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Correlation of Knowledge, Attitude, and Healthy Behavior among Children with Autism in Yogyakarta 日惹市自闭症儿童的知识、态度和健康行为的相关性
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.02.23
Hanna Wijaya, M. M. Widagdo, Slamet Sunarno Harjosuwarno
Background: Over the past two decades, autism has emerged as a major public health concern in Indonesia. Although known for more than fifty years as one of the most severe childhood neuropsychiatric disorders, it was thought to be quite rare. Individuals with autism have impairments in social interaction and communication and exhibit some rote or repetitive, often self-stimulatory, behavior. In each of these dimensions, the impairment can range from mild to profound. This study aimed to determine the correlation between knowledge, attitude, and healthy behavior among children with autism in Yogyakarta. Subjects and Method: This was a mixed study conducted at SLB Autis Bina Anggita, Yogyakarta. A total of 13 key informants including children with autism, teachers, and parents. The dependent variable was healthy behavior. The independent variables were knowledge and attitude. The data were collected by indepth interview and questionnaire. Quantitative data were analyzed by Spearman correlation. Results: 11 of 13 children with autism had good knowledge about autism. All children had good attitude and health behavior. The correlations of knowledge, attitude, and health behavior were not statistically significant. Conclusion: The correlations of knowledge, attitude, and health behavior are statistically non-significant.
背景:在过去二十年中,自闭症已成为印度尼西亚的一个主要公共卫生问题。尽管50多年来一直被认为是最严重的儿童神经精神疾病之一,但它被认为是相当罕见的。自闭症患者在社会交往和沟通方面有缺陷,并表现出一些死记硬背或重复的、通常是自我刺激的行为。在这些方面,损伤可以从轻微到严重。本研究旨在确定日惹自闭症儿童的知识、态度和健康行为之间的相关性。研究对象和方法:这是一项在日惹的日惹孤独症医院进行的混合研究。共有13个关键信息提供者,包括自闭症儿童、教师和家长。因变量为健康行为。自变量为知识和态度。数据采用深度访谈法和问卷调查法收集。定量资料采用Spearman相关分析。结果:13例自闭症患儿中有11例对自闭症有较好的认知。所有儿童态度良好,行为健康。知识、态度与健康行为的相关性无统计学意义。结论:知识、态度与健康行为的相关性无统计学意义。
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引用次数: 0
Association between Parents Role and Speech Ability of Children 父母角色与儿童语言能力的关系
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.03.28
R. Rukmini
Background: Child outcomes, including speech ability, are interconnected within and across diverse domains of development. They result from and are enhanced by early positive and supportive interactions with parents and other caregivers. This study aimed to estimate the association between parents role and speech ability of children.Subjects and Method: Across-sectional study was carried out in Surabaya, East Java. A total of 46 children 1 to 2 years of age and their parents were selected for this study. The dependent variable was speech ability. The independent variable was role of parents. The data were collected by questionnaire and analyzed by Pearson correlation.Results: Sample characteristics were as follows: role of parents is fairly good in 29 (63%) children, speech ability of children aged 1 to 2 years did not fit with their age in 28 (60.9%) children. Speech ability was associated with parents role (r= 0.44; p= 0.002).Conclusion: Parents have an important role in the development of normal speech ability in children. Keywords: parent role, speech ability.
