Prevalence of Obesity and Overweight Stratified by Age Group of the 34 Provinces in Indonesia: Local Empirical Bayesian Estimation

Background: Indonesia is one of the countries most affected by a high prevalence of obesity and overweight among other lower-middle-income countries. Most studies, however, are not concerned with the geographical dependence of the obesity and prevalence of overweight. The purpose of this study was to describe the prevalence of obesity and overweight stratified by age group among 34 provinces in Indonesia. Methods: This study used data from the Report on Basic Health Research 2018 of the Indonesian Ministry of Health. We calculated data to find the estimated prevalence of obesity and overweight in each age group across 34 provinces (n=427,675) by using the local empirical Bayesian estimation. The mapping was used to show the phenomenon of obesity and overweight in different age groups and areas. Results: In each group, the overweight prevalence was much higher than the obesity prevalence. Age group 18+ had the highest prevalence of obesity and overweight (obesity: 10.4–30.1%, overweight: 19.2–46.3%) followed by the age group of 5–12 years (obesity: 2.4–15.0%, overweight: 6.1–30.3%). The province with the highest prevalence of obesity among the age group of 5–12 years was Papua province and for the 18+ age group it was North Sulawesi province. The province with the largest number of obesity and overweight was West Java province for each group. Conclusion: Prevalence of obesity and overweight differed by age group and by 34 provinces.

Relationship between Patients Satisfaction of BPJS Health Program toward their Loyalty by Using Health Services at The Marjan Bawah of RSU dr. Slamet Garut

Background: Patient satisfaction is a factor that supports loyalty. Likewise with patients of the BPJS Health Program. The health workers at the Lower Marjan Ward of dr. Slamet Garut Regional Public Hospital need to improve its health services, in order to grow its loyalty to subscribe by using the care facilities at dr. Slamet Garut Regional Public Hospital. Objective: This study aims to determine the relationship between the level of patient satisfaction about the BPJS health program service with their loyalty. Methods: The study used Cross Sectional Study design, the study was conducted on 50 patients as a sample who taked accidently. The study was conducted with apply the Chi square test. Results: The results were analyzed and it was found that there are only 2 satisfaction factors that have a significant relationship with loyalty, that was the Reliability Factor with a pValue of 0.014 and an Odd Ratio of 0.930, accompanied by the Assurance Factor with a pValue of 0.009 and an Odd Ratio of 1.061. While other factors are not significant, namely the Responsiveness Factor with a pValue of 0.087 and an Odd Ratio of 0.833, Empathy factor with a pValue of 1.172 an Odd Ratio of 0.909 accompanied Tangible factor with a pValue of 0.231 and an Odd Ratio of 1.333.Conclussion: Conclussion of the study show that patient loyalty will appear when the level of patient satisfaction is high, therefore satisfaction factors must be increased by health worker as a service provider.

Determinant of Anxiety Levels among Pregnant Women during Covid-19 Pandemic

Background: In Indonesia, there are 107,000 pregnant women who experience anxiety in facing labor. Based on a preliminary study conducted on 10 respondents, 7 of them said they felt anxious about getting pregnant during the Covid-19 pandemic because they were afraid of being exposed to the Covid-19 virus and it could endanger pregnant women. Objective: To determine the factors related to anxiety of pregnant women during the Covid-19 pandemic in the Banjar Pandeglang Health Center work area in 2021 Methodology: The study used cross sectional design. The population in this study was 112 pregnant women in January in the Banjar Health Center working area. The sample used in this study was a total population with an accidental sampling technique, 112 pregnant women in January at the working area of ​​the Banjar Health Center with the inclusion and exclusion criteria. Results: There was a significant relationship between knowledge p-value ( .004), family support ( .000) and health facilities ( .003) with the level of anxiety of pregnant women during the Covid-19 pandemic in the Banjar Pandeglang Health Center work area. Conclusions and Recommendations: There was no relationship between health information and the level of anxiety of pregnant women during the Covid-19 pandemic. It is hoped that pregnant women can pay more attention to their condition both physically and psychologically and ask their husbands or families to always provide support, participate in maintaining pregnancy and in preparing for childbirth and still comply with health protocols to avoid the Covid-19 virus. Keywords: anxiety; knowledge; family support; health facilities; health information; pregnant women

Perceived Stress among Health Care Workers of an Emerging Infectious Covid-19 Outbreak in Indonesia

