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Effect of Combination of Murottal Therapy And Relaxation of Deep on Hypertension in Trimester II Pregnant Women 莫罗托联合深部舒张治疗妊娠中期高血压的疗效观察
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.976
Fitria Hikmatul Ulya, Novita Sari, Siti Rohyati Eta
Latar Belakang: Hipertensi dalam kehamilan merupakan 5-15% penyulit kehamilan dan merupakan salah satu dari tiga penyebab tertinggi mortalitas dan morbiditas ibu hamil terutama di negara berkembang. Tujuan Penelitian: Mengetahui pengaruh kombinasi terapi murotal dan relaksasi  nafas dalam terhadap hipertensi pada ibu hamil trimester II. Metode penelitian: jenis penelitian ini adalah Quasi Experiment dengan Pre and Post Test Design, teknik pengambilan sampel purposive random sampling dengan sampel 18 hamil trimester II di wilayah kerja Puskesmas Warureja, Alat penelitian menggunakan lembar observasi, SOP pterapi murotal, SOP relaksasi nafas dalam, tensi meter, smartphone, headphone. Analisis yang digunakan yaitu uji wilcoxon. Hasil Penelitian: didapatkan median tekanan darah sistolik responden sebelum dilakukan kombinasi terapi murotal dan relaksasi nafas dalam sebesar 140 mmHg dan diastolik sebesar 100 mmHg sedangkan sesudah intervensi didapatkan nilai median sebesar 130 mmHg dan diastolik sebesar 80 mmHg. Hasil uji Wilcoxon di peroleh nilai p value 0,000 (sistolik) dan 0,001 (diastolik) atau (p<0,05). Kesimpulan: Ada pengharuh kombinasi terapi murotal dan relaksasi nafas dalam terhadap hipertensi pada ibu hamil trimester II di Puskesmas Warureja Kabupaten Tegal.
背景:妊娠高血压代表5-15%的妊娠营养素,是产妇死亡率和发病率主要在发展中国家的三大原因之一。研究目的:确定murotal疗法和深呼吸对孕妇妊娠期高血压的影响。研究方法:这类研究是一种试验前和后设计测试的Quasi实验,一种在Puskesmas Warureja工作区域进行的18个怀孕期抽样技术,采用一种使用观景台、murotal p净化器、深度蒸馏、换气表、智能手机、耳机的研究工具。wilcoxon测试使用的分析。研究结果:在murotal疗法和舒张疗法共140 mmHg和舒张疗法共100 mmHg之前,经测量的收缩压中分值为130 mmHg,舒张压为80 mmHg。威尔科森的测试结果为p值值0(收缩压)和0 001(舒张率)或(p<0。05)结论:在特加尔郡的Puskesmas Warureja区,对高血压的孕妇进行了为期三个月的肺动脉高压治疗和深呼吸放松。
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引用次数: 0
Risk Factors For Malaria Incidence In Pregnant Women In Puskemas Bosnik And Marau Regency Biak Numfor 普斯科马斯、波斯尼亚和马拉摄政地区孕妇疟疾发病率的危险因素
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.1047
Inggrit Rita Uli Manik, Ritha Rumansara, Ruslan .
Malaria infection in pregnancy is very detrimental to both the mother and the fetus it contains, because it can increase the morbidity and mortality of the mother and fetus. The prevalence of malaria in Papua Province with Annual Parasite Incendence in 2016 amounted to 208.95 per thousand population, the prevalence of malaria in pregnant women in Papua Province as much as (3.09%). The prevalence of malaria in pregnant women in Biak Numfor Regency in 2017 was 4.11%. The purpose of this study was to determine the risk factors for the incidence of malaria in pregnant women at the Bosnik and Marau Health Centers, Biak Numfor Regency in 2018.This study is an observational study with case control design in pregnant women in the Bosnik Health Center and Marauw Health Center area of Biak Numfor Regency. The study sample with simple random sampling was 27 pregnant women as cases and 27 pregnant women as control.data analised with chi square test. From the results of a multivariate analysis found 2 (two) variables associated with malaria incidence in pregnant women, namely sleeping not using mosquito nets (OR = 3,768 p = 0.024 95% CI 1,158-12,270) and Hb anemia < 9 gr% (OR = 5,500 p = 0.013 95% CI 1,323-22,862) while 3 (three) variables namely low economic status, first parity and ≥ 4 and nutritional status is not associated with malaria incidence. Risk factors for malaria incidence in pregnant women are related to sleep habits not using mosquito nets and anemia Hb < 9gr%.
