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INDONESIA
Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 334 Documents
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Perbedaan Kecenderungan Somatisasi Antara Mahasiswa Semester IV yang Memiliki Tingkat Kecemasan Tinggi dan Rendah di Fakultas Kedokteran Universitas Sebelas Maret Surakarta Arifa, .; Suwito, Djoko; Hanim, Diffah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Somatization disorder is the presence of somatic complaints (physic) which can not be found the adequate medical explanation. Anxiety is a feeling disorder which characterized by a feeling of fear or concern that deep and sustained. Anxiety can occur in the fourth semester students. This research aims to find out is there any difference of the somatization tendencies between semester IV students who have high and low levels of anxiety in Medical Faculty of Sebelas Maret University Surakarta. Methods: This was an analytic observational research with case-control design. The subject were fourth semester students in Medical Faculty of Sebelas Maret University who meet established criteria. The sampling technique using total sampling of a large population of 237 people. The data analysed by using SPSS for Windows version 17.0 programme with the normality test by Shapiro-Wilk continued by Mann-Whitney because the data that taken was not normal distribution. Results: Students with high anxiety level was obtained an average IRS score of 15.75 and SD 6.883. Students with low anxiety level was obtained an average IRS score of 5.33 and SD 3.467. The difference of somatization tendencies between semester IV students who had high and low levels of anxiety generate significant value (p = 0.000) Conclusions: There were difference of somatization tendencies which statistically significant betweet semester IV students who had high and low levels of anxiety. Students who had high level of anxiety are more likely to experience somatization compared to students who had low level of anxiety. Keywords: Level of anxiety, somatization tendencies, medical students. 
Perbedaan Tingkat Kecemasan Caregiver Pasien Skizofrenia Tipe Disorganized Dengan Tipe Katatonik Di RS Jiwa Daerah Surakarta Wibowo, Antonius Setyo; Syamsulhadi, Muchammad; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Schizophrenia is a clinical syndrome of severe mental disorders characterized by abnormal perception in the form of hallucinations, delusions, psychiatric behavior deviations, unusual beliefs, and mind distortions. Caregiver, someone who responsible to treat the patient will feel burden, include anxiety. This research aims to know the anxiety level difference between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Methods : This study was a descriptive analytic study with a cross sectional approach, conducted in the RS Jiwa Daerah Surakarta. The subjects  were taken using consecutive sampling method. The subjects were divided into two groups, disorganized type and catatonic type of schizophrenia caregiver. The subjects filled out the (1)Informed Consent, (2)Study Questionnaire, (3)L-MMPI Questionnaire, (4)T-MAS Questionnaire. If the subject did not meet the criteria of inclusion and exclusion, and the result of the L-MMPI questionnaire ≥ 10, the subject could not be selected. The 35 data consisted of 25 disorganized type and 10 catatonic type of schizophrenia caregivers were analyzed using Fisher’s Exact Test. Results : This study demonstrated there is no difference of anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta which was shown by p = 0.264 (p > 0.05). Conclusions : There was no difference anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Keywords: caregiver, schizophrenia, disorganized type, catatonic type, anxiety level 
Perbedaan Disfungsi Ereksi pada Pasien Diabetes Melitus Tipe 2 dengan Hipertensi dan Nonhipertensi di RSUD Dr. Moewardi Rusjaya, I Kadek; Sugiarto, .; Iryawan, Andri
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Type 2 Diabetes Mellitus is a global and Indonesian health problem which is estimated to increase in the future. One of the long-term complications of diabetes mellitus is the presence of neuropathy which will cause erectile dysfunction. Hypertension often accompanies the presence of diabetes mellitus. Untreated hypertension in diabetes mellitus will worsen the incidence of erectile dysfunction. This happened because in hypertension occurs a vascular endothelial damage and decreased production of NO which is a major mediator of erection. Methods: This study was an observational analytic study with cross sectional approach held in August – September 2014 in the Polyclinic of Internal Medicine RSUD Dr. Moewardi. Sampling was done by Purposive Random Sampling technique, selection was done by checking the inclusion and exclusion criteria of the study sample. The number of samples in this study were 30 patients. Hereafter, the data obtained were statistically analyzed by Chi-Square test (X2). Results: The results of the Chi-Square test’s analysis of the incidence of erectile dysfunction was obtained a significant differences between patients with type 2 diabetes mellitus with hypertension and non-hypertension (p<0,05). Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9 times compared to non-hypertension (OR=9,750,p=0,008). Conclusions: There was a statistically significant difference of erectile dysfunction between patients with type 2 diabetes mellitus with hypertension and non-hypertension. Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9,7 times compared to non-hypertension. Keywords: Diabetes Mellitus, Erectile Dysfunction, Hypertension  
Hubungan Efikasi Diri dengan Kualitas Hidup Penderita Penyakit Paru Obstruktif Kronik (PPOK) di RSUD Dr. Moewardi Roosana, Sarah Nadya; Harsini, .; Suradi, .
