scholarly journals Parenting Culture on The Role of Father in Prevention of Stunting in Toddler

2020 ◽  
Vol 1 (2) ◽  
pp. 81-90
Author(s):  
Luluk Fauziyah Januarti ◽  
Ariska Putri Hidayathillah
Keyword(s):  
Logistic Regression ◽  
Binary Logistic Regression ◽  
Cluster Sampling ◽  
Transcultural Nursing ◽  
Cross Sectional ◽  
The Family ◽  
Endogenous Variables ◽  
Research Population ◽  
Logistic Regression Test

Introduction: Prevention of stunting in toddler is one of the roles of fathers in protecting against danger. However, most fathers still play a passive role in this regard. Madura culture sees the role of father only as head of families and breadwinner in the family. The purpose of the research is to analyze the effect of parenting culture on the role of fathers in prevention of stunting in toddler. Methods: The research design is observational with cross sectional approach. Exogenous variables are parenting culture while the endogenous variables are the role of fathers and prevention of stunting in toddler. The research population is 230 fathers with a sample of 132 fathers using the cluster sampling method. The research instrument used is a research questionnaire. This research uses statistical test Binary Logistic Regression. Results: The results of the research with the Binary Logistic Regression test showed that the role of father significantly affected the prevention of stunting with the result of sig 0.001 <α 0.05. Parenting culture significantly influences the prevention of stunting in toddler with the result of sig 0.019 <α 0.05. This shows that the role of father will increase the prevention of stunting in toddler, parenting culture will increase the role of father and parenting culture will increase prevention of stunting in toddlers. Conclusion: Parenting culture is beneficial for father in increasing their roles in preventing stunting in toddlers and it is important for nurses to understand their culture before understanding transcultural nursing applied to society.

scholarly journals Peran Keluarga terhadap Penurunan Tingkat Kecemasan Lanjut Usia

2021 ◽  
Vol 1 (2) ◽  
pp. 31-37
Author(s):  
Dewi Puspa Cipta Utami
Keyword(s):  
Statistical Tests ◽  
Sampling Technique ◽  
The Elderly ◽  
P Value ◽  
Cluster Sampling ◽  
Family Role ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective:  To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.

scholarly journals Faktor-Faktor yang Berhubungan dengan Penerapan Kawasan Tanpa Rokok (KTR) di UIN Syarif Hidayatullah Jakarta Tahun 2019

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Windi Wiyarti ◽  
Della Alifah ◽  
Siti Fitriyani ◽  
Bella Isma Latifah ◽  
Irawati Irawati ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Random Sampling ◽  
Smoking Status ◽  
Smoking Behavior ◽  
Binary Logistic Regression ◽  
Cross Sectional ◽  
Regression Test ◽  
Teaching Learning ◽  
Logistic Regression Test ◽  
Cluster Random Sampling

