scholarly journals HUBUNGAN METODE PELAKSANAAN EPEEP (EXPLAIN, PAIN, ELIMINATION, ENVIRONMENT AND PLAN OF RETURN) DENGAN KEPUASAN PASIEN DIRUANG RAWAT INAP PANDORIA RUMAH

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Yulianti Wulandari ◽  
Siska Afri Nofita

In health service, nurses are at the forefront of providing health care, if the nurses don’t provide the care and not accompanied by EPEEP implementation (Explain, Pain, Elimination, Environment and Plan Of Return) it will have an impact on decreasing client satisfaction. From the results of the preliminary survey the nurses have not done EPEEP implementation method (Explain, Pain, Elimination, Environment and Plan Of Return) properly. And the achievement of patient satisfaction in the pandoria room of Awal Bros Batam Hospital from the results of satisfaction survey in September 2018, very satisfied category was 46%, satisfied category was 54% and less satisfied category was 2%. Therefore , it is necessary to implement EPEEP (Explain, Pain, Elimination, Environment and Plan Of Return) in providing services to clients. This study aimed to determine the Relation between EPEEP Implementation Methods (Explain, Pain, Elimination, Environment and Plan Of Return) With Patient Satisfaction at Pandoria Inpatient Awa Bros Batam in 2019. This type of research was descriptive correlation with cross sectional approach, 129 respondents selected using purposive sampling technique. Data were obtained by observation sheets on nurses about EPEEP implementation (Explain, Pain, Elimination, Environment and Plan Of Return) and provide satisfaction questionnaires to clients. The study was conducted in February until March 2019 in the Pandoria room. Analysis of the data used Chi square. There was a relationship between EPEEP implementation method (Explain, Pain, Elimination, Environment and Plan Of Return) with patient satisfaction and with nurses inpatient at Pandoria Awal Bros Batam Hospital, and the p-value was 0.00 (p <0.05). It can be concluded that the implementation of EPEEP (Explain, Pain, Elimination, Environment and Plan Of Return) can affect client satisfaction. Suggestions for future researchers can conduct research related to how long the nurse responds if there are patients who call or press the bell (Patient Calls) and for the Home Pain as an input to perform research related to nurse daily activity, because Pandoria Room compared to other inpatient rooms was the room with the highest number of patients and the highest mobile patients.

2020 ◽  
Vol 70 (6) ◽  
pp. 1681-85
Author(s):  
Kanwal Jehanzeb ◽  
Zia Ul Haq ◽  
Saeed Zaman Khattak ◽  
Sajid Ali Shah ◽  
Munir Akmal Lodhi ◽  
...  

Objective: To assess the occurrence and intensity of Giardia and Ascaris infestations in children of both genders reporting with diarrhea. Study Design: Comparative cross sectional study. Place and Duration of Study: Paediatrics department, Combined Military Hospital, Gilgit, from Jul 2016 to Jul2018. Methodology: Patients of either gender with worm infestation were included in the study. Patients more than13 years old were excluded. The sampling technique used was non probability consecutive sampling. The stoolexamination (R/E) for the diagnosis of worm infestation was done. Stratification was done with regards to age,mother education, gender, type of water used and post stratification chi square test was applied. p-value was0.613 when calculated for the manifestation between both genders. p-value ≤0.05 was considered significant. Results: Total number of patients in our study was 100. Among them, males were 65 (65%) and females were 35(35%). Mean age of patients in our study was 4.20 ± 2.61 years (Mean ± SD). Abdominal pain being most common symptom in 43 (43%) of patients. Majority of the patients were from 2 to 10 years of age, 79 (79%). Helminthic infestation was the most common observed in 52 (52%) whereas Protozoal infestation was observed in 48 (48%) patients. The most common parasite isolated was Giardia 41 (41%) followed by Ascaris 36 (36%). p-value of 0.613 was found between both gender. Conclusion: In our study Helminthic infestation was more common. The most common parasite isolated wasGiardia followed by Ascaris.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Vivia Ozora Bitjoli ◽  
Odi Pinontoan ◽  
Andi Buanasari

