scholarly journals TÌNH TRẠNG STRESS NGHỀ NGHIỆP VÀ MỘT SỐ YẾU TỐ LIÊN QUAN CỦA NHÂN VIÊN Y TẾ CÁC KHOA LÂM SÀNG BỆNH VIỆN ĐA KHOA MEDLATEC NĂM 2020

2021 ◽  
Vol 62 (3) ◽  
Author(s):  
Bùi Thị Duyên ◽  
Đặng Lê Trí

Objectives: Determination of occupational stress status and some related factors of health workers from clinical departments at MEDLATEC Hospital in 2020. Subjects and research methods: Cross-sectional descriptive design, combining qualitative and quantitative. Occupational stress is determined by the DASS 21 Scale for 250 health workers.Results and discussions: The stress rate of the health workers in the study is 41.6%. In which, 30.8% of subjects had mild stress, 62.5% of subjects suffered from moderate stress and 6.7% of subjects suffered severe stress. No subjects experienced very severe stress. The results of multivariate logistic regression analysis showed that health workers have the following characteristics: they are currently taking care of their elderly, frail and sick relatives; encountering traffic jams, traffic accidents from home to work; often have to work with high intensity of work; Feeling that a job that is not respected has a stress risk of 2,466; 4,3; 3,516 and 6,781 times higher than that of health workers who are not in the same situation (p<0.05). Employees who do not regularly receive support from their superiors are 3,811 times more likely to stressthan those who receive this support regularly (p <0.001). Conclusions and recommendations: The MEDLATEC Hospital need screening to detect doctors, nurses showing signs of stress to take support measures to reduce stress for them; building salary, welfare, civilized and professional working environment, better infrastructure and infrastructure. Health workers also Objectives: Determination of occupational stress status and some related factors of health workers fromclinical departments at MEDLATEC Hospital in 2020. Subjects and research methods: Cross-sectional descriptive design, combining qualitative and quantitative. Occupational stress is determined by the DASS 21 Scale for 250 health workers.Results and discussions: The stress rate of the health workers in the study is 41.6%. In which, 30.8% of subjects had mild stress, 62.5% of subjects suffered from moderate stress and 6.7% of subjects suffered severe stress. No subjects experienced very severe stress. The results of multivariate logistic regression analysis showed that health workers have the following characteristics: they are currently taking care of their elderly, frail and sick relatives; encountering traffic jams, traffic accidents from home to work; often have to work with high intensity of work; Feeling that a job that is not respected has a stress risk of 2,466; 4,3; 3,516 and 6,781 times higher than that of health workers who are not in the same situation (p<0.05). Employees who do not regularly receive support from their superiors are 3,811 times more likely to stress than those who receive this support regularly (p <0.001). Conclusions and recommendations: The MEDLATEC Hospital need screening to detect doctors, nurses showing signs of stress to take support measures to reduce stress for them; building salary, welfare,civilized and professional working environment, better infrastructure and infrastructure. Health workers also

2021 ◽  
Vol 8 (7) ◽  
pp. 391-396
Author(s):  
Gayathri Krishna ◽  
Aswathy S R ◽  
Arathy Lal S

Aim: To assess stress among antenatal women admitted for safe confinement and to find stress level and related factors for stress. Identifying the level of stress will help to develop interventions to reduce the stress. Objectives: i) To find out the level of stress experienced by antenatal women. ii) To find out the association between level of stress and selected socio-demographic and clinical data of antenatal women. Method: A quantitative research approach-descriptive cross-sectional survey design was adopted. 60 samples were selected for the study by using purposive sampling technique. Results: It is identified that 1% of selected antenatal women had no stress, 73% had mild stress, 25% had moderate stress and 1% had severe stress. After calculation of chi square values, it is identified that there is association between stress level and selected sociodemographic variables (occupation) and also there is significant association between stress level and clinical data (parity). Conclusion: Majority of women in their antenatal period experience varying stress. 73.33% of them had mild stress where as 26.66% experienced moderate stress. Extreme levels of stress including no stress and severe stress were very rare ie, 1%. Multiple factors have association with their stress level. Present study documented significant association with parity and occupational status of women. Keywords: stress, antenatal women, safe confinement.


2018 ◽  
Author(s):  
Usman Rabi ◽  
Ahmad A. Umar ◽  
Saheed Gidado ◽  
A.A Gobir ◽  
Izuchukwu F. Obi ◽  
...  

