Airlangga University

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    1167 research outputs found

    The Lived Experience of Indonesian Nurses in Kuwait: A Phenomenological Study

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    Policymakers’ perspectives on responding to the elderly’s mental health needs in postdisaster situations

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    Background: Mental health issues following the occurrence of disaster remain neglected area especially for older people group. The purpose of this study was to explore stakeholders’perspectives on post-disaster management related to the elderly’s mental health needs. Design and Methods: This qualitative case study was conducted between June and October 2020. The investigators conducted in-depth interviews with policymakers who were in chargeof disaster management at national, provincial, and regional levels. The policymakers were selected through purposive sampling. A policy analysis was conducted by the investigators to answer the research question. Results: The results were presented based on actor, content, context, and process. The actors engage in intersectoral collaboration between disaster agencies, health agencies, and social agencies. The content is largely comprehensive; however, the disaster management policy should not neglect to address mental health conditions after a disaster event. The context is the vulnerability and risk of the elderly in terms of experiencing physical and mental issues after a disaster, which should be considered by policymakers in Indonesia. The process is the development of disaster management policies, which are influenced by cultural, economic, political, and international factors. Conclusion: This study reveals that stakeholders need to pay attention to the mental health issue of elderly in national and regional policy, particularly during post-disaster situations. In addition, posttraumatic stress in post-disaster situations should be highlighted in order to formulate a better aged care polic

    The determinants of willingness to care for people living with HIV-AIDS: A cross-sectional study in Indonesia

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    Acceptance and willingness to care for people living with HIV-AIDS (PLHA) in society is still a concern. The purpose of this study is to analyse the determinants of willingness to care for PLHA in Indonesia. A cross-sectional study was conducted to process the secondary data from the Indonesian Demographic Health Survey (IDHS) conducted in 2017. A total sample of 13,731 individuals was obtained by a two-stage stratified cluster sampling technique. The variables used were socioeconomic characteristics (age, sex, education, wealth quintile, residence, employment status and earnings), knowledge about HIV-AIDS, information about HIV-AIDS and willingness to care for PLHA. Binary logistic regressions were used to analyse the data. According to the data from IDHS 2017, 71.84% of total respondents in Indonesia are willing to care for PLHA. Female respondents, individuals in all wealth quintiles and those who have more information are more likely to care for PLHA. Respondents aged 35–49 years old and currently working are less likely to care for PLHA. However, level of education, level of knowledge, residence and earnings are not related willingness to care for PLHA. The dissemination of correct and accurate information about HIV-AIDS can help the community and society understand this condition. Thus, community members can accept PLHA and become more willing to provide care. The government can determine further policies for the appropriate dissemination of information, maximally and in accordance with recommendations. Collaborations among the government, health workers and the community are needed

    Middle School Students’ Perception on a Health Promoting School to Prevent Bullying: A Qualitative Study

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    Introduction: Bullying at school is an old phenomenon in the adolescent group. Despite massive prevention programs, it has not yet resolved by teachers and schools, and this also can affect school climate aspects. The aim of this study was to explore students’ perceptions who are being bullying victims about health promoting schools to prevent bullying at school. Methods: This study used a qualitative case study design. The research sample was 18 middle school students in grades 8 and 9 in East and West Surabaya. A sample was recruited through snowball sampling. Interview guidelines were used to collect the data through in-depth interviews. The data were subjected to thematic analysis. Results: Middle school students identified three main requirements related to prevent bullying were health education, health services, and healthy school environment. These themes were found among the participants with a bullying victim’s history. Conclusion: Health education, health services, and healthy school environment are the theme for preventing bullying cases at school. To prevent bullying requires collaboration from various parties, such as students, teachers and school policy makers to be able to apply the rules while in school

    Insomnia Status of Middle School Students in Indonesia and Its Association with Playing Games before Sleep: Gender Difference

