Articles

Prehipertensi pada Obesitas Abdominal Churniawati, Lia; Martini, Santi; Wahyuni, Catharina Umbul
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.976 KB) | DOI: 10.21109/kesmas.v9i4.732

Abstract

AbstrakPrehipertensi banyak terjadi pada penderita obesitas abdominal. Prevalensi obesitas abdominal di Kabupaten Gresik sebesar 21,5%. Kepatuhan diet penderita prehipertensi dengan obesitas abdominal diperlukan untuk mengurangi risiko terjadinya hipertensi. Prehipertensi dan hipertensi berhubungan dengan pelbagai komplikasi pada hampir seluruh organ. Penelitian ini bertujuan untuk menganalisis determinan prehipertensi pada obesitas abdominal di Kabupaten Gresik. Penelitian ini dilaksanakan di Kabupaten Gresik pada November 2013 - November 2014 dengan rancangan penelitian potong lintang. Responden adalah pasien yang datang ke unit rawat jalan puskesmas yang diambil secara konsekutif sejumlah 74 orang. Responden berusia antara 25 - 64 tahun, mengalami obesitas abdominal, tidak hamil, tidak hipertensi, dan tidak syok. Responden diwawancarai usia, jenis kelamin, pendidikan, aktivitas fisik, kebiasaan merokok, riwayat keluarga, dan kebiasaan makan serta diperiksa tekanan darah, kadar kolesterol total, LDL, HDL, trigliserida, dan gula darah puasa. Analisis data dilakukan secara univariat dan bivariat dengan uji kai kuadrat serta multivariat dengan regresi logistik ganda. Prevalensi prehipertensi pada obesitas abdominal sebesar 62,2%. Jika dibandingkan menurut jenis kelamin, laki-laki banyak mengalami prehipertensi. Kadar trigliserida berhubungan secara signifikan dengan prehipertensi (PR = 4,620; 95% CI = 1,439 - 14,831; nilai p = 0,010). Intervensi untuk mencegah prehipertensi perlu dilakukan sejak dini dengan memodifikasi gaya hidup orang dengan obesitas abdominal.AbstractPrehypertension commonly happened to people suffering abdominal obesity. The abdominal obesity prevalence in Gresik District was 21.5%. Dietary compliance of patients with prehypertension and abdominal obesity was needed to decrease hypertension risk. Prehypertension and hypertension correlate with various complications in almost organs. This study aimed to analyze prehypertension determinants among abdominal obesity as conducted on November 2013 - November 2014 using cross sectional design. Respondents were patients coming to primary health care’s outpatient unit as 74 people taken consecutively. They were 25 - 64 years old, suffering abdominal obesity, not getting pregnant, non-hypertensive and not in a shock. Respondents were interviewed regarding age, sex, education, physical activities, smoking habits, family records and eating habits as blood pressure and levels of total cholesterol, LDL, HDL, triglyceride and fasting blood glucose measured. Data analysis applied univariate, bivariate with chi square test and multivariate with multiple logistic regressions. The prehypertension prevalence among abdominal obesity was 62.2%. If compared based on sex, males have more prehypertension experience. Triglyceride levels significantly related to prehypertension (PR = 4.620; 95% CI = 1.439 - 14.831; p value = 0.010). Intervention to prevent prehypertension should be implemented since early by modifying lifestyle of people suffering abdominal obesity.
