scholarly journals Hubungan Pola Asuh Dengan Pertumbuhan Anak 6-24 Bulan (Studi Perbandingan Antara Suku Melayu Jambi Dan Suku Jawa Di Kabupaten Muaro Jambi Propinsi Jambi)

2019 ◽  
Vol 19 (1) ◽  
pp. 89
Author(s):  
Tuhu Perwitasari

One of factors that affect the growth of child is the nutritional status which determines the success in improving the quality of human resources. The health care and food in early life is crucial one to the growth and development of the child. This study aim to seek wheter the difference in child parenting between Jambi Malay and Javanese to the growth of children 6-24 months in Muaro Jambi District of Jambi Province is occured.The design of this study is observational analytic with cross sectional. The samples of the study were taken at two Working Areas of Health Care ; Muara Kumpeh for Jambi Malay and Markanding for Javanese Tribe. The population is children aged 6-24 months in both Working Areas of helath care and the number of samples taken in each area is 100 children. The data was collected through interviews and observations by researchers assisted by midwives in the helath care. Data processing was done using SPSS and data analysis using Mantel-Haenszel test.In this research, there is no disparity in parenting feeding methods (p = 0,227), while the analysis cannot be conducted on health parenting because there was a value of 0. Furthermore, there is no difference in parenting hygiene (p = 0.828), and there is a significant difference in parenting psychosocial stimulation (p = 0.000) in Jambi Malay and Javanese. In this study it can be concluded that there is a significant difference in the growth of the child 6-24 month at the Jambi Malay and Javanese. In addition, there is no difference in Jambi Malays and Javanese parenting to the grow of the child aged 6-24 month. So that,It is suggested to provide counseling and health  counseling to the mother and also involves other family members such as father.

2020 ◽  
Vol 6 (2) ◽  
pp. 117-124
Author(s):  
Haniyeh Nazem ◽  
◽  
Hadi Raeis Abdollahi ◽  
Abasat Mirzaei ◽  
◽  
...  

Background: Health care services are costly and complex and provide facilities that significantly affect the economy and quality of life of individuals. In this study, we determined the gap between patients’ expectations and perceptions of hospital service quality to provide reference data for creating strategies to improve health care quality. Methods: In this descriptive cross-sectional study, five private hospitals in Tehran were selected. Using a simple random sampling method, 110 patients were recruited and voluntarily responded to the standard service quality (SERVQUAL) model questionnaire. Data were analyzed by the K-S test, t-test, and paired t-test using SPSS V. 23. Results: The results showed that among the quality of health care components, the highest mean was related to the responsiveness (M=3.89) and the least was related to the tangible dimension (M=3.11). The lowest average quality gap (perceived service and expected service) was seen in the responsiveness dimension (2.96 and 3.28) and followed by reliability (2.66 and 3.90), tangible (2.53 and 3.91), empathy (1.36, 3.19), and assurance dimensions (2.39 and 4.75). Conclusion: The findings revealed a significant difference between the patients’ perceived and expected services, which indicates that the quality of services as perceived by patients was lower than their expectations. According to the findings, the assurance dimension had the greatest gap. To reduce or eliminate the existing gap, it is suggested that hospitals consider strategic and operational planning to improve hospitalization experience‏, quality of medical services, and hospital resources.


2021 ◽  
pp. 225-229
Author(s):  
Nurul Qiyaam ◽  
Baiq Leny Nopitasari ◽  
Haerul Muhajiji

Introduction: Neuropathic pain is caused by the malfunctioning of the central nervous system or the peripheral nervous system. This pain is chronic and so it disrupts a patient’s quality of life which can lead to them becoming frustrated. Aim: The purpose of this study was to compare the quality of life of neuropathic patients using either gabapentin or pregabalin at the neuropathic clinic of the Regional General Hospital of West Nusa Tenggara Province in 2019. Methods: This study used a cross-sectional study design. The sampling technique that was used was purposive sampling which was carried out by filling out the EQ-5D-3L and EQ-VAS questionnaires. Results: The results showed no significant difference between the quality of life of the patients using gabapentin and the patients using pregabalin as the EQ-5D-3L questionnaire had a value of p = 0.683. There was no significant difference between the quality of life between the gabapentin and pregabalin groups using the EQ-VAS questionnaire which had a value of p = 1.000.