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Chronic Obstructive Pulmonary Disease COPD) is one of the causes of respiratory disorder that is often found in the world. Along with the increase in COPD complications, patients require a special effort to prevent lung decline of function in order to improve the quality of life. One of the ways is increasing self-efficacy. This study aims to determine the relationship between self-efficacy and quality of life in patients with COPD at RSUD Dr. Moewardi. Methods: This study was an observational analytic with cross-sectional approach. Samples of this study were 40 COPD patients in the outpatient pulmonary clinic of RSUD Dr. Moewardi were selected using purposive sampling technique. The independent variable of this study is self-efficacy which was measured with the COPD Self-Efficacy questionnaire (CSES). The dependent variable of this study is quality of life as measured by COPD Assesstment Test (CAT) questionnaire. The confounding variables of degree of smoking, duration of COPD, and the degree of breathlessness measured by respondent characteristics questionnaire and Modified Medical Research Council scale (mMRC scale). The data were analyzed using multiple logistic regression models. Results: Results of multiple logistic regression analysis showed the results OR = 72.055; CI 95% from 1300 to 3944.041; and p = 0.037. This result has controlled the confounding variables, namely the long-suffering COPD, degree of smoking and degree of breath shortness. Patients who have good self-efficacy have a good quality of life for seventy-two times greater than patients who have poor self-efficacy. Conclusions: There is significant correlation between self-efficacy and quality of life of patients with Chronic Obstructive Pulmonary Disease (COPD) at RSUD Dr. Moewardi. Keywords: COPD, Self-Efficacy, Quality of life.  
Perbedaan Kualitas Tidur Mahasiswa yang Merokok dengan yang Tidak Merokok di Fakultas Sastra dan Seni Rupa Universitas Sebelas Maret Saputri, Rizky Hening; Fanani, M.; Hanim, Diffah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Smoking was a bad habit that has been a problem throughout the world both in developed and developing countries. Primary Health Research mentioned that 27.2% smokers were male students and moreover smoking habit of students was followed by staying up late at night. Smokers who did smoke activity at night have higher risk of experiencing sleep disturbances than smokers who did smoke activity during the day. Approximately 20% to 50% adults per year report sleep disturbance fulfillment and about 17% had serious sleep disturbance fulfillment experience. The current prevalence of insomnia according to DSM-IV criteria in adolescents showed 10.7%. These number would be increase along with the increase of age and contributing factors like smoking. This study aims to determine the difference of sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University. Method: Observational analytic with cross sectional method approach. Samples taken by Purposive Random Sampling method. The number of sample was 100 consisted of 50 male smoker students and 50 male non-smoker students. This research instrument was smoking activity questionnaire, LMMPI questionnaire and PSQI questionnaire. Data analysis done with independent T-test. Result: The results showed 39 (64%) samples of male smoker students had poor sleep quality, and 11 (28,2%) samples of male smoker students had good sleep quality. While the male non-smoker 28 (71,8%) samples had good sleep quality and 22 (36%) samples of male non-smokers students had poor sleep quality. T Count value (-3.487) < t table value (-1.661) with p = 0.001. Conclusion: There was difference in the sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University (p = 0.001). Some smoker college student had poor sleep quality while non-smoker college student had good sleep quality. Keywords: Smoker, Non- smoker, sleep quality. 