Background: During the pandemic of Covid-19 in the world, frontline health care workers have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). It has an impact on mental health of health care workers. This study aimed to investigate the perceived stress among health care workers who work in health care facilities during the COVID-19 outbreak in Indonesia. Material and methods: A cross sectional study designed was applied in this study. The participants were midwives, nurses, pharmacists, pharmacist assistants, physicians, medical record staff, dental nurse, nutritionists and sanitarian. Demographic questionnaire was delivered to assess age, gender, marital status, job, work place and work place province. Personal protective equipment was added to the questionnaire. A perceived stress scale was used to assess perceived stress. Results: Study questionnaires were completed by 196 respondents. The results showed that almost participants had a moderate stress (73%). Most of the subjects were in the age group of 20-30 years old (43.9%). Majority of the participants were female (89.8%). Most of the participants were married (71.4%). In 58.2% of participants’ job was midwife and in 25.5% of the participants’ job was nurse. 50% of the participants worked in Health Centre and 20.9% of the participants worked in referral Covid-19 Hospital. In 26 % of participants work place Province was West Java, 17.9 % of participants work place Province was Banten and 16.3 % of participants work place Province was South Sulawesi. There was a significant difference of participants’ perceived stress in the group of workplace (p = -.023). Conclusion: The COVID-19 outbreak in Indonesia resulted in increased stress for health care workers in Indonesia. Indonesia governments should improve interventions for preventing the spread of epidemics, promote disease treatment methods, and also offer psychological support especially for health care workers. Keyword: health care worker, covid-19, perceived stress, nurses, outbreak.

Perceived Stress among Health Care Workers of an Emerging Infectious Covid-19 Outbreak in Indonesia

Background: During the pandemic of Covid-19 in the world, frontline health care workers have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). It has an impact on mental health of health care workers. This study aimed to investigate the perceived stress among health care workers who work in health care facilities during the COVID-19 outbreak in Indonesia. Material and methods: A cross sectional study designed was applied in this study. The participants were midwives, nurses, pharmacists, pharmacist assistants, physicians, medical record staff, dental nurse, nutritionists and sanitarian. Demographic questionnaire was delivered to assess age, gender, marital status, job, work place and work place province. Personal protective equipment was added to the questionnaire. A perceived stress scale was used to assess perceived stress. Results: Study questionnaires were completed by 196 respondents. The results showed that almost participants had a moderate stress (73%). Most of the subjects were in the age group of 20-30 years old (43.9%). Majority of the participants were female (89.8%). Most of the participants were married (71.4%). In 58.2% of participants’ job was midwife and in 25.5% of the participants’ job was nurse. 50% of the participants worked in Health Centre and 20.9% of the participants worked in referral Covid-19 Hospital. In 26 % of participants work place Province was West Java, 17.9 % of participants work place Province was Banten and 16.3 % of participants work place Province was South Sulawesi. There was a significant difference of participants’ perceived stress in the group of workplace (p = -.023). Conclusion: The COVID-19 outbreak in Indonesia resulted in increased stress for health care workers in Indonesia. Indonesia governments should improve interventions for preventing the spread of epidemics, promote disease treatment methods, and also offer psychological support especially for health care workers. Keyword: health care worker, covid-19, perceived stress, nurses, outbreak.

Factors Associated with Fruit and Vegetables Consumption Behavior Among Adolescents Based on The Health Promotion Model

Background:The low consumption of fruits and vegetables is one of the risk factors for death in the world. Indonesia is a country that is rich in fruits and vegetables but has a low consumption level. The lowest age group in consuming fruit and vegetables is adolescents.Purpose:The purpose of this study was to determine the factors that influence fruit and vegetable consumption behavior in adolescents based on the Health Promotion Model Nola J. Pender.Methodology: This study used a descriptive-analyticcross-sectional study design involving 249 adolescents. The data was collected using a questionnaire to measure the factors that influence fruit and vegetable consumption behavior and food frequency questionnaire. The questionnaires were distributed online via social media for two weeks. Data were analyzed using linear regression.Result:Factors that influence fruit and vegetable consumption behavior in adolescents are resistance to action (p = 0.05), self-efficacy (p <0.001), parental interpersonal influence (p <0.001), and peer influence (p = 0.05). Ethnic factors, knowledge of benefits, and the environment do not have a significant effect on fruit and vegetable consumption behavior among adolescents. There are still 93.4% other factors that also influence fruit and vegetable consumption behavior in adolescents.To promote healthy consumption behavior of fruit and vegetable in adolescents we should increase the self-efficacy of adolescents, involved parents and peer groups as a role model for healthy behavior.

Factors Associated with Fruit and Vegetables Consumption Behavior Among Adolescents Based on The Health Promotion Model

Background:The low consumption of fruits and vegetables is one of the risk factors for death in the world. Indonesia is a country that is rich in fruits and vegetables but has a low consumption level. The lowest age group in consuming fruit and vegetables is adolescents.Purpose:The purpose of this study was to determine the factors that influence fruit and vegetable consumption behavior in adolescents based on the Health Promotion Model Nola J. Pender.Methodology: This study used a descriptive-analyticcross-sectional study design involving 249 adolescents. The data was collected using a questionnaire to measure the factors that influence fruit and vegetable consumption behavior and food frequency questionnaire. The questionnaires were distributed online via social media for two weeks. Data were analyzed using linear regression.Result:Factors that influence fruit and vegetable consumption behavior in adolescents are resistance to action (p = 0.05), self-efficacy (p <0.001), parental interpersonal influence (p <0.001), and peer influence (p = 0.05). Ethnic factors, knowledge of benefits, and the environment do not have a significant effect on fruit and vegetable consumption behavior among adolescents. There are still 93.4% other factors that also influence fruit and vegetable consumption behavior in adolescents.To promote healthy consumption behavior of fruit and vegetable in adolescents we should increase the self-efficacy of adolescents, involved parents and peer groups as a role model for healthy behavior.

