Specialised wound care clinics in Spain: distribution and characteristics

2020 ◽  
Vol 29 (12) ◽  
pp. 764-775
Author(s):  
Héctor González-de la Torre ◽  
José Verdú-Soriano ◽  
María L Quintana-Lorenzo ◽  
Miriam Berenguer-Pérez ◽  
Raquel Sarabia Lavín ◽  
...  
Keyword(s):  
Wound Care ◽  
Nursing Assistants ◽  
Wound Management ◽  
Chi Square ◽  
Cross Sectional ◽  
Four Dimensions ◽  
Staff Members ◽  
Modified Delphi ◽  
Final Questionnaire ◽  
Chi Square Test

Objective: To determine the number of specialised wound care units/clinics (SWCUs) in Spain, at present, and to describe their most important characteristics. Method: This was an observational study with a descriptive-analytical, cross-sectional, multicentre approach, where the studied population consisted of SWCUs in Spain. A specific data-collection questionnaire was designed using a modified Delphi method, consisting of four rounds, with the collaboration of 10 wound experts. The final questionnaire included 49 items distributed across four dimensions/areas with a content validity index (CVI-Total for pertinence=0.96 and CVI-Total for relevance=0.94. Results: A total of 42 SWCUs were included in the study. Most SWCUs were based in hospitals (n=15, 35.7%) or healthcare centres, covering a specific healthcare area (n=17, 40.5%). SWCU coordinators were primarily nurses (n=33, 78.6%). Staff members' professions in SWCUs included registered nurses (n=38 units, 92.7%), nursing assistants (n=8 units, 19.5%), podiatrists (n=8 units, 19.5%), vascular surgeons (n=7 units, 17%), osteopaths (n=2 units, 4.8%) and medical doctors from different specialties (n=3 units, 7.2%). For wound aetiology, the most prevalent wounds managed were diabetic foot ulcers (n=38 units, 90.5%), followed by venous leg ulcers (n=36 units, 85.7%) and arterial ischaemic ulcers (n=36 units, 85.7%). A statistically significant association was found between the number of staff members in a SWCU and the existence of resistance/opposition barriers when developing a SWCU (Chi-square test, p=0.049; Cramér's V=0.34; 34%), as well as between resistance/opposition barriers when developing a SWCU and a nurse as coordinator of a SWCU (MacNemar test, p=0.007, Cramér's V=0.35; 35%). Conclusion: The typical SWCU implemented in Spain is located in a hospital or integrated in a healthcare structure that offers coverage to a whole health area and providing services for people with hard-to-heal wounds (wound management and prevention) and health professionals (advice, consultancy and training/education). Despite the growing number of SWCUs in Spain, the future of this new organisational model is uncertain, as there can be barriers to creating them and some deficiencies, such as low staff numbers, which need to be addressed.

scholarly journals Needlestick Injuries and Associated Psychosocial Factors Among the Students of Dental School

2021 ◽  
Vol 24 (3) ◽  
pp. 398-411
Author(s):  
Mohammad Bakhtavar ◽  
◽  
Seyed Mehrzad Shaddel ◽  
Ehsan Mmomeni ◽  
Vahideh Nazari ◽  
...  
Keyword(s):  
Psychological Factors ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Needlestick Injury ◽  
Chi Square ◽  
Cross Sectional ◽  
Four Dimensions ◽  
Chi Square Test ◽  
School Of Dentistry

Background and Aim: Needlestick injury (NSJ) is a common occupational health problem among dental healthcare workers, putting them at significant risk for blood-borne infections. This study aimed to investigate occupational exposure to NSJ and the psychological factors associated with it among dentistry students. Methods & Materials: This descriptive cross-sectional study was carried out on students in the Arak school of dentistry training curriculum in the last three years in 2018. The questionnaires included questions about students’ awareness of NSJ conditions, the frequency of vaccinations, and antibody titration tests. The SCL-90 (Symptom checklist-90) questionnaire assessed psychological factors after NSJ in four dimensions of anxiety, phobia, self-morbidity, and depression. Data analysis was performed using descriptive statistical methods and a chi-square test. Ethical Considerations: The study was approved by the Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.269). Results: Of the eighty students surveyed, 59 students had experienced NSJ at least once. However, only 25.4% of students had reported the NSJ occurrence. The highest incidence rate of NSJ was reported in the endodontics section. In addition, 80% of students had received hepatitis B vaccinations. Based on the SCL-90 test, the anxiety dimension was more affected by NSJ than the other dimensions. Conclusion: Despite the high prevalence of NSJ in dental students, the rate of reporting after the accident is very low. Also, due to the lack of attention to vaccination in some students, there is a need for more infection control training. Based on the SCL-90 test, the occurrence of NS is effective in causing psychological problems.

