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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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Sleep Quality is Associated with Total Cholesterol of Geriatric Patients in RSUD Dr Moewardi Mastura, Rila Ruis; Budiningsih, Fatichati .; ., Suyatmi .
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Hypercholesterolemia refers to condition where levels of cholesterol in theblood are higher than normal reference. In Indonesia, prevalence of hypercholesterolemia are continously increased. Growing evidences indicate there is a relationship between sleep and hypercholesterolemia. The aim of this study was to examine relationship between sleep quality and total cholesterol of geriatric patient. Methods:This study usedobservational analytic method with cross sectional approach. Geriatric patients (n=30) in Geriatric Polyclinic RSUD Dr. Moewardi were recruited in this study used convenience sampling based on inclusion and exclusion criteria.Variables in this study were sleep quality, body mass index (BMI) and total cholesterol. Sleep quality was measure during face to face interviews using validated Pittsburgh Sleep Quality Index Indonesian translation. Total cholesterol was gotten from laboratory test result which was performed a day before. BMI was calculated from direct measurement of weight and height. Data were analyzed by Chi-Square test. BMI as confounding factor was assessed by Mantel-Haenszel. Results:There was a statistically significant positive association between poor sleep quality and total cholesterol of geriatric patients(p=0.029 significance level α = 0.05). Compared with good sleepers, relative risk (odds ratio) of having cholesterol > 200 mg/dl among poor sleepers was 5.78(95% CI,1.12-29, 85). Conclusions: This study found  association between sleep quality and total cholesterol of geriatric patients in RSUD Dr. Moewardi. Keywords: Total cholesterol, sleep quality 
Correlation between Social Support and Anxiety among First Year Female Medical Student of Faculty of Medicine Sebelas Maret University in 2015 Ariani, Nisrina Mutia; Fanani, Mohammad; Aisyah, Siti
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: 18 – 25 years old university student is included into adolescent. Adolescent are susceptible of mental disorder, and one of the most common is anxiety. Female adolescent have the risk to anxiety two times higher. Anxiety can cause distortion of perception that can disturb the process of learning. Medical student have a greater risk to develop anxiety. To deal with stressor from the outside, an individual needs mental tenacity, and one of the factors that causing anxiety is social support. This research is aiming to understand the correlation between Social Support and Anxiety among First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. Methods: An observational analytics strategy and the cross-sectional study were adopted. This study had been done on November 2015 in Faculty of Medicine Sebelas Maret University. The subject was first year female medical student. This research used purposive sampling, and was done with questionnaires. There are five parts of the questionnaire (1) Informed consent; (2) Personal Information; (3) L-MMPI Questionnaire; (4) Taylor Manifest Anxiety Scale Questionnaire; (5) Interpersonal Support Evaluation List Questionnaire. Inclusion and exclusion were applied. The number of total sample was 102. Data analyzed using Kolmorgov-Smirnov and Pearson using SPSS Statistics. Results: Pearsons Product-Moment Correlation using SPSS Statistics suggest that the correlation coefficient was -0.24 (p=0.015). The value p < 0.05 suggests that there was specific correlation between social support and anxiety. The negative symbol suggest that higher levels of social support were related to lower levels of anxiety of First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. Conclusion: There was specific correlation between social support and anxiety of First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. There was specific correlation that suggests higher levels of social support were related to lower levels of anxiety. Keywords: social support, anxiety, female medical student 
The Difference of Anxiety’s Score and Depression’s Score between Mother with Mild Intellectual Disability and Mother with Moderate Intellectual Disability in SLB Negeri Surakarta Izzani, Alindina; Sudiyanto, Aris; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Children with Intellectual Disability (ID) have low Intelligence Quotient (IQ) and low social interaction so that they have difficulty in self-adaptation. Caring for child with disability will increase the risk of psychological morbidity in family such as anxiety and depression especially in mother. This study is aimed to discover the difference of anxiety’s score and depression’s score between mother with mild intellectual disability and mother with moderate intellectual disability. Methods: This study was a cross-sectional observational analytic. 