Investigate the Effect of Diabetes on Hypertension based on Bangladesh Demography and Health Survey, 2017-18

2021 ◽  
Author(s):  
Md. Merajul Islam ◽  
Md. Jahanur Rahman ◽  
Most. Tawabunnahar ◽  
Md. Menhazul Abedin ◽  
Md. Maniruzzaman
Keyword(s):  
Logistic Regression ◽  
Health Survey ◽  
Age Groups ◽  
Public Health Problem ◽  
Binary Logistic Regression ◽  
Bivariate Analysis ◽  
P Value ◽  
Diabetic Patients ◽  
Major Public Health Problem ◽  
Chi Square

Abstract Background and objectives: Hypertension is a major public health problem with raising its prevalence and effect among adults overtime worldwide, especially in Bangladesh. The aim is to investigate the effect of diabetes on hypertension.Materials and methods: The dataset used in this study was extracted from Bangladesh Demographic Health Survey, 2017-18 having a total of 6,965 (male: 3,376 and female: 3,589) adults whose ages were B35 years. Bivariate analysis along with Pearson’s chi-square test was executed to observe the association between different selected factors and hypertension. Additionally, binary logistic regression was employed to investigate the effect of diabetes on hypertension based on adjusted odds ratio (AOR) along with p-value in Bangladesh.Results: The results of the study revealed that average age of the participants was 51.04a12.731 and a total of 34.7 percent participants were identified as hypertension. Logistic regression analysis demonstrated that diabetic patients were 1.280 times (95% CI of AOR: 1.107-1.479; p-value=0.001) higher risk of hypertension compared to non-diabetic. Furthermore, our finding’s also showed that diabetic patient who was 35–49 years age, 1.462 times (95% CI of AOR: 1.182-1.807; p-value=0.000) higher risk of hypertension compared to age groups ≥50 years.Conclusions: Based on the results, this study claimed that people with diabetes was significantly associated with hypertension. This study suggested greater attention of government and policymakers to make appropriate strategies to reduce hypertension as well as associated risk in Bangladesh.

scholarly journals The relationship analysis of compliance consuming iron tablet with incidence of anemia on pregnant mothers in third trimester at the co-endemic areas of Bengkulu City, Indonesia

2019 ◽  
Author(s):  
Zurviani Oktania Wardhani ◽  
Ahmad Fickry Faisya ◽  
Misnaniarti Misnaniarti ◽  
Ikhsan Ikhsan
Keyword(s):  
Public Health Problem ◽  
Binary Logistic Regression ◽  
P Value ◽  
Major Public Health Problem ◽  
Third Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Relationship Analysis ◽  
Chi Square Test ◽  
Pregnant Mothers

In developing countries generally, the incidence of anemia in pregnancy is still a major public health problem. This study aims to analyze the compliance of consuming Iron tablets with the incidence of anemia on pregnant mothers in the third trimester at Bengkulu city. This study used cross-sectional design, samples were third trimester pregnant mothers taken by purposive sampling as many as 106 pregnant mothers. Data analysis was carried out by using chi-square and binary logistic regression test. The results of Chi-square test on factors related to compliance, it was obtained that consumption of iron tablets, ANC services, ANC visits, and availability of iron tablets were significantly relationship with the incidence of anemia (p-value <0.05). While the results of binary logistic test stated that the availability of iron tablets was the most dominant influence on the incidence of anemia (pvalue= 0.023), OR 13.95 (95%CI: 1.438- 135.459). It is expected that the local government must pay more attention to plan the need of Iron tablets based on the estimation number of pregnant mothers.

scholarly journals Born Too Soon; Implications in a Tertiary Health Facility in Enugu State Nigeria

2021 ◽  
Vol 11 (6) ◽  
pp. 190-196
Author(s):  
Nwoga Hope Obiageli ◽  
Ajuba Miriam Obinwanne ◽  
Igweagu Chukwuma Paulinus
Keyword(s):  
Caesarean Section ◽  
Health Facility ◽  
Preterm Delivery ◽  
Tertiary Education ◽  
Binary Logistic Regression ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test ◽  
Enugu State

