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INDONESIA
Jurnal Kesehatan Masyarakat Nasional
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : -
Core Subject : Health,
Kesmas: National Public Health Journal is on public health as discipline and practices related to preventive and promotive measures to enhance health of the public through scientific approach applying variety of technique. This focus includes area and scope such as biostatistics, epidemiology, health education and promotion, health policy and administration, environmental health, public health nutrition, sexual and reproductive health, and occupational health and safety.
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Articles 8 Documents
Search results for , issue " Volume 12, Issue 1, August 2017" : 8 Documents clear
Influence of Scaling Up Nutrition Education towards Knowledge and Attitude of Students at Santa Elisabeth Medan School of Health Sciences Silalahi, Rani Gartika Holivia; Tambunan, Yesschi Anggraeni
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (755.677 KB) | DOI: 10.21109/kesmas.v12i1.1251

Abstract

AbstractMarriage at young age and lack of knowledge in parenting are among the causes of nutrition problem. The students in Santa Elisabeth Medan School of Health Sciences were found less knowledgable about it. This study aimed to analyze the influence of Scaling Up Nutrition (SUN) education towards knowledge and attitude of students at Santa Elisabeth Medan School of Health Sciences 2016. This study was quasi experimental with one group pre-test and post-test design. The population was students of the Santa Elisabeth Medan School of Health Sciences. Sampling was done by purposive sampling method, which consisted of 115 students at third level of Diploma III in Midwifery. Education class was conducted four times within two weeks by using lecture and discussion methods. This study used visual media (slides) and module. The influence of education towards students’ knowledge and attitude was analyzed by paired sample t-test (p value=0.05). The results showed that only 1.7% students had high knowledge and 45.2% students had unfavorable attitudes. After nutrition education, there were 85.2% students who had high knowledge and 100% students had favorable attitudes. In conclusion, there are significant differences between students’ knowledge and attitude after SUN education given. AbstrakTingginya angka pernikahan pada usia remaja yang disertai dengan rendahnya pengetahuan tentang pola asuh merupakan salah satu pemicu terjadinya masalah gizi. Remaja merupakan orang tua masa depan. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan 1.000 hari pertama kehidupan terhadap pengetahuan dan sikap mahasiswi Sekolah Tinggi Ilmu Kesehatan Santa Elisabeth Medan tahun 2016. Penelitian ini menggunakan kuasi eksperimental dengan desain one group pre- dan post test. Metode pengambilan sampel dengan metode purposive sampling sebanyak 115 mahasiswi tingkat III program studi Diploma III Kebidanan. Pendidikan dilakukan di kelas sebanyak 4 kali dalam 2 minggu dengan menggunakan metode mengajar dan diskusi. Penelitian ini menggunakan media visual (slides) dan modul. Pengaruh pendidikan terhadap pengetahuan dan sikap dianalisis dengan uji paired sample t-test (nilai p=0,05). Hasil penelitian ini menunjukkan bahwa 1,7% mahasiswi memiliki pengetahuan baik dan 45,2% sikap tidak mendukung. Setelah pendidikan kesehatan, terdapat 85,2% mahasiswi memiliki pengetahuan yang baik dan 100% mahasiswa memiliki sikap yang mendukung. Dapat disimpulkan bahwa terdapat perbedaan secara signifikan antara pengetahuan dan sikap mahasiswi setelah diberikan pendidikan 1000 hari pertama kehidupan.
Influence of Quality of Work Life towards Psychological Well-Being and Turnover Intention of Nurses and Midwives in Hospital Hardjanti, Indra Wahju; Dewanto, Aryo; Noermijati, Noermijati
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229 KB) | DOI: 10.21109/kesmas.v12i1.1144

