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Nexus Kedokteran Klinik
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Search results for , issue " Vol 3, No 3 (2014): Nexus Kedokteran Klinik" : 20 Documents clear
Perbedaan Tingkat Kecemasan Antara Siswa yang Mengikuti Dan tidak Mengikuti Bimbingan Belajar Dalam Menghadapi Ujian Nasional Di SMA Negeri 5 Surakarta Parendra, G. Harldy; Hadin, Yusvick; Sari, Yulia
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety is the signal awakening, warning the presence of treating hazard and enabling an individual to take some measures to deal with the threat. National exam is one factor that can result in anxiety in the students. Learning guiding is one of learning infrastructures out of school time functioning to help the student practice solving the problem quickly. This research aimed to find out whether or not there is a difference of anxiety level between students attending and those not attending Learning Guiding in Facing National Exam.   Method: This study was an analytical descriptive research using cross sectional approach. This research was conducted in SMA Negeri 5 Surakarta. The sample was taken using purposive sampling followed by random sampling. The sample was divided into 2 groups: the students attending and those not attending learning guiding. The students then filled in (1) personal data form, (2) L-MMPI questionnaire, (3) TMAS questionnaire, if the students did not meet inclusive and exclusive criteria and result of L-MMPI questionnaire ≥ 10, the sample cannot be chosen. The-60 samples obtained were analyzed using Chi Square using SPSS program 17.00 for Windows Program. Result: This research showed the c2 Chi-Square value of 1.684, while p = 0.194 or p > 0.05 meaning that there was no difference of anxiety level between the students attending and those not attending learning guiding in facing National Exam. Conclusion: There was no difference of anxiety level between the students attending and those not attending learning guiding in facing National Exam. Keywords: Learning Guiding, Anxiety. 
Hubungan Status Ekonomi Orang Tua dengan Depresi pada Remaja di SMA N 8 Surakarta Rahmawati, Noviana; Machmuroch, .; Suparman, .
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Depression in adolescents due to increased life that full of stress (pressure) and demands are not fulfilled when solving problems. It can be caused by various factors, such as self-pressure, outside pressure, problems with friends, and also economic of family issues. Socioeconomic status relate to physical and mental health of adolescents. This study aims to determine the relationship of the economic status of parents with depression in adolescents at SMA N 8 Surakarta.   Methods: This study is a correlational study with cross sectional approach held from October to November 2013 in the SMAN 8 Surakarta. A total of 94 studens were taken by simple random sampling method. Subject was asked to fill out the form identity, informed consent and questionnaires. Then the results of the questionnaire were tested by Contingency coefficient through SPSS 17.0 for Windows. Results: The samples used were 94 students. A total of 64 students (68.1%) have parents with high economic status. The rest as many as 30 students (31.9%) have parents with low economic status. Distribution of depression showed 39.4% of students have mild depression, 31.9% of students have middle depression, the remaining 28.7% of students have severe depression. The cross distribution of these two variables showed that students with a low economic status were more severely depressed, while students with high economic status were less severely depressed. Contingency coefficient (C) statistical test of 0.248 indicates that the degree of closeness of the relationship between the two variables is weak. Conclusions: There is a relationship of economic status with the incidence of depression in adolescents at SMAN 8 Surakarta with the level of relationship between the two variables is weak. Keywords: Economic Status, Adolescents, Depression 
Hubungan antara Optimisme dengan Kualitas Hidup pada Pasien Lupus Eritematosus Permitasari, Akrim; Nurudhin, Arief; Wicaksono, Bagus
