- Gd. Ismangoen 2F Jl. Farmako Sekip Utara Fakultas Kedokteran UGM Yogyakarta Indonesia 55241
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ICE 2024 Mini Program
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Background Dietary and medication adherence are essential for patients with type 2 diabetes (T2D). However, there is no available evident about the link between dietary, medication adherence and cardiovascular risk among patients with... more
Background Dietary and medication adherence are essential for patients with type 2 diabetes (T2D). However, there is no available evident about the link between dietary, medication adherence and cardiovascular risk among patients with diabetes. Aim To explore predictive factors for cardiovascular risk among T2D patients in Indonesia. Methods A cross-sectional design was applied in five primary health centres in Indonesia. The adult T2D patients, who had not mental problems, were recruited between October and December 2018. Perceived dietary adherence questionnaire and medication adherence to treatment were use to measure dietary and medication adherence. Cardiovascular risk level was assessed using WHO/ISH risk prediction chart. All the data were analysed by Pearson correlation and multiple linear regressions with the significant level, p < 0.05. Results Total of 128 respondents completed the questionnaires (age 61.67 ± 8.24 year, females 82%, high school education 46.1%, duration of diabetes 6.18 ± 5.75 year, oral medicine 93.8%, cholesterol level 5.31 ± 1.77 mmol/dl). The score of dietary, oral, and insulin medication adherence were 32.50 ± 7.98, 37.84 ± 4.19, 38.33 ± 2.42, respectively. The low cardiovascular risk level dominated the findings (63.3%), followed by moderate (18.8%), high (12.5%), and very high risk (5.5%). The level of cardiovascular risk was significantly associated with oral medication adherence (r = 0.278, p < 0.01), age (r = 0.272, p < 0.01), systolic blood pressure (r = 0.446, p < 0.01), and cholesterol level (r = 0.635, p < 0.01). The age (? = 0.162, 95% CI = 0.003-0.033), systolic blood pressure (? = 0.372, 95% CI = 0.012-0.026), cholesterol level (? = 0.521, 95% CI = 0.209-0.339), and oral medication adherence (? = 0.157, 95% CI = 0.007-0.068) showed substantial predictors of cardiovascular risk level (R2 = 0.612, F test = 21.884, p < 0.001). The dietary and insulin medication adherence did not indicate significant results. Conclusion The study highlights that the cardiovascular risk level among T2D patients could be predicted by age, systolic blood pressure, cholesterol level, and oral medication adherence.
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Persiapan Individu dengan Gangguan Endokrin dan Metabolik di Era New Normal
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Background–Diabetes self-management is crucial component of diabetes treatment Aims–To examine to effectiveness of DSME among patients with diabetes type 2 in Indonesia Methods–A quasi-experimental design was applied as pilot study by... more
Background–Diabetes self-management is crucial component of diabetes treatment
Aims–To examine to effectiveness of DSME among patients with diabetes type 2 in Indonesia
Methods–A quasi-experimental design was applied as pilot study by inviting respondents using purposive sampling, divided into intervention (n=12) and control (n=12) group by matching age and education level. Data were collected at baseline and 1 month later using modified questionnaires and observation sheets. The intervention group received individual DSME program and book of diabetes for one-month (4 time home visit, 60 minutes) meanwhile usual care was carried out for control group.
Results–Analysis of Mann Whitney U test showed there was significant difference on knowledge (p=0.000) and attitude (p=0.011) of diabetes self-management between intervention and control group. Furthermore, Wilcoxon signed rank test revealed significant increasing score of knowledge (I=0.002, C=0.015) and attitude (I=0.007, C=0.345). On the other hands, the Mc. Nemar test indicated there is significant difference on practice of body weight/mass index monitoring (I=0.008, C=1.000) and blood glucose monitoring (I=0.031, C=1.000) between intervention and control group but no for physical activity and medication use.
Conclusion–well-prepared and designed education program of diabetes have potentially increase diabetes self-management as desired outcome.
Keyword: diabetes, diabetes self-management education
Aims–To examine to effectiveness of DSME among patients with diabetes type 2 in Indonesia
Methods–A quasi-experimental design was applied as pilot study by inviting respondents using purposive sampling, divided into intervention (n=12) and control (n=12) group by matching age and education level. Data were collected at baseline and 1 month later using modified questionnaires and observation sheets. The intervention group received individual DSME program and book of diabetes for one-month (4 time home visit, 60 minutes) meanwhile usual care was carried out for control group.
Results–Analysis of Mann Whitney U test showed there was significant difference on knowledge (p=0.000) and attitude (p=0.011) of diabetes self-management between intervention and control group. Furthermore, Wilcoxon signed rank test revealed significant increasing score of knowledge (I=0.002, C=0.015) and attitude (I=0.007, C=0.345). On the other hands, the Mc. Nemar test indicated there is significant difference on practice of body weight/mass index monitoring (I=0.008, C=1.000) and blood glucose monitoring (I=0.031, C=1.000) between intervention and control group but no for physical activity and medication use.
Conclusion–well-prepared and designed education program of diabetes have potentially increase diabetes self-management as desired outcome.
Keyword: diabetes, diabetes self-management education
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Cardiac disease has been the major caused death around the world included Indonesia. WHO recommends using community based intervention to deal and manage chronic diseases as effective strategy. Since Indonesia has started community-based... more
Cardiac disease has been the major caused death around the world included Indonesia. WHO recommends using community based intervention to deal and manage chronic diseases as effective strategy. Since Indonesia has started community-based intervention in cardiac management, however there is no evidence to explore challenge and barrier of those applications. The objective of this study was to identify challenge and barrier of community-based intervention of cardiac disease management in Indonesia. We conducted comprehensive literature review published and unpublished data from Ministry of Health and public health centers in Indonesia. A limited study showed the prevalence and current condition of community-based intervention of cardiac management. The current prevalence of hypertension, heart disease, heart failure and stroke in Indonesia are 25.8%, 1.5%, 0.3% and 12.1‰ respectively, relatively decreases than previous survey. Since 2012, Indonesia has developed integrating coaching post (ICP), community-based intervention induced by local society to socialize and deal with risk factors of non-communicable diseases involved cardiac disease. Nowadays there are 7.225 units distributed around Indonesia especially in rural area which focused on cardiac disease, cancer and diabetes; three major caused death in Indonesia. In fact, it has challenge such as getting government support, well spread out, existence of health cadres and integrated health networking. On the other hands, ICP has barrier i.e. lower level of awareness, geographical site, limited budget and increasing prevalence of cardiac diseases. As conclusion, ICP is appropriate approach to take over cardiac and chronic diseases even though it has many challenges and barriers while the application.
Biography Anggi L Wicaksana is master student in NCKU Taiwan and faculty member in school of nursing UGM Indonesia. He has active in Indonesian National Nurses Association and has interest in cardiopulmonary diseases and chronic diseases management and prevention. During his study, he has grant from profit-oriented bank and government scholarship. Ching-Huey Chen is professor in department of nursing college of medicine NCKU Taiwan, completed her PhD in University of Texas, USA in 1995. She has produced more than 40 published articles in international journal and has been serving as an editorial board member of repute.
Biography Anggi L Wicaksana is master student in NCKU Taiwan and faculty member in school of nursing UGM Indonesia. He has active in Indonesian National Nurses Association and has interest in cardiopulmonary diseases and chronic diseases management and prevention. During his study, he has grant from profit-oriented bank and government scholarship. Ching-Huey Chen is professor in department of nursing college of medicine NCKU Taiwan, completed her PhD in University of Texas, USA in 1995. She has produced more than 40 published articles in international journal and has been serving as an editorial board member of repute.
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Objectives: To map the current evidence about the health concerns and the potential solutions related to the Islamic pilgrimage to Mecca. Design: A scoping review was applied. Papers published in English between 2012 and 2023 were... more
Objectives: To map the current evidence about the health concerns and the potential solutions related to the Islamic pilgrimage to Mecca.
Design: A scoping review was applied. Papers published in English between 2012 and 2023 were included but non-human research and sources without any related data were excluded. Data charting and extraction were used to map the current evidence.
Results: The total of 36 papers were included with the total number of pilgrims of 17,075,887. The majority of studies were published in the Asia Paci c region (36.11%) as original articles (88.89%). The health concerns were grouped into five main aspects. There were 7603 deaths recorded or about 44 incidences of deaths per 100,000 pilgrims during the pilgrimage. There were recorded 11,018; 6178; 3393; and 17,810 cases for communicable diseases; non-communicable diseases; injuries and trauma; and health services (i.e., cardiac catheterization) and vaccination, respectively.
Conclusion: Relating to the five health concerns, this study identified the top seven issues in each category (i.e., hypertension, influenza vaccination), except for the death record. Moreover, there were three solutions (for general health, non- and communicable-diseases) presented. Stakeholders could use this evidence to improve healthcare quality particularly related to the annual Islamic pilgrimage to Mecca.
Design: A scoping review was applied. Papers published in English between 2012 and 2023 were included but non-human research and sources without any related data were excluded. Data charting and extraction were used to map the current evidence.
Results: The total of 36 papers were included with the total number of pilgrims of 17,075,887. The majority of studies were published in the Asia Paci c region (36.11%) as original articles (88.89%). The health concerns were grouped into five main aspects. There were 7603 deaths recorded or about 44 incidences of deaths per 100,000 pilgrims during the pilgrimage. There were recorded 11,018; 6178; 3393; and 17,810 cases for communicable diseases; non-communicable diseases; injuries and trauma; and health services (i.e., cardiac catheterization) and vaccination, respectively.
Conclusion: Relating to the five health concerns, this study identified the top seven issues in each category (i.e., hypertension, influenza vaccination), except for the death record. Moreover, there were three solutions (for general health, non- and communicable-diseases) presented. Stakeholders could use this evidence to improve healthcare quality particularly related to the annual Islamic pilgrimage to Mecca.
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Objective: To identify the level of dietary adherence for particular foods and determine which are challenging for patients with diabetes in Indonesia, as well as the associated factors. Methods: This study was conducted in a primary... more
Objective: To identify the level of dietary adherence for particular foods and determine which are challenging for patients with diabetes in Indonesia, as well as the associated factors. Methods: This study was conducted in a primary health care facility, using a cross-sectional design. Diabetic patients who had received dietary education, agreed to participate, and adult age were invited. All patients with type 1, gestational, and other types of diabetes who did not join regular meetings of Prolanis and were reported moving or dying were excluded. The data collection used demographic and perceived dietary adherence questionnaires (PDAQs). Moreover, the height, weight, and blood glucose level were recorded. Data were analyzed using Pearson, point biserial correlation, and one-way analysis of variance (ANOVA) tests. Results: The respondents were mostly female, married, and non-smoking with a mean age of 60.2 ± 8.48 years. Mean score for dietary adherence was 29.7 ± 8.85 with scores from the specific food groups between 0.72 ± 1.89 and 4.60 ± 2.30. The lower scores of adherence were identified on low-sugar foods, high-fiber foods, fish and foods with high omega-3, and olive/organic oils in cooking. Additionally, people living with diabetes for more than 10 years and not having any comorbidity showed a higher score of dietary adherence. Conclusions: There were 4 groups of foods that had a low score of adherence. Accordingly, health care providers working in primary health care should be concerned about those 4 food groups during diabetes education and counseling. Public health workers should make more efforts to promote consumption of the healthy diet among patients with diabetes, particularly those who have had diabetes for less than 10 years and other comorbidities.
