Martono Martono

Scopus Publications

Gatekeeper readiness in suicide risk prevention behavior in higher education nursing
Martono Martono, Siti Khadijah, Koko Wahyu Tarnoto, Satino Satino, Pradita Ayu Fernanda, Sumardino Sumardino
Electronic Journal of General Medicine, 2025
Objectives: The purpose of this study was to assess gatekeepers’ readiness regarding their knowledge, skills, and preparedness for managing suicide risk prevention on campus. Methods: This research employs a cross-sectional approach through a web-based survey to analyze the implementation of a digital-based suicide risk prevention program model. A random sample of 192 gatekeepers, who are involved in both educational and non-educational services, was selected. Inclusion criteria consisted of gatekeepers who consented to participate and were registered as academic members at Politeknik Kesehatan Surakarta. Data were collected via a survey using a self-developed and validated questionnaire/tool. Statistical analyses to assess gatekeepers’ readiness for handling suicide risk included descriptive statistics, one-way ANOVA, and t-tests with a 95% significance level. Results: A total of 192 gatekeepers completed the survey. The average scores for readiness in suicide threat prevention, post-trauma recovery ability, and victim evaluation were 5.00, 5.00, and 5.18, respectively. Overall, the surveyed gatekeepers were inadequately prepared for suicide risk prevention and did not fully understand their roles during both the preparedness phase for suicide prevention and post-trauma situations. Conclusion: Gatekeepers’ readiness and understanding of their role in responding to the threat of suicide is still low in Indonesia. Therefore, their capacity needs to be improved through ongoing training programs in the form of suicide management simulations and gatekeeper placement in campus areas with cross-sector collaboration with the government, private sector, and community.
Prediction of factors influencing hemorrhagic stroke death with brain herniation in teaching hospitals
Martono Martono, Sudiro Sudiro, Satino Satino, Siti Lestari, Insiyah Insiyah, Sri Martuti, Pradita Ayu Fernanda
Electronic Journal of General Medicine, 2024
Objectives: The purpose of this study was to identify and analyze the predictors of mortality in the cases of hemorrhagic stroke with brain herniation of hospitalized patients. Methods: In this retrospective cohort study, we analyzed 1,330 cases of hemorrhagic stroke with brain herniation from January 2015 to October 2020, and used logistic regression to identify the cause of death of hemorrhagic stroke with brain herniation. Results: A total of 1,330 stroke patients with brain herniation were identified. The mean age was 63.40±61.00 years and 56.50% of them were male. A total of 78.80% of the observed patients were discharged directly after recovery, 2.00% were discharged at the personal/family request, and number of patients who died after being treated 19.20% died (30.90% died after being treated for &lt;48 hours, and 69.10% died after being treated for ³48 hours). Patients who were ³65 years old had more tendency to die than those who were younger, with a 95% confidence interval (CI) 6,859-26,486; p=0.001). The higher the systolic and diastolic blood pressure was, the greater the probability of dying after hospitalization (odds ratio [OR] 2.340, CI 1.334-4.104, p=0.022, OR 2.110, CI 1.042-4.273, p=0.026), the lower Glasgow coma scale (GCS) score at admission (&lt;5), the more tendency for a patient to die (OR 1.376, CI 0.816–2.320, p=0.038) would be. Conclusions: Patient’s age ³65 years, high systolic blood pressure, high diastolic blood pressure, and GCS score &lt;5 are predictors associated with the mortality of hemorrhagic stroke with brain herniation. The implications of these findings, if confirmed in prospective studies, would raise important policy considerations both in hospitals and at the overall health level, particularly regarding post-acute care.
Risk Factors Associated with the Severity of COVID-19
, Martono Martono, Fitri Fatmawati, , Sri Mulyanti, and
Malaysian Journal of Medical Sciences, 2023
The case of coronavirus disease (COVID-19) has become a global crisis. In addition, more variants of the virus have been discovered with easier transmission and more harmful effects. Thus, understanding the risk factors associated with the susceptibility and severity of COVID-19 is critical for disease control. This review article aims to describe the risk factors associated with the severity of COVID-19. This study uses the article review method from research results obtained through searching the journal sites Google Scholar, PubMed, ProQuest and ScientDirect in the 2020–2021 period. To find articles that match the inclusion criteria we used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) strategy. A total of nine studies met the inclusion criteria for this review. These nine studies were assessed for quality, data extraction and synthesis. Risk factors that contribute to the severity of COVID-19 are age, gender, chronic comorbidities, cardiovascular disease, diabetes, hypertension, kidney failure, cancer and a history of smoking. New findings, unvaccinated patients are at higher risk of severity. Risk factors associated with the severity of COVID-19 include a person’s individual characteristics, co-morbidities, smoking history and unvaccinated.
Results of professional interventions to improve medication adherence based on health beliefs and important determinants of tuberculosis medication: a systematic review
M. Martono, M. Akhyar, E. P. Pamungkasari, A. Lestari
European Review for Medical and Pharmacological Sciences, 2023
