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Peningkatan Pengetahuan Diet Diabetes, Self Management diabetes dan Penurunan Tingkat Stres Menjalani Diet pada Pasien Diabetes Mellitus Tipe 2 di Rumah Sakit Universitas Sebelas Maret Prabowo, Nurhasan Agung; Ardyanto, Tonang Dwi; Hanafi, Muchtar; Kuncorowati, Niken Dwi Aryani; Dyanneza, Frieska; Apriningsih, Hendrastutik; Indriani, Astri Tantri
WARTA LPM WARTA LPM, Vol. 24, No. 2, April 2021
Publisher : Universitas Muhammadiyah Surakarta

Diabetes Mellitus adalah penyakit kronik yang disebabkan oleh faktor genetik, karena kesalahan pola makan, atau gaya hidup yang tidak sehat. Diet Diabetes dan Self management Diabetes menjadi poin penting pada tata laksana DM tipe 2. Persadia (Perhimpunan Diabetes Indonesia) adalah perkumpulan pasien dan keluarga penderita diabetes di Indonesia yang bertujuan untuk edukasi pada pasien DM tipe 2. Persadia bertujuan meningkatkan kualitas hidup penderita diabetes dan mencegah komplikasi diabetes pada pasien diabetes. Analisis situasi sebelumnya menunjukkan pasien diabetes anggota persadia cabang Surakarta mempunyai keterbatasan dalam pengetahuan tentang diet diabetes, self managemengt diabetes, dan tingkat stres dalam menjalakan diet cukup tinggi. Tujuan pengabdian ini adalah pengabdian untuk meningkatkan pengetahuan diet diabetes, self management diabetes, dan menurunkan tingkat stres pada pasien DM tipe 2 anggota persadia di RS UNS. Metode yang dilakukan adalah dengan pemberian ceramah, diskusi, dan video edukasi. Sebelum dan sesudah pengabdian dilakukan pemberian kuesioner pengetahuan diet diabetes, kuesioner self management diabetes, dan kuesioner tingkat stres dalam menjalankan diet. Hasil pengabdian menunjukkan peningkatan pengetahuan diet diabetes (rerata peningkatan skor pengetahuan diet diabetes adalah 24,5+6,2), self management diabetes (rerata peningkatan skor self management diabetes 8,2+ 4,34), dan penurunan tingkat stres (rerata penurunan skor 14,5+5,32) pada pasien DM tipe 2 anggota persadia di RS UNS. Secara tidak langsung kegiatan pengabdian kepada masyarakat ini akan meningkatkan kualitas hidup dan kesejahteraan pada pasien DM tipe 2 dalam lingkungan persadia RS UNS.

Titik Lemah Perkembangan Moral Anak Usia Dini pada Lembaga PAUD Berbasis Keagamaan Jumiatmoko, Jumiatmoko; Hanafi, Muchtar
Jurnal AUDI: Jurnal Ilmiah Kajian Ilmu Anak dan Media Informasi PAUD Vol 5, No 2 (2020): December 2020, 8 ARTICLES, PAGES 64 - 142
Publisher : UNIVERSITAS SLAMET RIYADI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33061/jai.v5i2.4393

Abstract This study aims to identify the development of early childhood morality in Islamic PAUD institutions which are categorized as undeveloped. This study uses a qualitative approach involving 6 class teachers from 4 Islamic PAUD institutions in Surakarta. A total of 210 data on child development achievements were analyzed quantitatively descriptive and qualitatively. The results of this study indicate that in Islamic PAUD institutions there are competencies related to children's morality that has not yet developed in both the NAM and the Social-Emotional aspects. These findings contributing for the study of the implementation of the Islamic PAUD concept for children's moral development. The theoretical and practical analysis of the results can be used as a reference for improving the approach to developing early childhood morality. Keywords: Moral Development, Morality, Early Childhood, Islamic PAUD Abstrak Penelitian ini bertujuan mengidentifikasi perkembangan moralitas anak usia dini pada lembaga PAUD Islam yang berkategori belum berkembang. Penelitian ini menggunakan pendekatan kualitatif yang melibatkan 6 guru kelas dari 4 lembaga PAUD Islam di Surakarta. Sebanyak 210 data capaian perkembangan anak dianalisis secara kuantitatif deskriptif dan kualitatif. Hasil penelitian ini menunjukkan bahwa pada lembaga PAUD Islam terdapat kompetensi-kompetensi terkait moralitas anak yang belum berkembang baik pada aspek NAM maupun Sosial Emosional. Temuan ini melengkapi kajian hasil implementasi konsep PAUD Islam bagi pengembangan moral anak. Hasil analisis secara teoretis dan praktis dapat digunakan sebagai acuan perbaikan pendekatan pengembangan moralitas anak usia dini.

