22 research outputs found
The Relationship between Spirituality and Depression Among the Elderly in Indonesia
Get PDFBackground: Studies have shown that there is an association between spirituality and better physical and mental health. Depression has one of the highest prevalence amongst the mental health illnesses in the elderly, and it can lead to poor physical health. This study aims to determine the relationship between spirituality and depression. Methods: Data was obtained from the 4th Indonesian Family Life Survey, that was conducted in 2007; the total study sample included 3,103 elderly Indonesians. Logistic regression was performed to determine the relationship between spirituality and depression. Results: This study found that the prevalence of depression was 7.2%, with the largest proportion of those being ≥ 70 years, female, less educated, unemployed, elderly with multimorbidities, unmarried, and less spiritual. Logistic regression analysis showed a strong relationship between spirituality and depression (odds ratio= 1.869; 95% confidence interval; 1.422 to 2.458) after it was controlled for all variables. Conclusions: This study found that spirituality has a significant relationship with rates of depression. The government needs to develop a program that strengthens spirituality to improve mental health in the elderly
Religious Activity Participation and Self-Rated Health among Older Population in Indonesia
Get PDFA number of studies have documented a positive and robust relationship between religious activity and health outcomes. The purpose of the study was to examine the relationship between religious activity participation and self-rated health (SRH) among older population in Indonesia. Data were obtained from 2,915 respondents 60 years and older from the Indonesian Family Life Survey 4 (2007). SRH was assessed by a single-item health measure with four options: very healthy,somewhat healthy,somewhat unhealthy, unhealthy. Logistic regression were used to examine the relationship of the religious activity participation and SRH. Bivariate analysis revealed that religious activity participation was significantly associated with SRH. Multivariate analysis shows that among participants who participated in religious activity, the likehood of a better SRH is increased (OR = 1.422; 95% CI = 1.203 to 1.682) after controlling for sociodemographic variables, socio-economic status (SES), health behaviour and number of Non Communicable Diseases (NCDs). This findings suggest that religious activity participation has an important effect on self-rated health status. Longitudinal studies are needed to help elucidate mechanisms and the order and direction of effects
Pemanfaatan Pelayanan Kesehatan Ibu di Jawa Barat
Get PDFPemanfaatan pelayanan kesehatan ibu dapat menyelamatkan perempuan dari komplikasi berat dan kematian selama kehamilan, persalinan, dan pasca persalinan. Faktor sosial, manfaat/kebutuhan yang dirasakan, serta aksesibilitas ekonomi dan fisik berkontribusi langsung terhadap pemanfaatan pelayanan kesehatan ibu. Tujuan penelitian ini adalah mengetahui faktor sosial, kebutuhan, serta aksesibilitas ekonomi dan fisik yang memengaruhi pemanfaatan pelayanan kesehatan ibu di Jawa Barat. Data yang digunakan untuk penelitian adalah data sekunder hasil Riset Kesehatan Dasar 2010 pada perempuan usia 15 – 59 tahun yang pernah menikah. Penelitian ini menggunakan analisis bivariat dan multivariat. Kedua hasil analisis menegaskan bahwa faktor sosial, kebutuhan yang dirasakan, serta aksesibilitas ekonomi dan fisik memiliki hubungan yang signifikan dengan pemanfaatan pelayanan antenatal dan persalinan. Model akhir analisis multivariat regresi logistik menunjukkan bahwa tempat tinggal merupakan variabel yang paling memengaruhi pemanfaatan kedua bentuk pelayanan kesehatan ibu. Determinan penting yang lain adalah riwayat komplikasi, pendapatan keluarga, umur, dan pendidikan ibu. Dalam analisis multivariat, status perempuan bekerja dan pekerjaan suami tidak memiliki dampak yang signifikan terhadap kemungkinan perempuan mendapatkan perawatan antenatal dan pemberian perawatan modern meskipun variabel suami adalah positif dan sangat terkait dengan variabel dependen.Utilization of maternal health care services could save severe complications and death among women during pregnancy, delivery, and after delivery. Numerous factors such as social, perceived needs, and economic and physical accessibility are contributed directly with the use of maternal health care. The purpose of this study is to investigate the social, perceived needs, and economic and physical accecibility factors that affect women's use of maternal health care in West Java. The data used come from the 2010 Basic Health Research of ever married women 15 – 59 years old. This study used two levels of analysis, bivariate and multivariate analysis. Both analyses confirmed that social, perceived needs, and economic and physical accessibility factors had a significant relationship with the utilization of antenatal and modern delivery care. The final model logistics regression multivariate analysis indicate that the residence's place remain the most independent variable affecting both of antenatal and delivery care USAge. Other important determinants are complications history, family income, mother's age, and education. In the multivariate analysis, the complications history have a significant impact on the probability of women obtaining delivery care although these variable not associated with the dependent variables in the bivariate analysis
