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Anindita Chairina
Peran kepatuhan sebagai variabel mediator antara health locus of control dan kualitas hidup pada penderita asma = The mediating role of adherence on the relationship between health locus of control and quality of life among adults with asthma
"ABSTRAK
Sebagai sebuah penyakit kronis, asma tidak dapat disembuhkan secara total sehingga diperlukan kondisi asma yang terkontrol agar kualitas hidup tetap baik. Salah satu caranya adalah dengan patuh terhadap pengobatan. Kepatuhan dapat ditentukan oleh health locus of control HLOC , yaitu persepsi individu terkait kontrol terhadap kesehatannya. Peneliti menduga bahwa hubungan HLOC dan kualitas hidup penderita asma dapat dimediasi oleh kepatuhan pengobatan. Hal ini dikarenakan health locus of control berperan dalam memengaruhi perilakuindividu, salah satunya untuk mematuhi pengobatan yang telah diberikan. Pengobatan yang dijalankan dengan baik diharapkan dapat menjaga keterkontrolan asma sehingga berdampak positif terhadap kualitas hidup individu tersebut. Penelitian dilakukan terhadap 73 penderita asma dewasa yang menggunakan obat pencegah controller secara rutin. Peneliti menggunakan alat ukur Multidimensional Health Locus of Control Scale, Morisky Medication Adherence Scale MMAS-8 dan Quality of Life Scale untuk mengukur kualitas hidup. Hasil penelitian menunjukkan bahwa internal HLOC memprediksi kualitas hidup = 0,497
ABSTRACT
As a chronic condition, asthma cannot be cured completely. Thus, well controlled asthma is needed in order to keep a good quality of life. Adhering to medical regimen is a way to achieve such condition. Adherence can be influenced by health locus of control HLOC , one rsquo s belief about control over his health. It was assumed that the relationship between HLOC and quality of life might be mediated by adherence. HLOC plays a role in determining one rsquo s behavior, such as adhering to medical regimens given to him. Adherence keeps one rsquo s asthma well controlled, thus, it affects one rsquo s quality of life. HLOC was measured by Multidimensional Health Locus of Control Scale, adherence was measured by 8 item Morisky Medication Adherence Scale MMAS 8 , and quality of life was measured by Quality of Life Scale. Results indicated that Internal HLOC predicted quality of life 0,497"
2017
S68467
UI - Skripsi Membership  Universitas Indonesia Library
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Kintamani Arafah
Pengaruh health locus of control terhadap keterkendalian asma pada penderita asma = The effect of health locus of control on asthma control in asthmatic patients
"ABSTRAK
Asma merupakan penyakit pernapasan kronis yang tidak dapat disembuhkan, tetapi dapat dikontrol. Keterkendalian asma merupakan manifestasi asma yang dapat diobservasi. Keterkendalian asma dipengaruhi oleh kepercayaan mengenai apa yang memengaruhi kondisi kesehatan seseorang, atau disebut dengan health locus of control. Health locus of control terdiri dari tiga dimensi, yaitu internal, powerful others, dan chance. Tujuan dari penelitian ini adalah mengkaji mengenai pengaruh internal dan powerful others health locus of control terhadap keterkendalian asma. Sebanyak 272 penderita asma berusia 17 ndash; 50 tahun menyelesaikan alat ukur Asthma Control Test Nathan et al., 2004 dan Multidimensional Health Locus of Control Wallston, Stein, Smith, 1994 . Teknik analisis regresi logistik biner dilakukan untuk melihat pengaruh internal dan powerful others health locus of control terhadap keterkendalian asma. Hasilnya menunjukkan bahwa internal health locus of control tidak dapat memprediksi keterkendalian asma X2 1 = 0,29, p > 0,05 . Sementara itu powerful others health locus of control terbukti dapat memprediksi keterkendalian asma X2 1 = 5,68, p < 0,05 . Berdasakan hasil tersebut, dapat disimpulkan bahwa powerful others health locus of control yang semakin tinggi akan menurunkan keterkendalian asma.
