Effect of Cultural Palliative Nursing Care “Trisna” toward Quality of Life for Cervical Cancer Patients in Moewardi General Hospital Surakarta

The most popular cancer in Indonesia is servical cancer with 3,686 patients (17.85%). Palliative nursing with cultural values approach gives holistic nursing care. The Javanese culture values; temen (earnest), nrima (sincere), sabar (patient) and rila (compation) or “Trisna” are easily understood and applicable so that it is a phsycotherapy for Javanese. The aim of this study is to know the palliative influence of “Trisna” toward quality of life in servical cancer patients in Moewardi General Hospital Surakarta. The design applied is a mix method; quantitative with Quasi experimental Non Randomized Control Group Pretest Postest Designand qualitative. The samples of nurse respondent for the intervention group are 19 with 15 person of control group. The patients respondent are 136 with 69 for each intervention and control group. This research measures the patient’s quality of life the researcher applied Z test (Mann Whitney Test), t – test and double linear regretion test.The result shows that palliative care is more effective for patients intervention group especially for their quality of life. Palliative nursing care model “Trisna” is recomended as one of guidances in giving nursing care with Javanese values for servical cancer patients in hospitals Keywords: palliative nursing care “Trisna”, patient’s quality of lif

Effects of Education, Nutrition Status, Treatment Compliance, Family Income, and Family Support, on the Cure of Tuberculosis in Mojokerto, East Java

Background: Tuberculosis is an important global public health issue. Countries around the world have committed to control the disease with various programs. However, the cure of Tuberculosis treatment in many countries is still low, which can hamper the success of Tuberculosis control program. Productivity of Tuberculosis patients continues to decrease that leads to socioeconomic burden. This study aimed to examine the effects of education, nutrition status, treatment compliance, family income, and family support, on the cure of Tuberculosis.Subjects and Method: This was an observational analytic study with case control design. The study was conducted in Mojokerto, East Java, from April to May, 2017. A total sample of 108 Tuberculosis patients were selected for this study by fixed disease sampling. The sample consisted of 35 uncured cases of Tuberculosis and 73 cured cases of Tuberculosis. The dependent variable was cure of Tuberculosis. The independent variables were education, nutrition status, treatment compliance, family income, and family support. The data was collected by a set of questionnaire and analyzed using path analysis.Results: Nutritional status (b= 1.31; 95% CI = 0.41 to 2.22; p=0.004) and treatment compliance (b= 1.07; 95% CI= 0.17 to 1.97; p=0.019) directly and positively affect the cure of Tuberculosis. Nutritional status was affected by high education (b=1.62; 95% CI =0.62 to 2.63; p=0.002), family income (b=1.66; 95% CI =0.70 to 2.62; p=0.001), and strong family support (b=1.50; 95% CI =0.36 to 2.63; p=0.010). Treatment compliance was affected by high education (b= 0.84; 95% CI = -0.14 to 1.81; p=0.093), family income (b= 1.36; 95% CI =0.42 to 2.30; p=0.005), and strong family support (b=2.08; 95% CI =0.96 to 3.19; p<0.001).Conclusion: Cure of Tuberculosis is directly affected by nutritional status and treatment compliance. Education, family support, and family income, indirectly affect cure of Tuberculosis.Keywords: cure of Tuberculosis, education, nutrition status, family income, family support, treatment complianceCorrespondence: Puspitasari. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281333060714.Journal of Epidemiology and Public Health (2017), 2(2): 141-153https://doi.org/10.26911/jepublichealth.2017.02.02.0

Risk Factors of Breast Cancer in Women at Dr. Moewardi Hospital, Surakarta, Central Java

Background: Breast cancer is a leading type of cancer affecting women around the world. Its incidence is increasing in developed and developing countries. Breast cancer is the leading cause of death among women in Indonesia with 19,731 cases of death in 2014. In addition to mortality, breast cancer causes psychosocial effect in the affected and the family. This study aimed to determine the risk factors of breast cancer in women at Dr. Moewardi Hospital, Surakarta, Central Java.Subjects and Method: This was an analytical observational study with case control design. The study was conducted at Dr. Moewardi Hospital, Surakarta, from October to December, 2017. A total sample of 200 study subjects consisting of 100 women with breast cancer and 100 women without breast cancer were selected for this study by fixed disease sampling. The dependent variable was breast cancer. The independent variables were age at menarche, age at first pregnancy, parity, duration of breastfeeding, use of fertility hormone, duration of hormonal contraceptive use, and age at menopause. The data was collected  by questionnaire and analyzed by multiple logistic regression.Results: The risk of breast cancer increased with earlier age at menarche <12 years old (OR= 2.71; 95% CI= 1.06 to 6.96; p= 0.037), delayed age at first pregnancy ≥30 years old (OR=3.01; 95% CI= 1.16 to 7.78; p= 0.023), delayed age at menopause ≥55 years old (OR=1.07; 95% CI=0.82 to 6.30; p= 0.001), longer hormonal contraceptive use ≥10 years (OR=3.25; 95% CI= 1.20 to 9.63 p= 0.003).Conclusion: The risk of breast cancer increases with earlier age at menarche, delayed age at first pregnancy, delayed age at menopause, longer hormonal contraceptive use.Keyword: Breast Cancer, Risk FactorCorrespondence: Yana Listyawardhani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email:[email protected] of Epidemiology and Public Health (2018), 3(2): 118-127https://doi.org/10.26911/jepublichealth.2018.03.02.02Â