Abstract According to South Tangerang City Regional Regulation No. 4 of 2016 concerning Non-Smoking Areas (KTR) in Article 2 states that teaching-learning places including universities are places that are obliged to become smoke-free areas, but in fact not all faculties at UIN Syarif Hidayatullah Jakarta have a Dean’s Decree regarding the implementation of KTR. This research was conducted to determine the factors associated with the implementation of KTR at UIN Syarif Hidayatullah Jakarta. This study used a cross sectional design which was conducted at UIN Syarif Hidayatullah Jakarta. The sample size is 379 respondents. Sampling using the cluster random sampling method. The analysis used the binary logistic regression test. The results showed that as many as 64.4% of the respondents were less than 20 years old and 50.1% of the respondents were male. In faculties that implement KTR, respondents who smoke less (2.3%), have better knowledge of smoking (97.7%), attitudes towards smoking behavior (97.7%), have better knowledge of KTR (94.3%), attitudes towards the application of KTR (97.7%) and most of them support KTR (95.4%) compared to respondents in faculties who did not apply KTR. The multivariate results using the binary logistic regression test showed a relationship between age (p = 0.033), gender (p = 0.041), smoking status (p = 0.042), attitudes towards smoking behavior (p = 0.030) and knowledge of KTR (p = 0.005) respondents with the application of KTR. The conclusion is that the variable that most influences the implementation of KTR at UIN Syarif Hidayatullah Jakarta is knowledge of KTR. The results of this study recommend the need for education to increase knowledge about KTR in faculties that have not implemented KTR so that UIN Syarif Hidayatullah Jakarta can become a smoke-free campus. Abstrak   Menurut Peraturan Daerah Kota Tangerang Selatan No. 4 tahun 2016 tentang Kawasan Tanpa Rokok (KTR) dalam pasal 2 menyatakan bahwa tempat belajar-mengajar termasuk perguruan tinggi merupakan tempat yang wajib menjadi kawasan tanpa rokok, namun pada kenyataannya belum seluruh fakultas di UIN Syarif Hidayatullah Jakarta memiliki SK dekan terkait penerapkan KTR. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan penerapan KTR di UIN Syarif Hidayatullah Jakarta. Penelitian ini menggunakan desain cross sectional yang dilakukan di UIN Syarif Hidayatullah Jakarta. Besar sampel yaitu 379 responden. Pengambilan sampel menggunakan metode cluster random sampling. Analisis menggunakan uji binary logistic regression. Hasil penelitian menunjukkan bahwa sebanyak 64,4% responden berusia kurang dari 20 tahun dan 50,1% responden berjenis kelamin laki-laki. Di fakultas yang menerapkan KTR, responden yang merokok lebih sedikit (2,3%), memiliki pengetahuan tentang rokok yang lebih baik (97,7%),sikap terhadap perilaku perokok (97,7%), memiliki pengetahuan tentang KTR yang lebih baik (94,3%), sikap terhadap penerapan KTR (97,7%) dan sebagian besar mendukung KTR (95,4%) dibandingkan dengan responden di fakultas yang tidak menerapkan KTR. Hasil multivariat menunjukkan adanya hubungan antara umur (p=0,033), jenis kelamin (p=0,041), status merokok (p=0,042), sikap terhadap perilaku perokok (p=0,030) dan pengetahuan tentang KTR (p=0,005) responden dengan penerapan KTR. Kesimpulannya adalah variabel yang paling memengaruhi penerapan KTR di UIN Syarif Hidayatullah Jakarta adalah pengetahuan tentang KTR. Hasil penelitian ini merekomendasikan perlunya edukasi untuk meningkatkan pengetahuan tentang KTR di fakultas yang belum menerapkan KTR sehingga UIN Syarif Hidayatullah Jakarta berhasil menjadi kampus bebas rokok.

scholarly journals Predictors of Prediabetic Insidencee among Elderly in Keritang District Indragiri Hilir Riau

2018 ◽  
Vol 13 (3) ◽  
pp. 138
Author(s):  
Sumandar Sumandar
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Logistic Regression ◽  
Marital Status ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Primary Health ◽  
Intervention Community ◽  
Regression Test ◽  
Logistic Regression Test

