Journal of Medical and Health Studies最新文献

{"title":"Analysis of the Effect of Working Time, Motivation, Education Level and Workload on Performance in Nurses at FMC Bogor Hospital in 2023","authors":"Febrian Tiranita, Rapael Ginting, Ermi Girsang","doi":"10.32996/jmhs.2023.4.4.15","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.15","url":null,"abstract":"Nurse performance is a measure of success in achieving nursing service goals. The decline in nurse performance greatly affects the service image of a hospital. This study aims to analyze the factors that affect nurses' performance from the working period, workload, education level and motivation in nurses at FMC Bogor Hospital in 2023. This type of research is descriptive cross-sectional analytic. The sampling technique used is the total sampling technique and uses Chi-square analysis methods and Logistic Regression. The results showed that the majority of nurses were female (56.75%), aged 26-30 years (60.5%), education level D3 Nursing (76.3%), working period >6 years (60.5%), medium workload (72.4%), high motivation (96.1%), and good performance (85.5%). There is a relationship between working life and nurse performance (p-value = 0.000 < 0.05), there is no relationship between workload and nurse performance (p-value = 0.312 > 0.05), there is no relationship between education level and nurse performance (p-value = 0.348 > 0.05), there is a relationship between work motivation and nurse performance (p-value = 0.009 < 0.05). The results of multivariate analysis with logistic regression showed that the Education Level variable had a significant effect with a p-value of 0.021 with a risk of 5.7 times to experience poor performance, and the R2 value in the study was 0.751, which means that 75% of all independent variables affect the dependent variable. It is important to improve a nurse's abilities; it is important to develop her knowledge and skills that are better than before so that they can be applied during service and the ability to provide services in hospitals is increased and can make performance better.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116602743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Effect of Work Stress and Workload on Work Performance in FMC Bogor Hospital Nurses in 2023","authors":"Singgih Singgih, Rapael Ginting, C. Ginting","doi":"10.32996/jmhs.2023.4.4.14","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.14","url":null,"abstract":"The hospital provides services in inpatient, outpatient and emergency departments. The increase in the number of hospitals every year from 2016 amounted to 2046, expanding in 2021 to a total of 2514 public hospitals in Indonesia. (Statistics Center data for 2016-2021). This shows that the level of hospital competition is getting tighter, so the demands for hospitals to improve nurse performance are getting higher. Work performance can be affected by several things, including stress and workload based; research in local Indian hospitals showed 34% of nurses experienced moderate stress, and as many as 2% experienced high stress, to cause physical and mental health problems; another study involving nurse subjects at Makassar hospital also showed nurses who experienced stress and felt a heavy workload until work performance decreased by 91.7%. This study aims to see the relationship and significant influence between work stress and nurse workload on nurses' work performance. The research method is a cross-sectional analytical study and a method of research sampling with total sampling techniques. The results of univariate studies showed that most subjects were female, 65.7%, age range 26-30 years, high level of work stress (53.9%), and moderate workload (76.3%). The bivariate results in this study showed a relationship between nurses' work stress and workload (p value 0.024). Research shows no workload relationship to work performance (p value 0.84). The results of multivariate analysis with logistic regression showed that the variable work stress was associated with p value 0.011, with high stress having 11,014 times and low stress 3.522 against low work performance. The conclusion of the study can be seen in the relationship of work performance variables to stress, and high stress causes nurses to have a risk of 11,014 times experiencing low work performance.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126430335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compulsive Buying-Shopping Disorder Associated with Recurrent Depressive Disorder: A Case Report","authors":"M. Puiu, V. Dionisie, M. Manea","doi":"10.32996/jmhs.2023.4.4.13","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.13","url":null,"abstract":"Compulsive buying – shopping disorder remains an incompletely defined and controversial pathology to our days. However, in the last years, progress has been made in establishing diagnostic criteria and developing new assessment instruments. In the absence of inclusion in the main diagnostic systems and without a largely accepted diagnostic criteria, compulsive buying shopping disorder is rarely recognized and diagnosed in clinical practice. In this context, we present the case of a 61-year-old female with compulsive buying–shopping disorder associated with recurrent depressive disorder. Our patient's symptoms met almost completely the set of criteria proposed by Müller et al. Even though the diagnosis of this disorder in our patient was not followed by a successful pharmacological intervention, we believe it brought a better understanding of the case, which may lead to a more successful approach in the future.