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THE DEVELOPMENT OF NUTRITION DEMAND ENQUIRY MODEL FOR PRESCHOOL-AGED CHILDREN BASED ON HEALTH PROMOTION MODEL Has, Eka Mishbahatul Mar'ah; Sustini, Florentina; Armini, Ni Ketut Alit
Jurnal Ners Vol 7, No 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.051 KB) | DOI: 10.20473/jn.v7i2.4010

Abstract

Introduction: Preschool-aged children are not able to manage their nutrition independently. They need help, especially from their mother. Mother's behavior has effect on preschool's nutritional status. The aim of this study was to develop nutrition demand enquiry model for preschool-aged children based on Health Promotion Model.Method: Design used in this research was an observational analytic with cross sectional approach that was conducted in Karangturi Village, Gresik, East Java. The population was mothers of preschool aged children listed on Integrated Health Post for Under?ves (Posyandu Balita) along April?May 2012. Simple random sampling was used to take the sample. Sample size was 90 respondents. The independent variables were personal factors  (age, motivation, and ethnicity), perceived bene?t, perceived barrier, perceived self-ef?cacy, and commitment. The dependent variable was mother's behavior on nutrition of preschool children. Data were collected using questionnaire and food recall 24 hour. Data were analyzed using PLS (Partial Least Square) Regression.Result: The result showed that 1) personal factors had correlation with perceived bene?t, perceived barrier, and perceived self-ef?cacy; 2) perceived bene?t and perceived barrier had correlation with commitment; 3) commitment had no correlation with mother's behavior on nutrition. Perceived bene?t and perceived barrier had direct correlation with mother's behavior on nutrition. Discussion: It can be concluded that mother's perceived bene?t and perceived barrier was correlated with mother's behavior on nutrition. Nurses are key health care professionals responsible for increasing health education activities about how to manage nutrition of preschool age children. So, mother should have good behavior on preschool age children's nutrition.
Home humidity increased risk of tuberculosis in children living with adult active tuberculosis cases Lestari, Pudji; Sustini, Florentina; Endaryanto, Anang; Asih, Retno
Universa Medicina Vol 30, No 3 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.138-145

Abstract

Indonesia is one of the countries with the largest number of tuberculosis (TB) cases in the world. Environmental factors play significant roles in infection and disease development in children living with adult active TB cases. The aim of this study was to explore the environmental factors affecting TB risk in children, including humidity and number of people living in the same house with the children.  Using a cross-sectional study design, children living with active TB adults for at least 8 weeks were recruited. The subjects underwent clinical examination, tuberculin skin test (TST) and radiological investigations. Home visits were conducted three times daily, namely in the morning, at midday, and in the evening, to measure humidity by digital hygrometer and to observe home conditions. Of 56 index cases living with active TB adults in an urban low socio-economic setting, 64 contact TB children were recruited. These children were classified as class I with negative TST and no clinical signs, class II with positive TST and no clinical signs, and class III with both positive TST and clinical signs. There were 32 (50%) class I, 10 (15.6%) class II and 22 (34.3%) class III children. However, a sub-sample of 43 showed positive results for Mtb 16S rRNA, indicating that all children were infected. The humidity cut-off point was set at 75%, p=0.04 and EP 2.09 (CI= 1.32-3.29), signifying that children living in houses with a humidity higher than 75%, were twice more likely to be tuberculin positive. Environmental conditions playing a role in disease development were humidity and number of people living in the house.
Empirical Antibiotic Therapy Assessment of Patients diagnosed with Sepsis in Intermediate Care Ward of Internal Medicine Department of Dr. Soetomo General Hospital according to Gyssens Method Adiwinoto, Ronald Pratama; Sustini, Florentina; Hardiono, Hardiono; Widodo, Agung Dwi Wahyu; Hidajat, Boerhan; Hadi, Usman
Oceana Biomedicina Journal Vol 1, No 2 (2018): Oceana Biomedicina Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (546.601 KB) | DOI: 10.30649/obj.v1i2.17

