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Nexus Kedokteran Komunitas
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Articles 306 Documents
Hubungan antara Tingkat Pendidikan dengan Kecemasan pada Wanita Menopause Puspitasari, Ayu Wening Tyas; Indrayanto, Yoseph .; Dharmawan, Ruben .
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Menopausal syndrome is experienced by many women around the world. Most women who experience menopause will feel the menopause as a problem or disorder. Nevertheless, menopause is a normal transition period, but if it is not properly handled will cause psychological, physical, and social disorders which can affect the quality of life for women. One of the general psychological disorder is anxiety. Many factors affect the anxiety of menopausal women, one of them is knowledge. The higher education level of the person will be more receptive to information so that the more knowledge. Therefore, the anxiety experienced will be lighter. This study aims to determine the relationship between the anxiety and educationlevel ofmenopausal women. Methods: This researchwas analytic observational with cross sectional approach. The population was all menopausal women in Posyandu Dahlia RW 19Nusukan, Posyandu RW 14 Nusukan, and PosyanduDahlia RW 13 Pucangsawit. The sample selection used purposive random sampling technique. The sample number was 30 women. The research instrumentswere questionnairesLie-Multyphasic Minnesota Personality Inventory (L-MMPI) and Tailor Manifest Anxiety Scale (TMAS). The data were  analyzed using theSpearman correlation test. Results: Correlation between the level of education and anxiety was-0.431 (p = 0.017). Conclusions: The conclusion from this research is the majority of the subject experience moderate level of anxiety. There is negative correlation between the level of education and anxiety.The higher of the education level of the subjects, the lower of the level of anxiety, and the lower of education level of the subjects, the higher of the level of anxiety. Keywords: Menopause, anxiety level, education level, correlation 
Hubungan Tingkat Pengetahuan Pengasuh dengan Pola Asuh Makan dan Status Gizi Balita di Puskesmas Sangkrah Surakarta Wicaksono, Agil Wahyu; Prasetyawati, Arsita Eka; Damayanti, Kusmadewi Eka
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Recently the role of mothers in child parenting replace by caregivers because many mothers also act as workforces. The role of parenting especially during meal is very important in determining the nutritional status of children. This studyaim is to determine whetherlevel ofknowledgehas strong relationshipwithfeeding patternandnutritional status of children. Methods:This studyis anobservationalstudywith crosssectionalanalytic. The researchwas conducted inApril-June2013 in theworking area ofSangkrahHealth Center, Surakarta. Sample of121caregiversandtheir childrenwereselectedby multistage areasampling .Examined variables includingcaregiver’slevelof knowledgeas independent variable, and feeding patternandnutritional status of childrenas dependent variable. ThisresearchusesCaregiver’sFeedingStyleQuestionnairetodeterminefeeding patternandQuestionnaire of Knowledge Leveltomeasure thelevel ofcaregiver’sknowledge. Bothquestionnaireshave beentestedfor validity and reliability. Nutritional status ismeasuredbystandard anthropometry method. Data wereanalyzedby SPSS 17 for Windows usingKendalls Taumodels. Results:This studyshows there is no significant correlation between the degree ofcaregiver’s knowledge andfeeding pattern(correlation coefficient  = 0.132; degree of significance = 0.110) besides there is also no significant correlation between the degree ofcaregiver’s knowledgeand children’snutritional status(correlation coefficient = 0.030; degree of significance = 0.716). Conclusions:There is nostatistically significantrelationshipbetween thedegree ofcaregiver’sknowledgewithfeeding patternandthe nutritional status ofchildren. Keywords:Degree of caregiver’s knowledge, feeding pattern, nutritional status of children.  
