A Structure Equation Model Examining Self-care Behavior toward Pregnancy-related Complication and Their Associated Factors among Women in Indonesia

BACKGROUND: Maternal mortality rate is commonly caused by pregnancy-related complications. Performing adequate self-care could reduce maternal and child mortality, improve quality of life, and reduce health-care expenses. Few studies exploring factors associated with self-care behaviors toward pregnancy-related complications using the basis of Orem’s theory. AIM: This study aimed to investigate the self-care behaviors pregnancy-related complications and their associated factors among women in Indonesia. METHOD: This study was used a cross-sectional design. A multistage random sampling of 320 pregnant women was recruited from four Public Health Centre in West Java, Indonesia. Participants were 18 years old or older and trimester II and III. Structural equation modeling was used for analysis. RESULTS: The mean age of the mother was 27 years (SD = 6.03) and gestational age was 26 months (SD = 9.17). A pregnant woman has moderate self-care behaviors with a mean of 156.5 (SD = 16.91). Path analysis revealed that knowledge, self-efficacy, and social support have both direct and indirect effects through empowerment on self-care behaviors toward pregnancy-related complications. CONCLUSION: This finding provides an initial understanding of basic conditioning factors on self-care behaviors and the mediating role of empowerment. This study also provides a significant contribution for clinical practice as basic data to establish future intervention to promote empowerment to achieve optimal self-care behaviors in pregnant women to prevent a complication.

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Cyberchondria severity and quality of life among Lebanese adults: the mediating role of fear of COVID-19, depression, anxiety, stress and obsessive–compulsive behavior—a structural equation model approach

BMC Psychology ◽

10.1186/s40359-021-00674-8 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Clara Rahme ◽

Marwan Akel ◽

Sahar Obeid ◽

Souheil Hallit

Keyword(s):

Quality Of Life ◽

Structural Equation ◽

Equation Model ◽

Mediating Effect ◽

Equation Modeling ◽

Obsessive Compulsive ◽

Online Questionnaire ◽

Cross Sectional ◽

Compulsive Disorder

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.

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PENERAPAN STRUCTURAL EQUATION MODELLING (SEM) AMOS PADA KOMITMEN ORGANISASI DAN PRESTASI KERJA (Studi Kasus: Bidan Puskesmas di Banyumas, Jawa Tengah, Indonesia)

Fokus Bisnis Media Pengkajian Manajemen dan Akuntansi ◽

10.32639/fokusbisnis.v18i2.325 ◽

2019 ◽

Vol 18 (2) ◽

pp. 11-21

Author(s):

Suyoto Suyoto ◽

Ahmad Zainal Abidin ◽

Hariyaty Hariyaty

Keyword(s):

Organizational Commitment ◽

Structural Equation ◽

Work Performance ◽

Goodness Of Fit ◽

Affective Commitment ◽

Health Centre ◽

Sem Analysis ◽

Equation Modeling ◽

Public Health Centre ◽

Central Java

This study aims to determine the application of Structural Equation Modeling (SEM) Analysis of Moment Structure (AMOS) to the organizational commitment and work performance of the Midwife of Public Health Centre in Banyumas Regency. Central Java, Indonesia. Data collection techniques using purposive sampling. The sample of this study were 243 midwives with the following criteria: minimum education D3 midwifery, minimum working period of one year and minimum age of 22 years. The data analysis technique uses SEM AMOS. Model fit is shown by good and significant goodness of fit results. The results showed that indicators of organizational commitment consisting of affective commitment, continuous commitment and normative commitment were able to explain the construct of organizational commitment. Work performance indicators consisting of work performance, contextual performance, adaptive performance and productive work performance can explain the construct of work performance. The construct of organizational commitment has a significant positive effect on the construct of work performance.