2021 ◽  
Vol 10 (2) ◽  
pp. 313-320
Author(s):  
Desak Nyoman Suartini ◽  
Andi Syamsul Bachri Jamal ◽  
Anas Budi

Background: Hospital Minimum Service Standards (SPM) are provisions for hospitals issued by the Minister of Health of the Republic of Indonesia in the context of government efforts to ensure the quality of hospital services. This Minimum Service Standard can be used as a guideline for the quality of service for every hospital in Indonesia. The Minimum Service Standard (SPM) is a quality guideline issued by the Minister of Health regarding the minimum service that must be provided by the hospital, where each hospital is required to assess and provide services in accordance with the Minimum Service Standards (SPM). Objectives: A study to analyze the implementation of minimum service standards in the Emergency Department (IGD) Regional General Hospital (RSUD) I Lagaligo, East Luwu. Methods: The research used in this research is descriptive analytic with a cross-sectional approach, in which all observed variables are measured simultaneously when the research is taking place. This research was conducted in the Emergency Room Installation Room (IGD) Regional General Hospital (RSUD) I Lagaligo East Luwu. Sample selection with total sampling technique. The research subjects were 33 respondents in the IGD Lagaligo Wotu East Luwu Regional Hospital. Results: Infrastructure and human resources with minimum service standards. The results showed that the results of the bivariate analysis used the Chi-Square Test. It shows that there is a relationship between infrastructure and minimum service standards with a value of p = 0.008, there is a relationship between human resources and minimum service standards with a value of p = 0.000. Conclusion: There are infrastructure facilities that can be used directly by health workers for the benefit of patients in the form of tools, materials, comfortable rooms and others. The human resources in the emergency department of Lagaligo Wotu Hospital are of good quality.


2020 ◽  
pp. tobaccocontrol-2020-055969
Author(s):  
Tarana Ferdous ◽  
Kamran Siddiqi ◽  
Sean Semple ◽  
Caroline Fairhurst ◽  
Ruaraidh Dobson ◽  
...  

IntroductionExposure to secondhand smoke (SHS) is a health risk to non-smokers. Indoor particulate matter (PM2.5) is associated with SHS exposure and is used as a proxy measure. However, PM2.5 is non-specific and influenced by a number of environmental factors, which are subject to geographical variation. The nature of association between SHS exposure and indoor PM2.5—studied primarily in high-income countries (HICs) context—may not be globally applicable. We set out to explore this association in a low/middle-income country setting, Dhaka, Bangladesh.MethodsA cross-sectional study was conducted among households with at least one resident smoker. We inquired whether smoking was permitted inside the home (smoking-permitted homes, SPH) or not (smoke-free homes, SFH), and measured indoor PM2.5 concentrations using a low-cost instrument (Dylos DC1700) for at least 22 hours. We describe and compare SPH and SFH and use multiple linear regression to evaluate which variables are associated with PM2.5 level among all households.ResultsWe surveyed 1746 households between April and August 2018; 967 (55%) were SPH and 779 (45%) were SFH. The difference between PM2.5 values for SFH (median 27 µg/m3, IQR 25) and SPH (median 32 µg/m3, IQR 31) was 5 µg/m3 (p<0.001). Lead participant’s education level, being a non-smoker, having outdoor space and smoke-free rule at home and not using kerosene oil for cooking were significantly associated with lower PM2.5.ConclusionsWe found a small but significant difference between PM2.5 concentrations in SPH compared with SFH in Dhaka, Bangladesh—a value much lower than observed in HICs.


