Journal of Public Health and Pharmacy

An Exploration of Determinants of Anemia in Pregnant Women at Buakayu Community Health Center Tana Toraja Regency

Erni Yetti R — 2024-03-08

Introduction: Anemia on pregnant women is a global health problem that has serious impacts on the mother and fetus. The objective of the study was to explore the determinants of anemia on pregnant women at Buakayu Community Health Center, Tana Toraja Regency.

Methods: The study used an observational study with a cross-sectional design. The sample was pregnant women who visited the Buakayu Community Health Center for antenatal examination using an accidental sampling technique for 11 days. The data was collected through structured interviews and laboratory examinations. Data analysis was carried out using descriptive statistical methods (univariate), bivariate, and regression analysis to determine the variables most related to independent variables and anemia in pregnant women.

Results: The results of the study showed that diet (p=0.001), dietary restrictions (p=0.005), consumption of Fe tablets (p=0.000), and provision of additional food (p=0.000) were related to anemia incidence on pregnant women.

Conclusion: It can be concluded that diet, dietary restrictions, consumption of Fe tablets, and provision of additional food are factors that contribute to anemia incidence on pregnant women at the Buakayu Community Health Center area. It is hoped that the implications of the study can be used as a basis for designing appropriate interventions in dealing with anemia on pregnant women at the Health Center level.

Determinants of the Incidence of Acute Respiratory Infections (ARIs) in Children Under Five at the Getengan Community Health Center, Tana Toraja Regency

Zadrak Tombeg — 2024-03-08

Introduction: Acute Respiratory Infections (ARIs) remain one of the main health problems among toddlers in Indonesia, including in Tana Toraja Regency. The objective of the study was to identify the determinants of the incidence of Acute Respiratory Infections (ARIs) on Toddlers at Getengan Health Center Tana Toraja Regency.

Methods: The study used a cross-sectional study research design. It was conducted in January 2024. The sample of the study consisted of mothers who had toddlers aged 1-5 years and visited the Getengan Health Center about 320 toddlers. The sampling technique was carried out by using purposive sampling. Data was collected through interviews using a previously validated questionnaire. Data analysis was carried out using univariate, bivariate, and multivariate analysis.

Results: The results of the study showed that maternal knowledge of Acute Respiratory Infections (ARIs), use of mosquito repellent, smoking habits in the family environment, and residential density were significant determinant factors related to the incidence of Acute Respiratory Infections (ARIs) on toddlers at Getengan Community Health Center, Tana Toraja Regency.

Conclusion: The implications of the study are the need to increase maternal knowledge of Acute Respiratory Infections (ARIs), reduce excessive use of mosquito repellent, and promote an environment free of cigarette smoke and air pollution to reduce the risk of Acute Respiratory Infections (ARI) on toddlers in the region

The Relationship Between Sleep Quality and Blood Pressure in Students

Muhammad Irwan — 2024-03-08

Introduction: Sleep is one of the physiological needs that has an impact on the quality and balance of life. The habit of poor sleep quality or a short amount of sleep is also associated with an increase in an individual's blood pressure. If someone's sleep duration is short, the sympathetic nervous system activity will increase, making the person vulnerable to stress, ultimately leading to an increase in blood pressure. Poor sleep quality and quantity not only causes physical discomfort, but also impairs individual memory and cognitive abilities. If this poor quality and quantity of sleep is left unattended for several years, more dangerous complications are likely to occur, such as heart attacks, strokes and psychological problems (such as depression or other mood disorders). The purpose of the study was to determine the relationship between sleep quality and blood pressure in final semester students of the Faculty of Health Sciences, Universitas Sulawesi Barat.

Methods: The study used a cross-sectional approach. The number of samples of 45 respondents was selected by simple random sampling technique

Results: The results of the chi-square test showed that there was no relationship between sleep quality and blood pressure (p>0.1).

Conclusion: there is no significant relationship between sleep quality and blood pressure in students of the Faculty of Health Sciences in the Final Semester of the Universitas Sulawesi Barat.

Factors Affecting Treatment Adherence Among Patients with Tuberculosis in Indonesia: Literature Review

Fahrul Islam — 2024-03-11

Introduction: Tuberculosis (TB) is the leading cause of death from infectious diseases in the world and Indonesia is the second largest contributor to TB cases after India. Treatment adherence problems are a major obstacle to TB elimination. The purpose of this Literature Review is to determine the factors that affect treatment adherence among TB patients in Indonesia.

Methods: Literature obtained from Science Direct, PubMed, and Google Scholar; published from 2018 – 2023, research from reputable international journals and from national journals at least with SINTA 3, located in Indonesia. Indonesian and English with full text of all types of research designs. Article selection was carried out using the method "Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) and analyzed using descriptive analysis techniques.

