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Global Medical and Health Communication

gmhc
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Published by Universitas Islam Bandung

ISSN : 23019123 EISSN : 24605441 DOI : https://doi.org/10.29313/gmhc

Core Subject : Health, Science,

Dentistry Health Professions Immunology & microbiology Nursing Public Health

Global Medical and Health Communication is a journal that publishes research articles on medical and health published every 4 (four) months (April, August, and December). Articles are original research that needs to be disseminated and written in English. Subjects suitable for publication include but are not limited to the following fields of anesthesiology and intensive care, biochemistry, biomolecular, cardiovascular, child health, dentistry, dermatology and venerology, endocrinology, environmental health, epidemiology, geriatric, hematology, histology, histopathology, immunology, internal medicine, nursing sciences, midwifery, nutrition, nutrition and metabolism, obstetrics and gynecology, occupational health, oncology, ophthalmology, oral biology, orthopedics and traumatology, otorhinolaryngology, pharmacology, pharmacy, preventive medicine, public health, pulmonology, radiology, and reproductive health.

Arjuna Subject : Kedokteran - Epidemilogi

Articles 422 Documents

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Cogongrass (Imperata cylindrica L.) Ethanol Extract on Sepsis Mice Model Body Weight and Sepsis Score Mirasari Putri; Neni Anggraeni; Raden Aliya Tresna M. D.; Ghaliby Ardhia Ramli; Mia Kusmiati; Yuke Andriane; Eka Hendryanny; Abdul Hadi Hassan; Meta Maulida Damayanti; Nugraha Sutadipura; Mas Rizky A. A. Syamsunarno
Global Medical & Health Communication (GMHC) Vol 8, No 3 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v8i3.6604

Sepsis causes damage for cells, behavioral phenotype regression, and will end in most patients' death. The ethanol extract of cogongrass (Imperata cylindrica L.) acts as an antioxidant. This study aimed to observe the effect of giving ECGR to body weight (BW) and the sepsis score of the sepsis mice model by lipopolysaccharide (LPS) induction. This study was an in vivo study with a randomized post-test controlled group design at the Animal Laboratory of Universitas Padjadjaran, 2018. We used 4 (four) groups of male mice (Mus musculus) DDY strains. Group 1 as a control, group 2: LPS 10 μL/kgBW, group 3, and 4: LPS+ECGR (90 mg/kgBW, and a dose of 115 mg/kgBW, respectively). This treatment was performed for two weeks. Every three days, we measured their body weight. After two weeks, group 2, group 3, and 4 were injected with LPS for 8 hours to induce sepsis. Next, we measured body weight and sepsis score using murine sepsis score (MSS). Then statistical analysis was performed using ANOVA and the Kruskal-Wallis test. The results showed no differences in body weight were found in the treatment groups (3 and 4) compared with control, suggesting no effect of ECGR in decreasing mice body weight. The sepsis score was more than 21 in groups treated with LPS (2, 3, and 4), suggesting LPS can induce sepsis. There was a slight decrease in scores in-group 3 and 4 compared with group 2. This study concludes that the treatment of ECGR caused no harm to body weight and slightly decreased sepsis score in the sepsis mice model. EKSTRAK ETANOL ALANG-ALANG (IMPERATA CYLINDRICA L.) TERHADAP BOBOT BADAN DAN SKOR SEPSIS MENCIT MODEL SEPSISSepsis menyebabkan kerusakan sel, regresi fenotipe perilaku, dan akan berakhir kematian pada sebagian besar pasien. Ekstrak etanol akar alang-alang (Imperata cylindrica L.) (ECGR) berperan sebagai antioksidan. Penelitian ini bertujuan mengetahui pengaruh pemberian ECGR terhadap bobot badan (BB) dan skor sepsis pada mencit model sepsis yang diinduksi lipopolisakarida (LPS). Penelitian ini adalah penelitian in vivo dengan desain randomized post-test controlled group di Laboratoium Hewan Universitas Padjadjaran tahun 2018. Kami menggunakan 4 (empat) kelompok mencit jantan (Mus musculus) strain DDY. Kelompok 1 sebagai kontrol, kelompok 2 diinduksi LPS 10 μL/kgBB, kelompok 3 dan 4 diinduksi LPS+ECGR (dosis 90 mg/kgBB dan 115 mg/kgBB masing-masing). Perlakuan ini dilakukan selama 2 minggu. Setiap tiga hari dilakukan pengukuran bobot badan mencit. Setelah dua minggu, kelompok 2, kelompok 3, dan kelompok 4 diinjeksi LPS selama 8 jam untuk menginduksi sepsis. Selanjutnya, diukur bobot badan dan skor sepsis menggunakan murine sepsis score (MSS). Analisis statistik menggunakan ANOVA dan Uji Kruskal-Wallis. Hasil penelitian menunjukkan tidak terdapat perbedaan bobot badan pada kelompok perlakuan (3 dan 4) dibanding dengan kelompok kontrol yang menunjukkan ECGR tidak berpengaruh dalam menurunkan bobot badan mencit. Skor sepsis lebih dari 21 pada kelompok yang diinduksi LPS (2, 3, dan 4) menunjukkan LPS dapat menyebabkan sepsis. Terdapat sedikit penurunan skor pada kelompok 3 dan 4 dibanding dengan kelompok 2. Simpulan penelitian ini, pengobatan ECGR tidak membahayakan bobot badan dan mengakibatkan sedikit penurunan skor sepsis pada mencit model sepsis.

