scholarly journals IDENTIFICATION OF THERAPY PROFILE AND FACTORS RELATED TO INCIDENCE OF PULMONARY TUBERCULOSIS IN DENPASAR-BALI

Author(s):  
Anisa Hanum ◽  
Made Krisna Adi Jaya ◽  
I Made Bakta

Background: Tuberculosis is a problem for millions of people around the world. Indonesia as the second biggest country with the highest number of Pulmonary Tuberculosis that treatment has improved gradually. Denpasar is a city with the highest sufferers in Bali. It’s caused by the high rate of population, dense human settlement, and other related factors. Objective: Profiling incident and pulmonary tuberculosis treatment in Denpasar City primary health care. Methods: Observational study with cross-sectional analytic approaches. Forty pulmonary tuberculosis patients and  One hundred twenty non-tuberculosis patients were observed in this study. Those were taken by multistage random sampling. Data were collected from medical records and questionnaires. A Chi-Square test was used for analyzing data. Results: Pulmonary tuberculosis sufferers are in productive ages which 65% were men. The treatment profile was excellently seen from the final treatment results of 31 people recovered and 9 people with complete treatment. Factors that have a statistical relation with pulmonary tuberculosis were occupation (p=0,012), income (p=0.003), smoking behavior (p=0.001), and contact history (p=0.001). The other factors with no relationship were education (p=0.270) and occupancy density (p=0.540). Conclusion: Pay attention to the caused factors of tuberculosis infection; society is suggested to implement a healthy lifestyle, maintain home sanitation, and environment. Keywords: Factor Related, Pulmonary, Tuberculosis, Primary Health Care, Denpasar City

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.


Author(s):  
Olumuyiwa A. Olowe ◽  
Andrew J. Ross

Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.


10.3823/2305 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Paula Cristina Araújo Morais ◽  
Tibelle Freitas Mauricio ◽  
Rafaella Pessoa Moreira ◽  
Nirla Gomes Guedes ◽  
Emília Soares Chaves Rouberte ◽  
...  

Objective: to identify the frequency of the nursing diagnosis of Impaired Physical Mobility Impairment and its components in elderly population registered in a Primary Health Care Unit. Method: cross-sectional study conducted from November 2014 to February 2015, performed with 50 seniors at their homes. A questionnaire on patients's identification, their health conditions and their mobility was used. Results: the nursing diagnosis in question was identified in 71.4% of the population. The most present related factors were: lack of knowledge about the advantages of physical activity (66.7%), discomfort (76.9%), pain (82.1%), joint stiffness (76+9%) and sedentary lifestyle (82.1%). The defining characteristics were: limited capacity to perform gross motor skills (89.7%) and fine motor skills (56.4%), and engagement in substitution of movements (74.4%). Conclusion: participants showed difficulties related to physical mobility, evidencing a need for better care from health professionals. Keywords: Nursing Diagnosis; Elderly; Nursing.  


BJGP Open ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. bjgpopen19X101672
Author(s):  
Alhan Haji

BackgroundPrinted health education (HE) materials are commonly provided in primary health care (PHC). However, little is known about their use by PHC visitors.AimThis study explored patients’ opinions and use of printed HE materials in order to determine an ideal output format for HE.Design & settingThis was a cross-sectional study, which was conducted in three PHC centres at King Abdulaziz Medical City in Riyadh, Saudi Arabia.MethodData were collected through a self-administered questionnaire.ResultsFifty-five point two per cent of participants obtained printed HE materials from PHC waiting areas. The majority read one or more materials and found it helpful and memorable. Seventy-seven point two per cent applied the written message, 24.0% of participants regularly read HE materials, and more than half spent time reading them in the PHC centre’s waiting area. Around half (51.1%) put the material back in its place after reading it. The preferred format was card with text and graphs. The preferred content was healthy lifestyle advice.ConclusionPatients do use printed HE materials in a positive way. More efforts are needed to improve the quality of the materials. Different healthcare providers should contribute more in HE.


