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Nexus Kedokteran Komunitas
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Arjuna Subject : -
Articles 306 Documents
 9   10   11   12   13 
Comparison of Depression Case Incidence on Adi Sumarmo Boyolali Airport Employees between Apron and Non-Apron Region Employees Pamungkas, Wahyu
Nexus Kedokteran Komunitas Vol 5, No 1 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Noise is one of the most often encountered stressor to human being. Aircraft noise is considered to be the most annoying transportation noise, due to its noise level and intermittent nature. Noise will interfere with the working of the brain, especially in its endocrine regulation. It is estimated that in 2020 depression will be the problem and will be the second global burden after ischemic heart disease. The most common cause of depression is dysregulation of Hypothalamus-Pituitary-Adrenal (HPA) axis. The aim of this research is to compare depression case incidence on Adi Sumarmo Boyolali airport employees between apron and non-apron region employees. Methods: This research is an analytical cross-sectional study, conducted in Adi Sumarmo Airport Boyolali. The research was conducted in November 2014. The independent variable was workplace noise that divided into 2: apron area (81.3 WECPNL noise level) and non-apron area (64.14 WECPNL noise level). While the dependent variable was depression measured by Beck Depression Inventory II questionnaire. Samples were Adi Sumarmo Airport Boyolali employees with at least a year of the working time, no having psychiatric disorders, no having both chronic dieases and congenital diseases, no having hearing loss, no wearing ear model of personal protective equipment, no experiencing death of sib in last 3 months, LMMPI score with “no” answers < 10, and were willing to be respondents and approved informed consent. Total of 86 samples were obtained by consecutive sampling after selected based on inclusion and exclusion criteria. It divided into 2 groups. Each consists of 43 employees. The data were analyzed by chi-square test. Result: The prevalence of depression was 46.5% in the apron area and 20.9% in the non-apron area. Chi-square test showed that there was a statistically significant difference in depression score among two groups (p = 0.012; p<0.05). Conclusion: There was significant difference of depression case incidence on Adi Sumarmo Boyolali Airport employees between apron and non-apron employees. Keywords: Adi Sumarmo Airport, aircraft, depression, noise. 
The Associated Factors of The Inpatient Medical Records Quality in RSUD DR. Moewardi Surakarta Setiadani, Priaji; Sulaeman, Endang Sutisna; Herlambang, Penggalih Mahardika
Nexus Kedokteran Komunitas Vol 5, No 1 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: One components of the quality of health care which is given by hospitals is the availability of data or information from the medical record. According to Permenkes 269 of 2008 concerning medical records, recording of patient data is a compulsion, and a legal obligation. Methods: This research is a non-experimental descriptive study. The design of the study uses a cross-sectional. This research was conducted in the inpatient medical record installation of RSUD DR Moewardi Surakarta. The research’s method is a combined method approach (mixed methods) that combines qualitative and quantitative approaches. A qualitative approach is as the primary while the quantitative approach plays as a support. Samples were taken in purposive sampling, is the five informants as medical records executant. Data collected through in-depth interviews, observation, and analysis of documents. Qualitative data analysis is done through a tangle analysis and interactive analysis, while quantitative data were collected and analyzed by using a check list to determine the output quality of medical records. Results: The associated factors of the medical records quality of inpatients in RSUD DR Moewardi are the input, processes and the output of medical records. Input include energy, funds, materials, machines, methods, socialization, time and information. Process include the implementation process when the medical records in medical services and medical records at the time of file handling, namely the processing, storage, lending, and the return of the medical record file. Output include stuffing completeness, accuracy, timely refund, and compliance aspects of the legal requirements. The result of the total quality of medical records was 93.05%. The qualities of the medical records are categorized as good. Conclusion: The associated factors of the medical records quality of inpatients in RSUD DR Moewardi are the input factors, process factors and the output factors. Input factors are workforce factors, fund factors, material factors, engineering factors, methods factors, socialization factors, the time factor, information factors. Process factors include the implementation process when the medical records in medical services and medical records at the time of file handling, namely the processing, storage, lending, and the return of the medical record file. Output factors include stuffing completeness, accuracy, timely refund, and compliance aspects of the legal requirements. Keywords: medical records, medical records quality.  
