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Effect Of Condom Utilization On Sexuall Transmitted Infection Among Female Sex Workers, In Tulungagung District, East Java, Indonesia Hanifah, Ainun; Probandari, Ari Natalia; Pamungkasari, Eti Poncorini
Jurnal Kesehatan Masyarakat Nasional Volume 13, Issue 3, February 2019
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (442.983 KB) | DOI: 10.21109/kesmas.v13i3.2255

Abstract

One effective strategy for preventing sexually transmitted infection (STI) incidence and providing protection for female sex workers (FSWs) from their sexual partners is correct and consistent condom use behavior. This study examined the effect of condom use on STI among FSWs in Tulungagung District, East Java. This analytic and observational study using a cohort prospective design was conducted at Ngujang ex- prostitution area and Gunung Bolo prostitution area, Tulungagung District, from November to January 2017. The total sample selected was 90 FSWs. Data was collected through a set of questionnaires and tracking condom use in a diary. Data were analyzed by using Pearson’s chi-square, t-test and logistic regression models at a significance of 0.05. Bivariate analysis with chi-square test showed that STI was affected by period of condom use, ratio of number of condom used to number of times the FSW had sex, condom use, age, number of customers, skill in using condoms, tarifts for sexual services, and length of working as an FSW. Results of multivariate logistic regression showed an influence in ratio of condom use to having sex, number of condoms, and number of customers. In conclusion, the incidence of STI is influenced by the ratio of condom use to having sex, number of condoms used, and number of customers in Tulungagung District. 
Hubungan antara Pemakaian Repellent Anti Nyamuk dan Kejadian Penyakit Demam Berdarah Dengue pada Anak di Kota Surakarta Sofia, Fika Khulma; Probandari, Ari Natalia; Hikmayani, Nur Hafidha
Jurnal Kedokteran Indonesia Vol 3, No 1 (2012)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Dengue haemorrhagicfever (DHF) is a common mosquito-transmitted infectious disease in tropical and sub​​-tropical areas. In Indonesia, the incidence significantly increased from 58 cases in 1968 to 15,912 cases in 2009. Case fatality ratereached over 1% in most provinces. Repellent refers totopical antimosquito agent which can be used to prevent DHF. Repellent contains active substances that prevent mosquito bites such as DEET (N,N‑dietil‑m‑toluamid) and permethrine. This study aimed to examine the relationship between use of anti-mosquito repellent and risk of DHF among children in Surakarta. Method: This was an observational study using matched case-control design. It was carried out atfive public health centers in Surakarta with high prevalence of DHF in children during 2010-2012period. Forty cases were selected using cluster sampling method and were matched for age and residence with 40 DHF-free controls. Questionnaires were used to identify use of repellent. Other data collected included frequency, habit,timing and duration of repellent use. Data were analyzed by McNemar’s χ2test and conditional logistic regressionsusing OpenEpi 2.0 and Stata SE 12.0. Results: McNemar’s χ2 test showed a significant relationship between use of antimosquito repellent and DHF (p<0.001). Children usingantimosquito repellent had 0.04 times the risk for DHF than those not using repellent (OR=0.04, 95%CI= 0.01 to 0.23). Regression analysis showed that frequency and timing of repellent use were significantly associated with DHF. Compared to children who did not use repellent, children using repellent often (5-7 times a week) had0.12 times the risk for DHF (OR=0.12,95%CI=0.02 to 0.60; p=0.011).Children using repellent after 8 pm had0.22 times the risk for DHF (OR=0.22, 95% CI=0.01 to 0.70; p=0.022). Habit and duration of repellent use showed no statistically significant association with DHF (p>0.05). Conclusion: Use of repellentsignificantly reduces the risk for DHF among children in Surakarta. Frequent and nocturnal useofrepellentare protective factors for DHF.Keywords: Dengue haemorrhagic fever, antimosquito repellent, children
Asosiasi Pengetahuan Mengenai Rokok dengan Sikap dan Perilaku Merokok pada Remaja HIDAYAH, ROCHIMA RIDHA; PROBANDARI, ARI NATALIA; ., MUTHMAINAH
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: The level of knowledge on smoking may influences the attitudes and behavior of smoking. A previous research found that, smoking behavior began in the early years of teenage (11-15 years old). This study aimed to determine the association between the level of knowledge about the dangers of smoking cigarettes and attitudes toward smoking and smoking behavior in early adolescence. Methods: The study design was an observational analytic cross-sectional study  which was conducted during March 2012 among 98 students of SMP Negeri 01 Colomadu, Karanganyar. Sampling technique in this study was multi-stage cluster sampling. We used a questionnaire to measure current knowledge on smoking and the dangers of smoking, attitudes, and smoking behavior, which had been tested validity and reliability. Data analysis used the Fisher Exact Test and Chi-Square Test. Results: This study found no statistical significant relationship between the level of knowledge of the attitudes toward smoking (p = 0,509; OR = 1,86; Cl95% = 0,45-7,66). The level of knowledge increased the risk of smoking behavior in the past by 0,7 times (p = 0,366; OR = 1,50; Cl95% = 0,62-3,62), but not statistical significantly. There were no statistical significant relationship between the level of knowledge of the behavior of current smoking (p = 0,311; OR = 4,23; Cl95% = 0,42-42,20) and past smoking (p = 0,366; OR = 1,50; Cl95% = 0,62-3,62). Conclusions: The knowledge has no statistical significant association with adolescent attitudes toward smoking and smoking behavior of adolescents. Further research with stronger study designs are needed to study the association between knowledge, attitude on smoking and smoking behavior among early teenagers. Keywords: Level of knowledge challenged cigarettes, attitudes, smoking behavior. 
