Journal of Public Health Research (PAGEPress Publications)
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Differences in the quality of life of chronic kidney disease patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis
Full text linkBackground: Chronic kidney disease (CKD) is defined as a progressive disease that causes renal failure and requires extended and long-term therapies. CKD patients need to choose one of these therapies to improve their quality of life. This study aims to investigate differences in the quality of life of chronic kidney disease patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis (CAPD).Design and Methods: The study design used is similar to the cross-sectional design. Therefore, in this study observations were carried out, a EQ_5D life quality questionnaire sheet was administered to respondents, and a purposive sampling method was used. The total number of respondents was 250 and consisted of 125 hemodialysis and CAPD patients each.Results: The results obtained using the Mann Whitney method was a p-value (0.515)> α (0.05). These results also included five components, namely the ability to move/walk to an acceptable degree, adequate self-care, performance of usual activities, minimal amount of pain/discomfort during hemodialysis and CAPD, and acceptable levels of anxiety/sadness.Conclusions: This research concludes that there is no difference in the quality of life between CKD patients undergoing hemodialysis and CAPD
Implementing nursing round to deal with unresolved nursing problem on patient with acute pain: A case report
Full text linkBackground: The determining factors for improvement of health services quality includes nursing services. Furthermore, a method for providing this quality nursing services is professional nursing care model, and comprises nursing round. However, fewer hospitals implement this due to several barriers including lack of knowledge and practices. This study is, therefore, aimed at identifying improvements in quality of nursing care and solving of patient’s problem by frequent nursing rounds.Design and Method: This study employed a single case report design using exploratory and descriptive methods. A 27-year-old male underwent nephrectomy surgery to treat hydronephrosis. The person still revealed persistent pain in the surgery area even though it has been treated for 3 days. The staff nurses administered nursing round to discuss and solve this problem. The study participation was voluntary, while the involved patient gave the informed consent. The steps of nursing round procedure including preround, round, and post-round were used to solve the problem.Results: The results indicated that nurses discovered blood clots in the patient’s drain during nursing round. The cause of the persistent pain was revealed and used to determine the intervention modification needed. It was recommended to evacuate the blood clot and followed by appropriate pain management. Furthermore, the problem in the patient with acute pain was resolved.Conclusions: This study reveals the effectiveness of regular nursing rounds to enhance the outcome of nursing care and indirectly shows an increase in quality of nursing services provided. Therefore, to optimize nursing rounds, the commitment of the nursing management is significant
Correlation between the burden of family caregivers and health status of people with diabetes mellitus
Full text linkBackground: Family caregivers play an important role in providing long-term care for people with diabetes mellitus because it is a chronic disease that requires critical attention. This increases the burden of family caregivers which affects the health status of people with this disease. Therefore, the aim of this study is to determine the correlation between the burden of family caregivers and the health status of people with diabetes mellitus. Design and methods: This is an analytic observational study which was carried out in the work area ofpublic health centers in Malang City using a cross-sectional design approach. The subjects used were 327 people with diabetes mellitus and their families were selected using the cluster sampling technique. Data collection was carried out using demographic data instruments, Zarit Burden Interview (ZBI) questionnaire to measure the burden of family caregivers and the SF 12 questionnaire to measure the health status of people with diabetes mellitus.Results: The results of the Spermank-Rank statistical test showed that there was a negative relationship between the burden of family caregivers and the health status of people with diabetes mellitus (p-value 0.000 and coefficient value of -0.333).Conclusions: It was concluded that the lesser the burden on family caregivers, the better the health status of people with diabetes mellitus. Therefore, interventions are needed to reduce the burden of family caregiver and improve the health status of patients with diabetes mellitus
Associations between nutrition knowledge, protein-energy intake and nutritional status of adolescents
