Pengaruh Petugas Kesehatan, Keluarga, Lingkungan Kerja, Motivasi Terhadap Gaya Hidup Penderita Hipertensi

2017 ◽  
Vol 16 (2) ◽  
pp. 42-51
Author(s):  
Bambang Suryadi ◽  
Muhammad Hafizurrachman

Penyakit Tidak Menular (PTM) penyebab kematian nomor satu setiap tahun adalah penyakit kardiovaskuler. Hipertensi merupakan penyakit kardiovaskuler yang disebabkan oleh faktor gaya hidup. Hipertensi juga ditanggung oleh BPJS Kesehatan dalam upaya promotif dan preventife melalui Progam Pengendalian Penyakit Kronis (Prolanis).Tujuan penelitian adalah mengetahui pengaruh langsung atau tidak langsung pengaruh peran petugas kesehatan, fungsi keluarga, lingkungan kerja, motivasi diri terhadap gaya hidup hipertensi peserta Prolanis  BPJS Kesehatan di Wilayah Puskesmas Ciracas.Metode penelitian ini adalah pendekatan kuantitatif dengan desain cross-sectional. Jumlah sampel 82 penderita hipertensi. Metode analisis denganStructural Equation Model (SEM) mengunakan SmartPLS 2.0.Hasil pengujian hipotesis menghasilkan temuan penelitian yaitu variabel-variabel gaya hidup penderita hipertensi peserta Prolanis BPJS Kesehatan dipengaruhi oleh peran petugas kesehatan (11,22%), fungsi keluarga (38,81%), lingkungan kerja (12,93%) dan motivasi diri (26,93%). Total besaran pengaruh langsung terhadap gaya hidup penderita hipertensi peserta sebesar 89,89% dan pengaruh tidak langsung sebesar 8,60%. Fungsi keluarga dan motivasi diri merupakan faktor yang dominan mempengaruhi gaya hidup penderita hipertensi.Model hasil analisis dapat menjelaskan (99,96%) keragaman data dan mampu mengkaji fenomena yang dipakai dalam penelitian, sedangkan (0,04%) dijelaskan komponen lain yang tidak ada dalam penelitian ini.Saran penelitian adalah agar meningkatkan fungsi keluarga untuk mendorong terhadap gaya hidup yang baik pada penderita hipertensi. Kata Kunci: Fungsi Keluarga, Gaya Hidup, Lingkungan Kerja, Motivasi Diri, Peran Petugas Kesehatan

2019 ◽  
Vol 2 (1) ◽  
pp. 69-84
Author(s):  
Nur Cahyani Ari Lestari

Upaya preventif dalam kesehatan dan peningkatan mutu pelayanan merupakan salah satu ukuran dari kepuasan pasien dan loyalitas pasien yang mempengaruhi keinginan pasien untuk melakukan kunjungan ulang kembali terhadap penyedia jasa layanan kesehatan tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh langsung maupun tidak langsung serta besaran antara upaya preventif, mutu pelayanan kepuasaan dan loyalitas ibu hamil terhadap minat kunjungan ulang ibu hamil di Klinik Abdi Persada Banjarmasin Tahun 2018. Penelitian ini, menggunakan metode cross sectional. Populasinya adalah ibu hamil yang memeriksakan kehamilannya di Klinik Abdi Persada Banjarmasin. Sampel penelitian ini berjumlah 90 orang ibu hamil. Penelitian ini menggunakan metode analisis Structural Equation Model menggunakan Smart PLS 2.0 dan SPSS 18. Hasil pengujian hipotesis dengan Structural Equation Model (SEM) dengan metode smartPLS menghasilkan temuan penelitian yaitu upaya preventif (24,56%), mutu pelayanan (26,89%), kepuasan (8,13%) dan loyalitas (38,33%). Loyalitas ibu hamil merupakan faktor dominan yang mempengaruhi minat kunjungan ulang ibu hamil di Klinik Abdi Persada Banjarmasin. Model - Model hasil analisis dapat menjelaskan 99,9% keragaman data dan mampu mengkaji fenomena yang dipakai dalam penelitian, sedangkan 0,1% dijelaskan komponen lain yang tidak ada dalam penelitian ini. Dapat disimpulkan bahwa terdapat pengaruh antara upaya preventif, mutu pelayanan, kepuasan dan loyalitas tehadap minat kunjungan ulang ibu hamil. Sarannya sebagai masukkan untuk lebih meningkatkan pelayanan kepada ibu hamil dalam pemeriksaan kehamilannya sehingga memberikan kepuasan ibu hamil agar dapat berkunjung kembali. Kata Kunci: Preventif, Mutu Pelayanan, Kepuasaan, Loyalitas, Kunjungan Ulang


