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Contact Name
Hamid Mukhlis
Contact Email
me@hamidmukhlis.id
Phone
+6281325790254
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me@hamidmukhlis.id
Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587
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Kab. pringsewu,
Lampung
INDONESIA
Jurnal Aisyah : Jurnal Ilmu Kesehatan
ISSN : 25024825     EISSN : 25029495     DOI : 10.30604/jika
Core Subject : Health,
Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.
Articles 1,302 Documents
Tempe Juice As An Alternative Treatment For Anemia In Adolescent Girls Yulianingsih, Endah; Porouw, Hasnawatty Surya; Podungge, Yusni; Igirisa, Yusni; Yanti, Febri Dwi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (593.233 KB) | DOI: 10.30604/jika.v6iS1.756

Abstract

The highest prevalence of anemia is found in Southeast Asia, with an estimated 60% of children experiencing anemia. Young women are at a higher risk of developing anemia compared to boys. Anemia has a negative impact on adolescents which can cause physical growth, behavioral and emotional disorders. This study aims for this study to see the effect of tempeh spice juice on increasing hemoglobin levels in adolescent girls. The research design was quantitative pre-experiment using the One Group Pre Test-Post Test design. The research subjects were 30 young women who were included in the inclusion criteria. This study was tested using the statistical paired sample t-test, obtained sig 0.002 less than 0.005. The average hemoglobin level before being given tempeh spice juice was 13, 123 and the average hemoglobin level after being given tempeh spice juice was 13, 910. The results of this study have a significant effect on the presentation of tempeh spice juice on the hemoglobin levels of adolescent girls. The results of this study can be used as an alternative in an effort to reduce the prevalence of anemia, with naturally occurring preparations that make it more plausible for young women.
Comparison on the Effectiveness of Postpartum Exercise And Oxytocin Massage for Uterine Involution of Postpartum Women in Kebumen, Indonesia Kusumastuti Kusumastuti; Siti Mutoharoh; Wulan Rahmadhani
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (600.953 KB) | DOI: 10.30604/jika.v6i3.647

Abstract

Maternal mortality rates are caused by several factors, including bleeding. During postpartum, bleeding can be caused by a failure of uterine involution which can cause subinvolution. Oxytocin plays an important role in the uterine involution process. This study aims to compare the effectiveness of postpartum exercise and oxytocin massage for the uterine involution of postpartum women in the Kebumen. This study applied a quasi-experimental design for comparing two treatments. It involved a total of 534 respondents with 267 respondents in each group. Each group received 10 minutes of intervention per day for 9 days. The data were collected through observation sheets. The univariate analysis used frequency distribution and bivariate analysis used an independent t-test. The statistics show that the p-value (0.002) was lower than (0.05) meaning that the postpartum exercise and oxytocin massage provide different uterine involution times. The mean of uterine involution for the postpartum exercise group decreases by 137.60 hours compared to the oxytocin massage group by 159.06 hours. Postpartum exercise can be applied in post-natal care as it can make uterine involution faster. Abstrak: Kematian ibu di sebabkan beberapa factor termasuk perdarahan. Selama postpartum perdarahan di sebabkan oleh kegagalan involusi uterus yang di sebabkan oleh subinvolusi. Oxitosin memaikan peran yang sangat penting dalam proses involusi uteri. Penelitian ini bertujuan adalah untuk membandingkan efektifitas dari senam nifas dan pijat oksitosin terhadap proses involusi uteri paa ibu postpartum di wilayah kerja Kebumen. Metode quasi experiment di gunakan dalam penelitian ini dengan membandingkan dua treatment. Sampel pada penelitian ini berjumlah 534 dengan masing-masing 267 respondent pada masing-masing kelompok. Analisis univariate menggunakan distribusi frekuensi dan analisis bivariate menggunakan independent t-test. Hasil pada penelitian ini di temukan bahwa p-value (0.002) kurang dari 0.05 yang mana terddapat perbedaan antara senam nifas dan pijat oksitosin terhadap perubahan involusi uteri. Mean dari involusi uteri pada grup senam nidas menurun menjadi 137.60 jam di banding dengan pijat oksitosin grup dengan 159.06 jam. Senam nifas bisa di jadikan atau di aplikasikan dalam perawatan pascapersalinan karena dar hasil dapat membuat dan membantu involusi uteri lebih cepat pada ibu nifas.
Stress and Efforts By Students in Learning During Covid-19 Pandemic Mamnuah Mamnuah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1353.245 KB) | DOI: 10.30604/jika.v6i2.502