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Faktor-faktor yang berhubungan dengan hipertensi pada ibu hamil

HOLISTIK JURNAL KESEHATAN ◽

10.33024/hjk.v14i4.1896 ◽

2021 ◽

Vol 14 (4) ◽

pp. 642-650

Author(s):

Syamraini Silda ◽

Ana Mariza ◽

Sunarsih Sunarsih

Keyword(s):

Pregnant Women ◽

Health Centre ◽

Previous History ◽

Cross Sectional ◽

Public Health Centre ◽

Hypertension In Pregnancy ◽

Hypertensive Disorders ◽

Risk Parity ◽

History Of ◽

In Pregnancy

Factors for hypertensive disorders of pregnancy among mothers in Lampung, IndonesiaBackground: Hypertension in pregnancy when blood pressure reaching 140/90 mmHg or more, which occurs during pregnancy. Hypertension in pregnancy can cause mortality and the number of prevalent still too high.Purpose: To know the factors associated with hypertension among pregnant women Inpatient public health centre, South Lampung.Method: A quantitative study with a cross-sectional with a prospective approach. The sampling was all pregnant women who follow up at the health center of 80 respondent on May 20 - July 24, 2019 taken by accidental sampling and data collected using observational sheets and interviews. Data analysis using chi-square test to find correlation among variables.Results: Shows that of 80 respondents who suffering of hypertension of 45%, age its risky category of 57.5%, parity its risky category, has obesity of 42.5% and having a history of hypertension in those without a previous history of hypertension of 35%. Statistical test results show that age its risk with p = 0.029, parity its risk (p = 0,000), obesity (p = 0.000) and a history of hypertension (p = 0.000). conclusion that there was a relationship between age its risk, parity its risk, obesity, and hypertension history with the incidence of hypertensionKeywords: Hypertensive disorders; Pregnancy; An age of risk; A parity of risk; Obesity; History of hypertensionPendahuluan:Hipertensi dalam kehamilan adalah tekanan darah mencapai 140/90 mmHg atau lebih yang terjadi saat kehamilan. Hipertensi pada kehamilan dapat menyebabkan mortalitas pada ibu hamil dan angkanya masih cukup relatif tinggi.Tujuan: Diketahui faktor-faktor yang berhubungan dengan hipertensi pada ibu hamil di wilayah kerja UPT Puskesmas Rawat Inap Katibung Lampung Selatan.Metode : Penelitian kuantitatif dengan pendekatan desain cross sectional study pendekatan prospektif. Teknik pengambilan sampel yang dilakukan adalah Accidental sampling. Sampel dalam penelitian ini adalah seluruh ibu hamil yang datang ke Puskesmas selama penelitian berlangsung yaitu sebanyak 80 ibu hamil pada tanggal 20 Mei – 24 Juli 2019 . Pengumpulan data diperoleh menggunakan lembar observasional dan wawancara. Analisis hubungan menggunakan uji chi-square.Hasil: Menunjukkan bahwa dari 80 ibu hamil yang mengalami hipertensi sebanyak 36 orang (%) sedangkan yang tidak hipertensi sebanyak 44 orang (%).Umur terbanyak pada yang beresiko 46 orang (57,5%) , Paritas pada yang tidak beresiko sebanyak 43 orang (53,75%) , Obesitas yang terbanyak pada yang tidak obesitas 46 orang (57,5%) dan Riwayat hipertensi sebelumnya terbanyak pada yang tidak ada riwayat hipertensi sebelumnya sebanyak 52 orang (65%).Hasil uji statistik bivariate menunjukkan bahwa umur (p=0,029) , paritas (p=0,000) , obesitas (p=0.000) dan riwayat hipertensi (p=0.000) sehingga disimpulkan umur, paritas, obesitas dan riwayat hipertensi berhubungan dengan kejadian hipertensi pada ibu hamil.

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Independency Models of Nursing self-care for Ischemic Stroke Patient

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v4i2.4717 ◽

2015 ◽

Vol 4 (2) ◽

pp. 88

Author(s):

Fery Agusman Motuho Mendrofa ◽

Chatarina U. Wahyuni ◽

Nursalam Nursalam ◽

Hasan Machfoed ◽

Kuntoro Kuntoro ◽

...

Keyword(s):

Family Support ◽

Structural Equation ◽

Self Care ◽

Equation Model ◽

Validity And Reliability ◽

Care Needs ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Reliability Indicator ◽

Reliable Model

Stroke injury such as physical and psychological disorders was required assistance such as the community, nursing professional and family. Family and social factors play an important role in independence strokes such as support family members provide encouragement for self care.The objective of aim the study wasto assess indicator of self care and model family support related self care. A cross-sectional survey research design was used. Data was collected with interviews by home visited method. Data were analyzed with confirmatory analysis for determined of validity and reliability indicator, models analyzed by SEM (<em>Structural Equation Model</em>).Family support such as information, instrumental, reward and emotion were valid indicator for family support. Self care indicators such as eat, bath, titivate, dress, defecating, urination and transfer to building of self-care. Indicators of eating, bathing, titivate, dress, defecate, urination, and transfer is an indicator for self care. It could be concluded that eating, bathing, ornate, dress, and the transfer is valid and reliable. Model showed that self-care needs were improved of self-carepatients with through family support.