Probability of Hypertension in Advancing Ages of Women Fajar Awalia Yulianto; Nurul Romadhona; Febyana Rosarianto; Vihannis Rahmanda; Salman Barlian; Tresya Anggi Tania; Romy Reynaldi Gunawan; Sumayya Nuri Fuadana Aulia Ul Haque; Rifa Nataputri; Aulia Nur Amalia; Paulina Maresta; Haris Nugroho
Global Medical & Health Communication (GMHC) Vol 8, No 2 (2020)
Publisher : Universitas Islam Bandung

Hypertension is a problem in Indonesia, with 34.1% prevalence. The number reflected the number of hypertensive patients in the 2016 clinic report of Pasirjambu Public Health Center as the most prominent non-communicable disease. This research aimed to discover the specific age of onset and risk factors of hypertension in the village where the health center located. A rapid survey collected the data in May 2017, where 210 women (representing their household) were chosen by randomization inside their respective clusters. Risk factors were analyzed by a robust and parsimonious logistic regression model along with probability count on age as the final prediction. The prevalence of hypertension was 59.5% (95%CI=52.9, 66.2%). Risk factors for hypertension were age (OR=1.06, p=0.00), stress (OR=1.74, p=0.09) and family history (OR=1.99, p=0.03) but the protective factor was consumption frequency of salty food (OR=0.64, p=0.10). In conclusion, a woman would have a 42.9% chance (95%CI=33.7, 52.1%) for having hypertension at 40 years old of age after adjusted by other risk factors. Despite only two modifiable risk factors that can be intervened with, it would be worth trying to decrease the pace of onset in hypertension and the prevalence. KEMUNGKINAN HIPERTENSI BERDASAR ATAS USIA PADA WANITAHipertensi merupakan sebuah masalah di Indonesia dengan prevalensi sebesar 34,1%, angka tersebut terlihat dalam laporan tahunan Puskesmas Pasirjambu sebagai penyakit tidak menular terbanyak di wilayah kerjanya. Tujuan penelitian ini adalah mengetahui usia munculnya hipertensi dan faktor risikonya. Pengumpulan data dilakukan melalui survei cepat di bulan Mei 2017, melibatkan 210 wanita yang mewakili rumah tangganya dipilih secara random. Faktor risiko dianalisis menggunakan regresi logistik dengan hasil akhir berupa prediksi kemungkinan. Hasil penelitian menunjukkan prevalensi hipertensi sebesar 59,5% (IK95%=52,9; 66,2%). Usia (OR=1,06; p=0,00), stres (OR=1,74; p=0,09) dan riwayat hipertensi dalam keluarga (OR=1,99; p=0,03) menjadi faktor risiko, sedangkan frekuensi konsumsi makanan asin (OR=0,64; p=0,10) menjadi faktor protektif. Setelah adjusted terhadap variabel lain, kemungkinan untuk hipertensi seorang wanita usia 40 tahun sebesar 42,9% (IK95%=33,7; 52,1%). Pencegahan untuk menurunkan prevalensi dan laju insidensi dapat dilakukan pada usia tersebut walaupun hanya ada dua faktor risiko yang dapat dimodifikasi.

