Eti Poncorini Pamungkasari
Fakultas Kedokteran Universitas Negeri Surakarta

Published : 43 Documents
Articles

PENGUKURAN KEMAMPUAN BELAJAR MANDIRI PADA MAHASISWA PENDIDIKAN PROFESI DOKTER

Jurnal Penelitian dan Evaluasi Pendidikan Vol 16, No 2 (2012)
Publisher : Graduate School, Yogyakarta State University

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Abstract

Kemampuan belajar mandiri adalah otonomi pembelajar dalam me-ngontrol proses pembelajarannya. Kemampuan belajar mandiri bisa dikem-bangkan dalam proses pembelajaran. Penelitian terdahulu tentang pembel-ajaran pendidikan profesi dokter menyatakan masih adanya hambatan dalam kemampuan belajar mandiri mahasiswa. Tujuan penelitian ini adalah mengetahui perbedaan kemampuan belajar mandiri mahasiswa tahap pen-didikan profesi sebelum dan sesudah menjalani pembelajaran di suatu departemen klinik. Penelitian ini merupakan penelitian observasional de-ngan pendekatan comparative cross sectional. Subjek penelitian adalah maha-siswa pendidikan profesi dokter yang menjalani pendidikan profesi di satu bagian dengan masa pembelajaran 4 minggu, selama Agustus- September 2012, sejumlah 33 orang, dengan teknik purposif sampling. Lokasi peneli-tian di salah satu rumah sakit pendidikan di Surakarta. Instrumen yang digunakan merupakan alih bahasa dan modifikasi kuesioner yang dikem-bangkan oleh Fischer, King dan Tague tahun 2001. Analisis data dilakukan dengan uji-t. Hasil penelitian menunjukkan tidak ada perbedaan yang sig-nifikan secara statistik antara rerata kemampuan belajar mandiri mahasiswa sebelum (149,6) dan sesudah (151,9) menjalani pembelajaran tahap pendi-dikan profesi di satu bagian pendidikan profesi dokter (p=0,47). Ini berarti tidak ada perbedaan yang signifikan secara statistik antara kemampuan belajar mandiri mahasiswa sebelum dan sesudah menjalani pembelajaran tahap pendidikan profesi di satu departemen. Perlu penelitian lebih lanjut tentang alternatif intervensi yang perlu dilakukan untuk meningkatkan kemampuan belajar mandiri mahasiswa dalam pembelajaran profesi dokter. Kata kunci: kemampuan belajar mandiri, pendidikan profesi dokter, mahasiswa pendidikan profesi dokter______________________________________________________________MEASUREMENT ON SELF-STUDY PERFORMANCE OF MEDICAL EDUCATION PROFESSIONALS STUDENTAbstract The ability of self directed learning is learners’ autonomy to control their learning process. The ability to perform self-directed learning can be developed during the learning process. Previous studies showed potential barriers to perform self-directed learning among medical students. This study aimed to analyse difference of self-directed learning ability among medical students before and after undergoing professional education program in a certain clinical department.This study was an observational study with comparative cross-sectional approach. The subjects were medical students on the professional education program at a certain clinical department at a teaching hospital Surakarta city. Thirty-three students undergoing a 4-week program from August to September 2012, were selected by purposive sampling.  The instrument used from Fischer, King and Tague was further translated into Bahasa Indonesia and validated. Data was analysed using t-test. The study found no statistically significant difference on average self-directed learning ability before (149,6) and after (151,9) following the professional education program at a certain clinical department (p=0,47). More studies are needed particularly to investigate alternatives of interventions to increase self-directed learning ability in the professional phase of medical education.Keywords: self-directed learning, medical professional education, medical students  

ANALISIS KONTEKS DALAM CIPP (CONTEXT, INPUT, PROCESS, PRODUCT) PADA PROGRAM SKRINING INFEKSI MENULAR SEKSUAL DENGAN VOLUNTARY COUNSELLING AND TESTINGBAGI NARAPIDANA DI LEMBAGA PEMASYARAKATAN WANITA KLAS II A KOTA MALANG

Siklus : Journal Research Midwifery Politeknik Tegal Vol 7, No 1 (2018): SIKLUS: Journal Research Midwifery Politeknik Tegal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

