Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom <p>Diterbitkan oleh<br><strong>Sekolah Tinggi Ilmu Kesehatan (STIKes) Hang Tuah Pekanbaru</strong><br>Alamat Redaksi:&nbsp;<strong>STIKes Hang Tuah Pekanbaru</strong>&nbsp;<br>Jl. Mustafa Sari No. 5 Pekanbaru Riau Telp.0761-33815 Fax 0761-868666.&nbsp;<br>Website: keskom.htp.ac.id&nbsp;<br>Email: keskom@htp.ac.id</p> <p><strong>Jurnal Kesehatan Komunitas memuat tulisan ilmiah baik berupa naskah hasil penelitian maupun naskah konsep di bidang kesehatan masyarakat. Diterbitkan setiap 4 (empat) bulan sekali yaitu pada bulan April, Agustus, dan Desember&nbsp;.</strong></p> en-US <p>Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons&nbsp;Attribution-NonCommercial-ShareAlike 4.0 International License (<a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" target="_blank">http://creativecommons.org/licenses/by-nc-sa/4.0/</a>) which permits unrestricted non-commercial used, distribution and reproduction in any medium&nbsp;</p> jasridayunita@htp.ac.id (Jasrida Yunita, S.KM, M.Kes) ade@htp.ac.id (Ade Cahya, S.Kom) Tue, 23 Apr 2019 18:09:35 +0700 OJS 3.1.1.0 http://blogs.law.harvard.edu/tech/rss 60 Determinants of men’s participation in family planning in the working area of Health Centre Tenayan Raya http://jurnal.htp.ac.id/index.php/keskom/article/view/279 <p>Program keluarga berencana adalah suatu program untuk membantu para pasangan atau seseorang untuk mencegah kehamilan yang tidak diinginkan dan mengurangi insiden kehamilan beresiko tinggi, kesakitan dan kematian, membuat pelyanan yang bermutu dan terjangkau, meningkatkan partisipasi dan tanggungjawab pria dalam praktik KB. Tujuan penelitian ini adalah untuk mengetahui determinan partisipasi pria dalam keluarga berencana. Penelitian ini bersifat kuantitatif analitik menggunakan metode observasional dengan jenis desain case-control. Penelitian ini dilakukan pada bulan Agustus-September 2018 di wilayah kerja puskesmas rawat inap tenayan raya. Populasi seluruh pria PUS yang berada di wilayah kerja puskesmas tenayan raya populasi kasus 712 orang dan populasi kontrol 21,480 orang. Sampel penelitian 360 Pria PUS yang dibagi 2 kelompok yaitu kelompok kasus 180 dan kelompok kontrol 180. Teknik sampling purposive sampling Analisis data dilakukan secara univariat, bivariat dan multivaria. Hasil analisis multivariat regresi logistik ganda yang diperoleh Pengetahuan, Pria PUS yang mempunyai pengetahuan kurang baik tidak akan menggunakan KB sebesar 1,5 kali lebih besar dibandingkan Pria PUS yang pengetahuannya baik. Sikap, Pria PUS yang mempunyai Negatif tidak akan menggunakan KB sebesar 2 kali lebih besar dibandingkan Pria PUS yang mempunyai sikap positif. Pelayanan petugas yang kurang baik tidak akan menggunakan KB sebesar 1,3 kali dari pada pria PUS yang mempunyai pelayanan yang baik, pria PUS yang jumlah anak ≤ tidak akan menggunakan KB sebesar 1,4 kali lebih besar dibandingkan dengan pria PUS yang mempunyai jumlah anak &gt; 2. Kesimpulan Variabel yang dominan dengan partisipasi pria dalam keluarga berencana adalah variabel sikap. Saran Diharapkan petugas kesehatan untuk lebih banyak melakukan penyuluhan tentang KB pria, memasang poster, dan leaflet tentang KB Pria.</p> <p><strong>&nbsp;</strong></p> sidri rizqi yuniati, Donel Suheimi, Nurhapipa Nurhapipa, Oktavia Dewi, Nurlisis Nurlisis ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/279 Tue, 23 Apr 2019 17:36:48 +0700 The Analysis of Establishment of The Organization of Occupational Health Efforts of Palm Oil Farmers Group in Suka Maju Village, Tapung Hilir I Primary Health Center, Kampar District in 2018 http://jurnal.htp.ac.id/index.php/keskom/article/view/281 <p><strong>Abstract</strong></p> <p>Background:</p> <p>Met This study uses a qualitative method of evaluation study design, with informants from elements of health centers, villages, and farmer groups. Information acquisition through interviews, brainstorming, observation and document tracking</p> <p>Results: The results of the research show that the public health center is severely constrained by the human resources component, while the fund resources and facilities component has been fulfilled. In the responsible elements (Village) all resources have been affected, only need cross-sector cooperation. In the implementing element (Farmers) the resources are sufficient, only need guidance for the implementation of the Work Health Efforts program.