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Effectiveness of Multilevel Health Promotion on Exclusive Breastfeeding in Jember, East Java 东爪哇6月纯母乳喂养多层次健康促进的效果
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.18
Nur Khamidah, Y. Prabandari, D. Nurdiati
Background: The need for multilevel and comprehensive health promotion programmes has become widely accepted, as has the importance of community approaches. Multilevel-Multicomponent (ML-MC) interventions are interventions that work on more levels at the same time and that involves more intervention components that are synchronized across levels. As a result, they require extensive community engagement. This study aimed to examine the effectiveness of multilevel health promotion on enhancing exclusive breastfeeding practice among lactating women in Jember, East Java. Subjects and Method: This was a mix method study (qualitative and quantitative) conducted in Jember, East Java. A sample of 245 lactating women was selected for this study, divided in 2 groups: 120 women with multilevel health promotion program and 125 women without multilevel health promotion program. The dependent variable was exclusive breastfeeding. The independent variable was multilevel health promotion program. The data were collected by questionnaire, indepth interview, and focus group discussion. Difference in percent of exclusive breastfeeding between the two groups was tested by chi square. Qualitative data were analyzed by content analysis. Results: Percent of women who breastfed in the multilevel health promotion program was 2.4 times as many as that in the control group. Conclusion: Multilevel health promotion program is effective to enhance exclusive breastfeeding practice among lactating women.
背景:多层次和全面的健康促进方案的必要性已被广泛接受,社区办法的重要性也已被广泛接受。multi - level- multicomponent (ML-MC)干预是指同时在多个层面上起作用的干预,它涉及更多在各个层面上同步的干预组件。因此,它们需要广泛的社区参与。本研究旨在检查多层健康促进对加强东爪哇Jember哺乳期妇女纯母乳喂养做法的有效性。对象和方法:这是一项在东爪哇Jember进行的混合方法(定性和定量)研究。本研究以245名哺乳期妇女为研究对象,分为两组:120名妇女参加了多层次的健康促进计划,125名妇女没有参加多层次的健康促进计划。因变量为纯母乳喂养。自变量为多层次健康促进计划。采用问卷调查法、深度访谈法和焦点小组讨论法收集数据。两组之间纯母乳喂养百分比的差异采用卡方检验。定性资料采用内容分析法进行分析。结果:参与多层次健康促进项目的妇女母乳喂养比例是对照组的2.4倍。结论:多层次的健康促进计划能有效提高哺乳期妇女纯母乳喂养的习惯。
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引用次数: 0
Effects of Workload and Job Satisfaction on Work Performance among Health Workers at Siloam Hospital, East Nusa Tenggara 东努沙登加拉西罗亚医院医护人员工作量和工作满意度对工作绩效的影响
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.04.54
Jovita Marlin Langko, Hari Rarindo, Luh Putu Ruliyanti
Background: Work performance is a hugely important process to the entire company's success, as it affects a company's performance. Work performance is the assessment of whether an employee has done their job well. It is an individual evaluation, measured based on a single person’s effort. This study aimed to determine the effects of workload and job satisfaction on work performance among health workers at Siloam Hospital, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at Siloam Hospital, Kupang, East Nusa Tenggara. A total of 97 health workers were selected for this study. The dependent variable was work performance. The independent variables were job satisfaction and workload. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Work performance increased with job satisfaction (OR= 4.25; p= 0.024) but decreased with workload (OR= 0.37; p= 0.035). Conclusion: Work performance increases with job satisfaction but decreases with workload.
