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THE NEW TOOL AND RELATIONSHIP BETWEEN SERVICE QUALITY AND INPATIENT SATISFACTION IN MEASURING HEALTHCARE QUALITY 医疗服务质量与住院病人满意度测量的新工具及关系
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.160
Si Dung Chu, M. Tran, K. Q. Pham, Dung T. Vu, Anh Quoc Nguyen
Subject and method: The study obtained feedback from inpatients, measure consumers’ perceptions of healthcare quality in both functional and technical quality including, using the SERVQUAL instrument with five generic dimensions (the original 22 scores instruments) for functional quality to combinate with the 8 dimensions for technical quality; Beside, measure inpatients satisfaction by Tool of Victorian Patient Satisfaction Monitor (VPSM) with 6 origin dimensions (25 scores instruments). Survey on Vietnam National Heart Institute at Bachmai Hospital in Vietnam. The study refers to the period one month from January to February 2014.
主题与方法:本研究从住院患者中获取反馈,测量消费者对医疗保健质量的感知,包括:使用SERVQUAL功能质量5个通用维度(原来的22个评分工具)与技术质量8个维度相结合;此外,采用维多利亚患者满意度监测工具(VPSM)测量住院患者满意度,该工具有6个原始维度(25个评分工具)。对越南巴克迈医院国立心脏研究所的调查。研究时间为2014年1月至2月一个月。
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引用次数: 1
HEALTH EFFECTS OF SURGICAL SMOKE AND ITS ASSOCIATED FACTORS AMONG PERIOPERATIVE HEALTHCARE WORKERS IN HOSPITAL SERDANG 医院围手术期医护人员手术烟气对健康的影响及其相关因素
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.131
H. TitiRahmawati, R. Fikri
Background: Surgical smoke is recognized as occupational hazard which may lead to acute and chronic health effects to those who work in operation theatre. This study aimed to determine the prevalence of health effects from surgical smoke exposure and its associated factors among perioperative healthcare workers in Hospital Serdang. Materials and Methods: A cross sectional study was conducted among 137 perioperative healthcare workers from 3 departments in Hospital Serdang who were selected using a stratified proportionate random sampling. Respondents who work in the operation theatre for more than four weeks of employment were included in the study. Data was collected using validated, pre-tested, and self-administered by using both online web-based and hardcopy questionnaires. It consists of 5 sections; sociodemographic data, employment characteristics, roles in surgery, control measure factors and health effects. Data was statistically analysed to determine the prevalence of health effects, associated factors and predictors of health effects using SPSS version 25 with a significant level set at p <0.05. Result: The prevalence of acute health effects of surgical smoke among respondents was 58.4%. The most common symptoms reported were upper airway irritation (40.0%), headache (27.4%), eye irritation (20.6%) and asthma like symptoms (12.0%). Four significant factors were associated (p < 0.05) with at least one acute health effects, namely employment factors (department, role in surgery, period of working in hospital) and surgical factors (number of surgeries conducted or assisted per week). Assisting role in surgery was a significant predictor of having at least one acute health effects of surgical smoke (AOR=2.7, 95%, CI=1.1, 7.0). Conclusion: Almost 60% of respondents in this study experienced acute health effects due to exposure to surgical smoke. The significant predictor of acute health effects of surgical smoke is assisting role in surgery. This finding can be used in designing prevention and controls program to reduce the health effects of surgical smoke.
背景:手术烟雾是一种公认的职业危害,可对手术室工作人员造成急性和慢性健康影响。本研究旨在确定手术烟雾暴露对谢尔当医院围手术期医护人员健康影响的患病率及其相关因素。材料与方法:采用分层比例随机抽样的方法,对谢尔当医院3个科室137名围手术期医护人员进行横断面研究。在手术室工作超过四周的受访者被纳入研究。数据的收集采用经过验证的、预先测试的、自我管理的在线问卷和纸质问卷。它由5个部分组成;社会人口统计数据,就业特点,在外科手术中的作用,控制措施因素和健康影响。使用SPSS版本25对数据进行统计分析,以确定健康影响的患病率、相关因素和健康影响的预测因素,显著水平设置为p <0.05。结果:手术烟气急性健康影响患病率为58.4%。报告的最常见症状是上呼吸道刺激(40.0%)、头痛(27.4%)、眼睛刺激(20.6%)和哮喘样症状(12.0%)。四个显著因素与至少一项急性健康影响相关(p < 0.05),即就业因素(科室、在手术中的角色、在医院工作的时间)和手术因素(每周进行或辅助的手术次数)。辅助手术是至少一种手术烟雾急性健康影响的重要预测因素(AOR=2.7, 95%, CI=1.1, 7.0)。结论:在这项研究中,近60%的应答者由于暴露于手术烟雾而经历了急性健康影响。外科手术烟气急性健康影响的重要预测因子是辅助作用。这一发现可用于设计预防和控制程序,以减少手术烟雾对健康的影响。
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引用次数: 3
REFERRAL SYSTEM IN INDONESIA, HAS IT BEEN IMPLEMENTED CORRECTLY? 印尼的转诊制度实施是否正确?
