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Faktor - Faktor Yang Mempengaruhi Kejadian Insomnia Di Wilayah Kerja Puskesmas Patikraja Kabupaten Banyumas Maisharoh, Rizka; Purwito, Dedy
Jurnal Keperawatan Muhammadiyah 2020: JKM EDISI KHUSUS SEPTEMBER 2020
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v0i0.5394

Abstract

Objective: Identifying the correlation among age, educational level, income level, lifestyle, psychological factors, physical illness, marital status, and the environment with insomnia occurrence on elderly in the working area of Puskesmas Patikraja,Banyumas Regency. Method: This research is a quantitative descriptive research using the cross-sectional method. The sample was 99 elderly taken through cluster random sampling. Data were analysed using the chi-square statistical test and continued with logistic regression test. Results: Most of the respondents belong to early elderly with 53 respondents (53.5%), the educational level of elementary school with 66 respondents (66.7%), the income level of Rp. 1,589,000.00 with 62 respondents (62.6%), the marital status of widow/ widower with 52 respondents (52.5%), physical illness with 62 respondents (62.6), psychological factors of normal stress with 76 respondents (76.8%), comfortable environment with 55 respondents (55.6%), healthy lifestyle with 52 respondents (52.6%). Among the result, it is found that lifestyle becomes the most affecting factors of insomnia occurrence on the elderly, in which the value of Exp (B) is 16.577. Conclusion: Elderly must pay attention to a healthier lifestyle so that they can reduce the risk of insomnia occurrence.
An alternative maximum reach strategy for routine immunization during the pandemic in Indonesia Purwito, Dedy
MEDISAINS Vol 19, No 1 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i1.10468

Abstract

Immunization plays a significant role in reducing the mortality rate for children under five. Immunization has been proven to be an efficient and effective health effort in preventing and reducing morbidity, disability, and death due to diseases that can be prevented by immunization. Increasing the coverage of immunization needs to be considered by the government by involving the community and health offices, and other stakeholders.  Health centers should provide immunization services considering the immunization guidelines during the Covid-19 pandemic, ensuring adequate health workers (vaccinators).  Provide information about safe immunization services and coordination and collaboration with stakeholders (private and public sectors).
Acoustic music therapy on improving cognitive function and sleep quality in elderly dementia patients Purwito, Dedy; Sukardin, Sukardin
MEDISAINS Vol 21, No 3 (2023)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v21i3.20031

Abstract

Background: Acoustic music therapy has been shown to have an impact on reducing anxiety and stress, but not specifically on various stages of dementia and sleep quality in the elderly. This research could explore how acoustic music therapy can provide similar benefits in elderly patients with dementia, where sleep and quality of life problems are often primary concerns.Objective: To determine the effect of acoustic music therapy on improving cognitive function and sleep quality in elderly dementia patients.Method: A pre-experimental design employing a one-group pretest-posttest without a control group was utilized. The sampling method employed was purposive sampling, involving 30 selected respondents. The paired sample t-test was then applied for the statistical analysis.Results:  The average dementia score among the elderly increased by 4.36 points (16.17 ± 5.53 to 20.53 ± 4.14) after the intervention. Similarly, the average score for sleep disorders decreased by -0.4 points (7.07 ± 3.11 to 6.67 ± 1.92). The statistical analysis indicated a significant influence of acoustic music on dementia disorders in elderly individuals with sleep disorders (p<0.0001). However, acoustic music did not affect sleep disorders in the elderly (p>0.05).Conclusion: Acoustic music therapy benefits the elderly, particularly in managing dementia and sleep disorders. These findings emphasize the potential of music therapy as a valuable non-pharmacological alternative in the overall care of the elderly.
HPV vaccine program for cervical cancer prevention: how to increase community acceptance? Purwito, Dedy
MEDISAINS Vol 21, No 2 (2023)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v21i2.19167

