scholarly journals Sudanese emergency departments: a study to identify the barriers to a well-functioning triage

2021 ◽  
Author(s):  
Bayan E. Ibrahim
Keyword(s):  
Emergency Department ◽  
Capital Expenditure ◽  
Average Length ◽  
P Value ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Triage System ◽  
Mortality And Morbidity ◽  
Patient’S Satisfaction

Abstract Background: Triage system is a sorting system that categorizes patients on the basis of the severity of their condition and the availability of the resources in the emergency department. There has been little attention in the public literature to triage systems in Sudan. The aim of this study was to explore the triage system and identify the barriers in its application in hospitals in Sudan. Methods: A cross-sectional hospital based study was conducted at eight hospitals in Khartoum during December 2020. A multi-stage cluster sampling was applied. Data were obtained by interviewing emergency department staff using a structured questionnaire. The data were analyzed using statistical package for social sciences to find the association between various variables by chi-square test. Results: Most of the respondents stated that the triage system was deficient. Most of the participants of this study agreed that the role played by the administration in taking legislative decisions is crucial in improving the triage system. Among the factors found to be significant to a well-functioning triage system were, the need for substantial capital expenditure, p-value: 0.026, prudent legislative decisions, p-value: 0.026, adequate training of staff on means of performing efficient triaging, p-value: 0.017 and raising the awareness of the staff on the correct application of triage guidelines, p-value: 0.007. Conclusion: Currently there is no formal triage system in the State of Khartoum and has yet to be established. Policy making by administrators will play an important role in its implementation. It is suggested that prompt executive orders on improving the current triage system in Khartoum, should be carried out sooner than later, as the ripple effects of a well-functioning triage will decrease the average length of stay, mortality and morbidity rates and will eventually increase the patient’s satisfaction.

scholarly journals HUBUNGAN TINDAKAN IBU TERHADAP KEJADIAN DIARE PADA BALITA KECAMATAN ANREAPI KABUPATEN POLEWALI MANDAR

2019 ◽  
Vol 5 (1) ◽  
pp. 9
Author(s):  
Dewi Ratnasari Dewi Ratnasari ◽  
Patmawati Patmawati
Keyword(s):  
P Value ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional

Diare merupakan salah satu penyebab utama kesakitan dan kematian hampir diseluruh negara berkembang. Semua kelompok usia bisa diserang diare tetapi penyakit berat dengan kematian terjadi pada balita. Penelitian ini bertujuan mengetahui Hubungan Tindakan Ibu Terhadap Kejadian Diare pada Balita Di Desa Duampanua Kecamatan Anreapi Kabupaten Polewali Mandar. Jenis penelitian ini adalah kuantitatif menggunakan desain cross sectional terhadap 70 ibu sebagai sampel yang dipilih menggunakan cluster sampling. Analisis data dengan univariat untuk mendeskripsikan karakteristik responden dan bivariat dengan menggunakan uji chi square. Hasil penelitian menunjukkan bahwa responden yang menggunakan sumber air bersih untuk membuat susu formula tidak memenuhi syarat lebih banyak yang menderita diare yaitu 64,3% dengan nilai  p value=0,000, responden dengan sterilisasi botol susu tidak baik lebih banyak mengalami diare yaitu 45,7% dengan nilai  p value=0,000,  dan responden dengan cara penyajian makanan tidak memenuhi syarat lebih banyak mengalami diare yaitu 47,1% dengan nilai p value=0,120. Analisis statistik diperoleh bahwa sumber air bersih yang digunakan untuk membuat susu formula dan sterilisasi botol susu terdapat hubungan yang signifikan dengan kejadian diare pada balita, sedangkan cara penyajian makanan, tidak ada hubungan yang signifikan terhadap kejadian diare pada balita. Disarankan kepada masyarakat pengguna botol susu pada balita diharapkan senantiasa mencuci tangan dengan baik dan selalu memperhatikan kesterilan botol susu balita guna menghindari balita dari resiko kejadian diare.

scholarly journals Hipertensi pada Perempuan di Wilayah Kerja Puskesmas Brabasan Kabupaten Mesuji Tahun 2019

2020 ◽  
Vol 9 (3) ◽  
pp. 415-422
Author(s):  
Yuli Yandara ◽  
Khoidar Amirus ◽  
Nurhalina Sari
Keyword(s):  
P Value ◽  
Cluster Sampling ◽  
Sampling Area ◽  
Chi Square ◽  
Cross Sectional ◽  
Area Sampling