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.54
Eska Distia Permatasari, Ernawaty
Background: Policies on referral systems have long existed in Indonesia. Nonspecialistic references are still occurring and result inefficienty of health care. BPJS Kesehatan stated that there were 2.236.379 visits in the primary health care facilities referred in 2015, 214.706 visits of which were non nonspecificistic referrals. In 2016 there was an increase of 4.9 million cases of re-control compared to 2015 in secondary and tertiary outpatient, resulting in an increase in cost of 789 billion compared to 2015. This is because the referral system policy hasn’t been implement correctly. This policy brief aims to evaluate the implementation of referral system policies that exist in Indonesia. Materials and Methods: This is a policy brief with literature review approach. This policy brief was prepared by conducting literature studies on the implementation of referral systems and several health policies on referrals Result: Referral system has not been implemented properly in accordance with existing policies in Indonesia. This causes wastage costs in the implementation of universal health coverage. Implementation constraints on referral policies stem from the low knowledge of health personnel and the capacity of health care providers. Conclusion: It is appropriate to evaluate all of personel who play a role in the implementation of referral policy. Evaluation should be done from the community as the recipient of the service, health facilities as the buyer of service, the health office as the responsible implementation of referrals, as well as from the government as policy makers. Thus solutions to problems with this reference system can be applied so that the correct referral system can be realized.
背景:印度尼西亚长期存在转诊制度政策。非专业参考仍然存在,导致卫生保健效率低下。BPJS Kesehatan指出,2015年有2.236.379人次转诊到初级卫生保健设施,其中214.706人次是非特异性转诊。与2015年相比,2016年二级和三级门诊的再控制病例增加了490万例,导致费用比2015年增加了7890亿美元。这是因为转诊制度政策没有得到正确的执行。本政策简报旨在评估印度尼西亚现有的转诊制度政策的实施情况。材料和方法:这是一份采用文献综述方法的政策简报。这份政策简报是通过对转诊制度的实施情况和关于转诊的若干卫生政策进行文献研究编写的。结果:转诊制度没有按照印度尼西亚现有政策得到适当实施。这在实施全民健康覆盖方面造成了成本浪费。对转诊政策的实施限制源于保健人员的知识不足和保健提供者的能力不足。结论:对所有参与转诊政策实施的人员进行评估是合适的。应从作为服务接受者的社区、作为服务购买者的卫生设施、作为负责转诊的卫生办公室以及作为政策制定者的政府进行评价。因此,解决这一转诊制度存在的问题,才能实现正确的转诊制度。
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引用次数: 1
CORRELATION OF PRE-PREGNANCY BMI, SLEEP AND DEPRESSION WITH POSTPARTUM WEIGHT RETENTION AMONG CHILBEARING AGE WOMEN 育龄妇女孕前体重指数、睡眠和抑郁与产后体重保持的相关性
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.148
W. Z. W. N. Fatehah, Yong H.Y, Zalilah, R. Zulida, M. Y. B. Nisak
Background: Postpartum weight retention (PWR) triggers future obesity among women of childbearing age. Data regarding the influence of postpartum sleep, depression and weight retention is limited. This study aims to determine the correlation of pre-pregnancy BMI, sleep and depression with PWR at 6 months after childbirth of childbearing age women from selected health clinics in Negeri Sembilan. Materials and Methods: Data were collected from 226 women aged 31 ± 4.6 years old who attended Seremban, Ampangan and Senawang Health Clinics from January to August 2015. Respondents were enrolled in the respective health clinics and the maternal interviews conducted at 6 months after childbirth during a home visit. A set of pre-tested questionnaire was used to collect data for socio-demographic, anthropometric data including pre-pregnancy body mass index (BMI), sleep duration and postpartum depression. Result: The mean PWR was 2.6 ± 5.3 kg with 27.4% retained more than 5kg. The respondents slept on average 6.1 ± 1.4 hours with 31.9% slept less than 5 hours. The postpartum depression score was 4.1 ± 3.5 which generally categorised as no postpartum depression. However, about 8.8% had postpartum depressive symptoms. About 36.3% of the respondents were either overweight or obese before the pregnancy with a mean pre-pregnancy BMI of 23.9 ± 5.2 kg/m 2 . Pre-pregnancy BMI was associated with PWR (r= -0.297, p= 0.001). However, other factors were not associated with PWR. Conclusion: About one-third of the respondents retained excess weight, and a lower prepregnancy BMI was associated with greater weight retention. Appropriate measures that target these groups of women with lower BMI before and throughout pregnancy could alter their weight trajectory, hence reducing the risk of obesity among childbearing age women.