Abstrack :Patient satisfaction level is considered as one of the very important dimension and is oneof the main indicators of the standard of a health facility which is due to the influence of health careon the hospital and it is this which makes the measurement of patient satisfaction is an importantcomponent.The purpose of this study was to determine the differences between patient satisfactionlevel on BPJS and Non BPJS users over registration services in Tobelo hospitals. This researchmethod using cross sectional design. The sampling technique used consecutive sampling techniquewith a total sample of 136 respondents. methods of data collection using questionnaires satisfactionlevel of service at the place of registration to measure the level of patient satisfaction BPJS and NonBPJS and statistical test using chi square test. The researchresults can be p-value of 0.000 (≤ α =0.05), which means there are significant differences. Conclusion there are differences between thelevel of patient satisfaction level on BPJS and Non BPJS users over registration services in Tobelohospitals.Keywords: Enrollment Services, BPJS patient and the Non BPJS, SatisfactionAbstrak : Tingkat kepuasan pasien dianggap sebagai salah satu dimensi yang sangat penting danmerupakan salah satu indikator utama dari standar suatu fasilitas kesehatan yang merupakan akibatpengaruh pelayanan kesehatan atas pihak rumah sakit dan hal inilah yang membuat pengukurankepuasan pasien menjadi komponen penting. Tujuan penelitian ini adalah untuk mengetahuiperbedaan tingkat kepuasan pasien BPJS dan Non BPJS terhadap pelayanan pendaftaran di RSUDTobelo. Metodepenelitian ini menggunakan desain cross sectional. Teknik pengambilan sampelmenggunakan teknik consecutive sampling dengan jumlah sampel sebanyak 136 responden. metodepengumpulan data menggunakan kuesioner tingkat kepuasan pelayanan di tempat pendaftaran untukmengukur tingkat kepuasan pasien BPJS dan Non BPJS dan uji statistic menggunakan uji chi square.Hasil penelitian di dapat nilai p-value sebesar 0,000 (≤ α = 0,05) yang berarti ada perbedaan yangsignifikan. Kesimpulan ada perbedaan antara tingkat kepuasan pasien BPJS dan Non BPJS terhadappelayanan pendaftaran di RSUD Tobelo.Kata kunci : Pelayanan Pendaftaran, pasien BPJS dan Non BPJS, Tingkat Kepuasan


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Nahrul Hayat ◽  
Asfri Sri Rahmadeni ◽  
Marzuki Marzuki

Caring nurses are very important in meeting patient satisfaction, this is one indicator of the quality of service in a hospital. Nurses are people who become one of the keys in meeting patient satisfaction. Therefore, caring nurse behavior can have an effect on quality service to patients. Some studies conducted in Indonesia show that caring is still lacking for patients in hospitals as much as 50% show poor caring. Patient satisfaction is influenced by caring nurses in serving patients in hospitals. The purpose of this study was to analyze the relationship between caring nurses and patient satisfaction in the inpatient room. This study is a cross sectional analytic study and purposive sampling technique with a sample of 67 patients, collecting data using a questionnaire.The Chi-Square test results showed a significant relationship between caring nurses and patient satisfaction in the inpatient room with a p value of 0,045 (α = 0,05). Nurse caring attitude greatly affects patient satisfaction so it is expected that nurses or other health workers can be more sensitive, be responsive and respond well to patient complaints and show sincere care in helping patients recover


2021 ◽  
Vol 1 (1) ◽  
pp. 48-62
Author(s):  
Triyoso Triyoso ◽  
Dewi Kusumaningsih ◽  
Respa Agustina Anggara