Effect of Integrated Antenatal Care Training on Midwife Service Quality Improvement Melsa Sagita Imaniar; Hadi Susiarno; Adhi Pribadi; Herry Herman; Dida Akhmad Gurnida; Hadyana Sukandar
Global Medical & Health Communication (GMHC) Vol 8, No 2 (2020)
Publisher : Universitas Islam Bandung

Antenatal care (ANC) is the most effective strategy for preventing complications in pregnancy. However, the current quality of midwife antenatal care services is still considered low. One of the indicators used for assessing midwifery service quality is the technical competency indicator that includes history taking, physical examination, case management and follow up, examination recording, and effective information, communication, and education (IEC). This study aimed to measure the effect on integrated antenatal care training on the quality of midwife services. The design was a pre-test and post-test quasi-experimental study conducted in Manonjaya Public Health Center, Tasikmalaya district, from November to December 2017. Simple random sampling was applied to get 20 respondents for each intervention and control groups. The bivariate analyses used in this study were the paired t test and the Mann-Whitney test. Results showed an overall increase in service quality scores in the intervention and control groups by 5.5% and 0.86%, respectively, with a significant difference in the increase between the two groups (p<0.05). Therefore, there is a significant increase in the quality of midwife after implementing the integrated ANC module and training to midwives. PENGARUH PELATIHAN ANTENATAL CARE TERPADU TERHADAP PENINGKATAN KUALITAS PELAYANAN BIDANAntenatal care (ANC) merupakan strategi pencegahan komplikasi dalam kehamilan paling efektif. Namun, kualitas pelayanan antenatal care bidan saat ini dinilai masih rendah. Salah satu indikator yang digunakan untuk menilai kualitas pelayanan kebidanan adalah indikator kompetensi teknis yang meliputi anamnesis, pemeriksaan fisik, penatalaksanaan dan tindak lanjut kasus, pencatatan pemeriksaan, serta komunikasi, informasi, dan edukasi (KIE) yang efektif. Penelitian ini bertujuan mengukur pengaruh pelatihan antenatal care terpadu terhadap kualitas pelayanan bidan. Desain penelitian ini menggunakan pre-test and post-test quasi-experimental yang dilaksanakan di Puskesmas Manonjaya Kabupaten Tasikmalaya dari November hingga Desember 2017. Pengambilan sampel dilakukan secara simple random sampling untuk mendapatkan 20 responden untuk tiap-tiap kelompok intervensi dan kontrol. Analisis bivariat yang digunakan dalam penelitian ini adalah uji t berpasangan dan Uji Mann-Whitney. Hasil penelitian menunjukkan peningkatan skor kualitas pelayanan secara keseluruhan pada kelompok intervensi dan kontrol sebesar 5,5% dan 0,86% masing-masing dengan perbedaan peningkatan yang signifikan antara kedua kelompok (p<0,05). Simpulan, terdapat peningkatan kualitas bidan yang signifikan setelah penerapan modul ANC terintegrasi dan pelatihan kepada bidan.

Food Safety Training for Food Handlers in the Canteen Elementary School, Yogyakarta Dyah Suryani; Adi Heru Sutomo; Abu Tholib Aman; Suyitno Suyitno
Global Medical & Health Communication (GMHC) Vol 9, No 1 (2021)
Publisher : Universitas Islam Bandung

The knowledge in terms of food security affects the attitude that can influence the practice. A low level of knowledge can increase the prevalence of food-borne disease, especially among children. This study aimed to examine the effect of food security training on increasing knowledge, attitude, and practice. This study retrieved 87 food handlers (intervention=43, control=44) from 60 school canteens in Yogyakarta city, 2018. The quasi-experimental study used a non-equivalent design control group by using pretest and posttest. The given intervention was an interactive speech, presentation, and food security module. The statistical test used in this study were normality tests and independent t test. The majority of respondents for intervention and control groups were female (93% each). A significant increase in knowledge, attitude, and practice has been found after training (p value<0.05). There was no difference in knowledge, attitude, and practice among the control group (p value>0.05). This research finding the intervention effectively increases the knowledge, creates the positive, and increases food handlers and consumers' food security practices in the school. Public health providers should design health programs to conduct practical food security training. It is to be conducted continuously for food handlers in the school canteen. They need to remind them that knowledge is essential. Related stakeholders like schools should also provide adequate sanitation facilities and increasing supervision at the school canteen. PELATIHAN KEAMANAN PANGAN UNTUK PENJAMAH MAKANAN DI KANTIN SEKOLAH DASAR, YOGYAKARTAPengetahuan dalam hal ketahanan pangan memengaruhi sikap yang dapat memengaruhi praktik. Tingkat pengetahuan yang rendah dapat meningkatkan prevalensi penyakit bawaan makanan, terutama pada anak. Penelitian ini bertujuan menguji pengaruh pelatihan ketahanan pangan terhadap peningkatan pengetahuan, sikap, dan praktik. Penelitian ini mengambil 87 penjamah makanan (intervensi=43, kontrol=44) dari 60 kantin sekolah di Kota Yogyakarta tahun 2018. Penelitian kuasi eksperimental menggunakan desain kelompok kontrol non-ekuivalen dengan menggunakan pretest dan posttest. Intervensi yang diberikan adalah pidato interaktif, presentasi, dan modul ketahanan pangan. Uji statistik yang digunakan dalam penelitian ini adalah uji normalitas dan uji t independen. Responden kelompok intervensi dan kontrol mayoritas berjenis kelamin perempuan (masing-masing 93%). Peningkatan signifikan pada pengetahuan, sikap, dan praktik ditemukan setelah pelatihan (p<0,05). Tidak ada perbedaan pengetahuan, sikap, dan praktik antara kelompok kontrol (p>0,05). Penelitian ini menemukan bahwa intervensi efektif untuk meningkatkan pengetahuan, menciptakan sisi positif, dan meningkatkan praktik ketahanan pangan antara penjamah makanan dan konsumen di sekolah. Petugas kesehatan masyarakat harus merancang program kesehatan untuk melakukan pelatihan ketahanan pangan yang efektif untuk dilakukan secara terus menerus bagi penjamah makanan di kantin sekolah, mengingatkan mereka tentang pengetahuan yang diberikan untuk setiap sesi dan pemangku kepentingan terkait seperti sekolah juga harus menyediakan fasilitas sanitasi yang memadai dan meningkatkan pengawasan di kantin sekolah.

