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All Journal The Indonesian Journal of Public Health Eduvest - Journal of Universal Studies
Nur Kristina, Tri
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Aerospace Engineering Computer Science & IT Health Professions Neuroscience Public Health Social Sciences

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ONLINE APPLICATION BASED ON KING INTERACTION SYSTEM THEORY TO INCREASE TREATMENT ADHERENCE AND CLINICAL INDICATORS IN TB CHILDREN Sari, Ethyca; Nur Kristina, Tri; Sujianto, Untung; Suhartono; Sakti, Hastaning
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.369-380

Abstract

Introduction:  Non-adherence to treatment among TB children in Indonesia varied 40.5%-57.2%. An innovative method of education might improve treatment adherence and clinical recovery of TB children. The aims of this study were to compare the treatment adherence and clinical indicators of TB children who received an intervention using an online application based on King's theory with a conventional method. Methods: This is a quasi-experimental study to educate 55 TB school-age children using a validated online application based on King's interaction system theory, compared with the conventional method in 55 TB children as the control group. The medication regularity and control discipline were observed four times in weeks 2, 4, 6, and 8. Measurements of acid-fast bacilli (AFB) smear sputum examination, TB scoring, chest X-ray examination, level of Hb, and nutritional status were done twice in pre- and post-intervention. Data analysis used chi-square, paired t-test, independent t-test, Mann Whitney, McNemarᵇ. or Wilcoxon test. Results: The results of this study revealed that the intervention group was significantly successful compared to the control group in several indicators, such as increasing treatment adherence (p=0.001), controlling discipline (p=0.001), reducing AFB positive (p=0.001), TB scoring (p=0.001), infiltrate in chest X-ray examination ((p=0.013), and increasing Hb levels (p=0.001). Meanwhile, nutritional status could not be compared because, from the beginning of the study, the nutritional status was unbalanced and benefited the intervention group. Conclusion: The online application based on King's theory has succeeded in increasing medication adherence and clinical improvement of pulmonary TB in children.
Correlation between Sequential Organ Failure Assessment (SOFA) Score with Right Ventricular Systolic Function and Left Ventricular Filling Pressure in Sepsis Patients Wardhani, Anindia; Nugroho, M.Arif; Ahnaf, M.Fauziar; Arifin, Johan; Nur Kristina, Tri
Eduvest - Journal of Universal Studies Vol. 5 No. 7 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i7.51624

Abstract

This research aimed to evaluate the relationship of sepsis severity assessed using SOFA scores with RV systolic function and LVFP. Methods: This cross-sectional observational study involved 25 dr. Kariadi General Hospitals septic patients without cardiac disease. The SOFA score as a study subject was calculated up to a maximum of 3 times per patient parallel to the RV function examination.  Echocardiographic RV function parameter we used Tricuspid Annular Plane Systolic Excursion (TAPSE), Right Ventricle Fractional Area Change (RV-FAC), Right Ventricle Free Wall Strain (RV-FWS), Right Ventricle-Pulmonary Artery (RV-PA) coupling, and LVFP using the Nagueh formula and ASE/EACVI 2016 criteria. Correlation tests were conducted between SOFA scores with TAPSE, RV-FAC, RV-FWS, RV-PA coupling, and LVFP. Results: There were 56 samples of SOFA scores and echocardiography. There was a significant correlation between SOFA scores and TAPSE (r = -0.44, p = 0.001), RV-FAC (r = -0.54, p = <0.001), RV-FWS (r = -0.52, p = <0.001), RV-PA coupling (r = -0.32, p = 0.014). No significant correlation was found between SOFA and LVFP scores with Nagueh (r = 0.11, p = 0.42) and the 2016 ASE/EACVI criteria (r= -022, p= 0.09). RV-FWS can detect RV dysfunction earlier than other parameters. Conclusion: SOFA score is associated with RV function but not with LVFP. Echocardiography in septic patients can be considered to detect early RV dysfunction.
Co-Authors Ahnaf, M.Fauziar Ethyca Sari Hastaning Sakti Johan Arifin Nugroho, M.Arif Suhartono Untung Sujianto Wardhani, Anindia