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    The excessive use of online gaming before sleep in adolescents could be a risk factor of sleep disorders such as insomnia. This study aimed to assess the association between playing online games before sleep and insomnia based on gender perspective among middle school students in Indonesia. This was a retrospective study and the data came from a cross-sectional survey that included 315 of Grade 8 and 9 students from four middle schools in Jakarta, Indonesia. Self-reported data were collected via a structured questionnaire, which consisted of demographic variables, sleep duration per day, frequency of playing online games before sleep and the Insomnia Severity Index (ISI). Insomnia status was classified into “none or mild” and “moderate to severe” according to ISI score. The proportions of male and female students who often or always played online games before sleep were 50.3% and 21.7%, respectively. Grade 9 students were more likely to have moderate to severe insomnia than Grade 8 students for males (odds ratio—OR = 4.34, p = 0.005) but not for females (OR = 0.69, p = 0.363). However, female students who often or always played online games before sleep were more likely to have moderate to severe insomnia (OR = 4.60, p = 0.001); such an association was relatively smaller for male students (OR = 3.09, p = 0.061). Gender differences should be taken into account when developing health education or interventions

    Effectiveness Education Based on SelfEfficacy for Strengthening Behavior of Foot Care in Diabetes Mellitus Patients in Indonesia

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    A high incidence of foot injuries due to diabetes mellitus (DM) has been widely reported. This condition has several causes, including DM sufferers' tendency to overlook foot care management, despite knowing its impacts. Ignorance by individuals is a critical factor attributed to this condition. Therefore, there is a need for self-efficacy (SE) to increase and strengthen behavior. The aim of the study is to analyze the significance of education based on self-efficacy in strengthening foot care behavior among DM patients. The study used a one group pre-post test design, number population is 112 respondents. A sample size of 51 respondents was selected using purposive sampling. The instrument used was Notthingham Assessment of Functional Footcare (NAFF). The research uses self-efficacy and foot care behavior as independent and dependent variables, respectively. Data were analyzed using Wilcoxon signed test ( = 0.05). The results of this study before education based on self-efficacy, respondents were categorized as follows, good behavior 6 (11.7%), moderate behavior 38 (74.5%), and bad behavior 6 (11.8%). After a 2-week education based on self-efficacy, 47 (92%), 3 (6%) and 1 (2%) respondent had good, moderate and bad behavior, respectively. According to Wilcoxon test results, giving self-efficacy to DM sufferers improves foot care behavior, with p = 0.001 (1.98 2.98, SD = .509-.390, positive rank = 43, mean rank = 22, ties = 8). Conclusion the study is an education based on self-efficacy forms build a strong and good perceptive to support and strengthen the DM sufferers' behavior and prevent diabetic foot injurie

    Pro-and Anti-vaccination among Mothers in Deciding Children’s Immunization: A Qualitative Study

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    BACKGROUND: Society participation in the mandatory basic immunization program has declined in the last 2 years in Indonesia. One of the causes is the widespread of anti-vaccine issue, which has recently been debated on social media. This study aimed to explore the perspectives, backgrounds, experiences, and aspects that underlie the mother’s confidence in anti-vaccine and pro-vaccine groups who join the Facebook social media forum. METHODS: A phenomenology qualitative design was undertaken. The data were collected from June to August 2020. We conducted in-depth structured interviews with 5 anti-vaccine participants and 5 pro-vaccine participants. We obtained saturation data with ten participants. The data managed by NVIVO 12 software and analyzed using the thematic analysis method. RESULTS: We obtained 4 themes, including social media values, perceptions of immunization, immunization barriers, and knowledge about immunization. Anti-vaccine parents were firm not to immunize their children even though they knew the purpose of immunization and were perceived that there were no barriers to taking immunization. Pro-vaccine parents were determined to take basic immunization despite experiencing various barriers. CONCLUSION: This study showed that social media, perceptions, knowledge, and barrier about immunization affect mothers in considering the decision to give immunization to their children. Nurses and other healthcare workers should be provided positive communication and mutual trust between parents and health services are required to develop parental vaccine confidence so that basic immunization coverage can increase

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