scholarly journals Socioeconomic characteristics influence attitudes towards sexuality in adolescents

2021 ◽  
Vol 31 (1) ◽  
pp. 101-115
Author(s):  
Juliani Da Silva Araújo Alves ◽  
Silvana Granado Nogueira da Gama ◽  
Maria Carmen Moldes Viana ◽  
Katrini Guidolini Martinelli ◽  
Edson Theodoro dos Santos Neto
Keyword(s):  
Family Income ◽  
Multinomial Logistic Regression ◽  
Social Contexts ◽  
Sexual Practices ◽  
Chi Square ◽  
Cross Sectional ◽  
Four Dimensions ◽  
School Based ◽  
Lower Socioeconomic ◽  
Chi Square Test

Backgroung: Attitudes Towards Sexuality in Adolescents (ATSA) are built according to the experiences and different social contexts. Objectives: to analyze attitudes towards sexuality itself, according to socioeconomic factors in adolescents aged. Methods: Cross-sectional school-based study was carried out with 2,292 adolescents enrolled in high school, in 54 schools, through interviews using the Attitudes Toward Sexuality in Adolescents (AFSA) instrument that has four dimensions, and measures the Permissiveness, Communion, Instrumentality and Sexual Practices. Then, the attitude of each adolescent was classified as: unfavorable, indifferent and favorable. Pearson’s Chi-square test and Multinomial Logistic Regression were used in statistical analyses. Results: It was verified that the majority of the adolescents presented unfavorable AFSA, being these behaviors directly associated to: age of 15/16 and 17 years (OR=0.59; OR=0.47); lower secondary education (OR=2.03); adolescent’s head of family having low education (OR=2.00); to live with the partner (OR=2.77); race / color black (OR=2.04) and brown (OR=1.88); and lower family income (OR=2.50). Conclusion: Adolescents with lower socioeconomic status are more likely to have unfavorable attitudes towards their own sexuality.

scholarly journals 1035325 Hubungan Pengetahuan dan Sikap Ibu Nifas dengan Perawatan Luka Perineum di Rumah Sakit Muhammadiyah Palembang Tahun 2018

2019 ◽  
Vol 9 (1) ◽  
pp. 19-25
Author(s):  
Tirta Anggraini
Keyword(s):  
Wound Care ◽  
Perineal Wound ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Health Organization ◽  
Postpartum Mothers ◽  
The Relationship

ABSTRAK Menurut data World Health Organization (WHO) tahun 2012 sebanyak 99 % kematian ibu akibat masalah persalinan atau kelahiran terjadi di negara–negara berkembang. Penyebab langsung kematian di Indonesia dan negara lainnya hampir sama yaitu akibat perdarahan (28%), eklamsia (24%) dan infeksi (11%). Kasus infeksi ini (25–55%) di sebabkan karena infeksi jalan lahir atau episiotomi. Tujuan penelitian untuk mengetahui hubungan pengetahuan sikap ibu nifas tentang perawatan luka perineum di Rumah Sakit Muhammadiyah Palembang tahun 2018. Jenis Penelitian ini berbentuk survey analitik dengan cross sectional, pengambilan sample menggunakan metode accidental sampling yaitu sebanyak 30 responden. Variabel yang dikaji dalam penelitian ini adalah pengetahuan dan sikap ibu nifas dengan perawatan luka perineum. Analisa yang digunakan adalah uji Chi-Square. Berdasarkan hasil penelitian, didapatkan responden yang melakukan perawatan luka perineum sebanyak 22 responden (73,3%) dan yang tidak melakukan perawatan luka perineum sebanyak 8 responden (26,7%). Responden yang berpengetahuan cukup sebanyak 13 responden (43,3%) lebih banyak dibandingkan dengan responden yang memiliki pengetahuan kurang sebanyak 11 responden (36,7%) dan responden yang berpengetahuan baik sebanyak 6 responden (20,0%). Responden yang memiliki sikap positif sebanyak 23 responden (76,7%) lebih besar dibandingkan dengan responden yang memiliki sikap negatif sebanyak 7 orang (23,3%). Dari hasil uji Chi-Square hubungan pengetahuan dengan perawatan luka perineum didapatkan hasil p value 0,001 dan hubungan sikap dengan perawatan luka perineum didapatkan hasil p value 0,002. Hasil dari penelitian ini ada hubungan bermakna antara pengetahuan dan sikap ibu nifas dengan perawatan luka perineum di Rumah Sakit Muhammadiyah Palembang tahun 2018. Kata kunci : Pengetahuan, Sikap, dan Perawatan Luka Perineum ABSTRACT Data from the World Health Organization (WHO) in 2012 as many as 99% of maternal deaths due to labor or birth problems occur in developing countries. The immediate causes of death in Indonesia and other countries are almost the same, bleeding (28%), eklampsia (24%) and infection (11%). Cases infection (25–55%) are caused due to birth canal infections or episiotomi. The study was to determine the relationship between knowledge of postpartum attitudes about perineum wound care at the Muhammadiyah Hospital in Palembang in 2018. The type of this study was an analytical survey with cross sectional,sample  using accidental sampling method which was 30 respondents. The variables studied in this study were the knowledge and attitudes of postpartum mothers with perineum wound care. The analysis used is the Chi-Square test. Based on the results of the study, there were 22 respondents (73.3%) and those who did not perform perineum wound care as many as 8 respondents (26.7%). Respondents who were sufficiently knowledgeable were 13 respondents (43.3%) more than respondents who had less knowledge as many as 11 respondents (36.7%) and respondents who were well-informed as many as 6 respondents (20.0%). Respondents who had a positive attitude were 23 respondents (76.7%) greater than respondents who had a negative attitude as many as 7 people (23.3%). From the results of the Chi-Square test, the relationship between knowledge with perineal wound care showed p value 0.001 and the relationship between attitudes and perineal wound care showed p value 0.002. The results of this study have a significant relationship between knowledge and attitude of postpartum mothers with perineum wound care at the Muhammadiyah Hospital Palembang in 2018. Keywords: Knowledge, Attitudes, and Care of Perineum Wounds.

