Cegah dan Kenali Kondisi Hati (CEK SI HATI) sebagai Upaya Pendidikan Kesehatan terkait Sirosis Hati Kepada Masyarakat

Malihatunnisa Nurrofikoh, Azrania Fatima, Hediati Hastuti, Oktaviani Fauziyah, Nursiswati Nursiswati, Sandra Pebrianti

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ABSTRAK

 

Sirosis hati dikaitkan dengan kebiasaan minum alkohol, racun, kondisi keturunan, atau proses autoimun dan infeksi bakteri terkait organ hati. Penyakit ini ditandai pengerasan hati yang disebabkan oleh adanya jaringan parut atau fibrosis. Pencegahan penyakit hati selain alkoholisme adalah kebersihan makanan dan minuman yang dikonsumsi serta hygiene tangan. Untuk itu, upaya pencegahan melalui Pendidikan Kesehatan sangat penting. Program Pengabdian Kepada Masyarakat (PKM) ini bertujuan untuk mengidentifikasi tingkat pengetahuan terkait penyakit hati sebelum dan sesudah pendidikan kesehatan terkait dengan sirosis hati untuk masyarakat. Metode edukasi yang dilakukan adalah ceramah, tanya jawab dan menonton video. 52 partisipan mengikuti edukasi dan mengisi pertanyaan pre-test dan post-test sebagai bahan evaluasi. Dalam menilai hasil pre-test dan post-test digunakan 10 pertanyaan multiple choise, selanjutnya pengetahuan peserta dikelompokkan kurang jika nilai mencapai diantara angka 10-40, cukup jika mencapai rentang 50-70, dan sangat baik jika berada dalam rentang 80-100. Hasil menunjukkan nilai rata-rata pengetahuan partisipan meningkat dari 61.92 pada pre test menjadi pada post test 84.04. Hal ini menunjukkan bahwa ceramah, tanya jawab dan menonton video edukasi terkait sirosis hati dapat meningkatkan wawasan masyarakat, sehingga dapat melakukan upaya pencegahan terhadap penyakit ini. Diharapkan pada masa yang akan datang dapat dilakukan edukasi serupa secara serial termasuk mengukur pola hidup beresiko pada partisipan.

 

Kata Kunci: Alkohol, Edukasi, Sirosis Hati, Pencegahan

 

 

ABSTRACT

 

Cirrhosis of the liver is associated with drinking alcohol, toxins, hereditary conditions, or autoimmune processes, and bacterial infections associated with the liver. This disease is characterized by fibrosing of the liver and caused by the presence of scar tissue or fibrosis. Prevention of liver disease besides alcoholism is the cleanliness of the food and drink consumed and hand hygiene. For this reason, prevention efforts through Health Education are very important. This Community Service Program (PKM) aims to identify the level of knowledge related to liver disease before and after health education related to cirrhosis of the liver in the community. The educational methods used are lectures, question and answer, and watching videos. 52 participants took part in the education and filled out pre-test and post-test questions as evaluation material. In assessing the results of the pre-test and post-test, 10 multiple-choice questions were used. Furthermore, participants' knowledge was grouped as lacking if the score reached between 10-40, sufficient if it reached the 50-70 range, and very good if it was in the 80-100 range. Results showed that the average value of the participant’s knowledge increased from 61.92 in the pre-test to 84.04 in the post-test. This shows that lectures, questions and answers and watching educational videos related to cirrhosis of the liver can increase public awareness so that they can make efforts to prevent this disease. It is hoped that in the future similar education can be carried out serially including measuring risky lifestyles in participants.

 

Keywords: alcohol, cirrhosis, education, liver, prevention


Kata Kunci


Alkohol; Edukasi; Sirosis Hati; Pencegahan

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Referensi


Alaqaili, H. I., Aljuraysan, A. I., & Hawsawi, R. M. A. (2017). Review On Liver Cirrhosis Complications And Treatment. The Egyptian Journal Of Hospital Medicine, 69(8), 3092–3103. Https://Doi.Org/10.12816/0042860

American Cancer Society. (2019). Liver Cancer Risk Factors. Retrieved October 28, 2021, From Https://Www.Cancer.Org/Cancer/Liver-Cancer/Causes-Risks-Prevention/Risk- Factors.Html

Anggraini, N. V., Anggraeni, D. T., & Rosaline, M. D. (2019). Peningkatan Kesadaran Phbs Cuci Tangan Dengan Benar Pada Anak Usia Sekolah Nourmayansa. 5(April), 1172–1179.

