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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
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Hubungan Indeks Massa Tubuh (IMT) Dengan Usia Terjadinya Menarche Pada Siswi Sekolah Dasar Ngoresan Surakarta Reswari, Amallia Ardana; Hidayati, Rosalia Sri; Suryawan, Arif
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Menarche or first menstruation is one of the many manifestations of puberty and early adolescence marks in girls. Variety of menarche age is influenced by various factors, one of which is body weight. In this study, body weight was measured using parameters Body Mass Index (BMI). The purpose of this study was to determine the relationship of IMT with the age of menarche. Methods: This study was an observational analytic with cross sectional study approach. The sampling technique used was purposive sampling. Sampel was as many as 43 students. The research was conducted in April 2012 in Ngoresan Elementary, Surakarta. Data were obtained by questionnaire and direct measurement of the weight and height. The statistical analysis used was chi-square. Results: Chi-square analysis results obtained p = 0.001 (p <0.05). From the results of this analysis showed a significant association Conclusions: Based on this study it can be concluded that there is a positive relationship between BMI and age of menarche. Keywords: Menarche, body mass index.
Hubungan antara Infeksi Menular Seksual dengan Kejadian Lesi Prakanker Serviks pada Ibu Rumah Tangga di Puskesmas Sangkrah Surakarta Dirk, Bela; Sunaryo, Rustam; Putranto, R.P. Andri
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The housewife is a group of women who are at risk for sexually transmitted infections. Sexually transmitted infections is one of the risk factors for pre-cancerous cervical lesions. This study aimed to determine the relationship between the incidence of sexually transmitted infections with cervical precancerous lesions on housewife in Sangkrah health center, Surakarta Methods: This study was a descriptive cross sectional analytic approach that was conducted in June-August 2012 in Sangkrah health center, Surakarta. Sampling was done by purposive sampling technique. In this study, researchers took a sample size of 53 samples. Research carried out by filling out the questionnaire, followed by a visual inspection test checks acetic acid (VIA) and the examination of sexually transmitted infections. Where is a sexually transmitted infection is gonorrhea, candidiasis and bacterial vaginosis. Data analysis using chi-square method. Results: This study shows the value of relationship to STI: a) Gonorrhea p = 0.299, CI95% = 0.236 to 71.357, and RR = 4.10, b) Candidiasis p = 0.160, CI95% = 0.236 to 71.357, and RR = 6.29, c) Bacterial Vaginosis p = 0.117, CI95% = 0.413 to 136,271 and RR = 7.50. From the results of these data revealed that there was no relationship between the incidence of sexually transmitted infections with pre-cancerous cervical lesions housewife in Surakarta but clinically meaningless to pose the risk of precancerous cervical lesions. But found a significant relationship between STI> 1 types and cervical precancerous lesions where p = 0.000, CI95% = 1.659 to 1507.303 and RR = 50.00.   Conclusions: There is no relationship between the incidence of sexually transmitted infections (Gonorrhoea, Candidiasis, and Bacterial Vaginosis) with pre-cancerous cervical lesions on housewife in Sangkrah Health Center Surakarta. Keywords: Sexually transmitted infection, Cervical Precancerous Lesions, Housevives, Surakarta.  