<p><strong>ABSTRACT</strong><br />Prediabetic is a state when glucose level is higher than normal, but does not meet the criteria for diabetes. Elderly people with prediabetic have a higher risk of type 2 diabetes. This observational analytical research was conducted to assess the correlation between sociodemographic and health care behavior of elderly toward incident of prediabetic. The participants were selected according to the inclusion criteria, and 76 participants were selected using cluster sampling and cross sectional approach was used. Multivariate logistic regression was used to estimate the correlation between gender, marital status, education, knowledge, attitude, and practice toward incidence of prediabetic. Data were analyzed using logistic regression test. The results showed that there were no significant differences of gender (p=1.000), marital status (p=1.80), education (p=1.000), and knowledge (p=1.000). Meanwhile, there were significant differences of attitude (p=0.003), practice (p=0.029), and behavior (p=0.012). The Logistic Regression test showed that attitude (OR=5.562) was the predictor of prediabetis incidence among Elderly. The effort to improve and to maintain health status of elderly is by changing the behavior. This can be achieved through an intense cooperation with health promotion team in Primary Health Care, especially nursing community, in a form of education and health promotion with various methods, such as direct intervention, community and elderly empowerment, and sector cross parthership. It is also recommended for Primary Health community to build health centers for elderly to give them access for health service especially for non communicable diseases prevention.</p><p><strong><em>ABSTRAK</em></strong><br /><em>Pradiabetes merupakan kondisi kadar glukosa darah di atas normal, tapi belum memenuhi standar diagnosis diabetes. Lanjut usia dengan pradiabetes memiliki peningkatan terhadap Diabetes mellitus tipe 2. Penelitian ini merupakan analitik observasional yang dilakukan untuk mengetahui hubungan antara sosiodemografi dan perilaku perawatan kesehatan lanjut usia terhadap kejadian pradiabetes. Responden yang digunakan telah memenuhi kriteria inklusi dan sampel sebanyak 76 responden yang dipilih secara cluster sampling serta menggunakan metode cross sectional. Data diuji menggunakan regresi logistik. Hasil penelitian ini menunjukkan bahwa tidak ada hubungan antara jenis kelamin (p=1,000), status perkawinan (p=0,80), pendidikan (p=1,00), dan pengetahuan (p=1,000). Sementara itu, terdapat hubungan antara sikap (p=0,003), praktik (p=0,029), dan perilaku (p= 0,012). Hasil uji Regresi Logistik menunjukkan bahwa sikap (OR=5.562) adalah variabel yang paling dominan mempengaruhi insiden pradiabetes. Usaha untuk meningkatkan dan memelihara status kesehatan pada lanjut usia adalah dengan perubahan perilaku. Usaha tersebut melalui kerjasama yang baik dengan tim promosi kesehatan yang ada di Puskesmas, khususnya keperawatan komunitas seperti penggunaan variasi metode pendidikan dan promosi kesehatan, intervensi langsung, pemberdayaan pada masyarakat dan lanjut usia, kerja sama lintas sektor, serta merekomendasikan Puskesmas membangun posyandu lansia agar paralansia bisa memperoleh pelayanan kesehatan terutama pada penyakit tidak menular</em></p>

Peran Keluarga dalam Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) melalui Pelaksanaan Program Keluarga Berencana (KB)

2020 ◽  
Vol 7 (2) ◽  
pp. 170-176
Author(s):  
Titik Sumiatin ◽  
Wahyu Tri Ningsih
Keyword(s):  
Birth Control ◽  
Health Workers ◽  
Control Program ◽  
Cluster Sampling ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Family Approach ◽  
The Family ◽  
Birth Control Program

