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HUBUNGAN SELF MANAGEMENT PASIEN DIABETES MELLITUS TIPE II DENGAN KADAR GULA DARAH DI RUMAH SAKIT KOTA BANDA ACEH

Sel Jurnal Penelitian Kesehatan Vol 3, No 2 (2016): SEL
Publisher : Loka Penelitian dan Pengembangan Biomedis Aceh

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Abstract

ABSTRAK Upaya yang sangat penting dilakukan oleh penderita diabetes mellitus adalah dengan mengatur pola makan (diet), olahraga/aktifitas fisik, dan pengontrolan kadar gula darah secara rutin hal ini dinamakan dengan self management.Penelitian ini bertujuan untuk mengetahui hubungan self management pasien diabetes mellitus tipe II dengan kadar gula darah di Poliklinik Endokrin Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh.Penelitian ini bersifat deksriptif analitik dengan desain cross sectional. Pengambilan sampel dilakukan dengan cara Kuota Sampling. Instrumen penelitian adalah kuesioner, data dikumpulkan dengan cara wawancara dan observasidi Poliklinik Endokrin Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh pada bulan Agustus 2015. Data dianalisa secara univariat dan bivariat, dengan uji statistik chi-square test dengan tingkat kepercayaan 0,05 (95%).Didapatkan bahwa self management pasien diabetes mellitus tipe II berada pada kategori kurang baik , yaitu 13 responden (52%), sedangkan tingkat kadar gula darah (KGD) sebagian besar berada pada kategori tidak normal, yaitu 13 responden (52%).Dari hasil uji statistik diperoleh nilai 0,001 (<0,05), sehingga dapat  disimpulkan bahwa adahubungan self management pasien diabetes mellitus tipe II dengan kadar gula darah di Poliklinik Endokrin Rumah Sakit Umum dr. Zainoel Abidin Banda Aceh. ABSTRACT The disease affected the woman more than the man. The most important efforts to do by patient with diabetic were diet, exercise/physical activity, and control the sugar blood level routinely. Those efforts were commonly called self- management.The aim of the research was  to find out the correlation between self-management of patient with diabetic types II with blood sugar level at Endokrin Polyclinic of dr. ZainoelAbidin General Hospital Banda Aceh.The research was descriptive analytic with cross sectional design. The research samples were 32 patients with diabetes mellitus type II chosen by quota sampling. The research was conducted at Polyclinic Endokrin of dr. ZainoelAbidil General Hospital Banda Aceh started from August 2015. The research found that the “self-management” of patient with diabetes mellitus type II categorized not good of 13 respondents (52%), while the blood sugar  which categorize not normal also came from 13 respondents (52%). The statistic test showed that the value was on 0,001 (<0,05),therefore it concluded that  there was correlation between self-management of patient with diabetic types II with blood sugar level at Endokrin Polyclinic of  dr. ZainoelAbidin General Hospital Banda Aceh in  2015.

Faktor resiko kadar kolesterol darah pada pasien rawat jalan penderita jantung koroner di RSUD Meuraxa

AcTion: Aceh Nutrition Journal Vol 3, No 2 (2018): AcTion Vol 3 No 2 Tahun 2018
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

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Abstract

Coronary heart disease generally occurs due to an increase in irregular cholesterol levels. Blood cholesterol is influenced by several factors, including genetic, gender, diet, obesity, and excessive coffee drinking. This study aims to determine the factors that influence blood cholesterol levels in outpatients with coronary heart disease at Meuraxa Regional Hospital. This study is a descriptive-analytical Case Control design, conducted in patients with coronary heart disease as many as 45 cases and 45 controls in May 2017 Data analysis using Chi-Square test. Diet data was collected using food recall, genetic data, sex collected by interview using questionnaires, nutritional status data collected through body mass index (BMI) measurements and cholesterol data collected through blood tests. Bivariate analysis showed a significant relationship between coffee consumption and total cholesterol levels with OR 2.768 (p = 0.033). There was no significant relationship between coffee consumption with HDL, LDL, and triglycerides (0.292; 0.088; 0.125). There was no significant correlation between genetic, gender, diet and nutritional status with levels of total cholesterol, LDL, HDL, and Triglycerides.T here is a significant relationship between coffee consumption and total cholesterol levels in patients with coronary heart disease, so it is necessary to limit coffee consumption for people with coronary heart disease.Penyakit jantung koroner umumnya terjadi karena peningkatan kadar kolesterol yang tidak teratur. Kolesterol darah dipengaruhi oleh beberapa faktor, diantaranya genetik, jenis kelamin, pola makan, obesitas, serta minum kopi yang berlebihan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kadar kolesterol darah pada pasien rawat jalan penderita jantung koroner di RSUD Meuraxa. Penelitian deskriptif analitik berdesain Case Control, yang dilakukan pada  pasien penderita jantung koroner sebanyak 45 kasus dan 45 kontrol pada bulan Mei 2017. Analisis data menggunakan uji Chi-Square. Data pola makan dikumpulkan dengan menggunakan food recall, data genetik, jenis kelamin dikumpulkan dengan wawancara menggunakan kuisioner, data status gizi dikumpulkan melalui pengukuran indeks massa tubuh (IMT) dan data kolesterol dikumpulkan melalui pemeriksaan darah. Analisis bivariat  menunjukkan ada hubunganyang signifika konsumsi kopi dengan kadar kolesterol total dengan OR 2,768 (p= 0,033). Tidak ada hubungan yang signifikan konsumsi kopi dengan HDL, LDL dan trigliserida (0,292; 0,088; 0,125). Tidak ada hubungan yang signifikan genetik, jenis kelamin, pola makan dan status gizi dengan kadar kolesterol total, LDL, HDL dan Trgliserida. Ada hubungan yang signifikan konsumsi kopi dengan kadar kolesterol total pada penderita jantung koroner sehingga perlu kiranya pembatasan konsumsi kopi bagi penderita jantung koroner.

