Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.30
S. Manggabarani, I. Said, Anto J Hadi, Rapida Saragih, Muhammad Crystandy
Background: Overweight and obesity in adolescents are associated with higher risk of morbidity and mortality in adulthood. Previous studies have investigated factors associated with eating behavior to understand the background of eating behavior that can be useful for child nutrition preventive purposes. This study aimed to determine the association between media exposure, family role, breakfast habit, and food choice with overweight among adolescents. Subjects and Method: This was a cross-sectional study conducted at Junior High School in Medan, North Sumatra, on June 2019. A sample of 116 students was selected for this study by purposive sampling. The dependent variable was overweight. The independent variables were media exposure, family role, breakfast habit, and food selection. Height and weight were measured by microtoise and scale. The data of independent variables were collected by questionnaire, food recall, and food frequency questionnaire. The data were analyzed by chi square. Results: The risk of overweight increased with high media exposure (OR= 2.47; 95% CI= 1.17 to 5.23; p= 0.017), lack of family role (OR= 1.86; 95% CI= 0.89 to 3.90; p= 0.096), poor breakfast habit (OR= 2.14; 95% CI= 1.02 to 4.50; p= 0.043), and poor food selection (OR= 2.89; 95% CI= 1.36 to 6.15; p= 0.005). Conclusion: Overweight is associated with media exposure, breakfast habit, and food selection, but family role were statistically non-significant. Keywords: media exposure, family role, breakfast habit, food selection, overweight
{"title":"Associations of Media Exposure, Family Role, Breakfast Habit, and Food Selection with Overweight among Adolescents","authors":"S. Manggabarani, I. Said, Anto J Hadi, Rapida Saragih, Muhammad Crystandy","doi":"10.26911/the6thicph.02.30","DOIUrl":"https://doi.org/10.26911/the6thicph.02.30","url":null,"abstract":"Background: Overweight and obesity in adolescents are associated with higher risk of morbidity and mortality in adulthood. Previous studies have investigated factors associated with eating behavior to understand the background of eating behavior that can be useful for child nutrition preventive purposes. This study aimed to determine the association between media exposure, family role, breakfast habit, and food choice with overweight among adolescents.\u0000Subjects and Method: This was a cross-sectional study conducted at Junior High School in Medan, North Sumatra, on June 2019. A sample of 116 students was selected for this study by purposive sampling. The dependent variable was overweight. The independent variables were media exposure, family role, breakfast habit, and food selection. Height and weight were measured by microtoise and scale. The data of independent variables were collected by questionnaire, food recall, and food frequency questionnaire. The data were analyzed by chi square.\u0000Results: The risk of overweight increased with high media exposure (OR= 2.47; 95% CI= 1.17 to 5.23; p= 0.017), lack of family role (OR= 1.86; 95% CI= 0.89 to 3.90; p= 0.096), poor breakfast habit (OR= 2.14; 95% CI= 1.02 to 4.50; p= 0.043), and poor food selection (OR= 2.89; 95% CI= 1.36 to 6.15; p= 0.005).\u0000Conclusion: Overweight is associated with media exposure, breakfast habit, and food selection, but family role were statistically non-significant.\u0000\u0000Keywords: media exposure, family role, breakfast habit, food selection, overweight","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133746105","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.01.01
A. Triyono, S. Rahardjo, F. Novianto, Traditional Medicines
Background: Hypercholesterolemia is a metabolic disorder that is often found in the community. Hypercholesterolemia is a chronic disease, which requires a long treatment, even for long life. This study aimed to determine the effectiveness of hypercholesterol herbs formula, in improving quality of life. Subjects and Method: A quasi experimental study before and after with no control design was conducted at the Jamu Research House, Tawangmangu, Central Java. A sample of 78 hypercholesterolemia patients received hypercholesterol herbs formula for 42 days. The dependent variable was quality of life. The independent variable was hypercholesterol herbs administration. Quality of life was measured by short form-36 (SF-36) questionnaire. The data were analyzed by paired t-test. Results: The score of quality of life of subjects after treatment (mean = 80.72; SD = 12.16) was higher than before (mean= 73.44; SD= 14.71) and it was statistically significant (p<0.001). Conclusion: Hypercholesterol herbs formula is effective to improve the quality of life of patients with hypercholesterolemia.
