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Identification of Fungal Agents Causing Onychomycosis in Elderly at Banjar Dinas Batang, Bali Rahayu, Ni Putu Indira; Prasetya, Didik; Abadi, Moh. Fairuz
Jurnal Laboratorium Khatulistiwa Vol 9, No 1 (2025): November 2025
Publisher : poltekkes kemenkes pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jlk.v9i1.1983

Abstract

Onikomikosis merupakan infeksi jamur pada kuku yang sering terjadi pada lansia akibat faktor usia, lingkungan lembap, dan kebersihan yang kurang. Penelitian ini bertujuan untuk mengidentifikasi jenis jamur penyebab onikomikosis dan mengevaluasi karakteristik infeksi pada lansia di Banjar Dinas Batang, Karangasem, Bali. Metode yang digunakan adalah deskriptif dengan pendekatan observasional dan pemeriksaan kultur jamur. Sebanyak 30 lansia dipilih melalui purposive sampling dan dilakukan pengambilan sampel kuku untuk pemeriksaan laboratorium menggunakan media Sabouraud Dextrose Agar serta pewarnaan lactophenol cotton blue. Hasil pemeriksaan menunjukkan bahwa 2 dari 30 sampel (6,67%) positif terinfeksi jamur, dengan spesies dominan Trichophyton mentagrophytes. Mayoritas responden perempuan (57%) menunjukkan angka infeksi lebih tinggi dibandingkan laki-laki (43%). Faktor risiko utama meliputi kebersihan personal yang buruk dan paparan lingkungan lembap. Temuan ini mendukung studi sebelumnya bahwa lingkungan tropis dan usia lanjut berkontribusi terhadap peningkatan prevalensi onikomikosis. Meskipun prevalensinya rendah, infeksi ini tetap berisiko menurunkan kualitas hidup lansia. Oleh karena itu, edukasi kebersihan kuku dan pemeriksaan berkala sangat dianjurkan untuk pencegahan. Penelitian ini juga merekomendasikan penggunaan metode diagnostik molekuler pada studi lanjutan untuk meningkatkan akurasi identifikasi jamur penyebab onikomikosis. 
Age and employment status as dominant factors in medication adherence among hypertensive patients Abadi, Moh Fairuz; Prasetya, Didik; Pratama, Putu Teguh Surya
Media Penelitian dan Pengembangan Kesehatan Vol. 36 No. 1 (2026): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v36i1.3625

Abstract

Background: Hypertension is a common chronic condition that requires consistent medication adherence to prevent complications. Despite various control programs, adherence remains influenced by sociodemographic factors. Objective: This study aimed to examine the association between sociodemographic characteristics, national health insurance enrollment (JKN), smoking habits, and medication adherence among hypertensive patients. Methods: This cross-sectional study was conducted at the Mengwi Public Health Center, Badung Regency, Bali Province. The study population included 611 adult hypertensive patients, and 239 respondents were selected using random sampling. The dependent variable was medication adherence, while the independent variables were age, gender, marital status, education, employment status, household position, JKN membership, and smoking habits. Data were analyzed using the Chi-square test to assess associations. Results: The results showed that among 239 participants, 82.8% adhered to their medication. Age was significantly associated with adherence (p = 0.008), and regression analysis (p = 0.901; OR = 1.001; 95% CI: 0.980–1.023) indicated a small effect but a pattern where older and middle-aged patients were more compliant than younger adults. Employment status was also significantly related to adherence (p = 0.039), with regression results (p = 0.039; OR = 3.125; 95% CI: 1.061–9.206), showing a positive association. Other variables, including gender, marital status, education, household position, JKN membership, and smoking habits, were not significantly associated. Conclusion: Age and employment status significantly influenced medication adherence among hypertensive patients. These findings emphasize the importance of age- and occupation-based interventions, such as adherence education for younger patients and time management strategies for employed individuals.