scholarly journals Outpatient visit among elderly in Indonesia

2021 ◽  
Vol 10 (4) ◽  
pp. 914
Author(s):  
Haerawati Idris ◽  
Nurafni Nurafni

Population aging has become an important issue mostly discussed in many countries in the world. The proportion of the older population is getting better in both developed and developing countries. Elderly tend to need more health care as they are more susceptible to chronic diseases. The purpose of this study was to determine the factors affecting outpatient visit among elderly in Indonesia. This study employed a cross-sectional study design with a sample of ≥60-year-old individual with a total sample of 5,325 elderly. The data used to be analyzed were from the Indonesian Family Life Survey 2014 representing 83% of the population in Indonesia. The theory used was Andersen health service utilization model. In analyzing the data, bivariate analysis were used, with Chi-square and multivariate test using multiple logistic regression test prediction model. Elderly who utilize health service for outpatient was 18.6%. Variables that have significant relationships with outpatient utilization on elderly were female, high education, formal job, Java and Bali, urban, health insurance ownership, economic status, the perception of ill, smoking habit, history of chronic disease, fat, and obesity. Predictor for the most dominant outpatient utilization is influenced by chronic disesase after controlled by other variables. Chronic disesase greatly affect the elderly in utilizing health services for outpatient. To overcome this, the government is expected to provide policies on health facilities to better emphasize promotive and preventive efforts among the elderly.

2021 ◽  
Vol 6 (3) ◽  
pp. 38-45
Author(s):  
Andi Sunarti ◽  
H. Jalil Genisa ◽  
Yusuf .

Work stress is the pressure of the mind of work that is felt when the demands faced exceed the strength contained in the worker. During the current COVID-19 pandemic, the workload of health workers has become very high compared to normal conditions, the ongoing emergency caused by Covid-19 has put health services under strong pressure. This study aims to determine the factors that cause work stress in the Barru District Health Office's fast-moving team. The research method used is quantitative with an analytical approach to cross-sectional study design, with a total sample of 65 people from the Covid-19 rapid response team taken by total sampling. used univariate and bivariate analysis using test Chi square. The results of the study found that there was something that affected work stress, namely the workload of the health department's fast-moving team during the COVID-19 pandemic handling Covid-19 (p = 0.010). While other variables did not affect work stress, namely the effect of work (p = 0.000), the influence of interpersonal relationships (p = 0.010), and the effect of work professionalism (p = 0.000) on the health service rapid movement team during the pandemic-19. The conclusion of this study is that there are those that affect work stress, namely the workload of the fast-moving team handling Covid-19, while the variables that do not affect work stress are the influence of work, the influence of interpersonal relationships, and the influence of work professionalism, on the fast-moving team handling Covid-19 It is recommended that the Barru District Health Office harmonize the work atmosphere at the Barru District Health Office, through activities in outdoor and outbound order to be able to maintain group and interpersonal relationships, and make rules that bind the fast-moving team to deal with Covid-19, especially the office. Barru Regency's health is related to additional tasks under certain conditions so that the leadership gives sanctions to the fast-moving team who do not work professionally in dealing with the covid-19 outbreak. Keywords: Work stress, and the Covid-19 Handling Team.


2019 ◽  
Vol 12 (2) ◽  
pp. 59-64
Author(s):  
Oktafina Safita Nisa ◽  
Arief Wahyudi Jatmiko