Results: A total of 225 articels were deemed appropriate for the topic, but only 15 articles were included based on inclusion criteria. It was found that there are several factors that affect treatment adherence in tuberculosis patients in Indonesia, namely: predisposing factors as many as 11 articles (age, education, occupation, knowledge, self-efficacy, concordance, health behavior, motivation, marital status, income level, drug side effects, already feeling cured, and duration of treatment). Reinforcing factors as many as 2 articles (family support). Enabling factors as many as 5 articles (the role of officers, reminder SMS messages from officers, health counseling, and distance of residence to health services).

Conclusion: The most dominant factor affecting treatment adherence among tuberculosis patients in Indonesia is the Predesposising factors, namely education and sefl-efficacy.

Study of Treatment in Heart Disease Patients Installation in Undata Hospital, Central Sulawesi

Niluh Puspita Dewi — 2024-03-11

Introduction: Heart diseasesis a disorder of heart functionsdue to lack of bloods in the heart muscles due to narrowingsof the coronary artery. The purposesof this study was to describe t he characteristics and use of heart disease drugs based on parameters of rationality of drug use in Undata Hospital, Central Sulawesi Province including gender, age, heart drug class, complementary drug class, length of hospitalization, laboratory data, comorbidities , appropriate indications, the right drugs and the right dose.

Methods: This researchsis a non-experimental type of research conducted prospectively during February-April 2022. The sampling technique in this study was purposive sampling, namely sampling based on established criteria. All samples that met the requirements who came to the hospital were used as research samples according to the required sample size of 40 respondents and based on the available data collection time.

Results: The results of the study were 40 patients with hearts disease, the most heart disease sufferers were male with a percentage of 67.5%, in the age range of 56-65 years 32.5%, the most commonly used companion drug was Alprazolam as much as 17%, the most length of hospitalization was 4-6 days (55%), the most laboratory results were Hemoglobin/HGB examination as many as 21 patients (14.38%), the most comorbidities namely Hypertension with a percentage of 60%

Conclusion: Appropriate use of heart disease drugs based on drug rational parameters in hospitals Undata of the right indication 100%, the right drug selection 100% and the right dose 100%. Recommendedsfor further researchersscan conduct research on cardiac drug interactions.

Influencing Factors and Prevalence of Anxiety in Medical Students: A Cross-Sectional Study

Huong Thi Nguyen — 2024-03-13

Introduction: While current research highlights student anxiety globally, limited data exists on the specific situation of Vietnamese medical students. This study addresses this gap by investigating the prevalence and contributing factors of anxiety within this population, aiming to gain a deeper understanding of their mental health experiences.

Methods: Utilizing a convenience sampling technique, 400 medical students from Ho Chi Minh City University of Medicine & Pharmacy were surveyed using the Zung Self-Rating Anxiety Scale and a custom questionnaire assessing factors contributing to anxiety. Data analysis included descriptive statistics, independent-samples t-tests, ANOVA, and Pearson's correlation.

Results: Findings revealed mild to moderate anxiety levels among medical students (M = 49.68 ± 11.54), with significant differences based on gender, academic year, and academic performance. Males (M = 51.27 ± 12.26) and senior students (M = 53.18 ± 12.50) reported higher anxiety levels. Key contributors to anxiety included financial concerns, major examinations, and discrepancies between perceived and desired academic performance. Notably, a strong positive correlation was found between academic performance discrepancies and anxiety levels (r = 0.888, p < 0.001).

Conclusion: The study highlights a potentially higher prevalence of anxiety among medical students than previously reported, emphasizing the need for targeted interventions. Understanding the multifaceted nature of anxiety and its contributing factors is crucial for fostering a supportive learning environment, ultimately nurturing well-equipped and resilient healthcare professionals.

Dental Service Quality and Patient Satisfaction: Insights From Anutapura General Hospital, Palu City

Sudirman Sudirman — 2024-03-15

Introduction: In line with Indonesia's healthcare development, this study investigates the impact of service quality dimensions on patient satisfaction in dental clinics at Anutapura General Hospital, Palu City. Emphasizing health as a fundamental human right, the research aligns with national objectives for comprehensive healthcare efforts.

Method: Employing quantitative methods, data from 97 patients was collected through convenience sampling, focusing on dimensions including physical evidence, reliability, responsiveness, assurance, and empathy.

Result: Analysis revealed significant correlations between these dimensions and patient satisfaction. Notably, patients perceiving good physical evidence and reliability reported higher satisfaction levels. However, responsiveness showed a positive trend without statistical significance. Assurance and empathy emerged as crucial determinants, significantly influencing patient satisfaction. These findings emphasize the importance of infrastructure investment, staff training, and patient-centered care approaches in enhancing service quality.

