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Berita Kedokteran Masyarakat

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Published by Universitas Gadjah Mada

ISSN : 02151936 EISSN : 26148412 DOI : https://doi.org/10.22146/bkm.v37i2.2320

Core Subject : Health,

Nursing Public Health

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management

Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan

Articles 1,528 Documents

93 94 95 96 97

STUDI KUALITATIF : PENGALAMAN HIDUP IBU POSTPARTUM DENGAN RIWAYAT GESTATIONAL DIABETES MELLITUS (GDM) DI KOTA YOGYAKARTA TAHUN 2019
Berita Kedokteran Masyarakat (BKM) Vol 35, No 10 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.48641

Latar Belakang : Gestasional Diabetes Melitus (GDM) adalah gangguan toleransi glukosa yang pertama kali ditemukan pada saat kehamilan. Sebuah tinjauan sistematis menyarankan bahwa wanita dengan GDM memiliki peningkatan 7,4 kali lipat dalam risiko terkena diabetes tipe 2 setelah melahirkan dibandingkan dengan mereka yang tidak memiliki GDM.Tujuan : Mengetahui pengalaman hidup ibu postpartum dengan riwayat Gestational Diabetes Mellitus (GDM) di kota Yogyakata 2019.Metode : Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif fenomenologi. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan criterion sampling dengan alasan karena subjek penelitian dipilih dengan kriteria tertentu yang sesuai dengan tujuan penelitian. Dalam penelitian ini melibatkan 5 ibu dengan riwayat Gestational Diabetes Mellitus (GDM). Pengambilan data dilakukan pada bulan Mei-Juli 2019 di 3 Puskesmas kota Yogyakarta yaitu Puskesmas Umbulharjo 1, Puskesmas Danurejan 1 dan Puskesmas Kotagede 1. Data penelitian dianalisis menggunakan Colaizzi.Hasil : hasil analisis didapatkan 4 tema yaitu pengalaman ibu dengan Gestational Diabetes Mellitus, pengetahuan tentang Gestational Diabetes Mellitus, kehamilan dengan Gestational Diabetes Mellitus dan postpartum dengan riwayat Gestational Diabetes Mellitus.Simpulan : Dari hasil penelitian yang dilakukan ditemukan bahwa pengetahuan ibu mengenai GDM masih kurang, kurangnya kesadaran ibu untuk melakukan kontrol gula darah masa nifas, kurangnya informasi yang diterima dari bidan, aktifitas fisik yang dilakukan hanya berupa olahraga ringan, KIE gizi hanya diperoleh dari ahli gizi, peran dukungan keluarga sangat membantu ibu dalam proses mobilisasi.

Pengalaman terkait kompetensi manajemen pada dokter yang bertugas di daerah tertinggal di Indonesia: studi kualitatif Fury Maulina; Mardiati Mardiati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 10 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Experiences related to management competency of doctors in disadvantaged areas in Indonesia: a qualitative studyPurpose: Working in disadvantaged areas is challenging. Geographical barriers, lack of health facilities and accessibility has been impacted to health services delivery which is provided by doctors. This study explored the experiences related to management competency when doctors on duty in disadvantaged areas. Method: We conducted a qualitative study with phenomenological approach in Aceh Singkil Regency (an area in Province of Aceh which is still categorized as disadvantaged areas regarding to Presidential Regulation Number 131 year of 2015). Twelve doctors who work in three different characteristic areas (archipelago, watershed and land areas) underwent in-depth and structured interview. Doctors were recruited purposively. Data were analyzed using thematic analysis. Results: This study reveals that experiences related to management competency is induced by three situations, namely: a) Cultural diversity in community; b) Dealing with difficult situations; and c) Need to survive in difficult areas. Conclusion: Challenges and obstacles which is experienced by doctors when working in disadvantaged areas generate valuable experiences which related to management competencies, as communication skills, cultural competence, creativity, and leadership skills.

RELATIONSHIP ANALYSIS BETWEEN USING WALKING AIDS AND FEAR OF FALLING IN OLDER ADULTS Anastasia Putu Martha Anggarani; Raditya Kurniawan Djoar
Berita Kedokteran Masyarakat (BKM) Vol 36, No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Fear of falling will result in reduced balance control and a reduction in self-confidence to prevent falls, which will further increase the incidence of falls in the elderly. One of the efforts that can be done to reduce the fear of falling which is a trigger for falling events is to take preventive measures to analyze these risk factors, but currently the risk factors associated with fear of falling in the elderly in Indonesia have not been analyzed. The purpose of this study is to analyze the relationship between the use of walking aids and the fear of falling on the elderly. The research design was observational analytic with cross sectional approach involving 155 elderly living in Surabaya Werdha Nursing Home. The sampling technique uses proportional random sampling method. Existing data were analyzed using Contingency Coefficient Test with a significance level of 0.05. The results of statistical tests showed that there was a relationship between the risk of falling and fear of falling with a correlation value of 0.367 with a significant level of 0.000 (p <0.05), a positive direction indicated by the value of B = 1.365. The use of walking aids has a very meaningful relationship with the fear of falling in the elderly.

