scholarly journals Hubungan Kejadian Perdarahan Postpartum dengan Faktor Risiko Karakteristik Ibu di RSUP Dr. M. Djamil Padang pada Januari 2012 - April 2013

2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Fathina Friyandini ◽  
Yuniar Lestari ◽  
Bobby Indra Lipoeto

Abstrak  Banyak faktor risiko yang dapat meningkatkan terjadinya perdarahan postpartum, yaitu karakteristik ibu seperti: usia, paritas dan tingkat pendidikan ibu. Tujuan penelitian ini adalah meneliti lebih lanjut tentang hubungan perdarahan postpartum dengan faktor risiko karakteristik ibu. Penelitian dilakukan di Sub bagian Rekam Medik RSUP Dr. M. Djamil, Padang. Penelitian ini merupakan penelitian analitik dengan desain cross sectional study dengan jumlah sampel sebanyak 64 orang. Pengambilan sampel dilakukan mulai pada Januari 2012 hingga bulan April 2013. Analisis statistik yang digunakan adalah uji chi-square dengan α = 0,05. Hasil penelitian ini menunjukkan bahwa perdarahan terbanyak adalah perdarahan postpartum primer (81,3%). Untuk etiologi terbanyak adalah sisa plasenta (35,9%). Berdasarkan segi faktor risiko karakteristik ibu, dari segi usia kejadian perdarahan postpartum banyak dialami oleh responden dengan usia reproduksi sehat (20 – 34 tahun) sebesar 76,6%, dari segi faktor risiko paritas yang tertinggi adalah multiparitas (59,4%) dan faktor risiko tingkat pendidikan ibu yang tertinggi yaitu pada ibu dengan tingkat pendidikan tinggi (SMA keatas) sebesar 70,3%. Uji statistik chi square menunjukkan tidak terdapat hubungan yangbermakna antara perdarahan postpartum dengan usia, paritas dan tingkat pendidikan (p > 0,05). Dari hasil penelitian diatas diharapkan kepada peneliti selanjutnya meneliti faktor risiko lain yang dapat meningkatkan kejadian perdarahan postpartum, dari faktor risiko karakteristik ibu misalnya jarak kehamilan yang pendek, lama partus, riwayat persalinanburuk sebelumnya, riwayat perdarahan antepartum ataupun postpartum, riwayat operasi caesar, makrosomia, kehamilan multipel dan faktor dari tenaga penolong partus serta faktor tempat partus/ fasilitas bersalinKata kunci: perdarahan postpartum, faktor risiko ibu, tingkat pendidikan ibuAbstract Many factors that increase the risk of postpartum hemorrhage, one of them is mothers characteristics risk factor. Some of which are age, parity and maternal education level. The objective of this study was to  investigate the relevance postpartum hemorrhage incidence with mothers characteristics risk factors. The research was conducted at the medical records subsection in RSUP Dr. M Djamil, Padang. This research is a cross sectional design with a total samples were 64 subject . Sampling was conducted starting in January 2012 until April 2013. Statistical analysis used was the chi square test with α = 0.05. Results of this research showed that highest hemorrhage is of primary postpartum hemorrhage (81.3%). For highest etiology is retained placenta (35.9%). Based on mothers characteristics aspect of risk factors, viewed in terms of age, the incidence of postpartum hemorrhage experienced by respondents with healthy reproductive age (20-34 years) was 76.6%. In terms of the parity of the highest risk factors are multiparity (59.4%). And the highest risk factors for maternal education levels are women with a high education level (above the senior high school) was 70.3%. Chi Square statistical test showed no significant correlation between postpartum hemorrhage with age, parity and educational level (p> 0.05). Keywords: postpartum hemorrhage, mothers risk factors, maternal education levels 


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Xin Mei ◽  
Qing Zhong ◽  
Gong Chen ◽  
Yuanxia Huang ◽  
Junlin Li

Abstract Background In recent years, research on health literacy has become increasingly focused on the health care system and public health. This cross-sectional study aimed to investigate health literacy and analyse the risk factors that affect health literacy in Wuhan, China. Methods Multistage stratified random sampling was used to select 5304 urban and rural residents aged 15 to 69 years from 204 monitoring points in 15 districts of Wuhan. Using the Chinese Citizen Health Literacy Questionnaire (HLQ) (2018 edition), a face-to-face survey was conducted from November to December 2018. Risk factors that may affect health literacy were assessed using the Chi-square test and multivariate logistic regression models. Results The knowledge rate of health literacy was relatively low (19.3%). The knowledge rate of health-related behaviour and lifestyle (BAL, 17.3%) was the lowest of the three aspects of health literacy, and the knowledge rate of chronic diseases (CD, 19.0%) was the lowest of the six dimensions of health literacy. Respondents who lived in urban areas, had higher education levels, worked as medical staff, had a higher household income and did not suffer from chronic diseases were likely to have higher health literacy. Conclusions The health literacy levels of citizens in Wuhan are insufficient and need to improve.



