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RELATIONSHIP BETWEEN SLEEP QUALITY AND HYPERTENSION AMONG WORKING-AGE POPULATION IN INDONESIA
Full text linkIntroduction: One of the diseases which are continuously becoming a public health problem is hypertension.
The prevalence of hypertension in working-age or productive age in Indonesia has increased significantly in
recent years. There are many risk factors for hypertension in adults, one of which is lack of sleep. Sleep
disorders can increase the risk of hypertension. This study aimed at finding out the relationship between sleep
quality and the incidence of hypertension among the working-age population in Indonesia. Methods: This study
utilized secondary data from the Indonesia Family Life Survey (IFLS) 5 data with a cross-sectional study
design. The sample in IFLS 5 was taken using Multistage random sampling. The number of samples was 8,815
with inclusion criteria, which included that respondents were 15-64 years old and had complete data on the
variables studied, namely: age, sex, sleep quality, physical activity, Body Mass Index (BMI), smoking habits and
hypertension. Data were analyzed using multiple logistic regression. Results: Respondents with poor sleep
quality had 1.39 higher odds of experiencing hypertension compared to respondents who had good sleep quality
after being controlled by variables of gender, age, smoking status, physical activity, and nutritional status.
(Poor-good sleep quality = 1.39, 95% CI 1.20-1.61 p=0.000). Conclusions: It is necessary to strengthen
information about health promotion regarding the prevention of hypertension in the community, especially good
time management, to maintain sleep quality and the need for health programs on prevention of hypertension
carried out by the ministry of health to the community through existing health-worker
Prevalence and determinants of depressive symptoms among adults in Indonesia: A cross‐sectional population‐based national survey
Full text linkAims: To analyze the association between personal health conditions (self‐rated
health, physical function, and chronic conditions) and symptoms of depression in
Indonesia.
Methods: Data were collected from the Indonesian family life survey 5. This study
used a cross‐sectional study design with a sample size of 17,734 respondents. We
included depressive symptoms, self‐rated health, physical function, chronic conditions, demographics and socioeconomic variables. The center for epidemiologic
studies depression scale was used to measure symptoms of depression. Multivariate
logistic regression analysis was used to analyze the data.
Results: The results showed that 23.47% of respondents had depressive symptoms,
20.04% had poor self‐rated health, 55.93% had a poor physical function, and 32.37%
had at least one chronic disease. Respondents who had poor self‐rated health, had
poor physical function, or had a chronic condition were all had a significantly higher
odds of experiencing symptoms of depression after controlling for demographic
variables (age, sex, married, and education level), social‐economic, and smoking
status.
Conclusion: Depressive symptoms were significantly associated with personal
health conditions including self‐rated health, physical functioning, and chronic
conditions among community residents. Strategies that can improve personal health
conditions needed to be studied at the community level to improve the level of
mental health.
KEYWORDS
chronic conditions, depressive symptoms, IFLS, physical function, self‐rated healt
Perceived Burden of Multidrugs- Resistant Tuberculosis Patients And Their Family: A Systematic Review Of The Qualitative Literature
Full text linkThe incidence of Multiple Drugs Resistance Tuberculosis (MDR TB) is still very high. MDR TB treatments require a long period of care that could lead to an impact on MDR TB patients and their families. This study aims at reviewing and synthesizing the perceived burden of MDR TB patients and their families. A literature review was conducted through a search of four journal databases which found eight articles according to the inclusion criteria which were then identified, evaluated and synthesized. A thematic synthesis was conducted of the selected studies. This review identified four major themes related to the perceived burden by MDR TB patients and their family, namely; physical, psychological, social and financial burden. Understanding the difficulties and burdens experienced by MDR TB patients and their families is important in order to choose the appropriate intervention according to the problems that may arise due to MDR TB disease
Palliative and end-of-life care’s barriers for older adults
Full text linkPurpose – A nursing home is a place that is familiar with death, since many older adults will spend the latter
part of their lives in such a setting. However, research on this topic is still limited, especially in Indonesia. The purpose of this paper is to explore the barriers to successful palliative and, more generally, end-of-life care (EOLC) for older adults in nursing homes and to explore nurses’ views on the subject. Design/methodology/approach – The study is of a qualitative nature and it employs a phenomenological
approach. In-depth interviews with 15 nurses who taken care of older adults in a nursing home were conducted. The data were analysed using thematic content analysis. Findings – Barriers to effective EOLC include lack of knowledge, ineffectual communication and insufficient resources. Research limitations/implications – Better policies are needed, especially in training related to palliative/ EOLC subjects and equitable distribution of professional health workers to overcome the barriers. The government should also encourage collaboration involving hospitals, Puskesmas (Health Centre Services), community and resident care settings in sharing knowledge and skills, especially for nurses. Originality/value – The barriers identified in palliative and EOLC have been found to be almost identical to those encountered in other health services
THE EFFECT OF PSYCHOLOGICAL AND HEALTH EDUCATION APPROACHES BASED ON SELF-EFFICACY ON COMPLIANCE WITH TUBERCULOSIS PATIENT: A SYSTEMATIC REVIEW
Full text linkBackground: One of the obstacles to TB management today has been non-compliance. Non-compliance of TB patients in treatment can be influenced by the perception of self-efficacy.
