Window of Health : Jurnal Kesehatan

Use of Medication in Outpatient Hypertension Patients

2024-10-07T11:45:46+00:00

Hypertension is a major risk factor for cardiovascular disease, there are 1.13 billion people in the world suffering from hypertension. Hypertension should be given special consideration due to its impact on both the short and long term, one of which is by providing appropriate pharmacological therapy. The purpose of this study is to ascertain the pattern of medication use in hypertensive patients. The current study is a retrospective observational study that examines drug use patterns in hypertensive patients with or without associated disease. Using time-limited sampling techniques, the study sample is drawn from an electronic prescription of outpatient hypertension patients at Universitas Airlangga Surabaya Hospital (RSUA) in March 2021. According to the findings of this study, the most frequently prescribed antihypertensive medications were beta-blockers (29,66 %), ARB (27,51 %), CCB (26,17 %), aldosterone antagonists (6,72 %), loop diuretics (5,78 %), ACEi (3,98 %), and central α₂ agonists (3,98 %) (0,14 % ). Antihypertension medications are prescribed singly or in combination. In hypertensive patients with co-morbidities, drugs other than antihypertensives will be prescribed to treat the co-morbidities. The most frequently prescribed non-antihypertensive drugs are antihyperlipidemia statin (45,1 %), platelet antiagregation (19,1%), and antiangina (13,8 %). The study concludes that antihypertension medications are used alone or in combination with up to five other antihypertensive medications, with the most common combination being three drugs in 45% of patients. Suggestions for this study are that it should be accompanied by direct patient identification to minimize the incidence of drug interactions and drug side effects in patients.

Correlation Between Age with Cholesterol Levels, Random Blood Sugar (GDS) and Uric Acid

2024-10-07T11:46:00+00:00

Age is one of the important variables in the incidence of degenerative diseases such as heart disease, stroke, diabetes mellitus (DM), and kidney disorders. It is estimated that by 2030, there will be an increase in deaths due to degenerative diseases in the world, namely ischemic heart disease of around 7.2 million cases and stroke of around 5.5 million cases. This is a double burden in various countries, including Indonesia. This analytical observational study with a cross-sectional design aims to analyze the correlation between age factors and cholesterol levels, time blood sugar levels (TBS), and uric acid levels. The sample involved in this study was 24 people who were taken using the purposive sampling technique. Analysis of the data for the correlation test uses the Spearman test. The results showed that the increase in cholesterol levels (P value = 0.000 < = 0.05 with R = 0.703), TBS levels (P value= 0.454 > =0.05 with R=0.160), and uric acid levels (P value= 0.454 > =0.05 with R=0.235). It can be concluded that age positively correlates with cholesterol levels, meaning that the older a person is, the higher their cholesterol levels. Age does not correlate with GDS levels and uric acid levels. It is expected that the higher-age person must change his lifestyle to a healthy lifestyle to avoid various disease problems, especially degenerative diseases that are closely related to lifestyle.

Family Support for Coronary Heart Disease (CHD) Patients in Utilizing Health Information and Services

2024-10-07T11:46:18+00:00

The morbidity and mortality rate of Coronary Heart Disease (CHD) in Indonesia is increasing every year. The results of the 2019 Basic Health Research showed that 1.5% or 15 out of 1000 Indonesians suffer from CHD. The lack of health literacy of CHD patients and their families related to symptoms, risks, lifestyle, and treatment of CHD will further worsen the patient's condition. The purpose of this study was to analyze family support in coronary heart disease (CHD) patients in the use of information and health services. Qualitative research methods with a phenomenological approach and data collection techniques are used through in-depth interviews, observations, and documentation. There were eight research informants consisting of one doctor as a key informant, two supporting informants, and five ordinary informants with criteria for a patient's condition that was stable, communicative, and willing to be an informant. The results showed that the ability of patients to receive and manage information, called health literacy in CHD patients and their families, is still low because they lack the ability to receive and manage information from doctors and lack independent information search efforts. The conclusion of this study is that access to information, receipt, and management of information are very important to improve the health literacy of CHD and their families.

Time Series Modeling of Disease Occurrence Patterns with SARIMA (Seasonal AutoRegressive Integrated Moving Average)

