No abstract

ABSTRAKLatar Belakang: Berat badan merupakan indicator pertama dalam menilai pertumbuhan bayi. Upaya untuk meningkatkan berat badan bayi diperlukan gizi yang maksimal dan ASI merupakan makanan utama bagi bayi terutama pada usia 1-6 bulan. Tujuan: Penelitian ini bertujuan untuk mengnalisis faktor yang berkaitan dengan pemberian ASI dan dilihat pencapaian berat badan. Faktor yang dimaksud meliputi teknik, frekuensi, durasi menyusui dan asupan enegi dengan berat badan bayi usia 1-6 bulan. Metode: Desain dalam penelitian ini adalah kohort prostektif karena mengikuti berat badan bayi selama 4 bulan. Sampel dalam penelitian ini adalah ibu yang memiliki bayi usia 1-6 bulan yang diambil secara purposive sampling pada titik awal penelitian berjumlah 60 responden dan dropout sebayak 14 responden sehingga yang dapat dianalisis sebesar 46 responden. Analisis data secara bivariat dilakukan dengan chi square dan multivariate dengan uji regresi logistic ganda. Hasil: Dari hasil penelitian menunjukan hasil adanya hubungan antara teknik menyusui dan berat badan bayi dengan p-value=0,003, ada hubungan antara frekuensi menyusui dengan berat badan bayi dengan p-value=0,018 ada hubungan durasi menyusui dengan berat badan bayi dengan pvalue=0,001 dan ada hubungan antara asupan energi dengan berat badan bayi dengan pvalue<0,001. Dari analisis multivariate dari keempat variabel bebas, asupan energi merupakan yang paling berpengaruh diantara variabel lainya dengan exp (B) sebesar 38,822 yang berarti jika asupan energi ibu menyusui baik maka beresiko 38,822 kali mengalami kenaikan berat badan. Kesimpulan: Terdapat hubungan antara teknik, frekuensi, durasi menyusui dan asupan energi ibu dengan berat badan bayi usia 1-6 bulan.

Background: Hypertension is an important public health issue in developed and developing countries. The incidence of hypertension continues to rise to a serious level. Raising awareness of the seriousness of hypertension among peer groups may be an important factor for preventive health behavior. This study aimed to examine the used of health belief model for the analysis of factors affecting hypertension preventive behavior among adolescents. Subjects and Method: This study was an observational analytic study with cross sectional design. It was conducted at 5 Vocational High Schools (SMK) in Surakarta from April to May, 2017. A sample of 200 class X and XI SMK students aged 15-17 years was selected for this study by stratified random sampling. The dependent variable was hypertension preventive behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barriers, cues to action, and self efficacy, with perceived threat as a mediating variable. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis using SPSS AMOS 22. Results: Perceived threat (b=0.24, SE=0.07, p=0.002), perceived benefit (b=0.24, SE=0.10, p=0.021), self efficacy (b=0.40, SE=0.23, p=0.084), and cues to action (b=0.45, SE=0.15, p=0.003) showed direct positive effects on hypertension preventive behavior. Perceived barrier (b=-0.26, SE=0.10, p=0.015) showed direct negative effect on hypertension preventive behavior. Perceived susceptibility (b= 0.27, SE= 0.09, p=0.005), perceived seriousness (b=0.29, SE=0.09, p<0.001), and cues to action (b=0.34, SE=0.13, p=0.008) showed indirect positive effects on hypertension preventive behavior. Conclusion: Hypertension preventive behavior is positively and directly affected by perceived threat, perceived benefit, self, and cues to action. The preventive behavior is negatively and directly affected by perceived barrier. Perceived susceptibility, perceived seriousness, and cues to action indirectly and positively affect on hypertension preventive behavior.

