Reaching the Unreached: Improving Population Health in the Rural and Remote Areas最新文献

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The Effect of Peer Group Social Capital on Smoking Behavior among Adolescents in Kulon Progo, Yogyakarta 同伴群体社会资本对青少年吸烟行为的影响
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.17
S. Riyadi, M. Akhyar, Bhisma Murti
{"title":"The Effect of Peer Group Social Capital on Smoking Behavior among Adolescents in Kulon Progo, Yogyakarta","authors":"S. Riyadi, M. Akhyar, Bhisma Murti","doi":"10.26911/THEICPH.2018.02.17","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.02.17","url":null,"abstract":"Background: Almost 5.4 million people die annually from smoking. It is estimated that in 2030, deaths from smoking will reach 8 million per year, 80% of which will correspond to developing countries. Smokers have about 20-25 years less life expectancy. Smoking is associated with various diseases such as heart and respiratory diseases, stroke and cancer. This study aimed to determine the effect of peer group social capital on smoking behavior among adolescents in Kulon Progo, Yogyakarta. Subjects and Method: This was a case control study conducted in Kulon Progo, Yogyakarta, from April to June 2018. A total of 400 adolescents consisting of 200 smokers and 200 non smokers were selected for this study. The dependent variable was smoking behavior. The independent variables were intention, subjective norm, and peer group social capital. The data were collected by questionnaire and analyzed by a path analysis. Results: The decision not to smoke was associated with strong intention (b= 1.74; 95% CI= 2.29 to 1.18; p<0.001), favorable subjective norm (b= 1.58; 95% CI = 0.99 to 2.18; p<0.001), favorable peer group social capital (b= 2.88; 95% CI= 1.50 to 4.46; p= 0.038). Conclusion: The decision not to smoke is associated with intention, subjective norm, and peer group social capital.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"231 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122772332","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}
引用次数: 0
Factors Associated with Patient Satisfaction at Prof. Dr. W. Z Johannes General Hospital, Kupang, East Nusa Tenggara 东努沙登加拉古邦约翰内斯综合医院的患者满意度相关因素
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.04
Joanita A. M. A. Tukan, Pius Weraman, I. D. R. Ludji
{"title":"Factors Associated with Patient Satisfaction at Prof. Dr. W. Z Johannes General Hospital, Kupang, East Nusa Tenggara","authors":"Joanita A. M. A. Tukan, Pius Weraman, I. D. R. Ludji","doi":"10.26911/THEICPH.2018.02.04","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.02.04","url":null,"abstract":"Background: Patient satisfaction is an important factor for the survival of health care delivery system. It is used as a measure of quality of care at the level of the individual provider as well as for health care systems and programs. Earlier studies have shown that patient satisfaction correlates with adherence to treatment, loyalty to a provider, and lower medico legal risk. This study aimed to examine factors associated with patient satisfaction at Prof. Dr.W.Z Johannes general hospital, Kupang, East Nusa Tenggara.\u0000Subjects and Method: This was a cross-sectional study conducted at Prof. Dr. W. Z Johannes General Hospital, Kupang, East Nusa Tenggara, Indonesia. A total of 88 patients were selected by simple random sampling. The dependent variable was satisfaction. The independent variables were response time and social health insurance. The data were collected by questionnaire and interview. The data were analyzed by chi-square test. \u0000Results: Factors influencing patient satisfaction were fast response time (OR= 1.71; 95% CI= 1.25 to 2.40; p= 0.003) and covered by social health insurance (OR= 1.90; 95% CI= 1.19 to 3.05; p= 0.007).\u0000Conclusion: Factors influencing patient satisfaction are fast response time and covered by social insurance.\u0000\u0000Keywords: patient satisfaction, response time, social health insurance.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122832671","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}
引用次数: 0
The Relationships of Perception and Simplicity of Health Service Procedure with Utilization of the Integrated Family Health Post in South Tapanuli, North Sumatera 北苏门答腊省南塔巴努里综合家庭卫生站卫生服务流程感知、简易性与利用的关系
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.04.15
W. Nasution, D. Aulia, Zulhaida Zulhaida
{"title":"The Relationships of Perception and Simplicity of Health Service Procedure with Utilization of the Integrated Family Health Post in South Tapanuli, North Sumatera","authors":"W. Nasution, D. Aulia, Zulhaida Zulhaida","doi":"10.26911/THEICPH.2018.04.15","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.04.15","url":null,"abstract":"Background: Integrating health services, such as family planning with HIV care or with maternal and child health care, can be more convenient for clients and more efficient for programs. Integrated services can be more efficient by avoiding duplication of effort and can serve more people at the same or similar cost by saving money that might have been spent maintaining separate facilities. This study aimed to determine the relationships of perception and simplicity of health service procedure with utilization of the integrated family health post in South Tapanuli, North Sumatera.