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Nexus Kedokteran Komunitas
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Articles 306 Documents
Perbedaan Kesadaran Kesehatan Reproduksi antara Calon Pengantin Laki-laki dan Perempuan di Kota Surakarta Lestari, Anik; Rizky, Syifa Marhattya; Hanim, Diffah
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:People who enters early adulthood phase is considered capable, both physically and mentally, to get married and having children. Before holding their marriage everyone should have basic knowledge and good attitude of reproductive health. But the stigma of gender makes most people think that the awareness of reproduction health only becomes a liability for women. This study aimed to determine whether there was difference in reproductive health awareness among grooms and brides in Surakarta. Methods:This study was analytic observational study used cross-sectional design. Total of 70 subjects consisted of 35 prospective grooms and 35 brides, were selected by purposive sampling method. It had been done in Office of Religious Affair of five sub districts in Surakarta. The data were collected by interview used a set of questionnaire and analyzed byusingIndependent Sample T- test and Two Way Anova. Results:This study showedthe mean score on the reproductive health awareness for prospective grooms were 21.37 ± 2.82 and for the prospective brideswere 22.85 ± 3.05. Independent Sample T-Test showed p = 0.038. Conclusions:There was a difference of reproductive health awareness between the prospective groom and bride. Reproductive health awareness of prospective bride was better than the prospective groom. Keywords:Awareness, reproductive health, prospective groom and bride 
Hubungan Antara Pemahaman Hak dan Kewajiban Serta Pemahaman Prosedur Pelayanan Kesehatan Peserta Jamkesmas dengan Pemanfaatan Pelayanan Kesehatan Jamkesmas Di Puskesmas Sedayu I Kabupaten Bantul Febrianto, Adigama Priamas; Sutisna, Endang; Sumardiyono, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Jamkesmas is a health care insurance program for the poor and unwealthy using social health insurance principal. The purpose is increasing the access and the quantity of health care toward whole of the poor and unwealthy in order to achieve optimal level of public health effectively and efficiently. Preliminary research indicates there is a Correlation between The understanding of Jamkesmas with the use of Jamkesmas Program. The understanding of Jamkesmas is holding potensial role in influencing health care seeking behavior of Jamkesmas participants. Lack of the understanding on rights and obligations, and procedures as Jamkesmas participants in terms of health care impedes health care seeking behavior in Puskesmas (health centers) and hospitals. This study aims to identify and analyze the Correlation between Jamkesmas participants understanding of rights and obligations and service procedures with the level of utilization of Jamkesmas health care at Puskesmas Sedayu I Bantul regency. Methods: This research is an observational analytic research by cross-sectional approach. A total of 100 subjects were selected by purposivesampling is a participant Jamkesmas who check-up their health in Puskesmas Sedayu I Bantul Regency who met the inclusion criteria. Data were collected by direct interview using a questionnaire to patients. That research data were analyzed using Chi Square and processed with the Statistical Product and Service Solutions (SPSS) 21:00 for Windows. Results: There is a statistically significant Correlation between the understanding of rights and obligations of Jamkesmas with Jamkesmas Health Care Utilization and there is no significant Correlation between the Understanding of Jamkesmas Health Care Procedure with Jamkesmas Health Care Utilization Conclusions:There is a statistically significant Correlation between the understanding of rights and obligations of Jamkesmas with Jamkesmas Health Care Utilization and there is no significant Correlation between the Understanding of Jamkesmas Health Care Procedure with Jamkesmas Health Care Utilization. Keywords:Jamkesmas, Understanding, Rights and Obligations, Care Procedure  
Hubungan Kualitas Pelayanan Kesehatan dengan Tingkat Kepuasan Pasien Jamkesmas di Puskesmas Sedayu I Kabupaten Bantul Wardhana, Hendra; Sutisna, Endang; Sumardiyono, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Jamkesmas (Public Health Insurance) patients as the customers who used health care service in puskesmas need a high-quality health service to cure the diseases they suffer from and 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. The preliminary study shows that there is a relationship between health service quality and the satisfaction level of Jamkesmas (Public Health Insurance) patient. The higher the quality of health service, the higher is the satisfaction level received by the Jamkesmas patient. The bad health service given by the health service provider will decrease the satisfaction level of Jamkesmas patients. This study aimed to find out and to analyze the relationship between health service quality and the satisfaction level of Jamkesmas patients in Puskesmas Sedayu I of Bantul Regency. Methods : This study was an analytical observational research with cross-sectional approach. Thirty subjects of research selected using purposive quota sampling technique were the participants of Jamkesmas who had had them examined in Puskesmas Sedayu I of Bantul Regency and met the inclusion criteria. The data collection was carried out through direct interview with the patients using questionnaire. The data of research was analyzed using Chi Square test. Results : This study showed that the Quality of Health Service was related significantly to the Satisfaction Level of Jamkesmas Patient (p = 0.003). Conclusions : There was a statistically significant relationship between Health Service Quality and the Satisfaction Level of Jamkesmas patients of 52.80%. Keywords:Jamkesmas, Service Quality, Satisfaction. 