Abstract

Students who experience stress during online learning are quite high. Stress will have an impact on student life in the future. For this reason, it is necessary to explore the stress experienced by students. The purpose of this study was to explore the stress and efforts made by health students in undergoing online learning. This research is qualitative with a phenomenological approach. The number of samples was 6 health students. Sampling was by purposive sampling. Data were analyzed using the Collaizi technique. The results showed that there were four themes of stress experienced by students, namely: perceptions of stress, feelings during stress, signs of stress symptoms, and causes of stress. The efforts made have two themes, namely: internal and external efforts. Students experience stress during online learning and make efforts to deal with the stress they experience. The results of this study provide important information for better learning management to anticipate student stress during the pandemic period.Abstrak: Mahasiswa yang mengalami stres selama pembelajaran daring cukup tinggi. Stres akan memberikan dampak dalam kehidupan mahasiswa di masa yang akan datang. Untuk itu perlu dilakukan eksplorasi tentang stress yang dialami mahasiswa. Tujuan penelitian ini adalah menggali stress dan upaya yang dilakukan mahasiswa kesehatan dalam menjalani pembelajaran daring. Penelitian ini adalah kualitatif dengan pendekatan fenomenologi. Jumlah sampel sebanyak 6 mahasiswa kesehatan. Pengambilan sampel dengan cara purposive sampling. Data dianalisis dengan menggunakan teknik Collaizi. Hasil penelitian menggambarkan stress yang dialami mahasiswa ada empat tema, yaitu: persepsi tentang stress, perasaan selama stress, tanda  gejala stress, dan penyebab stress. Upaya yang dilakukan ada dua tema, yaitu: upaya internal dan eksternal. Mahasiswa mengalami stress selama pembelajaran daring dan melakukan upaya untuk mengatasi stress yang dialami. Hasil penelitian ini memberikan informasi penting untuk pengelolaan pembelajaran yang lebih baik untuk antisipasi stres mahasiswa selama masa pandemi.
Analisis Faktor yang Memengaruhi Perilaku Ibu Hamil dalam Pemeriksaan HbsAG Pemula, Giok; Zuraida, Reni; Susianti, S
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.703 KB) | DOI: 10.30604/jika.v6i2.509

Abstract

HBsAg examination is important to detect Hepatitis B in pregnant women, so it needs to be done during the first visit with the help of health. The results of the pre-survey at the Way Kandis Health Center in 2020, it was found that only 55.2% of pregnant women performed HbsAg examinations. The Purpose of the study was to determine the factors that influence the behaviour of pregnant women in the HBsAg examination at Way Kandis Health Center, Bandar Lampung City, in 2021. The design of this study was analytic with a cross-sectional approach. The number of samples in this study was 112 pregnant women, with a sampling technique of accidental sampling. Bivariate analysis using Chi-square. The results of the univariate study found that most pregnant women, 50.9% did not perform HBsAg examination, most of the pregnant women have less knowledge of 53.6%, the attitudes of pregnant women were negative 57.1%, the perception of pregnant women was negative 50.9%. Most of the distance travelled to close health services is 57.1%, negative husband support is 50.9%. The results of the bivariate test showed that there was a significant relationship between knowledge of attitudes, perceptions, distance travelled, husband's support with the behaviour of pregnant women with HBsAg examination at Way Kandis Health Center, Bandar Lampung City in 2021.  Abstrak: Pemeriksaan HbsAg merupakan hal penting untuk mendeteksi Hepatitis B pada ibu hamil, sehingga perlu dilakukan pada saat kunjungan pertama di tenaga kesehatan. Hasil prasurvei di Puskesmas Rawat Inap Way Kandis pada tahun 2020, didapatkan hanya 55,2% ibu hamil yang melakukan pemeriksaan HbsAg. Tujuan penelitian ini untuk mengetahui faktor-faktor yang memengaruhi perilaku ibu hamil dalam pemeriksaan HbsAg di Puskesmas Rawat Inap Way Kandis Kota Bandar Lampung Tahun 2021. Desain penelitian ini adalah analitik dengan pendekatan cross sectional. Jumlah sampel pada penelitian ini 112 ibu hamil, dengan tekhnik pengambilan sampel accydental sampling. Analisa bivariat menggunakan Chi-square. Hasil penelitian univariat didapatkan bahwa sebagian besar ibu hamil 50,9% tidak melakukan pemeriksaan HbsAg, sebagian besar pengetahuan ibu hamil kurang 53,6%, sikap ibu hamil negatif 57,1%, persepsi ibu hamil negatif 50,9 %. Sebagaian besar jarak tempuh kepelayanan kesehatan dekat yaitu 57,1%, dukungan suami negatif 50,9%. Hasil uji bivariat didapatkan ada hubungan yang bermakna antara pengetahuan sikap, persepsi, jarak tempuh, dukungan suami dengan perilaku pemeriksaan HbsAg ibu hamil di Puskesmas Rawat Inap Way Kandis Kota Bandar Lampung Tahun 2021.
An Analysis of The Role and Support on Stakeholders of Village Level in The Implementation of Maternal and Child Health Programs Through Optimizing The Utilization of Village Funds in Tegal Regency Sutopo Patria Jati; Ayun Sriatmi; Martini Martini
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (656.434 KB) | DOI: 10.30604/jika.v6i3.588