Barreales, M., & Fernández Fernández, I. (2011). Spontaneous Bacterial Peritonitis. Revista Espanola De Enfermedades Digestivas, 103(5), 255-263. Https://Idus.Us.Es/Bitstream/Handle/11441/44992/Spontaneous%20bacterial%20periton Itis.Pdf?Sequence=1

Bimantara, N. G. (2014). Sirosis Hepatis Degenerasi Maligna: Sebuah Laporan Kasus. Fakultas Kedokteran Universitas Udayana, Denpasar. Https://Scholar.Google.Com/Scholar?Hl=En&As_Sdt=0%2c5&Q=Bimantara%2c+N.+G.+%282014%29.+Sirosis+Hepatis&Btng=#D=Gs_Qabs&U=%23p%3d9s0ywvcetyyj

Bruns, T., & Stallmach, A. (2011). Spontaneous And Secondary Bacterial Peritonitis In Cirrhotic Patients With Ascites. Zentralblatt Fur Chirurgie, 139(2), 160-167. Https://Europepmc.Org/Article/Med/22144140

Cleveland Clinic. (2020). Cirrhosis Of The Liver. Cleveland Clinic. Https://Doi.Org/800.223.2273

Conreng, D., Waleleng, B. J., & Palar, S. (2014, Juli). Hubungan Konsumsi Alkohol Dengan Gangguan Fungsi Hati Pada Subjek Pria Dewasa Muda Di Keluharan Tateli Dan Teling Atas Manado. Jurnal E-Clinic (Ecl), 2(2), 1-4.

Fitri, A. R. (2022). Pengaruh Pendidikan Kesehatan Tentang Covid-19 Kepada Kepala Puskesmas Banjar I. Jurnal Keperawatan Galuh, 4(1), 7–12.

Geong, G. Y., Kang, S. H., & Lee, C. M. (2019). An Updated Review On The Epidemiology, Pathophysiology, Etiology, And Diagnosis Of Liver Cirrhosis. Article Review, 44(March), 449–461. Https://Doi.Org/10.20944/Preprints201903.0128.V1

Hanafi, E., Siste, K., Limawan, A. P., Sen, L. T., Christian, H., & Murtani, B. J. (2021). Alcohol-And Cigarette-Use Related Behaviors During Quarantine And Physical Distancing Amid Covid-19 In Indonesia. Frontiers In Psychiatry, 12.

Harini, R. (2021). Menjaga Kesehatan Hati Dengan Nutrisi Yang Tepat. Retrieved From Dinas Kesehatan Kota Depok: Https://Dinkes.Depok.Go.Id/User/Detailartikel/Menjaga- Kesehatan-Hati-Dengan-Nutrisi-Yang-Tepat

Hytiroglou, P., Snover, D. C., Alves, V., Balabaud, C., Bhathal, P. S., Bioulac-Sage, P., Crawford, J. M., Dhillon, A. P., Ferrell, L., Guido, M., Nakanuma, Y., Paradis, V., Quaglia, A., Theise, N. D., Thung, S. N., Tsui, W. M. S., & Van Leeuwen, D. J. (2012). Beyond “Cirrhosis.” In American Journal Of Clinical Pathology (Vol. 137, Issue 1, Pp. 5–9). Https://Doi.Org/10.1309/Ajcp2t2ohtapbtmp

Irimia, R., & Trifan, A. (2012). Efficacy Of Rifaximin Versus Lactulose For Reducing The Recurrence Of Overt Hepatic Encephalopathy And Hopitalizations In Cirrhosis. Revista Medico-Chirurgicala A Societatii De Medici Si Naturalisti Din Iasi, 116(4), 1021-1027. Https://Europepmc.Org/Article/Med/23700882

Iwakiri, Y. (2014). Pathophysiology Of Portal Hypertension. Clinics In Liver Disease, 18(2), 281–291. Https://Doi.Org/10.1016/J.Cld.2013.12.001

Ivanova, I. (2016). Liver Cirrhosis : New Concepts. Scripta Scientifica Medica, 48(2), 17–25. Https://Doi.Org/10.14748/Ssm.V48i2.1481

Joseph, A., & Samant, H. (2021). Jaundice. Treasure Island: Statpearls Publishing. Retrieved From Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk544252/

Kalaitzakis E. (2010) Quality Of Life In Liver Cirrhosis. In: Preedy V.R., Watson R.R. (Eds) Handbook Of Disease Burdens And Quality Of Life Measures. Springer, New York, Ny. Https://Doi.Org/10.1007/978-0-387-78665-0_13

Kalra, A., Yetiskul, E., Wehrle, C., & Tuma, F. (2021, May 9). Physiology, Liver. Stat Pearls Publishing. Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk535438/

Kumar, V., Abbas, A. K., & Aster, J. C. (2013). Buku Ajar Patologi Robbins (9th Ed.). Philadelphia: Elsevier.