 ABSTRACT: RELATIONSHIP OF NURSES WORKLOAD WITH HAIS PREVENTION EFFORT DURING THE COVID-19 PANDEMIC AT PERTAMINA BINTANG AMIN HOSPITAL BANDAR LAMPUNG Introduction: The incidence of menstruation is still high, one of the factors is the relatively high workload of nurses. excessive workload on nurses can trigger stress and burnout. Nurses who experience stress and burnout allow them to not be able to perform effectively and efficiently because their physical and cognitive abilities are reduced which may occur due to an imbalance between the number of patients and the number of nurses working in the hospital. Based on the results of the pre-survey, the comparison of the workload of nurses at Pertamina Bintang Amin Hospital Bandar Lampung and dr. A. Dadi Tjokrodipo by distributing questionnaires to 15 nurses in each hospital. At the hospital. Pertamina Bintang Amin showed that nurses experienced a physical workload of 7 nurses (46.6%) with a score of 27-54, and a mental workload of 8 nurses (53.3%) with a score of > 57. Meanwhile, RSUD dr. A. Dadi Tjokrodipo, the results showed that nurses experienced a physical workload of 5 nurses (33.3%) with a score of 27-54, and a mental workload of 6 nurses (40%) with a score of > 57.Objective: to find out the relationship between the workload of nurses and efforts to prevent HAIs during the Covid 19 pandemic at Pertamina Bintang Amin Hospital Bandar Lampung in 2021Methods: This type of research is a quantitative, cross-sectional design. The population and sample were 110.1 respondents, which were rounded up to 111 respondents. The sampling technique was purposive sampling, data analysis using univariate and bivariate using chi-square test.Results: The physical workload of nurses as many as 57 respondents (51.4%) experienced a high physical workload. The mental workload of nurses as many as 61 respondents (55.0%) experienced a high mental workload. Efforts to prevent HAIs during the Covid 19 pandemic were 64 respondents (57.7%) with bad HAIs prevention. The results of the analysis using chi-square, obtained P-Value = 0.000 so that P-Value <α (0.000 <0.05), it can be concluded that there is a relationship between the physical workload of nurses and efforts to prevent HAIs during the covid 19 pandemic. The results of the analysis using chi-square, obtained P-Value = 0.015 so that P-Value <α (0.000<0.05), it can be concluded that there is a relationship between the physical mental workload of nurses and efforts to prevent HAIs during the covid 19 pandemic.Suggestion: Hospitals as a place for health services should pay attention to the welfare of nurses by increasing the medical team, and paying attention to BOR to prevent physical and mental workloads. Keywords: Nurse Workload, Efforts to Prevent Menstruation, Covid 19                 Pandemic  INTISARI: HUBUNGAN BEBAN KERJA PERAWAT DENGAN  UPAYA PENCEGAHAN HAIS PADA MASA PANDEMI COVID 19 DI RUMAH SAKIT PERTAMINA BINTANG AMIN  BANDAR LAMPUNG Pendahuluan: Angka kejadian hais masih tinggi salah satu faktor nya adalah beban kerja perawat yang relatif tinggi. Beban kerja yang berlebih pada perawat dapat memicu timbulnya stres dan burnout. Perawat yang mengalami stres dan burnout memungkinkan mereka untuk tidak dapat menampilkan performa secara efektif dan efisien dikarenakan kemampuan fisik dan kognitif mereka menjadi berkurang yang kemungkinan dapat terjadi disebabkan karena ketidakseimbangan antara jumlah pasien dengan jumlah perawat yang bekerja di rumah sakit tersebut.Berdasarkan hasil Prasurvey perbandingan beban kerja perawat di Rumah Sakit Pertamina Bintang Amin Bandar Lampung dan RSUD dr. A. Dadi Tjokrodipo dengan cara melakukan penyebaran kuesioner kepada 15 perawat di masing-masing Rumah Sakit. Pada RS. Pertamina Bintang Amin diperoleh hasil perawat mengalami beban kerja fisik sebesar 7 perawat (46,6%) dengan skor nilai 27-54, dan beban kerja mental sebesar 8 perawat (53,3%) dengan skor nilai > 57. Sedangkan RSUD dr. A. Dadi Tjokrodipo diperoleh hasil perawat mengalami beban kerja fisik sebesar 5 perawat (33,3%) dengan skor nilai 27-54, dan beban kerja mental sebesar 6 perawat (40%) dengan skor nilai > 57.Tujuan: diketahui hubungan beban kerja perawat dengan  upaya pencegahan HAIs pada masa pandemi Covid 19 di Rumah Sakit Pertamina Bintang Amin Bandar Lampung Tahun 2021Metode: Jenis penelitian kuantitatif, rancangan  Cross Sectional. Populasi dan sampel 110,1 responden, yang dibulatkan menjadi 111 responden, teknik sampling purposive sampling, analisa data menggunakan univariat dan bivariat menggunakan uji chi square.Hasil : Beban kerja fisik perawat sebanyak 57 responden (51,4%) mengalami beban kerja fisik tinggi. Beban kerja mental perawat sebanyak 61 responden (55,0%) mengalami beban kerja mental tinggi. Upaya pencegahan HAIs pada masa pandemi Covid 19 sebanyak 64 responden (57,7%) dengan pencegahan hais baik. Hasil analisa menggunakan chi-square, didapat P-Value = 0,000 sehingga P-Value <α (0,000<0,05) maka dapat disimpulkan  terdapat hubungan beban kerja fisik perawat dengan  upaya pencegahan HAIs pada masa pandemi covid 19. Hasil analisa menggunakan chi-square, didapat P-Value = 0,015 sehingga P-Value <α (0,000<0,05) maka dapat disimpulkan  terdapat hubungan beban kerja fisik mental perawat dengan  upaya pencegahan HAIs pada masa pandemi covid 19.Saran : Rumah Sakit sebagai tempat pelayanan kesehatan, sebaiknya memperhatikan kesjahteraan perawat dengan cara memperbanyak tim medis, dan memperhatikan BOR guna mencegah terjadinya beban kerja fisik dan mental.          Kata Kunci: Beban Kerja Perawat, Upaya Pencegahan Hais, Pandemi Covid 19