ABSTRACT
Asthma is a chronic respiratory disease that cannot be cured, but can be controlled. Asthma control is the extent to which the manifestations of asthma can be observed in the patient. Asthma control is influenced by the health beliefs of what controls someone rsquo s health condition, called health locus of control. Health locus of control consists of three dimensions internal, powerful others, and chance. The aim of this study is to examine the effect of internal and powerful others health locus of control on asthma control. Two hundred seventy two asthmatic patients aged 17 ndash 50 completed Asthma Control Test Nathan et al., 2004 and Multidimensional Health Locus of Control Wallston, Stein, Smith, 1994 instruments. Binary logistic regression was used as data analysis technique. This study found that internal health locus of control cannot predict asthma control X2 1 0,29, p 0,05 . On the other hand, powerful others health locus of control is founded to be a predictor of asthma control X2 1 5,68, p 0,05 . Thus, the results of this study can be concluded that the higher the powerful others health locus of control will lower asthma control on asthmatic patients. "
2017
S67365
UI - Skripsi Membership  Universitas Indonesia Library
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Agung Wiretno Putro
Hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan tingkat kontrol asma pada pasien asma di RSUPN Dr. Cipto Mangunkusumo = Relationship between depressive disorder and quality of life psychosocial stressors level of asthma control in asthmatic patients at Dr. Cipto Mangunkusumo Hospital
"[ABSTRAK
Latar Belakang: Pasien asma dengan tingkat kontrol yang buruk dan adanya
komorbiditas seperti gangguan depresi dan stres psikososial akan memengaruhi
kualitas hidup pasien asma serta meningkatkan beban dan biaya ekonomi yang
harus ditanggung oleh pasien dan keluarganya. Untuk itu perlu diketahui
hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan
tingkat kontrol asma pada pasien asma.
Metode: Penelitian cross-sectional deskriptif-analitik pada 37 pasien asma yang
memiliki gangguan depresi dan 37 pasien asma yang tidak memiliki gangguan
depresi di Poliklinik Alergi dan Imunologi RSUPN Dr. Cipto Mangunkusumo
Jakarta menggunakan Structured Clinical Interview for DSM IV Disorder(SCID)1,
instrumen World Health Organization Quality Of Life (WHOQOL)-BREF,
instrumen stresor psikososialHolmes & Rahe, dan kuesioner Ashtma Control Test
(ACT).
Hasil: Terdapat hubungan antara ada tidaknya gangguan depresi pada pasien asma
dengan skor kualitas hidup berdasarkan kesehatan fisik (p < 0,001), skor kualitas
hidup berdasarkan kesehatan psikologis (p < 0,001), skor kualitas hidup
berdasarkan relasi sosial (p = 0,023), skor kualitas hidup berdasarkan lingkungan
(p = 0,022), stresor psikososial (OR 3,85; p = 0,005), dan tingkat kontrol asma (p
= 0,001).
Simpulan: Pasien asma yang memiliki gangguan depresi cenderung memiliki
skor kualitas hidup yang lebih rendah pada domain kesehatan fisik, kesehatan
psikologis, relasi sosial, dan lingkungan dibandingkan pasien asma yang tidak
memiliki gangguan depresi. Pasien asma yang mengalami stresor psikososial yang
tinggi berisiko 3,8 kali untuk memiliki gangguan depresi. Pasien asma yang
memiliki gangguan depresi cenderung memiliki skor tingkat kontrol asma yang lebih rendah dibandingkan pasien asma yang tidak memiliki gangguan depresi. ABSTRACT Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders., Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Gatot Sudiro Hendarto
Keterkontrolan pasien asma di RSUP Persahabatan berdasarkan asthma control test beserta hubungannya dengan kualitas hidup dan compliance terhadap terapi = Asthma control level of asthma patients according to asthma control test and its relationship to quality of life and medication compliance in Persahabatan Hospital Jakarta
"Tujuan penelitian potong lintang ini adalah menggambarkan tingkat keterkontrolan asma, kualitas hidup, dan kepatuhan pengobatan serta melihat hubungan antara keterkontrolan asma dengan kualitas hidup dan kepatuhan pengobatan. Sebanyak 132 pasien asma poli rawat jalan RSUP Persahabatan menyatakan kesediaan dan mengikuti penelitian ini dengan lengkap. Data diambil melalui wawancara dan pengamatan cara pakai obat. Sebesar 64 pasien (48,5%) menderita asma yang tidak terkontrol dan 68 pasien (51,5%) termasuk dalam asma yang terkontrol. Gambaran kualitas hidup menunjukkan nilai rerata domain gejala sebesar 4,83 (±1,49), domain keterbatasan aktivitas sebesar 5,99 (±0,86), domain fungsi emosi sebesar 5,13 (±1,63), dan domain pajanan lingkungan sebesar 3,89 (±1,88).
