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23,446 Article Results

Structural equation modeling: exploring relationships of body mass index, waist circumference, and hypertension in elderly

10.11591/ijphs.v13i4.24415
Wahyu Tri Sudaryanto , Isnaini Herawati , Wahyuni Wahyuni , Ika Yuli Ayuningrum , Bhisma Murti , Rizki Setiawan , Nuristiqomah Dwi Putri
Waist circumference (WC) measurements in the elderly are uncommon and erratic. Furthermore, its correlation to hypertension has received less attention in Indonesia. This study attempted to investigate direct and indirect risk factors for high blood pressure in the elderly using structural equation modeling (SEM). A cross-sectional study was conducted in Surakarta, Central Java, Indonesia. The 297 elderly aged ≥60 is eager to take part. The path model of factors associated with blood pressure was analyzed using Stata 13. Male (b=-0.43; 95% CI=-5.67 to 4.81; p=0.872), age (b=0.52; 95% CI=0.12 to 0.93; p=0.012), and WC (b=0.35; 95% CI=0.17 to 0.53; p<0.001) directly affected systolic blood pressure (SBP). Male (b=1.83; 95% CI=-1.17 to 4.82; p=0.231), age (b=-0.03; 95% CI=-0.26 to 0.20; p=0.790), BMI (b=0.40; 95% CI=-0.03 to 0.83; p=0.067), and WC (b=0.04; 95% CI=-0.09 to 0.16; p=0.571) directly affected diastolic blood pressure (DBP). Increasing age, body mass index (BMI), and waist circumference (WC) are the important variables that influence blood pressure in older people. This study supports the evidence that body composition and weight control are necessary to prevent and control blood pressure in the elderly.
Volume: 13
Issue: 4
Page: 1599-1608
Publish at: 2024-12-01

Self-regulation and resilience: the role on active procrastination of young adults

10.11591/ijphs.v13i4.23945
Ivy Josiah Vincent , Mei-Yui Law , Zariv Long-Kwan Chew , Chooi-Seong Lai
Our current dynamic digital era has generated active procrastination which is a popular trend of behaviour among young adults. Deciphering this reckless habit reveals a fascinating truth in which active procrastination thrives on strategic planning for task completion. This study examined i) self-regulation and resilience as the significant predictors of active procrastination among young adults, ii) the significant difference in active procrastination among university students and working young adults, iii) significant gender differences among university students, and iv) among working young adults. A total of 192 respondents completed the questionnaires, Self-Regulation Scale, Connor-Davidson Resilience Scale, and Active Procrastination Scale. Through quantile regression, results show that self-regulation is a significant predictor of active procrastination among young adults. Independent t-tests shows there is no significant differences in active procrastination among university students and working young adults. However, there are significant gender differences in active procrastination among university students, but not among working young adults. These findings indicate that self-regulation plays a significant role in cultivating active procrastinating among young adults. Furthermore, interesting findings are discovered for gender differences as males have relatively higher active procrastination scores. Hence, the findings emphasize the need for workshops to transform young adults to become active procrastinators through enhancing self-regulation.
Volume: 13
Issue: 4
Page: 1538-1547
Publish at: 2024-12-01

Loneliness in overseas students: reviewed from father nurturance

10.11591/ijphs.v13i4.23895
Ersa Lanang Sanjaya , Mopheta Audiola Dorkas
The uneven condition of education in Indonesia has led to the phenomenon of overseas students. This phenomenon is an effort made by prospective students to obtain higher quality education or more according to their interests. Students who migrate certainly face bigger challenges, one of which is loneliness. Many studies reveal that the negative impact of feelings of loneliness experienced by a person, so it requires further study. The main objective of this study is to see how father nurturance influences loneliness among overseas students. This study used a quantitative approach with a total of 107 respondents. From this study, it was found that the role of the father has a significant influence on feelings of loneliness experienced by overseas students.
Volume: 13
Issue: 4
Page: 1704-1710
Publish at: 2024-12-01