Hubungan Tingkat Pengetahuan Agamadengan Motivasi Merokok di SMA Al Islam 1 Surakarta Ariono, Dwi; Probandari, Ari Natalia; Damayanti, Kusmadewi Eka
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:The smoking behaviour is an important issue for the whole world. Based on Riskesdas 2010, the number of smokers in Indonesia year was 34.7% which ranked the 5th in the world. Smoking behaviour usually begins during adolescence, which is preceded by motivation. In Indonesia, religion is believed to be the source of moral human behavior. This research aimed to identify correlation between the level of religion related knowledge and smoking motivation among students in SMA Al Islam 1 Surakarta. Methods:The study design was analytical observational study with the approach of cross sectional. The population was grade X and XI SMA Al Islam 1 Surakarta. By using the quota sampling, 350students were selected as study sample. The data collection used questionnaires. The data were analyzed by Spearman correlation test. Results:336 people (97.43%) had a good level of religion related knowledge and 335 people (71.77%) had a low motivation to smoking. The data identified very weak negative correlation between the level of religion related knowledge and smoking (r = 0.114 and p = 0.085). Someone who has a good level of knowledge of religion was not always followed by the smoking of low motivation. Conclusions:There is a weak negative correlation but not statistically significant between the level of religion related knowledge and motivation to smoking among students in SMA Al Islam 1 Surakarta. Keywords:adolescent, smoking, motivation, religion related knowledge  
Hubungan Kecerdasan Emosi dengan Insomnia pada Mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Sebelas Maret Surakarta Nurharyani, Fitria Rahma; Fanani, Mohammad; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Insomnia was the most frequently sleep disorder; even for adolescents, and college students. Insomnia was caused by many factors including emotion. The low emotional intelligence could lead individuals to be vulnerable to stress and the manifestation of stress included anxiety and depression that caused insomnia. This research aimed to identify the correlation between emotional intelligence and insomnia among Medical Students in Faculty of Medicine, Sebelas Maret University. Method: This study was an analytical descriptive study with cross-sectional approach conducted from October to November 2013 in Faculty of Medicine, Sebelas Maret University. The sample was taken using total sampling technique after having been selected using inclusion and exclusion criteria of research. The sample could not be included if the questionnaire was incomplete. The subject filled in (1) informed consent and personal data form, (2) L-MMPI questionnaire, (3) Insomnia Rating Scale questionnaire to find out the insomnia score, (4) Emotional intelligence questionnaire to measure the emotional intelligence score of sample. Totally, there were 128 sample subjects. The data were analyzed using Spearman Correlation test with SPSS 17.00 for Windows program. Result: The statistical analysis showed the Spearman correlation score (r) = -0.094 and p = 0.146 or p > 0.05, it meant that the correlation between emotional intelligence and insomnia of Medical Students in Medical Faculty of Surakarta Sebelas Maret University was not significant. Conclusion: There is no correlation between emotional intelligence and insomnia of Medical Students in Medical Faculty of Sebelas Maret University. Keywords: emotional intelligence, insomnia, medical students. 
Perbedaan Tingkat Kecemasan Caregiver Pasien Skizofrenia Tipe Disorganized Dengan Tipe Katatonik Di RS Jiwa Daerah Surakarta Wibowo, Antonius Setyo; Syamsulhadi, Muchammad; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Schizophrenia is a clinical syndrome of severe mental disorders characterized by abnormal perception in the form of hallucinations, delusions, psychiatric behavior deviations, unusual beliefs, and mind distortions. Caregiver, someone who responsible to treat the patient will feel burden, include anxiety. This research aims to know the anxiety level difference between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Methods : This study was a descriptive analytic study with a cross sectional approach, conducted in the RS Jiwa Daerah Surakarta. The subjects  were taken using consecutive sampling method. The subjects were divided into two groups, disorganized type and catatonic type of schizophrenia caregiver. The subjects filled out the (1)Informed Consent, (2)Study Questionnaire, (3)L-MMPI Questionnaire, (4)T-MAS Questionnaire. If the subject did not meet the criteria of inclusion and exclusion, and the result of the L-MMPI questionnaire ≥ 10, the subject could not be selected. The 35 data consisted of 25 disorganized type and 10 catatonic type of schizophrenia caregivers were analyzed using Fisher’s Exact Test. Results : This study demonstrated there is no difference of anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta which was shown by p = 0.264 (p > 0.05). Conclusions : There was no difference anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Keywords: caregiver, schizophrenia, disorganized type, catatonic type, anxiety level 
Perbedaan Kualitas Pelayanan Berdasarkan Waktu Tunggu Serta Rasio Rujukan Pasien Dokter keluarga Wiji Astuti, Ida Srisurani; Murti, Bhisma; Probandari, Ari Natalia
STOMATOGNATIC- Jurnal Kedokteran Gigi Vol 1, No 1 (2015)
Publisher : Fakultas Kedokteran Gigi Universitas Jember