15 mothers of mild intellectual disability (C) and 15 mothers of moderate intellectual disability (C1) were recruited with consecutive sampling from SLB Negeri Surakarta on October 2015. Lie-Minnesota Multyphasic Personality Inventory (L-MMPI), Taylor’s Manifest Anxiety Scale (TMAS), and Beck’s Depression Inventory-II (BDI-II) questionnaires were used to assessed anxiety and depression. The test data was broken down and analyzed by independent t-test and the SPSS 20 for Windows software. Results: Mean and deviation TMAS score of mother with mild intellectual disability is 24,93±7,648 and mother with moderate intellectual disability is 23,00±9,736. There is no difference of anxiety’s score between two group of mothers (p = 0,55 ; p > 0,05). Mean and deviation BDI-II score of mother with mild intellectual disability is 11.27±9.08 and mother with moderate intellectual disability is 10.93±10.39. There is no difference of depression’s score between two group of mothers (p = 0,92; p > 0,05). Conclusions: There is no difference of anxiety’s score and depression’s score between mother with mild intellectual disability and mother with moderate intellectual disability in SLB Negeri Surakarta. Keywords: Intellectual disability, Anxiety, Depression 
Association between Characteristics and Behaviors of Workers that Exposed to Chemicals with ARI Symptoms in Artificial Nails Industry Kurniasih, Oktavera Tri; Aphridasari, Jatu; ., Sumardiyono
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Artifical nails industry workers are potentially exposed to chemicals that can irritate the respiratory tract. Irritation of the respiratory tract may facilitate the occurrence of Acute Respiratory Infection (ARI). Worker characteristics and worker behaviors affect the occurrence of ARI. This research aimed to know the association between characteristics and behaviors of workers that exposed to chemicals with ARI symptoms in artificial nails industry. Methods: This research was an observational analytic with cross-sectional approach. The research was held in artificial nails industry of Purbalingga on November-December 2015 with 80 samples of workers which consisted of 48 workers of injection department and 32 workers of airbrush department. Independent variables of this research were worker characteristics and worker behaviors. Worker characteristics included gender, age, department of work, period of work, and length of work. Worker behaviors included behavior of the use of Personal Protective Equipment (PPE) such as masks and smoking behavior. Dependent variable of this research was ARI symptoms. Moderator variable of this research was chemicals exposure. Data were collected using questionnaires. Data were analyzed by multiple logistic regression analysis. Results: The results of multiple logistic regression analysis showed that variables that influence ARI symptoms were length of work (p = 0.000; PR = 13.28) and age (p = 0.001; PR = 10.53). Conclusions: Length of work and age influenced ARI symptoms of workers that exposed to chemicals in artificial nails industry. The strength of the relationship of length of work was greater than age. Keywords: Worker characteristics, worker behaviors, chemicals exposure, ARI symptoms. 
Sleep Latency among High School Female Students who Dance Gambyong Pareanom Sari, Tika Permata; Syamsulhadi, Much; Nugroho, Dian
Nexus Kedokteran Klinik Vol 5, No 3 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Sleep is important to maintain homeostatic function and mental health. Previous study showed that mindfulness exercise can shorten sleep latency. In this study, Gambyong Pareanom dance is used as mindfulness exercise. This study aims to find out whether Gambyong Pareanom dance can influence sleep latency. Methods: This study is a quasi experimental study with the design of pretest and posttest. The study took place in SMA Negeri 4 Surakarta with 10th grade students as subjects. Subjects were taken in blind method and divided into two: control and treatment. Students in treatment group follow 8 week of Gambyong Pareanom dance practice. Data was collected using Pittsburgh Sleep Quality Index (PSQI) questionnaire. PSQI score was measured before and after treatment and is compared to control group. Independent variables are dancing and not dancing Gambyong Pareanom while the dependent variable is sleep quality. Data was analyzed using Wilcoxon test. Result: Treatment group experienced significant improvement in their sleep latency (p = 0,003). Keywords: sleep, physical activity, mindfulness, sleep latency, dance 
Herbal Usage History as a Risk Factor for Delay in Treatment on Breast Cancer Patients in Surakarta Hanum, Niluh Ayu Anissa; Yarso, Kristanto Yuli; Pesik, Riza Novierta
