scholarly journals DESCRIPTION OF FAMILY’S KNOWLEDGE ABOUT PALLIATIVE CARE IN A PRIVATE HOSPITAL IN WEST INDONESIA [GAMBARAN PENGETAHUAN KELUARGA TENTANG PERAWATAN PALIATIF DI SATU RUMAH SAKIT SWASTA DI INDONESIA BARAT]

2020 ◽  
Vol 7 (2) ◽  
pp. 32
Author(s):  
Liberty Oktoriati Zendrato ◽  
Lidya Rheina Theresya Waruwu ◽  
Yuliana Susana Nar ◽  
Yenni Sitanggang ◽  
Erivita Sakti

<p>Palliative care is an approach to increase quality of life of patients and their families facing terminal illness. Indonesia is one of the countries which has a high prevalence of illness. Based on interviews in January 2019 with nine family members of a sick patient, the result is the family members do not know about the patients’ condition and palliative care. Besides, the writer realized that the family’s knowledge affecting to the caring given to the sick patients. The purpose of this study is to know the description of family member’s knowledge about palliative care in the hospital in West Indonesia. This study used quantitative descriptive methodology with cross sectional design. Sample techniques used was purposive sampling with 217 sample that suit the inclusion criteria. Questionnaire was used as the instrument taken from Kahveci &amp; Gokcinar (2014). Analysis data used univariate analysis. This study were done in July 2019. Result: the study showed that there were a high level of knowledge on high education level background of bachelors and masters about 42.9%, female 59%, and generally level of knowledge of respondents mostly in the middle level (59.9%) and good (31.8%). The respondents who had health education about palliative care showed good level (63.8%) and middle (83.8%) from 170 respondents. Recommendation for next research is suggested that for further study to find the relationship between knowledge and the attitude of family member in palliative care</p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Perawatan paliatif merupakan pendekatan untuk meningkatkan kualitas hidup pasien dan keluarganya yang mengalami penyakit terminal. Indonesia salah satu negara dengan prevalensi penyakit paliatifnya termasuk tinggi. Berdasarkan wawancara bulan Januari 2019 kepada sembilan anggota keluarga pasien paliatif, didapatkan bahwa keluarga pasien masih belum memahami tentang kondisi dan perawatan paliatif. Namun, peneliti menyadari pengetahuan keluarga berpengaruh terhadap perawatan yang diberikan untuk anggota keluarga yang sakit. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan keluarga tentang perawatan paliatif di rumah sakit swasta di Indonesia Barat. Penelitian ini menggunakan metodologi deskriptif kuantitatif dengan pendekatan cross sectional. Teknik sampel yang digunakan adalah purposive sampling dengan jumlah sampel 217 orang yang sesuai kriteria inklusi. Instrumen penelitian menggunakan kuesioner yang diambil dari penelitian Kaveci &amp; Gokcinar (2014). Teknik analisis data yang digunakan adalah analisis univariat. Penelitian ini dilakukan pada bulan Juli 2019. Hasil penelitian menunjukkan mayoritas responden adalah perempuan (59%) dan secara general tingkat pengetahuan responden terbanyak pada level cukup (59.9%) dan baik sebanyak 31.8%. Responden yang mendapatkan edukasi kesehatan tentang paliatif menunjukkan level pengetahuan baik 63.8% dan pengetahuan cukup 83.8% dari total 170 responden. Rekomendasi untuk penelitian selanjutnya adalah disarankan untuk mencari hubungan pengetahuan terhadap sikap anggota keluarga pasien dalam pelaksanaan perawatan paliatif.</p>

2019 ◽  
Vol 6 (1) ◽  
pp. 1-8
Author(s):  
Ida Suryati ◽  
Def Primal ◽  
Darsis Pordiati

DM is a disease where the level of glucose (simple sugar) in high blood because the body cannot release or use insulin adequately. Type 2 diabetes can cause various chronic complications such as diabetic foot disorders. The number of DM patients in Bukittinggi Achmad Mochtar Hospital has increased in the last 2 years. In 2017 there are 1,350 DM patients, in 2018 there are 1,400 DM patients who visit the International Clinic. Information obtained from officers at the Achmad Mochtar Hospital International Police that officers did not provide health promotion about diabetic ulcers to DM patients who visited the internal poly. The purpose of the study was to determine the relationship level of knowledge and duration of suffering from diabetes with the incidence of diabetic ulcers. Descriptive analytic research method with cross sectional design. The population was all type 2 DM patients who visited the Bukittinggi Achmad Mochtar Hospital interne poly, with an average number of 117 people per month. The number of samples is 54 people, with sampling using accidental sampling. Data was processed and analyzed using the chi-square test. The results of univariate analysis showed that 72.2% of respondents had high level of knowledge, 61.1% had long suffered from DM and 79.6% had no diabetic ulcer. Bivariate results have a correlation between level of knowledge with the incidence of diabetic ulcer (p = 0,000) and there is a relationship between knowledge and incidence of diabetic ulcer (p = 0.036 and OR = 8.696). It was concluded that there was a relationship between level of knowledge and duration of suffering from diabetes with the incidence of diabetic ulcers. It is expected that the hospital management will make counseling information on diabetic ulcers for DM patients visiting the Bukittinggi Achmad Mochtar Hospital interne poly. 


2021 ◽  
Vol 8 (2) ◽  
pp. 168
Author(s):  
Endang Dwi Suhartiningsih ◽  
Dora Samaria

<p><em>The rate of exclusive breastfeeding that is not in accordance with the national target is influenced by several factors. Factors that influence the process of breastfeeding can come from within the mother and from outside. This research was conducted with the aim to identify the characteristics of breastfeeding mothers in the Exclusive Pumping Mama Indonesia Group. This research uses descriptive method with survey approach. The population in this study is breastfeeding mothers who are members of the Exclusive Pumping Mama Indonesia Group. Sampling was done by purposive sampling technique by adjusting the inclusion and exclusion criteria that have been set by 49 respondents. Data collection was carried out by distributing questionnaires containing the characteristics of respondents. Analysis of the data used is univariate analysis by looking at the frequency distribution of the percentages of each sub-variable characteristic of nursing mothers. The results showed that of the 49 respondents involved mostly aged 20-35 years, namely 87.5%, had a high level of education (D3 / S1) of 85.4%, 79.2% of working mothers and primiparous mothers which is as much as 68.8%.</em></p><p> </p><p><strong>BAHASA INDONESIA </strong>Angka pemberian ASI Eksklusif tidak mencapai target nasional. Hal ini dapat disebabkan oleh beberapa faktor yang memengaruhi proses menyusui, yaitu faktor internal dan eksternal ibu. Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi karakteristik ibu menyusui di Group Exclusive Pumping Mama Indonesia. Penelitian ini menggunakan metode deskriptif dengan pendekatan survei. Populasi dalam penelitian ini adalah ibu menyusui yang tergabung dalam Group Exclusive Pumping Mama Indonesia. Pengambilan sampel dilakukan dengan teknik <em>purposive sampling</em> sejumlah 49 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner yang berisi karakteristik responden ibu menyusui. Analisis data yang digunakan adalah analisis univariat yaitu dengan melihat distribusi frekuensi persentase dari masing-masing subvariabel karakteristik ibu menyusui. Hasil penelitian menunjukkan bahwa dari 49 responden yang terlibat sebagian besar berusia 20-35 tahun yaitu 87,5%, memiliki tingkat pendidikan tinggi (D3/S1) yaitu sebanyak 85,4 %, ibu berstatus bekerja sebanyak 79,2% dan merupakan ibu primipara yaitu sebanyak 68,8%. Direkomendasikan desain penelitian cross-sectional untuk penelitian selanjutnya agar dapat mengindentifikasi lebih jauh hubungan antar subvariabel karakteristik ibu menyusui dalam kaitannya dengan pemberian ASI eksklusif.</p>


2020 ◽  
Vol 16 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Nessrine Akasbi ◽  
Siar Nihad ◽  
Zoukal Sofia ◽  
El Kohen Khadija ◽  
Harzy Taoufik