妊娠期感染疟疾对母体和胎儿都非常有害,因为它会增加母体和胎儿的发病率和死亡率。2016年,巴布亚省疟疾流行率为208.95 /千人,孕妇疟疾流行率高达3.09%。2017年比亚克努福县孕妇疟疾患病率为4.11%。本研究的目的是确定2018年Biak Numfor Regency波斯尼亚和马劳卫生中心孕妇疟疾发病率的危险因素。本研究是一项病例对照设计的观察性研究,研究对象为Biak Numfor reggency地区Bosnik卫生中心和Marauw卫生中心地区的孕妇。本研究采用简单随机抽样的方法,选取27名孕妇作为病例,27名孕妇作为对照。数据用卡方检验分析。从多变量分析的结果中发现2(2)个变量与孕妇的疟疾发病率相关,即睡眠不使用蚊帐(OR = 3,768 p = 0.024 95% CI 1,158-12,270)和Hb贫血< 9gr % (OR = 5,500 p = 0.013 95% CI 1,323-22,862),而3(3)个变量,即低经济状况、第一胎和≥4胎以及营养状况与疟疾发病率无关。孕妇疟疾发病率的危险因素与不使用蚊帐的睡眠习惯和贫血Hb < 9gr%有关。
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引用次数: 2
The Relationship of Psychological Stress With Breast Milk Production to Breastfeeding Mothers Post Delivery in the Clinic Wulandari Medan in 2021 2021年棉兰市乌兰达里诊所母乳喂养母亲心理应激与产奶量的关系
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.821
Desideria Yosepha Ginting, Layari Tarigan, Dwi Handayani, Lasima Hotma Sitio
Postpartum mothers are mothers in the postnatal period, postpartum mothers often experience psychological stress which usually occurs in the first week to the sixth week after delivery. Mother's psychological stress usually occurs due to hormonal factors, family support, new roles, busy taking care of babies and lack of knowledge. Breast milk is a very important source of nutrition to meet the needs of babies, one of the factors that affect breast milk production is psychological stress. The purpose of this study was to identify the relationship between psychological stress and breast milk production in postpartum breastfeeding mothers at the Wulandari Clinic, Medan. This type of research is quantitative research with a correlation research design with a cross-sectional approach. The sampling technique in this study was total sampling with 38 respondents. The measuring instrument in this study used a questionnaire sheet. Data analysis was performed using the chi-square test. The result of this study is that the p-value of 0.000 is smaller than a significant value of 0.05, so there is a relationship between psychological stress and milk production in breastfeeding mothers after childbirth at the Wulandari Clinic, Medan in 2021.
产后妈妈是产后时期的妈妈,产后妈妈经常会经历心理压力,这种压力通常发生在分娩后的第一周到第六周。母亲的心理压力通常是由于荷尔蒙因素、家庭支持、新角色、忙于照顾婴儿和缺乏知识而产生的。母乳是满足宝宝需要的非常重要的营养来源,影响母乳产量的因素之一是心理压力。本研究的目的是确定心理压力与产后母乳喂养母亲的母乳产量之间的关系。这种类型的研究是定量研究与相关研究设计与横断面方法。本研究的抽样方法为总抽样,共38人。本研究的测量工具为问卷调查。数据分析采用卡方检验。本研究结果为p值0.000小于显著性值0.05,说明2021年棉兰Wulandari诊所母乳喂养母亲分娩后的心理压力与产奶量存在关系。
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引用次数: 0
Correlation Between Anemia And The Incidence Of Low Birth Weight (LBW) 贫血与低出生体重(LBW)发生率的关系
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.1028
Oktaviana Dewi Lolita, Ira Titisari, Sumy Dwi Antono
Low Birth Weight (LBW)  is newborn who weight less than 2,500 grams. LBW also has an impact on infant namely anemia, hypothermic, hyperbilirubinemia, hypoglyglyemi, respiratory syndrome. One major factor causes anemia during pregnancy. The update of this study is to discuss the relationship between anemia and LBW in developing countries, especially in the continents of Asia and Africa. The purpose of this study is to learn about anemia and LBW in developing countries on the Asian and African continents with literature review. The study design used is the study literature review by scoping study. A journal or article search involves using a keyword or keyword that "anemia to LBW, anemia in pregnancy, Low Birth Weight, LBW" and by using the designated inclusion and exclusion criteria. Assessments of the quality of articles or journals are made by using critical appraisal and will be carried out in 2021. Obtained 11 article publications from 2014 to 2020. From th review result showed that there is a correlation between anemia and low birth weight baby or LBW. The number of anemia in pregnancy does not always determine the number of babies born with LBW. Anemia in pregnancy can be the cause of the LBW baby.