The Influence of Gestational Age and Birth Weight on Neonatal Mortality Wedi Iskandar; Yeni Andayani; Lia Marlia; Burhan Burhan; Aris Primadi
Global Medical & Health Communication (GMHC) Vol 8, No 3 (2020)
Publisher : Universitas Islam Bandung

Prematurity and low birth weight are some of the causes of neonatal death and significant health problem. This study aimed to determine the influence of gestational age and birth weight on neonatal mortality at the Al Islam Hospital Bandung in 2015–2019. It was a case-control retrospective observational analysis using medical records of the Al Islam Bandung Hospital from January 1, 2015, to December 31, 2019. The inclusion criteria for infants were born alive. Exclusion criteria had severe congenital abnormalities and gestational age <26 weeks. The chi-square test evaluated the univariate comparison test of risk factors between 2 groups. Multiple logistic regression to assess neonatal mortality's predictive factors and the percentage contribution of the influence was calculated (Nagelkerke’s R2 analysis). The number of infants enrolled in 2015–2019 was 6,791 neonates, and who died was 56 neonates (0.82%). In premature infants and low birth weight there was a very significant relationship with neonatal mortality, respectively p=0.000 (p<0.05) OR=30.397 (CI=16.506–55.976), and p=0.000 (p<0.05) OR=41.206 (CI=18.611–91.233). In the multiple logistic regression test, p=0.000 (p<0.05), with a Nagelkerke’s R2 value of 0.344 or 34.4%. This presence that gestational age and birth weight significantly affects neonatal mortality, either partially or simultaneously. The percentage contribution of the influence of gestational age and birth weight to neonatal mortality was 34.4%. PENGARUH USIA GESTASI DAN BERAT BADAN LAHIR TERHADAP KEMATIAN NEONATUSPrematuritas dan berat badan lahir rendah merupakan beberapa penyebab kematian neonatus dan masalah kesehatan yang signifikan. Penelitian ini bertujuan mengetahui pengaruh usia gestasi dan berat badan lahir terhadap kematian neonatus di RS Al Islam Bandung tahun 2015–2019. Penelitian ini merupakan penelitian observasional retrospektif kasus kontrol menggunakan data rekam medis RS Al Islam Bandung periode 1 Januari 2015 hingga 31 Desember 2019. Kriteria inklusi bayi lahir hidup. Kriteria eksklusi bayi dengan kelainan kongenital berat dan usia gestasi <26 minggu. Uji chi-square mengevaluasi perbandingan univariat faktor risiko antara 2 grup. Regresi logistik multipel untuk mengevaluasi faktor prediktif kematian neonatus dan persentase kontribusi pengaruh dihitung (Analisis R2 Nagelkerke). Jumlah bayi yang dirawat tahun 2015–2019 sebanyak 6.791 dan yang meninggal sebanyak 56 (0,82%). Pada bayi lahir prematur dan berat badan lahir rendah terdapat hubungan sangat bermakna terhadap kematian neonatus, berturut-turut p=0,000 (p<0,05) OR=30,397 (CI=16,506–55,976) dan p=0,000 (p<0,05) OR=41,206 (CI=18,611–91,233). Pada uji regresi logistik multipel, p=0,000 (p<0,05) dengan nilai R2 Nagelkerke sebesar 0,344 atau 34,4%. Usia gestasi dan berat badan lahir berpengaruh bermakna terhadap kematian neonatus, baik secara parsial maupun simultan. Persentase sumbangan pengaruh usia gestasi dan berat badan lahir terhadap kematian neonatus sebesar 34,4%.

