Background: Probiotics have numerous health benefits to the digestive system, one of them being clinically able to prevent and treat diarrhea. The growing scientific evidence of probiotic benefits has led to increased production of probiotic products. Health science students, as future healthcare professionals (HCPs), should have more knowledge about probiotics to be able to give the right recommendation to their future patients and the larger community. This study aims to assess the knowledge, attitude, and practice towards probiotics of health science students in Universitas Padjadjaran, Indonesia. Methods: A cross-sectional study was conducted on 87 students from Medical Studies, Midwifery, Pharmacy, and Nursing majors in 2020. Proportional cluster random sampling was used to select the study subjects, and an online survey was used to collect the data. Final data were exported to statistics software for analysis. Scores of each variable were categorized. Kruskal-Wallis test was used to analyze the statistical differences among the four groups. Spearman's rank correlation coefficient was used to analyze the relationship between knowledge, attitude, and practice variables. Results: Of all respondents, 80% had adequate knowledge. More than half (52.9%) had a positive attitude, and most (62.1%) had a positive practice. There were significant correlations between knowledge-attitude and attitude-practice variables. Most respondents gained information on probiotics from the Internet (26%) and their lecturer (24%). P-value from Kruskal-Wallis test for knowledge, attitude, and practice are 0.466, 0.801, and 0.324, respectively. Conclusion: Most respondents had an adequate level of knowledge, a positive attitude, and a positive practice towards probiotics. Incorporating scientific evidence regarding probiotics from various studies into all health science majors' academic curricula and media may help equip the students with a better understanding of probiotics, therefore improving probiotics usage to prevent and treat digestive system diseases in the future.
Objective In Indonesia, palliative care has not been uniformly implemented at all levels of healthcare facilities. Healthcare personnel play an important role in providing that care. This study aimed to explore the current conditions and expectations regarding palliative care from the perspective of healthcare personnel. Results A qualitative study was conducted with 12 physicians and five nurses from December 2017 to June 2018. In-depth interviews of these professionals were conducted. The responses were subjected to inductive thematic analysis, generating five themes and 24 subthemes. The themes were (1) family and environment, including barriers and contributions to palliative care; (2) numbers and competence of healthcare providers; (3) accessibility of palliative care; (4) case management of patient’s and family’s problems by healthcare personnel; and (5) barriers or enabling factors from the healthcare system. Patients, family members, and healthcare personnel contribute to case management. Attention must be paid to improving access and the healthcare system for thorough implementation of palliative care.
ObjectivePrivate practitioner’s (PPs) collaboration for detection, diagnosis and treatment of tuberculosis (TB) is recommended by the World Health Organization and encouraged by the Indonesian National TB control programme. TB case management by PPs, however, are mostly not in line with current guidelines. Therefore, we developed an intervention package for PPs comprising of TB training, implementation of a mobile phone application for notification of TB cases and a 6-month regular follow-up with PPs. This study aimed to evaluate the feasibility of the intervention package to increase TB case detection and notification rates among PPs in five community health centre areas in Bandung City, Indonesia.ResultsA total of 87 PPs were registered within the study area of whom 17 attended the training and 12 had the mobile phone application successfully installed. The remaining five PPs had phones that did not support the application. During the follow-up period, five PPs registered patients with TB symptoms and cases into the application. A total of 36 patients with TB symptoms were identified and 17 were confirmed TB positive.
Saat ini belum ada kuesioner skrining kekerasan terhadap anak (KtA) di Indonesia. Upaya deteksi dini dapat menurunkan kejadian KtA. Tujuan penelitian ini untuk mendapatkan alat skrining kekerasan terhadap anak dengan cara modifikasi dari kuesioner yang telah banyak digunakan di Negara lain, yaitu the International Society for Prevention of Child Abuse and Neglect (ISPCAN)-Child Abuse Screening Tool (ICAST)-for Children (ICAST-C). Rancangan deskriptif dilakukan untuk menilai validitas dan reliabilitas instrumen. Pertama dilakukan lima tahapan translasi dan adaptasi lintas budaya terhadap instrumen hingga didapatkan kuesioner ICAST-C versi Bahasa Indonesia. Kedua dilakukan uji coba terhadap 45 anak usia 11–18 tahun yang bersekolah di SMP dan SMA Kota Bandung. Uji korelasi Rank-Spearman dan Kuder-Richardson digunakan masing-masing untuk mengukur validitas item dan reliabilitas. Validitas item kuesioner ICAST-C versi Bahasa Indonesia sebagian besar dinilai valid kecuali pada sembilan item (Rs ≤0,3). Reliabilitas keseluruhan variabel ICAST versi Bahasa Indonesia adalah KR 0,919. Kuesioner ICAST-C versi Bahasa Indonesia