Along with the aging process, all systems of the body dealing with changes or gradual deterioration functions, one of which was a decrease in physical activity. A decrease in physical activity in the elderly was one of the causes of cognitive impairment. Decline in cognitive function in the elderly is the biggest cause of the inability to perform normal daily activities. The purpose of the study was to know the correlation between the level of physical activity and cognitive function in the elderly in Pucangan Village Kartasura SubDistrict. This research was cross sectional design. The population were in this study are listed on the elderly Posyandu Pucangan Village Kartasura Sub-District aged >60 years and include in inclusion criteria. The total sample in this study were 95 respondents. Sampling technique used is nonprobability sampling technique with proportional sampling method. The instrument used to measure the level of physical activity is GPPAQ (General Practice Physical Activity Questionnaire) and for cognitive function using the MMSE (Mini Mental State Examination). Analys of the data used was Chi Square test. Results of univariate known that elderly people who have high levels of physical activity inactive (35.8%) and active as much (21.1%). The percentage of elderly who have normal cognitive function as many (29.5%) and those with severe cognitive disorders amounted to (43.2%). The result of bivariate analysis there was no relationship between the level of physical activity and cognitive function in which showed the value of p value = 0.010 (p> 0.05) means that Ho was rejected. The conclusions of this study shows there is a relationship between the level of physical activity and cognitive function in the elderly in Pucangan Village Kartasura Sub-District.


2018 ◽  
Vol 25 (2) ◽  
pp. 10-19
Author(s):  
Santoso Ujang Effendi ◽  
Nurul Khairani ◽  
Susi Hartina

The basis for the establishment of integrated health service post for elderly (elderly Posyandu)  was to improve the welfare of the community, especially the elderly. This study aimed to determine the factors that were related to the utilization of  elderly Posyandu in the working area of  Penurunan Public Health Center Bengkulu. This research was conducted in elderly Posyandu in the working area of  Public Health Center Bengkulu in August 2017. This type of research was an analytical survey using a cross sectional design. The population in this study were elderly working area of Penurunan Public Health Center Bengkulu. The sampling technique in this study used proportional random sampling and obtained a sample of 88 elderly people. Data collection in this study used primary data obtained from direct interviews with respondents. Data analysis techniques were carried out by univariate and bivariate analysis with Chi-Square test through the SPSS program. The results were obtained : there were 51 people (58.0%) who did not utilize the elderly posyandu. There were 43 people (48.9%) elderly with good knowledge. There were 45 people (51.1%) elderly who had a Favorable attitude and there were 49 people (55.7%) elderly who received family support. This study showed that there was a significant relationship between knowledge, attitudes, and family support with the utilization of elderly Posyandu in working area of Penurunan Public Health Center Bengkulu. It is expected that the elderly can play an active role in following                  the elderly posyandu activities so that the elderly are more independent and productive and the health status of the elderly can be monitored. Keywords: attitude, elderly posyandu, family support, knowledge,


2021 ◽  
Vol 6 (1) ◽  
pp. 66-79
Author(s):  
Eva Nirwana Natalia Hutabarat ◽  
Mira Indrayani

The prevalence of smoking in Indonesian people is very high, especially in males; they consist of children, adolescents, and adults. Government Regulation on Pictorial Health Warning (PHW) on cigarette packs is it ended to protect people and change their attitude toward smoking habit by quitting it. The purpose of this study was to analyze the influence of individual characteristics and perceptions about the warning of smoking hazard on cigarette packs on changing the attitude of active smokers. The research used analytic survey method with cross sectional design. It was conducted at Lingkungan XXVII, Kelurahan Pekan Labuhan, Medan Labuhan Subdistrict. The population was 324 people, and 248 of them were used as the samples. The data were analyzed by using univariate analysis, bivariate analysis with chi square test, and multivariate analysis with multiple logistic regression analysis. The result of the research showed that education, knowledge, and perception on warning for the danger of smoking in advertisements had the influence on the change in active smokers’ attitude (p<0.05) at Lingkungan XXVII, Kelurahan Pekan Labuhan, while age, occupation, and smoking habit did not (p>0.05). the variable which had the most dominant influence was the variable of education. Active smokers who had high education, good knowledge, and had good perception on the warning for the danger of smoking on cigarette packs in the advertisements had the oppurtunity of 57% to change their attitude which indicated it was very difficult  to change smokers’ attitude toward smoking since it has become a habit. It is recommended that the government, through the Health Agency, evaluate advertisements about warning for the danger of smoking on cigarette packs since many smokers do not change their attitude although the warning is clearly visible and understandable.