The Relationship between Health Service Quality and Satisfaction Level of JKN – SJSN (Public Health Security) Patient in UPTD Puskesmas Nusukan of Surakarta City Wardhani, Hanni; Murti, Bhisma; Dharmawan, Ruben
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

JKN – SJSN (Public Health Security) patient as the customers who use health care service in Puskesmas need a high-quality health service to cure the diseases they suffer from. Furthermore, to generate satisfaction with the health service they receive from the personnel of Puskesmas. As we know, Puskesmas is one form of comprehensive health service organizations encompassing health promotion, prevention, curing and recovery aspects for all people so that the society will get a high-quality and affordable health service. This study aimed to analyze the relationship between health service quality and the satisfaction level of JKN – SJSN patients in UPTD Puskesmas Nusukan of Surakarta City. This study was an analytical observational research with cross-sectional approach. Fourty subjects of research selected using simple random sampling technique were the participants of JKN – SJSN who had had them examined in UPTD Puskesmas Nusukan of Surakarta City and met the inclusion criteria. The data collection was carried out through questionnaire with the direction of the researchers. The data of research was analyzed using Chi Square test and processed using Statistical Product and Service Solution (SPSS) 21.00 for Windows. This study showed that the Quality of Health Service was related significantly to the Satisfaction Level of JKN – SJSN Patient. There was a statistically significant relationship between Health Service Quality and the Satisfaction Level of JKN – SJSN patients with OR = 20,8; CI 95% = 2,35–184,40; p<0,001. 
Comparison of Reproductive Health Knowledge and Attitude towards Premarital Sexual Intercourse between Natural Sciences and Social Sciences Students of SMAN 1 Temanggung Sahir, Endang; Iryawan, Andri; Sahir, Endang
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: In the globalization of information era, a high number of adolescents with lack of reproductive health knowledge are predicted to cause raising issues of deviant sexual behaviour, HIV/AIDS, and other sexually transmitted diseases. Indonesian government establishes Generation Planning program where reproductive health knowledge is an important aspect that must be examined on a regular basis as part of efforts to build Tough Adolescent. The existence of formal high school education which consists of different scientific fields, naturals and social sciences, becomes the background of this study in order to determine the differences of reproductive health knowledge and attitude towards premarital sexual intercourse between natural sciences and social sciences students of SMAN 1 Temanggung. Methods: This study was an observational analytic study with cross sectional approach. The subjects were students of class XII SMAN 1 Temanggung aged 16-18 years majoring in natural or social sciences in 2014. The sample was 167 students who met inclusion criteria and did not meet exclusion criteria obtained using proportionate stratified random sampling technique. Data taken from the questionnaire were analyzed using Mann-Whitney and Spearman correlation test (α = 0.05) by SPSS 16.0 for Windows program. Results: Mann-Whitney test shows significant difference of reproductive health knowledge between natural and social sciences groups (p=0.000, p < 0.05), but the test shows no significant difference of attitudes toward premarital sexual intercourse between two groups (p= 0.128, p> 0.05). Spearman correlation test shows no correlation between the student’s reproductive health knowledge and their attitude toward premarital sexual intercourse (p value= 0.875, p>0.05). Conclusion: There is significant difference of reproductive health knowledge but there is no significant difference in attitudes toward premarital sexual intercourse between natural and social sciences students of SMAN 1 Temanggung.There is no correlation between the students reproductive health knowledge and their attitudes toward premarital sexual intercourse. Keywords: reproductive health knowledge, attitudes toward premarital sexual intercourse, natural science, social science, Generation Planning. 
Correlation between Exercise and Sleep Quality of Bank Security Guard at Surakarta Saputri, Rindy; Kiyatno, .; Suryawan, Arif
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Security guard often experience sleep disturbances, especially insomnia due to the changing of sleep pattern. This sleep disturbance causes a decrease sleep quality on security guard. Exercise can prevent the decrease of sleep quality. This research aimed to determine the correlation between exercise and sleep quality of banks security guard in Surakarta. Methods: This was an observational analytic research with crosssectional design, which was held on November 2014 with security guard at Surakarta as the research subjects. Sampling method used simple random sampling. The dependent variable was sleep quality which was measured by questionnaire. The independent variable was exercise. The variable was measured by time accumulation of exercise in a week. It was categorized into exercise (≥150 minutes/week) and non exercise (<150 minutes/week). Thirty eight research subjects was analyzed using Spearman correlation test. Result: The Spearman correlation test analysis showed a statistically significant strong correlation between exercise and sleep quality. Exercise had contribution 44.9% to improved sleep quality (R= 0.67; R2= 0.44; p=0.000). Conclusion: Exercise has strong positive correlation with sleep quality of bank security guard. Security officers who do exercise have better sleep quality. Key Words: Security guard, Sleep quality, Exercise. 
