Lelly Andayasari
Pusat Teknologi Terapan Kesehatan dan Epidemiologi Klinik, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI

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Stress as a major determinant of migraine in women aged 25-65 years Riyadina, Woro; Andayasari, Lelly
Universa Medicina Vol 33, No 2 (2014)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2014.v33.141-150

Abstract

BACKGROUNDMigraine is a primary headache causing substantial disability in patients. The prevalence of migraine in women is still high. Menarche, menstruation, pregnancy, menopause, and the use of hormonal contraceptives and hormone replacement treatment may influence migraine occurrence. The aim of this study was to determine the major determinants of migraine in adult women aged 25-65 years.METHODSA cross-sectional study of 2,747 women from the baseline study “Cohort Study of Risk Factors for Non-Communicable Diseases”. The dependent variable was migraine based on the diagnosis of health providers or symptoms. Independent variables were demographic (age, marital status, education) and behavioral (smoking, diet, and stress) characteristics, metabolic disorders (obesity, hypertension, dyslipidemia), and hormonal factors (contraception and hormone therapy). Data were collected through interviews (characteristics, health and hormonal status, diet), measurement (anthropometrics, blood pressure), and health examination (blood specimens, neurology). Data were analyzed by chisquare test and multiple logistic regression.RESULTSMigraine in adult women was found in 710 cases (25.8%) with symptoms ofworsening with activity (15%), nausea and vomiting (13%), and photophobia/ phonophobia (4.1%). The main determinant of migraine in adult women was stress with a 2.47-fold risk [95% CI = 2.07 to 2.95] as compared with no stress, after controlling for smoking, menstruation and hormonal drug consumption.CONCLUSIONStress is a major determinant of migraine in adult women, therefore healthprograms should be instituted through health promotion, prevention and education to control stress.
KAJIAN EPIDEMIOLOGI PENYAKIT INFEKSI SALURAN PENCERNAAN YANG DISEBABKAN OLEH AMUBA DI INDONESIA -, Anorital; Andayasari, Lelly
Media Penelitian dan Pengembangan Kesehatan Vol 21, No 1 Mar (2011)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v21i1 Mar.110.

Abstract

The intestinal infection caused by amoeba is one of the three diarrhea causes appears to be a public health problem with high incidence in the community. Amebiasis is caused by Entamoeba histolytica, can be differentiated from non pathogen Entamoeba hartmanni and Entamoeba coli. Morphologically of Entamoeba histolytica and Entamoeba dispar are very similar. However, based on the diagnosis utilizing molecular examination technique, in fact, the main cause of amebiasis is Entamoeba dispar. Amoeba dysentry can be found arround the world, having cosmopolite characteristic with incidences varying between 3-10%. In the developed countries with relatively better hygiene and sanitation, amoebiasis incidence is between 2-11%. In Indonesia, the amoebiasis incidence is`quite high, in the range of 10-18%. Whereas the mortality caused by amoebiasis is high enough between 1.9?9.1%, second rank after malaria. Several kinds of amoeba dysentri medicines were used, but Metronidazole is proven as the effective drug of choice for Entamoeba histolytica, both the cyste and trophozoite forms with minor side effect to the patients. Good personal hygiene and environmental sanitation practices are the major factors of this disease prevention. The main principle to prevent the spreading of amoebiasis infection is to cut the link of infection sources to human beings. Personal hygiene is focused on the management of individual behaviour, meanwhile environmental sanitation prevention focus lies on the better environmental management to cut the link of disease cycle.
STATUS KESEHATAN GIGI DAN TINDAKAN MENYIKAT GIGI PADA MURID TAMAN KANAK-KANAKORAL HEALTH STATUS AND BRUSHING TEETH PRACTICES OF KINDERGARTEN STUDENTS Andayasari, Lelly; Wibowo, Wibowo
Padjadjaran Journal of Dental Researchers and Students Vol 4, No 1 (2020): April 2020
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v4i1.25720

Abstract

Pendahuluan: Status kesehatan gigi ditentukan oleh adanya gigi karies, gigi yang hilang dan ditumpat. Kesehatan gigi dan mulut masih menjadi masalah di dunia. Tujuan dari penelitian ini adalah untuk mengidentifikasi status kesehatan gigi anak taman kanak-kanak dan tindakan menyikat gigi anak taman kanak kanak. Metode: Jenis penelitian cross-sectional. Penelitian dilakukan di 24 taman kanak-kanak (TK) di Provinsi Banten dan Daerah Istimewa Yogyakarta. Status kesehatan gigi diperoleh dari 564 anak berusia 3-6 tahun. Pemeriksaan kesehatan gigi menggunakan alat diagnostik steril yang dilakukan oleh dokter gigi. Data karakteristik dan perilaku menyikat gigi ditanyakan kepada orang tua dengan menggunakan kuesioner yang sudah diujicobakan. Analisis data menggunakan perangkat lunak SPSS. Hasil analisa disajikan dalam bentuk persentase. Hasil: Indeks def-t tertinggi di Kabupaten Serang (8,83), dan terendah adalah 4,97 di Kota Yogyakarta Sebagian besar anak mengalami karies gigi yaitu sebanyak 88,1%. Jumlah rata-rata karies gigi lebih banyak daripada gigi yang dicabut dan ditumpat. Kebiasaan menyikat gigi yang benar masih sangat rendah 2,8%. Simpulan: Status kesehatan gigi anak taman kanak-kanak sebagian besar dalam kategori buruk dan tindakan menyikat gigi yang benar masih sangat rendah.Kata kunci: Karies, menyikat gigi, anak, def-t. ABSTRACTIntroduction: Oral health status is determined by the presence of dental caries, missing and filled teeth. Oral health is still a problem in the world. The purpose of this study was to identify the oral health status of a kindergarten child and the toothbrushing practice in kindergarten students. Methods: A cross-sectional study was conducted in 24 kindergartens in Banten and Special Region of Yogyakarta provinces. The oral health status was obtained from 564 children aged 3-6 years old?oral health examination using a sterile diagnostic tool conducted by a dentist. Data on the characteristics and behaviour of toothbrushing practices were asked to the parents using a priorly tested questionnaire?data analysis was performed using SPSS software. The analysis results were presented in percentage. Results: The highest def-t index was found in Serang Regency (8.83), and the lowest (4.97) was found in Yogyakarta City. Majority of the children experienced dental caries, which was found in 88.1% of all respondents. The average number of dental caries was higher than the extracted and filled teeth. Proper toothbrushing habits were still very low, at 2.8%. Conclusion: The oral health status of kindergarten students are mostly found in the bad category, and correct toothbrushing practice is still very low.Keywords: Caries, brushing teeth, children, def-t.
HUBUNGAN ANTARA MOTIVASI KERJA, KEPUASAN KERJA DAN KARAKTERISTIK TENAGA KESEHATAN ASN TERHADAP RETENSI BEKERJA DI PUSKESMAS: ANALISIS DATA RISNAKES 2017 Nurlinawati, Iin; Andayasari, Lelly; Syachroni, Syachroni
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 2 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v30i2.2674