PENGINGAT LAYANAN PESAN SINGKAT SEBAGAI EDUKASI BAGI PELAJAR SMP YANG MEROKOK DI KOTA PEMATANGSIANTAR Julia Alistawaty Purba; Kintoko Rochadi; Juanita Juanita
Berita Kedokteran Masyarakat (BKM) Vol 36, No 4 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Purpose: this study aims to analyze the influence of short message service reminder on knowledge of junior high school students who smoked in Pematangsiantar City. Method: the type of study is quasi experiment with a pretest-posttest design. The population was all junior high school students who smoked, and 85 of them were used as the samples. The data were analyzed by using Wilcoxon statistic test. Result: The result of this study showed that the mean value of knowledge from 1.48 to 2.36 at p-value=0.0001 which indicated that there was the influence of short message service reminder on knowledge of the junior high school students who smoked in Pematangsiantar City. Conclution: it is necessary to educated for health information exposure with continuously and sustainably as the promotive and preventive effort such as short message service reminder.

ANALISIS SPASIAL DAN FAKTOR LINGKUNGAN YANG MEMPENGARUHI KEJADIAN DEMAM BERDARAH DENGUE (DBD) DI KECAMATAN LIMBOTO KABUPATEN GORONTALO Ririn Pakaya; Lutfan Lazuardi; Hera Nirwati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 9 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.50492

Background: Dengue Hemorrhagic Fever (DHF) is diseases caused by dengue virus. DHF transmitted by mosquito bites from Aedes genus Aedes, mainly Aedes aegypti or Aedes albopictus. DHF is emerging over the year and attacking all of age groups. It related to environmental condition and community behaviour. Incidence Rate (IR) of DHF from 1968 till now tend to showed improvement. Incidence rate of it showed extremely reduction from 2010 to 2011 and rising from 2012 to 2013 (41,25 per 100.000 person). DHF in Gorontalo has been endemic diseases every years and reported deaths of patient in this cases. Based on data of Districts Health Office Gorontalo, showed incidence of DHF has raised during last six years on 2010-2015. The extreme improvement DHF incidence on 2010 amounts 167 cases (3 person died) and the lowest reduction of DHF incidence on 2011 amounts 4 cases (1 person died). Objective: Identifying spatial distribution of DHF Incidence ana analyzing environment againts incidence of DHF in Limboto, Gorontalo.Method: Type of study was observational used cross sectional study design supported by Geographic information System (GIS) to collected spatial information.Result: Main result by poisson regression test showed association between physical environment variable such as precipitation (in same, previous, and previous two months), temperature (in same, previous, and previous two months), humidity (in same, previous, and previous two months), wind velocity (in same, previous, and previous two months). Variable of precipitation, humidity, and wind velocity in previous two months showed weak coefficient correlation and negative.Conclusion: Pattern of Dengue hemorrhagic fever (DHF) incidence following fluctuation of physical environment. Precipitation in previous two mounts, humidity, and wind velocity in same monts. The results show that the need for the District Health Office Gorontalo may considered physical environment factors on DHF’s prevention program.

Model Aktivitas Fisik pada Kampus Berfasilitas Minimal Siti Fatimah
Berita Kedokteran Masyarakat (BKM) Vol 36, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Introduction: A high activity and lack of adequate health facilities make colleges abandon healthy lifestyle patterns. All of most colleges in Yogyakarta don't have adequate facilities to perform physical activities on campus. A model of physical activity on a college having minimal facilities is essential. It shows that a healthy lifestyle can be performed by anyone and anywhere. Goal: The purpose of this model discover an idea of physical activity on campus having less adequate facilities, especially in Poltekkes Karya Husada Yogyakarta. Method: This method uses literature study of physical activity on campus not requiring a lot of facilities. After obtaining specific samples, model is selected matching with Poltekkes Karya Husada Yogyakarta. Some models for performing healthy living on campuses with minimal facilities are walking or cycling to campus, up and down the stairs and stretching between work and college. The model becomes a recommendation of physical activities at Poltekkes Karya Husada Yogyakarta particularly and other institutions. Conclutions: Stretching between study times, going up and down the stairs and cycling to campus are activities that can be performed anywhere without requiring adequate facilities. It can result in 43 minutes of physical activity without having scheduled time. A saying “man jadda wa jada”, those who are sincere will get results. Minimum facilities in campus will not restrict us to any physical activity, if we have a strong will. Keywords: phisical activty, healthy campus, minimum facility