{"title":"The Effect of Hypercholesterol Herbs Formula on the Quality of Life","authors":"A. Triyono, S. Rahardjo, F. Novianto, Traditional Medicines","doi":"10.26911/the6thicph-FP.01.01","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.01","url":null,"abstract":"Background: Hypercholesterolemia is a metabolic disorder that is often found in the community. Hypercholesterolemia is a chronic disease, which requires a long treatment, even for long life. This study aimed to determine the effectiveness of hypercholesterol herbs formula, in improving quality of life. Subjects and Method: A quasi experimental study before and after with no control design was conducted at the Jamu Research House, Tawangmangu, Central Java. A sample of 78 hypercholesterolemia patients received hypercholesterol herbs formula for 42 days. The dependent variable was quality of life. The independent variable was hypercholesterol herbs administration. Quality of life was measured by short form-36 (SF-36) questionnaire. The data were analyzed by paired t-test. Results: The score of quality of life of subjects after treatment (mean = 80.72; SD = 12.16) was higher than before (mean= 73.44; SD= 14.71) and it was statistically significant (p<0.001). Conclusion: Hypercholesterol herbs formula is effective to improve the quality of life of patients with hypercholesterolemia.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"284 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131418197","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.03.04
Silvie Arie Kartika, Tri Krianto
Backgroud: Postpartum depression is one of the emotional disorders that results from the failure of the psychological process of postpartum adaptation. Postpartum depression endangers maternal health and affects social relationships, and negatively impacts the development of the baby. If left untreated adequately, postpartum depression may cause more serious psychiatric disorders, such as bipolar disorder, schizophrenia, and even a thought of killing own infants. Previous primary studies reported that therapeutic interventions such as Psycho education can reduce postpartum depressive symptoms. This study aimed to review systematically the effectiveness of Psycho education treatment for reduction of postpartum depression. Subjects and Method: A systematic review was carried out with PRISMA model. This systematic review was conducted by searching published articles from 2013 to 2019 from EBSCO database. The inclusion criteria were mothers with postpartum depression, aged 20 to 45 years, and Randomized Controlled Trial (RCT). Depression was measured by Edinburgh Postnatal Depression Scale (EPDS) and Beck Depression Inventory (BDI)-II. Exclusion criteria were journal older than 2013, mothers with acute psychosis, and a lifetime history of depression. The dependent variable was postpartum depression. The independent variable was Psycho education treatment using telephone or internet media. Based on inclusion and exclusion criteria, screening of titles and abstracts resulted in 5 articles. Results: Psycho education treatment took various forms, including (1) Telephone-Based Cognitive Behavioral Therapy; (2) The MOM (Managing Our Mood) therapy; (3) Telephone-Based Support; and (4) Internet-Delivered Cognitive Behavior Therapy. Mothers under study were satisfied with the intervention, suggesting positive effect of the intervention. The treatment was accessible and effective to reduce mild to moderate postpartum depression. However, its application was limited as it was dependent upon access and signal of internet connection. Conclusion: Psycho education treatment using telephone or internet media suggest its effectiveness to reduce mild to moderate postpartum depression. However, its application is limited.
{"title":"Effectiveness of Psycho Education Treatment for Reduction of Postpartum Depression: A Systematic Review","authors":"Silvie Arie Kartika, Tri Krianto","doi":"10.26911/the6thicph-FP.03.04","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.03.04","url":null,"abstract":"Backgroud: Postpartum depression is one of the emotional disorders that results from the failure of the psychological process of postpartum adaptation. Postpartum depression endangers maternal health and affects social relationships, and negatively impacts the development of the baby. If left untreated adequately, postpartum depression may cause more serious psychiatric disorders, such as bipolar disorder, schizophrenia, and even a thought of killing own infants. Previous primary studies reported that therapeutic interventions such as Psycho education can reduce postpartum depressive symptoms. This study aimed to review systematically the effectiveness of Psycho education treatment for reduction of postpartum depression. Subjects and Method: A systematic review was carried out with PRISMA model. This