scholarly journals Determinant Factors Stroke Prevention Behavior among Hypertension Patient in Indonesia

2021 ◽  
Vol 9 (E) ◽  
pp. 336-339
Author(s):  
Arif Setyo Upoyo ◽  
Atyanti Isworo ◽  
Yunita Sari ◽  
Agis Taufik ◽  
Annas Sumeru ◽  
...  

Stroke is the leading cause of death in the World and in Indonesia. Hypertension is a major risk of stroke. Modified stroke risk factors are behavioral factors. The purpose of this study is to identify the factors that influence stroke prevention behavior in hypertensive patients. The research method uses cross sectional. Total participants were 461 hypertensive patients who came to Community Health Center. Sampling technique used  concecutive sampling. The questionnaire used contains demographics, knowledge, self efficacy, awareness of stroke risk and stroke prevention behaviors which include diet, exercise, smoking and drinking alcohol. Data analysis used chi-square and logistic regression. The results showed that 65.7% of respondents showed poor stroke prevention behavior. Factors related to stroke prevention behavior include self-efficacy (p = 0.043; 95%CI = 1.01-2.22; OR = 1.5), perception (p = 0.038; 95%CI = 0.45-0.98; OR = 0.663), and awareness of stroke risk (p = <0.001; 95%CI = 2.255-6.333; OR = 3.779). The dominant factor influencing stroke prevention behavior in hypertensive patients is awareness of stroke risk.

2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAK Pneumonia merupakan salah satu penyebab banyaknya kematian balita di dunia. Selama tahun 2016, terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini untuk menganalisis faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value = 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin akan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin. Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti, sembuh, komunikasi  ABSTRACT            Pneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value = 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined. Keywords: Compliance, pneumonia, discipline, healing,  suggestion, communication


2018 ◽  
Vol 7 (1) ◽  
pp. 199
Author(s):  
Alfeus - Manuntung

Hypertension is one of the most common causes of morbidity and mortality in worldwide. Hypertension is also called a "silent killer" because people with hypertension often do not show symptoms. People who suffer from hypertension are usually unaware of his condition. The understanding of the patient and the ability of self care behavior of hypertensive patients is also very low. Non-compliance with this self care behavior can adversely affect the health of people with hypertension. The objective of this research is known the association of self efficacy and self care activity of hypertension patients in the working area of ​​Puskesmas Pahandut Palangka Raya City. Methods this research is used descriptive correlational research design with cross sectional study approach. Sampling technique in this research is using nonprobability sampling technique that is concecutive sampling with 50 respondents. Data collection was done for 2 months by measuring self efficacy level and self care activity using questionnaire. The statistical test used is Chi Square test. The results showed that most of the respondents had good efficacy level of 70%. Most of the respondents sufficient level of self care activity is 58. Pearson Chi Square correlation test results self efficacy and self care activities showed that there is a negative and insignificant relationship between self efficacy and self care activities of hypertensive patients. The conclusion of this research is there is no significant relationship between self efficacy with self care activity of hypertension patient. Further research with randomized controlled clinical trial design and a large number of samples should be undertaken to develop nursing interventions with behavioral approaches in order to improve self efficacy and self care behavior so as to reduce hypertension complications and improve the quality of life of hypertensive patients.;Keywords: self efficacy, self care activity, hypertension


2019 ◽  
Vol 19 (3) ◽  
pp. 694
Author(s):  
Titen Yasril ◽  
Dachriyanus Dachriyanus ◽  
Harmawati Harmawati

The lack of repeated visits of old patients will increase the cost of promotion to get new patients, one way to maintain old patients is to grow patient loyalty. Some patients in Arosuka General Hospital are still not loyal because they come to the hospital only for the first examination, then the patient goes to another hospital, some patients have not recommended the hospital to others, one of the factors that influence patient loyalty is the quality of service. This study aims to determine the relationship between service quality servqual dimensions and patient loyalty in Arosuka Hospital. The type of this study is cross sectional. The population in this study were all patients who came to the Arosuka Hospital polyclinic in 2018, a sample of 203 people with a proportional random sampling sampling technique conducted in April 2018 with the analysis used was the chi square test. The statistical test results obtained 60.1% of respondents not loyal, 61.6% of respondents stated that tangible was not good, 37.9% of respondents stated that reliability was not good, 51.2% of respondents stated that they were less responsive, 43.3% of respondents said assurace was not good, and 48.8% of respondents said empaty not good. There is a significant relationship between tangible, reliability, responsive, assurance, empathy and patient loyalty in Arosuka Hospital with a value of p <0.05 (p = 0.001, p = 0.015, p = 0.010, p = 0.002, p = 0.022). Tangible is the most dominant factor associated with patient loyalty. It is expected that the director will make a policy on service hours, sanctions for those who do not obey the service hours, coordinate with the local government in procuring transportation for patients, the head of the ward designing a comfortable waiting room, and providing suggestion boxes for patients.


