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All Journal Jurnal Kedokteran Diponegoro Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Ahmad Dahlan Medical Journal
Arsyada Hakama Syakuro
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Validity and Reliability of Knowledge, Attitude and Practice Questionnaire of Ear Care among Medical Workers Arsyada Hakama Syakuro; Deoni Daniswara; Adnan Abdullah; Rizka Fakhriani; Asti Widuri
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

The auditory system is a vital and prominent component of human. It is imperative for individuals to prioritize the maintenance of this organ throughout their lives. These methods encompass the maintenance of ear cleanliness, safeguarding against excessive noise exposure, preventing accidents, and warding off ear infections and disorders. The aim of this study was to determine the validity and reliability of knowledge, attitude, and practice about ear care among medical workers. This study uses a descriptive-analytic method with a cross-sectional design. The ear care questionnaire comprising of knowledge, attitude and practice translated and applicated for 45 participants, the validity test using Pearson’s correlation and reliability test evaluation determined by Cronbach’ s alpha. The ear care questionnaire Indonesian version found Pearson’s correlation of all items r above 0.35 or strongly valid, and the Cronbach’s alpha coefficient was 0.749 (adequate). Indonesian version of knowledge, attitude, and practice about ear care is valid and reliable, the result of assessment can indicate the needed of public awareness through education and health promotion.
Effect of Educational Videos on Knowledge, Attitudes, and Practices of Ear Health: A Quasi-Experimental Study among Medical Students in Yogyakarta, Indonesia Arsyada Hakama Syakuro; Asti Widuri; Rizka Fakhriani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 11 (2025): November 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i11.8497

Abstract

Introduction: Many hearing problems arise from a lack of understanding about ear health and proper care. Lack of public awareness of how to maintain ear health, coupled with improper ear cleaning techniques such as using cotton swabs or other instruments, can lead to earwax blockages or infections in the outer ear. Some ear infections can be prevented by public health promotion activities, including videos. This study aims to examine the effect of ear health education videos on knowledge, attitudes, and ear cleaning practices. Methods: This study used a quasi-experimental pre-test and post-test design. Sixty-three medical students were recruited using consecutive sampling. After obtaining informed consent, they were asked to complete a valid and reliable Indonesian version questionnaire on knowledge, attitudes, and practices (KAP) of ear health, watch an educational video about anatomy, physiology, and ear health safety care, and then complete the same questionnaire again. Results: The research respondents were 38 (60.3%) female students and 25 (39.7%) male students. Overall KAP scores improved significantly after video intervention (Z = -3.92, p < 0.001, r = 0.49, 95% CI = [0.28-0.66]). Stratified analysis of each domain revealed heterogeneous outcomes. Knowledge and attitude scores showed a non-significant increase, but practices improved significantly with a small to moderate effect (Z = -2.03, p = 0.042, r = 0.26, 95% CI = [0.40-3.00]), particularly regarding avoidance of unsafe ear cleaning tools and noise exposure. Conclusion:Ear health video education did not substantially alter knowledge and attitude, but it produced significant behavioral shifts in self-reported ear-care practices. The absence of substantial change in knowledge and attitude ratings may be due to a high baseline level in this cohort, indicating a possible ceiling effect. This behavioral shift aligns with theories suggesting that multimedia interventions effectively improve procedural skills and self-efficacy, aiding the application of existing knowledge into positive action rather than promoting deeper conceptual change.
CERUMENOLYTIC AGENTS FOR CERUMEN IMPACTION TREATMENT: A SCOPING REVIEW Arsyada Hakama Syakuro; Asti Widuri; Rizka Fakhriani; Deoni Daniswara
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 4 (2025): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkd (dmj).v14i4.50611

Abstract

Background: Cerumen impaction is a common condition all over the world. It is observed in around 5% of adults and has a higher prevalence in children, the elderly, and people with intellectual impairment. The management of cerumen impaction must be treated by general practitioners regarding insurance policies in Indonesia. Besides cerumen removal, in difficult cases for cerumen extraction, we can use cerumenolytic agents. Objective: This scoping review is to identify the current data on cerumenolytic drugs, emphasizing their effectiveness, safety profiles, and optimal treatment practices. Methods: Electronic databases were searched for medicinal treatment of cerumen impaction. The search technique entailed querying three esteemed databases—PubMed, SCOPUS, and ScienceDirect—utilizing the following search terms: (cerumen impaction) OR (cerumen prop) OR (cerumen obturans) OR (earwax) AND (cerumenolytic agent). Results: Ex vivo and in vitro studies demonstrated that carbamide peroxide had significantly more rapid cerumen degradation than phenol glycerol, distilled water was superior to commercial agents, and sodium bicarbonate surpassed docusate sodium, and potassium hydroxide had the quickest disintegration among the agents studied. In vivo investigations validated these patterns, with glycerin-hydrogen peroxide attaining the highest rates of tympanic membrane visualization and sodium bicarbonate demonstrating comparable efficacy to docusate sodium. Conclusion: Sodium bicarbonate was the most evaluated cerumenolytic agent, followed by docusate sodium and distilled water. There was no significant difference in weight growth or disintegration between sodium bicarbonate and docusate sodium, while wet cerumen exhibited a more rapid response than dry cerumen.
Co-Authors Adnan Abdullah Asti Widuri Asti Widuri Deoni Daniswara Deoni Daniswara Rizka Fakhriani Rizka Fakhriani