Gambaran kepatuhan pengobatan pada penelitian ini sebesar 45,5% pasien minum obat sesuai anjuran dokter, 38,6% pasien rutin kontrol ke petugas kesehatan, dan 45,5% menggunakan obat inhalasi dengan benar. Domain pajanan lingkungan berdampak lebih besar terhadap gangguan kualitas hidup dibandingkan dengan domain lainnya. Terdapat hubungan antara keterkontrolan asma dengan kualitas hidup (r=0,307, p<0,05) dan hubungan antara keterkontrolan asma dengan kepatuhan pengobatan (penggunaan dosis obat, rutin kontrol, dan penggunaan obat inhalasi) (p<0.05).
The aim of this cross-sectional study was to describe the level of asthma control, quality of life, medication compliance, and assess correlation between the level of asthma control, quality of life, and compliance with treatment. A hundred and thirty two patients with asthma in outpatient ward of RSUP Persahabatan hospital have provided consent and completed study. Data collection were conducted from interviews and observation how to use the drug. Sixty four patients (48.5%) had uncontrolled asthma and 68 patients (51.5 %) included in the controlled asthma. The mini asthma quality of life questionaire showed the mean symptom domains score of 4.83 (±1.49), activity limitations domain score of 5.99 (± 0.86), emotional function domain score of 5.13 (±1.63 ), and the environmental stimuli domain of 3.89 (±1.88).
Medication compliance revealed that 45,5% used medication dose as recommended by physician, 38,6% visited the physician for routine follow up, and 45,5% used the inhaled medication correctly. Environmental stimuli had more impact in quality of life compared to symptoms, activity limitation and emotional function. There is a relationship between the domain of quality of life with asthma control level (r=0,307, p<0,05) and there is a relationship between medication dose as recommended by physician, visiting the physician for routine follow up and using the inhaled medication correctly with asthma control level (p <0.05)."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
T39286
UI - Tesis Membership  Universitas Indonesia Library
cover
Zeni Hadiqoh
Pengaruh internal health locus of control terhadap aktivitas fisik pada mahasiswa yang menderita asma = The effect of internal health locus of control on physical activity in college student with asthma
"ABSTRAK
Asma adalah penyakit kronis. Penderita asma membutuhkan pengobatan supayaasmanya tetap terkontrol. Aktivitas fisik merupakan salah satu cara untuk menjagaketerkontrolan asma. Aktivitas fisik dipengaruhi oleh internal health locus ofcontrol. Internal health locus of control melihat bahwa penguatan atas hasilkesehatannya dipengaruhi oleh perilaku seseorang. Penelitian ini bertujuan untukmelihat pengaruh dari internal health locus of control terhadap aktivitas fisik.Analisis data menggunakan teknik statistik regresi linear. Dari 196 partisipan,ditemukan bahwa tingginya internal health locus of control tidak berpengaruhsecara signifikan pada peningkatan aktivitas fisik pada mahasiswa yang menderitaasma F 196 =0,123, p>0,05, dimana varians aktivitas fisik hanya dapat dijelaskansebesar 0,5 oleh internal health locus of control. Berdasarkan hasil penelitian,dapat disimpulkan bahwa internal health locus of control tidak mempengaruhiaktivitas fisik pada mahasiswa yang menderita asma. Peningkatan internal healthlocus of control tidak berpengaruh terhadap tingginya aktivitas fisik yangdilakukan oleh mahasiswa yang menderita asma.Kata kunci:Aktivitas fisik, internal health locus of control, mahasiswa yang menderita asma
ABSTRACT
Asthma is a cronic illness. People with asthma need certain treatments in order toremain controlled. Physical activity is one of them. Physical activity itself isinfluenced by internal health locus of control. Internal health locus of controlexplains that reinforcement about health outcome may be perceived as eithercontigent upon one rsquo s behavior. This study aimed to examine the effect of internalhealth locus of control toward physical activity in college student with asthma.Data analysis was performed using the statistical linear regression analysis. From,196 participants, it was found that high level of internal health locus of control didnot have any significant effect toward the increase of physical activity in collegestudent with asthma F 196 0,123, p 0,05, where 0,5 of physical activity wasexplained by internal health locus of control. According to this study, it wasconcluded that internal health locus of control cannot predict physical activity incollege student with asthma. The higher of Internal health locus of control also didnot have significant effect toward the increase physical activity in college studentwith asthma.Keyword Physical activity, internal health locus of control, college student with asthma."