Relationship between Level of Parent’s Income and Nutritional Status of Under-Five Years Old Children in Punggawan Village, Banjarsari Districts, Surakarta. MB, Reyhana; Suhanantyo, .; Widyaningsih, Vitri
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Prevalence of malnutrition increase in past few years. Sixty six million under-five years old children around the world died in 2012 and 45% of them died due to malnutrition. The prevalence of under-five years old children who has suffered undernutrition is still increasing over 2007-2013. Undernutrition can be caused by imbalance of the intake, economical crisis, parents’ lack of knowledge, parents’ economical status (occupation and income), lack of healthcare services,  and infection among children that caused by viruses and bacteries. This study is aimed to measure the relationship between level of parents’ income and nutritional status of under-five years old children in Punggawan Village, Banjarsari Districts, Surakarta. Methods: A cross sectional, observational study was conducted. This study was located in Punggawan Village, Banjarsari Districts, Surakarta from March 2014 until January 2015. The data was collected from October until November 2014 time period using questionaire and direct measurement of children’s weight and height. Sample of this study were under-five years old children in Punggawan Village, Banjarsari Districts, Surakarta. Their nutritional status were defined by several anthropometry indices such as weight for age, height for age, weight for height, and Body Mass Index for age. The parents’ income was defined by their total income in rupiah (Rp). Data was analyzed by logistic regression doubling amount and Chi Square. Results: The result of bivariate logistic regression showed value of OR = 1.00 for correlation between level of parent’s income and indices of weight for age, height for age, weight for height, and Body Mass Index for age. This result showed that nutritional status was not associated with level of parent’s income. Conclusion: There is no relation between level of parent’s income and nutritional status of under-five years old children in Punggawan Village, Banjarsari Districts, Surakarta. Keywords: Parent’s income, nutritional status, parent’s education, occupation 
The Relationship of Knowledge and Attitude towards Handwashing Behavior of Students of SMPN 1 Surakarta and SMPN 6 Surakarta Azam, Abdullah M; Sumardiyono, .; Murti, Bhisma
Nexus Kedokteran Komunitas Vol 5, No 2 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Health status of the child at this time can not be said to be good because of the high frequency of health problems, especially in school children. Problems often arise at school-age children was the lack of concern for personal hygiene. One of them is handwashing behavior before eating and drinking or activities. Therefore, researchers wanted to analyze the relationship between the level of knowledge, attitudes towards Handwashing Behavior with soap in junior high school students. Methods: This study was an observational analytic research with cross sectional approach. The research was conducted in SMPN 1 and SMPN 6 Surakarta. Subjects in this study were drawn from the target population, then reduced to a junior high school student population source (affordable) students of SMPN 1 and SMPN 6 Surakarta. The samples in this study were the second-grade students of SMPN 1 and SMPN 6 contained in the population and meet the inclusion criteria. The number of samples taken was 300 students from the source population of 480 students. Results: The relationship between knowledge level and handwashing behavior with soap (OR = 22.06; CI 95% 12.09 – 40.24, p=0.000). The relationship between attitude and handwashing behavior with soap (OR = 3.66; CI 95% 2.21 – 6.06, p=0.000). Conclusion: The students with a good level of knowledge have a greater possibility to do handwashing with soap. The students with a good attitude have a greater possibility to do handwashing with soap. Keywords: Knowledge, Attitude, Handwashing Behavior  
The Association between Degree of Smoking and Myocardial Infarction Prevalence Subijanto, Achmad Arman; Mashuri, Yusuf Ari; Nardian, Derajat Fauzan