Risk analysis of adolescent sexual activity in college Surabaya, Indonesia: cross-sectional study

10.11591/ijphs.v13i4.24302
Eny Qurniyawati , Zida Husnina , Jayanti Dian Eka Sari , Asma Azzahra , Izzah Nur Shabrina , Prima Kartika , Nayla Mohamed Gomaa Nasr
Adolescence is characterized by active sexual hormones that can lead to sexual urges with the opposite sex. These urges, in turn, may trigger risky sexual behavior. College students, in a transitional period from adolescence to early adulthood, exhibit diversity in addressing sexual activity. This research aimed to analyze the risks associated with adolescent sexual activity in a college in Surabaya, Indonesia. The study utilizes a cross-sectional design with accidental sampling of active students aged 18-24 years. The total number of participants in this study was 221 people who filled out a questionnaire in the form of a Google Form, distributed through social media. The results show that, among all the factors identified, dating status has a significant relationship with PR 11.688 (95%CI 5.048-27.061) in engaging in risky sexual activities among adolescents. Reproductive health education at the university level is needed to reduce risky sexual activities among students.
Volume: 13
Issue: 4
Page: 1794-1802
Publish at: 2024-12-01

Global Leadership Initiative on Malnutrition criteria for predicting surgical site infection in elective laparotomy patients

10.11591/ijphs.v13i4.24175
Pauline Octaviani , Yohannessa Wulandari , Febiansyah Ibrahim , Diyah Eka Andayani
Laparotomy surgery patients are at risk for complication including surgical site infections (SSI) which are associated with high morbidity and mortality. Malnutrition has been identified as a risk factor for the occurrence of SSI but preoperative malnutrition identification remains low. The Global Leadership Initiative on Malnutrition (GLIM) has published a new, practical, and easily applicable definition of malnutrition. This study aims to evaluate whether malnutrition according to GLIM criteria is a predictor of SSI in elective laparotomy patients. This prospective cohort study involved 123 subjects aged 18-65 years undergoing elective laparotomy, without diabetes history. Their malnutrition status was assessed using GLIM criteria with bioelectrical impedance analysis (BIA) to evaluate muscle mass. A total 62 subjects were categorized into the malnutrition group and the remaining into nonmalnutrition group and then monitored for the presence of SSI up to 10 days postoperatively. SSI occurred in 13.8% of the subjects. The analysis showed a strong association between malnutrition and SSI in elective post laparotomy (RR 4.6; 95%CI 1.4-15.1; p=0.005). Malnutrition according to GLIM criteria is a significant predictor of SSI in elective post laparotomy patients.
Volume: 13
Issue: 4
Page: 1895-1902
Publish at: 2024-12-01

Effect of combining oketani and oxytocin massage towards breast milk production: a quasi-experimental study

10.11591/ijphs.v13i4.24609
Adinda Putri Sari Dewi , Kusumastuti Kusumastuti
Challenges in achieving exclusive breastfeeding often emerge during the initial days when complete establishment of breast milk production may not occur. In this vulnerable period, infants might receive supplementary foods or drinks, creating barriers to exclusive breastfeeding. This study seeks to integrate oketani and oxytocin massage with a suggestive approach to evaluate their impact on breast milk production among mothers. Employing a quasi-experimental design with a pre-post-test control group, the research focuses on postpartum mothers at PKU Muhammadiyah Gombong Hospital, with a sample size of 60 respondents chosen through purposive sampling. Demographic data and observation sheets were utilized to document breast milk production before and after the intervention. Data analysis involved Mann-Whitney and Wilcoxon tests. The study revealed a significant difference between pre- and post-intervention phases within the intervention group (p-value <0.005), indicating noteworthy changes following the implementation of oketani and oxytocin massages. The interventions demonstrated potential in enhancing breast softness, nipple and areola elasticity, and overall milk production, offering valuable insights into non-pharmacological approaches for supporting breastfeeding.
Volume: 13
Issue: 4
Page: 1881-1887
Publish at: 2024-12-01

Reducing human immunodeficiency virus stigma: a scoping review of intervention strategies

