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Factors Associated with Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes Mellitus in Surakarta, Central Java Azmiardi, Akhmad; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.952 KB)

Background: Peripheral neuropathy is the most common chronic complication and often occurs in diabetes mellitus. Peripheral neuropathy can cause morbidity, decreased quality of life,and mortality. This study aimed to analyze the determinants of peripheral neuropathy in patients with type 2 diabetes mellitus in Surakarta, Central Java.Subjects and Method: This study was an observational analytic with cross sectional design. This study was conducted at Surakarta Regional Hospital, Central Java on July 2019. A total of 200 type 2 diabetes mellitus outpatients was selected by simple random sampling. The dependent variable was peripheral neuropathy. The independent variables were age, education level, income, self-efficacy, diet, medication adherence, physical activity, health literacy, duration of illness, and fasting blood sugar. Peripheral neuropathy was measured using the Michigan Neu-black Screening Instrument (MNSI). Other variable data were obtained using questionnaires. Analysis of data used multiple logistic regression.Results: The risk of peripheral neuropathy increased with age of ?55 years (b = 3.61; 95% CI = 1.51 to 5.70; p= 0.001), duration of illness ? 5 years (b = 2.78; 95% CI = 0.51 to 5.04; p = 0.016 ), and fasting sugar ?110 mg / dL (b= 1.64; 95% CI= -0.01 to 3.03; p= 0.052). The risk of peripheral neuropathy decreased with education level ?senior high school (b= -2.41; 95% CI = -4.31 to -0.51; p= 0.013), income ? Rp 1,800,000 (b= -1.58; 95% CI= -3.12 to -0.04; p = 0.044), high self-efficacy (b= -1.67; 95% CI= -3.26 to -0.07; p= 0.040), controlled diet (b= -1.89; 95% CI= -3.64 to -0.14; p= 0.034), high medication adherence (b= -2.34; 95% CI= -4.13 to -0.56; p= 0.010), high physical activity (b= -2.33; 95% CI= -4.17 to -0.49; p = 0.013), and high health literacy (b= -1.52; 95% CI = -3.18 to 0.14; p = 0.073).Conclusion: The risk of peripheral neuropathy increases with age of ?55 years, duration of illness ? 5 years, and fasting blood sugar ? 110 mg/dL. The risk of peripheral neuropathy decreases with a high education level, income of ?1,800,000, high self-efficacy, controlled diet, high medication adherence, high physical activity, and high health literacy.Keywords: peripheral neuropathy, diabetesCorrespondence: Akhmad Azmiardi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: aazmiardi@gmail.com.Mobile: 085245412021 Indonesian Journal of Medicine (2019), 4(4): 300-312https://doi.org/10.26911/theijmed.2019.04.04.02

PERILAKU BERISIKO YANG MEMPENGARUHI TINGKAT RISIKO PENGGUNAAN NARKOTIKA PADA SISWA SMKN 1 SINGKAWANG Azmiardi, Akhmad; Taufik, M; Abrori, Abrori
JUMANTIK (Jurnal Mahasiswa dan Peneliti Kesehatan) Vol 3, No 1 (2016): JUMANTIK: Jurnal Mahasiswa dan Peneliti Kesehatan
Publisher : Fakultas Ilmu Kesehatan Universitas Muhammadiyah Pontianak

Prevalence of drug abuse among students indicated continually increased each year. SMKN 1 Singkawang contributed the highest number of indicated students. There were 2 students in 2012, 1 student in 2013 and 2 students in 2014.This study aimed at finding out the risky behavior of the drug use among students of SMK N I Singkawang.Using analytic survey and cross sectional approach, as many as 278 out of 1008 students of grades X, XII, an XII were selected as the samples of this study. They were chosen by using proportional random sampling. The test used was chi square test, with 95% confidence level.The study revealed that there were significant correlation of smoking behavior (41,336 CI 95%=5,614-81,214 p=0,000) night club visiting behavior (RP=58,109, CI 95%= 10,622-577,838, p=0,00), hang out behavior (RP=9,853 CI 95%= 1,320-73,535, p = 0,007) skipping class behavior (RP=18,847 CI 95%=4,477-79,572), p = 0,000) and alcohol intake behavior (RP=86,894 CI 95%= 19,104-90,260) p= 0,000) .From the findings, the headmaster needs to have a collaboration with the Police Department / National Narcotics Board in socializing the dangers of drug abuse. Also, both head master and teachers are encouraged to be active in monitoring the students, discipline in teaching learning process.Keywords: narcotics, adolescents, the risk of drug use, risky behavior