Background: Preterm birth (PTB) is a complex complication of pregnancy with multiple etiologies. This results in long term medical burdens to the families and health care system at large. The objective of the study was to determine the socio-demographic and obstetric characteristics that affect preterm delivery. Methods: The study was a prospective cohort study conducted at the Obstetrics and Gynecology Department of a tertiary health facility in Nigeria. Data for the study were retrieved from the ante-natal and delivery card of the women that delivered at the unit within the time of data collection. Data was analyzed using SPSS version 25 and variables were presented as frequencies, percentages, means, and standard deviation. Bivariate analysis was done using chi-square test. The level of significance was set at p value ≤ 0.05. Binary logistic regression was used to determine factors that predicted preterm delivery. Results: Majority of them were married 746(96.9%), Igbos 763(99.1) and Christians 766(99.5%). Most of the women were civil servants 429(55.7%), while about 31.3% of them were unemployed 241(31.3%). Majority of the women 484(62.9%) had tertiary education. About 48% of them delivered through caesarean section while 53.9% booked within 14-28weeks gestation. Delivering through caesarean section and gestational age at booking predicted preterm delivery. Un-booked mothers have about 7times odds of having PTB when compared to those that booked at ≥28 week’s gestation. Conclusion: The prevalence of PTB is still high in Nigeria. Booking status of the mother and C/S delivery were found to be strongly associated with preterm delivery. Key words: Enugu State, Nigeria, Preterm delivery, Prevalence, Tertiary health facility.

scholarly journals Analysis of in-hospital mortality among people with and without Diabetes in Australian Public Hospitals (2014-2017)

2021 ◽  
Author(s):  
Tina Gao ◽  
Kingsley E Agho ◽  
Milan K Piya ◽  
David Simmons ◽  
Uchechukwu L Osuagwu
Keyword(s):  
Mortality Rate ◽  
Hospital Mortality ◽  
Age Groups ◽  
Public Health Problem ◽  
Binary Logistic Regression ◽  
Population Based ◽  
Public Hospitals ◽  
Major Public Health Problem ◽  
Factors Associated ◽  
Cardiovascular Comorbidities

Abstract Background Diabetes is a major public health problem affecting about 1.4 million Australians, especially in South Western Sydney, a hotspot of diabetes with higher than average rates for hospitalisations. The current understanding of the international burden of diabetes and related complications is poor and there is paucity of data on hospital outcomes and/or what common factors influence mortality rate in people with diabetes in Australia. This study determined in-hospital mortality rate and the factors associated among people with and without diabetes. Methods Retrospective data for 554,421 adult inpatients was extracted from the population-based New South Wales (NSW) Admitted Patient Data over 3 financial years (from 2014-15 to 2016-17). The in-hospital mortality per 1000 admitted persons, standardised mortality ratios (SMR) were calculated. Binary logistic regression was performed, adjusting for potential covariates and co-morbidities for people with and without diabetes over three years. Results Over three years 8.7% (48,038 people) of admissions involved those with diabetes. This increased from 8.4% in 2014-15 to 8.9% in 2016-17 (p = 0.007). Across all age groups, in-hospital mortality rate was significantly greater in people with diabetes (20.6, 95% Confidence intervals CI 19.3–21.9 per 1000 persons) than those without diabetes (11.8, 95%CI 11.5–12.1) and more in men than women (23.1, 95%CI 21.2–25.0 vs 17.9, 95%CI 16.2–19.8) with diabetes. The SMR for those with and without diabetes were 3.13 (95%CI 1.78–4.48) and 1.79 (95%CI 0.77–2.82), respectively. There were similarities in the factors associated with in hospital mortality in both groups including: aged > 54years, men, the widowed, those who stayed longer than 4 days or received intensive care in admission and had respiratory and cardiovascular comorbidities. Conclusions The study found that in-patients with diabetes continue to have higher mortality rates than those without diabetes and the Australian population. Overall, similar factors influenced mortality rate in people with and without diabetes in this region indicating that continued improved management of all inpatients is needed in order to minimise the persistent poor outcomes.

scholarly journals Prevalence of anaemia and its epidemiological correlates among women of reproductive age group in an urban slum of Mumbai

2017 ◽  
Vol 4 (8) ◽  
pp. 2841 ◽  
Author(s):  
Rushali R. Lilare ◽  
Durgesh Prasad Sahoo
Keyword(s):  
Economic Status ◽  
Age Groups ◽  
Public Health Problem ◽  
Urban Slum ◽  
Reproductive Age ◽  
P Value ◽  
Major Public Health Problem ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Rich Food