Hubungan antara Tingkat Pendidikan dengan Pengetahuan Dan Sikap Ibu Tentang Pemberian Imunisasi BCG Pada Bayi Usia 0-2 Bulan di Wilayah Kerja Puskesmas Kebakkramat I Karanganyar Wijaya, Dedy Tri; Hardjanti, Endang Sri; Hartanto, Rifai
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Mothers role is very important in BCG immunization to their babies, because immunization is useful to prevent and break the chain of TB disease. This research aims to prove that the degree of education has a strong correlation with the knowledge and attitude of mothers in BCG immunization. Methods: This study was observational analytic conduct by cross-sectional approach. The study was conducted in July-September 20 012 health centers in the working area Kebakkramat I, Karanganyar. Sample of 45 mothers were selected by purposive quota sampling. The variables studied include degree of educational as independent variables, the knowledge and attitudes of mothers about BCG immunization as the dependent variables. This research tool used questionnaires to measure all these variables and have done test validity and reliability. Data were analyzed using kolmogorov-Smirnov models using SPSS 17 for windows. Results: This study shows that the degree of education has a significant association with increased knowledge (kolmogorov-Smirnov Z= 1,375 ; p=0,046) but did not have a significant association with maternal attitudes about BCG immunization (Kolmogorov-Smirnov Z = 1.167, p = 0.131). Conclusion: There is a significant correlation between the degree of education with knowledge of BCG immunization and there is no significant relationship between the level of maternal education and attitudes about BCG immunization. Keywords: Degree of education, Knowledge, Attitute, BCG immunization
Hubungan Tingkat Pengetahuan Mengenai Zat Besi Dengan Tingkat Kepatuhan Mengkonsumsi Tablet Besi Pada Ibu Hamil Di Puskesmas Sibela Mojosongo Surakarta Septiani, Dwi Tiara; Edwin, Erick; Sukilarso, Bambang
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anemia in pregnant women increases the frequency of complications of pregnancy and childbirth. Anemia due to iron deficiency is a major cause of anemia in pregnant women compared with deficiencies of other nutrients. Iron anemia prevention programs, especially for pregnant women has been done through the provision of iron for free through the health center or posyandu. However, because of the limited knowledge of most of the pregnant women then this program seem to run slow. This study aims to demonstrate a link between the level of knowledge about the level of compliance with the iron taking iron tablets. Methods: This study was an observational analytic cross-sectional approach. Subjects were pregnant women Sibela Mojosongo the Surakarta Health Center. Sample of pregnant women who took iron tablets. Samples were taken by purposive sampling. The data collection technique using a questionnaire concerning the knowledge level of iron, the level of knowledge questionnaires and scales consuming iron tablets LMMPI inventory. Data score of knowledge about iron with Compliance Consuming Iron Tablets in pregnant women were analyzed with chi square test. Results: Obtained 30 samples of pregnant women. The results of chi-square analysis showed that there is a positive relationship between the level of knowledge regarding iron with adherence consuming iron tablets at the health center Mojosongo Sibela Surakarta. that patients with a high level of knowledge has compliance 35 times higher than those knowledgeable with p = <0.001 (OR = 35; 95% Cl 2.977 411.466 sd). Conclusions: Based on this study it can be concluded that there is a correlation between the level of knowledge about the level of compliance with the iron taking iron tablets to pregnant women. The higher the mothers level of knowledge of the iron, the higher the level of compliance in consuming iron tablets Keywords: Pregnant women, knowledge of iron, compliance consuming iron tablets
Karakteristik Akseptor Kb Baru Dan Aktif Dalam Pemilihan Metode Kontrasepsi Suntik Di Wilayah Gajahan Surakarta Romadhon, Fiqih Faruz; Sutisna, Endang; Subijanto, AA
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Based the data of Central Java Provincial Health Office 2006, see that the most choice of contraceptive method is injectable . Health behaviors included the selection of contraceptive is influenced by three factors: predisposing, enabling, and driving. Researcher aims to determine the relationship of the characteristics of new family planning acceptors and active in particular the level of knowledge, level of education and employment with the selection of injectable contraceptive method. Methods : Samples: new and active acceptors of family planning in Gajahan Health Centre, Surakarta. The number of sample: 86 persons. Sampling technique: simple random sampling. The research instrument: questionnaire. Then the data was analyzed using  chi square test. Results: The statisctical test of level of knowledge showed that (X2) of 6.880 with a significance (p) of 0.009. Then, the statistical result test of level of formal education showed that (X2) of 2.140 with significance (p) of 0.144. The statistical test of the employment status showed that (X2) of 6.351 with a significance (p) of 0.012. Results of statistical tests of regression analysis can be seen that the level of knowledge is the most dominant factor with value of statistical test (wald) is 4.084 and the greatest significance (p) is the smallest 0.043. Conclusions : 1) There is a correlation between the level of knowledge with the election of injection method 2) There was no relationship between the level of education with the election of injection method 3) There is a relationship between employment status with the election of injection method 4) The level of knowledge is the most dominant factor associated with the selection of injectable contraceptives. Keywords: family planning, injection, knowledge, formal education, employment status 