Empowerment of Occupational Therapists in Aquatic Program for Improving the Development of Children with Neurodevelopment Disorder

Background: Aquatic program is an occupational therapy for children with neurodevelopment disorder that has been recognized as one of the technological innovations in medical rehabilitation. This study aimed to analyze the effectiveness of occupational therapist empowerment training in aquatic program on the knowledge, attitude, and competence of occupational therapists, and the effectiveness aquatic therapy on improving the development of children with neurodevelopment disorder.Subjects and Method: This was a quasi experiment study with pre and post test design with no comparison design. A sample of 88 occupational therapist were selected for this experiment. Knowledge, attitude, and competence of the therapists before and after empowerment training were measured and compared. Likewise, 78 children with neurodevelopmental disorder in Central Java who were under treatment by the occupational therapists were measured and compared before and after the occupational therapist empowerment training, in terms of motoric and sensoric development. The effects of empowerment training on knowledge, attitude, and competence of the occupational therapists as well as motoric and sensoric development of children with neurodevelopment disorder were analyzed by linear regression analysis model.Results: Empowerment training significantly increased knowledge (b=3.95; 95% CI=  3.55 to 4.34; p<0.001), attitude (b=3.49; 95% CI=  2.84 to 4.14; p<0.001), and  competence (b=2.73; 95% CI= 1.93 to 3.53; p<0.001) of the occupational therapists. Aquatic therapy resulting from empowerment training significantly increased motoric (b=1.39; 95% CI= 1.04 to 1.74; p <0.001) and sensoric (b=2.79; 95% CI= 2.13 to 3.45; p<0.001) development of children with neurodevelopment disorder.Conclusion: Empowerment training effectively increases knowledge, attitude, and competence of occupational therapists. In turn, aquatic therapy conducted by the occupational therapists effectively increases motoric and sensoric development of children with neurodevelopment disorder.Keyword: Occupational therapist, aquatic program, empowerment training, competence, motoric development, sensoric development, neurodevelopment disorder, childrenCorrespondence: Erayanti Saloko. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected] of Maternal and Child Health (2017), 2(4): 345-355https://doi.org/10.26911/thejmch.2017.02.04.05

EFEKTIVITAS TERAPI RELAKSASI OTOT PROGRESIF DAN SENAM HIPERTENSI DALAM MENURUNKAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI

Kematian terbesar di dunia akibat dari penyakit hipertensi, kasus hipertensi bertambah seiring dengan bertambah usia. Pengobatan hipertensi dapat dilakukan dengan menggunakan terapi non farmakologis seperti terapi relaksasi otot progresif dan senam hipertensi yang sudah terbukti dapat menurunkan tekanan darah sistole maupun diastole. Riset ini bertujuan untuk mengetahui perbedaan efektivitas antara terapi relaksasi otot progresif dan senam hipertensi dalam menurunkan tekanan darah penderita hipertensi di Desa Margorejo Gilingan Banjarsari Surakarta. Jenis penelitian ini menggunakan design quasy eksperiment engan rancangan pretest-posttest without control group design. Jumlah populasi pada riset ini ialah 104 dengan teknik sampling menggunakan purposive sampling dengan sampel sebanyak 60 responden yang terbagi menjadi dua kelompok yaitu 30 responden kelompok intervensi terapi relaksasi otot progresif dan 30 responden kelompok intervensi senam hipertensi. Analisis data dengan menggunakan uji wilcoxon dan uji mann whitney. Hasil uji wilcoxon kelompok intervensi terapi relaksasi otot progresif dan kelompok intervensi senam hipertensi menunjukkan hasil penurunan tekanan darah sistole dan diastole dengan nilai Sig. (2-tailed) pada kedua kelompok yaitu 0,000 dimana p value &lt; 0,05 dapat diartikan bahwa Ho ditolak dan Ha diterima. Terdapat perbedaan signifikan antara terapi relaksasi otot progresif dan senam hipertensi dalam menurunkan tekanan darah pada lansia penderita hipertensi sebagai pendamping obat antihipertesi. Saran bagi Posyandu diharapkan bisa menambah media seperti media audio visual dalam pemberian informasi