Perbedaan Usia Menarche Siswa SMP Ditinjau dari Etnis Jawa, Tionghoa dan Arab di Surakarta Rakhmawati, Isna Noor; Moelyo, Annang Giri; Karini, Suci Murti
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background :Menarche is the first menstrual period in woman reproduction cycle. In many studies, race and ethnicity has been shown to contribute to the age of menarche. The objective of thisstudy is to identify the difference of menarche’s agein junior high school girls among Javanese, Chinese and Arabian ethnic in Surakarta. Method :This wasa cross sectional study. Two hundred and thirty healthy Javanese, Chinese and Arabian students from 8th grade of  3 junior high schools in Surakarta were fulfilledthe restriction criteria. Age of menarche and ethnicity of the students were collected through a questionnaire. The difference of menarche’s ageamong those three ethnics were analyzed by Kruskal Wallis in SPSS 17.0 for Windows. Result :Of 230 subjects, 151 (65.65%) students were Javanese, 42 (18.26%) students were Chinese and 37 (16.09%) students were Arabian. Two hundred and fourteen (93.04%) students had recently experienced menarche. The mean age of menarche was 11.9 (SD 0.85) years old and the youngest age of menarche was 9.9 years old. The mean age of menarche in Javanese was 12 years old, in Chinese was 11.8 years old and in Arabian was 11.9 years old. Kruskal Wallis test revealed no significant difference found in the age of menarche among Javanese, Chinese and Arabian (p = 0.567). Conclusion :There is no difference of menarche’s age in junior high school girls among Javanese, Chinese and Arabian ethnic in Surakarta. Keyword :Ethnic,Menarche’s Age  
Hubungan antara Kecemasan dengan Masa Menopause pada Wanita Harnani, Kharisma Setya; Indrayanto, Yoseph; Dharmawan, Ruben
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Menopause is the transition of the reproductive period to the nonreproductive period which happens in women due to the decreased levels of the esterogen and progesterone hormones. There are several symptoms during the menopause period such as physical symptoms, somatic disorders, sexual disorders, and physical disorders. This research aims to describe the relation between anxiety and menopause in women. Methodology : This research is observational analytic research with cross sectional approach. This research was conducted in Posyandu Lansia Dahlia RW XIX Nusukan, Posyandu Lansia RW XIV Nusukan, and Posyandu Lansia Pucangsawit. The samples of this research are the women who had no menstrual period for 1-2 years, women ≥ 40 years old which are not in menopause period yet (control), women with unpathological menopause, L-MMPI scores with “NO” answers < 10, and the women who are able to be the respondents to fill in and accept the informed consent. This research employs the purposive random sampling technique in which samples are selected based on the characteristics of the research inclusion and exclusion. The dependent variable in this research is menopause and the independent variable is anxiety. The subject of the research filled (1) the curriculum vitae and informed consent, (2) L-MMPI questionnaire to checked the respondent’s truthfulness in filling the questionnaire, (3) TMAS questionnaire to found out the anxiety scores. The data which were obtained  are 60 respondents, then the data were analyzed using Chi Square (x2) then Coeficient Contingency (C). Result : Based on the data analysis, p = 0.01 was obtained from α = 0.05 which means p < 0.05 and the relation is 0.317. Conclusion : Statistically, there is significant relation with weak correlation between anxiety and menopause period in women.   Keywords : Menopause, Anxiety 
Hubungan antara Penerimaan Diri dengan Kecemasan pada Wanita Menopause Dewanti, Dyah Mustikaningtyas; Indrayanto, Yoseph; Dharmawan, Ruben
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety of menopausal women may appear because they have to adjust to the aging process. Anxiety will become pressure and burden if she always thinks negatively. Self-acceptance is the ability of individuals to accept themselves which is characterized by self-confidence and self-appreciation. Self-acceptance can reduce the possibility of a person to think of anything that can stimulate anxiety. This study aims to determine the relation between self-acceptance and anxiety of menopausal women. Method: This research was observational analytic study with cross-sectional approach by using purposive random sampling technique. This research was conducted from March to April 2013 at Posyandu Dahlia RW XIX Nusukan, Posyandu RW XIV Nusukan and Posyandu Pucang Sawit. The number of sample was 35 menopausal women who were appropriate to the inclusion criteria. The sampling of this research are the women who had menopause for 1-2 years, women with unpathological menopause, L-MMPI scores with “NO” answers <10, and the women who are able to be the