Lelly Andayasari
Pusat Teknologi Terapan Kesehatan dan Epidemiologi Klinik, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI

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Nilai Kebersihan Gigi dan Mulut pada Karyawan Industri Pulo Gadung di Jakarta Notohartojo, Indirawati Tjahja; Andayasari, Lelly
Buletin Penelitian Sistem Kesehatan Vol 16, No 2 Apr (2013)
Publisher : Buletin Penelitian Sistem Kesehatan

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Latar belakang: Penyakit Periodontal umumnya disebabkan karena kebersihan mulut yang buruk, sehingga terjadilah akumulasi plak yang mengandung berbagai macam bakteri. Metode: Penelitian ini menggunakan desain penelitian cross sectional di wilayah DKI Jakarta yang terpilih. Subjek penelitian berjumlah 950 orang, laki-laki dan perempuan berusia 20-55 tahun, menetap di wilayah DKI Jakarta, dan sudah bekerja minimal selama 2 tahun. Tujuan penelitian adalah untuk mendapatkan berapa besar nilai kebersihan gigi dan mulut karyawan kawasan industri Pulo Gadung di Jakarta. Pengolahan data dilakukan dengan uji statistik Chi Square dan Regresi Logistik dengan bantuan software SPSS 15. Hasil penelitian didapatkan hubungan yang signifi kan antara variabel pendidikan dan usia terhadap kebersihan gigi dan mulut/OHIS (Oral Hygiene Indeks Simplifi ed), namun dengan Analisis regresi logistik hanya variabel usia yang signifi kan terhadap kebersihan gigi dan mulut (p < 0,001). Kesimpulan: nilai kebersihan gigi dan mulut karyawan kawasan industri Pulo gadung di Jakarta sebagian besar masih rendah. Saran: Anjuran menyikat gigi 2 kali sehari setelah sarapan dan sebelum tidur malam untuk memelihara kesehatan gigi dan mulut.
Sources of funding for caesarean section in two hospitals in Jakarta Anggraini, Anggita Bunga; Andayasari, Lelly
Health Science Journal of Indonesia Vol 4, No 2 Des (2013)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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AbstrakLatar belakang: Prevalensi seksio sesarea meningkat setiap tahunnya. Penelitian ini bertujuan untuk mengetahui sumber pembiayaan seksio sesarea di beberapa rumah sakit di Jakarta. Metode: Penelitian dilakukan dengan desain potong lintang yang dilakukan di satu rumah sakit pemerintah daerah DKI Jakarta dan satu rumah sakit bersalin di Jakarta. Pengumpulan data dilakukan dengan mengekstrak data rekam medis pasien yang melahirkan dan dirawat pada periode 1 Januari sampai 31 Desember 2011. Analisis dilakukan dengan menggunakan regresi Cox dengan waktu konstant. Hasil: Proporsi seksio sesaria di rumah sakit (RS) pemerintah Jakarta (922/1351 = 68,2%) relatif lebih tinggi dari rumah sakit swasta (1036/1645 = 63,0%). Insiden tertinggi seksio sesaria pada kelompok umur 21-35 tahun (76,9%). Subjek paling banyak berpendidikan menengah (74,5%). Kebanyakan sumber pendanaan merupakan biaya pribadi (51,2%), sedangkan sumber pendanaan terendah dari perusahaan (0,3%). Dibandingkan dengan yang harus membayar sendiri, subjek yang memiliki Jamkesda, Jamsostek, dan Jampersal lebih memilih seksio scesaria. Subjek yang memiliki Jampersal 35% lebih banyak melakukan seksio sesarea [risiko relatif suaian (RRa) = 1,35; P = 0,000]. Kesimpulan: Seksio sesarea paling banyak atas biaya pribadi, dan di samping itu banyak yang memanfaatkan Jamsostek dan Jampersal sebagai sumber pembiayaannya. (Health Science Indones 2013;2:93-7)Kata kunci: seksio sesarea, sumber pembiayaanAbstractBackground: The prevalence of Caesarean section (c-section) has increased each year. This study aimed to identify the major source of funding related to c-section in government and private hospitals in Jakarta. Methods: The cross sectional study was conducted in a provincial general hospital in Jakarta and a private maternity hospital in Jakarta. The data were collected from all medical records of patients giving birth in those hospitals in the period of January 1st through December 31st, 2011. Analysis was performed using Cox regression with a time constant.Results: The proportion of c-section deliveries in the government hospital (922/1351 = 68.2%) was