Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education

The Effectiveness of Dokterkit Application-Based Coronary Heart Risk Monitoring and Education

2023-02-02T12:21:12+07:00

Background: In 2019, primary diagnoses in coronary heart disease outpatients increased by 1.4% and secondary diagnoses byi6% of patients. Aims: To determine the effectiveness of Edmon (Education & Monitoring) based on the medical kit application on coronary heart disease risk control at Soewandhi Hospital Surabaya. Method: This study is a quantitative study with quasi-experimental non-equivalent group design. This study involved 30 people consistingi of 2 groups (the treatment group that received CHD health education through a dokterkit application and through leaflets). This research was conducted at Soewandi Hospital in Surabaya in August-November 2022. Univariate data analysis techniques were performed on each variable from the research results, then an independenti test was carried out to find out the differencesi betweeni the two groups. Results: The results showed that android-based education and monitoring were effective because they contributed to a 26.7% reductioni in the numberi of patientsi with severe CHD risk and a 40% increase in the numberi of patients with normal urici acidi levelsi in the treatment group. Conclusion: Dokterkit-based education & monitoring is effective in controlling the risk of coronaryi heart diseasei and uric acid levelsi in Soewandhie Hospital Surabaya, but not effective in reducing cholesterol levels, systolic blood pressure, blood sugar levels and not effective in changing smoking behavior.

Factors Influencing Birth in Adolescents in the Province of West Nusa Tenggara

2023-01-05T10:37:34+07:00

Background: Adolescent childbirth is a global problem, especially in developing countries. Based on data from the 2017 Indonesian Demographic and Health Survey (SDKI), the ASFR 15-19 at the national level is 36 per 1000 women while the NTB Province is 42 per 1000 women, so it is still in a position above the national level. Aims: To know the factors that influence teenage births. Methods: This research is an analytical study using secondary data from the results of the 2017 Indonesian Demographic and Health Survey (IDHS) by using a cross-sectional approach. The population in this study was 1368 respondents. sampling technique using purposive sampling obtained as many as 806 respondents. Data analysis was using univariate, bivariate analysis with chi-square, and multivariate with logistic regression analysis. Results: Based on the results of bivariate analysis, it was found that there was a significant relationship between the factors of education (CI 95% 2.996-16.366), age of first sex (CI 95% 2.271-11.853), use of contraception (CI 95% 0.292-0.846), number of children born (CI 95% 0.378-0.880) to teenagers. Factors of employment status (CI 95% 0.667-1.482) and living area (CI 95% 0.635-1.406) did not have a significant relationship with teenage births, while the results of multivariate analysis showed that the R2 value was 0.603 which means that education, age of first sex, use of contraceptives, and number of children contributed to teenage births of 60.3%, the remaining 39.7% is caused by other variables. Conclusion: Factors of education, age of first sex, use of contraceptives, and the number of children have a significant relationship with teenage births. It is hoped that the BKKBN of West Nusa Tenggara Province will evaluate the programs that have been established to determine the effectiveness of these programs in overcoming the problem of teenage births.

Pictorial Health Warning and Intention to Quit Smoking in Smokers in an Urban Campus Jakarta

2023-03-07T11:05:20+07:00

Background: Research on eye-tracking among active smokers shows they avoid the health warnings on cigarette packages, which still occur even without prominent imaging information. Aims: To evaluate the reactions and perceptions to pictorial health warning (PHW) labels by measuring eye-tracking devices and knowing their relationship to smoking cessation intention. Methods: The study used a cross-sectional design with measurements of PHW on cigarette packs by eye-tracker tools of type Tobii-data collection. With a non-random sampling technique, 50 respondents were from civitas academics on Campus-A UHAMKA. Samples were selected based on inclusion criteria: men, active smokers, not colorblind, and who didn't intend to stop smoking three months before the study. Results: The number also shows that most respondents already have strong intentions. The majority of respondents (64%) want to improve their health. However, 20% of those surveyed have no reason to quit smoking. That might represent the respondent's low intention to quit smoking. A bivariate test showed no significant association between respondents' attitudes toward smoking cessation intention (p-value: 0.706) and subjective norms for smoking cessation intention (p-value: 0.706). The eye-tracking results found that the different gaze plots and heatmap results on cigarette packets showing smoking-related diseases were more directed to the PHW area of interest. However, on smoking behavior images, the gaze plot and heatmap showed scattered results for PHW and cigarette brands. Conclusion: Although it has not been proven significantly related to smoking cessation intention, PHW has been the respondents' focus. We need further research on the shape and size of PHW.