Background: Anaemia is a major public health problem affecting children, adolescent, women of reproductive age groups and lactating mothers worldwide. As per NFHS-IV data, prevalence of anaemia in India is 53%. This study was done to assess the prevalence of anaemia and its epidemiological correlates among women in reproductive age groups in an urban slum of Mumbai. Methods: This community based cross-sectional study was carried out in an urban slum in Mumbai. Total 315 women in the reproductive age groups (15-49 years) were enrolled in the study. Samples were selected by stratified random sampling from various sectors. All respondents were interviewed and haemoglobin estimation was done with Sahli’s method. Data was analysed using SPSS version 20.0 and chi-square test was used to find out the association between two qualitative variables. Results: The prevalence of mild, moderate and severe anaemia was 37.1%, 9.5% and 2.9% respectively. The factors associated with anaemia were education (p value=0.0001), socio-economic status (p value=0.001), consumption of iron rich food (p value=0.0001) and interval between two successive pregnancy in years (p value=0.0001). Conclusions: The findings of the present study revealed that education, socioeconomic status, consumption of iron rich food, interval between successive pregnancies affect the overall blood haemoglobin level on a long run. Community awareness regarding education and schooling of girls will help to increase the education level of women and would indirectly help to increase the health awareness and decrease the prevalence of anaemia. 

scholarly journals Faktor Determinan Hipertensi pada Pedagang Pasar Cibinong, Jawa Barat

2019 ◽  
Vol 29 (2) ◽  
pp. 107-114
Author(s):  
Mugi Wahidin ◽  
Annisa Rizky Aprilia ◽  
Dwi Susilo ◽  
Sofa Farida
Keyword(s):  
Logistic Regression ◽  
Central Obesity ◽  
Antihypertensive Drugs ◽  
Public Health Problem ◽  
Smoking History ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Regular Treatment ◽  
History Of

Abstract In Indonesia, the prevalence of hypertension has increased quite rapidly and has become a public health problem. Traditional market traders are prone to hypertension because of the high work pressure that often causes physical and mental fatigue. Athough research on hypertension risk factors has been carried out a lot, but research on market traders is still limited. This study was conducted with the aim to determine the proportion of hypertension in Cibinong market traders and the factors that influence it. The study was conducted with a cross sectional design using a quantitative analysis. Bivariate analysis was carried out by Chi Square test and multivariate analysis was performed with Multiple Logistic Regression tests. The study was conducted in November 2017 at Cibinong market, Bogor Regency, West Java. The sample size of 75 people with inclusion criteria had traded for at least 1 month and the exclusion criteria of traders had a history of hypertension and taking antihypertensive drugs. The dependent variable is hypertension while the independent variables are gender, age, type of trade, duration of trading, duration of work, sleep duration, family history of hypertension, smoking history, physical activity, fruit and vegetables consumption, obestity, and central obesity. The results showed that the proportion of hypertension was 30.7%. The factors indicated to be associated with hypertension were central obesity (OR 22.05; 95% CI 1.03-239.9) and gender (OR 9.1; 95% CI 1.06-78.3) after being tested together as other variables (multivariate). Suggestion are given to control hypertension in market traders especially for male traders with central obesity through regular checks and regular treatment. Abstrak Di Indonesia, prevalensi hipertensi meningkat cukup pesat dan menjadi masalah kesehatan masyarakat. Para pedagang pasar tradisional rentan mengalami hipertensi karena tingginya tekanan pekerjaan yang seringkali menyebabkan kelelahan fisik dan juga pikiran. Meskipun penelitian tentang faktor risiko hipertensi sudah banyak dilakukan, tetapi penelitian pada pedagang pasar masih terbatas. Penelitian ini dilakukan dengan tujuan untuk mengetahui proporsi hipertensi pada pedagang Pasar Cibinong dan faktor-faktor yang mempengaruhinya. Penelitian dilakukan dengan desain cross sectional (potong lintang) menggunakan pendekatan analisis secara kuantitatif. Analisis bivariat dilakukan dengan uji Chi Square dan analisis multivariat dilakukan dengan uji Logistic Regression ganda. Penelitian dilakukan pada November 2017 di Pasar Cibinong, Kabupaten Bogor, Jawa Barat. Besar sampel 75 orang dengan kriteria inklusi sudah berdagang minimal satu bulan dan kriteria eksklusi mempunyai riwayat hipertensi dan mengonsumsi obat anti hipertensi. Variabel dependen adalah hipertensi sedangkan variabel independen adalah jenis kelamin, umur, jenis dagangan, lama berdagang, durasi kerja, durasi tidur, riwayat keluarga hipertensi, riwayat merokok, aktivitas fisik, konsumsi buah dan sayur, obesitas dan obesitas sentral. Hasil penelitian menunjukkan bahwa kejadian hipertensi sebesar 30,7%. Faktor yang terindikasi berhubungan dengan hipertensi adalah obesitas sentral (OR 22,05; 95% CI 1,03-239,9) dan jenis kelamin (OR 9,1; 95% CI 1,06-78,3) setelah diuji bersama-sama dengan variabel lainnya (multivariat). Saran yang diberikan adalah pengendalian hipertensi pada pedagang pasar khususnya pedagang laki-laki dengan obesitas sentral melalui pemeriksaan berkala dan pengobatan secara teratur.