背景:工作绩效对整个公司的成功来说是一个非常重要的过程,因为它影响着公司的业绩。工作表现是对员工是否做好工作的评估。它是一种基于个人努力的个人评价。本研究旨在了解东努沙登加拉西罗亚医院医护人员的工作量和工作满意度对工作绩效的影响。对象和方法:这是一项在东努沙登加拉古邦西罗亚医院进行的横断面研究。本研究共选取97名卫生工作者。因变量为工作绩效。自变量为工作满意度和工作量。采用问卷调查法收集资料,采用多元logistic回归分析。结果:工作绩效随工作满意度的增加而增加(OR= 4.25;p= 0.024),但随着工作量的增加而下降(OR= 0.37;p = 0.035)。结论:工作绩效随工作满意度的增加而增加,随工作量的增加而降低。
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引用次数: 0
Immunodepression As a Risk Factor of Infection in Patients with Acute Ischemic Stroke 免疫抑制是急性缺血性脑卒中患者感染的危险因素
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.05.28
Ken Wirastuti
Background: Immunodepression is an absence or deficient supply of the components of either humoral or cellular immunity, or both. Previous studies show that the central nervous system and the immune system interact in complex ways. Better insight into these interactions may be relevant to the treatment of patients with stroke and other forms of central nervous system injury. This study aimed to determine immunodepression as a risk factor of infection in patients with acute ischemic stroke. Subjects and Method: This was a cohort study conducted in Sultan Agung Islamic Hospital, Semarang, Central Java. A sample of 89 patients with post-acute ischemic stroke who had been hospitalized for ≥5 days was selected for this study as the exposed group and nonstroke patients as non-exposed group. The dependent variable was immunodepression infection as indicated by high leucocytes, high neutrophils, low lymphocytes, low monocytes. The independent variable was post-acute ischemic stroke. The data were obtained from the medical record. The data were analyzed by a chi-square test with Risk Ratio (RR) as the measure of association. Results: Post-acute ischemic stroke was associated with an increased risk of leucocytosis (RR= 3.95%; 95% CI= 1.59 to 3.27), neutrophilia (RR= 1.98; 95% CI= 1.69 to 12.63), lymphocytopenia (RR= 1.77; 95% CI= 1.51 to 1.98), monocytopenia (RR= 1.85%; 95% CI= 1.33 to 1.92). Conclusion: Acute ischemic stroke increases the risk of infection due to immunodepression. Keywords: acute ischemic stroke, immunodepression, infection
背景:免疫抑制是体液免疫或细胞免疫成分的缺乏或不足,或两者兼而有之。先前的研究表明,中枢神经系统和免疫系统以复杂的方式相互作用。更好地了解这些相互作用可能与中风和其他形式中枢神经系统损伤患者的治疗有关。本研究旨在确定免疫抑制是急性缺血性脑卒中患者感染的危险因素。对象和方法:这是一项在中爪哇三宝垄苏丹阿贡伊斯兰医院进行的队列研究。本研究选取住院≥5天的急性缺血性卒中后患者89例为暴露组,非卒中患者为非暴露组。因变量为免疫抑制感染,表现为白细胞高、中性粒细胞高、淋巴细胞低、单核细胞低。自变量为急性缺血性脑卒中后。数据是从医疗记录中获得的。数据采用卡方检验,以风险比(RR)作为相关性的衡量标准。结果:急性缺血性卒中后与白细胞增多的风险增加相关(RR= 3.95%;95% CI= 1.59 ~ 3.27),中性粒细胞(RR= 1.98;95% CI= 1.69 ~ 12.63),淋巴细胞减少症(RR= 1.77;95% CI= 1.51 ~ 1.98),单核细胞减少症(RR= 1.85%;95% CI= 1.33 ~ 1.92)。结论:急性缺血性脑卒中患者因免疫抑制而增加感染风险。关键词:急性缺血性脑卒中,免疫抑制,感染
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引用次数: 0
Resource Mobilization and Preparedness to Control Dengue Haemorrhagic Fever in Medan, North Sumatera 北苏门答腊棉兰控制登革出血热的资源调动和准备
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.31
Novi Adriyanti, I. Yustina, Zulfendri Zulfendri
Background: Infectious diseases continuously emerge and/or reemerge, resulting in epidemics of varying sizes and scope. Infection preventionists undertake preparedness activities to ensure that the healthcare facilities and communities are well-prepared to recognize and respond to an infectious disease epidemic. Infectious disease epidemic preparedness is an ever evolving process that addresses the four principles of emergency management: mitigation, preparedness, response, and recovery. This study aimed to determine the relationship between resource mobilization within community and preparedness to control DHF. Subjects and Method: A cross sectional study was carried out in Medan, North Sumatera. A sample of 100 household heads was selected for this study by random sampling. The dependent variable was preparedness to control DHF. The independent variable was resource mobilization within the community. The data were collected by questionnaire and analyzed by chi-square with Odd Ratio (OR) as the measure of association. Results: Preparedness to control DHF was positively associated with resource mobilization within the community (OR= 3.22; 95% CI= 1.32 to 7.85; p= 0.001). Conclusion: Preparedness to control DHF is associated with resource mobilization within the community.Keywords: dengue haemorrhagic fever, control, preparedness, resource mobilization.