Abstract

Maternal and infant mortality rates are one of the health problems in Indonesia, including at the village level. Currently, the Village has its own authority to manage village funds in an effort to prosper the community. The purpose of the study is analysis the role and support stakeholders in the Maternal and Child Health (MCH) Program through optimizing village funds, with a quantitative design and analytical descriptive approach. The study analyzes the role of stakeholders (attitudes, influencing power, and interests), with respondents, namely village level stakeholders in Tegal Regency who were selected by purposive sampling technique and analysis by Rank Spearman Test. Education has a significant relationship with power of influencing stakeholders (p value= 0.002; CC = 0.561) Stakeholder attitudes and perceptions (p-value = 0.047, CC = 0.379) and power of influence (p-value = 0.017, CC = 0.449) has strong correlation towards optimizing village funds for MCH program. Stakeholder interests (p value=0.003, CC=0.534) have a strong correlation with the implementation of the MCH program in the village. In optimizing allocation village funds, support and the role of stakeholders are needed, especially the attitude and power in making decisions, planning strengths and formulating allocation policies. Likewise, the role of stakeholders in the interests of the MCH program for community welfare will increase multi-sectoral cooperation.Abstrak: Angka Kematian Ibu dan Bayi menjadi salah satu permasalahan kesehatan di Indonesia termasuk di tingkat Desa. Saat ini Desa memiliki wewenang sendiri untuk mengelola dana desa sebagai upaya mensejahterakan masyarakatnya. Tujuan penelitian ini adalah analisis peran dan dukungan stakeholder dalam Program KIA melalui optimalisasi dana desa, dengan desain kuantitatif dan pendekatan deskriptif analitik. Penelitian menganalisis peran stakeholder (sikap, kekuatan memepengaruhi, dan kepentingan), dengan responden yaitu stakeholder tingkat Desa di Kabupaten Tegal yang dipilih berdasarkan teknik purposiv sampling dan dianalisis dengan uji Rank Spearman. Pendidikan memiliki hubungan yang signifikan dengan kekuatan mempengaruhi stakeholder (p value=0.002, CC=0,561) Sikap dan persepsi stakeholder (p value=0.047, CC=0.379) dan kekuatan mempengaruhi (p value=0.017, CC=0.449) memiliki korelasi yang kuat terhadap optimalisasi dana desa untuk program KIA. Kepentingan stakeholder (p value=0.003, CC=0.534) memiliki korelasi yang kuat terhadap pelaksanaan program KIA di Desa. Dalam optimalisasi alokasi dana desa sangat dibutuhkan dukungan dan peran stakeholder terutama sikap dan kekuatan dalam membuat keputusan, merencanakan kekuatan dan merumuskan kebijakan pengalokasian Begitupun dengan peran stakeholder terhadap kepentingan program KIA bagi kesejahteraan masyarakat akan meningkatkan kerjasama multisektor.
The Effectiveness of a School-Based Education Program on Oral Health in Bandung Resident: A Pilot Study Cecep Eli Kosasih; Tetti Solehati; Mardiyono Mardiyono; Mamat Lukman
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (629.043 KB) | DOI: 10.30604/jika.v6i2.476

