scholarly journals Circumstances leading to self-diagnosis and self-medication in the Municipality of Marabá (State of Pará, Brazil)

2018 ◽  
Vol 5 (9) ◽  
pp. 159-170
Author(s):  
Amanda Neves da Silva ◽  
Carlos Eduardo Brito Cavalcante ◽  
Jobson dos Anjos Ferreira ◽  
Daniela Soares Leite

The theme medication/self-diagnosis presents contrary opinions about what is right or wrong, in addition to being scarce the quantitative studies with the purpose to clarify the causes of these two dangerous practices. For both, the objective of this study was to identify the causes that influence the self-diagnosis and medication, as well as analyze failures in public assistance in health, which can be promoting the avoidance of the patient to search for an alternative medicine, evidencing the risk that this done can promote. It was a descriptive and cross-sectional study, of qualitative nature, carried out in all health centers in the urban area of Marabá (Pará State, Brazil), through the application of forms and having the data analyzed and tabulated, making use mainly of Chi-square statistical test. The results showed that education is not directly related to the medication, which before was vacant in literature, but the main result highlighted expressed that the motivation for the choice of ingesting medication without prescription, are the difficulties encountered in SUS, the poor quality of care and failures in the relationship doctor patient of the public health service.

Author(s):  
Marni Marni ◽  
Nita Yunianti Ratnasari ◽  
Domingos Soares ◽  
Putri Halimu Husna

HIV / AIDS sufferers overcome various problems both physical, social, and emotional. If emotional problems such as decreased arousal succeed, stress, confusion, depression, are not immediately addressed then it can reduce the quality of life of people with HIV / AIDS. The purpose of this study was to determine the relationship of depression levels with the quality of life of people with HIV / AIDS in the Gajah Mungkur Wonogiri Peer Support Group. The study used descriptive correlative with a cross sectional study design. The sample took with a consecutive sampling, with the sample size of 116 respondents. There were 14 respondents did not arrive when the data was taken. The instruments in this study used the Beck Depression Inventory (BDI) and WHOQOLHIV-BREF questionnaire. Data were analyzed using Chi-Square test. This study result showed that depression level of respondent were 25 respondents did not experience depression, 21 respondents (18.1%) had good perception quality, the remaining 4 respondents had poor quality of life, while 36 respondents experienced an increase in poor quality of life as many as 19 respondents (16.4%). Respondents who experience severe depression as many as 33 respondents (28.4%) more have a poor quality of life as many as 20 respondents (17.2%). The result showed that p-value = 0.001, which means there was a relationship between the level of depression with the quality of life of people with HIV / AIDS in the Gajah Mungkur Peer Support Group. Keywords: depression; HIV / AIDS; quality of life ABSTRAK Penderita HIV/AIDS mengalami berbagai masalah baik fisik, sosial, maupun emosional. Apabila masalah emosional seperti penurunan gairah bekerja, stress, bingung, malu, depresi tidak segera diatasi maka bisa menurunkan kualitas hidup penderita HIV/AIDS. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat depresi dengan kualitas hidup penderita HIV/AIDS di Kelompok Dukungan Sebaya Gajah Mungkur Wonogiri. Jenis penelitian ini adalah deskriptif korelatif dengan desain cross sectional study melalui kuesioner, Teknik pengambilan sampling dengan consecutive sampling dengan ukuran sampel sebanyak 116 responden. Instrumen pada penelitian ini adalah kuesioner Beck Depression Inventory (BDI) dan WHOQOLHIV-BREF. Analisis data dilakukan menggunakan uji Chi-square. Hasil penelitian menunjukkan bahwa 25 responden tidak mengalami depresi, 21 responden (18,1%) memiliki persepsi kualitas hidupnya baik, sisanya 4 responden memiliki kualitas hidup yang buruk; sedangkan 36 responden mengalami depresi sedang memiliki kualitas hidup yang buruk sebanyak 19 responden (16,4%). Responden yang mengalami depresi berat sebanyak 33 responden (28,4%) lebih banyak memiliki kualitas hidup yang buruk sejumlah 20 responden (17,2%). Nilai p adalah 0,001, yang berarti ada hubungan antara tingkat depresi dengan kualitas hidup penderita HIV/AIDS di Kelompok Dukungan Sebaya Gajah Mungkur Wonogiri. Kata kunci: depresi; HIV/AIDS; kualitas hidup


2020 ◽  
Vol 8 (2) ◽  
pp. 107-116
Author(s):  
Peri Zuliani ◽  
Dita Amita

Chronic Kidney Disease (CKD) is a progressive and irreversible disorder of renal function, in which the body's ability to fail to maintain metabolism and balance of fluids and electrolytes, causing uremia. The purpose of this study in general was to determine the relationship between hemoglobin levels and quality of life in chronic kidney disease patients undergoing hemodialysis at dr. M. Yunus Bengkulu. This type of research is descriptive analytic with cross sectional approach. The study sample was 64 patients with CKD who underwent hemodialysis at the hemodialysis installation with accidental sampling technique. The results showed that most patients with chronic kidney disease who underwent haemodialysis (71.9%) had severe anemia and most (56.3%) had a poor quality of life. Chi square test results obtained ρ value 0,000 (α = 0.05). Conclusion, There is a statistically significant correlation between anemia and quality of life in CKD patients undergoing hemodialysis in the RDUD Dr. Hemodialysis room. M. Yunus. Suggested to Dr. Hospital M. Yunus Bengkulu to control the incidence and symptoms of anemia experienced by CKD patients. Keywords: Anemia, Hemodialysis, quality of life, CKD