背景:产后体重潴留(PWR)是育龄妇女未来肥胖的诱因。有关产后睡眠、抑郁和体重保持影响的数据有限。本研究旨在确定孕前体重指数、睡眠和抑郁与生完孩子6个月后的PWR的相关性,研究对象为森美兰州选定的健康诊所的育龄妇女。资料与方法:收集2015年1 - 8月在Seremban、Ampangan和Senawang卫生诊所就诊的226名女性的资料,年龄31±4.6岁。受访者在各自的保健诊所登记,并在分娩后6个月在家访期间进行产妇访谈。使用一套预测问卷收集社会人口学数据、人体测量数据,包括孕前体重指数(BMI)、睡眠时间和产后抑郁。结果:平均压重为2.6±5.3 kg,超过5kg的占27.4%。受访者平均睡眠时间为6.1±1.4小时,其中31.9%的人睡眠时间不足5小时。产后抑郁评分为4.1±3.5分,一般归为无产后抑郁。然而,约8.8%的人有产后抑郁症状。约36.3%的受访女性孕前体重超重或肥胖,孕前平均BMI为23.9±5.2 kg/ m2。孕前BMI与PWR相关(r= -0.297, p= 0.001)。然而,其他因素与压水堆无关。结论:约三分之一的受访者体重超标,孕前BMI越低,体重保持越好。针对这些在怀孕前和怀孕期间体重指数较低的妇女群体采取适当的措施,可以改变她们的体重轨迹,从而降低育龄妇女肥胖的风险。
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引用次数: 1
PREVALENCE OF OCCUPATIONAL HAND CONTACT DERMATITIS AND ITS ASSOCIATED FACTORS AMONG STAFF NURSES OF A PUBLIC HOSPITAL IN SELANGOR 雪兰莪州一家公立医院护士职业性手接触性皮炎患病率及其相关因素
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.118
H. Huzaifah, H. TitiRahmawati
Background: Introduction Occupational contact dermatitis is the commonest occupational skin disease and hands are affected the most. Among healthcare workers, nurses have the highest prevalence of occupational hand contact dermatitis (OHCD). Prevalence of OHCD varies between countries and it shows an increasing trend. OHCD can cause economically burden to a country, reduce the quality of life of a nurse and increase the risk of cross infection. The aim of this study was to identify the prevalence factors associates with OHCD. Materials and Methods: A cross-sectional study was conducted among 206 staff nurses of Hospital Selayang who full filled inclusion and exclusion criteria Data was collected 7 May 2018 till 1 June 2018 using validated data questionnaire. Pre-test of the selfadministered questionnaire was conducted among 50 staff nurses. Data was analysed using IBM Statistical Package for Social Science (SPSS) version 23.0 involving descriptive and inferential statistics. Result: The response rate was 100%. A 12-month prevalence of OHCD among staff nurses of Hospital Selayang was 26.2%. Hours of wearing glove, skin symptoms with gloves, skin symptom with hand washing liquid or soap, eczema history and allergy history to any substances were found associated with OHCD. Conclusion: OHCD showed to be a problem among staff nurses at the study location with a prevalence of 26.2%. Further intervention should be taken to prevent OHCD among staff nurses.
