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Journal : Public Health Perspective Journal

Analisis Pengaruh Fase Pengobatan, Tingkat Depresi dan Konsumsi Makanan Terhadap Status Gizi Penderita Tuberkulosis (TB) Paru Di Wilayah Kerja Puskesmas se-Kecamatan Genuk Kota Semarang Nurjannah, Nurjannah; Made Sudana, I
Public Health Perspective Journal Vol 2, No 3 (2017): December 2017
Publisher : Universitas Negeri Semarang

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Abstract

Infeksi Mycobacterium tuberculosis dapat menyebabkan penurunan berat badan. Status gizi yang buruk meningkatkan resiko infeksi dan penyebaran penyakit tuberculosis (TB). Selain itu, seseorang yang telah didiagnosis dengan penyakit TB paru akan secara langsung maupun tidak langsung mengubah pola kesehariannya. Kenyataan harus mengonsumsi obat sepanjang hidupnya menyebabkan lama kelamaan sebagian dari  penderita TB Paru akan mengalami depresi.Tujuan penelitian ini adalah menganalisis pengaruh langsung dan pengaruh tidak langsung fase pengobatan, tingkat depresi dan konsumsi makanan terhadap status gizi penderita TB paru. Penelitian ini menggunakan pendekatan kuantitatif dengan pendekatan Cross Sectional Study serta menggunakan analisis jalur (Path Analysis). Populasi dalam penelitian ini adalah seluruh pasien TB paru yang terdaftar sebagai pasien rawat jalan di Wilayah Kerja Puskesmas Se-Kecamatan Genuk sejumlah 46 orang, sedangkan sampelnya menggunakan sampel minimal sejumlah 30 orang yang tersebar di 2 puskesmas yaitu Puskesmas Bangetayu dan Puskesmas Ganuk. Pengambilan sampel dilakukan dengan teknik accidental sampling. Hasil penelitian menunjukan fase pengobatan berpengaruh langsung terhadap kadar hemoglobin sebesar 15,7% dan kadar albumin sebesar 34,9%, namun fase pengobatan tidak berpengaruh langsung terhadap IMT dan LILA. Tingkat depresi tidak berpengaruh langsung terhadap IMT, LILA, kadar albumin dan kadar hemoglobin. Konsumsi makanan berpengaruh secara langsung terhadap IMT sebesar 40,1%, LILA sebesar 29,6% dan kadar hemoglobin sebesar 23,3%, namun konsumsi makanan tidak berpengaruh secara langsung terhadap kadar albumin. Fase pengobatan berpengaruh secara tidak langsung terhadap kadar hemoglobin yaitu melalui konsumsi makanan sebesar 7%. Sehingga pengaruh total fase pengobatan, tingkat depresi dan konsumsi makanan terhadap IMT sebesar 40,1%, LILA sebesar 29,6%, kadar hemoglobin sebesar 46% dan kadar albumin sebesar 34,9%.Mycobacterium tuberculosis infections can cause weight loss. Poor nutritional status increases the risk of infection and spread of the disease tuberculosis (TB). In addition, someone who has been diagnosed with pulmonary TB disease will either directly or indirectly change the pattern of her everyday.  The fact should be taking drugs all his life cause he Pulmonary TB sufferers from some will experience depression. The purpose of this study was to analyze the effect of direct and indirect influences of the treatment phase, the level of depression and food consumption against pulmonary TB  sufferer nutritional status. This research uses a quantitative approach with approach Cross Sectional Study and using path analysis (Path Analysis). The population in this research is the entire pulmonary TB patients are registered as outpatients Clinics in the region all-Sub Genuk a number of  46 people, while the number of the samples use the sample at leasta number of 30 people scattered 2 clinics Bangetayu health centersand clinics, namely Ganuk. Sampling is done by accidental sampling techniques. The research results show the phases of the treatment effect directly against the levels of hemoglobin and albumin levels 15.7% of 34.9%, however the treatment phase has no effect directly against the IMT and LILA. The rate of depression has no effect directly against the IMT, LILA, the levels  of albumin and hemoglobin levels. Food consumption take effect directly against IMT amounting to 40.1%, LILA of 29.6% and hemoglobin levels of 23.3%, but do not affect food consumption directly against the levels of albumin. Phases of treatment effect in directly against the levels of hemoglobin that is through food  consumption amounted to 7%. So the influence of the total phase of the treatment, the level of depression and food consumption towards IMT of 40.1%, LILA of 29.6%, 46% of hemoglobin levels and albumin levels amounted to 34.9%.
Effect of Time and Waiting Facilities Toward The Satisfaction Level of Pregnant Women in Antenatal Care Services Wati, Dewi Sapta; Made Sudana, I
Public Health Perspective Journal Vol 4, No 2 (2019): August 2019
Publisher : Universitas Negeri Semarang

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Abstract

Efforts to reduce mortality and morbidity in pregnant women by improving integrated ANC services which are comprehensive and integrated antenatal services, including promotive, preventive and curative and rehabilitative efforts. Community Health Centre is one of the basic health facilities that are used to carry out integrated ANC. Every pregnant woman is required to carry out an integrated ANC at the Community Health Centre in the first trimester. The purpose of this study was to analyze facilities and waiting times for the satisfaction level of pregnant women in ANC services. This research was a quantitative research, with a cross sectional approach. The sample of this study amounted to 109 samples with purposive sample technique. The instrument used a questionnaire. Data analysis was carried out by using two predictors regression. The results of F count are obtained that the F table is based ondk numerator = 2 and the denominator (109-2-1) = 106 for the error rate of 5% = 3.09 because F count is greater than F table, the correlation coefficient tested is significant. The most dominant factor obtained is the facility. The real contribution is 88.7% and the effective contribution is 5.23%, the waiting time has a relative contribution of 11.2% and the effective contribution is 0.66%. The conclusion is the influence between facilities and waiting time on the level of satisfaction of pregnant women in antenatal care services.
The Influencing Risk Factors of Measles in Bantul Regency Susilowati, Anik; Wijayanti, Yuni; Made Sudana, I
Public Health Perspective Journal Vol 4, No 2 (2019): August 2019
Publisher : Universitas Negeri Semarang