Abstract

Rational empirical antimicrobial therapy is an important component of sepsis patient management. This study aimed to assess the rationality of empirical antimicrobial therapy in patients diagnosed with sepsis admitted in intermediate care ward of internal medicine department (RPI) of Dr. Soetomo General Hospital from January 2016 to July 2017. Medical records of 91 patients diagnosed with sepsis were collected and studied retrospectively in period from July 2017 to November 2017. 91 (85.05%) medical records from 107 sepsis patients were evaluated. Cultures and antimicrobial sensitivity tests were carried out in 21 (23.07%) patients. 14 patients yielded positive culture results, 9 of which were MDRO positive with ESBL as resistant marker. Empirical antibiotic therapies for these patients were reviewed according to Gyssens method.73 (80.2%) of 91 patients were deemed receiving appropriate empirical antibiotic therapies. Ceftriaxone IV injection as monotherapy or combination therapy were the most common empirical antibiotic therapies (82 in 91 patients, 90.1%), despite local microbiologic flora and antibiogram show most pathogens were resistant to ceftriaxone. Mortality rate in this study was high, 92.3% (84 patients died) despite rational empirical antibiotic therapies were high. This study concluded that empirical antibiotic therapies in sepsis patients according to guidelines adopted in Soetomo General Hospital, albeit deemed rational, was no longer appropriate according to local antibiogram issued by microbiological department of Soetomo General Hospital. Keywords: Empirical Antibiotics Therapy, Gyssens criteria, Intermediate Care Ward, Sepsis, Septic Shock
IMPLEMENTATION ON STIMULATION, DETECTION, AND EARLY INTERVENTION OF CHILD GROWTH AND DEVELOPMENT (SDIDTK) PROGRAM IN PUSKESMAS MOJO, SURABAYA STILL EMPHASIZE ON GROWTH SCREENING Susanti, Dwi; Sustini, Florentina
Folia Medica Indonesiana Vol 52, No 1 (2016): JANUARY - MARCH 2016
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.31 KB) | DOI: 10.20473/fmi.v52i1.5209

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It’s Important to conduct child development screening regularly in primary health services, so child developmental delay cases can be detected and treated as early as possible. Child development screening program in Puskesmas should been carried out integrated with growth screening in Stimulation, Detection, and Early Intervention of Child Growth and Development (SDIDTK) Program. Aims of this study was to gathering informations about the implementation of child development screening activity conducted by Puskesmas Mojo. This was a cross sectional study with kualitatif method. Primary data taken from under 5 years old child’s mothers, kindergarten teachers, cadres, and health staff of Puskesmas Mojo. Secondary data gotten from PWS KIA report of Puskesmas Mojo.Results of SDIDTK activities in Puskesmas Mojo according to PWS KIA report, achieve 88.1% in 2013 and 95.2% in 2014. Child development screening activities done infrequenly in Posyandu. Routine activities of Posyandu was growth/nutrition screening. Child development screening activities done by visiting kindergarten school every 6 month but not every child getting development screen, only those who suspicious have developmental delay because of minimum number of staff and aids. Results of SDIDTK activities in Puskesmas Mojo only represents child growth screening activities.
PROFILE OF TYPE II DIABETES MELLITUS WITH CENTRAL OBESITY IN DR. SOETOMO HOSPITAL Munir, Misbakhul; Sutjahjo, Ari; Sustini, Florentina
Folia Medica Indonesiana Vol 51, No 3 (2015): July - September 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (38.87 KB) | DOI: 10.20473/fmi.v51i3.2831

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Obesity, especially central obesity is often associated with insulin resistance and type 2 diabetes mellitus. Diabetes mellitus is a disease of the number six cause of death in Indonesia with the proportion of deaths by 5.8%. The purpose of this study was to identify central obesity in patients with type 2 diabetes mellitus in Poly Endocrine Dr. Soetomo Hospital, Surabaya. The study design was descriptive study. The sample was 100 type 2 diabetes mellitus patients taken with purposive sampling technique. The variable was central obesity and type 2 diabetes mellitus. The data obtained by interviewing patients and performing measurements on body weight, height and waist circumference. Data were analyzed by interpreting how the description of the variables studied and compared with other studies and theories. The results was the characteristics of patients most were female (66%), level of education was medium, unemployment, most of patient’s age was more than 50 years old, 43% for interval 51-60 years old, 43% were 1,50-1,59 meters in height and 28% were 50-59 kilograms and 28% were 60-69 kilograms in weight. According to Body Mass Index (BMI) measure that 54% the patients are normal in average 25,56 8,12 kg/m2. Measurement of waist circumference showed that 73.5% male and 81.8% female patients had central obesity. The conclusions, precentage of patients with type II diabetes mellitus who have central obesity were 81,82% female and 73, 53% male.
Smartphone Usage and Parent Role Correlated with Risky Dating Behaviour in Adolescent Silvanasari, Irwina Angelia; Sustini, Florentina; Has, Eka Mishbahatul Mar'ah
Indonesian Journal of Health Research Vol 1 No 2 (2018): December 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan Jembrana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32805/ijhr.2018.1.2.10