systematic review was conducted by searching published articles from 2013 to 2019 from EBSCO database. The inclusion criteria were mothers with postpartum depression, aged 20 to 45 years, and Randomized Controlled Trial (RCT). Depression was measured by Edinburgh Postnatal Depression Scale (EPDS) and Beck Depression Inventory (BDI)-II. Exclusion criteria were journal older than 2013, mothers with acute psychosis, and a lifetime history of depression. The dependent variable was postpartum depression. The independent variable was Psycho education treatment using telephone or internet media. Based on inclusion and exclusion criteria, screening of titles and abstracts resulted in 5 articles. Results: Psycho education treatment took various forms, including (1) Telephone-Based Cognitive Behavioral Therapy; (2) The MOM (Managing Our Mood) therapy; (3) Telephone-Based Support; and (4) Internet-Delivered Cognitive Behavior Therapy. Mothers under study were satisfied with the intervention, suggesting positive effect of the intervention. The treatment was accessible and effective to reduce mild to moderate postpartum depression. However, its application was limited as it was dependent upon access and signal of internet connection. Conclusion: Psycho education treatment using telephone or internet media suggest its effectiveness to reduce mild to moderate postpartum depression. However, its application is limited.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134251226","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.40
Fitria Hayu Palupi
Background: Diphtheria is an infectious disease that has the potential for epidemics. It can cause serious complications and even death. Diphtheria was one of the leading causes of childhood death in the pre-vaccine era. The information about diphtheria is important to prevent undesired events. This study aimed to describe the health education on diphtheria at Wonorejo, in Karanganyar, Central Java. Subjects and Method: This was a descriptive study conducted at Wonorejo, in Karanganyar, Central Java. A sample of 21 mothers who received the family welfare programme was selected for this study. The theme was health education on diphtheria. Health education about diphtheria was given for 20 minutes followed by 10 minutes discussion. Results: Health education increased mothers‘ knowledge and all of them answered post-test correctly. Conclusion: Health education increases mothers‘ knowledge about diphtheria.
{"title":"Health Education on Diphtheria at Wonorejo, Karanganyar, Central Java","authors":"Fitria Hayu Palupi","doi":"10.26911/the6thicph.02.40","DOIUrl":"https://doi.org/10.26911/the6thicph.02.40","url":null,"abstract":"Background: Diphtheria is an infectious disease that has the potential for epidemics. It can cause serious complications and even death. Diphtheria was one of the leading causes of childhood death in the pre-vaccine era. The information about diphtheria is important to prevent undesired events. This study aimed to describe the health education on diphtheria at Wonorejo, in Karanganyar, Central Java. Subjects and Method: This was a descriptive study conducted at Wonorejo, in Karanganyar, Central Java. A sample of 21 mothers who received the family welfare programme was selected for this study. The theme was health education on diphtheria. Health education about diphtheria was given for 20 minutes followed by 10 minutes discussion. Results: Health education increased mothers‘ knowledge and all of them answered post-test correctly. Conclusion: Health education increases mothers‘ knowledge about diphtheria.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133271152","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.29
R. Paun, Blasius Gadur, Roswita Victoria Rabu Roku
Background: Early detection of HIV/AIDS will lead to the best possible outcome. Early detection is essential to start a preventive therapy especially among transgender which known as high risk community. It may also provide them with greater opportunities to access services and support that will help manage their health and well-being. This study aimed to determine factors associated with HIV/AIDS early detection among transgender people in Kupang, East Nusa Tenggara. Subjects and Method: This was cross sectional study conducted in Kupang, East Nusa Tenggara. A sample of 31 transgender people was selected for this study. The dependent variable was early detection of HIV/AIDS. The independent variables were knowledge, perception, stigma and intention. The data was collected by a set of questionnaire and analyzed by multiple linier regression. Results: Early detection of HIV/AIDS increased with good knowledge (b= 0.67; p<0.001), good perception (b= 1.00; p<0.001), and less stigma (b= 0.77; p=0.004). Conclusion: Early detection of HIV/AIDS increases with good knowledge, good perception, and less stigma.