2017 ◽  
Vol 41 (S1) ◽  
pp. S454-S454
Author(s):  
K. Khemakhem ◽  
C. Sahnoun ◽  
H. Ayadi ◽  
J. Boudabbous ◽  
L. Cherif ◽  
...  

AimThe aim of our study was to investigate and compare the quality of life of parents of children with ADHD and parents of children within psychiatric troubles.MethodsWe conducted a cross sectional and comparative study, on 20 families of children with ADHD, followed in child and adolescent psychiatry department of Sfax, Tunisia, and 20 control families. We used the Short Form Health Survey (SF 36) translated and validated in Arabic to evaluate the quality of life of the parents of the two groups.ResultsThe average age of the patients of our survey was 9 years 8 months with a predominance of boys. We objectified a significant difference between the overall scores of the quality of life of parents of children with ADHD and the control sample. A highly significant difference was noted in the following areas: mental health, bodily pain and social functioning. The difference was significant in vitality score. The difference was not significant in 4 scores: general health, physical functioning, role physical, and role emotional.ConclusionFamilies with a child with ADHD have many challenges which impact certainly in their quality of life. As a child and adolescent's psychiatrics, we should be aware of these consequences in order to help the parents to improve their quality of life.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol 2 (6) ◽  
pp. 2260-2266
Author(s):  
Rini Susanti ◽  
Victor E. D Palapessy

BPJS and Non BPJS dependent patients have the same rights as other general patients to receive satisfying services just like other health care facilities. Considering that, this new program from the government in the health sector is aimed at controlling the quality and costs of health, so that it can be accessed by all levels of society, as well as having good prospects for hospitals and other health care facilities. Thus, hospitals are responsible for being able to provide satisfying and quality services so that they can be chosen by the community, both BPJS and non BPJS participants. The purpose of this study was to compare the quality of BPJS and Non BPJS dependent health services on the satisfaction of inpatients in health care facilities in the Riau Archipelago. This type of research is quantitative using a cross-sectional approach. The sample in this study was 60 people. The instrument used is a questionnaire. Data analysis in this study used the independent t-test. The results of the study found that there were significant differences between the quality of health services for the BPJS and Non BPJS respondent groups. And there is a significant difference between the satisfaction of inpatients in the BPJS and Non BPJS respondent groups. It is hoped that this research can be a reference for future research.


2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Agus Dwi Harso ◽  
Hadjar Siswantoro ◽  
Armaji Kamaludi Syarif

