In Indonesia, asthma is included in the top ten diseases that cause illness and death. Although the exact cause of asthma is still not known, there are several factors that cause asthma, namely genetic and environmental factors. According to data from the Bandar Lampung City Health Office in 2017 the puskesmas that has the highest number of asthma visits is the Sukabumi community health center, with an asthma visit rate of 477 with a new number of visits 191 and an old visit of 286 and the most asthma visit occurring at vulnerable ages 20-44 137 years. Asthma is a chronic inflammatory disease (inflammation) of the respiratory tract that is characterized by the presence of wheezing, coughing, and repeated congestion in the chest and arises mainly at night or early morning due to blockage of the respiratory tract. This disease is still a public health problem in almost all countries in the world, suffered by children to adults with mild to severe degrees of illness, even some cases can cause death. The purpose of this study was to determine the factors that connected with asthma recurrence in adult patients at the Public health center Sukabumi in Bandar Lampung in 2018. This type of research is analytic observational with a cross-sectional research design. The population in this study were all patients with asthma aged 20-44 years, amounting to 42 respondents. Sampling using a total sampling technique so that the number of samples equals the population. Data collection used secondary and primary data with questionnaire research instruments. Data analysis was done univariate and bivariate with the chi-square test. The results showed that the factors that connected with the recurrence of asthma were dust exposure (p-value 0.001 and OR 18), exposure to secondhand smoke (p-value 0.013 and OR 6.4), exposure to respiratory tract infections (p-value 0.016 and OR 6.171) and exposure to cold weather changes (p-value 0.035 and OR 4.857) which means that there is a statistically significant relationship while the factors that do not connect with asthma relapse are sports exposure (p-value 1,000) and stress exposure (p-value 0.798) which statistically they have no relationship. Based on the results of the study above, it is recommended that the puskesmas need to increase counseling regarding preventive procedures related to what factors can cause asthma recurrence.
ABSTRAK Permasalahan gizi banyak dijumpai pada usia remaja, diantaranya gizi lebih, obesitas, gizi kurang, anemia, pola makan yang salah dan sebagainya. Data Kecamatan Kalianda memiliki prevalensi 1,2% sangat kurus, 8,9% kurus, 88,5 normal, dan 1,4% gemuk. SMK Hampar Baiduri Kalianda dapatkan dari 125 siswi diketahui 47,2% remaja putri berstatus gizi kurus, 30,4% berstatus gizi normal, dan 22,4% remaja putri berstatus gizi overweight, informasi bahwa delapan siswi dari sepuluh orang siswa sulit menerima kondisi tubuh mereka. Tujuan penelitian diketahui Pengaruh Pendidikan Gizi Terhadap Pengetahuan Dan Sikap Pola Makan Serta Body Image Pada Siswa Remaja Di SMK Hampar Baiduri Kalianda Tahun 2021. Penelitian ini menggunakan jenis metode pendekatan one group pretest-posttest, kegiatan ini telah di lakukan di SMK Hampar Baiduri Kalianda pada bulan Mei-Juni tahun 2021. Jumlah peserta adalah 33 orang. Pengumpulan data menggunakan kuesioner. Diketahui rata-rata pengetahuan sebelum diberikan pendidikan kesehatan adalah 59,90 dan sesudah adalah 83,07. Rata-rata sikap sebelum diberikan pendidikan kesehatan adalah 51,84 sikap sesudah adalah 72,50. Rata-rata body image sebelum diberikan pendidikan kesehatan adalah 34,35 dan body image sesudah adalah 50,16. Saran Pihak sekolah bekerja sama dengan instansi kesehatan terkait misalnya Puskesmas untuk memberikan penyuluhan tentang gizi dan kesehatan khususnya tentang faktor-faktor yang berhubungan dengan status gizi bagi siswi SMK Hampar Baiduri. Kata Kunci: Pengetahuan, Sikap Pola Makan, Body Image, Siswa Remaja, Pendidikan Kesehatan ABSTRACT Nutritional problems that are often encountered in adolescents include overnutrition, obesity, malnutrition, anemia, wrong diet, and so on. Data from Kalianda Regency has a prevalence of 1.2% very thin, 8.9% thin, 88.5 normal, and 1.4% obese. Hampar Baiduri Kalianda Vocational School was obtained from 125 students, it was known that 47.2% of adolescent girls were undernourished, 30.4% had normal nutritional status, and 22.4% of adolescent girls were overweight, information that eight students out of ten students found it difficult to accept their body condition. they. The purpose of the study was to determine the effect of nutrition education on knowledge and attitudes towards diet and body image among adolescent students of SMK Hampar Baiduri Kalianda in 2021. This study used a one-group pretest-posttest approach, this activity was carried out at SMK Hampar Baiduri Kalianda in May -June 2021. The number of participants is 33 people. Collecting data using a questionnaire. It is known that the average knowledge before being given health education is 59.90 and after it is 83.07. The average attitude before being given health education was 51.84 the attitude after that was 72.50. The average body image before being given health education was 34.35 and after body image was 50.16. Suggestions The school cooperates with related health offices such as the Puskesmas to provide counseling about nutrition and health, especially about factors related to nutritional status for students of SMK Hampar Baiduri. Keywords: Knowledge, Attitude of Eating Patterns, Body Image, Adolescent Students, Health Education
Prevalensi hipertensi di Provinsi Lampung berdasarkan diagnosis terjadi peningkatan dari 7,4% pada tahun 2013 menjadi 15,10% pada tahun 2018 atau meningkat 545.625 kasus. Penyakit tidak menular seperti hipertensi kini mengancam kelompok usia muda. Tujuan penelitian untuk mengetahui hubungan tingkat pengetahuan dan sikap dengan perilaku cerdik hipertensi pada remaja. Jenis penelitian kuantitatif observasional dengan pendekatan cross sectional melibatkan 246 sampel yang ditentukan menggunakan teknik sampling jenuh. Data dianalisis menggunakan uji chi-square untuk menentukan hubungan antara pengetahuan dan sikap dengan perilaku cerdik hipertensi. Hasil analisis menunjukkan bahwa menunjukkan ada hubungan antara tingkat pengetahuan dengan perilaku cerdik hipertensi dan tidak ada hubungan antara sikap dengan perilaku cerdik hipertensi. Responden yang pengetahuannya baik memiliki kecenderungan melakukan perilaku cerdik dengan baik 1,807 kali lebih besar dibanding responden yang pengetahuannya kurang baik. Program peningkatan pengetahuan hipertensi dan pemantauan perilaku cerdik perlu diterapkan di sekolah dengan melibatkan guru pendidikan jasmasi, olah raga dan kesehatan.