背景:儿童的发展结果,包括语言能力,在不同的发展领域内部和之间是相互关联的。它们源于早期与父母和其他照顾者的积极和支持性互动,并通过这种互动得到加强。本研究旨在探讨父母角色与儿童言语能力的关系。对象和方法:横断面研究在东爪哇泗水市进行。本研究共选取了46名1 ~ 2岁的儿童及其父母。因变量为语言能力。自变量为父母的角色。采用问卷调查法收集资料,Pearson相关分析。结果:样本特征如下:29例(63%)儿童父母角色较好,28例(60.9%)儿童1 ~ 2岁言语能力与年龄不相符。言语能力与父母角色相关(r= 0.44;p = 0.002)。结论:父母对儿童正常语言能力的发展起着重要的作用。关键词:父母角色,言语能力。
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引用次数: 0
The Role of Health Reproduction Information Center in Improving Pre-Marital Sex Behavior among Adolescents in Bima, West Nusa Tenggara 健康生殖信息中心在改善西努沙登加拉比马地区青少年婚前性行为中的作用
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.43
M. Tarmidi, A. Demartoto, E. Pamungkasari
Background: Adolescent sexual and reproductive health is a major public health concern. A number of authors and organizations report that many adolescents world over are sexually active, and in some regions, as many as half are married. Literature shows that there is a need for improved reproductive health services aimed at adolescents throughout the world. This study aimed to investigate the role of health reproduction information center in improving premarital sex behavior among adolescents in Bima, West Nusa Tenggara.Subjects and Method: This was a cross-sectional study conducted in Bima, West Nusa Tenggara, from April to June 2018. A sample of 200 senior high school students was selected by proportional stratified random sampling. The dependent variable was premarital sex behavior. The independent variables were health information center (PIK-KRR), intention, perceived behaviour control (PBC), and media exposure. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13.Results: Health information center had a positive effect on healthy premarital sex behaviour, but it was statistically non-significant (b= 1.64; 95% CI= 0.78 to 3.44; p= 0.188). Healthy pre-marital sex behavior increased with stronger intention (b= 17.18; 95% CI= 7.98 to 36.97; p<0.001), PBC (b= 2.54; 95% CI= 1.19 to 4.24; p= 0.016), and positive social media information exposure (b= 2.01; 95% CI= 0.95 to 4.24; p= 0.068).Conclusion: The existing health information center in Bima, East Nusa Tenggara, is seemingly ineffective. It has a positive effect on healthy premarital sex behavior, but it is statistically non significant. Healthy premarital sex behavior increases with stronger intention, PBC, and positive social media information exposure. Keywords: healthy premarital sex behavior, health information center, social media information exposure
背景:青少年性健康和生殖健康是一个主要的公共卫生问题。许多作者和组织报告说,全世界许多青少年性行为活跃,在某些地区,多达一半的青少年已婚。文献表明,有必要改善针对全世界青少年的生殖健康服务。本研究旨在探讨生殖健康信息中心在改善西努沙登加拉省比马市青少年婚前性行为中的作用。对象和方法:这是一项横断面研究,于2018年4月至6月在西努沙登加拉的比马进行。采用比例分层随机抽样的方法,选取200名高中生为研究对象。因变量为婚前性行为。自变量为健康信息中心(PIK-KRR)、意向、感知行为控制(PBC)和媒体暴露。采用问卷调查法收集数据,并在Stata 13上进行多元逻辑回归分析。结果:健康信息中心对健康婚前性行为有正向影响,但无统计学意义(b= 1.64;95% CI= 0.78 ~ 3.44;p = 0.188)。健康的婚前性行为随意愿的增强而增加(b= 17.18;95% CI= 7.98 ~ 36.97;p<0.001), PBC (b= 2.54;95% CI= 1.19 ~ 4.24;P = 0.016),积极的社交媒体信息暴露(b= 2.01;95% CI= 0.95 ~ 4.24;p = 0.068)。结论:东努沙登加拉比马市现有的卫生信息中心效果不佳。对健康的婚前性行为有正向影响,但统计学上不显著。健康的婚前性行为随着意向、PBC和积极的社交媒体信息曝光的增加而增加。关键词:健康婚前性行为,健康信息中心,社交媒体信息曝光
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引用次数: 0
Association Between Family Support and Quality of Life of Women with Cervical Cancer at Dr. Pirngadi Medan Hospital, North Sumatera 北苏门答腊pinngadi棉兰医生医院宫颈癌妇女的家庭支持与生活质量之间的关系
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.01.18
Ingantaria Barus
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引用次数: 0
Does Maternal Schooling Affect the Risk of Child Obesity? A Path Analysis Evidence from Surakarta, Central Java 母亲受教育是否影响儿童肥胖的风险?中爪哇苏拉卡塔的通径分析证据
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.64
Arum Kusuma Rini, E. Pamungkasari, Bhisma Murti