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Despite the conclusion of the pandemic, addressing mental health concerns during disasters remains crucial. Examining the impact of mental health issues in such contexts yields valuable insights for preventing future crises. This study... more
Despite the conclusion of the pandemic, addressing mental health concerns during disasters remains crucial. Examining the impact of mental health issues in such contexts yields valuable insights for preventing future crises. This study aimed to examine the factors linked to anxiety and depression symptoms among Indonesian adolescents during the COVID-19 pandemic. This was a cross-sectional study. The study utilized an online survey collected from 738 participants from 34 provinces in Indonesia. The participants were asked to provide information on their demographics, social media exposure, self-rated health, GAD-7 scores, and the WHO-5 well-being index. The associations between participant characteristics and depression and anxiety were investigated using independent t-tests, ANOVA tests, and ordinal logistic regression. The majority of the participants were late adolescents, aged 18-21 years old (95%), and female (79.1%). Factors such as gender, self-rated health, and social media exposure were significantly associated with depression and anxiety among adolescents during the COVID-19 pandemic. Male adolescents had a higher risk of depression (OR=0.657, 95% CI=0.476-0.908), while infrequent social media exposure was linked to lower anxiety levels (OR=0.401, 95% CI=0.190-0.847). The study revealed that younger age, female sex, suspected COVID-19 infection, and excessive social media exposure were associated with higher levels of depression and anxiety. To manage depression and anxiety during and after pandemics, it is crucial to provide valid and reliable information and healthcare services, foster social connections, and create supportive environments in households and workplaces.
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Background and aims Self-management is critical to manage the glycemic and metabolic outcomes for patients with diabetes. Telehealth applications are recognized as a potential approach to promote self-management of people with type 2... more
Background and aims
Self-management is critical to manage the glycemic and metabolic outcomes for patients with diabetes. Telehealth applications are recognized as a potential approach to promote self-management of people with type 2 diabetes. This study aimed to investigate the impact of telehealth on self-management among patients with type 2 diabetes.
Methods
A systematic review was conducted on several databases, including PubMed, EbscoHost Medline, and Science Direct, with the keywords: Diabetes Mellitus AND Mobile-phone based OR Telemedicine OR Telehealth OR Web-based OR Telenursing AND Self-management. Inclusion criteria were articles with type 2 diabetic respondents, published between 2015 and 2020, open-access articles, and had self-management as outcomes. Hence, qualitative, protocol, or review articles, commentaries, letters to editors, and case study/reports were excluded. The Joanna Briggs Institute critical appraisal tools and Cochrane collaboration's tools were used for assessing risk of bias.
Results
The total of six studies were included in the qualitative synthesis, with five randomized control trials and one cross-sectional study. Telehealth applications were formed as an online or app-based platform with the key features of educational programs, text or voice messages, consultations and counseling, and active participation of the subjects. Besides improving the self-management outcomes, the telehealth also indicated improvements in positive behaviors, attitudes, and the intention of self-management.
Conclusion
The study concluded that implementation of telehealth provided positive self-management results among patients with type 2 diabetes. The users need to consider an intensive training, peer or family support, and provision of full support for the patients during the implementation of telehealth.
Self-management is critical to manage the glycemic and metabolic outcomes for patients with diabetes. Telehealth applications are recognized as a potential approach to promote self-management of people with type 2 diabetes. This study aimed to investigate the impact of telehealth on self-management among patients with type 2 diabetes.
Methods
A systematic review was conducted on several databases, including PubMed, EbscoHost Medline, and Science Direct, with the keywords: Diabetes Mellitus AND Mobile-phone based OR Telemedicine OR Telehealth OR Web-based OR Telenursing AND Self-management. Inclusion criteria were articles with type 2 diabetic respondents, published between 2015 and 2020, open-access articles, and had self-management as outcomes. Hence, qualitative, protocol, or review articles, commentaries, letters to editors, and case study/reports were excluded. The Joanna Briggs Institute critical appraisal tools and Cochrane collaboration's tools were used for assessing risk of bias.
Results
The total of six studies were included in the qualitative synthesis, with five randomized control trials and one cross-sectional study. Telehealth applications were formed as an online or app-based platform with the key features of educational programs, text or voice messages, consultations and counseling, and active participation of the subjects. Besides improving the self-management outcomes, the telehealth also indicated improvements in positive behaviors, attitudes, and the intention of self-management.
Conclusion
The study concluded that implementation of telehealth provided positive self-management results among patients with type 2 diabetes. The users need to consider an intensive training, peer or family support, and provision of full support for the patients during the implementation of telehealth.
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Background Self-help interventions are beneficial for patients with diabetes; however, related studies have reported conflicting results. To date, no study has examined the effect of self-help interventions on diabetes outcomes.... more
Background Self-help interventions are beneficial for patients with diabetes; however, related studies have reported conflicting results. To date, no study has examined the effect of self-help interventions on diabetes outcomes. Objectives To systematically evaluate the effects of self-help interventions on psychological, glycemic, and behavioral outcomes in patients with diabetes. Design A systematic review and meta-analysis of randomized controlled trials. Methods Five databases—PubMed, CINAHL, Embase, PsycINFO, and ClinicalTrials.gov—were searched from 1996, 1937, 1947, 1887, and 2000, respectively, to 2 June 2023. Studies that employed a randomized controlled trial design, enrolled adults with diabetes, implemented a self-help intervention as the main or an additional intervention, and reported the outcomes of interest were included. Studies providing self-help interventions to patients with gestational diabetes or pregnant women were excluded. The primary outcomes were diabetes distress, depression, and anxiety, and the secondary outcomes were glycemic and behavioral outcomes (self-management behavior, self-efficacy, and quality of life). Hedges' g and the associated 95 % confidence interval (CI) were calculated using a random-effects model to obtain the pooled estimates of short-, mid-, and long-term effects of self-help interventions. Heterogeneity was explored using I2 and Q statistics, and moderator analysis was performed to identify the sources of heterogeneity. Results Of 17 eligible studies, 16 provided data for meta-analysis. We included 3083 patients with diabetes; the majority were women (61.95 %), and their average age was 55.13 years. Self-help interventions exerted significant short-term effects on diabetes distress (g = − 0.363; 95 % CI = − 0.554, − 0.173), depression (g = − 0.465; 95 % CI = − 0.773, − 0.156), anxiety (g = − 0.295; 95 % CI = − 0.523, − 0.068), glycosylated hemoglobin level (g = − 0.497; 95 % CI = − 0.791, − 0.167), self-efficacy (g = 0.629; 95 % CI = 0.060, 1.197), and quality of life (g = 0.413; 95 % CI = 0.104, 0.721; g = 0.182; 95 % CI = 0.031, 0.333; and g = 0.469; 95 % CI = 0.156, 0.783 for overall, physical, and mental domains, respectively). We also noted significant mid-term effects of self-help interventions on diabetes distress (g = − 0.195; 95 % CI = − 0.374, − 0.016), self-management behavior (g = 0.305; 95 % CI = 0.155, 0.454), and overall quality of life (g = 0.562; 95 % CI = 0.315, 0.810). The quality of evidence ranged from high to very low certainty for the measured outcomes. Conclusions Self-help interventions may have some positive effects on diabetes distress, anxiety, self-management behavior, and quality of life.
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Objective: To determine the barriers of joining in-vitro fertilization (IVF) programs among infertile couples in developing countries. Methods: This study assessed infertile couples and the barriers or associated factors resulting in... more
Objective: To determine the barriers of joining in-vitro fertilization (IVF) programs among infertile couples in developing countries. Methods: This study assessed infertile couples and the barriers or associated factors resulting in delayed decision-making of joining IVF program by searching databases PubMed, ScienceDirect, EBSCO, ClinicalKey, and Cochrane Library from inception until December 31, 2021. Additional search strategies were snowballing literature search and citation tracking. Results: Eleven articles were included in the scoping review. The cost was the greatest barrier of joining IVF program. Limited access and lack of assisted reproductive technology centers, few qualified infertility trained staff, insufficient government support, low priority in government policy, along with sociocultural factors, such as religion and false beliefs or myths were also majorly considered to be associated obstacles. Conclusions: The main barrier associated with IVF program among infertile couples in developing countries is the high cost of the IVF services.
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Background: Breast cancer-related adversity can result in severe psychological issues. However, some patients were able to demonstrate resilience, while others were not. Therefore, the concept of resilience in breast cancer patients... more
Background: Breast cancer-related adversity can result in severe psychological issues. However, some patients were able to demonstrate resilience, while others were not. Therefore, the concept of resilience in breast cancer patients requires further clarification. Purpose: This study aimed to systematically analyze resilience in patients with breast cancer, its attributes, antecedents, consequences, and empirical referents. Methods: This concept analysis used the Walker and Avant method. CINAHL, Embase, Scopus, Web of Science, PubMed, Cochrane, and Medline-OVID databases were explored using the keywords 'resilience*' and 'breast cancer'. Papers discussing resilience among breast cancer patients were used as criteria for inclusion. The analysis focused on the redefinition of resilience-related breast cancer by identifying attributes, antecedents, and consequences. Results: A total of 53 studies were analyzed to construct resilience among breast cancer patients. The analysis identified that resilience in breast cancer patients has three defining attributes: coping, optimism, and social support. The antecedents were body image after mastectomy, symptom distress, cancer-related stigma, and fear of cancer recurrence, while the consequences included recorded as the quality of life and post-traumatic growth. Conclusion: Critical characteristics of resilience in breast cancer patients were coping, optimism, and social support. Thus, improving those characteristics might improve the quality of life and post-traumatic growth.
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Pembatasan cairan sangat penting bagi pasien gagal ginjal kronis (GGK). Banyak pasien tidak mengetahui pentingnya pemantauan cairan berkala dan enggan membatasi cairan yang dikonsumsi. Tujuan penelitian: Untuk mengujicobakan edukasi... more
Pembatasan cairan sangat penting bagi pasien gagal ginjal kronis (GGK). Banyak pasien tidak mengetahui pentingnya pemantauan cairan berkala dan enggan membatasi cairan yang dikonsumsi. Tujuan penelitian: Untuk mengujicobakan edukasi pemantauan cairan berbasis bukti pada pasien GGK dengan anuria 8 tahun. Penelitian ini menggunakan pendekatan studi kasus dalam mengimplementasikan edukasi pemantauan cairan. Keluhan utama pasien: Ny. S sering melaporkan kenaikan berat badan > 4 kg prehemodialisis, terdapat asites, dan edema perifer. Tidak dilaporkan adanya sesak napas, tetapi pasien sering lelah dan pusing. Diberikan edukasi pemantauan cairan, penggunaan buku monitoring cairan, dan pendampingan selama 10 hari. Pasien didorong menuliskan hasil asupan dan haluaran harian. Hasil: Setelah pemberian intervensi, terjadi penurunan kenaikan berat badan prehemodialisis (6,7 kg menjadi 4 kg), ultrafiltration rate (4.500 ml menjadi 2.800 ml), Kt/v (2,08 menjadi 1,46), dan QB (230 menjadi 150). Kesimpulan: Edukasi pemantauan cairan berbasis bukti mampu membantu menurunkan kenaikan berat badan sebelum hemodialisis dan jumlah volume tarikan saat dialisis. Dengan demikian, penting bagi pasien untuk mendapatkan edukasi dan intervensi yang tepat dari tenaga kesehatan, khususnya perawat selama menjalani hemodialisis.