Hipertensi adalah tekanan darah  pengukuran mencapai 140/90 mmHg atau lebih tinggi. Berdasarkan hasil Puskesmas Brabasan pada bulan Januari - Desember 2018 hipertensi menduduki peringkat kelima (9,55%), sesudah Gastritis (11,58%), dan sebelum Dermatitis Atropik (5,64%). Prevalensi hipertensi  pada perempuan di puskesmas brabasan meningkat drastis pada tahun 2018 terlihat pada data 3 tahun terakhir yaitu 2016 (18,78 %), 2017 (13,79%), 2018 (46,6%).Tujuan penelitian ini untuk mengetahui tentang faktor yang berhubungan dengan hipertensi pada perempuan di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2019. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan pendekatan cross sectional. Populasi adalah seluruh perempuan di wilayah kerja puskesmas brabasan yang berumur 45 tahun s/d  69 tahun yang berada posbindu dengan jumlah populasi 600 orang, sampel sejumlah 233 responden teknik pengambilan sampel dengan cara Cluster Sampling (Area Sampling) berdasarkan rumuslemeshow. Pengambilan data menggunakan kuesioner, dan analisa data menggunakan uji chi-square. Hasil penelitian menunjukan bahwa sebagian besar hipertensi 131 responden (56,2%), sebagian besar olahraga tidak teratur 170 responden (73,0%), sebagian besar aktifitas ringan-sedang 126 responden (54,1%), sebagian besar stress 130 responden (55,8%). Tidak ada hubungan yang signifikan antara olahraga teratur dan tidak teratur dengan kejadian hipertensi dengan nilai (p-value = 0,143;OR = 1,6), ada hubungan yang signifikan antara aktivitas fisik dengan kejadian hipertensi dengan nilai (p-value = <0,001;OR = 4,3), ada hubungan yang signifikan antara stress dengan kejadian hipertensi dengan nilai (p-value = 0,037;OR = 1,8), dengan kejadian hipertensi. Saran penelitian ini Diharapkan agar masyarakat dapat lebih memperhatikan gaya hidup dan kesehatannya, diantaranya adalah rutin melakukan kegiatan aktivitas fisik seperti berjalan kaki setiap hari selama 10 menit serta dapat mengaktifkan diri disetiap kegiatan kemasyarakatan agar terhindar dari stress.

scholarly journals Peran Keluarga terhadap Penurunan Tingkat Kecemasan Lanjut Usia

2021 ◽  
Vol 1 (2) ◽  
pp. 31-37
Author(s):  
Dewi Puspa Cipta Utami
Keyword(s):  
Statistical Tests ◽  
Sampling Technique ◽  
The Elderly ◽  
P Value ◽  
Cluster Sampling ◽  
Family Role ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective:  To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.

scholarly journals Hubungan Peran Orang Tua Dan Pengetahuan Kesehatan Reproduksi Remaja Dengan Perilaku Seksual Pra Nikah Siswa Di Sma Kabupaten Cilacap

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Evi Hidayati Hasanah ◽  
Ragil Setiyabudi
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Health Knowledge ◽  
P Value ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Role Of Parents ◽  
Cross Sectional Design ◽  
Quantitative Descriptive

Quantitative descriptive research using cross sectional design. The population was 96 and the sample was 74 students, taken by cluster sampling techniques. Data collection using a questionnaire. Data analysis using chi square statistical tests.The results showed that the majority of respondents were 16 years old (45.9%). Most of the respondents were male (54.1%). Most of them were interested in the opposite sex (51.4%). There were 56.8% of respondents who had a good parents role. There were 59.5% of respondents who had good knowledge of reproductive health. There were 20.3% of respondents who got bad pre-marital sexual behavior. There is a relationship between the role of parents (p-value = 0,0001) and reproductive health knowledge (p-value = 0,0001) with pre-marital sexual behavior of students in senior high schools.

scholarly journals HUBUNGAN BREASTFEEDING DENGAN INVOLUSI UTERUS PADA IBU NIFAS 0-7 HARI DI WILAYAH KERJA PUSKESMAS TANJUNGANOM KABUPATEN NGANJUK TAHUN 2017