Perilaku Mencuci Tangan Selama Pandemi COVID-19 Azmiardi, Akhmad; Haryanti, Titik
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 2 (2021): HIGEIA: April 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i2.40536

Corona Virus Disease 2019 causes morbidity and mortality. Preventive behavior such as washing hands was known to reduce the risk of transmission of the virus. This study aimed to determine factors that influence hand washing behavior. This was an observational analytic study with cross-sectional approach conducted in Sukoharjo Regency, Central Java in April 2020. A total of 246 study subjects were obtained using online questionnaire. Factors that associated with hand washing behavior including education level >SHS (OR=2.63; 95%CI=1.04-6.63; p=0.040), income >1.8 million/month (OR=4.53; 95%CI=1.80-11.40; p=0.001), socialization of COVID-19 (OR=5.79; 95%CI=1.66-20.12; p=0.006), availability of hand washing facilities (OR=31.88; 95%CI= 2.57-395.55; p=0.007), high knowledge (OR=3.19; 95%CI=1.32-7.67; p=0.010), positive attitude (OR= 6.18; 95%CI= 2.35-16.20; p<0.001), high threat perception (OR=4.36; 95%CI=1.72-11.00; p=0.002). In conclusion, education >high school, income level >1.8 million/month, socialization about COVID-19, availability of hand washing facilities, high knowledge, positive attitude and high threat perception increase hand washing behavior during the COVID-19 pandemic. Keywords: Factors, Hand Washing, COVID-19

FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU PENCEGAHAN COVID-19 DI KABUPATEN SUKOHARJO, JAWA TENGAH Azmiardi, Akhmad; Sari, Dewi Puspito
MEDIA ILMU KESEHATAN Vol 9 No 3 (2020): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v9i3.511

Background: Covid-19 is an emerging infectious disease that poses a significant threat to public health. Preventive measures play an important role in reducing infection rates and controlling the spread of disease Objective: This study aimed to determine factors influence Covid-19 prevention behavior in Sukoharjo. Methods: This was a cross-sectional study conducted in Sukoharjo, Central Java in April 2020. A total of 246 research subjects were obtained using simple random sampling. The dependent variable in this study was the prevention behavior. The independent variables in this study were age, education, occupation, income, knowledge, and attitudes. The data was obtained using online questionnaire and analyzed using multiple logistic regression Results: The were 226 people (91.87%) using face mask, 199 people (80.89%) regularly washing their hands and 130 people (52.85%) practice social distancing. Education >high school (OR= 3.69; 95%CI= 1.42-9.56; p= 0.007), Income >1.8 million/month (OR= 2.90; 95%CI= 1.29-6.52; p= 0.010). High knowledge (OR= 2.25; 95%CI= 1.04-4.83; p= 0.037) and a positive attitude (OR= 5.18; 95%CI= 2.36-11.37; p <0.001) were increased preventive behavior.. Conclusion: higher education, income level, knowledge, and positive attitude are increase Covid-19 prevention behavior.

Perilaku Mencuci Tangan Selama Pandemi COVID-19 Azmiardi, Akhmad; Haryanti, Titik
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 2 (2021): HIGEIA: April 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i2.40536

Corona Virus Disease 2019 causes morbidity and mortality. Preventive behavior such as washing hands was known to reduce the risk of transmission of the virus. This study aimed to determine factors that influence hand washing behavior. This was an observational analytic study with cross-sectional approach conducted in Sukoharjo Regency, Central Java in April 2020. A total of 246 study subjects were obtained using online questionnaire. Factors that associated with hand washing behavior including education level >SHS (OR=2.63; 95%CI=1.04-6.63; p=0.040), income >1.8 million/month (OR=4.53; 95%CI=1.80-11.40; p=0.001), socialization of COVID-19 (OR=5.79; 95%CI=1.66-20.12; p=0.006), availability of hand washing facilities (OR=31.88; 95%CI= 2.57-395.55; p=0.007), high knowledge (OR=3.19; 95%CI=1.32-7.67; p=0.010), positive attitude (OR= 6.18; 95%CI= 2.35-16.20; p<0.001), high threat perception (OR=4.36; 95%CI=1.72-11.00; p=0.002). In conclusion, education >high school, income level >1.8 million/month, socialization about COVID-19, availability of hand washing facilities, high knowledge, positive attitude and high threat perception increase hand washing behavior during the COVID-19 pandemic. Keywords: Factors, Hand Washing, COVID-19

