Articles

Found 32 Documents
Search

PEMETAAN SEBARAN KASUS GIZI BURUK BALITA UMUR 0-59 BULAN DI KOTA LHOKSEUMAWE TAHUN 2012 amalia, risa amalia; Mutiara, Erna; ., Jumirah
Kebijakan, Promosi Kesehatan dan Biostatiskik Vol 1, No 2 (2015): Jurnal Kebijakan, Promosi Kesehatan dan Biostatiskik
Publisher : Kebijakan, Promosi Kesehatan dan Biostatiskik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (465.975 KB)

Abstract

ABSTRACT Severe malnutrition at this time is a matter of special concern in the city of Lhokseumawe, because it may cause a lost generation. Data of malnutrition cases can be presented spatially and can be drawn in a map by using Quantum GIS Software.This research aimed to make a map of the distribution of under five malnutrition cases in the city of Lhokseumawe in 2012. This is a descriptive research. The population were all of under five malnutrition cases and registered at Lhokseumawe Health Office as many as 43 cases in 2012, and all of them were selected as samples. The result showed that out of 43 under five malnutrition cases in Lhokseumawe city, the 15 cases (34.88%) were found in Banda Sakti subdistrict and they were near the beach, the cases with clinical symptom were 15 cases, the cases without clinical symptom were 2 cases (4.65%) and they were spread out the hill and on the side of the road, 8 cases (18.60%) were in radius < 1 km from their houses to health center, 12 cases (27.91%) were in radius < 1 km to the hospital, and 1 case (2.33%) died in radius < 1 km to the hospital. By using Quantum GIS software through Geographic Information System (GIS), it would be easy for Health Office of Lhokseumawe City and health centers in making intervention to malnutrition countermeasure.Keywords: Malnutrition, Under Five, Mapping, Quantum GIS, Geographic Information System
Determinan kepatuhan melakukan fisioterapi pasien low back pain Andriany, Anita; Mutiara, Erna; Lubis, Halinda Sari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 7 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.46146

Abstract

Determinants of compliance for doing physiotherapy for low back pain patientsPurpose: The high rate of non-compliance with physiotherapy was 71.7% in LBP patients in Medan Education Hospital in 2016. The purpose of the study was to determine the variables that are related and most related to compliance with physiotherapy. Method: The sample size of the cross-sectional study was 125 people and was chosen by simple random sampling. The type of data used is primary data through direct interviews with LBP patients who do physiotherapy at Medan Teaching Hospital using a questionnaire. Result: The results of data processing obtained the value of RP family income of 0.764 (0.337-1.732), p>0.005 not related to compliance with physiotherapy.  The role of health workers is Rp. 2.453 (1.084-5.550), p<0.005 and accommodation values are Rp. 3,076 (1.159-8161), p<0.005 related to Compliance with physiotherapy. Conclusion: Accommodation is the variable most associated with compliance with physiotherapy so that the estimated number of RP is 1.897 with 95% CI (1.210-2.974) and p <0.050. LBP patients with adequate accommodation are estimated to give an opportunity 1.897 times to obey physiotherapy.
PENGARUH OBESITAS TERHADAP KEJADIAN DIABETES MELLITUS PADA WANITA USIA SUBUR DI RSUD DR. DJOELHAM BINJAI TAHUN 2017 Pratiwi, Tika Ayu; Lubis, Rahayu; Mutiara, Erna
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 4, No 1 (2018): April 2018
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v4i1.161