Background: Earlier life-course studies have shown that childhood obesity increases disease risk in adulthood, including metabolic syndrome, cardiovascular disease, type 2 diabetes and its associated cardiovascular, retinal and renal complications, non-alcoholic fatty liver disease, obstructive sleep apnea, polycystic ovarian syndrome, infertility, asthma, orthopedic complications, psychiatric disease, and increased rates of cancer. This study aimed to examine the risk factors of child overweight or obesity in Surakarta, Central Java, using path analysis.Subjects and Method: This was a case control study carried out in Surakarta, Central Java, from March to April 2018. A sample of 225 primary school students was selected by simple random sampling. The dependent variable was overweight or obesity. The independent variables were maternal education, family income, physical activity, and maternal body mass index (BMI). The data were collected by questionnaire and analyzed by path analysis.Results: The risk of child overweight or obesity increased with high family income (b= 1.51; 95% CI= 0.80 to 2.22; p<0.001) and maternal BMI ≥25 (b= 1.19; 95% CI= 0.42 to 1.96; p= 0.002). The risk of overweight or obesity reduced with high physical activity (b= -1.90; 95% CI= -2.63 to -1.16; p<0.001). Maternal education had indirect association with child overweight or obesity, through maternal BMI and child physical activity.Conclusion: The risk of child overweight or obesity increases with high family income and maternal BMI ≥25. The risk of overweight or obesity reduces with high physical activity. Maternal education has indirect association with child over¬¬weight or obesity, through maternal BMI and child physical activity.Keywords: overweight, obesity, determinants, children, path analysis
背景:早期的生命过程研究表明,儿童期肥胖会增加成年后的疾病风险,包括代谢综合征、心血管疾病、2型糖尿病及其相关的心血管、视网膜和肾脏并发症、非酒精性脂肪性肝病、阻塞性睡眠呼吸暂停、多囊卵巢综合征、不孕症、哮喘、骨科并发症、精神疾病和癌症发病率的增加。本研究旨在利用通径分析方法探讨中爪哇市苏拉卡塔地区儿童超重或肥胖的危险因素。研究对象和方法:这是一项病例对照研究,于2018年3月至4月在中爪哇省苏拉卡塔进行。采用简单随机抽样的方法,选取225名小学生。因变量是超重或肥胖。自变量为母亲受教育程度、家庭收入、体力活动和母亲体重指数(BMI)。采用问卷调查法收集资料,并采用通径分析法进行分析。结果:家庭收入越高,儿童超重或肥胖的风险越高(b= 1.51;95% CI= 0.80 ~ 2.22;p<0.001),母亲BMI≥25 (b= 1.19;95% CI= 0.42 ~ 1.96;p = 0.002)。高强度的身体活动可降低超重或肥胖的风险(b= -1.90;95% CI= -2.63 ~ -1.16;p < 0.001)。通过母亲的身体质量指数和儿童的身体活动,母亲的受教育程度与儿童超重或肥胖存在间接关联。结论:家庭收入越高、母亲BMI≥25,儿童超重或肥胖的风险越大。高强度的体育活动可以降低超重或肥胖的风险。通过母亲的身体质量指数和儿童的身体活动,母亲的教育与儿童超重或肥胖存在间接关联。关键词:超重,肥胖,决定因素,儿童,通径分析
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引用次数: 0
The Association of Socioeconomic and Environmental Factors with Smoking Cessation 社会经济和环境因素与戒烟的关系
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.48
Joko Tri Atmojo, R. Soemanto, Bhisma Murti
Background: Smoking cessation rates have remained stagnant globally. Environment factor plays an important role in the likelihood of achieving quitting from smoking. This study aimed to investigate the association of socioeconomic and environmental factors with smoking cessation. Subjects and Method: A cross-sectional study was conducted in Surakarta, in December 2017. A sample of 165 adults was selected for this study by snowball sampling. The dependent variable was smoking cessation. The independent variables were addiction, stress, cigarette purchase, smoking duration, subjective norm, and social support. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Smoking cessation directly decreased with high stress (b= -0.65; 95% CI= -1.36 to 0.07; p= 0.077), high addiction (b= -1.76; 95% CI= -2.51 to - 1.01; p<0.001), and high purchasing power (b= -0.88; 95% CI= -1.61 to -0.15; p= 0.018). Smoking cessation was indirectly affected by smoking duration, subjective norm, and social support. Conclusion: Smoking cessation is directly decreased with high stress, high addiction, and high purchasing power. Smoking cessation was indirectly affected by smoking duration, subjective norm, and social support
