scholarly journals The most common infections leading to hospitalization in educational- research hospital of Yazd

2020 ◽  
Vol 3 (4) ◽  
pp. 105-108
Author(s):  
Jamshid Ayatollahi ◽  
◽  
Amirhossein Azimimeybodi ◽  
Zohreh Akhoundi Meybodi ◽  
Seyed Hossein Shahcheraghi ◽  
...  

Infectious diseases are one of the diseases that are generally better suited to diagnostic and antibiotic treatments. However, there is significant mortality in infectious diseases. This study was done to determine the infection leading to admission. This study was performed on hospital data. All patients admitted in Shahid Sadoughi hospital in Yazd province in one year were studied. The final diagnosis is based on symptoms and clinical infectious disease by a specialist. Data were analyzed by statistical software SPSS and Chi-square tests. In the time period examined, 1326 patients were enrolled, 56.7% were male and 43.3% female that age range were 14-95 years. The most commonly reported illness at the time of hospital discharge was pneumonia (16.7%), UTI (11.2%), diabetic foot ulcer and cellulite (13.7%). There was a significant relationship between the most commonly diagnosed illnesses age and gender at the onset and discharge of patients (P value<0.05). It is worth noting that cases without diagnosis were 20.1% and in the elderly group with a population of 53.6% of the total hospitalized patients, pneumonia and UTI were the most common complications. The present study has shown that pneumonia is the most prevalent among the causes of hospitalization among the elderly and non-elderly patients in the infectious part, and there is a significant relationship between age and sex and the prevalence of disease in patients were in Hospital.

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Sumiati Sumiati

Background : Continuation of age is someone because of his age experiencing biological, physical, psychological, and social changes. Changes that occur due to age which further reduce one's independence, this means that the elderly who are weak cannot take care of themselves. To fulfill the ADL, the elderly need a family role to increase their independence. Family support is one type of social support. Mutual interactions between individuals or family members can lead to a relationship of dependence on each other. Independence means no supervision, direction, or active assistance from others. A person who refuses to perform a function is deemed not to function even though he is actually capable. Objective : To determine the relationship between family support and the independence of the elderly in daily activities in the Karang Asam Samarinda HealthCenter. Method: This study uses a cross sectional design. The sample is all the elderly who are registered in the Asam samarinda coral health center. The variable observed is family support with the independence of the elderly. With a population of 110 people and a sample of 52 people. Data is collected using a questionnaire. Data were analyzed by descriptive correlation with significant p <0.05. Results : Research shows that there is a significant relationship between family support and the independence of the elderly from the Chi Square results obtained p value = 0,000 thus p value is smaller than alpha 0.05 then Ho is rejected, it can be concluded that there is a significant relationship between family support and independence of the elderly in daily activities in the Karang Asam Samarinda Health Center.Conclusion : Family support is needed by the elderly, so that the elderly are expected to be able to carry out daily activities independently.


2021 ◽  
Vol 13 (1) ◽  
pp. 33-38
Author(s):  
Damai Yanti

Background, in Indonesia most women experience menopause around the age of 50 years, and in some women menopause can take place at around 40 years of age or no later than 60 years (Soehartono, 2010). Until the end of the 21st century there were around 18,000,000-20,000,000 elderly, which is a significant number and requires serious attention. In Indonesia, it is the responsibility of the elderly to take care of them. The purpose of this study was to find out how the relationship between husband support and women's readiness to face menopause. The method used in this study was an analytical survey. The measurement design is carried out in a cross-sectional manner, namely a research design by measuring or observing at the same time (one time). The research was conducted at RW 8 Cibeber, South Cimahi. The study was conducted in January - August 2020. The population in this study were all mothers aged 45-59 years who lived in RW 8 Cibeber, Cimahi Selatan, totaling 163 people. Results of the analysis of the relationship between husband's support and readiness, there were 28 (44%) of 40 people whose husband's support was not supported with readiness in the unprepared category, while 7 (11%) of 23 people whose readiness were in the unprepared category. The results of the Chi-square test obtained a p value of 0.003, which means that there is a significant relationship between husband's support and women's readiness to face menopause. The conclusion in this study is that women's knowledge about menopause has a significant relationship with women's readiness to face menopause. The attitude of women about menopause has a significant relationship with women's readiness to face menopause. Husband's support for menopause has a significant relationship with women's readiness to face menopause.  