Abstract

Cervical cancer is Indonesia's second leading cause of death and a significant health financing burden. In 2021, there were 36,633 cases, most caused by HPV (95%). This cancer can be prevented with HPV immunization. The Indonesian government is committed to vaccine-preventing diseases and strengthening health services, focusing on prevention. Immunizations are given to girls in grades 5 and 6 of elementary school to achieve a minimum of 90% immunization coverage and reduce cervical cancer. Support from all parties is needed for the success of this program.
Efektifitas minyak jinten hitam (nigella sativa) dan jelly gamat emas (golden stichopus variegatus) pada perawatan luka kanker di RSUD Prof. Dr. Margono Soekarjo Purwokerto Jawa Tengah Yulistiani, Mustiah; Purwito, Dedy
MEDISAINS Vol 14, No 3 (2016)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v14i3.1990

Abstract

Latar Belakang: Inovasi dan kreatifitas dinamika keterampilan perawat dalam mencari solusi dalam perawatan luka terus berkembang sesuai dengan perubahan ilmu pengetahuan dan teknologi dengan memanfaatkan sumber daya alam di sekitar. Kandungan jinten hitam (Nigella Sativa) mengandung zat thymoquinon sebagai anti inflamasi dan jelly gammat emas (Golden Stichopus Variegatus) yang mengandung antiseptik. Tujuan: untuk memberikan kenyamanan pasien penderita kanker dengan menganalisa efektifitas penggunaan minyak jinten hitam (Nigella Sativa) dan jelly gammat emas (Golden Stichopus Variegatus) pada perawatan luka kanker. Metode: Jenis penelitian kuantitatif menggunakan desain penelitian pre eksperiment dengan pendekatan pretes dan posttest without control design. Populasi pada penelitian ini adalah seluruh pasien kanker yang mempunyai luka dan sedang dirawat inap di ruangan bugenvil RSUD Prof.Dr. Margono Soekardjo Purwokerto. Pemilihan sampel pada penelitian ini menggunakan random sampling, dengan sampel sebanyak 20 responden yang memenuhi kriteria inklusi yang telah ditetapkan untuk setiap kelompok intervensi, sehingga jumlah sampel pada penelitian ini dengan 3 kelompok intervensi yaitu sebanyak 60 orang. Analisis data menggunakan uji anova. Hasil: Hasil uji anova menunjukkan penurunan malodor (p=0,000), jumlah eksudat(p=0,002), skala nyeri (0,000), dan perdarahan (p=0,002) pada perawatan luka kanker dengan Pemberian Minyak Jinten Hitam (Nigella Sativa) dan Jelly Gamat Emas (Golden Stichopus Variegatus) Kesimpulan: Pemberian Minyak Jinten Hitam (Nigella Sativa) dan Jelly Gamat Emas (Golden Stichopus Variegatus) efektif menurunkan malodor, jumlah eksudat, skala nyeri dan perdarahan pada perawatan luka kanker.
From global to local action: rise from the pandemic, an efforts to increase routine immunization coverage Purwito, Dedy
MEDISAINS Vol 20, No 1 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i1.13586

Abstract

Since the first vaccine was developed (1796; smallpox vaccine), the world has seen its impact on health and well-being. Vaccines are one of the most influential scientific innovations of all time, helping to protect generations of people from infectious diseases throughout their lives. Parents need not worry too much about their children suffering from a deadly disease that has plagued previous generations because of vaccines. However, a top-down approach is needed so that vaccination becomes necessary for every people worldwide.
Analisis Studi Kombinasi Ekstrak Cincau Hijau Dan Jahe Merah Untuk Menurunkan Kolesterol: Study Analysis Combination Of Green Cincau And Red Ginger Extract To Cholesterol Putra, Aditama Wira; Suparti, Sri; Purwito, Dedy; Aprilina, Happy Dwi
Binawan Student Journal Vol. 6 No. 3 (2024)
Publisher : Direktorat Penelitian, Pengabdian Masyarakat, Dan Kerjasama Universitas Binawan (DPPMK Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/h7y7a570