Full text linkBackground: Adolescence is a period of life with specific health and developmental needs. Nutrition in adolescents is necessary to be considered because it has to be in a balanced form. The data of Sleman District Health Office 2016 showed that 114 adolescents in Public Health Center of Mlati 1 had undernutrition. Also, it showed that the highest prevalence was at Vocational High School of Muhammadiyah Mlati, which was 42% male and 31% female students. This study aims to know the association of nutrition knowledge, protein-energy intake and adolescents’ nutritional status at Vocational High School of Muhammadiyah Mlati, Sleman Yogyakarta.Design and Methods: This was an observational analytical study with a cross-sectional design. The subjects were adolescents aged 15-18 years, selected using stratified random sampling with a total of 58 persons. Data collected were analyzed using the Spearman Rank Correlation for bivariate technique (where α = 0.05).Results: It was shown that 81.0% had a good nutrition knowledge, 91.4% had deficit energy intake, 82.8 % had deficit protein intake, and 58.6% had severe nutritional status. Bivariate analysis showed that there was no significant relationship between nutrition knowledge and nutritional status (p=0.394), but energy intake and nutritional status were related (p=0.010 <α = 0.05). Furthermore, protein intake and nutritional status had a significant relationship (p=0.039 <α = 0.05).Conclusions: To be concluded, there was a correlation between the protein and energy intake and nutritional status of adolescents
Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa
Full text linkBackground: Hidradenitis Suppurativa is a chronic inflammatory skin disease with a strong negative impact on physical and psychological health. Obesity, especially visceral adiposity, but also smoking or unhealthy nutritional habits, have been reported to be significantly associated with hidradenitis suppurativa.Design and Method: Case-control study in 35 patients of both sexes affected with hidradenitis suppurativa, and 35 healthy subjects matched for sex, age, and geographic origin (Sardinia, Italy).Results: Several anthropometric measures (body mass index, waist circumference, body composition), lifestyle (Mediterranean diet adherence, and physical activity level), and the perceived physical and mental health status were evaluated in case and controls. Hidradenitis patients showed significantly higher values of body mass index, waist circumference, body composition, fat mass, and lower values of physical and mental health status compared to controls, while both groups showed a similar moderate physical activity level which can be assumed to counteract the negative effects of obesity or poor nutritional pattern in hidradenitis patients. However, none of the evaluated variables were correlated with the severity of the disease, assessed by means of the Hurley stage system or the Sartorius score. Instead, the Sartorius score showed a positive correlation with the duration of hidradenitis, mainly imputable to the diagnostic delay and the consequent long lasting inflammatory status.Conclusions: Although nutritional factors and lifestyle can be important and modifiable factors in the hidradenitis suppurativa course, the detrimental effect of chronic inflammation and delayed management are clearly prevalent and heavily influence the disease burden
The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients
Full text linkBackground: The Worldwide resistance prevalence of the first-line TB drug, rifampicin (RR-TB), in 2017 was 7.4 per 100,000 population, and 82% of them experienced multidrug-resistant tuberculosis (MDR-TB). Indonesia is the top 20 country with an MDR-TB burden, and its prevalence is 8.8 per 100,000 population. MDR-TB requires a long-time treatment and has accompanying side effects: biological and psychosocial effects. However, efforts to overcome the psychosocial impacts have not been conducted. This study aims to determine the effect of acceptance and commitment therapy (ACT) on anxiety, depression, suicidal ideation, and treatment adherence in MDR-TB patients.Design and methods: This research employed a quasi-experimental design with a pre-test three post-tests using total sampling. The pre-test was conducted before the standard nursing intervention, post-test 1 was after the standard nursing intervention, post-test 2 was after ACT session 1, and post-test 3 was after ACT session 2. Data were collected by the Hamilton Rating Scale for Anxiety (HAM-A), Beck Hopelessness Scale (BHS), a Scale for Suicide Ideation (SSI), and Morisky Medication Adherence Scale (MMAS).Results: The standard nursing action and ACT reduce anxiety (p = 0.002), reduced depression (p = 0.0001), reduced suicidal ideation (p = 0.008), and increased treatment adherence (p = 0.0001).Conclusions: The standard nursing action and ACT reduce anxiety, depression, and suicidal ideation. They increase treatment adherence recommended for use in MDR-TB patients
Effectiveness health education and infant therapeutic group therapy on baby aged 0-6 months to prevent stunting risk factors: mother depression
Full text linkBackground: Stunting is a global and national problem that can be detected at the age of 2. Therefore, before this age, promotion efforts must be conducted to prevent stunting risk factors in the future. This study aims to determine the effect of health education and infant's Therapeutic Group Therapy on stunting's risk factor: maternal postpartum depression in Indonesia.Design and Methods: This study employed a quasi-experimental design with a pre-test and post-test with a control group. This study employed a purposive sampling technique, with 96 respondents divided into two groups. Intervention group 1 consisted of 48 people who received health education, and group 2 consisted of 48 people who received health education and infant's Therapeutic Group Therapy. The data were collected using the Depression Inventory-II (DI II) questionnaire with a bivariate analysis of the Wilcoxon test and frequency distribution.Results: The results show that health education and infant's Therapeutic Group Therapy significantly influence the risky factors in stunting: maternal depression. It can be concluded that there were significant changes in maternal postpartum depression in intervention group 1 and intervention group 2, but in intervention group 2 who got Health Promotion and Therapeutic Group Therapy (TKT) for Infants there was a bigger and more significant decrease.Conclusions: Nursing action, infants' Therapeutic Group Therapy, and health education are recommended to prevent risk factors for stunting: mother depression. The results of this study are expected to underlie the development of mental health promotion to prevent stunted against maternal depression and preventive programs. In addition, the research is expected to underly provision of curative and rehabilitative programs for stunted
