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INDONESIA
Jurnal Kedokteran Indonesia
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 61 Documents
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Pengaruh Logoterapi Terhadap Hipertensi Pada Pasien Lanjut Usia Fatimah, Agnes
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Behavior cognitive and relaxation types of psychotherapy have been proven effectivefor treatment of patients with somatic disturbance. However, research into the benefit of logotherapy(LGT) is lacking. Acceptance of conditions gives better meaning of life and psychological approachhelps enhance the patient’s coping ability. Coping ability creates balance in the nervous systemregulation, HPA axis, innate component, and adaptive immunity system. It in turn will bring about thechange in the patient’s blood pressure. This study is aimed to determine the effectiveness oflogotherapy on reducing hypertension among elderly patients.Methods: This study used pre and posttest with control group quasi experimental design, conductedfrom July to October 2008. The study subjects were purposively sampled from members of PWRI(Association of the Elderly of the Republic of Indonesia) in Urutsewu-Ampel Boyolali, Central Java,who met criteria for inclusion. Riester quicksilver sphygmomanometer and Riester stethoscope wereused for measuring blood pressure. T-test was used to test the mean difference in the reduction ofblood pressure. The analysis was run by SPSS version 15.0 program.Results: There was statistically significant difference in the reduction of systolic blood pressure (p<0.001)and diastolic blood pressure (p=0.019), between the logotherapy group and the control group.Conclusion: Logotherapy administered in conjuction with anti-hypertensive drug reduces systolicblood pressure and diastolic pressure in elderly patients with hypertension. Logotherapy can be usedas an additional therapy for patients with hypertension.Keywords: logotherapy, hypertension, elderly
Pengaruh Penambahan Vitamin C pada Suplementasi Besi Folat dalam Meningkatkan Kadar Hemoglobin pada Pasien Pasca Seksio Sesarea di RSU PKU Muhammadiyah Klaten Angganis, Yunisa Dwi
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Sectio-caesarian (SC) proportion was high at Indonesian hospitals such as RS CiptoMangun Kusumo Jakarta (35.7%) and RSU PKU Muhammadiyah Klaten (33.8%). Massive blood loss dueto SC may cause women at risk for iron-deficiency anemia after birth delivery. This study aimed todetermine if adding vitamin C to Fe folate supplementation further increase hemoglobin level.Methods: A double-blinded randomized controlled trial was conducted at PKU Muhammadiyah Klaten,Central Java. A sample of 32 anemic women after SC birth delivery were alllocated to either experimentalgroup or control group. All study subjects were given capsules containing 200mg ferrous sulphate and0.25mg folic acid. In addition, the experimental subjects received 100mg vitamin C. These capsuleswere taken once daily for 60 days. Hemoglobin level was measured by Cyanmethemoglobin. Foodintake during experiment was recorded by 24 hour food recall. To control for confounding variablesafter randomization, the incremental effect of adding vitamin C to Fe Folate on hemoglobin wasanalyzed by multiple linear regression model on Stata intercooled 7.Results: Adding vitamin C to Fe folate increased hemoglobin level as much as 7.9 g/l higher than Fefolate alone, and it was statistically significant (b = 7.9; p = 0.013; CI95% 1.9 to 14.1), after controlling forage and food intake such as Fe, folic acid, vitamin C, protein, and energy, during experimentation.Conclusion: Adding vitamin C to Fe folate signficantly increases hemoglobin level in anemic womenafter sectio-caesarian birth delivery. Hospitals are recommended to provide Fe Folate + vitamin Csupplementation for anemic women after sectio-caesarian birth delivery to increase hemoglobinlevel.Keywords: anemia, hemoglobin, sectio-caesaria, vitamin C, Fe folate, women giving birth
Pengaruh Merokok Pasif Terhadap Insidensi Dismenore Primer Amini, Raisa
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Primary dysmenorrhea is a common gynecologic disorder in women of reproductiveage. Primary dysmenorrhea can be defined as painful menstruation that occurs without pelvicabnormalities. Previous studies have found an association between current cigarette smoking andprevalence of primary dysmenorrhea. The purpose of this study was to examine the relationshipbetween the exposure to environmental tobacco smoke (ETS) and the occurrence of primarydysmenorrhea among women.Methods: This was a retrospective cohort study. The researchers conducted face-to-face interviewsusing a questionnaire to gather information. The study was held in 3 subdistricts in the city of Surakarta,including Jebres, Lawean and Pasar Kliwon. A total of 120 women sampled by fixed exposure samplingtechnique, participated in this study, consisting of 60 passive smoking women and 60 women who donot smoke. Data were analyzed by chi square and multiple logistic regression on SPSS 17.0.Results: The prevalence of primary dysmenorrhea was lower (p < 0.001) in unexposed women thanexposed women. Among women who were not exposed to smoke, 33.3% of them. Female passivesmokers were 23 times more likely than female non-smokers to suffer from primary dysmenorrhea(OR=23.0; 95% CI 7.8 to 67.2).Conclusion: Passive smoking is strongly associated with increased risk of primary dysmenorrhea amongwomen.Keywords : primary dismenorrhea, passive smoking
Pengaruh Paparan Polutan Udara Terhadap VO2Max pada Pekerja Batik di Lingkungan Pabrik Batik Hafidzah, Farah