respondents to fill in and accept the informed consent. The subject of the research filled (1) informed consent (2) curriculum vitae form (3) L-MMPI questionnaire to evaluate the respondent’s truthfulness in answering questionnaire (4) Berger’s Self-Acceptance Scale questionnaire to find out the self-acceptance score (5) Taylor Manifest Anxiety Scale questionnaire to find out the anxiety score. Data were analyzed using Pearson Product Moment correlation test through SPSS 17.00 for Windows. Result: Based on the data analysis, p = 0.0001 (p < 0.05) and Pearson correlation value (r) = -0.627. Conclusion: There is a strong negative correlation between self-acceptance and anxiety of menopausal women. Keywords: self-acceptance, anxiety, menopausal women  
Hubungan antara Stres Psikologis pada Siswi kelas 3 Menjelang Ujian Nasional dengan Angka Kejadian Dysmenorrhea Primer di SMA Negeri 2 Magelang Brilliana, MY. Cendy Nindra; dewi, yulia lanti retno; riyadi, slamet
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Upon approaching a menstruation or during the on-going menstruation phase, primary dysmenorrhea disorders are frequently found, particularly the pain in the lower abdomen, spreading to waist and thigh area which emerges without being accompanied by any gynecological anomalies. There are some factors assumed to play role in the occurrence of primary dysmenorrhea disorders. One of them is the psychological stress. The objective of this research is to investigate whether or not there is a correlation between the psychological stress of the students in Grade 3 upon approaching the National Test and the number of primary dysmenorrhea episodes at State Senior Secondary School 2 of Magelang. Method: This research used the observational analytical method with the cross-sectional approach. The research was conducted in March 2013. The samples of the research consisted of 95 students in Grade 3 of State Senior Secondary School 2 of Magelang and were taken by using the purposive sampling technique based on the inclusive criteria determined. The data of the research were gathered through in-depth interview and questionnaire. They were then analyzed statistically by using the Chi Square test and Lambda test. Result:The Chi Square test shows that the value of X2count is 9.342. This value is greater than that of X2table at the significance level of 5% with the independence level of 1, namely: 3.481 (p < 0.05). The result of the Lambda test is 0.118 with the p value = 0.436. Conclusion: Based on the result of the research, a conclusion is drawn that there is a very weak correlation between the psychological stress of the students in Grade 3 uponapproaching the National Test and the number of primary dysmenorrhea episodes at State Senior Secondary School 2 of Magelang. Keywords: primary dysmenorrhea; psychological stress 
Hubungan antara Menopause Dengan Hipertensi di Puskesmas Penumping Surakarta Raharjo, Dendy; 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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Background:Hypertension is here defined as systolic arterial blood pressure at least 140 mmHg or diastolic arterial blood pressure at least 90 mmHg or taking anti-hypertensive drugs. Onset varietyof hypertension is influenced by various factors, one of which is menopause. In this study,sample data of menopausewas obtained by using questionnaire sheet. The purpose of this study is to determine the relationship between menopause and hypertension. Methods:This study is an observational analysis with cross sectional study approach. The sampling technique employed was purposive sampling. Sample size comprises 47 female patients. The research was conducted in July 2013 at Penumping Community Health Center, Surakarta. Data was 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 = 0.046 (p <0.05). This analysis showed significant association between menopause and hypertension in Penumping Community Health Center Surakarta. Conclusions:Based on this study it can be concluded that there is a positive relationship between  menopause and hypertension. Keywords:menopause , hypertension 
Pengaruh Penggunaan Kontrasepsi Depo Provera terhadap Timbulnya Melasma di Puskesmas Ngoresan Surakarta Tiffany, Firstiafina; Dewi, Yulia Lanti Retno; Setyawan, Sigit
