Agus Sulistyono
Medical Faculty of Airlangga University/ Dr. Soetomo Hospital Surabaya

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THE EFFECT OF HEALTH PROMOTION MODEL AND SELF DETERMINATION THEORY BASED INTERVENTION ON ANEMIA PREVENTION BEHAVIOR AND HAEMOGLOBIN LEVEL IN PREGNANT WOMEN Triharini, Mira; Sulistyono, Agus; Adriani, Merryana; Devy, Shrimarti Rukmini
Jurnal Ners Vol 14, No 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.664 KB) | DOI: 10.20473/jn.v13i2.15213

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Introduction: Anemia during pregnancy has an impact on pregnancy and fetus. The low status of prenatal iron in pregnant women may also affect neurodevelopment and behavior in children. Many pregnant women still do not have good behaviors in preventing anemia. The objective of the study was to analyze the effect of Health Promotion Model and Self Determination Theory Based Intervention on anemia prevention behaviors and haemoglobin level in pregnant mothers.Methods: This research was a quasi-experiment research with a pre- and post-test using a control group design. The samples were 30 pregnant women who did antenatal care in Community Health Center of Tanah Kali Kedinding Surabaya. Data were collected using questionnaires, food recall in 2x24 hours, and haemoglobin level examination using the cyanmethaemoglobin method.Results: There was an effect of Health Promotion Model and Self Determination Theory Based Intervention to anemia prevention behaviors and haemoglobin level (p = 0.013; p = 0.040).Conclusion: Health Promotion Model and Self Determination Theory Based Intervention improve the anemia prevention behaviors and haemoglobin level. Health workers can use Health Promotion Model and Self Determination Theory Based Intervention to improve anemia prevention behavior
MODEL OF INDEPENDENCY MOTHER IN CARING FOR PRETERM INFANT BASED ON EXPERIENTIAL LEARNING CARE (ELC) Saudah, Noer; Nursalam, Nursalam; Meriana, Meriana; Sulistyono, Agus
International Journal of Evaluation and Research in Education (IJERE) Vol 4, No 4: December 2015
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijere.v4i4.4512

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The role of parents have done less during the preterm infant care in hospitals caused dependence in caring for the baby. The Obyective of the study was to development a model of independence of the mother in the care of preterm infants with experiential learning approach based theory of goal attainment. Research?s design used analytic correlational in stage 1 and stage 2 used quasy experimental. The population used all mothers with preterm infants treated in perinatal dr. Wahidin Sudiro Husodo Mojokerto and Prof. Dr Soekandar Mojokerto Hospital  with sample size was 28 samples respectively in the treatment group and the control group.Variables used knowledge, decision, action, interaction, experiential learning, and mother independence.The instrumen used questionnaire and checklist. The sample was selected by consecutive sampling method. The study was conducted in August to Desember 2014. In the treatment group was given ELC module and the control group was given treatment by leaflets.Technical data analysts used Partial Linear Square (PLS) and independent t-test. Knowledge maternal of preterm infants was influenced  on the increase interaction with ? = 0,167. Decision mother in caring for preterm infants have a significant effect on the improvement of maternal interaction with the nurse with a value ? = 0,664. Measures mother caring for preterm infants have a significant effect on the improvement of maternal interaction with the nurse with a value ? = 0,172. Interaction significant effect on the increase of Experiential Learning mother in caring for preterm infants with a value ? = 0,790. Experiential Learning significant effect on the increase of the independence of mothers caring for preterm infants with a valuei ? = 0,560. Maternal interaction with nurses significant effect on the improvement of maternal autonomy treating preterm infants with a value  ? = 0,204. T-test showed a significant difference between treatment groups increase independence and control groups. New finding of study is interaction with the approach of Experiential Learning Care (ELC) through methods role play a stronger in improving the independence than  interaction direct to independence. Independence of the mother in caring of preterm infants used nursing interventions in the form of Experiential Learning Care (ELC) more meaningful improvement when compared to the conventional models of intervention. The presence of mothers in the intervention process would trigger a thought process and raises awareness. Awareness will be reflected in the thought process and used as a foothold in the act and acquire new skills to be able to solve the problem. Experiential Learning Care (ELC) can increase the independence of the mother in  caring of preterm infants.
FACTOR ANALYSIS ABOUT EXCLUSIVE BREASTFEEDING ACHIEVEMENT LEVEL AMONG MOTHERS WHO PROVIDE BREASTMILK TO THEIR CHILDREN Kusumaningrum, Tiyas; Lestari, Catur Puji; Sulistyono, Agus
Jurnal Ners Vol 5, No 1 (2010): April 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.033 KB) | DOI: 10.20473/jn.v5i1.3924