Multilevel Intervention Program Goes to School Camba’ Rokok for School Based Smoking Prevention

2024-03-20T11:51:54+07:00

Background: The earlier age people start smoking will have the potential to become long-term smokers. One way that can be done to overcome this problem is through program intervention such as a promotive preventive program that is focused on addressing the problem of smoking is urgently needed. In the City of Palopoin 2017 smokers of elementary school children reached 15.27%, people who broke the rules by smoking in schools reached 44.27% and 36.64% of students had been exposed to outdoor cigarette advertisements. Aims: This study aims to assess the program Goes to school camba' rokok in multilevel interventions at the student and school level to increase self-efficacy and skills in school-based smoking prevention. Methods: The population in this study was state junior high school and senior high school in Palopo city. This research is a quasi-experimental study, with a Solomon four-group design. The samples in this study were 131 students who were randomly determined at SMAN 2 Palopo, SMAN 4 Palopo, SMPN 5 Palopo, and SMPN 8 Palopo using simple cluster random sampling tests. Data analysis using STATA for statistical analysis using statistical tests with Wilcoxon, Mann-Whitney, and Kruskal-Wallis at the significance level p-value <0.05. Results: Posttest scores in the four groups, there was a significant difference in the effect of program interventions going to school camba' rokok on self-efficacy with a p-value of 0.0001, skills with a p-value of 0.0012. Conclusion: There is an increase in students 'self-efficacy and skills through a multilevel intervention program going to school camba' rokok in Palopo City.

The Influence of Child Caregivers’ Personal Hygiene and Family Smoking Behavior on Stunting

2023-04-12T11:30:40+07:00

Background: Stunting is a problem that still occurs in Indonesia. It is a chronic nutritional problem associated with insufficient food intake so that nutritional needs are not fulfilled over a long period. Stunting also can be caused by indirect factors such as environmental and behavioral. Aims: This study aimed to analyze the correlation of child caregivers’ personal hygiene implementation and family smoking behavior on the occurrence of stunting. Methods: This type of research is an analytic survey with a case-control study approach. The number of respondents was 25 cases and 25 controls so the total number of respondents was 50 respondents. Results: The results of the examination found that personal hygiene of caregivers and smoking habits in the families of stunted toddlers were mostly inadequate and there was a smoking habit in the families of stunted toddlers. There is a significant relationship between defecation behaviors and the incidence of stunting with a p-value of 0.02 (<0.05). Based on multivariate analysis, it was found that unqualified defecation behaviors had a 63.3% probability of stunting. Conclusion: There is a significant correlation between defecation behaviors and the occurrence of stunting with a p-value of 0.02 (<0.05). According to multivariate analysis, respondents with defecation behaviors that did not meet the standards had a 4.03 times greater risk of having a child with stunting.

The Effect of SMS Gateway Intervention on Increasing Knowledge in Pregnant Women with Anaemia

2023-05-02T13:53:22+07:00

Background: Anemia in pregnancy is one of the indirect causes of the high maternal mortality rate (MMR) in Indonesia. To prevent and overcome anemia in pregnancy, an Iron supplement tablets program (IST) is carried out. However, this Programme has yet to show tangible results. One of the challenges is a low mother's compliance to consuming IST due to a lack of knowledge. Today, Short Messaging Service (SMS) appears to be an alternative to health promotion media. Aims: This study aims to determine the effect of SMS gateway on the level of knowledge about IST consumption among pregnant women with anemia. Methods: This study is a double-blind experimental research with a Randomized Controlled Trial (RCT) design. We took anemic pregnant women at seven health centers in Makassar City who met the inclusion criteria with a total sample of 68 people (35 control and 33 intervention). Results: There was a significant difference in the mean value of pre-test and post-test knowledge levels in the intervention group that received SMS gateway (p-value = 0.047). However, there is no significant difference in the mean value of pre test and post-test knowledge between the control and intervention groups (p-value = 0.215). Conclusion: There is an effect of SMS gateway on the knowledge levels regarding IST consumption among pregnant women with anemia.