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Abstract

Quality services doctor are represented by referral ratio and waiting time. In fact, the referral ratio in Jember shows higher than national value (15%). This study will analiyze the difference between payment system method, fee for service and capitation in family doctor’s quality services. This is an observasional study with cross sectional approach. Knowing the level of satisfaction, 214 patients who visited family doctor as both general and health insurance patients are testing by questionnare. In otherwise, 21 family doctors in Jember are represented referrals ratio by using referrals data. Using Kolmogorof  Smirnov and Man Whitney data analysis, the results showed a significant number.In addition, physicians with capitation payment method referred more patients by 3 times in average compared to physicians with fee for service payment method. This was seen from the p-value (0.002) < α(0,05). Similarly, waiting time variable with p-value (0,028) less than α (0,05). Capitation patients need more time ± 3,77 minute thanfee for service.This mean there is significant different between capitation and fee for service patient in waiting time.   Keywords :payment method, waiting time, referral ratio
PERBEDAAN FUNGSI KELUARGA DAN KUALITAS HIDUP ISTRI ANTARA ISTRI BEKERJA DAN TIDAK BEKERJA Candrasari, Anika; Probandari, Ari Natalia
Biomedika Vol 5, No 1 (2013): Biomedika Februari 2013
Publisher : Universitas Muhamadiyah Surakarta

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Abstract

Along economic progress and increase in women education, so many housewives today serve not only as manager of their household, but also work outside home. It will have various social implications, such as stress due to work overloads, increased teenage delinquency due to lack of parental attention, lack of marriage or family values. This study aimed to analyze the differences of family function and wife’s quality of life among wife with and without occupation. Location of study was Bolon village, District Colomadu, Karanganya, Central Java. The study used an observational analytic design, with a cross-sectional approach. The study population was wives. Sampling used 128 wives. The instruments were APGAR, SCREEM family function and WHOQOL. From t test, it showed signifi cant differences family function and wife’s quality of life among wife with and without occupation (APGAR p = 0.023, SCREEM p = 0.001 and wife’s quality of life p = 0.043).Keywords: family function, quality of life, wife, work.
Perbedaan Kualitas Pelayanan Berdasarkan Waktu Tunggu serta Rasio Rujukan Pasien Dokter keluarga Astuti, Ida Srisurani Wiji; Murti, Bhisma; Probandari, Ari Natalia
STOMATOGNATIC- Jurnal Kedokteran Gigi Vol 12, No 1 (2015)
Publisher : Fakultas Kedokteran Gigi Universitas Jember