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Introduction: The number of mother who breastfeed their babies exclusively in Indonesia is low. It caused by many factors such as high intensity of formula milk advertisement, lack of awareness about the importance of breastfeeding, working mother, social culture, family support and the role of health care provider. The purpose of this research was to analyze factors related with successfulness level of exclusive breastfeeding.Methods: Design used in this research was analytic retrospective. The population were all mothers at Pacarkeling Public Health Center area. Sample obtained through purposive sampling. Total sample was 61 respondents. Independent variables were knowledge, information and promotion, family support, social cultural, role of health provider, work/occupation, education and breast physiology anatomy. The dependent variable was exclusive breastfeeding.Results: The result indicated that exclusive breastfeeding achievement level was related with information and promotion (r = 0.271), family support (r = 373), health care provider role (r = 231), mother occupation (r = 251), anatomy and physiology of breast (r = 293), while the knowledge (r = 108), social cultural (r = 180) and education (r = 093) not significantly related.ConclusionIn conclusion, there was a positive correlation between information and promotion, family support, health care provider role, mother?s occupation, anatomy and physiology of breast with successfulness level of exclusive breastfeeding. While the knowledge, social cultural and education did not indicate significant result. Therefore it is suggested to increase the quantity and quality of information and promotion about exclusive breastfeeding to the society, health care provider and pregnant and breastfeeding mother.
Aspirin Dosis Rendah Efektif Menurunkan Resistensi Arteri Uterina yang Abnormal pada Ibu Hamil Usia Kehamilan 16–24 Minggu Rachmi, Rachmi; Sulistyono, Agus
Majalah Obstetri & Ginekologi Vol 24, No 1 (2016): Januari - April 2016
Publisher : Majalah Obstetri & Ginekologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (16.595 KB) | DOI: 10.20473/mog.v24i1.2762