背景:全球的戒烟率一直停滞不前。环境因素在实现戒烟的可能性中起着重要作用。本研究旨在探讨社会经济和环境因素与戒烟的关系。对象和方法:2017年12月在雅加达进行了一项横断面研究。本研究采用滚雪球抽样的方法,选取了165名成年人作为研究对象。因变量是戒烟。自变量为成瘾、压力、香烟购买、吸烟持续时间、主观规范和社会支持。采用问卷调查法收集资料,采用多元logistic回归分析。结果:高压力直接降低戒烟率(b= -0.65;95% CI= -1.36 ~ 0.07;P = 0.077),高成瘾性(b= -1.76;95% CI= -2.51 ~ - 1.01;P <0.001),高购买力(b= -0.88;95% CI= -1.61 ~ -0.15;p = 0.018)。吸烟时间、主观规范和社会支持对戒烟有间接影响。结论:高压力、高成瘾性、高购买力直接影响戒烟效果。吸烟时间、主观规范和社会支持对戒烟有间接影响
{"title":"The Association of Socioeconomic and Environmental Factors with Smoking Cessation","authors":"Joko Tri Atmojo, R. Soemanto, Bhisma Murti","doi":"10.26911/THEICPH.2018.02.48","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.02.48","url":null,"abstract":"Background: Smoking cessation rates have remained stagnant globally. Environment factor plays an important role in the likelihood of achieving quitting from smoking. This study aimed to investigate the association of socioeconomic and environmental factors with smoking cessation. Subjects and Method: A cross-sectional study was conducted in Surakarta, in December 2017. A sample of 165 adults was selected for this study by snowball sampling. The dependent variable was smoking cessation. The independent variables were addiction, stress, cigarette purchase, smoking duration, subjective norm, and social support. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Smoking cessation directly decreased with high stress (b= -0.65; 95% CI= -1.36 to 0.07; p= 0.077), high addiction (b= -1.76; 95% CI= -2.51 to - 1.01; p<0.001), and high purchasing power (b= -0.88; 95% CI= -1.61 to -0.15; p= 0.018). Smoking cessation was indirectly affected by smoking duration, subjective norm, and social support. Conclusion: Smoking cessation is directly decreased with high stress, high addiction, and high purchasing power. Smoking cessation was indirectly affected by smoking duration, subjective norm, and social support","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122522941","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
Effectiveness of Citrus Fruit in Relieving Nausea during Pregnancy in Tanjungpinang, Kepulauan Riau, Indonesia 柑橘类水果在缓解怀孕期间恶心的有效性,印尼吉普劳内省丹戎槟榔
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.03.32
A. S. J. Lubis, Ashar Abilowo, V. Jayanti, Nurul Aini Suria Saputri
Background: Nausea and vomiting are among the common problems in the first half of pregnancy. Approximately 80% percent of women are affected during pregnancy, along with significant impact on their quality of life. The reason behind gestational nausea and vomiting is not well-understood. Treatment of gestational nausea and vomiting is rarely so successful that the pregnant women could reach to a full recovery. This study aimed to determine effectiveness of citrus fruit in relieving nausea during pregnancy in Tanjungpinang, Riau. Subjects and Method: This was quasi-experiment after only with control design carried out at Puskesmas (Community Health Center) Sei Jang, Tanjungpinang, Riau. A sample of 35 pregnant women was selected for this study, consisting of 17 women in the intervention (citrus fruit) group and 18 women in the control group. The dependent variable was nausea. The independent variable was citrus fruit. The data were collected by questionnaire and analyzed by a chi square test with Odd Ratio (OR) as the measured of effect.Results: Percent of women who had nausea in the intervention group was lower than counterpart in the control group (OR= 0.45; p= 0.028).Conclusion: Citrus fruit is effective to relieve nausea among pregnant women.Keywords:citrus fruit, nausea.