The Effectiveness of The Malaria Cadres on Drug Intake Supervision, The Use of Mosquito Net and Environmental Modification on Malaria Sufferers at Malaria Endemic Area of Public Health Center of Waipukang, Lembata District, Nusa Tenggara Timur Province Kristina, Ragu Harming; Subekti, Sri; Dachlan, Yoes Prijatna; Martini, Santi
Health Notions Vol 1 No 3 (2017): July-September 2017
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Background & objectives: Environmental risk factors, both physical and biological (e.g. ecology of vegetation/plants, forest), equally serve as the risk factors for Anopheles mosquitos breeding. This study was designed to determine a model of spatial mapping for the ecology of vegetation and the potential habitats for the Anopheles mosquitos. Methods: Descriptive epidemiological research was employed to carry out the project, supported with a cross-sectional design. The research took place in Kupang regency, Oesao village, lasting for 2 months from October to November 2014. The ecology of the vegetation and all habitats of the mosquitos in Oesao village were regarded as the population of the research. They were purposively sampled. Results: The vegetation mapping revealed that the land area for rice fields is 169 ha, coconut and banana tress 56.68 ha, maize 67.03 ha, vegetable plants 59.53 ha, forages 21.52 ha, and forests 16.24 ha. The results of the mapping also revealed that the mosquitos breeding sites entail paddy fields, swamps, irrigation channels, and damps. Interpretation & conclution: The ecology of all types of plants mapped serves as potential habitats for the Anopheles mosquitos breeding sites. Plant ecology is quite varied in the Oesao Village, as well as extensive areas of the plant that are closely linked to inadequate growth and development of mosquitoes  and  specific species of Anopheles,  An. vagus and An. annularis. Keywords:  Ecological vegetation mapping; Breeding sites; Malaria mosquitos
Pola Tidur yang Buruk Meningkatkan Risiko Hipertensi Martini, Santi; Roshifanni, Shofa; Marzela, Fanni
Media Kesehatan Masyarakat Indonesia Vol 14, No 3: SEPTEMBER 2018
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

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Pola tidur yang buruk yaitu gangguan tidur, kualitas tidur yang buruk, dan durasi tidur yang pendek dapat meningkatkan risiko hipertensi. Hipertensi sendiri kini menjadi penyakit yang menduduki posisi tinggi yang sering dialami oleh masyarakat. Tujuan dari penelitian ini untuk mengetahui hubungan perilaku tidur yang buruk dapat meningkatkan risiko kejadian hipertensi. Penelitian ini merupakan penelitian observasional yang bersifat analitik dengan desain case control. Sampel dalam penelitian ini berjumlah 76 orang yang terdiri dari penderita hipertensi dan bukan penderita hipertensi pada Poli Umum Puskesmas Tanah Kalikedinding Surabaya. Teknik pengambilan sampel yang dilakukan menggunakan simple random sampling. Hasil penelitian menggunakan uji statistik regresi logistik menunjukkan (p=0,000; OR=9,022) artinya pola tidur  memiliki pengaruh paling besar terhadap kejadian hipertensi dibandingkan dengan umur dan jenis kelamin. Kekuatan pengaruh pola tidur responden menunjukkan bahwa responden yang memiliki pola tidur yang buruk memiliki risiko 9,022 kali lebih besar terserang hipertensi dibandingkan dengan yang memiliki pola tidur baik. Pola tidur buruk antara lain gangguan tidur, kualitas tidur yang buruk, dan durasi tidur yang pendek. Rekomendasi yang diberikan kepada responden yang memiliki pola tidur buruk harus memperbaiki pola tidur dengan gaya hidup yang sehat yaitu tidur sesuai kebutuhan dan menjaga pikiran supaya tidak mengalami tekanan karena stres yang berlebih.
Waist Circumference as The Strongest Factor Related to Blood Glucose Level Septyaningrum, Nenni; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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ABSTRACTThe increasing prevalence of overweight and obesity is associated with the increasing incident of type 2 diabetes mellitus. Obesity, especially abdominal obesity is an important risk factor for the onset of diabetes. The objective of this study was to determine the relationship between body mass index, waist circumference and waist hip ratio with blood glucose level. The study design was cross-sectional. The study population was elderly posyandu member aged 45 to 70 years in Menur clinic work area who were registered in elderly posyandu activities in May 2013. The numbers of sample were 60 respondents who drawn by simple random sampling method. The variabels of this study were the characteristics of respondent, body mass index, waist  circumference,  waist hip ratio and fasting blood glucose level. The study showed that respondents classified as overweight (38%), obesity (33, 3%), abdominal obesity based on waist circumference  (77.8%), abdominal obesity based on waist hip ratio (81,7 %) and blood glucose level more than 125 mg/dl (8.3%). Pearson correlation test showed that there was relationship between body mass index with blood sugar levels (p=0,007; r=0,345), between waist circumference with blood sugar levels (p=0,001; r=0,424) and  between waist hip ratio with blood sugar levels (p =0,002; r=0,392). Waist circumference as the strongest factor related to blood glucose level. Waist circumference measurement should be done in elderly posyandu activities to detect high-risk individuals with diabetes. Keywords: Diabetes, body mass index, waist circumference, waist hip ratio,                     blood glucose level
