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Reinforcing Factor Perilaku Seks Pranikah pada Remaja SMA Favorit di Kota Padang Aprianti Aprianti; Dien Gusta Anggraini Nursal; Yudi Pradipta
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 2: JUNI 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

The number of adolescent premarital sex behavior cases in West Sumatera was 107 in 2016, where 80% occurred in Padang. This research aims to know the reinforcing factor that related to premarital sex behavior on adolescent of Senior High School favorite in Padang. Quantitative research with cross-sectional design. The number of samples was 547 taken by proportional stratified random sampling. The data are collected by questionnaire and analyzed with univariate, bivariate, and multivariate logistic regression. Moreover, qualitative research with case study design with informants is eight students and teachers respectively. Data collected with in-depth interviews then analyzed with thematic content. More than half of the respondents have a high risk of sexual behavior. Bivariate analysis showed that there were correlation role of teacher (p= 0,025), role of friends (p= 0,0001), role of parent (p= 0,012), and there was no correlation role of health provider (p= 0,075) with adolescent premarital sex behavior. Multivariate analysis showed that variable with a high correlation to premarital sexual behavior was the role of friends (p= 0,000, Ecp(B)= 2,743) with controlled by predisposing variables (knowledge, attitude, religiosity) and enabling variable (mass media exposure). Therefore, the reinforcing factor that related to premarital sex behavior on adolescents was the role of friends. It was recommended that adolescents to be more selective in choosing friends who bring positive impacts and should filter the true information about premarital sexual behavior from their peers.

Determinan sosial kejadian dengue shock syndrome di Semarang Yudi Pradipta; Ida Safitri Laksanawati; Dibyo Pramono
Berita Kedokteran Masyarakat (BKM) Vol 32, No 5 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Social determinants of dengue shock syndrome in SemarangPurpose This study aimed to know the social determinants related to dengue shock syndrome.Methods This study used a case control design in Semarang. Cases were dengue patients with shock syndrome diagnosed by a clinician in the hospital, and controls were dengue patients without shock syndrome. Participants were recruited using purposive sampling, and completed written informed consent to be interviewed using a questionnaire.ResultsResults showed that children aged <18 years have the highest risk of having DSS compared to other age groups. Referral system was also correlated to dengue shock syndrome.Conclusion This study recommends the clinicians to undertake appropriate diagnosis and prompt decision making to reduce the risk of more severe DHF events. The community should improve the awareness of shock syndrome by taking their children immediately to health services for examination if they have dengue symptoms in order to get the adequate treatment.

Administrative Data Relationship with The Accuracy of Disease Diagnosis Codes of Inpatients in Pariaman Public Hospital Kamal Kasra; Yudi Pradipta
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 2 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i2.911

ABSTRACTÂ Medical records are one of the means to support the achievement of an administrative order in the context of efforts to improve health services in hospitals. An important thing that must be considered by medical record personnel is the accuracy in providing diagnosis and procedure codes. The research problem is the accuracy of the coding of the Diagnosis & Procedure on the medical records of inpatients at the Pariaman Regional General Hospital. The research objective was to describe the general characteristics and accuracy of disease coding based on diagnosis and service procedures as well as the impact of the accuracy of disease coding with inpatient disease diagnosis on the quality of service at the Pariaman Regional General Hospital. The research method is mixed methods. A quantitative approach to the patient's medical record file and a qualitative approach were obtained through FGDs with medical record management officers. The results showed that the accuracy of the main Diagnosis coding has shown results that exceed 80% of all medical records of patients selected as the study sample. However, the accuracy of the secondary diagnosis code is only 50%. Procedure code acceleration is still very low at only 15.4%, and secondary procedure only at 1.8%. The conclusion of the study, the accuracy of the diagnosis code and procedures is closely related to the quality of service. Inaccuracy of diagnosis codes as well as procedures will affect patient satisfaction, especially in payments that are not in accordance with the services they receive. Â Keywords : Encoding, Diagnosis, Procedure, Medical records

Distribution of Coronavirus Disease (Covid-19) in West Sumatra Province with Local Indicator of Spatial Association (LISA) Cluster Map Yudi Pradipta; Defriman Djafri; Ade Suzana Eka Putri; Radian Ilmaskal
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 1 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i1.14959