Abstract

Introduction. Dating behavior becomes one of risky behavior in adolescence.  The research purpose was to analyze the correlation between smartphone usage and parents role with risky adolescent dating behaviour. Methods. The research design was observational analytic with cross sectional approach. This research was conducted in January 2018. The population was the entire students of class X and XI in Jember X Senior High School. As many as 150 respondents taken with simple random sampling. The independent variables were information seeking, entertainment seeking, use of problematic smartphone, and parents role. The dependent variable was adolescent dating behaviour. Data collection used questionnaire. The data results were analyzed using chi-square and logistic regression (α = 0,05). Results. The research results showed that adolescents with information seeking 5-6 times/day (OR = 7,010; 95% CI = 2,072 - 23,710) and information seeking 2-4 times/day (OR = 4,853; 95% CI = 2,013 - 11,696) tend to have risky dating behavior than adolescents with information seeking > 6 times/day. Adolescents with entertainment seeking > 6 times/day (OR=2,497; 95% CI=1,007-6,190) tend to have risky dating behavior compared to adolescents with entertainment seeking ≤ 4 times/day. Adolescents with poor parent role (OR=2,913; 95% CI=1,294 - 6,554) tend to have risky dating behavior compared to adolescents with good parent role. Conclusion. Wise smartphone usage should be done by adolescent. Parents should be able to open discussion about sexual health and monitor smartphone usage in adolescent. School nurses should be able to provide education related to wise smartphone usage to adolescent.
Evaluasi Status Fungsional Pasien Stroke Iskemik Di Ruang Rawat Inap Saraf RSUD Dr. Soetomo Menggunakan Instrumen Functional Independence Measure (FIM) Suprijadi, Inez Anabela Suprijadi; Sustini, Florentina; Pawana, I Putu Alit; Sudibyo, Devi Ariani
JURNAL WIDYA MEDIKA Vol 5, No 1 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (589.6 KB) | DOI: 10.33508/jwm.v5i1.1994

Abstract

Introduction: Stroke is a sudden and acute functional focal and global brain disorder that lasts more than 24 hours due to brain blood circulation disorders. Strokes can influence several aspects of life including ADL. Aim: To analyze the patients with ischemic stroke in Neurology Department of RSUD Dr. Soetomo by Functional Independence Measure (FIM) scale at the times of admission to hospital, discharge, and one month after follow-up. Methods: The design of study was cohort. Sample was 60 patients that suitable with the inclusion criteria and was selected by consecutive sampling. Patient’s age, sex, length of stay, nutritional intake, compliance of drugs intake, and the ability of physical activity were recorded. After that, motor assessment and daily activities skills were evaluated by FIM scale. Data was collected by interview and examination for 5 months. Data was analyzed by t-test. Results: A sum of 60 patients are studied. Most frequent genders are male (53,3%), age ranging from 60-69 years old (36,7%), length of stay mostly less than a week (88,3%), nutritional intake is mostly balanced (31,7%), most of the patients take their drugs regularly (66,7%), and most of the patients are only need supervision (45%). The FIM score at admission ranged between 54-71 (40%), at discharged ranged between 72-89 (46,7%), and after one month follow-up ranged between 72-89 (48,3%). There were significant change at p=0,001 between FIM Score at discharged and admission and also between FIM score after one month follow-up and discharged. Conclusion: All patients’ FIM scores were improved. There was a correlation between patient’s length of stay and FIM score at admission and also the ability of physical activity. Significant correlation was found between patient’s age and the ability of physical activity with the FIM score at discharge. Patient’s age, length of stay, and the ability of physical activity have significant correlation with The FIM score after one month follow-up.
Hubungan Perilaku Penderita dengan Kejadian Tuberkulosis di Wilayah Kerja Puskesmas Jagir Kecamatan Wonokromo Kota Surabaya Agustin, Retno Ardanari; Sustini, Florentina
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 12, No 2 (2017): October
Publisher : STIKES Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.457 KB) | DOI: 10.30643/jiksht.v12i2.30