Kampanye Pola Makan Sehat dan Aktivitas Fisik sebagai Implementasi Health Promoting University Rizqi Amalia Rohmah; Riska Novatsiani Pa Padja; Iskanaria Rosales Dali; Rehemah Liki; Victorianus Dangga
Berita Kedokteran Masyarakat (BKM) Vol 36, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Purpose: To evaluate a healthy eating campaign and physical activity program at Faculty of Agricultural Technology UGM. Methods: The team coordinated with students, student Associations, faculty leaders, department managers, and administrators of FTP UGM to carrying out health promotion programs. Program evaluation was carried out using a mixed method. Results: Program advocacy to faculty leaders resulted in to program support. Programs that were mutually agreed upon included stair stickers, acrylic posters, social media and video for physical activity campaigns and roll banners, stickers, posters and social media for healthy eating campaigns. Quantitative evaluation results showed a significant increase in knowledge (p<0.05), but there was no difference in the awareness and motivation of students before and after the intervention (p>0.05). Descriptive analysis showed that stair stickers were the most widely seen and remembered media for health promotion by FTP students (93.3%). The results of the qualitative evaluation show differences in the perception of the effectiveness of the media. Students also suggested various recommendations to develop a more robust and sophisticated media in order to enhance its effectiveness. Related to program sustainability, the Faculty of Agricultural Technology manager is committed to supporting the implementation of the Health Promoting University. Conclusion: The campaign on healthy eating and physical activity carried out as HPU implementation in FTP, needs to develop more effective media.

FAKTOR RISIKO KEJADIAN DIABETES MELLITUS TIPE II PADA WANITA USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS PURWOSARI KOTA SURAKARTA TAHUN 2017 Anggi Putri Aria Gita; Kusuma Estu Werdani
Berita Kedokteran Masyarakat (BKM) Vol 36, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

The prevalence of Diabetes Mellitus Type II has always been increasing in the city of Surakarta. According to the data of the Surakarta Public Health Office (2017), the highest prevalence in 2016 was in the region of Purwosari, in the exact work area of community health center (Puskesmas) which was about 4.62%. The majority of sufferers are the women in childbearing age, so it is risky of causing gestational diabetes mellitus (DM), giving birth to an obese baby, and losing the productive age in their life. The purpose of this research is to analyze the risk factors and to find out the dominant risk factors which cause the diabetes mellitus type II on the women of childbearing age in the work area of community health center (Puskesmas) Purwosari, city of Surakarta. The type of the research is observational analysis with the design of case control. The subject of this research was taken by using Proportionate Stratified Random Sampling in which the numbers of sample are 150 which consist of 50 samples for the case group and 100 samples for the control group. The data collecting technique used is an interview using questionnaire to the respondents with respect to the family related DM history, eating pattern, body mass index (BMI) and physical activity. Bivariate data analysis used is chi-square, and the multivariate is using logistical regression. The result of the research shows that the factors of DM Type II case risk are physical activity (p= 0,002; OR= 3,269; 95% CI= 1, 533-6,973), family related DM history (p= 0,004; OR= 3,121; 95% CI= 1,425-6,835), eating pattern (p= 0,016; OR= 2,646; 95% CI= 1,200-5,834) and BMI before ailing DM Type II (p=0,008; OR= 2,597; 95% CI=1,273-5,298). The dominant factor that causes DM Type II in this case is physical activity of where people with low frequency of physical activity are risky to ail DM Type II with the probability of 3,3 times higher.