What are the Factors that Affect the Risk of Parenting Stress in Mothers with Disability Children? A New Evidence from Sukoharjo, Central Java

Background: Mothers play an important role in the care of children with physical and psychological disabilities. However, the role of caring children with disabilities can cause stress for the mother. Parenting stress can lead to anxiety, emotional instability, and avoidance of the environment in mother. This, in turn, may deteriorate the quality of family life. As a result, children with disabilities may experience development and growth disorders. This study aimed to determine the factors that affect the parenting stress in the caring of children with disability in Sukoharjo District, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Sanggar Inklusi, Sukoharjo, Central Java, from February to March 2018. A sample of 163 mothers with disabled children was selected for this study by exhaustive sampling. The dependent variable was parenting stress. The independent variables were adversity intelligence, disability level, maternal education, maternal employment status, family income, and family support. The data were collected by questionnaire and analyzed by path analysis.Results: The risk of maternal parenting stress increased with children disability (b= 4.64, SE= 1.72, p= 0.07) and mothers working outside the house (b= 1.68, SE= 0.93, p= 0.069). The risk of maternal parenting stress decreased with high adversity intelligence (b= -0.28, SE= 0.12, p= 0.016), high maternal education (b= -8.50, SE= 0.86, p< 0.001), high family income (b= -0.28, SE= 0.16, p= 0.078), and strong family support (b= -0.22, SE= 0.08, p= 0.007).Conclusion: The risk of maternal parenting stress increases with high children disability and maternal employment status, but decreases with high adversity intelligence, high maternal education, high family income, and strong family support.Keywords: parenting stress, children, disabilityCorrespondence:SyarifatulFikriyyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285642009597Journal of Maternal and Child Health (2018), 3(2): 156-165https://doi.org/10.26911/thejmch.2018.03.02.0

Effect of Locus of Control, Self-Efficacy, and Personality Type on the Quality of Life among Caregivers of Schizophrenia Patient in Godean Sub-District, Yogyakarta

Background: Caregivers of schizophrenia patients have an important role in fulfiling the need of patients. This task implicates on care burden and physological problems on the caregivers. The quality of life of the caregivers may have important impact on the caring process. This study aimed to examine effect of locus of control, self-efficacy and personality type on the quality of life among caregivers of schizophrenia patient.Subjects and Method: This study was analytic observational with cross-sectional design.  It was carried out at Godean Sub-District, Yogyakarta, from March to April 2017. A sample of 102 caregivers of schizophrenia patient were selected for this study by fixed diseases sampling. The dependent variable wa quality of life. The independent variables were age, gender, personality type, locus of control, self-efficacy, family concern, family income. The data was collected by questionnaire, and analyzed by path analysis.Results: Higher quality of life of caregivers was affected by self-efficacy (b=0.46; SE=0.15; p<0.001), extrovert personality (b=0.21; SE=0.10; p=0.01), and higher family income (b=0.18; SE=0.05; p=0.02). Self-efficacy was affected by better family concern (b=0.22, SE=0.16; p=0.02) and extrovert personality (b=0.33; SE=0.06; p<0.001).Conclusion: Higher quality of life of caregivers was directly affected by self-efficacy, extrovert personality, and higher family income. Higher quality of life of caregivers was indirectly affected by better family concern and extrovert personality.Keywords: quality of life, locus of control, self-efficacy, schizophrenia, caregiverCorrespondence: Mulyanti. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: [email protected]. Mobile: +6285868823105.Journal of Epidemiology and Public Health (2017), 2(1): 20-31https://doi.org/10.26911/jepublichealth.2017.02.01.03Â

