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The Relationship Between Tuberculosis Knowledge and The Attitudes and Behaviors Of Dayah Students Rahman, Muhammad; Kurniawan, Ferry Dwi; Habibie, Yopie Afriandi; Arliny, Yunita; Maulina, Novi
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.60

Introduction: Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis and is one of the leading causes of death worldwide. Indonesia ranks second in global TB case counts, with a high transmission rate, particularly in high-risk environments such as Islamic boarding schools. This study aims to evaluate the knowledge, attitudes, and behaviors related to TB among students at Dayah Madrasah Aliyah Swasta Babun Najah in Banda Aceh. Additionally, it will analyze the relationship between their knowledge, attitudes, and behaviors in the context of TB prevention. Methods: This study employed an observational analytic method with a cross-sectional design and utilized cluster sampling. Primary data were gathered through questionnaires. The research was conducted at Dayah Madrasah Aliyah Swasta Babun Najah, located in the Ulee Kareng District of Banda Aceh, on August 29, 2024. Bivariate analysis was performed using the non-parametric Spearman's rank correlation coefficient test. Results: A total of 90 students participated in the study. The findings revealed that 67.8% of respondents had good knowledge, 78.9% demonstrated positive attitudes, and 47.8% exhibited good behaviors regarding tuberculosis (TB) prevention. Spearman Rank analysis indicated a moderately strong positive correlation between knowledge and attitudes (r = 0.527) and between knowledge and behaviors (r = 0.535), with a p-value of less than 0.025. Conclusion: Enhancing knowledge among students is crucial for fostering better attitudes and behaviors related to TB prevention, particularly in high-risk environments.

Indonesian Society of Respirology Position Paper on Lung Cancer Control in Indonesia Andarini, Sita; Santoso, Andintia Aisyah; Arfiansyah, Mochammad Aris; Syahruddin, Elisna; Zaini, Jamal; Putra, Andika Chandra; Kurniawan, Ferry Dwi; Ermayanti, Sabrina; Soeroso, Noni Novisari; Munir, Sri Melati; Infianto, Andreas; Setijadi, Ana Rima; Setyawan, Ungky Agus; Wulandari, Laksmi; Haryati, Haryati; Jasminarti, Ida Ayu; Hidayat, Moulid; Santoso, Arif
Jurnal Respirologi Indonesia Vol 44, No 4 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i4.884

Lung cancer is a major health concern in Indonesia due to its increasing prevalence, late-stage diagnosis, younger population, and high mortality. Addressing this issue requires nationwide implementation of comprehensive lung cancer control, which includes risk reduction and prevention strategies, focusing on tobacco control and air pollution mitigation. Screening with low-dose computed tomography (LDCT) and early detection in symptomatic patients, along with TB screening programs and all non-communicable diseases, is strongly recommended to enhance early case findings, treatment effectiveness, and overall patient outcomes. A multidisciplinary team (MDT) approach is important to ensure accurate diagnosis and comprehensive care. Moreover, the integration of palliative care at the early stages of advanced lung cancer is vital, focusing on symptom management and enhancing the quality of life for patients. While national guidelines are available for the diagnosis and treatment of lung cancer, significant disparities in healthcare access remain across Indonesia. Thus, it is essential to improve universal health coverage and referral systems to guarantee equal access to lung cancer care for patients at all levels through advocacy and ease of access.

The Relationship between Particulate Matter and Length of Exposure to Respiratory Complaints and Lung Function Disorder among Brick Craftsmen in Aceh Besar Dianova, Sri; Febriansyah, TM.; Yanti, Budi; Andayani, Novita; Yusuf, Nurrahmah; Kurniawan, Ferry Dwi; Salawati, Liza
Respiratory Science Vol. 5 No. 1 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i1.161

Background: Brick craftsmen are heavily exposed to particulate matter (PM) from brick burning, possibly contributing to respiratory complaints. The research aims to evaluate the association between PM levels, duration of exposure, respiratory complaints, and lung function disorders among brick craftsmen in Aceh Besar. Method: The research method is observational analytic with a cross-sectional design. It was conducted in September 2023 on 68 respondents to assess lung function using spirometry and PM levels using the Air Quality Monitor. Results: The data analysis revealed restrictive types of lung function disorders (47.1%), 75% of participants had worked for more than three years with working hours ≥8 hours/day (100%), the most frequent respiratory complaint was coughing (23.5%) and shortness of breath (13.2%), and the dominant type of work was brick molding (67.6%) rather than burning (32.4%). The PM2.5 index in the brick manufacturing area is classified as very dangerous (100%), while the PM10 index is identified as very unsafe (55.6%) and very dangerous (44.4%). The correlation analysis revealed a significant connection between PM2.5 as well as PM10 and lung function impairments (values of P=0.002 and 0.012, respectively). There was a significant correlation between work periods and lung function impairments (P=0.037). Multivariate analysis showed that a working term of 1-3 years was strongly linked with lung function disorder (FEV1) among brick craftsmen in Aceh Besar (P=0.026). Conclusion: This study showed that PM exposure was significantly associated with impaired lung function but not with respiratory complaints. Furthermore, a long working period is significantly associated with respiratory symptoms, especially for workers with 1-3 years, and is associated with impaired lung function in brick artisans in Aceh Besar.