2019 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Monika Sawitri Prihatini ◽  
Ririn Probowati ◽  
Mamik Ratnawati

Background: The paradigm change that there is no difference between men and women demands equal rights between women and men. Many mothers work as career women, so many women replace breastfeeding with formula milk. Based on government regulations No. 33 of 2012, a mother is obliged to give exclusive breastfeeding to her baby.Purpose: This study aims to determine the relationship between self efficacy of working mothers in breastfeeding and infant growth.Method: The type of correlational analytic research is cross sectional approach. The population and sample of working mothers who have babies aged 0-6 months on May 9 to June 6, 2018 at PT Mufasufu Sejati Jaya Lestari MPS Ploso are 30 respondents with a total sampling technique. Independent variable Self Efficacy for working mothers in breastfeeding, dependent variable for infant growth. The growth instrument uses a standard table of body weight/body length from the Ministry of Health and a Self Efficacy questionnaire for mothers to provide breastfeeding. Data analysis using chi square.ResultsThe results of the Chi-Square test analysis at the significance level of α = 0.05 found that ρ <α or 0.048 <0.05, there is a relationship between self-efficacy of mothers working in breastfeeding and growth in infants.Conclusion: The head of the agency/company must provide nursing mothers with exclusive breastfeeding by providing a lactation corner so that the mother can milk the milk and store it in the freezer in the refrigerator and take it home to give to the baby while the mother is working so that the baby continues to get milk without formula milk


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


JKEP ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 160-172
Author(s):  
Desiana Rachmawati ◽  
Lina Ayu Marcelina ◽  
Indah Permatasari

Maternal self-efficacy is part of the concept of self-efficacy which is the mother's belief in her Maternal self-efficacy is part of the concept of self-efficacy which is the mother's belief in her ability to carry out her role as a parent, one of which can be influenced by social support. Social support arises because of interactions with other people who make a person feel cared for and appreciated, if social support is not obtained by postpartum mothers, the possibility of mothers experiencing postpartum depression will increase. The crisis period in the midst of the COVID-19 pandemic raises concerns, especially for postpartum mothers because of limited access to formal and informal support which will increase maternal mental health problems. The research design used was cross sectional. The population of this study, namely all postpartum mothers in the Pejuang Health Center Work Area, Bekasi City, amounted to 132 people and obtained a total sample of 116 respondents through a sampling technique, namely accidental sampling. Data analysis used chi-square at 95% confidence level. The results of this study showed a significant relationship between social support and MSE (p = 0.038). It is hoped that health services can increase their participation in providing counseling based on family support for postpartum mothers by including the family to have a positive effect on the bond between mother and baby.


2020 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Siska Maytasari ◽  
Ratu Ayu Dewi Sartika

Background: Abnormalities of the heart and blood vessels marked by an increase in blood pressure are known as hypertension. Worldwide, high blood pressure is estimated to affect more than one in three adults aged 25 years and over, or about one billion people. Overall, high-income countries have a lower prevalence of hypertension (35% of adults) than low and middle-income groups (40% of adults). The prevalence of hypertension in Indonesia based on the Basic Health Research (Riskesdas) data in 2018 was 34.1%. Objective: This study determines the relationship of family support, social support, and health worker support with compliance of hypertensive patients. Methods: This research was conducted at the Tegal Gundil Community Health Center, North Bogor District, Bogor City, Indonesia, which was conducted from May to December 2017. The design of this study was cross-sectional. Sampling was carried out with a purposive sampling method with inclusion and exclusion criteria. The former consisted of all hypertensive patients aged 25-65 years who routinely control during the last six months who are present and willing to be interviewed during the study. The later includes hypertensive patients who have memory disorders with the number of samples of 110 respondents. Results: The results showed the respondents were dominated by the age of under 59 (75.5%), female (86.4%), junior high school as the highest education (68.2%), have no job (81.8%), and the prevalence of their sufferers’ compliance was 47.3%. The results of the Chi-square test showed that family support, social environment, and health workers were associated with compliance in hypertensive patients (OR = 2.461; CI 95% 1.140 to 5.310; P Value = 0.034). Conclusion: In order to improve compliance of patients with hypertension, it is necessary to pursue a program of activities focused on health promotion activities not only for patients but also involving family and social members.


2018 ◽  
Vol 11 (1) ◽  
pp. 76 ◽  
Author(s):  
Muhamad Hasbi

Abstract : the adherence of physical exercising plays important role in therapeutic management of diabetic patients. The research objective was to identify the factor which influences the adherence of diabetic patiets to exercise. The research was Quantitative research with cross sectional approach. Total sample was 122 respondents. Modifier factor data, an individual perception, and action used questionnaire. Data analysis utilized Chi Square and multiple logistic regressions. The result indicated factor which influenced the adherence of diabetic patiets to exercise was gender (p = 0026), a knowledge (p = 0.013). Benefit perceptions (p = 0.008), obstacle perceptions (p = 0.002) and family supports (p = 0.00). The most dominant factor was family supports (OR = 10.047). Therefore, it is expected that health services develop family management to improve the patients’ adherence.


2018 ◽  
Vol 3 (2) ◽  
pp. 54
Author(s):  
Agnes Dewi Astuti ◽  
Reny Sulistyowati ◽  
Natalansyah Natalansyah

Aging is a a natural process in life. Aging is characterized by loss of slowly ability organ tissue repair itself and  is irreversible. The elderly are the final statge of a person’s life cycle and experience the aging process with change in various physical or physiological, psychological and social aspects (Miller, 2012). Hanges dues to aging eldely comple raises enormous opportunity for the elderly are at risk of depression.  The objective of this study was to determine the factors that influence the risk of depression in elderly at Puskesmas Jekan Raya of Palangka Raya City with descriptive correlational research design using cross sectional approach. The sampling technique in this research is by using probability sampling technique that sampling technique giving equal oppurtinity to every individual in the population to be the research sample.The statistical test used was descriptive test and Chi Square test. The result indicate that factors influencing the risk of depression in the elderly is functional impairment were settled with p value= 0,000. Conclusion of the elderly who have other diseases besides DM  settle a vulnerable population at risk of depression. The most dominant factor is the functional disturbances persist  after controlling the variable of age, live event s and other diseases (other than DM) with OR=39. Recommended in elderly nursing decision making in order to improve the health of elderly family based programs to prevent depression in the elderly and especially carring by elderly family members.


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