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Enhancing Employee Self-Care

European Journal of Health Psychology ◽

10.1027/2512-8442/a000014 ◽

2018 ◽

Vol 25 (3) ◽

pp. 96-106 ◽

Cited By ~ 3

Author(s):

David Horstmann

Keyword(s):

Leadership Style ◽

Structural Equation ◽

Leadership Behavior ◽

Self Care ◽

Well Being ◽

Equation Modeling ◽

Cross Sectional ◽

Personal Initiative ◽

Employee Burnout ◽

Study Results

Abstract. The present study investigates the relationship between health-specific leadership and employee burnout. Health-specific leadership is a domain-specific leadership style that is characterized by the focus of leaders on employee well-being and their intentional support of employee health. Following the theory, I argue that managers influence employee burnout not only directly but also indirectly by encouraging employees to take care of their own health. Further, I extend the scope of previous research and argue that managers’ personal initiative acts as a moderator for health-specific leadership; as indicated by previous research, proactivity is crucial for effective leadership behavior. A cross-sectional questionnaire study (n = 525) was conducted. Health-specific leadership, managers’ personal initiative, employee self-care, and employee burnout symptoms have been measured. A moderated mediation was tested using structural equation modeling. The findings confirm a positive relationship between health-specific leadership and employee burnout. As expected, this relationship is partially mediated by employee self-care. Managers’ personal initiative shows an interaction effect on employee self-care but not on burnout symptoms. The study results verify the concept of health-specific leadership and highlight the importance of proactive leadership behavior as a facilitator for health-specific leadership. Finally, implications for leadership research and practice are provided.

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A structural equation model of the family physicians attitude towards their role in prevention: a cross-sectional study in Switzerland

Family Practice ◽

10.1093/fampra/cmy063 ◽

2018 ◽

Vol 36 (3) ◽

pp. 297-303 ◽

Cited By ~ 1

Author(s):

Christine Cohidon ◽

Pascal Wild ◽

Nicolas Senn

Keyword(s):

Preventive Care ◽

Latent Variable ◽

Structural Equation ◽

Quantitative Research ◽

Dietary Habits ◽

Family Physicians ◽

Equation Model ◽

Equation Modeling ◽

Online Questionnaire ◽

Cross Sectional

Abstract Background In contrast to many studies exploring barriers to preventive care in family medicine, there is less quantitative research regarding the self-perceived role of family physicians (FPs) in prevention and its predictive factors. Moreover, the existing studies considered this attitude as a homogeneous entity. The objective of this study is firstly, to characterize FPs’ attitudes towards prevention taking into account nine different prevention themes, and secondly, to explore the factors that could be predictive of this attitude. Methods The data stem from a cross-sectional national survey on prevention we conducted in Switzerland from 2015 to 2016 (170 physicians randomly drawn, online questionnaire). We first performed a confirmatory factor analysis to define a homogeneous latent variable regarding physicians’ attitude towards prevention, then, a structural equation modeling to identify potential predictors. Results The FP’ attitude towards their role in preventive care was homogeneously positive whatever the topic (smoking, drinking dietary habits, physical activities, and more generally, cardiovascular risk factors) except for occupational risks and cannabis consumption. A feeling of good effectiveness was a positive predictor of this positive attitude while seniority, the lack of reimbursement and being a physician from the German-speaking area were negative predictors. Conclusion The FP’ attitude about their role in prevention is homogeneous concerning the ‘classical’ topics of prevention, whereas they still under-recognize certain topics as important fields for prevention. To change this situation, we probably need a global effort to introduce other ways of thinking about prevention, including not only FP but also all stakeholders.