背景:传染病不断出现和/或复发,造成不同规模和范围的流行病。感染预防工作者开展备灾活动,确保卫生保健设施和社区做好充分准备,以识别和应对传染病的流行。传染病流行病防范是一个不断发展的过程,涉及应急管理的四项原则:缓解、防备、应对和恢复。本研究旨在确定社区内资源调动与控制登革出血热准备之间的关系。对象与方法:横断面研究在北苏门答腊棉兰市进行。本研究采用随机抽样的方法,选取100户户主进行研究。因变量为控制DHF的准备程度。独立变量是社区内的资源动员。采用问卷调查法收集资料,采用奇数比(OR)作为相关性的衡量标准,采用卡方法进行分析。结果:控制登革出血热的准备与社区内的资源动员呈正相关(OR= 3.22;95% CI= 1.32 ~ 7.85;p = 0.001)。结论:控制登革出血热的准备工作与社区内的资源调动有关。关键词:登革出血热,控制,防范,资源动员。
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引用次数: 0
Mitigating Musculoskeletal Disorder Using Occupational Chair among Batik Workers 蜡染工人使用职业椅缓解肌肉骨骼疾病
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.01.23
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引用次数: 0
Factors Associated with Work Performance among Midwives at Community Health Centers in Central Java 中爪哇社区卫生中心助产士工作表现的相关因素
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.04.51
Nurul Wahidah, E. S. Sulaeman, Uki Retno Budihastuti
Background: Performance of midwives in antepartum, intrapartum, and post partum health care can influence maternal health as well as infant survival. Despite its importance, studies into factors associated with work performance among widwives in Indonesia are scanty. This study aimed to investigate factors associated with work performance among midwives at Community Health Centers in Central Java.Subjects and Method: This was a cross-sectional study carried out at 28 Puskemas (Community Health Centers) in Sukarta and Karanganyar, Central Java, Indonesia. A sample of 28 Puskesmas was selected for this study by stratified random sampling, comprising of 5 strata of Puskesmas. A total sample of 200 midwives was selected for this study by random sampling. Around 4 to 14 mid¬wives were selected randomly from each selected Puskesmas, resulting in a total sample of 200 midwives. The dependent variable was work performance. The independent variables included knowledge, experience, tenure, motivation, job burden, facility, skill, and reward. The data were collected by pretested questionnaire and analyzed by a multiple logistic regression.Results: Work performance was positively associated with knowledge (OR= 6.96 95% CI= 2.88 to 16.82; p<0.001), experience (OR= 2.39; 95% CI= 1.12 to 5.13; p= 0.025), tenure (OR= 2.69; 95% CI= 1.20 to 6.04; p= 0.016), motivation (OR= 2.76; 95% CI= 1.22 to 5.59; p= 0.014), facility (OR= 2.91; 95% CI= 1.32 to 6.41; p= 0.008), skill (OR= 2.59; 95% CI= 1.11 to 6.11; p= 0.030), and reward (OR= 2.08; 95% CI= 0.97 to 4.46; p= 0.061), but was negatively associated with job burden (OR= 0.36; 95% CI= 0.16 to 0.82; p= 0.015).Conclusion: Work performance is positively associated with knowledge, experience, tenure, motivation, facility, skill, and reward, but is negatively associated with job burden, among midwives working at Puskesmas.Keywords: work performance, knowledge, experience, tenure, motivation, facility, skill, reward, job burden, midwife.