Background: Hospital accreditation is a systemic assessment to measure service quality according to standards. Hospital services focus on meeting patient needs and satisfaction. This study aimed to determine the status of accreditation and other factors that influence the satisfaction of hospitalized patients in the hospital. Subjects andMethod: This was a cross sectional study conducted in four hospitals in Sleman, Yogyakarta, from March to April 2019. A sample 200 inpatients were selected for this study by proportional random sampling. The dependent variable was patient satisfaction. The independent variables were accreditation status, service quality, length of care, source of funds, employment, age, and gender. The data were collected by questionnaire and analyzed by path analysis. Results: Patient satisfaction was directly and positively affected by age >18 years old (b = 2.34; 95% CI= 0.33 to 2.50; p= 0.023), gender (b = 1.02; 95% CI = 0.08 to 1.96; p = 0.034), length of care> 3 days (b= 0.99; 95% CI= 0.043 to 1.95; p= 0.041), independent funding sources (b= 1.50; 95% CI= 0.47 to 2.53; p= 0.004), good service quality (b = 3.42; 95% CI = 2.31 to 4.53; p <0.001), and good accreditation status (b = 3.33; 95% CI = 2.12 to 4.54; p<0.001). Satisfaction is directly and negatively influenced by work (b = -1.37; 95% CI = -2.32 to -0.41; p = 0.005). Patient satisfaction was influenced indirectly and positively by accreditation status through good service quality (b = 0.70; 95% CI = -0.04 to 1.96; p = 0.037). Patient satisfaction was influenced indirectly by age> 18 years through service quality (b = 1.50; 95% CI = 0.49 to 2.50; p = 0.036). Conclusions: Patient satisfaction was influenced directly and positively by age> 18 years, male sex, length of care >3 days, independent fund sources, good service quality and good accreditation status. Patient satisfaction is influenced directly and negatively by work. Patient satisfaction was indirectly affected by age >18 years and good accreditation status.

Background: In theory, infant massage is beneficial for improving sleep quality, gross and fine motor development. Infants aged 3-6 months are able to receive stimulation that may help develop gross and fine motor development. Massage may improve brain function and raise the release of growth hormone, and strengthen muscle. This study aimed to determine of the effect of massage on sleep quality, gross and fine motor development among infant aged 3-6 months. Subjects and Method: This was a randomized controlled trial, conducted in Magelang, Central Java, from 1 August to 16 September 2016. A total of 60 infants in Azza Momby Spa, Magelang was selected for this study by simple random sampling. This sample was then allocated at random into massage group (n1=30) and control group (n2=30). The independent variable was infant massage. The dependent variables were sleep quality, gross and fine motor development. The data was collected by using questionnaire. The difference of dependent variables between the two groups were tested by Mann-Whitney. Results: After intervention, infants in the massage group (median=2.00; SD=1.80) slept better than the control group (median<0.01; SD=0.95), and it was statistically significant (p<0.001). Infants in the massage group (median=0.00; SD=0.81) had better gross motor development than the control group (median<0.01; SD=0.72), and it was statistically significant (p=0.043). Infants in the massage group (median=0.00; SD=0.81) had better fine motor development than in the control group (median<0.01; SD=0.48), and it was statistically significant (p=0.018). Conclusion: Massage is effective to improve sleep quality, gross and fine motor development, in infants aged 3-6 months.

Diabetes mellitus (DM) merupakan sekelompok penyakit metabolik  berkarakteristik hiperglikemia karena adanya kelainan sekresi insulin. Selain kematian, DM juga menyebabkan kecacatan pasien. 30% pasien DM mengalami kebutaan akibat komplikasi retinopati dan 10% amputasi tungkai kaki, sehingga penatalaksanaan DM sangatlah penting. Keberhasilan pengelolaan DM dapat dicapai melalui kepatuhan mengkonsumsi obat anti diabetik dan aktifitas fisik. Tujuan menganalisis hubungan aktifitas fisik, kepatuhan mengkonsumsi obat anti diabetik, dengan kadar gula darah penderita DM tipe 2 rawat jalan di Fasyankes Primer Klaten. Metode Jenis penelitian adalah analitik observasional dengan desain cross sectional. Populasi adalah pasien DM yang berkunjung di Fasyankes Primer Klaten. Sampel 86 pasein, ditarik secara random sampling. Pengumpulan data menggunakan kuesioner dan dokumentasi. Teknik analisa data menggunakan uji Chi Square dan regresi logistik ganda.Hasil Aktifitas fisik berkategori tinggi berhubungan dengan kadar gula darah (p = 0,021), kategori rendah dan sedang tidak berhubungan dengan kadar gula darah (p=0,061 ). Kepatuhan mengkonsumsi obat anti diabetik berkategori  tinggi, berhubungan dengan kadar gula darah (p = 0,002 ), berkategori rendah dan sedang tidak berhubungan dengan kadar gula darah (p= 0,066). Secara simultan,  kepatuhan mengkonsumsi obat anti diabetik dan aktifitas fisik  berhubungan dengan  kadar gula darah. Kesimpulan kepatuhan mengkonsumsi obat anti diabetik dan aktifitas fisik  berhubungan dengan  kadar gula darah (p=0.001).Kata kunci: Aktifitas fisik, Gula Darah, Kepatuhan