scholarly journals Determinants of Developing Symptomatic Disease in Ethiopian COVID-19 Patients

2020 ◽  
Author(s):  
Tigist W. Leulseged ◽  
Degu G. Alemahu ◽  
Ishmael S. Hassen ◽  
Endalkachew H. Maru ◽  
Wuletaw C. Zewde ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Management Practice ◽  
Care Center ◽  
Severe Disease ◽  
Binary Logistic Regression ◽  
P Value ◽  
Chi Square ◽  
Symptomatic Disease ◽  
Significant Difference ◽  
Chi Square Test

ABSTRACTBackgroundStudies show that having some symptoms seems to be associated with more severe disease and poor prognosis. Therefore, knowing who is more susceptible to symptomatic COVID-19 disease is important to provide targeted preventive and management practice. The aim of the study was to assess the determinants of having symptomatic disease among COVID-19 patients admitted to Millennium COVID-19 Care Center in Ethiopia.MethodsA case-control study was conducted from August to September 2020 among a randomly selected 765 COVID-19 patients (372 Asymptomatic and 393 Symptomatic patients). Chi-square test and independent t-test were used to detect the presence of a statistically significant difference in the characteristics of the cases (symptomatic) and controls (asymptomatic), where p-value of <0.05 considered as having a statistically significant difference. Multivariable binary logistic regression was used to assess a statistically significant association between the independent variables and developing symptomatic COVID-19 where Adjusted Odds ratio (AOR), 95% CIs for AOR, and P-values were used for testing significance and interpretation of results.ResultsThe result of the multivariable binary logistic regression shows that age group (AOR= 1.818, 95% CI= 1.210, 2.731, p-value=0.004 for 30-39 years; AOR= 1.611, 95% CI= 1.016, 2.554, p-value=0.043 for 40-49 years and AOR= 4.076, 95% CI= 2.582, 6.435, p-value=0.0001 for years and above), sex (AOR= 1.672, 95% CI= 1.216, 2.299, p-value=0.002) and history of diabetes mellitus (AOR= 2.406, 95% CI= 1.384, 4.181, p-value=0.002) were found to be significant factors that determine the development of symptomatic disease in COVID-19 patients.ConclusionsDeveloping a symptomatic COVID-19 disease was found to be determined by exposures of old age, male sex, and being diabetic. Therefore, patients with the above factors should be given enough attention in the prevention and management process, including inpatient management, to pick symptoms earlier and to manage accordingly so that these patients can have a favorable treatment outcome.

scholarly journals Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Fitsum Tigu ◽  
Tsegay Gebremaryam ◽  
Asnake Desalegn
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Health Problem ◽  
Public Health Problem ◽  
Binary Logistic Regression ◽  
Northwest Ethiopia ◽  
Rural Setting ◽  
Seasonal Abundance ◽  
Major Public Health Problem ◽  
Seasonal Temperature

Background. Malaria is a serious public health problem of most developing countries, including Ethiopia. The burden of malaria is severely affecting the economy and lives of people, particularly among the productive ages of rural society. Thus, this study was targeted to analyze the past five-year retrospective malaria data among the rural setting of Maygaba town, Welkait district, northwest Ethiopia. Methods. The study was done on 36,219 outpatients attending for malaria diagnosis during January 2015 to 2019. Data was extracted from the outpatient medical database. Chi-square ( χ 2 ) test and binary logistic regression model were used to analyze the retrospective data. Statistical significance was defined at p < 0.05 . Results. Of 36,219 outpatients examined, 7,309 (20.2%) malaria-positive cases were reported during 2015-2019. There was a fluctuating trend in the number of malaria-suspected and -confirmed cases in each year. Male slide-confirmed (61.4%, N = 4,485 ) were significantly higher than females (38.6%, N = 2,824 ) ( p < 005 ). Plasmodium falciparum and Plasmodium vivax were the dominant parasites detected, which accounted for 66.1%; N = 4832 , 33.9%; N = 2477 , respectively. Despite the seasonal abundance of malaria cases, the highest prevalence was recorded in autumn (September to November) in the study area. Binary logistic regression analysis revealed that statistically significant associations were observed between sexes, interseasons, mean seasonal rainfall, and mean seasonal temperature with the prevalence of P. vivax. However, P. falciparum has shown a significant association with interseasons and mean seasonal temperature. Conclusions. Although the overall prevalence of malaria was continually declined from 2015-2019, malaria remains the major public health problem in the study area. The severe species of P. falciparum was found to be the dominant parasite reported in the study area. A collaborative action between the national malaria control program and its partners towards the transmission, prevention, and control of the two deadly species is highly recommended.