背景:简介职业性接触性皮炎是最常见的职业性皮肤病,以手为主。在卫生保健工作者中,护士的职业性手接触性皮炎(OHCD)患病率最高。OHCD患病率因国家而异,呈上升趋势。OHCD会给一个国家造成经济负担,降低护士的生活质量,增加交叉感染的风险。本研究的目的是确定与OHCD相关的流行因素。材料与方法:对填写纳入和排除标准的Selayang医院206名护士进行横断面研究,采用有效的数据问卷收集2018年5月7日至2018年6月1日的数据。对50名护士长进行自填问卷的预测。数据分析使用IBM社会科学统计软件包(SPSS) 23.0版本,包括描述性和推断性统计。结果:有效率为100%。Selayang医院工作人员12个月OHCD患病率为26.2%。戴手套的时间、戴手套的皮肤症状、用洗手液或肥皂的皮肤症状、湿疹史和对任何物质的过敏史都被发现与OHCD有关。结论:OHCD在本区普通护士中普遍存在,患病率为26.2%。应采取进一步干预措施,预防工作人员护士的OHCD。
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引用次数: 2
REPRODUCTIVE HEALTH LITERACY LEVEL OF ADOLESCENTS IN SENIOR HIGH SCHOOL IN SEMARANG CITY 三宝垄市高中青少年生殖健康素养水平调查
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.75
Lakhmudien, Oedojo Soedirham, M. Fatah
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引用次数: 2
POLICY AND IMPLEMENTATION ISSUES TO CONTROL TRANSMISSION OF HIV / AIDS 控制艾滋病毒/艾滋病传播的政策和执行问题
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.34
Prasita Ayu Widyaningtyas
Background: Indonesia is becoming the fourth state as an endemic area of HIV / AIDS with numbers increasing from year to year. To prevent the spread of HIV / AIDS, the Indonesian government issued a policy No. 21 of 2013 to combat the spread of HIV / AIDS. This study aims to perform an analysis of policy and implementation issues in addressing HIV / AIDS cases and barriers affect the success of the policy. Materials and Methods: Using review from literature data from the journal published or unpublished reports, documents, government regulation, and surveillance data from the Ministry of Republic Indonesia. Result: Results of this study is the policy of prevention of transmission of HIV / AIDS in Indonesia is still not running properly. Barriers that occur in the form of persistence legal dilemma in the case of HIV / AIDS-related determination of the need to protect others Conclusion: The control program of HIV / AIDS is not enough to be implemented by health personnel alone but should also involve other sectors, society or community, especially as key populations and the roles and responsibilities of government.
背景:印度尼西亚正成为世界上第四个艾滋病毒/艾滋病流行地区,其人数每年都在增加。为了防止艾滋病毒/艾滋病的传播,印度尼西亚政府发布了2013年第21号政策,以对抗艾滋病毒/艾滋病的传播。本研究旨在分析解决爱滋病个案的政策与执行问题,以及影响政策成功的障碍。材料和方法:使用来自期刊已发表或未发表的报告、文件、政府法规和印度尼西亚共和国部的监测数据的文献资料进行综述。结果:本研究的结果是印度尼西亚预防艾滋病毒/艾滋病传播的政策仍然没有正常运行。结论:艾滋病毒/艾滋病的控制规划不能仅仅由卫生人员来实施,还应包括其他部门、社会或社区,特别是作为重点人群,以及政府的作用和责任。
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引用次数: 0
PRELIMINARY FINDINGS OF MALNUTRITION RISK FACTORS AMONG OLDER ADULTS IN A CARE HOME, MALAYSIA 马来西亚养老院老年人营养不良风险因素的初步调查结果
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.209
A. A. S. Al-Baidakh, M. Y. Barakaun-Nisak, O. Noraida
Background: Older adults are at risk of nutrient deficiencies. They face many barriers to have an adequate intake that leads to malnutrition Among Malaysian institutionalized elderly aged 60 years and above, the prevalence of malnutrition was 17.4% and it was associated with eating half of the food served in the institution. Materials and Methods: This cross-sectional study aimed to determine the association between adequacy of nutrition provision and plate wastage with risk of malnutrition among elderly aged ≥ 60 years in Rumah Seri Kenangan, Cheras (RSK) (N=46). The study used Mini Nutritional Assessment (MNA) to assess malnutrition risk, weighing method for adequacy and plate waste study. Mean of energy and protein (served, consumed and wasted) were compared with the Malaysian Recommended Nutrient Intake (RNI). Results: Majority of the subjects were male (65%; n=30) and 35% were females (n=16). Mean age of the subjects was 71.35±7.21 years. Majority of the subjects were classified as well-nourished (50%) and 13% as malnourished. Total energy served in one-lunch time was inadequate (82.67±12.93% of RNI) but total protein served was adequate (108.59±19.63 % of RNI). Total energy and protein consumption were inadequate with the mean percentage of RNI for energy and protein was 47.09±26.39% and 73.50±32.07% respectively. Surprisingly, energy and protein served, consumed and wasted were not associated with risk of malnutrition. Conclusion: Energy provision and intake and protein intake did not meet the RNI for Malaysians among older adults in RSK Cheras, Selangor. However, the adequacy of nutrition provision and plate wastage during the one-lunch time were not associated with the risk of malnutrition..