2021 ◽  
pp. 089443932199865
Author(s):  
José-María Romero-Rodríguez ◽  
José-Antonio Marín-Marín ◽  
Francisco-Javier Hinojo-Lucena ◽  
Gerardo Gómez-García

The problematic Internet use (PIU) has become a topic of special relevance since it is a problem that affects the whole world. It has been detected that the population at greatest risk is university students along with adolescents. At the same time, Spain is one of the countries with the highest PIU rate. The purposes of this article were to analyze the presence and degree of Internet addiction among university students and to check the sociodemographic factors that influence the PIU. To this end, 13 hypotheses were put forward and contrasted using a structural equation model. The study adopted a cross-sectional approach by applying the Internet addiction test to a sample of undergraduate students in southern Spain ( n = 1,013). The results indicated a prevalence of PIU among students of almost 12.5% and with a moderate degree of addiction. In turn, the following hypotheses that had a significant effect on the PIU were supported: gender; field of knowledge; living in the parents’ home; Internet daily use for leisure; Internet daily use for academic purposes; number of social networks; sexual orientation; marital status. Finally, the main findings of the study were reviewed, and the main recommendations and implications for mitigating the negative effects of technology and enhancing the positive ones were established.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Andra Kurnianto ◽  
Deni Kurniadi Sunjaya ◽  
Fedri Ruluwedrata Rinawan ◽  
Dany Hilmanto

Background. Given that hypertension in adulthood has its onset in childhood, it is not surprising that the prevalence of hypertension among adolescents has also increased in recent years. However, there are limited data on the prevalence of hypertension and also the new AAP guideline has not yet been applied to the Indonesian adolescent population. Thus, this study aimed to evaluate the prevalence of hypertension using the new AAP guideline and to assess the occurrence of its associated factors among Indonesian adolescents. Methods. This was a cross-sectional study conducted at twelve senior high schools in Palembang, South Sumatera, Indonesia, from June to December 2019. The study included adolescents aged 13 to 18 years old. Anthropometric measurements were obtained. Multiple logistic regression was used to assess the risk factors most associated with hypertension among adolescents, and then an equation model was created. The prevalence of hypertension was evaluated, together with several factors such as age group, sex, ethnicity, family history of hypertension, nutritional status, physical activity, perceived stress, sleep duration, nutritional intake, and smoking. Results. In total, 1200 adolescents aged 15.9 ± 0.99 years were evaluated. The prevalence of hypertension and elevated blood pressure among adolescents was 8% and 12.2%, respectively. There were significant associations between sex, family history of hypertension, hypertensive father, nutritional status, physical activity, perceived stress, and hypertension among Indonesian adolescents (p<0.05). Stress was the most powerful risk factor of hypertension with an odds ratio of 5.83 (95% confidence interval 2.91–11.6). Conclusions. Nowadays, the prevalence of hypertension among Indonesian adolescents is quite high. This may be caused by lifestyle or behavior changes among adolescents. Sex, family history of hypertension, nutritional status, physical activity, and perceived stress influenced the 27% hypertension prevalence rate among Indonesian adolescents, particularly in Palembang, South Sumatera. In order to decrease the prevalence of hypertension in adults, concern about lifestyle or behavior changes and hypertension among adolescents should be given.


2017 ◽  
Author(s):  
◽  
Yanfang Wu

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] The debate about boundaries in journalism amid the rise of citizen journalism, the crisis of business models in the news industry and the use of social media in the news-gathering and dissemination process, has become a central focus in the media industry and academia. There is no doubt that the digital transition is a trend. Based on the Carlson's (2015) boundaries of journalism theory and Shoemaker and Vos' (2009) levels of analysis in the gatekeeping theory, administering a cross-sectional, self-administered questionnaire, national online survey (N=1063), conducting a Structural Equation Model (SEM) analysis, the study seeks to find out the relationships between socialization and perceptions of digital impact on journalism, journalists and news organizations. The findings showed news organizations' social media culture affects journalists' use of social media. Twitter interactivity mediates journalists' social media internalization and their attitude toward social media. However, this mediating effects does not apply to Facebook and other social media interactivity. The distinguishing line between reporters and editors is blurring in news organizations. Older journalists (age>40) are picking up social media as additional journalistic tools and developing a positive attitude toward them. However, there still may be a long way to go before old journalists become experts in social media.