背景:助产士在产前、产时和产后保健方面的表现可以影响产妇健康和婴儿的生存。尽管它很重要,但对印度尼西亚寡妇工作表现相关因素的研究很少。本研究旨在调查中爪哇社区卫生中心助产士工作表现的相关因素。研究对象和方法:这是一项横断面研究,在印度尼西亚中爪哇省苏卡尔塔和卡兰甘雅的28个社区卫生中心进行。采用分层随机抽样的方法,选取28只puskesma进行研究,共分为5层。本研究采用随机抽样的方法,共抽取200名助产士进行研究。从每个选定的Puskesmas中随机抽取约4至14名助产士,总共抽样200名助产士。因变量为工作绩效。自变量包括知识、经验、任期、动机、工作负担、设施、技能和报酬。采用预测问卷收集资料,采用多元逻辑回归分析。结果:工作绩效与知识呈正相关(OR= 6.96 95% CI= 2.88 ~ 16.82;p<0.001)、经验(OR= 2.39;95% CI= 1.12 ~ 5.13;p= 0.025),任期(OR= 2.69;95% CI= 1.20 ~ 6.04;p= 0.016)、动机(OR= 2.76;95% CI= 1.22 ~ 5.59;p= 0.014),设施(OR= 2.91;95% CI= 1.32 ~ 6.41;p= 0.008),技能(OR= 2.59;95% CI= 1.11 ~ 6.11;p= 0.030),奖励(OR= 2.08;95% CI= 0.97 ~ 4.46;p= 0.061),但与工作负担负相关(OR= 0.36;95% CI= 0.16 ~ 0.82;p = 0.015)。结论:在Puskesmas工作的助产士中,工作绩效与知识、经验、任期、动机、设施、技能和奖励呈正相关,与工作负担负相关。关键词:工作绩效、知识、经验、任期、动机、便利、技能、奖励、工作负担、助产士。
{"title":"Factors Associated with Work Performance among Midwives at Community Health Centers in Central Java","authors":"Nurul Wahidah, E. S. Sulaeman, Uki Retno Budihastuti","doi":"10.26911/theicph.2018.04.51","DOIUrl":"https://doi.org/10.26911/theicph.2018.04.51","url":null,"abstract":"Background: Performance of midwives in antepartum, intrapartum, and post partum health care can influence maternal health as well as infant survival. Despite its importance, studies into factors associated with work performance among widwives in Indonesia are scanty. This study aimed to investigate factors associated with work performance among midwives at Community Health Centers in Central Java.\u0000Subjects and Method: This was a cross-sectional study carried out at 28 Puskemas (Community Health Centers) in Sukarta and Karanganyar, Central Java, Indonesia. A sample of 28 Puskesmas was selected for this study by stratified random sampling, comprising of 5 strata of Puskesmas. A total sample of 200 midwives was selected for this study by random sampling. Around 4 to 14 mid¬wives were selected randomly from each selected Puskesmas, resulting in a total sample of 200 midwives. The dependent variable was work performance. The independent variables included knowledge, experience, tenure, motivation, job burden, facility, skill, and reward. The data were collected by pretested questionnaire and analyzed by a multiple logistic regression.\u0000Results: Work performance was positively associated with knowledge (OR= 6.96 95% CI= 2.88 to 16.82; p<0.001), experience (OR= 2.39; 95% CI= 1.12 to 5.13; p= 0.025), tenure (OR= 2.69; 95% CI= 1.20 to 6.04; p= 0.016), motivation (OR= 2.76; 95% CI= 1.22 to 5.59; p= 0.014), facility (OR= 2.91; 95% CI= 1.32 to 6.41; p= 0.008), skill (OR= 2.59; 95% CI= 1.11 to 6.11; p= 0.030), and reward (OR= 2.08; 95% CI= 0.97 to 4.46; p= 0.061), but was negatively associated with job burden (OR= 0.36; 95% CI= 0.16 to 0.82; p= 0.015).\u0000Conclusion: Work performance is positively associated with knowledge, experience, tenure, motivation, facility, skill, and reward, but is negatively associated with job burden, among midwives working at Puskesmas.\u0000\u0000Keywords: work performance, knowledge, experience, tenure, motivation, facility, skill, reward, job burden, midwife.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"42 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":"127676283","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
