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Health Related-Quality of Life in CKD and Dialysis Patients in Asian Countries : A Systematic Review Aan Anjarwati
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

ABSTRACT Introduction: Chronic Kidney Disease (CKD) and Chronic dialysis has a great impact on patients health-related quality of life (HRQOL). The impacts are about the morbidity, mortality, and the survival rate of the dialysis therapy. We focused this systematic review in Asian countries. Methods: Systematic Review with PRISMA method retrieved from online database such as PubMed, Wiley and ProQuest using a keyword “Health Related-Quality Life (HRQOL)”, “Chronic Kidney Disease (CKD) patient OR ESRD (End Stage Renal Disease), CKD with Hemodialysis OR CKD dialysis at Asian Country”. The end of this search we got 10 journals. Results: The measurement HRQOL in CKD or dyalisis patients such EQ-5D and Kidney Disease Quality of Life (KDQOL). There are 4 country used KDQL (Korea, China, India, Singapore and Indonesia). The result show HRQOL in CKD patients has declined when the level of CKD increased especially when the amount of albumin high and the level of hemoglobin decline. HRQOL in dialysis patient has lower depressive mood in planned dialysis group than unplanned dialysis. There are no difference in KDCS, PCS, or MCS scores between patients treated by hemodialysis and CAPD. They also got 5 more years when choose dialysis (Hemodialysis). Conclusion: Health related quality of life (HRQOL) related with progressive of CKD level. The level that should pay attention is CKD level 3 where HRQOL can decreased. When the patients routine dialysis (CAPD or hemodialysis) used concern about the medicine (such erythropoietin, routine medicine) and the laboratory (albumin and hemoglobin). The more progressive level of CKD the lower of HRQOL. Keywords: Health Related Quality of Life (HQOL), CKD (Chronic Kidney Disease), Dialysis, Hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD).

Could We Derive Benefit From Implementing Electronic Medical Records In Hospital?: A Structured Evidence and Narrative Review Sarah Rosiana Rahmawati
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Introduction One method chosen by many hospitals to achieve efficiency is the use of an Electronic Medical Record (EMR) system. This study discusses the EMR and its relationship with the efficiency and quality of hospital services through patient outcomes and users’ (physicians’ and nurses’) perspectives. Method A structured evidence and narrative review using the PRISMA method, with articles retrieved from online databases including PubMed, Wiley, ScienceDirect and ProQuest. The study’s period of review dates back ten years. Results The advantages of EMRs are decreased length of stay (LOS) and infection rate, plus a reduced probability of readmission once a patient safety event has occurred. EMRs reduce nurse, licensed vocational nurse (LVN) and registry cost per hour. EMRs provide enhanced ability in completing medical records and clinical documentation. The disadvantages are greater inefficiency in medical-surgical acute settings and increased cost per patient day. EMR does not reduce LOS in ICU. Some physicians also complain about the inefficiencies and time loss created by EMR. Conclusion The implementation of EMR in hospitals has advantages and disadvantages. Hospital management should undertake more analysis and consideration prior to deciding whether or not to use EMR. Keywords: Electronic medical records, hospital, patients’ outcomes, efficiency

The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review Leawaty Leawaty; Adik Wibowo
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.

Perilaku Gizi, Status Gizi, dan Morbiditas Penyakit Infeksi pada Petani dan Buruh Tani Perempuan di Pemalang Desiani Rizki Purwaningtyas
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 3 No 2 (2018)
Publisher : UHAMKA Press

Kualitas sumber daya manusia (SDM) pertanian merupakan faktor penting dalam keberhasilan pembangunan Indonesia sebagai negara agraris. Pembangunan kualitas SDM pertanian erat kaitannya dengan status gizi dan morbiditas penyakit infeksi yang juga berhubungan dengan perilaku gizi. Oleh karena itu, penelitian ini bertujuan untuk mengkaji perilaku gizi, status gizi, dan morbiditas penyakit infeksi pada petani dan buruh tani padi perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah. Penelitian ini merupakan studi kuantitatif dengan desain cross-sectional. Subyek pada penelitian ini adalah 97 petani dan buruh tani pada perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah dengan teknik sampling cluster random sampling. Pengumpulan data melalui pengukuran antropometri dan wawancara dengan menggunakan kuesioner. Uji statistik yang digunakan adalah Chi-Square. Hasil penelitian ini menunjukkan bahwa sebagian besar contoh memiliki pengetahuan gizi yang kurang, sikap gizi positif, praktek gizi dan keamanan pangan sedang, status gizi normal berdasarkan IMT dan LLA, dan morbiditas penyakit infeksi yang rendah. Uji Chi-Square menunjukkan pengetahuan gizi berhubungan nyata dengan status gizi berdasarkan IMT. Morbiditas penyakit infeksi tidak berhubungan nyata dengan status gizi berdasarkan IMT, tetapi berhubungan nyata dengan status gizi berdasarkan lingkar lengan atas (LLA).