{"title":"Factors Associated with HIV/AIDS Early Detection among Transgender People in Kupang, East Nusa Tenggara","authors":"R. Paun, Blasius Gadur, Roswita Victoria Rabu Roku","doi":"10.26911/the6thicph.02.29","DOIUrl":"https://doi.org/10.26911/the6thicph.02.29","url":null,"abstract":"Background: Early detection of HIV/AIDS will lead to the best possible outcome. Early detection is essential to start a preventive therapy especially among transgender which known as high risk community. It may also provide them with greater opportunities to access services and support that will help manage their health and well-being. This study aimed to determine factors associated with HIV/AIDS early detection among transgender people in Kupang, East Nusa Tenggara. Subjects and Method: This was cross sectional study conducted in Kupang, East Nusa Tenggara. A sample of 31 transgender people was selected for this study. The dependent variable was early detection of HIV/AIDS. The independent variables were knowledge, perception, stigma and intention. The data was collected by a set of questionnaire and analyzed by multiple linier regression. Results: Early detection of HIV/AIDS increased with good knowledge (b= 0.67; p<0.001), good perception (b= 1.00; p<0.001), and less stigma (b= 0.77; p=0.004). Conclusion: Early detection of HIV/AIDS increases with good knowledge, good perception, and less stigma.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115307442","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}
Background: The incidence of Sexually Transmitted Disease (STD) infection in gay, homosexual, and men who have sex with men (MSM) is greater than that reported in women and men who have sex with women only (MSW). As some of the affected are left untreated, elevated burden of STD is of concern. The high incidence of STD infection among MSM may be related to various individual behaviors and characteristics. This study aimed to determine the profile and risk factors of STD infection among MSM and transgender in Surakarta. Subjects and Method: This was a cross-sectional study conducted at Community Health Centers and Dr. Moewardi Hospital in Surakarta, Central Java, from March to July 2017. A sample of 190 study subjects was selected for this study. The dependent variable was HIV and STD infection. The independent variables were sexual orientation (MSM and transgender), marital status, education, meeting location of couples, and number of sexual partners. The data were collected by a set of questionnaire. Data on HIV and STD infection was obtained by various blood examination, including: syphilis, gonorrhea, non-specific urethritis, and non-specific proctitis, and acetowhite lesion examinations. The bivariate analysis was performed by chi square. Results: As many as 65 (34.2%) of the study subjects had HIV reactive. 67 (35.3%) had STD, consisting of 39 (20.5%) syphilis. 26 (13.7%) had ano-genital warts (23 anal warts and 3 penile warts). 1 (0.5%) had gonorrhea. 14 (7.4%) had non-specific proctitis. 32 (16.8%) aged <25 years, 158 (83.1%) aged over 25 years. 143 (75.3%) were single, and 109 (57.4%) had bisexual orientation. 35 (18.4%) had ≥ high school education and 145 (88.6%) had < high school. The risk of HIV and STD infection was associated with sexual orientation (MSM and transgender), education, marital status, meeting location of couples, and number of sexual partners. Conclusion: The risk of HIV and STD infections is associated with sexual orientation (MSM and transgender), marital status, education, meeting location of couples, and number of sexual partners.
{"title":"Profile and Risk Factors of Sexual Transmitted Infection among Homosexual and Transgender in Surakarta, Central Java","authors":"P. Mawardi, Ancela Soenardi, Harijono Karyosentono, Arie Natalia Prabandari, Endra Yustin Elitasari","doi":"10.26911/the6thicph.02.21","DOIUrl":"https://doi.org/10.26911/the6thicph.02.21","url":null,"abstract":"Background: The incidence of Sexually Transmitted Disease (STD) infection in gay, homosexual, and men who have sex with men (MSM) is greater than that reported in women and men who have sex with women only (MSW). As some of the affected are left untreated, elevated burden of STD is of concern. The high incidence of STD infection among MSM may be related to various individual behaviors and characteristics. This study aimed to determine the profile and risk factors of STD infection among MSM and transgender in Surakarta. Subjects and Method: This was a cross-sectional study conducted at Community Health Centers and Dr. Moewardi Hospital in Surakarta, Central Java, from March to July 2017. A sample of 190 study subjects was selected for this study. The dependent variable was HIV and STD infection. The independent variables were sexual orientation (MSM and transgender), marital status, education, meeting location of couples, and number of sexual partners. The data were collected by a set of questionnaire. Data on HIV and STD infection was obtained by various blood examination, including: syphilis, gonorrhea, non-specific urethritis, and non-specific proctitis, and acetowhite lesion examinations. The bivariate analysis was performed by chi square. Results: As many as 65 (34.2%) of the study subjects had HIV reactive. 