2018 ◽  
Vol 1 (2) ◽  
pp. 123-138
Author(s):  
Novianti Novianti ◽  
Dina Mariana

This study aimed to determine the factors that influence the behavior of the elderly in participating in gymnastics for elderly in Jalan Gedang Health Center in Bengkulu City, 2016. This study was an analytical study using cross sectional design. The population were all elderly at gymnastics in Jalan Gedang health center totaled 50 people, with a total sample of 33 people, and were taken using accidental sampling technique. Data collection was done by direct interview using a questionnaire. The data were analyzed using univariate and bivariate analysis with chi square test at α 5 percent. The results showed that most respondents 60.6 percent had less knowledge, most respondents 51.5 percent got lower family support, almost half of respondents 36.4 percent had low motivation, almost half of respondents 42.4 percent behave not active in participating in gymnastics for elderly, and the results of the chisquare value of ρ 0.040, 0.000 and 0.001 showed no relationship between knowledge, family support and motivation to the behavior of the elderly in participating in gymnastics in Jalan Gedang health center in Bengkulu City 2016. Knowledge, family support, and motivation are very important for the elderly in order to follow gymnastics actively, because gymnastics is very useful for maintaining health. Keywords: Awareness, Behavior, Family Support, and Motivation  


2020 ◽  
Vol 3 (2) ◽  
pp. 23-26
Author(s):  
Kadek Widian Tari

Abstract   Background and Objectives: The rate of population growth is one of the problems experienced by developing countries, including Indonesia. One of the efforts of the government to reduce the rate of growth is by holding a family planning (KB) program, in particular by increasing the participation of husbands in using the vasectomy contraceptive method. This study aims to determine the relationship between knowledge and attitudes of husbands towards the vasectomy contraceptive method Methods: This research design is a type of correlation analytic study with a cross-sectional approach. The population in this study were all male fertile age couples in the Kelod Penestanan Banjar, Sayan Village, Ubud District, totaling 256 couples. Selection of subjects using purposive sampling technique with a total sample of 65 people. The instrument used in data collection was a questionnaire. The data analysis used was univariate, bivariate analysis using the Pearson Chi-square statistical test. Results: The study showed that most of the respondents, namely 37 respondents (56.9%) had insufficient knowledge, and almost all of them, 53 respondents (81.5%), had negative attitudes towards the vasectomy contraceptive method. The results of the bivariate analysis showed that there was a relationship between knowledge and attitudes of the husband towards the vasectomy contraceptive method (p <0.005) Conclusion: There is a significant relationship between knowledge and attitudes towards husbands the vasectomy contraceptive method.    


Author(s):  
Eva Nirwana Natalia Hutabarat ◽  
R. Kintoko Rochadi ◽  
Destanul Aulia