\u0000Subjects and Method: This was a cross-sectional study conducted at several posyandu (integrated family health posts), in the catchment area of Puskesmas (Community Health Center) Sayurmatinggi, Tapanuli Selatan, North Sumatera. A sample of 96 mothers who had children under-five years of age was selected for this study. The dependent variable was use of posyandu. The independent variables were perception about posyandu and service procedure. The data were collected by questionnaire and analyzed by a multiple logistic regression.\u0000Results: Use of the integrated family health post was associated with its good perception (OR= 3.22; 95% CI= 1.50 to 4.99; p= 0.001) and simple service procedure (OR= 4.13; 95%CI= 2.57 to 6.67; p= 0.002).\u0000Conclusion: Use of the integrated family health post increases with its good perception and simple service procedure.\u0000\u0000Keywords: integrated family health post, utilization, perception, service procedure.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123446961","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}
引用次数: 0
Resource Mobilization and Preparedness to Control Dengue Haemorrhagic Fever in Medan, North Sumatera 北苏门答腊棉兰控制登革出血热的资源调动和准备
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.02.31
Novi Adriyanti, I. Yustina, Zulfendri Zulfendri
{"title":"Resource Mobilization and Preparedness to Control Dengue Haemorrhagic Fever in Medan, North Sumatera","authors":"Novi Adriyanti, I. Yustina, Zulfendri Zulfendri","doi":"10.26911/THEICPH.2018.02.31","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.02.31","url":null,"abstract":"Background: Infectious diseases continuously emerge and/or reemerge, resulting in epidemics of varying sizes and scope. Infection preventionists undertake preparedness activities to ensure that the healthcare facilities and communities are well-prepared to recognize and respond to an infectious disease epidemic. Infectious disease epidemic preparedness is an ever evolving process that addresses the four principles of emergency management: mitigation, preparedness, response, and recovery. This study aimed to determine the relationship between resource mobilization within community and preparedness to control DHF. \u0000Subjects and Method: A cross sectional study was carried out in Medan, North Sumatera. A sample of 100 household heads was selected for this study by random sampling. The dependent variable was preparedness to control DHF. The independent variable was resource mobilization within the community. The data were collected by questionnaire and analyzed by chi-square with Odd Ratio (OR) as the measure of association. \u0000Results: Preparedness to control DHF was positively associated with resource mobilization within the community (OR= 3.22; 95% CI= 1.32 to 7.85; p= 0.001). \u0000Conclusion: Preparedness to control DHF is associated with resource mobilization within the community.\u0000\u0000Keywords: dengue haemorrhagic fever, control, preparedness, resource mobilization.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132820347","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}
引用次数: 0
The Effect of Husband Support on the Use of Implant Contraceptive among Women of Reproductive Age in Dairi, North Sumatera 丈夫支持对北苏门答腊戴利育龄妇女植入避孕药具使用的影响
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.03.07
Novalina Sianturi, Heru Santosa, L. S. Andayani
{"title":"The Effect of Husband Support on the Use of Implant Contraceptive among Women of Reproductive Age in Dairi, North Sumatera","authors":"Novalina Sianturi, Heru Santosa, L. S. Andayani","doi":"10.26911/THEICPH.2018.03.07","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.03.07","url":null,"abstract":"","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130213131","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}
引用次数: 0
Factors Associated with Work Performance among Midwives at Community Health Centers in Central Java 中爪哇社区卫生中心助产士工作表现的相关因素
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.04.51
Nurul Wahidah, E. S. Sulaeman, Uki Retno Budihastuti
{"title":"Factors Associated with Work Performance among Midwives at Community Health Centers in Central Java","authors":"Nurul Wahidah, E. S. Sulaeman, Uki Retno Budihastuti","doi":"10.26911/theicph.2018.04.51","DOIUrl":"https://doi.org/10.26911/theicph.2018.04.51","url":null,"abstract":"Background: Performance of midwives in antepartum, intrapartum, and post partum health care can influence maternal health as well as infant survival. Despite its importance, studies into factors associated with work performance among widwives in Indonesia are scanty. This study aimed to investigate factors associated with work performance among midwives at Community Health Centers in Central Java.\u0000Subjects and Method: This was a cross-sectional study carried out at 28 Puskemas (Community Health Centers) in Sukarta and Karanganyar, Central Java, Indonesia. A sample of 28 Puskesmas was selected for this study by stratified random sampling, comprising of 5 strata of Puskesmas. A total sample of 200 midwives was selected for this study by random sampling. Around 4 to 14 mid¬wives were selected randomly from each selected Puskesmas, resulting in a total sample of 200 midwives. The dependent variable was work performance. The independent variables included knowledge, experience, tenure, motivation, job burden, facility, skill, and reward. The data were collected by pretested questionnaire and analyzed by a multiple logistic regression.