67 (35.3%) had STD, consisting of 39 (20.5%) syphilis. 26 (13.7%) had ano-genital warts (23 anal warts and 3 penile warts). 1 (0.5%) had gonorrhea. 14 (7.4%) had non-specific proctitis. 32 (16.8%) aged <25 years, 158 (83.1%) aged over 25 years. 143 (75.3%) were single, and 109 (57.4%) had bisexual orientation. 35 (18.4%) had ≥ high school education and 145 (88.6%) had < high school. The risk of HIV and STD infection was associated with sexual orientation (MSM and transgender), education, marital status, meeting location of couples, and number of sexual partners. Conclusion: The risk of HIV and STD infections is associated with sexual orientation (MSM and transgender), marital status, education, meeting location of couples, and number of sexual partners.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122519126","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.05.04
Joan Puspita Tanumihardja, A. Nurwahyuni
Background: Chronic obstructive pulmonary disease (COPD) is the 4th leading cause of death in the world. The COPD prevalence in Indonesia was 3.7% affecting around 9.2 million population, with East Nusa Tenggara Province ranked first. COPD is expected to increase in the coming years due to the increasing of smoker and elderly population. Although it cannot be cured, the general practice of COPD aims to reduce symptom, prevent exacerbation of repetition, improve lung function, and improve the quality of life. Clinical pathway is a clinical management in a multidisciplinary hospital to increasing clinical outcomes and reducing cost by reduce the variations in services. This study aimed to systematically review the impact of COPD clinical pathway implementation on readmission. Subjects and Method: A systematic review was conducted through electronic databases, including PubMed and Scopus. The keywords used were "COPD" AND "clinical pathway" AND "readmission". The articles were collected between 2010 and 2019. The data were analyzed by PRISMA flow diagram. Results: The implementation of clinical pathway in hospital on the management of COPD showed various outcomes. Four of 6 study showed that the implementation of clinical pathways was associated with decreased readmission rate of 30 days to 90 days and mortality rate. Two other studies did not show significant decrease in readmission and mortality rates. Conclusion: The implementation of clinical pathway for COPD is associated with decreased readmission.
{"title":"The Impact of Chronic Obstructive Lung Clinical Pathway Implementation on Readmission: A Systematic Review","authors":"Joan Puspita Tanumihardja, A. Nurwahyuni","doi":"10.26911/the6thicph-FP.05.04","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.05.04","url":null,"abstract":"Background: Chronic obstructive pulmonary disease (COPD) is the 4th leading cause of death in the world. The COPD prevalence in Indonesia was 3.7% affecting around 9.2 million population, with East Nusa Tenggara Province ranked first. COPD is expected to increase in the coming years due to the increasing of smoker and elderly population. Although it cannot be cured, the general practice of COPD aims to reduce symptom, prevent exacerbation of repetition, improve lung function, and improve the quality of life. Clinical pathway is a clinical management in a multidisciplinary hospital to increasing clinical outcomes and reducing cost by reduce the variations in services. This study aimed to systematically review the impact of COPD clinical pathway implementation on readmission. Subjects and Method: A systematic review was conducted through electronic databases, including PubMed and Scopus. The keywords used were \"COPD\" AND \"clinical pathway\" AND \"readmission\". The articles were collected between 2010 and 2019. The data were analyzed by PRISMA flow diagram. Results: The implementation of clinical pathway in hospital on the management of COPD showed various outcomes. Four of 6 study showed that the implementation of clinical pathways was associated with decreased readmission rate of 30 days to 90 days and mortality rate. Two other studies did not show significant decrease in readmission and mortality rates. Conclusion: The implementation of clinical pathway for COPD is associated with decreased readmission.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125850043","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.10