2019 ◽  
Vol 7 (2) ◽  
pp. 125-130
Author(s):  
Isnani Nurhayati ◽  
Tri Yuniarti ◽  
Anggie Pradana Putri

Background : Nutrition is one of the important factors in achieving health status. Indonesia is currently experiencing an increase in life expectancy and an increase in the number of elderly people. Therefore, elderly health needs to get special attention in giving nutrition. The importance of the role of families with the elderly, one of which is nutrition. Objective : to find out the relationship between the level of family knowledge in providing nutritious food to the elderly with nutritional status of the elderly. Methods : This research is analytical descriptive with cross sectional approach. The population is all families who live with the elderly, taking samples with purposive random sampling, obtained 43 respondents. The instrument uses questionnaires containing knowledge of nutrition and anthropometry to determine nutritional status. Univariate and bivariate data analysis with Chi Square test. Results : Of the 43 families with the elderly, the junior high school education level was 42%, the level of family knowledge in providing nutrition to the elderly with knowledge of the turtle was 46% and the nutritional status of the elderly was 42% obese. Based on the results of the Chi Square statistic test, the p value of 0.003 0.05 means that there is a significant relationship between the level of family knowledge in providing nutrition for the elderly and nutritional status. The higher the level of knowledge of the family, the better the nutritional status.Conclusion : There is a significant relationship between family knowledge about providing nutrition with the nutritional status of the elderly.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


2019 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Adi Antoni ◽  
Yanna Wari Harahap

Abstrak   Latar belakang: Diabetes mellitus (DM) merupakan penyakit kronik dan menjadi masalah global. Salah satu komplikasi yang ditimbulkan dari DM adalah luka kaki diabetic. Langkah awal dalam perawatan luka kaki diabetic adalah mencuci luka. Tujuan penelitian ini adalah mengetahui keefektifan dari rebusan daun jambu biji sebagai cairan pencuci luka terhadap tingkat malodor pada luka kaki diabetic. Metode: Desain penelitian yang digunakan adalah quasy experiment dengan rancangan one group pretests-posttest only. Teknik sampling yang digunakan adalah consecutive sampling dengan jumlah sampel 16 orang. Kriteria sampel yang digunakan adalah klien luka kaki diabetic, tingkat malodor 1-10 dengan NRS. Alat ukur yang digunakan adalah Numeric Rating Scale (NRS). Analisa data yang digunakan dalam penelitian ini menggunakan uji paired t test. Hasil: tingkat malodor sebelum intervensi pencucuan luka menggunakan rebusan daun jambu biji rata-rata sebesar 4.40 dan sesudah intervensi sebesart 2.44 dengan p value < 0.001. Selisih tingkat malodor antara sebelum dan sesudah intervensi sebesar 1.96. Hasil penelitian ini menunjukkan bahwa daun jambu dapat digunakan sebagai cairan pencuci luka dalam mengatasi tingkat malodor pada luka kaki diabetik. Kesimpulan : daun jambu biji dapat digunakan sebagai cairan pencuci luka pada luka kaki diabetic. Perawat diharapkan dapat memanfaatkan daun jambu biji sebagai salah satu alternatif dalam pencucian luka kronik khususnya luka kaki diabetik.   Kata kunci: Daun Jambu Biji, Tingkat Malodor, Luka Kaki Diabetik   Abstract   Background: Diabetes mellitus (DM) is a chronic disease and a global problem. One of the complications that arise from DM is diabetic foot ulcer. The first step in treating diabetic foot ulcer is washing the wound. The purpose of this study was to determine the effectiveness of guava leaf decoction as a washing fluid for malodor levels in diabetic foot ulcer. Method: The research design used was quasy experiment with one group pretests-posttest only design. The sampling technique used was consecutive sampling with a sample of 16 people. Sample criteria used were diabetic foot ulcer clients, malodor level 1-10 with NRS. The measuring instrument used is the Numeric Rating Scale (NRS). Analysis of the data used in this study used paired t test. Results: the level of malodor before intervening in wound washing using guava leaf decoctions on average was 4.40 and after the intervention was 2.44 with p value <0.001. The difference in the level of malodor between before and after the intervention was 1.96. The results of this study indicate that guava leaves can be used as a washing fluid in dealing with malodor levels in diabetic foot ulcer. Conclusion: Guava leaves can be used as a washing fluid for diabetic foot wounds. Nurses are expected to be able to use guava leaves as an alternative in washing chronic wounds, especially diabetic foot injuries.   Key words: Guava Leaf, Malodor Level, Diabetic foot ulcer.


