Kesmas: National Public Health Journal
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A Study on the Impact of Occupational Fatigue on Human Performance among Oil and Gas Workers in Indonesia
No full textOccupational fatigue is a serious problem since it may cause several issues, including deteriorating human performance. Some major accidents in the oil and gas industries were associated with the lack of human performance due to occupational fatigue. This study aimed to analyze the impact of occupational fatigue on human performance among oil and gas workers in Indonesia. This study used a cross-sectional design using a self-administered validated questionnaire to gather information on demographic (gender and age), work characteristics (work rotation, work duration, shift work model, day/night shift, job position), sleep debt, sleep quality, occupational (acute and chronic) fatigue, and at-risk behavior as the indicator of human performance. In this study, a total of 1,650 workers from different fields (production, drilling, well service, construction, and administration/office) participated. This study showed that occupational fatigue (both chronic and acute) significantly impacted human performance, and occupational fatigue conditions decreased human performance. This implied that managing occupational fatigue may prevent deteriorating human performance
Quality of Life of Hypertensive Patients Undergoing Chronic Disease Management Program during the COVID-19 Pandemic
Full text linkThe COVID-19 pandemic has restricted some common activities for hypertensive patients undergoing the Chronic Disease Management Program/Program Pengelolaan Penyakit Kronis in primary health care, decreasing the quality of life. This study aimed to measure the quality of life of hypertensive patients undergoing the Chronic Disease Management Program at primary health care of Manado City, North Sulawesi Province, Indonesia, during the COVID-19 pandemic and determine the factors influencing hypertension such as sex, age, education, employment status, monthly income and duration of hypertension. This cross-sectional study was carried out on 150 hypertensive patients randomly sampled at primary health care from June to September 2021. The data were analyzed using the Mann-Whitney test. The quality of life of non-complicated hypertensive patients was higher than those with complications. The utility value and the visual analog scale of hypertensive patients with and without complications were 0.808±0.13 and 80.2±8.16 and 0.761±0.17 and 75.1±7.56, respectively. The quality of life of hypertensive patients without complication is better than that of hypertensive patients with complication
Patients' Experiences in Using Diabetes Self-Management Application: A Scoping Review
Full text linkDiabetes cases continue to increase and burden the nursing system worldwide. Diabetes Self-Management application software (DSM apps) can enable patients to manage their disease independently while simultaneously reducing the burden of the system. These apps are already available, yet global patients’ interests in using them are still low. This research aimed to describe the global tendencies of diabetes app usage as an effort to manage diabetes cases by exploring the perceptions of diabetes patients on the use of DSM apps. This study summarized journal searches from the Elsevier, Wiley, BMC, and JMIR database with the search terms “web-based and mobile technology,” “digital health intervention,” “diabetes management mobile application,” “mobile health for diabetes self-management,” “tablet-based self-management,” and “diabetes self-management qualitative.” A total of nine journals published between January 1, 2018, to December 31, 2020, that meet the inclusion and exclusion criteria were selected. The study concluded diabetic patients in Asia, Africa, Europe, Australia, and America stated that the DSM apps used was helpful in managing diabetes. Other demographic factors such as age, level of education, and economic status have influenced the perception and tendency to use DSM apps
Susceptibility Antibiotics of Bacteria Causing Urinary Tract Infection in Pregnant Women Infected with COVID-19
Full text linkUrinary tract infections (UTIs) are a significant issue in women of all ages, but they are especially common during pregnancy. Co-infection of the Coronavirus Disease 2019 (COVID-19) with UTIs in pregnant females is a hot topic today, as it may be linked to various conditions. Furthermore, understanding the types of bacteria that cause UTIs and related antimicrobial resistance may aid the clinician in selecting the appropriate empirical treatment. This study aimed to isolate and characterize causative agents of UTIs and determine antimicrobial treatment sensitivity patterns among pregnant women diagnosed with the COVID-19 admitted to Teaching Hospital X in Iraq. Antimicrobial drug resistance testing was performed on 42 mid-stream urine samples that had been prepared for culture. Escherichia coli (18/42.85%), Klebsiella pneumoniae (9/21.45%), Streptococcus galactica (7/16.66%), and Proteus mirabilis (4/9.52%) were the bacteria isolated and diagnosed from pregnant women. The infections Pseudomonas aeruginosa and Staphylococcus aureus were the least common (2/4.7). In conclusion, the isolated uro-pathogens showed high resistance to Gentamicin, Cefuroxime, Ceftriaxone and sensitive to Ampicillin and Nitrofurantoin. The common cause of UTIs among pregnant women infected with the COVID-19 was discovered to be E. coli. Before recommending therapy, culture and sensitivity testing of isolates from urine tests should be conducted on a regular basis
Misperception of Vaccine Acceptance to the COVID-19 Vaccine in Indonesia: A Systematic Review
Full text linkVaccination is one of main steps to overcome the continuous increase in the Coronavirus Disease 2019 (COVID-19) pandemic. However, its implementation is hindered by various responses such as acceptance and refusal. This study aimed to describe the perception of the COVID-19 vaccine in Indonesia. A systematic review design was used, and the literature searches were carried out using Google Scholar, PubMed, Science Direct, and WHO COVID-19 databases following the PRISMA guideline process. The keywords used were coronavirus, COVID-19, vaccination, COVID-19 vaccination, vaccine response, vaccine acceptance, vaccine perception, and Indonesia in English or Indonesian articles published in 2020-2021. This study discovered 13 sample articles including six qualitative and seven cross-sectional studies. The responses showed varying results divided into positive, indicating vaccine acceptance, and negative responses that made hesitations to refusal. People with a good response and perception considered the vaccine an antibody to fight the virus. Meanwhile, others who hesitated or rejected were due to their concerns about side effects, safety, and effectiveness. Furthermore, inaccurate information or hoaxes circulating in the community significantly influence people's perceptions