DECREASED PAIN SCALE BASED ON CRITICAL PAIN OBSERVATION TOOL (CPOT) AND BEHAVIORAL PAIN SCALE NON-INTUBATED (BPS-NI) IN PATIENTS WITH REDUCED CONSCIOUSNESS BY CLASSICAL MUSIC INTERVENTION IN UNS HOSPITAL Muchtar Hanafi; Faizal Muhammad; Nanang Wiyono; Betty Saptiwi
Jurnal Riset Kesehatan Vol 8, No 2 (2019): NOVEMBER 2019
Publisher : Poltekkes Kemenkes Semarang

Patient with reduced consciousness needs attention to their comfort as well as pain during treatment. Listening to classical music caused relaxation and pain reduction. This study aimed to determine the effect of classical music on the CPOT score, BPS-NI, and cortisol levels in patients with reduced consciousness. The research was conducted by using a pretest-posttest control group design. 18 patients were divided into the control group (C) and the classical music group (M). Classical music was played for 3 days respectively that consisted of 3 sessions per day. Furthermore, each patient was tested for cortisol levels on the third day. Comparative test of mean difference between pre-intervention and post-intervention obtained significant results in CPOT (p= 0.000) and BPS-NI (p= 0.001) measurements in all groups. Tukey's post-hoc test obtained significant results in which the M group had a lower mean score. The mean of cortisol level was higher in M group (14.7 μg/dL) compared to the C group (12.96 μg/dL), although not significant statistically (p= 0.67). Listening to classical music for patients with reduced consciousness decreased the pain scale. This was supported by the average of cortisol levels that were higher in the M group, considering that cortisol was a hormone that prevents pain.

Cost-effectiveness analysis of empiric antibiotics in hospitalized community-acquired Pneumonia Yeni Farida; Qisty Aulia Khoiry; Muchtar Hanafi; Maryani Maryani
Pharmaciana Vol 12, No 1 (2022): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Community-Acquired Pneumonia (CAP) remains an important infectious disease due to its impact on patient outcomes. Â This study aimed to investigate the clinical outcome and especially costs of hospitalization for community-acquired pneumonia (CAP) concerning empirical antibiotics. This research was conducted to estimate the cost-effectiveness of levofloxacin, ceftriaxone, and a combination of ceftriaxone and azithromycin aiming to improve the clinical outcome of CAP. A retrospective observational study was conducted in secondary care, University Hospital in Surakarta, Central Java, Indonesia. The study enrolled all CAP patients hospitalized in the period January until December 2018, with agesâ‰¥ 18 years old, and at least used antibiotic for three days. We compared cost-effectiveness, as measured by total cost and proportion of patients successfully treated, of 3 empirical antibiotics for inpatient CAP, involving ceftriaxone, levofloxacin, or combination ceftriaxone + azithromycin. Our analyses were conducted based on a healthcare perspective. In all groups were analyzed based on severity classification (Pneumonia Severity Index score). The use of levofloxacin instead of ceftriaxone improved clinical response, but it is more expensive. Levofloxacin was the most cost-effective based on ACER value. Treatment using a combination of ceftriaxone + azithromycin was more expensive without added benefit. Based on this study, the use of levofloxacin as the first-line therapy for CAP could be maintained because it was more cost-effective than other alternatives. Since the limitations, a study on a broader population is needed to confirm these findings.