2021 ◽  
Vol 5 (1) ◽  
pp. 60-66
Author(s):  
Ichsan Rizany

Background: Outpatients often complain about hospital services, one of which is waiting time. High complaints have an impact on patient satisfaction. Currently, in several outpatient rooms at the hospital, long queues and long waiting times frequently occur.Objective: This study aims to determine the correlation between waiting time and patient satisfaction at Public Hospital.Method: This study used a non-experimental approach with a cross-sectional design. Samples were 93 patients selected by using random sampling technique at the public hospital in Banjarbaru city. The instruments used were the patient satisfaction questionnaire and waiting time observation. Data were analyzed using the chi-square test.Results: The results showed that 35 (37.6%) patients felt the standard waiting time according to regulations from the ministry of health (60 minutes), while 55 (59.1%) patients were satisfied with the services provided. There was a significant relationship between waiting time and patient satisfaction (p-value = 0.021).Conclusion: It can be concluded that there is a relationship between waiting time and patient satisfaction. Hospitals can implement online registration and manage the arrival of doctors in outpatient care so that waiting times and patient satisfaction can be managed according to minimum service standards  


2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Laila Kamila ◽  
Maulidiyah Salim

Abstract: Coronary heart is a disease that offense to blood vessels and heart attack due to constriction of blood vessels. A high level of cholesterol in blood or exceeds the normal limit can form sediment in wall of blodd vessels which cause blood vessels constriction or blockage. This research object to determine whether there is a correlation between cholesterol level total and hypertension with coronary heart disease in patients who hospitalized in Regional Public Hospital of dr. Soedarso Pontianak. This study was used cross sectional design, purposive sampling technique, it gained 50 people as samples. The measurement of blood pressure was done in heart poly and cholesterol total level in clinic laboratory of Regional Public Hospital of dr. Soedarso by using enzymatic CHOD-PAP method. It can be obtained that 10 people had hypertension and 40 people did not.the average of total cholesterol was 224 mg/dl. Maximum value of total cholesterol was 224 mg/dl and 152 mg/dl as minimum value. Data has been analyzed by using statistical test, Chi-Square, to determine the correlation of total cholesterol wit coronary heart disease, obtained p value=0,024 (less than α=0,05). Correlation of hypertension and coronary heart disease gained p value=0,923 (more than α=0,05), it can be concluded that total cholesterol correlated with coronary heart disease, and there was not a correlation between hypertension and coronary heart disease.Abstrak: Jantung koroner adalah penyakit yang  menyerang pembuluh darah dan serangan jantung, karena penyempitan pada pembuluh darah. Kadar kolesterol yang tinggi dalam darah melebihi normal dapat membentuk endapan pada dinding pembuluh darah sehingga menyebabkan penyempitan dan tersumbatnya pembuluh darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar kolesterol total dan hipertensi dengan penyakit jantung koroner pada pasien di RSUD dr. Soedarso Pontianak. Disain penelitian  ini menggunakan cross sectional, teknik pengambilan sampel yaitu purposive sampling, didapat jumlah sampel 50 orang. Pengukuran Tensi Darah dilakukan di poli Jantung dan pemeriksaan kadar kolesterol total di laboratorium klinik RSUD dr. Soedarso Pontianak dengan metode enzimatik CHOD-PAP. Hasil penelitian didapatkan 10 orang mengalami hipertensi dan 40 orang non hipertensi. Rata-rata kadar kolesterol total 224 mg/ dl. Nilai maksimum kadar kolesterol total yaitu 224 mg/dl dan nilai minimum yaitu 152 mg/dl. Analisa data dengan uji statistik Chi-square untuk mengetahui hubungan kolesterol total dengan penyakit jantung koroner didapatkan nilai p = 0,024 (lebih kecil dari  α 0,05). Uji hubungan hipertensi dengan penyakit jantung koroner didapat nilai p = 0,923 (lebih besar dari α 0,05), dapat disimpulkan terdapat hubungan kadar kolesterol total dengan penyakit jantung koroner dan tidak ada hubungan hipertensi dengan penyakit jantung koroner.