Factors Associated to Growth Disorder in Children with Thalassemia Major Nurbaiti Annisaa Soegiharto; Meiyanti Meiyanti
Global Medical & Health Communication (GMHC) Vol 9, No 2 (2021)
Publisher : Universitas Islam Bandung

Growth disorders in short stature are often found in patients with β-thalassemia major. It is caused by several factors such as hypoxia, hemosiderosis, deficiency of nutritional intake, and micronutrient. Disorder in growth will affect the patient's quality of life. This study aims to determine the prevalence of growth disorders and analyze the factors associated with thalassemia child growth disorders. This study used an observational analytic study with a cross-sectional design on 167 patients with β-thalassemia major at the Palang Merah Indonesia Hospital, Bogor, West Java, in October–December 2018. Data was collected using a transfusion compliance questionnaire and the Morisky Medication Adherence Scale (MMAS-8), while growth was assessed using the CDC 2000 height/age curve. Data analysis used SPSS for Windows version 21.0. Of 167 subjects, 86 subjects (51.5%) were not adherent to transfusion, 97 subjects (58.1%) had low consumption of chelation iron, and 146 subjects (87.4%) had growth problems. The results of bivariate data analysis using the chi-square test for transfusion compliance and parental education on growth obtained p=0.000 and p=0.032. Likewise, for compliance with iron chelation consumption and parents' income to growth, the p value=0.000 was obtained. It was concluded that the prevalence of growth disorders was 87.4%, and there was a relationship between transfusion compliance, parental education level, parents' income, and compliance with iron chelation consumption on growth disorders in thalassemia children. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN GANGGUAN PERTUMBUHAN PADA ANAK TALASEMIA MAYORGangguan pertumbuhan berupa perawakan pendek sering ditemukan pada penderita talasemia β mayor. Hal ini disebabkan oleh beberapa faktor seperti hipoksia, hemosiderosis, kekurangan asupan nutrisi, dan mikonutrien. Gangguan pertumbuhan akan memengaruhi kualitas hidup pasien. Penelitian ini bertujuan mengetahui prevalensi gangguan tumbuh kembang dan menganalisis faktor-faktor yang berhubungan dengan gangguan tumbuh kembang anak talasemia. Penelitian ini menggunakan jenis penelitian observasional analitik dengan desain cross-sectional pada 167 pasien talasemia β mayor di RS Palang Merah Indonesia, Bogor, Jawa Barat pada bulan Oktober–Desember 2018. Pengumpulan data dilakukan dengan menggunakan kuesioner kepatuhan transfusi dan Morisky Medication Adherence Scale (MMAS-8), sedangkan pertumbuhan dinilai menggunakan kurva tinggi/usia CDC 2000. Analisis data menggunakan SPSS for Windows versi 21.0. Dari 167 subjek, 86 subjek (51,5%) tidak patuh pada transfusi, 97 subjek (58,1%) memiliki konsumsi kelasi besi rendah, dan 146 subjek (87,4%) mengalami gangguan pertumbuhan. Hasil analisis data bivariat menggunakan uji chi-square untuk kepatuhan transfusi dan pendidikan orangtua tentang pertumbuhan diperoleh p=0,000 dan p=0,032. Begitu pula untuk kepatuhan konsumsi kelasi besi dan pendapatan orangtua terhadap pertumbuhan diperoleh p=0,000. Disimpulkan bahwa prevalensi gangguan tumbuh kembang sebesar 87,4% dan terdapat hubungan kepatuhan transfusi, tingkat pendidikan orangtua, pendapatan orangtua, dan kepatuhan konsumsi kelasi besi dengan gangguan tumbuh kembang anak talasemia.

Characteristics of Patients with Type 2 Diabetes Mellitus in Al-Ihsan Regional General Hospital Siti Annisa Devi Trusda; Wida Purbaningsih; Budiman Budiman; Siti Salma Nurhaliza Fitriadi
Global Medical & Health Communication (GMHC) Vol 9, No 2 (2021)
Publisher : Universitas Islam Bandung