Hygiene Sanitation and Detection of Rhodamin B in Sauce nd Formalin in Meatball at Meatball Tavern, Kupang, East Nusa Tenggara 东努沙登加拉古邦肉丸酒馆酱汁中罗达明B和福尔马林的卫生卫生检测
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.06
Marthen Rachmad Here, Pius Weraman, Hari Rarendo
Background: Food safety and sanitation is an essential part of the food industry. While it is important to be able to deliver food quickly and profitably, the importance of food safety and sanitation cannot be underestimated. Fast food retailers such as meatball tavern are common in Kupang, East Nusa Tenggara. Therefore it is worth studying the food safety and sanitation among the existing fast food retailers. This study aimed to examine hygiene sanitation and detection of rhodamin B in sauce and formalin in meatball at meatball tavern, Kupang, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at meatball taverns, Kupang, East Nusa Tenggara, Indonesia. A total of 16 meatball taverns were selected for this study by total sampling. The dependent variables were hygiene sanitation, rhodamine B content in sauce, and formalin content in meatball. The independent variables were selection of foodstuff, food storage, processing place, equipment, food handlers, food transport, and food provision. The data were collected by observation and laboratory examination. The data were described accordingly. Results: Hygiene and sanitation in food selection and food storage were good (70100%). Hygiene and sanitation in food handling and processing were fair (5078%). Hygiene and sanitation of processing places were variable from poor to moderate (36-72%). Hygiene and sanitation of equipment were good (70-100%). Food stewardship was very good (87-100%). Rhodamine B content was absent in sauce. Formalin content was absent in meatball. Conclusion: Hygiene and sanitation levels in various aspect of food preparation and handling at meatball taverns were variable ranging from poor to very good level.
背景:食品安全和卫生是食品工业的重要组成部分。虽然能够快速和有利可图地提供食品很重要,但食品安全和卫生的重要性也不容低估。在东努沙登加拉的古邦,像肉丸酒馆这样的快餐零售商很常见。因此,对我国现有快餐零售商的食品安全卫生问题进行研究是值得的。本研究旨在调查东努沙登加拉古邦肉丸酒馆的卫生状况及酱汁中罗丹明B和肉丸中福尔马林的检测情况。对象和方法:这是一项横断面研究,在印尼东努沙登加拉库邦的肉丸酒馆进行。采用全抽样的方法,选取16家肉丸小酒馆作为研究对象。因变量为卫生条件、酱汁中罗丹明B含量、肉丸中福尔马林含量。自变量为食品选择、食品储存、加工场所、设备、食品处理人员、食品运输和食品供应。通过观察和实验室检查收集资料。对数据作了相应的说明。结果:食品选材和贮存卫生条件良好(70% ~ 100%)。食品处理和加工的卫生和环境卫生是公平的(5078%)。加工场所的卫生和环境卫生状况从差到中等不等(36-72%)。设备卫生状况良好(70-100%)。食品管理非常好(87-100%)。酱油中不含罗丹明B。肉丸中不含福尔马林。结论:肉丸酒馆在食品制备和处理的各个方面的卫生和卫生水平从差到很好不等。
{"title":"Hygiene Sanitation and Detection of Rhodamin B in Sauce nd Formalin in Meatball at Meatball Tavern, Kupang, East Nusa Tenggara","authors":"Marthen Rachmad Here, Pius Weraman, Hari Rarendo","doi":"10.26911/THEICPH.2018.01.06","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.06","url":null,"abstract":"Background: Food safety and sanitation is an essential part of the food industry. While it is important to be able to deliver food quickly and profitably, the importance of food safety and sanitation cannot be underestimated. Fast food retailers such as meatball tavern are common in Kupang, East Nusa Tenggara. Therefore it is worth studying the food safety and sanitation among the existing fast food retailers. This study