Peningkatan Pengetahuan Diet Diabetes, Self Management diabetes dan Penurunan Tingkat Stres Menjalani Diet pada Pasien Diabetes Mellitus Tipe 2 di Rumah Sakit Universitas Sebelas Maret Nurhasan Agung Prabowo; Tonang Dwi Ardyanto; Muchtar Hanafi; Niken Dwi Aryani Kuncorowati; Frieska Dyanneza; Hendrastutik Apriningsih; Astri Tantri Indriani
WARTA LPM WARTA LPM, Vol. 24, No. 2, April 2021
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v24i2.12515

Diabetes Mellitus adalah penyakit kronik yang disebabkan oleh faktor genetik, karena kesalahan pola makan, atau gaya hidup yang tidak sehat. Diet Diabetes dan Self management Diabetes menjadi poin penting pada tata laksana DM tipe 2. Persadia (Perhimpunan Diabetes Indonesia) adalah perkumpulan pasien dan keluarga penderita diabetes di Indonesia yang bertujuan untuk edukasi pada pasien DM tipe 2. Persadia bertujuan meningkatkan kualitas hidup penderita diabetes dan mencegah komplikasi diabetes pada pasien diabetes. Analisis situasi sebelumnya menunjukkan pasien diabetes anggota persadia cabang Surakarta mempunyai keterbatasan dalam pengetahuan tentang diet diabetes, self managemengt diabetes, dan tingkat stres dalam menjalakan diet cukup tinggi. Tujuan pengabdian ini adalah pengabdian untuk meningkatkan pengetahuan diet diabetes, self management diabetes, dan menurunkan tingkat stres pada pasien DM tipe 2 anggota persadia di RS UNS. Metode yang dilakukan adalah dengan pemberian ceramah, diskusi, dan video edukasi. Sebelum dan sesudah pengabdian dilakukan pemberian kuesioner pengetahuan diet diabetes, kuesioner self management diabetes, dan kuesioner tingkat stres dalam menjalankan diet. Hasil pengabdian menunjukkan peningkatan pengetahuan diet diabetes (rerata peningkatan skor pengetahuan diet diabetes adalah 24,5+6,2), self management diabetes (rerata peningkatan skor self management diabetes 8,2+ 4,34), dan penurunan tingkat stres (rerata penurunan skor 14,5+5,32) pada pasien DM tipe 2 anggota persadia di RS UNS. Secara tidak langsung kegiatan pengabdian kepada masyarakat ini akan meningkatkan kualitas hidup dan kesejahteraan pada pasien DM tipe 2 dalam lingkungan persadia RS UNS.

PERILAKU PEMELIHARAAN KESEHATAN GIGI DAN MULUT TERHADAP STATUS KEBERSIHAN GIGI DAN MULUT (OHI-S) WARGA SAMIN SUROSENTIKO KABUPATEN BLORA Betty Saptiwi; Muchtar Hanafi; Dian Purwitasari
Jurnal Kesehatan Gigi Vol 6, No 1 (2019): Juni 2019
Publisher : Jurusan Keperawatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v6i1.4436

Behavior has an important role to influence oral hygiene status. An important component in behavior is knowledge, attitudes and actions. The residents of Samin Surosentiko Blora Regency have a characteristic ignoring the appearance and cleanliness of themselves and the surrounding environment. The results of the OHI-S examination of 50 people from Samin Surosentiko in Blimbing Hamlet, Sambongrejo Village, Sambong District, Blora Regency, found to have 30 people (60%) who had OHI-S status with poor criteria accompanied by tooth and mouth problems. The purpose of this study was to determine the effect of behavior (knowledge, attitudes, and actions) on the maintenance of teeth and mouth on oral hygiene status (OHI-S) of Samin Surosentiko Residents in Blora Regency. Type of research used was descriptive analytic. Research design was survey with a cross sectional approach. The population in this study were residents of Samin Surosentiko in Blimbing Hamlet, Sambongrejo Village, Sambong Subdistrict, Blora Regency aged 20-36 years and had a set of 180 teeth. Samples were taken by random sampling of 20% of the population of 36 people. Descriptive data analysed by cross tab and statistically using Chi Square Test. Results showed that the majority of respondents had oral health maintenance behaviors in poor criteria with a bad OHI-S status (41.7%). The Chi Square Test results showed that there was an effect on oral health maintenance behavior on OHI-S status (p = 0.000). Conclusion of the study was that there was an effect of oral health maintenance behavior on OHI-S status in Samin Surosentiko residents in Blora Regency (p = 0.000), where the attitude component is the most influential (p = 0.000).