relatively higher than the private hospital (1036/1645 = 63.0%). The highest incidence of c-section was in the age group 21-35 years (76.9%). Most subjects had middle level education (74.5%). Most c-section funding source was derived from out of pocket or personal expenses (51.2%), while the lowest funding source came from the company (0.3%). Compared with those who paid out of pocket, those who had Jamkesda, Jamsostek, and Jampersal schemes had more c-section deliveries. Subjects with Jampersal had the highest incidence of c-section (35%) [adjusted relative risk (RRa) = 1.35; P = 0.000]. Conclusion: In addition to out of pocket, most of subjects who had c-section used Jamsostek and Jampersal as funding sources. (Health Science Indones 2013;2:93-7)Key words: caesarean section, funding sources
Parity, education level and risk for (pre-) eclampsia in selected hospitals in Jakarta Opitasari, Cicih; Andayasari, Lelly
Health Science Journal of Indonesia Vol 5, No 1 Jun (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Abstract

AbstrakLatar belakang: (Pre-)eklamsi merupakan salah satu faktor risiko kematian tinggi pada ibu hamil. Tujuan penelitian ini untuk mengidentifikasi beberapa faktor risiko terhadap (pre-)eklamsi pada wanita bersalin di rumah sakit (RS) terpilih di Jakarta. Metode:Penelitian potong lintang di dua RS yang dipilih secara purposif di Jakarta. Data berasal dari rekam medik pasien yang melahirkan di RS periode 1 Januari sampai 31 Desember 2011. Analisis data dilakukan dengan menggunakan regresi Cox dengan waktu konstan.Hasil: Sampel yang diperoleh sebanyak 4191 wanita. Subyek yang tidak memiliki data lengkap (usia, status perkawinan, paritas, pendidikan, pekerjaan, dan sumber pendanaan) tidak diikutkan pada analisis sehingga data yang dapat dianalisis sebanyak 1685 sampel. Proporsi (pre-)eklamsi ialah 11,5%. Jika dibandingkan dengan primipara, wanita nulipara 78% lebih tinggi  berisiko  (pre-)eklamsi  [risiko  relatif  suaian  (RRa)=1,78;  P=0,000].  Selanjutnya,  dibandingan dengan wanita yang berpendidikan tinggi, wanita yang berpendidikan rendah 86% lebih banyak berisiko pre-)eklamsi (RRa=1,86; P=0,005), sedangkan wanita yang berpendidikan menengah 72% lebih banyak berisiko (pre-)eklamsi (RRa=1,72; P=0,007).Kesimpulan:Wanita nullipara berisiko lebih besar mengalami (pre-)eklamsi daripada primipara dan multipara,  begitu  pula  wanita  berpendidikan  rendah  dan  menengah  lebih  besar  berisiko mengalami  (pre-) eklamsi daripada wanita berpendidikan tinggi. (Health Science Indones 2013;1:35-9)Kata kunci:paritas, pendidikan (pre-) eklamsi AbstractBackground:(Pre-)eclampsia is a common complication in pregnancy associated with high morbidity and mortality in maternal and perinatal. This study aimed to investigate the risk factors for (pre-)eclampsia in selected hospitals in Jakarta.Methods:This cross-sectional study design was conducted in two selected hospitals in Jakarta during the period of January 1 to December 31, 2011. The collected data came from medical records among women who delivered in the hospitals. The Cox regression with constant time was used to analyze the risks for (pre-)eclampsia.Results:The 4191 samples were collected from all pregnant woman who delivery in two hospitals. Subjects who did not have complete data (no age, marital status, parity, education, occupations, and funding sources) were excluded, leaving 1685 samples were available for the analysis. The proportion of (pre-)eclampsia in two hospitals was 11.5%. Nulliparous women had 78% greater risk of (pre-)eclampsia compared to primiparous women [adjusted relative risk (RRa) = 1.78; P = 0.000]. Furthermore, women with low education level had 86% greater risk of (pre-)eclampsia (RRa=1.86, P=0.005), while middle education level had 72% greater risk of (pre-)eclampsia (RRa=1.72; P=0.007) compared to high education level.Conclusion: Nulliparous and low educated women had higher risk of (pre-)eclampsia in selected hospitals in Jakarta. (Health Science Indones 2014;1:35-9)Key words:parity, education, (pre-) eclampsia