Program Indonesia Sehat yang diluncurkan Kementerian Kesehatan tahun 2016, disebabkan oleh masih belum tercapainya misi “Indonesia Sehat”sesuai target yang telahditetapkan. Berbagai masalah kesehatan yang belumtercapai salah satunya adalah Pencapaian Program Keluarga Berencana.Tujuan penelitan ini adalah mengetahui bagaimana peran keluarga dalam Program Indonesia sehat dengan pendekatan keluarga (PIS-PK) dalam Program Keluarga Berencana. Desain penelitian yang digunakan dalam penelitian ini adalah Diskriptif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh keluarga di wilayah Puskesmas Sumurgung Kecamatan Palang Kabupaten Tuban, yaitu sebanyak 9570 keluarga, dengan tehnik pengambilan sampel secara Cluster diperoleh sampel sebanyak 384 keluarga.Pengumpulan data dilakukan dengan menggunakan kuesioner, yang diambil dari materi lembar balik dari Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) dari Kementerian Kesehatan. Data yang terkumpul dianalisa dengan prosentase dan disajikan dalam bentuk tabel. Hasil penelitian menunjukkan Peran keluarga dalam mengikuti Program Keluarga Berencana, mengacu dari pelaksanaan 5 tugas keluarga yaitu Mayoritas keluarga (99,22%) Mengenal tentang Keluarga Berencana, Lebih dari separoh keluarga (68, 23 %)  mampu mengambil Keputusan untuk melakukan Keluarga Berencana, Lebih dari separoh keluarga (51,82%)  mengikuti program Keluarga Berencana, Lebih dari separoh keluarga (56,25%)  mampu memodifikasi Lingkungan bagi keluarga yang mengikuti Kb, dan Mayoritas keluarga (99,22%)  mampu memanfaatkan fasilitas kesehatan terdekat untuk ikut program keluarga Berencana. Untuk tetap meningkatkan peran keluarga yang belum optimal kerjasama petugas kesehatan/pelayanan kesehatan terdekat, kader kesehatan dan keluarga sangat dibutuhkan, agar program ini tetap bisa berjalan secara berkesinambungan, dan mencapai hasil yang diharapkan. The Healthy Indonesia Program launched by the Ministry of Health in 2016 was the consequence of the "Healthy Indonesia" mission which was not achieved the targets set. One of achievement which was not achieved the target set was the Birth Control Program. The purpose of this study was to find out the way how to improve the role of families in the healthy Indonesia Program with the family approach (PIS-PK) in the Birth Control Program. The study used descriptive with Cross Sectional approach. The population in this study was the whole family in the area of the Puskesmas in Sumurgung District in Palang District in Tuban,  as many as 9570 families. The sample was 384 families taken by cluster sampling technique. The data was collected by questionnaire, taken from the flipchart material from the Healthy Indonesia Program with the Family Approach (PIS-PK) from the Ministry of Health. The collected data was analyzed with a percentage and presented in tabular form. The results of the study showed that family behavior follows the Birth Control Program, referring to the implementation of 5 family tasks. The majority of families (99.22%) were familiar with birth control program, more than half of families (68, 23%) are able to make decisions to do birth control program, more than half of families (51.82%) follow the family birth control program, more than half of families (56.25%) were able to modify the environment for families following the Kb, and the majority of families (99.22%) were able to utilize the nearest health facility to participate in the birth control program. In order to increase the role of the family that was not optimal the cooperation of health workers / closest health services, health cadres and families are needed, so that this program can continue to run continuously, and achieve the expected results.

Physicians' preparedness for pre-exposure prophylaxis: results of an online survey in Belgium

Sexual Health ◽  
2018 ◽  
Vol 15 (6) ◽  
pp. 606 ◽  
Author(s):  
Thijs Reyniers ◽  
Bea Vuylsteke ◽  
Benoit Pirotte ◽  
Elske Hoornenborg ◽  
Janneke P. Bil ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Scale Up ◽  
Binary Logistic Regression ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Exposure Prophylaxis ◽  
Knowledge And Acceptance

Background Physicians have a crucial role in the implementation and scale up of pre-exposure prophylaxis (PrEP). The objective of this study is to examine Belgian physicians’ PrEP knowledge, concerns, acceptance and their willingness to prescribe PrEP. Methods: A cross-sectional online survey was conducted between March and June 2016. Dissemination targeted Belgian primary care physicians (PCPs) and HIV specialists. Sociodemographic characteristics, experience with HIV and PrEP, self-assessed PrEP knowledge, concerns about PrEP, and PrEP acceptance were stratified according to professional background. Associations with willingness to prescribe PrEP were examined using univariable and multivariable binary logistic regression analyses. Results: In total, 333 completed surveys were included in the analysis. Sixty-two physicians (18.6%) scored their knowledge of PrEP to be good, 263 (79.0%) had an accepting attitude towards PrEP and 198 (59.5%) were willing to prescribe PrEP if approved in Belgium. HIV specialists consistently reported having better knowledge of PrEP, less concerns and a more accepting attitude towards PrEP than PCPs. In multivariable logistic regression analysis, higher PrEP knowledge (OR 2.4; 95%CI: 1.0–5.7) and higher PrEP acceptance (OR: 3.8; 95%CI: 2.1–6.8) remained significantly associated with the willingness to prescribe PrEP. Conclusions: HIV specialists are better prepared to provide PrEP than PCPs in Belgium. Interventions to improve PrEP knowledge and acceptance among all providers are needed. The role of PCPs could be very important in optimising the rollout of PrEP, but additional training and guidelines will be needed.