背景:恶心和呕吐是怀孕前半期的常见问题之一。大约80%的妇女在怀孕期间受到影响,并对她们的生活质量产生重大影响。妊娠期恶心和呕吐的原因尚不清楚。妊娠期恶心和呕吐的治疗很少能成功到让孕妇完全康复。本研究旨在确定柑橘类水果在缓解怀孕期间恶心的有效性,廖内省丹中槟榔。对象与方法:本实验为准实验,采用对照设计,在廖内省丹中品ang市Sei Jang社区卫生中心进行。本研究选取35名孕妇作为研究样本,其中干预组(柑橘类水果)17名,对照组18名。因变量为恶心。自变量为柑橘类水果。采用问卷调查法收集资料,采用卡方检验分析,以奇数比(OR)作为效果的衡量标准。结果:干预组出现恶心的女性比例低于对照组(OR= 0.45;p = 0.028)。结论:柑橘类水果能有效缓解孕妇恶心。关键词:柑橘类水果;恶心;
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引用次数: 0
Analysis of Hygiene and Sanitation Practice among Health Workers in the Nutrition Unit, at Muhammadiyah Gamping Hospital, Yogyakarta 对日惹Muhammadiyah Gamping医院营养科保健工作者的个人卫生和环境卫生习惯的分析
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.04.11
Oldriana Prawiro Hapsari, I. Permana, E. Listiowati
Background: Infection prevention and control is one of key clinical priorities in a hospital to protect patients, visitors and staffs from the risk of healthcareassociated infections caused by bacteria (germs). Food safety in hospitals should be of the utmost importance because their populations are at a higher risk of developing a food-borne illness. This study aimed to analyze the hygiene and sanitation practice among health workers in the nutrition unit, at Muhammadiyah Gamping Hospital, Yogyakarta. Subjects and Method: This was a qualitative with case study. A sample of 13 food handlers, 1 food service unit supervisor, 1 sanitation unit supervisor, and 1 infection and prevention control unit supervisor, were selected for this study. The dependent variables were knowledge and compliance to food hygiene and sanitation standard procedure. Knowledge was measured by questionnaire. Foodhandler compliance to standard procedure was measured by observation and check-list. Perspective on hygiene and sanitation practice was measured by indepth interview. Results: Of food-handlers, 10 (77%) had good knowledge and 3 (23%) had poor knowledge on hygiene and sanitation. All food handlers were able to demonstrate good practical skills and compliance to food safety, hygiene, and sanitation practice. Conclusion: All food-handler show good compliance to standard operating procedure of food safety, hygiene, and sanitation practice.