The COVID-19 pandemic in West Sumatra Province indicates a greater number of cases and mortality. The spread of COVID-19 is related to the mobility of the population, so the potential for transmission between regions is difficult to control. This study aims to determine the local index used in evaluating the tendency for local spatial groupings and can show some form of spatial relationship. Spatial analysis were conducted on 2020 to analyze spatial distribution of Covid-19 in West Sumatera Province. Spatial relationship was assessed by Local Indicator of Spatial Association (LISA). Mapping can be done with the LISA cluster map. The data used is COVID-19 incidence data based on reports from district or city in West Sumatra Province in 4 June 2020. We used Open Geoda Software to analyze the spatial distribution. There is positive spatial autocorrelation and classification in hot spots, cold spots, and outliers in the spread of COVID-19 cases in West Sumatra Province. Hot spots were found in Padang City, Bukittinggi City, and Padang Panjang City. Cold spots also detected in several districts, that is West Pasaman, Pasaman, Payakumbuh, Solok, Padang Pariaman, Pariaman, Sawahlunto, and Sijunjung. The transmission of the COVID-19 case does not recognize regional boundaries, but the grouping of districts or cities based on regional vulnerability is important as part of local control efforts to allocate resources. Coordination and collaboration among local governments need to be strengthened in preventing transmission between regions and reducing the number of cases in vulnerable areas based on hot spots and cold spots from LISA cluster map. It’s necessary for intervention programs more focused and effectively. Keywords: COVID-19, Mapping, Spatial, Vulnerability

Administrative Data Relationship with The Accuracy of Disease Diagnosis Codes of Inpatients in Pariaman Public Hospital Kamal Kasra; Yudi Pradipta
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 2 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i2.911

ABSTRACTÂ Medical records are one of the means to support the achievement of an administrative order in the context of efforts to improve health services in hospitals. An important thing that must be considered by medical record personnel is the accuracy in providing diagnosis and procedure codes. The research problem is the accuracy of the coding of the Diagnosis & Procedure on the medical records of inpatients at the Pariaman Regional General Hospital. The research objective was to describe the general characteristics and accuracy of disease coding based on diagnosis and service procedures as well as the impact of the accuracy of disease coding with inpatient disease diagnosis on the quality of service at the Pariaman Regional General Hospital. The research method is mixed methods. A quantitative approach to the patient's medical record file and a qualitative approach were obtained through FGDs with medical record management officers. The results showed that the accuracy of the main Diagnosis coding has shown results that exceed 80% of all medical records of patients selected as the study sample. However, the accuracy of the secondary diagnosis code is only 50%. Procedure code acceleration is still very low at only 15.4%, and secondary procedure only at 1.8%. The conclusion of the study, the accuracy of the diagnosis code and procedures is closely related to the quality of service. Inaccuracy of diagnosis codes as well as procedures will affect patient satisfaction, especially in payments that are not in accordance with the services they receive. Â Keywords : Encoding, Diagnosis, Procedure, Medical records

Survival Rate of Hepatocellular Carcinoma Patients with Varying Individual Characteristics: A Retrospective Cohort Study Mardhiyah, Imalatul; Masrizal, Masrizal; Pradipta, Yudi; Novirsa, Randy; Soko, Wilson
JIK-JURNAL ILMU KESEHATAN Vol 9, No 2 (2025): JIK-OKTOBER VOLUME 9 NOMOR 2 TAHUN 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i2.1408

Background: There is a continuous demand for an integrated survival analysis that takes into account clinical biomarkers and socio-demographic factors in Hepatocellular carcinoma (HCC) patients from Southeast Asia. This study figured out the mortality predictors that were independent of HCC patients at a major tertiary referral center in Indonesia.Methods: This retrospective cohort study looked into 123 HCC patients who were admitted to Dr. M. Djamil General Hospital, Padang (2018-2023). These patients were selected by simple random sampling. Survival analysis was conducted using Kaplan-Meier curves, log-rank tests, and multivariate Cox regression.Results: Median survival was 284 days with mortality at 24.4%. Univariate analysis showed that albumin <3.5 g/dL (HR=7.67, p=0.045), AFP ≥20 ng/mL (HR=2.16, p=0.044), age ≥59 years (HR=2.38, p=0.018), and obesity (HR=3.43, p=0.013) were significantly associated factors. Multivariate Cox regression indicated that AFP level was the leading factor (adjusted HR=3.94, 95%CI: 1.67-9.33, p=0.002), followed by age ≥59 years (adjusted HR=3.52, p=0.002) and education (adjusted HR=0.36, p=0.014).Conclusions: AFP level, old age, and education were the independent factors of HCC deaths in Central Sumatra. Besides, the conjunction of clinical and socio-demographic factors may be utilized for prognostic risk stratification to pinpoint the most at-risk groups and hence direct the targeted interventions that are most compatible with resource-limited settings predominately HBV-related HCC.