</p> <p>Conclusion: Suggestions for primary health care, to meet the human resource needs of primary health care, for villages to be able to utilize 7% of village funds to allocate health sector, for farmers to do horizontal communication as cadres for the establishment of Work Health Efforts.</p> <p>Keywords: Work Health Efforts, primary health care, Farmer Group.</p> fatimah MKM, M.Kamali Zaman, Muhamadiah Muhamadiah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/281 Tue, 23 Apr 2019 17:40:40 +0700 The Psychological Mother Experiences in Caring their Children with Mental Retardation in a Special needs Schools Rokan Hulu RegencyRiau Province http://jurnal.htp.ac.id/index.php/keskom/article/view/272 <p>Amount 59,26% mothers with mental retardaon childrens are<br>faced several problems in caring of their children. The aim of this<br>study was find out the psychological mother experiences in caring<br>their children with mental retardaon in a special needs school at<br>Rokan Hulu Regency, Riau Province. This was a qualitave<br>research with phenomenology approach. The phenomena ini this<br>study was the psychological mother experiences in caring their<br>children with mental retardaon. This research was conducted<br>from 12 May unll 11 June 2017. And the number of informants<br>we interviewed were 5 mothers. Informants were mothers who's<br>having the children with mental retardaon who send their<br>children to special need schools at Rokan Hulu Regency Riau<br>Province. Informants were chosen by purposive sampling<br>technique. The data were collected by home visit the informants<br>for 30-60 minutes in 2-3 mes with in-depth interview The data<br>were analyzed by applying the Colaizzi technique. The results<br>showed that 6 themes were idenfied on this study:(1) the<br>mother's inial response when known their children having<br>mental retardaon; (2) the atude of parents in caring for their<br>children; (3) sibling rivalry; (4) the burden when caring children<br>with mental retardaon; (5) the efforts to get health services and<br>(6) mother's expectaons. The nurses are expected to facilitate in<br>created a peer groups of mothers who have children with mental<br>retardaon as a community to share the experiences in caring for<br>children, including supporng group, self-help group, and<br>cognive behavior therapy.</p> Nia Aprilla, Marjohan Marjohan, Basmanelly basmanelly ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/272 Tue, 23 Apr 2019 17:45:33 +0700 Relationship Training and Supervision with at Risk Behavior on Dump Truck's Driver http://jurnal.htp.ac.id/index.php/keskom/article/view/177 <p>At risk behavior of driver is an unsafety driving and it could harm themselves and others. One of the causes of the at risk behavior are lack of monitoring supervision, behavior of the industrial society as well as public community that haven't been optimal yet.&nbsp;&nbsp;It is 88% accident at work that caused by the unsafety behavior. This research aimed to find out the relation between knowledge, behavior, education, training, SOP and also the supervision of at Risk Behavior for dump truck's driver. This was an observational analytic quantitative study&nbsp;with cross sectional approach. The samples were 122 dump truck drivers. Data processing was done in the stages of editing, coding, entry, cleaning and tabulating. Data analyze was conducted by univariate, bivariate, and multivariate. The result showed that variables which has causality relation with at risk behavior, were the training (p=0,004) and the supervision (p=0,017). The confounding variable were the SOP and behavior while the education was not related to the variable. The conclusion was there is a causality relation between training and supervision with “At Risk Behavior” of dump truck’s driver. It is recommended for driver to participate in the training for work safety. It's also suggested for the supervisor to improving supervision method according to the policy and giving rewards to those drivers who's have great performance.