Abstract One of the government’s efforts to reduce MMR, which is still high, is the implementation of the Antenatal Care (ANC) program at the primary health center (PHC). Besides, the government also accredits PHC to improve the quality of health services starting in 2015, so it is hoped that ANC achievements will increase. This study aims to determine the relationship between accreditation status and ANC achievements in PHC. The study design was cross-sectional with a sample of 103 accredited PHC. The distribution of PHC samples is seen based on the 2013 Public Health Development Index (IPKM) categorized as low, medium, and high. Analysis of the relationship between accreditation status and the K4 achievement program used the chi-square test. The results of this study indicate that the majority of the PHC in the sample are distributed in areas with a high and medium IPKM areas. The relationship between accreditation status and K4 achievement showed a value of p = 0.034. The logistic regression results showed that when compared with primary - complete accredited PHC, basic PHC had OR = 0.224 (95% CI: 0.064 - 0.786) with p = 0.020 to the proportion of K4 achievements. Meanwhile, the middle PHC had OR = 0.517 (95% CI: 0.146 - 1.828) with a p-value = 0.306. This study concludes that the accreditation status of PHC is related to the proportion of K4 achievements. The proportion of K4 achievements increases with the increase in the level of PHC accreditation. A basic accredited PHC has a chance to achieve K4 by 0.224, lower than a primary – complete accredited PHC. There was no significant difference between middle accredited PHC with primary - complete PHC for the proportion of K4 achievement Abstrak Salah satu upaya pemerintah menurunkan AKI yang masih tinggi adalah dengan pelaksanaan program Antenatal Care (ANC) di puskesmas. Selain itu, pemerintah juga melakukan akreditasi puskesmas untuk meningkatkan mutu pelayanan kesehatan yang dimulai tahun 2015, sehingga diharapkan capaian ANC meningkat. Penelitian ini bertujuan untuk mengetahui hubungan status akreditasi terhadap capaian ANC di puskesmas. Desain penelitian ini adalah crosssectional dengan sampel penelitian sebanyak 103 puskesmas terakreditasi. Sebaran sampel puskesmas dilihat berdasarkan Indeks Pembangunan Kesehatan Masyarakat (IPKM) tahun 2013 dengan dikategorikan sebagai IPKM rendah, sedang, dan tinggi. Analisis hubungan status akreditasi dengan program capaian K4 digunakan uji chi-square. Hasil dari penelitian ini menunjukkan mayoritas puskesmas yang menjadi sampel terdistribusi pada wilayah dengan IPKM tinggi dan sedang. Hasil analisis chi-square hubungan antara status akreditasi dengan ketercapaian K4 menunjukkan nilai p=0,034. Hasil regresi logistik menunjukkan bahwa jika dibandingkan dengan puskesmas terakreditasi utama-paripurna, puskesmas terkareditasi dasar mempunyai OR = 0,224 (95%CI: 0,064 - 0,786) dengan nilai p = 0,020 terhadap proporsi capaian K4. Sedangkan puskesmas terkareditasi madya mempunyai OR = 0,517 (95% CI: 0,146 - 1,828) dengan nilai p = 0,306. Kesimpulan penelitian ini adalah status akreditasi puskesmas berhubungan dengan proporsi capaian K4. Proporsi capaian K4 meningkat seiring meningkatnya satus akreditasi puskesmas. Puskesmas terakreditasi dasar mempunyai peluang untuk tercapaianya K4 sebesar 0,224 lebih rendah dibandingkan puskesmas terakreditasi utama - paripurna. Tidak ada perbedaan yang signifikan antara puskesmas terakreditasi madya dengan puskesmas terakreditasi utama-paripurna terhadap proporsi capaian K4.


2021 ◽  
Vol 3 (2) ◽  
pp. 39
Author(s):  
Erina Wahyuni ◽  
Vita M. T. Lubis ◽  
Tuti Wahmurti A. Sapiie

Anxiety is one of clinical manifestations of perimenopausal phase. Managing anxiety is important because excessive anxiety can lower the quality of life of perimenopausal woman. Beside pharmacological treatment, there are some nonpharmacological treatment options which can be used to manage excessive anxiety, one of them is by don yoga. The purpose of this research is to know the difference of anxiety level between perimenopausal women with and without yoga. This research is an analytical observation using cross-sectional method. Research subjects were selected randomly, consisted of 103 perimenopausal women between the ages of 39 – 51 which divided into 2 groups, namely perimenopausal women with and without yoga. Data was collected using a self-completion questionnaire and consist of general identity, information about participation in yoga, and Zung’s Self-Rating Anxiety Scale to measure the anxiety level. Result shows that on the group of perimenopausal women with yoga, 5 respondents (9,8%) are anxious and 46 respondents (90.2%) are not anxious. On the group of perimenopausal women without yoga, 16 respondents (30.8%) are anxious and 36 respondents (69.2%) are not anxious. Data analysis shows that there is significant difference in anxiety level between perimenopausal women with and without yoga (p=0.008). Conclusion of the study is the anxiety level of perimenopausal women with yoga is lower than the anxiety level of perimenopausal women without yoga.