Pengaruh Perilaku Merokok, Konsumsi Alkohol dan Hiburan Malam Terhadap Risiko Penggunaan Narkotika Akhmad Azmiardi
Faletehan Health Journal Vol 7 No 1 (2020): Faletehan Health Journal
Publisher : Universitas Faletehan

Drug abuse in adolescence continues to increase every year. the entry of narcotics among high school students until now has been almost unavoidable because of threats, obstacles, and disturbances outside of school lurking all the time, such as the dangers of smoking, liquor, nightclubs. The purpose of this study was to determine the relationship between smoking behavior, alcohol consumption and night entertainment on the risks of using narcotics. This research is a cross-sectional study with 278 students taken by a proportional random sampling technique. The dependent variable in this study is the risk of narcotics use while the independent variables in this study include cigarette behavior, alcohol consumption, and night entertainment. Research instruments using questionnaires and data analysis using the Chi-Square test. The results found that there was a relationship between smoking behavior, drinking alcoholic behavior and the behavior of visiting night entertainment venues to the risk of narcotics use (p = <0.001). Good regulations are needed to regulate the circulation of cigarettes, alcoholic drinks and age restrictions on visitors of night entertainment to reduce the risk of narcotics use.

Edukasi manajemen kesehatan mental selama pandemi covid-19 AKHMAD AZMIARDI; Iik Sartika; Budi Rahardjo; Hanifah Dina Aulia
Ruang Cendekia : Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 2 (2022): Ruang Cendekia: Jurnal Pengabdian Masyarakat
Publisher : ARKA INSTITUTE

Covid-19 is a disease caused by the SARS-CoV-2 virus and is currently a worldwide pandemic. Pandemic conditions like this have an impact not only on physical health, but can also affect mental health. People feel fear and concern about personal safety. Pandemic conditions like this also have adverse consequences such as layoffs and unemployment which can lead to mental health problems such as stress. Objective: This community service aimed to increase knowledge and skills in maintaining mental health, especially during the Covid-19 pandemic.This community service activity is carried out in 3 stages, namely socialization and mental health education to members of the Village Health Forum (FKD), program formation and the third is program implementation for ±3 months. There was an increase in participants' knowledge after socialization and education and it was statistically significant (p<0.001). The formation of the "Gotong Royong" program which was carried out by FKD members to the community. This activity increases public knowledge about mental health during the Covid-19 pandemic and is expected to prevent the adverse effects of the Covid-19 pandemic. Suggestions for Puskesmas and FKD can carry out these activities regularly.

FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU PENCEGAHAN COVID-19 DI KABUPATEN SUKOHARJO, JAWA TENGAH Akhmad Azmiardi; Dewi Puspito Sari
MEDIA ILMU KESEHATAN Vol 9 No 3 (2020): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v9i3.511

Background: Covid-19 is an emerging infectious disease that poses a significant threat to public health. Preventive measures play an important role in reducing infection rates and controlling the spread of disease Objective: This study aimed to determine factors influence Covid-19 prevention behavior in Sukoharjo. Methods: This was a cross-sectional study conducted in Sukoharjo, Central Java in April 2020. A total of 246 research subjects were obtained using simple random sampling. The dependent variable in this study was the prevention behavior. The independent variables in this study were age, education, occupation, income, knowledge, and attitudes. The data was obtained using online questionnaire and analyzed using multiple logistic regression Results: The were 226 people (91.87%) using face mask, 199 people (80.89%) regularly washing their hands and 130 people (52.85%) practice social distancing. Education >high school (OR= 3.69; 95%CI= 1.42-9.56; p= 0.007), Income >1.8 million/month (OR= 2.90; 95%CI= 1.29-6.52; p= 0.010). High knowledge (OR= 2.25; 95%CI= 1.04-4.83; p= 0.037) and a positive attitude (OR= 5.18; 95%CI= 2.36-11.37; p <0.001) were increased preventive behavior.. Conclusion: higher education, income level, knowledge, and positive attitude are increase Covid-19 prevention behavior.