Determinants of Multimorbidity among The Elderly Population in Indonesia
Get PDFMultimorbidity is the presence of two or more chronic diseases in one person. Multimorbidity prevalence increases with age, especially in the elderly. This study aimed to determine the prevalence of multimorbidity in elderly population in Indonesia and its determinant. Data were taken from the fourth survey of the Indonesian Family Life Survey (IFLS) which held in 2007. IFLS is a continuing longitudinal socio-economic and health survey. The sample used in the analysis were 2,960 elderly (³ 60 years). Logistic regression was performed to determine the prevalence and determinants of multimorbidity in the elderly. The prevalence of multimorbidity were 15.8 % and was higher among low educational level, unemployed, current smokers, mild physical activity, overweight/obese and lower consumption of vegetables and fruit. Multivariate analysis showed that low educational level, unemployed, current smoker and ex smoker, overweight/obese, mild physical activity and lower consumption of vegetables and fruit were associated with multimorbidity. The results showed that the prevalence of multimorbidity in Indonesian elderly is quite high especially those with poor health behaviors and low socioeconomic conditions. Strategies to increase healthy behaviors and improve socio-economic conditions may decrease the prevalence of multimorbidity. Determinan Multimorbiditas pada Populasi Usia Lanjut di IndonesiaMultimorbiditas adalah kehadiran dua atau lebih penyakit kronis pada satu orang. Prevalensi multimorbiditas meningkat dengan usia, terutama pada lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan multimorbiditas pada lansia di Indonesia. Data diambil dari survei keempat Indonesian Family Life Survey (IFLS) yang diadakan pada tahun 2007. IFLS adalah survei sosial ekonomi dan kesehatan longitudinal di Indonesia. Sampel yang digunakan dalam analisis adalah 2.960 lansia (³ 60 tahun). Regresi logistik dilakukan untuk menentukan prevalensi dan determinan multimorbiditas pada lansia. Hasil penelitian menunjukkan prevalensi multimorbiditas sebesar 15,8%, dengan prevalensi lebih tinggi pada lansia yang overweight/obesitas, tingkat pendidikan rendah, tidak bekerja, perokok saat ini, aktivitas fisik ringan, overweight/obesitas, dan kurangnya konsumsi sayur dan buah. Analisis multivariat menunjukkan bahwa tingkat pendidikan yang rendah, tidak bekerja, perokok saat ini dan pernah merokok, overweight/obesitas, aktivitas fisik ringan, serta kurangnya konsumsi sayuran dan buah berhubungan dengan multimorbiditas. Hasil penelitian menunjukkan bahwa prevalensi multimorbiditas pada lansia Indonesia cukup tinggi terutama mereka dengan perilaku kesehatan yang buruk dan kondisi sosial ekonomi yang rendah. Strategi untuk meningkatkan perilaku sehat dan meningkatkan kondisi sosial-ekonomi dapat menurunkan prevalensi multimorbiditas pada lansia
PENGEMBANGAN SISTEM INFORMASI LABORATORIUM KESEHATAN UNTUK MENDUKUNG EVALUASI PELAYANAN LABORATORIUM
Get PDFDevelopment of the Health Laboratory Information System to Support the Evaluation of the Laboratory Services (Case Study at the Health Laboratory in District of Purbalingga Year 2009)
No full textLaboratory is one of the health services, wihich must be evaluated continually and technology integrated in its services to improve quality for achieving customers’ satisfaction. The health laboratory of Purbalingga District had some problems, in terms of input: repeated recording of patient/samples, recording process, data processing, and manual reporting. In terms of the output, the resulted information was untimely, inaccurate, incomplete, and unclear.
The results of this study showed that the new system which consisted of input, process, and output could overcome the problems of data accessibilty, accurateness, completeness and clarity of information to support the evaluation of the laboratory sevices. The considered average on the new system (3.92) was higher than the considered average on the old system (1.55). There was a different in information quality between old and new system (p=0.0001). The new system could evaluate the laboratory services at the Heallth Laboratory of Purbalingga District. The hospital mangement should maintain the new system, recruit a spesific offer, and evaluate the system for the sustainability ang improvement.