2019 ◽  
Vol 4 (2) ◽  
pp. 293
Author(s):  
Herdianti Herdianti ◽  
Tatik Maryana

<p><em><em>Background: In Batik Mawar, almost all work is done manually using the hands and upper arms on a continuous basis combined with the rigor of work and the use of traditional tools. The work has a heavy workload because all the work process is done by the same craftsman causing fatigue besides that the worker also have double role. The purpose of this study is to determine the relationship between workload and dual role with feelings of fatigue on craftsmen batik roses.Method: This research is Quantitative research with Cross Sectional research design. The population in this study are all artisans in Batik Mawar. Sampling in this study using total sampling technique with the number of research samples as many as 40 respondents. Data analysis used by Univariat and Bivariat.Result: Result of data analysis using Chi-Square test for work load got value p-Value = 0,001. The result of data analysis using Chi-square test for double role got p-value = 0,031. Thus it is concluded that there is a meaningful relationship between workload and dual role with feeling tired. We recommend that craftsmen wash clothes 2 times a day, cook ready meals, other than together in completing the work at home</em></em></p><p><em><br /></em></p><p><em>Di Batik Mawar, hampir semua pekerjaan dikerjakan secara manual menggunakan tangan dan lengan atas secara berkesinambungan yang dikombinasi dengan ketelitian kerja dan penggunaan alat-alat tradisional. Pekerjaan mempunyai beban kerja yang berat dikarenakan semua proses kerja dilakukan oleh pengrajin yang sama sehingga menimbulkan kelelahan</em><em> disamping itu pekerjanya juga memiliki peran ganda</em><em>.</em><em> Tujuan penelitian ini adalah untuk mengetahui hubungan beban kerja dan peran ganda dengan perasaan lelah pada pengrajin batik mawar.Metode: </em><em>Penelitian ini merupakan penelitian Kuantitatif dengan desain penelitian Cross Sectional. Populasi dalam penelitian ini adalah semua pengrajin di Batik Mawar. Pengambilan sampel pada penelitian ini menggunakan teknik total sampling dengan jumlah sampel penelitian sebanyak 40 responden. Analisis data yang digunakan Univariat dan Bivariat.</em><em>Hasil: </em><em>Hasil analisis data yang menggunakan uji Chi-Square untuk beban kerja didapatkan nilai p-Value = 0,001. Hasil analisis data yang menggunakan uji Chi-square untuk peran ganda didapatkan nilai p-value= 0,031. Dengan demikian  disimpulkan bahwa ada hubungan yang bermakna antara beban kerja dan peran ganda dengan perasaan lelah.Sebaiknya pengrajin mencuci pakaian 2 kali sehari, memasak makanan siap saji, selain itu dengan cara bersama-sama dalam menyelesaikan pekerjaan dirumah.</em><em></em></p><strong><em></em></strong>


2020 ◽  
Vol 33 (1) ◽  
pp. e100120
Author(s):  
Kebebew Wogi Goben ◽  
Endalamaw Salelew Abegaz ◽  
Samuel Tolesa Abdi