Abstract

AbstractNurses have been trained to provide patient care and improve patients’ quality of life, but their own quality of work life and psychological well-being are often disregarded. Nurses’ low quality of work life in hospital leads to nurses’ high turnover. The high rate of nurses’ and midwives’ turnover in hospital X Malang is an issue that requires hospital management attention to prevent low quality of health services in the hospital. The purpose of this study was to determine relation between quality of work life, psychological well-being and turnover intention of nurses and midwives in the hospital. This study used quantitative correlation design with cross-sectional approach, and the data were analyzed using Partial Least Square. The results showed that the quality of work life positively and significantly affected the psychological well-being of nurses, quality of work life significantly and negatively affected turnover intention, while psychologicalwell-being did not affect the turnover intention, so the psychological well-being did not mediate the effect of quality of work life on turnover intention. Quality of work life influences both psychological well-being and turnover intention, so the improvement quality of work life will reduce turnover intention and inhance the psychological well-being.AbstrakSelama ini perawat telah dilatih untuk memberikan perawatan pasien dan meningkatkan kualitas hidup pasien, namun kualitas kehidupan kerja dan psychological well-being mereka sendiri terabaikan. Rendahnya kualitas kehidupan kerja perawat di rumah sakit menyebabkan tingginya keinginan pindah kerja perawat. Tingginya angka keinginan pindah kerja perawat dan bidan di Rumah Sakit X Malang merupakan masalah yang memerlukan perhatian dari manajemen rumah sakit agar tidak menjadi menyebabkan rendahnya mutu pelayanan kesehatan di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas kehidupan kerja, psychological well-being, dan keinginan pindah kerja perawat dan bidan di rumah sakit. Penelitian ini menggunakan desain penelitian kuantitatif korelasional dengan pendekatan potong lintang. Analisis data menggunakan Partial Least Square. Hasil penelitian menunjukkan kualitas kehidupan kerja berpengaruh positif dan signifikan terhadap psychological well-being perawat, kualitas kehidupan kerja berpengaruh negatif dan signifikan terhadap keinginan pindah kerja, psychological well-being tidak berpengaruh terhadap keinginan pindah kerja, sehingga psychological well-being tidak memediasi pengaruh kualitas kehidupan kerja terhadap keinginan pindah kerja. Kualitas kehidupan kerja berpengaruh pada psychological well-being dan keinginan pindah kerja, sehingga peningkatan kualitas kehidupan kerja akan mengurangi keinginan pindah kerja dan meningkatkan psychological well-being.
Level of Exposure of Childhood Tuberculosis with Adult Pulmonary Tuberculosis Household Contacts Asyary, Al; Eryando, Tris; Purwantyastuti, Purwantyastuti; Junadi, Purnawan; Clark, Carol; Teijlingen, Edwin van
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.799 KB) | DOI: 10.21109/kesmas.v12i1.1469

Abstract

AbstractPulmonary tuberculosis (TB) in children is a neglected global health problem, with an increasing proportion of TB cases in Indonesia. Children with TB are most often impacted by TB transmission in the population at large, especially adult TB that exists in the child’s household. This study aimed to find protective factors that can keep children healthy despite household adult TB contacts. This study reports on 132 respondents with a case-control study conducted at nine referred hospitals and several health centers based on medical records at Special Region of Yogyakarta Province. The study lasted from January to December 2014, while the data analysis was used by both of bivariate (chi-square) and multivariate (multiple logistic regression) analysis. The study found that healthy houses, especially those with healthy bedrooms and fewer exposures to adult TB sufferer, influenced by confounder variables, protected children from TB even though they were exposed to adult TB in their environment. Longer periods of living together is not a risk factor for children to contract TB when living with adult TB patients at home. However, this risk increases with frequent exposure among children to adult TB patients at home. AbstrakTuberkulosis paru (TB) pada anak kian menjadi masalah kesehatan global yang masih terlupakan seiring dengan peningkatan proporsi TB di Indonesia. Penularan penyakit ini di populasi umum seringkali berdampak pada anak, terlebih ketika kontak TB terjadi di rumah tangga. Penelitian ini bertujuan untuk memperoleh faktor protektif sehingga anak tetap sehat meskipun memiliki kontak dengan penderita TB dewasa serumah. Penelitian ini dilakukan dengan pendekatan kasus-kontrol pada 132 responden anak yang berasal dari delapan rumah sakit rujukan dan beberapa puskesmas di Provinsi Daerah Istimewa Yogyakarta. Penelitian dilakukan dalam periode Januari hingga Desember 2014 yang hasilnya dianalisis dengan uji bivariat (kai kuadrat) dan multivariat (regresi logistik ganda). Hasil penelitian menunjukkan bahwa rumah yang memenuhi syarat kesehatan, yakni ruang tidur yang sehat, serta paparan yang jarang diterima dari penderita TB dewasa mampu memproteksi anak agar tetap sehat meskipun tinggal serumah dengan penderita dewasa penyakit ini. Penelitian ini menyimpulkan bahwa lama tinggal bersama bukanlah faktor risiko penyakit TB pada anak.Hal ini karena meskipun lama tinggal bersama antara penderita TB dewasa dengan anak, namun apabila memiliki paparan yang jarang, hal ini pun tidak signifikan menjadikan anak untuk terkena TB.
The Profile and Determinant Factors of Quality of Life in Patients with Diabetic Neuropathy Pinzon, Rizaldy Taslim; Adnyana, Kadek Sinthia Grahita; Zalukhu, Marta Lisnawati
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1085.669 KB) | DOI: 10.21109/kesmas.v12i1.1252