EMBRIO ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 20-25
Author(s):  
Eka Deviany Widyawaty
Keyword(s):  
Post Partum ◽  
P Value ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional

Breastfeeding atau menyusui sangat penting bagi kesehatan ibu, hal ini akan mempengaruhi proses involusi rahim. Kurangnya frekuensi breastfeeding menjadi salah satu penyebab perdarahan post partum karena dengan breastfeeding dapat merangsang hormon oksitosin sehingga kontraksi rahim bisa bekerja optimal dan rahim bisa kembali seperti sebelum hamil. Tujuan dari penelitian ini adalah untuk menganalisis hubungan breastfeeding dengan involusi uterus pada ibu post partum 0-7 hari di Puskesmas Tanjunganom Kabupaten Nganjuk tahun 2017. Jenis penelitian ini adalah penelitian analitik dengan desain cross sectional. Populasi adalah ibu post partum 0-7 hari di Puskesmas Tanjunganom Kabupaten Nganjuk tahun 2017. Sampling dilakukan dengan teknik cluster sampling sebanyak 33 responden. Pengumpulan data menggunakan lembar observasi. Variabel bebasnya adalah breastfeeding, sedangkan variabel terikatnya adalah involusi uterus pada ibu post partum 0-7 hari. Analisa data menggunakan uji Chi-Square dengan taraf signifikan ɑ = 0,05. Hasil penelitian menunjukkan bahwa ibu post partum 0-7 hari yang menyusui sejumlah 25 responden (75,8%) dan yang tidak menyusui sejumlah 8 responden (24,4%). Ibu post partum dengan involusi uteri sesuai sejumlah 27 responden (81,8%), sedangkan ibu post partum dengan  involusi uteri tidak sesuai sejumlah 6 responden (18,2%). Dari hasil analisis menggunakan uji Chi-Square diperoleh hasil p - value = 0,001, dengan ɑ = 0,05. Berdasarkan hasil penelitian dapat disimpulkan bahwa ada pengaruh breastfeeding dengan involusi uteri. Diharapkan ibu post partum selalu menjaga kesehatan dengan melakukan kontrol ulang pada petugas kesehatan, dan lebih aktif dalam mencari informasi kesehatan terutama mengenai pentingnya menyusui.

scholarly journals Factors Affecting Covid-19 Disease Prevention Behavior in Bandar Lampung, Indonesia

2020 ◽  
Vol 4 (1) ◽  
pp. 140-146
Author(s):  
Nova Nurwinda Sari ◽  
Annisa Agata ◽  
Armen Patria
Keyword(s):  
Disease Prevention ◽  
Respiratory Infections ◽  
P Value ◽  
Cluster Sampling ◽  
Prevention Measures ◽  
Chi Square ◽  
Cross Sectional ◽  
Validity Data ◽  
Factors Affecting ◽  
Prevention Behavior

Coronavirus Disease 19 or what we know as Covid-19 is a disease caused by coronavirus that can cause respiratory infections with mild to severe symptoms. Covid-19 disease can be prevented by the community if the community implements covid prevention measures such as using masks, diligently washing hands and keeping a distance. Preliminary preliminary survey note that the majority of respondents have not implemented the co-19 prevention behavior properly. The purpose of this study was to analyze factors that influence co-19 prevention behavior in Bandar Lampung. This research is a quantitative study with a descriptive analytic cross sectional design. The population and research sample using cluster sampling namely using 10 regions included in the Bandar Lampung area of ​​100 respondents. The research instrument used questionnaire sheets that had been tested for validity. Data analysis using chi square test. The results obtained data that there is a relationship between age (p-value 0.017), there is no gender relationship (p-value 0.878), there is a relationship between the level of education (p-value 0.000), there is a relationship of knowledge about covid-19 (p-value 0.029) with covid-19 disease prevention behavior in Bandar Lampung. The conclusion is that factors related to co-19 disease prevention behavior are age, education level, and knowledge of co-19. Suggestions should provide information about co-19 and the importance of co-19 prevention behavior continue to be given to the public.   Keywords: Predisposing Factors, Behavioral Prevention, Covid-19

scholarly journals Prevalence and factors related to inappropriate referrals during intrapartum care – a mixed method study

2020 ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Bethabile L. Dolamo
Keyword(s):  
Qualitative Study ◽  
P Value ◽  
Second Phase ◽  
Hospital Level ◽  
Governance System ◽  
Chi Square ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Neonatal Deaths ◽  
Danger Signs