PENGARUH METODE BERMAIN ULAR TANGGA DAN CERAMAH DALAM MENINGKATKAN PENGETAHUAN DAN SIKAP SISWA MIN TENTANG BAHAYA MEROKOK DI MIN 12 MEDAN
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

ABSTRAKSmoking is still a problem in developing countries, including Indonesia. Various attempts have been made to reduce the number of smokers in Indonesia, but in reality the number of smokers increase. The behavior of smoking groups is carried out by various groups including teenagers and children. The purpose of this study was to analyze the effect of the method of playing snakes and ladders, and lecture methode in improving the knowledge and attitude of primary school students about smoking hazards in “MIN 12 “primary school.This research uses quasi experiment design. Respondents who received intervention in the study were 60 people divided into 30 people playing snakes and 30 people getting lectures. The analysis of this study used wilcoxons and Mann Whitney testHealth promotion using snakes and ladders games and lectures has been proven to increase knowledge and attitudes about the dangers of smoking. The use of the snakes and ladders game has proved to be more effective than lectures in increasing knowledge and attitudes about the dangers of smokingSnakes and ladders media should be used more often by primary schools in increasing the knowledge and attitudes of primary school students about the dangers of smoking. Elementary school principals must be more active in socializing the dangers of smoking to primary school students to prevent smoking behavior among elementary school students.

Studi Kasus Analisa Beban Kerja Pelayanan Gizi Menurut Patton dan Sawicki di UPT Puskesmas Beji Kota Depok Provinsi Jawa Barat Tahun 2019 Gabe Gusmi Aprilla
Berita Kedokteran Masyarakat (BKM) Vol 36, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: Tujuan: Untuk menganalisa upaya pelayanan gizi yang ada di UPT Puskesmas Beji Kota Depok Provinsi Jawa Barat Tahun 2019.Metode: Penelitian ini menggunakan metode penelitian kualitatif, melalui wawacara mendalam pada 4 orang yaitu Kepala Puskesmas, Kepala Tata Usaha, Penanggung Jawab Mutu dan Tenaga Gizi.Hasil: Berdasarkan wawancara yang dilakukan terhadap petugas gizi UPT Puskesmas Beji Kota Depok diperoleh informasi pelayanan konseling gizi di dalam gedung tidak dapat dilakukan setiap hari pada saat jam kerja Puskesmas dikarenakan petugas gizi melakukan kunjungan rutin tiap bulan terjadwal ke 32 posyandu. Walaupun terjadwal petugas tidak dapat melakukan kunjungan ke seluruh posyandu dalam 1 bulan. Dikarenakan terbatasnya waktu dan tenaga mendistribusikan Pemberian Makanan Tambahan (PMT) bagi Balita gizi kurang dan gizi buruk serta PMT bagi ibu hamil KEK dan memantau balita gizi kurang dan gizi buruk di wilayah Kecamatan Beji yang padat penduduk, sehingga pendistribusian dan pemantauannya dibantu oleh kader. Adanya dua aplikasi pencatatan dan pelaporan yang berbeda yaitu Pencatatan dan Pelaporan Gizi Berbasis Masyarakat (e-PPGBM) dari Kementerian Kesehatan dan aplikasi lokal dari Dinas Kesehatan Kota Depok, sehingga menyita waktu dan tenaga. Sarana dan prasarana perangkat komputer dan fasilitas internet yang tidak memadai serta tidak lengkapnya data penduduk berupa Nomor Induk Kependudukan (NIK) dan nomor Hand phone (HP) yang merupakan variabel yang harus dimasukkan pada saat input data menggunakan aplikasi e-PPGBM dari Kementerian Kesehatan menyebabkan waktu dan tenaga menjadi tersita banyak. Kendala lain tidak kooperatifnya keluarga yang memiliki balita gizi buruk dan sering menolak dirujuk ke Puskesmas TFC (Therapeutic Feeding Center), sehingga menambah beban kerja petugas gizi untuk melakukan pelayanan gizi rawat jalan dengan pemberian konsultasi diit dan Pemberian Makanan Tambahan (PMT) sesuai dengan Tata Laksana Gizi Buruk serta Audit Kasus Gizi Buruk untuk dilaporkan ke Dinas Kesehatan Kota Depok.Kesimpulan: Upaya pelayanan gizi baik di dalam gedung dan di luar gedung kurang optimal karena pelayanan gizi hanya dilakukan oleh petugas gizi, sehingga agar pelayanan gizi di luar gedung berjalan optimal petugas mesti memberdayakan kader masyarakat dalam rangka meningkatkan pelayanan gizi.Kata kunci: beban kerja, pemberdayaan, kader, pelayanan gizi

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Ika Kusumaningtyas

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Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ika Kusumaningtyas

Contact Email tyas.kusuma@ugm.ac.id

Phone +628988833412

Journal Mail Official bkm.fk@ugm.ac.id

Editorial Address Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

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Contact Name
Ika Kusumaningtyas

Contact Email
tyas.kusuma@ugm.ac.id

Phone
+628988833412

Journal Mail Official
bkm.fk@ugm.ac.id

Editorial Address
Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA