scholarly journals Influencing Factors of Stroke Awareness Among Hypertensive Patients in Community Health Centers in Indonesia

Author(s):  
Ismail Setyopranoto ◽  
Arif Setyo Upoyo ◽  
Atyanti Isworo ◽  
Yunita Sari ◽  
Amelia Nur Vidyanti

The global burden of stroke is still high, particularly in developing countries, with hypertension serves as the main risk factor. Knowledge related to stroke is essential to establish better prevention strategies. This study aimed to identify factors associated with stroke awareness among hypertensive patients in Indonesia. This was a cross-sectional study conducted in five Community Health Centers in Indonesia. We used a standardized questionnaire to asses stroke awareness and the influencing factors. The knowledge on hypertension was assessed using Hypertension Knowledge Level Scale (HK-LS). Multivariate logistic regression analysis was performed to measure factors associated with stroke awareness. A total of 457 hypertensive patients were included. Majority of patients (77.46%) had low stroke awareness. Having higher knowledge on hypertension, higher income, and a history of previous stroke were associated with higher level of stroke awareness (odds ratio [OR] 1.878, 95%CI 1.176-2.999, p 0.008; OR 1.887, 95%CI 1.170-3.045, p 0.009; OR 5.276, 95%CI 2.210-12.594, p<0.001, respectively). This study suggests that knowledge on hypertension, income, and history of previous stroke are factors which may influence the level of stroke awareness. This emphasizes the need to provide better campaign and education program to raise stroke awareness in a community setting.

PLoS ONE ◽  
2011 ◽  
Vol 6 (7) ◽  
pp. e21718 ◽  
Author(s):  
Yun Chai ◽  
Hancheng Xu ◽  
Wenxin Wang ◽  
Bing Liu ◽  
Dehua Yang ◽  
...  

Author(s):  
Veterina Rizki Amalia ◽  
◽  
Hanung Prasetya ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Midwives performance play an important role in reducing maternal and neonatal morbidity and mortality. The purpose of this study was to analyze factors associated with midwives performance in Mojokerto, East Jva, Indonesia. Subjects and Method: A cross sectional study was carried out in Mojokerto, East Java, Indonesia. A sample of 200 midwives who worked in community health centers was selected randomly. The dependent variable was works performance. The independent variables were age, tenure, employment status, perceived financial compensation, social support, workload, and motivation. The data were collected by a questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Work performance in midwives increased with age ≥42 years (OR= 9.2; 95% CI= 1.91 to 44.72; p= 0.006), tenure ≥18 years (OR= 4.5; 95% CI= 1.04 to 19.46; p= 0.044), high perceived financial compensation (OR= 10.65; 95% CI= 2.23 to 50.97; p= 0.003), strong social support (OR= 12.53; 95% CI= 2.59 to 60.70; p= 0.002), low workload (OR= 10.88; 95% CI= 2.41 to 49.12; p= 0.002), and strong motivation (OR= 13.52; 95% CI= 2.64 to 69.21; p= 0.002). Work performance decreased with non civil servants (OR= 0.071; 95% CI= 0.01 to 0.55; p= 0.011). Conclusion: Work performance in midwives increases with age ≥42 years, tenure ≥18 years, high perceived financial compensation, strong social support, low workload, and strong motivation. Work performance decreases with non civil servants. Keywords: work performance, financial compensation, midwives Correspondence: Veterina Rizki Amalia. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281359016501. DOI: https://doi.org/10.26911/the7thicph.04.43


2008 ◽  
Vol 2 (3) ◽  
pp. 270
Author(s):  
Ezia Maria Corradi ◽  
Camila Aparecida Araújo ◽  
Jussara Do Rocio Machado ◽  
Mário Humberto Esteves