背景:老年人有营养缺乏的风险。在马来西亚被收容的60岁及以上老人中,营养不良的患病率为17.4%,这与吃了机构提供的一半食物有关。材料和方法:本横断面研究旨在确定Cheras Rumah Seri Kenangan (RSK) (N=46)≥60岁的老年人营养供应充足性和餐盘浪费与营养不良风险之间的关系。本研究采用Mini营养评估法(MNA)评估营养不良风险、充分性称重法和餐盘浪费法。能量和蛋白质的平均值(服务,消耗和浪费)与马来西亚推荐营养摄入量(RNI)进行比较。结果:大多数受试者为男性(65%;N =30),女性占35% (N =16)。受试者平均年龄71.35±7.21岁。大多数受试者被划分为营养良好(50%)和营养不良(13%)。一顿午餐的总能量不足(RNI的82.67±12.93%),但总蛋白质充足(RNI的108.59±19.63%)。总能量和蛋白质消耗不足,能量和蛋白质的平均RNI百分比分别为47.09±26.39%和73.50±32.07%。令人惊讶的是,提供、消耗和浪费的能量和蛋白质与营养不良的风险无关。结论:在雪兰莪州RSK Cheras的老年人中,能量供应、摄入和蛋白质摄入不符合马来西亚人的RNI。然而,在一顿午餐时间内,营养供应的充足性和盘子的浪费与营养不良的风险无关。
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引用次数: 2
THE CORRELATION BETWEEN THE CO EXPOSURE TOWARDS COHB LEVEL AND THE VITAL LUNG CAPACITY OF THE PARKING ATTENDANTS AROUND SETIABUDI STREET OF SEMARANG CITY 三宝让市塞提布地街道停车服务员co暴露水平与肺活量的相关性
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.107
M. Dengo, Ari Suwondo Suroto
{"title":"THE CORRELATION BETWEEN THE CO EXPOSURE TOWARDS COHB LEVEL AND THE VITAL LUNG CAPACITY OF THE PARKING ATTENDANTS AROUND SETIABUDI STREET OF SEMARANG CITY","authors":"M. Dengo, Ari Suwondo Suroto","doi":"10.32827/ijphcs.6.1.107","DOIUrl":"https://doi.org/10.32827/ijphcs.6.1.107","url":null,"abstract":"","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73425077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EXPLORING SPATIO-TEMPORAL CLUSTER FOR IDENTIFY DENGUE CLUSTER IN URBAN AREA OF INDONESIA 印度尼西亚城市地区登革热聚类识别的时空聚类研究
Pub Date : 2019-03-01 DOI: 10.32827/ijphcs.6.1.176
S. Sulistyawati, D. A. Fardhiasih, L. R. Aditya
{"title":"EXPLORING SPATIO-TEMPORAL CLUSTER FOR IDENTIFY DENGUE CLUSTER IN URBAN AREA OF INDONESIA","authors":"S. Sulistyawati, D. A. Fardhiasih, L. R. Aditya","doi":"10.32827/ijphcs.6.1.176","DOIUrl":"https://doi.org/10.32827/ijphcs.6.1.176","url":null,"abstract":"","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75409723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Public Health and Clinical Sciences
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