Histopathological profile and radiological features of lung cancer with and without a history of pulmonary tuberculosis at dr. Zainoel Abidin Hospital, Banda Aceh Mardhatillah; Kurniawan, Ferry Dwi; Maulina, Novi; Arliny, Yunita; Sakdiah; Andayani, Novita
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.64

Introduction: Lung cancer is one of the types of malignancies that is the leading cause of cancer deaths worldwide. In Indonesia, the incidence of lung cancer is quite high, with pulmonary TB as a risk factor that can increase the risk of lung cancer in the future. This study aims to describe the histopathological profile and radiological picture of lung cancer patients in patients with and without a history of pulmonary TB at dr. Zainoel Abidin Hospital Banda Aceh. Methods: This study uses retrospective methods and univariate analysis. The subjects of this study are lung cancer patients at dr. Zainoel Abidin Hospital from January 2022 to December 2023. Result: The results of this study showed that of the 184 patients, 6.5% of them had lung cancer with a history of pulmonary TB, while the other 93.5% had lung cancer without a history of pulmonary TB. Of the two groups of lung cancer, the majority of patients were aged 51-60 years (32.6%), male (83.7%), still working (81%), from Aceh (99.5%), and Muslim (99.5%). Most lung cancer patients were diagnosed at stage IV (86.4%), with Squamous Cell Carcinoma being the most common type of histopathology (57.1%). In lung cancer patients with a history of pulmonary TB, post-TB lesions are often found, such as fibrosis (83.3%), calcification (50%), cavitation (33.3%), pleural thickening (16.7%), and atelectasis (8.3%). Conclusion: Efforts to prevent lung cancer, especially in patients with a history of pulmonary TB, need to be continued so that the risk of developing lung cancer can be reduced.

Air Quality and Correlation of Exhaled Carbon Monoxide Level with Lung Function among Petrol Station Attendants in Banda Aceh Hardisa, Rika; Kurniawan, Ferry Dwi; Dianova, Sri; Yanti, Budi; Yusuf, Nurrahmah
Respiratory Science Vol. 5 No. 3 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i3.177

Background: Risks of developing respiratory diseases due to pollutant exposures at petrol stations are high. The pollutants, such as particulate matter, carbon monoxide (CO), and volatile organic compounds emitted from vehicle exhaust and gasoline vapours, may affect the lung function of petrol station attendants. This study aimed to assess the levels of particulate matter, total volatile organic compounds, and the correlation of CO level and lung function among petrol station attendants in Banda Aceh. Method: An analytical observational study with a cross-sectional design involved 114 attendants from 12 petrol stations in Banda Aceh. Lung function was evaluated using spirometry, and CO exhalation levels were measured using a Smokerlyzer. In addition, particulate matter and total volatile organic compounds levels were measured in the petrol station area using an air quality monitor. Results: Most participants were male (82.5%) with a mean age of 30 years. The duration of work was under 5 years in 68 participants (59.6%). Approximately 61.4% (70 samples) were active smokers, with the most common Brinkman index indicating mild smoking habits for 50 samples (43.9%). The Pearson chi-square test revealed no significant relationship between CO exhalation levels and decreased lung function (P=0.118). The level of TVOC exceeded safe limits at all gas stations (>0.601 mg/m3), with an average TVOC level of 7.53 mg/m3. Most participants showed above-normal expiratory CO levels (53.6%). The average of the PM2.5 level was moderate. Conclusion: This study found no significant correlation between exhaled CO levels and decreased lung function among petrol station attendants, likely due to their shorter duration of work and age under 40 years.