</p> Yetti Murni, Makomulamin Makomulamin, Buchari Lapau ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/177 Tue, 23 Apr 2019 00:00:00 +0700 Determinants of Adult Obesity in the Working Area of the Simpang Tiga Community Health Center Pekanbaru City http://jurnal.htp.ac.id/index.php/keskom/article/view/355 <p><em>Obese </em><em>is</em><em> a overweight as a result of plutonium body fat excessive.</em> <em>Based on the data from health department the city of pekanbaru 2016 the proportion of the incident obesity was highest for puskesmas simpang three of which was 2.1 % per 19.029 population.</em> <em>Based on preliminary survey, than 20 respondents there were as many as five people ( 25 % ) suffering from obesity.</em> <em>Obesity have an impact on the emergence of various degenerative diseases among others, metabolic syndrome atherosclerosis, of cardiovascular diseases, diabetes, gallstones, disturbance of function pulmonic, hypertension and dislipidemia</em><em>. </em><em>Research objectives know determinan scene obesity in community in the work area of puskesmas simpang 3 the city of pekanbaru 2017.</em> <em>The research was quantitative analytic with a kind of design study cross section analitik.</em> <em>Variabel dependent obesity and independent variable was education, knowledge, sex, offspring, physical activity and the habit of eating. The study was done in the work area of puskesmas simpang 3 the city of pekanbaru, data collection was held in december 2017 - january 2018.</em> <em>Population to research it was a whole people living and settled in the work area of puskesmas simpang 3 the city of pekanbaru 2018 as many as 19.029 lives and sample were 155 responden.</em> <em>teknik the sample collection of sampling quota.</em><em>&nbsp; </em><em>Data analyswas univariat, bivariat and multivariate.</em> <em>The results of the study showed that well educated low (SMP), the offspring of obesity and the habit of eating little influence to events obesity.</em> <em>It was suggested that puskesmas simpang 3 the city of pekanbaru harder socialize a healthy lifestyle like how diet good to avoid from obesity especially the targets to the education low and have the acts of offspring obesity.</em></p> agus alamsyah, M.Kamali Zaman, Winda Septiani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/355 Tue, 23 Apr 2019 17:55:52 +0700 A The influence of Counselling through Social Media to knowledge and practice of the management of Hypertension http://jurnal.htp.ac.id/index.php/keskom/article/view/338 <p><em>H</em><em>ypertension as one of the "com</em><em>orbidity</em><em>" of heart disease, </em><em>the prevelance was</em><em> in Indonesia. Efforts to manage hypertension by health promotion conducted health workers in Clinics is rarely done because of the health officers focus more curative ketindakan so lack of preventative and promotif.&nbsp; The purpose of the study</em><em> was</em><em> to know the influence of counselling through social media to knowledge and practice of the management of hypertension. The research was conducted in July to August 2018. </em><em>T</em><em>his </em><em>study</em><em> was quantitative using Non Randomized Experiments Quasy design Control Group Pretest Postest. Analysis of the data in the data analysis did knowledge and practices before and after the intervention was performed. The sample in this research is 52 people with consecutive sampling techniques.</em> <em>The analysis of the data used, namely the test of</em><em> paired</em> <em>t test and independent t test.</em><em>.</em></p> <p><em>The study showed that are obtained namely higher average variable knowledge on social media group compared to the conventional group. There was no difference in average which means the practice of managing hypertension or pre-posttest score on the conventional group and the Group of social media. This research was a great alternative of health education in health promotion programmes to enhance knowledge in managing hypertension disease independently one to control high blood pressure.