The prevalence of type 2 diabetes mellitus (T2DM) in Indonesia is high, contributing to the fourth mortality rate for non-communicable diseases in Indonesia. The population of T2DM patients spread across all provinces, including West Java, which is the most populous province in Indonesia. One of the referral hospitals in West Java is Al-Ihsan Regional General Hospital in Bandung regency. The purpose of this study was to describe the characteristics of T2DM patients who came to Al-Ihsan Regional General Hospital according to age, gender, and comorbidities parameters. It was a descriptive cross-sectional study using secondary data from medical records of T2DM patients between January 2017 and November 2020. The results were the highest prevalence and incidence of T2DM were in 2017 with as many as 5,051 and 653 respectively; the highest gender each year was female, range between 584–3,333, with the highest male: female ratio of 1:2 in 2017; the age group with the highest prevalence was 55–65 years which was 3,468 (39.53%); and top five comorbidities were hypertension (35.68%), cataracts (6.01%), osteoarthritis (3.58%), pulmonary tuberculosis (2.92%) and dyspepsia (2.91%). This study concluded that the prevalence and incidence of T2DM in Al-Ihsan Regional General Hospital were high, with the predominant female patients, elderly, and comorbid hypertension. KARAKTERISTIK PASIEN DIABETES MELITUS TIPE 2 DI RSUD AL-IHSANAngka kejadian diabetes melitus tipe 2 (DMT2) di Indonesia cukup tinggi, menyumbangkan angka kematian keempat penyakit tidak menular di Indonesia. Penderita DMT2 tersebar di seluruh provinsi, termasuk Jawa Barat yang merupakan provinsi terpadat di Indonesia. Salah satu rumah sakit rujukan di Jawa Barat adalah RSUD Al-Ihsan di Kabupaten Bandung. Tujuan penelitian ini adalah menggambarkan karakteristik pasien DMT2 yang datang ke RSUD Al-Ihsan dilihat dari usia, jenis kelamin, dan komorbid. Penelitian ini merupakan penelitian deskriptif cross-sectional menggunakan data sekunder berupa rekam medis pasien DMT2 periode Januari 2017 hingga November 2020. Didapatkan bahwa prevalensi dan insidensi DMT2 tertinggi pada tahun 2017 sebesar 5.051 dan 653 masing-masing; jenis kelamin terbanyak pada setiap tahun adalah wanita sebesar 584–3.333 dengan rasio pria:wanita tertinggi 1:2 pada tahun 2017; kelompok usia dengan prevalensi tertinggi adalah 55–65 tahun sebesar 3.468 (39,53%); dan lima komorbid tertinggi adalah hipertensi (35,68%), katarak (6,01%), osteoartritis (3,58%), tuberkulosis paru (2,92%), dan dispepsia (2,91%). Simpulan penelitian ini adalah prevalensi dan insidensi DMT2 di RSUD Al-Ihsan tinggi dengan pasien terbanyak wanita, lanjut usia, dan komorbid hipertensi.

Effect of Health Counseling about IUD to Knowledge and Attitude on Married Couple in Serang Regency Suraya Mansur; Dewi Hartaningrum; Titi Legiati
Global Medical & Health Communication (GMHC) Vol 9, No 2 (2021)
Publisher : Universitas Islam Bandung

Health counseling about contraception is essential to provide more knowledge about how to use contraception and improve the attitude and behavior of the family toward the Family Planning Program. This study aimed to determine the effect of counseling on the intrauterine device (IUD) knowledge and attitudes. This research was conducted in Bojong Menteng village, Tunjung Teja district, Serang regency, in February–July 2019. This study used the true experimental design method to look for the treatment effect on others in controlled conditions using pretest-posttest control group design and a quantitative research approach. In this study, the experimental and the control group are given a pretest to find out the initial conditions to see whether there are differences between the experimental group and the control group. Samples used random sampling techniques where 40 people were divided into two groups who have not used the IUD and have two children and more. The study employed paired t test and unpaired t test to analyze the data. The results showed that the average knowledge of the experiment group increased to 72, and the average knowledge of the control group increased to 70.2. In addition, the average attitude of the experiment group increased to 82.35. The difference between the two groups was only seen in wearing, where the experimental group showed positive behavior towards using the IUD. The conclusion is that counseling through leaflets, information education counseling kit, and direct explanation have positive responses.EFEK PENYULUHAN KESEHATAN MENGENAI IUD TERHADAP PENGETAHUAN DAN SIKAP PADA PASANGAN DI KABUPATEN SERANGPenyuluhan kesehatan tentang kontrasepsi penting dilakukan untuk memberikan lebih banyak pengetahuan tentang cara penggunaan kontrasepsi serta meningkatkan sikap dan perilaku keluarga terhadap Program Keluarga Berencana. Penelitian ini bertujuan mengetahui pengaruh penyuluhan tentang alat kontrasepsi dalam rahim (AKDR) terhadap pengetahuan dan sikap. Penelitian ini dilaksanakan di Desa Bojong Menteng, Kecamatan Tunjung Teja, Kabupaten Serang pada Februari–Juli 2019. Metode yang digunakan true experimental design dengan menggunakan pretest-posttest control group design dan pendekatan kuantitatif untuk mencari pengaruh perlakuan terhadap yang lain dalam kondisi yang terkendalikan. Dalam penelitian ini kelompok eksperimen dan kelompok kontrol diberi pretest untuk mengetahui keadaan awal adakah perbedaan antara kelompok eksperimen dan kelompok kontrol. Sampel menggunakan teknik random sampling berjumlah 40 orang dibagi dalam dua kelompok yang belum menggunakan AKDR dan mempunyai dua anak dan lebih. Data dianalisis dengan uji t berpasangan dan uji t tidak berpasangan. Hasil penelitian menunjukkan bahwa rerata pengetahuan kelompok eksperimen meningkat menjadi 72, sedangkan rerata pengetahuan kelompok kontrol meningkat menjadi 70,2. Selain itu, rerata sikap kelompok eksperimen meningkat menjadi 82,35. Perbedaan kedua kelompok tersebut hanya terlihat pada perilaku memakai saja bahwa kelompok eksperimen menunjukkan perilaku positif terhadap pemakaian AKDR. Hal tersebut menunjukkan bahwa penyuluhan melalui leaflet, kit konseling pendidikan informasi, dan penjelasan langsung memiliki respons positif.