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Batik industry uses basic materials that contains wax. Wax will produce smoke whenheated. Smoke of wax contains pollutants such as NOX, SO2, CO, CO2, HC, H2S and particles. Thepollutants can cause acute or chronic damage to lung tissue if inhaled by the workers, depending onthe pollutant concentration, duration of exposure and vulnerability of the body. The purpose of thisstudy is to determine the effect of air pollutants on V2max to batik workers in batik factory environment.Methods: This study used an analytical cross sectional study using fixed exposure sampling techniqueconducted in July 2010. The sample consisted 60 batik factory workers both inside and outside thefactory plant. Data were collected by use of questionnaire and the shuttle run test. The data wereanalyzed using multiple linear regression on SPSS version 16 and Stata Intercooled version 7.Results: The results showed that VO2max of batik factory workers was 3.9 mL / kg / minute lower thanthat of workers outside the factory batik (b =- 3.9, p = 0.003) after controlling for the effect of smokinghabits, age, length of employment, and BMI.Conclusions: Working at batik factory significantly reduces VO2max by 3.9 mL/kg minute after controllingfor smoking, age, length of employment, and BMI.Keywords: air pollutant, VO2max, batik factory
Pengaruh General Reaction Score Terhadap Kadar Kortisol Darah Pada Wanita yang Terpapar Bising Pesawat Udara di Sekitar Bandara Adi Sumarmo Boyolali Hartono,
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Exposure to noise constitutes a health risk. There is sufficient scientific evidence thataircraft noise exposure can induce various disorders, such as hearing impairment, hypertension andischemic heart disease, annoyance, sleep disturbance, and decreased school performance. This studyaimed to examine the effect of the general reaction score on cortisol circulating levels of women withaircraft noise exposure in the area of Adi Sumarmo Airport of Boyolali.Methods: This was an analytical cross sectional study, conducted at the Dibal and Gagak Sipat Village,Ngemplak Sub district, Boyolali Central Java. The study was conducted from July 2008 to Juni 2009.The sample of 39 people was selected at random, divided into 3 groups: Group 1 was exposed 92.29dBnoise level (13 people), Group 2 was exposed 71.79 dB noise level (13 people), and Group 3 was exposedto 52.17 dB noise level (13 people). The data were analyzed by Pearson Correlation and Kruskal-Wallisfollowed by Pair-wise test.Results: Kruskal-Wallis test showed that there was a significant difference in cortisol circulating levelsstatistically in the groups (p = 0.018). Pearson correlation showed a positive association betweengeneral reaction score induced by aircraft noise exposure and circulating levels of cortisol (r = 0.47; p= 0.02).Conclusion: There is a significant effect of the general reaction score on cortisol circulating levels inwomen with aircraft noise exposure in the adjacent area.Keywords : aircraft noise, general reaction score, cortisol, Adi Sumarmo Airport
Pengetahuan tentang HIV/AIDS dan Voluntary Counseling and Testing (VCT), Kesiapan Mental, dan Perilaku Pemeriksaan di Klinik VCT pada Para Mitra Pengguna Obat dengan Jarum Suntik di Surakarta Wicaksana, Junitha Fitri Putri; Kusumawati, Yuli; Ambarwati,
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background : HIV/AIDS can be transmitted through unsterile syringe. Therefore intravenous drug user(IDU) partners are at high risk to get HIV/AIDS infection. This study aimed to determine the associationbetween knowledge on HIV/AIDS, VCT, and mental readiness, and the willingness to undertake VCTamong IDU partners at VCT clinic in Surakarta.Methods : This was a cross-sectional study. The source population was 99 IDU partners visiting VCTClinic in Surakarta. A sample of 18 IDU steady and 60 IDU temporary partners were selected at randomfor this study. The data was analyzed by use of chi square test on SPSS 16.Results : Data analysis showed a statistically significant association between knowledge on VCT (p=0.005) but no statistically significant association between mental readiness (p= 0.956), respectively,and the willingness to undertake VCT among IDU partners in Surakarta.Conclusion : There is assocition between knowledge on VCT and willingness to undertake VCT amongIDU partners. There is no association between mental readiness and willingness to undertake VCT.Keywords : HIV/AIDS, Intravenous drug user (IDU) partners, VCT
Pengaruh Variasi Metode Pembayaran Kapitasi Kepada Dokter Keluarga Terhadap Efisiensi Biaya Dan Kualitas Pelayanan Martiningsih, Dwi
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Payment method may influence the behavior of doctors, so it may affect efficiency,quality of health services, and population health status. In the UU No 40/ 2004 on National SocialSecurity System (SJSN), the government aims to develop the role of family doctors. Accordinglythere is a need to investigate the most appropriate method of payment to the doctors. This studyaimed to investigate the effect of payment method to the family doctors on cost-efficiency andquality of health care.Methods: This was an analytic study using cross-sectional design. It was conducted in Surakartamunicipality and Sukoharjo district, from October to November 2007. The target population wasfamily doctors and participants of the compulsory health insurance scheme of PT Askes. The indepndentvariable under study were capitation method for paying doctors’ fee with or without drug cost. Thedependent variables included cost per member per month, cost-effectiveness ratio, referal per visitratio, and the quality of health care. This