</em></p> Rina Mitasari, Heryudarini Harahap, Sri Desfita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/338 Tue, 23 Apr 2019 18:00:38 +0700 The Relationship Of Waist Circumference And Hypercholesterolemia Incidence In Patient With Hypertension in Tegal Gundil Public Health Center at Bogor City http://jurnal.htp.ac.id/index.php/keskom/article/view/335 <p>Hypertension and hypercholesterolemia are the causes of coronary heart disease (CHD) so that the presence of hypercholesterolemia in patients with hypertension will increase the risk of CHD. Central obesity describes the accumulation of fat in the stomach which can lead to abnormalities in the amount of lipids in the blood, when it occurs in patients with hypertension can lead to progression of the occurrence of high blood cholesterol and the risk of causing atherosclerosis and heart disease. The purpose of this study was to determine the relationship of waist circumference and other factors with the incidence of hypercholesterolemia in patients with hypertension. This research is a quantitative study through secondary data with Cross Sectional design. According to the results of multivariate tests with multiple logistic regression, there was a relationship between waist circumference, gender and age after being controlled by physical activity variables. Gender as a risk factor most associated with the incidence of hypercholesterolemia with a risk 8.5 times higher in women than men, then carried out waist circumference stratification test by sex in hypertensive patients with cases of central obesity found a significant relationship that women with central obesity have a risk of experiencing hypercholesterolemia as much as 5.5 times compared to central obesity in men with a value of p &lt;0.05. There is a waist circumference relationship with the incidence of hypercholesterolemia in women who are central obesity more at risk of developing hypercholesterolemia than central obesity in men.</p> <p>Keywords: Hypercholesterolemia, waist circumference, hypertensive patients</p> Siti Hana, Ratu Ayu Dewi Sartika ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/335 Tue, 23 Apr 2019 18:03:12 +0700 Malnutrition in elderly in Pekanbaru http://jurnal.htp.ac.id/index.php/keskom/article/view/296 <p>Malnutrisi adalah suatu keadaan kekurangan, kelebihan, atau ketidakseimbangan zat gizi energi, protein, dan zat gizi lain yang menyebabkan efek yang buruk pada bentuk tubuh, fungsional tubuh, serta hasil klinis. Proporsi penduduk usia &gt; 65 tahun meningkat dari tahun 2011 sampai tahun 2015. Pada tahun 2011, proporsi penduduk usia lanjut sebesar 4,2% lebih rendah dibandingkan pada tahun 2015, yaitu sebesar 4,8%. Penelitian ini bertujuan untuk mengetahui prevalensi dan faktor risiko malnutrisi pada usia lanjut di Kota Pekanbaru, Propinsi Riau. Penelitian dilakukan pada tahun 2018 di 20 Puskesmas Kota Pekanbaru. Populasi adalah usia lanjut yang di Kota Pekanbaru, Propinsi Riau. Sampel adalah sebagian populasi yang memenuhi kriteria inklusi dan eksklusi. Kriteria inklusi adalah responden dengan usia ≥ 60 tahun, tidak mengalami penyakit berat/kronis, dan bersedia ikut penelitian. Kriteria eksklusi adalah responden afasia motorik, buta huruf, dan demensia/pikun. Penelitian ini bersifat kuantitatif analitik dengan jenis desain <em>cross sectional</em>. Pengumpulan data dilakukan dengan data primer. Data yang telah terkumpul dianalisis dengan analisis univariat, bivariat, dan multivariat, sehingga diketahui variabel indepeden yang paling berpengaruh terhadap masalah kesehatan lanjut usia di Kota Pekanbaru. Hasil penelitian didapatkan prevalensi malnutrisi sebesar 3,1% dan faktor risiko adalah variabel sulit mengunyah dengan nilai OR: 5,546 (95%CI: 1,468-20,950). Diharapkan peran keluarga memperhatikan asupan gizi lansia yang mengalami kesulitan mengunyah makanan dengan dibantu oleh petugas puskesmas.</p> Wulan Sari, Winda Septiani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/296 Tue, 23 Apr 2019 18:05:15 +0700