2021 ◽  
Vol 27 (5) ◽  
pp. 459-466
Author(s):  
Manal Badrasawi ◽  
Aseel Al-Adhame ◽  
Aseel Doufish

Background: Malnutrition is significantly associated with poor clinical outcomes and reduced quality of life among cancer patients. Although the number of cancer patients receiving chemotherapy has increased in Palestine, there has been limited research on the relationship between malnutrition and quality of life. Aims: To determine the relationship between nutritional status and quality of life of cancer patients receiving chemotherapy at Al-Hussein Governmental Hospital in Biet-Jala, Palestine. Methods: This cross-sectional study included all the patients receiving chemotherapy between 2018 and 2019. Nutritional status was assessed using anthropometric measurements and biochemical data retrieved from the participating patients’ files. The clinical assessment of malnutrition was done using the Subjective Global Assessment, and quality of life was assessed using the European Organization for Research and Treatment of Cancer QLQ-C30 questionnaire version 3. Results: One hundred patients (79 female, 21 male) were included in the final analysis. The results revealed that 25% of the patients were severely malnourished, and 42% were mildly to moderately malnourished. There was a significant relationship between malnutrition and quality of life in the following domains: physical functioning, cognitive functioning and fatigue. Conclusions: Malnutrition is prevalent among Palestinian cancer patients receiving chemotherapy, and it is associated with poor quality of life. The results of the study highlight the need for nutritional support programmes for cancer patients to enhance their nutritional status and improve their quality of life.


2021 ◽  
Vol 4 (1) ◽  
pp. 113-122
Author(s):  
Andi Mauliyana ◽  
Nurul Aisyiah Rizal

Based on the Profile of the Bhayangkara Kendari Hospital, the number of patient visits to the inpatient unit from 2017-2018 experienced an increase in the number of patient visits. The purpose of this study was to determine the relationship between the quality of health services and the loyalty of inpatients at the Bhayangkara Hospital, Kendari City. This study used a cross-sectional study design with a population of 358 people and a sample of 78 people who were determined by taking the sample using the accidental sampling method. Data analyze using chi square test. The results showed that there was relationship between physical evidence (X2count=4,197; φ=0,264), reliability (X2count=5,816; φ=0,305), and empathy (X2count=9,442; φ=0,378) with inpatient loyalty. The conclusion is there was a weak relationship between physical evidence, reliability, and empathy with inpatient loyalty at the Bhayangkara Hospital Kendari City. The hospital should pay more attention to the comfort of the patient's room and improve skills in serving patients so that it can improve the quality of service to patients and encourages patients to come back for treatment at Bhayangkara Hospital Kendari City.


2021 ◽  
Vol 9 (E) ◽  
pp. 1021-1025
Author(s):  
Akhmad Yanuar Fahmi Pamungkas ◽  
Desi Trianita ◽  
Fransiska Erna Damayanti ◽  
Ani Qomariyah ◽  
Leny Eka Tyas Wahyuni ◽  
...  

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2, has caused more than 13 million cases. Until now, there is no very efficient treatment for COVID-19. There needs to be government support in socializing the COVID vaccine, one of which is the Mall Orang Sehat (MOS) innovation for healthy people, which aims to make people believe in vaccines. AIM: The purpose of this study was to determine the relationship between policy innovations in the MOS area of healthy people and the willingness of the community to be vaccinated. METHODS: The research method in this study uses a cross-sectional study design, with a sample of 200 using a stratified random sampling technique, with validated question instruments regarding the statement of respondents being willing to be vaccinated or not, the analysis in this study using Chi-square. RESULTS: The results of this study indicate that there is a relationship between MOS policy innovation and patient’s willingness to be vaccinated, as evidenced by the results of SPSS p 0.000 < 0.05 which means that there is a relationship between variable 1 and variable 2. CONCLUSIONS: The COVID-19 vaccine is the government’s effort in tackling the COVID-19 pandemic. With this health education based (Healthy People Mall) it has been proven to be able to influence the public in knowing the effects and impacts of COVID-19 so that people are willing to be vaccinated.


Duazary ◽  
2018 ◽  
Vol 15 (3) ◽  
pp. 273
Author(s):  
John Carlos Pedrozo-Pupo ◽  
Adalberto Campo-Arias ◽  
Héctor De La Torre

Comorbidity is common in patients with chronic obstructive pulmonary disease (COPD); however, the relationship between comorbidity and quality of life is inconsistent. The objective was to establish the prevalence of comorbidity and the relationship with the quality of life of patients with COPD in Santa Marta, Colombia. A cross-sectional study was designed in which in which participated outpatients diagnosed with COPD. Quality of life was evaluated with the CAT (COPD Assessment Test) instrument; scores higher than ten were considered poor quality of life. The sample was of 292 patients, in ages between 49 and 95 years; 61.6% male. A group of 232 participants (79.5%) presented some comorbidity associated with COPD. Quality of life was reduced in 192 patients (65.8%). Comorbidity did not significantly add to the quality of life (OR = 1.33, 95% CI 0.72-2.45), adjusted for age and sex. It is concluded that comorbidity is very frequent; however, it does not affect the quality of life in patients with COPD in Santa Marta. More research is needed with more participants.