Background: Hospital has an important referral system role in the implementation on the National Health Insurance (NHI) Scheme. BPJS Kesehatan (NHI Implementing Agency) pays hospitals by Indonesian Case Based Groups (INA-CBGs) method. This payment method may potentially cause loss or profit to the hospital, when there is discrepancy between hospital inpatient cost and INA-CBGs tariff of inpatient care. This study aimed at investigating the discrepancy between hospital inpatient cost and INA-CBGs tariff of inpatient care and the determinants of hospital inpatient cost. Subjectsand Method: This was an analytic and observational study cross sectional approach. This study was conducted in 2 publichospitals and 2 private hospitals, from October to December 2016. A total sample of 100 inpatients was selected at random for this study. The dependent variables were hospital inpatient cost and INA-CBGs tariff. The independent variables included hospital type, inpatients class, disease severity, use of ICU, and length of stay. The data were analyzed by a multiple linear regression model. Results: Average hospital inpatient cost (mean= Rp. 2,280,000; SD=1,690,000) was lower than average INA-CBGs (mean=Rp. 3,060,000). There were negative relationships between hospital type, inpatient class, disease severity, and hospital inpatient cost. Private hospital inpatient cost (b=-5.66; 95% CI= -1.20 to 0.06; p= 0.078) was lower than public hospital inpatient cost. Class 2 inpatient care (b= -0.34; 95% CI=-1.09 to 0.41, p =0.371), class 3 inpatient care (b =-0.50; 95% CI= -1.23 to 0.23, p=0.177), had lower hospital inpatient cost than class 1 inpatient care. Severe disease (b= -0.12; 95% CI= -1.95 to 1.71; p= 0.894) had lower hospital inpatient cost than mild disease, although it was not statistically significant. There were positive relationships between use of ICU, disease severity, length of stay, and hospital inpatient cost. Using ICU (b= 1.58; 95% CI= 0.76 to 2.4; p= <0.001) had higher hospital inpatient cost than not using ICU. Moderate disease severity (b= 0.55; 95% CI = -0.20 to 1.30; p= 0.150) had higher hospital inpatient cost than mild disease. Longer stay (b= 0.27; 95% CI= 0.08 to 0.45; p= 0.005) had higher hospital inpatient cost than shorter stay. Conclusion: Average hospital inpatient cost was lower than average INA-CBGs tariff. Hospital type, use of ICU, and length of stay, are important determinants of hospital inpatient cost.

Penelitian ini bertujuan untuk menganalisis pola hubungan langsung maupun tidak langsung terhadap kejadian stunting pada balita usia 24-59 bulan di kecamatan Matan hilir selatan, kabupaten Ketapang. Penelitian ini dilakukan dengan rancangan kasus kontrol pada 51 stunting dan 51 normal. Variabel independen meliputi pengetahuan gizi ibu, perilaku keluarga sadar gizi, perilaku hidup bersih dan sehat (PHBS), riwayat penyakit infeksi dan asupan gizi, sedangkan variabel dependen adalah kejadian stunting. Data diperoleh melalui wawancara menggunakan kuesioner terstruktur, food recall, pengukuran tinggi badan menggunakan microtoise. Data diolah dengan analisis statistik menggunakan analisis jalur. Hasil penelitian menunjukkan bahwa kejadian stunting secara langsung dipengaruhi oleh variabel asupan gizi, riwayat penyakit infeksi, pengetahuan gizi ibu dan kadarzi, sedangkan PHBS mempengaruhi secara tidak langsung melalui riwayat penyakit infeksi. Faktor pengaruh langsung dan tidak langsung yang paling dominan berdasarkan koefisien jalur yaitu pengetahuan gizi Ibu yaitu 0,31. Koefisien determinan variabel independen mempengaruhi variabel dependen sebesar 39,7%, sedangkan pengaruh lainnya sebesar 60,3% dipengaruhi oleh variabel lain diluar model yang diteliti. Abstrak Info Artikel FACTORS RELATED TO STUNTING INCIDENT AT TODDLER 24-59 MONTHSThe objective of this study was to analyze the predictors of stunting among children age 24-59 months in sub district Matan hilir selatan, Ketapang Regency. This research was designed with case control study on 51 stunting children and 51 normal children. The independent variables were mother nutrition knowlegde, family nutrition awareness behavior, clean and healthy life behavior, infectious diseases history and nutrition intake. The dependent variable in this study was stunting status. Data collected through interview by using structured quetionnaires, food recall, height measurement with microtoise, then data analyzed by path analyze. The result of the research showed that stunting influenced directly by intake nutrition variable, infectious diseases history, mother nutrition knowledge and family nutrition awareness behavior, while clean and healthy life behavior influence indirect of infectious diseases history. The most related direct and indirect factors to stunting based on path coefficient as many as 0,31 or 9,61% was mother knowledge nutrition. The coefficient of determinant independent variable influencing dependent was 39,7%, while other factors were 60,3% influenced by other variable. Abstract ©2017, Poltekkes Kemenkes Pontianak