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The International Conferences on Applied Science and Health (ICASH): Efforts and Commitments in Translating Research Results into Policy and Practices, for a Better Society
Get PDFKnowledge, Attitudes, and HIV/AIDS Risk Behaviors of Myanmar Migrant Workers in Thailand
Get PDFBackground: HIV/AIDS is still a problem in the health care system of developing countries. Migrant workers are considered a vulnerable population for HIV infection. The current information on HIV/AIDS and migrant workers is useful to provide suitable effective health interventions for the prevention of HIV/AIDS. This study aims to describe knowledge, attitudes and HIV/AIDS risk behaviors among Myanmar male migrant workers in Thailand.
Methods: A cross-sectional study was conducted in Myanmar male migrant workers aged 18-60 years collected from February to May 2018. A total of 400 migrant workers who live in Patumthani provinces were selected by a convenience sampling method. Descriptive statistics were used to explore knowledge, a􀦮tudes and HIV/AIDS risk behaviors of participants.
Results: The mean age of the participants was 33 years, ages ranged from 18 to 60 years old, achieved primary school (40.40%), and married (54.30%). An average living in Thailand was 3.25 years and monthly income was 9,166 baht (_286 USD), respectively. A majority of participants had a poor level of HIV/AIDS knowledge (55.25%) and a fair level of an attitude about HIV/AIDS disease and prevention (61.25%). Risk behaviors related to HIV/AIDS of participants who had sex with non-partners were 40.58%.
Conclusion: Most participants had poor knowledge and a fair attitude of HIV/AIDS. Risk behaviors related to HIV/AIDS of the participants were relatively high. Moreover, most of participants had less access to health care services. This results confirmed that an urgent need to provide health intervention to increase knowledge on HIV/AIDS of Myanmar migrant workers in Thailand.
Keywords: Myanmar migrant workers, HIV/AIDS, risk behavior, Thailand
Received: 19 May 2019 Reviewed: 8 June 2019 Revised: 24 June 2019 Accepted: 1 July 2019
DOI: 10.35898/ghmj-3358
DESCRIPTIVE STUDY OF DIETARY PATTERNS AND PHYSICAL ACTIVITIES AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS IN COMMUNITY HEALTH CENTER OF KESUNEAN, CIREBON
Get PDFBackground: The prevalence of Diabetes Mellitus (DM) remains high in Indonesia. The Basic Health Research of Indonesia in 2018 revealed that 2% of 250 million population were diagnosed of DM. Unbalanced dietary patterns and lack of physical activities contributed as the risk factors of DM type 2. Particularly, this study wants to find out the description of dietary patterns and physical activities among patients in the community health center of Kesunean, Cirebon.
Methodology: This descriptive study used 89 people with DM type 2 aged 45-65 years as the respondents. Consecutive sampling was used as the sampling technique, while recall questionnaire of 24-hour food consumption and food frequency for diet and Baecke questionnaire for physical activity were used as data collection techniques.
Results: The results of frequency distribution analysis showed that 64 (71.9%) respondents had unbalanced diets, while 25 (28.1%) of them had balanced diets. Regarding physical activities, 51 (57.3%) respondents had low intensity of physical activities and 38 (42.7%) patients had moderate intensity of physical activities.
Conclusion: Most of the respondents with DM type 2 had unbalanced diets and low intensity of physical activities. Community Health Center of Kesunean should provide communication, information and communication about the importance of balanced diets and physical activities in order to prevent the incidence of DM type 2.
Keywords: Physical activity, diet, type 2 diabetes mellitu
STORIES OF MOTHERS WITH INTELLECTUAL DISABILITY CHILDREN IN WEST SUMATERA, INDONESIA
Get PDFBackground: Children with intellectual disability are rejected not only by other individuals around them but also by their own family. Even though they need support from the mother to achieve accurate conformity. The form of mother social support can be in the form of emotional support, appreciation, instrumental and informative. However, the parents of Children with intellectual disability often refuse the presence of their children. The purpose of this study was to obtain qualitative data on the experience of mothers who have intellectually disabled children
Methods: This study is a qualitative research conducted by interview using the semi-structured interview method. The participants were selected by using purposive sampling technique. The data were qualitative analyzed by employing Collaizi model. The participants in this study were 6 mothers who have children with intellectual disability
Results: Participants have a positive perception about the educational needs of children with intellectual disability. However, due to financial issues, participants do not provide education for their intellectually disabled children. They mentioned that if their intellectually disabled children were properly, they would be able to take care of themselves and would no longer depend on others.