Profil Pasien dan Penggunaan Antibiotik pada Kasus Community-Acquired Pneumonia Rawat Inap di Rumah Sakit Akademik wilayah Sukoharjo Yeni Farida; Verina Widyati Putri; Muchtar Hanafi; Nurmayda Sukma Herdianti
JPSCR: Journal of Pharmaceutical Science and Clinical Research Vol 5, No 2 (2020)
Publisher : Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/jpscr.v5i2.39763

Pneumonia merupakan penyakit infeksi yang masih menjadi permasalahan di dunia turut menyumbang angka mortalitas dan morbiditas. Penyakit infeksi dapat disebabkan oleh bakteri, virus, dan jamur. Pengobatan utama penyakit infeksi akibat bakteri adalah penggunaan antibiotik. Tingginya intensitas penggunaan antibiotik yang dapat menimbulkan berbagai permasalahan dan ancaman bagi kesehatan perlu untuk dikaji. Penelitian yang dilakukan merupakan penelitian observasional untuk mengetahui profil pasien dan penggunaan obat pasien pneumonia. Sampel dalam penelitian ini diambil menggunakan teknik total sampling. Data diambil secara retrospektif dari rekam medis dan dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa sebagian besar pasien pneumonia adalah pasien usia >65 tahun berjenis kelamin laki-laki dengan lama perawatan terbanyak 1-7 hari (81,8%), derajat keparahan terbanyak “Ringan” (45,5%), dan penyakit komorbid terbanyak kardiovaskuler (50,9%). Terapi antibiotik tunggal terbanyak adalah levofloxacin (38,2%), evaluasi penggunaan obat yang telah sesuai sebanyak 14,5%, dan potensi interaksi obat terbanyak pada levofloxacin dengan methylprednisolon (26,4%).

ADAPTING THE OLDENBURG BURNOUT INVENTORY INTO BAHASA INDONESIA FOR MEASURING BURNOUT IN MEDICAL RESIDENTS Annang Giri Moelyo; Muchtar Hanafi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 2 (2022): JUNI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.56213

Background: Burnout is common among medical residents, and a non-commercial tool for assessing burnout for medical residents is needed. This study aimed to adapt the Oldenburg Burnout Inventory (OLBI) in Bahasa Indonesia for medical residents and to analyze its validity and reliability.Case Discussion: The English version of OLBI was forward and backward translated to and from Bahasa Indonesia by English-language translation experts, and was appropriately modified by the authors. The respondents of the questionnaire were taken from pediatric residents in the first trial (48 subjects), and from internal medicine, pediatric, dermatology, surgery, and neurology residents in the second trial (109 subjects). The item-test correlation to measured construct validity was good for both trials. A confirmatory factor analysis was then undertaken to evaluate the goodness of fit (GOF), the root mean squared error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), standardized root mean squared residual (SRMR), and coefficient of determination (CD) in the second trial. The results of the one-factor model and multidimensional GOF of the 16 items were unsatisfactory (χ2<0.05 and RMSEA>0.08). The GOF of the two-factor analysis of burnout with 8 items (3 exhaustion items and 5 disengagement items) created the following results: χ2=0.378; RMSEA=0.025; CFI=0.995; TLI=0.993; SRMR=0.036; and CD=0.898. The Cronbach’s alphas, for internal consistency reliability, in the first trial, second trial, and final model were 0.73, 0.87, 0.83, and 0.79, respectively.Conclusion: An 8-items modified Bahasa Indonesia translation of the OLBI for medical residents to measure burnout has good reliability and validity.