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126508750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Causing Pending Claims of BPJS Hospitalization on the Diagnosis of Pneumoni Covid-19 Cases","authors":"I. Mathar, ✉. Crismantoro, Budi Saputro, Wahyu Wijaya Widiyanto","doi":"10.32996/jmhs.2023.4.4.11","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.11","url":null,"abstract":"Pending claims are an issue that can impact hospitals, that is, more about delays in the service of doctors and employees. Several factors can cause pending claims, but the main cause of pending cases lies in the completeness of the file on the filling out of the medical resume sheet and the laboratory results that are not recorded. This research is descriptive qualitative with a population of 10 verification employees and a sample of 116 files. It uses interviews with verification officers and observations on pending files—and the identification of 5M management elements (Man, Money, Method, Machine, Materials) to determine what factors cause pending to come from. The results of the study obtained results In 2021; there were pending claims on the diagnosis of pneumoni covid-19 cases in as many as 1167 files, files that had expired were as many as 94 files and files that passed verification were as many as 145 of the total submissions of hospitalization and files for the diagnosis of pneumoni covid-19 cases were as many as 1420 files. If calculated, the percentage for pending cases is 82.18%, passed verification is 11.21% and files that expired as much as 6.61%.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121122842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Integrated Nutritional Intervention in Cases of Stunting with Chronic Skin Infections","authors":"Desi Nur Anggraini","doi":"10.32996/jmhs.2023.4.4.12","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.12","url":null,"abstract":"One in four toddlers in Indonesia is stunted, so the government is trying to reduce stunting by implementing integrated nutrition interventions. This case report aims to follow up on the results of the Stunting Case Audit (AKS) conducted by the Department of Health and across sectors by identifying risk factors for stunting, optimizing the role of Primary Health Care in clinically treating patients, and evaluating the implementation of integrated nutrition interventions that have been implemented. The patient is a toddler aged 25 months, weight 9.0 kg and height 78 cm, so the nutritional status according to the indicators of weight for age and height of age results in underweight and severe stunting. There are internal risks in patients, namely poor nutrition, poor personal hygiene, and chronic skin infections. In contrast, the external risks are the lack of parental income, a crowded home environment, and the mother's lack of knowledge about nutrition and health behavior. Forms of specific nutrition interventions include: handling skin infections and education on the practice of providing nutrition, while sensitive nutrition interventions include education on improving personal hygiene, providing PKH assistance, and building livable houses. The intervention and evaluation activities were carried out within 3 months. They resulted in improvements in providing nutrition, skin complaints, personal hygiene, and the implementation of PHBS in homes that were livable even though weight gain had not run optimally.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115959182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Incidence of Micronutrient Intake on Cognitive Development in Children Under 5 Years of Age: A Cross-sectional Study for the Ecuadorian Case","authors":"Zoila Moreira-Moreira, Ana Quimbiulco-Martínez, Christie Troya-Pintado","doi":"10.32996/jmhs.2023.4.4.9","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.9","url":null,"abstract":"Analyzing the relationship between micronutrient powder intake from 6 months of age and cognitive development in children contributes significantly to the literature since nutritional status is one of the determinants of health and cognitive and psychosocial development in early childhood. Malnutrition at these stages may cause imbalances between nutritional needs that could lead to malnutrition and influence cognitive development. We used a representative sample of 3877 children aged 3-5 years from the 2018 National Health and Nutrition Survey (ENSANUT). We used a linear regression and binary logistic regression model where