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Background and Objective: Emotional distress experienced by patients with diabetes (PWD) can affect glycemic control and quality of life. However, limited tools are available in Indonesia to detect emotional distress in PWD in clinical... more
Background and Objective: Emotional distress experienced by patients with diabetes (PWD) can affect glycemic control and quality of life. However, limited tools are available in Indonesia to detect emotional distress in PWD in clinical setting or research. This study aimed to evaluate the validity and reliability of the Indonesia version of the Problem Areas in Diabetes (PAID-5) scale. Methods: After the cross-cultural adaptation method was conducted, psychometric tests were done from August to November 2019 at affiliated hospitals in Yogyakarta by involving 100 adult PWD. All PWD with no medical records of mental health problems or cognitive disorders were voluntarily included. Content and construct validity and internal consistency measurements were used to evaluate the psychometric properties. Results: The mean age was 61.2 years of the men and women who equally participated in the study and mostly were non-working patients. The PAID-5 resulted in five question items to identify the emotional distress of PWD in the Indonesian language. Some minor modifications were done in items four and five after discussing them with the original authors and experts in Indonesia. The results showed item content validity index for item and scale were 0.6-0.8 and 0.72, respectively. The calculated r-values ranged from 0.751 to 0.888, which were higher than the r table (0.197). The Cronbach alpha of the Indonesia version of PAID-5 was 0.87 with inter-item and item-total correlations of 0.43-0.71 and 0.61-0.79, respectively. Conclusion: The results of the study indicate that PAID-5 is considered valid and reliable to assess emotional distress among PWD and can be useful in clinical setting or for research purposes. Continued assessment of emotional distress is applicable and helps patients to better deal with their emotional distress.
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Hipertensi menjadi kondisi penyulit terbanyak pada pasien yang menjalani hemodialisis. Namun, sering dijumpai ketidakpatuhan dalam pengobatan. Tujuan penelitian: Menggambarkan upaya pengelolaan pengobatan berdasarkan evidence-based... more
Hipertensi menjadi kondisi penyulit terbanyak pada pasien yang menjalani hemodialisis. Namun, sering dijumpai ketidakpatuhan dalam pengobatan. Tujuan penelitian: Menggambarkan upaya pengelolaan pengobatan berdasarkan evidence-based practice dengan cara menguji coba intervensi pengelolaan pengobatan terhadap tingkat kepatuhan minum obat pasien hemodialis. Keluhan utama pasien: Penelitian ini menggunakan pendekatan studi kasus. Tn. S, 25 tahun, rutin menjalani hemodialisis dua kali/minggu, sering mengalami sakit kepala, penglihatan kabur, serta diketahui tidak menjalani pengobatan sesuai anjuran. Pasien terdiagnosis gagal ginjal kronis (GGK) stadium V e.c hipertensi sejak tahun 2017. Sejak saat itu pasien rutin melakukan hemodialisis dua kali seminggu di unit Hemodialisis RSUP Dr. Sardjito, Yogyakarta. Secara umum, terdapat penurunan fungsi ginjal dan penurunan indikator hematologi. Hasil: Data rekaman medis Tn. S dicatat dalam lembar pencatatan, termasuk penggunaan Morisky medication adherence scale (MMAS-8) untuk kepatuhan pengobatan. Pengukuran tekanan darah dan indikator hemodialisis dilakukan pemantauan secara berkala. Upaya pengelolaan obat dilakukan dengan mengatur obat sesuai jadwal, memantau konsumsi obat harian, serta mengirimkan SMS pengingat dan motivasi kepada pasien untuk meminum obat tepat waktu selama dua minggu. Setelah dilakukan intervensi, terjadi peningkatan skor MMAS-8 (pre = 4,5, post = 5,75). Rerata tekanan darah selama dilakukan intervensi menjadi terkontrol, terutama prehemodialisis (M = 148/91 mmHg). Upaya pengelolaan pengobatan yang dilakukan menunjukkan hasil yang baik sejalan dengan temuan evidence based practice. Pasien juga merasa puas dan berkenan melakukannya secara mandiri. Kesimpulan: Terdapat peningkatan tingkat kepatuhan minum obat pasien dan terkendalinya tekanan darah pasien. Intervensi yang dilakukan dapat digunakan sebagai acuan perawat dalam mengelola pasien hemodialisis dengan masalah ketidakpatuhan minum obat.
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BACKGROUND: After hemodialysis, complications may occur and one of them that problematic is hemodialysisrelated nausea. Information is still unclear about aromatherapy concerning nausea-related to hemodialysis. This study aimed to... more
BACKGROUND: After hemodialysis, complications may occur and one of them that problematic is hemodialysisrelated nausea. Information is still unclear about aromatherapy concerning nausea-related to hemodialysis. This study aimed to describe the effect of aromatherapy on nausea after hemodialysis procedures. CASE PRESENTATION: A 51-year-old female, undergoing routine hemodialysis, experienced severe hemodialysisrelated nausea. Her nausea occurred a day after dialysis and existed for 3-4 days and this repeated as a cycle that affected her appetite, food intake, and general condition. The daily measurements of nausea used the visual analog scale and the nausea severity scale before and after the intervention. In addition, a manual book with a packet containing nausea education, protocol of intervention, and monitoring sheets, was provided. For two weeks, the application of two drops of lavender aromatherapy was given on a humid cotton swab and inhaled for 5 min. In addition, education explained oral hygiene using warm water when waking up in the morning and before eating food. There was a decrease in the intensity of nausea from severe to none based on daily measurements and from severe nausea (score: 21) to moderate nausea (score: 10) after the 2-weeks intervention. Thus, the patient could enjoy eating without any uncomfortable feeling of nausea. CONCLUSION: Lavender aromatherapy was demonstrated as a complementary therapy in overcoming nausea after dialysis among CKD patients. This report could provide a novel therapeutic modality for hemodialysis patients suffering hemodialysis-related nausea.
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Dinas Kesehatan mengandalkan data rutin berbasis fasilitas dari puskesmas dan rumah sakit. Beberapa data tersebut digunakan sebagai dasar kebijakan yang ada di Kabupaten Sleman. Data yang dikumpulkan oleh HDSS Sleman merupakan survei pada... more
Dinas Kesehatan mengandalkan data rutin berbasis fasilitas dari
puskesmas dan rumah sakit. Beberapa data tersebut digunakan
sebagai dasar kebijakan yang ada di Kabupaten Sleman. Data yang dikumpulkan oleh HDSS Sleman merupakan survei pada populasi yang berbasis komunitas, sehingga tidak mengurangi peran institusi lain dan dapat menjadi data komplemen untuk menambah informasi pemegang kebijakan di Sleman.
puskesmas dan rumah sakit. Beberapa data tersebut digunakan
sebagai dasar kebijakan yang ada di Kabupaten Sleman. Data yang dikumpulkan oleh HDSS Sleman merupakan survei pada populasi yang berbasis komunitas, sehingga tidak mengurangi peran institusi lain dan dapat menjadi data komplemen untuk menambah informasi pemegang kebijakan di Sleman.
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Pada pandemi COVID-19, terdapat lebih dari 60% responden yang merupakan penduduk Sleman mengalami dampak ekonomi/penurunan penghasilan. Kondisi ini telah membuat adanya peningkatan pengeluaran untuk keperluan kesehatan. Hal tersebut... more
Pada pandemi COVID-19, terdapat lebih dari 60% responden yang merupakan penduduk Sleman mengalami dampak ekonomi/penurunan penghasilan. Kondisi ini telah membuat adanya peningkatan pengeluaran untuk keperluan kesehatan. Hal tersebut terjadi karena adanya pekerja yang dirumahkan dan diberhentikan selama pandemi. Untuk itu, pemerintah Kabupaten Sleman perlu meningkatkan pemberian bantuan, secara bertahap, dan menyasar lebih banyak masyarakat sesuai tepat sasaran. Pemerintah juga perlu melakukan monitoring dan bersiap jika ada kenaikan inekuitas maupun gap sosial ekonomi. Perlu adanya alternatif mekanisme target perlindungan sosial dan integrasi Data Terpadu Kesejahteraan Sosial (DTKS).
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This study evaluated the effects of milk fermented with Pediococcus acidilactici strain BE and Pediococcus pentosaceus strain M103 on diabetes in rats (Rattus norvegicus). The bacteria were separately used as starter cultures for milk... more
This study evaluated the effects of milk fermented with Pediococcus acidilactici strain BE and Pediococcus pentosaceus strain M103 on diabetes in rats (Rattus norvegicus). The bacteria were separately used as starter cultures for milk fermentation, and the products were then fed to diabetic rats for 15 days. Blood glucose levels, immunohistochemical and histological indicators, lipid profiles, and total lactic acid bacterium counts were evaluated before and after treatment. The administration of milk fermented with P. acidilactici strain BE reduced blood glucose levels from 410.27±51.60 to 304.07±9.88 mg/dL (p<0.05), similar to the effects of metformin (from 382.30±13.39 mg/dL to 253.33±40.66 mg/dL, p<0.05). Increased insulin production was observed in diabetic rats fed milk fermented with P. acidilactici strain BE concomitant with an increased number and percentage area of immunoreactive beta-cells. The structure of insulin-producing beta-cells was improved in diabetic rats fed milk fermented with P. acidilactici strain BE or metformin (insulin receptor substrate scores of 5.33±0.94 and 3.5±0.5, respectively). This suggests that the administration of milk fermented with P. acidilactici BE potentially reduces blood glucose levels and improves pancreatic betacell function in diabetic rats.
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Background: Sleep disorders are a long-term issue for breast cancer survivors (BCS). Sleep disorders are among the top five most bothersome lasting difficulties in BCS, and they have a greater risk of sleep disorders than healthy persons... more
Background: Sleep disorders are a long-term issue for breast cancer survivors (BCS). Sleep disorders are among the top five most bothersome lasting difficulties in BCS, and they have a greater risk of sleep disorders than healthy persons and other cancer patients. Failure to understand sleep disorders in breast cancer patients causes nurses to be unable to give interventions appropriately. Purpose: To clarify the definition of sleep disorders in breast cancer survivors. Methods: We comprehensively searched electronic databases from CINAHL, PubMed, and Ovid-MEDLINE. We used the eight steps from Walker and Avant to conduct a concept analysis. This approach was chosen because it gives a philosophical understanding of the concept using linguistic philosophy techniques. Model case and other cases were provided to give a conceptual definition of sleep disorders. Results: Finally, 62 studies were included. We found five antecedents of sleep disorder in breast cancer patients: psychological and emotional stress, physical symptoms, cancer treatment, lack of social support, and sociodemographic factors. This study found four common attributes of sleep disorders 1). abnormal sleep pattern, 2). troubling complaint, 3). persistent complaint, and 4). sleep difficulty. Finally, we found a reduction in quality of life as consequence of sleep disorder in breast cancer patients. Conclusions: Sleep disorders in breast cancer need attention and must be integrated into regular palliative care practices.