Abstract

ABSTRACT There is still a gap in the need for health workers based on the ratio of Indonesia's population in 2019. One of the policy recommendations issued by WHO states that it is necessary to maximize the retention of health workers in rural areas, especially those that are underserved by health services. It is also in line with the 3c's SDG's goals of increasing health financing and recruitment, development, training and retention of health workers. Previous studies state that the health service system in rural and remote areas can be implemented well if the motivation and retention of health workers increase so that there is no longer a migration of health workers. Another study shows that increasing incentives and job satisfaction is an effort that can be done to overcome the problem of doctor retention in the area. This study aims to determine the relationship of work motivation, job satisfaction and characteristics of ASN health workers to work retention at the Puskesmas. This study is the result of further analysis of Health Workforce Research (Risnakes) data in 2017 with a sample of all health workers in Puskesmas with ASN status. Data were analyzed univariate, bivariate and multivariate to see what factors most influenced. Based on the results of the study there is a significant relationship between age, sex, level of education, marital status, length of work at the Puskesmas and access to the workplace, motivation and job satisfaction with the retention of the ASN health personnel to continue working at the Puskesmas (p <0, 05). The results of multivariate analysis showed that easy access to the workplace was the dominant factor associated with work retention (OR = 1,928; 95% CI: 1,848-2,011). It is expected that local governments can provide easy access to the workplace for health workers who work at Puskesmas. The policy of building official housing for health workers can be a solution so that health workers feel at home when working in the regions. ABSTRAK Masih terdapat kesenjangan kebutuhan tenaga kesehatan berdasarkan rasio jumlah penduduk Indonesia di tahun 2019. Salah satu rekomendasi kebijakan yang dikeluarkan oleh WHO menyebutkan bahwa perlu memaksimalkan retensi tenaga kesehatan di daerah perdesaan terutama yang kurang terlayani dengan pelayanan kesehatan. Selain itu juga sejalan dengan sasaran 3c pada SDG?s yakni meningkatkan pembiayaan kesehatan dan rekrutmen, pengembangan, pelatihan dan retensi tenaga kesehatan. Studi terdahulu menyatakan bahwa sistem pelayanan kesehatan di perdesaan dan daerah terpencil dapat terlaksana dengan baik apabila motivasi dan retensi tenaga kesehatan meningkat sehingga tidak terjadi lagi migrasi tenaga kesehatan. Studi lain menunjukkan bahwa peningkatkan insentif dan kepuasan kerja merupakan upaya yang dapat dilakukan untuk mengatasi masalah retensi dokter di daerah. Penelitian ini bertujuan mengetahui hubungan motivasi kerja, kepuasan kerja dan karakteristik tenaga kesehatan ASN terhadap retensi kerja di Puskesmas. Studi ini merupakan hasil analisis lanjut dari data Riset Tenaga Kesehatan (Risnakes) tahun 2017 dengan sampel adalah seluruh tenaga kesehatan di Puskesmas yang berstatus ASN. Data dianalisis secara univariat, bivariat dan multivariat untuk melihat faktor apa yang paling berpengaruh. Berdasarkan hasil penelitian terdapat hubungan yang bermakna antara umur, jenis kelamin, tingkat pendidikan, status pernikahan, lama bekerja di Puskesmas dan akses menuju tempat kerja, motivasi dan kepuasan kerja dengan retensi atau kebetahan tenaga kesehatan ASN untuk terus bekerja di Puskesmas (p<0,05). Hasil analisis multivariat menunjukkan bahwa mudahnya akses menuju tempat kerja merupakan faktor dominan yang berhubungan dengan retensi kerja (OR=1,928; 95%CI: 1,848-2,011). Diharapkan pemerintah daerah dapat memberikan kemudahan akses menuju tempat kerja bagi tenaga kesehatan yang bekerja di Puskesmas. Kebijakan pembangunan rumah dinas bagi tenaga kesehatan dapat menjadi satu solusi agar tenaga kesehatan betah bekerja di daerah.