Hubungan Usia, Tingkat Pendidikan dan Tingkat Pengetahuan terhadap Cara Penggunaan Metered Dose Inhaler (MDI) pada Pasien Asma di RSUD Dr. Moewardi Kusumawardhany, Fitria Marizka; Setijadi, Ana Rima; Primadewi, Novi
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma is a chronic airway inflammatory disease that seriously impact on morbidity and mortality in the world. Most of the patients were taking medication prescribed for inhalation using a tool, not using inhalation devices correctly, approximately 90% of patients showed a wrong way to use MDI. For that, need to be investigated the factors associated with the occurrence of errors how to use MDI. This study aimed to analyze the relationship between age, education level and level of knowledge on how to use MDI in asthma patients. Methods: This analytic study was observational with cross-sectional approach. A sample of 40 study subjects was selected by purposive sampling from out asthma patients visiting the Pulmonary Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using suggested checklist and a set of questionnaire. The data was analyszed using chi-square and multiple logistic regression model on SPSS version 17 for Windows. Results: Patients aged ≥ 65 years had a good way of using MDI 4/10 times lower than patients aged <65 years (OR = 0.43; CI 95% 0. 0.07 to 2.89; p = 0.388). Patients with high education level have a good way of using MDI 2 times higher than patients with low education level (OR = 1.68; CI 95% 0.32 to 8.82; p = 0.539). Patients with a high level of knowledge of the importance of how to use the correct MDI had a good way of using MDI 14 times higher than patients with low levels of knowledge (OR = 13.58; CI 95% 2.37 to 77.76; p = 0.003).This estimate has controlled for the effects of long use of MDI as a confounding variable. Conclusions: There is a statistically significant association between knowledge on how to use MDI. There are also the association between age and education level on how to use MDI in asthma patients even though the data obtained was not statistically significant. This conclusion is drawn after controlling for the effects of long use of MDI as a confounding variable. Keywords: Asthma, how to use MDI, age, education, knowledge  
Perbedaan Prevalensi Obesitas antara Etnis Jawa, Tionghoa, dan Arab pada Anak Sekolah Menengah Pertama di Surakarta Murti, Zenia Purnama; Moelyo, Annang Giri; Widardo, .
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Obesitycauses many health problems in childhoodsuch ascardiovasculardisease, diabetes, musculoskeletaldisorders, cancersthat causemorbidity and mortalityin adulthood. Ethnicity is a risk factor for obesity. Ethnicity affect eating habits, genetic, amount of energy expenditure, fat distribution and tendency of obese in a child. The aim of this study was to analyze prevalence of obesity in Junior High School Children in Surakarta based on ethnic differences (Javanese, Chinese, and Arabian). Methods:This was a cross-sectional analytic study to 395 students of 8th grade in SMP Negeri 4 Surakarta, SMP Bintang Laut Surakarta, and SMP Diponegoro Surakarta (junior high school) that consist of Javanese, Chinese, and Arabian. Samples were collected by purposive sampling technique. Inclusion criteriaswere students of 8thgrade,parentshave thesameethnicity, and signed an informed consent. Exclusion criterias werechildrenwithedema, have achronicillness, taking medicationlong-termandconditions ofhandicapped.The questionnaire was used to know the ethnic of the child. Body mass index was used to define obesity status with Z-score >+2 SD based on  World Health Organization in 2007 growth chart. Data were analyzed by Chi-Square test. Results:This research shows 246 (63%) subjects were Javanese, 79 (20%) subjects were Chinese, and 70 (17%) subjects were Arabian.  Twenty seven subjects (6.84%) were obese and threehundred andsixty-eight subjects (93.16%) were not obese. Obese prevalence was 4.5 % among Javanese, 8.9 % among Chinese, and 12.9 % among Arabian.It shows a significant differences in the prevalence of obesity among the three ethnics (p=0,036; p < 0.05). Conclusions:There are significant differences in the prevalence of obesity among Javanese, Chinese, and Arabian Ethnic in junior high school children in Surakarta. Keywords:ethnicity, obesity, children
Perbedaan Intelligence Quotient (IQ) Anak Obes dan Tidak Obes Usia Sekolah Dasar di SD Kristen Manahan Surakarta Wibawati, Magdalena; Karini, Suci Murti; Widardo, .