AbstractIntroductionEarly diagnosis and prompt and effective treatment is one of the pillars of malaria control Malaria case management guidelines recommend diagnostic testing before treatment using malaria Rapid Diagnostic Test (mRDT) or microscopy and this was adopted in Nigeria in 2010. However, despite the deployment of mRDT, the use of mRDTs by health workers varies by settings. This study set out to assess factors influencing utilisation of mRDT among healthcare workers in Zamfara State, Nigeria.MethodsA cross-sectional study was carried out among 306 healthcare workers selected using multistage sampling from six Local Government Areas between January and February 2017. Mixed method was used for data collection. A pre-tested self-administered questionnaire was used to collect information on knowledge, use of mRDT and factors influencing utilization. An observational checklist was used to assess the availability of mRDT in the six months prior to this study. Data were analyzed using descriptive statistics such as means and proportions. Association between mRDT use and independent variables was tested using Chi square while multiple regression was used to determine predictors of use at 5% level of significance.ResultsMean age of respondents was 36.0 ± 9.4years. Overall, 198 (64.7%) of health workers had good knowledge of mRDT; malaria RDT was available in 33 (61.1%) facilities. Routine use of mRDT was reported by 253 (82.7%) healthcare workers. This comprised 89 (35.2%) laboratory scientists/technicians, 89 (35.2%) community health extension workers/community health officers; 59 (23.3%) nurses and 16 (6.3%) doctors. Predictors of mRDT utilisation were good knowledge of mRDT (adjusted OR (aOR):3.3, CI: 1.6-6.7), trust in mRDT results (aOR: 4.0, CI: 1.9 - 8.2), having being trained on mRDT (aOR: 2.7, CI: 1.2 - 6.6), and provision of free mRDT (aOR: 2.3, CI: 1.0 - 5.0).ConclusionThis study demonstrated that healthcare worker utilisation of mRDT was associated with health worker and health system-related factors that are potentially modifiable. There is need to sustain training of healthcare workers on benefits of using mRDT and provision of free mRDT in health facilities.


2021 ◽  
Vol 9 (01) ◽  
pp. 74-86
Author(s):  
Sharmila Pokharel ◽  
Ram Krishna Maharjan

Antenatal care is one of the most effective measures to reduce maternal mortality in Lower Middle-income Countries. The study aims to assess the utilization of antenatal care and related factors by breastfeeding mothers in Chitwan district of Nepal. A cross-sectional study was carried out in Bharatpur municipality in April 2020, among all women of the reproductive age group (15-49) who have had a birth child in the last 12 months before the survey date. A census sampling technique was used to select respondents. The vaccination period was two weeks. All the mothers who came to the vaccine center to vaccinate their children were the respondents of this study. The data were collected by using an interview schedule. The collected data were managed using SPSS Version 20. The study found that 84.31 percent of respondents attended more than four antenatal care utilization. The educational level of the respondents and the occupation of their partners were linked to the use of antenatal care. The number of pregnancies, the number of live births, the place of delivery, and the educational level and occupations of the birth attendees were also significantly linked to the use of antenatal care. Community mobilization and intensive use of community health workers are essential factors to improve the use of antenatal care.


e-GIGI ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Melky G. Junhar ◽  
Pieter L. Suling ◽  
Aurelia S. R. Supit

Abstract: Prisoners are individuals who have been convicted of crimes and were sentenced to prison so they lost their freedom. Lost of freedom can cause stress. Stress is the ability of a person to survive under pressure without causing disturbance. Recurrent aphthous stomatitis (RAS) is a manifestation in the oral cavity which is usually triggered by some predisposing factors such as stress. This study aimed to describe recurrent aphthous stomatitis and stress among prisoners in prison class IIB Bitung. This study was cross-sectional with total sampling method. All prisoners who had experienced recurrent aphtous stomatitis (RAS) while in prison class IIB Bitung. The results showed that among the 56 respondents there were 53 male respondents (94.64%) and 3 female respondents (5.36%); 19 (33.93%) got mild stress, 18 (32.14%) moderate stress, 16 (28.58%) severe stress, and 3 (5.35%) very severe stress.Keywords: prisoner, stress, recurrent aphthous stomatitis (RAS)Abstrak: Narapidana adalah individu yang telah terbukti melakukan tindak pidana dan kemudian oleh pengadilan dijatuhi hukuman atau pidana serta kehilangan kebebasan. Kehilangan kebebasan menimbulkan terjadinya stres pada narapidana. Stres merupakan kemampuan individu untuk bertahan dalam menghadapi berbagai tekanan tanpa mengakibatkan gangguan. Stomatitis aftosa rekuren (SAR) merupakan manifestasi yang timbul dalam rongga mulut yang biasanya dipicu oleh beberapa faktor predisposisi, salah satunya stres. Tujuan penelitian yaitu mengetahui gambaran stomatitis aftosa rekuren dan stres pada narapidana di Lembaga Pemasyarakatan (LP) Kelas IIB Bitung. Jenis penelitian ini menggunakan desain potong lintang. Semua narapidana yang pernah mengalami Stomatitis Aftosa Rekuren (SAR) saat berada di Lembaga Pemasyarakatan kelas II B Bitung. Hasil penelitian menunjukkan bahwa dari 56 responden terdapat 53 responden berjenis kelamin laki-laki (94,64%) dan terdapat 3 responden berjenis kelamin perempuan (5,36%). Hasil pengukuran stres menunjukkan bahwa dari 56 responden 19 responden (33,93%) mengalami tingkat stres ringan, 18 responden (32,14%) mengalami tingkat stres sedang, 16 responden (28,58%) mengalami tingkat stres berat dan 3 responden (5,35%) mengalami tingkat stres sangat berat.Kata kunci: narapidana, stres, stomatitis aftosa rekuren.


