M. Sakundarno Adi
Bagian Epidemiologi FKM Undip

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Journal : VISIKES

Manajemen Aktivitas Fisik dan Kepatuhan Minum Obat untuk Mencegah Terjadinya Hipertensi pada Penderita Diabetes Melitus Tipe II Sari, Gracilaria Puspa; Samekto, Marek; Adi, M. Sakundarno
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

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Abstract

Patients with type 2 DM are more at risk of developing hypertension. This study aims to explain the factors that afect the occurrence of hypertension in patients with type 2 diabetes in the work area of Pati Puskesmas during 2014. The study was conducted by observation using a case control study design in Puskesmas patients in Pati District. The case group was 57 patients with type 2 diabetes with hypertension while the control group was 57 patients with type 2 diabetes without hypertension. Data were obtained from observations of medical recordsand qualitative interviews. Chi-square test on bivariate analysis and multiple logistic regression on multivariate analysis. Factors afecting the occurrence of hypertension in patients with type 2 diabetes are less physical activity (OR = 6.4, 95% CI: 2.18 - 18.77, p = 0.001), long sufering DM ≥5 years (OR = 5, 4, 95% CI: 1,97 - 14,704; p = 0,001), and DM medication adherence (OR = 3,6; 95% CI: 1,32 - 9,83; p = 0,012). Factors that have no efect are: age ≥45 years,male gender, DM diet compliance, history of hypertension, smoking habits, salty eating habits, cofee drinking habits, and length of time to sleep. Type 2 diabetes mellitus patients> 5 years may reduce the risk of hypertension by performing physical activity management and medication adherence.Keywords: risk factor, hypertension, type 2 DM
Faktor-Faktor yang Mempengaruhi Perilaku Minum Obat Tuberkulosis Novani, Deny; Suwandono, Agus; Trihadi, Djoko; Adi, M. Sakundarno; Suwondo, Ari
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

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Abstract

The Multi Drug Resistance Tuberculosis (MDR TB) is tuberculosis resistance to minimum of two very potent TB drugs, Isoniazid and Rifampicin. Non-adherence to TB treatment may result in development of MDR TB. The study objective is to assess the risk factors of non-adherence to TB-treatment among MDR TB patients.This was the case control study, while case were non-adhere patients (n=57), and control were patients who are adhere to treatment (n=91). Total samples were 148 patients, with 10% of those who have risk Data was analyzed using bivariate analysis with Chi Square test, Odds Ratio (OR) and multivariate with logistic regression. There are two variables found as risk factors of non-adherence to TB treatment among MDRTB patients; treatment history (p=0,014; OR:2,648; 95%CI:1,215-5,771), duration of treatment (p=0,008; OR:2,960; 95% CI:1,320-6,638). Probability of non-adherence when there are thesetwo factors is 52,99%. Treatment history and duration of treatment were found as risk factors of non-adherence to TB treatment among MDR-TB patients in this study.Keywords: Risk factors, non-adherence to treatment, development of MDR TB