Faktor Stres Keluarga Lansia Demensia Di Poli Lansia RSJ Lawang

Latar belakang: Penurunan fisiologis terjadi seiring dengan proses penuaan dan mulai terjadi penurunan kemandirian seseorang. Keterbatasan pada lansia diduga menjadi salah satu sumber stress keluarga selaku caregiver yang merawat lansia setiap harinya. Tujuan dari penelitian untuk menganalisis faktor yang mempengaruhi tingkat stress yang dialami keluarga lansia yang menderita demensia di Poli Lansia RSJ Dr. Radjiman Wediodiningrat Lawang. Metode: desain penelitian menggunakan pendekatan cross sectional. Populasi pada penelitian ialah keluarga lansia dengan demensia yang datang di Poli Lansia RSJ Dr. Radjiman Wediodiningrat Lawang. Sampel sebanyak 30 responden diambil dengan cara purposive sampling. Data lama perawatan dan lama menderita demensia diambil dari hasil observasi terhadap data rekap, sedangkan data tingkat ketergantungan dikumpulkan menggunakan kuesioner barthel indeks dan tingkat stress dikumpulkan menggunakan kuesioner PSS-10. Data dianalisis menggunakan uji regresi logistik. Hasil Penelitian: Hasil penelitian menunjukkan bahwa 50% responden telah menderita demensia lebih dari 5 tahun, sebagian besar keluarga mendampingi lansia dalam menjalani perawatan di poli lansia, setengah dari responden memiliki tingkat ketergantungan pada kategori ringan (50,0%), dan hampir seluruh responden memiliki tingkat stress pada kategori sedang (83,3%). Hasil uji regresi logistik menjelaskan bahwa tingkat stres keluarga dalam mendampingi lansia dipengaruhi oleh lama menderita, lama perawatan, dan tingkat ketergantungan lansia (Nagelkerke R2= 0,611 dengan p value (0,004)) . Tingkat ketergantungan merupakan variabel yang paling dominan (OR= 15,556). Kesimpulan: Ketergantungan sering kali muncul pada lansia demensia dan keluarga selaku caregiver sering merasakan stress. Keluarga perlu meluangkan waktu untuk rekreasi sehingga bisa mengurangi stress yang dirasakan

QUALITATIVE STUDY ON EFFECTIVE TELEHEALTHEDUCATIONAL METHOD CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IN MOJOKERTO INDONESIA

Objective: To find the effective method of telehealth for COPD patients through focus group discussions (FGD) health professional and COPD patients. Methods: Focus group discussions, the materials of FGD consist of educational contents, telehealth media, and education schedule. Discussions involving 11 participants, six medical professionals (2 medical doctors and 4 pharmacists), and 5 patients with COPD in four Hospital in Mojokerto. Results: According to the health professional and COPD patients educational materials necessary for patients with COPD is knowing disease (such as symptoms, causes, transmission, and prevention), how to use an inhaler, and treatment of COPD from medication to a healthy lifestyle. The educational materials should be showing in television available at the patient’s waiting room in the hospital. Conclusion: It is expected that repeated education will increase patient’s knowledge on COPD as well as their health status