2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari

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.


2021 ◽  
Vol 3 (2) ◽  
pp. 48-58
Author(s):  
Ajeng Febrianti Rahayu ◽  
Bagas Aidi ◽  
Meirna Mega Rizki ◽  
Ayik Mirayanti Mandagi

ABSTRACTFirst year student are one of the groups that are prone to depression. This is because the first year student is in a transition period or in a new condition that initially senior high school student becomes a college student. In addition, busy schedules, new learning environments and homesickness can trigger depression in college students. This study used a cross sectional study design. Respondents in this study were new students of the Study Program Outside the Main Campus (PSDKU) of Airlangga University in Banyuwangi, class 2019 with a total of 110 students. Depression levels were obtained from the Beck Depression Inventory (BDI-II) questionnaire. Meanwhile, the adaptability was obtained from the Communicative Adaptability Scale (CAS) questionnaire and the place of residence was obtained from questions about where to live during college. A total of 53 out of 110 students (49,1%) experienced low depression and students who experienced high depression were 57 out of 110 students (50,9%). The results of the chi square test regarding the relationship between residence and the level of depression of new students, obtained data p= 0.008 (p <0.05). Chi-square test results regarding the relationship between adaptation ability and depression level of new students, obtained data p = 0.001 (p <0.05). There is a relationship between residence and adaptability with the degree of depression of new students. Higher education institutions are expected to pay more attention to the psychological conditions of students and new students are expected to maintain good coping management in facing the new environment.Keywords: depression level, adaptability, place to live, new students ABSTRAKMahasiswa baru adalah salah satu kelompok yang rentan mengalami depresi. Hal ini dikarenakan mahasiswa baru berada pada masa transisi atau suatu kondisi baru yang awalnya siswa SMA menjadi mahasiswa. Selain itu, jadwal yang padat, lingkungan belajar yang baru dan homesickness dapat memicu depresi pada mahasiswa. Penelitian ini menggunakan desain penelitian crosssectional. Responden pada penelitian ini yaitu mahasiswa baru Program Studi Diluar Kampus Utama (PSDKU) Universitas Airlangga di Banyuwangi angkatan 2019 dengan jumlah 110 mahasiswa. Tingkat Depresi didapatkan dari kuisioner Beck Depression Inventory (BDI-II). Sedangkan kemampuan adaptasi didapatkan dari kuisioner Communicative Adaptability Scale (CAS) dan tempat tinggal didapatkan dari pertanyaan mengenai tempat tinggal selama kuliah. Sebanyak 49,1% (53 dari 110 mahasiswa) mengalami depresi ringan dan mahasiswa yang mengalami depresi berat sebanyak 50,9 (57 dari 110 mahasiswa). Hasil uji chisquare mengenai hubungan tempat tinggal dengan tingkat depresi mahasiswa baru, diperoleh data p=0,008 (p<0,05). Hasil uji chisquare mengenai hubungan kemampuan adaptasi dengan tingkat depresi mahasiswa baru, diperoleh data p=0,001(p<0,05). Terdapat hubungan antara tempat tinggal dan kemampuan adaptasi dengan tingkat depresi mahasiswa baru. Institusi perguruan tinggi diharapkan lebih memperhatikan kondisi psikologis mahasiswa dan mahasiswa baru diharapkan tetap mempertahankan manajemen koping yang baik dalam menghadapi lingkungan baru.Kata Kunci: tingkat depresi, kemampuan adaptasi, tempat tinggal, mahasiswa baru


Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
O. Zargari ◽  
E. Kazemnezhad Leyli ◽  
S. Z. Azimi

Background. Psoriatic arthritis (PsA) results in an increased burden of psoriasis and impairs both quality of life and an individual’s functional capacity. The relationship between nail involvement and PsA in psoriasis is not fully characterized. Aim. To evaluate the frequency and characteristics of nail involvement in psoriatic patients and to assess the relationship with joint involvement. Methods. A total of 197 patients with moderate-to-severe psoriasis were consecutively invited to participate in this cross-sectional study. The patients are divided into two groups: those with and those without psoriatic arthritis. Results. 69.5% of psoriatic (137 out of 197) patients had nail involvement. The most common nail abnormality was onycholysis, followed by pitting and oil droplet changes. Nail involvement was more common in patients with psoriatic arthritis (82.1% versus 57.8%, p=0.001). Conclusion. Nail involvement is commonly associated with PsA. Onycholysis, splinter hemorrhage, and oil drop were significantly more common in the PsA group as opposed to patients with just skin findings. In general, psoriatic patients with arthritis had more severe disease.


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