Abstract Background: Complications during delivery are responsible for half of all maternal deaths, one-third of stillbirths and a quarter of neonatal deaths. The care necessitates emergency care, and it is a known fact that reductions in maternal mortality and morbidity are not possible without an effective referral system. This study is aimed at measuring the prevalence of inappropriate referrals and identifying factors that contribute to it. Methods: The study employed a sequential explanatory mixed research design. In the first phase, a retrospective cross-sectional quantitative study was done, 718 medical records were reviewed. The second phase involved a qualitative study of 26 key informants being interviewed. Results: Three quarters of cases, (74.23%; n=533), who visited the selected hospitals could have been managed at the health center level. Sixty-five percent of them, (n=436), sought care at the hospital level with no referral from the lower level. Further analysis of the data showed no major difference as to the appropriateness of hospital level care in relation to age of mothers, previous medical and obstetrics history as well as danger signs at admission. On the other hand, number of parities, (chi-square = 9.3; P-value = 0.010), frequency of ANC, (chi-square = 6.7; p-value = 0.037) and the institution where ANC was sought, (chi-square = 12.9; p-value = 0.005) were found to be associated with appropriateness of the case for hospital level care. Further inventory of the referred cases revealed that 33.2% of referred cases were appropriate for hospital level care. In addition, the qualitative study identified three major themes in relation to appropriateness of referrals: capability of identifying appropriate cases for referral, proper initiation of the referral process determining the outcome and functional cross-facility support platforms for better collaboration and coordination between facilities. Conclusion: Referral, which is the coordination between facilities, requires readiness of the facilities at both ends as well as a transportation system. The governance system should also be strengthened to ensure the emergency management system in the country is effective.

scholarly journals Self Efficacy of Family Planning Acceptors in Selecting Contraception Methods

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Kamsatun K ◽  
Elis E
Keyword(s):  
Family Planning ◽  
Self Efficacy ◽  
P Value ◽  
Cluster Sampling ◽  
Health Providers ◽  
Chi Square ◽  
Cross Sectional ◽  
Family Planning Counseling ◽  
Chi Square Test ◽  
General Self Efficacy

The behavior of family planning acceptors in choosing the contraception methods was influenced by several factors. Banduras’ theory stated that the cognitive processes including making a decision, having beliefs, or appreciating self-abilities were a consideration in understanding individuals' capabilities to deal with certain tasks. The purpose of this study was to determine the relationship between self-efficacy and the selection of contraception methods. This research applied the colerational design with a cross-sectional approach. Independent variable was the level of Self-efficacy and the dependent variable was the choice of contraception methods. The population in this study were all fertile age couples (15-49 years) who were part of family planning acceptors in the Kopo sub-district Bandung Regency. The samples were 70 people that were chosen using cluster sampling techniques. Instruments of this study were the self-efficacy scale based on Bandura (1997) aspect of self-efficacy in Ghufron (2010) and the modification scale of General Self-Efficacy (GSE) from Schwarzer and Jerusalem (1995). According to Schwarzer et al (2009) states that the GSE scale is a unidimensional scale where the GSE scale of 12 items is a unity of aspects of magnitude, strength, and generality. Analysis using the Chi-Square test. There was a relationship between self-efficacy and contraception selection with p-value 0,031. Family planning counseling with health providers would motivate acceptors. Family planning acceptors improved self-efficacy so that family planning acceptors would be confident with the choice of contraception used and avoid the risk of harmful pregnancy. Keywords: Self-efficacy, Family Planning Participants

scholarly journals Hubungan mekanisme koping dengan perkembangan sosial emosional pada remaja di SMAN 1 Ngaglik Sleman Yogyakarta

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Praptiwi Praptiwi ◽  
Sulistiyawati Sulistiyawati ◽  
Ngatini Ngatini
Keyword(s):  
Emotional Development ◽  
Transition Period ◽  
P Value ◽  
Cluster Sampling ◽  
Coping Mechanism ◽  
Sample Collection ◽  
Chi Square ◽  
Cross Sectional ◽  
Social And Emotional ◽  
The Social