2017
S66917
UI - Skripsi Membership  Universitas Indonesia Library
cover
Widodo
Hubungan keteraturan mengikuti senam asma dengan kualitas hidup penderita asma anggota klub asma di Jakarta = The correlation between asthma gymnastic routinity and quality of life of asthma club members in Jakarta
"ABSTRAK
Asma merupakan penyakit kronis yang memengaruhi fisik, psikis, emosi dan kualitas hidup penderitanya. Asma tidak dapat disembuhkan namun dapat dikontrol dengan menjaga pola hidup sehat melalui latihan fisik senam asma . Tujuan dari penelitian ini adalah untuk mengetahui hubungan keteraturan mengikuti senam asma dan kualitas hidup penderita asma anggota klub asma di Jakarta. Metode penelitian yang digunakan adalah analitik korelatif dengan desain cross sectional. Jumlah sampel sebanyak 59 orang. Alat ukur yang digunakan yaitu kuesioner tentang keteraturan mengikuti senam asma dan AQLQ Asthma Quality of Life Questionnaire Standardised . Analisa data yang digunakan yaitu Pearsons correlation. Hasil penelitian menunjukkan bahwa ada hubungan yang bermakna antara keteraturan mengikuti senam asma dengan kualitas hidup penderita asma p value < 0,05 . Penelitian ini menyimpulkan bahwa senam asma yang dilakukan secara teratur dapat memengaruhi kualitas hidup penderita asma. Rekomendasi dari penelitian ini adalah senam asma dapat dijadikan sebagai terapi tambahan untuk meningkatkan kualitas hidup penderita asma.
ABSTRACT
Asthma is a chronic disease that may affect individual rsquo s physical, psychological, emotional, and quality of life. Asthma is incurable yet controllable by maintaining health lifestyle through exercise asthma gymnastic . This study aimed to identify relationship between asthma gymnastic routinity and quality of life of asthma club members in Jakarta. The study design was analaytical correlative with cross sectional approach. Total sample was 59 respondents. Questionnaire of asthma gymnastic regularity and Asthma Quality of Life Questionnaire Standardised AQLQ were employed in this study. Data were analyzed by using Pearson analysis. The result indicated that there was significant correlation between asthma gymnastic regularity and quality of life of patient with asthma p value"
2017
S68723
UI - Skripsi Membership  Universitas Indonesia Library
cover
Rani Fitriyani
Hubungan antara perilaku mempromosikan kesehatan dan health locus of control pada dewasa muda = The correlation between health promoting behavior and health locus of control in emerging adulthood
"Bergesernya usia penderita penyakit tidak menular seperti jantung, stroke dan lain-lain ke individu usia dewasa muda menjadi perhatian. Dewasa muda yang berusia 18-29 tahun memiliki beragam tugas perkembangan rentan melakukan kebiasaan tidak sehat yang berujung pada timbulnya penyakit. Perilaku mempromosikan kesehatan penting dilakukan untuk dapat meningkatkan kesehatan. Perilaku mempromosikan kesehatan dapat dipengaruhi oleh beragam faktor salah satunya health locus of control.
Penelitian ini bertujuan untuk menyelidiki hubungan antara perilaku mempromosikan kesehatan dan health locus of control pada dewasa muda. Penelitian dilakukan kepada 800 orang responden berusia 18-29 tahun. Perilaku mempromosikan kesehatan diukur menggunakan Health Promoting Lifestyle Profile II HPLP II dan health locus of control diukur menggunakan Multidimensional Health Locus of Control MHLC.
Hasil penelitian menunjukkan bahwa terdapat hubungan yang positif dan signifikan antara perilaku mempromosikan kesehatan dimensi tanggung jawab kesehatan dengan health locus of control dimensi powerful others, dimensi perkembangan spiritual dengan health locus of control dimensi internal, dan dimensi manajemen stress dengan health locus of control dimensi internal. Terdapat hubungan yang negatif dan signifikan pada perilaku mempromosikan kesehatan dimensi tanggung jawab kesehatan dengan health locus of control dimensi internal dan dimensi manajemen stress dengan health locus of control dimensi powerful others. Selain dari dimensi yang telah disebutkan, tidak terdapat hubungan antara perilaku mempromosikan kesehatan dengan health locus of control.