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Tujuan: mengetahui pengaruh pemberian aspirin 125 mg/hari terhadap penurunan resistensi pembuluh darah arteri uterina pada ibu hamil USG doppler velocimetry arteri uterina abnormal usia kehamilan 16-24 minggu.Bahan dan Metode: Penelitian ini merupakan penelitian pra-eksperimental pre-test post-test one group design. Subjek penelitian adalah ibu hamil dari puskesmas Mulyorejo dan Kalijudan Surabaya, usia kehamilan 16-24 minggu dengan hasil USG doppler velocimetry arteri uterina abnormal. Pemeriksaan USG doppler arteri uterina dilakukan di Departemen/SMF Obstetri Ginekologi Fakultas Kedokteran Universitas Airlangga-RSUD Dr. Soetomo, divisi Feto-Maternal, sebelum dan sesudah pemberian aspirin 125 mg/hari selama 4 minggu. Hasil pemeriksaan USG doppler velocimetry arteri uterina dibagi menjadi empat tingkatan yaitu; normal bila RI < 0,58 tanpa adanya notching, tingkat I jika RI > 0,58 tanpa adanya notching, tingkat II RI < 0,58 disertai notching dan tingkat III bila RI > 0,58 disertai adanya notching.Hasil: Dari 99 subjek penelitian dengan hasil USG doppler velocimetry arteri uterina abnormal yaitu; 81 orang tingkat I, 2 orang tingkat II dan 16 orang tingkat III. Hasil pemeriksaan USG doppler velocimetry arteri uterina setelah diberikan aspirin 125 mg/hari selama 4 minggu, didapatkan 76 subjek dengan hasil USG doppler arteri uterina yang menjadi normal dan 23 subyek tetap dengan hasil USG abnormal (20 orang tingkat I dan 3 orang ibu hamil tingkat III). Aspirin dosis rendah dapat menurunkan resistensi arteri uterina secara bermakna, dengan hasil p=0,0001 (p<0,05).Simpulan: Aspirin dosis rendah efektif untuk menurunkan resistensi arteri uterina yang abnormal pada ibu hamil usia kehamilan 16 – 24 minggu.
HUBUNGAN JUMLAH KUNJUNGAN ANC DAN STIGMATISASI DENGAN KEIKUTSERTAAN IBU HAMIL DALAM TES HIV SETELAH KONSELING OLEH PETUGAS KESEHATAN (Di Wilayah Kerja Puskesmas Turi Lamongan) Sari, Ponco Indah Arista; Sulistyono, Agus; Notobroto, Hari Basuki
The Indonesian Journal of Public Health Vol 11, No 1 (2016): The Indonesian Journal Of Public Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v11i1.2016.89-98

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HIV AIDS is considered as global threat due to the adverse impacts it brings to all sectors. The number of person with HIV-AIDS increases both in men and women. For pregnant women, HIV is not just a threat to the mother but also for the infant, therefore as to prevent the transmission and complication during pregnancy, screening should be made through an HIV test. The purpose of this study was to analyze the relationship between the number ofantenatal care and stigmatization on participation of pregnant women for HIV testing after counseling by Health Workers in the working area of Turi Public Health Center, Lamongan. This study applied cross sectional study. The population in this study consisted of 80 pregnant women. Simple random sampling was chosen for Sampling Technique and it was obtained as many as 42 respondents. Data collection was done using a questionnaire and interviews. Data were analyzed using frequency distribution tables and chi square test with significance level of 5% (p = 0.05). The results revealed that from as many as 42 pregnant women who made antenatal visit > 4 times, 100% of these pregnant women did not take HIV test while pregnant women who made only 2–4 times antenatal visit was as many as 16 individuals (64%) took the test, and only one pregnant woman who took the test on the first visit. Pregnant women who did not have the stigmatization, 100% took the HIV test. Statistical analysis showed no correlation between the number of antenatal visits (p = 0.000) and stigmastization (p = 0.000) of pregnant women for HIV testing after counseling by Health Workers. It is necessary to increase the provision of information and education for the pregnant women through health promotion concerning the importance of HIV testing and antenatal visits to the Health Care.Keywords: HIV test, Number of antenatal care, Stigmatization 
PERCEIVED BENEFITS AND INTAKES OF PROTEIN, VITAMIN C AND IRON IN PREVENTING ANEMIA AMONG PREGNANT WOMEN Triharini, Mira; Nursalam, Nursalam; Sulistyono, Agus; Adriani, Merryana; Hsieh, Pei-Lun
Jurnal Ners Vol 13, No 2 (2018): October 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.575 KB) | DOI: 10.20473/jn.v13i2.7712