Abstract

Diabetes mellitus (DM) merupakan penyakit degeneratif yang paling umum ditemukan, peningkatan BMI (Body Mass Index)  1 angka akan mempunyai kecenderungan menjadi kencing manis sebesar 25%. Dengan bertambahnya ukuran lingkaran perut dan panggul, terutama pada obesitas tipe sentral atau androit, menimbulkan resistensi insulin, suatu keadaan dimana insulin tidak dapat bekerja dengan baik, maka terjadilah kencing manis. Tujuan penelitian untuk melihat pengaruh obesitas terhadap kejadian diabetes mellitus pada wanita usia subur di RSUD DR. Djoelham Binjai tahun 2017. Penelitian ini menggunakan studi analitik observasional dengan desain studi unmatched case control. sampel dalam penelitian ini 52 orang (kasus) dan 52 orang (kontrol). Analisis data dilakukan dengan tahapan analisis univariat, bivariat dengan uji chi-Square. Pada kelompok kasus terdapat sebanyak 27 orang (51,9%) wanita usia subur yang obesitas, dan 25 orang (48,1%) yang tidak obesitas. Sedangkan pada kelompok kontrol terdapat sebanyak 14 orang (26,9%) wanita usia subur yang obesitas, dan 38 orang (73,1%)wanita usia subur yang tidak obesitas. Hasil uji statistik menunjukkan bahwa terdapat pengaruh obesitas terhadap kejadian diabetes mellitus  (p= 0,009) pada taraf nyata ? = 0,05. Hasil penelitian juga menunjukkan  nilai OR= 2,931(95%CI 1,292-6,652), artinya wanita usia subur yang obesitas perkiraan risikonya 2,9 kali akan menderita diabetes mellitus dibanding dengan yang tidak obesitas. Kesimpulan dan saran penderita diabates mellitus diharapkan dapat menjaga gula darah agar tetap dalam keadaan normal, mengurangi berat badan bagi pasien obesitas, mengatur kebiasaan makan yang memiliki tinggi karbo, mengurangi makanan yang mengandung tinggi lemak, serta memperbanyak mengkonsumsi sayur dan buah, dan melakukan aktifitas olah raga untuk mengurangi risiko terjadinya diabates mellitus.Kata kunci: diabetes mellitus, obesitas
FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI (0-6 BULAN) DI KELURAHAN BANTAN KECAMATAN MEDAN TEMBUNG TAHUN 2013 Siallagan, Yesica; Mutiara, Erna; Yusad, Yusniwarti
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 3 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.401 KB)

Abstract

Exclusive breasfeeding means that an infant receives only breastmilk with no additional foods or liquids, not even water for the infant of 0-6 months. Based on data of National Institute of Health Research &amp; Development in 2010 only 15,3% infants in Indonesia got exclusive breastfeeding whereas the expected target was 80%. Data from Health Profile of Medan Municipality Health Office in August 2011 there were 174 (4,08%) infants got exclusive breastfeeding. This low coverage gave rise to remaind health problems in the babies that it can bring impact on the quality of human resources in the future. The purpose of this study was to know factors associated with exclusive breastfeeding to the baby of 0-6 months old the Bantan Village, Medan Tembung Sub District in 2013. The design of this study was cross-sectional. The population in this study were all mothers with babies of 7-12 months old the Bantan Village, Medan Tembung Sub District amounted 181 mothers. The technique of sampling was purposive sampling and 100 of them were selected to be sample. Data were collected by interview using questionnaires. Data analysis included univariate and bivariate by using chi-square test. The results of this study showed that 100 respondents, from data analisis stases of included univariate and bivariat only four respondent (4,0%) gave exclusive breastfeeding. It was found there was relationship between knowledge (p = 0,023), education level (p = 0,018) and the factor of tradition/habit (p = 0,002) with exclusive breastfeeding. Medan Municipality Health office is expected to increase knowledge of the mother through health workers at Mandala Health Center by giving extention or counseling about exclusive breasfeeding and the impact of the other foods and drinks given to infants before the age of 6 months. Key words : Exclusive breastfeeding knowledge, education and tradition/habit
FAKTOR-FAKTOR YANG MEMENGARUHI IBU DALAM PEMBERIAN MAKANAN PENDAMPING ASI TERLALU DINI DI WILAYAH KERJA UPTD PUSKESMAS TELUK KARANG KECAMATAN BAJENIS KOTA TEBINGTINGGI PROVINSI SUMATERA UTARA TAHUN 2015 damanik, novianti; Mutiara, Erna; Fitria, Maya
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2016): jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (318.033 KB)