Author(s):  
Jamalodin Tabibi ◽  
Alireza Kiani

Background: Medical equipment plays a key role in diagnosis, treatment, and medical education. Outsourcing is delegating a part or all activities of an organization to a party (e.g., individuals or organizations) outside the organization, which has an important role in the organization’s productivity. Objectives: The current study aimed to investigate the effect of outsourcing the department of medical equipment of a university hospital in Tehran, Iran, by emphasizing costs, profits, and performance. Methods: This was a descriptive-analytical and cross-sectional study. This study investigated the documents and financial records of the Financial Office to calculate costs and revenues. Additionally, a researcher-developed questionnaire was used to evaluate the effect of outsourcing on employees’ performance and financial performance. A total of 36 subjects were randomly selected, following the sampling formula (the response rate: 72%). The Kolmogorov-Smirnov test was applied to test for a normal distribution. As the data were not normally distributed, the Wilcoxon test was used. Furthermore, the t-test and analysis of variance were used to study the difference in the effect of outsourcing and age, gender, and educational level. The data were analyzed using SPSS software (version 19). Results: According to the findings, there was a significant difference before and after outsourcing in the costs and revenues of the Medical Equipment Department. Concerning the effect of outsourcing on the performance, the “human resources” factor obtained the highest mean (3.37), which indicated the poor perspective of the staff in this aspect. Moreover, the lowest score was related to the “cost-effectiveness” (2.96), which was an average score. There were weak scores concerning the dimensions of management (3.28) and quality of services (3.36). Conclusions: Considering the importance of staff in the hospital, it is necessary to pay serious attention to the impact of different types of reforms intended to increase the revenues and reduce the costs of hospitals on the staff of the organization by emphasizing managerial and human resources dimensions, which not only will increase the efficiency of the organization and satisfaction of the staff but also translated into better quality.


SITUA ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 16
Author(s):  
Anahi Cardona Rivero ◽  
Manuel Montoya

RESUMEN. -El objetivo del estudio fue evaluar las tasas de mortalidad por COVID19 en las regiones a alturas superiores de 2500 m.s.n.m. en comparación a las tasas de mortalidad por COVID19 de los países respectivos. Para lo cual se realizó un estudio de tipo descriptivo transversal comparativo, se revisaron 20 regiones de 7 países con ciudades de más de 100 000 habitantes que se encuentran por encima de 2500 m.s.n.m. Se registraron los casos de fallecidos por COVID19, cantidad de población y las tasas de mortalidad al 30 de abril del 2020. Los resultados de las tasas de mortalidad fueron evaluados con pruebas de normalidad Kolmogorov y Smirnov y Shapiro Wilk. Para evaluar la diferencia entre las medias de las tasas de mortalidad se utilizó la prueba de Wilcoxon con signos para muestras relacionadas se trabajó a un nivel de confianza del 95%, obteniendo un valor de p= 0,015 < 0,05; que demuestra la diferencia estadísticamente significativa. Se concluye que el COVID19 presenta menores tasas de mortalidad en zonas geográficas con alturas superiores a 2500 m.s.n.m.Palabras clave: altura, 2500 m.s.n.m., COVID19, tasa de mortalidad.ABSTRACTThe objective of the study was to evaluate the mortality rates by COVID19 in the regions at altitudes higher than 2500 m.s.n.m., compared to the mortality rates by COVID19 of the respective countries. For this purpose, a comparative cross-sectional descriptive study was carried out, reviewing 20 regions of 7 countries with cities of more than 100,000 inhabitants that are above 2500 meters above sea level. Cases of deaths due to COVID19, population numbers and mortality rates as of April 30, 2020 were recorded. The results of the mortality rates were evaluated with Kolmogorov and Smirnov and Shapiro Wilk normality tests. To evaluate the difference between the means of mortality rates, the Wilcoxon test with signs for related samples was used at a 95% confidence level, obtaining a value of p= 0.015 < 0.05; which demonstrates the statistically significant difference. It is concluded that the COVID19 presents lower mortality rates in geographical areas with altitudes higher than 2500 meters above sea levelKeywords: altitude, 2500 m.s.n.m., COVID19, mortality rate


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