Abstract

The lack of an organized school dental health policy in Indonesia requires an affordable, easily accessible, and sustainable strategy. Provision of dental and oral health knowledge delivers by a little doctor at the school level can help the implementation of the program that school-age is the time of peer groups. The school-age is in which children begin to learn basic oral hygiene practices and are most vulnerable to dental caries. This study was conducted to assess the effect of little doctor training on the knowledge, attitudes and skills of little doctors, as well as on the skills and patterns of brushing teeth in Bandung Regency, Indonesia. This research used a quasi-experimental design with pretest and posttest. A total of 12 little doctors and 291 school children in grades 4-6 elementary school from four government schools were included in this study. The instrument consisted of a knowledge and attitude questionnaire, an observation sheet, and a checklist sheet. Evaluation of tooth brushing patterns at school was done every month for 3 months. Data analysis using paired t-test. Data before and after training were compared and it was found that there was a significant improvement in the knowledge, attitudes, practices of the little doctors and students (p = 0.005). Skills and practice patterns of brushing teeth of school children increased significantly after the program (p = 0.005). The results of this study indicate that school-based oral health education methods that involve little doctors are effective for improving oral hygiene in elementary school children.Abstrak: Kurangnya kebijakan kesehatan gigi sekolah yang terorganisir di Indonesia membutuhkan strategi yang terjangkau, mudah diakses, dan berkelanjutan. Pembekalan pengetahuan kesehatan gigi dan mulut yang disampaikan oleh dokter kecil di tingkat sekolah dapat membantu pelaksanaan program bahwa usia sekolah adalah masa peer group. Usia sekolah adalah masa dimana anak-anak mulai mempelajari praktik dasar kebersihan mulut dan paling rentan terhadap karies gigi. Penelitian ini dilakukan untuk menilai pengaruh pelatihan dokter cilik terhadap pengetahuan, sikap dan keterampilan dokter cilik, serta terhadap keterampilan dan pola menggosok gigi di Kabupaten Bandung, Indonesia. Penelitian ini menggunakan desain eksperimen semu dengan pretest dan posttest. Sebanyak 12 dokter kecil dan 291 anak sekolah kelas 4-6 sekolah dasar dari empat sekolah negeri diikutsertakan dalam penelitian ini. Instrumen terdiri dari angket pengetahuan dan sikap, lembar observasi, dan lembar checklist. Evaluasi pola menggosok gigi di sekolah dilakukan setiap bulan selama 3 bulan. Analisis data menggunakan uji-t berpasangan. Data sebelum dan sesudah pelatihan dibandingkan dan ditemukan adanya peningkatan yang signifikan pada pengetahuan, sikap, praktik dokter kecil dan siswa (p= 0,005). Keterampilan dan pola praktik menggosok gigi anak sekolah meningkat secara signifikan setelah program (p= 0,005). Hasil penelitian ini menunjukkan bahwa metode pendidikan kesehatan gigi dan mulut berbasis sekolah yang melibatkan dokter kecil efektif untuk meningkatkan kebersihan gigi dan mulut pada anak sekolah dasar.
Penerapan Program Sepuluh Langkah Kesehatan untuk Peningkatan Pemberian ASI Eksklusif: Model Evaluasi CIPP (Context, Input, Process, Product) Novianti Indah Fatmawati; Thinni Nurul Rochmah; Anis Wulandari; Andini Yulina Pramono
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.136 KB) | DOI: 10.30604/jika.v6i3.521