Hubungan antara Tingkat Pendidikan Orangtua dengan Pengetahuan tentang Pelecehan Seksual pada Anak Remaja di Surakarta Abrianti, Pritha Fajar; Hanim, Diffah; Suparman, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The incidence of sexual abuse in Indonesia increases every year. However, most cases of sexual abuse are often not revealed due to lack of knowledge. Based on the theory, education was one of the factors that affect knowledge of people or families. The aim of this study was to analyze association between parent’s education levels with knowledge about sexual abuse on adolescent. Methods: This study was an observational study with cross sectional design. This study used 76 samples of 7th grade student’s parents from two public junior high schools in Surakarta which was taken by cluster sampling. The level of parent’s education and knowledge were collected through a questionnaire. The association between parent’s education levels with knowledge was analyzed by Spearman Rho correlation test. Results: The number of 76 respondents, 11 respondents (14.5%) had low education level, 55 respondents (72.3%) had moderate education level, and 10 respondents (13.2%) had high education level. The distribution of respondent’s knowledge was 66 respondents (86.85%) had good knowledge, 9 respondents (11.85%) had sufficient knowledge, and 1 respondent (1.3%) had less knowledge. Spearman Rho analysis of test results obtained by the value of rs = 0.514 (p = 0.000) which meant that there were 51.4% parent’s education level have positive correlation with knowledge about sexual abuse on adolescent and 48.6% knowledge about sexual abuse on adolescent was influencedby another factors. This value indicated that there was moderate association between education levels with knowledge about sexual abuse on adolescent. Conclusion: The association between parent’s education level with  knowledge about sexual abuse on adolescent in Surakarta was significant (p = 0.000, rs = 0.514). Keywords:Education level, Knowledge, Sexual abuse  
Hubungan Antara Pengetahuan tentang Keluarga Berencana dengan Keinginan Menjadi Akseptor pada Calon Pengantin Laki-Laki di Kota Surakarta Fardianingtyas, Rifni Arneswari; Hanim, Diffah; Lestari, Anik
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Family planningis one of policy and strategy from government to handle demoghraphic problem in Indonesia. Based on the theory, knowledge is an important domain to form someone attitudes and the attitude can be formed based on knowledge is willingness. The objective of this study is to identify association between knowledge about family planning with the prospective groom’s willingness to be an acceptorin Surakarta. Methods:This study was an observasional analitic with cross sectional design. Seventy subjects from five Departement of Religion Office (KUA) in Surakarta fulfilled the inclution criteria, were selected by purposive sampling method.Knowledge about family planning and prospective groom’s willingness to be an acceptor were collected through a questionnaire. The association between knowledge about family planning with prospective groom’s willingness to be an acceptor were analyzed by Chi Square. The power of association between variables were analyzed by Contingency Coefficient. Results:There were, 8 subjects (11.4%) had good knowledge, 27 subjects (38.6%) had enough knowledge, and 35 subjects (50%) had less knowledge. Twenty two subjects (31.4%) wanted to be an acceptor in the future and forty eight subjects (68.6%) did not want to be an acceptor in the future. Chi square test revealed significant assosiciation between knowledge about family planning with prospective groom’s willingness to be an acceptor (p = 0.001). Conclusions: There wasassociation between knowledge about family planning with prospective groom’s willingness to be an acceptor in Surakarta. Keywords:Knowledege, Family Planning, Acceptor 