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Systemic Lupus Erythematosus (SLE) is an auto-immune disease that is vary since its relapse period (flare) and remission period. The occurence of flare on SLE consist of many factors, one of them is depression that is caused by stress. While, the optimists are known as people who have good ability on dealing with stress. This research is aimed to find out the relation between optimism and living quality of patients who suffered from SLE. Research Method: This research was an analytic observational research with cross sectional approach. The sample was SLE patients who are fused in Griya Kupu Surakarta community. This research conducted by filling out the quetionnaires, optimism quetionnaire (Life Orientation Test-Revised) and quality of life quetionnaire (SF-36). From these two data, the researcher did the analysis using Pearson’s product moment correlation analysis. Then, the data were treated by using SPSS 14,0 for Windows application. Result: Based on the analysis, there were some result obtained: there was a strong unidirectional relation (r = 0,613) and significant (sig = 0,000) between optimism and quality of life. There was varied relationship between optimism and quality of life on each domain. Optimism had strong unidirectional relation on physical function domain (r = 0,515, sig = 0,003), pain domain (r = 0,570, sig = 0,001), social function domain (r = 0,602, sig = 0,000) and general health (r = 0,614, sig = 0,000). Optimism had quite strong unidirectional relation with physical role domain (r = 0,329, sig = 0,071), the role of emotion domain (r = 0,429, sig = 0,016) and energy domain (r = 0,498, sig = 0,004). But, on physical role domain (sig = 0,071) this result was not significant.  Optimism had inversely relation with mental health (r = -0,318, sig = 0,087), this result was not significant. Conclusion: Based on this research, it can be concluded that there is a strong relation (r = 0,613, sig = 0,000) between optimism and quality of life of Systemic Lupus Erythematosus  patients. Key Words: Systemic Lupus Erythematosus, Optimism, Quality of Life 
Estimasi Tinggi Badan Berdasarkan Panjang Telapak Tangan dan Panjang Telapak Kaki Santosa, Novian Anindito; Tamtomo, Didik Gunawan; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Body height measurement is one of forensic identification examinations. One of evidence that probably found in forensic cases is hand length or foot length. This research aimed to the know correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Methods: This research was descriptive analytic with cross-sectional study design. The research was held in Faculty of Medicine Universitas Sebelas Maret with 40 samples of students which consisted of 24 males and 16 females. Independent variable of this research werehand and foot length. Hand length was measured with caliper, foot length was measured with plan A4 paper and ruler. Dependent variable of this research was body height estimation which was measured with microtoise. Samples obtained were measured height, hand length and foot length. The result obtained was tested with double linear regression test. Results: The statistical analysis result for regression test partially obtained that right hand length had correlation score (r) 0,971 (p=0,000), left hand length had correlation score (r) 0,968 (p=0,000),right foot length had correlation score (r) 0,975 (p=0,000), left foot length had correlation score (r) 0,973 (p=0,000). While the result of double linear regression test had correlation score (r) 0,999 (p=0,000). Conclusions: There was correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Keywords: Body height,hand length  foot length.  
Perbedaan Kecenderungan Somatisasi Antara Mahasiswa Semester IV yang Memiliki Tingkat Kecemasan Tinggi dan Rendah di Fakultas Kedokteran Universitas Sebelas Maret Surakarta Arifa, .; Suwito, Djoko; Hanim, Diffah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Somatization disorder is the presence of somatic complaints (physic) which can not be found the adequate medical explanation. Anxiety is a feeling disorder which characterized by a feeling of fear or concern that deep and sustained. Anxiety can occur in the fourth semester students. This research aims to find out is there any difference of the somatization tendencies between semester IV students who have high and low levels of anxiety in Medical Faculty of Sebelas Maret University Surakarta. Methods: This was an analytic observational research with case-control design. The subject were fourth semester students in Medical Faculty of Sebelas Maret University who meet established criteria. The sampling technique using total sampling of a large population of 237 people. The data analysed by using SPSS for Windows version 17.0 programme with the normality test by Shapiro-Wilk continued by Mann-Whitney because the data that taken was not normal distribution. Results: Students with high anxiety level was obtained an average IRS score of 15.75 and SD 6.883. Students with low anxiety level was obtained an average IRS score of 5.33 and SD 3.467. The difference of somatization tendencies between semester IV students who had high and low levels of anxiety generate significant value (p = 0.000) Conclusions: There were difference of somatization tendencies which statistically significant betweet semester IV students who had high and low levels of anxiety. Students who had high level of anxiety are more likely to experience somatization compared to students who had low level of anxiety. Keywords: Level of anxiety, somatization tendencies, medical students. 
