Malaria is one of the global health problems that is faced by many countries, including Indonesia. This study aimed to examine the association between demographic and attitude factors with malaria prevention in the rural areas of Purworejo District, Indonesia. A community survey was conducted in Purworejo District that involved 147 respondents by using simple random sampling to select the respondents. A questionnaire interview was used to collect data about demographic factors, attitudes, and malaria prevention practices. A Chi-square test was performed to examine the association between demographic and attitude factors with the practice of malaria prevention in the community. Among 147 respondents, 80 (54.4%) respondents conducted malaria prevention practice using bed mosquito net in their own houses. Demographic factors such as education level (p<0.001), occupation (p=0.016), and attitude factor (p=0.006) were significantly associated with the use of bed mosquito net for malaria prevention practice. Meanwhile, 63 (42.9%) respondents used ventilation mosquito net for malaria prevention practice. Demographic factors such as education level (p<0.001), age groups (p=0.005), occupation (p=0.002), and attitude factor (p=0.001) were associated significantly with the use of ventilation mosquito net for malaria prevention practice. Overall, malaria prevention by using both bed and ventilation mosquito nets were very low percentages. Keywords : Malaria, prevention practice, mosquito net, IndonesiaCorrespondence : farindira.vesti@gmail.com
Introduction Integrated and patient-focused healthcare is urgently needed, and there is an important role for case managers in implementing them. However, the understanding of healthcare providers, especially nurse anesthetists, about the role of case managers is still varied and is often considered only as a complement to hospital accreditation. This study aimed to determine the factors that influence the nurse anesthetist’s perception of the role of the case manager. Methods This cross-sectional study involved 369 nurse anesthetists who were selected using cluster sampling. Data collection was done using Google Forms. Furthermore, the data were analyzed using multiple logistic regression to identify the factors that influence the nurse anesthetists’ perception of the role of the case manager. Results From a total of 369 respondents, most (60%) have a positive perception of case managers. Marital status (AOR = 2.3; 95% CI: 1.27–4.15) and knowledge (AOR = 3.2; 95% CI: 2.03–5.07) were significant predictors of the nurse anesthetist’s perception of the role of the case manager. Discussion Even though the majority of nurse anesthetists have positive perceptions, socialization to increase knowledge about case managers is needed to reduce misperceptions about the role of case managers.
The Covid-19 pandemic has had a wide impact on all areas of life, especially health. One of the serious impacts that need to be addressed is the utilization of health services among people with a history of co-morbidities, the most common of which is hypertension. The purpose of this study was to determine the factors associated with the utilization of health services among patients with hypertension during the Covid-19 pandemic in West Lombok Regency, Indonesia. This study used a cross-sectional study design involving 435 hypertensive patients, selected using cluster sampling. The research instrument was a questionnaire, and the data was analyzed using univariate (frequency and proportion), bivariate (Chi-square and Fisher’s exact test), and multivariate analysis (multiple logistic regression). The majority of respondents (72.4%) utilized health services, and from the results of the multivariate analysis, the significant factors associated with the utilization were health status (Adj.OR: 0.25; p<0.001); availability (Adj.OR: 6.79; p<0.001); and acceptability (Adj.OR: 0.06; p<0.001). Improving the utilization of health services among patients with hypertension is necessary, as is expanding access to hypertension health services through strengthening health centers, mobile health center services, community integrated services for non-communicable diseases, and home visits.
Covid-19 has been declared a global pandemic Anxiety is a problem that often arises in patients treated at healthcare centers or hospitals. The purpose of this study was to determine the factors related to anxiety in facing societal stigma in Covid-19 patients in the Covid-19 Isolation Room of RSD Mangusada. This research method is a quantitative study with a cross-sectional design conducted in the Covid-19 Isolation Room of RSD Mangusada in March-May 2021. The sampling technique was determined using consecutive sampling with a sample of 256 respondents. The Ordinary Logistic Regression test was used to determine the relationship between the dependent variable and the independent variable and to determine the most influential variable. The results showed that the age variable was the most influential on anxiety with a p-value of 0.049, OR=2.25, which means respondents aged 17-25 years can increase the risk of anxiety by 2.25 times compared to respondents who are adults and the elderly. Age, comorbid status, coping responses, disease-related information, and family support are factors related to patient anxiety in dealing with community stigma in Covid-19 patients at Mangusada Hospital. The involvement of all parties is absolutely necessary for dealing with the Covid-19 pandemic.
Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthcare providers due to the coronavirus disease 2019 (COVID-19), thus impacted on anxiety. This study aimed to determine predictors of anxiety among healthcare providers toward the Delta variant of COVID-19 in Indonesia. A cross-sectional study was conducted with 371 healthcare providers in Java and Bali Islands, and the snowball sampling technique was used. Data were collected using a questionnaire and distributed through social media (WhatsApp), then analyzed using univariate analysis, bivariate analysis (Chisquare test), and multivariate analysis (multiple logistic regression). The results showed that 81 (21.8%) respondents experienced anxiety. The workplace (AOR: = 0.617; p-value = 0.011), a history of confirmed positive for COVID-19 (AOR = 2.965; p-value<0.001), and the respondent's comorbidities (AOR = 8.753; p-value<0.001) were significantly associated with anxiety toward the delta variant. Healthcare managers must regularly evaluate the psychological condition of their subordinates during the COVID-19 pandemic so that anxiety can be detected and overcome early through constructive self adaptation and positive coping mechanisms.
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