Background: According to the new classification criteria developed by The Assessment of SpondyloArthritis International Society, patients with axial spondyloarthritis (axSpA) can be classified in 2 subgroups: Patients with radiographic axial spondyloarthritis: ankylosing spondylitis patients (AS) and those with non-radiographic axial spondyloarthritis (nr-axSpA). Objective: The aim of the present study is to describe and discuss the differences and similarities between the two subgroups. Patients and Methods: A cross-sectional study was conducted in a single rheumatology hospital in Morocco. These included patients diagnosed as having axial spondyloarthritis according to ASAS criteria 2010, during a period of 6 years. The AS and the nr-axSpA subgroups were compared for the various axSpA-related variables. Results: Of the 277 patients with a diagnosis of axial SpA who were included in this study, 160 had AS and 117 had nr-axSpA. AS and nr-ax-SpA shared a similar age at diagnosis, similar prevalence of low back pain, lumbar stiffness, extra-articular manifestations, BASDAI and BASFI. In the multivariate analysis, AS patients were mainly male with cervical stiffness, enthesitis, coxitis and high level of ESR (erythrocyte sedimentation rate). The females generally had a family history of SpA and arthritis and were associated to the nr-axSpA form in the univariate analysis. Conclusion: This was the first study to characterise patients with AS and nr-axSpA in Morocco. Consistent with other studies published, this study showed that patients with nr-axSpA and patients with AS shared a comparable degree of disease burden.


Author(s):  
José Vítor Gonçalves ◽  
Luísa Castro ◽  
Guilhermina Rêgo ◽  
Rui Nunes

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.


2019 ◽  
Vol 6 (1) ◽  
pp. 69
Author(s):  
Made Riastuti Sumandari ◽  
Rina Listyowati

ABSTRAK Rumah Sakit Umum Daerah Kabupaten Klungkung sebagai rumah sakit yang sudah menerapkan Pengelolaan Keuangan Badan Layanan Umum terus meningkatkan dan mengembangkan mutu pelayanan, terutama mutu pelayanan kegawatdaruratan. Tujuan penelitian ini untuk mengetahui gambaran tingkat pengetahuan petugas di Instalasi Gawat Darurat dan Penunjang Pelayanan Kegawatdaruratan Rumah Sakit Umum Daerah Kabupaten Klungkung tentang Standar Pelayanan Minimal. Penelitian ini merupakan penelitian deskriptif kuantitatif, dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh petugas yang bekerja di Instalasi Gawat Darurat dan penunjang pelayanan kegawatdaruratan. Jumlah sampel pada penelitian ini 94 petugas dengan teknik pengumpulan sampel yaitu total sampling. Teknik pengumpulan data pada penelitian ini yaitu dengan menyebarkan kuesioner dan analisis data yang digunakan yaitu analisis univariat.  Hasil penelitian ini adalah mayoritas petugas memiliki pengetahuan baik mengenai SPM yaitu sebesar 86,17% sedangkan 13,83% memiliki pengetahuan kurang baik. Dilihat dari tingkat pengetahuan berdasarkan karakteristik, pengetahuan baik sebagian besar pada umur umur ?30 (88,14%), jenis kelamin perempuan (96,23%), pendidikan DIII (87,93%) dan masa kerja >10 tahun (88,46%). Saran yang bisa diberikan kepada Rumah Sakit Umum Daerah Kabupaten Klungkung, sebaiknya rumah sakit memberikan sosialisasi kepada seluruh petugas mengenai SPM dengan rutin dan terjadwal sehingga petugas mendapatkan informasi mengenai SPM merata. Kata Kunci: Tingkat Pengetahuan, Standar Pelayanan Minimal ABSTRACT Klungkung Regency Regional General Hospital as a hospital that has implemented Financial Management Public Service Agency continues to improve and develop the quality of services, especially the quality of emergency services. The purpose of this study was to determine the level of knowledge of officers in the Emergency Installation and Supporting Emergency Services of the Klungkung Regency General Hospital on Minimum Service Standards. This research is a quantitative descriptive study, with a cross-sectional design. The population in this study were all officers who worked in the Emergency Installation and supporting emergency services. The number of samples in this study were 94 officers with total sample collection techniques. Data collection techniques in this study are by distributing questionnaires and data analysis used is univariate analysis. The results of this study were that the majority of officers had good knowledge of MSS, amounting to 86.17% while 13.83% had poor knowledge. Judging from the level of knowledge based on characteristics, good knowledge is mostly at the age of ?30 (88.14%), female gender (96.23%), DIII education (87.93%) and years of service> 10 years (88, 46%). Suggestions that can be given to the Klungkung Regency Regional General Hospital, the hospital should provide information to all officers on MSS routinely and on a regular basis so that officials get information about SPM evenly. Keywords: Knowledge Level, Minimum Service Standards.