低出生体重(LBW)是指新生儿体重低于2500克。低体重对婴儿也有影响,即贫血、体温过低、高胆红素血症、低血糖、呼吸综合征。导致怀孕期间贫血的一个主要因素。本研究的最新进展是讨论发展中国家,特别是亚洲和非洲大陆的贫血与低体重之间的关系。本研究的目的是通过文献综述了解亚洲和非洲大陆发展中国家的贫血和低体重。采用的研究设计是采用范围研究法对研究文献进行综述。期刊或文章搜索包括使用一个或多个关键字“贫血到低体重、孕期贫血、低出生体重、低体重”,并使用指定的纳入和排除标准。文章或期刊的质量评估将采用批判性评估方法,并将于2021年进行。2014 - 2020年共发表论文11篇。从综述结果来看,贫血与低出生体重儿或低体重儿存在相关性。怀孕期间贫血的数量并不总是决定出生时患有LBW的婴儿数量。妊娠期贫血可能是导致婴儿低体重的原因。
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引用次数: 0
Effectiveness Of Giving Biscuits To Increase Body Mass Index (Bmi) And Interpretation Of Fetal Weight In Pregnant Women Chronic Energy Deficiency 慢性能量缺乏症孕妇给予饼干增加体重指数(Bmi)的有效性及胎儿体重的解释
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.987
D. ., Sri Julia Ningsih, Tati Murni Karo Karo, Siti Sarah Bintang
Supplemental Feeding (PMT) is a program launched by the government to improve the nutrition of pregnant women. The prevalence of pregnant women with chronic energy deficiency problems in developing countries ranges from 15-47% with a BMI of <18.5. The country with the highest prevalence is Bangladesh at 47%. While Indonesia became the fourth largest after India with a prevalence of 35.5%. The purpose of this study is to find out the effect of PMT biscuits on the increase in the body index of pregnant women and the interpretation of fetal weight in pregnant women with chronic energy deficiencies in the working area of Puskemas Sei Suka district Sei Suka Batu Baru District in 2021. The design of this research is quantitative with an experimental quasi approach. The population in this study is all pregnant women with chronic energy deficiency Sampling techniques use consecutive sampling where the sample is taken if it meets the criteria. Data analysis using Paired Sample T Test analysis The results of the study obtained a significant influence on the administration of PMT biscuits on the increase in BMI of pregnant women with a value of p = 0.001 and interpretation of fetal weight (IFW) p = 0.0001 had a significant influence (p < 0.05). From the results of research, the provision of PMT in pregnant women can increase for the mother and the fetus through the interpretation of fetal weight but must be with close supervision, this is due to the attitude of mothers who do not consider the important pattern of weight gain of pregnant women but also there is a sense of boredom in the taste. In the results of the study it can be concluded that the administration of PMT biscuits can improve the welfare of the mother and fetus.