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Nguyen Thi Dao ◽  
Tran Thi Ngoc Thu ◽  
Phan Ngoc Thuy ◽  
Nguyen Thi Hong Nguyen ◽  
Nguyen Thi Mai Duyen

Objectives: Determination rate of smoking and some  related factors to the accessibility of counseling and smoking cessation services in patients with chronic lung disease at Nga Nam Medical Center, Soc Trang in 2020. Subjects and research methods: Cross-sectional descriptive study with analysis. The toolkit is based on “The Ministry of Health’s 2018 Tobacco Harm Prevention Guidelines” and related research. Results and discussions: The smoking rate of patients is 59.9%. The number of people accessing tobacco cessation counseling services is lowing with 29.9%. The results of multivariate logistic regression analysis showed that have relationship between the ability to access counseling services, smoking cessation and smoking (OR = 0.042; p < 0.005), gender (OR = 0.067; p < 0.005), occupation (p < 0.005). Conclusions and recommendations: Patients need to actively learn about the harmful effects of smoking as well as smoking cessation methods and services. The health sector needs to develop plans and provide counseling and smoking cessation services for patients. When educating, it is necessary to pay attention to the patient's psychology, gender and occupation.


2019 ◽  
Vol 26 (1) ◽  
pp. 107327481986464 ◽  
Author(s):  
Dung Viet Truong ◽  
Quyen Thi Tu Bui ◽  
Do Tri Nguyen ◽  
Jaleesa Moore

Anxiety, a condition which is commonly found in patients with cancer, has negative impacts on their quality of life and treatment outcome. This study aimed to determine the level of anxiety in patients with cancer and explore sociodemographic, disease-related, and hospital-related factors associated with anxiety in those patients. A cross-sectional study was conducted on 510 inpatients with cancer at Thanh Hoa Oncology Hospital, Vietnam. Data were collected from self-administered questionnaire forms on hospital depression anxiety-A, interviews with patients, and patient medical records. The univariate and multivariate linear regression analyses were performed using STATA ver. 14.0. Our finding that the patients’ mean anxiety score (standard deviation) was 7.22 (3.8); 27.6% of the patients had an anxiety score between 8 and 10 points, and 15.5% had an anxiety score of ≥11 points. In the multivariate model, in more advanced stages of cancer, and patients with metastasis were more likely to have higher levels of anxiety than those who presented no sign of metastasis. The longer the patients had cancer, the less anxious they became. Lower levels of anxiety were observed in patients who stated that hospital facilities were adequate or had trust in health workers. Patients with cancer need to be provided with psychological support in the early stage of cancer detection and when metastases form. A strong patient–health-care provider relationship after diagnosis may help reduce distress among patients with cancer with higher levels of medical mistrust.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Tuan Anh Le ◽  
Tuan Anh Nguyen ◽  
Anh Duc Dang ◽  
Cuong Tat Nguyen ◽  
Hai Thanh Phan ◽  
...  

Abstract Background Methadone maintenance treatment (MMT) has been proven to be effective in treating opioid dependence. In Vietnam, MMT services are provided primarily by public clinics, with only one private MMT clinic established in recent years. Assessing the preferences of patients for different MMT models is important in evaluating the feasibility of these models. This study measured the preferences of drug users enrolling in public and private MMT clinics in Vietnam and examines the related factors of these preferences. Methods A cross-sectional study was performed on 395 participants at 3 methadone clinics in Nam Dinh. Data about the preferences for MMT models and sociodemographic characteristics of participants were collected. Exploratory factor analysis was employed to explore the construct validity of the questionnaire. The chi-square test and Mann-Whitney test were used for analyzing demographic characteristics and preferences of participants. Multivariate logistic regression identified factors associated with participants’ preferences. Results Half the participants received MMT treatment in a private facility (49.4%). Two preference dimensions were defined as “Availability and convenience of service” and “Competencies of clinic and health professionals”. Self-employed patients were more likely to consider these two dimensions when choosing MMT models. Only 9.9% of participants chose “Privacy” as one of the evaluation criteria for an MMT facility. Compared to public clinics, a statistically higher percentage of patients in the private clinic chose the attitudes of health workers as the reason for using MMT service (34.7% and 7.6% respectively). Mean score of satisfaction towards MMT services was 8.6 (SD = 1.0), and this score was statistically higher in a public facility, compared to the private facility (8.7 and 8.4 respectively). Conclusions The study highlighted patterns of patient preferences towards MMT clinics. Compared to the public MMT model, the private MMT model may need to enhance their services to improve patient satisfaction.