Proporsi Seksio Sesarea dan Faktor yang Berhubungan dengan Seksio Sesarea di Jakarta Andayasari, Lelly; Muljati, Sri; Sihombing, Marice; Arlinda, Dona; Opitasari, Cicih; Mogsa, Danny Fajar; Widianto, Widianto
Buletin Penelitian Kesehatan Vol 43, No 2 Jun (2015)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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AbstractThe incidence of caesarean sections (c-section) in Indonesia have been increased in government and private hospitals. To identify c-section proportion and associated factors in the government hospitals and one private hospital in Jakarta during the period January 1st to December 31 , 2011. The study design was cross -sectional. Data retrieved from the medical records of patients who gave birth in a hospital caesarean government and the private hospitals during the period 1 January to 31December 2011. The data were analyzed with chi square test and logistic regression. The proportion of c-section 59.2 %. The proportion of c-section in the RS government 56.5 % and 62.7 % in private hospitals. The related factors c-section were baby indication is fetal distress (ORadj 11.95 ; 95 % CI 1.31 to 108.94 ), maternal indication is prelabor rupture of membranes (ORadj 4.18 ; 95 % CI 1.06 to 16 , 50 ) and hypertension (ORadj 7.13 ; 95 % CI 2.38 to 21.32). The proportion of c-section in a government hospital and a private hospital in Jakarta is quite high 59.2 %. Prelabor rupture of membranes, hypertension and fetal distress were determinant factor c-section in this hospital.Keywords : Caesarean section, baby indication, maternal indicationAbstrakAngka kejadian persalinan seksio sesarea di Indonesia terus meningkat baik di rumah sakit pemerintah maupun swasta. Mendapatkan proporsi seksio sesarea dan berbagai faktor yang berhubungan denganpersalinan SS di satu RS pemerintah dan satu RS swasta di Jakarta selama periode 1 Januari-31 Desember 2011. Disain penelitian ini adalah cross sectional. Data diambil dari catatan medik pasien yang melahirkan sesarea di satu RS pemerintah dan satu RS swasta selama periode 1 Januari-31 Desember 2011. Data dianalisis dengan uji chi square dan regresi logistik. Proporsi persalinan SS sebesar 59,2%. Proporsi SS di RS pemerintah 56,5% dan di RS swasta 62,7%. Faktor yang berhubungan dengan persalinan SS adalah indikasi bayi yaitu gawat janin (ORadj 11,95; 95% CI 1,31-108,94), indikasi ibu yaitu Ketuban pecah dini (ORadj 4,18; 95%CI 1,06-16,50) dan Pre-eklamsi/eklamsi (ORadj 7,13; 95% CI 2,38-21,32). Proporsi persalinan SS di satu RS pemerintah dan satu RSswasta di Jakarta cukup tinggi 59,2%. Ketuban pecah dini, hipertensi dan gawat janin merupakan faktor yang berhubungan untuk terjadinya persalinan sesarea di rumah sakit tersebutKata kunci : Seksio sesarea, indikasi bayi, indikasi ibu.
Kebutuhan Sarana Kesehatan Gigi dan Mulut pada Rumah Sakit Kelas B Non Pendidikan Andayasari, Lelly; Ariningrum, Ratih; Anorital, Anorital
Journal of Dentistry Indonesia Vol 11, No 2 (2004): August
Publisher : Faculty of Dentistry, University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1971.502 KB) | DOI: 10.14693/jdi.v11i2.649

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Improvement of human resources has the purpose of increasing the quality of service for patients in every treatment unit, which should be anticipated by the oral health unit in every hospital. Improvement of service quality can be obtained by increasing the number of dental units. Along with the increasing knowledge in the society, the need for special services as also expanding. This problem can be solved by increasing the number of specialists in dentistry through scholarships, provided for dentists with high achievements. The samples for this cross sectional designed research were taken from all non-educational class B government hospitals in Indonesia. The data were gathered by using questionaire and guided in depth interviews. The data were analyzed descriptively. The results showed that most hospitals have no completely with the dental unit is 78.8%. There are 14 hospital (42.4%) needs oral laboratory.