Stakeholder Perception towards the Implementation of National Health Insurance Program Yuli Susanti; Tita Barriah Siddiq; Siska Nia Irasanti; Rizki Perdana; Yusuf Heriady
Global Medical & Health Communication (GMHC) Vol 9, No 2 (2021)
Publisher : Universitas Islam Bandung

Indonesian National Health Insurance (NHI) is a social protection program that ensures the fulfillment of basic needs for proper health by implementing a quality and cost control system. There are still differences in perceptions and complaints felt by patients regarding the implementation of the NHI program. The purpose of this study was to evaluate the implementation of the NHI program based on the perception of all stakeholders in the aspect of health equity, quality of service, and health financing. Quantitative research methods with survey techniques on 204 respondents were selected by stratified random sampling in Al-Ihsan Regional General Hospital West Java Province from January to May 2021. The data were analyzed by using the Kruskal-Wallis test and Mann-Whitney U test on the perception of the stakeholder groups. The results showed that the aspects of health equity, service quality, and health financing on the implementation of the NHI program were in a good category. The increase in Healthcare and Social Security Agency (HSSA) insurance premium was considered the lowest aspect. There were significant differences in the perception of stakeholder groups on the aspects of health equity, service quality, and health financing. There were significant differences in perceptions of health equity based on the ages groups and in perceptions of health financing based on income. This indicates that stakeholders' perceptions of the NHI program affected some conditions, including roles in services, ages, and income. PERSEPSI STAKEHOLDER TERHADAP IMPLEMENTASI PROGRAM JAMINAN KESEHATAN NASIONALJaminan Kesehatan Nasional (JKN) merupakan program perlindungan sosial yang menjamin pemenuhan kebutuhan dasar kesehatan yang layak melalui penerapan sistem kendali mutu dan biaya. Masih terdapat perbedaan persepsi dan keluhan yang dirasakan pasien terhadap pelaksanaan program JKN. Tujuan penelitian ini mengevaluasi pelaksanaan program JKN berdasar atas persepsi seluruh stakeholder pada aspek health equity (pemerataan), mutu layanan, dan pembiayaan kesehatan. Metode penelitian kuantitatif dengan teknik survei pada 204 responden yang dipilih secara stratified random sampling di RSUD Al-Ihsan Provinsi Jawa Barat periode Januari−Mei 2021. Analisis data menggunakan Uji Kruskal-Wallis dan Mann-Whitney U terhadap persepsi kelompok stakeholder. Hasil penelitian menunjukkan bahwa aspek health equity, mutu layanan, dan pembiayaan kesehatan pada implementasi program JKN berada dalam kategori baik. Kenaikan premi asuransi BPJS Kesehatan dinilai paling rendah. Terdapat perbedaan signifikan persepsi antara kelompok stakeholder pada aspek health equity, mutu layanan, dan pembiayaan kesehatan. Terdapat perbedaan signifikan persepsi terhadap health equity berdasar atas kelompok usia dan persepsi pada aspek pembiayaan kesehatan berdasar atas pendapatan. Hal ini menunjukkan bahwa persepsi stakeholder terhadap program JKN dipengaruhi beberapa kondisi, antara lain peran dalam layanan, usia, dan pendapatan.