study collected primary data using a pre-tested questionnaireand secondary data available at the PT Askes office. The data was analyzed by t test and Mann-Whitney, which were run under SPSS v. 15.Results: Results showed that there was no statistically signficant difference between capitation methodfor paying doctors’ fee with and without drug cost in cost per member per month (p= 0.940), costeffectivenessratio (p= 0.604), referal per visit ratio (p= 0.148), and the quality of health care (p=0.073).Conclusion: This study concludes that there is no significant difference between capitation methodfor paying doctors fee with and without drug cost in performance measures such as efficiency andquality of health care. It is suggested that similar studies be conducted using longer time and largersample size.Keywords: payment method, family doctor, cost-efficiency, quality of health care
Kemauan Membayar Pelayanan Kesehatan Obstetri dan Faktor-faktor yang Mempengaruhi pada RS PKU Muhammadiyah Surakarta Purbawati,
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: PKU Muhammadiyah Surakarta Hospital had an increasing account receiveable problemyear by year (2003 – 2006) that could interfere with hospital operation. Over 25% of total receivablesoccurred at obstetric units. Higher tariff to willingness to pay, but became known only after the use ofmedical services was concerned, would cause debt. This study aimed to estimate the willingness topay for obstetric health care and to determine factors that affect willingness to pay for obstetrichealth care.Methods: This was a descriptive and analytic study using cross-sectional design. Subjects were pregnantwomen who received antenatal care at PKU Muhammadiyah Surakarta Hospital. Samples were takenby purposive sampling technique. The data were collected using a questionnaire covering demographicand socio-economic characteristics, perceived service quality, and willingness to pay. Willingness topay was estimated by contingent valuation method, namely Bidding Game Technique. Effect of factorson willingness to pay was analyzed by linear regression model.Results: Multiple linear regression analysis showed that family income affects the willingness to pay onall classes in both normal deliveries and section caesaria. Perceived quality of service, education,number of parity, and the distance did not show statistically significant effect on willingness to pay forobstetric medical services.Conclusion: Household income increases willingness to pay for obstetric health care. Factors thatsignificantly affect the willingness to pay are family income. In this study, perceived quality of service,education, number of parity, and the distance showed no statistically significance effect.Keywords: willingness to pay, hospital
Evaluasi Program Pengendalian Tuberkulosis dengan Strategi DOTS di Eks Karesidenan Surakarta Firdaufan, ; Santoso, ; Hartanto, Rifai; Hendratno, ; Sumardiyono, ; Sutisna, Endang; Syahril, Mohammad
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Direct Observed Treatment Short Course (DOTS) strategy has been regarded as successfulto control Tuberculosis. However decreasing rates of TB prevalence and mortality were not fastenough to attain half of the prevalence and mortality in 2015 as targeted by Millenium DevelopmentGoals (MDGs). There is a need for continuity and expansion of DOTS strategy implementation. Thisstudi aimed to evaluate the attainment of TB control program with DOTS strategy and determinefactors affecting it.Methods: This was a quantitative and qualitative evaluation study using a post-hoc cross-sectionaldesign. The study was conducted in Sukoharjo and Boyolali districts, and Surakarta municipality, CentralJava, carried out from October 2009 to February 2010. The target population included TB implementingworkers, policymakers, TB health program planners, TB patients and their family, and other stakeholders.Results: There is disparity in the target attainment of TB control program at district/ municipalities aswell as subdistrict levels. Some districts and subditricts have not reached the expected quantitativeand qualitatives levels of outcome. Case finding and detection rate were subtstandard 70%, atmunicipality/ district level. This problem was due to level of compliance among doctors, spesialists,and private hospitals was still low to implement standard procedures of diagnosis, treatment, reportingand recording of TB patients. The drop-out rate and ineffective drug administration supervision affectedthe cure rate. Financial support for the TB control program from the local government and locallegislatives was lacking.Conclusion: TB control program with DOTS has been implemented but with varying level ofachievement. System strengthening and participation of all health providers are encuraged byestablishing external network.Keywords: evaluation, tuberculosis control, DOTS strategy
Resensi : Writing Your Journal Article in 12 Weeks Murti, Bhisma
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Buku ini mengkompilasi serangkaian langkah-langkah terinci untuk menerbitkan sebuah artikel akademis. Metode yang diperkenalkan oleh penulis, baik untuk menulis, merevisi, dan mengirimkan naskah artikel, maupun merespons keputusan redaksi, jelas. Dengan tebal 376 halaman, cakupan buku ini cukup komprehensif, ditulis dengan seksama, dan ditata dengan apik. Dibandingkan dengan buku “how to write” lainnya, pembaca membutuhkan waktu yang lebih lama (12 minggu) untuk selesai membaca. Tetapi buku ini lebih efektif untuk merealisasi keinginan para penulis naskah artikel, yaitu mengirimkan dan menerbitkan artikel akademis pada jurnal.

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