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Latar Belakang: Tatalaksana Percutaneous Coronary Intervention (PCI) dilakukan untuk mengurangi penyempitan atau penyumbatan akibat plak pada Penyakit Jantung Koroner (PJK). Aktifitas fisik berjalan dan aerobik dapat mencegahan komplikasi... more
Latar Belakang: Tatalaksana Percutaneous Coronary Intervention (PCI) dilakukan untuk mengurangi penyempitan atau penyumbatan akibat plak pada Penyakit Jantung Koroner (PJK). Aktifitas fisik berjalan dan aerobik dapat mencegahan komplikasi setelah tindakan PCI namun belum ada ringkasan terkait hal tersebut. Tujuan: Studi ini dimaksudkan untuk mencari bukti terkait pengaruh intervensi aktifitas fisik jalan dan aerobik dalam mencegah komplikasi pada pasien PJK paska PCI. Metode: Metode yang digunakan adalah pencarian literatur dengan sistematis pada publikasi artikel 10 tahun terakhir dari database: PubMed, Science Direct, dan Ebsco. Kata kunci yang digunakan adalah “Coronary heart disease patient after Percutaneous coronary intervention” OR “Coronary artery disease patient after Percutaneous coronary intervention” AND “walking” AND “aerobic” AND “prevent complications”. Peneliti hanya memilih artikel original dan hasil review dengan kriteria inklusi: teks artikel utuh dalam Bahasa Inggris, dan menjawab tujuan penelitian. Sementara studi tanpa PCI dan bukan penelitian intervensi akan dikeluarkan dalam review. Pencarian literatur mengikuti panduan PRISMA. Hasil: Terdapat 3 artikel dari hasil pencarian yang memenuhi kriteria. Hasil menunjukkan bahwa aktivitas fisik berjalan dan aerobik dapat menurunan jumlah depresi segmen ST (ΣST) (p<0.05), frekuensi angina (p<0.05), meningkatkan sirkulasi darah di miokardium sehingga mencegah pebentukan aterosklerosis, dan VO2MAX lebih tinggi signifikan (p<0.05). Kesimpulan: Studi ini menunjukkan bahwa aktivitas fisik aerobik dan berjalan dapat mecegah komplikasi pada pasien PJK paska PCI.
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BACKGROUND: Fatigue is one of the most common problems experienced by chronic kidney disease (CKD) patients undergoing hemodialysis. The application of intradialytic exercises can be the best solutions to overcome fatigue related to CKD.... more
BACKGROUND: Fatigue is one of the most common problems experienced by chronic kidney disease (CKD) patients undergoing hemodialysis. The application of intradialytic exercises can be the best solutions to overcome fatigue related to CKD. CASE PRESENTATION: A 50-year-old male patient with CKD, who complained of severe fatigue, was selected in case study. The FACIT fatigue scale questionnaire and clinical indicators were measured before and after intervention. The intradialytic exercise was administered at 3 rd h of hemodialysis for 4 sessions in 2 weeks. Each session required 30 min, containing warming up, main exercise, and cooling down. After 2 weeks intervention, there was an improvement of fatigue score (16−29) and reduction of weakness, tiredness, washout feeling, sleepy, and tiredness on eating. Moreover, the clinical indicators showed positive improvement after the intervention. CONCLUSION: Thus, intradialytic exercise is practically promising to minimize fatigue related to CKD among patients undergoing hemodialysis. Hemodialysis nurses or other health-care providers could utilize this evidence as a program to reduce the fatigue related to CKD.
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Introduction: The coronavirus disease-2019 (COVID-19) pandemic has brought down the economy globally. This study aims to create a "snapshot" of the economic impact of the COVID-19 pandemic in Sleman, Indonesia, collected in the third... more
Introduction: The coronavirus disease-2019 (COVID-19) pandemic has brought down the economy globally. This study aims to create a "snapshot" of the economic impact of the COVID-19 pandemic in Sleman, Indonesia, collected in the third trimester of 2020. Methods: The sixth wave of the Sleman Health and Demographic Surveillance System (HDSS) was collected through the telephone interview method from September until October 2020. The descriptive statistical analysis included frequencies and proportions for categorical variables. The parameters were demographic, geographic, health insurance, socioeconomic status, and impact of COVID-19 (employment status, changes of expenditure, and financial assistance). Results: From a total of 6,946 HDSS respondents, 1,516 were analysed. Only 6.7% were above 60 years old. The majority lived in urban areas (77.9%), finished middle school (65.7%), married (73.6%), and had insurance (86.8%). Approximately 60% of respondents experienced the economic impact of the pandemic. In addition, a small percentage (3%) of the lower socioeconomic status group (45.8% of total respondents) were laid off or lost their job. Respondents with low socioeconomic status were 2.5, 3.04, and 2.48 times more likely to be concerned about losing their jobs, meeting their basic needs, and fulfilling their financial obligations, respectively. Regarding financial assistance, respondents with low socioeconomic status were 3, 2, and 3 times more likely to receive cash, food voucher, and financial obligation elimination, respectively, than high economic status. Conclusion: Respondents with low socioeconomic status experienced the most significant economic impact due to the COVID-19 pandemic. Therefore, the government needs to have better data and quick response to protect the poor population.
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Objective: The aim of this study was to evaluate health-promoting behaviors among hypertensive patients with and without comorbidities. Methods: A cross-sectional study using multistage cluster sampling in Indonesia was applied. The... more
Objective: The aim of this study was to evaluate health-promoting behaviors among hypertensive patients with and without comorbidities. Methods: A cross-sectional study using multistage cluster sampling in Indonesia was applied. The health-promoting behaviors were assessed using Health-Promoting Lifestyle Profile 2 and analyzed using independent t-test, point-biserial correlation, and logistic regression. Results: A total of 116 participants joined this study. The score of health-promoting behaviors in adults with and without hypertension was 2.90 and 2.79, respectively. Hypertensive patients with comorbidities had significantly higher results than those without comorbidities, with the following results for the considered subscales: total score (t =-2.00, P = 0.047); health responsibility (t =-3.46, P = 0.001); and nutrition (t =-2.82, P = 0.006). Positive correlations were found between health responsibility (r pb = 0.260, P < 0.01), nutrition (r pb = 0.255, P < 0.01), and health-promoting behaviors (r pb = 0.185, P < 0.05) and the existing comorbidity. Only gender indicated a significant outcome for the existing comorbidity in hypertensive patients (odds ratio = 4.314, P = 0.027, 95% confidence interval = 1.185-15.706). Conclusions: Hypertensive patients with comorbidities showed higher engagement in health-promoting behaviors and the male gender was a significant predictor for existing comorbidity among patients with hypertension.
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Elderly people have a high risk of severe and fatal COVID-19 condition. Controlling the risk factors among the elderly is important, but health service provision during outbreaks is challenging. The elderly need increased attention to be... more
Elderly people have a high risk of severe and fatal COVID-19 condition. Controlling the risk factors among the elderly is important, but health service provision during outbreaks is challenging. The elderly need increased attention to be monitored for their health status routinely. The elderly must also adjust daily activities according to the COVID-19 protocols. This program aimed to provide a practical example of a feasible system to empower community health workers and families for monitoring health among the elderly. This study used quantitative and qualitative data to identify the problems and needs of elderly health monitoring in Caturtunggal, Sleman, Indonesia. Descriptive quantitative methods used secondary data from the Sleman Health and Demographic Surveillance System and elderly health checklists to identify the issues of non-communicable diseases (NCDs) before and during COVID-19. The community health workers were interviewed to explore the needs and feasibility of programs among the elderly. As much as 16% of Caturtunggal population is elderly. One-third are 60-65 years old (33.30%) and retired (30.60%). The most common NCDs were hypertension (25.60%), diabetes mellitus (13.30%), stroke and coronary heart disease (4.40% for each). Almost all elderly (88.89%) have health insurance. Health counselling, online consultation, and monitoring were agreed on after discussion with the community health workers. Serial consultations (COVID-19 protocol for elderly, regular self-monitoring, the national health insurance mobile application, and health services during the pandemic situation) were conducted through WhatsApp groups. Free counseling was provided throughout the program for the elderly care during the outbreak. The monitoring was achieved through the WhatsApp groups by delivering instructional photos or videos of physical activity, blood pressure measurements, dietary record and stress management. The elderly and families felt more confident to check their health status and reported the results. In conclusion, development of health monitoring system was conducted through health checklists. Family and community cadres were also involved to make the program more feasible and sustainable.
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Objective: This study aimed to examine self-efficacy to obtain the HPV vaccination among adolescent girls in Indonesia. Furthermore, factors affecting HPV vaccination self-efficacy was investigated. Methods: A cross-sectional study was... more
Objective: This study aimed to examine self-efficacy to obtain the HPV vaccination among adolescent girls in Indonesia. Furthermore, factors affecting HPV vaccination self-efficacy was investigated. Methods: A cross-sectional study was conducted 337 among adolescent girls in junior high school (aged 12-15 years). Participants were recruited from four junior high schools in Yogyakarta using consecutive sampling. A self-administered questionnaire requested demographic information, knowledge of HPV and HPV vaccine and self-efficacy to obtain HPV vaccine. School teachers facilitate the data collection adolescent girls using the listed questionnaires. Data analysis used Pearson correlation, chi-squared tests and logistic regression analysis. Results: As many as 50.1% of the adolescent girls reported high self-efficacy to obtain HPV vaccine and 57.9% reported high knowledge about HPV and HPV vaccine. There were significant correlations between self-efficacy and age, vaccination experience, recommendation from health care providers, parental support, social persuasion and anxiety. Parental support contributed to almost 18 times (95% CI:3.837-83.648; p<0.0001) while social persuasion was nearly 9 times (95% CI: 3.875-20.011; p<0.0001) more likely to predict the self-efficacy to obtain HPV vaccination. Conclusion: Parental support and social persuasion significantly predict self-efficacy to obtain HPV vaccination. Parental support is the main factor in the decision making of adolescent to obtain HPV vaccination.
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BACKGROUND: The clinic development of COVID-19 screening is essential during the pandemic. AIM: This study aimed to explore and elaborate the development process of the Gadjah Mada Electronic Nose (GeNose) Center as a pilot project for a... more
BACKGROUND: The clinic development of COVID-19 screening is essential during the pandemic. AIM: This study aimed to explore and elaborate the development process of the Gadjah Mada Electronic Nose (GeNose) Center as a pilot project for a COVID-19 university-based clinic in Indonesia. METHODS: A narrative and explorative study was conducted. Under the university platform, we initiated the GeNose center through training, simulation, and debriefing. Identification of team member recruitment, location, and apparatus development were described using the retrospective approach. RESULTS: Fifty-one team members were recruited, including person in charge, verifiers, administrative staffs, hotline team, security staffs, and janitors. Standard operating procedures, service system, and safety measures were developed to maintain the quality. Services include the application of COVID-19 protocols, registration and confirmation, education for using the air bag, collecting the air sample, and analysis of samples using the GeNose machine. CONCLUSION: The GeNose center, a model for screening test, provides services for the screening of COVID-19.