2024-10-07T11:46:28+00:00

Disease is a human health problem. In overcoming existing health problems, predictive analysis is needed to help overcome them early and plan to prevent and control these diseases. This study aims to determine the prediction of disease time patterns in health data modeling at Argamakmur Hospital. By knowing existing disease patterns, information can be provided based on time series patterns. The prediction of this time series pattern uses time series analysis with a seasonal pattern, which takes all possible data for existing patterns to predict and analyze time series to obtain a predictive model. This study uses time series analysis to model seasonal autoregressive integrated moving averages. The results obtained are predictions for the next six months from the best model obtained, namely: data Typhoid Fever disease ARIMA (1.1,1) increased by 3.08%, data Gastroenteritis disease ARIMA(1,0,1) increased 0.51%, data Dyspepsia data ARIMA (0,1,2) increased by 0.55%, data Acute Anemia disease ARIMA(1,0,2) decreased by 0.4%, data bronchopneumonia disease ARIMA(1,0,1) decreased by 0.58%, data for acute diarrhea disease ARIMA(1,0,1) increased 0.2%, data for vertigo ARIMA(1,0,2) decreased 0.64%, data for stroke ARIMA(1,1,1) decreased 0.28%, data tumor ARIMA(1,0,1) decreased 1%, data on asthma ARIMA(1,0,1) decreased 0.21%, data DM disease ARIMA(1,0,1) decreased by 0.47%, and data Pulmonary TB disease ARIMA(1,0,1) decreased by 0.14%. Based on these results, it is suggested that the hospital be advised to increase awareness of Typhoid Fever, gastroenteritis, and Dyspepsia.

Elderly Participation in Non-Communicable Disease Posbindu Services in Rembang Regency

2024-10-07T11:46:43+00:00

Non-communicable diseases have increased from 39.8% in 1990 to 69.9% in 2017, and some are suffered by the elderly. The government guarantees the availability of elderly health services through posbindu, but the participation of the elderly in posbindu services has not met the 100% target. This study aimed to analyze what factors can affect the elderly in utilizing Posbindu PTM in Rembang Regency. The type of research used is quantitative research with a cross-sectional approach. The total population is 60,726 elderly in Rembang Regency. The sampling method is random sampling, and the sample size is determined using the Lemeshow formula; a number of 400 elderly people are obtained. The instrument was used as a questionnaire with the interview method. Data were analyzed using Chi-square and multiple logistic regression. The relationship test results showed a p-value <0.05 between the variables of health worker support, family support, perceived vulnerability, perceived severity, perceived benefits, and perceived obstacles to using Posbindu PTM. The results of this study obtained a lack of utilization of Posbindu PTM by 65.5%. The most influential factor in the multivariate analysis was perceived vulnerability p value = 0.0001, OR = 9.153, 95% CI = 4.595-18.230, while family support proved to have no significant effect (p-value = 0.259). The conclusion of this study is that the perceived vulnerability variable has the most influence on the utilization of Posbindu PTM. It is suggested that there should be efforts to increase the knowledge of the elderly so that the elderly have literacy about their illness so that they can increase the participation of the elderly in posbindu services

Effectiveness of Video as a Health Education Media for Adolescents' Attitudes Regarding Sexually Transmitted Infections (STIs) in Adolescents

2024-10-07T11:46:54+00:00

The increase in cases of sexually transmitted infections (STIs) has increased by more than one million cases worldwide every day. One of the vulnerable groups is that adolescents are the age group that is most at high risk of contracting sexually transmitted infections (STIs) because they are in a transition period characterized by high curiosity. So, at this age, it is always challenging to try new things without being accompanied by a good understanding and attitude about the actions taken. Therefore, health education from an early age is necessary in equipping adolescents with knowledge that impacts changing attitudes regarding Sexually Transmitted Infections (STIs). This study aims to analyze the influence of video media on adolescent attitudes about STIs at SMA Negeri 2 Takalar. This quantitative research method uses the quasi-experimental approach with a one-group pre-post test design. The population in this study was the student council of SMA Negeri 2 Takalar, which amounted to 22 students. The sampling technique in this study used a saturated sample; namely, the entire population became a sample in the study. Data collection techniques used were questionnaires distributed to respondents before and after treatment using video media. The data obtained were then analyzed using a paired sample t-test. The results showed that the value of the difference in the average value before and after health education using video was 9. 14 with a p-value = 0. 000 with a significance level of 0. 05. So it can be concluded that there is a significant influence of the use of video media on the attitudes of students with sexually transmitted infections. Therefore, the use of video media in conducting health education for students is highly recommended to create changes in adolescent attitudes regarding Sexually Transmitted Infections (STIs).

Artikel e-Health Method “Malaria and Pregnancy” Early Detection and Prevention of Malaria in Pregnancy