• Objective: The study aimed to analyze the effect of psychological and health education approaches based on self-efficacy on adherence with tuberculosis patients.
• Design: Design research uses systematic review based on PRISMA checklist.
• Data Sources: Using three databases: Scopus, Science direct, and CINAHL. The three databases are of high and medium reputation. The search was conducted from June to July 2020. The keywords in this systematic review are “mycobacterium tuberculosis” OR "tuberculosis"
OR "pulmonary TB", "adherence OR Compliance" and "psychology OR health education OR self-efficacy". Searching are limited to journal articles, 2012-2020 publication years and English language articles.
• Review Methods: To assess the quality of articles is using the JBI Critical Appraisal Tool and PRISMA checklist as a guide to filter articles.
• Results: A total of 10 articles were analyzed according to inclusion criteria. The results obtained as many as 6 studies are randomized control
Trials, 2 studies use Quasi-Experiment, and 2 observational studies. The number of samples varied from 19 to 361 respondents. Age from 15 to 65 and above. Gender characteristics are dominated by men and the study
was multi-regional. and most levels of education at the elementary and junior high school levels. The psychological and health education approaches based on self-efficacy are divided into several approaches that
are proven to increase compliance including: psychotherapy,
mindfulness, counseling and education, Medication Adherence
Enhancement Program (MAEP).
• Conclusion: Psychological approaches and Health Education based on self-efficacy consist of various interventions. The articles analyzed mostly use the HBM concept. There needs to be a self-efficacy development program that not only emphasizes the individual and cognitive, but also needs social and family support in improving selfefficacy, so that it affects the effectiveness of treatment.
The effect of health education through brainstorming and booklet method on behavior in prevention of pulmonary Tb transmission
Full text linkTuberculosis is an infectious disease caused by Mycobacterium tuberculosis. The transmission of
pulmonary Tuberculosis can be caused by poor patient behavior. This behavior is influenced by the
TB client’s low level of knowledge about Tuberculosis and how to prevent transmission. This study
aims to analyze the effect of health education through brainstorming and booklets on client behavior
in preventing TB transmission. The population in this study were tuberculosis patents recorded from January to March 2017 with a sample of 30 respondents. The sampling technique of this study was purposive sampling. The independent variable of this research was health education through
brainstorming and booklets method. The dependent variable of this study was the client’s behavior in preventing tuberculosis transmission. The data collection used questionnaires and analyzed using the Wilcoxon rank test and Mann Whitney with significance α=0.05. Wilcoxon’s statistical test results in the treatment group showed the influence of health education on knowledge (p=0.001), attitudes (p=0.001), and actions (0.001). The results of the Mann Whitney statistical test after the intervention
showed a significant effect on the application of brainstorming and booklets on client knowledge(p=0.000), attitudes (0.000), and actions (0.000). This study concluded that health education through brainstorming and booklets could improve the client’s knowledge, attitudes, and actions in preventing pulmonary tuberculosis transmission. Health education through brainstorming and booklets become
an alternative method of health education in preventing TB transmission
INFLUENCES OF THERAPEUTIC COMMUNICATION ON MODEL OF STRUCTURAL REFLECTION ON PARENTS OF PATIENTS SATISFACTION
Full text linkTherapeutic communication with reflection is a process of learning from experience, recapturing practical experience and reflecting on it critically to gain new understanding,
tends to involve individual practitioners to become self-aware of the situation. However, at the Hospital in Dili Timor Leste the nurse does not explain the procedure of giving medication to the patient's parents. The general purpose of the study is to know the effect of therapeutic communication with the model of structural reflection on patient parent satisfaction. In this study, use a posttest-only control group design with a sample of 126
people, Purposive sampling method, and the intervention using the MSR module, using Mann Whitney analysis. This study's results obtained a value of p = 0,000 which means
that there is a significant influence between the control group in the perinatology room and the intervention group in the pediatric room on the satisfaction of patients' parents in the Pediatric Department of Hospital Dili Timor Leste. Therapeutic communication with the model of structural reflection (MSR) has a positive influence on the parents of patients at HNGV Dili Timor Leste, parents of patients are very satisfied with the communication made by nurses, with therapeutic communicatio
Effect of Spiritual Emotional Freedom Technique (SEFT) to Anxiety Patient Chronic Obstructive Pulmonary Disease (COPD)
Full text linkIntroduction: COPD can affect social and psychological aspects as well as physical health. Anxiety, loss of control in self-reliance, changes in self-concept and respiratory
barriers result in serious psychological changes, including fear of death and depression.