Conclusion: In this study, the researchers found five themes of mothers' stories with intellectual disability child in West Sumatera, Indonesia, including (1) their unawareness of their intellectually disabled children condition; (2) disappointment as the initial response knowing their children status; (3) anxiety and worry about their children future; (4) financial issues as a factor in obstructing education, and (5) religious worship as a source of strength. The results of this study can be used in nursing practice so that families can maintain the sources of strength to accept the fact that they have children with intellectual disabilityand that education is very important for children with intellectual disability.
Keywords: Intellectual Disability, Education, Mothers' Experience, Mothers' storie
A DEMOGRAPHIC PICTURE ON MEDICAL CHECK UP PATIENTS AND ITS ASSOCIATION WITH PATIENT SATISFACTION LEVEL AT X HOSPITAL IN WEST JAKARTA FOR THE PERIOD OF OCTOBER 2018- FEBRUARY 2019
Get PDFBackground: Nowadays, the trend of non-communicable diseases is increasing around the world. The Sustainable Development Goals (SDG'S) sets the target to decrease number of mortality and morbidity from non-communicable diseases. One of the strategies to achieve the target is by doing medical checkup routine in the hospital. To do medical check-up is affecting by the patient satisfaction with the hospital services. The characteristic of patients can influence the patient to do medical check-up andwill affect the satisfaction level with the hospital services. This study aims to examine the demographic characteristic of patients associated with patient's satisfaction level in hospital "X”.
Methods: This study was a quantitative study used cross-sectional method. The sample in this study was 502 patients during October 2018 to February 2019. The dependent variable in this study was patient's satisfaction. The independent variables were age, gender, residential area, marital status, and patient status in hospital. The data was analysed in univariate and bivariate analysis used Chi-square.
Results: The demographic characteristic of patients in hospital "X” were majority female, had aged 50 years and older, married, lived near hospital "X”, and actually old patient in the hospital. Bivariate analysis showed that age associated with patient's satisfaction level (p value = 0.000, CI 95%). Meanwhile the other demographic characteristics were not statistically significant with patient's satisfaction.
Conclusion: This study showed that majority of the patients who did medical check-up in the hospital "X” had aged 50 years and older, married, lived near hospital "X”, and actually old patient in the hospital. The aged of the patient was statistically significant associated with patient's satisfaction. Therefore, the medical check-up service of hospital "X” should be improved based on existing market segment.
Keywords: Medical Check Up, demographic characteristic, satisfactio
HOW EFFECTIVE IS SIMULATION-BASED EDUCATION FOR IMPROVING THE NURSES' KNOWLEDGE ON PEDIATRIC IV INSERTION: A SYNTHESIS FROM AWAL BROS HOSPITAL GROUP IN INDONESIA
Get PDFBackground: Simulation-based nursing education has been growing rapidly and becomes one of the most popular teaching methods for improving patient safety and patient care. One of the difficult Nursing skills to achieve is IV insertion. Due to the high complaints in the number of IV insertion attempts in the paediatric patients, the Nursing Corporate of Awal Bros HospitalGroup organized an educational program emphasizing the team training, clinical decisionmaking and communication skills. These were the first internal education sessions using live rabbits and mannequins. This study aimed to evaluate the attitude of the participants, the selfconfidence level and their change in the knowledge on clinical performance in Paediatric IV Insertion after attending the educational program.
Methods: The training and education sessions were conducted at Awal Bros Hospitals in Bekasi Barat and Tangerang during March and April 2019. The participants included a total of 52 Nurses. Pre- and Post-tests consisting of 20 multiple choice questions were administered to the participant before and after the 3-day simulation-based training workshop in Bekasi Barat and after the 2-day simulationbased training workshop in Tangerang. The workshop also utilized rabbits for the participants to practice their hands-on skills.