scholarly journals RIGHT MEDICATION RELATED TO DRUG CENTRALIZED IN RSUD SIDOARJO

2017 ◽  
Vol 1 (2) ◽  
pp. 187
Author(s):  
Aprilia Aprilia ◽  
Nursalam Nursalam ◽  
Candra Panji Asmoro
Keyword(s):  
Logistic Regression ◽  
Side Effects ◽  
Binary Logistic Regression ◽  
Team Leadership ◽  
Total Sample ◽  
Cross Sectional ◽  
Significance Level ◽  
Independent Variables ◽  
Regression Test ◽  
Logistic Regression Test

Introduction. Centralized drug is a management of the entire drug which is entirely done by nurses to administration to patients. Right medication is the process of right drug administration which is done by nurses based on 6 rights of medication, and wary of side effects. The purpose of this study was to analyze the corelation between centralized drug, team leadership, and nurse`s knowledge with right medication among nurses. Methods.The design of the study was descriptive corelational with cross-sectional approach. The population was inpatient nurses in RSUD Sidoarjo. Total sample was 114 respondents was selected by purposive sampling. The independent variables in this study: centralized drug, team leadership, and nurse`s knowledge. The dependent variable was right medication. Data were collected by using questionnares for independent variables and dependent variable. Data were analyzed by using Binary Logistic Regression with degree of significance α>0,05. Results. Binary Logistic Regression test showed non significance level between centralized drug with right medication (P=0.501), team leadership with right medication (P=0.874), and nurses`s knowledge with right medication (P=0.243). Discussion. This study concluded centralized drug, team leadership, and nurse`s knowledge were good. But, there are nurses that have negative value at right medication, however right medication in RSUD Sidoarjo has majority positive value. Keywords: centralized drug, right medication

scholarly journals Perjanjian Dan Konsensus Dalam Pelaksanaan Perencanaan Pulang Pada Perawat Rumah Sakit

2012 ◽  
Vol 15 (3) ◽  
pp. 207-214
Author(s):  
Muhamad Rofi’i ◽  
Rr Tutik Sri Hariyati ◽  
Hening Pujasari
Keyword(s):  
Logistic Regression ◽  
Nursing Care ◽  
Discharge Planning ◽  
Binary Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Regression Test ◽  
Planning Implementation ◽  
Logistic Regression Test

AbstrakPerencanaan pulang dapat memberikan motivasi untuk mencapai kesembuhan pasien. Penelitian ini bertujuan mengidentifikasifaktor-faktor yang mempengaruhi pelaksanaan perencanaan pulang. Desain penelitian ini adalah deskriptif korelasi denganpendekatan cross sectional. Sampel dalam penelitian ini adalah perawat dan dokumentasi asuhan keperawatan dengan jumlahmasing-masing 147dengan purposive sampling dan proporsionate sampling. Analisis riset menggunakan uji Chi Square(signifikansi 5%) dan uji regresi logistik ganda. Hasil penelitian menunjukkan ada hubungan antara faktor personil perencanaanpulang (p= 0,01; α= 0,05), keterlibatan dan partisipasi (p= 0,021; α= 0,05), komunikasi (p= 0,008; α= 0,05), perjanjian dankonsensus (p= 0,007; α= 0,05) dengan pelaksanaan perencanaan pulang. Faktor yang paling berpengaruh adalah perjanjian dankonsensus (OR= 2,361). Perawat harus mampu untuk menjalin hubungan, komunikasi, membuat kesepakatan dengan pasien,keluarga, dan tim kesehatan lain.Kata kunci: dokumentasi asuhan keperawatan, pelaksanaan perencanaan pulang, perawat, perencanaan pulangAbstractDischarge planning can provide motivation to achieve patient’s recovery. The research aimed to identify determinant factorsof discharge planning implementation. The study design was descriptive correlation with cross-sectional approach. Researchsample was nurses and nursing care documentation 147 each with purposive sampling and proportional sampling. Researchanalysis used Chi square (5% significant) and binary logistic regression test. The result indicated that there was relationshipbetween personnel discharge planning (p= 0.01; α= 0.05), involvement and participation (p= 0.021; α= 0.05), communication(p= 0.008; α= 0.05), agreement and consensus (p= 0.007; α= 0.05) with the discharge planning implementation. The mostdeterminant factor was the agreement and consensus. Nurses should be able to establish network; communicate; makingconsensus with the patient, family, and other health teams.Keywords: discharge planning, discharge planning implementation, nurse, nursing care documentation