Abstract

This study aimed to evaluate the ten steps to successful breastfeeding policy implementation as the basis to enhance the achievement of exclusive breastfeeding practices in the Kediri District. This study was an evaluative study using the CIPP (Context, Input, Process, Product) model. There were seven inpatient primary healthcare centres involved in this study. Respondents in this study were the head and staff of primary healthcare centres and all midwives. The results show that based on the context evaluation, the objective of the policy implementation reached 77.6%. The input evaluation showed that the infrastructure and facilities, as well as the health personnel’ support, was not adequate with a value of 56.4%. In terms of the process evaluation, the primary healthcare centres have not carried out formulating the policy and forming supporting groups for breastfeeding with a score of 73.9%. In the product evaluation, exclusive breastfeeding decreased in 2018 and stay behind the trend in the past four years. It has not met the target of a strategic plan formulated by the regional government. In conclusion, the policy of ten steps to successful breastfeeding in the inpatient primary healthcare centres has not been implemented well. It is recommended that the local government should formulate regulations about exclusive breastfeeding. The District Health Office should socialize the ten steps to successful breastfeeding and include it in the assessed elements in the accreditation of primary healthcare centres. Moreover, the District Health Office should guide and give rewards to health facilities, as well as a guide to the health-related organization by cooperating with baby milk producers and improve the knowledge and skills of health personnel about breastfeeding counselling.  Abstrak: Penelitian ini bertujuan untuk mengevaluasi sepuluh langkah keberhasilan implementasi kebijakan ASI sebagai dasar untuk meningkatkan pencapaian praktik ASI eksklusif di Kabupaten Kediri. Penelitian ini merupakan penelitian evaluatif dengan model CIPP (Context, Input, Process, Product). Ada tujuh Puskesmas rawat inap yang terlibat dalam penelitian ini. Responden dalam penelitian ini adalah kepala atau  staf puskesmas (7 orang) dan seluruh bidan (94 orang). Hasil penelitian menunjukkan bahwa berdasarkan evaluasi konteks, berupa tujuan pelaksanaan kebijakan tercapai 77,6%. Evaluasi masukan menunjukkan bahwa sarana dan prasarana serta dukungan tenaga kesehatan kurang memadai, hanya tercapai 56,4%. Berdasarkan hasil evaluasi proses, Puskesmas belum melakukan perumusan kebijakan dan pembentukan kelompok pendukung ASI, sehingga capaiannya hanya 73,9%. Evaluasi produk, pemberian ASI eksklusif menurun pada tahun 2018 dan tertinggal dari tren selama empat tahun terakhir. Target rencana strategis yang disusun oleh pemerintah daerah belum terpenuhi. Kesimpulan: kebijakan sepuluh langkah keberhasilan menyusui di Puskesmas rawat inap belum terlaksana dengan baik. Disarankan agar pemerintah daerah menyusun regulasi tentang ASI eksklusif. Dinas Kesehatan Kabupaten hendaknya mensosialisasikan kesepuluh langkah sukses menyusui dan memasukkannya ke dalam elemen penilaian dalam akreditasi Puskesmas. Selain itu, dibutuhkan pembentukan kelompok KP-ASI di masyarakat.
Self-Efficacy In Patients With Hypertension Wa Ode Sri Asnaniar; Ramla Tuanany; S Samsualam; Nur Wahyuni Munir
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1322.061 KB) | DOI: 10.30604/jika.v6iS1.770

Abstract

Hypertension is a chronic disease and a serious health problem in various countries that require selfcare management. Dealing with hypertensive patients requires compliance with their self-care to improve health status. Research  aimed to  determine the relationship of self-efficacy and  blood pressure in patients with hypertension at Makassar Regional General Hospital. It used cross sectional study design. The technique of determining the sample by using a purposivel sampling technique with a sample size of 53 people. The relationship test was carried out using Chi-square test with significance level ? 0.05. The results of this study showed that there were 17 patients with good self-efficacy, of which 10 (58,8%) pre hypertension and 7 (41,2%) had high blood pressure. Whereas there were 36 patients whose self-efficacy was lacking, of which 6 (16,7%) had pre hypertension and 30 (83,3%) had high blood pressure. The results showed that there was relationship between  self-efficacy and blood pressure. in patients with hypertension at Makassar Regional General Hospital with a value of p=0,005. The conclusion in this study is that there is relationship between  self-efficacy and blood pressure in patients with hypertension at Makassar Regional General Hospital. For this reason, it is hoped that hypertension sufferers will be more positive thinking so that they are able to think that all diseases are not a burden but an encouragement to believe in themselves so that they can undergo good treatment.
Effects Of Progressive Muscle Relaxation On Anxiety Of Nurses At Covid-19 Units Mega Lestari Khoirunnisa; Gusti Ayu Putu Putri Ariani
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1373.414 KB) | DOI: 10.30604/jika.v6iS1.761