2019 ◽  
Author(s):  
Xin Mei ◽  
Qing Zhong ◽  
Gong Chen ◽  
Yuanxia Huang ◽  
Junlin Li

Abstract Background: In recent years, research on health literacy has become increasingly concerned with the health care system and public health. This cross-sectional study aimed to investigate health literacy and analyse the risk factors that affect health literacy in Wuhan, China. Methods: Multistage stratified random sampling was used to select 5304 urban and rural residents aged 15 to 69 from 204 monitoring points in 15 districts of Wuhan. Using the Chinese citizen Health Literacy Questionnaire (HLQ) (2018 edition), a face-to-face survey was conducted from November to December 2018. Risk factors that may affect health literacy were assessed by Chi-square test and multiple logistic regression models. Results: The knowledge rate of health literacy was relatively low (19.3%). Of the three aspects of health literacy, the knowledge rate of health-related behaviour and lifestyle (BAL, 17.3%) was the lowest, and of the six dimensions of health literacy, the knowledge rate of chronic diseases (CD, 19.0%) was the lowest. Respondents who lived in urban areas, had higher education levels, worked as medical staff, had higher household income and did not suffer from chronic diseases were likely to have higher health literacy. Conclusions: The health literacy levels of citizens in Wuhan are insufficient and need to improve.



2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Hailegebriel Wondimu ◽  
Zelalem Addis ◽  
Feleke Moges ◽  
Yitayal Shiferaw

Background. Transfusion associated bacterial infection has remained more frequent with a sever risk of morbidity and mortality. This study assessed the bacteriological safety of blood collected for transfusion. Method. A cross-sectional study was conducted at University of Gondar hospital blood bank from December 2011 to June 2012. Bacterial isolation, identification, and antimicrobial susceptibility tests were done as per the standard procedure. Chi-square test and P value were used to assess associations between risk factors and the bacterial isolation rate. Results. Twenty-one (15.33%) blood units were found contaminated with bacteria, and 95.24% contamination was due to external sources. The commonly isolated bacteria were Staphylococcus aureus, Coagulase negative Staphylococci, Escherichia coli, Klebsiella species, Streptococci species, Enterobacter species, and Citrobacter species. All of the bacteria isolated were 100% sensitive to Gentamicin, Chloramphenicol, Amoxicillin, and Doxycycline. Multiple antimicrobial resistances were observed in 66.7% of the isolates. Not using glove by phlebotomist, touching disinfected phlebotomy site and double puncture at the same hand or both hands of a donor were found to be risk factors for bacterial contamination. Conclusion. Bacterial contamination of blood to be transfused is a common problem in the hospital. So attention should be given to activities performed at the blood bank for safe transfusion practices.



2020 ◽  
pp. 40-42
Author(s):  
Rajeev Ranjan Kumar ◽  
Shiv Kumar ◽  
Ravikirti Ravikirti ◽  
Debarshi Jana

Hypertension, its risk factors and complications is very poorly understood therefore it goes undiagnosed and untreated for a long time. The present study was undertaken to study the clinical profile of isolated systolic hypertension (systolic > 140 and diastolic ≤ 90 mmHg ) in elderly (above the age of 60 years)and to find out any other associated risk factors, any end organ complications, specially cardiac through electrocardiography and echocardiography and on kidney through creatinine clearance. The present cross-sectional study was undertaken on patients attending the outdoor department and indoor department of medicine. The study group comprised of 75 elderly patients who had isolated systolic hypertension (ISH). Using Chi square test correlation of age with stage of BP, association of risk factors with ISH and Stage III BP and ECG changes with LVH calculated. It concluded that ISH associated with risk factors has definite effect mainly on cardiac in terms of LV hypertrophy and on kidney in terms of reduced creatinine clearance and is an even better predictor of mortalityand morbidity than is diastolic blood pressure.