Results: A total of 52 Nurses working in different Nursing units were enrolled. The mean pre-test and post-test scores were 43.81 and 87.52 respectively. In the Statistics Test table, the value of Asymp. Sig (2-tailed) was 0,000. Because the value of sig 0,000 < 0.05 was according to the statistical tests we used, then there are significant differences between before training and after training.
Conclusions: Participants had positive attitude toward this new training program. They stated that this technique was more exciting and effective compared to the "traditional” techniques such as lecture, power point presentations or Q&A that they attended. Significant improvement of the knowledge on clinical performance in Nurses participating in these training and education session was observed after the participation in this simulation-based educational program. Many expressed their higher selfconfidence in doing IV insertion to the future patients, especially babies and children. More simulationbased education using pre- and post-tests are recommended.
Keywords: Education, Nursing, IV Insertio
THE VARIATION OF CAESARIAN SECTION COSTS IN INDONESIAN HOSPITALS: A NARRATIVE REVIEW
No full textBackground: In providing services, hospital, as one of the health care providers, must be able to regulate the number of costs obtained in accordance with the proportion/variation. The costs incurred by hospitals in providing complete personal health services consist of various cost components, including service fees, pharmacy costs, accommodation costs, action costs, investigation fees, and administrative costs. The cost calculation is one of the strategic steps that must be taken in marketing because it will be used for pricing. Caesarean Section (CS) surgery is one of the largest services and costs a lot in the hospital; careful planning is needed. This study aims to look at the variation in the cost components of CS services in Indonesia based on hospital level, hospital ownership.
Methods: This study is a quantitative research Narrative Review by analyzing twenty hospitals in six provinces representing Indonesia from the thesis found in lib.ui database. The analysis in this study is the amount of proportion/variation in the cost components with the type of hospital and hospital ownership. Meanwhile, the criteria for selected hospitals are government-owned and private hospitals with types A, B, C and D. To be able to compare these data and avoid inflation differences, it is necessary to do data collection or valuation presentation (VP). The chosen cases were the usual CS without emergency and complication
Results: There was a wide variation in CS service cost components, namely medical services (25% - 90%), accommodation (2% -39%), investigations (1% -36%) and drugs and BHP (2% -50%) both in government and private hospitals. Government-owned type B hospitals and government and private type C costs for medical services are greater than 44%.
Conclusion: There are variations in the cost components of CS services at hospital types B and C. There is a need for government efforts to make regulations regarding the magnitude of the ideal cost component as a reference for all hospitals in Indonesia.
Keywords: Caesarian section costs, Hospital, Indonesi
LEADERSHIP SKILL AND MANAGEMENT PROCESS IN CENTER OF INFORMATION AND COUNSELING (CIC) AT UPPER SECONDARY SCHOOLS IN SOUTH JAKARTA CITY, INDONESIA
Get PDFBackground: Indonesian adolescent problems have increased from year to year based on data from the Indonesia Health Demographic Survey (IDHS). Center of Information and Counseling (CIC) is a nonformal education form which is established with particular purposes in order to help youth generation in the health and social sector. The high number of CIC does not guarantee the quality and the decreasing of adolescent health problems. This study is to examine the ability of leader and managementimplementation in CIC, to study problems that occurred in CIC, and find the best alternative solution to reduce these problems.
Methods: The research used quantitative and qualitative method approach. Exploratory research design is used to analyze leadership skill and management in the Center of Information and Counseling. The number of population in this study is 117 students who are CIC members from 9 upper secondary schools. For the qualitative method, 13 students who are chairman and peer educator are selected to join in a focus group discussion (FGD).
Results: Based on Pearson product-moment, there was a correlation between leadership skill and management process in significant level at 0.01 (r=.552). Technical skill and controlling function have the highest correlation compared with others. This finding is in line with the result of the focus group discussion. Some indicators have been founded that caused as obstacles. Some alternative solutions are given to overcome the problems and to increase the performance within CIC.
Conclusion: Cooperation among all stakeholders both internal and external are needed in supporting dan developing the existence of the Center of Information and Counseling for youth generation.