BackgroundPatient satisfaction with mental healthcare service is recognised as an important integral part of measuring the outcomes and performance of clinical service delivery. It is not well studied in Ethiopia. Therefore, it is essential to improve service in the future.AimsTo assess patient satisfaction and associated factors among psychiatry outpatients at St. Paulo’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.MethodsAn institutional-based cross-sectional study was conducted with consecutive sampling technique from May to June 2018. Data were collected using a Client Satisfaction Questionnaire (CSQ-8). Both bivariate and multivariate ordinal logistic regression analyses were used. Variables with p value <0.05 at multivariate analysis were considered statistically significant.ResultsA total of 589 participants were enrolled with a response rate of 98.2%. In regard to the magnitude of patient satisfaction, 50.3% (95% CI 46.0 to 54.2) were highly satisfied, 31.0% (95% CI 27.2 to 34.8) were satisfied, and 18.7% (95% CI 15.4 to 22.1) were dissatisfied. Male sex (adjusted OR (AOR) 2.30, 95% CI 1.57 to 3.36), inability to read and write (AOR 2.23, 95% CI 1.10 to 4.66), being unemployed (AOR 1.69, 95% CI 1.15 to 2.47), obtaining services for free (AOR 1.57, 95% CI 1.11 to 2.22), and availability of medication (AOR 1.62, 95% CI 1.13 to 2.23) were significantly associated with patient satisfaction.ConclusionsThe study showed that further improvements in patient satisfaction are required. Male sex, inability to read and write, being unemployed, obtaining services free of charge, and availability of medication were significantly associated with patient satisfaction. More than half of the participants were dissatisfied with the waiting time to receive services. The provision of services within a reasonable timeframe and meeting patient expectations are helpful for good health outcomes.


2021 ◽  
Vol 4 (1) ◽  
pp. 29-37
Author(s):  
Sitti Marya Ulva ◽  
Sinar Jannah

The percentage of families in Lapulu Village that had healthy latrines was 64,84% who met the health requirements and 35,16% who did not meet the health requirements in 2019. This shows that the ownership of healthy latrines is still lower than the national achievement. This study aims to determine the factors associated with low ownership of healthy latrines in the coastal areas of Lapulu Village, Kendari City. The research design was observational, with a cross-sectional approach. The population in this study was 437 respondents, while the study sample was 209 respondents. The sampling technique used was proportional random sampling technique. The analysis were performed using the Chi-Square test. The results of statistical tests with chi-square obtained the value of land availability (p-value=0,000), knowledge (p-value=0,031), and income (p-value=0,000). It can be concluded that there is a relationship between land availability, knowledge, and income levels associated with low ownership of healthy latrines in the tidal area of ​​Lapulu Village, Kendari City. Therefore, it is hoped that the community and local government will establish this inter sector collaboration with related agencies to increase community ownership of healthy latrines.


2018 ◽  
Vol 7 (1) ◽  
pp. 28-33
Author(s):  
Dheska Arthyka Palifiana ◽  
Ratih Kumorojati

Background: To have rest or to sleep is basic need that needed by everyone.  To have enough rest or sleep will make body functioned optimally. By sleeping people can restore or to rest the physical after whole day activities, it can reduce stress and anxiety. It also improve concentration and improve ability when doing daily activities. Factors that affect quality and quantity of sleep include ill, fatigue, environment, lifestyle, emotional stress, diet, smoking, stimulant, alcohol, and motivation. The stress level on assisted citizen of woman’s prisoner will be more severe than who are not in prison so as stress can be overcome then the quality of sleep becomes better. Objective:To know the correlation between stress levels and sleep quality on assisted people in woman Penitentiary class II A Yogyakarta. Methods: The research was conducted at women's prison class II A Yogyakarta.  Research population was 117 women prisoners. The sample was 50 women prisoners. Type of the research was descriptive analytic research with cross sectional design. Statistical analysis used chi square. The sampling technique used purposive sampling. Results: The stress level was mostly in high category as many as 17 respondents experienced stress (34%). Sleep quality of the respondents were mostly in bad category as many as 38 respondents (76%). There is a correlation between stress level and sleep quality on women prisoners in Penitentiary class II A Yogyakarta with p-value (0.033). Conclusion: There is a correlation between stress level and sleep quality on women prisoners in Penitentiary class II A Yogyakarta.   Keywords:Stress level, sleep quality, assisted people, penitentiary


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