2019 ◽  
Vol 9 (1) ◽  
pp. 42-56
Author(s):  
Maria A.D. Barbara

Latar Belakang : Produktivitas berhubungan dengan kepemimpinan, lingkungan kerja, motivasi dan kompetensi bidan. Tujuan penelitian ini adalah untuk mengetahui pengaruh langsung dan tidak langsung serta besarnya pengaruh Kepemimpinan Atasan, Lingkungan Kerja, Motivasi, dan Kompetensi Bidan terhadap Produktivitas Bidan dalam Pelayanan Manajemen Terpadu Balita Sakit (MTBS) di Puskesmas Nita, Maumere NTT Tahun 2016. Metode Penelitian : dalam penelitian ini menggunakan desain cross sectional dengan pendekatan kuantitatif. Sampel yang digunakan sebanyak 32 Bidan. Metode analisis dengan Struktural Equation Model (SEM). Hasil Penelitian menunjukkan adanya pengaruh langsung Kepemimpinan Atasan terhadap Produktivitas Bidan 15,11%. Ada pengaruh langsung lingkungan kerja terhadap produktivitas bidan sebesar 34,66%. Saran Pengaruh langsung Motivasi terhadap Produktivitas Bidan 11,15% dan Kompetensi Bidan terhadap Produktivitas 28,00%. Disarankan agar Pimpinan Puskesmas Nita dan bidan koordinator dapat melalukan sosialisasi mengenai tujuan program kerja yang jelas, membuat program penghargaan atas prestasi kerja, membuat kebijakan insentif yang adil, memberikan pelatihan, seminar maupun workshop, dapat menciptakan kondisi kerja yang nyaman, dapat menghindarkan terjadinya konflik dalam bekerja sehingga diharapkan dengan terciptanya lingkungan kerja yang nyaman, Bidan dapat termotivasi untuk lebih meningkatkan kompetensi dirinya dalam pelayanan MTBS dan produktivitas kerjanya bisa meningkat pula.


2008 ◽  
Vol 16 (4) ◽  
pp. 465-483 ◽  
Author(s):  
Kelly A. Cotter ◽  
Aurora M. Sherman

Exercise self-efficacy is a powerful predictor of physical activity behavior, which enhances health and well-being for older adults. Social relations have been proposed as influential precursors for exercise self-efficacy. In a longitudinal study of 160 older adults with osteoarthritis (76.9% women), the authors found that social support (but not social strain) significantly predicted exercise self-efficacy in a structural equation model examining cross-sectional data: χ2(178, N = 160) = 264.57, p < .01; RMSEA = .06; CFI = .92; TLI = .90. When data were examined longitudinally, however, social strain (but not social support) significantly predicted lower exercise self-efficacy 1 year later: χ2(233, N = 160) = 288.64, p < .01; RMSEA = .04; CFI = .96; TLI = .95. Results support the negativity effect, suggesting that social strain might be the more potent aspect of social relations and should be the target of interventions.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Clara Rahme ◽  
Marwan Akel ◽  
Sahar Obeid ◽  
Souheil Hallit

Abstract Background This study highlights the significant association between cyberchondria and quality of life among the Lebanese population in the time of COVID-19. The aim was to assess the association between cyberchondria and quality of life (QOL) of Lebanese community during the COVID-19 pandemic and assess the mediating effect of fear of COVID-19, depression, anxiety, stress and Yale-Brown Obsessive–Compulsive Scale in this association. Methods This cross-sectional study was carried out between December 2020 and January 2021, during the COVID-19 pandemic. A total of 449 persons participated in this study by filling the online questionnaire. Structural equation modeling (SEM) was performed to examine the structural relationship between cyberchondria severity, the mediator (anxiety, stress, depression, obsessive–compulsive disorder (OCD) and fear of COVID-19) and physical/mental QOL. Results Having a university level of education and older age were significantly associated with higher physical QOL scores, whereas higher obsession-compulsion disorder, higher stress and higher anxiety were significantly associated with lower physical QOL scores. Higher anxiety was significantly associated with lower mental QOL scores. The results of the SEM showed that stress, fear of COVID-19 and to a lesser limit OCD, mediated the association between cyberchondria severity and physical QOL, whereas anxiety, stress and fear of COVID-19 mediated the association between cyberchondria severity and mental QOL. Conclusion This research reported interesting results encouraging more exploration of cyberchondria and its association with quality of life during this unique period of the pandemic. However, this virus has altered the lives of individuals all across the world, and the consequences will last for a long time. Along with all of the steps done to stop the development of COVID-19 and improve physical outcomes, mental health requires immediate care. More research is needed to determine the coping techniques people are employing to deal with the pandemic.