Studi Evaluasi Kebutuhan Pelayanan Kesehatan Gigi dan Mulut pada Rumah Sakit Kelas B Non Pendidikan Ariningrum, Ratih; Andayasari, Lelly
Journal of Dentistry Indonesia Vol 9, No 2 (2002): August
Publisher : Faculty of Dentistry, University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14693/jdi.v9i2.688

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The aim of the hospital development is to increase the quality, snatching, and efficiency accomplishment referral medic and referral healthy according to make a unity and also to increase and constant the hospital management. The development means to increase the quality attendance from the unit therapy in the hospital. The teeth and mouth healthy which are the part of all health, and one of the unit attendance therapy in the hospital. The increasing of the activities attendance the teeth and mouth healthy in the hospital is done by seeing the total of day working time working, time visiting, and also the attendance unit under the teeth and mouth therapy unit. Many kinds therapy attendance under the teeth and mouth therapy unit need to get attention too about the standard therapy in the mansion parts. Attendance illustration in the teeth and mouth therapy unit can be got by doing interview with the director of hospital and the teeth and mouth therapy chiefman.
Hubungan Tumpatan Glass Ionomer Cement dan Pertumbuhan Streptococcus Mutans di Dalam Saliva Andayasari, Lelly; Agtini, Magdarina Destri
Journal of Dentistry Indonesia Vol 12, No 3 (2005): December
Publisher : Faculty of Dentistry, University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3316.556 KB) | DOI: 10.14693/jdi.v12i3.877

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The study was a quasi experimental one, supported by microbiological data. The respondents had been purposively chosen from three Bekasi elementary schools in 2002, with 72 children as treatment group and 72 children as control group. Data collected included oral and laboratory examinations. Dental health status of permanent dentition was determined using the DMF-T index. The data was collected at the start and 120 days after intervention. Data analysis was by paired t-test for before and after treatment, and by independent t-test for comparating treatment and control. For the average the means 2 samples t-test difference was used, and for the average difference between the same groups the mean one sample t-test was applied. For the nominal scale proportion difference the likelihood ratio test was applied, and for the ordinal scal the nonparametric one-way Anova was used. Simple regression test was used to determine the relation between dependent and independent variables.The results of the study show decrease of S. mutans colonies in saliva after treatment (p= 0,001) and decreasing DMF-T score for treatment group. In control group, there is no decrease in  S. mutans colonies, but increasing DMF-T score was found. The conclusion was that glass ionomer cement fillings can inhibit S. mutans growth in saliva.
Young mothers, parity and the risks of anemia in the third trimester of pregnancy Opitasari, Cicih; Andayasari, Lelly
Health Science Journal of Indonesia Vol 6, No 1 Jun (2015)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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AbstrakLatar belakang: anemia masih menjadi masalah kesehatan di Indonesia. Berdasarkan hasil Riskesdastahun 2007-2013, prevalensi anemia pada wanita hamil cenderung meningkat. Pada tulisan ini disajikanbeberapa faktor risiko yang berkaitan dengan kejadian anemia pada wanita hamil trimester ketiga.Metode: Penelitian potong lintang yang dilaksanakan di dua Rumah Sakit di Jakarta. Data diambil darirekam medik wanita hamil yang melahirkan di RS pada periode 1 Januari sampai 31 Desember 2011.Analisis data dilakukan dengan menggunakan regresi Cox dengan waktu konstan.Hasil: dari total 4191 sampel sebanyak 1202 yang memiliki data lengkap diikutkan dalam analisis.Prevalensi anemia pada wanita hamil trimester ketiga adalah 33,7%. Jika dibandingkan wanita hamilusia 21-35 tahun, hamil pada usia muda (16-21 tahun) 56% lebih tinggi berisiko menderita anemia[risiko relatif suaian (RRa) =1,56; P = 0,000], sedangkan hamil pada usia tua (36-46 tahun) memilikirisiko yang sama dengan usia 21-35 tahun (RRa = 0,91; P = 0,350). Selanjutnya, jika dibandingan denganwanita nullipara, wanita multipara 58% lebih tinggi berisiko menderita anemia [RRa=1,58; P = 0,000],sedangkan wanita primipara memiliki risiko yang sama dengan nullipara (RRa = 1,15; P = 0,201).Kesimpulan: Anemia pada wanita hamil trimester ketiga lebih sering ditemukan pada wanita hamil yangberusia muda dengan multipara. (Health Science Journal of Indonesia 2015;6:7-11)Kata kunci: usia muda, multipara, anemia dalam kehamilan AbstractBackground: Anemia during pregnancy remains a major health problem in Indonesia. According to theIndonesian basic health research in 2007-2013, the prevalence of anemia in pregnancy tends to increase.This paper aimed to assess the risk factors related to