补充喂养(PMT)是由政府发起的一项改善孕妇营养的计划。在发展中国家,患有慢性能量缺乏症的孕妇患病率在15-47%之间,BMI <18.5。发病率最高的国家是孟加拉国,为47%。而印度尼西亚则以35.5%的患病率成为仅次于印度的第四大。本研究的目的是了解PMT饼干对2021年Puskemas Sei Suka区Sei Suka Batu Baru区工作区内慢性能量缺乏孕妇身体指数增加的影响及胎儿体重的解释。本研究的设计是定量与实验准方法。本研究的人群均为患有慢性能量缺乏症的孕妇。抽样技术采用连续抽样方法,如果符合标准,就进行抽样。数据分析采用配对样本T检验分析,研究结果得出PMT饼干给药对孕妇BMI升高有显著影响(p = 0.001),对胎儿体重(IFW)解释p = 0.0001有显著影响(p < 0.05)。从研究结果来看,在孕妇中提供PMT可以通过对胎儿体重的解释为母婴增加,但必须在密切的监督下进行,这是由于母亲的态度没有考虑到孕妇体重增加的重要模式而在口味上也有一种无聊感。在研究结果中可以得出结论,PMT饼干的管理可以改善母亲和胎儿的福利。
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引用次数: 0
Characteristic Of Environmental Sanitation in Family With Stunting Children Under Five Years Of Age 五岁以下发育迟缓儿童家庭环境卫生特点
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.1043
Endah Kusuma Wardani, Lutvia Dwi Rofika
Attention to malnutrition has increased in recent decades, one of which is stunting. The nutritional problem that is currently being highlighted in the world is stunting where there are around 161 million children experiencing stunting. Stunting is a measure of short height compared to age. Factors causing stunting consist of direct and indirect causes, one of which is from the aspect of environmental sanitation, namely access to clean water, sanitation and hygiene. This study aims to provide an overview of the characteristics of environmental sanitation in families with stunting children under five years of age in the Klatak and Wonosobo Public Health Centers, Banyuwangi. This research is a descriptive study and a case series design. The research subjects used were 60 stunting toddlers with proportional random sampling as the sampling technique. The variables in this study were environmental sanitation, which consisted of access to clean water, ownership of clean water facilities, ownership of bathrooms, ownership of latrines, and ownership of cattle pens. The research instrument used a questionnaire to measure the characteristics of respondents and environmental sanitation conditions, interview guidelines, observation sheets, KIA books, and weighing month reports. The data was processed using descriptive analysis. The results depicted in this study are that most of the research subjects live in families that have access to clean water, have bathrooms and latrines, but also in families who have cattle pens close to the main house. Monitoring of ownership, use, and maintenance of access to clean water, latrines, bathrooms, and livestock cages in the home environment must be carried out properly so that it can become one of the strategies in preventing stunting under five. Prevention of contamination of water, soil, and air quality is one of the ways in preventing stunting in toddlers so that toddlers can develop optimally according to their age and growth period.
近几十年来,人们越来越关注营养不良,其中之一就是发育迟缓。目前世界上最突出的营养问题是发育迟缓,约有1.61亿儿童发育迟缓。发育迟缓是与年龄相比身高不足的一种衡量标准。造成发育迟缓的因素包括直接原因和间接原因,其中之一是来自环境卫生方面,即获得清洁水、环境卫生和个人卫生。本研究旨在概述班育旺吉克拉塔克和沃诺索博公共卫生中心五岁以下发育迟缓儿童家庭的环境卫生特点。本研究采用描述性研究和案例系列设计。研究对象为60名发育迟缓幼儿,采用比例随机抽样的抽样方法。本研究的变量是环境卫生,包括获得清洁水、拥有清洁水设施、拥有浴室、拥有厕所和拥有牛圈。研究工具使用问卷来测量受访者的特征和环境卫生条件、访谈指南、观察表、KIA书籍和称重月报告。数据采用描述性分析处理。本研究描述的结果是,大多数研究对象生活在有清洁水、有浴室和厕所的家庭,但也有在主屋附近有牛圈的家庭。必须对家庭环境中获得清洁水、厕所、浴室和牲畜笼的所有权、使用和维护情况进行适当监测,使其成为预防五岁以下发育迟缓的战略之一。防止水、土壤和空气污染是预防幼儿发育迟缓的方法之一,使幼儿能够根据其年龄和生长期获得最佳发展。
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引用次数: 0
Effects of Counseling on the Preparation of Labor For pain of Labor 心理咨询对临产准备的影响
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.971
Titin Novayanti Dey, Yurizki Telova
Mothers who get additional information during pregnancy about how preparations and processes during labor later will greatly assist mothers in understanding kedaannya and reduce excessive anxiety. This study aims to analyze the influence of counseling on delivery preparation for labor pain in the intervention group and control group. This research is a kind of quasi experiment research, that is difference of mother primigravida given counseling about delivery preparation as intervention group and mother primigravida not given counseling about delivery preparation as control group. A sample of 15 people in the intervention group and 15 people in the control group. Then filled the questionnaire VAS (visual analogue scale) to assess pain after childbirth. Data were analyzed using mann-whitney test. The results showed that all control groups felt very severe pain level at the time of delivery of 15 people (60.0%) while the intervention group of pain level that was felt during the most labor was very heavy pain 10 people (40.0%), severe pain 4 people (100%) and moderate pain 1 person (100%).