Abstract

ABSTRACT The early complementary feeding is foods or drinks that contain nutrients given to infants under 6 months of age. The early complementary feeding at this time will reduce the coverage of exclusive breastfeeding. The coverage of exclusive breastfeeding in the Puskesmas Teluk Karang was still low about 32,8% (in 2014) while the national target was 80%. It is suspected related to factors of social culture and family support. The purpose of this study was to understand factors influenced the mothers in giving the early complementary feeding in working area of UPTD Puskesmas Teluk Karang, Subdistrict of Bajenis, City of Tebing Tinggi in 2015. Type of this research was analytical observation study with the cross sectional design. The research was done since November 2013 until January 2015. Population in this research were all mothers who had infant aged between 7-12 months in the working area of UPTD Puskesmas Teluk Karang, Subdistrict of Bajenis, City of Tebing Tinggi which was being as samples as 106 mothers. The multiple logistic regression is used to analyze the data. The result of the research showed that the early complementary feeding is high enough i.e 89,6%. From the multivariate analysis, it was proved that the factors influenced the early complementary feeding are the social culture (p=0,008) and the family support (p&lt;0,001). The dominant factor influenced this early complementary feeding was family support (coefficient of B=3,021). It?s suggested that breastfeeding mothers are not easily influenced by the social culture in the communities and families are expected to provide support so that mothers still exclusively breastfed, by fulfilling the nutritional needs during lactation so that it produced the qualified breastfeeding in the sufficient quantities. Keywords: Early Complementary Feeding, Social Culture, Family Support
FAKTOR YANG BERHUBUNGAN DENGAN PERKAWINAN USIA MUDA PADA PENDUDUK KELOMPOK UMUR 12-19 TAHUN DI DESA PUJI MULYO KECAMATAN SUNGGAL KABUPATEN DELI SERDANG TAHUN 2013 Anti, Priyanti; Fitria, Maya; Mutiara, Erna
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.226 KB)

Abstract

ABSTRACT Young age marriage is a marriage conducted under the age of 20 years. Maturation age of marriage is an attempt to increase the age at first marriage, so it achieves the minimum age at marriage that is 20 years for women and 25 years for men. This study aimed to understand the factors related to early marriage of the population of the age group 12-19 years at the Puji Mulyo Village, Sunggal Subdistrict, Deli Serdang District in 2013. The study design was cross-sectional. The study population was the entire population of the age group 12-19 years in 2012 as many as 1458 people. Sample is the population of the age group 12-19 years who had father and mother, had been dated, had a girl or boy friend. Data collection was done by using questionnaires. Data analysis was done by univariate and bivariate analysis using chi-square test. The results showed that of 81 population of the age group 12-19 years there were 22 people (27.2%) who did young age marriage. Also it was found no relationship between knowledge (p = 0.001), promiscuity (p = 0.001) and young age marriage. While there is no relationship between education (p = 0.325), father's education (p = 0.428), mother?s education (p = 0.545), culture (p = 0.060) and young age marriage. The village goverment is expected to cooperate with the school and the Office of Religious Affairs to provide counseling related to young age marriage on adolescent and to activate PIK-KRR (Center for Adolescent Reproductive Health Counseling Information) as a mean to obtain information about adolescent reproductive health especially about the meaning and impact of early marriage, the ideal age for marriage and marriage laws as well as parents should pay more attention to the development of their children and adolescents are more selective in choosing friends not to be involved in promiscuity. Keywords : Marriage, Young Age, Population Age 12-19 Years
Factors That Influence The Numbers of Children in The Village Pusong Banda Sakti Lhokseumawe City Mursyida, Rika; Mutiara, Erna; Asfriyati, Asfriyati
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 4, No 1 (2018): April 2018
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The number of children means how many children owned by someone, usually in the form of the intended family size. Family size will be increased, along with the increase in the number of children because each family attempts to get the number of children by their own way. The objective of the research was to find out some factors influenced the number of children such as the factors of mother’s age, family income, and child value through the first age at exposure to sexual intercourse at Pusong Village, Banda Sakti Subdistrict, City of Lhokseumawe, in 2017. The research was observational with cross sectional design. The population was 246 wives of PUS (Fertile Age Couple) at Pusong Village, in January, 2017, and 95 of them were used as the samples, using simple random sampling technique. The data were analyzed by using path analysis. The result of the research showed that simultaneously wife’s age, family income, child value, and the first age at exposure to sexual intercourse influenced the number of children of 24.9%. Of the three independent variables, the variable of the first age at exposure to sexual intercourse influenced the number of children (ρ < 0.001) with the amount of influence was 24.9%, and the rest (75.1%) was influenced by other factors such as Family Planning, education, and mother’s job. It is recommended that community and religious leader at Pusong Village, as the head of “tuha peut gampong’ should correct negative perception about the use of contraception device so that the community will believe that contraception device is halal (legitimate) and can be used by the wives of fertile age couple arranging their number of children. Keywords: wife’s age, family income, child value, the first age at exposure to sexual intercourse, number of children
PELOD score, serum procalcitonin, and lactate levels in pediatric sepsis Ismy, Jufitriani; Lubis, Munar; Mutiara, Erna; Yani, Gema Nazri; Trisnawati, Yunnie
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.237 KB) | DOI: 10.14238/pi55.6.2015.293-6