Prevalensi merokok pada orang Indonesia sangat tinggi, terutama pada pria; mereka terdiri dari anak-anak, remaja, dan orang dewasa. Peraturan Pemerintah tentang Peringatan Kesehatan Bergambar (PHW) pada bungkus rokok berakhir untuk melindungi orang dan mengubah sikap mereka terhadap kebiasaan merokok dengan berhenti. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh karakteristik individu dan persepsi tentang peringatan bahaya merokok pada bungkus rokok pada perubahan sikap perokok aktif. Penelitian ini menggunakan metode survei analitik dengan desain cross sectional dilakukan di Lingkungan XXVII, Kelurahan Pekan Labuhan, Kecamatan Labuhan Medan. Populasi adalah 324 orang, dan 248 dari mereka digunakan sebagai sampel. Data dianalisis dengan menggunakan analisis univariat, analisis bivariat dengan uji chi square, dan analisis multivariat dengan analisis regresi logistik ganda. Hasil penelitian menunjukkan bahwa pendidikan, pengetahuan, dan persepsi tentang peringatan bahaya merokok di iklan memiliki pengaruh. tentang perubahan sikap perokok aktif (p <0,05) di Lingkungan XXVII, Kelurahan Pekan Labuhan, sedangkan usia, pekerjaan, dan kebiasaan merokok tidak (p> 0,05). variabel yang memiliki pengaruh paling dominan adalah variabel pendidikan. Perokok aktif yang memiliki pendidikan tinggi, pengetahuan yang baik, dan memiliki persepsi yang baik tentang peringatan akan bahaya merokok pada bungkus rokok dalam iklan memiliki peluang 57% untuk mengubah sikap mereka yang mengindikasikan bahwa sangat sulit untuk mengubah sikap perokok terhadap merokok karena sudah menjadi kebiasaan. Disarankan agar pemerintah, melalui Dinas Kesehatan, mengevaluasi iklan tentang peringatan bahaya merokok pada bungkus rokok karena banyak perokok tidak mengubah sikap mereka walaupun peringatan itu jelas terlihat dan dapat dimengerti. The prevalence of smoking in Indonesian people is very high, especially in males; they consist of children, adolescents, and adults. Government Regulation on Pictorial Health Warning (PHW) on cigarette packs is it ended to protect people and change their attitude toward smoking habit by quitting it. The purpose of this study was to analyze the influence of individual characteristics and perceptions about the warning of smoking hazard on cigarette packs on changing the attitude of active smokers. The research used analytic survey method with cross sectional design. It was conducted at Lingkungan XXVII, Kelurahan Pekan Labuhan, Medan Labuhan Subdistrict. The population was 324 people, and 248 of them were used as the samples. The data were analyzed by using univariate analysis, bivariate analysis with chi square test, and multivariate analysis with multiple logistic regression analysis.The result of the research showed that education, knowledge, and perception on warning for the danger of smoking in advertisements had the influence on the change in active smokers’ attitude (p<0.05) at Lingkungan XXVII, Kelurahan Pekan Labuhan, while age, occupation, and smoking habit did not (p>0.05). the variable which had the most dominant influence was the variable of education. Active smokers who had high education, good knowledge, and had good perception on the warning for the danger of smoking on cigarette packs in the advertisements had the oppurtunity of 57% to change their attitude which indicated it was very difficult  to change smokers’ attitude toward smoking since it has become a habit.It is recommended that the government, through the Health Agency, evaluate advertisements about warning for the danger of smoking on cigarette packs since many smokers do not change their attitude although the warning is clearly visible and understandable.


2018 ◽  
Vol 1 (2) ◽  
pp. 89-94
Author(s):  
Intan Sari

Low Birth Weight (LBW) is an infant born with a birth weight of less than 2500 grams regardless of gestation. Birth weight is the weight of the baby weighed in 1 hour after birth. (Depkes RI, 2009). Based on WHO and UNICEF data, in 2013 about 222 million babies were born in the world, of which 16% were born with low birth weight. The percentage of LBW in developing countries is 16.5% twice that of developed countries (7%) (Scholar Unand, 2014). The purpose of this study was to determine whether there is a relationship between anemia and Smoking Habit in Pregnant Women with LBW occurrence in General Hospital Dr. Mohammad Hoesin Palembang Year 2016. This research use analytical survey method with cross sectional approach. The population in this study were all mothers who gave birth monthly in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang in 2016 as many as 315 respondents. The sample of this research is some of mothers who give birth enough month in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang Year 2016 as many as 315 respondents. ". From the results of bivariate analysis of anemic respondents with the occurrence of LBW obtained statistical test X2 count = 23.22 which means there is a significant relationship between anemia with the incidence of BBLR. Respondents smoking with the occurrence of LBWR obtained statistical test X2 count = 41.20 which means there is a relationship Meaningful between smoking and LBW incidence. From the results of this study is expected that this research can be a reference material and is a complete information and useful for the development of knowledge about LBW.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly


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