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Introduction: Nutritional adequacy is essential in ensuring the normal growth and development of the fetus. Perceived benefits will be able to strengthen pregnant women to meet optimum nutritional intake to prevent anemia. Adequacy of protein, vitamin C and iron will reduce the risk of iron deficiency anemia in pregnancy. This study aims to examine the association between perceived benefits with protein, vitamin C, and iron intake in preventing pregnancy anemia.Methods: This study used a cross-sectional design and was conducted in August-October 2017 among105 pregnant women. This study used the multistage random sampling method. The population of this study was pregnant women who had antenatal care in four Community Health Centre in Surabaya namely Jagir, MedokanAyu, SidotopoWetan, and Gundih. Results: The average daily protein intake was 76.34 (SD = 35.88) gram/day. There was a significant association between perceived benefits with protein intake (r = 0.272; p = 0.005). The average daily vitamin C intake was 90.67 (SD = 116.54) mg/day. There was no significant association between perceived benefits and vitamin C intake (r = 0.175; p = 0.074). The average daily iron intake was 64.73 (SD = 23.13) mg/day. There was a significant association between perceived benefits and iron intake (r = 0.219; p = 0.025).Conclusion: The knowledge of pregnant women about the benefits of nutrition will affect the adequacy of pregnancy nutrition. Health workers need to provide health education on the importance of nutrition for pregnant women to prevent anemia during pregnancy.
Deteksi Dini Risiko Ibu Hamil dengan Kartu Skor Poedji Rochjati dan Pencegahan Faktor Empat Terlambat Widarta, Gede Danu; Cahya Laksana, Muhammad Ardian; Sulistyono, Agus; Purnomo, Windhu
Majalah Obstetri & Ginekologi Vol 23, No 1 (2015): Januari - April 2015
Publisher : Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.606 KB) | DOI: 10.20473/mog.V23I12015.28-32

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Tujuan: menganalisis kasus kematian maternal di RSUD Dr. Soetomo tahun 2011 – 2013 dengan tiga penyebab terbanyak (perdarahan pasca salin, preeklampsia berat dan penyakit jantung) ditinjau dari skor KSPR dan faktor empat terlambat.Bahan dan Metode: Penelitian ini merupakan penelitian retrospektif observasional dengan desain studi deskriptif. Objek pada penelitian ini merupakan pasien yang meninggal sebagai kasus kematian maternal di RSUD Dr. Soetomo tahun 2011-2013, dengan jumlah 58 orang. Variabel penelitian ini adalah tingkat risiko kehamilan berdasarkan KSPR, faktor empat terlambat dan kematian maternal.Hasil: Pada penelitian ini didapatkan seluruh kasus kematian maternal mengandung unsur faktor risiko dalam KSPR dan faktor empat terlambat. KRST merupakan kelompok faktor risiko terbanyak (55,2%), diikuti oleh KRT 39,7% dan KRR 5,2%. Faktor terlambat mendeteksi tanda bahaya ditemukan sebanyak 82,8%, terlambat mengambil keputusan merujuk 56,9%, dan terlambat sampai di tempat rujukan 15,5%. Faktor terlambat mendapat pertolongan di tempat rujukan terakhir tidak ditemukan pada penelitian ini.Simpulan: KSPR masih relevan digunakan untuk deteksi dini faktor risiko ibu hamil. Pencegahan faktor empat terlambat penting untuk menurunkan angka kematian maternal
PHOSPHATIDYLGLYCEROL STUDY AS FETAL LUNG MATURATION PARAMETER AFTER DEXAMETHASONE ADMINISTRATION FOR WOMEN AT RISK OF PRETERM BIRTH Rahmadani, Rizal Umar; Sulistyono, Agus; Yulistiani, Yulistiani; Yahya, Muhammad
Folia Medica Indonesiana Vol 52, No 4 (2016): OCTOBER - DECEMBER 2016
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.397 KB) | DOI: 10.20473/fmi.v52i4.5473