2019 ◽  
pp. 114-125
Author(s):  
Andi Makkulawu ◽  
Adji Prayitno Setiadi ◽  
Tri Budi Wahyuni Rahardjo ◽  
Eko Setiawan

Adherence with medication is one of the important factors in controlling blood glucose levels in patients with diabetes mellitus (DM), which in turn also determines the risk of diabetic complications. The profile and factors that influence adherence behaviour in the use of medication in elderly diabetic patients in Indonesia, especially in East Surabaya, are not yet known. The purpose of this study was to identify profiles and factors that influence the behavior of drug use adherence in elderly DM patients. A cross-sectional study was conducted in 32 Karang Werda or support groups for elderly in East Surabaya. Identification of the respondent’s level of adherence was carried out using the Adherence to Refill and Medication Scale (ARMS) questionnaire while the contributing factors towards adherence behaviour were identified using a published questionnaire. Both questionnaires have been validated in elderly people living in Surabaya. Result of adherence profile analysis was expressed in terms of percentage while determinant factors analysis was identified by using the highest mean among 14 sub-domains included in the questionnaire. In total, 281 elderly diabetic patients were recruited in this study. It was identified that 67.26% of the respondents were classified as non-adherence patients. The dominant factors that contribute to the behavior of medication adherence in elderly diabetic patients were social support, product-related factors, health workers, and emotional factors. Appropriate interventions to optimize the use of medications in elderly diabetic patients need to be identified and implemented according to the identified contributing factors.


Author(s):  
R. Sasikala ◽  
Dr.G. Ramu

Stress is physiological and psychological response towards any occurrences. It is very much vitalto learn about occupational stress because as it deters health and decreases the quality of work of nurses. The main objective was to determine prevalence, intensity and causes of occupational stress among nurses.Hospital based analytical cross-sectional study was conducted from January to November 2017 at two tertiary care teaching hospitals of Tiruvarur. The study was carried out on 265 registered nurses, having valid license by Tamil Nadu Nursing Council. Convenient non-probability method was used to access subjects. After taking consent, semi-structured and pre-tested occupational stress questionnaire was used to obtain the data. The study results revealed that majority of nurses 125 (47.2%) were between 25 to 30 years of age.Maximum ratio of nurses were female 160(60.4%) and out of them 148(55.8%) were married. Two hundredand one (75.8%) were diploma holders in nursing, while only 2(0.8%) had done their master in nursing. Thestudy participants reported to suffer with job related stress; mild stress 2.0%, moderate stress 36.5% and severe61.5%.


2020 ◽  
Vol 26 (3) ◽  
pp. 1-8
Author(s):  
Buyung Keraman ◽  
Neni Triana ◽  
Ayu Amelia

Stress in the elderly can cause health problems, the higher the stress level of the elderly, the more often they experience recurrence of the disease. The purpose of this study was to determine the Relationship of Coping Mechanism with Incidence of Stress on Elderly in BPPLU Pagar Dewa Bengkulu City. This study used cross sectional design. Population in this study were all elderly who lived in BPPLU Pagar Dewa Bengkulu City who fulfilled characteristic who were obtained with the amount of 42 people. Sampling technique in this study used total sampling were 42 people. Collecting data in this study used primary data with observation technique and interview. Data analysis used univariate and bivariate. Statistic test used was Chi-Square. The result of this study showed: (1) from 42 elderly in BPPLU Pagar Dewa Bengkulu City 1 (2,4%) elderly experienced severe stress; there were 18 (42,9%) elderly experienced medium stress, and there were 23 or (54,8%) elderly experienced mild stress (2) there were 16 (38,1%) elderly with maladaptive Coping Mechanism and 26 (61,9%) elderly with adaptive Coping Mechanism; (3) from 16 elderly with maladaptive Coping Mechanism there were 1 (6,2%) elderly experienced severe stress, there were 10 (62,5%) elderly experienced medium stress and there were 5 (31,2%) elderly experienced mild stress, while from 26 elderly with adaptive Coping Mechanism there were and 0 (0,0%) elderly experienced severe stress, there were 8 (30,8%) elderly experienced medium stress and 18 (69,2%) elderly experienced mild stress; (4) there is significant relationship between Coping Mechanism with Incidence of Stress on Elderly in BPPLU Pagar Dewa Bengkulu City with moderate category relationship.It is expected that health workers can provide care that suits the needs of the elderly, as well as provide psychological motivation to the elderly Keywords: coping mechanism, incidence of stress, elderly


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