PERAN KELUARGA DALAM MEMANTAU KEPATUHAN MINUM OBAT PENDERITA HIPERTENSI PADA MASYARAKAT

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Saiful Nurhidayat
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Rural Communities ◽  
Elementary Education ◽  
College Education ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Purposive Sampling ◽  
The Family

Abstract : Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries continuously over a period. The dangers of hypertension can lead to damage to various organs including kidneys, brain, heart, eye, causing vascular resistance and stroke. Hypertension takes care of the old and continuously. One effective way to lower blood pressure is to obediently take medicine so that it takes the role of families in monitoring patients taking the medication. With the participation of the family are expected to hypertension sufferers can be controlled. This study aims to determine the family's role in monitoring the adherence of hypertensive patients. The study was conducted in rural communities Slahung Ponorogo, a representative sample of 53 respondents taken by purposive sampling. Quantitative design with cross sectional design of the study the family's role in monitoring the adherence of hypertensive patients. Instruments in this study using questionnaires and observation sheets. The results of 53 respondents obtained the majority of the 29 respondents (55%) has the role of both families and 24 respondents (45%) families have a bad role in monitoring medication adherence. Age and education contribute to determining the role family. Intermediate (41-60 years old) and college education contribute to determining the role well. Conversely > 61 years of elementary education and contribute in a bad role.Keywords : the role of the family, medication adherence, hypertension. Abstrak : Hipertensi atau tekanan darah tinggi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh darah arteri secara terus-menerus lebih dari suatu periode. Bahaya hipertensi dapat memicu rusaknya berbagai organ tubuh diantaranya: ginjal, otak, jantung, mata, menyebabkan resistensi pembuluh darah dan stroke. Penyakit hipertensi membutuhkan perawatan yang lama dan terus menerus. Salah satu cara yang efektif untuk menurunkan tekanan darah adalah dengan patuh minum obat sehingga dibutuhkan peran keluarga dalam memantau minum obat penderita. Dengan adanya peran serta keluarga diharapkan penyakit hipertensi penderita dapat terkontrol. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Penelitian dilakukan pada masyarakat desa Slahung Ponorogo,sampel representatif sejumlah 53 responden diambil secara Purposive Sampling. Desain kuantitatif dengan rancangan Cross sectional yang mempelajari peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Instrumen pada penelitian ini menggunakan kuesioner dan lembar observasi. Hasil penelitian dari 53 responden didapatkan sebagian besar 29 responden (55 %) keluarga mempunyai peran baik dan 24 responden (45 %) keluarga mempunyai peran buruk dalam memantau kepatuhan minum obat. Faktor usia dan pendidikan berkontribusi dalam menentukan peran keluarga. Usia madya (41-60 tahun) dan jenjang pendidikan perguruan tinggi berkontribusi dalam menentukan peran baik. Sebaliknya > 61 tahun dan jenjang pendidikan SD berkontribusi dalam peran buruk.Kata Kunci : peran keluarga, kepatuhan minum obat, penyakit hipertensi.

scholarly journals Understanding the role of oxidative stress in the incidence of metabolic syndrome and obstructive sleep apnea

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Behnam Kargar ◽  
Zahra Zamanian ◽  
Majid Bagheri Hosseinabadi ◽  
Vahid Gharibi ◽  
Mohammad Sanyar Moradi ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Metabolic Syndrome ◽  
Obstructive Sleep Apnea ◽  
Logistic Regression ◽  
Sleep Apnea ◽  
International Diabetes Federation ◽  
Binary Logistic Regression ◽  
Stress Index ◽  
Obstructive Sleep