scholarly journals Faktor yang berhubungan dengan perilaku lansia dalam mengendalikan hipertensi

2018 ◽  
Vol 3 (1) ◽  
pp. 57
Author(s):  
Masyudi Masyudi
Keyword(s):  
Community Health Center ◽  
Age Groups ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Officer ◽  
Work Area ◽  
Cross Sectional Design ◽  
And Behavior

Jumlah kunjungan pasien hipertensi pada tahun 2017 sebanyak 2089 kunjungan dari semua jenis usia, sedangkan kunjungan hipertensi bagi lansia sebanyak 940 kunjungan dari usia 60 sampai dengan 75 tahun. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan perilaku lansia dalam mengendalikan hipertensi di Wilayah Kerja Puskesmas Darul Imarah Kabupaten Aceh Besar Tahun 2017. Penelitian ini bersifat deskriptif analitik dengan desain cross sectional studi. Sampel dalam penelitian ini adalah sebanyak 91 orang pasien hipertensi. Analisis yang digunakan adalah analisa univariat dan bivariat. Tempat penelitian ini dilakukan di Puskesmas Darul Imarah Kecamatan Darul Imarah Kabupaten Aceh Besar pada tanggal 11 s/d 17 Januari 2018. Dari hasil uji statistik chi-square dapat disimpulkan bahwa ada hubungan antara pengetahuan dengan perilaku lansia (P-value  0,002 < 0,05), ada hubungan antara sikap dengan perilaku lansia (P-value  0,009 < 0,05),  ada hubungan antara pola makan, dengan perilaku lansia  (P-value  0,027 < 0,05), dan ada hubungan antara aktivitas fisik dengan perilaku lansia (P-value  0,044 < 0,05) dalam mengendalikan hipertensi di Puskesmas Darul Imarah Kecamatan Darul Imarah Kabupaten Aceh Besar Tahun 2018. Kepada pihak Pukesmas, khususnya kepada petugas kesehatan lebih memberikan sosialisasi kepada pasien dengan hipertensi untuk meningkatkan pola makan dari pasien menjadi lebih baik lagi.Kata kunci:  Hipertensi, lansia, perilaku The number of hypertension visit at Puskesmas Darul Imarah Aceh Besar in 2017 was 2089 visits from all age groups, while hypertension visit for elderly was 940  visits from age 60 to 75 years. The purpose of this study is to determine the factors associated with elderly behavior in controlling hypertension in the Work Area Puskesmas Darul Imarah District of Aceh Besar Year 2018. This study is analytical descriptive with cross-sectional design study. The sample in this study were 91 patients with hypertension. The analysis used in a univariate and bivariate analysis. The location of this research was conducted at Puskesmas Darul Imarah, Darul Imarah Sub-district, Regency of Aceh Besar during  11 until 17 January 2018. From the result of chi-square statistic test it can be concluded that there is correlation between knowledge with elderly behavior (P-value 0,002 <0,05 ), there is correlation between attitude and behavior of elderly (P-value 0,009 <0,05), there is relation between diet, with elderly behavior (P-value 0,027 <0,05), and there is relation between physical activity and elderly behavior P-value 0.044 <0.05) in controlling hypertension in Darul Imarah Community Health Center Darul Imarah Sub-district, Aceh Besar District, 2018. To Pukesmas, especially to health officer to give more socialization to patients with hypertension to improve the patient's diet for the better.Keywords: Hypertension, elderly, and behavior

scholarly journals Analysis of in-hospital mortality among people with and without diabetes in South Western Sydney public hospitals (2014–2017)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tina Gao ◽  
Kingsley E. Agho ◽  
Milan K. Piya ◽  
David Simmons ◽  
Uchechukwu L. Osuagwu
Keyword(s):  
Mortality Rate ◽  
Hospital Mortality ◽  
Age Groups ◽  
Public Health Problem ◽  
Binary Logistic Regression ◽  
Population Based ◽  
Public Hospitals ◽  
Major Public Health Problem ◽  
Factors Associated ◽  
Patients With Diabetes