Tuberculosis control within Indonesia’s hospital accreditation
Full text linkBackground: Tuberculosis (TB) is an infectious disease that is a major problem in Indonesia, placing Indonesia among the three major countries with the highest TB cases in the world. In addition, reporting of TB data from health service facilities, especially hospitals, is still weak. Since the implementation of Directly Observed Treatment Shortcourse (DOTS) in hospitals in 1995, the number of new TB case reports from hospitals is still low. In order to increase hospital participation in TB control, the government has made a breakthrough strategy, which is the integration of the DOTS strategy in hospital accreditation.Design and methods: This study conducted a literature review and document analysis related TB control standards in hospital accreditation and the implication for the involvement of hospitals in national TB program. This study analyzed regulations, policies, and procedures, including hospital accreditation instruments and annual reports of TB.Results: Accreditation standards related to TB control include: i) Hospital must implement a tuberculosis control program in the hospital, including monitoring and evaluation through activities such as health promotion, tuberculosis surveillance, controlling risk factors, detection and treatment of tuberculosis cases, providing immunity and preventive drugs; ii) Hospital prepares resources for service delivery and tuberculosis control; iii) hospital provides facilities and infrastructures for tuberculosis services in accordance with regulations; and iv) hospital conducts tuberculosis services and efforts to control tuberculosis risk factors in accordance with regulations.Conclusions: Standards and elements of the assessment of TB control components in accreditation are adjusted to the national TB control guidelines
Workaholism, sleep disorders, and potential e-learning impacts among Menoufia university staff during COVID–19 pandemic
No full textBackground: Workaholism is described as a constant, internal drive to work and behavioral addiction to work. Studies have shown the negative associations between workaholism, job performance, and health results as disrupted sleep. The purpose of this research was to compare the prevalence of workaholics among the academic staff of practical and theoretical Faculties in Egyptian universities using the Dutch Workaholism Scale (DUWAS) and to determine associated sleep problems. Also, it studied the added impact of E-learning on the prevalence of workaholism frequency during the COVID-19 pandemic.Design and Methods: A cross-sectional study was conducted among 336 participants. Work addiction was assessed using DUWAS (17 items) as well as questionnaires on personal, occupational characteristics, and sleep problems. DUWAS scale was repeated after six months during COVID 19 pandemic to investigate the impact of E-learning on the workaholic behavior of the studied groups.Results: Our study revealed that the prevalence of workaholism was 33 percent. 32.8% and 33.7% were listed for the faculties of Medicine and Arts, respectively. After the COVID-19 pandemic, workaholic frequency was significantly increased to be 46.4%. Adjusted logistic regression analysis showed that workaholism had negatively impacted sleep in terms of difficulty initiating sleep, difficulty maintaining sleep, and insufficient sleep.Conclusion: The prevalence of workaholism appears to be high among university staff members especially after COVID-19 crisis. Sleep problems were linked to workaholics more than other workers. We recommend encouraging employees to work to their contracted hours, as excess work over extended periods may have adverse effects not only on organizational productivity but also on their health
Comparing MRI and CT machine accessibility among urban and rural county hospitals
No full textBackground: In 2019, Navigant Healthcare published research showing that 1 in 5 rural hospitals in Minnesota are at risk of closing as they are not financially sustainable. With 26.7% of Minnesota’s population being rural, this is particularly worrisome. A substantial cost to rural hospitals is affording the installation, maintenance and operation of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) machines. In light of the serious pressures on rural hospitals, the aim of this paper is to investigate if a disparity exists in MRI and CT machine accessibility among Minnesota’s urban and rural county hospitals.Design and Methods: Hospitals of Minnesota were contacted and asked how many MRI and CT machines they carried at their facility. This information was compiled in an excel sheet and cross referenced to the county it resided along with the counties: population, rural-urban commuting area (RUCA) classification and land area in square mileage.Results: It was found that the state of Minnesota compared well to the national average in terms of persons and square mileage per MRI and CT machine. When comparing counties of Minnesota by their RUCA classification, a disparity is found in rural counties with regards to square mileage per CT and MRI machine.Conclusions: With distance for service creating a barrier to accessibility, rural county residents would benefit from more in-hospital MRI and CT machines. With these findings, it is pertinent further research is conducted to investigate the potential vulnerability of other rural populations with regards to accessibility to radiologic resources.