aimed to examine hygiene sanitation and detection of rhodamin B in sauce and formalin in meatball at meatball tavern, Kupang, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at meatball taverns, Kupang, East Nusa Tenggara, Indonesia. A total of 16 meatball taverns were selected for this study by total sampling. The dependent variables were hygiene sanitation, rhodamine B content in sauce, and formalin content in meatball. The independent variables were selection of foodstuff, food storage, processing place, equipment, food handlers, food transport, and food provision. The data were collected by observation and laboratory examination. The data were described accordingly. Results: Hygiene and sanitation in food selection and food storage were good (70100%). Hygiene and sanitation in food handling and processing were fair (5078%). Hygiene and sanitation of processing places were variable from poor to moderate (36-72%). Hygiene and sanitation of equipment were good (70-100%). Food stewardship was very good (87-100%). Rhodamine B content was absent in sauce. Formalin content was absent in meatball. Conclusion: Hygiene and sanitation levels in various aspect of food preparation and handling at meatball taverns were variable ranging from poor to very good level.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 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":"129249838","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
Factors Associated with Dengue Fever Preventive Practice Using Theory of Planned Behavior 计划行为理论与登革热预防实践的相关因素
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.69
Kanthi Devi Ayuningtyas, S. Rahardjo, Bhisma Murti
Background: Dengue fever, also known as breakbone fever, is a mosquito-borne infection that can lead to a severe flu-like illness. It is caused by four different viruses and spread by Aedes mosquitoes. There are currently no vaccines. The best method of prevention is to avoid mosquito bites. Treatment is possible if diagnosis occurs before the patient develops dengue shock syndrome (DSS) or dengue haemorrhagic fever (DHF). This study aimed to investigate factors affecting dengue fever preventive practice using theory of planned behavior, using theory of planned behavior. Subjects and Method: A cross sectional study was conducted in 8 sub-districts in Sukoharjo, Central Java, from May 7 to July 8, 2018. A sample of 200 study subjects was selected for this study by random sampling. The dependent variable was dengue fever preventive practice. The independent variables were intention, self-efficacy, perceived seriousness, attitude, and education. The data were collected by questionnaire and analyzed by path analysis. Results: Dengue fever preventive practice was directly and positively affected by intention (b= 0.62; 95% CI= 0.45 to 0.79; p<0.001), self-efficacy (b= 0.13; 95% CI= 0.01 to 0.25; p= 0.043), and perceived seriousness (b= 0.31; 95% CI= -0.05 to 0.67; p= 0.091). Dengue fever preventive practice was indirectly affected by attitude and education. Conclusion: Dengue fever preventive practice is directly and positively affected by intention, self-efficacy, and perceived seriousness. It is indirectly affected by attitude and education.