Indonesian Society of Respirology Position Paper on Lung Cancer Control in Indonesia Andarini, Sita; Santoso, Andintia Aisyah; Arfiansyah, Mochammad Aris; Syahruddin, Elisna; Zaini, Jamal; Putra, Andika Chandra; Kurniawan, Ferry Dwi; Ermayanti, Sabrina; Soeroso, Noni Novisari; Munir, Sri Melati; Infianto, Andreas; Setijadi, Ana Rima; Setyawan, Ungky Agus; Wulandari, Laksmi; Haryati, Haryati; Jasminarti, Ida Ayu; Hidayat, Moulid; Santoso, Arif
Jurnal Respirologi Indonesia Vol 44 No 4 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i4.884

Lung cancer is a major health concern in Indonesia due to its increasing prevalence, late-stage diagnosis, younger population, and high mortality. Addressing this issue requires nationwide implementation of comprehensive lung cancer control, which includes risk reduction and prevention strategies, focusing on tobacco control and air pollution mitigation. Screening with low-dose computed tomography (LDCT) and early detection in symptomatic patients, along with TB screening programs and all non-communicable diseases, is strongly recommended to enhance early case findings, treatment effectiveness, and overall patient outcomes. A multidisciplinary team (MDT) approach is important to ensure accurate diagnosis and comprehensive care. Moreover, the integration of palliative care at the early stages of advanced lung cancer is vital, focusing on symptom management and enhancing the quality of life for patients. While national guidelines are available for the diagnosis and treatment of lung cancer, significant disparities in healthcare access remain across Indonesia. Thus, it is essential to improve universal health coverage and referral systems to guarantee equal access to lung cancer care for patients at all levels through advocacy and ease of access.

Studi Perbandingan : Kualitas Hidup Pasien Kanker Paru Yang Menjalani Kemoterapi Dengan Yang Menolak Kemoterapi Kurniawan, Ferry Dwi; Rinaldy; Jumar, Mikhwanul
Journal of Medical Science Vol 7 No 1 (2026): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v7i1.257

Kanker paru merupakan salah satu penyebab kematian tertinggi akibat kanker di dunia. Selain angka kelangsungan hidup, kualitas hidup (Quality of Life/QoL) merupakan indikator penting keberhasilan terapi kanker. Penelitian ini bertujuan untuk membandingkan kualitas hidup pasien kanker paru antara kelompok yang menjalani kemoterapi dengan kelompok yang menolak kemoterapi dengan menggunakan instrumen penilaian WHOQOL-BREF.Penelitian ini merupakan penelitian observasional analitik dengan rancangan pre-test dan post-test untuk menilai perubahan kualitas hidup pasien kanker paru sebelum dan sesudah menjalani kemoterapi. Penelitian dilakukan di Ruang Rawat Inap dan Poliklinik Paru Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh pada bulan Juni hingga September 2025. Populasi penelitian adalah seluruh pasien kanker paru yang menjalani pengobatan kemoterapi, dan sampel adalah pasien yang baru pertama kali menjalani kemoterapi serta memenuhi kriteria inklusi dan eksklusi. Teknik pengambilan sampel menggunakan metode consecutive sampling dengan jumlah responden sebanyak 44 orang, terdiri dari 38 pasien yang menjalani kemoterapi dan 6 pasien yang menolak kemoterapi.Kualitas hidup diukur menggunakan kuesioner WHOQOL-BREF yang mencakup empat domain, yaitu kesehatan fisik, psikologis, hubungan sosial, dan lingkungan. Hasil penelitian menunjukkan bahwa skor rata-rata kualitas hidup pasien pada keempat domain WHOQOL-BREF tidak menunjukkan perbedaan bermakna antara kelompok yang menjalani kemoterapi dan kelompok yang menolak kemoterapi. Pada domain fisik, pasien kemoterapi memiliki skor rata-rata 46,00, sedangkan pasien yang menolak kemoterapi 50,00 (p=0,461). Pada domain psikologis, rata-rata skor kelompok kemoterapi adalah 53,84 dan pasien non-kemo 54,33 (p=0,909). Pada domain hubungan sosial, pasien kemoterapi memperoleh skor rata-rata 56,47 dan pasien non-kemo 53,00 (p=0,540). Sementara itu, pada domain lingkungan, pasien kemoterapi memiliki skor rata-rata 54,37 dan pasien non-kemo 56,33 (p=0,638).Kesimpulan dari penelitian ini adalah kualitas hidup pasien kanker paru yang menjalani kemoterapi tidak berbeda bermakna dengan pasien yang menolak kemoterapi pada semua domain WHOQOL-BREF. Hal ini menunjukkan bahwa kualitas hidup pasien kanker paru kemungkinan lebih dipengaruhi oleh faktor lain seperti kondisi fisik dasar, dukungan sosial, dan lingkungan dibandingkan keputusan menjalani kemoterapi itu sendiri.

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