Hubungan Antara Menyusui Dengan Involusi Uterus Pada Ibu Nifas Fisiologis Di RSIA Aura Syifa Kabupaten Kediri

1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani
Keyword(s):  
Breast Feeding ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Fisher Test ◽  
Key Word ◽  
Chi Square Test ◽  
The Moment

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution

FAKTOR PERSONAL YANG BERHUBUNGAN DENGAN KOMITMEN ORGANISASI PERAWAT RSUD EMBUNG FATIMAH BATAM

2020 ◽  
Vol 5 (3) ◽  
pp. 875
Author(s):  
Asfri Sri Rahmadeni
Keyword(s):  
Organizational Commitment ◽  
Turnover Rate ◽  
Sampling Technique ◽  
Hospital Nurses ◽  
Test Results ◽  
Personal Factors ◽  
High Turnover ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

<p class="Normal1"><em>Commitment is the attitude or behavior of likes or dislikes shown by someone against the organization at work. Indonesia is recorded as a nurse who has a low organizational commitment (76%) so it harms services. This phenomenon in the hospital can be seen from the indicator of the high turnover rate of nurses which reaches 30.9% which exceeds the standard &lt;5%. Many factors affect organizational commitment. The purpose of this study was to analyze the Personal Factors Associated with Organizational Commitment of Hospital Nurses. This study is a cross-sectional analytic study and purposive sampling technique with a sample of 59 nurses. Chi-Square test results obtained personal factors that have a relationship with organizational commitment Nurse Hospital is age with p = 0,000 and education with p = 0,000, personal factors not related to organizational commitment are gender p = 1,053 and years of service with p = 1,147. Hospitals should conduct research/surveys on Organizational Commitment periodically as an evaluation material in the context of the organization's development and development in the future</em>.</p>

GAMBARAN INDEKS LARVA AEDES AEGYPTI DI BUFFER WILAYAH KERJA BANDARA SEPINGGAN BALIKPAPAN

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Abdurrakhman abdurrakhman Abdurrakhman
Keyword(s):  
Aedes Aegypti ◽  
Buffer Zone ◽  
Chi Square ◽  
Cross Sectional ◽  
Breeding Sites ◽  
Dengue Disease ◽  
Vector Borne Diseases ◽  
Transportation Equipment ◽  
Chi Square Test ◽  
Larvae Density

ABSTRACT : The House index and Container Index in the buffer area of ​​the working area of ​​Balikpapan Sepinggan Airport is still above 1%, so the potential for the spread of dengue disease. Mobilization of people, goods and transportation equipment will increasingly affect the transmission of disease in ports and airports, especially for vector-borne diseases. This study aims to analyze the risk factors associated with larvae density of Aedes aegypti and describe the larvae index in the buffer zone of the Sepinggan Balikpapan Airport This study was a descriptive study with a cross sectional design. The sample in this study was 121 houses with a proportionate stratified random sampling, the research location was in the buffer zone of Sepinggan Balikpapan Airport in November 2018. The variables studied were houses with positive larvae containers, breeding sites and PSN behavior and larvasidation. The data was analyzed using the chi square test. There was a relationship between houses with larvae positive Aedes aegypti, behavior of Mosquito Nest Eradication (PSN) and larvasidation with larvae density of Aedes aegypti but not for breeding sites (p = 0.00 and 95% CI = 0.64), and   (p = 0.00 and 95% CI = 0.34). The description of several Aedes aegypti larvae index, namely House Index (HI) = 57.02%, Container Index (CI) = 24.36%, Bruteau Index (BI) = 148.76, and Flick Free Numbers (ABJ) = 42.98 %. Houses with larvae of Aedes aegypti larvae and PSN and larvasidation behavior were associated with larvae density of Aedes aegypti. The index of HI, CI and BI larvae is of high value so there is a risk of DBD transmission