Nexus Kedokteran Klinik Vol 5, No 3 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Breast cancer is a most commonly diagnosed cancer in women with an estimated 1.67 million cases diagnosed in 2012, i.e. 25% of all cancer cases. As many as 69% of breast cancer incidence was found to have reached stage III and IV, which has lower five-years survival rate. Various factors play a role in the delay of treatment, one of them is an herbal usage history. This study aims to determine whether an herbal usage history is a risk factor of delay in breast cancer patients in Surakarta. Methods: This study design was observational analytic with cross sectional approach. The samples were 45 breast cancer patients with delayed treatment and 55 breast cancer patients without delay treatment in RSUD Dr. Moewardi and RSU Kasih Ibu Surakarta. Samples were taken by fixed disease sampling, which then selected based on inclusion and exclusion criteria. The instrument used is the patient records and supplementary questionnaire. The variables studied were delays in treatment with an herbal usage history along with other confounding factors that may affect the delay of treatment. Data then analyzed using bivariate test and logistic regression. Results: The results of the bivariate analysis showed that an herbal usage history is a risk factor of delay in treatment, with p = 0.002 and OR = 3.69. While the results of the multivariate analysis showed that a low level of knowledge affect the most to delays in treatment of breast cancer with OR = 3.699. Conclusions:Herbal usage history was proved as a risk factor for delay in treatment on breast cancer patients in Surakarta. Keywords:Herbal Usage History, Delay in Treatment, Breast Cancer 
The Correlation between Women with Gestastional Hypertension and Preterm Birth Rates at Dr. Moewardi Hospital Amalia, Farrah Putri; Anggraini, Nutria Widya Purna; Randita, Amandha Boy Timor
Nexus Kedokteran Klinik Vol 5, No 3 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Hypertensive disorders of pregnancy is a medical problem that often arises in pregnant women. Hypertensive disorders of pregnancy contributes to various of perinatal outcomes, particularly preterm birth which is the most common cause of perinatal deaths. Gestational hypertension is one form of hypertensive disorders of pregnancy with the highest incidence rates. This study aims to determine the association between women with gestational hypertension and preterm birth rate at Dr. Moewardi Hospital. Methods: This research was an observational analytic study with cross sectional approach. The samples were pregnant women with gestational hypertension who gave birth at Dr. Moewardi Hospital in July 2014 - July 2015 (n = 87). The samples were selected by consecutive sampling method. Data of maternal blood pressure was obtained from medical records and grouped by the degree of hypertension (mild, moderate, severe). Data of gestational age of delivery was also obtained from medical records and divided into preterm (<37 weeks) and aterm (37 - 42 weeks) birth. Spearman test was used to measure correlation between variables with level of significance 5%. Results: There were a total of 35 preterm births of 87 mothers with gestational hypertension, with details as follows: 8 preterm births from mothers with mild hypertension (25.8%), 15 preterm births from mothers with moderate hypertension (60%), and 12 preterm births from mothers with severe hypertension (38.7%). Spearman correlation test showed a correlation coefficient (r) = -0.111 and p = 0.306. Conclusion: This research shows a statistically insignificant correlation (p=0.306) between women with gestational hypertension and preterm birth rate at Dr. Moewardi Hospital. Keywords: Gestational hypertension, preterm birth. 
Pengaruh Krisis Hipertensi pada Fase Akut Stroke terhadap Activity of Daily Living Pasien Pasca Stroke di RSUD Dr. Moewardi Annisa Susilowati; Rivan Danuaji; Dhoni Akbar Ghozali
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a problem for many countries in the world due to increase in line with the modernization and occurs most frequently in old age. Stroke incidence can cause functional acute brain disorder both focal and global which will end with disability or death. Crisis hypertensive is common in acute phase stroke patients who require proper treatment because it can aggravate brain damage and worsen outcome. Generally, post-stroke patients who can survive will be dependent on help of others in carrying out the activities of daily life. The decline in the independence of someone is one of functional outcome after stroke that needs more attention. Method: This study used observational analytic study design retrospective cohort approach in Outpatient Clinic of Neurology in RSUD Dr. Moewardi. Sampling was done by exhaustive sampling where all reasonable population is used as the study sample. Data collection techniques used questionnaires and interviews to respondents using the Barthel Index to measure Activity of Daily Living (ADL). This study analyzed the effect of crisis hypertensive on acute phase stroke to post-stroke ADL by controlling one of the confounding variable that is age. Data was analyzed using bivariate analysis that is chi square test and multivariate analysis with multiple logistic regression with SPSS 20.00. Result: Results of bivariate analysis showed that crisis hypertensive and age variables each significantly correlated to the post-stroke Activity of Daily Living. After