Siti Shafridha Hidayah, E. Pamungkasari, E. S. Sulaeman
Background: Fruits and vegetables consumption is important to prevent weight gain and reduce the risk of obesity, an independent risk-factor for non-communicable diseases (NCDs). Around 3.9 million deaths worldwide in 2017 were caused by a lack of fruits and vegetables consumption. This study aimed to factors associated with fruits and vegetables consumption among primary school students. Subjects and Method: A cross-sectional study was carried out at 25 primary schools in Tegal, Central Java, from April to May 2019. A sample of 200 students was selected for this study by simple random sampling. The dependent variable was fruits and vegetables consumption. The independent variables were sex, knowledge, social economy, fruits and vegetables availability, source of information, favorite food, food selection, and parental role. Data on fruits and vegetables consumption was measured by food frequency questioner (FFQ). The other variables were collected by a multiple logistic regression. Results: Fruits consumption increased with good knowledge (OR= 2.69; 95% CI= 1.09 to 6.59; p= 0.031), high family income (OR= 7.06; 95% CI= 2.93 to 17.00; p<0.001), fruits availability (OR= 2.74; 95% CI= 1.15 to 6.55; p= 0.023), good information (OR= 3.06; 95% CI= 1.13 to 8.27; p= 0.027), food selection (OR= 5.35; 95% CI= 0.82 to 34.9; p= 0.080), and parental role (OR= 3.33; 95% CI= 1.31 to 8.46; p= 0.027), but it was decreased by male gender (OR= 0.38; 95% CI= 0.16 to 0.89; p=0.028). Vegetables consumption increased with family income (OR= 2.26; 95% CI= 1.04 to 4.90; p= 0.039), vegetables availability (OR= 3.02; 95% CI= 1.53 to 5.94; p= 0.001), parental role (OR= 2.52; 95% CI= 1.18 to 5.39; p= 0.016), and good knowledge (OR= 1.79; 95% CI= 0.92 to 3.50; p= 0.087), but it was decreased by male gender (OR= 0.47; 95% CI= 0.24 to 0.92; p= 0.029). Conclusion: Fruits consumption increases with good knowledge, high family income, fruits availability, good information, food selection, and parental role, but it is decreased by male gender. Vegetables consumption increases with family income, vegetables availability, parental role, and good knowledge, but it is decreased by male gender. Keywords: fruits and vegetables, consumption, food selection
{"title":"Factors Associated With Fruits and Vegetables Consumption among Primary School Students In Tegal, Central Java","authors":"Siti Shafridha Hidayah, E. Pamungkasari, E. S. Sulaeman","doi":"10.26911/the6thicph.02.10","DOIUrl":"https://doi.org/10.26911/the6thicph.02.10","url":null,"abstract":"Background: Fruits and vegetables consumption is important to prevent weight gain and reduce the risk of obesity, an independent risk-factor for non-communicable diseases (NCDs). Around 3.9 million deaths worldwide in 2017 were caused by a lack of fruits and vegetables consumption. This study aimed to factors associated with fruits and vegetables consumption among primary school students.\u0000Subjects and Method: A cross-sectional study was carried out at 25 primary schools in Tegal, Central Java, from April to May 2019. A sample of 200 students was selected for this study by simple random sampling. The dependent variable was fruits and vegetables consumption. The independent variables were sex, knowledge, social economy, fruits and vegetables availability, source of information, favorite food, food selection, and parental role. Data on fruits and vegetables consumption was measured by food frequency questioner (FFQ). The other variables were collected by a multiple logistic regression.\u0000Results: Fruits consumption increased with good knowledge (OR= 2.69; 95% CI= 1.09 to 6.59; p= 0.031), high family income (OR= 7.06; 95% CI= 2.93 to 17.00; p<0.001), fruits availability (OR= 2.74; 95% CI= 1.15 to 6.55; p= 0.023), good information (OR= 3.06; 95% CI= 1.13 to 8.27; p= 0.027), food selection (OR= 5.35; 95% CI= 0.82 to 34.9; p= 0.080), and parental role (OR= 3.33; 95% CI= 1.31 to 8.46; p= 0.027), but it was decreased by male gender (OR= 0.38; 95% CI= 0.16 to 0.89; p=0.028). Vegetables consumption increased with family income (OR= 2.26; 95% CI= 1.04 to 4.90; p= 0.039), vegetables availability (OR= 3.02; 95% CI= 1.53 to 5.94; p= 0.001), parental role (OR= 2.52; 95% CI= 1.18 to 5.39; p= 0.016), and good knowledge (OR= 1.79; 95% CI= 0.92 to 3.50; p= 0.087), but it was decreased by male gender (OR= 0.47; 95% CI= 0.24 to 0.92; p= 0.029).\u0000Conclusion: Fruits consumption increases with good knowledge, high family income, fruits availability, good information, food selection, and parental role, but it is decreased by male gender. Vegetables consumption increases with family income, vegetables availability, parental role, and good knowledge, but it is decreased by male gender.\u0000\u0000Keywords: fruits and vegetables, consumption, food selection","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124040747","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.29