Keywords: non-formal education, adolescent reproductive health, youth leadership skill, managemen
Potential of garlic (Allium sativum) essence in changing blood lipid profile of the hypertension patients with hypercholesterolemia
Get PDFBackground: As like hypertension, hypercholesterolemia is a major risk factor for cardiovascular disease and hypertension and its complications are one of the highest causes of death in the world.Aims: This study aims to determine the potential of garlic essence (Allium sativum) mixed with honey in changing blood pressure and lipid profile of blood in the hypertension patients with hypercholesterolemia, and to compare the effectiveness with those who received Simvastatin, the most preferred pharmacological treatment of hyperlipidemia.Methods: This research is a quasy experiment study with a Nonequivalent control group design. There were 22 hypercholesterolemia outpatients purposively selected from local health centers. The respondents were then divided equally to (a) a control group where the patients were provided with generic Simvastatin 10 mg single dose taken once in the afternoon, and (b) an intervention group where the respondents received a non-pharmacological supplement of garlic essence in 2 grams honey. The blood pressure and the blood lipid profile were examined before (Pretest) and at the Day 22 after the treatment (Posttest). The collected data was then analyzed using a T-test to define the significant mean difference between two groups, and a Cohen's effect was measured to interpret the size of changes.Results: Either the additions of Simvastatin or the provision of garlic essence mixed with honey decreased the blood pressure (systole and diastole) and the cholesterol, triglyceride, and LDL cholesterol, but increased the HDL cholesterol. While significant difference was observed for all parameters at the intervention group, the improvement at the control group for triglyceride was not significant (p value = 0.041). Overall, by the Cohen's effect size effect, we can interpret that the changes was moderate for diastole and systole blood pressure, and also triglyceride and DLD-cholesterol; however the effect size was low for Cholesterol and HDL-cholesterol.Conclusion: The findings show the importance of the garlic essence mixed with honey to be offered as a nutritional supplement for hypertensive patients with hypercholesterolemia.
Keywords: Garlic (Allium sativum) essence, Simvastatin, Hypertension, Hypercholesterolemia, Blood pressure, Blood lipid profile
Received: 25 August 2018, Reviewed: 03 September 2018, Received: in revised form 24 February 2019, Accepted: 28 February 2019
DOI: 10.35898/ghmj-3155
Tactile-kinesthetic stimulation to gain weight and reduce the length of stay care for premature baby at public hospitals of Semarang, Indonesia
Get PDFBackground: Premature babies are susceptible to a variety of health problems in early of their lives, thus, management of premature care should be designed to optimize the growth and development, with no more cost extension. The management of premature care by non-pharmacological treatments becomes popular nowadays, and applied in the hospital unit care, including the Tactile-Kinesthetic Stimulation (TKS) and Kangaroo Mother Care (KMC).Aims: This study is to present the effect of Tactile-Kinesthetic Stimulation (TKS) on weight gain and reduction length of stay care for premature babies, and to compare the results with the standard Kangaroo Mother Care (KMC) given at the hospital care unit.Methods: The study used a quasi-experimental design with pretest-posttest with a control group. A total of 32 premature babies was equally divided to a control group given a standard KMC procedure and an intervention group receiving the TKS. Sampling was done using a consecutive sampling method where the low birth weight infants were selected from two public hospitals in Semarang of Indonesia, with consent from the parents. Data was then analyzed by a repeated measure ANOVA, general linear model and Mann-Whitney test to find the significant mean difference at p value less than 0.05.Results: The data shows that the babies' weight significantly increased day by day only if the premature neonates received Tactile Kinesthetic Stimulation, gained 148.75 gram only 3 days after the initial measurement. However, from this study we noted that the premature babies' weight at the control group provided only with Kangaroo Mother Care slightly decreased at 35.69 gram at the third day of observation. In average, premature babies receiving TKS need only 3 days before return home, while if receiving the standard KMC the preterm babies required 5 days in the hospital care.Conclusion: Not only effective to gain the weight, giving Tactile-Kinesthetic Stimulation to the low birth weight baby shorter the length of stay in the hospital unit care. It suggests that the TKS intervention will provide good result in maintaining the weight of the low birth weight baby and will reduce the costs of staying in the hospital unit care.
Keywords: Tactile-Kinesthetic Stimulation, Kangaroo Mother Care, Low birth weight, Length of stay care, Premature baby
Received: 06 September 2018, Reviewed: 13 September 2018, Received: in revised form 24 October 2019, Accepted: 26 February 2019
DOI: 10.35898/ghmj-31553