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: One side effect of Depo Provera Contraceptive usage is the emergence of melasma on the face. Research about the influence of Depo Provera contraceptive usage on the incidence of melasma has never existed in Ngoresan Public Health Center Surakarta. Therefore, the authors are interested to know whether a speckling of hyperpigmentation / melasma on the face can be caused due to the usage of contraceptive Depo Provera. Methods: This study used analytic observational with a retrospective cohort study approach. This study was conducted in March-April of 2013. Subjects in this study were women aged 20-40 years in Ngoresan Public Health Center Surakarta. The sampling technique used was fixed exposure sampling to the sample size of 60 people. Data collection used questionnaires and direct observations. Then, data were analyzed using the chi square test at 95% confidence level (p > 0.05). Results: Based on the calculation, obtained p value = 0.010 < limit value of significance p = 0.05 level. So H0 is rejected and H1 is accepted. Means there is a significant effect on the Depo Provera contraceptive usage on the incidence of melasma on the face at the Ngoresan Public Health Center Surakarta. Conclusions: From the research it can be concluded that the obtained statistically significant results on the effect of Depo Provera contraceptive usage on the incidence of melasma on the face at the Public Health Center Ngoresan Surakarta. The longer the usage of contraceptive Depo Provera more likely arise melasma. Keywords: Depo Provera Contraception, Melasma  
Pengaruh Penggunaan Kontrasepsi Depo Provera terhadap Angka Kejadian Hipertensi di Puskesmas Ngoresan Surakarta Tripuspita, Viola Belivia; Retno Dewi, Yulia Lanti; Setyawan, Sigit
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: One of health problem which often suffered by Depo Provera contraception acceptor is hypertension. Ngoresan Public health Center is one of Health center in Surakarta which has many Depo Provera user as acceptor of Family Planning. Looking at mortality number because of hypertension in Indonesia is quite high and the complication which emerged as much as well, so that writer is interested to do research about contraception user of Depo Provera influence towards hypertension emergence at Ngoresan Surakarta Public Health Center. Methods: The research was used observation analytical methods with Cohort Retrospective study approach which conducted on March-April 2013. The research has done to 60 women, age 20-40. Sample was taken using fixed exposure sampling technique. The data was analyzed with Chi Square (x2) test. Results: The result shows that there was significant impact for contraception use of Depo Provera towards hypertension case number in Ngoresan Surakarta Public Health Center. Based on calculation which done with chi square test with significance level 5%, calculation using SPSS 20, obtained that p=0.009 < significant value limit p= 0.05 Conclusions: Depo Provera contraception increased hypertension case number of acceptor Family Planning between aged 20-40 year women in Ngoresan Surakarta Public Health Center. Keywords: Depo Provera contraception, hypertension 
HubunganPengetahuan Mahasiswa Fakultas Kedokteran Universitas Sebelas Maret Mengenai Resusitasi Jantung Paru dengan Kepercayaan Diri Mahasiswa dalam Melakukan Tindakan Penyelamatan Kirana, Tara Ken Wita; Wicaksono, Bagus; Hanim, Diffah
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Cardio Pulmonary Resusitation (CPR) is an emergency procedure, performed in an effort to restore spontaneous blood circulation and breathing in cardiac arrest and respiratory arrest. Untill now, CPR is one of the most important procedure in first aid of heart attack, also in respiratory arrest and cardiac arrest due to trauma. CPR need to be performed in a fast and effective way, therefore knowledge of CPR and confidence in perform CPR is needed. This research aims to analyze the relationship beetwen medical student’s of Sebelas Maret University knowledge in CPR with student’s confidence in performing a rescue. Methods:The research was an analytical survey with cross sectional approach implemented in May-June 2013 in Faculty of Medicine Sebelas Maret University. The number of samples in this study was 129 students with the inclusion and exclusion criteria and the samples sampling by simple random sampling. Dependent variable was student’s confidence in performing a rescue and independent variable was student’s knowledge in CPR. This research was conducted with questionnaires by samples and then the data were analyzed by Pearson Correlation. Results:This research showed significant relationship beetwen student knowledge in CPR and students confidence in performing a rescue (p = 0.000).This study showed that 93 students (72.09%) didn’t know the exact location of chest compression, 21 students (16.27%) didn’t know the right recovery position for patient, 129 students (100%) wanted to gain more training and knowledge in CPR, 42 respondents (32.55%) acknowledged that they were still not able to perform CPR effectively, and 40 students (31%) stated that they were not able to perform breathing support in an accurate and effective way. Conclusions:The relationship beetwen medical student’s of Sebelas Maret University knowledge in cardio pulmonary resusitation with student’s confidence in performing a rescue were significant. Keywords:Cardio pulmonary resusitation, confidence, rescue

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