2020 ◽  
Author(s):  
Shu-Xia Chang ◽  
Kang-Kang Chen ◽  
Xiao-Ting Liu ◽  
Hao-Yuan Zhang ◽  
Meng-Man Wu ◽  
...  

Abstract Objective The aim of this study was to investigate the prevalence and proportion of laboratory-confirmed urethral Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections that were asymptomatic among individuals presenting to different clinics in Shenzhen and the risk factors related to STI infections in this population.Methods In a cross-sectional study, 8,309 eligible individuals were invited to participate in a questionnaire interview, and urine specimens were collected for identification of CT and NG infections. Corresponding outcomes were analyzed by Chi-square test and multivariate logistic regression.Results Among 7070 participants who completed the questionnaire and provided the urine specimen, 2871 were asymptomatic and included in our analyses: 1120 (39.0%) males and 1751 (61.0%) females. The prevalence of NG and CT was 0.9% and 6.2% among males reporting no symptoms, and 0.4% and 7.9% among females reporting no symptoms, respectively. The proportion of asymptomatic urethral CT among males with urethral CT was 28.3%; for females, it was 34.2%. For asymptomatic males with urethral NG/CT, 3 independent risk factors were identified: (1) males under the age of 30 (OR, 1.75; 95% CI, 1.07-2.84); (2) being employed in the commercial service work (2.69; 1.33-5.45); and (3) being recruited through the urological department (2.18; 1.24-3.83). For asymptomatic females with urethral NG/CT, 2 independent risk factors were identified: (1) females under the age of 30 (OR, 1.80; 95% CI, 1.25-2.58); and (2) being recruited through the dermatological department (2.83; 1.46-5.46).Conclusion A substantial prevalence of asymptomatic CT infections was found among males and females presenting to clinics in Shenzhen. The significant correlation between asymptomatic CT infection and these risk factors could help identify high-risk populations and guide screening.



2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Perez-Sosa Abigail M ◽  

Background: Diabetes mellitus 2 (T2D) is the leading cause of morbidity and mortality in northern Mexico. Various treatments are used to control the disease; however, the cost of these and the difficulty of dietary management have as a consequence that the patient abandons them and looks for cheaper and easier-to-use alternatives. Aim: The purpose of this study is to determine the relationship between the use of alternative medicine and adherence to medical treatment in patients with T2D. Design and Setting: Analytic cross-sectional study. Methods: An analytical cross-sectional study was designed between March and July 2019 including 464 patients with T2D from the family medicine unit #48 Ciudad Juarez, Mexico. We used the Morisky-Green scale for adherence to treatment and the use of Alternative Medicine (CAM) was evaluated with a holistic complementary and alternative medicine questionnaire. The Chi-Square test was used for comparison of proportions and risk factors were calculated using odds ratio with 95% confidence intervals. Results: 53% of patients use CAM; biological therapy (herbs and supplements) is the most frequent (94%). The association between CAM use and adherence to medical treatment was 2.1 (95% CI 1.4-3.1, p= 0.001). The risk factors for the use of CAM were female sex, basic level education, uncontrolled disease and a time of evolution greater than 10 years. Conclusion: CAM users are 2.1 times more at risk of having a regular or bad adherence to medical treatment.



2016 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Beyna Handayani ◽  
Nur Indah Rahmawati

<p>Data of community practices in 2013 at the Argomulyo village known that total of reproductive age couples were 900 couples and 533 couples (59,22%) following family planning (FP). The purpose of this study was to know the relationship between the education level of reproductive age couples with FP participation and selection of contraceptives on reproductive age couples in the Argomulyo village, Sedayu, Bantul Yogyakarta. The study design was observational analytic with the cross sectional. The total population of reproductive age couples in hamlet of Kemusuk Kidul, Karang lo, Pedes, Surobayan, Kali Berot in the Argomulyo village, Sedayu Bantul were 916 couples. Samples were selected by total sampling technique which consisted of 907 couples and 9 couples included in the exclusion criteria. Data analysis was done by chi-square test. The results showed that 610 couples (67,3%) was following FP and 297 couples (32,7%) not following FP programs. The results of chi-square x2 of wife participation was 3,658 and selection of contraceptives was 50,194, x2 of husband participation was 0,926 and selection of contraceptives was 53,862. In conclusion, there was no relationship between the education level of reproductive age couples with FP participation and there was a relationship between the education level of reproductive age couples with selection of contraceptives in Argomulyo village, Sedayu, Bantul, Yogyakarta.</p>