Abstract

AbstractNeuropathy is one of the most common complications in patients with diabetes mellitus (DM). Neuropathy has contributed to some impacts of quality of life (QOL), general health status, and socio-economy level. Therefore, it is important to understand more about this issue, so appropriate treatment could be taken to improve QOL of patients with diabetic neuropathy. This study aimed to measure the profile of a patient’s life quality in DM with neuropathy. This study was a observational study using Short Form 8 (SF-8) Health Survey Standard Indonesia to measure the QOL in patients with diabetic neuropathy that were treated consecutively from March to August 2016 in the Department of Neurology in Bethesda Hospital, Yogyakarta. Fifty seven patients with diabetic neuropathy were enrolled as subjects in this study. Most of them were women (52,6%). The mean age of subjects was 57.3 ± 5.85 years. The lowest QOL score in patients with diabetic neuropathy were observed in general health perceptions category (45.26%), followed by bodily pain (57.19%), vitality or energy (69.12%), physical functioning (69.82%), social role functioning (74.03%), mental health (78.59%), physical role functioning (80.70%), and emotional role functioning (81.05%). Patients with diabetic neuropathy have poor QOL. Sex and age were not significantly related to the QOL in patients with diabetic neuropathy. AbstractNeuropati merupakan salah satu komplikasi tersering pada diabetes melitus (DM). Neuropati dapat memengaruhi kualitas hidup, derajat kesehatan, maupun tingkat ekonomi. Oleh karena itu, penting untuk mengetahui kualitas hidup pasien DM dengan neuropati beserta dampak yang ditimbulkannya terlebih dahulu agar mendapatkan penanganan yang tepat demi meningkatkan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui profil kualitas hidup pasien DM dengan neuropati. Penelitian ini merupakan studi observasional menggunakan Short Form 8 (SF-8) Health Survey Standard Indonesia terhadap pasien diabetes melitus dengan neuropati yang diambil secara konsekutif pada bulan Maret hingga Agustus 2016 di Poli Saraf Rumah Sakit Bethesda, Yogyakarta. Terdapat 57 subjek yang dimasukkan dalam penelitian ini. Sebanyak 52,6 % di antaranya adalah perempuan dengan rerata usia 57,3 ±5,85 tahun. Skor kualitas hidup pasien neuropati DM yang paling rendah terdapat pada kategori kesehatan umum (45,26%) disusul nyeri pada tubuh (57,19%), vitalitas atau energi (69,12%), fungsi fisik (69,82%), fungsi sosial (74,03%), kesehatan mental (78,59%), kemampuan peran dengan masalah kesehatan fisik (80,70%), dan kemampuan peran dengan masalah emosi (81,05%). Jenis kelamin dan usia tidak berhubungan secara signifikan terhadap kualitas hidup pasien DM dengan neuropati.
Effects of Contraceptive Use on Productivity of Women Labor at PT. Bomar Makassar Industrial Area Mappajanci, Masni; Misnawati, Andi; Darmawansyah, Darmawansyah
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.786 KB) | DOI: 10.21109/kesmas.v12i1.1419