STUDI CASE CONTROL : PEMANTAUAN PERTUMBUHAN, PEMBERIAN MAKAN DAN HUBUNGANNYA DENGAN STUNTING PADA ANAK PANTI ASUHAN DI KOTA SEMARANG: STUDI CASE CONTROL Anom Dwi Prakoso; Akhmad Azmiardi; Gabriela Advitri Febriani; Ayu Anulus
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 12 No. 2 (2021): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v12i2.336

Penurunan angka stunting masih menjadi priotitas utama dalam rangka tujuan pembangunan nasional. Indonesia menjadi Negara kedua dengan angka kasus stunting tertinggi kedua di Asia Tenggara setelah kamboja. Hasil survei Status Gizi Balita Indonesia (SSGBI) pada tahun 2019 menunjukkan bahwa 1 dari 3 anak di Indonesia terbukti mengalami stunting. Hal ini merupakan masalah serius mengingat sumberdaya yang paling berharga bagi suatu negara adalah sumber daya manusia. Tujuan penelitian ini adalah menganalisis hubungan antara pemantauan pertumbuhan dan pemberian makan oleh pengasuh dengan kejadian stunting pada anak panti asuhan di Kota Semarang tahun 2019. Penelitian ini menggunakan desain kuantitatif analitik melalui pendekatan case control. Populasi dalam penelitian ini adalah seluruh anak panti asuhan di Kota Semarang. Adapun jumlah sampel dalam penelitian ini adalah 48 anak stunting sebagai kelompok kasus dan 48 anak normal sebagai kelompok kontrol dengan rentang usia 8-18 tahun dan diambil secara Purposive sampling. Instrumen penelitian yang digunakan yaitu kuesioner, microtoise dan aplikasi WHO Antro Plus. Analisis data diolah dengan spss menggunakan uji statistik chi square. Hasil penelitian menunjukkan pemantauan pertumbuhan oleh pengasuh tergolong kurang baik (51.04%) dan pola pemberian makan tergolong kurang baik (54,17%). Uji statistik menunjukkan bahwa kejadian stunting memiliki hubungan yang signifikan dengan pemantauan pertumbuhan (p=0.025) dan pola pemberian makan (p=0.001). Diperlukan pemantauan kesehatan rutin dan edukasi dari petugas puskemas kepada pengasuh tentang cara menentukan status gizi anak dan pola asuh gizi yang benar dan baik.

Hubungan Pengetahuan dengan Praktik Perawatan Diri pada Pasien Diabetes Mellitus Tipe 2 di Surakarta Akhmad Azmiardi
Jurnal Ilmu Kesehatan Masyarakat Berkala Vol 2, No 1 (2020): Jurnal Ilmu Kesehatan Berkala (JIKeMB) - Mei 2020
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v2i1.812

Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dengan praktik perawatan diri pada pasien diabetes mellitus tipe 2 di Surakarta. Penelitian ini merupakan observational analitik dengan desain penelitian cross sectional. Penelitian ini di lakukan di Kota Surakarta dari bulan Juni hingga Juli 2019. Sebanyak 200 pasien diabetes mellitus tipe 2 di pilih dengan menggunakan teknik simple random sampling. Variabel dependen dalam penelitian ini adalah praktik perawatan diri. Variabel independen dalam penelitian ini adalah pengetahuan. Data praktik perawatan diri pengetahuan diperoleh dengan menggunakan kuisioner. Data yang diperoleh dianalisis menggunakan chi square. Hasil analisis menunjukkan terdapat hubungan antara pengetahuan dengan praktik perawatan diri pada pasien DM tipe 2 dan ada hubungan secara statistik signifikan (OR= 5.58; CI 95%= 3.03 hingga 10.28; p<0.001). Pasien DM tipe 2 dengan pengetahuan tinggi mempunyai peluang untuk melakukan praktik perawatan diri yang lebih baik 5.58 kali daripada pasien DM tipe 2 dengan pengetahuan rendah.

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