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Prevalence of obesity has increased over the last 20 years and become world’s health problems. Obesity in children may cause medical and psychosocial consequences, which can influence their Intelligence Quotient. The aim of this research is to determine whether the difference of Intelligence Quotient existed in obese and non-obese children in Manahan Christian Primary School Surakarta. Methods: This research is an analytic observational study with cross sectional approach. Sample was collected by simple random sampling. Based on the anthropometric measurement of 2nd until 5th grade students in Manahan Christian Primary School Surakarta, 30 samples were collected for each group (obese and non-obese children). Intelligence Quotient test were performed using Culture Fair Intelligence Test (CFIT) 2A by the students who become research sample. Data were analyzed with unpaired t-test by Statistical Product and Serve Solution (SPSS) 21 for Mac. Results: Mean score of Intelligence Quotient in the obese children is 105.29, while in the non-obese children is 105.82. Result of unpaired t test showed the probability of 0.849 (p > 0.05). It means the significance value of the difference between the two groups was not significant. Conclusions: There is no difference of Intelligence Quotient (IQ) between obese and non-obese children in Manahan Christian Primary School Surakarta. Keywords: Intelligence Quotient, obese children, non-obese children 
Stres Psikis Tidak Berkaitan dengan Timbulnya Sindrom Premenstruasi Winoto, Cherryl Martha Christina Anggreani; Riyadi, Slamet; Iryawan, Andri
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:High school students have a potential risk of stress that caused by the demands of their school life. Stressors increased when they were in grade XII in which they would do national exam. Stress condition have a negative impact on their health, one of which will cause occurenceof premenstrual syndrome. The aim of this research was to investigate the relationship between psychological stress before doing national exam and premenstrual syndrome. Methods:The research design of this study was analytical descriptive with cross sectional approach. The subjects were female students in grade XII who took a special course for preparing National Exam at Surakarta. Data was collectedby used purposive random sampling technique. There were 60 female students to fill the questionnaires, 30 students as stress group and the other were control group. Collected data was annalizedwithFisher’s Exact formula.   Results:In stress group, there were 28 students with premenstrual syndrome and 2 students without premenstrual syndrome. In control group, there were 26 students with premenstrual syndrome and 4 students without premenstrual syndrome. Result of the statistical test provided there was no relationship between stress and premenstrual syndrome (p = 0.671).Among the samples, there were 49 students with anxiety and the statistical test suggested there was relationship between anxiety and premenstrual syndrome (p = 0.008) Conclusions:This result provided there was no relationship between psychological stress before doing national exam and premenstrual syndrome for senior high school female students at special course in Surakarta. For further research, it is recommended to classified stress as mild, moderate, severe and extremely severe. Keywords:psychological stress; national exam; premenstrual syndrome. 
Hubungan Antara Stres Psikis Menjelang UAN dan SNMPTN dengan Kejadian Fluor Albus pada Siswi SMA Peserta Bimbingan Belajar Fransisca, Jeanne; Indrayanto, Yoseph; Riyadi, Slamet
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The incidence number of psychological stress before UAN and SNMPTN in XII grade of high school students is quite high. This is so adverse because psychological stress itself could affect students’ health. For example, psychological stress could be a cause of whitish or fluor albus in female students. If this is ignored, it would be dangerous. For those reasons, this research was done to reveal the relation between psychological stress before UAN and SNMPTN to fluor albus incidence in female high school study course participants. Methods: The method of this research was analytical observation with cross sectional approach. The subject was female high school students grade XII and participants of study course in Surakarta. Author used purposive sampling as sampling technique and to gather the data author usedLie-Minnesota Multiphasic Personality Inventory (L-MMPI) questionnaires, anxiety facing UAN and SNMPTN questionnaires, DASS42 questionnaires, and fluor albus incidence questionnaires. Data were collected from 60 samples and was analyzed by Chi Square (X2) test and Coefficient Continquency (CC. Results: From this research, author obtained X2 score value(5,406) is bigger than X2 tablevalue (3,841) with signification rate (α) = 0,05 and independence degree (df) = 1. As for the p value obtained (0,02) is smaller than the significance level which is already defined previously (0,05). Those were shown that H0 was rejected. Data analysis was continue to Coefisien Continquency (CC) test which then obtained the value of CC = 0,287. It means that the relation is weak. Conclusion: There was a weak relation statistically between psychological stress before national examination (UAN) and national university entrance examination (SNMPTN) to fluor albus incidence in female high school study course participants. Keywords: Psychological Stress, UAN, SNMPTN, Fluor Albus 

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