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Tuberculosis is a tropical contagious disease that is one of the targets of government programs in the eradication of infectious diseases. Indonesia is now ranked fifth with the highest burden of TB in the world. The results of TB prevalence surveys (2004) on knowledge, attitudes and behavior show that 96% of families care for family members with TB. 85% know that TB can be cured, 26% can name two major signs and symptoms of TB. The mode of transmission of TB is understood by 51% of families. The purpose of this study to determine the relationship of behavior with the incidence of tuberculosis in Puskesmas Jagir Kecamatan Wonokromo Kota Surabaya. The study was conducted November 1, 2014 - January 27 2015, the design of case control research, the risk factor of this study is the behavior of the patient, the effect is the incidence of tuberculosis. Respondents were cases of 10 people and control 26 people. Univariate analysis describes knowledge, attitude, action and behavior respondent. Bivariate analysis using contingency coefficient calculation result. The greater incidence of tuberculosis did not occur in respondents with favorable attitudes (p = 0.013, r = 0.383, OR = 7.667), respondents who carried out preventive measures of transmission (p = 0.001 r = 0.286 OR = 37.5) good (p = 0.001, r = 0.494, OR = 24,429). It is necessary to increase the willingness and behavior (knowledge, attitude and actions) of tuberculosis patients in an effort to reduce the incidence of tuberculosis, by increasing the dissemination of information not only to the patient but also to the community. Keyword: Knowledge, Attitude, Action, Behaviour, Tuberculosis
Peningkatan Pengetahuan Dan Keterampilan Konseling Vasektomi Menggunakan Manekin, Video, Leaflet, Dan Poster Rizalanda, Sofyan; Soebadi, Doddy Moesbadianto; Sustini, Florentina
Jurnal Keperawatan Muhammadiyah 2019: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v4i2.2329

Abstract

Objective: to identify the effect of the use of family planning counseling media on improving vasectomy knowledges and counseling skills.Methods: This article used  quasi-experimental method with a non randomized control group pre test - post test design. The research subjects were 35 male heads of the male family planning group divided into mannequin, video, leaflet, poster, and control group.  Results: Average variable of knowledges of the male family planning group leader before debriefing was 43.66 and after it became 66.86 with average knowledges in the control namely 43.43, leaflet 68.71, poster 68.57, video 74.29, and mannequin 78.29 (p = 0.0001) or smaller than 0.05. While the average variable of counseling skills before debriefing was 26.74 and after it became 84.00 with the average of them were control group 27.43, leaflet 65.14, poster 70.85, video 72.57, and mannequin 71.57, (p = 0,0001) or smaller than 0.05.  Conclusion: The use of family planning counseling medias increase vasectomy knowledges and counseling skills. For knowledges, mannequin is the best media. While the counseling skills, video is the best one.Keywords:  counseling skills, knowledges, media
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN STUNTING PADA SAAT IBU HAMIL salamung, niswa; Haryanto, Joni; sustini, florentina
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 4 (2019): Oktober 2019
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v10i4.497

Abstract

Stunting merupakan tinggi merupakan tinggi badan menurut usia di bawah -2 standar median kurva pertumbuhan anak disebabkan masalah kurang gizi kronis sejak 1.000 Hari Pertama Kehidupan anak. Salah satu resiko terjadinya stunting pada anak adalah kurang asupan gizi pada masa ibu hamil. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan perilaku pencegahan anak stunting pada saat ibu hamil. Penelitian ini menggunakan rancangan cross sectional. Sampel pada penelitian sebanyak 74 ibu hamil trimester 1 diwilayah kerja puskesmas Grujugan, Tenggarang, dan Maesan Kabupaten Bondowoso yang diperoleh menggunakan simple random sampling. Hasil analisis ada hubungan dukungan keluarga (p value 0,057), dukungan lingkungan (p value 0,010) namun tidak ada hubungan antara perilaku pencegahan stunting dengan usia (p value 0,361), pendidikan (p value 0,230) dan pendapatan (p value 0,240). Rekomendasi dari penelitian ini bagi tenaga kesehatan memberikan pendidikan kesehatan pada ibu hamil dan keluarga untuk memberikan pemahaman tentang pencegahan stunting sejak usia kehamilan dini