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Latar Belakang: Dengan semakin meningkatnya penderita ulkus kaki diabetes, dan jenis luka yang kronis dan membutuhkan waktu yang lama untuk penyembuhan maka semakin banyak inovasi untuk mempercepat penyambuhan luka. Salah satunya dengan... more
Latar Belakang: Dengan semakin meningkatnya penderita ulkus kaki diabetes, dan jenis luka yang kronis dan membutuhkan waktu yang lama untuk penyembuhan maka semakin banyak inovasi untuk mempercepat penyambuhan luka. Salah satunya dengan pengunaan balutan yang digunakan dengan berbagai jenis mulai dari konvensional hingga modern. Tujuan: Tinjauan ini ditujukan ntuk mengetahui efektifitas pengunaan honey dressing dibandingkan povidone iodine pada ulkus kaki diabetes. Metode: Tinjauan sistematis digunakan sebagai metode dalam laporan ini. Artikel diperoleh dari PubMed, Google Scholar Sciencedirect, dan EBSCO dengan kata kunci pencarian:“Diabetic foot ulcer”, “Honey dressing”, “Povidone iodine dressing”, dan “wound healing” dari jurnal yang terbit sejak 20 tahun terkahir. Selanjutnya dianalisis menggunakan analisis konten. Hasil: Dalam pengobatan ulkus kaki diabetes terdapat berbagai balutan yang bertujuan untuk pengobatan ulkus kaki namun hingga saat ini belum ada satu dressing yang tepat untuk mempercepat penyembuhan dan selalu dikembangkan. Hasil dari analisis ini menjelaskan bahwa honey dressing memiliki manfaat lebih baik dibandingkan penggunaan povidone iodine. Manfaat tersebut yaitu berpangaruh pada total penyembuhan luka, mempercepat waktu penyembuhan luka, dan ukuran luka. Kesimpulan: Upaya untuk mempercepat penyembuhan ulkus kaki diabetes dengan mengunakan honey dressing telah menujukan manfaat yang diharapkan sehingga hal ini dapat menjadi alternative dressing dalam pemilihan perawatan ulkus kaki diabetes.
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Latar belakang: Obesitas merupakan suatu keadaan yang kompleks dan memiliki banyak faktor risiko, tetapi besar kemungkinannya untuk dicegah. Orang dengan obesitas memiliki tingkat kolesterol yang tinggi dan sering mengalami kesulitan... more
Latar belakang: Obesitas merupakan suatu keadaan yang kompleks dan memiliki banyak faktor risiko, tetapi besar kemungkinannya untuk dicegah. Orang dengan obesitas memiliki tingkat kolesterol yang tinggi dan sering mengalami kesulitan dalam menurunkan berat badan. Aktivitas fisik memiliki peran penting bagi orang yang mengalami obesitas untuk menurunkan berat badan, karena satu pertiga pengeluaran energi tubuh dihasilkan melalui aktivitas fisik.
Tujuan: Mengulas pengaruh aktivitas fisik terhadap penurunan berat badan dan tingkat kolesterol pada orang dengan obesitas.
Metode: Pencarian literatur dilakukan di tiga sumber data elektronik, yaitu Scopus, PubMed, dan Science Direct. Pencarian tersebut menggunakan PICO dengan kata kunci obesity, physical activity atau physical exercise atau exercise, weight dan cholesterol. Dari pencarian tersebut ditemukan 7 literatur yang sesuai dengan kriteria inklusi, yaitu literatur terbit pada sumber data elektronik dari tahun 2008 hingga 2018, merupakan jenis penelitian kuantitatif, dengan populasi orang obesitas berusia 20- 60 tahun, literatur berbahasa Inggris dan tersedia dalam teks lengkap. Literatur terpilih selanjutnya dianalisis dengan metode naratif deskriptif dan dilakukan ekstraksi data.
Hasil: Tujuh literatur terpilih terbagi menjadi dua literatur studi kasus dan lima literatur uji acak terkendali. Hasil dari tujuh literatur tersebut yaitu bahwa aktivitas fisik memiliki pengaruh terhadap penurunan berat badan dan tingkat kolesterol. Aktivitas fisik yang dilakukan bervariasi, mulai dari latihan intensitas sedang, jalan kaki, aerobik, hingga program latihan ketahanan.
Kesimpulan: Aktivitas fisik memiliki pengaruh terhadap penurunan berat badan dan tingkat kolesterol pada orang dengan obesitas. Aktivitas fisik dapat menimbulkan pengaruh yang baik terhadap tubuh, yaitu memperbaiki metabolisme tubuh, meningkatkan kualitas hidup, meningkatkan efikasi diri dan meningkatkan kebugaran kardiorespirasi.
Tujuan: Mengulas pengaruh aktivitas fisik terhadap penurunan berat badan dan tingkat kolesterol pada orang dengan obesitas.
Metode: Pencarian literatur dilakukan di tiga sumber data elektronik, yaitu Scopus, PubMed, dan Science Direct. Pencarian tersebut menggunakan PICO dengan kata kunci obesity, physical activity atau physical exercise atau exercise, weight dan cholesterol. Dari pencarian tersebut ditemukan 7 literatur yang sesuai dengan kriteria inklusi, yaitu literatur terbit pada sumber data elektronik dari tahun 2008 hingga 2018, merupakan jenis penelitian kuantitatif, dengan populasi orang obesitas berusia 20- 60 tahun, literatur berbahasa Inggris dan tersedia dalam teks lengkap. Literatur terpilih selanjutnya dianalisis dengan metode naratif deskriptif dan dilakukan ekstraksi data.
Hasil: Tujuh literatur terpilih terbagi menjadi dua literatur studi kasus dan lima literatur uji acak terkendali. Hasil dari tujuh literatur tersebut yaitu bahwa aktivitas fisik memiliki pengaruh terhadap penurunan berat badan dan tingkat kolesterol. Aktivitas fisik yang dilakukan bervariasi, mulai dari latihan intensitas sedang, jalan kaki, aerobik, hingga program latihan ketahanan.
Kesimpulan: Aktivitas fisik memiliki pengaruh terhadap penurunan berat badan dan tingkat kolesterol pada orang dengan obesitas. Aktivitas fisik dapat menimbulkan pengaruh yang baik terhadap tubuh, yaitu memperbaiki metabolisme tubuh, meningkatkan kualitas hidup, meningkatkan efikasi diri dan meningkatkan kebugaran kardiorespirasi.
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This study aimed to test the validity and reliability of a four-item patient health questionnaire as a psychological distress screening tool for patients with type 2 diabetes in Indonesia. Methods This cross-cultural adaptation study was... more
This study aimed to test the validity and reliability of a four-item patient health questionnaire as a psychological distress screening tool for patients with type 2 diabetes in Indonesia. Methods This cross-cultural adaptation study was applied in ve public health-care centres in Indonesia in August-October 2018 using a four-item patient health questionnaire. The content, convergent and factorial validity were assessed, and Cronbach's alpha coe cient was the reliability indicator. Results A total of 147 participants were involved. Content validity resulted in acceptable outcomes (item and scale content validity indexes were 0.95 and 0.75, respectively). Anxiety and depression were associated with total score and psychological distress status (P < 0.001), supporting the convergent validity outcomes. Principal component analysis using varimax rotation revealed two factors, explaining 76.14% of variance (P < 0.001). Cronbach's alpha coe cients for anxiety, depression and total score were 0.780, 0.500 and 0.713, respectively. Conclusions The study demonstrated adequate validity and reliability for the Indonesian version of a four-item patient health questionnaire among patients with type 2 diabetes. Therefore, it is applicable as a screening tool for psychological distress in this population.
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Salah satu jenis penyakit kardiovaskuler yang sering terjadi adalah penyakit jantung koroner (Coronary heart disease). Meskipun tindakan Coronary artery bypass grafting (CABG) dapat membantu mengatasi masalah penyakit jantung coroner,... more
Salah satu jenis penyakit kardiovaskuler yang sering terjadi adalah penyakit jantung koroner (Coronary heart disease). Meskipun tindakan Coronary artery bypass grafting (CABG) dapat membantu mengatasi masalah penyakit jantung coroner, akan tetapi pada tahap pemulihan pasca CABG juga dapat menimbulkan kemungkinan terjadinya peningkatan gejala angina (nyeri dada), penurunan kemampuan aktivitas latihan fisik, dan sebagian besar pada dimensi Quality of life. Tujuan literature review ini untuk mengetahui efektivitas PRECEDE educational model dalam mengurangi depresi dan meningkatkan Quality of life pada pasien dengan Coronary heart disease yang telah dilakukan Coronary artery bypass grafting (CABG). Literature review ini dilakukan dengan melakukan pencarian melalui database di PubMed dan ScienceDirect hingga 13 Mei 2020 untuk studi keperawatan pada pasien chronic heart disease dengan CABG. Ditemukan dua artikel yang sesuai untuk dilakukan literature review. Temuan dari literatur menunjukkan bahwa merancang intervensi pendidikan sesuai dengan model PRECEDE secara signifikan meningkatkan semua aspek kualitas hidup pasien. Pemberian program pendidikan dengan model PRECEDE dapat menurunkan depresi pada pasien CABG. Model pendidikan PRECEED ini mampu mengurangi depresi serta meningkatkan QoL pada pasien dengan Coronary heart disease yang telah dilakukan CABG.
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Chronic kidney disease (CKD) is one of world priority due to the increasing prevalence and poor outcome. Most of the patients experiencing problem and symptom since the early stage, however most of the previous study focusing on the... more
Chronic kidney disease (CKD) is one of world priority due to the increasing prevalence and poor outcome. Most of the patients experiencing problem and symptom since the early stage, however most of the previous study focusing on the patients that has undergoing renal replacement therapy (RRT). Thus, this study aimed to explore the quality of life among patients with CKD that has not undergoing routine RRT. A cross sectional study was conducted among 91 patients in chronic kidney disease who had not undergone dialysis. Quality of life was measure using KDQOL (Kidney Disease Quality of Life) 36 questionnaire. Clinical and laboratory were also recorded. It was revealed that most of the patients were on CKD stage 3 with diabetes as the comorbid. The highest score of the QoL is in domain effect of kidney disease (84.1 ± 14.41) followed by sign and symptom problems domain (80.8 ± 13.8); burden of kidney diseases (73.6 ± 28.7). While the mental and physical health component domain were the lowest score (39.8 ± 8.89 & 46.8 ± 9.4) most of patients.
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This study aimed to identify the effect of two-person catheter insertion procedure (2CIP) on catheter-associated urinary tract infections (CAUTI). The literature review was performed on PubMed and Science Direct databases. Only original... more
This study aimed to identify the effect of two-person catheter insertion procedure (2CIP) on catheter-associated urinary tract infections (CAUTI). The literature review was performed on PubMed and Science Direct databases. Only original articles which provided data the effect of the 2CIP on the CAUTI and published articles within last ten year were included for the review. The preferred reporting item for systematic review and meta-analysis was implemented. The search term used “patients with urinary catheters” OR “urinary catheter patients” OR “catheterized patients” AND “two-person catheter insertion procedure” OR “2-person catheter insertion procedure” AND “CAUTI” OR “catheter-associated urinary tract infection” OR “UTI” OR “Urinary Tract Infection”. Joanna Briggs Institute critical appraisal tools were used to assess the quality of study. We identified there were 24 articles at the beginning of searching but only 2 articles fitted the criteria and were included in the analysis. From the limited included articles, we found that the 2CIP indicated that there was no significant difference was found before and after the implementation of the 2CIP. However, the reduction of CAUTI rate was occurred after implementing the intervention.