Sumber Utama : www.mikm.undip.ac.i
Effect of body weight changes on hypertension in Indonesian adults (A 14-year follow up)
Get PDFBackground: Obesity is one of the major risk factors of hypertension. There is no large cohort study designed to investigate the quantitative association between body weight changes and the risk of hypertension in Indonesia. The aim of this study was to determine the impact of longitudinal BMI changes on hypertension in Indonesian adults. Methods: Body Mass Index (BMI) was computed by dividing weight (kg) by height squared (m2). Based on the BMI at baseline, the participants formed four weight-change groups: normal weight-maintainers, weight-gainers, weight-losers and overweight or obese-maintainers. The effect of age on the relationship between body weight changes and hypertension was analyzed by logistic regression models using stratified analysis. Results: Four body weight changes were identified: normal weight-maintainers (41.95%), weight-gainers (18.83%), weight-losers (5.24%), and overweight or obese-maintainers (33.98%). The stratified logistic regression analysis showed that changes in the relationships between the BMI changes and hypertension with age generally tended to be positive in the younger age-based subgroups but negative in the older subgroups. Relative to the normal weight-maintainers, the weight-gainers had the highest likelihood of hypertension (OR=1.68 95%CI [1.23-1.93]). Conclusions: The findings of the study underline the importance of maintaining normal weight for preventing hypertension especially for the middle-aged
HUBUNGAN ANTARA UMUR, MASA KERJA DAN INTENSITAS PENCAHAYAAN DENGAN KELELAHAN MATA PADA TENAGA KERJA BAGIAN NATING DI PT. YURO MUSTIKA PURBALINGGA
Get PDFKelelahan mata disebabakan oleh stress yang terjadi pada fungsi penglihatan. Stress pad aotot akomodasi dapat terjadi pada saat seseorang berupaya untuk melihat objek berukuran kecil dan pada jarak yang dekat dalam waktu untuk lama. Beratnya kelelahan mata tergantung pada jenis kegiatan , intensitas serta lingkungan kerja. Di samping itu jug aditentuka oleh keadaan mata dari tenaga kerja, kaca mata yang dipai serta umur. Kerja mata yang melelahkan menjadi sebab kelelahan mental.
Tujuan penelitian adalah untuk mengetahui bebrap faktor yang berhubugan dengan kelelahan mata pada tenaga kerja bagian nating di PT Yuro Mustika Purbalingga. Jenis penelitian adalah explanatory dengan pendektan cross sectional. Sample diambil secra simple random dan didapekan 43 sampel. Pengumpualndata dilakukan dengan wa mw kuesioner, pengukuran intenistas pencahayaan dengan lux Meter Digital, pengukuran cuaca kerja dengan Questemp 10, pengukuran sarana kerja dengan pita meteran. Analisa data menggunakan uji regresi ganda menggunakan komputer SPSS for Windows versi 10.0
Faktor umur, masa kerja danintensits pencahayaan berhubungan secara signifikan dengan kelelahan mata. Besar hubungan antara umur dengan kelelahan mata adalah 0,385 (r=0.385), antara masa kerja dengan kelelahan mata adalah 0,0290 (r=0,290) dan antara intensitas pencahayaan dengan kelelahan mata adalah –0,440 (r=-0,440).
Saran yang dapat diberikan sehubungan dengan hasil penelitian diatas adalah agar pihak perusahaan membentukorganisasi K3, melakukan pemeriksaan rutin terhadap keadaan pencahayaan, memindahkan tenaga kerja kecelakaan pekerjaan yang sesuai dengan visusnya. Melakukan pemeriksaankes mata saebelum bekerja, pemeriksaan bekala, danpemeriksaan khusus.