Leise, M. D., Poterucha, J. J., Kamath, P. S., & Kim, W. R. (2014). Management Of Hepatic Encephalopathy In The Hospital. In Mayo Clinic Proceedings, 89(2), 241-253. Elsevier.Https://Www.Sciencedirect.Com/Science/Article/Abs/Pii/S0025619613010380

Li, B., Zhang, C., & Zhan, Y. T. (2018). Nonalcoholic Fatty Liver Disease Cirrhosis: A Review Of Its Epidemiology, Risk Factors, Clinical Presentation, Diagnosis, Management, And Prognosis. In Canadian Journal Of Gastroenterology And Hepatology (Vol. 2018). Hindawi Limited. Https://Doi.Org/10.1155/2018/2784537

Lovena, A., Miro, S., & Efrida, E. (2017). Karakteristik Pasien Sirosis Hepatis Di Rsup Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 6(1), 5-12.

Maharani, S., Effendi, D., & Lucyana, A. (2018). Gambaran Pemeriksaan Fungsi Hati Pada Pasien Sirosis Hepatis Yang Dirawat Di Rsud Arifin Achmad Provinsi Riau Periode 2013-2015. Jurnal Ilmiah Kesehatan. Jilid. 12 No. 1. 46-51.

Mayo Clinic. (2021). Cirrhosis. Retrieved October 28, 2021, From Https://Www.Mayoclinic.Org/Diseases-Conditions/Cirrhosis/Symptoms-Causes/Syc- 20351487

Misnadiarly. (2007). Penyakit Hati (Liver): Mengenal, Menaggulangi, Mencegah, Mengobati. Jakarta: Yayasan Pustaka Obor Indonesia.

Murti, S. (2019). Hubungan Nilai Trombosit Terhadap Kejadian Perdarahan Saat Ligasi Varises Esofagus Pada Pasien Sirosis Hepatis Di Rsud Abdul Wahab Sjahranie Samarinda. Verdure: Health Science Journal, 1(1), 13-19. Http://Jurnal.Stikesmm.Ac.Id/Index.Php/Verdure/Article/View/50

Narnaware, P. B., Johan, D. P., & Lata, S. (2020). Effectiveness Of Planned Teaching Programme On Knowledge Regarding Cirrhosis Of Liver Among Alcoholic Adult Males Residing In Selected Areas. Community And Public Health Nursing, 5(1), 51–59. Https://Doi.Org/10.21088/Cphn.2455.8621.5120.9

Natarajan, S. K., Rasineni, K., Ganesan, M., Feng, D., Mcvicker, B. L., Mcniven, M. A., Osna, N. A., Mott, J. L., Casey, C. A., & Kharbanda, K. K. (2017). Structure, Function And Metabolism Of Hepatic And Adipose Tissue Lipid Droplets: Implications In Alcoholic Liver Disease. Current Molecular Pharmacology, 10(3), 237–248. Https://Doi.Org/10.2174/1874467208666150817111727

National Health Service. (2020, June 29). Cirrhosis. Health A-Z. Https://Www.Nhs.Uk/Conditions/Cirrhosis/Symptoms/

Nusi, I., Miftahussurur, M., Vidyani, A., & Alfaray, R. I. (2019). Buku Ajar: Diet Hati (I. Nusi, Nusi, H. Rasyid, & A. F. Syam, Eds.; 1st Ed., Vol. 1). Airlangga University Press.

Nusrat, S., Khan, M. S., Fazili, J., & Madhoun, M. F. (2014). Cirrhosis And Its Complications: Evidence Based Treatment. World Journal Of Gastroenterology, 20(18), 5442–5460. Https://Doi.Org/10.3748/Wjg.V20.I18.5442

Perri, G.-A. (2013). Ascites In Patients With Cirrhosis. Canadian Family Physician Medecin De Famille Canadien, 59(12), 1297-E540. Retrieved From Https://Pubmed.Ncbi.Nlm.Nih.Gov/24336542

Poh, Z., & Chang, P. E. J. (2012). A Current Review Of The Diagnostic And Treatment Strategies Of Hepatic Encephalopathy. International Journal Of Hepatology, 2012. Https://Www.Hindawi.Com/Journals/Ijh/2012/480309/

Puja Deaty, T. U. S. (2018). Asuhan Keperawatan Pada Klien Sirosis Hepatis Dengan Masalah Keperawatan Nyeri Akut Di Ruang Dahlia Ii Rsud Ciamis. Http://Repository.Bku.Ac.Id/Xmlui/Handle/123456789/1186

Regina, V., Arnelis, A., & Edward, Z. (2013). Hubungan Kadar Limfosit Total Dengan Prognosis Penyakit Pada Penderita Sirosis Hati Di Bagian Penyakit Dalam Rsup Dr.