Effectiveness of Telemedicine on Patient Satisfaction: Meta Analysis

Background: Patient satisfaction is one indi­cator in the success of a treatment in the health sector. There are several ways to make this happen, including by simplifying the process of consultation, treatment and medication. Effec­tiveness in health services is very import­ant. Telemedicine is a way offered to increase effec­tiveness in health services.Subjects and Method: Meta analysis was performed with PICO as follows: The popula­tion in this study were patients. Health service intervention is in the form of telemedicine. Comparison in the form of Non Telemedicine/ visit services. Outcome in the form of patient satisfaction. The meta-analysis study was applied to this study with electronic data sources: Clinical Key, Google Scholar, MED­LINE/PubMed, Science Direct, Scopus. The article used is a full-text article with a rando­mized control trial (RCT) study design. There were 8 articles used in this study with a sample size of 2123 people who were divided into two groups (1113 people in the telemedicine group and 1010 people in the control/ non teleme­dicine group). Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean Difference (SMD) and the heterogeneity of the research sample.Results: There is high heterogeneity between one experiment and another (I2= 81%; P &lt;0.0001) so that the Random Effect Model (REM) is used. The application of Telemedicine was able to increase patient satisfaction with Standardized Mean Different (SMD) of 0.41 compared to the control/ non-telemedicine group (SMD 0.41; 95% CI= 0.19 to -0.62; p= 0.0002).Conclusion: Providing telemedicine services was able to increase patient satisfaction with Standardized Mean Different (SMD) of 0.41 compared to non-telemedicine.Keywords: Telemedicine, patient satisfactionCorrespondence: Sri Umiati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Ccentral Java. Email: umi­[email protected]. Mobile: +6287834961974.Journal of Health Policy and Management (2021), 06(01): 48-56https://doi.org/10.26911/thejhpm.2021.06.01.05

Contextual Effect of School on the Risk Obesity among High School Students in Surakarta, Central Java: A Multilevel Analysis Evidence

Background: Obesity is a public health problem in various countries, one of which is Indonesia. The impact of obesity in adulthood is high blood pressure and high cholesterol which can later trigger cardiovascular disease. This study aimed to examine contextual effect of school on the risk obesity among high school students in Surakarta. Subjects and Method: This was an observational analytic study with a case control approach. The study was conducted in April 2019. The sample was selected by stratified random sampling of 225 students in 15 schools in Surakarta with a case and control group. The dependent variable was obesity. The independent variables were parental salary, parental knowledge, pocket money, school food environment, food intake, physical activity, maternal BMI, paternal BMI. Data collection techniques used questionnaires and analyzed by multilevel logistic regression in Stata 13.Results: Obesity in adolescents was directly and significantly affected by parental income ≥Rp 1,800,000 (OR= 4.53; 95% CI= 1.80 to 11.36; p = 0.001), high parental knowledge (OR= 0.36; 95% CI= 0.15 to 0.91; p= 0.030), allowance ≥Rp 10,000 (OR= 3.80; 95% CI= 1.63 to 8.86; p= 0.002), food intake ≥recommended dietary allowances (OR= 3.62; 95% CI= 1.43 to 9.19; p = 0.007), high physical activity (OR= 0.06; 95% CI= 0.02 to 0.18; p 27kg/m² (OR= 7.08; 95% CI= 2.39 to 20.99; p27 kg/m² (OR= 2.63; 95% CI= 1.10 to 20.96; p= 0.031). School had a contextual effect on obesity with intra-class correlation (ICC)= 16.99%.Conclusion: Obesity in adolescents is directly and significantly affected by parental income ≥Rp 1,800,000, high parental knowledge, allowance ≥Rp 10,000, high physical activity, maternal BMI >27kg/m², and paternal BMI >27 kg/m². School has contextual effect on obesity.Keywords: obesity, adolescents, multilevel analysisCorrespondence: Rita Setiyaningsih. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: [email protected]. Mobile: +6282220489153Journal of Epidemiology and Public Health (2019), 4(4): 328-337https://doi.org/10.26911/jepublichealth.2019.04.04.08

The Relationship Between Child Nurturing Pattern, Family Support, and Language Competence in Children Aged 5-6 Years with Auditory Disorder

Background: Hearing is one of the important senses for human that functions as a communication tool and education. Lack of hearing ability in children may hinder development and lead to problem in language and speaking ability. In turn it may affect academic achievement. Hearing disorder therefore needs to be detected early. This study aimed to determine the relationship between child nurturing pattern, family support, and language competence in children aged 5-6 years with auditory disorder.Subjects and Method: This was an analytic and observational study with cross sectional design. It was carried out at “Jala Puspa” Children Observation Garden (Taman Observasi Anak “Jala Puspa”) Dr. Ramelan Navy Hospital, Surabaya, East Java. A total sample of 40 children aged 5-6 years with their parents were selected for this study by simple random sampling. The dependent variable was language competence. The independent variables were child nurturing pattern and family support. The data were collected by a set of questionnaire, and were analyzed by logistic regression. Results: There were positive relationship between nurturing pattern (OR= 10.05; 95% CI= 1.85-54.73; p= 0.008), family support (OR= 6.76; 95% CI= 1.36-33.51; p= 0.019), and language competence.Conclusion: Nurturing pattern and family support have positive relationship with language competence.Keywords: child nurturing pattern, family support, language competence, auditory disorderCorrespondence: Dewi Tirtawati. School of Health Polytechnics, Surakarta. Email: [email protected] of Maternal and Child Health (2016), 1(3): 188-194https://doi.org/10.26911/thejmch.2016.01.03.0