Variation and Predictors of COVID-19 Mortality in Hospitalized Cases in West Sumatra Province, Indonesia: A Retrospective Observational Study Djafri, Defriman; Putri, Ade Suzana Eka; Pradipta, Yudi
Kesmas Vol. 19, No. 3
Publisher : UI Scholars Hub

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

During 2020, the year of the COVID-19 pandemic, different Indonesian provinces had different numbers of COVID-19 infections and fatalities, particularly in West Sumatra Province. This study aimed to investigate the variation of confirmed COVID-19 cases and determine predictors of mortality in hospitalized patients across districts in West Sumatra Province. A retrospective observational study was conducted during the COVID-19 pandemic. From March 2020 to June 2021, 46,005 confirmed cases were collected in the province, of which 42,308 were hospitalized and analyzed. Confirmed cases and deaths were compared by geographic location using spatial analysis. The risk predictors of death were estimated using logistic regression. COVID-19 incidence and mortality varied across cities/districts, with less than 1,000 confirmed cases appearing to be the lowest number. A distinct pattern was visible nonetheless when the incidence density of confirmed cases and deaths was higher. Acute respiratory distress syndrome during the COVID-19 treatment had a higher risk of death (OR = 75.2, 95% CI: 25.6–250). The most significant predictors of death in terms of comorbidity were pneumonia, followed by cancer, chronic obstructive pulmonary disease, diabetes, cardiac disease, and hypertension.

Analysis of Supporting and Inhibiting Factors for Smoking Cessation Among The Totok Rokok Patients in Padang Panjang City Novnariza, Elsi; Hidayat, Ahmad; Chalida Nur, Nadia; Irfa Zadzkia, Shelsa; Andri Yani, Gita; Pradipta, Yudi
Jurnal Kesehatan Saintika Meditory Vol 6, No 1 (2023): Mei 2023
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v6i1.1886

Smoking is one of preventable non-communicable diseases (NCDs) risk factors. Indonesia as the third largest number of smokers country in the world have the percentage of smokers (aged 15+ years) around 32% in 2018. The Padang Panjang City Government have commitment to solve the problem by issued a Regional Regulation regarding Smoke-Free Areas and Cigarette Order Areas No. 8 of 2009. The Padang Panjang City Government also provided ‘totok rokok’ service that available in all public health centers. This program help the smokers to improve their intention to quit smoking until succeed, but many patients also have failed or drop out. We conducted qualitative study with in-depth interview in five public health centers in Padang Panjang City. Participants in this study consist of patients of Totok Rokok Program in public health centers. Data were analyzed by triangulation. There were several factors that influence a smoker to quit smoking. The belief of patient’s susceptibility to have severe disease due to smoking, the belief that smoking can cause comorbidities which will eventually end in death, self-awareness that quit smoking can affect his health and his family as well as his own economy, and lack of motivation for quit smoking. The obstacles in achieving the goal of smokers to stop smoking such as self-inconsistent factors in undergoing therapy and environmental factors such as smoker friends that make patients failed after program. Self factors that indicates a lack of self-motivation in decision to quit smoking, also smoker friends contributing in inconsistency of totok rokok program’s outcome. It is necessary to strengthening monitoring during and after totok rokok program in order to maintain patient’s motivation and control the smoking temptation from theirself and other smoker friends.Keywords : Totok Rokok ; Smoking; Cessation; Program

Faktor yang Mempengaruhi Ibu Hamil Dalam Kunjungan Antenatal Care: Systematic Review and Meta-Analysis Putri, Aulia; Rahmadini, Athifa; Wiliandari, Anggia; Pradipta, Yudi; Mayori, Aurelia
JIK-JURNAL ILMU KESEHATAN Vol 8, No 1 (2024): JIK-April Volume 8 Nomor 1 Tahun 2024
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v8i1.1070