Abstract

Hiperkolesterolemia menjadi masalah kesehatan utama pada lansia, kejadiannya mencapai 40% dan menjadi prevalensi penyakit tidak menular terbanyak di Pos Binaan Terpadu desa Kebanggan Kabupaten Banyumas. Lansia yang menderita penyakit jantung dan riwayat kolesterol tinggi, membutuhkan intervensi khusus untuk menurunkan kejadian hiperkolesterolemia dengan menggunakan terapi tradisional. Tujuan penelitian ini untuk mengetahui pengaruh kombinasi Jahe Merah (Zingiber Officinale) dan Ekstrak Cincau Hijau (Premna oblongifolia Merr) terhadap penurunan kolesterol total. Metode penelitian menggunakan desain quasi experimental, sampel dalam penelitian ini adalah lansia yang berjumlah 50 terdiri dari 25 kelompkok perlakuan dan kontrol yang diambil dengan teknik purposive sampling. Pemberian kombinasi ekstrak cincau hijau dengan jahe merah pada kelompok perlakuan dengan dosis 6 gram, dua kali sehari selama 14 hari. Pengukuruan kolesterol menggunakan alat ukur easy touch GCU. Analisis data menggunakan uji wilcoxon dan uji man-whitney. Hasil penelitian menunjukkan kadar nilai mean ± SD kolesterol pada kelompok kontrol adalah 190,04 ± 40,356 dan sesudah 190,76 ± 40,356 (p value 0,476 > 0,05. Nilai mean ± SD kolesterol kelompok perlakuan 220,96±25,628 dan sesudah 206,12±22,587 (p value 0,000 < 0,05) sehingga dapat disimpulkan bahwa ada penurunan signifikan nilai kolesterol setelah pemberian ekstrak cincau dan jahe merah pada kelompok perlakukan namun tidak pada kelompok kontrol. Hasil uji man whitney yaitu menunjukkan niali p value 0,011 < 0,05, yang artinya ada perbedaan yang signifikan nilai kolesterol total pada kelompok perlakuan dan kelompok kontrol.
The Factors Related to the Interest of Women Chiildbearing Age (WUS) in Acetic Acid Visual Inspection (IVA) Screening in the Service Area of Puskesmas Gumelar Indonesia Pratiwi, Hesti Intan; Susilo, Rakhmat; Purwito, Dedy; Handayani, Diyah Yulistika
Proceedings Series on Health & Medical Sciences Vol. 6 (2025): Proceedings of the 5th International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pshms.v6i.1404

Abstract

Cervical cancer is the fourth leading cause of cancer death worldwide. In Indonesia, it is estimated that 41 new cases of cervical cancer occur every day, and approximately 20 people die daily from the disease. Puskesmas (Community Healthcare Center) Gumelar has the lowest IVA screening rate in the Banyumas Regency, at 2.7%. To identify the factors related to the interest of women of childbearing age (WUS) in undergoing Acetic Acid Visual Inspection (IVA) screening in the service area of Pukesmas Gumelar. Method: This quantitative correlational study used a cross-sectional design. Where the independent variables (knowledge, attitudes, access to information, role of health cadres, and family support) and dependent variable (interest) are measured or collected simultaneously at one point in time. The instrument used was a questionnaire. The respondents were 90 women of childbearing age from five villages in the Gumelar district. This research uses qualitative data analysis and sampling techniques using probability sampling with proportionate random sampling technique. The factor most associated with interest in VIA examination is knowledge (p-value 0.001) followed by access to information (p-value 0.003), attitude (p-value 0.005), family support (p-value 0.006) and the unrelated factor is the role of health cadres (p-value 0.064). Factors such as knowledge, attitude, access to information, and family support are related to the low interest of women of childbearing age in undergoing IVA screening.
Analisis hubungan kepuasan pasien dengan kualitas pelayanan di puskesmas kabupaten Banyumas: Analysis of the relationship between patient satisfaction and service quality at community health centers in banyumas district Widiatmini, Indi Ragil; Purwito, Dedy
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 1 (2025): JiKep | Februari 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i1.2485