Relationship between Vitamin B9 (Folic Acid), Vitamin B12 (Cobalamin), and Peripheral Neuropathy in Children with Beta-Thalassemia Major Uni Gamayani; Titin Junaidi; Nushrotul Lailiyya; Nur Suryawan; Nanan Sekarwana
Global Medical & Health Communication (GMHC) Vol 9, No 2 (2021)
Publisher : Universitas Islam Bandung

Vitamin B9 (folic acid) and B12 (cobalamin) are essential vitamins that play roles in the process of hematopoiesis and maintaining the function of peripheral nerves. Therefore, these deficiencies may create a risk for peripheral neuropathy in beta-thalassemia major patients. The purpose of this study is to determine the relationship between vitamin B9 level, vitamin B12 level, and peripheral neuropathy in beta-thalassemia major children. It was an observational analytical study with a case-control design has been conducted at Dr. Hasan Sadikin General Hospital Bandung, Indonesia, in May–July 2019. There were 47 beta-thalassemia major children with peripheral neuropathy (case) and 41 healthy children (control). All subjects completed a general demographic questionnaire, underwent neurological examination, and were tested for vitamin B9 and B12 serum levels. Data were then analyzed using the unpaired t test to compare the vitamin levels between both groups and Spearman’s rank correlation test to investigate the correlation between vitamin levels and the number of affected nerves in the case group. Comparison of folic acid levels in the case group (21.52±6.22 ng/mL) and the control group (23.81±7.51 ng/mL) showed no significant difference (p=0.19). In contrast, cobalamin in the case group (288.57±168.61 ng/mL) and the control group (385.95±197.48 ng/mL) showed a significant difference (p=0.01). In addition, there was a moderate correlation (p=0.004, r=0.41) between folic acid level and the number of motoric nerves affected in the case group. In conclusion, cobalamin level correlates with peripheral neuropathy in beta-thalassemia major patients, and folic acid level correlates with the number of affected nerves, especially motoric nerves. HUBUNGAN ANTARA VITAMIN B9 (ASAM FOLAT), VITAMIN B12 (KOBALAMIN), DAN NEUROPATI PERIFER PADA ANAK DENGAN TALASEMIA BETA MAYORVitamin B9 (asam folat) dan B12 (kobalamin) merupakan vitamin esensial yang berperan dalam proses hematopoesis dan menjaga fungsi saraf tepi. Defisiensi vitamin ini dapat menimbulkan risiko neuropati perifer pada pasien talasemia beta mayor. Tujuan penelitian ini mengetahui hubungan antara kadar vitamin B9, vitamin B12, dan neuropati perifer pada anak talasemia beta mayor. Metode penelitian ini adalah analitik observasional dengan rancangan studi kasus kontrol yang dilakukan di RSUP Dr. Hasan Sadikin Bandung, Indonesia pada Mei–Juli 2019. Terdapat 47 anak talasemia beta mayor dengan neuropati perifer (kelompok kasus) dan 41 anak sehat (kelompok kontrol). Seluruh subjek penelitian mengisi kuesioner demografi umum, menjalani pemeriksaan fisis neurologis, serta dilakukan tes kadar vitamin B9 dan B12 serum. Uji t test tidak berpasangan digunakan untuk membandingkan kadar vitamin pada kedua kelompok dan uji korelasi Spearman untuk membandingkan kadar kedua vitamin tersebut dengan jumlah saraf yang terkena pada kelompok kasus. Perbandingan kadar asam folat kelompok kasus (21,52±6,22 ng/mL) dengan kelompok kontrol (23,81±7,51 ng/mL) menunjukkan perbedaan yang tidak bermakna (p=0,19), sedangkan perbandingan kadar kobalamin kelompok kasus (288,57±168,61 ng/mL) dengan kelompok kontrol (385,95±197,48 ng/mL) menunjukkan perbedaan yang bermakna (p=0,01). Selain itu, terdapat korelasi sedang (p=0,004; r=0,41) antara kadar asam folat dan jumlah saraf motorik yang terkena pada kelompok kasus. Kesimpulan, kadar kobalamin berhubungan dengan neuropati perifer pada penderita talasemia beta mayor dan kadar asam folat berhubungan dengan jumlah saraf yang terkena, terutama saraf motorik.

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Agus Chalid

Contact Email gulid.p@gmail.com

Phone +6285220013654

Journal Mail Official gmhc.unisba@gmail.com

Editorial Address Jalan Hariangbanga No. 2, Tamansari, Bandung 40116

Location Kota bandung, Jawa barat INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Agus Chalid

Contact Email
gulid.p@gmail.com

Phone
+6285220013654

Journal Mail Official
gmhc.unisba@gmail.com

Editorial Address
Jalan Hariangbanga No. 2, Tamansari, Bandung 40116

Location
Kota bandung,

Jawa barat

INDONESIA