10.11591/ijphs.v13i4.24439
Shabrina Arifia Qatrannada , Zahroh Shaluhiyah , Cahya Tri Purnami
Stigma has become one of the aspects closely associated with human immunodeficiency virus (HIV) and (acquired immunodeficiency syndrome (AIDS), causing adverse effects for those affected. The primary goal of this scoping review is to identify various intervention models aimed at reducing HIV-related stigma. This review follows the PRISMA 2015 guidelines and utilizes sources from three online journal databases: PubMed, ScienceDirect, and Scopus. Search criteria include articles published in the last five years, from 2018 to 2023. Out of the initially retrieved 1,084 articles, 9 articles meeting inclusion criteria were selected for a more in-depth review. Most interventions typically employ a mix of strategies, incorporating diverse degrees of social-ecological involvement. Interventions employing dual strategies and extended durations with multiple sessions have the potential to more effectively reduce stigma. Supporting HIV-safe spaces and encouraging community involvement to understand the link between HIV stigma and the spread of HIV/AIDS in their surroundings can effectively reduce HIV stigma. Overall, most studies included in this review indicate fairly satisfactory outcomes. However, when implementing interventions, it remains crucial to tailor them to the specific location, considering that stigma is a social construct. The development of instruments to measure intervention effectiveness needs to be pursued to comprehensively identify significant intervention impacts.
Volume: 13
Issue: 4
Page: 1716-1726
Publish at: 2024-12-01

A systematic literature review on the impact of participation in sport and physical activities on psychological resilience

10.11591/ijphs.v13i4.24345
Haslinda Husain , Shamsulariffin Samsudin , Ahmad Fauzi Mohd Ayub , Mohamad Firdaus Ahmad , Nur Syazwani Zulaikha S afwan
Participation in sports and physical activity (PA) is often considered a potential contributor to psychological resilience due to its physical, cognitive, and social benefits. This review aims to synthesize an extensive overview of the existing knowledge landscape, shedding light on the mechanisms through which sport and PA may contribute to psychological resilience among students. Guided by the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement review method, we comprehensively searched key databases, including EBSCOhost and Scopus. Note that a total of 353 publications were initially determined. The final finding data concludes that 15 met the selection criteria. The findings were synthesized based on three themes: enhancing positive mental health, reducing negative emotions, and mitigating depression and anxiety. These outcomes highlight the transformative potential of sports and PAs in nurturing a robust psychological foundation among student populations. However, it calls for more robust and standardized research approaches. This is with implications suggesting the integration of sports and PA into comprehensive mental health programs, emphasizing their multifaceted benefits beyond psychological resilience. Tailoring interventions, recognizing the social aspects, and emphasizing the personalized approach can contribute to more effective mental health promotion strategies for students.
Volume: 13
Issue: 4
Page: 1727-1737
Publish at: 2024-12-01

The effect of murottal Al-Quran therapy on pain intensity and oxygen saturation in active phase parting women

10.11591/ijphs.v13i4.23856
Yustiari Yustiari , Wahida Wahida , Khalidatul Khair Anwar , Hasmia Naningsi , Melania Asi , Endah Saraswati
Anxiety in women increases with the start of labor and has a negative impact on mothers and newborns. The aim of this study was to determine the effect of listening to murottal Al-Quran on increasing oxygen saturation and reducing pain in mothers in the active phase of labor. This research was quantitative research with a quasi-experimental design and a preexperimental design one-group pretest-posttest. This study was conducted at the Kendari City Hospital. The sample was determined as a total population, considering that the number of mothers during the first active phase was only 30. The data analysis technique in this study went through two calculation stages: the data normality test by Kolmogorov-Smirnov, Paired Sample Statistics, and all calculations using SPSS. The results of the statistical tests using the Wilcoxon test yielded a p-value of 0.000. Statistically, it can be concluded that there are differences in oxygen saturation values before and after the administration of murottal intervention. It was also found that 27 respondents experienced an increase in oxygen saturation after receiving murottal intervention. In conclusion, murottal intervention increased oxygen saturation.
Volume: 13
Issue: 4
Page: 1834-1840
Publish at: 2024-12-01

