insured (Jaminan Kesehatan Nasional, JKN) and non-insured (non-JKN) respondents, resulting in the satisfaction mean value between JKN and non-JKN patients of 2.50 and 2.51 (p-value= 0.926). Satisfaction at Puskesmas levels 1 (Dasar), 2 (Madya), 3 (Utama), and 4 (Paripurna) was 2.15, 2.23, 2.56, 3.03, respectively (p-value = 0.002), indicating an increase in the level of satisfaction at the Puskesmas accreditation level.Conclusion: There is no difference in satisfaction between respondents using JKN and non-JKN. However, there is an increase in satisfaction related to the Puskesmas accreditation level. It is recommended for each Puskesmas to maintain the same service to all patients and improve the quality of service, especially in service dimensions that are considered inferior. Additionally, it is necessary to review the minimum standard value for accreditation programs.
Epidemiology and population-based incidence of influenza in two communities, Bandung district, West Java, Indonesia, 2008–2011 Agustian, Dwi; Mutyara, Kuswandewi; Murad, Chrysanti; M. Uyeki, Timothy; B. Kartasasmita, Cissy; Simoes, Eric AF.
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.981

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Influenza surveillance is important for monitoring influenza virus circulation and disease burden to inform influenza prevention and control measures.  The aim of this study was to describe the epidemiology and to estimate the incidence of influenza in two communities in West Java, Indonesia, before and after the 2009 H1N1 pandemic. A population-based surveillance study in the community health care setting was conducted to estimate the annual incidence of influenza. A real-time reverse transcription polymerase chain reaction (RT-PCR) assay was used for influenza case ascertainment. A population census was implemented to calculate the population at risk and estimate community health care utilization rate. The mean annual incidence of influenza A and B, adjusted for healthcare utilization, was 1.6 (95%CI: 1.3–2.0) and 0.7 (95%CI: 0.5–1.0) per 1000 persons, respectively, with the most affected group being young and school-age children. The annual cumulative incidence of influenza A for children under five in 2009, 2010, and 2011 was 7.0 (95%CI: 4.4–11.2), 10.6 (95%CI: 7.3–15.4), and 6.3 (95%CI: 3.8–10.2). For influenza B was 4.3 (95%CI: 2.4–7.8), 2.0 (95%CI: 0.8–4.7), and 0.4 (95%CI: 0.1–2.8), respectively. This study highlights that the incidence of influenza among young and school-age children is consistently higher compared to adults and the elderly throughout these periods. These populations are potential targets for influenza vaccination in Indonesia.
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.
Co-Authors Abdullah Mushlih, Abdullah Aisyah Riseta Aini Hendrana, Aisyah Riseta Aini Amillia Siddiq, Amillia B. Kartasasmita, Cissy Budi Setiabudiawan Budi Sujatmiko Chrysanti Murad, Chrysanti Deni Kurniadi Sunjaya Dwi Agustian Eliza Techa Fattima, Eliza Techa Elsa Pudji Setiawati Fedri Ruluwedrata Rinawan Hanom Husni Syam Henni Djuhaeni Insi Farisa Desy Arya Kusumawati, Maya M. Uyeki, Timothy Margarita, Susan Mariani, Helni Mohanambehai Subranmiam, Mohanambehai Nita Arisanti Rasmia Rowawi Ruhiyat, Yayat Sharon Gondodiputro Sheba, Shiane Hanako Simoes, Eric AF. Sunjaya, Deni K. Wiwit Widiastuti, Wiwit Yudith Setiati Ermaya