2016 ◽  
Vol 7 (01) ◽  
pp. 99-112
Author(s):  
Chairil

Diarrhea is one of the diseases that get priority eradication program because of the high morbidity and caused many deaths. In an effort to decrease the morbidity due to diarrhea important to know the factors that become menyebab incidence of the disease include the state of the environment, disease vector, personal hygiene, snack habits, and health services. The research was done at Village West Sidomulyo Tuah Karya and Sidomulyo subdistrict Puskesmas Handsome that during the period of the last 4-6 months of diarrhea always get into the top 10 diseases. The research objective was to determine the relationship between risk factors with the incidence of diarrhea. The study was a cross sectional study, using a questionnaire. Sampling was done by randomsampling, some 96 respondents. Results of research for the environmental health situation no association with diarrhea because of the test results chi-square statistic with continuity correction values obtained p = (1.00)> α = (0.05), disease-carrying vector no association with diarrhea because of test results chi-square statistic with continuity correction values obtained p = (1.00)> α = (0.05), there is no relationship between personal hygiene with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (0.69)> α = (0.05), there was no relationship between snacks at roadside with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (1.00)> α = (0, 05) there is no relationship between counseling with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (0.42)> α = (0.05), the variables being researched nothing to do with diarrhea , but it diskritif there, it is to note could be a risk for diarrhea will occur, it is necessary to promotive and preventive efforts. 



2018 ◽  
Vol 28 (3) ◽  
pp. 273-277
Author(s):  
Amanda Pacheco de Carvalho ◽  
Carolina Da Franca ◽  
Valdenice Aparecida de Menezes

Introduction: Adolescence is a period of transition, between childhood and adulthood marked by biological, psychological and social changes. These changes characterize the situations of vulnerability to which these individuals are exposed. Objective: The aim of this study was to examine the association between alcohol consumption and involvement in physical violence among adolescent students in the city of Olinda, Pernambuco, Brazil. Methods: This was a pilot, cross-sectional, study conducted with adolescents enrolled in high school. The Youth Risk Behavior Survey questionnaire was applied in the classroom and questions were taken from the modules on alcohol consumption, violence and socioeconomic data. Analysis of associations was performed using the Chi-square test, or Fisher’s exact test when the Chi-square parameters were not met. Results: Involvement in physical altercations was associated with male gender (p = 0.001), alcohol consumption in the last 30 days (p = 0.019), binge drinking (p = 0.022) and higher maternal education (p = 0.037). Conclusion: There was an association between the consumption of alcohol by adolescents and physical violence. These results are an indication of the vulnerability to which this population is exposed and is a warning of the need for further studies to investigate this issue.



2018 ◽  
Vol 4 (1) ◽  
pp. 32-39
Author(s):  
Dewi Novitasari Suhaid ◽  
Fransisca Faranita

Immunization is an attempt to actively boost a person's immunity against a disease, so that if one day exposed to the disease will not get sick or just experience mild illness. Immunization is routinely divided into primary immunization and continued immunization. Basic immunization is given to infants aged 0 to 1 year, where as advanced immunization is a repeat immunization intended to maintain immunity level or to prolong the period of protection. Further immunization is given when primary immunization is given first, and is given at the age of toddlers and at school age. This research is cross-sectional study. The dependent variable in this study is the basic immunization status of infants, while the independent variables include age, education level, occupation, knowledge and attitude. The sample of this research is mothers with children aged 12-24 months totaling 250 respondents. Instrument of data collection using questionnaire and health record of baby. The data transformation uses the data normality test and Rasch model. Data analysis technique using Chi Square test and logistic regression test. The result of data analysis showed that there was a significant correlation between occupation (p <0,05, PR = 1,864; 95% CI = 1,121-3,097), education level (p <0,05; PR = 3,438; 95% CI = 1,671- 7,074), knowledge (p <0,05, PR = 2,653; 95% CI 1,580-4,455) and attitude (p <0,05, PR = 3,202; 95% CI = 1,897-5,405) with infant immunization status. Age has no significant relationship with the basic immunization status of infants. Conclusions coverage of basic infant immunization completeness in this area is still low that is equal to 42,4%. Attitude is the most dominant factor associated with the basic immunization status of infants.



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