Shifting age of people with non communicable diseases such as heart disease, stroke and others into young adulthood are of concern. Emerging adults in the age range aged 18 29 years have various developmental tasks vulnerable to unhealthy habits that led to the onset of disease. Health promoting behavior is important to improve health. Health promoting behavior can be influenced by various factors such as health locus of control.
This study aims to investigate the relationship between health promoting behavior and health locus of control in young adults. The study was conducted to 800 respondents aged 18 29 years. Health promoting behavior was measured using Health Promoting Lifestyle Profile II HPLP II and health locus of control measured using Multidimensional Health Locus of Control MHLC.
The results showed that there was a positive and significant correlation between health responsibility dimension of health promoting behavior with powerful others health locus of control, spiritual growth with internal health locus of control, and stress management with internal health locus of control. There is a negative and significant relationship between health responsibility with internal health locus of control and stress management dimensions with powerful others health locus of control. Apart from the mentioned dimensions, there is no relationship between health promoting behavior and health locus of control. "
Depok: Fakultas Psikologi Universitas Indonesia, 2018
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
cover
Juliana Karni Astuti
Determinan Kepatuhan Kunjungan Antenatal Care pada Wanita Usia Subur di 4 Provinsi di Indonesia (Analisis Komparatif Data Survei Demografi dan Kesehatan Indonesia Tahun 2012 dan 2017) = Determinants of Antenatal Care Visit Adherence among Reproductive Age Women in 4 Provinces Indonesia (Comparative Analysis of Indonesia Demographic and Health Survey Data 2012 and 2017)
"ABSTRAK
Disparitas dalam pelayanan kesehatan ibu masih merupakan permasalahan di Indonesia. Cakupan K4 dalam program Antenatal Care (ANC) dari tahun 2012 hingga 2017 telah mengalami penurunan. Akan tetapi, angka penurunan itu nyatanya menunjukkan bahwa cakupan K4 ANC sudah mulai memenuhi target Renstra Kementerian Kesehatan pada tahun 2017. Berdasarkan data SDKI dan Profil Kesehatan Indonesia menyebutkan bahwa beberapa daerah di wilayah Kawasan Timur Indonesia (KTI) masih mengalami permasalahan ini. Provinsi Papua, Papua Barat, Maluku, dan Maluku Utara menjadi provinsi yang selalu memasuki peringkat 10 besar dalam cakupan K4 ANC terendah. Keempat provinsi tersebut juga selalu tidak memenuhi target dari Renstra Kementerian Kesehatan semenjak 2007, 2012, dan 2017. Penelitian ini bertujuan untuk melihat faktor-faktor yang berpengaruh terhadap tingkat kepatuhan ANC pada wanita usia subur di 4 Provinsi pada tahun 2012 & 2017. Sampel yang digunakan adalah wanita berusia subur (15-49 tahun) yang tinggal di 4 Provinsi, memiliki anak terakhir dalam 5 tahun terakhir, berstatus menikah/tinggal bersama dan menjadi responden dalam SDKI 2012 & 2017. Jumlah sampel dalam penelitian adalah 1.001 responden dalam SDKI 2012 & 1.167 responden dalam SDKI 2017. Analisis dalam penelitian ini dilakukan dengan menggunakan uji chi-square dan regresi logistik ganda. Hasil penelitian menunjukkan bahwa pendidikan ibu dan pengetahuan ibu memiliki pengaruh yang konsisten terhadap kepatuhan kunjungan ANC pada responden di tahun 2012 dan 2017. Pada tahun 2012, terdapat faktor lain yang juga mempengaruhi kepatuhan kunjungan ANC pada wanita usia subur yaitu partisipasi dalam pengambilan keputusan dan status ekonomi. Sedangkan di tahun 2017, terdapat faktor lain juga yang berpengaruh terhadap kepatuhan kunjungan ANC pada wanita usia subur yaitu paritas ibu, jaminan kesehatan, dan dukungan dari suami.