背景:感染预防和控制是医院临床工作的重点之一,以保护患者、访客和工作人员免受由细菌(细菌)引起的卫生保健相关感染的风险。医院的食品安全应该是最重要的,因为医院的人群患食源性疾病的风险更高。这项研究的目的是分析日惹Muhammadiyah Gamping医院营养部门保健工作者的个人卫生和环境卫生习惯。对象与方法:本研究为定性案例研究。本研究选取13名食品处理人员、1名食品服务单位主管、1名卫生单位主管和1名感染与预防控制单位主管进行研究。因变量为对食品卫生标准程序的了解程度和遵守情况。知识采用问卷调查的方式进行测量。通过观察和检查表来衡量食品处理人员对标准程序的遵守情况。对个人卫生和环境卫生实践的看法采用深度访谈法进行测量。结果:食品处理人员中,卫生卫生知识较好10人(77%),卫生卫生知识较差3人(23%)。所有食品处理人员都能够展示良好的实践技能,并遵守食品安全、卫生和环境卫生规范。结论:所有的食品处理人员都很好地遵守了食品安全、卫生和环境卫生的标准操作程序。
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引用次数: 0
Determinants of Neonatal Asphyxia at Pilgrimage Hospital in Medan, North Sumatera 北苏门答腊棉兰朝圣医院新生儿窒息的决定因素
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.03.23
Eka Susanti, R. Lubis
Background: According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia. Birth asphyxia is an insult to the fetus or newborn due to failure to breath or breathing poorly, leads to decrease oxygen perfusion to various organs. This study aimed to examine the determinants of birth asphyxia at Pilgrimage hospital in Medan, North Sumatera.Subjects and Method: This was a case control study conducted at Pilgrimage Hospital, Medan, North Sumatera. A sample of 180 newborn infants was selected for this study. The dependent variable was birth asphyxia. The independent variables were maternal age, gestational age (prematurity), and infant birth weight. Data on asphyxia was obtained from the medical record. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of birth asphyxia increased with maternal age <20 years or ≥35 years (OR= 6.25; 95%CI= 1.33 to 29.03; p= 0.023), premature birth (OR= 7.90; 95%CI= 3.90 to 16.02; p= 0.007), and low birth weight (OR= 11.51; 95% CI= 4.89 to 19.82; p= 0.049).Conclusion:Birth asphyxia is associated with maternal age <20 years or ≥35 years, premature birth, and low birth weight.Keywords: birth asphyxia, maternal age, prematurity, low birth weight.
背景:据世卫组织统计,每年有400万新生儿死于出生窒息。出生窒息是对胎儿或新生儿的一种侮辱,由于呼吸失败或呼吸困难,导致各器官的氧气灌注减少。本研究旨在探讨在棉兰朝圣医院出生窒息的决定因素,北苏门答腊。研究对象和方法:本研究是在北苏门答腊棉兰朝圣医院进行的病例对照研究。本研究选取了180名新生儿作为样本。因变量为出生窒息。自变量为母亲年龄、胎龄(早产)和婴儿出生体重。关于窒息的数据来自医疗记录。其他数据采用问卷调查的方式收集。数据采用多元逻辑回归分析。结果:产妇年龄<20岁或≥35岁时,分娩窒息风险增加(or = 6.25;95%CI= 1.33 ~ 29.03;p= 0.023),早产(OR= 7.90;95%CI= 3.90 ~ 16.02;p= 0.007),低出生体重(OR= 11.51;95% CI= 4.89 ~ 19.82;p = 0.049)。结论:出生窒息与产妇年龄<20岁或≥35岁、早产、低出生体重有关。关键词:出生窒息,产妇年龄,早产,低出生体重。
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引用次数: 0
Sleep Quality and Cognitive Disorder among Acute Stroke Patients from Coastal Areas in North Sulawesi 北苏拉威西沿海地区急性脑卒中患者的睡眠质量与认知障碍
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.05.11
Sekplin A. S. Sekeon, Finny Warouw, E. Mantjoro, Junita M. P. Sampoerno
Background: Sleep quality is considered as one of the non-conventional risk factors for stroke. Cognitive disorder is prevalent among stroke survivors. There is limited data on the association between sleep quality and cognitive disorder among stroke patients from coastal eastern part of Indonesia. The objective of the study was to analyze the association between sleep quality and cognitive disorder among acute stroke patients from coastal areas in North Sulawesi. Subjects and Method: This was a hospital-based cross-sectional study carried out at Prof. dr. R. D. Kandou General Hospital of Manado, from May to June 2018. A sample of 39 acute stroke patients were selected for this study with some eligibility criteria. The dependent variable was cognitive disorder measured by Mini Mental Status Examination (MMSE). The independent variable was sleep quality measured by the Pittsburg Sleep Quality Index (PSQI). Stroke was diagnosed from history taking, physical examination, and neuroimaging study. The data were analyzed by chi square test and Odd Ratio as the measure of association. Results: Sample characteristics were as follows: Age (Mean= 59.10; SD= 10.43), male (51.3%), high school (48.7%), homemaker/housewife (25.6%), residence in Manado (61.5%), poor sleep quality a month prior to stroke (79.5%), cognitive disorder after stroke (53.8%). Stroke patients with poor sleep quality were 2.3 times more likely to experience cognitive disorder than counterparts with good quality of sleep (OR= 2.30; 95%CI= 0.46 to 11.42; p= 0.290). Conclusion: Majority of acute stroke patients from coastal areas in North Sulawesi experience poor sleep quality. There is an association between sleep quality and cognitive disorder among acute stroke patients, but it is not statistically significant.