Abstract

Pelayanan Puskesmas dikatakan berkualitas jika memenuhi kebutuhan dan harapan masyarakat. Pelayanan kesehatan yang efisien, terpadu, adil, tepat waktu, berpusat pada masyarakat, dan aman, maka pelayanan yang berkualitas dapat tercapai. Kepuasan pasien merupakan indikator pertama dari standar pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat kepuasan pasien dengan kualitas pelayanan. Penelitian deskriptif korelasional dengan pendekatan cross-sectional. Responden sebanyak 180 pasien di Puskesmas Purwokerto Selatan dan Baturaden II, dipilih melalui insidental sampling. Variabel independen adalah kualitas pelayanan, sementara variabel dependen adalah kepuasan pasien. Data dikumpulkan dengan kuesioner dan dianalisis menggunakan uji Chi-Square. Terdapat hubungan yang signifikan antara kualitas pelayanan dengan tingkat kepuasan pasien di Puskesmas. Mayoritas pasien menyatakan bahwa kualitas pelayanan di Puskesmas tergolong baik. Sejalan dengan itu, tingkat kepuasan pasien juga tinggi, responden menyatakan puas terhadap pelayanan yang diterima. Terdapat hubungan signifikan antara kualitas pelayanan dan tingkat kepuasan pasien di Puskesmas. Pasien yang menerima pelayanan dengan kualitas baik cenderung lebih puas dibandingkan mereka yang mendapatkan pelayanan dengan kualitas cukup. Faktor-faktor seperti aksesibilitas, kenyamanan, sikap petugas, dan komunikasi memiliki peran penting dalam membentuk persepsi pasien terhadap pelayanan kesehatan.
PREFERENSI PENGOBATAN ALTERNATIF PASIEN DIABETES MELITUS: STUDI KASUS Anggraeni, Tiara; Purwito, Dedy
Menara Medika Vol 7, No 2 (2025): VOL 7 NO 2 MARET 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v7i2.6466

Abstract

Latar Belakang: Diabetes melitus adalah penyakit kronis yang terjadi saat glukosa darah dalam tubuh meningkat. Penderita diabetes akan melakukan pencarian pengobatan salah satunya menggunakan pengobatan alternatif yang masih banyak digunakan sebagai tempat pelayanan kesehatan. Pemilihan pengobatan alternatif pada pasien diabetes dipengaruhi oleh beberapa faktor. Tujuan: Mengetahui faktor-faktor yang mempengaruhi pemilihan pengobatan alternatif pada pasien diabetes melitus. Metode: Jenis penelitian ini dilaksanakan secara observasional menggunakan penelitian kuantitatif dengan desain penelitian deskriptif dan pendekatan cross sectional. Teknik pengambilan sampel menggunakan purposive sampel Instrumen pengumpulan data menggunakan kuesioner tentang pengetahuan, sikap dan akses. Analisa data yang di gunakan dalam penelitian ini adalah analisis univariat, bivariat dan multivariat.Hasil: Hasil penelitian ini menunjukan bahwa faktor pengetahuan dengan hasil p-value 0.183, faktor biaya dan jarak ke pelayanan kesehatan dengan hasil p-value 0.003, faktor sikap dengan hasil p-value 0.058.Kesimpulan: Pengurangan hambatan biaya dan jarak dapat meningkatkan akses atau pemanfaatan layanan kesehatan disamping faktor sikap dan pengetahuan dapat dipertimbangkan sebagai faktor pendukung,Kata Kunci: Diabetes Melitus, Pengobatan Alternatif, Faktor Pemilihan, Pengetahuan, Sikap, Biaya, Jarak, Akses Layanan Kesehatan