母亲在怀孕期间获得关于分娩准备和过程的额外信息将极大地帮助母亲理解kedaannya并减少过度焦虑。本研究旨在分析咨询对干预组和对照组分娩准备的影响。本研究是一种准实验研究,即干预组接受分娩准备咨询的初产妇与对照组未接受分娩准备咨询的初产妇的差异。干预组的15人和对照组的15人。然后填写VAS(视觉模拟量表)问卷,评估分娩后疼痛。数据分析采用mann-whitney检验。结果显示,对照组分娩时疼痛感极重者15人(60.0%),干预组分娩时疼痛感极重者10人(40.0%),疼痛感极重者4人(100%),疼痛感中度者1人(100%)。
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引用次数: 0
The Relationship Of Anemia In Pregnancy With The Event Of LBW Babies (Low Birth Weight) at Supiori Hospital 苏必瑞医院妊娠期贫血与低出生体重儿事件的关系
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.1051
S. Wahyuni, A. A. A. Putri, Sarah Imbir
Background: Anaemia is a common medical problem in pregnancy. The extent up to which, maternal anaemia effects maternal and neonatal health is still uncertain. Maternal anaemia is commonly considered a risk factor for low birth weight (LBW) babies. The purpose of this study was to determine the relationship between anemia in pregnancy and the incidence of LBW infants in Supiori Hospital. This research method used an analytical survey with a cross sectional approach by looking at the medical record data at the Supiori Hospital in Januari-May 2021 who giving birth as many as 80 responden. Sampling technique with total sampling. Bivariate analysis used chi-square. Results: Bivariate analysis showed statistical test results using chi-square obtained a significant value, namely 0.000 <0.05. Conclusion: There was a relationship between pregnancy and anemia with the incidence of LBW infants in Supiori Hospital.  
背景:贫血是妊娠期常见的医学问题。产妇贫血对产妇和新生儿健康的影响程度仍不确定。产妇贫血通常被认为是低出生体重儿(LBW)的危险因素。本研究的目的是确定妊娠贫血与苏必瑞医院低体重儿发生率之间的关系。该研究方法通过查看2021年1月至5月在苏皮奥里医院分娩的80多名患者的病历资料,采用了横断面分析调查法。全抽样抽样技术。双变量分析采用卡方分析。结果:双因素分析显示,卡方统计检验结果得到显著值,即0.000 <0.05。结论:苏必利医院LBW患儿的发生率与妊娠、贫血有关。
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引用次数: 1
Kelor Leaves Infusion as a Alternative in Increasing the Volume of Breastmilk and Birth Weight in Newborn 克乐叶输液作为增加新生儿母乳量和出生体重的替代方法
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.1027
Diah Evawanna Anuhgera, Nikmah Jalilah Ritonga, R. Sitorus
Background: An increase in the volume of breast milk and baby weight is the hope of every mother during breastfeeding. The consistency and quality of breastfeeding is determined by a mother. Moringa leaves, which is a typical plant in Indonesia, have many benefits, especially to increase milk production and nutrition for infants and children in the growth process. The purpose of this study was to determine the effect of morinaga leaves in increasing the volume of  breast milk and birth weigh of babies. Method:The design of this study was quasy eksperimental studies with purposive sampling with inclusion criteria. The sample in this study were all breastfeeding mothers on the first postpartum day as many as 30 people. In this study there were two groups, namely the control group and the intervention group. The instruments in this study were Moringa leaves, measuring cups, electric breast pumps, and baby scales and observation sheets. Data