Hubungan Indeks Massa Tubuh (IMT) dengan Frekuensi Serangan Asma pada Pasien Asma Wanita yang Menggunakan Kontrasepsi Hormonal dan Tidak Anggraeni, Aninda Dwi; Harsini, .; Suryawan, Arif
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma is the most common chronic disease throughout the world which the prevalence of asthma is greater in women. The evidence suggest that sex steroid hormones play an important role in respiratory health. Further, although asthma increased with increasing BMI in all women, this increase was stronger among women taking oral contraception. Therefore, it needs study about correlation BMI with asthma attack frequency in women patient with asthma using hormonal contraception and not. Methods: This study is an observational study with cross sectional conducted in June – July 2014 in Dr. Moewardi general hospital and BBKPM Surakarta. Sampling was done by purposive sampling. Subject to fill (1) bio-data form, (2) Questionnaire. Treatment in respondent (1) Measurement height and weight. Data obtained by 60 subjects and analyzed using Spearman correlation through SPSS 20.00 for Windows. Result: This study shows the value of Spearman correlation r = 0,432; p < 0,05, which means there is a positive correlation was statistically significant between BMI and asthma attack frequency among women taking hormonal contraception with a moderate correlation strength. Whereas among women taking nonhormonal contraception shows the value of Spearman correlation r = 0,363; p < 0,05 which means there is a positive correlation was statistically significant between BMI and asthma attack frequency with a weak correlation strength. Conclusion: There is a moderate positive correlation and statistically significant between BMI and asthma attack frequency among women taking hormonal contraception. And then there is a weak positive correlation and statistically significant between BMI and asthma attack frequency among women taking nonhormonal contraception. Keywords: BMI, Asthma Attack Frequency, Contraception 
Perbedaan Tingkat Kecemasan Antara Mahasiswa yang Merokok dan Tidak Merokok di Fakultas Sastra dan Seni Rupa Universitas Sebelas Maret Machmuroch, .; Hanim, Diffah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety disorder have been reported to be associate with increased rates of smoking, increased consumption of cigarettes per smoker, and lower rates of smoking cessation than non-anxiety disordered control groups. In addition, increased anxiety symptoms appear to be correlated with increased rates of smoking. This study aimed to analyze the differences of anxiety level between smoking student and non-smoking student of Faculty Letter and Fine Arts Sebelas Maret University. Method: This study was an observational analytic study with cross sectional approach. The study sample totaled 100 students, between 50 smoking students and 50 non-smoking students of Faculty Letter and Fine Arts Sebelas Maret University class of 2008-2013 which were randomly drawn by purposive sampling technique and continued with simple random sampling. Each respondent was given one standard questionnaire of TMAS (Taylor Manifest Anxiety Scale), L-MMPI (Lie-scale Minnesota Multiphasic Personality Inventory), and standard questionnaire of smokers. The TMAS questionnaire consisting of 50 “yes” or “no” option questions, L-MMPI questionnaire consisting of 10 “yes” or “no” option questions, and smokers questionnaire consisting of 3 multiple choice questions. The research data were tested with the Chi Square test, and would be continued with the Regression Linier test (α=0,1). Result: There were 13 smoker students had not have anxiety disorder, 10 smoker students had low anxiety disorder, 25 smoker students had moderate anxiety disorder, and 2 smoker students had high anxiety disorder. While 31 non-smoker students had not have anxiety disorder, 10 non-smoker students had low anxiety disorder, 9 non-smoker students who had moderate anxiety disorder, there were not found non-smoker student had high anxiety disorder. From the Chi Square test resulted p<0.1 (p=0.001) and would be continued with Regression Linier. From the test result showed correlation coefficients (r) in the amount of 0.411. Conclusion: There was a differences anxiety level between smoking students and non-smoking students of Faculty Letter and Fine Art Sebelas Maret University. Tobacco consumption had a moderate relationship with anxiety level. Heavier smoking on smoker student proved to be increasing anxiety level. Keywords: smoking student, non-smoking student, anxiety level  
Hubungan Kecerdasan Emosi, Tingkat Pendidikan Orang Tua dengan Indeks Prestasi Mahasiswa Fakultas Kedokteran Universitas Sebelas Maret Surakarta Sarah, Ratu Siti Khadijah; Susilohati, Mardiatmi; Iryawan, Andri
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: One important issue in education is academic achievement. Academic achievement can lead to satisfaction and continuity for further education while academic failure can result in delay in learning or even drop out. Some factors that can affect academic result are emotional intelligence as internal factor and parent’s education level (family factor) as external factor. This study aims to prove the existence of relations among emotional intelligence, parents’ education level and academic achievement index of senior students of Faculty of Medicine, Sebelas Maret University Surakarta. Methods: This study was an observational analytic research with cross sectional approach, held in July – August 2014 in Faculty of Medicine, Universitas Sebelas Maret Surakarta. The sampling method used was total sampling and selection was done by checking the inclusion and exclusion criteria of the study sample. The numbers of subjects in this study were 214 students. Hereafter, the data obtained were analyzed statistically by multiple linear regression test and F test. Results: The results of the F test analysis with the number of significance α = 0.05 obtained value of p < 0.05 with a regression line equation Y = 2,660 + 0,004 X1 + 0,010 X2. Conclusions: There is a significant relationship simultaneously between emotional intelligence, level of parents’ education and index of student achievement. If there is no emotional intelligence and parents’ education level, the achievement index is equal to 2.660. Index of student achievement changed by 0.004 for each unit change in the variables of emotional intelligence and changed by 0.010 for every unit change in the level of parents education variable. Keywords: Emotional Intelligence, Parents’ Education Level, Academic Achievement Index 