Interprofessional Collaborative Practice and Health Workers Retention at Remote Primary Health Care: Case Study from Nusantara Sehat Team-based Program
Full text linkThe Nusantara Sehat Team (NST), established in 2015 and consist of multi-professional health workers, implemented to provide comprehensive services at remote primary health cares (PHCs) for two years. This study aimed to explore how the NST leverages the Interprofessional Collaboration (IPC) and its impact on the future career prospects of health workers. Using a qualitative approach, the information was gathered from 48 informants drawn from the current 30 NST recruits and 18 alumni through semi-structured interviews. Of these 48, 20 were clinical practitioners, while the rest were non-clinical health workers. The findings revealed several challenges in promoting collaborative practice, including the community's high demand for curative services, the unclear division of tasks among the NST and local PHC staff, and inadequate health facility support. The curriculum of IPC was yet to be included in the pre-service education and in-service training before NST, allowing the staff to enter the workplace and collaborate, especially in the backward areas. The institutional support through macro and meso policies has yet to enable collaborative-practice ready workers adequately. Other factors such as personal values, family expectations, gender roles, and career sustainability also affected the retention of personnel in the NST
Spatial Analysis for Enhancing the Use of Health Data Availability from Different Sources to Help the Decision-Making Process
Full text linkSpatial analysis in public health has become a common method used by researchers to understand the distribution of public health aspects related to the surrounding environment. It can also be used to analyze individual information in the form of a dot and the location or line of aggregated information in a specific area of study. Another benefit is the possibility of using different data sources to be analyzed in one statistical model analysis, as long as the identification area is sufficiently clear as a key variable. Spatial analysis can show an object's distribution on a locational map and explain the distribution type, whether random, cluster, or uniform. The statistical analysis model can also develop different risk factors for each region of the research area. A specific model sometimes explains how to treat health issues differently in a specific location and can be used as an alternative approach to dealing with an intervention plan for public health issues based on specific local phenomena
Analysis of COVID-19 Prevention Behavior in Diabetes Mellitus Patients: A Literature Review
Full text linkThe Coronavirus Disease 2019 (COVID-19) is a new human-infected coronavirus causing respiratory problems. The COVID-19 can affect people of all ages, but those with a record of chronic disease (comorbidity) are at higher risk of poor outcomes with the COVID-19. This study aimed to review COVID-19 preventative behavior in diabetes patients. Diabetes Mellitus (DM) is one of the comorbidities that aggravates COVID-19 in patients. Such patients are at risk of deteriorating critical conditions in the intensive care units (ICUs) and even death. Prevention is the best measure to avoid COVID-19, although it is currently considered adequate. This article reviewed 22 papers focusing on COVID-19, DM, COVID-19 in DM patients, COVID-19 preventive behavior, and COVID-19 knowledge, attitude, and practice in patients with chronic disease, while primary focusing on DM. It is revealed that diabetes patients at high risk of COVID19 need to practice good preventive behaviors. Furthermore, it emphasizes that improving knowledge, encouraging positive attitudes, and implementing good COVID-19 preventive behaviors in DM patients requires education and access to the COVID-19 related health information
Determinants of Type 2 Diabetes Mellitus among Passive Smokers
Full text linkType 2 diabetes mellitus (T2DM) leads to complications of other diseases. The modifiable risk factors for T2DM are overweight, physical activity, hypertension, unhealthy diet, and smoking. This study aimed to analyze determinants of T2DM incidence in passive smokers among various factors. This study was conducted at Hospital X in Surabaya City, East Java Province, Indonesia, from September 2019 to April 2020. The variables were univariate, bivariate, and multivariate. Case samples were T2DM patients and passive smokers, while control samples were non-T2DM patients and passive smokers, with 52 respondents per group, of 104 total respondents. Variables statistically significant related to the incidence of T2DM in passive smokers were age >45 years, level of education (not attaining primary school), lack of physical activity, and hypertension. While, the variables having no relation were sex, occupation, sedentary lifestyles, income, and genetics. The multivariate analysis showed that age was a major factor contributing to the incidence of T2DM in passive smokers at Hospital X Surabaya. In brief, age is the most dominant risk factor for the incidence of T2DM in passive smokers
The Influence of Intrapersonal Constraints on Travel Intention of People at High Risk from COVID-19 during the New Normal
Full text linkDue to the COVID-19 pandemic, tourism constraints have created a challenge for inclusive tourism, especially for older people and people with comorbidities. This study examined intrapersonal constraints’ effect on the travel intentions of people facing fewer opportunities for tourism due to the COVID-19 pandemic, which could disrupt their well-being fulfillment. The data were collected through an online survey of Jakarta citizens aged 46 years and older from the end of June to September 2021, and a total of 337 responses were accumulated. This study applied partial least square structural equation modeling to test the moderating effect of intrapersonal constraints toward the theory of planned behavior and revealed that the travel intentions of people at high risk from COVID-19 were considered high and were directly influenced by subjective norms, perceived behavioral control, and intrapersonal constraints. High travel intention implies that intrapersonal constraints do not extensively weaken at-risk people’s desire to travel during the new normal