ABSTRACTThe aim of this descriptive-exploratory study is characterize the reasons of abandonment of the hypertensive patients by the Hypertensive Patients Program from a Health Unit at Curitiba city, State of the Paraná, Brazil. The users of low risk, totalizing 203 ones, of which, 44 had been selected those residents at micron-areas around. Domiciliary visit was carried through, which 13 users had been located. In this occasion the collection of data instrument was applied to identify to the current conditions of health and the reasons of the abandonment of the Program. Data had been organized and analyzed based on descriptive statistic and argued with endorsement of literature. The results showed the age between 51 and 60 years (69%); 61.5% with alteration of the blood pression in the 1, 2 and 3 of risk; 77% in medication use. Amongst the reasons of absence of the program 14% it affirmed not to have time, 14% for feeling themselves well, 21% had complaints in the attendance and, or not trusting the Program. The 84,6% of the inactives has the controlled hypertension, but with risks to the health; they has unfamiliarity about the illness, its gravity, forms to coexist it and as to carry through the necessary control. Descriptors: hypertension; community health centers; nursing.RESUMOEstudo descritivo-exploratório com o objetivo de caracterizar os motivos de abandono de portadores de hipertensão arterial ao Programa de Hipertensão Arterial de uma Unidade de Saúde de Curitiba, Paraná, Brasil. Participaram 203 usuários de risco baixo, dos quais, foram selecionados aqueles residentes em micro-áreas de abrangência, correspondendo a 44. Foi realizada visita domiciliar, com a qual foram localizados 13 usuários. Nessa ocasião foi aplicado o instrumento de coleta de dados para identificar condições atuais de saúde e motivos do abandono ao Programa. Os dados foram organizados e analisados com base na estatística descritiva e discutidos com respaldo da literatura. Os resultados mostraram a faixa etária entre 51 e 60 anos (69%); 61,5% com alteração da PA entre os estágios 1, 2 e 3 de risco; 77% em uso de medicação. Dentre os motivos de afastamento do programa 14% afirmaram não ter tempo, 14% por sentir-se bem, 21% com queixas no atendimento e, ou não confiarem no Programa. Concluí-se que 84.6% dos inativos apresentam hipertensão controlada, mas com risco de conseqüências à saúde; há desconhecimento acerca do que é a doença, sua gravidade, formas de conviver com ela e como realizar o controle necessário. Descritores: hipertensão; unidade básica de saúde; enfermagem.RESUMEN                          El objetivo de este estudio descriptivo-exploratorio es caracterizar las razones de abandono de los pacientes hipertensos de un Programa de Pacientes Hipertensos de uma Unidad de Salud en la ciudad de Curitiba, Estado de Paraná, Brasil. Los usuarios de bajo riesgo totalizando 203, de los cuales, 44 habían sido seleccionados en torno a las áreas vizinhas. Visita domiciliaria se llevó a cabo que localizaron 13 usuarios. En esta ocasión, la recopilación de instrumento de datos se aplicó a identificar a las actuales condiciones de salud y las razones del abandono del Programa. Los datos han sido organizados y analizados descriptivo de la forma y argumentó con el aval de la literatura. Los resultados mostraron la edad entre los 51 y los 60 años (69%); 61,5% con alteración de la presión sanguínea en el 1, 2 y 3 de riesgo, 77% en el uso de fármacos. Entre las razones de ausencia del programa el 14% afirmó no disponer de tiempo, el 14% para sentirse bien, un 21% en las denuncias y la asistencia, o no confiar en el Programa. El 84,6% de los inactivos se ha controlado la hipertensión, pero con riesgos para la salud, sino que ha desconocimiento sobre la enfermedad, su gravedad, las formas de coexistir y, como para llevar a cabo el control necesario. Los resultados demostraron la edad entre 51 y 60 años (el 69%); 61.5% con la alteración de la presión arterial en el 1, los 2 y los 3 del riesgo; el 77% en uso de medicación. Entre las razones de la ausencia del programa el 14% afirmó no tener tiempo, 14% no tener síntomas de hipertensión, 21% tenían quejas en la atención y, o confiando en el programa. El 84.6% de los inactives tiene la hipertensión controlada, pero con riesgos a la salud; tienen poco saber sobre la enfermedad, su gravedad, formas a coexistir él y el control necesario. Descriptores: hipertensión; centros de salud; enfermería. 


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