PEMBERIAN SARI TEMPE TERHADAP PROFIL LIPID PADA PENDERITA HIPERKOLESTEROLEMIA RAWAT JALAN DI RUMAH SAKIT AVICENNA BIREUEN

Sel Jurnal Penelitian Kesehatan Vol 5, No 1 (2018): SEL
Publisher : Loka Penelitian dan Pengembangan Biomedis Aceh

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Abstract

Indonesian women hypercholesterolemia prevalence in 2013 were 39.6%, higher than men that have 30.0%. Hypercholesterolemia can cause atherosclerosis and coronary heart disease. Antioxidants are known to reduce total cholesterol levels. Isoflavones are one of the antioxidants that found in tempe. Tempe contains fiber, saponins and niacin which have the effect of lowering cholesterol levels, so that can lowering LDL cholesterol levels, total cholesterol  levels,  and increasing HDL cholesterol levels. This quantitative research was conducted  by an analytical  d es cr ip t ive  a p pr oa ch u s ing qu a s i -e x p er iment a l design. Samples amounted to 30 patients   with hypercholesterolemia. Analysis   using   R-St atisti c soft war e, including a stat ist ical t est of dependent T-test  at  95%  confidence  level (α =0.05).  There was significant effect of tempe extract on total cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride cholesterol (p <0.05) in outpatient hypercholesterolemia in Avicenna Hospital. Average in the case group of outpatient hypercholesterolemia patients in Avicenna Hospital after tempe extract total cholesterol, LDL cholesterol, and triglyceride cholesterol levels and significantly increased HDL cholesterol levels of 253.93 mg/ dl, 177.19 mg/ dl, 40.93 mg/dl, and 88.60 mg/dl. There was significant effect on lipid profile before and after intervention in tempe treatment group.ABSTRAK Prevalensi hiperkolesterolemia di Indonesia tahun 2013 pada wanita sebesar 39,6%, nilainya lebih tinggi dari pada laki-laki yang sebesar 30,0%. Hiperkolesterolemia dapat menyebabkan aterosklerosis dan penyakit jantung koroner. Antioksidan diketahui dapat menurunkan kadar kolesterol  total.  Isoflavon  salah  satu  antioksidan yang terdapat pada tempe. Tempe mengandung serat, saponin dan niasin yang terbukti memiliki efek menurunkan kadar kolesterol sehingga menurunkan kadar kolesterol LDL dan kolesterol total sekaligus meningkatkan kadar kolesterol HDL. Penelitian kuantitatif ini dilakukan dengan pendekatan deskriptif analitik menggunakan  desain quasi-experimental. Sampel kasus merupakan penderita hiperkolesterolemia yang ada di RS Avicenna berjumlah 30 orang.  Analisis menggunakan software R-Statistik, meliputi uji statistik Dependent T-Test pada tingkat kepercayaan 95%  (α = 0,05).  Ada pengaruh yang signifikan pemberian sari tempe terhadap kadar kolesterol   total,   kadar   kolesterol   LDL,   kadar kolesterol  HDL,  dan  kadar  kolesterol  trigliserida yaitu (p<0,05)  pada  pasien  hiperkolesterolemia rawat jalan di RS Avicenna. Rata-rata pada kelompok kasus terhadap pasien  hiperkolesterolemia   rawat jalan di RS Avicenna sesudah pemberian sari tempe;  kadar  kolesterol  total, kolesterol  LDL, dan  kolesterol trigliserida, serta   meningkatkan kadar kolesterol HDL secara bermakna berurut-urut sebesar 253,93  mg/dl, 177,19 mg/dl, 40,93  mg/dl, dan 88,60 mg/dl