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KORELASI PENDIDIKAN DAN UMUR DENGAN PENGETAHUAN IBU HAMIL TRIMESTER III TENTANG ASI EKSKLUSIF

Oksitosin : Jurnal Ilmiah Kebidanan ◽

10.35316/oksitosin.v5i1.356 ◽

2018 ◽

Vol 5 (1) ◽

pp. 17-24

Author(s):

Eva Putriningrum ◽

Nurul Khasanah

Keyword(s):

Public Health ◽

Breast Milk ◽

Pregnant Women ◽

Health Centre ◽

Sampling Technique ◽

P Value ◽

Third Trimester ◽

Chi Square ◽

Cross Sectional ◽

Public Health Centre

The exclusive breast milk is feed baby only with the breast milk until the age of six months without any additional liquid or food. The scope of exclusive breast milk in Yogyakarta does not reach the expected rate amount 80%, one of them was in Public Health Centre of Kota Gede I. Low rate success of exclusive breast milk feeding was affected by many factors, such as lack of information regarding breast milk and misunderstanding of information about breast milk. This research aims to analyze the correlation between education and age, with knowledge of pregnant women at third trimester about exclusive breast milk in Public Health Centre of Kota Gede I, Yogyakarta. The design of this research used analytic survey with a Cross-Sectional design and 30 pregnant women at third trimester as samples, with the saturated sampling technique. The statistical test used Chi-Square Test. This research showed that there is a correlation between education and knowledge with p-value of 0,019 and odd ratio value of 9,33; there is a correlation between age and knowledge with p-value of 0,004 and odd ratio value of 20,0. It can be concluded that there is a correlation between education and age, with knowledge about exclusive breast milk. Keywords: Education, Age, Knowledge, Exclusive Breast Milk ABSTRAK ASI eksklusif merupakan pemberian ASI saja pada bayi sampai usia enam bulan tanpa tambahan cairan ataupun makanan lainnya. Cakupan ASI eksklusif di Kota Yogyakarta belum mencapai angka yang diharapkan yaitu 80%, salah satunya adalah di Puskesmas Kotagede I. Rendahnya cakupan keberhasilan pemberian ASI eksklusif dipengaruhi banyak hal, salah satunya adalah kurangnya informasi mengenai ASI atau salah dalam memahami informasi mengenai ASI. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pendidikan dan umur, dengan pengetahuan ibu hamil trimester III tentang ASI eksklusif di Puskesmas Kota Gede I Yogyakarta. Desain penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional, dengan sampel 30 ibu hamil Trimester III dan menggunakan teknik sampling jenuh. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan terdapat korelasi antara pendidikan dengan pengetahuan dengan nilai p sebesar 0,019 dan nilai odd ratio sebesar 9,33, dan terdapat korelasi antara umur dengan pengetahuan dengan nilai p sebesar 0,004 dan nilai odd ratio sebesar 20,0. Dapat disimpulkan bahwa terdapat korelasi antara pendidikan dan umur, dengan pengetahuan tentang ASI eksklusif. Kata Kunci : Pendidikan, Umur, Pengetahuan, ASI Eksklusif.

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The Effect of Depression in High-Risk Pregnant Women On Self-Care Agency: The Mediating Role of Resourcefulness

10.21203/rs.3.rs-828874/v1 ◽

2021 ◽

Author(s):

ke Zhang ◽

hongxia Tao ◽

yanhong Wang

Keyword(s):

High Risk ◽

Pregnant Women ◽

Structural Equation ◽

Protective Factor ◽

Self Care ◽

Mediating Effect ◽

Self Control ◽

Control Technique ◽

Equation Modeling ◽

Care Agency

Abstract Background Mental problems such as anxiety and depression are prominent among high-risk pregnant women, and their self-care agency is poor. As an effective cognitive-behavioral self-control technique, resourcefulness 's mechanism in the effect of depression on self-care agency is still unclear. Therefore, this article aims to construct and test a hypothetical model linking the resourcefulness of high-risk pregnant women with depression and prenatal self-care agency. Methods 500 high-risk pregnant women from three tertiary hospitals in Gansu, North-west of China, were recruited. Chinese Resourcefulness Scale, the Reliability and Validity of Patient Health Questionnaire Module (PHQ-9), and Exercise of Self-Care Agency Scale were used. Structural equation modeling was used to explore the path relationships and mutual effects between resourcefulness, depression and self-care agency. Results Self-care agency is a protective factor for depression in high-risk pregnant women(OR = 0.49, 95% CI: 0.32 ~ 0.75). The level of resourcefulness is negatively correlated with depression(r=-0.34, P < 0.01). Resourcefulness has a direct positive predictive effect on the self-care agency of high-risk pregnant women(r = 0.52, P < 0.01). The resourcefulness is a mediating variable between depression and self-care agency, and the mediating effect accounts for 65.99% of the total effect. Conclusion Resourcefulness is a mediating variable between depression and self-care agency in high-risk pregnant women. Nurses should pay attention to the level of resourcefulness of high-risk pregnant women and conduct positive assessments, so as to take intervention to reduce the level of depression and increase self-care agency.