controlling for confounding variables of age using multivariate analysis, found that the relationship of crisis hypertensive to post-stroke ADL remained significant (p = 0.006). The magnitude of the risk of poor ADL incident because of crisis hypertensive on acute phase stroke after considering age factor is 9.918 times (OR = 9,918). This means that post-stroke patients with crisis hypertensive in all age groups had 9.918 times greater risk for having poor ADL after stroke compared with patients without crisis hypertensive on acute phase stroke. Conclusion: Based on the results of this study concluded that crisis hypertensive on acute phase stroke has significant effect to post-stroke Activity of Daily Living in all age groups patients. Keyword: Stroke, Crisis hypertensive, Activity of Daily Living, post-stroke ADL
Hubungan Jenis Kelamin dengan Gangguan Kognitif Pasca Stroke Iskemik Serangan Pertama dengan Lesi Hemisfer Kiri Bagus Dwi Prasetyo; . Suroto; Diah Kurnia Mirawati
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a cerebrovascular disease which until now the third leading cause of death in the world. Stroke can cause physical disability to psychosocial disfunction, such as cognitive impairment. This study aimed to analyze the relationship between gender and cognitive impairment after ischemic stroke first attack with left hemisphere lesions. Methods: This type of research is an observational analytic with cross-sectional approach. Sample of this study were post ischemic stroke patients with a total sample of 60 people. Measuring instrument used was Mini Mental State Examination (MMSE), and performed data analysis with multiple logistic regression analysis. Results: After the study on a sample of 60 post-stroke patients with a first ischemic attack left hemisphere lesions found post-stroke cognitive impairment in male patients amounted to 46.7%, whereas in female patients by 30%. The results of calculations using Binary Logistic Regression Analysis obtained OR = 0.14; CI 95% 0025 to 0794 and p = 0026. From these data showed statistically significant relationship between the gender with cognitive impairment after ischemic stroke first attack with left hemisphere lesions. Conclusions: There is a statistically significant relationship between gender to cognitive impairment on post-ischemic stroke patients. This conclusion is drawn after controlling for the effects of confounding factors such as age, level of education and cardiovascular risk factors: diabetes mellitus, hypertension, dyslipidemia. Keywords: gender, cognitive impairment, ischemic stroke
A Comparison of Recovery Times Using Aldrete Score Between General Anesthesia Propofol and Ketamine Putu Ayu Apriliani Trisna Dewi; R.Th Suprapromo; Ari Natalia Probandari
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Intravenous anesthesia is an anesthetic agent that is administered intravenously, the advantages of using intravenous anesthetic agent is more convenient for patients and a short onset duration and recovery time. Propofol and ketamine are two intravenous anesthetic agent that is often used as an anesthetic induction or as the induction and maintenance of anesthesia in shor time surgical. After surgical procedure, patient must be kept under clinical observation at all times in a recovery facility until patient have reached normal level of consciousness. Level of consciousness after surgary can be measured by using Aldrete score that includes skin tone, respiration, circulation, level of consciousness and motor activity. The time required to recover fully normally ? 15 minutes. The objective of this study was to determine and to compare the recovery state between usage of general anesthesia propofol and ketamin. Methods: An analytical observational cross sectional study was conducted with both general anesthetics propofol and ketamin as independent variable and recovery state as dependent variable. Subjects recruited for this study were patients who underwent curatage surgery under intravenous anesthetics at Dr. Moewardi Regional General Hospital, Regional General Hospital of Ngipang, and Amanah Ibu Mother and Children Hospital. Subjects were selected using consecutive sampling technique. For the purpose of this study, recovery characteristics were measured using Aldrete score and were obtained after transported to a recovery room. Total subjects were 72, which were 36 subjects as propofol group and 36 subject as ketamin group. Statistical analyses were assessed by Chi square test using IBM SPSS 22.0. Results: This study found that 94,4% patients receiving propofol gained full recovery and 63,9% patients receiving ketamin gained full recovery as well. The statistical results stated that the p value is 0.001 (<0.05). Hence, statistically there was a significant difference between usage of general anesthesia propofol and ketamin. Conclusions: These findings statistically significant difference between usage of general anesthesia propofol and ketamin Keywords: aldrete score, recovery times, propofol, ketamin

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