\u0000Results: Work performance was positively associated with knowledge (OR= 6.96 95% CI= 2.88 to 16.82; p<0.001), experience (OR= 2.39; 95% CI= 1.12 to 5.13; p= 0.025), tenure (OR= 2.69; 95% CI= 1.20 to 6.04; p= 0.016), motivation (OR= 2.76; 95% CI= 1.22 to 5.59; p= 0.014), facility (OR= 2.91; 95% CI= 1.32 to 6.41; p= 0.008), skill (OR= 2.59; 95% CI= 1.11 to 6.11; p= 0.030), and reward (OR= 2.08; 95% CI= 0.97 to 4.46; p= 0.061), but was negatively associated with job burden (OR= 0.36; 95% CI= 0.16 to 0.82; p= 0.015).\u0000Conclusion: Work performance is positively associated with knowledge, experience, tenure, motivation, facility, skill, and reward, but is negatively associated with job burden, among midwives working at Puskesmas.\u0000\u0000Keywords: work performance, knowledge, experience, tenure, motivation, facility, skill, reward, job burden, midwife.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127676283","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}
引用次数: 0
Hygiene Sanitation and Detection of Rhodamin B in Sauce nd Formalin in Meatball at Meatball Tavern, Kupang, East Nusa Tenggara 东努沙登加拉古邦肉丸酒馆酱汁中罗达明B和福尔马林的卫生卫生检测
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.06
Marthen Rachmad Here, Pius Weraman, Hari Rarendo
{"title":"Hygiene Sanitation and Detection of Rhodamin B in Sauce nd Formalin in Meatball at Meatball Tavern, Kupang, East Nusa Tenggara","authors":"Marthen Rachmad Here, Pius Weraman, Hari Rarendo","doi":"10.26911/THEICPH.2018.01.06","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.06","url":null,"abstract":"Background: Food safety and sanitation is an essential part of the food industry. While it is important to be able to deliver food quickly and profitably, the importance of food safety and sanitation cannot be underestimated. Fast food retailers such as meatball tavern are common in Kupang, East Nusa Tenggara. Therefore it is worth studying the food safety and sanitation among the existing fast food retailers. This study aimed to examine hygiene sanitation and detection of rhodamin B in sauce and formalin in meatball at meatball tavern, Kupang, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at meatball taverns, Kupang, East Nusa Tenggara, Indonesia. A total of 16 meatball taverns were selected for this study by total sampling. The dependent variables were hygiene sanitation, rhodamine B content in sauce, and formalin content in meatball. The independent variables were selection of foodstuff, food storage, processing place, equipment, food handlers, food transport, and food provision. The data were collected by observation and laboratory examination. The data were described accordingly. Results: Hygiene and sanitation in food selection and food storage were good (70100%). Hygiene and sanitation in food handling and processing were fair (5078%). Hygiene and sanitation of processing places were variable from poor to moderate (36-72%). Hygiene and sanitation of equipment were good (70-100%). Food stewardship was very good (87-100%). Rhodamine B content was absent in sauce. Formalin content was absent in meatball. Conclusion: Hygiene and sanitation levels in various aspect of food preparation and handling at meatball taverns were variable ranging from poor to very good level.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129249838","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}
引用次数: 0
Factors Associated with Dengue Fever Preventive Practice Using Theory of Planned Behavior 计划行为理论与登革热预防实践的相关因素
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.69
Kanthi Devi Ayuningtyas, S. Rahardjo, Bhisma Murti
{"title":"Factors Associated with Dengue Fever Preventive Practice Using Theory of Planned Behavior","authors":"Kanthi Devi Ayuningtyas, S. Rahardjo, Bhisma Murti","doi":"10.26911/THEICPH.2018.01.69","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.69","url":null,"abstract":"Background: Dengue fever, also known as breakbone fever, is a mosquito-borne infection that can lead to a severe flu-like illness. It is caused by four different viruses and spread by Aedes mosquitoes. There are currently no vaccines. The best method of prevention is to avoid mosquito bites. Treatment is possible if diagnosis occurs before the patient develops dengue shock syndrome (DSS) or dengue haemorrhagic fever (DHF). This study aimed to investigate factors affecting dengue fever preventive practice using theory of planned behavior, using theory of planned behavior. Subjects and Method: A cross sectional study was conducted in 8 sub-districts in Sukoharjo, Central Java, from May 7 to July 8, 2018. A sample of 200 study subjects was selected for this study by random sampling. The dependent variable was dengue fever preventive practice. The independent variables were intention, self-efficacy, perceived seriousness, attitude, and education. The data were collected by questionnaire and analyzed by path analysis. Results: Dengue fever preventive practice was directly and positively affected by intention (b= 0.62; 95% CI= 0.45 to 0.79; p<0.001), self-efficacy (b= 0.13; 95% CI= 0.01 to 0.25; p= 0.043), and perceived seriousness (b= 0.31; 95% CI= -0.05 to 0.67; p= 0.091). Dengue fever preventive practice was indirectly affected by attitude and education. Conclusion: Dengue fever preventive practice is directly and positively affected by intention, self-efficacy, and perceived seriousness. It is indirectly affected by attitude and education.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115842894","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}