Kata Kunci: KARAKTERISTIK PEKERJA, LINGKUNGAN KERJA, KELELAHAN MATA, PT. YURO MUSTIKA PURBALINGGA, 200
Kajian Naratif: Intervensi untuk Meningkatkan Kepatuhan Pengobatan Tuberculosis
Get PDFPendahuluan: Tuberkulosis (TB) masih menjadi masalah kesehatan dunia yang penting. WHO melaporkan bahwa TB merupakan penyebab penyakit bagi sekitar 10 juta orang setiap tahun dan menduduki peringkat sepuluh besar penyebab kematian secara global. Cakupan pengobatan TB pada tahun 2020 sebesar 41,7% relatif menurun jika dibandingkan dengan tiga tahun sebelumnya. Kegagalan pengobatan TB dapat mengakibatkan pada MDR-TB dan terjadinya kematian. Kepatuhan berobat memegang peran vital dalam menentukan keberhasilan program pengobatan TB. Ketidakpatuhan juga diidentifikasi sebagai faktor utama munculnya MDR-TB. Tujuan: Untuk mengetahui intervensi apa saja yang dapat mendorong kepatuhan pengobatan TB sehingga mencegah kejadian MDR-TB. Metode: Pencarian literatur menggunakan database Google Scholar dan PubMed dengan kata kunci yaitu “tuberculosis” or ”treatment tuberculosis” and “RCT” or “quasi-experiment” and “compliance” or “adherence”. Hasil Penelitian: Tiga belas studi diambil terkait dengan intervensi peningkatan pengobatan tuberculosis. Intervensi yang dilakukan dalam upaya peningkatan kepatuhan pengobatan tuberkulosis antara lain konseling psikologis, edukasi individu, pengawasan pengobatan berbasis digital, dukungan rekan dan pengingat SMS. Kesimpulan: Intervensi yang dapat meningkatkan kepatuhan pengobatan TB yaitu konseling psikologis, edukasi individu, pengawasan pengobatan berbasis digital (99DOTS, WOT, pengingat pengisian ulang pil berbasis telepon, dan monitor pengobatan), dan dukungan rekan
Determinants of Multimorbidity Among the Elderly Population in Indonesia
Get PDFMultimorbidity is the presence of two or more chronic diseases in one person. Multimorbidity prevalence increases with age, especially in the elderly. This study aimed to determine the prevalence of multimorbidity in elderly population in Indonesia and its determinant. Data were taken from the fourth survey of the Indonesian Family Life Survey (IFLS) which held in 2007. IFLS is a continuing longitudinal socio-economic and health survey. The sample used in the analysis were 2,960 elderly (³ 60 years). Logistic regression was performed to determine the prevalence and determinants of multimorbidity in the elderly. The prevalence of multimorbidity were 15.8 % and was higher among low educational level, unemployed, current smokers, mild physical activity, overweight/obese and lower consumption of vegetables and fruit. Multivariate analysis showed that low educational level, unemployed, current smoker and ex smoker, overweight/obese, mild physical activity and lower consumption of vegetables and fruit were associated with multimorbidity. The results showed that the prevalence of multimorbidity in Indonesian elderly is quite high especially those with poor health behaviors and low socioeconomic conditions. Strategies to increase healthy behaviors and improve socio-economic conditions may decrease the prevalence of multimorbidity. Determinan Multimorbiditas pada Populasi Usia Lanjut di IndonesiaMultimorbiditas adalah kehadiran dua atau lebih penyakit kronis pada satu orang. Prevalensi multimorbiditas meningkat dengan usia, terutama pada lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan multimorbiditas pada lansia di Indonesia. Data diambil dari survei keempat Indonesian Family Life Survey (IFLS) yang diadakan pada tahun 2007. IFLS adalah survei sosial ekonomi dan kesehatan longitudinal di Indonesia. Sampel yang digunakan dalam analisis adalah 2.960 lansia (³ 60 tahun). Regresi logistik dilakukan untuk menentukan prevalensi dan determinan multimorbiditas pada lansia. Hasil penelitian menunjukkan prevalensi multimorbiditas sebesar 15,8%, dengan prevalensi lebih tinggi pada lansia yang overweight/obesitas, tingkat pendidikan rendah, tidak bekerja, perokok saat ini, aktivitas fisik ringan, overweight/obesitas, dan kurangnya konsumsi sayur dan buah. Analisis multivariat menunjukkan bahwa tingkat pendidikan yang rendah, tidak bekerja, perokok saat ini dan pernah merokok, overweight/obesitas, aktivitas fisik ringan, serta kurangnya konsumsi sayuran dan buah berhubungan dengan multimorbiditas. Hasil penelitian menunjukkan bahwa prevalensi multimorbiditas pada lansia Indonesia cukup tinggi terutama mereka dengan perilaku kesehatan yang buruk dan kondisi sosial ekonomi yang rendah. Strategi untuk meningkatkan perilaku sehat dan meningkatkan kondisi sosial-ekonomi dapat menurunkan prevalensi multimorbiditas pada lansia