Hubungan Faktor Sosial Ekonomi dengan Kejadian Pneumonia pada Anak Bawah Lima Tahun di Surakarta Rahmawati, Okti; Hanim, Diffah; Sumardiyono, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Pneumonia is public health problem because of the high mortality rate, especially in infants and toddlers. This is caused by several factors, one of which is social and economic. Socio economic conditions will affect the health and disease patterns. This study aims to determine the relationship of socio economic factors to the incidence of pneumonia in children under five years (Toddlers) in Surakarta.   Methods: This study was an observational study with cross-sectional design of which was held in March-April 2013 in the Balai Besar Kesehatan Paru Masyarakat (BBKPM). There were 60 subjects were taken by purposive-quota sampling method. The elderly subjects have been asked to fill out the form identity, written informed consent and questionnaires. Then the results of the questionnaire were tested with Chi Square through SPSS 17.0 for Windows. Results: The survey on respondents of maternal education were below the high school amounted to 38 respondens (63.33%) and 22 respondens (36.37%) above the high school. Occupational parents work, was privately held with non civil servant 57 people (95.00%) while a civil servant with 3 people (5.00%). As for the family income was below the minimum wage amounted to 32 people (53.33%) and above the minimum wage amounted to 28 people (46.67%). The analysis with Chi Square showed no association of maternal education (p = 0.072), family income (p = 0.194), and the work of parents (p = 0.350) with the incidence of pneumonia in infants. Conclusions: There was no relationship of socio economic factors (maternal education, parental employment and family income) with the incidence of pneumonia in young children in Surakarta. Keywords: Socio Economic, Toddler, Pneumonia 
Hubungan Tingkat Pendidikan Formal Ibu dengan Pengetahuan tentang Pemberian ASI Eksklusif di Puskesmas Ngoresan Anggasari, Narulita; Siregar, Rustam; Sumardyono, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Exclusive breastfeeding is very important for the growth and development of infants. Thus, nursing mothers need to improve their knowledge about exclusive breastfeeding. The aims of this study were to investigate the relationship between the mothers formal education and counseling with mother’s knowledge of exclusive breastfeeding in Ngoresan primary health care. Methods: The population were mothers with children age 0-6 months in Ngoresan primary health care region.Thirty samples were taken by using purposive quota sampling technique. Those mothers were asked to fill out a questionnaire about exclusive breastfeeding (pretest), then they were given counseling of exclusive breastfeeding by researchers. Finally they filled out the same questionnaires again (posttest). We analized the correlation of formal education, age, economic status and job with knowledge of exclusive breastfeeding from the pretest and posttest, all done with p value<0.05 considered significant. Results: Spearman’s Rho test was used to analyze the relation of exclusive breastfeeding knowledge with formal education, age, economic status and job. It revealed  that higher mother’s formal education, more they know about exclusive breastfeeding (p=0.001). While age, economic status and job did not affect their knowledge of exclusive breastfeeding (p>0.05). Pretest and posttest analysis used Wilcoxon test (p=0.000). It suggested that educated mothers about exclusive breastfeeding can increase their knowledge of exclusive breastfeeding. Conclusion: Counseling and mother’s formal education have an important role in improving their knowledge of exclusive breastfeeding. Keywords: : knowledge, breastfeeding, counseling.  