Use of Android-Based Flipbook Educational Media to Increase Knowledge, Beliefs, Attitudes, and Intentions of Prospective Brides in Stunting Prevention in Semarang City

2023-05-25T14:42:51+07:00

Background: The prevalence of stunting in Semarang City is still relatively high. Low public knowledge about stunting prevention can increase the incidence of stunting. Stunting can be prevented before pregnancy. Prospective brides are strategic targets in stunting prevention so that they can prepare for a healthy pregnancy. Increasing the knowledge of the prospective brides can be done by providing education using media that follows the characteristics of the prospective brides, namely using Android-based flipbook media. Aims: The study aims to analyze the effect of education using Android-based flipbook media on increasing knowledge, beliefs, attitudes, and intentions of prospective brides in stunting prevention in Semarang City. Method: This study used a quasi-experimental research design with a nonequivalent control group design. The sample of the research was prospective brides totaling 94 people, consisting of treatment and control groups of 47 people. Data collection used pre-test and post-test questionnaires to measure prospective brides’ knowledge, beliefs, attitudes, and intentions in stunting prevention. Results: The results showed that there were significant differences in the average knowledge score (p = 0.001), beliefs (p = 0.016), attitude (p = 0.001), and intention (p = 0.001) of prospective brides in stunting prevention. Conclusion: So it can be concluded that education about stunting prevention using Android-based flipbook media influences increasing knowledge, beliefs, attitudes, and intentions of prospective brides in stunting prevention. The greatest influence is shown on the knowledge variable, which is equal to 29,7%.

Alternative Media to Increase Knowledge About COVID-19 Vaccination in Children

2023-08-14T15:30:48+07:00

Background: Several vaccination programs for children have not been maximized. The phenomenon of low vaccination coverage in children can be attributed, in part, to the role played by information distribution. Public service advertisements have been widely studied for their effectiveness but are limited to social media. Public service advertisements can be combined with a game. Games are used for health promotion media with various themes and are considered effective. Print media such as posters and combinations with games are media that need to be studied in this digital era. Aims: This study aims to develop public service advertising media to invite COVID-19 vaccinations. Method: This research uses research and development (R&D) with ADDIE stages. The intervention study was conducted in Makassar, South Sulawesi, and involved
40 grade 4 and 6 elementary school students and 65 parents. The intervention was carried out at school by combining posters and pinball games. Measurements are managed with a validated questionnaire to assess knowledge and perceptions. Data were analyzed using the Wilcoxon test. Results: 1) The quality of the media combination of posters and pinball games obtained a score of 3.023 which was included in the qualification of “good” with the recommendation “need some revision” 2) the application of a combination of posters and pinball games affected the knowledge of children; parents’ knowledge is fair and good, and parents’ perceptions are positive. Conclusion: In conclusion, the poster combination game is an alternative media to promote the uptake of COVID-19 vaccination among elementary school students and their parents.

`The Correlation of Sociodemographic Status, Knowledge and Attitudes with Pregnant Women's Practice Regarding COVID-19 Vaccination

2023-08-14T15:23:10+07:00

Background: Pregnant women become a high-risk group that could get infected with COVID-19 during the pandemic. Maternal mortality also has increased during the COVID-19 pandemic. Based on this, vaccination for COVID-19 becomes one of the ways to prevent the transmission of COVID-19 to pregnant women. However, there are still high doubts about the vaccine for COVID-19, especially among pregnant women. As such the authors are interested in seeing the correlation between sociodemographic status, knowledge, and attitudes with pregnant women's practice regarding COVID-19 vaccination. Aims: This study focused on evaluating the correlation of sociodemographic status, knowledge, and attitudes with pregnant women's practice regarding COVID-19 vaccination. Methods: This cross-sectional study was performed on 136 pregnant mothers determined through a purposive sampling method and implemented from February-March 2023 at Kassi-Kassi Public Health Center using a questionnaire consisting of respondent characteristics, knowledge related to COVID-19 vaccination, and attitudes toward the COVID-19 vaccination. The analysis of the data was done univariately, then bivariate using a comparative Chi-square test. Results: The correlation between variables was analyzed using the Chi-Square comparison test and significant correlation was obtained for parity (p-value; 0.000 < 0.05, OR; 1.91, CI; 1.55-2.34), age (p-value; 0.000 < 0.05, OR; 33.67, CI; 11.04-102.63), work status (p-value; 0.045 < 0.05, OR; 3.40, CI; 1.10-10.47), educational level (p-value; 0.040 < 0.05, OR; 2.77, CI; 1.14-6.72), knowledge (p-value; 0.000 < 0.05, OR; 8.45, CI; 3.64-19.61), and attitude (p-value; 0.000 < 0.05, OR; 9.20, CI; 3.88-21.78). However, there is a non-significant correlation for the monthly income category (p-value: 0.269 > 0.05, OR; 2.18, CI; 0.69-6.86). Conclusion: There is a significant correlation between sociodemographic status (parity, age, work status, and educational level), knowledge, and attitude toward pregnant women's practices regarding COVID-19 vaccination.

Analysis of Socio-Demographic Factors Influencing Anxiety in Hemodialysis Patients

2023-09-06T14:48:41+07:00

Background: Advanced chronic kidney disease patients need hemodialysis, the most used method of renal replacement therapy today. The patient will receive hemodialysis therapy for the rest of their life so that it can have a psychological effect like anxiety. Aims: This study aims to examine the socio-demographic variables affecting anxiety in hemodialysis patients. Method: This research used a cross-sectional analytical observational study design. A total sampling technique was used in this research. From 113 outpatient hemodialysis patients in March 2023, 80 samples of patients at Roemani Semarang Hospital met the inclusion and exclusion criteria. Inclusion criteria were patients undergoing hemodialysis at Roemani Semarang Hospital who were willing to participate in the study. Exclusion criteria were incomplete questionnaires, patients with impaired consciousness, patients with communication disorders, and patients using anti-anxiety medication. The information collected was primary information from questionnaires and interviews. The data were tested using the Spearman test with a significance level of p<0.05 for age and family support, and the chi-square test for gender, employment, and educational status. Results: The statistical analysis showed a p-value of 0.704 for age, a p-value of 0.020 for gender, a p-value of 0.558 for employment, a p-value of 0.138 for educational level, and a p-value of 0.000 for family support. Conclusion: The results showed a significant relationship between gender and family support with anxiety levels. The higher the family support, the lower the anxiety level. There is no relationship between age, employment, and education level with the anxiety level of patients undergoing hemodialysis at Roemani Semarang Hospital.

A Theoretical Review: Globalization and Preventing Premarital Sex

2022-10-17T07:46:11+07:00

Background: Globalization is a double-edged sword since it improves human efficiency and effectiveness along with the development of technology. However, the negative impacts of globalization hit developing countries hard, such as the fading of traditional culture and people's tendency to be dependent on developed countries, or people imitate the negative behavior of those living in developed countries. Aims: This paper conceptualizes premarital sex behavior, which is a problem in the social environment that occurs in Indonesian society and generally in Islamic countries. The author will reveal sexual problems experienced by adolescents in terms of social phenomena in modern times. In addition, the impact of adolescent sexual behavior before marriage will also be discussed in this article, both in social, cultural, and religious settings. The author also offers alternative solutions to prevent premarital sex behavior in adolescents by looking at the role of the family, social environment, and educational institutions. Method: We use the Theory of Planned Behavior and Social Learning Theory approaches to explore the direction of adolescent behavior in making decisions. Results: As a result, our model can contribute to future research to research adolescent premarital sex behavior, especially in countries affected by globalization. In addition, we also offer a research model by formulating several propositions that will be a guide for further research. Conclusion: Globalization is very influential and we feel it in everyday life. Conditions such as promiscuity, negative internet, premarital sex, etc. can be found in social life. This condition cannot be avoided, which is something that should happen and needs to be addressed wisely by the whole community, especially parents who have teenage children.
Several alternatives are offered to overcome this problem, among others, through educational institutions, the role of the family, and the social environment. These three factors are an alternative to preventing adolescent associations that lead to premarital sex.