Salah satu agenda utama SDGs adalah menurunkan angka kematian ibu dan kematian Bayi. Pemeriksaan antenatal yang berkualitas dan teratur selama kehamilan akan menentukan status kesehatan ibu hamil dan bayi yang dilahirkan. Tingginya AKI di Indonesia terutama disebabkan faktor ”Tiga terlambat” dan ”Empat terlalu”. Penyebab AKI di Indonesia bervariasi, antara lain: pendarahan pascapersalinan, infeksi nifas, dan komplikasi kehamilan. Angka Kematian Ibu (AKI) didunia berkisar diangka 303 per 100.000 kelahiran hidup dan Angka Kematian Bayi (AKB) didunia sebesar 41 per 100.000 kelahiran hidup (WHO, 2019). Hasil Long Form SP2020 menunjukkan Angka Kematian Ibu di Indonesia sebesar 189 yang artinya terdapat 189 kematian perempuan pada saat hamil, saat melahirkan atau masa nifas per 100.000 kelahiran hidup. Jika dibandingkan dengan Data Angka Kematian Ibu (AKI) Dinas Kesehatan Kabupaten Lima Puluh Kota tahun 2022 sebanyak 11 kasus dari 5.350 kelahiran hidup (205,6/100.000 KH), artinya terdapat 205-206 ibu meninggal dalam 100.000 jumlah kelahiran hidup, maka angka kematian ibu di Kabupaten Lima Puluh Kota Jauh lebih tinggi. Penelitian ini menggunakan systematic literature review dengan menggunakan metode PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) melalui empat tahap, yaitu identifikasi, skrining, kelayakan dan hasil yang diterima. Penelitian bertujuan untuk menganalisi faktor-faktor yang mempengaruhi ibu hamil dalam kunjungan antenatal care yang dapat guna mengurangi angkat kematian ibu dan bayi. Penelusuran literatur dilakukan dengan cara mengakses database elektronik secara online dari Pubmed dan Google Scholar dengan melihat waktu publikasi dengan rentangan tahun 2019-2024. Framework yang digunakan adalah PICO. Berdasarkan 8 artikel yang telah di analisis, menunjukan bahwa ada hubungan tingkat pengetahuan ibu hamil, dukungan suami, aksebilitas pelayanan K4, paparan dan Media Informasi dengan kepatuhan melakukan Antenatal Care (ANC). Dari hasil analisis Systematic review dan meta analisis terdapat 8 artikel nasional maupun internasional didapatkan faktor yang mempengaruhi pemeriksaan Antenatal Care yaitu sebab kurangnya pengetahuan Ibu, sikap atau persepsi ibu, dan dukungan suami. Namun hubungan pekerjaan ibu tidak ada kaitannya. Seseorang akan sadar manfaat dan patuh dalam pengetahuan pemeriksaan kehamilan akan memberikan perilaku kesehatan yang baik.

UPAYA PENCEGAHAN PENYAKIT MENULAR MELALUI EDUKASI DAN TINDAKAN PREVENTIF BERBASIS MEDIA FLASH CARD GAME PADA SISWA SDN 04 GAUNG PADANG Masrizal, Masrizal; Perwati, Ane Dayu; Pradipta, Yudi; Fauzi, Falah
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 7 No. 4 (2024)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v7i4.719

State Elementary School (SDN) 04 Gaung in Padang City is within the working area of the Mata Air Community Health Center, which has a high record of infectious disease cases among children, such as diarrhea and dengue fever (DF). The school environment faces sanitation challenges, with open drains and standing water during rainfall, which increase the risk of disease transmission. This activity aims to enhance students' understanding of infectious disease prevention through education using flash card game media. The program employed a pre-test and post-test design, involving 19 students from grades 4 and 5. The intervention consisted of education using flash card games containing information about Clean and Healthy Living Practices (PHBS). Data were analyzed using the Wilcoxon test to measure changes in knowledge, attitudes, and behaviors before and after the intervention. There was a significant improvement in all measured variables: knowledge (p=0.000) with an average increase from 3.16 to 6.84, attitude (p=0.034) from 6.32 to 6.68, and behavior (p=0.003) from 4.58 to 5.58. The majority of participants were female (63.2%) and 10 years old (52.6%). Education through flash card games proved effective in increasing knowledge, attitudes, and behaviors of SDN 04 Gaung students regarding infectious disease prevention. This interactive learning method successfully created a fun and informative learning environment for students.

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