Development of Ecotourism based on Community Empowerment (a Case Study of Kebumen Regency)

Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan Vol 19, No 2 (2018): JEP 2018
Publisher : Muhammadiyah University Press

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Abstract

The main objective of this research is to formulate a participatory and inclusive model of economic development by optimizing the potential of local resources in Kebumen regency, Central Java, Indonesia by 1) identifying local resource-based economic potentials to be developed into pilot projects in regional development, 2) analyzing factors affecting the success of potential development, 3) analyzing the needs that influence the increase of community and stakeholders participation in regional development activities. This study uses Geographic Information System to map economic potential, Analytical Hierarchy Process to analyze factors that influence community participation, and ATLAS.ti to analyze needs and activities in developing leading sectors. The analysis shows that the economic potential in Kebumen district is focused on the potential of natural resources which include forestry, agriculture, fisheries, plantations and livestock. The regional development needs to be carried out thoroughly from upstream to downstream. AHP analysis shows that the factors that influence the success of potential development are internal, institutional and external factors. Needs analysis shows that the community holds an important role but must be supported by other stakeholders, namely the government, business actors and academics.This study recommends upstream-downstream development through nature-based ecotourism. The upstream sector that must be prepared is natural conservation combined with access to accessibility. The concept of back-to-nature developed in ecotourism must be supported by the provision of facilities and infrastructure that allows visitors to reach and enjoy the nature's beauty. In the downstream sector, tourism support services such as culinary and souvenir typical of Kebumen regency become an important part and need to involve all elements of community, especially those around the tourism destinations.

Konsumsi Natrium Lemak Jenuh Dan Serat Berhubungan Dengan Kejadian Penyakit Jantung Koroner Di Rumah Sakit dr. Zainoel Abidin Banda Aceh

Jurnal Kesehatan Vol 7, No 1 (2019): April
Publisher : Politeknik Negeri Jember

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Abstract

Penyakit jantung koroner merupakan kondisi yang terjadi akibat penumpukan plak di arteri jantung sehingga mengakibatkan suplai darah ke jantung terganggu sehingga dapat menyebabkan serangan jantung. Prevalensi PJK khususnya di daerah Aceh berkisar 0,7%. Penyebab terjadinya PJK yaitu usia, jenis kelamin, genetik, merokok, hipertensi, diabetes, stress, pola makan. Penelitian dilaksanakan pada bulan Juli 2018 di poliklinik rawat jalan RSUZA Banda Aceh. Penelitian bersifat Deskriptif Analitik dengan desain cross sectional dengan sampel 178 orang. Data dikumpulkan terdiri dari primer dan sekunder yang diuji dengan statistik Chi-square. Sampel yang mengakami PJK paling didominasi dengan jenis kelamin laki-laki, dan mengkonsumsi natrium yang berlebih, sampel yang tidak memiliki keturunan PJK tidak mengalami PJK dan yang memiliki riwayat hipertensi mengalami PJK. Ada hubungan yang signifikan antara konsumsi natrium, konsumsi lemak jenuh dan konsumsi serat pada kejadian PJK di RSUZA Banda Aceh (p-value ≤ 0,01). Kata Kunci: PJK, Konsumsi natrium,  Lemak Jenuh,  Serat.

Economic Liberalization Impact, Fiscal Conditions, and Tax Ratio to Welfare

JEJAK: Jurnal Ekonomi dan Kebijakan Vol 12, No 1 (2019): March 2019
Publisher : Universitas Negeri Semarang

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Abstract

Global economy has currently integrated and has been interdependent between the developing and developed countries. The improved integration and interdependence level is expected to improve citizens’ welfare. This study aims at testing the correlation between fiscal and trade policies and welfare in ASEAN countries + 3 countries (Singapore, Malaysia, Indonesia, Thailand, Philippines, Brunei Darussalam, Cambodia, Vietnam, Myanmar, Laos + Japan, China, and Korea). It used the secondary data from World Bank, Asian Development Bank (ADB) and Economist Intelligence Unit from 1990 to 2015. The analysis uses the POLS-ECM (Panel Ordinary Least Square-Eagle Granger Error Correction Model). The results of analysis show that economic growth, infrastructure capital expenditure, economic openness, and tax ratio had a significant effect on welfare ASEAN + 3 countries