Faktor-Faktor yang Berhubungan dengan Kelelahan Kerja pada Petugas Pemadam Kebakaran di Suku Dinas Pemadam Kebakaran dan Penyelamatan Jakarta Selatan Apriliani Apriliani; Ony Linda; Nurul Huriah Astuti
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 4 No 1 (2019)
Publisher : UHAMKA Press

ABSTRACT Fire cases during 2017 experienced an increase from the previous year, therefore many firefighters experienced fatigue. This study aims to determine the level of fatigue experienced by officers and to find out related factors associated with work fatigue. This is quantitative research with cross sectional study design with technique total sampling as much 61 person. Data collection is done by interview and direct measurement. Analysis of univariate data show that 83,6% respondents are aged, 62,3% respondents normal nutritional status, 82% respondents year of service old, 54,1% respondents not enough sleep duration, 54,1% respondent with not good work time, 52,5% respondent with smoking status and 83,6% do not have history of disease. Based of statistical test use person chi square the results show that there was a relation between age (p value = 0,018), year of service (p value = 0,009), sleep duration (p value = 0,028), work time (p value = 0,028), smoking status (p value = 0,015), with work fatigue at firefighters and rescue services offices in South Jakarta Year 2018. Efforts are needed to eliminate or reduce work fatigue at firefighters by providing adequate rest periods and dividing tasks in accordance with the age and working period of the officers, and can provide counseling and installation of posters about the dangers of smoking. Keyword : Fatigue, Risk Factors, Firefighter

Faktor-Faktor yang Berhubungan dengan Kejadian Hipertensi di Wilayah Kerja Puskesmas Jati Luhur Bekasi Tahun 2018 Fatharani Maulidina; Nanny Harmani; Izza Suraya
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 4 No 1 (2019)
Publisher : UHAMKA Press

Abstract In Indonesia non-communicable diseases become a very serious health problem at this time, namely hypertension. Hypertension risk factors include irreversible factors (age, gender, family history) and modifiable factors (smoking, nutritional status, physical activity, stress, and food consumption) which are considered to greatly affect the incidence of hypertension. This study aims to determine the factors associated with the incidence of hypertension. This research is quantitative with cross sectional approach. Done in the work area of Jatiluhur Bekasi health center in July 2018. Data collection was carried out on 143 respondents who were patients who visited the work area of the puskesmas using questionnaires and direct measurements. Quota sampling technique. The analysis used is univariate and bivariate. Univariate test results showed the proportion of hypertensive patients mostly were ertensi 40 years (71.3%), female gender (57.3%), low education (61.5%), working (55.2%), having a history family (61.5), nutritional status with overweight and obesity (62.2%), non-smoking (50.3%), and mild physical activity (79.7%). The results of the bivariate test showed that the variables associated with the incidence of hypertension were age (Pvalue = 0,000), education (Pvalue = 0,000), work (Pvalue = 0,001), family history (Pvalue = 0,033), and nutritional status (Pvalue = 0,003), while variables that are not related to the incidence of hypertension, namely sex (Pvalue = 0.454), smoking (Pvalue = 1,000) and physical activity (Pvalue = 0.197). To reduce the occurrence of hypertension, there needs to be education to prevent such as providing counseling to the public about hypertension and conducting blood pressure checks regularly. Keywords: Hypertension, Risk Factors

Faktor-Faktor yang Berhubungan dengan Kejadian Hipertensi pada Masyarakat RW 009 Kelurahan Bojong Menteng Bekasi 2018 Hadistia Maulitanisa; Ony Linda; Izza Suraya
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 4 No 1 (2019)
Publisher : UHAMKA Press

ABSTRACT Hypertension or often known as "high" is one of the non-communicable diseases, which is currently a big and serious problem. This study aims to determine the factors associated with the incidence of hypertension in RW 009 community in Bojong Menteng Bekasi Village in 2018. This research is analytic by using cross sectional study design. This research was conducted from January 2018 until July 2018 with a total sample of 161 people. The instruments used in this study were sphygmomanometer, microtoise, weight scales and questionnaires. Data analysis was carried out by univariate and bivariate using chi square test. The results of the study found 47.2% of respondents who experienced hypertension, who were at risk (≥40 years) as much as 58.4%, male gender as much as 47.2%, history of family hypertension as much as 60.2%, obesity as much as 59 , 6%, smoking as much as 26.1%, less active physical activity by 53.4% and alcohol consumption by 1.2%. Furthermore, variables related to the incidence of hypertension were age (p = 0,000) PR 1,996 (95% CI: 1,334-2,986), history of family hypertension (p = 0,000) PR 3,197 (95% CI: 1,926-5,308), obesity (p = 0,000) PR 1,647 (95% CI: 1,264-2,145), smoking (p = 0,041) PR 1,473 (95% CI: 1,072-2,024), physical activity (p = 0,029) PR 1,495 (95% CI: 1,055- 2,118 ) Whereas, variables that were not related to the incidence of hypertension were sex (p = 0.252) PR 1.243 (95% CI: 0.896-1.724) and alcohol consumption (p = 1,000) PR 1.060 (95% CI: 0.263-4.280).The advice given to the puskesmas is that it is necessary to encourage the community, together with the head of RW 009 to raise awareness on routine health checks and routine exercise every holiday. Keywords: Hypertension, Factors that cause hypertension