THE EFFECT OF COMORBIDITIES ON MORTALITY IN COVID-19 PATIENTS IN dr RADEN SOEDARSONO HOSPITAL PASURUAN

Background: COVID-19 patients with comorbidities have the highest mortality risk in Indonesia during the pandemic. Purpose: This study purposed to determine the prevalence of comorbidities on mortality of COVID-19 patients at RSUD dr. Raden Soedarsono, Pasuruan. Methods: This study used a case-control design with 560 samples collected from January until December 2021. The samples consisted of 140 COVID-19 patients who were treated at RSUD dr. Raden Soedarsono, Pasuruan, in 2021 and declared dead as a case group, as well as 420 COVID-19 patients treated at RSUD dr. Raden Soedarsono, Pasuruan, in 2021 but did not die as a control group. The data were then analyzed using a logistic regression test with SPSS 22.0. Results: The results show that almost all COVID-19 patients did not have comorbidities of diabetes mellitus (85.50%), autoimmune (98.60%), kidney disease (98.20%), gastrointestinal diseases (92.10%), thrombosis and coagulation disorders (93.60%), myocardial injury (99.30%), heart failure (94.30%), hypertension (95.20%), and tuberculosis (5.70%). Also, almost all COVID-19 patients did not have comorbidities of geriatrics (71.60%), COPD (64.10%), and mortality status (25.00%). The results of the logistic regression test show that comorbidities of diabetes mellitus (P-value 0.01; OR 1.99) and geriatrics (P-value 0.00; OR 2.82) affect mortality in COVID-19 patients. Whereas comorbidities of autoimmune (P-value 0.84), kidney disease (P-value 0.37), gastrointestinal diseases (P-value 0.73), thrombosis and coagulation disorders (P-value 0.24), myocardial injury (P-value 0.84), heart failure (P-value 0.43), hypertension (P-value 0.93), COPD (P-value 0.86), and tuberculosis (P-value 0.15) do not affect mortality inCOVID-19 patients. Conclusion: Diabetes Mellitus and geriatrics are the most significant comorbidities in causing the death of COVID-19 patients at RSUD dr. Raden Soedarsono, Pasuruan

EVALUASI PROSES PROGRAM POBINDU-PTM RAJAWALI BERBASIS DANA DESA DI DESA SUMBERTEBU KECAMATAN BANGSAL - MOJOKERTO

Penyakit Tidak Menular (PTM) masih menjadi penyebab utama kematian di negara berkembang seperti Indonesia. Untuk alasan ini, upaya pencegahan diperlukan untuk mengendalikan risiko PTM, salah satunya adalah Posbindu-PTM. Desa Sumbertebu telah menerapkan Posbindu-PTM sejak 2017 dengan dana dari Dana Desa (DD). Tujuan dari penelitian ini adalah untuk menggambarkan proses yang sedang berlangsung dari program Posbindu-PTM Rajawali Desa Sumbertebu. Metode yang digunakan adalah penelitian kualitatif dengan pendekatan analitik deskriptif, dengan melakukan wawancara mendalam, proses reduksi, penyajian data, penarikan kesimpulan, pengujian validitas menggunakan triangulasi sumber dan pengecekan ulang hasil penelitian atau audit. Penelitian ini dilakukan pada bulan November 2019. Variabel penelitian adalah evaluasi proses yang meliputi perencanaan, pengorganisasian, implementasi dan pemantauan. Informan dipilih dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa perencanaan anggaran dan SDM cukup baik, tetapi jumlah anggaran setiap tahun masih tidak tetap. Pengorganisasian hasilnya baik karena ada Surat Keputusan (SK) Kader, pelaksanaan Posbindu-PTM cukup bagus, tetapi sempat terhenti karena kehabisan alat untuk tes darah. Sistem pemantauan tidak optimal karena belum dilakukan secara berkala dan terus menerus

Spatial determinants affected maternal mortality of East Java province during the COVID-19 pandemic era, in 2020-2021

Background. Every life aspect and group of the community have changed during the COVID-19 pandemic, including the group of pregnant, childbirth, and postpartum woman. COVID-19 Pandemic occurred in 2020-2021. Maternal mortality in East Java Province was the highest in Indonesia during the pandemic. Objective. This study analyzed the effect of spatial determinants that consist of antenatal, childbirth, and post-partum care on maternal mortality in East Java Province during the Pandemic. Methods. This study used a crossectional method with the unit of analysis in this study was all pregnant, childbirth and postpartum women in 38 districts of East Java Province from 2020 until 2021. Data were analyzed with spatial regression by using Geographically Weighted Regression Software. Results. Maternal mortality in East Java had a spreading pattern and negative value of the diff criterion, so we concluded that there was a spatial influence. The variables of antenatal care, accessibility of healthcare service, third postpartum visit, and complication service had significant effects on maternal mortality in all regions (P<0,05). There were four groups of districts that showed a similarity of significant factors. This result showed that each region’s diversity of the accessibility of health services affects maternal mortality during the COVID-19 era. Antenatal services, access to health facilities and complication services affected maternal mortality in regions with high maternal mortality rate. Conclusion. Every region has its spatial determinants of maternal mortality. The top government should give authority to local government to have programs to reduce maternal mortality according to the condition in their region