we estimated the Odds Ratio (OR) and marginal impacts with their 95% confidence intervals (95% CI) for each of the independent variables. Our results show that the odds ratio (OR) associated with the micronutrient intake variable is significant and greater than 1. This demonstrates that a child who consumes micronutrient powder between 6 months and 2 years of age is approximately 1.56 times more likely (CI=1.35- 1.85) to have high cognitive development. In addition, boys are more likely to have higher cognitive development, with an OR of 1.592 (CI=1.341- 1.978). Another important finding is that a greater number of siblings at home reduces 1.032 times the probability of having high cognitive development. Our data also reveal that the mother's age (very young) may decrease the risk of high cognitive development, while the number of hours of play causes an opposite effect, as the OR reveals that children with a higher number of hours of play are 1.68 times more likely to have high cognitive development. Based on our findings, we can determine that it is important to explore the neurodevelopmental processes that may be involved in malnutrition. Thus, in this article, we recommend the importance of micronutrient intake and a balanced diet as key factors for proper cognitive development.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123467420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Illness Treatment Non-Adherence: A Perpetuating Factor of Homelessness among Indigenous People","authors":"Ademiniyi Adelekun, Kofi D Seffah, Korlos Salib, Lana Dardari, Maher Taha, Purva Dahat, Stacy Toriola, T. Satnarine, Zareen Zohara, Ana Arcia Franchini","doi":"10.32996/jmhs.2023.4.4.10","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.10","url":null,"abstract":"Mental illness correlates with homelessness, and a vicious cycle exists between the two. Breaking this vicious cycle will entail propagating effective interventional mental illness treatment modalities which need to be adhered to by the patients. Non-adherence to mental illness treatment, even if socio-economic supports were provided, perpetuates homelessness. Homelessness among indigenous people is higher when compared to non-indigenous people in countries like Canada, Australia, New Zealand, and the United States. This study aims to look at the extent to which non-adherence to mental illness treatment perpetuates homelessness and also the socio-cultural, medical practice, and policy implications. A retrospective literature review was carried out, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Relevant articles were sourced from the PubMed, Google Scholar, and Cochrane Systematic Review databases. The Medical Subject Heading (MeSH) thesaurus was employed to identify relevant concepts. The Boolean method was used to combine the keywords to create a uniform search for articles across the databases. Included articles were free full texts published between 2003 and 2023 in the English language. Fifty-three articles were obtained, and the information obtained confirmed that non-adherence to mental illness treatment would impede recovery and perpetuate homelessness. This article developed a graphical illustration of the homelessness – mental illness vicious cycle and the adjacent mental illness treatment non-adherence and adherence pathways. This illustration could be useful for future studies to better conceptualize mental illness engendered homelessness and the interactions between medical treatment and other variables like housing and intergenerational trauma. This study concludes and recommends that indigenous people-centred policies and Interventional approaches that take the indigenous people’s sensitivities and proclivities should be formulated, propagated, and constantly reviewed to address perpetual homelessness. It is recommended that healthcare practitioners should be aware of and respect these socio-cultural sensitivities and proclivities.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132428147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Fear to Preparedness: A Systematic Review of Parents' Awareness and Use of Epinephrine Autoinjectors","authors":"T. Satnarine, Zareen Zohara, Ademiniyi Adelekun, Kofi D Seffah, Korlos Salib, Lana Dardari, Maher Taha, Purva Dahat, Stacy Toriola, Safeera Khan","doi":"10.32996/jmhs.2023.4.4.8","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.8","url":null,"abstract":"This systematic review aims to synthesize existing literature on parents' knowledge and use of epinephrine autoinjectors (EAIs) and identify factors associated with correct use and barriers to education and training. A comprehensive search was conducted on PubMed and the Directory of Open Access Journals (DOAJ) using keywords and MeSH terms. Inclusion and exclusion criteria were established, and papers were screened for eligibility. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal tool. A total of 1008 papers were initially identified, with 214 remaining after applying filters. Following screening and quality assessment, seven observational studies were included in the review. The studies found that while most caregivers claimed to carry an EAI on their person and practiced its use at home after training, it was often not used during allergic reactions. The most common reason cited for not using EAI was uncertainty about whether the symptoms were severe enough to warrant EAI use. The lack of EAI use was significantly associated with lower caregiver confidence in using EAI. Those who received EAI during oral food challenges (OFC) and in the community had increased confidence in administering the EAI from pre-OFC to follow-up compared to those who did not receive EAI at all. Targeted interventions and educational strategies should be developed to improve parent knowledge and use of EAIs.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"216 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132122001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Actual Costs and Compliance with the INA-CBGS Tariff for Inpatient Nasopharyngeal Cancer Patients at Dr. Moewardi Regional General Hospital, Surakarta In 2018","authors":"Violita Munawaroh, R. Herowati, T. Andayani","doi":"10.32996/jmhs.2023.4.4.7","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.7","url":null,"abstract":"Nasopharyngeal cancer is a type of head and neck cancer. According to Globocan data in 2018, it is estimated that there were approximately 17,992 new cases and 11,204 deaths related to this type of cancer. The high incidence and mortality rates, as well as the high actual treatment costs, are the main factors behind the establishment of the National Health Insurance program through the Indonesian Case Base Groups (INA-CBGs) package. However, the INA-CBGs tariff may not always align with the actual costs, leading to cost discrepancies. The objective of this study was to determine the compatibility of actual costs with the INA-CBGs tariff and the factors associated with the actual costs for nasopharyngeal cancer patients at Dr. Moewardi Regional General Hospital in Surakarta. This research utilized an observational study design with a cross-sectional approach from the hospital's perspective. Retrospective data were collected from medical records and patient claims files of the National Health Insurance (BPJS) for nasopharyngeal cancer patients in 2018. Data analysis was conducted using the one-sample t-test to compare the average actual costs with the INA-CBGs tariff. Correlation analysis was performed to identify factors associated with the actual costs. The novelty of this study compared to previous research lies in the object of study, sample size, research period, data, and different conditions from previous studies. The results of the study revealed that there were 54 patients undergoing chemotherapy with a total of 162 treatment episodes and 20 patients undergoing surgery with 21 treatment episodes. For chemotherapy under code C-4-13-I, a total negative difference of -Rp102,565,776 was found across 146 treatment episodes. In contrast, for chemotherapy under code C-4-13-II, a total positive difference of Rp26,972,439 was observed in 16 treatment episodes. As for surgery under code U-4-10-I, a total negative difference of -Rp7,420,989 was found across 4 treatment episodes, and for surgery under code U-4-10-II, a total positive difference of Rp177,572,067 was observed in 17 treatment episodes. Factors associated with the actual costs for chemotherapy were the length of stay (LOS), while for surgery, the factors included LOS, secondary diagnosis, procedure, and severity level, with a p-value < 0.05.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127815283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Causes of Appearance Anxiety of Contemporary College Students and Its Countermeasures","authors":"Yixuan Pan","doi":"10.32996/jmhs.2023.4.4.6","DOIUrl":"https://doi.org/10.32996/jmhs.2023.4.4.6","url":null,"abstract":"The problem of appearance anxiety is becoming more and more serious in today’s society, and it has even risen to become a major focus problem that affects people’s physical and mental health and social development. Among all appearance-anxious people, college students are major victims of appearance-anxiety problems. In this survey, we took college students as the survey objects and collected 101 questionnaires about appearance anxiety. We found that the main causes of college students’ appearance anxiety are the single definition and pursuit of beauty in social media, the rigid requirements and halo effect in job hunting, the lack of self-confidence in the growing environment, and certain defects in appearance itself. On the basis of the analysis of the reasons, this article will propose corresponding solutions and programs to help college students relieve anxiety and promote the development of society in a positive and healthy direction.","PeriodicalId":162243,"journal":{"name":"Journal of Medical and Health Studies","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133436896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}