Perbedaan Tingkat Kecemasan antara Pasien Diabetes Melitus Tipe 2 Disertai Komplikasi dengan Tanpa Komplikasi di RSUD Dr. Moewardi Anggarani, Nia; Nugroho, IGB Indro; Setyawan, Sigit
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Diabetes mellitus (DM) is referred to as growing epidemic. The prevalence of type 2 diabetes mellitus in Indonesia is 18.6% in urban areas and 9.2% in rural areas. It is estimated that in 2030 the prevalence of DM in Indonesia reached 21.3 million people. Chronic diseases such as diabetes mellitus are associated with the emergence of anxiety disorders. It has been reported that anxiety disorders associated with age, gender, occupation and complications of diabetes mellitus. In addition, an increase in the symptoms of anxiety disorder related to the number and the type of complications suffered by patients with diabetes mellitus. This study aimed to analyze the differences of anxiety level in type 2 diabetes mellitus patients with and without complications in Dr. Moewardi Hospital. Method: 91 type 2 diabetes mellitus patients of Internal Medicine Clinic Dr. Moewardi Hospital participated in a cross-sectional study. 40 patients with complications and 51 patients without complications were recruited with non-probability sampling methods, which was consecutive sampling. Each respondent was given a standard TMAS (Taylor Manifest Anxiety Scale) questionnaire and LMMPI (Lie-scale Minnesota Multiphasic Personality Inventory) questionnaire. The TMAS questionnaire contains 50 questions, which has "yes" or "no" options, and LMMPI questionnaire contains 10 questions, which has "yes" or "no" options. The TMAS questionnaire was employed to estimate the patients’ symptoms of anxiety. Research data were tested by Chi Square test. Result: The results showed 90% and 70.59% type 2 diabetes mellitus patients with and without complication had anxiety respectively. 8 samples of patients with complications of type 2 diabetes mellitus had severe anxiety, 21 samples had moderate anxiety, and 7 samples had mild anxiety. While in type 2 diabetes mellitus patients without complications, one sample has severe anxiety, 16 samples have moderate anxiety, and 19 samples had mild anxiety. The results of Chi Square test for anxiety in type 2 diabetes mellitus patients showed p < 0.05 (p = 0.024) and for the anxiety level in type 2 diabetes mellitus patients with and without complications showed p < 0.05 (p=0.003). Conclusion: There was difference of anxiety level among type 2 diabetes mellitus patients with and without complications in Dr. Moewardi Hospital. Keywords: type 2 diabetes mellitus with complications, type 2 diabetes mellitus without complications, anxiety level 
Perbedaan Proporsi Jumlah Siswa Kelas XII SMA Al Islam 1 Surakarta yang Mengalami Depresi pada Kelompok dengan Kualitas Hidup dan Harga Diri Tinggi dan Rendah Heryadi, Afrizal Tri; Yuliadi, Istar; Aisyah, Siti
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Adolescents aged 10-20 years experienced a rapid change in the size, shape, physiological, psychological and social function. In normal development, a teenager has a tendency to get depressed. To overcome that, a teenager need self-esteem and quality of life. The purpose of this study is to determine the differences in the proportion of students number of 12th Class Al Islam 1 Senior High School Surakarta, experiencing depression on the group with high or low quality of  life and self-esteem. Methods: This study is an observational study with cross sectional analytical conducted in July 2014 in Al Islam 1 Senior High School Surakarta. Sampling is conducted for the entire 12th class with purposive random sampling conducted for students with high self-esteem (25%) and low self-esteem (25%) and students with a high quality of life (25%) and a lower quality of life (25 %). Correspondent filling: (1)The contents of personal data; (2)L-MMPI questionnaire; (3)Rosenberg questionnaire to assess the self-esteem scores; (4)WHOQOL BREF questionnaire to assess quality of life scores; (5)BDI Questionnaire to assess depression scores. Data obtained for 96 students and the data were analyzed using Chi Square through 19.00 SPSS for Windows. Results: This study indicates: (1)Significant differences in the proportion of depression in a group of students with high and low self-esteem in Al Islam 1 Senior High School Surakarta (p<0.05) and the prevalence ratio of 0.4; (2)Significant difference in the proportion of depression in a group of students with high and low quality of life in Al Islam 1 Senior High School Surakarta (p<0.05) and the prevalence ratio of 0.3. Conclusions: (1)There is a significant difference in the proportion of depression in a group of students with high and low self-esteem and high and low quality of life in Al Islam 1 Senior High School Surakarta. Students with high self-esteem has the possibility to experience depression 0.4 times greater than students with low self-esteem and students with a high quality of life has the possibility to experience depression 0.3 times greater than students with lower quality of life. Keywords: Adolescence, quality of life, self-esteem, depression  

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