Health Services Strategy of Adolescent Sexual Reproductive Health in Developing Countries

2023-04-14T11:05:09+07:00

Background: In the developing country 1 in 5 women give birth before the age of 18 years old. The problem of pregnancy is part of the main causes of death in youth between 15 to 19 years old, especially because of abortion complications and unsafe childbirth. Aims: To determine the strategy of health services for adolescent reproduction in developing countries. Method: using the design of scoping review with PRISMA-ScR checklist. Using Arksey and O'Malley in the form of (1) identified research questions, (2) identified relevant articles, (3) chosen articles, (4) data mapping and (5) presented data/result, discussion, and conclusion. Finding articles using 4 databases Ebsco, ScienceDirect, Pubmed, and Wiley Online Library. Results: The strategy of health service for adolescent reproduction in developing countries that can be done is health education/comprehensive sexuality education (CSE), youth-friendly service, and model of sexuality education enhancement (SEE). Conclusion: all of the three strategies the most applied is youth-friendly service followed by health education in the form of CSE. For the next research, it is expected to be able to analyze and evaluate a more dominant strategy also more effective in handling sexual health and adolescent reproduction both in developed countries and developing countries.

Information Needs among Parents of Cancer Children: A Systematic Review

2023-02-28T12:12:48+07:00

Background: When a child is diagnosed with cancer, parents are affected, especially if they are unprepared and do not understand the illness. Parents' informational needs are frequently expressed and vary, so identifying parent needs is critical before providing health or nursing interventions. Aims: This review aimed to identify the information needs of parents of children with cancer. Method: PubMed, Medline, and CINAHL were applied to conduct electronic searches. The terms “information needs”, “parent”, “cancer”, and “child” were combined using Boolean expressions “OR” and “AND”. The inclusion criteria were non-experimental studies published in English within the last 10 years (2011-2021). A risk of bias assessment was conducted for each included study using the Joanna Bridge Institute critical appraisal tools. After identification and screening, the articles were filtered according to the criteria with a total of 15 articles included in this study. Furthermore, data extraction and synthesis were carried out. Narrative synthesis is used by collecting information on the findings of the article to be grouped into themes of finding problems. Results: Four themes emerged based on the results of the analysis: types of information needed; information formats; provision of information; and sources of information. Conclusion: This study concluded that parents require accurate information that addresses their specific information needs and is appropriate for their child's cancer stage. The provision of balanced written and verbal information, as well as information that is complete, accurate, and reliable, makes it easier for parents to increase their knowledge about caring for their children.

The Impact of Self-Management on the Quality of Life of Patient with Diabetes Mellitus: A Systematic Review

2023-02-08T12:31:51+07:00

Background: Diabetes mellitus is a hereditary and degenerative disease that requires management throughout the patient's life to maintain blood sugar stability and psychosocial factors. Aims: This systematic review aims to determine the effect of self-management on the quality of life of patients with Type 2 DM. Methods: The selection of the studies refers to Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines and JBI's checklist was used to assess the quality of the study. The study selection came from 7 databases Scopus, ScienceDirect, Sage Journals, ProQuest, Emerald Insight, Pubmed dan Taylor & Francis. The number of studies included in the review was 7 articles, 5 articles used an RCT design, and 2 articles were quasi-experimental. Results: The finding showed 2 articles that provide interventions in the form of DSME, 1 article emphasizes self-management interventions based on self-efficacy theory that is oriented towards active family involvement, 1 article specifies interprofessional-based DSM through telemonitoring media, 1 article focuses on community-based self-management interventions, and 1 article specializes in the use of weblogs in conducting self-management. Special 2 articles emphasize nurse leadership in managing interventions during the study. Five articles showed a significant effect of self-management on quality of life and 2 articles had no effect. Conclusion: The findings can be used to optimize self-management intervention in DM patients to improve their quality of life.

Determinants of Cesarean Section Decision in Indonesia: A Systematic Review

2023-09-06T14:53:35+07:00

Background: Cesarean section delivery should be chosen if there are certain medical indications. However, the trend of childbirth by cesarean section shows a high increase in Indonesia. Complications of childbirth after cesarean section are higher compared to normal childbirth, this condition can endanger the health and safety of the mother and baby. Aims: to determine the determinants of cesarean section decisions in Indonesia. Method: this study is a systematic review using PRISMA, a database search via Google Scholar, PubMed, and ScienceDirect, keywords are adjusted to the topic discussed. Results: 13 articles were reviewed that were relevant to the research topic. Determinants of cesarean section decisions are medical indication including age, parity, pregnancy complications (hypertension and pre-eclampsia), history of delivery (cesarean section history), and labor complications (premature rupture of membranes and fetal distress) and by choice (own request) including residence in urban areas and employment. Conclusion: Interventions such as education, counseling, and others using appropriate communication, information, and education media, cooperation, and collaboration with academics and nongovernment organizations are needed in carrying out interventions.