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BACKGROUND: Obesity, common condition among patients with coronavirus disease 2019 (COVID-19), contributes to illness severity during hospitalization. To date, knowledge on the prevalence, risk of hospital and intensive care units (ICU)... more
BACKGROUND: Obesity, common condition among patients with coronavirus disease 2019 (COVID-19), contributes to illness severity during hospitalization. To date, knowledge on the prevalence, risk of hospital and intensive care units (ICU) admissions and mortality is limited. Therefore, systematic review and meta-analysis were conducted using a preferred reporting items for systematic reviews and meta-analyses guideline. AIM: The study aimed to address the prevalence, risk of hospital and ICU admissions and mortality among patients with COVID-19 and obesity. METHODS: The Newcastle-Ottawa scale was used to assess the quality of a study. Primary outcomes were the prevalence and risk of hospitalization, and secondary outcomes were the risk of ICU admissions and mortality risk. Mantel-Haenszel with random effects was applied, and the effect measure was odds ratio (OR) with 95% confidence interval (CI). RESULTS: Nine studies were included in the systematic review, and only four studies for meta-analysis. Among 29,776 patients with COVID-19, obesity was identified as the second-highest comorbidity. The prevalence rates of obesity and severe obesity among patients with COVID-19 were 26.1% and 15.5%, respectively. Obesity resulted in significantly increased risk of hospital admission (OR = 1.99, 95% CI = 1.12-3.53, p = 0.02) and ICU admission (OR = 1.77, 95% = CI 1.52-2.06, p < 0.00001). Severe obesity had a significantly increased risk of ICU admission (OR = 1.79, 95% CI = 1.42-2.25, p < 0.00001). The mortality rate of patients with COVID-19 and obesity was about 30.5% (438/1,434), and 19.7% (2,777/14,095) of them recovered from COVID-19. CONCLUSION: Obesity poses as nearly twice the risk of hospital and ICU admissions, and severe obesity contributes to almost twice the risk of ICU admissions.
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BACKGROUND: Engagement in health-promoting behaviors (HPB) among patients with cardiovascular diseases (CVD) is important, particularly for the high-and-very-high-risk group. However, information concerning HPB and risk of cardiovascular... more
BACKGROUND: Engagement in health-promoting behaviors (HPB) among patients with cardiovascular diseases (CVD) is important, particularly for the high-and-very-high-risk group. However, information concerning HPB and risk of cardiovascular events among patients with CVD is limited. AIM: This study aimed to explore HPB and risk of cardiovascular events among patients with CVD. METHODS: A cross-sectional quantitative study was conducted among adults with confirmed CVD (n = 167) using multistage cluster sampling. Health-Promoting Lifestyle Profile 2 and World Health Organization/International Society of Hypertension Risk Prediction Chart were used for measuring HPB and cardiovascular risk levels. Data were analyzed using Pearson correlation, one-way ANOVA and multiple linear regression tests. RESULTS: Women, marriage, low income, and hypertension dominated with 60 years as mean age. Among the subscales of HPB, interpersonal relationship had the highest score while physical activity in the poorest score and almost half of the respondents had a low-risk of cardiovascular events. There was a significant correlation between the nutrition subscale and cardiovascular risk levels and it showed significant difference between low-and high/ very-high-risk groups of cardiovascular events. Although the risk of cardiovascular events did not demonstrate prediction of HPB, age (β = 0.250; CI = 0.001-0.013), educational level (β = 0.200; CI = 0.005-0.107), presence of diabetes (β = 0.183; CI = 0.013-0.286), and smoking (β =-0.195; CI =-0.372-[-0.005]) explained 20.7% of the HPB variance. CONCLUSION: Therefore, the authorities of stakeholders need to consider that a tailor-made health-promoting program should be proposed particularly to increase physical activity and promotes healthy nutrition among patients with CVD. Furthermore, considering special needs among patients with CVD are crucial to support them within their cultural perspective.
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Background and Aims: COVID-19 pandemic causes massive disruption of the global health system. The diabetic patients are the vulnerable parts population who are predicted to have a significant issue during the pandemic regarding the... more
Background and Aims: COVID-19 pandemic causes massive disruption of the global health system. The diabetic patients are the vulnerable parts population who are predicted to have a significant issue during the pandemic regarding the conventional type of consultation by face-to-face which may result in the higher risk of COVID-19 exposure. This study aims to observe the use of digital health services for diabetes management during COVID-19 pandemic. Methods: A scoping review was conducted in PubMed, ScienceDirect, and Google Scholar during August until September 2020. The keywords that are used on the searching process are diabetes AND digital service OR telemedicine OR technology AND COVID-19. The criteria included the selection of scientific publication as an original research and reviews. Results: All published articles were gathered from 3 search engines; PubMed, Science Direct, and Google Scholar. The discussion explicates the practical considerations that are in accordance with the current condition of each country. In order to do so, the evidence is classified based on the level of global digital health framework in the developed and developing countries. It was found that the minimal level of digital health that connects diabetes patients with healthcare providers was at level 2, which is by using the video mode. The most advanced is at level 3B, which is applied by using the CGM devices, which provide active monitoring, diagnosis, and treatment based on timely clinical judgment. Conclusion: It is feasible to utilize the digital health service during the COVID-19. This review is projected to be beneficial for the patient and health care providers to select the most feasible approach of digital health that merits the contextual resource.
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Non-communicable diseases (NCDs) are a major cause of death in Indonesia and worldwide. Yogyakarta has the highest prevalence of cancer in Indonesia. Besides, Yogyakarta has high prevalence of diabetes mellitus and other NCDs. The... more
Non-communicable diseases (NCDs) are a major cause of death in Indonesia and worldwide. Yogyakarta has the highest prevalence of cancer in Indonesia. Besides, Yogyakarta has high prevalence of diabetes mellitus and other NCDs. The prevention and control of NCDs are direly needed in Yogyakarta. Universitas Gadjah Mada (UGM) is the oldest university in Yogyakarta and has a large number of university staff members and students. This study aimed to empower university staff and students of UGM in the health promotion programs for tackling NCD risk factors through the Health Promoting University initiative. This was a participatory action research that was conducted in UGM, Yogyakarta. A total of 299 respondents (university staff and students in second year) were involved in the need's assessment survey. Data were collected through online questionnaire and analyzed descriptively. Additionally, advocacy, training, small group discussion, seminars, discussion on WhatsApp group, as well as developing posters for healthy diet, hand washing, physical activities, and smoking behavior were done as the follow-up of the need's assessment. The need's assessment showed that most respondents had a poor knowledge on the NCDs and its risk factors (74%), poor knowledge on the smoke free campus (80%), had insufficient vegetables consumption (83%), had insufficient fruit consumption (68%), and had physically inactive behavior (52%). Furthermore, group discussions with the students improved their awareness on the NCD problems among students. Also, training for the university staff members improved their knowledge and skills related to the NCD risk factors' measurement. The university staff and students' knowledge and practice concerning the NCD risk factors prevention were poor. Therefore, the Health Promoting University initiative is a good way to empower them about the NCD risk factors prevention.
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Heart failure is a chronic disease, which requires complex and long medication. Patients with heart failure are at high risk of readmission and prolong of stay in hospital. This review aimed to analysis the effect of technological... more
Heart failure is a chronic disease, which requires complex and long medication. Patients with heart failure are at high risk of readmission and prolong of stay in hospital. This review aimed to analysis the effect of technological management on readmission among patients with heart failure. We conducted systematic review in PubMed, ProQuest, ScienceDirect, and EBSCO databases. The serach terms were “Management Technology”, “Heart Failures”, and “Readmission”. Only published articles within last 10 years and English language were analysed using content analysis. We identified three articles met the criteria and proceeded for analysis. Patients with heart failure are in a higher risk of hospital readmission. To reduce the risk of hospital readmission, several technological approaches could be conducted, such as interactive voice response system with daily self-management and clinical monitoring, combination of translational care phone call and telemonitoring, and home telemonitoring. Among the three articles, an interactive voice response system (IVRS) with daily self-management and clinical monitoring was recommended compared to other methods of 30-180 days of re- entry in heart failure patients. The core of the technological management was to enable patients in self-management on their diseases. Using a technology can assist patients with failure to reduce the admission rate and encourage them to do self-monitoring on their health states
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Background: Several factors are known to affect medication adherence, however, there is limited knowledge concerning medication adherence among members in diabetes peer support groups. The study aimed to analyze medication adherence and... more
Background: Several factors are known to affect medication adherence, however, there is limited knowledge concerning medication adherence among members in diabetes peer support groups. The study aimed to analyze medication adherence and its predicting factors in peer support groups with diabetes. Methods: A cross-sectional study was conducted among public health centers with a peer support group for diabetic patients. Participants were selected using the total sampling technique after considering the eligibility criteria. The Medication Adherence to Treatment of oral anti-diabetes questionnaire was used to assess medication adherence. Chi-squared and logistic regression tests were used to identify the predicting factors. Results: Seventy-eight patients completed the study. People living with diabetes duration ≥ 5 years (37.2%) and medication ≥ 5 years (34.5%) indicated significantly higher medication adherence (p = 0.048, p = 0.01, respectively). Meanwhile, total of medication (M = 2.56 ± 1.27) and duration of peer support (M = 17.68 ± 14.85 months) did not show significant outcomes. The logistic regression outcome indicated that income (OR = 3.428, 95% CI: 1.267-9.274) and duration of peer support group (OR = 0.946, 95% CI: 0.899-0.996) were significant predicting factors for medication adherence. Conclusions: There was a significant relationship between illness and medication duration with medication adherence in diabetes peer support groups. The medication adherence increased three times by adding the income variable while duration of peer support group contributed in decreasing adherence by 5%. Further research is required on assisting low-income patients to improve their medication adherence during the treatment.
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Objective Previous systematic reviews have found that the enhanced recovery after surgery (ERAS) protocol for cesarean delivery can vary from one study to another, and the attitudes of health care professionals regarding ERAS methods and... more
Objective
Previous systematic reviews have found that the enhanced recovery after surgery (ERAS) protocol for cesarean delivery can vary from one study to another, and the attitudes of health care professionals regarding ERAS methods and the implementation of the ERAS for cesarean delivery remain unclear. We aimed to identify the attitudes of health professionals toward ERAS in the context of cesarean delivery.
Data Sources
Systematic searches were conducted in 6 databases: PubMed, ScienceDirect, EBSCO, Scopus, the Cochrane Library, and Sage Journals from September 2010 to September 2020.
Study Selection
A total of 4 articles were selected for analysis. All articles use survey methods and present health professional attitudes toward ERAS for cesarean delivery.
Data Extraction and Synthesis
Data were extracted using Excel spreadsheets. The results obtained are presented descriptively.
Conclusion
This review illustrates that there are many ERAS protocols that health care professionals have not yet implemented for cesarean delivery. Policymakers can use this knowledge to inform the promotion of the ERAS protocol for cesarean delivery.
Previous systematic reviews have found that the enhanced recovery after surgery (ERAS) protocol for cesarean delivery can vary from one study to another, and the attitudes of health care professionals regarding ERAS methods and the implementation of the ERAS for cesarean delivery remain unclear. We aimed to identify the attitudes of health professionals toward ERAS in the context of cesarean delivery.
Data Sources
Systematic searches were conducted in 6 databases: PubMed, ScienceDirect, EBSCO, Scopus, the Cochrane Library, and Sage Journals from September 2010 to September 2020.
Study Selection
A total of 4 articles were selected for analysis. All articles use survey methods and present health professional attitudes toward ERAS for cesarean delivery.
Data Extraction and Synthesis
Data were extracted using Excel spreadsheets. The results obtained are presented descriptively.