: DETERMINANTS OF WOMEN BEHAVIOR IN THE EARLY DETECTION OF CANCER SERVICES IN LAMPUNG SELATAN DISTRICT IN 2020 Introduction : Cervical cancer is the most common cancer in women with an estimated 530,000 new case. The problem facing cervical cancer prevention is the low coverage of early cervical cancer detection rates. In South Lampung in 2018 the number of women of childbearing age of 30-50 years who had undergone IVA examination was 44,913 people (30.5%) with positive results of 624 cases (1.39%).Method : This type of research is quantitative. Analytical research design with cross-sectional approach. The population is all WUS in South Lampung Regency as many as 148,499 people with a sample of 170 respondents. Data analysis used univariate analysis with percentages, bivariate analysis with Chi Square and multivariate analysis with multiple logistic regression predictive models.Result : The results showed that there was a relationship between the supporting factors namely knowledge (p = 0.016), attitude (p = 0.014) and education (p = 0.015) with the behavior of women doing early detection of cervical cancer. There is a relationship between the reinforcing factors of husband / family support (p = 0.001), the role of health workers (p = 0.001) and friend support (0.003) with the behavior of women doing early detection of cervical cancer. There is a relationship between enabling factors for access to information (p = 0.001), access to health services (p = 0,000) and affordability (p = 0.036) and the behavior of women in early detection of cervical cancer. The most dominant variable related to the behavior of women doing early detection of cervical cancer is the variable access to health services with an OR value of 15.46..Conclusion : For this reason, it is hoped that the Puskesmas in South Lampung will continue to mobile to the villages to get closer to the target access to health services with the availability of available resources even though BPJS cannot cover the cost of IVA examinations anymore. Continue to increase promotion efforts through Information and Education Communication (IEC) on early detection of cervical cancer by the IVA method.. Keywords : Determinant, Behavior, Early Detection of Cervical Cancer, Age Women Lush (WUS) INTISARI : DETERMINAN PERILAKU WANITA MELAKUKAN DETEKSI DINI KANKER SERVIKS DI KABUPATEN LAMPUNG SELATAN TAHUN 2020 Latar Belakang : Kanker serviks merupakan kanker paling sering keempat pada wanita dengan perkiraan 530.000 kasus baru, masalah yang menghadang dalam penanggulangan kanker serviks tersebut adalah masih rendahnya angka cakupan deteksi dini kanker serviks. Di Lampung Selatan pada tahun 2018 jumlah wanita usia subur 30-50 tahun yang telah dilakukan pemeriksaan IVA sebanyak 44.913 orang (30,5%) dengan hasil positif sebanyak 624 kasus (1,39%). Metode Penelitian : Jenis penelitian adalah kuantitatif. Desain penelitian analitik dengan pendekatan crosssectional. Populasi adalah semua WUS yang berada di Kabupaten Lampung Selatan sebanyak 148.499 orang dengan jumlah sampel 170 responden. Analisis data menggunakan analisis univariat dengan persentase, analisis bivariat dengan Chi Square dan analisis multivariat dengan regresi logistic berganda model prediktif.Hasil : Hasil penelitian menunjukkan bahwa ada hubungan faktor pendukung yaitu pengetahuan (p=0,016), sikap (p=0,014) dan pendidikan (p=0,015) dengan perilaku wanita melakukan deteksi dini kanker serviks. Ada hubungan faktor penguat dukungan suami/keluarga (p=0,001), peran petugas kesehatan (p=0,001) dan dukungan teman (0,003) dengan perilaku wanita melakukan deteksi dini kanker serviks. Ada hubungan faktor pemungkin akses informasi (p=0,001), akses menuju ke pelayanan kesehatan (p=0,000) dan keterjangkauan biaya (p=0,036) dengan perilaku wanita melakukan deteksi dini kanker serviks. Variabel yang paling dominan berhubungan dengan perilaku wanita melakukan deteksi dini kanker serviks adalah variabel akses ke pelayanan kesehatan dengan nilai OR sebesar 15,46.Kesimpulan : Diharapkan Puskesmas di Lampung Selatan tetap melakukan mobile ke desa untuk mendekatkan akses sasaran ke pelayanan kesehatan dengan ketersediaan sumber daya yang ada meskipun BPJS tidak dapat mengcover biaya pemeriksaan IVA lagi. Terus meningkatkan upaya promosi melalui Komunikasi Informasi dan Edukasi (KIE) tentang deteksi dini kanker serviks dengan metode IVA. Kata Kunci : Determinan, Perilaku, Deteksi Dini kanker Serviks, Wanita Usia Subur (WUS)
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