OBJECTIVE Nonadherence to tuberculosis (pulmonary TB) medication poses a serious threat to the increase in new cases, prevention of transmission, and control of pulmonary TB. The health behavior of patients with pulmonary TB regarding medication adherence is an extremely important issue to investigate. This review aimed to identify the available literature on professional interventions and important determinants for improving adherence to pulmonary TB medication based on a health belief model (HBM). MATERIALS AND METHODS To identify the determinants and professional treatment outcomes that affect adherence to pulmonary TB medication improvement, the following electronic databases were searched: MEDLINE, PROQUEST, EBSCO, SCOPUS, Web of Science, and Google Scholar. This review was carried out following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. The full texts were reviewed if they met the following inclusion criteria (1) the articles were written in English, (2) relevant, and (3) the publication years of the studies ranged from 2015 to 2022. RESULTS A total of 2,322 pieces of literature met the screening criteria: 47 articles met the full-text review criteria, 39 articles were excluded because they did not meet the inclusion criteria, and eight articles were reviewed. Perceived susceptibility, perceived severity, perceived obstacles, perceived benefits, and self-efficacy are determinants of patient health beliefs that contribute to medication adherence. Psychological counseling, pulmonary tuberculosis education, motivational interviews, and hypnosis are all effective professional interventions for improving medication adherence. CONCLUSIONS Perceived susceptibility, perceived severity, perceived obstacles, perceived benefits, and self-efficacy were the key determinants for improving adherence to pulmonary TB medication. The finding suggests a professional intervention for patients to improve medication adherence and psychological counseling, pulmonary tuberculosis education, motivational interviews, and hypnosis to improve medication adherence.
Indonesian nurses’ perception of disaster management preparedness
Martono Martono, Satino Satino, Nursalam Nursalam, Ferry Efendi, Angeline Bushy
Chinese Journal of Traumatology English Edition, 2019
PURPOSE: Using a quantitative approach, this study aims to assess Indonesian nurses' perception of their knowledge, skills, and preparedness regarding disaster management. METHODS: This study was a descriptive comparison in design. The research samples are Indonesian nurses working in medical services and educational institutions. The variables of nurses' preparedness to cope with disaster victims were measured using the Disaster Preparedness Evaluation Tool (DPET), which was electronically distributed to all nurses in Indonesia. Data were analyzed using a statistical descriptive one-way Analysis of Variance (ANOVA) and t-test with a significance level of 95%. RESULTS: In total, 1341 Indonesian nurses completed this survey. The average scores of preparedness to cope with disasters, the ability to recover from disaster, and evaluation of disaster victims were 3.13, 2.53, and 2.46, respectively. In general, nurses surveyed in this study are less prepared for disaster management, and do not understand their roles both during the phase of disaster preparedness, and when coping with a post-disaster situation. CONCLUSION: Nurses' preparedness and understanding of their roles in coping with disasters are still low in Indonesia. Therefore, their capacity in preparedness, responses, recovery, and evaluation of disasters needs improvement through continuing education. The efforts needed are significant due to potential disasters in Indonesia and adequate nurses resources.
Early detection of risk factors and severity of airway obstruction through measurement of critical values of FVC and FEV1 on bus terminal officers
Sudiro Sudiro, Martono Martono, Nursalam Nursalam, Ferry Efendi
Indian Journal of Public Health Research and Development, 2019
Purpose: The purpose of this study was to explain the extent to which critical values of FVC and FEV1 were able to predict risk factors for severity of airway obstruction in bus terminal Officers in Solo Raya Indonesia. Method: This study used a descriptive survey design with a cross-sectional approach. The sample of this study was the bus terminal Officers in Solo Raya Indonesia who work in the field of traffic, vehicle inspection, and parking. The sample consisted of 139 random respondents. The severity of airway obstruction was measured through critical values of FVC and FEV1 using Spirometry. The research data analysis technique used the Logistic Regression Test with a significance level of 95. Result: The results of this study showed that the prevalence of sex for the majority of men was 64.7, the age group 43-50 years was 30.9, the years of service of 21-30 years was 38.8, and the severity of obstruction of the airway was mostly in the light category of 52.5 . The measurement model for critical values of FVC and FEV1 was able to predict the significant severity of obstruction of airway by 80.7 and the traffic officers were at higher risk of obstructing airway significantly by 3.88 times compared to those working in parking, or vehicle inspection as indicated by I� = 0.008 <0.05; at least, the traffic officers had 1,420 to 10,637 times higher to get airway obstruction. Conclusion: Officers who serve in the field of traffic work have a tendency to be exposed to exhaust emissions of motorized vehicles on the highway, so there is a risk of an increase in the severity of road obstruction compared to those in other occupations. For this reason, the need for early detection through routine inspection and increasing the capacity of traffic Officers and road transport in an effort to prevent the severity of airway obstruction through the movement of work safety discipline using masks. This is important because of the risk of exposure to exhaust gas emission air pollution on the highway. Â© 2019, Indian Journal of Public Health Research and Development. All rights reserved.

Martono Martono

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Scopus Publications