Perceived Stress among Health Care Workers of an Emerging Infectious Covid-19 Outbreak in Indonesia

Background: During the pandemic of Covid-19 in the world, frontline health care workers have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). It has an impact on mental health of health care workers. This study aimed to investigate the perceived stress among health care workers who work in health care facilities during the COVID-19 outbreak in Indonesia. Material and methods: A cross sectional study designed was applied in this study. The participants were midwives, nurses, pharmacists, pharmacist assistants, physicians, medical record staff, dental nurse, nutritionists and sanitarian. Demographic questionnaire was delivered to assess age, gender, marital status, job, work place and work place province. Personal protective equipment was added to the questionnaire. A perceived stress scale was used to assess perceived stress. Results: Study questionnaires were completed by 196 respondents. The results showed that almost participants had a moderate stress (73%). Most of the subjects were in the age group of 20-30 years old (43.9%). Majority of the participants were female (89.8%). Most of the participants were married (71.4%). In 58.2% of participants’ job was midwife and in 25.5% of the participants’ job was nurse. 50% of the participants worked in Health Centre and 20.9% of the participants worked in referral Covid-19 Hospital. In 26 % of participants work place Province was West Java, 17.9 % of participants work place Province was Banten and 16.3 % of participants work place Province was South Sulawesi. There was a significant difference of participants’ perceived stress in the group of workplace (p = -.023). Conclusion: The COVID-19 outbreak in Indonesia resulted in increased stress for health care workers in Indonesia. Indonesia governments should improve interventions for preventing the spread of epidemics, promote disease treatment methods, and also offer psychological support especially for health care workers. Keyword: health care worker, covid-19, perceived stress, nurses, outbreak.

The Relationship of Old Installed Infusion with Phlebitis Occurrence

Background: Intravenous therapy is a procedure in hospital services given to inpatients, giving intravena therapy can cause complications, one of them is phlebitis. Phlebitis is an inflammation of the venous blood vessels characterized by pain, redness, swelling, and even cuts in the stabbing area. Factors that affect the occurrence of phlebitis include the type of intravenous fluids used. Purpose: The purpose of this study was to determine the relationship of long-attached infusion with phlebitis occurrence. Methodology: The method in this research is analytic survey by using cross sectional approach that observation only done once according to time determined by researcher by looking at the relation between dependent variable and independent. Population in this research is all hospitalized patient which infused. Sampling in this study using proportional random sampling technique that 55 patients. Findings: The result of the study showed that the duration of infusion was mostly categorized > 3 days as many as 32 people (58,2%) and phlebitis incidence mostly categorized phlebitis that was 31 people (56,4%). Based on the result of the data analysis above, it can be concluded that there is a significant relationship between the duration of infusion and the incidance of phlebitis because the value α> ρ value (0,05> 0,001) and χ2 count> χ2 table (15,018> 3,841). Research Limitation: Futher research can be developed by carrying out more specific studies regarding the long association with the incidence of infusion and phlebitis. Originality: The diferent from previous research, name, in the research method, research instrument, time, and the title is taken.

Cancer Information Satisfaction among Indonesian Cancer Survivors

Information for cancer patients is significant to overcome a cancer diagnosis and its treatment, affecting patients' quality of life. This study aimed to assess the level of satisfaction with the information on illness treatment among Indonesian cancer survivors, explore its association with the patients' demographic and health-related characteristics, and provide recommendations and improve the information. Sixty adult cancer survivors at the oncology unit of Panembahan Senopati Bantul Hospital of Yogyakarta, Indonesia, were recruited in a cross-sectional study design completing a demographic and health-related data form and the Satisfaction with Cancer Information Profile Questionnaire. The data were then analyzed using descriptive statistics and path analysis. Most patients were dissatisfied with the amount and content of cancer information provided by health care ranging from 12-67%, particularly on the information regarding managing unwanted-side effects of the treatment and the impact of their cancer treatment on long-term quality of life. The patients were also discontented with the detail of information, the timing, and the usefulness of information to others. Demographic and health-related characteristics directly influence the patients' satisfaction of information (β= 0.461, p = 0.045). Patients who were divorced, not living with their spouses, and diagnosed with cancer for a longer time (more than two years) were the significant contributors to directly influencing their satisfaction. Nurses need to enhance the detail of information, find the best time to provide and design a better way to deliver cancer patients' information.