Nexus Kedokteran Komunitas Vol 5, No 2 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Cardiovascular disease is one of the leading causes of death in the world. One of the most common cardiovascular disease is myocardial infarction. In developing countries such as Indonesia, smoking is a risk factor that greatly affects on myocardial infarction disease. Many factors such as the duration of smoking, the number of cigarette consumption and the degree of smoking are thought to be related to the prevalence of myocardial infarction. The aim of this research was to determine the association between degree of smoking and myocardial infarction prevalence. Methods: The study is analytical observation by using cross sectional design. The subjects were patients who came to cardiovascular clinic and inpatients in cardiovascular unit of Dr. Moewardi Hospital Surakarta. The subjects were selected by purposive sampling method. The independent variable is degree of smoking that was obtained by interview and questionnaire and the dependent variable is the myocardial infarction status that was obtained by medical record of the subjects. Data were analyzed using chi-square test with p value = 0.05. Results: The total number of patients with history of myocardial infarction were 22 (50%) whereas patients without history of myocardial infarction were 22 (50%). The number of subjects with light smoking status were 18 (40.9%), moderate smoking status were 15 (34.1%) and heavy smoking status were 11 (25%). Chi-square test on the degree of smoking and the prevalence of myocardial infarction showed that the odds ratio between heavy smoking status and light smoking status was 26 and odds ratio between heavy smoking status and moderate smoking status was 11.43 whereas p value was 0.004 (p < 0.05). Conclusion: It can be concluded that there is difference in myocardial infarction prevalence between heavy, moderate and light smoking status patients in Dr. Moewardi Hospital Surakarta. Keywords: cigarrete, smoking status, degree of smoking, myocardial infarction 
The Correlation between Sleep Quality and Working Memory Capacity on Student of Senior High School Pratiaksa, Ardian; Wiyono, Nanang; Andhi Jusup, Sinu
Nexus Kedokteran Komunitas Vol 5, No 2 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Sleep is an active, repetitive and reversible behaviour serving several different function, one of it is the function to develop memory’ s abbility. Lack of sleep is one of big problem faced by the modern society nowadays. In the big city like Jakarta, most of the adolescents have sleep disorder. This research intents to prove correlation between sleep quality and working memory capacity on student of Senior High School. Methods: This research was a cross-sectional analytic observational. The population sample was students in the 10th grade of 4 Surakarta Senior High School. By using purposive sampling method, the total restricted samples were 66 students. The instruments were Pittsburgh Sleep Quality Index, which is used to check the sleep quality scores, and Reading Span Test, to check the working memory capacity. Data was analyzed by Spearman Correlation test. Results: The respondents were 66 students, 33 students (50%) with bad sleep quality, 33 (50%) others were students with good sleep quality. The result showed high positive and  significant correlation between sleep quality and working memory capacity (r = 0.814 and P = 0.000). Conclusions: There is high positive and significant statistic correlation between sleep quality and working memory capacity on students of senior high school. Keywords: Senior high school students, sleep quality, working memory capacity. 
The Relationship between Exposure Level of in Passive Smoking with Maximum Oxygen Uptake (VO2max) among Adolescents Aged 19-24 Years Old Safitri, Ines Aprilia; ., Arif Suryawan; ., Bagus Wicaksono
Nexus Kedokteran Komunitas Vol 5, No 1 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The prevalence of passive smokers tends to increase along with the  prevalence of active smokers. Most of university students are passive smokers, who get the exposure in home and social environment. The exposure of cigarette smoking can harm human health, especially for cardiovascular and respiratory system. VO2max is the best parameter to measure human cardiorespiratory ability. This research aimed to analyze the relationship between exposure level in passive smokers with maximum oxygen uptake (VO2max) in adolescents aged 19-24 years old. Methods: This was an observational analytic study with cross-sectional design. The research was conducted in Mei 2015. Using the consecutive sampling, we selected 72 passive smokers aged 19-24 years old, Sebelas Maret University students, who classified into medium and high exposure level. The data were collected by using questionnaire and interview. VO2max was measure with Mc Ardle Step Test method. The data was analyzed with Chi Square test. Results: The results showed that passive smokers were mostly women. Most of sample had good VO2max, which were 37.5% in medium exposure level and 23.6% in high exposure level. The sample with average VO2max were 8.3% in medium exposure level and 15.3% in high exposure level. The sample with low VO2max were 11.1% in medium exposure level and 4.2 % in high exposure level. Chi Square test result showed p = 0.095. Conclusions: There is no statistically significant relationship between exposure level in passive smokers with maximum oxygen uptake (VO2max) on adolescents aged 19-24 years old. Keywords: Passive Smokers, VO2max. 

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