2024-10-07T11:47:08+00:00

Malaria is a tropical disease and a health problem in East Nusa Tenggara (NTT) Province. Malaria cases have decreased in the last ten years (2006-2015), namely 71 percent, but there are still cases of malaria that tend to increase in four districts on Sumba Island. Highly endemic districts are in Southwest Sumba, West Sumba, and East Sumba, with a total of 4.119 cases, 1443 and 4273 in November 2022. Most cases of malaria are in the age group of children, toddlers, and pregnant women. This group is very risky and harms the condition of pregnant women and their fetuses. The health promotion intervention the researchers provided was an e-health application, “Malaria and Pregnancy,” for early detection and prevention of malaria during pregnancy. This study aims to determine the effect of the e-health model in the prevention and early detection of malaria in pregnancy. This research method is quantitative with a quasi-experimental pre-post test design in two groups. The respondents in this study were determined using a systematic sampling approach with a sample of 100 pregnant women. The research location is in Southwest Sumba. This research went through the stages of ethical testing, instrument trials, data normality tests, descriptive tests, and different tests. The results of this study used the chi-square statistical test to show that respondents' knowledge and behavior about malaria detection and prevention using the eHealth Malaria and Pregnancy method differed from respondents who did not receive the intervention (p=0.001) and (p=0.00). The instruments of this study are useful as educational tools for pregnant women to avoid malaria. To optimize the application, further research, such as telemedicine and telehealth, is necessary

Husband Participation in Pregnant Women's Classes on Decision Making in P4K (Delivery Planning and Complication Prevention Program)

2024-10-07T11:47:32+00:00

The maternal mortality rate reaches 305 per 100.000 live births, where 76% of maternal deaths occur in the labor and postpartum phases. The high mortality of maternity mothers is caused by delays in family decisions in handling complications. Delays in getting help are caused by the patient's condition, which is already very severe until the place of referral due to the postponement of the family in making a decision to be referred immediately. The Childbirth Planning and Complication Prevention (P4K) program in the pregnant women's class is an activity facilitated by midwives in the village to increase the active role of husbands, families, and communities in planning safe childbirth and preparing for complications for pregnant women. The study aims to determine the effect of the husband's participation in the pregnant women's class on P4K clinical decision-making. This type of research is observational analytics. The study was carried out in the Working Area of the Soropia Health Center. The total sample was 46 husbands who had pregnant wives, consisting of 23 husbands who participated in the pregnant women's class and 23 husbands who did not participate in the pregnant women's class. The data were analyzed using a chi-square test with the SPSS application. This study shows that, on average, husbands who participate in the course of pregnant women making decisions are in the excellent category. The decision-making in question is preparing for childbirth and preventing complications. The chi-square test results show a value of p=0.000 <α. The husband's participation in the pregnant women's class influences P4K decision-making. Based on this, health workers need to socialize continuously with their husbands about the importance of attending classes for pregnant women so that they can provide knowledge about childbirth preparation and the prevention of complications.

The Effect of Inhalation of Kaffir Lime (Citrus Hystrix) and Boiled Ginger Water on the Frequency of Nausea and Vomiting (Emesis Gravidarum) in Pregnant Women

2024-10-07T11:47:55+00:00

Pregnant women who experience ongoing emesis of gravidarum can be dehydrated, which will interfere with their pregnancy. Through non-pharmacological measures, namely ginger drink or inhalation of kaffir lime, can reduce the frequency of nausea and vomiting in pregnant women. The design of this study used an experiment with two groups, Pretest-Posttest. The sample of this study was some pregnant women who were in the working area of the Macini Sawah Health Center Makassar city, as many as 30 people divided into two groups, with details of 15 people being given kaffir lime inhalation and 15 other people being given ginger decoction. The results showed that from 15 respondents before being given ginger water, 15 people experienced nausea and vomiting (100%), and after being given ginger water, two people experienced nausea and vomiting three times (13.3%), and two people had nausea and vomiting. 13 people (86.7%). The results showed that before giving kaffir lime therapy, the average frequency of nausea and vomiting was 4-5 times. The results of the statistical tests obtained p value = 0.017, and then there is an effect of giving boiled ginger water with the frequency of nausea and vomiting in pregnant women. Research shows that giving Inhaled Kaffir lime and ginger water decoction has an effect on nausea and vomiting in pregnant women. It is recommended that health workers be able to provide additional and motivate them to overcome nausea and vomiting by giving non-pharmacological drugs by inhalation.

The incidence of obesity in patients seeking treatment at Ibnu Sina Hospital

2024-10-07T11:47:58+00:00

Obesity is a condition of excess nutrition or being overweight that can interfere with health. Obesity is a multifactorial disease caused by several risk factors such as gender, genetic factors, food intake, physical activity, and socioeconomic, many diseases can be caused by obesity, such as type 2 diabetes mellitus, cardiovascular disease, and various other diseases, so that researchers are interested to conduct research related to the characteristics of the disease in obesity conditions treated at the Ibnu Sina Hospital Makassar in 2019. This study used a descriptive design with a cross-sectional using secondary data taken from the Ibnu Sina Hospital Makassar. Most patients are in the age range of 20- 60 years with a total of 32 people (71.1%), female sex with a total of 30 people (66.6%), Obesity Body Mass Index I with a total of 39 people (86.6%). , work as a housewife with a total of 18 people (40%), high school education level with a total of 17 people (37.7%), and type of diabetes mellitus type 2 with a total of 20 people (44.4%).