Determinants of Clinical Diphtheria After Sub National Diphtheria Immunization Days In 2012 At Bangkalan Utama, Feranita; Wahjuni, Chatarina Umbul; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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ABSTRACTThe government had held sub-national diphtheria immunization days in 2012 to combat an outbreak of diphtheria in East Java province. However, there werestill regencies or cities which had high incidence and Bangkalanregencywas the highest. The research aimed to analyze the determinants of diphtheria in Bangkalan after SNIDs. This research was case control study with 31 subjects as case and 124 as control spread in 25 case villages and 25 control villages. Bivariate analysis used chi-square and simple logistic regression. Multivariate analysis used logistic regression. Bivariate analysisresult showed that individual and household variables that had associate with incidence of diphtheria in the Bangkalan after SNIDs of diphtheria vaccine in 2012 were DPT immunization status, the status of SNIDs, age, and mothers education level. In this study, there were not associate between village variables with diphtheria in the Bangkalan after SNIDs. Multivariate analysis result showed that had associate with incidence of diphtheria in Bangkalan after SNIDs were no DPT immunization (p=0,012; OR=4,765), incomplete DPT immunization (p=0,001; OR=6,276), 3-7 years of age (p=0,014; OR=15,137), 7-15 years of age (p=0,001;OR=41,984), and no immunization in SNIDs (p=0,020; OR=3,553). Conclusion, the dominantfactors that affected diphtheriainBangkalanwere status of DPTimmunization, ageand the SNIDs of diphtheria. Recommendation, DPTimmunizationshould becomplete, boosterimmunization should be needed, monitoring theimplementation ofsubPIN should be strict, especially inschool, and thecoverage ofDPT3andsubPIN should be increased and its report should be improved.Keywords: diphtheria, sub-nationaldiphtheriaimmunization days, DPT                              immunization
Evaluation the Pulmonary Tuberculosis Control Program with Strategy DOTS in Puskesmas Tanah Kalikedinding Surabaya Noveyani, Adistha Eka; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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ABSTRACTStrategy DOTS is the tuberculosis control programs. The program has implemented in Tanah Kalikedinding Health Center and has expected to reach CDR ≥ 70% and SR ≥ 85%, which closely related to the management of health centers. This study aimed to evaluate the implementation of the DOTS program in health center whose the results associated with indicators of tuberculosis. This was a descriptive design study with the population was all pulmonary specialist, tuberculosis officers and laboratory personnel and pulmonary tuberculosis patients. The number of Tuberculosis patient respondents was 32 respondents. Samples were chosen using purposive sampling. Data collected by interview questionnaire and checklist. The variables were the finding case, the TB treatment, the enabling factor and inhibiting factor, recording and reporting, and result of tuberculosis indicators. This study resulted that CDR in 2013 was 112% already reached the national target ≥ 70%. This success related to the finding case almost all patients > 2 weeks of cought and all (100%) patients were examinated sputum and diagnosed according to the steps of tuberculosis diagnosis in Indonesia Department of Health guidelines. While SR in 2013 was 65.5% did not reach the target ≥ 85%. It was caused of there are patients who did not have a taking drug observer (PMO). All (100%) patients ever forgot taking anti tuberculosis drugs. Change in schedule of visit to the continuation phase be 2×/month caused patients to forget taking anti tuberculosis drugs. The enabling factor was counseling routinely by health care workers in health center. Inhibiting factor was distance to health center by majority (65,5%) patients were > 1 km. So they needed vehicle to go to the health center. Recording and reporting using electronic systems and being reported by online. So it is expected all TB patients were expected have a taking drug observer and optimizing the role of the a taking drug observer to increase success rate.Keywords: DOTS strategy, Case Detection Rate, Success Rate, evaluation,                     Tuberculosis
Related factor of Knowledge by Stroke in Institute of Higher Education Employees Wardhani, Novida Rizky; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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  ABSTRACTStroke is an infectious disease cause of death was not ranked top in urban areas according Depkes (2011) approximately 28.5% of stroke patients died, the rest partially paralyzed or even paralyzed and the remaining 15% can be cured. Stroke is taking place in people who are productive. This study aims to Related factor of Knowledge by Stroke in Institute of Higher Education Employees. This study was analytical research with cross sectional design. The questionnaire given to 142 respondents. Dependent variable in this study was the knowledge about stroke risk factors, the level of knowledge of the early recognition of stroke symptoms and the knowledge how to handle. The independent variables were age, gender, and education level. Data analysis using Chi Square test and Spearman test. The results showed the level of knowledge of stroke risk factors 78.9% of respondents in the level of knowledge of "good" about stroke risk factors, the level of early recognition of stroke symptoms FAST  method from respondents largely in the category of "not good", and 63.4% of the respondents have know how to handle it properly. Results of the analysis showed significant relationships between the sexes is the level of knowledge of risk factors for stroke, p = 0.020 so that p < α (0,05). Furthermore the relationship between level of education and the level of early recognition of stroke symptoms, p = 0.006 to p < α (0.05) and the value obtained was 0,229 r. Conclusion of this research knowledge of risk factors was well, correct of treatment knowledge, correct medical stroke center was hospital, appropriate time window less of 3 hours and only level early recognition of stroke symptoms still not quite knew.Key words : risk factors, first symtomps, knowledge, stroke, employee, higher education 
Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012 Rahmawati, Puspita; Martini, Santi; Wahjuni, Chatarina Umbul
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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ABSTRACTThe maternal mortality ratio (MMR) in Indonesia remains high, i.e approximately 359 per 100.000 life birth (IDHS 2012). MMR is an indicator of mother’s health, especially the risk of being death for a mother while pregnant and delivery. Mostly the majority of maternal mortality (MMR) is occurring in the first two days after delivery and care after giving birth services required to manage complication. Sidoarjo regency has high postpartum maternal mortality case, so it is necessary to study determinants influencing postpartum maternal mortality in that regency. This research aimed to analyze the determinants that influence postpartum maternal mortality. This research was an observational research using case control study. Number of samples was 21 cases and 43 controls. Data were analyzed by univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regressions. The result showed that the determinants which influence postpartum maternal mortality according to multivariate analysis were pre-eclampsia/eclampsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) and delivery complication (OR = 5,47; 95%CI : 1,356 – 22,022; p = 0,017). Probability of mother to have risk of postpartum maternal mortality with all those risk factors above was 92,9%. This research recommended are need to detect early sign of pregnancy, delivery, and post delivery complication, especially danger sign of pre-eclampsia/eclampsia, referral preparation, and pregnancy planning. Keywords :  postpartum maternal mortality, determinants, pre-                                     eclampsia/eclampsia, delivery complication.
Development of Recording and Reporting of Nosocomial Infection Surveillance System in Surabaya Premier Hospital Janah, Miftakhul; Martini, Santi; Notobroto, Hari Basuki
Health Notions Vol 1, No 4 (2017): October-December
Publisher : Humanistic Network for Science and Technology (HNST)

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Nosocomial infection is infection that occurs in patients who are hospitalized. One of infection control programs is the surveillance activity. Refer to the Instructions Practical Hospital nosocomial infections Surveillance by the Health Ministry (2011), computer usage in surveillance activities will increase the efficiency of data collection and analysis. The aim of this study was to develop recording and reporting nosocomial infection surveillance system. This study type was action research with System Development Life Cycle (SDLC) method where in the stages of SDLC were planning, analysis, design, implementation and usage. The instruments used in this study were by creating DFD, ERD, data dictionary then continued with the development of applications using PHP and MySQL. Data collection was committed through interviews and observations. The results of this research was web-based applications tested using the method of Technology Acceptance Model (TAM). Keywords: Nosocomial infection surveillance, Recording and reporting, System development
BESAR RISIKO KEJADIAN HIPERTENSI BERDASARKAN FAKTOR PERILAKU PADA TENTARA NASIONAL INDONESIA (TNI) Oktavia, Fanny; Martini, Santi
Media Kesehatan Masyarakat Indonesia Vol 12, No 3: SEPTEMBER 2016
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.121 KB) | DOI: 10.30597/mkmi.v12i3.1067

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Hipertensi merupakan penyakit yang disebut sebagai Silent Killer dan heterogeneouse group of disease yang bisa menyerang siapa saja dan tanpa gejala. Jumlah kasus hipertensi masih tinggi dan dapat meningkatkan risiko stroke, jantung koroner dan gagal ginjal. Penelitian ini dilakukan dengan tujuan menganalisis besar risiko kejadian hipertensi berdasarkan faktor perilaku pada Tentara Nasional Indonesia (TNI) di Rumkital Dr. Ramelan Surabaya pada tahun 2015. Penelitian ini merupakan penelitian observasional analitik dengan rancang bangun kasus kontrol. Responden terdiri dari 44 kasus dan 44 kontrol yang diambil secara acak dengan melihat kondisi kesehatan responden. Data diperoleh dari rekam medik dan wawancara dengan kuesioner. Analisis data menggunakan perhitungan OR dengan Epi Info dengan kemaknaan 95% CI. Hasil analisis didapatkan besar risiko hipertensi adalah aktifitas fisik/olahraga (OR=10,06; 95% CI = 3,20<OR<34,50), konsumsi rokok (OR=2,61; 95% CI1,00<OR<6,93), konsumsi natrium (OR = 1,75 ; 95% CI = 0,31<OR<11,97), konsumsi lemak (OR=3,33; 95% CI=1,10<OR<10,38) dan tingkat stress (OR=9,07; 95% CI=3,13<OR<27,17). Kesimpulan penelitian ini adalah aktifitas fisik/olahraga, konsumsi rokok, konsumsi lemak dan tingkat stress memiliki nilai OR yang bermakna sedangkan konsumsi natrium memiliki nilai OR tidak bermakna.