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Abstract

Permasalahan  kesehatan  ini dapat terjadi pada siapapun  tanpa memandang status seseorang dalam  masyarakat seperti narapidana laki-laki atau perempuan. Berdasarkan penelitian prevalensi HIV dan Sifilis pada narapidana pria 1,1% dan 5,1% sedangkan pada narapidana perempuan lebih tinggi yaitu mencapai 6% dan 8,5%. Dari kasus tersebut maka lapas menyediakan pelayanan kesehatan dalam  penanggulangan HIV/ AIDS. Tujuan penelitian untuk mengetahui Konteks dalam CIPP pada program skrining IMS dengan VCT bagi Narapidana di LP wanita Klas II A Kota Malang. Penelitian  ini menggunakan metode kualitatif dengan pendekatan evaluasi. Informan  kunci dalam penelitian ini adalah petugas kesehatan poliklinik LP Wanita Klas II A yang  mengarahkan  kepada tim IMS mobile Puskesmas Arjuno Kota Malang dan  ­­narapidana ­­yang mengikuti skrining. Hasil penelitian didapatkan cakupan rata-rata dalam setiap bulannya 21 WBP yang mengikuti VCT, rata-rata tersebut belum semua WBP mengikuti tes HIV. Konteks dalam pelaksanaan program skrining IMS dengan VCT di LP Wanita Klas II A Kota Malang terdiri dari Perencanaan, masalah-masalah, tujuan dan  kebutuhan. Pada perencanaan terdapat MoU atau kerjasama secara tertulis dengan pihak terkait, koordinasi, konseling kepada para karyawan  lapas dan narapidana, serta tanda tangan. Sedangkan pada kebutuhan terdiri atas sarana prasarana, tenaga kesehatan dan pemeriksaan. Pada masalah terdiri dari HIV dan IMS, faktor risiko dan keputihan. Terakhir pada tujuan terdiri dari angka kematian, derajat kesehatan, layanan kesehatan dan pengobatan HIV/ IMS. Kata Kunci: CIPP, Skrining,  IMS, VCT, Lapas

Hubungan Pemberian ASI Eksklusif dan Lingkar Kepala dengan Perkembangan Motorik Bayi Usia 6-12 Bulan di Surakarta

Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Fakultas Kedokteran Universitas Sebelas Maret

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Abstract

Introduction: Motor development needs to be considered to detect the presence or absence of delays in infant’s development which can affect their potency in the future. Exclusive breastfeeding contains lactose, taurine, DHA, and AA which are needed for motor development. Head circumference is related to brain development as one of motor control organs. This study aimed to analyze the relationship between exclusive breastfeeding and head circumference with motor development of infants aged 6-12 months in Surakarta. Methods: This was an analytical observational study with a cross sectional design. The subject were infants aged 6-12 months in Puskesmas Gajahan and Puskesmas Ngoresan Surakarta who met the inclusion criteria. Data obtained from interviews, measurements of head circumference, and assessments of motor development, in 84 subjects that selected purposely. The data were analyzed using Chi Square test, Odds Ratio (OR), and logistic regression.Results: There was a significant relationship between exclusive breastfeeding and motor development (p<0,001; OR=9,88) but no significant relationship was found between head circumference and motor development (p=0,208; OR=5,35), complementary feeding and motor development (p=0,242; OR=0,52), sex and motor development (p=0,400; OR=1,59), age and motor development (p=0,432; OR=0,65). Conclusion: Infants aged 6-12 months who are exclusive breastfed and had normal head circumference have greater chances to experience motor development that is age – appropriate.

Path Analysis on the Determinants of Unwanted Pregnancy Among Adolescents in Madiun, East Java

Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Unintended pregnancy is a worldwide problem that affects women, their families, and society. Unintended pregnancy can result from early marriage, contraceptive failure, non-use of contraceptive services, and, less commonly, rape. Consequences of unintended pregnancy include abortion with its long-term negative health effects including infertility and maternal death. This study aimed to examine the determinants of unwanted pregnancy among adolescents in Madiun, East Java, using path analysis model.Subjects and Method: This was a case control study conducted in Madiun, East Java, from April 4 to May 14, 2018. A sample of 150 adolescents was selected by fixed disease sampling, comprising 30 adolescents with and 120 adolescents without unwanted pregnancy. The dependent variable was unwanted pregnancy. The independent variables were knowledge, attitude, religiosity, sexual behavior, media exposure, parental role, and peer role. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Unwanted pregnancy was directly determined by negative sexual behavior (b= 4.14; 95% CI= 2.83 to 5.45; p<0.001). It was indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosity.Conclusion: Unwanted pregnancy is directly determined by negative sexual behavior. It is indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosityKeywords: unwanted pregnancy, determinants, adolescents, path analysisCorrespondence: Bunga Mutiara, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: theo03theo@gmail.comJournal of Maternal and Child Health (2018), 3(3): 216-224https://doi.org/10.26911/thejmch.2018.03.03.06