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PENGARUH PARTISIPASI IBU DALAM KELAS IBU HAMIL TERHADAP CAKUPAN K4

Indonesian Midwifery and Health Sciences Journal ◽

10.20473/imhsj.v3i3.2019.265-277 ◽

2021 ◽

Vol 3 (3) ◽

pp. 265

Author(s):

Lilik Anggraini ◽

Sunarsih Sunarsih ◽

Baksono Winardi

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Health Centre ◽

Correlation Coefficients ◽

P Value ◽

Cross Sectional ◽

Public Health Centre ◽

Significance Level ◽

Strong Conclusion

Abstrak Latar Belakang : Kelas Ibu Hamil (KIH) adalah kelompok belajar ibu-ibu hamil dengan anggota maksimal 10 orang yang merupakan sarana untuk belajar bersama. Puskesmas Menur merupakan puskesmas yang terendah cakupan K4 66,93% dari target 90%. Jumlah peserta dari kelas ibu hamil sendiri 3,4%. Tujuan dari penelitian ini adalah menganalisis pengaruh partisipasi ibu dalam kelas ibu terhadap cakupan K4. Metode dan Bahan Penelitian : Jenis penelitian ini observasional analitik dengan pendekatan cross sectional. Besar sampel sebanyak 44 orang, dengan teknik pengambilan sampel accidental sampling. Variabel Independent yang diukur adalah partisipasi ibu dalam kelas ibu hamil sedangkan variabel dependent adalah cakupan K4. Pengambilan data dengan menggunakan kuisioner untuk mengukur partisipasi ibu dalam kelas ibu hamil dan cakupan K4 dengan mengobservasi dari buku KIA dan kohort. Analisis data menggunakan uji statistik Spearman Rho’ dengan α= 0,05. Hasil : Sebagian besar ibu hamil (65,9%) memiliki partisipasi baik, ibu hamil yang berpartisipasi baik sebagian besar (61,4%) cakupan K4 lengkap, dan ibu hamil yang berpartisipasi kurang sebagian kecil (13,6%) cakupan K4 tidak lengkap. Pada analisis data didapatkan p value = 0,004 (p<0,05) artinya ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4. koefisien korelasi 0,421 yang berada pada rentang 0,40 – 0,599 bermakna kekuatan korelasi antar variable sedang. Sedangkan angka koefisien korelasi pada hasil diatas bernilai positif,, sehingga pengaruh kedua variable tersebut bersifat positif yang kuat. Kesimpulan : ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4 di Puskesmas Menur Kecamatan Kota SurabayaAbstract Background: Maternal Class is a study group pregnant mothers with members a maximum of 10 to learn together. Menur Public Health Centre is the lowest completeness (K4) ANC of maternal 66,93% from target 90%. Total of participants from the maternal class just 3,4%. This research aims to analyze the influence of maternal class participant to completeness (K4) Antenatal care. Methods and Material: the research was conducted using quantitative observational analytic with cross sectional study approach.. The number of research is 44 pregnant women. The Accidental sampling method is apllied in taking the sample in this research. Data collected by quistionaire to determine participation in maternal class and completeness seen by observing MCH books and cohort. Data analyzed by Spearman Rho’statistic test at significance level α=0,05. Results: Most (65,9%) have a good participation in maternal class, most pregnant women who have good participation (61,4%) have K4 antenatal care scope completely, and a small proportional (13,6%) of pregnant women with lack participation did not have completeness (K4) Antenatal care. Data analize was obtained p value = 0,004 (p<0,05) which means there was influence of maternal class participant to completeness (K4) Antenatal care . Correlation coefficients value’s 4,21 in the range of 0,40 – 0,599 which means the strength between variables is medium. While the correlation coefficient number in results are positively strong. Conclusion : there was influence of maternal class participant to completeness (K4) Antenatal care at working area Menur Public Health Centre in Sukolilo Municipality Surabaya City.

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