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Phosphatidylglycerol is an important indicator of fetal lung maturation, which plays a role in stabilizing surfactant lipoprotein complex. Corticosteroid antenatal can stimulate the synthesis of pulmonary surfactant in infants with preterm birth. The objective of this study is to examine the phosphatidylglycerol levels as fetal lung maturation parameter after dexamethasone administration in women with preterm birth compared to L/S ratio parameter. This study was prospective longitudinal (cohort). The samples were pregnant women with preterm birth risk at 28-34 weeks gestation getting the therapy of antenatal dexamethasone 6 mg IM every 12 hours given 4 times in 48 hours. The samples were 17 patients. Determination of L/S ratio and PG levels was performed by ELISA. The study was conducted from May - November 2015 and reviewed to obtain ethics eligibility permit by the research ethic committees of Dr. Soetomo General Hospital. The results show that the mean value of L/S ratio is 2.28 with a range of 1.35 to 9.06 and the mean of PG level is 1.17 with a range from 0 to 3.79. L/S ratio and PG show no significant relationship between the two of them. Increased levels of PG on the gestational age of 28-32 weeks have not demonstrated clinically significant changes yet. The highest PG level occurs in the gestational age of 32-34 weeks.
Aspirin Dosis Rendah Efektif Menurunan Resistensi Arteri Uterina yang Abnormal pada Ibu Hamil Usia Kehamilan 16-24 Minggu Rachmi, Rachmi; Sulistyono, Agus
Majalah Obstetri & Ginekologi Vol 24, No 1 (2016): Januari - April
Publisher : Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (99.16 KB) | DOI: 10.20473/mog.V24I12016.25-30

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Objectives: To measure the thickness of elastin fibres on vaginal wall of patients with POP anterior and then analyse the correlation of this measurement with the degree of POP anterior.Materials and Methods: This research is an observational analytic study. Data collection was conducted with a cross sectional approach on 28 blocks paraffin of vaginal wall taken from POP anterior patients of whom went through an operation in Dr. Soetomo Hospital of Surabaya. Data was divided into four groups: degree 0/I , II, III and IV respectively (n = 7). Immunohistochemical staining was performed with antibodies elastin. Afterward, the thickness of the elastin fibres was measured by utilizing a microscope with a Leica Application Suite (LAS) software.Results: We found significant differences in the mean of thickness of elastin fibres in each group of patients with degrees of anterior POP 0/I , II , III and IV respectively 0,81 + 0,14 µm; 1,63 + 0,19 µm; 2,47 + 0,26µm and 3,19 + 0,36 µm (p < 0,0001 ). Based on Pearson correlation test, the results shows a correlation coefficient r = 0.965 (p < 0,0001).Conclusion: The thickness of elastin fibre on vaginal wall increased as the degree of POP anterior arise. Increased in the thickness of elastin fibers on the vaginal walls was the result from extracellular matriks remodelling on vaginal wall of anterior POP patient.
Therapeutic effectiveness of rat bone marrow stem cells in Poly Cystic Ovary Syndrome Mice Model on folliculogenesis, TGF-β, GDF-9 expression, and estrogen, TNF- and androgen Levels Santoso, Budi; Sulistyono, Agus; S, Salmon Charles; Widjiati, Widjiati
Majalah Obstetri & Ginekologi Vol 24, No 3 (2016): September - December
Publisher : Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.135 KB) | DOI: 10.20473/mog.V24I32016.90-93

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Objectives: to identify therapeutic effectiveness of Rat Bone Marrow stem cell in PCOS rats model on folliculogenesis, TGF-beta and GDF-9 expression and on estrogen, TNF-a and androgen levels.Material and Methods: this study is a laboratory experimental research with using animal testing. PCOS was induced by the administration of testosterone propionate hormone into 30 mice. The subjects of this study are divided into 2 groups: stem cell group and control group. The mice were injected with testosterone then vaginal swab was performed to determine the mice cycle. After determining mice in anestrous cycle, stem cell was injected. TNF-a was measured with immunohistochemistry and androgen was examined using ELISA. The data was measured by student t-test.Result: The average number of TNF-a expression in control group was lower than stem cell group (5.35 vs 2.34; p= 0.0026). The average androgen level for stem cell group was lower than mean for control group (2.31 vs 0.40; p= 0.0026).Conclusion: In this study of polycystic model mice, stem cell decreased the expression of TNF-a and androgen level