Abstract

Background Sepsis remains a major cause of morbidity and mortality among critically ill children in the pediatric intensive care unit (PICU). Procalcitonin and lactate have been used as biomarkers of sepsis, as they have been correlated with disease severity, organ failure and death. The Pediatric Logistic Organ Dysfunction (PELOD) score is a tool to assess the severity of organ dysfunction in critically ill children. Objective To investigate the correlation between PELOD score and procalcitonin and lactate levels in pediatric sepsis. Methods A cross-sectional study was conducted in children with sepsis who were admitted to the PICU from April to July 2012. Sepsis was defined as systemic inflammatory response syndrome (SIRS), as a result of suspected or proven infection. Proven infection was defined as positive culture findings (blood, urine or other specimens) and/or serum procalcitonin &gt;=2 ng/mL. Spearman’s test was used to assess for correlations between PELOD scores and procalcitonin as well as lactate levels. Results Thirty-two patients were analyzed, consisting of 18 males and 14 females with an age range of 1-432 months (median 21 months). There was no statistically significant correlation between procalcitonin level and PELOD score (r=- 0.186, 95%CI -0.502 to 0.174, P=0.308) nor between lactate level(r=-0.069, 95%CI -0.408 to 0.287, P=0.709) and PELOD score. Conclusion Serum procalcitonin and lactate levels are not correlated with PELOD scores in children with sepsis.
Analisis spasial dan faktor risiko tuberkulosis paru di Kecamatan Sidikalang, Kabupaten Dairi - Sumatera Utara tahun 2018 Simbolon, David Royson; Mutiara, Erna; Lubis, Rahayu
Berita Kedokteran Masyarakat (BKM) Vol 35, No 2 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (831.695 KB) | DOI: 10.22146/bkm.42643

Abstract

Kepatuhan berobat pasien TB resistan obat (RO) di Kota Medan Syarifah, Syarifah; Mutiara, Erna; Novita, Sri
Berita Kedokteran Masyarakat (BKM) Vol 33, No 11 (2017): Proceedings of the 2nd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.38185

Abstract

Kasus TB RO saat ini semakin meningkat, Indonesia merupakan negara dengan urutan ke delapan terbesar kasus TB RO di dunia, di Sumatera Utara kota Medan merupakan penderita TB RO tertinggi. Sejak tahun 2011 Rumah Sakit Pusat Haji Adam Malik Medan menjadi Rumah Sakit Rujukan TB RO di Sumatera Utara, pada akhir tahun 2017 ini di Medan akan di tambah 2 Rumah Sakit Rujukan Kasus TB RO yakni Rumah Sakit Pirngadi Medan dan Rumah Sakit Haji Medan. Penelitian ini bertujuan untuk menggali secara mendalam kepatuhan berobat pasien TB RO. Penelitian mengunakan pendekatan kualitatif, melalui wawancara dengan informan pasien TB RO dan keluarga, tokoh masyarakat dan tokoh agama, LSM bergerak dalam TB dan organisasi mantan penderita TB RO Pejuang Sehat Bermanfaat (Pesat), petugas TB puskesmas serta dokter Tim Ahli Klinis (TAK) Rumah Sakit Pusat Haji Adam Malik Medan. Hasil penelitian menunjukkan bahwa faktor pendukung pasien patuh berobat adalah pengetahuan pasien mengenai TB RO, adanya keinginan untuk sembuh, dukungan keluarga terutama keluarga luas, dukungan tokoh masyarakat dan tempat kerja, sikap dan komunikasi baik antara petugas dan pasien. Hambatan yang memengaruhi pasien tidak patuh berobat adalah efek samping obat, penyakit penyerta, tingkat keparahan penyakit, kondisi fisik yang lemah, PMO bukan tenaga kesehatan, fasilitas kesehatan dan ekonomi. Melihat beban, biaya serta masalah yang ditimbulkan dari kasus TB RO maka perlu pelibatan sosial untuk mendukung kepatuhan berobat pasien melalui bauran layanan kesehatan pemerintah-swasta (Public-Private Mix).