Hubungan Tingkat Pengetahuan Agamadengan Motivasi Merokok di SMA Al Islam 1 Surakarta Ariono, Dwi; Probandari, Ari Natalia; Damayanti, Kusmadewi Eka
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:The smoking behaviour is an important issue for the whole world. Based on Riskesdas 2010, the number of smokers in Indonesia year was 34.7% which ranked the 5th in the world. Smoking behaviour usually begins during adolescence, which is preceded by motivation. In Indonesia, religion is believed to be the source of moral human behavior. This research aimed to identify correlation between the level of religion related knowledge and smoking motivation among students in SMA Al Islam 1 Surakarta. Methods:The study design was analytical observational study with the approach of cross sectional. The population was grade X and XI SMA Al Islam 1 Surakarta. By using the quota sampling, 350students were selected as study sample. The data collection used questionnaires. The data were analyzed by Spearman correlation test. Results:336 people (97.43%) had a good level of religion related knowledge and 335 people (71.77%) had a low motivation to smoking. The data identified very weak negative correlation between the level of religion related knowledge and smoking (r = 0.114 and p = 0.085). Someone who has a good level of knowledge of religion was not always followed by the smoking of low motivation. Conclusions:There is a weak negative correlation but not statistically significant between the level of religion related knowledge and motivation to smoking among students in SMA Al Islam 1 Surakarta. Keywords:adolescent, smoking, motivation, religion related knowledge  
Hubungan antara Pengetahuan Tentang Merokok dan Motivasi Merokok dengan Jumlah Rokok yang Dikonsumsi Aditya, Aisya Fikritama; Harsini, .; Muthmainah, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Tobacco has high level of consumption in Indonesia and also has impact to the health and social-economic factors. Nearly all smokers in Indonesia considered hat smoking is a necessity. Smoking habits are influenced by some factors, some of them are theknowledge of smoking and smoking motivation. This study aims to determine the correlation between knowledge of smoking and smoking motivation with the number of cigarettes consumed. Methods: This study was an observational study with cross sectional analysis. A total of 75 subjects were selected by simple random sampling. Samples were first grade students of Veteran University Sukoharjo who smoke. Data was collected by distributing questionnaires consist of knowledge of smoking and smoking motivation to respondents. Data was analyzed by using multiple linear regressionmodel. Results: This study showed the value of the Pearson correlation r = -0.574, p = 0.000, which means there was a negative correlation that statistically significant between the knowledge of smoking and number of cigarettes consumed, and r = 0.872, p = 0.000, which means there was a positive correlation that statistically significant between smoking motivation and number of cigarettes consumed. Multiple linear regression test showed the results of Adjusted R-square value 0.783 which means the influence of knowledge of smoking and smoking motivation to the number of cigarettes consumedwere 78.3 %, while the remaining 21.7 % came from other factors. Conclusions: There was a significant correlation between knowledge of smoking and smoking motivation with the number of cigarettes consumed. Keywords: knowledge, motivation, smoking, number of cigarettes  
Perbedaan NilaiArus Puncak Ekspirasi (APE) antara BuruhProses Pencelupan dengan Buruh Administrasi Industri Batik Rahma, Anisa Nur; Harsini, .; Muthmainah, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: One of the negative impactsof industy development is the occurance of occupational disease. The respiratory disease is one of the occupational disease that can cause lung disfunction. The function of lung can be observed by peak expiratory flow (PEF) value. The aim of this study is to know the difference on the percentage of measured PEF value compared with predictive PEF value, between immersion processing workers and administrative workers in batik industry. Methods: This study was an observational study with cross sectional design. Study was conducted in July-September 2013 in the batik industry in Laweyan District. Samples were taken by stratified random sampling. Samples that consisted of 60 workers were divided into two groups: 30 immersion processing workers and 30 administrative workers in batik industry. The measurement of PEF used the Peak Flow Meter. The measured PEF valuewas compared with the predictive PEF value and then expressed on percentage form. Data were analyzed using the Mann Whitney test (a=0.05). Result:This study showed the mean value of percentage of measured PEF compared with predictive PEF on administrative workers was 75,6% ± 8,7, the mean value of percentage of measured PEF compared with the predictive PEF on immersion processing workers was 62,9% ± 11,7. Mann-Whitney test showed that  p=0.000 (p<0.005), so there was a significant difference between the value on the administration workers and the value on Immersion Processing Workers in Batik Industry. Conclusion:The percentage of measured PEF value compared with predictive PEF valueon administrative workers wassignificantly higher than the percentage of measured PEF value compared withpredictive PEF value on Immersion Processing Workers in Batik Industry. Keywords: Batik, PEF value, administration workers, Immersion Processing Workers in Batik Industry  

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