mempunyai validitas item dan reliabilitas yang baik sebagai alat skrining kekerasan terhadap anakKata kunci: ICAST-C, kekerasan terhadap anak, kuesioner skrining AbstractNowadays there is still no screening tool for violence against child in Indonesia, Early detection may decrease child abuse prevalence The objective study was to obtain a screening tool for child abuse by modifying the questionnaires that have been widely used in other countries, specifically the International Society for Prevention of Child Abuse and Neglect (ISPCAN) -Child Abuse Screening Tool (ICAST) -for Children (ICAST-C). This descriptive study was begun with 5 phase of translation and adaptation across cultural of ICAST-C to establish Bahasa version. The item validity and reliability were measured by correlation Rank Spearman and Kuder-Richardson, respectively The items of ICAST-C Indonesian version were valid except on 9 items (Rs ≤0,3). The reliability of the ICAST-C Indonesian version was KR 0.919. The Indonesian versionquestionnaire of ICAST-C had a good item validity and reliability as a screening tool for child abuse.Keywords: ICAST-C, child abuse, questionnaire, screening
Lingkungan merupakan determinan kesehatan yang dapat memengaruhi kesehatan masyarakat selain faktor perilaku, pelayanan kesehatan dan genetik serta kependudukan. Pada saat terjadi perubahan lingkungan termasuk perubahan iklim global yang menjadi isu sangat penting. Perubahan iklim tersebut dipicu oleh terjadinya pemanasan global (global warming) dan efek rumah kaca (greenhouse effect). Perubahan iklim yang terjadi dapat berupa peningkatan suhu, kelembaban, peningkatan curah hujan yang menjadi faktor risiko terhadap derajat kesehatan masyarakat karena timbulnya penyakit menular yang ditularkan melalui udara, air dan vektor. Penyakit Demam Berdarah merupakan penyakit menular yang ditularkan melalui perantara vektor nyamuk dan erat kaitannya dengan perubahan iklim. Tempat perindukan nyamuk ini sangat dipengaruhi oleh ketinggian tempat (altitude), kemiringan lereng (slope) dan penggunaan lahan (land use), sedangkan unsur cuaca memengaruhi metabolisme, pertumbuhan, perkembangan dan populasi nyamuk tersebut. Curah hujan dengan penyinaran yang relatif panjang turut memengaruhi habitat perindukan nyamuk. Tujuan penelitian ini adalah mengumpulkan informasi awal untuk mengukur keterkaitan perubahan iklim khususnya perubahan curah hujan dengan terjadinya demam berdarah di Jawa Barat. Metode yang digunakan untuk analisis kerentanan masalah kesehatan yang disebabkan oleh perubahan iklim ini (curah hujan) yang merupakan faktor determinan kesehatan yang berpengaruh terhadap kejadian penyakit tular vektor (demam berdarah). Data yang didapat dianalisis berdasarkan teori derajat kesehatan masyarakat (Henrik L Blum) yang menyatakan bahwa lingkungan, dalam hal ini adalah perubahan suhu, curah hujan, kelembaban akan memengaruhi kejadian penyakit yang ditularkan oleh vektor seperti demam berdarah. Dari data awal yang dikumpulkan dapat dikatakan bahwa Curah hujan merupakan faktor yang paling berpengaruh terhadap kejadian DBD, di mana curah hujan mempunyai nilai prediksi yang berhubungan dengan terjadinya demam berdarah. Walaupun demikian, terdapat perbedaan waktu (time lag) antara peningkatan curah hujan dan peningkatan kasus. Perubahan iklim berpengaruh terhadap kerentanan kesehatan, sehingga perubahan iklim ini harus dihadapi. Oleh karena itu, melindungi diri dari perubahan iklim dibagi atas upaya mitigasi (minimalisasi penyebab dan dampak) dan adaptasi (menanggulangi risiko kesehatan). Early warning system terhadap kejadian luar biasa DBD harus dilaksanakan di setiap daerah dengan memperhatikan kecenderungan perubahan faktor iklim. Selain itu diperlukan perbaikan lingkungan yang harus disertai dengan perubahan faktor lain seperti perilaku dan pelayanan kesehatan.Kata kunci: Curah Hujan, Demam Berdarah, Perubahan Iklim, Penyakit Tular, Vektor
Fungsi keluarga merupakan salah satu faktor penting dalam mendukung peningkatan kualitas hidup pasien penyakit kronis. Memiliki kualitas hidup yang baik akan mengurangi risiko terjadinya komplikasi yang dapat memperburuk keadaan. Penelitian ini untuk mengetahui hubungan fungsi keluarga dengan kualitas hidup pasien penyakit kronis degeneratif yang tergabung dalam komunitas Program Pengelolaan Penyakit Kronis Badan Penyelenggara Jaminan Sosial Kesehatan atau Prolanis BPJS Kesehatan di Fasilitas Kesehatan Tingkat Pertama. Penelitian deskriptif analitik dengan pendekatan potong lintang ini dilakukan pada bulan Januari hingga Februari 2017 dengan menggunakan kuesioner dari WHO Quality of Life - BREF (WHOQOL-BREF) dan APGAR Keluarga. Teknik pengambilan sampel adalah total sampling sebanyak 128 peserta Prolanis di Klinik Pratama Mitra Sehati yang kontrol rutin dalam 3 bulan terakhir. Pada penilaian APGAR keluarga didapatkan 52,3% peserta memiliki keluarga disfungsional sedang dan 43,8% sangat fungsional. Hasil penelitian menunjukkan terdapat hubungan bermakna antara fungsi keluarga dengan kualitas hidup peserta Prolanis (p value=0,014) sedangkan pengaruh fungsi keluarga terhadap kualitas hidup peserta Prolanis sebesar 8,8% (R2=0,088). Hal ini menjadi salah satu aspek penting bagi dokter di layanan primer agar lebih melibatkan peran fungsi keluarga dalam mengelola pasien penyakit kronis.Kata kunci: fungsi keluarga, kualitas hidup, pasien penyakit kronis degeneratif
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