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Abstract

Quality services doctor are represented by referral ratio and waiting time. In fact, the referral ratio in Jember shows higher than national value (15%). This study will analiyze the difference between payment system method, Fee For service and capitation in family doctor’s quality services. This is an observasional study with cross sectional approach. Knowing the level of satisfaction, 214 patients who visited family doctor as both general and health insurance patients are testing by questionnare. In otherwise, 21 family doctors in Jember are represented referrals ratio by using referrals data. Using Kolmogorof Smirnov and Man Whitney data analysis, the results showed a significant number.In addition, physicians with capitation payment method referred more patients by 3 times in average compared to physicians with Fee For service payment method. This was seen from the p-value (0.002) < α(0,05). Similarly, waiting time variable with p-value (0,028) less than α (0,05). Capitation patients need more time ± 3,77 minute thanFee For service.This mean there is significant different between capitation and Fee For service patient in waiting time.
ANALISIS KEUANGAN TERHADAP KELAYAKAN INVESTASI LABORATORIUM ANGIOGRAFI RUMAH SAKIT BETHESDA YOGYAKARTA Al Hadri, Cecilia Farrona; Probandari, Ari Natalia; Pinzon, Rizaldi Taslim
Berkala Ilmiah Kedokteran Duta Wacana Vol 1, No 3 (2016): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v1i3.26

Abstract

Latar Belakan: kematian akibat PTM (Penyakit Tidak Menular) diperkirakan akan terus meningkat di seluruh dunia, peningkatan terbesar akan terjadi di negara-negara berkembang. Mempertahankan konsumen dan berusaha mendapatkan konsumen baru merupakan strategi wajib yang harus di jalankan oleh rumah sakit. Keberadaan konsumen sangat penting bagi bisnis rumah sakit karena konsumen merupakan roda bisnis rumah sakit. Rumah Sakit Bethesda Yogyakarta, berencana untuk melakukan investasi laboratorium Angiografi untuk menunjang fasilitas kesehatan yang sudah ada. Sebelum melakukan investasi penting untuk mengetahui berapa besar unit cost dan tarif yang akan ditetapkan selain itu juga perlu diketahui kemauan membayar (Willingness to Pay) dan kemampuan membayar (Ability to Pay) pasien terhadap penggunaan layanan. Metode Penelitian: penelitian dilakukan dengan menggunakan rancangan studi kasus yang dilakukan di Rumah Sakit Bethesda Yogyakarta. Sebanyak 265 orang dipilih sebagai responden, yang diambil dari poliklinik saraf dan penyakit dalam. Data primer terdiri dari data kemauan dan kemampuan pasien untuk melakukan pelayanan laboratorium angiografi. Data sekunder di dapatkan dari rumah sakit, penelitian terdahulu dan lainnya. Analisis investasi dihitung menggunakan Net Present Value, Internal Ratr of Return, payback Period dan Return On Investment. Hasil: Perhitungan dengan menggunakan analisis Net Present Value menghasilkan nilai sebesar Rp.23.569.363.711,-. Jika dibandingkan dengan nilai modal, NPV bernilai positif sehingga investasi ini layak dilaksanakan. Analisis Internal Rate of Return menghasilkan nilai 29% yang berarti lebih besar dari faktor diskonto artinya dengan menggunakan analisis ini investasi juga layak dilakukan. Perhitungan menggunakan Payback Period diketahui masa balik modal investasi laboratorium angiografi adalah selama tiga tahun tujuh bulan dan Return On Invesment menunjukkan pelayanan laboratrium angiografi berkemampuan untuk menghasilkan laba sebesar 120%. Kesimpulan: hasil penelitian menunjukkan investasi laboratorium angiografi dari aspek keuangan layak dilakukan. Kemauan masyarakat untuk menggunakan layanan cukup tinggi namun dari segi kemampuan rata-rata masih rendah.