Conclussion: The study underscores the need for continuous quality improvement efforts to achieve better healthcare outcomes in dental care settings. Prioritizing patient perspectives, fostering trust and empathy in patient-provider relationships, and sustaining quality enhancement initiatives are vital for advancing healthcare quality and patient satisfaction in Indonesia's evolving healthcare landscape.

Antihyperlipidemic and Antiinflammatory Activity of Crude Oil Anguilla Marmorata [Q.] Gaimard in White Rats (Rattus Norvegicus)

Jamaluddin Jamaluddin — 2024-03-18

Fish oil has omega-3 and omega-6 fatty acids, which provide health benefits such as prevention of an increase in total cholesterol, triglycerides, and a decrease in blood HDL, as well as being anti-inflammatory agents in humans. The present study was conducted to determine the antihyperlipidemic and anti-inflammatory activities of eel fish (Anguilla marmorata [Q.] Gaimard) oil extracts on white rats (Rattus norvegicus). To test hyperlipidemia, 25 rats were divided into 5 groups and treated with; 1.5 % PEG 400 (negative control), 20 mg simvastatin (positive control), test doses of 18, 36, and 72 mg/kg. The treatments were carried out for 39 days. In investigating the anti-inflammatory activity, 25 white rats were divided into 5 groups; negative control, positive control, three-dose treatments of 22, 44, and 88 mg/200 g. Blood cholesterol levels were measured and percent inflammation was determined. The results showed that the eel oil extracts led to a decreased of total cholesterol levels 49.60 %, triglycerides 31.15 %, and HDL 14.3 %. The percentage of inflammation values ranged from 31.73 to 54.48 %. The findings indicated that the most effective doses for the antihyperlipidemic effect were 72 mg/ kg, while 22 mg/200 g for the anti-inflammatory activity.

The Role of Education in Preventing E-Smoking Behavior is to Increase Student Knowledge and Attitudes

Sri Sunarti — 2024-03-21

Introduction: Aim this reseach to determine the differences in levels of knowledge, Attitude about e-smoking prevention before and after education between ekperimental and the control group the Samarinda City Central Statistics Agency in 2017 (3). The number of teenage smokers in the city of Samarinda reached 29.69%. While there is a significant level of access to advertisements for cigarettes on television and the internet, 15.7% of people access the internet, and 41.5% of people access electronic cigarettes with their peers.

Methods: The experimental design of this study consisted of a two-group experimental design with a pre-test and a post-test plus a control, with the purpose of determining the impact of educational intervention through the use of web-based preventive education for mesuare diffrences knowled and attitude

Results: The Different Tests Within Experiment Group Of Knowledge, Attitudes From One Month After Intervention, knowledge P-Value 0.000, Attitudes P-Value 0,00. The Different Tests Within Control Group Of Knowledge, Attitudes From One Month After Intervention, Knowledge P-Value 0,97 and attitudes P-Value 0,135.

Conclusion: After the education was carried out, the results demonstrated that there were differences in the experimental group's knowledge and attitudes before and after the education was carried out. The control group did not exhibit any differences in knowledge or attitudes during either of the two measures that were conducted. It was found that there were variations in knowledge and attitudes between the experimental group and the control group after one month of post-education was delivered.

Community Behavior to Prevent Covid-19 and its Associated Factors in North Parigi District

I Kadek Wartana — 2024-03-25

Introduction: The Spread of Covid-19 can be prevented by implementing Covid-19 prevention behavior. This research aims to analyze factors related to covid-19 prevention behavior in the community.

Methods: This research was an observational analytical study with a cross sectional design approach in North Parigi District from July until December 2022. Variables in this study include age, gender, occupation, income, education, health insurance, history of covid-19 infection, history of covid-19 vaccination and behavior to prevent covid-19. Sample in this study was 120 people taken by simple random sampling. Data were collected using a questionnaire and analyzed using univariate and bivariate analysis utilizing the Chi Square test. Ethical approval was obtained from Health Polytechnis of Palu, Ministry of Health Indonesia, Number: 0089/KEPK-KPK/VI/2022.

Results: The results of this study demonstrated that there was a relationship between age (p=0.000), occupation (p=0.001), history of covid-19 infection and behavior to prevent covid-19.

Conclusion: This study concludes that there was a significant relationship between age, occupation, history of covid-19 infection and behavior to prevent covid-19. therefore, the community and health workers can work together, support each other, and follow the guidelines to create a saver and healthier environment from covid-19 for all.