2021 ◽  
Vol 1 (Volume 1 No 1) ◽  
pp. 71-79
Author(s):  
Sri Sarwendah ◽  
Syarif Suwondo ◽  
Irena Nisa Harliani

ABSTRACT Universal precautions are one way to prevent the transmission of disease, which is transmitted by blood and all body fluids, including saliva, either from the patient to health worker and from patient to another patient. Patients should be treated as infected with the disease and potentially infectious every time. This action should be done by all health care staff in the risk of cross-infection between patients, and health workers can be minimized. Basic universal precautions include immunization, hand washing, personal protective equipment, medical equipment management, and hospital waste management. This study aims to describe the level of knowledge about universal precautions in postgraduate students Faculty of Dentistry Universitas Jenderal Achmad Yani Cimahi (Unjani). This study used a descriptive design by cross-sectional. Collection data for research using a questionnaire containing 20 questions tested for validity and reliability, then a questionnaire filled out by respondents as many as 40 people. Presentation of research data is processed and presented to illustrate the level of knowledge in postgraduate students of frequency distribution table. The results showed that most of postgraduate students has a high knowledge (60%), postgraduate students with a moderate level of knowledge (27.5%), and postgraduate students with the knowledge that a low level (12.5%). Conclusions of the research showed that the majority postgraduate students about universal precaution is at a high level.


Author(s):  
Azad Mohammeda ◽  
Vrijesh Tripathib ◽  
Delezia S. Singh ◽  
Lauren Ali ◽  
Ruth Mohana ◽  
...  

Background: Severe Acute Respiratory Syndrome Coronavirus 2 (COVID-19) has affected over 250 million people globally and resulted in over 5 million deaths since it was first reported in November 2019. Methods: A cross-sectional study was conducted online from July to September 2020 among nationals and permanent residents of Trinidad and Tobago (N = 812). The related questionnaire consisted of demographic characteristics, 11 items on knowledge, 11 items on attitude and 7 items on practice and experience. Domain scores were derived for each component (K, A and P) and independent t-tests and one-way ANOVA were used to compare differences in scores within demographic categories. Results: The population possessed a high level of knowledge about COVID-19(0.85 ± 0.09). Attitude scores (0.54 ± 0.07) were influenced by factors such as sex, age, occupation, level of education and area of residence. Significant relationships (P<0.05) were found between demographic categories of sex, age, profession, education, geographical region and the mean domain scores. Conclusion: There was overall high level of knowledge and good practices in response to COVID-19 which suggests that the government's management approach was effective in providing information about COVID-19 and the safe practice needed to reduce spread of the virus.


2021 ◽  
Vol 1 ◽  
pp. 977-983
Author(s):  
Anissa Salsabil ◽  
Yulian Wahyu Permadi ◽  
Ainun Muthoharoh ◽  
Wulan Agustin Ningrum

AbstractInappropriate use of antibiotics has resulted in antibiotic resistance. One of the phenomena that supports this phenomenon is the lack of knowledge about patient compliance in the use of antibiotics. This study aims to determine the relationship between the level of knowledge and adherence to the use of penicillin antibiotics in patients with ARI in the Outpatient Installation at the Kesesi Health Center in 2021. Analytic research method with cross sectional approach with quantitative research type with non-probability sampling using purposive sampling method. a sample of 136 adult respondents diagnosed with ARI with antibiotic therapy. Data collection by questionnaire. Correlation data using Spearman Rho test. The results showed that the data was not significant between the use of antibiotics and adherence to taking medication with a P value of 0.286 (<0.05). The results of high antibiotic consumption compliance with sufficient knowledge results are expected for respondents and pharmaceutical staff to improve communication, information and education (KIE) to respondents who receive antibiotic prescriptions.Keywords: Penicillin Antibiotics, ARI, Compliance, Knowledge, Public Health Center AbstrakPenggunaan antibiotik yang tidak tepat telah mengakibatkan terjadinya resistensi terhadap antibiotik. Salah satu fenomena yang mendukung fenomena ini adalah kurangnya tingkat pengetahuan terhadap kepatuhan pasien dalam penggunaan antibiotik. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat pengetahuan terhadap kepatuhan dalam penggunaan antibiotik penisilin pada pasien ISPA Instalasi Rawat Jalan di Puskesmas Kesesi Tahun 2021. Metode penelitian analytic dengan pendekatan cross sectional dengan jenis penelitian kuantitatif dengan pengambilan sampel non-probability sampling menggunakan cara purposive sampling dengan sampel sebanyak 136 responden dewasa yang terdiagnosa ISPA dengan terapi antibiotik. Pengumpulan data dengan kuesioner. Data korelasi menggunakan uji spearman rho. Hasil penelitian menunjukan data tidak signifikan antara penggunaan antibiotic dengan kepatuhan konsumsi minum obat dengan nilai P value 0,286 (<0,05). Hasil kepatuhan konsumsi antibiotik yang tinggi dengan hasil pengtahuan yang cukup diharapkan kepada responden dan tenaga kefarmasian harus ditingkatkan mengenai komunikasi, informasi dan edukasi (KIE) kepada responden yang menerima resep antibiotik.Kata kunci: Antibiotik Penisilin; ISPA; kepatuhan; pengetahuan; puskesmas