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Abstract

Measles is the cause  infant and child deaths that occur in developing countries,  WHO states that measles cases are reported to have increased by 300% in the first month of 2019 compared to 2018. Africa is the most significant increase of 70% in the world. Ukraine, Madagascar and India are the worst affected countries, with tens of thousands of cases registered for every million of its population. Since September, at least 800 people have died from measles in Madagascar . The purpose of this study was to analyze the risk factors that influence the incidence of measles in infants. This research was a quantitative research, with a Case Control Study approach. The research sample consisted of 122 respondents with Purposive Sampling. Data analysis used univariate, bivariate and multivariate analysis using multiple linear regression. The results showed that knowledge (p = 0.003), nutritional status (p = 0,000), parenting (p = 0.029) and behavior influenced the incidence of measles in infants (p = 0.034). Furthermore, multivariate analysis showed that the risk factors for measles in infants were knowledge, nutritional status, parenting and behavior. The community is expected to improve parenting and healthy behavior, especially related to factors that can prevent measles in an effort to increase prevention of comprehensive diseases 
Analysis of Factors Affecting the Participation women of childbearing age in Early Detection of Cervical Cancer Aminah, Mun; Made Sudana, I
Public Health Perspective Journal Vol 3, No 2 (2018): August 2018
Publisher : Universitas Negeri Semarang

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Abstract

Cancer disease is a disease with the highest prevalence in Indonesia. In the year 2013 increased to 114 patients and in 2015 a number 115 cervical cancer patients. Cancer often happens to childbearing-age women. The incidence of cervical cancer, in fact, can be suppressed by performing early detection. The purpose of this research is to know the effect of the counseling, husband’s support and information source on early detection of cervical cancer and also the most dominant relative and effective contribution. This research is a quantitative research with cross sectional approach with random sampling technique using three predictor regression analysis. Population and sample in this research are the childbearing-age women in working area of Primary Health Survices Purwodadi I with 80 respondents by using random Sampling technique. The analysis that is used in this research is Regression analysis with 3 predictors. The result of F arithmetic is obtained that F table is based on dk denominator = 3 and dk denominator (80-3-1) = 76. For error level 5% = 2,74 because F count is greater than F table then the correlation coefficient tested is significant that dominant factor is husband’s support. Relative contribution is 73,81% and effective contribution is 64,87%, counseling has 27,5% of relative contribution and 24,17% of effective contribution and information sources have -1,37% of relative contribution and -1,20 of effective contribution. The conclusion of the influence between husband support and counseling on early detection of cervical cancer
Society Efforts in Preventing Dengue Fever in Bergaslor, Bergas, Semarang Ratnawulan, Arie; Raffy Rustiana, Eunike; Made Sudana, I
Public Health Perspective Journal Vol 4, No 1 (2019): April 2019
Publisher : Universitas Negeri Semarang

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Abstract

The number of Dengue Fever sufferers in Indonesia in 2017 was reported as many 59.047 cases with a total death of 444 people (incidence rate/morbidity rate=22,55 per 100,000 population and case fatality rate(CFR)/mortality rate =0,75%). This assumption is often overlooked, even though it is very influential on peoples efforts in making decisions,especially against prevention of dengue. The purpose of this study was to determine society efforts in addressing the prevention of Dengue Fever(DHF) in bergaslor, bergas,semarang. This research used descriptive research with a qualitative approach. The subjects in this study were 6 mothers in Bergaslor,Bergas,Semarang ,taken by snow ball sampling. The results of the study indicate that the prevention of Dengue Fever(DHF) by the society is the most important thing to do is to clean the house and the surrounding environment and use mosquito repellent. Some activities that are still lacking in prevention of Dengue Fever(DHF) are draining the bath,burying scraps, the irregular abate using and fogging.Jenis penelitian yang digunakan adalah jenis penelitian deskriptif dengan pendekatan kualitatif. Subyek dalam penelitian ini adalah 6 ibu di Desa Bergaslor Kecamatan Bergas Kabupaten Semarang diambil dengan cara snow ball sampling.Hasil penelitian menunjukkan upaya pencegahan penyakit demam berdarah yang dilakukan masyarakat yang paling utama dilakukan masyarakat adalah membersihkan rumah dan lingkungan sekitarnya dan pemakaian anti nyamuk. Kegiatan yang masih kurang dalam pencegahan DBD adalah menguras bak mandi, mengubur barang bekas, pemakaian abate dan foging yang kurang teratur.Adapun saran bagi masyarakat sangat diperlukan untuk ditanamkan sikap yang peduli terhadap penyakit DBD kepada anggota keluarga untuk memperkecil resiko terkena penyakit DBD.Keterlibatan kader kesehatan, kepala lingkungan, PKK, tokoh masyarakat, tokoh agama, dan lintas sektor lainnya perlu ditingkatkan agar dapat meningkatkan keberhasilan pelaksanaan P2M DBD.