Cross-culture adaptation and validation of Indonesian language version of Pittsburgh Sleep Quality Index

10.11591/ijphs.v13i4.23439
Achmad Fauzi , Fatimah Ahmedy , Rosidah Rosidah
Hemodialysis (HD) patients have a high rate of poor sleep. The Pittsburgh Sleep Quality Index (PSQI) is the most popular self-reported instrument to measure sleep quality. No study has tested the psychometric efficiency of the Bahasa (Indonesian language) PSQI in hemodialysis (HD) patients, and no cross-cultural adaptation has been done. The purpose of this research was to translate the PSQI into Bahasa and improve its psychometric properties for use in evaluating HD patients in Indonesia. This study used instrument translation, cultural adaptation, content validation, and equivalence to crossculturally validate and adapt an instrument. The hemodialysis center at a West Java medical facility served as a source of potential HD patients throughout the period of October 2022 to February 2023. A content validity index (CVI) was calculated for each item and the entire scale. The factor structure of the Bahasa PSQI has been evaluated by confirmatory factor analysis and internal consistency was calculated using Cronbach's alpha. The online survey received a response rate of 62.8% from a total of 220 patient with HD (about ten responders each item). The level of language clarity was 87.8%, and the level of cultural relevance was 84.5%. The CVI varied from 0.92 to 1.00. Each factor had factor loading ranging from 0.51 to 0.62. that Cronbach alpha for total score was 0.803, and the subscale ranged from 0.771 to 0.863. Our research provides preliminary evidence of the validity and reliability of the translated and adapted tool using data from HD patients in Indonesian hospitals.
Volume: 13
Issue: 4
Page: 1672-1678
Publish at: 2024-12-01

Patient safety culture as a mediator between healthcare personnel's psychological empowerment and patient outcome

10.11591/ijphs.v13i4.23436
Eldaa Prisca Refianti Sutanto , Ferdi Antonio , Roy G.A. Massie
Preventing healthcare errors and reducing damage are becoming the basic concepts of patient safety development. Healthcare personnel need to be more careful and minimize complications that can occur during patient care. Psychological empowerment is important to support a safety culture and patient outcomes. This study investigates the relationship between psychological empowerment (PE) and patient outcome (PO) mediated by patient safety culture (PSC). A cross-sectional survey study was conducted in private hospitals accredited by Joint Commission International. A total of 150 healthcare personnel as participants who met the requirements were obtained by distributing the questionnaires in March 2023. Significant results in mediating patient safety culture have been analyzed using partial least square-structural equation modeling (SEM). The dimensionality of PE and PSC was assessed by a new method that is a disjoint two-stage approach. The role of PSC was found to fully mediate the positive relationship between psychological empowerment and patient outcome (=0.436, p-value 0.05). This study contributes to growing the value of developing a safety culture and the function of psychological empowerment in healthcare staff to enhance patient outcomes.
Volume: 13
Issue: 4
Page: 1912-1923
Publish at: 2024-12-01

Assessing community pharmacists' thoughts on telepharmacy in Bali province

10.11591/ijphs.v13i4.21536
I Gusti Ayu Rai Widowati , Ni Putu Aryati Suryaningsih , Ida Ayu Manik Partha Sutema , Ketut Agus Adrianta
Telepharmacy describes the use of technology in interactions between pharmacists and patients. Given that telepharmacy is the most recent development in the delivery of digital pharmacy services, the question of how prepared pharmacists are to provide high-quality services frequently comes up and receives attention. The purpose of this study was to determine the viewpoints of pharmacists in telepharmacy services. From February to April 2023, a cross-sectional survey was done using a Google form. The study population included 111 pharmacists in charge of network pharmacies in Bali Province. Their thoughts were assessed using a credible and reliable questionnaire created by the researchers. The questions were split into two sections: a professional demographic items, and a section describing the perspectives, benefits, and challenges of telepharmacy. To get a more detailed or comprehensive response, open-ended questions were added. In general, especially during a pandemic, pharmacists were aware of being involved in remote services (non-face-to-face interaction) and telepharmacy services. This study makes clear that pharmacists' involvement is essential for creating a long-distance relationship between them and their patients. Therefore, pharmacists should learn how crucial communication is to increase patient satisfaction.
Volume: 13
Issue: 4
Page: 2017-2023
Publish at: 2024-12-01

