Titiek Hidayati
Bagian Ilmu Kesehatan Masyarakat, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta

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GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK) Suprayitno, Emdat; Khoiriyati, Azizah; Hidayati, Titiek
Media Ilmu Kesehatan Vol 6 No 1: MIK April 2017
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v6i1.204

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Background: Chronic Obstructive Pulmonary Disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patients’ confidence in independently managing chronic desease Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed the condition and problems of lung function and the narrowing or blockage of the airway. Objective: To identify the conditions and problems of self efficacy and Peak expiratory flow rate in COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Results: Self  efficacy was in low category with score less than 99 (86.7%) and Peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of  COPD Self efficacy in Asy-Syaafi Hospital Pamekasan were not good category and Peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways.   Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate
THE IGF-1 LEVEL OF ESRD PATIENTS AND ITS RISK FACTORS Hidayati, Titiek; Yuningtyaswari, Yuningtyaswari; Sadewa, Ahmad Hamim; Soesatyo, Marsetyawan HNE
Indonesian Journal of Urology Vol 21, No 1 (2014)
Publisher : Indonesian Urological Association

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Abstract

Objective: To identify the Insulin-like Growth Factor–1 (IGF-1) level of End Stage Renal Disease (ESRD) and non ESRD populations, and correlation between IGF-1level and ESRD incidences. Material & Method: This case study was carried out in Yogyakarta with 72 volunteers. The cases involved Chronic Kidney Disease (CKD) patients. The controls were non-CKD patients. CKD parameters were established with PERNEFRI diagnostic criteria. Comparison of IGF-1 levels between case and control groups was performed through ANOVA, with confidence level of 95%. Bivariate analysis to identify the correlation between IGF-1 plasma level, smoking status, illness history and body mass index (BMI) by determining odds ratio (OR) of individual risk factor of p < 0.05. Results: We enrolled 72 volunteers, 45 male and 27 female subjects. Of the 45 male patients, 15 CKD and 30 non CKD patients served as cases and controls, respectively. The difference in plasma IGF-1 level was detected in the case and control groups (42.01 ± 10.66 vs. 56.05 ± 24.91) (p < 0.05). The result of bivariate analysis showed passive smoking status, IGF-1 plasma level, DM history and hypertensive illness history had correlation with ESRD incidence with odds ratios of 7.88 (p < 0.005; CI: 1.6-37.5) for passive smokers, 4.3 (p < 0.05, CI: 1.36 to 13.33) for IGF-1 level, 21.5 (p < 0.05; CI) for DM history and 12.4 (p < 0.05; CI: 3.7 to 41) for hypertensive history. Conclusion: There was difference in IGF-1 plasma level between ESRD and non-ESRD patients. The IGF-1 plasma level, passive smoking status, diabetes history, and hypertensive history have correlation with ESRD incidence.Keywords: Insulin-like Growth Factor–1 level, End Stage Renal Disease, case control, odds ratio.
BLACK CUMIN SEED OIL ANTIDIABETOGENIC BY INCREASING PANCREATIC P53 EXPRESSION Akrom, Akrom; Nurfadjrin, Rizma; Darmawan, Endang; Hidayati, Titiek
International Journal of Public Health Science (IJPHS) Vol 7, No 3: September 2018
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v7i3.13694

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Black cumin seed oil (BCSO) contains many thymoquinone and unsaturated fatty acids that act as antioxidants. Thymoquinone was thought to inhibit pancreatic damage and prevent hyperglycemia by involving p53. The study aimed to determine the BCSO effect on Malondialdehyde (MDA) levels and p53 expression of pancreatic tissues in alloxan-induced Sprague Dawley (SD) rats. This study used Pre and Post Test with Control Group Design with 49 male Sprague Dawley rats aged 30 days weighing 150 - 300 gram. Rats were divided into 7 groups: Group I, the normal control group receiving standard feeding and drinking; Group II, the negative control group receiving alloxan; Group III & IV, the treatment groups, receiving BCSO with a dose of 6.9 mg/KgBW (BCSO6.8) and 68 mg/KgBW (BCSO68 group); Group V, the positive control 1 group receiving simvastatin 10 mg/KgBW; Group VI, the positive control 2 group receiving vitamin C 18 mg/200mgBW; Group VII, the solvent control receiving DMSO. The treatment groups received two different doses per day for 9 days orally. Blood MDA and glucose levels were determined by spectrophotometry and p53 expression of pancreas tissues were read by a pathologist. The results show that the BCSO68 group had a decreased activity of MDA and glucose but a higher expression of p53 in pancreatic tissues compared to the BCSO6.8 group. Decreased Malondialdehyde levels in the BCSO68 group were similar to those in the vitamin C group but lower than those in the simvastatin group (p<0.05). It can be concluded that the BCSO administration of 68 mg/KgBW per day can decrease blood Malondialdehyde and glucose levels and increase p53 expression. 
HEALTH EDUCATION IMPROVE BEHAVIOR AND SELF-EFFICACY ON PERSONAL HYGIENE AMONG CHILDREN WITH INTELLECTUAL DISABILITY Hidayati, Titiek; Akrom, Akrom; Nurasa, Indri; Erviana, Erviana
International Journal of Public Health Science (IJPHS) Vol 8, No 4: December 2019
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v8i4.20370