Conclusion
This review illustrates that there are many ERAS protocols that health care professionals have not yet implemented for cesarean delivery. Policymakers can use this knowledge to inform the promotion of the ERAS protocol for cesarean delivery.
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Aim: The study is aimed to perform a cross-cultural adaptation of the palliative care quiz for nurses in an Indonesian context to evaluate its psychometric properties. Methods: A two-phase design was used in this study, including... more
Aim: The study is aimed to perform a cross-cultural adaptation of the palliative care quiz for nurses in an Indonesian context to evaluate its psychometric properties. Methods: A two-phase design was used in this study, including cross-cultural adaptation and psychometric testing. The PCQN-I was tested on a convenience sample of health-care providers recruited from 20 primary health-care (PHC) centers in Yogyakarta, Indonesia, from July to October 2017. Results: The cross-cultural adaptation ultimately resulted in a total of 20 items from the PCQN-I. An expert committee revised the words in Item 4 from “adjuvant therapies” to “adjuvant therapies/additional therapies,” in Item 5 from “bowel regimen” to “gastrointestinal therapies,” and Item 16 from “Demerol” to “Pethidine” based on the Indonesian context. The experts retained Item 5 “It is crucial for family members to remain at the bedside until death occurs,” although none of the participants (n = 40) involved in the pilot testing could answer it correctly, and Item 19 “The loss of a distant or contentious relationship is easier to resolve than the loss of one that is close or intimate” although few participants responded correctly. A total of 150 health-care providers consisting of 100 nurses and 50 physicians were involved in the psychometric testing. The scale-level content validity index/Ave of the PCQN-I was 97 and 93 in terms of its relevancy and clarity, respectively. The reliability was calculated as the Kuder–Richardson formula 20 score was 0.71. Conclusions: The PCQN-I is a valid and reliable instrument for assessing palliative care knowledge among PHC providers. Further research is warranted to examine its reliability in di erent clinical settings.
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Background: The study aimed to identify the prevalence and risk factors of LBP among the nurses at Sardjito Hospital. Method: A cross-sectional study was conducted in Sardjito Hospital Yogyakarta. LBP was measured in nurses who had work... more
Background: The study aimed to identify the prevalence and risk factors of LBP among the nurses at Sardjito Hospital. Method: A cross-sectional study was conducted in Sardjito Hospital Yogyakarta. LBP was measured in nurses who had work for one year using the Keele Start Back Screening Tool (KSBT) and Orebro Musculoskeletal Pain Questionnaire (OMPQ). A simple and multiple logistic regression was used for analysis. Results: Of 800 valid subjects, 324 (40.5%) have the history of LBP complaint, 88.9% were suffering the pain during the data collection. The most significant variables are the history of previous spinal complaints (p = 0.00), slide board use for lateral transfer (p=0.010), gender (p=0.026) and current work place (p=0.019). Nine of the 288 patients of LBP have high risk in line with the KSBT stratification, while 22 of 288 patients have High Estimated Risk of Future Work Disability that agrees with the stratification of performance prognosis using OMPQ. Conclusion: The prevalence of LBP among the nurses at Sardjito Hospital reaches 40.5%, with 88.9% of whom still suffer from pain during the data collection. The risk factors of LBP among the nurses are previous spinal complaint, tools for lateral transfer, work place and gender. Citation: Mahmud, Sri R, Iqbal MR, Lukman WA, Sri HN. The prevalence and risk factors of low back pain among the nurses at
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Aims: The study aim is to develop a mobile application (app) design for predicting the risk of cardiovascular event and conducts a pilot study. Methods: The mobile app design was developed on the basis of evidence from World Health... more
Aims: The study aim is to develop a mobile application (app) design for predicting the risk of cardiovascular event and conducts a pilot study. Methods: The mobile app design was developed on the basis of evidence from World Health Organization (WHO) and International Society of Hypertension (ISH). The workflow had four steps, namely; data entry, conversation and processing, risk identification, and education. The development process involved interface designing, coding, debugging, and pilot testing. Cross-sectional approach for pilot testing was conducted by using system usability scale. Results: Main features of the Decardia app, namely, icon categories, input slots, risk identification outcomes, and education windows, were developed. The app is available in Android platform and in offline mode, compact, accurate, efficient and users involvement for education. The pilot outcomes indicated excellent (60%), acceptable (95%), and grade A+ with an average overall score of 87. Almost all components of usability testing showed positive results with scores ranging from 3 to 3.95 (out of 4). Conclusions: The Decardia app evaluates patient's risk level of cardiovascular event and empowers their risk reduction behavior. The pilot study indicated positive outcomes, supporting the usability of the Decardia app.
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This paper aimed to describe the World Health Organization (WHO) recommendation regarding cervical cancer prevention program and its implementation in public health settings of Indonesia. Human papillomavirus (HPV) vaccination, healthy... more
This paper aimed to describe the World Health Organization (WHO) recommendation regarding cervical cancer prevention program and its implementation in public health settings of Indonesia. Human papillomavirus (HPV) vaccination, healthy sexuality education, and male circumcision belong to primary prevention. In Indonesia, the target of HPV vaccination coverage was assumed to be 76.6% among girls in the elementary school. Secondary prevention consisted of screening and treatment pre-cancer. Pap smear and Visual Inspection with Acetic Acid (VIA) were the national program to detect cervical cancer in Indonesia. Tertiary prevention included treatment and palliative care. Hospital had responsibility to treat advanced cancer patients, while the implementation of palliative care in public health center (PHC) in Indonesia is still limited. In the future, it is important for each country to develop a national policy regarding cervical cancer prevention in accordance with the WHO framework.
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Objective: To test the validity and reliability of the Indonesian version of diabetes quality of life-brief clinical inventory (DQoL-BCI). Methods: A cross-cultural adaptation was performed using forward and backward translation. Validity... more
Objective: To test the validity and reliability of the Indonesian version of diabetes quality of life-brief clinical inventory (DQoL-BCI). Methods: A cross-cultural adaptation was performed using forward and backward translation. Validity and reliability tests were conducted at Public Health Center (PHC) in Yogyakarta with 75 adult type 2 diabetes (T2D) patients. Content validity and construct validity were conducted. The reliability test was assessed by internal consistency. Results: The average age was 60years and most respondents were female with high school education and unemployment. The results showed content validity index (CVI) score were 0.80-1.00 and 0.90 for item and scale, respectively. The correlation among items indicated moderate association (r = 0.255-0.581). The EFA resulted in the KMO 0.633, Bartlett test 310.604, p = 0.000, and total variance of explained QoL was 64.22%. Cronbach alpha of the Indonesian version of DQoL-BCI was 0.735, indicated adequate result. Conclusion: The Indonesian version of DQoL-BCI is a reliable and valid instrument to assess health related quality of life on T2D patients.
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Telehealth merupakan upaya pencegahan terjadinya readmisi pada pasien dengan akut miokardial infark (AMI) yang menjadi isu terkini. Tujuan dalam penelitian ini yaitu untuk mengetahui pengaruh telehealth terhadap strategi pencegahan... more
Telehealth merupakan upaya pencegahan terjadinya readmisi pada pasien dengan akut miokardial infark (AMI) yang menjadi isu terkini. Tujuan dalam penelitian ini yaitu untuk mengetahui pengaruh telehealth terhadap strategi pencegahan kekambuhan dan readmisi pada pasien dengan AMI. Penelitian ini berupa literatur review dengan pencarian artikel dibeberapa database seperti Sciencedirect, Sage Journals, EBSCO, Scopus dan Cochrane dengan kriteria inklusi adalah acute myocardial infarction pada orang dewasa, yang mendapatkan intervensi atau monitoring via telepon, atau telehealth, jurnal berbahasa inggris dan batasan waktu kurang dari 10 tahun, serta free full text. Hasil dari semua artikel menyatakan bahwa intervensi Telehealth dapat digunakan sebagai alternatif intervensi untuk mencegah readmisi pada pasien dengan AMI. Upaya yang terdapat dalam literatur dapat digunakan sebagai strategi dalam mencegah kekambuhan atau readmisi pada pasien dengan AMI.
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Indonesia is currently ghting against a novel coronavirus disease, known as COVID-19. Current information of COVID-19 is crucial for healthcare providers. This study aimed to explore the current prevalence, characteristics, and... more
Indonesia is currently ghting against a novel coronavirus disease, known as COVID-19. Current information of COVID-19 is crucial for healthcare providers. This study aimed to explore the current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia. We obtained data of the con rmed cases of COVID-19, characteristics and comorbidities from the o cial website of Indonesia COVID-19 Task Force. The data were extracted, explored and discussed to respond to the research aims. Up to June 3rd, 2020, it was reported there were 28,233 con rmed cases of COVID-19 in Indonesia. The current prevalence of COVID-19 case was 0.11‰ and transmission was distributed to all provinces in Indonesia. Almost one-third of the COVID-19 infections were in the age group of 31-45 years (29.3%) but the highest mortality rate occurred in elderly people (17.68%). Overall, males slightly dominated and contributed only 6.84% to the mortality rate. Cough (76.2%), history of fever (50.4%), and current fever (47.1%) were the most common symptoms among the patients with COVID-19. For comorbidities, patients with COVID-19 had higher numbers of hypertension (52.1%), diabetes (33.6%), and other cardiovascular diseases (20.9%). Those three comorbidities led the greater proportion of deaths among other comorbidities. The COVID-19 pandemic is still a new challenge for Indonesia.
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ABSTRAK Kualitas hidup merupakan indikator utama bagi penyakit kardiovaskular. Penyakit kardiovaskular mendominasi dan menjadi penyakit utama penyebab kematian di Indonesia. Tujuan penelitian ini adalah untuk mengidentifikasi gambaran... more
ABSTRAK Kualitas hidup merupakan indikator utama bagi penyakit kardiovaskular. Penyakit kardiovaskular mendominasi dan menjadi penyakit utama penyebab kematian di Indonesia. Tujuan penelitian ini adalah untuk mengidentifikasi gambaran kualitas hidup pada pasien dengan penyakit kardiovaskular di Mlati, Yogyakarta. Penelitian ini adalah jenis penelitian deskriptif kuantitatif dengan desain cross-sectional. Penelitian dilakukan pada pasien dengan penyakit kardiovaskular yang berada di wilayah Puskesmas Mlati, Sleman, Yogyakarta. Pengambilan sampel menggunakan teknik multistage cluster sampling. Data diambil menggunakan kuesioner Medical Outcome Study 12-Item Short-Form Second-Version (MOS SF-12v2). Analisis data menggunakan tabel distribusi frekuensi terdiri dari rerata, standar deviasi dan frekuensi. Hasil penelitian menunjukkan bahwa terdapat 107 responden yang berpartisipasi. Jumlah responden per-penyakit, hipertensi (n = 97), stroke (n = 13), gagal jantung (n = 12) dan penyakit jantung koroner (n = 7). Gambaran demografi mayoritas usia ≥ 45 tahun; perempuan (63.6 %), pendidikan terakhir SMP (30.8%), tidak bekerja (66%), pendapatan rendah (78.5%) dan menikah (72.9%). Nilai kualitas hidup pada aspek fisik yaitu 42 ± 9.88 dan 56 ± 9.87 untuk aspek mental. Nilai kualitas hidup pada sub-domain vitality (61.67 ± 10.76) dan general health (35.19 ± 7.31) menduduki nilai tertinggi dan terendah. Skor kualitas hidup lebih tinggi pada domain mental daripada domain fisik.