引用次数: 0
Occupational Risk Factors Associated with Perceived Central Nervous System Disorder among Printing Industry Workers in Medan 棉兰印刷业工人中枢神经系统知觉障碍的职业危险因素
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/THEICPH.2018.01.57
Samuel Marganda, T. Ashar
{"title":"Occupational Risk Factors Associated with Perceived Central Nervous System Disorder among Printing Industry Workers in Medan","authors":"Samuel Marganda, T. Ashar","doi":"10.26911/THEICPH.2018.01.57","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.57","url":null,"abstract":"Background: Toluene is a colorless, water-insoluble liquid, aromatic hydrocarbon, with the smell associated with paint thinners. Toluene is used in the printing of colored illustrations in media such as catalogues and magazines. Studies on male employees in the printing industry found that both high and low exposure to toluene were associated with an imbalance of sexual hormones in serum samples. This study aimed to analyze the occupational risk factors associated with perceived central nervous system disorder attributable to toluene exposure among printing industry workers in Medan, North Sumatera. Subjects and Method: This was a cross sectional study conducted at a printing industry in Medan, North Sumatera. A sample of 50 printing industry workers was selected for this study. The dependent variable was perceived central nervous system disorder attributable to toluene. The independent variables were age, smoking, years of service, history of illness, alcohol consumption, and personal protective equipment (PPE). The data were collected by questionnaire and analyzed by a chi-square test. Results: Perceived central nervous system disorder attributable to toluene exposure was statistically associated with age and smoking, but was not statistically associated with years of service, history of illness, alcohol consumption, and PPE. Conclusion: Perceived central nervous system disorder is statistically associated with age and smoking among printing workers.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"270 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116118624","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}
引用次数: 0
Short-Term Evaluation of the Steroid Epidural Injection Method for Patients with Degenerative Lumbar Stenosis 硬膜外注射类固醇治疗退行性腰椎管狭窄症的短期疗效评价
Reaching the Unreached: Improving Population Health in the Rural and Remote Areas Pub Date : 2018-08-29 DOI: 10.26911/theicph.2018.05.15
Pamudji Utomo, R. Andhi Prijosedjati, Haryo Wicaksono
{"title":"Short-Term Evaluation of the Steroid Epidural Injection Method for Patients with Degenerative Lumbar Stenosis","authors":"Pamudji Utomo, R. Andhi Prijosedjati, Haryo Wicaksono","doi":"10.26911/theicph.2018.05.15","DOIUrl":"https://doi.org/10.26911/theicph.2018.05.15","url":null,"abstract":"Background: Spinal stenosis is a narrowing of the vertebral canal that com-presses spinal nerves and may cause leg pain and difficulty walking. The symptoms of degenerative lumbar stenosis commonly occur in elderly adults and can be treated conservatively with pain-relieving agents or aggressively with decompressive surgery. However, studies on the effectiveness of steroid epidural injection (EPI) on reducing pain in patients with degenerative lumbar stenosis in Indonesia are lacking. This study aimed to evaluate the short-term effect of the steroid epidural injection method on the reduction of pain and disability in patients with degenerative lumbar stenosis.\u0000Subjects and Method: This was a cohort study conducted at Prof. Dr. R. Soeharso Orthopedi Hospital, Surakarta, Central Java, from March 2015 to January 2016. A total of 50 patients with degenerative lumbar stenosis was selected for this study. The dependent variables were pain and disability levels. The independent variable was EPI. Pain level was measured by visual analog scale (VAS). Disability level was measured by Oswestri Disability Index (ODI). The outcome data before and after the intervention (EPI) were compared by t-test.\u0000Results: Score of VAS a month after EPI (mean= 36.20) was lower than before EPI (mean= 63.20) and it was statistically significant (p= 0.027). Score of ODI a month after EPI (mean= 42.82) was lower than before EPI (mean= 54.90) and it was statistically significant (p= 0.033). However, scores of both VAS and ODI began to rise three months after EPI.\u0000Conclusion: Non-operative steroid epidural injection (EPI) is effective to reduce pain and disability among patients with degenerative lumbar stenosis in the short-term within three months after the intervention.\u0000\u0000Keywords: steroid epidural injection, pain, disability, degenerative lumbar stenosis.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115546669","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}
引用次数: 1
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