Adolescence is a transition period from childhood towards adulthood that needs adjustment to the changes that happened in their life. Teenagers’ failure in their social & emotional development will result in their lack of sensitivity towards the environment and their ability in adapting among their friends. Thus, a tension will occur, and it will result in problem-solving behaviour (coping mechanism). This research attempts to figure out the relationship between the coping mechanism and adolescents’ social & emotional development in SMAN 1 Ngaglik, Sleman, Yogyakarta This research was carried out by using descriptive correlation approach and cross-sectional research design. The research population are class XI students of SMA N 1 Ngaglik, Sleman, Yogyakarta. There are 128 students taken as samples by applying random cluster sampling as the sample collection technique. The data were collected through the social and emotional development questionnaire and coping mechanism questionnaire. Then, the bivariate statistical test utilizes a chi-square test. The majority of the respondents are female with 89 female students (69.5%) as respondents. The coping mechanism under the emotion-focused coping category is 69.5%, and the social & emotional development is adequate, reaching 91.7%. According to the analysis of the correlation test, the p-value is 0.317. There is no relation between coping mechanism and the adolescents’ social & emotional development in SMAN 1 Ngaglik, Sleman, Yogyakarta

scholarly journals Perbedaan Pola Pemberian Nutrisi pada Balita dengan Stunting dan Non-Stunting di Desa Rempoah Kecamatan Baturaden

2020 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Lely Oktavia Ningtias ◽  
Umi Solikhah
Keyword(s):  
Nutrient Intake ◽  
Sampling Technique ◽  
Control Group ◽  
P Value ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Chi Square Test ◽  
Cross Sectional Design

Stunting adalah kegagalan memenuhi pertumbuhan seperti memenuhi mikronutrien, lingkungan yang tidak mendukung dan penyediaan perawatan yang tidak adekuat yang dapat mempengaruhi kondisi pertumbuhan balita. Asupan gizi merupakan salah satu faktor yang mempengaruhi terjadinya stunting. Mengetahui Perbedan pola pemberian nutrisi pada balita dengan stunting dan non-stunting di Desa Rempoah Kecamatan Baturaden. Penelitian ini adalah penelitian kuantitatif menggunakan observasi analitik, dengan desain cross sectional . Populasi dalam penelitian ini adalah kelompok kasus yaitu balita stunting dan kelompok kontrol yaitu balita non stunting. Jumlah sampel 68 terdiri dari 34 balita  stunting dan 34 balita non stunting, dengan metode teknik cluster sampling pengambilan sampel secara purposive sampling Pengambilan data menggunakan lembar kuesioner, analisa data menggunakan uji Chi-square. Hasil penelitian menunjukkan sebagian besar ibu pada balita yang mengalami stunting pola pemberian nutrisi tidak tepat terdiri dari 26 responden (76,5%) dan sebagian besar ibu pada balita yang non-stunting pola pemberian nutrisi tepat terdiri dari 23 responden (67,6%). Terdapat perbedaan pola pemberian nutrisi pada balita dengan stunting dan non-stunting di Desa Rempoah Kecamatan Baturaden (p-value= 0,0001). Terdapat Perbedaan Pola Pemberian Nutrisi Pada Balita Dengan Stunting dan Non-stunting Di Desa Rempoah Kecamatan BaturadenStunting is a condition resulted from the  failure to meet daily needs of micronutrients. An environment that is not supportive and providing inadequate treatment can affect the conditions of toddlers' growth. Nutrient intake is one of the factors that influences stunting.To illustrate the differences in providing nutritional pattern for toddlers with stunting and non-stunting in Rempoah village, Baturaden sub district. It was a quantitative study using analytic observation with a cross sectional design. The populations in this study were stunting toddlers as the case groups and non-stunting toddlers as the control group. There were 68 toddlers as the samples. There were 34 stunting toddlers and 34 non-stunting toddlers who classified by cluster sampling technique. The samples were collected by purposive sampling. Questionnaire sheets were used to collect the data. The data were analyzed by using Chi-square test. The results discovered that there were 26 respondents (76.5%) with stunting because of improper nutritional patterns. There were 23 respondents (67.6%) with non-stunting because of proper nutritional patterns. There were differences in the administration of nutritional patterns for toddlers with stunting and non-stunting in Rempoah Village, Baturaden District (p-value = 0,0001). There are differences in administration of nutritional pattern for toddlers with stunting and non-stunting in Rempoah village, Baturaden sub-district

Sign in / Sign up

Export Citation Format

Share Document