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Personal hygiene is one of the basic human needs and must be kept clean, including scalp and hair, eyes, nose, ears, nails of hands and feet, skin and overall body care. Health education on personal hygiene is still concern not only for healthy children but also for children with disabilities. One of the ways is with audiovisual methods. This study aimed to analyze the effect of health education on personal hygiene with audiovisual methods. The study design used was pre-experiment without a control group. The number of samples was 30 using total sampling technique. Knowledge of personal hygiene before health education (pre-test) was mostly insufficient category, after being given health education (post-test) mainly was in proper group. The pre-test attitude was in low category, and the post-test was still the same. Pre-test and post-test of behavior were mostly being practiced. Pre-test and post-test of self-efficacy were in low category. There was an influence of health education on personal hygiene with audiovisual methods on the level of knowledge in intellectually disabled children (p<0.05), but there was no effect on attitudes, behaviors, and self-efficacy in intellectually disabled children.
BENEFIT OF BROWN RICE FEEDING ON ELDERLY INSOMNIA Hidayati, Titiek; Seftaviani, Nevi; Munifah T.F.F.S., Hastin; A.H.P., Ardhitapramesti; Fikriyani L., Nurisa
International Journal of Public Health Science (IJPHS) Vol 4, No 3: September 2015
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v4i3.4737

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Difficulty falling asleep or insomnia is one of health problems in elderly. Age is one of the risk factor of insomnia. Tryptophan in brown rice can stimulate the formation of serotonin. Serotonin is a neurotransmitter that causes someone sleeps easily. This research used quasi-experimental design with pretest posttest without control group. Population in this research is 20 elderly persons in Budi Luhur Nursing House unit of Kasihan, Bantul. Result experiment shows that 7 elderly persons have improvement in difficulty falling asleep or insomnia. Improvement of insomnia degree in elderly may be caused by the tryptophan in brown rice. Elderly persons can consume brown rice as alternative food for improving insomnia.
BLACK CUMIN SEED OIL INCREASE LEUCOCYTE AND CD4THELPER NUMBER IN SPRAGUE-DAWLEY RATS INDUCED WITH DIMETHYLBENZANTHRACENE Hidayati, Titiek; Akrom, Akrom; Indrayanti, Indrayanti; Sagiran, Sagiran
International Journal of Public Health Science (IJPHS) Vol 8, No 2: June 2019
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v8i2.17930

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Cigarette smoke contains 7, 12 dimethylbenzanthracene (DMBA). Metabolic of DMBA is immunosuppressive. Black cumin seed oil (BCSO) is an immunomodulation. The aim of this study was to determine the effect of BCSO on leukocyte, CD4Th and CD4CD25Treg in Sprague-Dawley (SD) mice induced with DMBA. The 96 SD rats were divided into 8 groups of 12. Group I received aquabidest and standard feeding. Groups II, III and IV received BCSO (an equivalent of 6.8, 68 and 136 mg/kg BW / day thymoquinone, respectively). Group V received thymoquinone (50 mg / kg BW / day) and group VI received tamoxifen (60 mg / kg BW). Group VII (DMBA) was induced with DMBA (10x20mg / kg BW for 5 weeks). Group VIII received standard feeding and corn oil treatment. In the third week, all groups began to be induced with DMBA (20 mg/kg BW twice per week for five weeks). Data collection of leukocytes, CD4Th and CD4CD25Treg was performed at week 27th. The mean difference of CD4Th and CD4CD25Treg counts between groups was calculated with one way ANOVA. Results: The administration of BCSO, thymoquinone, and tamoxifen had increased leukocytes and CD4 Th cell count. The CD4Th cell count of the treatment groups was higher than that of the DMBA group (p <0.05). BCSO equivalent doses of 6.8 and 68 mg/kg BW / day thymoquinone showed immunoprotective effects. Conclusion: It can be concluded that the BCSO administration at doses of 6.8 and 68 mg/kg BW / day shows immunoprotective effects due to DMBA induction.
Persepsi dan Perilaku Merokok Siswa, Guru dan Karyawan Madrasah Hidayati, Titiek; Arikensiwi, Eka
Jurnal Mutiara Medika Vol 12, No 1 (2012)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Muhammadiyah Yogyakarta