Abstract Background Diabetes is a major public health problem affecting about 1.4 million Australians, especially in South Western Sydney, a hotspot of diabetes with higher than average rates for hospitalisations. The current understanding of the international burden of diabetes and related complications is poor and data on hospital outcomes and/or what common factors influence mortality rate in people with and without diabetes in Australia using a representative sample is lacking. This study determined in-hospital mortality rate and the factors associated among people with and without diabetes. Methods Retrospective data for 554,421 adult inpatients was extracted from the population-based New South Wales (NSW) Admitted Patient Data over 3 financial years (from 1 July 2014–30 June 2015 to 1 July 2016–30 June 2017). The in-hospital mortality per 1000 admitted persons, standardised mortality ratios (SMR) were calculated. Binary logistic regression was performed, adjusting for potential covariates and co-morbidities for people with and without diabetes over three years. Results Over three years, 8.7% (48,038 people) of admissions involved people with diabetes. This increased from 8.4% in 2014–15 to 8.9% in 2016–17 (p = 0.007). Across all age groups, in-hospital mortality rate was significantly greater in people with diabetes (20.6, 95% Confidence intervals CI 19.3–21.9 per 1000 persons) than those without diabetes (11.8, 95%CI 11.5–12.1) and more in men than women (23.1, 95%CI 21.2–25.0 vs 17.9, 95%CI 16.2–19.8) with diabetes. The SMR for those with and without diabetes were 3.13 (95%CI 1.78–4.48) and 1.79 (95%CI 0.77–2.82), respectively. There were similarities in the factors associated with in hospital mortality in both groups including: older age (> 54 years), male sex, marital status (divorced/widowed), length of stay in hospital (staying longer than 4 days), receiving intensive care in admission and being admitted due to primary respiratory and cardiovascular diagnoses. The odds of death in admission was increased in polymorbid patients without diabetes (28.68, 95%CI 23.49–35.02) but not in those with diabetes. Conclusions In-patients with diabetes continue to have higher mortality rates than those without diabetes and the Australian population. Overall, similar factors influenced mortality rate in people with and without diabetes, but significantly more people with diabetes had two or more co-morbidities, suggesting that hospital mortality may be driven by those with pre-existing health/comorbidities. Urgent measures in primary care to prevent admissions among people with multiple co-morbidities are needed.

scholarly journals Analysis on factors affecting nausea and vomiting severity suffered by patients in the early phase of hemodialysis therapy

2020 ◽  
Vol 1 ◽  
pp. 30-34
Author(s):  
Muhammad Rafi Fathurrohman ◽  
Sri Suparti
Keyword(s):  
Logistic Regression ◽  
Sampling Technique ◽  
Total Sample ◽  
Nausea And Vomiting ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Factors Affecting ◽  
Chi Square Test ◽  
Simple Logistic

Nausea and vomiting should be further checked and prevented, because these conditions can be a cause or complication during hemodialysis patients. Electrolyte and water imbalance (dehydration) can be considered as the main complication of nausea and vomiting itself. The aim of this study was to determine the factors that influence the severity of nausea and vomiting in patients undergoing hemodialysis. This type of research is quantitative with analytic descriptive method, with an approach using a retrospective cohort research design. The sampling technique in this study was a total sampling technique with a total sample of 57 patients. The research instrument used questionnaires and observations, data analysis using the Chi Square test and simple logistic regression analysis. The location of the study was the hemodialysis therapy site at the Islamic Hospital in Purwokerto in January-February 2020. The results showed that most of the respondents with the severity of nausea and vomiting, the patient's diet was not balanced (61.4%), the excess fluid had edema (63.2%), the gender was male (59.6%), female (40.4%). %), age 18-65 (57.9%), duration of HD <12 months (64.9%) and 58 respondents> 12 months (35.1). The results of bivariate analysis using logistic regression, obtained p value of the patient's diet 0.009, excess fluid, age and sex 0.001 and the duration of HD 0.003. From this analysis, there are 5 factors that can cause the severity of nausea and vomiting, namely the patient's diet, excess fluidity, gender, age, and duration of HD.

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