N. Maryana, D. Ayubi
Background: Measles incidence is increasing each year worldwide to reach 11,000 cases. In April 2017, there were 9 cases of measles in the Paduan river village, West Kalimantan. The cases increase to 33 cases with 10 positive measles and 2 serum damaged. This study aimed to investigate the implementation of measles immunization in Teluk Batang community health center, Kayong Utara, West Kalimantan. Subjects and Method: This was a qualitative study using the Rapid Assessment Pro-cedure (RAP). This study was conducted at the Community Health Center (Puskesmas) Teluk Batang in North Kayong, West Kalimantan, on June 2019. Five informants were selected in this study. Head of Puskesmas and main staff of immunization program in the health office were the key informants in this study, based on triangulation source. The data were collected using in-depth interview and analyzed descriptively. Results: The implementation of measles immunization in Puskesmas Teluk Batang showed that: (1) Structure: human resources (HRs) were lack of quality (never attended training for immunization), facility and infrastructure for immunization activities were incomplete, funding was adequate, policies and SOP had been implemented sub-optimal; (2) Process: the measles immunization activity plan and organization had been carried out well, the implementation of the SOP was not carried out to the maximum, monitoring had not been carried out in accordance with the guideline and the final stage i.e. evaluation had been routinely carried out every three months; and (3) Outcome had reached the target, however it was not in accordance with the field condition because the recording and reporting were not optimal. Conclusion: The structure aspects of Puskesmas Teluk Batang including HRs, facility, fund, and infrastructure are good. The policy and SOP still need to be in accordance with Ministry of Health Regulation Number 12, 2017. In the process aspects, planning, organizing, implementing, monitoring, and evaluation are not optimal enough. The outcome shows an improved performance is needed between the Puskesmas and the Health Office.
背景:全球麻疹发病率每年都在增加，达到1.1万例。2017年4月，西加里曼丹的帕多瓦河村出现了9例麻疹病例。病例增加到33例，其中10例麻疹阳性，2例血清受损。本研究的目的是调查西加里曼丹加永乌塔拉市拔鹿巴塘社区卫生中心麻疹免疫接种的实施情况。对象和方法:本研究采用快速评估程序(RAP)进行定性研究。这项研究于2019年6月在西加里曼丹北加永的Teluk Batang社区卫生中心(Puskesmas)进行。本研究选择了5名被调查者。本研究的主要信息源为卫生厅免疫规划主任和主要工作人员。采用深度访谈法收集数据，并进行描述性分析。结果:巴塘县麻疹免疫接种实施情况显示:(1)结构:人力资源质量差(未参加免疫培训)，免疫活动设施和基础设施不完善，资金充足，政策和SOP执行不理想;(2)过程:麻疹免疫活动计划和组织执行较好，SOP实施未达到最大限度，未按照指南进行监测，每三个月常规进行最后阶段即评价;(3)结果虽然达到了目标，但由于记录和报告不理想，结果与现场情况不相符。结论:Puskesmas Teluk Batang医院在人力资源、设备、资金、基础设施等方面结构良好。政策和SOP仍需符合卫生部2017年第12号法规。在过程方面，规划、组织、实施、监控、评价不够优化。结果表明，Puskesmas和卫生局之间需要改进绩效。
{"title":"The Implementation of Measles Immunization in Teluk Batang Community Health Center, Kayong Utara, West Kalimantan","authors":"N. Maryana, D. Ayubi","doi":"10.26911/the6thicph-FP.04.29","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.29","url":null,"abstract":"Background: Measles incidence is increasing each year worldwide to reach 11,000 cases. In April 2017, there were 9 cases of measles in the Paduan river village, West Kalimantan. The cases increase to 33 cases with 10 positive measles and 2 serum damaged. This study aimed to investigate the implementation of measles immunization in Teluk Batang community health center, Kayong Utara, West Kalimantan. Subjects and Method: This was a qualitative study using the Rapid Assessment Pro-cedure (RAP). This study was conducted at the Community Health Center (Puskesmas) Teluk Batang in North Kayong, West Kalimantan, on June 2019. Five informants were selected in this study. Head of Puskesmas and main staff of immunization program in the health office were the key informants in this study, based on triangulation source. The data were collected using in-depth interview and analyzed descriptively. Results: The implementation of measles immunization in Puskesmas Teluk Batang showed that: (1) Structure: human resources (HRs) were lack of quality (never attended training for immunization), facility and infrastructure for immunization activities were incomplete, funding was adequate, policies and SOP had been implemented sub-optimal; (2) Process: the measles immunization activity plan and organization had been carried out well, the implementation of the SOP was not carried out to the maximum, monitoring had not been carried out in accordance with the guideline and the final stage i.e. evaluation had been routinely carried out every three months; and (3) Outcome had reached the target, however it was not in accordance with the field condition because the recording and reporting were not optimal. Conclusion: The structure aspects of Puskesmas Teluk Batang including HRs, facility, fund, and infrastructure are good. The policy and SOP still need to be in accordance with Ministry of Health Regulation Number 12, 2017. In the process aspects, planning, organizing, implementing, monitoring, and evaluation are not optimal enough. The outcome shows an improved performance is needed between the Puskesmas and the Health Office.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126686110","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}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.08