2021 ◽  
Vol 11 (2) ◽  
pp. 257-264
Author(s):  
Ayşe TAŞTEKİN OUYABA

This research is a cross-sectional study. It was conducted with 340 students studying at the Faculty of Health Sciences of the Afyonkarahisar Health Sciences University. Data were collected through a questionnaire. T-test, Mann Whitney U, and Chi-square test were used to compare the sociodemographic and internet usage characteristics of the students according to their gender. Data were evaluated with Structural Equation Model. Being a woman is associated with better motivation (β: = -.20, p = 0.000) and health behaviors (β= -.22, p = 0.000). High motivation is associated with better behavioral skills (β= .15, p = 0.005) and better health behaviors (β= .28, p = 0.000). Better health behaviors indicate a decrease in cyber victimization (β= -.11, p = 0.042). It was observed that female students’ sensitivity towards preventing and preventing cyberbullying was higher than male students. Students with a high level of motivation have better behavioral skills and health behaviors. Students with better behavioral skills and health behaviors were less exposed to cyber victimization.


Retos ◽  
2021 ◽  
Vol 41 ◽  
pp. 653-663
Author(s):  
Andrés Gómez-Acosta ◽  
Constanza Londoño

Hace falta evidencia acerca de la sinergia entre los factores psicológicos y contextuales que subyacen a la práctica simultánea de las conductas del balance energético corporal [BEC] (actividad física [AF], alimentación saludable [AS] y sueño de calidad [SC]). Por ello, se busca identificar si el optimismo disposicional [OD], flexibilidad en regulación emocional [RE], las creencias compensatorias en salud [CCS] y factores ambientales – socioculturales, predicen los dominios conductuales señalados en adultos, a través de un Modelo de Ecuaciones Estructurales [MEE]. Para ello, se dispuso de una investigación explicativa trasversal con una muestra de 300 participantes, que diligenciaron un cuadernillo compuesto por instrumentos psicométricos validados (uno por cada variable indagada). Los resultados establecieron que la tendencia a la realización de las conductas el BEC es predicha por los factores contextuales referidos y las variables psicológicas evaluadas (R=.54, valor p < .05). Se valida un modelo hipotético que incorpora el agregado conductual del sueño en la ecuación del BEC, susceptible de modificación e inclusión de nuevas variables.  Abstract. There is a lack of evidence about the synergy between the psychological and contextual factors that underlie the simultaneous practice of the behavioral domains of the Body Energy Balance [BEB] (Physical Activity [PA], Healthy Eating [HE] & Quality Sleep [QS]). Therefore, we seek to identify whether dispositional optimism [DO], emotion regulation [ER] flexibility, compensatory health beliefs [CHB], and environmental-sociocultural factors, predict behaviors of the body energy balance [BEB] in adults, through a Structural Equation Model [SEM]. To do this, cross-sectional explanatory research was available with a sample of 300 participants, who completed a booklet made up of validated psychometric instruments (one for each variable investigated). The results established that the tendency to perform the BEB behaviors is predicted by the contextual factors referred to, and the psychological variables were evaluated (R=.54, p-value < .05). A hypothetical model that incorporates the behavioral aggregate of sleep in the BEB equation is validated, subject to modification and inclusion of new variables.


Author(s):  
Rizqi Umar Al Hashfi ◽  
Ahmad Maulin Naufa ◽  
U’um Munawaroh

The aim of this research is to verify the role of Islamic value in stock mispricing in the Indonesian capital market. Empirically, high investor sentiment can lead to mispricing on equity appraisal. When investors feel excessively optimistic about their valuation, equity will be overpriced, or vice versa. The presence of Islamic values, such as the prohibition of interest, speculative and uncertain transactions, and excessive leverage, arguably reduce sentiment-based mispricing. Daily and cross-sectional market data were employed. In addition, principal component analysis was conducted to construct a firm-specific investor sentiment variable. With regard to the method, the Hausman-Taylor (H-T) approach was used to deal with heterogeneity, endogeneity, and the time-invariant variable in Fama-MacBeth regression. The results show that our baseline analysis confirms the mispricing of overall stocks. However, Islamic stocks are less exposed to sentiment-based mispricing than their non-Islamic counterparts. The results are consistent with our robustness test, in which we estimate the equation model across industry and portfolio. Finally, our findings imply various insights for both investors and policymakers.


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