analysis used is paired and unpaired t-test. Result:The results showed that there was a difference between before and after the administration of Moringa leaves in the intervention group of 38.95 ml, while in the control group it was 16.1 ml. The baby's weight gain in the intervention group was 585 grams. Statistical results showed that giving Moringa leaves was effective on breast milk volume and infant weight with a significance value of p = 0.00 while in the control group there was a difference in the increase in breast milk volume with p = 0.000 but there was no significant difference in the baby weight variable with a value of p = 0.651. Conclusion: Moringa leaves infusion can be used as an alternative therapy to increase the volume of breast milk and baby weight in the breastfeeding process. Specialized health workers for midwives can assist mothers in educating postpartum mothers in consuming steeped Moringa leaves to increase breast milk and baby weight and support the success of exclusive breastfeeding
背景:母乳量的增加和婴儿体重的增加是每个母亲在母乳喂养期间的希望。母乳喂养的一致性和质量是由母亲决定的。辣木叶是印度尼西亚的一种典型植物,有许多好处,特别是在婴儿和儿童的生长过程中增加牛奶产量和营养。本研究的目的是确定森永叶在增加母乳量和婴儿出生体重方面的作用。方法:本研究设计为准实验研究,目的抽样,纳入标准。本研究的样本均为产后第一天哺乳的母亲多达30人。本研究分为两组,即对照组和干预组。这项研究的工具是辣木叶,量杯,电动吸奶器,婴儿秤和观察片。数据分析采用配对和非配对t检验。结果:结果显示,干预组给辣木叶前后有38.95 ml的差异,对照组给辣木叶前后有16.1 ml的差异,干预组婴儿体重增加585 g。统计结果显示,给予辣木叶对母乳量和婴儿体重有显著影响,p = 0.00;对照组母乳量的增加有显著差异,p = 0.000,但婴儿体重变量无显著差异,p = 0.651。结论:辣木叶输液可作为母乳喂养过程中增加母乳量和婴儿体重的替代疗法。助产士的专业保健工作者可以帮助母亲教育产后母亲食用浸泡的辣木叶,以增加母乳和婴儿体重,并支持纯母乳喂养的成功
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引用次数: 0
Midwives On The Frontline: History Of Exposure To Covid-19 And Relationship With Anxiety 一线助产士:接触Covid-19的历史及其与焦虑的关系
Pub Date : 2022-04-25 DOI: 10.35451/jkk.v4i2.1049
Rahmi Nurrasyidah, Lutfiana Puspita Sari
Midwives have a high risk of being infected COVID-19 because they have a heavy workload. Midwives who work in health services also have families to protect. The threat of being exposed to COVID-19 can affect their psychological state include anxiety. This study aims to determine the relationship between a history of exposure to COVID-19 in midwives and their families with the midwife's anxiety about COVID-19. This is a cross sectional study design. Sample involved in this study was 135 midwives working in Klaten Regency. The instrument uses a questionnaire. Results of the study found that there was no significant relationship between midwife's and family's history of being exposed to COVID-19 and the midwife's anxiety about COVID-19 (p value > 0.005). It is necessary to improve the design with case controls in future studies.
助产士的工作量很大,因此感染COVID-19的风险很高。在卫生服务部门工作的助产士也有家庭需要保护。暴露于COVID-19的威胁会影响他们的心理状态,包括焦虑。本研究旨在确定助产士及其家人接触COVID-19的历史与助产士对COVID-19的焦虑之间的关系。这是一个横断面研究设计。本研究涉及的样本是在克拉滕县工作的135名助产士。该仪器使用问卷调查。研究结果发现,助产士及其家族接触史与助产士新冠肺炎焦虑无显著相关(p值> 0.005)。在未来的研究中,有必要改进病例对照的设计。
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引用次数: 0
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