Author(s):  
Sri Susanti Sri Susanti

ABSTRACT Male adolescent are vulnerable group in doing risky behavior, one of them is smoking behavior. Smoking behavior of male adolescent do are influenced by several factors. The dependent variable in this research is the behavior of smoking and the independent  variables are the knowledge, the influence of peers, and family environment. The sample in this research is total sampling as many as 112  respondents. The research used a analytic survey method with cross sectional approach. Data analysis is using chi square test with 95% confidence level ( α = 0.05 ) . The results if the research showed that 39.3 % of male adolescent smoke and 60.7 % of the male adolescent  do not smoke. The result of Chi-square statistical test showed no significant relationship between knowledge variable ( p value = 0.844 ) and smoking behavior of male adolescent, while peer influence variable ( p value = 0.000 ) and family environment ( 0.000 ) showed a significant relationship with smoking behavior in SMP Negeri 40 Palembang. This research suggests to the school to increase positive activities in groups that can divert adolescents from smoking behavior, for example by  extracurricular activities, sports and so forth, and entered into cooperation between programs with health institutions in giving information about adolescent development and adolescent health problems, especially the dangers of smoking behavior in adolescents.   ABSTRAK Remaja putra merupakan kelompok yang rentan dalam melakukan perilaku berisiko, salah satunya adalah perilaku merokok. Perilaku merokok yang dilakukan remaja putra dipengaruhi oleh beberapa faktor. Variabel dependen dalam penelitian ini adalah perilaku merokok dan variabel indevenden adalah pengetahuan, pengaruh teman sebaya, dan lingkungan keluarga. Sampel dalam penelitian ini adalah Total Sampling dengan jumlah responden 112 remaja putra. Jenis penelitian yang digunakan metode survey analitik dengan pendekatan cross sectional. Analisis data menggunakan uji chi square dengan tingkat kepercayaan 95% (α=0,05). Hasil penelitian menunjukkan bahwa 39,3% remaja putra yang merokok dan 60,7% dari remaja putra yang tidak merokok. Hasil uji statistik chi square menunjukkan tidak ada hubungan bermakna antara variabel pengetahuan (p value= 0,844) dengan perilaku merokok remaja putra, sedangkan variabel pengaruh teman sebaya (p value = 0,000) dan lingkungan keluarga (0,000) menunjukan adanya hubungan yang bermakna dengan perilaku merokok di SMP Negeri 40 Palembang. Penelitian ini menyarankan pada pihak sekolah untuk meningkatkan kegiatan positif yang bersifat kelompok yang dapat mengalihkan remaja dari perilaku merokok misalnya dengan mengadakan kegiatan ekstrakurikuler, olahraga dan lain sebagainya, dan mengadakan kerja sama lintas program dengan Instansi kesehatan dalam pemberian informasi tentang perkembangan remaja dan permasalahan kesehatan remaja, khususnya bahaya perilaku merokok pada remaja.    


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


Author(s):  
Kemar J Brown ◽  
Njambi Mathenge ◽  
Daniela Crousillat ◽  
Jaclyn Pagliaro ◽  
Connor Grady ◽  
...  

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has resulted in the rapid uptake of telemedicine (TM) for routine cardiovascular care. Objectives To examine the predictors of TM utilization among ambulatory cardiology patients during the COVID-19 pandemic. Methods In this single centre retrospective study, all ambulatory cardiovascular encounters occurring between March 16th - June 19th, 2020 were assessed. Baseline characteristics by visit type (in-person, TM-phone, TM-video) were compared using Chi-square and student t-tests, with statistical significance defined by p value &lt; 0.05. Multivariate logistic regression was used to explore the predictors of TM versus in-person care. Results 8446 patients (86% Non-Hispanic White, 42% female, median age 66.8 +/- 15.2 years) completed an ambulatory cardiovascular visit during the study period. TM-phone (n = 4,981, 61.5%) was the primary mode of ambulatory care followed by TM-video (n = 2693, 33.2%). Non-Hispanic Black race (OR 0.56; 95% CI: 0.35 - 0.94, p-value=0.02), Hispanic ethnicity (OR 0.53; 95% CI: 0.29 - 0.98, p = 0.04), public insurance (Medicaid OR 0.50; 95% CI:0.32 – 0.79, p = 0.003, Medicare OR 0.65; 95% CI: 0.47– 0.89, p = 0.009), zip-code linked median household income (MHI) of &lt;$75,000, age &gt;85 years, and patients with a diagnosis of heart failure were associated with reduced access to TM-video encounters and a higher likelihood of in-person care. Conclusions Significant disparities in TM-video access for ambulatory cardiovascular care exist among the elderly, lower income, as well as Black and Hispanic racial/ethnic groups.


Vascular ◽  
2021 ◽  
pp. 170853812110409
Author(s):  
Stavros Stefanopoulos ◽  
Samar Ayoub ◽  
Qiong Qiu ◽  
Gang Ren ◽  
Mohamed Osman ◽  
...  

Background The objective of this study was to create an algorithm that could predict diabetic foot ulcer (DFU) incidence in the in-patient population. Materials and Methods The Nationwide Inpatient Sample datasets were examined from 2008 to 2014. The International Classification of Diseases 9th Edition Clinical Modification (ICD-9-CM) and the Agency for Healthcare Research and Quality comorbidity codes were used to assist in the data collection. Chi-square testing was conducted, using variables that positively correlated with DFUs. For descriptive statistics, the Student T-test, Wilcoxon rank sum test, and chi-square test were used. There were six predictive variables that were identified. A decision tree model CTREE was utilized to help develop an algorithm. Results 326,853 patients were noted to have DFU. The major variables that contributed to this diagnosis (both with p < 0.001) were cellulitis (OR 63.87, 95% CI [63.87–64.49]) and Charcot joint (OR 25.64, 95% CI [25.09–26.20]). The model performance of the six-variable testing data was 79.5% (80.6% sensitivity and 78.3% specificity). The area under the curve (AUC) for the 6-variable model was 0.88. Conclusion We developed an algorithm with a 79.8% accuracy that could predict the likelihood of developing a DFU.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


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