Pelatihan Kegawatan Kardiovaskuler Bagi Perawat Nurhasan Agung Prabowo; Risalina Myrtha; Hendrastutik Apriningsih; Tonang Dwi Ardyanto; Astri Tantri Indriani; Frieska Dyanneza; Niken Dyah Aryani Kuncorowati; Andri Haryanto; Muchtar Hanafi; Yeni Farida; Laily Shofiyah
Smart Society Empowerment Journal Vol 1, No 2 (2021): Smart Society Empowerment Journal
Publisher : Fakultas Kedokteran UNS

Pendahuluan: Keadaan darurat bisa terjadi pada siapa saja, di mana saja, kapan saja. Dalam situasi ini, tenaga medis harus siap untuk bertindak dalam kekuasaan mereka. Perawat adalah profesional medis yang bertanggung jawab untuk perawatan pasien darurat. Sebuah survei tahun 2019 di lapangan menemukan bahwa sebagian besar perawat tidak memahami keadaan darurat kardiovaskular. Masalah terbesar yang dihadapi PPNI setelah dikoordinasikan sebagai ketua tim PPNI RS UNS adalah pengetahuannya tentang pembacaan EKG perawat terbatas, perawat tidak mengetahui kondisi kegawatan jantung dan pelatihan pertolongan pertama kegawatan jantung jarang ditemui, dan tidak ada pedoman khusus kegawatan kardiovaskuler pada perawat. Tujuan pengabdian ini adalah meningkatkan pengetahuan kegawatan kardiovaskuler pada perawat PPNI RS UNSMetode: Kegiatan pengabdian masyarakat yang dilakukan ini meliputi pelatihan secara daring pada hari Kamis 16 April 202 di RS UNS, selain itu juga pembuatan buku Panduan membaca EKG bagi perawat dan leaflet cara membaca EKG bagi perawat.Hasil: Terjadi peningkatan pengetahuan perawat terhadap EKG dengan peningkatan nilai pretes 55,5 menjadi 72,5 dengan skala 100.Kesimpulan: Pelatihan kegawatan kardiovaskuler pada perawat meningkatkan pengetahuan perawat mengenai kegawatan kardiovaskuler

Precautions for Pneumo-Orbital in Cases of Maxillofacial Trauma: Data Mining for Artificial Inteligence of Air Localization on CT-Scan Karla Kalua; Muchtar Hanafi; Rachmi Fauziah Rahayu
IJAI (Indonesian Journal of Applied Informatics) Vol 7, No 1 (2022)
Publisher : Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/ijai.v7i1.66522

Along with rapid mobility, the incidence of traffic accidents is increasing. Maxillofacial trauma often accompanies traffic accidents. Facial bone fractures need serious concern, considering that the face contains several important organs and an important aesthetic aspect daily. Pneumo-orbital, in which air is found in the orbital cavity, is a threat to vision. The development of diagnostic modalities for maxillofacial trauma is developed continuously for determining the accuracy and improving rapid diagnosis. A radiologist is greatly facilitated by the presence of a CT scan that is able to detect certain abnormalities through artificial intelligence (AI) features. The data of this study are preliminary data showing the incidence of pneumo-orbital that was often missed in maxillofacial trauma cases. The maxillofacial trauma cases (classified as Le Fort fractures) were collected from January 2022 to July 2022 consecutively and determined into Le Fort fractures with pneumo-orbital and without pneumo-orbital. From 19 cases, 13 cases (68%) were accompanied by pneumo-orbital, while 6 cases (32%) were not. Multiple pneumo-orbitals with relatively visible sizes are detected easily on CT scan but a single and relatively small pneumo-orbital has potentially not to be seen on CT scan. It is concluded that CT scan nowadays is not only used to see anatomical abnormalities, but also equipped with AI-based features; such as the intracranial bleeding volume calculation and calcium score estimation on cardiac CT. It is possible that a CT scan can also detect the presence of air particles. Thus, the sensitivity of pneumo-orbital detection can be increased.

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