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Abstract

Perilaku merokok muncul karena faktor-faktor internal juga faktor eksternal. Faktor internal seperti persepsi, sikap fakta dan pengetahuan. Sedangkan faktor eksternal seperti pengaruh orang tua yang merokok, teman, dan fatwa haram rokok. Semua hal tersebut menimbulkan persepsi yang berbeda pada tiap orang tentang merokok. Setelah seseorang memiliki persepsi tersendiri tentang merokok kemudian muncul suatu sikap, yaitu kecenderungan seseorang untuk menerima atau menolak, setuju atau tidak setuju terhadap respon yang datang dari luar, dalam hal ini adalah merokok. Jika setuju maka seseorang akan melakukan aktivitas merokok, tapi jika tidak setuju maka seseorang tidak akan merokok. Tujuan penelitian adalah untuk menganalisis perbedaan persepsi dan perilaku merokok pada siswa siswi Madrasah Mu’allimin Yogyakarta. Metode penelitian yang digunakan adalah studi non eksperimental dengan pendekatan cross-sectional. Sampel yang digunakan dalam penelitian ini berjumlah 218 orang yg terdiri dari siswa 142 orang, guru 33 orang dan karyawan 43 orang di Lembaga Pendidikan Madrasah Mu’allimmin Yogyakarta. Analisis statistik yang dipakai adalah analisis Chi square. Hasil penelitian ini menunjukkan bahwa terdapat perbedaan persepsi dan perilaku merokok pada siswa, guru, dan karyawan di Lembaga Pendidikan Madrasah Mu’allimin Yogyakarta. Persepsi positif, pengetahuan tinggi, dan sikap yang positif lebih tidak berisiko berperilaku merokok, adanya keluarga dan teman yang merokok lebih berisiko berperilaku merokok (PR>1). Smoking behavior is influenced by many internal and external factor, such as perception, attitude and knowledge for the internal factor and smoking parents, smoking friends and fatwa haram rokok for the external factor. All of that factor will caused a different perception on each person about smoking. Then a person will start to decide to accept or resist, agree or disagree to put smoking into their life. Then they will act as they are choose to smoke or not. The research aims to analysis the  difference of smoking perception and behaviour among student, teacher, and employee in Madrasah Mu’allimin Muhammadiyah Yogyakarta. The research method is non-experimental studies with cross-sectional approach. The number of sample for this research is 218 person consist of 142 student, 33 teacher, and 43 employee in Madrasah Mu’allimmin Yogyakarta. The data is processed with Chi square statistical analysis system. This research result shows that there are different perception and smoking behavior on students, teachers, and employees in Lembaga Pendidikan Madrasah Mu’allimin Yogyakarta. Perception, knowledge, and positive attitude is less influencing on someone’s smoking behavior, on the contrary if there are family member and friends who smoke are more influencing on someone’s smoking behavior (PR>1).
Pengaruh Pelatihan Gizi Metode Roleplay dan Audiovisual terhadap Tingkat Pengetahuan dan Sikap tentang Gizi di Wilayah Kerja Puskesmas Kasihan I, Bantul Hidayati, Titiek; Jati, Dhara Indah Kartika
Jurnal Mutiara Medika Vol 11, No 3 (2011)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Muhammadiyah Yogyakarta