Physical fitness and its impact on psychological health during the COVID-19 lockdown

10.11591/ijphs.v13i4.24248
Neharika Sharma , Prabhdeep Singh , Prasad D Pore
Both the countrywide lockdowns as well as the worldwide lockdown and social isolation norms had an immense psychological impact on the population as a consequence of the major change in lifestyle. The present study aimed to determine changes in physical activity during the second lockdown in the Indian population, and the impact of exercise on psychological health during the same time period. The study was conducted through circulation of online questionnaire and data was collected by snowball technique. The type of physical activity done by most people was under the low international physical activity questionnaire (IPAQ) category (56.36%) which increased during lockdown (63.57%). The IPAQ category of moderate activity showed a drop in numbers from 26.46% to 18.56% while high IPAQ scores were almost the same before and during lockdown. People with high and moderate IPAQ scores had a better psychological health status as compared to the Low category.
Volume: 13
Issue: 4
Page: 1664-1671
Publish at: 2024-12-01

Holistic characterization analysis of tar waste content from gasification process at Surakarta landfill

10.11591/ijphs.v13i4.24391
Putu Elsa Purnama Rahayu , Siti Rachmawati , Prabang Setyono
Surakarta is facing serious problems related to waste management at the Putri Cempo landfill. PT. Solo Citra Metro Plasma Power with the Surakarta city government built a waste power plant installation with gasification technology. Tar waste is a gasification liquid product that is dangerous if not managed. This study aimed to determine the heavy metal content and toxicity level of gasified tar waste using the atomic absorption spectrometry (AAS) and lethal dose-50 (LD50) acute toxicity test. The parameters of heavy metals tested are lead (Pb), copper (Cu), iron (Fe), zinc (Zn), and total chromium (Cr). In the LD50 test, the animals were divided into 5 groups, namely 1 control group and 4 groups with doses of 0.50 mL, 1 mL, 2 mL, and 4 mL. The results showed that the tar contained 17.4 mg/L of iron, 3.5 mg/L of zinc, and <0.01 mg/L of lead, copper, and chromium. Acute toxicity tests did not cause death in the animals but still showed toxic symptoms, so the LD50 value is declared pseudo. The content of some heavy metals in tar is within safe limits and the level of toxicity is relatively harmless.
Volume: 13
Issue: 4
Page: 1952-1959
Publish at: 2024-12-01

The influence of social support, perception, and maternal behavior in preventing stunting cases in Indonesia

10.11591/ijphs.v13i4.23980
Eko Mindarsih , Muhammad Akhyar , Budiyanti Wiboworini , Suminah Suminah
The research aims to analyze the simultaneous influence of social support, perception and maternal behaviour in preventing stunting cases in Indonesia. The research adopts the quantitative cross-sectional approach to provide an explanatory survey. The sample was taken based on proportional random sampling. A sample size of 220 pregnant women in the second and third trimesters participated in this study. The research instrument employed was a questionnaire, which underwent validation by 12 experts using Aiken's V content validity index. The collected data were analyzed utilizing the Lisrel program, employing multiple linear regression tests and structural equation modeling (SEM) analysis. The findings of this study revealed that the perception, social support, and behavior of pregnant women were reasonably categorized. Social support has a significant positive influence on perception. Social support and perception simultaneously have a significant positive influence on the behaviour of pregnant women. In conclusion, the behavior of pregnant women can be recommended as the solution in the primary prevention of stunting.
Volume: 13
Issue: 4
Page: 1872-1880
Publish at: 2024-12-01
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