Perbedaan Tingkat Kecemasan Caregiver Pasien Skizofrenia Tipe Disorganized Dengan Tipe Katatonik Di RS Jiwa Daerah Surakarta Wibowo, Antonius Setyo; Syamsulhadi, Muchammad; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Schizophrenia is a clinical syndrome of severe mental disorders characterized by abnormal perception in the form of hallucinations, delusions, psychiatric behavior deviations, unusual beliefs, and mind distortions. Caregiver, someone who responsible to treat the patient will feel burden, include anxiety. This research aims to know the anxiety level difference between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Methods : This study was a descriptive analytic study with a cross sectional approach, conducted in the RS Jiwa Daerah Surakarta. The subjects  were taken using consecutive sampling method. The subjects were divided into two groups, disorganized type and catatonic type of schizophrenia caregiver. The subjects filled out the (1)Informed Consent, (2)Study Questionnaire, (3)L-MMPI Questionnaire, (4)T-MAS Questionnaire. If the subject did not meet the criteria of inclusion and exclusion, and the result of the L-MMPI questionnaire ≥ 10, the subject could not be selected. The 35 data consisted of 25 disorganized type and 10 catatonic type of schizophrenia caregivers were analyzed using Fisher’s Exact Test. Results : This study demonstrated there is no difference of anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta which was shown by p = 0.264 (p > 0.05). Conclusions : There was no difference anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Keywords: caregiver, schizophrenia, disorganized type, catatonic type, anxiety level 
Perbedaan Disfungsi Ereksi pada Pasien Diabetes Melitus Tipe 2 dengan Hipertensi dan Nonhipertensi di RSUD Dr. Moewardi Rusjaya, I Kadek; Sugiarto, .; Iryawan, Andri
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Type 2 Diabetes Mellitus is a global and Indonesian health problem which is estimated to increase in the future. One of the long-term complications of diabetes mellitus is the presence of neuropathy which will cause erectile dysfunction. Hypertension often accompanies the presence of diabetes mellitus. Untreated hypertension in diabetes mellitus will worsen the incidence of erectile dysfunction. This happened because in hypertension occurs a vascular endothelial damage and decreased production of NO which is a major mediator of erection. Methods: This study was an observational analytic study with cross sectional approach held in August – September 2014 in the Polyclinic of Internal Medicine RSUD Dr. Moewardi. Sampling was done by Purposive Random Sampling technique, selection was done by checking the inclusion and exclusion criteria of the study sample. The number of samples in this study were 30 patients. Hereafter, the data obtained were statistically analyzed by Chi-Square test (X2). Results: The results of the Chi-Square test’s analysis of the incidence of erectile dysfunction was obtained a significant differences between patients with type 2 diabetes mellitus with hypertension and non-hypertension (p<0,05). Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9 times compared to non-hypertension (OR=9,750,p=0,008). Conclusions: There was a statistically significant difference of erectile dysfunction between patients with type 2 diabetes mellitus with hypertension and non-hypertension. Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9,7 times compared to non-hypertension. Keywords: Diabetes Mellitus, Erectile Dysfunction, Hypertension  
Hubungan Efikasi Diri dengan Kualitas Hidup Penderita Penyakit Paru Obstruktif Kronik (PPOK) di RSUD Dr. Moewardi Roosana, Sarah Nadya; Harsini, .; Suradi, .
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Chronic Obstructive Pulmonary Disease COPD) is one of the causes of respiratory disorder that is often found in the world. Along with the increase in COPD complications, patients require a special effort to prevent lung decline of function in order to improve the quality of life. One of the ways is increasing self-efficacy. This study aims to determine the relationship between self-efficacy and quality of life in patients with COPD at RSUD Dr. Moewardi. Methods: This study was an observational analytic with cross-sectional approach. Samples of this study were 40 COPD patients in the outpatient pulmonary clinic of RSUD Dr. Moewardi were selected using purposive sampling technique. The independent variable of this study is self-efficacy which was measured with the COPD Self-Efficacy questionnaire (CSES). The dependent variable of this study is quality of life as measured by COPD Assesstment Test (CAT) questionnaire. The confounding variables of degree of smoking, duration of COPD, and the degree of breathlessness measured by respondent characteristics questionnaire and Modified Medical Research Council scale (mMRC scale). The data were analyzed using multiple logistic regression models. Results: Results of multiple logistic regression analysis showed the results OR = 72.055; CI 95% from 1300 to 3944.041; and p = 0.037. This result has controlled the confounding variables, namely the long-suffering COPD, degree of smoking and degree of breath shortness. Patients who have good self-efficacy have a good quality of life for seventy-two times greater than patients who have poor self-efficacy. Conclusions: There is significant correlation between self-efficacy and quality of life of patients with Chronic Obstructive Pulmonary Disease (COPD) at RSUD Dr. Moewardi. Keywords: COPD, Self-Efficacy, Quality of life.  