Abstract

AbstractWork productivity is potential on the survival of a company. The use of contraceptives may affect the physiology of every woman, so it can affect daily activities and resulted in labor productivity. The aim of this study was to determine the contraceptive use effect on labor woman productivity by controlling with age, education and work motivation. Study with cross sectional design involved 71 married women workers of PT. Bomar Makassar who had got married. Data were found by interview using questionnaire on May to June 2015, then analyzed using univariate, bivariate and multivariate analysis. The results of the study indicate that, there was an effect of contraceptive use on woman labor productivity after controlling for variables as age (p value = 0.011), education (p value = 0.022) and work motivation (p value = 0.028).Withouth being controlled by those variables, a significant result showing an effect of contraceptive use on work productivity was also found (p value < 0.05). The results of multivariable analysis indicate that there were two variables which consistenly affected the productivity, namely work motivation (p value = 0.010) and contraceptive use (p value = 0.010). In conclusion, there is an effect of contraceptive use on woman labor productivity. AbstrakProduktivitas kerja potensial pada kelangsungan hidup perusahaan. Penggunaan kontrasepsi dapat memengaruhi fisiologi setiap perempuan, sehingga dapat memengaruhi aktivitas sehari-hari dan akan berdampak terhadap produktivitas tenaga kerja. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan alat kontrasepsi terhadap produktivitas tenaga kerja perempuan dengan mengontrol usia, pendidikan dan motivasi kerja. Penelitian dengan rancangan potong lintang melibatkan 71 pekerja perempuan PT Bomar Makassar yang telah menikah. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner pada bulan Mei sampai Juni 2015, kemudian dianalisis secara univariat, bivariat, dan multivariat. Hasil penelitian menunjukkan bahwa terdapat pengaruh penggunaan alat kontrasepsi terhadap produktivitas kerja setelah dikontrol dengan variabel usia (nilai p = 0,011), pendidikan (nilai p = 0,022) dan motivasi kerja (nilai p = 0,028). Tanpa dikontrol dengan variabel tersebut, juga terdapat hasil yang signifikan yang menunjukkan dampak penggunaan alat kontrasepsi terhadap produktivitas kerja(nilai p < 0,05). Hasil analisis multivariat menunjukkan bahwa terdapat dua variabel yang konsisten memberikan pengaruh terhadap produktivitas kerja yaitu motivasi kerja (nilai p = 0,010) dan penggunaan alat kontrasepsi (nilai p = 0,010). Dapat disimpulkan bahwa terdapat pengaruh penggunaan alat kontrasepsi terhadap produktivitas kerja.
Risk Differences between Elderly Men and Women toward Doctor-Diagnosed Diabetes Mellitus in Urban Areas in Indonesia: 2013 National Basic Health Research Data Budiharsana, Meiwita
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (853.267 KB) | DOI: 10.21109/kesmas.v12i1.1436

Abstract

AbstractDiabetes mellitus (DM) is one of the most common non-communicable diseases (NCDs) in Indonesia. Reportedly that DM is associated with various risk factors. Notably, it seems that the rising prevalence rates reflect changes in urban lifestyle. This study aimed to examine risk differences in the prevalence of DM among men and women aged 15 years and older that lived in urban areas in Indonesia. Analysis used secondary data of 2013 National Basic Health Research, which applied a cross- sectional study design. The total of sample was 333,731 respondents. Data processing and analysis used multiple logistic regression method. In general, findings showed that doctor-diagnosed diabetes mellitus (DDDM) among urban men and women aged 15-39 years did not differ. However, the odds ratio of DDDM among older women aged 50-64 years was 30 times higher than women aged 15-39 years, while among the same age men was 21 times higher than younger men aged 15-39 years (p value < 0.001). In conclusion, entering the age of 50 years, women show a much higher risk of contracting DDDM than women with younger age, also much higher than older men towards younger men. AbstrakDiabetes melitus (DM) adalah salah satu penyakit tidak menular yang paling umum di Indonesia. DM disebabkan berbagai faktor risiko. Peningkatan prevalensi DM salah satunya disebabkan oleh perubahan gaya hidup di perkotaan. Penelitian ini bertujuan untuk menguji perbedaan prevalensi DM yang didiagnosis dokter pada laki-laki dan perempuan usia 15 tahun keatas yang tinggal di daerah perkotaan di Indonesia. Analisis menggunakan data sekunder Riset Kesehatan Dasar (Riskesdas) 2013 dengan desain studi potong lintang. Total sampel sebanyak 333.731 responden. Metode analisis menggunakan regresi logistik ganda. Hasil menunjukkan bahwa DM yang didiagnosis dokter pada laki-laki dan perempuan usia 15-39 tahun di perkotaan tidak berbeda. Meski demikan, memasuki kurun usia 50-64 tahun, responden perempuan menunjukkan risiko terdiagnosis DM 30 kali lebih tinggi dibandingkan perempuan berusia 15-39 tahun, sementara laki-laki berusia 50-64 tahun berisiko 21 kali lebih tinggi dari laki-laki berusia 15-39 tahun (nilai p < 0,001). Penelitian ini menyimpulkan perempuan dan laki-laki berusia lanjut jauh lebih berisiko didiagnosa DM dibandingkan berusia lebih muda.
Bancroftian Filariasis Transmission Parameters after the Fifth Year of Filiariasis Mass Drug Administration in Pekalongan City Rosanti, Tutik Ida; Mardihusodo, Sugeng Juwono; Artama, Wayan
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (604.569 KB) | DOI: 10.21109/kesmas.v12i1.1264