Hubungan antara Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga dengan Kejadian Diare pada Balita Laila Jamil; Retno Mardhiati; Nurul Huriah Astuti
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 4 No 1 (2019)
Publisher : UHAMKA Press

ABSTRACT Diarrhea is a public health problem, especially in infants. Diarrhea can be prevented if the community have a good implement Clean and Healthy Behavior (PHBS). This study aims to determine The Relationship Between Clean And Healthy Behavior (PHBS) Of The Household Part With The Incidence Of Childhood Diarrhea. Subjects in this study were the mother In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi who have children aged 12- 59 months. The research design used is analytic survey research with cross sectional approach, data taken from respondent by using questionnaire. The analysis used for this reseach is univariate, bivariate, and multivariate. The results of univariate analysis in this study where most respondents didnt experience diarrhea occurence in infants in the last three months (62%), PHBS household arrangement (71,3%), have children 25-59 months old (73,1%), have male toddler (50,9%), ≥ 26 years old (80,6%), had recent high education (63,9%), has a family income month < UMR (68,5%), and has 1 toddler (80,6%). The results of bivariate test showed that there is a significant relationship between the behavior of clean and healthly live (PHBS) of the household order with the incidence of diarrhea in infacts In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi 2018 (Pvalue 0,000). Puskesmas officers must be intensive and continuous in providing health counseling about the factors related to the incidence of chilhood diarrhe, especially Clean And Healthy Behavior (PHBS) Of The Household Part to community In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi. Keyword : The Relationship Between Clean And Healthy Behavior, Childhood Diarrhea

Perilaku Aktivitas Fisik dan Determinannya pada Mahasiswa Fakultas Ilmu - Ilmu Kesehatan Universitas Muhammadiyah Prof. Dr. Hamka Yoli Farradika; Yuyun Umniyatun; Mochamad Iqbal Nurmansyah; Miftahul Jannah
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 4 No 1 (2019)
Publisher : UHAMKA Press

ABSTRACT Based on data from the 2013 Basic Health Research (Riskesdas) groups of adolescents to young adults (15-24) have sedentary lifestyles (sedentary / lack of physical activity) of 52%. Lack of physical activity can lead to health risks especially the complications of non-communicable diseases such as obesity, diabetes, hypertension and heart problems. This study aims to determine the relationship of physical activity and its determinants. This study uses a quantitative method with a cross-sectional study design. A total of 846 FIKES UHAMKA students participated in this study. Data collected by filling out the questionnaire by students. Data analysis used the chi square test to determine the relationship between physical activity and its determinants and logistic regression to determine the predictors of physical activity. This study provides results that the average Metabolic Equivalent (MET) score is 1420.33 ± 2384.297. Respondents who have low physical activity by 47.8%, moderate physical activity by 39.6% and high physical activity by only 12.6% of respondents. There is a significant relationship between gender, work status, availability of sports facilities, lecturer support, and perception of sports on physical activity. Active physical activity is more common in male sex respondents, students who are already working, the availability of sports facilities at home or the surrounding environment, the invitation of lecturers to exercise and a good perception of sports. The results also showed that respondents who did not work, did not have sports facilities at home, and had a poor perception of sports were predictors of having passive / mild physical activity. Keywords : Perception, Attitude, Environment, Sports Facilities, Physical Activity of Students

Perilaku Merokok Siswa SMP di Kecamatan Panongan Kabupaten Tangerang Tahun 2015 Rina Khairunnisa Fadli; Anhari Achadi
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 4 No 2 (2019)
Publisher : UHAMKA Press

ABSTRACT Smoking behavior at Junior High School area especially at Panongan Subdistrict has been apprehensive about enough. The study head for analyze the correlation between smoking behavior with used Lawrence Green Theory. The study used Cross Sectional Design that be supported with qualitative approach. There were 230 respondents and 6 informan to indepth interview. The result showed that smoking behavior more on boys students that have negative attitude and simple access to the cigarette, they have bad family and bad friends too. There was a significant correlation are age (p value = 0.044), sex (p value = 0.000), attitude (p value = 0.000), access (p value = 0.000), family interaction (p value = 0.006) and peer group (p value=0.000) to the smoking behavior. Meanwhile there wasn’t correlation in knowledge and school’s regulation. Access was the most important factor that influenced smoking behavior. There wasn’t specific regulation about smoking prohibition at school and there wasn’t socialization about regulation from Tangerang district to the junior high school at Panongan Subdistrict. Keywords: Cigarettes, Students, Cigarette Advertisement, School’s Regulation

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Contact Name
-

Contact Email
-

Phone
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Journal Mail Official
-

Editorial Address
-

Location
Kota adm. jakarta timur,

Dki jakarta

INDONESIA