M. Djamil Padang Tahun 2011. Jurnal Kesehatan Andalas, 2(2), 98-100. Http://Jurnal.Fk.Unand.Ac.Id/Index.Php/Jka/Article/View/131

Roerecke, M., Vafaei, A., Hasan, O. S. M., Chrystoja, B. R., Cruz, M., Lee, R., Neuman, M. G., & Rehm, J. (2019). Alcohol Consumption And Risk Of Liver Cirrhosis: A Systematic Review And Meta-Analysis. The American Journal Of Gastroenterology, 114(10), 1574–1586. Https://Doi.Org/10.14309/Ajg.0000000000000340

Rutledge, S. M., & Asgharpour, A. (2020). Smoking And Liver Disease. Gastroenterology & Hepatology, 16(12), 617–625.

Saadi, T., Khoury, S., Veitsman, E., Baruch, Y., & Raz-Pasteur, A. (2013). Spontaneous Bacterial Peritonitis With A Very High Leukocyte Count In Ascitic Fluid Caused By Haemophilus Influenzae. International Journal Of General Medicine, 6, 689. Https://Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/Pmc3751378/

Sari, I. P. T. P. (2013). Pendidikan Kesehatan Sekolah Sebagai Proses Perubahan Perilaku Siswa. Jurnal Pendidikan Jasmani Indonesia, 9(2).

Setiawan, M. (2011). Hubungan Antara Kejadian Asites Pada Cirrhosis Hepatis Dengan Komplikasi Spontaneous Bacterial Peritonitis. Saintika Medika: Jurnal Ilmu Kesehatan Dan Kedokteran Keluarga, 7(2). Https://Ejournal.Umm.Ac.Id/Index.Php/Sainmed/Article/View/4082

Sharma, B., & John, S. (2021). Hepatic Cirrhosis. Treasure Island: Statpearls Publishing Llc. Available From: Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk482419/.

Suwanti, I., & Aprilin, H. (2017). Studi Korelasi Pengetahuan Keluarga Pasien Tentang Penularan Hepatitis Dengan Perilaku Cuci Tangan. Jurnal Keperawatan, 20–32.

Suva, M. (2018). A Brief Review On Liver Cirrhosis : Epidemiology , Etiology , Pathophysiology , Symptoms , Diagnosis And Its Management. Inventi Rapid: Molecular Pharmacology, 2014(2). Https://Doi.Org/0976-3856

Tiyani, Yaswar, N. A., Nuraini, A., R, N. D., Nurhayati, E., T, A. B., Irawan, F. A., & Armini, K. A. (2021). Jaga Hati Cegah “Sirosis Hepatis.” Https://Ners.Unair.Ac.Id/Site/Lihat/Read/2091/Jaga-Hati-Cegah-Sirosis-Hepatis

Tran, S., Bennett, G., Richmond, J., Nguyen, T., Ryan, M., Hong, T., Howell, J., Demediuk, B., Desmond, P., Bell, S., & Thompson, A. (2019). “Teach-Back” Is A Simple Communication Tool That Improves Disease Knowledge In People With Chronic Hepatitis B - A Pilot Randomized Controlled Study. Bmc Public Health, 19(1), 1–9. Https://Doi.Org/10.1186/S12889-019-7658-4

Valenti, L., Bugianesi, E., Pajvani, U., & Targher, G. (2016). Nonalcoholic Fatty Liver Disease: Cause Or Consequence Of Type 2 Diabetes? In Liver International (Vol. 36, Issue 11, Pp. 1563–1579). Blackwell Publishing Ltd. Https://Doi.Org/10.1111/Liv.13185

Wiegand, J., & Berg, T. (2013). The Etiology , Diagnosis And Prevention Of Liver Cirrhosis. Medicine, 110(5). Https://Doi.Org/10.3238/Arztebl.2013.008




DOI: https://doi.org/10.33024/jkpm.v6i7.10160

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