IDENTIFIKASI SERTA HUBUNGAN KONSTRUKSI SUMUR GALI TERHADAP KANDUNGAN COLIFORM PADA AIR SUMUR GALI DI DUSUN JIKEN KABUPATEN LOMBOK TIMUR

2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari
Keyword(s):  
Cross Sectional Study ◽  
Coliform Bacteria ◽  
Well Water ◽  
Chi Square ◽  
Cross Sectional ◽  
Content Variable ◽  
Chi Square Test ◽  
Dug Wells ◽  
Dug Well ◽  
The Relationship

The well is one of the source water used for bathing, washing, and drinking by the citizens in Jiken Hamlet, Rarang Village, Terara Sub-District. Poor dug well construction conditions can affect the amount of coliform bacteria contained in the dug well water. The purpose of this study is to identify the construction of dug wells and the content of coliform bacteria in dug well water and determine the relationship between dug well construction and the content of coliform bacteria. This research is analytic with a cross sectional study design. The results were obtained from 11 samples of dug wells which were observed in construction and the coliform content was known that all samples did not requirements as good dug well construction. Coliform content test results showed that as many as 5 dug well water samples did not pass the clean water quality standards. The results of data analysis with the chi-square test variable construction of dug wells with coliform content variable  showed 0,172 > 0,05, then the concluded is the dug well not suitable to use by people in that area as a source of water for daily needs.

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

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

Socio-Demographic Factors and Health-Related Behaviors Associated with Gerontology

GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 359-370
Author(s):  
Dr. Ravi S. Dalawai
Keyword(s):  
Cross Sectional Study ◽  
Work Culture ◽  
Chi Square ◽  
Cross Sectional ◽  
The Social ◽  
Health Related ◽  
Chi Square Test ◽  
Current Scenario ◽  
Socio Demographic Factors ◽  
Insight Into

Indian population is in growing trend from 942.2 million in 1994 to 1.36 billion in 2019.Among this six per cent of India's population was of the age 65 and above (UNFPA, 2019). Today the work culture is totally changed. Both husband and wife are forced to work in the current scenario and unable to take care of their parents. The changing structure created increased problems for old age people leads to loneliness, psychological, physical health and financial insecurity. The study paper provides insight into the social and demographic factor and health related sickness of the oldest people. This research explained the cross-sectional study included a representative sample (n=116) of adults aged ≥60 years. The sample was chosen using a four-stage stratified random-cluster survey sampling method .The Chi Square test and ANOVA test was analyzed using SPSS20.

Prevalence of Childhood Obesity In Northeastern Ontario: A Cross-sectional Study

2006 ◽  
Vol 67 (3) ◽  
pp. 143-147 ◽  
Author(s):  
Foyez Haque ◽  
Alberto G. de la Rocha ◽  
Betty Ann Horbul ◽  
Patricia Desroches ◽  
Craig Orrell
Keyword(s):  
Childhood Obesity ◽  
Program Planning ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Obesity Prevalence ◽  
Chi Square ◽  
Cross Sectional ◽  
Northern Ontario ◽  
Control And Prevention ◽  
Chi Square Test

Purpose: In Canada, the incidence of childhood obesity has tripled within the past 20 years. The prevalence of obesity in the Timmins, Ontario, student population was studied to gain knowledge for program planning and resource allocation, and to compare Centers for Disease Control and Prevention (CDC) criteria with Cole’s international criteria for childhood obesity. Methods: Anthropometric measurements of 801 students were taken. Students were chosen from randomly selected schools for each grade. Data were analyzed according to age, gender, and ethnicity. Data were also compared with other studies. Intragroup comparisons were performed using hypothesis testing for significance with the z table and chi-square test. Results: Overweight and obesity prevalence was 28% according to CDC criteria. No statistical difference was found between genders or among ethnic groups, or between this study and other Canadian studies. In comparison with the CDC criteria, Cole’s international criteria indicated less obesity and increased overweight prevalence. These differences were not statistically significant. Conclusions: The findings suggest that in the northern Ontario community of Timmins, the prevalence of childhood obesity is of epidemic proportions. When the findings are shared with different agencies, this study will help the health unit to take necessary public health measures to curb the epidemic.

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