Abstract Background Understanding the causes and risk factors of metabolic syndrome is important for promoting population health. Oxidative stress has been associated with metabolic syndrome, and also obstructive sleep apnea. These are two diseases which have common prognostic characteristics for heart disease. The aim of this study was to examine the role of oxidative stress in the concurrent presence of metabolic syndrome and obstructive sleep apnea in a working population. Methods Participants were 163 artisan bakers in Shahroud, Iran, routinely exposed to significant heat stress and other oxidative stress indicators on a daily basis as part of their work. Using a cross-sectional design, data relevant to determining metabolic syndrome status according to International Diabetes Federation criteria, and the presence of obstructive sleep apnea according to the STOP-Bang score, was collected. Analyses included hierarchical binary logistic regression to yield predictors of the two diseases. Results Hierarchical binary logistic regression showed that oxidative stress – alongside obesity, no regular exercise, and smoking – was an independent predictor of metabolic syndrome, but not obstructive sleep apnea. Participants who were obese were 28 times more likely to have metabolic syndrome (OR 28.59, 95% CI 4.91–63.02) and 44 times more likely to have obstructive sleep apnea (OR 44.48, 95% CI 4.91–403.28). Participants meeting metabolic syndrome criteria had significantly higher levels of malondialdehyde (p <  0.05) than those who did not. No difference in oxidative stress index levels were found according to obstructive sleep apnea status. Conclusions Our findings suggest that oxidative stress contributes to the onset of metabolic syndrome, and that obstructive sleep apnea is involved in oxidative stress. Whilst obesity, exercise, and smoking remain important targets for reducing the incidence of metabolic syndrome and obstructive sleep apnea, policies to control risks of prolonged exposure to oxidative stress are also relevant in occupations where such environmental conditions exist.

MO376CLINICAL OUTCOMES OF ACUTE KIDNEY INJURY FOLLOWING SNAKE BITE INJURIES

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Weerakit Naweera ◽  
Thapat Wannarong
Keyword(s):  
Acute Kidney Injury ◽  
Logistic Regression ◽  
Kidney Injury ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Renal Recovery ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Hospital Arrival ◽  
Russell’S Viper

Abstract Background and Aims Snakebite is a common animal bite injury in tropical countries. Acute kidney injury (AKI) is an important complication in snakebite patients. This study aimed to comprehensively investigate the clinical profiles and outcomes of patients following hematotoxin-related snakebite associated with kidney impairment. Method We conducted a hospital-based, cross-sectional study of 238 patients with hematotoxin-related snakebite injuries. Data were retrieved from the King Narai Hospital Registry from October 2014 to August 2020. The prevalence of complications associated with snakebite injuries, including acute kidney injury (AKI) and its severity, was determined. Univariate and Multivariate predictors of AKI diagnosis were evaluated using binary logistic regression analysis Results A total of 238 patients, with 63.4% men, median (IQR) age 49.8 (39-61) years and median duration from injury to a hospital arrival of 1 hour (0.5-2) hours, were injured by Green pit viper (85.7%), Russell’s viper (12.6%) and Malayan pit viper (1.7%). AKI mostly occurred in Russell’s viper group 66.7%. An AKI was reported in thirty (12.6%, 95% CI: 8.7 % - 17.5%) patients, with the severity of 66.7% stage one, 6.7% stage two, 26.6% stage three by KDIGO classifications, and 13.3% requiring hemodialysis. Complete renal recovery was seen in twenty-two patients (73.3%), while partial renal recovery was 23.3%. Other complications included 84.4 % limb cellulitis, 4.6% significantly bleeding, 2.5% hypotension, 25.6% prolonged venous clotting time (VCT), 46.7% prolonged prothrombin time (PT), and 14.3% prolonged partial thromboplastin time (PTT). Of total patients, 60.1% were treated with anti-venom. Mortality was relatively low (0.4%). In multivariable logistic regression analyses, AKI was significantly associated with time to hospital arrival more than 3 hours (p = 0.04), Russell’s viper bitten (p = 0.01), clinical bleeding (p = 0.01), and prolonged PT (p &lt; 0.01). Conclusion The prevalence of AKI in patients bitten by hematotoxin snakes was 12.6%, mostly from Russell’s viper. Factors associated with AKI outcomes were time to hospital arrival more than 3 hours, Russell’s viper bitten, clinical bleeding, and prolonged PT. Besides, one-fourth of AKI patients turned to chronic kidney disease.

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