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ABSTRACT Individuals with type 2 diabetes have two to three times risk of cardiovascular event, as heart and stroke attack. World Health Organization and International Society of Hypertension had developed a prediction method of the risk... more
ABSTRACT Individuals with type 2 diabetes have two to three times risk of cardiovascular event, as heart and stroke attack. World Health Organization and International Society of Hypertension had developed a prediction method of the risk level of cardiovascular event for the following ten years. Objective: This study aimed to identify the risk level of cardiovascular event over the next ten years on people with type 2 diabetes in Yogyakarta. Method: The study used a cross-sectional design in three Public Health Centers Depok, Yogyakarta using proportional sampling technique. The respondents were patients diagnosed with type 2 diabetes, age of 40-79 years, and no comorbidity. The WHO/ISH risk prediction charts for diabetes population in Indonesian (SEAR B) was used to assess the risk level of cardiovascular event. Data was analyzed with univariae analysis. Results: A total of 66 respondents were recruited after reviewing eligibility criteria. The majority of the respondents were women, unemployed, married, and the average age was 61.02 ± 8.86. The risk levels of cardiovascular event among participants in the next ten years were gradually low risk (56.1%); moderate risk (30.3%); high risk (9.1%); and very high risk (4.5%). More than a half of participants had low risk or less than 10%
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ABSTRACT Diabetes is a metabolic disease that will affect quality of life. Implementing Prolanis is the current effort of the Indonesian government to improve the quality of life for people with diabetes. Objective: The research aimed to... more
ABSTRACT Diabetes is a metabolic disease that will affect quality of life. Implementing Prolanis is the current effort of the Indonesian government to improve the quality of life for people with diabetes. Objective: The research aimed to determine the quality of life for Prolanis members of type 2 diabetes in Puskesmas Depok Sleman Yogyakarta. Method: It was a quantitative-descriptive study with a cross-sectional design. Respondents involved were Prolanis members of type 2 diabetes in Puskesmas Depok Sleman Yogyakarta. We recruited 85 respondents using total sampling technique. Diabetes quality of life-brief clinical inventory assessed quality of life among respondents. The analysis was presented in a distribution-frequency table. Results: The average quality of life of Prolanis type 2 diabetes participants was 3.84 ± 0.51, relatively closed with the optimal number, which indicated good quality of life. The average quality of life based on the demographic characteristics revealed the age group of late adult, male, junior high school alumnae, unemployed person, marriage, income 2-4 million, having diabetes for <5 years, following Prolanis ≥ 6 months, and no comorbidity indicated good category of quality of life. Conclusion: Prolanis members of type 2 diabetes in Puskesmas Depok Sleman Yogyakarta have good category of quality of life.
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Penyakit paru obstruktif kronik (PPOK) memberikan dampak signifikan terhadap keberlangsungan hidup pasien. Strategi program perawatan perlu diaplikasikan untuk mencegah eksaserbasi akut sehingga dapat menurunkan readmisi pasien. Tujuan... more
Penyakit paru obstruktif kronik (PPOK) memberikan dampak
signifikan terhadap keberlangsungan hidup pasien. Strategi program
perawatan perlu diaplikasikan untuk mencegah eksaserbasi akut
sehingga dapat menurunkan readmisi pasien. Tujuan dari studi ini
adalah untuk mencari bukti terkait pengaruh program perawatan
terhadap readmisi pada pasien PPOK. Metode yang digunakan adalah
pencarian literatur dengan mencari publikasi artikel 10 tahun terakhir
dari database: Science Direct dan Pubmed dengan kata kunci: Chronic
Obstructive Pulmonary Disease OR COPD AND care programme
AND readmission. Peneliti memilih artikel original dan hasil review
dengan kriteria inklusi: teks artikel utuh dan bahasa inggris. Kriteria
eksklusi: tidak sesuai dengan rumusan masalah (PICOT), program
rehabilitasi, dan seting unit gawat darurat. Peneliti melakukan review
dengan mengecek duplikasi, judul, abstrak kemudian membaca artikel
keseluruhan. Selanjutnya peneliti melakukan ekstrasi data dari artikel
yang dipilih. Pencarian literatur mengikuti panduan PRISMA
flowchart. Hasilnya menunjukkan bahwa terdapat 3 artikel yang
memenuhi kriteria. Hasil temuan didapatkan bahwa program
manajemen perawatan PPOK yang komprehensif dan terintegrasi
memberikan manfaat dalam menurunkan tingkat readmisi pasien.
Program manajemen perawatan yang dimaksud berupa perencanaan
kepulangan pasien, kunjungan rumah atau follow-up serta perawatan
pasca hospitalisasi. Program ini membutuhkan kerjasama
multidisipliner dari perawat, fisioterapis, dokter dan apoteker.
Simpulan dari studi ini adalah program manajemen perawatan yang
komprehensif dan terintegrasi perlu dilakukan untuk menurunkan
angka readmisi pasien PPOK.
signifikan terhadap keberlangsungan hidup pasien. Strategi program
perawatan perlu diaplikasikan untuk mencegah eksaserbasi akut
sehingga dapat menurunkan readmisi pasien. Tujuan dari studi ini
adalah untuk mencari bukti terkait pengaruh program perawatan
terhadap readmisi pada pasien PPOK. Metode yang digunakan adalah
pencarian literatur dengan mencari publikasi artikel 10 tahun terakhir
dari database: Science Direct dan Pubmed dengan kata kunci: Chronic
Obstructive Pulmonary Disease OR COPD AND care programme
AND readmission. Peneliti memilih artikel original dan hasil review
dengan kriteria inklusi: teks artikel utuh dan bahasa inggris. Kriteria
eksklusi: tidak sesuai dengan rumusan masalah (PICOT), program
rehabilitasi, dan seting unit gawat darurat. Peneliti melakukan review
dengan mengecek duplikasi, judul, abstrak kemudian membaca artikel
keseluruhan. Selanjutnya peneliti melakukan ekstrasi data dari artikel
yang dipilih. Pencarian literatur mengikuti panduan PRISMA
flowchart. Hasilnya menunjukkan bahwa terdapat 3 artikel yang
memenuhi kriteria. Hasil temuan didapatkan bahwa program
manajemen perawatan PPOK yang komprehensif dan terintegrasi
memberikan manfaat dalam menurunkan tingkat readmisi pasien.
Program manajemen perawatan yang dimaksud berupa perencanaan
kepulangan pasien, kunjungan rumah atau follow-up serta perawatan
pasca hospitalisasi. Program ini membutuhkan kerjasama
multidisipliner dari perawat, fisioterapis, dokter dan apoteker.
Simpulan dari studi ini adalah program manajemen perawatan yang
komprehensif dan terintegrasi perlu dilakukan untuk menurunkan
angka readmisi pasien PPOK.
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Purpose: The purpose of this research was to test the validity and reliability of the Indonesian version of the Dietary Sodium Restriction Questionnaire (DSRQ-I) among patients with hypertension. Methods: The cross-sectional study... more
Purpose: The purpose of this research was to test the validity and reliability of the Indonesian version of the Dietary Sodium Restriction Questionnaire (DSRQ-I) among patients with hypertension. Methods: The cross-sectional study enrolled hypertensive patients from a cardiac outpatient department in Indonesia using convenience sampling. Eligible patients received a demographic questionnaire and DSRQ-I during a one-month period of data collection. Content and construct analysis examined the validity, whereas internal consistency assessment checked reliability. Participation required 10e 15 minutes on average. Results: One hundred thirty-five patients participated: mostly females (54.1%) and married (82.9%) with mean age of 58.18 ± 10.44 years. The item of content validity index was .97, and subscale content validity index was .81 for DSRQ-I. The KaisereMeyereOlkin test gave a value of .83, indicating adequate sampling , and the Bartlett's test of sphericity reached significant result (p < .001). The principal component analysis indicated three components, with 64.2% explaining variance, including perceived behavioral control (35.5%), attitude (19.3%), and subjective norm (9.4%). Confirmatory factor analysis produced a parsimonious model on the three-factor outcome by removing a single item. The indices of good fit model was achieved at c 2 /df ¼ 2.17, goodness fit index ¼ .85, root mean square error of approximation ¼ .09, standardized root mean square means ¼ .07, and Bentler comparative fit index ¼ .90 (p < .001). Cronbach's alpha coefficients for attitude, subjective norm, and perceived behavioral control were .85, .87, and .85, respectively. All interitem and item-total correlations indicated adequate outcome and acceptable result. Consequently, 15 items were determined reliable measurement and included in the final version of DSRQ-I. Conclusion: The DSRQ-I is a valid and reliable instrument to measure facilitators and barrier of sodium restriction among hypertensive patients in Indonesia.
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Background: Knowledge, attitude and behavior of dietary salt determine sodium intake. Among controlled (CHT) and uncontrolled patients with hypertension (UHT), however, limited information is available. The purpose of the study was to... more
Background: Knowledge, attitude and behavior of dietary salt determine sodium intake. Among controlled (CHT) and uncontrolled patients with hypertension (UHT), however, limited information is available. The purpose of the study was to identify knowledge, attitude and behavior toward dietary salt and to define the nescience among hypertensive patients in Indonesia.Methods: Descriptive cross-sectional study design invited subjects using purposive sampling in a general hospital in Yogyakarta. The inclusion criteria were adult patients with hypertension and able to speak Bahasa Indonesia. The demographic data and knowledge, attitude and behavior toward dietary salt were assessed. Data were collected in cardiac clinics in Indonesia and analyzed using Mann Whitney and chi-squared tests.Results: A total of 175 participants joined the survey with dominantly males, mature age, married and having basic education level. The CHT group had higher knowledge, attitude and behaviour’s percentage on healthy eating, problems-caused by high salty diet, reducing fat and salt consumption than the UHT group although it was not statistically proved. Both groups reported nescience about recommended amount of salt consumption (84.1% versus 81.1%, CHT and UHT respectively), salt-sodium difference (56.5% versus 59.4%), nutritional information (43.5% versus 48.1%) and food labelling (39.1% versus 40.6%). Limited participants always considered packaged indication (7.2% versus 11.3%) and total salt/sodium per package was more favourable label (42% versus 31.1%).Conclusions:Results showed no significant differences of knowledge, attitude and behavior between patients with controlled and uncontrolled hypertension. Both groups had problems on concerning recommended amount of salt consumption, nutritional information, and food labelling which should be addressed while teaching patients about hypertension.
Research Interests:
Buku Saku Pedoman Pengkajian dan Pengelolaan Risiko Kardiovaskular ini berisi informasi penyakit kardiovaskular dan panduan untuk memperkirakan risiko total kardiovaskular pada kelompok berisiko agar dapat mengurangi kejadian serangan... more
Buku Saku Pedoman Pengkajian dan Pengelolaan Risiko Kardiovaskular ini berisi informasi penyakit kardiovaskular dan panduan untuk memperkirakan risiko total kardiovaskular pada kelompok berisiko agar dapat mengurangi kejadian serangan mendadak atau kekambuhan oleh karena penyakit jantung koroner, stroke dan penyakit pembuluh darah lainnya. Buku pedoman ini juga berisi mengenai pengelolaan risiko kardiovaskular dalam pencegahan primer dan sekunder.