2019 ◽  
Vol 7 (6) ◽  
pp. 1310-1315
Author(s):  
Abdullah Basel AL-Kahil ◽  
Rajab Ali Khawaja ◽  
Ammar Yasser Kadri ◽  
Shahem Mohammad Abbarh,MBBS ◽  
Jalal Tarif Alakhras ◽  
...  

Introduction: Routine checkup is a form of preventive medicine, it’s a helpful practice to promote health in the community. Studying the prevalence of routine checkup, awareness, influencing, and preventing factors for it in our community will be a helpful tool for the health authorities to promote among individuals. Methodology: This cross-sectional study was conducted in different locations of Riyadh using a convenience sampling technique, with sample size of 414 Saudi participants of both genders aged 36 years old and above. The data were collected through self-administered structured questionnaire with demographic variables, frequency of routine medical checkup, knowledge questions, factors that enhance or prevent individual to do routine checkup and best way to spread the awareness. Results: Two hundred eighty-eight (69.57%) participants knew well about routine checkup and 142 (34.3%) of them do routine medical checkup. “Lack of time” and “Laziness” were reported as the 2 most common preventing factors (46% and 45.2%), respectively, and most common reason that influenced their practice was “health concern” (77.5%) followed by “worry about chronic or serious illness” (32.4%). Participants believed that social networks (eg, twitter, Facebook, etc) and media (eg, TV, radio) are most effective ways to spread awareness of it in the community (53.86% and 52.89%, respectively). Conclusion: There was high level of knowledge on routine health checkup, but a low prevalence was observed in practice. Hence, more health initiatives should be taken for routine medical screening in the Saudi community.


2019 ◽  
Vol 47 (12) ◽  
pp. 6192-6205
Author(s):  
Claudia Vollbracht ◽  
Peter W Gündling ◽  
Karin Kraft ◽  
Iris Friesecke

Objective The main purpose of palliative care is symptom relief. Frequently, the symptoms of patients requiring palliative care are the same as common symptoms of vitamin deficiency (e.g. pain, weakness, fatigue, depression). The study aim was to investigate whether patients in palliative care are vitamin deficient. Method This was a monocentre cross-sectional study. Patients attending the palliative care unit of a general hospital in Germany from October 2015 to April 2016 were examined for vitamin blood concentrations and symptoms. Data were analysed using univariate analysis and bivariate correlations. Results Data were available from 31 patients. Vitamin D3 deficiency (<62.5 nmol/L) affected 93.5% of patients, vitamin B6 deficiency (<4.1 ng/mL) 48.4%, vitamin C deficiency (<4.5 mg/L) 45.2%, vitamin B1 deficiency (<35 µg/L) 25.8% and vitamin B12 deficiency (<193 pg/mL) 12.9%. There was a significant negative correlation between vitamin B1 ranges and pain (r = −0.384) and depression (r = −0.439) symptoms. Conclusion All patients showed a deficiency in at least one of the measured vitamins; 68% had concurrent deficiencies in >1 vitamin. A follow-up study using validated questionnaires and a larger sample is needed to investigate the effects of targeted vitamin supplementation on quality of life and symptom burden.


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