Abstract

Nurse as health workers who care for patients diagnosed with Corona Virus Disease 2019 (COVID-19) may, unfortunately, has been an experience of psychosocial problems in general, anxiety in particular. The primary source of anxiety in nurses throughout the COVID?19 pandemic was fear of turning into infected or unknowingly infecting others. This study aimed to determine the impact of progressive muscle relaxation on anxiety. This quasi-experimental (pre-test-post-test) study turned into conducted on 46 covid nurses inside the hospital of HasriAinun Habibie in Gorontalo. The participants had been selected the use of the purposive sampling approach then divided into two groups, intervention (n = 23) and control (n = 23). within the intervention group, participants obtained progressive muscle relaxation the usage of theory education through video and exercise. DASS (depression anxiety stress Scale) 42 was used to measured anxiety levels. The results confirmed that within the intervention group mean score of anxiety level significantly decreased analyzed by using Wilcoxon signed ranked test (P = 0.000) and there has been a significant difference between groups through Mann Whitney (P=0.011). This study concluded that progressive muscle relaxation can be used as an powerful technique to decrease the anxiety level of nurses in COVID units.
Gender Differences and White Blood Cells on Anxiety Symptoms in Type 2 Diabetes Mellitus: A Community-Based Study Wiwin Priyantari Heriningsih; Ratna Agustin; Fatin Lailatul Badriyah; Djoko Priyono; Nia Desriva; Yafi Sabila Rosyad; Yohanes Andy Rias
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1394.848 KB) | DOI: 10.30604/jika.v6i2.478

Abstract

Gender differences and type 2 diabetes mellitus (T2DM)-associated inflammatory biomarkers are correlated with high levels of anxiety. However, no study has investigated gender differences and high level of white blood cells (WBC) on anxiety among participants with T2DM in Indonesia. We examined the roles of gender and WBCs on anxiety symptoms in T2DM. A cross-sectional study was performed on 294 patients with T2DM recruited from five community clinics with multistage cluster sampling. Depression, anxiety and Stress-21 (DASS-21) a standardized questionnaire was used to measure anxiety and WBCs was determined using an XP-100 automated haematology analyzer. The adjusted coefficients beta (coefficient Beta) and 95% confidence interval (CI) were performed using a multiple linear regression model. Statistical analyses were calculated using SPSS version 25.0, with a p-value of less than 0.05 set as statistically significant. Females exhibited significantly higher levels of anxiety (Beta=0.26, 95% CI=0.07–0.94) than male respondents. Notably, respondents with WBCs of ³7.576 had significantly higher anxiety (Beta=2.04, 95% CI=1.12–3.71) than patients with WBCs of less than7.576. There was high prevalence of axienty symptoms in this Indonesian sample of respondents. Female and high level of WBCs exist on increasing susceptibility to anxiety symptoms among individuals with T2DM.Abstrak: Perbedaan jenis kelamin dan biomarker inflamasi terkait diabetes mellitus tipe 2 (T2DM) berkorelasi dengan tingkat kecemasan yang tinggi. Namun, belum ada penelitian yang menyelidiki perbedaan jenis kelamin dan sel darah putih (WBC) pada kecemasan di antara penyandang T2DM di Indonesia. Kami memeriksa peran jenis kelamin dan WBCs pada gejala kecemasan untuk penyandang T2DM. Studi cross-sectional dilakukan pada 294 penyandang T2DM yang diperoleh dari lima klinik komunitas dengan multistage cluster sampling. Depresion, Anxiety and Stress-21 (DASS-21) merupakan kusioner standar yang digunakan untuk mengukur kecemasan dan WBCs ditentukan dengan menggunakan penganalisis hematologi otomatis XP-100. Koefisien yang disesuaikan beta (koefisien ?) dan interval kepercayaan 95% (CI) dilakukan dengan menggunakan model regresi linier berganda. Analisis statistik dihitung menggunakan SPSS versi 25.0, dengan nilai p kurang dari 0.05 ditetapkan sebagai signifikan secara statistik. Wanita menunjukkan tingkat kecemasan yang jauh lebih tinggi (? = 0,26, 95% CI = 0,07-0,94) dibandingkan responden laki-laki. Khususnya, responden dengan nilai WBCs ³7.576 memiliki kecemasan yang lebih tinggi secara signifikan (? = 2.04, CI 95% = 1.12–3.71) dibandingkan responden dengan nilai WBCs kurang dari 7.576. Terdapat prevalensi gejala axienty yang tinggi pada sample dari responden sampel di Indonesia dalam penelitian ini. Wanita dan nilai WBCs yang lebih tinngi memiliki peningkatan kerentanan terhadap gejala kecemasan di antara individu dengan T2DM.

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