anemia in the third trimester of gestation.Methods: This cross-sectional study was carried out in one government hospital and one private hospitalin Jakarta. All medical records of pregnant women who gave birth between January 1 to December 31 of2011 were included. The Cox regression with constant time was used to analyze the risks of anemia.Results: This study collected 4191 samples in two hospitals. Eligible samples for analysis were 1202while the remainings were excluded due to incomplete data records. The prevalence of anemia amongpregnant women in the third trimester was 33.7%. Compared to women in the 21-35 year age group,those with aged 16-20 years had 56% higher risk to be anemic [adjusted relative risk (RRa) = 1.56; P= 0.014], however, those with aged 36-46 years had the same risk to be anemic (P = 0.350). In term ofparity, compared with nulliparous, multiparous women had 58% higher risk to be anemic (RRa = 1.58; P= 0.000), however, primiparous women had moderately higher risk to be anemic (RRa = 1.15; P = 0.201).Conclusion: Anemia in the third trimester of pregnancy were more common among young and multiparousmothers. (Health Science Journal of Indonesia 2015;6:7-11)Keywords: young mothers, multiparous, anemia in pregnancy   
Stress as a major determinant of migraine in women aged 25-65 years Riyadina, Woro; Andayasari, Lelly
Universa Medicina Vol 33, No 2 (2014)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2014.v33.141-150

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BACKGROUNDMigraine is a primary headache causing substantial disability in patients. The prevalence of migraine in women is still high. Menarche, menstruation, pregnancy, menopause, and the use of hormonal contraceptives and hormone replacement treatment may influence migraine occurrence. The aim of this study was to determine the major determinants of migraine in adult women aged 25-65 years.METHODSA cross-sectional study of 2,747 women from the baseline study “Cohort Study of Risk Factors for Non-Communicable Diseases”. The dependent variable was migraine based on the diagnosis of health providers or symptoms. Independent variables were demographic (age, marital status, education) and behavioral (smoking, diet, and stress) characteristics, metabolic disorders (obesity, hypertension, dyslipidemia), and hormonal factors (contraception and hormone therapy). Data were collected through interviews (characteristics, health and hormonal status, diet), measurement (anthropometrics, blood pressure), and health examination (blood specimens, neurology). Data were analyzed by chisquare test and multiple logistic regression.RESULTSMigraine in adult women was found in 710 cases (25.8%) with symptoms ofworsening with activity (15%), nausea and vomiting (13%), and photophobia/ phonophobia (4.1%). The main determinant of migraine in adult women was stress with a 2.47-fold risk [95% CI = 2.07 to 2.95] as compared with no stress, after controlling for smoking, menstruation and hormonal drug consumption.CONCLUSIONStress is a major determinant of migraine in adult women, therefore healthprograms should be instituted through health promotion, prevention and education to control stress.
KAJIAN EPIDEMIOLOGI PENYAKIT INFEKSI SALURAN PENCERNAAN YANG DISEBABKAN OLEH AMUBA DI INDONESIA -, Anorital; Andayasari, Lelly
Media Penelitian dan Pengembangan Kesehatan Vol 21, No 1 Mar (2011)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v21i1 Mar.110.

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The intestinal infection caused by amoeba is one of the three diarrhea causes appears to be a public health problem with high incidence in the community. Amebiasis is caused by Entamoeba histolytica, can be differentiated from non pathogen Entamoeba hartmanni and Entamoeba coli. Morphologically of Entamoeba histolytica and Entamoeba dispar are very similar. However, based on the diagnosis utilizing molecular examination technique, in fact, the main cause of amebiasis is Entamoeba dispar. Amoeba dysentry can be found arround the world, having cosmopolite characteristic with incidences varying between 3-10%. In the developed countries with relatively better hygiene and sanitation, amoebiasis incidence is between 2-11%. In Indonesia, the amoebiasis incidence is`quite high, in the range of 10-18%. Whereas the mortality caused by amoebiasis is high enough between 1.9?9.1%, second rank after malaria. Several kinds of amoeba dysentri medicines were used, but Metronidazole is proven as the effective drug of choice for Entamoeba histolytica, both the cyste and trophozoite forms with minor side effect to the patients. Good personal hygiene and environmental sanitation practices are the major factors of this disease prevention. The main principle to prevent the spreading of amoebiasis infection is to cut the link of infection sources to human beings. Personal hygiene is focused on the management of individual behaviour, meanwhile environmental sanitation prevention focus lies on the better environmental management to cut the link of disease cycle.