背景:睡眠质量被认为是脑卒中的非传统危险因素之一。认知障碍在中风幸存者中很普遍。关于印度尼西亚东部沿海地区中风患者睡眠质量与认知障碍之间关系的数据有限。本研究的目的是分析北苏拉威西沿海地区急性中风患者的睡眠质量与认知障碍之间的关系。对象和方法:这是一项基于医院的横断面研究,于2018年5月至6月在万鸦老R. D. Kandou总医院进行。本研究选取了39例急性脑卒中患者,并制定了一定的入选标准。因变量为认知障碍,采用Mini Mental Status Examination (MMSE)测量。自变量为匹兹堡睡眠质量指数(PSQI)测量的睡眠质量。通过病史、体格检查和神经影像学检查诊断卒中。数据分析采用卡方检验,奇数比作为相关性的度量。结果:样本特征如下:年龄(Mean= 59.10;SD= 10.43),男性(51.3%),高中(48.7%),家庭主妇(25.6%),居住在万鸦老(61.5%),卒中前一个月睡眠质量差(79.5%),卒中后认知障碍(53.8%)。睡眠质量差的中风患者发生认知障碍的可能性是睡眠质量好的中风患者的2.3倍(OR= 2.30;95%CI= 0.46 ~ 11.42;p = 0.290)。结论:北苏拉威西沿海地区急性脑卒中患者睡眠质量较差。急性脑卒中患者睡眠质量与认知障碍之间存在相关性,但无统计学意义。
{"title":"Sleep Quality and Cognitive Disorder among Acute Stroke Patients from Coastal Areas in North Sulawesi","authors":"Sekplin A. S. Sekeon, Finny Warouw, E. Mantjoro, Junita M. P. Sampoerno","doi":"10.26911/THEICPH.2018.05.11","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.05.11","url":null,"abstract":"Background: Sleep quality is considered as one of the non-conventional risk factors for stroke. Cognitive disorder is prevalent among stroke survivors. There is limited data on the association between sleep quality and cognitive disorder among stroke patients from coastal eastern part of Indonesia. The objective of the study was to analyze the association between sleep quality and cognitive disorder among acute stroke patients from coastal areas in North Sulawesi. Subjects and Method: This was a hospital-based cross-sectional study carried out at Prof. dr. R. D. Kandou General Hospital of Manado, from May to June 2018. A sample of 39 acute stroke patients were selected for this study with some eligibility criteria. The dependent variable was cognitive disorder measured by Mini Mental Status Examination (MMSE). The independent variable was sleep quality measured by the Pittsburg Sleep Quality Index (PSQI). Stroke was diagnosed from history taking, physical examination, and neuroimaging study. The data were analyzed by chi square test and Odd Ratio as the measure of association. Results: Sample characteristics were as follows: Age (Mean= 59.10; SD= 10.43), male (51.3%), high school (48.7%), homemaker/housewife (25.6%), residence in Manado (61.5%), poor sleep quality a month prior to stroke (79.5%), cognitive disorder after stroke (53.8%). Stroke patients with poor sleep quality were 2.3 times more likely to experience cognitive disorder than counterparts with good quality of sleep (OR= 2.30; 95%CI= 0.46 to 11.42; p= 0.290). Conclusion: Majority of acute stroke patients from coastal areas in North Sulawesi experience poor sleep quality. There is an association between sleep quality and cognitive disorder among acute stroke patients, but it is not statistically significant.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121298329","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
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas
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