背景:登革热,也称为断骨热,是一种蚊子传播的感染,可导致严重的流感样疾病。它由四种不同的病毒引起,由伊蚊传播。目前还没有疫苗。最好的预防方法是避免蚊虫叮咬。如果在患者出现登革休克综合征(DSS)或登革出血热(DHF)之前进行诊断,则可以进行治疗。本研究旨在运用计划行为理论探讨影响登革热预防实践的因素。对象与方法:于2018年5月7日至7月8日在中爪哇省苏科哈霍的8个街道进行横断面研究。本研究采用随机抽样的方法,选取200名研究对象。因变量为登革热预防措施。自变量为意向、自我效能、感知严肃性、态度和教育程度。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:意向对登革热预防实践有直接正向影响(b= 0.62;95% CI= 0.45 ~ 0.79;P <0.001)、自我效能感(b= 0.13;95% CI= 0.01 ~ 0.25;P = 0.043),感知严重性(b= 0.31;95% CI= -0.05 ~ 0.67;p = 0.091)。登革热预防实践受态度和教育的间接影响。结论:登革热预防行为的意愿、自我效能感和感知严重性对登革热预防行为有直接正向影响。它受到态度和教育的间接影响。
{"title":"Factors Associated with Dengue Fever Preventive Practice Using Theory of Planned Behavior","authors":"Kanthi Devi Ayuningtyas, S. Rahardjo, Bhisma Murti","doi":"10.26911/THEICPH.2018.01.69","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.69","url":null,"abstract":"Background: Dengue fever, also known as breakbone fever, is a mosquito-borne infection that can lead to a severe flu-like illness. It is caused by four different viruses and spread by Aedes mosquitoes. There are currently no vaccines. The best method of prevention is to avoid mosquito bites. Treatment is possible if diagnosis occurs before the patient develops dengue shock syndrome (DSS) or dengue haemorrhagic fever (DHF). This study aimed to investigate factors affecting dengue fever preventive practice using theory of planned behavior, using theory of planned behavior. Subjects and Method: A cross sectional study was conducted in 8 sub-districts in Sukoharjo, Central Java, from May 7 to July 8, 2018. A sample of 200 study subjects was selected for this study by random sampling. The dependent variable was dengue fever preventive practice. The independent variables were intention, self-efficacy, perceived seriousness, attitude, and education. The data were collected by questionnaire and analyzed by path analysis. Results: Dengue fever preventive practice was directly and positively affected by intention (b= 0.62; 95% CI= 0.45 to 0.79; p<0.001), self-efficacy (b= 0.13; 95% CI= 0.01 to 0.25; p= 0.043), and perceived seriousness (b= 0.31; 95% CI= -0.05 to 0.67; p= 0.091). Dengue fever preventive practice was indirectly affected by attitude and education. Conclusion: Dengue fever preventive practice is directly and positively affected by intention, self-efficacy, and perceived seriousness. It is indirectly affected by attitude and education.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"7 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":"115842894","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
Occupational Risk Factors Associated with Perceived Central Nervous System Disorder among Printing Industry Workers in Medan 棉兰印刷业工人中枢神经系统知觉障碍的职业危险因素
Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.57
Samuel Marganda, T. Ashar
Background: Toluene is a colorless, water-insoluble liquid, aromatic hydrocarbon, with the smell associated with paint thinners. Toluene is used in the printing of colored illustrations in media such as catalogues and magazines. Studies on male employees in the printing industry found that both high and low exposure to toluene were associated with an imbalance of sexual hormones in serum samples. This study aimed to analyze the occupational risk factors associated with perceived central nervous system disorder attributable to toluene exposure among printing industry workers in Medan, North Sumatera. Subjects and Method: This was a cross sectional study conducted at a printing industry in Medan, North Sumatera. A sample of 50 printing industry workers was selected for this study. The dependent variable was perceived central nervous system disorder attributable to toluene. The independent variables were age, smoking, years of service, history of illness, alcohol consumption, and personal protective equipment (PPE). The data were collected by questionnaire and analyzed by a chi-square test. Results: Perceived central nervous system disorder attributable to toluene exposure was statistically associated with age and smoking, but was not statistically associated with years of service, history of illness, alcohol consumption, and PPE. Conclusion: Perceived central nervous system disorder is statistically associated with age and smoking among printing workers.
