1.Analysis of Efforts to Increase Knowledge, Attitudes, and Adherence of Antiretroviral Consumption in People With HIV/ AIDS, Jepara City, Indonesia
Innue Astrini ; Fenita Purnama Sari Indah ; Rita Dwi Pratiwi ; Sandeep Poddar
Malaysian Journal of Medicine and Health Sciences 2020;16(Supp 10, November):2-8
Introduction: The need for ARV (Anti Retro Viral) for the population aged 15-49 years increased from 145,706 in 2011 to 248,903 in 2016. People with HIV/AIDS who received ARVs were estimated at 16.60% in 2011 increased to 18% in 2016. In Indonesia up to September 2014, there were 108,060 people with HIV/AIDS who received ARV therapy from 33 provinces and 300 districts / cities. There were 19,670 people with HIV/AIDS who stopped ARV, 15,046 were not followed up due to various causes and as many as 14,547 died. Methods: This research used a quasi-experimental methods with non equivalent control group design and used a pretest, posttest 1 and posttest 2. There was two groups, the first group was treated using SMS (Short Message Service) reminder and leaflets and the second group was treated with the usual method (counselling). Results: Research with the Mann-Whitney statistical test shows that after 1 month of treatment, there was differences in the average score of knowledge (p value = 0.001), attitude (p value = 0.008), and adherence of Antiretroviral Consumption (p value = 0.010) between the intervention group and the control group. After 2 months of treatment, there was differences in the average knowledge score (p value = 0.001), attitude (p value = 0.001), and adherence of Antiretroviral Consume (p value = 0.001) between the intervention group and the control group. Conclusion: There is the interventions that able to improve the knowledge, attitudes and adherence of taking antiretroviral at PLWHA.
2.Determinant Factors Related To Hepatitis A Incidence Outbreaks In Depok City, Indonesia
Riris Andriati ; Fenita Purnama Sari Indah ; Rita Dwi Pratiwi ; Sandeep Poddar ; Tukimin bin Sansuwito
Malaysian Journal of Medicine and Health Sciences 2020;16(Supp 10, November):84-87
Introduction: The third ranked country with the highest hepatitis cases in the world is Indonesia. The incidence of
Hepatitis A in Indonesia has increased since 2007 amounted to 19.3% and infected many people aged over 15 years
old. In 2010 there were 6 outbreaks with 279 sufferers, in 2011 there were 9 outbreaks with 550 patients, in 2012
there were 8 outbreaks with 369 sufferers, in 2013 there were 13 outbreaks with 504 cases. In 2019, 262 cases of
hepatitis were found at Depok City. Methods: This research uses Case Control design and analytic survey method.
The respondents of this study were elementary school students who were affected and not affected by Hepatitis A,
amounted to 60 respondents. Results: The results showed the respondents hand washing behaviour is not good,
amounted to 34 respondents (56.7%), junk food consumption is high, amounted to 30 respondents (50%). and respondents who are not knowledgeable amounted to 46 respondents (76.7%). The analysis of Bivariate shows that the
relationship between hand washing behaviour (P-value = 0.037), junk food consumption (P-value = 0.039), knowledge (P-value = 0.015) with the incidence of hepatitis A is significant. Conclusion: There is significant relationship
between all independent variable (hand washing behaviour, and junk food consumption and knowledge) with the
incidence of hepatitis A.
3.Effect of Classical Music on Blood Pressure in Elderly With Hypertension in Bina Bhakti Werdha Elderly Nursing Home, Indonesia
Dewi Fitriani ; Rita Dwi Pratiwi ; Putri Cahyaningtyas ; Sandeep Poddar
Malaysian Journal of Medicine and Health Sciences 2020;16(Supp 10, November):142-144
One of the vascular disorders that occurs in the elderly is hypertension. The most severe consequence of this complications is stroke. Prevention of hypertension with non-pharmacological therapy like listening to classical music
(eg. Mozart). Classical music can stimulate alpha waves in the brain, releasing a peptide called beta-endorphin.
This causes a sense of tranquility so that the heart rhythm decreases, and blood pressure drops. The sample in this
study were 17 respondents, aged over 60 years. The result of this case report showed an average systolic reduction
of 21 mmHg. Before intervention, 53% suffered from stage 2 hypertension (mean systolic 162 mmHg) and after the
intervention with classical music therapy for 12 days, 65% recovered with stage 1 hypertension (average systolic
141 mmHg). So, the interventions of listening to classical music, can maintain balance in blood pressure among
hypertension patient.
4.Determinant Factors of Accuracy of Triage Implementation in Emergency Department X Hospital, Indonesia
Rita Dwi Pratiwi ; Ratumas Ratih Puspita ; Fenita Purnama Sari Indah ; Darni Nur Indahsari ; Hafizah Che Hassan ; Lee Siew Hoon ; Sandeep Poddar
Malaysian Journal of Medicine and Health Sciences 2020;16(Supp 10, November):9-17
Introduction: The ability of nurses to conduct triage greatly influences the success rate of help when patients experience emergency. The aim of the study was to determine the factors associated with the accuracy of the implementation of triage in the X Hospital's Emergency Departments. Methods: The research method that the researcher used was cross sectional approach. The number of samples were 32 respondents. Questionnaire and observation were used to collect the data. Results: Respondents characteristics (age, sex, education, and tenure) with the accuracy of the triage were obtained by age with p value = 0.386, p value = 1,000 for gender, p value = 0.242 for education, and years of work with p value = 0.000162. Knowledge of respondents with the implementation of the determination of triage p value = 0.045 and motivation of respondents with the accuracy of the implementation of triage p value = 0.0017. Conclusion: The accuracy of the implementation of triage has no relationship with characteristics (age, sex, education), there is a relationship between knowledge, motivation and years of work with the implementation's accuracy of triage in the Emergency Room X Hospital. Suggestions are expected by the Hospital to make guidelines, triage algorithms, training, regeneration to improve nurse triage knowledge.