Hubungan Faktor Risiko Malnutrisi dan Kadar Albumin Serum terhadap Lama Rawat Inap Pasien Kanker Ginekologi

Jurnal Kedokteran Brawijaya Vol 29, No. 4 (2017)
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Skrining gizi menjadi tahapan awal penentuan risiko malnutrisi dan albumin sebagai salah satu parameter malnutrisi. Keduanya dapat mengidentifikasi status gizi dan menentukan intervensi gizi dalam mencegah komplikasi dan memperpendek masa lama rawat inap. Tujuan penelitian untuk menganalisis hubungan risiko malnutrisi yang diukur menggunakan Malnutrition Screening Tool (MST) dan kadar albumin serum terhadap lama rawat inap pasien kanker ginekologi. Penelitian observasional dengan rancangan kohort prospektif dilakukan pada bulan Februari s.d April 2016. Sebanyak 64 pasien dilakukan skrining risiko malnutrisi menggunakan MST dengan wawancara. Kadar albumin serum dan lama rawat inap dilihat dari catatan medis pasien. MST mampu mendeteksi risiko malnutrisi pada 33 orang (51,6%) dan tidak berisiko manlutrisi pada 31 orang (48,4%). Meskipun secara statistik tidak signifikan subjek berisiko malnutrisi meningkatkan lama rawat inap 0,66 kali (95% CI=0,29-1,51) dan hipoalbumin 1,31 kali (95% CI=0,47-3,66). Tindakan pembedahan dan status bekerja menjadi faktor yang berperan pada lama rawat inap pasien kanker ginekologi.

Effect of Socio-demographic Factors on the Consistency of Condom Use among Female Sex Workers in Tulungagung District, East Java

Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Sexually Transmitted Infection (STI) is common among female sex workers (FSW). STI can be cured by correct diagnosis and prompt treatment. Correct treatment depends on the specific causal infection agent, as well as host and environmental factors. This study aimed to examine the effect of socio-demographic factors on the consistency of condom use among female sex workers in Tulungagung district, East Java.Subjects and Method: This was an analytic and observational study using cohort design. It was conducted at Ngujang and Gunung Bolo  prostitution areas, Tulungagung, East Java, from November to December 2017. A total sample of 90 female sex workers was selected for this study. The dependent variable was consistency of condom use. The independent variables were age, marital status, education, urban-rural residence, exposure to information from health personnel. The data were collected by a set of questionnaire and diary. The data were analyzed by chi square and logistic regression model.Results: Bivariate analysis with chi square test showed that female sex workers working at Ngujang prostitution area (OR= 11.7; 95% CI=11.7-95.9; p= <0.001), widow (OR= 1.28; 95% CI= 1.12-1.45; p=0.012), education level lower than senior high school (OR= 1.30; 95% CI= 1.13-1.49; p= 0.005), were more likely to use condom consistently than those working at Gunung Bolo, married/ single, education level senior high school or higher, respectively. Female sex workers aged ≥35 years old (OR= 0.77; 95% CI= 0.68-0.89; p= 0.006), rural origin (OR=-0.65; 95% CI= 0.2-2.12; p= 0.474), receiving health information from health personnel (OR= 0.79; 95% CI= 0.70- 0.90; p= 0.017), were less likely to use condom consistently than aged <35 years old, urban origin, not receiving information from health personnel.Conclusion: Female sex workers working at Ngujang prostitution area, widow, education level less than high school, were more likely to use condom consistently than at Gunung Bolo, married/single, education level senior high school/higher, respectively.      Keywords: sexually transmitted infection, consistent use of condom, socio-demographic factorsCorrespondence: Ainun Hanifa. Diploma III Program in Midwifery, Tulungagung University. Email: arfabachtiar13@gmail.com.Journal of  Epidemiology and Public Health (2016), 1(2): 133-139https://doi.org/10.26911/jepublichealth.2016.01.02.07

Analysis of Inputs in the Sexually Transmitted Infection Screening with Voluntary Counselling and Testing Program for Female Prisoners at Class II A Jail, in Malang

Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The increasing incidences of Sexually Transmitted Infection (STI) and Human Immonodeficiency Virus (HIV) infection are becoming serious public health concerns in Indonesia and other countries. These issues are of concern  that call for close attention not only for general public but also for male and female prisoners. As studies have shown the prevalences of HIV and syphilis were 1.1% and 5.1% in male prisoners, respectively, 6% and 8.5% in female prisoners. For those reasons,  at some  jails  Voluntary Counseling and Testing (VCT) have been provided  for HIV/AIDS control and prevention. The success of the screening program with VCT would depend on  the provision of supplies, equipment, infrastructure, health personnel, and fund. This study aimed to analyze the adequacy of various inputs in the STI screening program with VCT for prisoners at the Class II A female jail, in Malang, East Java.Subjects and Method: This was a qualitative study with evaluation approach. This study was conducted at the Class II A female jail, in Malang, East Java. The study applied CIPP (Context, Input, Process, Product) evaluation model. Key informants for this study included health personnels at the Class II A female jail clinics, in Malang, East Java, the STI mobile health care team from Arjuno Community Health Center Malang, and female prisoners, who were known as Warga Binaan Pemasyarakatan (WBP)Results: Average monthly visits at the VCT clinic were 21 female prisoners, which amounted to only a few of the total number of female prisoners. The health care team involved in the STI screening with VCT program, included skilled health personnel from the jail and the mobile STI team from Arjuno Community Health Center, Malang. The sources of fund for these programs came from the international as well as domestic funding agencies. The international funding came from the Global Fund. The domestic funding came from the Ministry of Law and Human Civil Rights, and the Municipality Health Office Malang, which provided reagents and medicine. Supplies, equipments, and infrastructure, were provided by Arjuno Community Health Center Malang and the Class II A female jail clinics, in Malang. The laboratory was provided by the health center. The reagents were sufficiently provided by the municipality health office, although there was a supply delay in February 2016.Conclusion: Inputs of the STI screening with VCT program at the Class II A female jail clinics, in Malang, East Java, which included supplies, equipment, infrastructure, health personnel, and funding, are sufficiently provided.    Keywords: analysis, input, screening, STI, VCTCorrespondence: Rosyidah Alfitri. Diploma III School of Midwifery, Dr. Soepraoen Hospital, Malang. Email: elfitri.mafaza@gmail.com.Journal of Epidemiology and Public Health (2016), 1(2): 118-124https://doi.org/10.26911/jepublichealth.2016.01.02.05 

Factors Causing Acinetobacter Baumannii Resistance to Carbapenem Antibiotics in Patients with Healthcare Associated Infection (HCAI) at Dr. Moewardi Hospital, Surakarta

Indonesian Journal of Medicine Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Acinetobacterbaumannii is a negative gram opportunistic bacteriumhaving high survival ability in the environment. Carbapenem is a drug of choice for infections caused by Acinetobacterbaumannii, which in the last decade prevalence of Carbapenem Resistant Acinetobacterbaumannii (CRAB) has increased. CRAB is commonly found in a nosocomial infection case and even into disease outbreak and epidemics in various hospitals. However, CRAB in community-associated infection data is still limited primarily in Indonesia. Therefore the researchers intend to do study factors causing CRAB in hospital and community setting in patients with Healthcare Associated Infection (HCAI).Subjects and Method: This study was an observational analytic study, with case control design. The study was conducted in RS Dr. Moewardi Surakarta in March-August 2017. Taking subject used fixed disease sampling method with the number of samples were 104 subjects. The dependent variable was the incidence of Acinetobacterbaumannii resistance to carbapenem antibiotics in HCAI patients. Independent variables were history of antibiotic use, patient functional status, intensive unit maintenance and comorbid conditions. Dependent and independent variables were measured by using a questionnairechecklist and then analyzed by using multiple logistic regression analysis.Results: Previous antibiotic conformity history (OR = 0.12; 95% CI = 0.03 to 0.45; p = 0.002) and the patient functional status (OR = 6.72; 95% CI = 2.08 to 21.68; p = 0.001) increased risk of resistance of Acinetobacterbaumannii to carbapenem (CRAB) in Healthcare-Associated Infections (HCAI) patients and was statistically significant. Treatment at intensive unit (OR = 0.76; 95% CI = 0.26 to 2.23; p = 0.613) and comorbid conditions (OR = 0.38; 95% CI = 0.12 to 1.23; p = 0.106) increased risk of Acinetobacterbaumannii resistance to carbapenem (CRAB) in Healthcare Associated Infections (HCAI) patients although it was statistically insignificant.Conclusion:Previous antibiotic conformity history and functional status of patients are a factor affecting Acinetobacterbaumannii resistance to carbapenem (CRAB) in Healthcare-Associated Infections (HCAI) patients.Keyword: Acinetobacterbaumannii, carbapenem, healthcare associated infection.Correspondence: Widana Primaningtyas. Master Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: widanadoctor@gmail.com Mobile: +6285229035800.Indonesian Journal of Medicine (2017), 2(2): 125-138https://doi.org/10.26911/theijmed.2017.02.02.07