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Malnutrisi yaitu ketidak seimbangan selular antara pemberian asupan nutrisi dan energi yang dikeluarkan. Upaya perbaikan gizi sudah banyak dilakukan di Puskesmas, salah satunya konseling. Tujuan penilitian ini adalah untuk mengetahui pengaruh pelatihan terhadap tingkat pengetahuan dan sikap tentang gizi di wilayah kerja Puskesmas Kasihan I, Bantul. Desain penelitian yang digunakan adalah quasi eksperimental dengan pre test-post test control group design dengan metode Roleplay dan metode audiovisual. Subyek penelitian ini adalah 30 ibu balita dengan status gizi kurang yang dibagi menjadi 2 kelompok (kelompok pelatihan dan kontrol). Analasis data menggunakan uji independent dan paired sample t-test. Hasil analisis statistik menggunakan paired sample t-test terhadap nilai rerata pre test dan post test pengetahuan serta sikap menunjukkan peningkatan, kenaikan rerata pengetahuan pada kelompok kontrol -0,4 tetapi tidak bermakna 0,57, kelompok pelatihan -3,1 yang bermakna 0,00 (p<0,05). Kenaikan rerata sikap pada kelompok kontrol 0,73 tetapi tidak bermakna 0,76, kelompok pelatihan -6,2 yang bermakna 0,00 (p<0,05). Pengaruh pelatihan gizi dengan terhadap tingkat pengetahuan dan sikap dengan independet sample t-test p=0,013 untuk pengetahuan dan p=0,001 untuk sikap (p<0,05). Hal ini dapat disimpulkan bahwa terdapat pengaruh pelatihan gizi dengan metode Roleplay dan audiovisual terhadap tingkat pengetahuan tentang gizi di wilayah kerja Puskesmas Kasihan I, Bantul. Kata kunci: Roleplay, Audiovisual, Pengetahuan, Gizi
GAMBARAN PENGETAHUAN DAN SIKAP KLIEN TENTANG CARA PERAWATAN HIPERTENSI Susiati, Irna; Hidayati, Titiek; Yuniarti, Falasifah Ani
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 4, No 3 (2016)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.045 KB) | DOI: 10.33366/cr.v4i3.440

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Tekanan darah tinggi atau hipertensi adalah kondisi medis dimana terjadi peningkatan tekanan darah secara kronis (dalam jangka waktu lama). Perilaku perawatan hipertensi dipengaruhi oleh pengetahuan dan sikap penderita hipertensi. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan dan sikap tentang cara perawatan hipertensi.Penelitian ini merupakan penelitian deskriptif non analitik dengan pendekatan cross sectional.Sampel adalah pasien hipertensi di Panti Werdha Majapahit Mojokerto sebanyak 45 orang, yang diambil dengan purposive sampling.Instrumen yang digunakan dalam penelitian ini adalah lembar kuesioner. Hasil diketahui bahwa sebanyak 27 responden(60%) berjenis kelamin perempuan; sebanyak 23 responden(51,1%) berusia 30-50tahun; sebanyak 19 responden (42,2%) berpendidikan SMU; sebanyak 19 responden(42,2%) mempunyai pengetahuan yang cukup; dan sebanyak 27 responden (60%)mempunyai sikap negatif terhadap hipertensi. Direkomendasikan bagi petugas kesehatan untuk memberikan pendidikan kesehatan secara teratur kepada penderita hipertensi melalui konseling , pemasangan poster, pembagian leaflet dalam upaya menumbuhkan sikap positif dan kemampuan merawat kesehatannya dengan baik
GAMBARAN SELF CARE STATUS CAIRAN PADA PASIEN HEMODIALISA ( LITERATUR REVIEW ) Fahmi, Faradisa Yuanita; Hidayati, Titiek
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 4, No 2 (2016)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.134 KB) | DOI: 10.33366/cr.v4i2.465

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Cronic Kidney Disease (CKD) atau penyakit gagal ginjal kronik merupakan gangguan pada fungsi ginjal yang progresif dan irreversible, dimana kemampuan tubuh gagal mempertahankan metabolisme serta keseimbangan cairan dan elektrolit sehingga menyebabkan uremia. Akibat ketidakmampuan ginjal membuang produk sisa melalui elminasi urin bisa menyebabkan gangguan endokrin, metabolik dan cairan elektrolit serta asam basa, sehingga diperlukan hemodialisis atau transplantasi ginjal untuk kelangsungan hidup pasien. Pembatasan asupan cairan pada pasien gagal ginjal kronik yang menjalani hemodialisa merupakan hal yang sangat penting untuk diperhatikan. Tujuan literatur review ini adalah untuk mereview literatur terkait program / upaya peningkatan kemampuan self care status cairan pada pasien hemodialisa. Dalam literatur review ini, penulis menggunakan artikel yang bersumber dari electronic data base seperti EBSCO, Proquest, google scholar dan pubmed dengan kata kunci self care, status cairan, hemodialisa dalam kurun waktu 2005 – 2015. Data yang telah didapatkan, ditelaah, dibandingkan, disusun secara sistematis dan dibahas. Dari beberapa sumber yang telah didapatkan menyebutkan bahwa kemampuan pasien hemodialisa pemenuhan self care status cairan masih kurang.