背景:甲苯是一种无色,不溶于水的液体,芳香烃,气味与油漆稀释剂有关。甲苯用于印刷目录和杂志等媒体上的彩色插图。对印刷业男性雇员的研究发现,大量或少量接触甲苯都与血清样本中性激素失衡有关。本研究旨在分析北苏门答腊省棉兰市印刷业工人因接触甲苯而产生中枢神经系统失调的相关职业危险因素。研究对象和方法:这是一项横断面研究,在北苏门答腊棉兰的一家印刷业进行。本研究选取了50名印刷业工人作为样本。因变量为甲苯引起的中枢神经系统知觉障碍。自变量为年龄、吸烟、服务年限、病史、饮酒和个人防护装备(PPE)。采用问卷调查法收集资料,采用卡方检验进行分析。结果:甲苯暴露引起的中枢神经系统障碍与年龄和吸烟有统计学相关性,但与服务年限、病史、饮酒和PPE无统计学相关性。结论:印刷工人的中枢神经系统知觉障碍与年龄和吸烟有统计学关系。
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引用次数: 0
Short-Term Evaluation of the Steroid Epidural Injection Method for Patients with Degenerative Lumbar Stenosis 硬膜外注射类固醇治疗退行性腰椎管狭窄症的短期疗效评价
Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.05.15
Pamudji Utomo, R. Andhi Prijosedjati, Haryo Wicaksono
Background: Spinal stenosis is a narrowing of the vertebral canal that com-presses spinal nerves and may cause leg pain and difficulty walking. The symptoms of degenerative lumbar stenosis commonly occur in elderly adults and can be treated conservatively with pain-relieving agents or aggressively with decompressive surgery. However, studies on the effectiveness of steroid epidural injection (EPI) on reducing pain in patients with degenerative lumbar stenosis in Indonesia are lacking. This study aimed to evaluate the short-term effect of the steroid epidural injection method on the reduction of pain and disability in patients with degenerative lumbar stenosis.Subjects and Method: This was a cohort study conducted at Prof. Dr. R. Soeharso Orthopedi Hospital, Surakarta, Central Java, from March 2015 to January 2016. A total of 50 patients with degenerative lumbar stenosis was selected for this study. The dependent variables were pain and disability levels. The independent variable was EPI. Pain level was measured by visual analog scale (VAS). Disability level was measured by Oswestri Disability Index (ODI). The outcome data before and after the intervention (EPI) were compared by t-test.Results: Score of VAS a month after EPI (mean= 36.20) was lower than before EPI (mean= 63.20) and it was statistically significant (p= 0.027). Score of ODI a month after EPI (mean= 42.82) was lower than before EPI (mean= 54.90) and it was statistically significant (p= 0.033). However, scores of both VAS and ODI began to rise three months after EPI.Conclusion: Non-operative steroid epidural injection (EPI) is effective to reduce pain and disability among patients with degenerative lumbar stenosis in the short-term within three months after the intervention.Keywords: steroid epidural injection, pain, disability, degenerative lumbar stenosis.
背景:椎管狭窄是一种椎管狭窄,压迫脊神经,可引起腿部疼痛和行走困难。退行性腰椎管狭窄症的症状通常发生在老年人身上,可以保守地使用止痛药或积极地进行减压手术治疗。然而,在印度尼西亚,关于硬膜外注射类固醇(EPI)减轻退行性腰椎管狭窄患者疼痛的有效性的研究缺乏。本研究旨在评估类固醇硬膜外注射方法在减轻退行性腰椎管狭窄患者疼痛和残疾方面的短期效果。对象和方法:这是一项队列研究,于2015年3月至2016年1月在中爪哇苏拉卡塔的R. Soeharso骨科医院进行。本研究共选择了50例退行性腰椎管狭窄症患者。因变量为疼痛和残疾水平。自变量为EPI。采用视觉模拟评分法(VAS)测量疼痛程度。用Oswestri残疾指数(ODI)衡量残疾水平。干预前后结局数据(EPI)采用t检验比较。结果:EPI后1个月VAS评分(平均36.20分)低于EPI前(平均63.20分),差异有统计学意义(p= 0.027)。EPI后1个月ODI得分(平均42.82分)低于EPI前(平均54.90分),差异有统计学意义(p= 0.033)。然而,在EPI后3个月,VAS和ODI的评分开始上升。结论:非手术类固醇硬膜外注射(EPI)在干预后3个月内可有效减轻退行性腰椎管狭窄症患者的短期疼痛和残疾。关键词:硬膜外类固醇注射,疼痛,残疾,退行性腰椎管狭窄。
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引用次数: 1
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Reaching the Unreached: Improving Population Health in the Rural and Remote Areas
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