Perbedaan Kualitas Tidur Mahasiswa yang Merokok dengan yang Tidak Merokok di Fakultas Sastra dan Seni Rupa Universitas Sebelas Maret Saputri, Rizky Hening; Fanani, M.; Hanim, Diffah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Smoking was a bad habit that has been a problem throughout the world both in developed and developing countries. Primary Health Research mentioned that 27.2% smokers were male students and moreover smoking habit of students was followed by staying up late at night. Smokers who did smoke activity at night have higher risk of experiencing sleep disturbances than smokers who did smoke activity during the day. Approximately 20% to 50% adults per year report sleep disturbance fulfillment and about 17% had serious sleep disturbance fulfillment experience. The current prevalence of insomnia according to DSM-IV criteria in adolescents showed 10.7%. These number would be increase along with the increase of age and contributing factors like smoking. This study aims to determine the difference of sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University. Method: Observational analytic with cross sectional method approach. Samples taken by Purposive Random Sampling method. The number of sample was 100 consisted of 50 male smoker students and 50 male non-smoker students. This research instrument was smoking activity questionnaire, LMMPI questionnaire and PSQI questionnaire. Data analysis done with independent T-test. Result: The results showed 39 (64%) samples of male smoker students had poor sleep quality, and 11 (28,2%) samples of male smoker students had good sleep quality. While the male non-smoker 28 (71,8%) samples had good sleep quality and 22 (36%) samples of male non-smokers students had poor sleep quality. T Count value (-3.487) < t table value (-1.661) with p = 0.001. Conclusion: There was difference in the sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University (p = 0.001). Some smoker college student had poor sleep quality while non-smoker college student had good sleep quality. Keywords: Smoker, Non- smoker, sleep quality. 
Hubungan Indeks Massa Tubuh (IMT) dengan Frekuensi Serangan Asma pada Pasien Asma Wanita yang Menggunakan Kontrasepsi Hormonal dan Tidak Anggraeni, Aninda Dwi; Harsini, .; Suryawan, Arif
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma is the most common chronic disease throughout the world which the prevalence of asthma is greater in women. The evidence suggest that sex steroid hormones play an important role in respiratory health. Further, although asthma increased with increasing BMI in all women, this increase was stronger among women taking oral contraception. Therefore, it needs study about correlation BMI with asthma attack frequency in women patient with asthma using hormonal contraception and not. Methods: This study is an observational study with cross sectional conducted in June – July 2014 in Dr. Moewardi general hospital and BBKPM Surakarta. Sampling was done by purposive sampling. Subject to fill (1) bio-data form, (2) Questionnaire. Treatment in respondent (1) Measurement height and weight. Data obtained by 60 subjects and analyzed using Spearman correlation through SPSS 20.00 for Windows. Result: This study shows the value of Spearman correlation r = 0,432; p < 0,05, which means there is a positive correlation was statistically significant between BMI and asthma attack frequency among women taking hormonal contraception with a moderate correlation strength. Whereas among women taking nonhormonal contraception shows the value of Spearman correlation r = 0,363; p < 0,05 which means there is a positive correlation was statistically significant between BMI and asthma attack frequency with a weak correlation strength. Conclusion: There is a moderate positive correlation and statistically significant between BMI and asthma attack frequency among women taking hormonal contraception. And then there is a weak positive correlation and statistically significant between BMI and asthma attack frequency among women taking nonhormonal contraception. Keywords: BMI, Asthma Attack Frequency, Contraception 

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