Effectiveness of Acupuncture and Infrared Therapies for Reducing Musculoskeletal Pain in the Elderly

Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: According to the World Health Organization, the most frequent health problems experienced by the elderly is musculoskeletal pain. The common treatment for musculoskeletal pain is Non-Steroidal Anti-Inflammatory Drugs (NSAID) drugs. These drugs, however, give undesireable side effects such as disorders in digestion, renal function, and increased blood pressure. Acupuncture and infrared therapies have been widely known as cheap and safe for musculoskeletal pain. However, their relative effectiveness are not yet clear. This study aimed to determine the effectiveness of acupuncture and infrared therapies for reducing musculoskeletal pain in the elderly.Subjects and Method: This was an experiment study with randomized controlled trials design. The study was conducted at the elderly integrated health post Klodran, Karanganyar, Central Java, in May, 2016. A total sample of 60 elderlies was selected for this study using random sampling technique. This sample was randomized into 4 groups, each consisting of 15 study subjects: (1) acupressure; (2) acupuncture; (3) infrared; (4) acupuncture and infrared. The dependent variable was musculoskeletal pain. The independent variable was type of  pain relief therapy. The data was analyzed by Kruskall Wallis Test, and post-hoc test using Mann-Whitney.Results: Kruskall Wallis Test showed mean differences in the reduction of musculosceletal pain between the four groups, and they were statistically significant, as follows: acupressure (mean= 1.3; SD= 0.5), acupunture (mean= 2.3; SD= 0.5), infrared (mean= 1.6; SD= 0.6), and acupuncture and infrared (mean= 3.9; SD= 0.4). Mann-Whitney test showed the most effective treatment for reducing musculoskeletal pain was acupunture and infrared combination therapy (mean difference= 2.53; p<0.001).Conclusion: Acupunture and infrared combination is the most effective treatment for reducing musculoskeletal pain in the elderly.Keywords: musculoskeletal pain, acupressure, acupuncture, infrared, elderlyCorrespondence: Risna Widowati. Acupuncture Unit, School of Health Polytechnics, Ministry of Health, Surakarta, Central Java. Email: risna.widowati@gmail.com. HP +6281555742729.Indonesian Journal of Medicine (2017), 2(1): 41-51https://doi.org/10.26911/theijmed.2017.02.01.05

Qualitative Study on The Implementation of Public Health Nursing: Objective, Resources, and Work Procedure on Home Care Patients in Surakarta

Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Dynamic changes of disease development call for improvement in health care. In light of this context, public health nursing with home care has an increasing role in the management of diseases. Comprehensive public health nursing requires partnership between healthcare providers, patients, and their environment. In Indonesia the focus of nursing remains on hospital care, while rarely on home care that fulfils the need of the community. This study aimed to examine the implementation of public health nursing, encompassing its objective, resources, and work procedure, on home care patients.  Subjects and Method: This was a qualitative study with case study approach. This study was carried out at PKU Muhammadiyah Hospital, Surakarta, from February to March 2017. The key informants of this study included nurses, home care coordinator, doctors, dieticians, and physiotherapists. Methods of data collection included interview, observation, and archival review. Data were analyzed in stages normally employed in case study.Results: The objectives of home care have generally been understood by most health providers. On the other hand the objectives of home care have not well-understood by the families of the patients, leading to inconsistency with the objective. There is a need to increase resources necessary for the nurses, particularly improvement in competency, as well as case selection, review, planning, coordinating, and evaluation. Likewise, collaboration between health care provider, patients, and their families, need to be improved in order to maximize home care.Conclusion: There is a need to strenghten commitment of all parties involved in home care. The objectives of home care need to be understood by all parties. Hospitals are expected to have stronger responsibility with both work procedure in order to deliver optimal health care. By doing so, the public health nursing with home care will be able to fulfil the need of the community.Keywords: home care, objective, resources, work procedureCorrespondence: Ratih Novitasari, Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: ratih.noph@yahoo.com Mobile: +6285649524070Journal of Health Policy and Management (2017), 2(1): 56-66https://doi.org/10.26911/thejhpm.2017.02.01.05