ABSTRACT
Disparities in maternal health services are still a problem in Indonesia. The K4 coverage of Antenatal Care (ANC) program from 2012 to 2017 has decreased. However, it shows that the K4 ANC coverage has begun to meet the Ministry of Health Strategic Plan target in 2017. Based on data from the IDHS and the Indonesian Health Profile, it stated that some regions in Eastern Indonesia are still facing this problem. Papua, West Papua, Maluku and North Maluku itself are some provinces are always in top 10 provinces with the lowest K4 ANC coverage. The four provinces also had never met the targets of the Ministry of Health Strategic Plan since 2007, 2012, and 2017. This study aims to look at the factors that influence the level of ANC visit adherence in reproductive age women in 4 Provinces in 2012 & 2017. The sample is used in this study are the women in reproductive age in the 2012 & 2017 IDHS that are living in 4 provinces, married or are living together with their partner, and have their in the last 5 years. The number of samples in the study were 1,001 respondents in the 2012 IDHS & 1,167 respondents in the 2017 IDHS. This study itself use chi-square and multiple logistic regression. The results showed that maternal education and maternal knowledge had a consistent influence on the adherence of ANC visits for respondents in 2012 and 2017. In 2012, there are other factors that also affected ANC visit adherence in reproductive age women, namely participation in decision making and economic status. Whereas in 2017, there are also other factors that influence ANC visits adherence to reproductive age women, namely health insurance, parity, and husband support."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2020
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Ibrahim Utama Pribadi
Korelasi antara durasi senam asma Indonesia dan skor asthma control test pada anggota klub asma RSUP Pershabatan = The correlation between the duration of Indonesia asthma gymnastics and asthma control test score among RSUP Persahabatan asthma club members
"Introduction: Indonesian Asthma Gymnastics (IAG) exercise has been associated with reducing asthmatic symptoms and increase lung function in asthmatic patient. This study aims to understand the correlation between the duration of IAG exercise and other factors that might affect to the Asthma Control Test (ACT) score amongst RSUP Persahabatan Asthma Club members.
Method: The data is obtained by asking 28 asthmatic RSUP Persahabatan Asthma Club members to answer two questionnaires which are the ACT questionnaire and their personal information questionnaire regarding their duration of exercise, age, gender and smoking history.
Result and Discussion: The duration of IAG exercise, with median of 33 months (1-360), is significantly correlated by positive association with ACT score (p=0.022). Other factors that are significantly correlated as well with ACT score are age (p=0.020), also positively correlated, and gender (p=0.002) with males having better ACT score than females. Smoking history does not exhibit a significant correlation with ACT score (p=0.816) as there is no subject who is an active smoker.
Conclusion: Among RSUP Persahabatan Asthma Club members, the median of their ACT score is 20(12-23) which is translated to partially controlled. Their IAG exercise duration is significantly and positively correlated with ACT score that indicates people who have been engaging IAG exercise longer shows better ACT score. Besides, ACT score is also higher as the subject is older. Males has better ACT score compared to females. Smoking history, however, which comprised only of non-smoker and former smoker does not show significant correlation with ACTP
Pengantar: Senam Asma Indonesia (SAI) sudah diketahui mampu menurunkan gejala-gejala asma dan meningkatan fungsi paru pada penderita asma. Studi ini bertujuan untuk mempelajari korelasi antara durasi SAI dan faktor lainnya yang mempengaruhi skor Asthma Control Test (ACT) pada anggota Klub Asma RSUP Persahabatan.
Metode: Data penelitian didapatkan dengan meminta 28 penderita asma yang juga anggota Klub Asma RSUP Persahabatan untuk menjawab dua kuesioner yaitu kuesioner ACT dan informasi personal mereka mengenai lama durasi SAI, umur, jenis kelamin, dan riwayat merokok.
Hasil dan Diskusi: Durasi SAI, dengan median 33 bulan (1-360), berkorelasi bermakna positif dengan skor ACT (p=0.022). Faktor lainnya yang berkorelasi bermakna juga dengan skor ACT adalah umur (p=0.020), berasosiasi positif juga, dan jenis kelamin (p=0.002) dengan laki-laki memiliki skor ACT yang lebih baik. Riwayat merokok tidak menunjukan korelasi yang bermakna dengan skor ACT (p=0.816) karena tidak ada subjek perokok aktif.
Konklusi: Di antara anggota Klub Asma RSUP Persahabatan, median dari skor ACT mereka adalah 20(12-23) yang berarti bahwa mereka terkontrol sebagian. Durasi SAI mereka berkorelasi secara positif dengan skor ACT, orang yang sudah lebih lama melakukan SAI memiliki skor ACT yang lebih baik. Selain itu, ditemukan semakin tua subjek semakin baik skor ACT subjek tersebut. Subjek laki-laki didapatkan memilik skor ACT yang lebih baik dari perempuan. Riwayat merokok yang hanya terdiri dari bukan perokok dan mantan perokok tidak berpengaruh terhadap skor ACT.