There is a significant relationship between depression and anxiety with sleep quality of chronic disease patients, the higher the degree of depression the worse the quality of
sleep. Spiritual Emotional Freedom Technique (SEFT) is a therapy that uses spiritual elements to reduce psychological and physical problems caused by emotional or psychosomatic.
Methods: This study use Quasy Experiment "with Pre-Post test group control design approach. The population of this study was the patient of COPD in dr. H. Koesnadi Hospital and Bhayangkara Hospital at Bondowoso. Sampling was done by simple random sampling technique according to inclusion criteria with total 68 patients. SEFT intervention performed 8 times for 1 month. Instrument for anxiety using HARS. Data
analysis using Mann Whitney Test.
Results: There was a significant difference in the level of anxiety (p 0,000) between before and after SEFT therapy.
Conclusion: SEFT can reduce anxiety levels of COPD patients, if done regularly and sustainably. The intervention focuses on reducing emotional or psychosomatic psychological problem
BARRIERS TO PHYSICAL ACTIVITY IN RECENTLY DIAGNOSED TYPE 2 DIABETES MELLITUS PATIENTS: A QUALITATIVE STUDY
Full text linkBackground: Physical activity as one of diabetes management plays important role in maintaining glycemic control. Not all diabetics are doing adequate physical activity. Especially for recently diagnosed type 2 Diabetes Mellitus patients with the characteristic haven’t adopt diabetes management properly.
Objectives: The aim of this study to reveal the barriers in physical activity that faced by recently diagnosed type 2 Diabetes Mellitus patients.
Methods: Qualitative study with phenomenological approach was conducted in 10 recently diagnosed type 2 Diabetes Mellitus patients in Primary Health Care Kedungdoro and Asemrowo, Surabaya. The participants were selected based on inclusion criteria, namely patients aged 25-45 years old, under 6 months diagnosed, spoke in Indonesian or Javanese well. The exclusion criteria were patients with complication. Semi-structured in-depth interviews guided by interview guideline was conducted to obtain the information about barrier in physical activity. There were six questions in interview guideline. Then data from interview was analyzed by Colaizzi method.
Results: Two themes were emerged as barriers in physical activity namely time expenditure and health literacy. Participants’ time expenditure refers to the limited time in doing physical activity, namely obligation to others and lack of spare time. Health literacy refers to the
ability in searching and using health information. The barrier in health literacy aspect namely physical activity substitute and different information that got from others.
Conclusion: The barriers of physical activity were problem in time flexibility, activity substitute, and need for straightening various information. Using media technology and involving family to promote and remind the physical activity can be suggested
Coverage and factors associated with complete polio vaccination among Indonesian children aged 0–18 months
Full text linkIntroduction: The polio vaccine is one of the vaccinations required for all children by the government of
Indonesia. However, polio vaccination coverage has not yet reached its maximum. This study aimed to analyze
the coverage and factors associated with complete polio vaccination among Indonesian children aged 0–18 months.
Methods: A cross-sectional design used observation data drawn from the Demographic and Health Survey 2017.
A total of 5378 respondents were obtained through the two-stage stratified cluster sampling technique. The
questionnaire included DHS Questionnaire Phase 7. The variables include the mother’s age, education level,
wealth quintile, residence, number of living children, marital status, visit to a health facility, health insurance, whether currently employed, household head gender, and complete polio vaccination. The data were analyzed using chi-square and binary logistic regression.
Results: Based on IDHS 2017, 35.83% of Indonesian children aged 0–18 months received the complete polio
vaccination. The factors associated with complete polio vaccination were mother’s age 15–24 years old, secondary education level, wealth quintile, visit to a health facility, and current employment. The number of living
children, marital status, health insurance, and household head gender were not associated with complete polio
vaccination. Conclusion: To achieve the target coverage of the polio vaccination, the Indonesian government needs to consider factors such as the mother’s age, education level, wealth quintile, recent visits to a health facility, employment and other factors. In addition, optimization by increasing the availability of information on the importance of polio vaccination is needed