2020 ◽  
Vol 12 (3) ◽  
pp. 181
Author(s):  
Sheilla Mufidha Wahyuningtyas ◽  
Endang Sri Lestari ◽  
Jojok Mukono ◽  
Endro Sukmono

Introduction: Tuberculosis (TB) is a global health crisis. Environmental health services in Primary health care provide counseling services, inspections and environmental health interventions. Research aims to determine the impact of environmental health services in Primary health care on the behavior of TB patients that includes the knowledge, attitudes and actions of pulmonary tuberculosis patients in the prevention of the transmission of pulmonary tuberculosis disease. Method: The method in this study was experimental quasi. Respondents were a new case of pulmonary TB at 6 Primary health care in Banyuwangi Regency April S/d June 2019. Pre test before obtaining environmental health services. Post test was given after counseling, inspection and environmental health intervention. Result and Discussion: The results showed a total of 24 respondents to the majority pulmonary tuberculosis patient was male (54.17%). Pre test knowledge of pulmonary TB patient is good (4.16%), enough (8.33%) and less (87.50%). Category Post test knowledge of TB patients acquired good (20.83%), sufficient category (75.00%) and less (4.20%). The average Pre test knowledge score is 37.70 and the Post test is 67.20. Category Prettest Action patients TB is good (4.16%) and less (95.83%). Category Post Test action patients pulmonary TB is good (54.17%), enough (41.67%) and less (4.16%) Which is an improvement in the form of masks, hand washing soap, the habit of spitting, the use of individual cutlery and drinking equipment, washing dinnerware and drinking with hot water/drying, drying the sleeping tools, opening a window every day, separate sleeping habits. Conclusion: The conclusion of this research is environmental health services in Primary health care in patients with pulmonary tuberculosis improves the behavior of TB patients in the form of increased knowledge, attitudes and actions of the patient in the prevention of disease transmission of TB.


2006 ◽  
Vol 1 (3) ◽  
pp. 127
Author(s):  
Uyu Wahyudin ◽  
Besral Besral

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pa-da balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan dengan kepatuhan adalah adalah pengetahuan dan sikap bidan terhadap obat rasional dan supervisi dari atasan. Penelitian ini juga menda-patkan hubungan yang bermakna antara pengetahuan dan persepsi orang tua balita terhadap obat rasional dengan kepatuhan bidan dalam penggunaan obat rasional. Dalam rangka mengatasi ketidakrasionalan pengobatan diare akut non spesifik, maka Puskesmas harus berupaya meningkatkan pengetahuanbidan terhadap penggunaan obat rasional, melakukan supervisi, dan meningkatkan penyuluhan kepada pasien tentang penggunaan obat rasional. Kata kunci: Obat rasional, diare, bidanAbstractDiarrhea medication among children under five years old at primary health care, sub-province of Sumedang is performed at Mother and Child Polyclinic which is handled by a midwife everyday. This research purpose to obtain the description of compliance level of midwives and its factors related of midwives compliance in the usage of rational drugs among children with non specific acute diarrhea. Research used cross-sectional design with samples size were 109 midwives which were come from 18 primary health care , which were selected randomly.To measure the compliance, the observation was performed of prescriptions that written by midwives to children with non specific acute diarrhea. This research result showed that compliance level was 69,7%. Result analysis of multiple logistic regression showed that related factors were knowledge and midwives attitude of usage of rational drugs and supervision. This research also showed the association between knowledge and parent’s perception of children under five years old of rational drugs and compliance level of midwives in the usage of rational drugs. It is suggested that primary health care should increase midwives knowledge in usage of rational drugs, doing supervision and improve socialization the usage of rational drugs to patient.Keywords: Rational drugs, diarrhea, midwive


2016 ◽  
Vol 29 (3) ◽  
pp. 193
Author(s):  
Elisa Lopes ◽  
Violeta Alarcão ◽  
Rui Simões ◽  
Milene Fernandes ◽  
Verónica Gómez ◽  
...  

<p><strong>Introduction:</strong> In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. <br /><strong>Aims:</strong> To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). <br /><strong>Material and Methods:</strong> Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. <br /><strong>Results:</strong> In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence.<br /><strong>Discussion:</strong> Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates.<br /><strong>Conclusions:</strong> It is needed to define strategies to control hypertension in primary health care specific for ethnic groups.</p>


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