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Jakarta: Fakultas Kedokteran Universitas Indonesia , 2018
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Nurul Aliyah
Analisis Faktor-Faktor yang Berhubungan dengan Kepatuhan Minum Obat Antihipertensi pada Penderita Hipertensi di Puskesmas Boom Baru Kota Palembang = Factors Associated with Adherence on Taking Antihypertension Medication among Patients with Hypertension at the Boom Baru Public Health Center Palembang City
"Masalah ketidakpatuhan dalam pengobatan sering dijumpai pada penyakit yang memerlukan penanganan jangka panjang, seperti hipertensi. Ketidakpatuhan terhadap pengobatan hipertensi sering kali menjadi penyebab utama berbagai kecacatan. Alasan utama yang mendasari ketidakpatuhan minum obat pada pasien hipertensi tersebut ialah kurangnya pengetahuan pasien akan pentingnya minum obat hipertensi secara teratur. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan minum obat antihipertensi penderita hipertensi di Puskesmas Boom baru Kota Palembang berdasarkan teori Lawrence Green. Penelitian ini menggunakan desain cross sectional dengan 102 sampel. Jumlah sampel dihitung dengan rumus Lemeshow dan sampel diambil secara purposive sampling sesuai dengan kriteria inklusi dan eksklusi. Data dikumpulkan dengan wawancara menggunakan kuesioner yang dianalisis secara univariat, bivariat dan multivariat. Hasil penelitian menunjukkan 74 responden (72,5%) patuh dalam minum obat antihipertensi. Faktor-faktor yang berhubungan dengan kepatuhan minum obat antihipertensi meliputi pengetahuan, sikap, motivasi diri, dukungan keluarga dan dukungan tenaga kesehatan. Faktor yang paling dominan berhubungan dengan kepatuhan minum obat antihipertensi, adalah pengetahuan dengan nilai OR = 8,040 (95% CI: 2,151 - 30,050). Perlu dilakukan upaya peningkatan pengetahuan, sikap, motivasi dengan menyediakan media informasi melalui media sosial seperti membuat grup whatsapp sebagai media komunikasi secara daring antara penderita hipertensi dan tenaga kesehatan di Puskesmas Boom baru dan sebagai media penyebaran informasi sebagai upaya peningkatan pengetahuan. Edukasi diperlukan dengan menitikberatkan pada pengetahuan mengenai hipertensi dan tatalaksananya. Juga perlu dilakukan langkah pendekatan dengan keluarga sebagai upaya untuk menjalin kerjasama antara tenaga kesehatan dan keluarga dalam memberikan dukungan bagi penderita hipertensi.
The problem of non-adherence medication is often encountered in diseases that require long-term management, such as hypertension. Non-adherence among hypertension medication is often become as main cause of various disabilities. The main reason underlying of the non-adherence medication among hypertension patients are the lack of patients knowledges of the importance of taking hypertension medication regularly. This study aims to determine the factors associated with adherence to taking antihypertension medication among hypertension patients who regularly seek treatment at the Boom Baru Public Health Centre, Palembang City based on Lawrence Green's theory. This study used a cross sectional design with 102 samples. The number of samples was calculated using the Lemeshow and the samples were taken by purposive sampling according to the inclusion and exclusion criterias. Datas were collected by interview using a questionnaire which was analysed univariately, bivariately and multivariately. The results showed that 74 respondents (72.5%) were compliant in taking antihypertension medication. Factors associated with adherence on taking antihypertension medication includes knowledge, attitude, self-motivation, family support and health worker support. The most dominant factor associated with adherence to taking antihypertension drug is knowledge with OR = 8,040 (95% CI: 2,151 - 30,050). Efforts need to be made to improve knowledge, attitudes, motivation by providing information media through social media such as creating a WhatsApp group as an online communication medium between hypertension patients and health workers at Puskesmas Boom Baru and as a medium for disseminating information as an effort to increase knowledge. Education is needed with an emphasis on knowledge about hypertension and its management. It is also necessary to take steps to approach families as an effort to establish cooperation between health workers and families in providing support for people with hypertension"
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2024
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