N. Nurjannah, S. Rahardjo, R. Sanusi
Background: Chronic diseases are becoming a growing challenge for modern medical care in developed countries. Most of them are associated with cardiovascular disease. Appropriate prevention of hypertension can improve blood pressure control and reduce cardiovascular disease risk. This study aimed to examine factors associated with hypertension prevention behavior. Subjects and Method: This was a cross sectional study carried out at 25 integrated health posts (posbindu) in Bantul, Yogyakarta, from February to March 2019. A sample of 200 study subjects was selected by simple random sampling. The dependent variable was hypertension prevention behavior. The independent variables at level 1 were gender, age, self efficacy, knowledge, family support, and health personnel support. The independent variable at level 2 was posbindu. The data were collected by questionnaire and analyzed by a multiple linear regression run on Stata 13. Results: Hypertension prevention behavior increased with self efficacy (b= 0.06; 95% CI= 0.00 to 0.13; p= 0.024), knowledge (b= 0.23; 95% CI= 0.06 to 0.40; p= 0.007), family support (b= 0.71; 95% CI= 0.40 to 1.01; p<0.001), and health personnel support (b= 0.24; 95% CI= 0.06 to 0.42; p= 0.008). Gender (b= 0.39; 95% CI= -1.01 to 1.79; p= 0.585) and age (b= -0.01; 95% CI= -0.05 to 0.01; p= 0.313) were associated with hypertension preventive behavior, but it was statistically non significant. Posbindu had strong contextual effect on hypertension preventive behavior with ICC= 14.93%. Conclusion: Hypertension prevention behavior increases with self efficacy, knowledge, family support, and health personnel support. Gender and age are associated with hypertension preventive behavior, but it is statistically non significant. Posbindu has strong contextual effect on hypertension preventive behavior.
{"title":"Multilevel Analysis on Factors Associated with Hypertension Prevention Behavior","authors":"N. Nurjannah, S. Rahardjo, R. Sanusi","doi":"10.26911/the6thicph.02.08","DOIUrl":"https://doi.org/10.26911/the6thicph.02.08","url":null,"abstract":"Background: Chronic diseases are becoming a growing challenge for modern medical care in developed countries. Most of them are associated with cardiovascular disease. Appropriate prevention of hypertension can improve blood pressure control and reduce cardiovascular disease risk. This study aimed to examine factors associated with hypertension prevention behavior. Subjects and Method: This was a cross sectional study carried out at 25 integrated health posts (posbindu) in Bantul, Yogyakarta, from February to March 2019. A sample of 200 study subjects was selected by simple random sampling. The dependent variable was hypertension prevention behavior. The independent variables at level 1 were gender, age, self efficacy, knowledge, family support, and health personnel support. The independent variable at level 2 was posbindu. The data were collected by questionnaire and analyzed by a multiple linear regression run on Stata 13. Results: Hypertension prevention behavior increased with self efficacy (b= 0.06; 95% CI= 0.00 to 0.13; p= 0.024), knowledge (b= 0.23; 95% CI= 0.06 to 0.40; p= 0.007), family support (b= 0.71; 95% CI= 0.40 to 1.01; p<0.001), and health personnel support (b= 0.24; 95% CI= 0.06 to 0.42; p= 0.008). Gender (b= 0.39; 95% CI= -1.01 to 1.79; p= 0.585) and age (b= -0.01; 95% CI= -0.05 to 0.01; p= 0.313) were associated with hypertension preventive behavior, but it was statistically non significant. Posbindu had strong contextual effect on hypertension preventive behavior with ICC= 14.93%. Conclusion: Hypertension prevention behavior increases with self efficacy, knowledge, family support, and health personnel support. Gender and age are associated with hypertension preventive behavior, but it is statistically non significant. Posbindu has strong contextual effect on hypertension preventive behavior.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125602602","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}
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