Abstract

AbstractThis study aimed to measure parasitology parameters (microfilariae rate, microfilariae density), immunology parameter (antigen prevalence), and entomology parameters (infection rate and infective rate) after the fifth year of mass treatment at Pabean Village, Pekalongan City. This study was an observational study with cross-sectional approach that was conducted in July to August 2015 in Pabean Subdistrict, Pekalongan City. The microfilaria rate and microfilariae density were determined by finger blood survey of 313 respondents. Meanwhile, the antigen prevalence was determined by calculating the circulating antigen using the immunochromatographic test (ICT) Wuchereria bancrofti method. Finally, the infective rate and infection rate were both explicitly defined by detecting filarial worm larvae in the mosquitoes of man biting mosquitos collection. The results showed that the mf rate was 0.32% with average microfilariae density of 167/mL blood, the antigen prevalence of the calculation was 0%, the infection rate was 0.06% and the infective rate was 0%. In conclusion, after the fifth year of mass treatment in Pabean Area, Pekalongan City, the area is no longer included into the filariasis-endemic areas and the transmission parameters has no potential in causing the filariasis spreading. AbstrakPenelitian ini bertujuan untuk mengukur parameter parasitologi (microfilaria rate, kepadatan mikrofilaria), parameter imunologi (antigen prevalence) dan parameter entomologi (infection rate dan infective rate) pada tahun kelima pelaksanaan mass drug administration di Kelurahan Pabean Kota Pekalongan. Penelitian ini merupakan penelitian observasional dengan pendekatan potong lintang yang dilaksanakan pada bulan Juli sampai dengan Agustus 2015 di Kelurahan Pabean Kota Pekalongan. Microfilaria rate dan kepadatan mikrofilaria ditentukan dengan pemeriksaan darah jari pada 313 responden. Antigen prevalence ditentukan dengan mengukur antigen beredar menggunakan metode immunochromatographic test (ICT) Wuchereria bancrofti. Incective rate dan infection rate diukur dengan cara menemukan larva cacing filaria pada nyamuk hasil penangkapan nyamuk umpan orang. Hasil penelitian menunjukkan mf rate sebesar 0,32% dengan kepadatan mikrofilaria 167/mL darah, antigen prevalence pada hasil 0%, infection rate sebesar 0,06% dan infective rate sebesar 0%. Dapat disimpulkan bahwa pasca tahun kelima pengobatan massal filariasis di Kelurahan Pabean, Kota Pekalongan tidak lagi menjadi wilayah endemis filariasis dan parameter-parameter transmisi tidak berpotensi menimbulkan penularan.
Provision of Informed Consent towards the Level of Anxiety in Pre-operative Patients at Mamuju District Public Hospital Appulembang, Imelda
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.852 KB) | DOI: 10.21109/kesmas.v12i1.1258

Abstract

AbstractSurgery is one of medical procedures that can be a stressor causing anxiety in patient. In Mamuju district hospital, informed consent is considered as medical procedure.This study was aimed to determine the influence of informed consent provision towards the level of anxiety in pre-operative patients at Mamuju District Public Hospital. The population in this study was pre-operative patients. Accidental sampling approach was applied to obtain a total of 32 samples. This quantitative study used quasi experimental design with a non-equivalent time sample design which was analysed using the Wilcoxon statistical test. The results showed that there was the effect of provision of informed consent on the level of anxiety in pre-operative patients at Mamuju District Public Hospital. Informed consent can reduce anxiety in pre-operative patient at Mamuju District Public Hospital. AbstrakTindakan pembedahan merupakan salah satu tindakan medis yang dapat mendatangkan stressor sehingga menimbulkan kecemasan pada pasien. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian informed consent terhadap tingkat kecemasan pada pasien pra-operasi di Rumah Sakit Umum Daerah (RSUD) Mamuju. Populasi pada penelitian ini adalah pasien pra-operasi. Sampel ditentukan dengan menggunakan pendekatan accidental sampling sehingga diperoleh sampel sebanyak 32 orang. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan metode quasi experimental design melalui pendekatan non-equivalent time sample design yang dianalisis dengan menggunakan uji statistik Wilcoxon. Hasil penelitian menunjukkan bahwa terdapat pengaruh pemberian informed consent terhadap tingkat kecemasan pasien. Dapat disimpulkan pemberian informed consent dapat menurunkan kecemasan pasien pra-operasi di RSUD Kabupaten Mamuju.

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