scholarly journals Penskalaan Thurstone pada Aitem Thyroid Dysfunction Questionnaire (TDQ) Berbasis Gejala Biopsikososial

2014 ◽  
Vol 41 (2) ◽  
pp. 135
Author(s):  
Mutalazimah ◽  
Saifuddin Azwar ◽  
Bhisma Murti

Thyroid function disorders can affect the biological, psychological and social conditions of the sufferer. This study aimed at developing a thyroid dysfunction questionnaire (TDQ) based on a biopsychosocial phenomenon, which is the impact of hypothyroidism and hyperthyroidism. The development of this instrument began with identification of the measurement objectives, domains and items. The procedures of Thurstone Scaling were done with analysis of content validity using the Content Validity Ratio (CVR) and Content Validity Index (CVI), which were formulated by three experts of thyroid and endocrinology. Every item in the TDQ was determined through median analysis based on the valuation results done by 44 internists from hospitals and 44 doctors from Puskesmas (Public Health Center) with 11 categories of response (1-11). The results of CVR analysis ranged from 0.33 to 1.00 and the value of CVI was 78%. It showed that the experts had adequate rate of homogeneity to judge the relevance of the 33 items in TDQ. The median analysis showed that the 33 items of TDQ had scores ranging from 4 to 10. Thus, it was expected that the TDQ scores on this interval scale would facilitate observer to make an interpretation of the examination of thyroid function of the subjects. Keywords: Thurstone scaling, thyroid dysfunction questionnaire, experts’ judgment, biopsychosocial

2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 


2019 ◽  
Vol 105 (4) ◽  
pp. e1299-e1306 ◽  
Author(s):  
Salman Razvi ◽  
Owain Leng ◽  
Avais Jabbar ◽  
Arjola Bano ◽  
Lorna Ingoe ◽  
...  

Abstract Objective The objective of this study was to determine the impact of blood sample timing on the diagnosis of subclinical thyroid dysfunction (SCTD) and mortality in patients with acute myocardial infarction (AMI). Patients, Design, and Main Outcome Measures Patients with AMI had thyroid function evaluated on admission between December 2014 and December 2016 and those with abnormal serum thyrotropin (TSH) had repeat thyroid function assessed at least a week later. The association between sample timing and SCTD was evaluated by logistic regression analysis. Secondary outcomes were confirmation of SCTD on repeat testing and all-cause mortality up to June 2018. Results Of the 1806 patients [29.2% women, mean (± standard deviation) age of 64.2 (±12.1) years] analyzed, the prevalence of subclinical hypothyroidism (SCH) was 17.2% (n = 311) and subclinical hyperthyroidism (SHyper) was 1.2% (n = 22) using a uniform TSH reference interval. The risk of being diagnosed with SCTD varied by sample timing in fully-adjusted models. The risk of SCH was highest between 00.01 and 06.00 hours and lowest between 12.01 and 18.00 hours, P for trend &lt;.001, and risk of SHyper was highest between 12.01 hours and 18.00 hours and lowest between 00.01 hours and 06.00 hours. Furthermore, time of the initial sample was associated with the risk of remaining in a SCH state subsequently. Mortality in SCH patients was not elevated when a uniform TSH reference interval was utilized. However, when time period–specific TSH reference ranges were utilized, the mortality risk was significantly higher in SCH patients with HR (95% CI) of 2.26 (1.01–5.19), P = .04. Conclusions Sample timing impacts on the diagnosis and prognosis of SCH in AMI patients. If sample timing is not accounted for, SCH is systemically misclassified, and its measurable influence on mortality is lost.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emma Tonkin ◽  
Trevor Webb ◽  
Julie Henderson ◽  
Paul R. Ward ◽  
John Coveney ◽  
...  

Abstract Background Consumer trust in food systems is essential for consumers, food industry, policy makers and regulators. Yet no comprehensive tool for measuring consumer trust in food systems exists. Similarly, the impact that trust in the food system has on health-related food behaviours is yet to be empirically examined. The aim of this research was to develop a comprehensive instrument to measure trust in the food system (the Dimensions of Trust in Food Systems Scale (DOTIFS scale) and use it to explore whether trust in the food system impacts consumers’ health-related behaviours. Methods The DOTIFS scale was developed using sociological theories of trust and pre-existing instruments measuring aspects of trust. It was pilot tested and content validity was assessed with 85 participants. A mixed-methods exploration of the health-related behaviours of 18 conveniently sampled Australian consumers with differing trust scores determined by the DOTIFS scale was then conducted. During March–July 2019 shopping- and home-observations were used to assess participants’ food safety practices and exposure to public health fortification programs, while the CSIRO Healthy Diet Score determined their adherence to national dietary guidelines. Results The DOTIFS scale was found to have high comprehension, ease of use and content validity. Statistical analysis showed scale scores significantly trended as predicted by participants’ stated level of trust. Differences were found in the way individuals with more or less trust in the food system comply with national dietary guidelines, are exposed to public health fortification programs, and adhere to recommended food safety practices. Conclusions The DOTIFS scale is a comprehensive, sociologically- and empirically- informed assessment of consumer trust in food systems that can be self-administered online to large populations and used to measure changes in consumer trust over time. The differences in health-related behaviours between individuals with varying levels of trust warrant further investigation.


2018 ◽  
Vol 17 (03) ◽  
pp. 314-321
Author(s):  
José Manuel Hernández-Padilla ◽  
Matías Correa-Casado ◽  
José Granero-Molina ◽  
Alda Elena Cortés-Rodríguez ◽  
Tamara María Matarín-Jiménez ◽  
...  

AbstractObjectiveTo translate, culturally adapt, and psychometrically evaluate the Spanish version of the “Scale for End-of Life Caregiving Appraisal” (SEOLCAS).MethodObservational cross-sectional study. Convenience sample of 201 informal end-of-life caregivers recruited in a southern Spanish hospital. The reliability of the questionnaire was assessed through its internal consistency (Cronbach's α) and temporal stability (Pearson's correlation coefficient [r] between test-retest). The content validity index of the items and the scale was calculated. Criterion validity was explored through performing a linear regression analysis to evaluate the SEOLCAS’ predictive validity. Exploratory factor analysis was used to examine its construct validity.ResultsThe SEOLCAS’ reliability was very high (Cronbach's α = 0.92). Its content validity was excellent (all items’ content validity index = 0.8–1; scale's validity index = 0.88). Evidence of the SEOLCAS’ criterion validity showed that the participants’ scores on the SEOLCAS explained approximately 79.3% of the between-subject variation of their results on the Zarit Burden Interview. Exploratory factor analysis provided evidence of the SEOLCAS’ construct validity. This analysis revealed that two factors (“internal contingencies” and “external contingencies”) explained 53.77% of the total variance found and reflected the stoic Hispanic attitude toward adversity.Significance of resultsThe Spanish version of the SEOLCAS has shown to be an easily applicable, valid, reliable, and culturally appropriate tool to measure the impact of end-of-life care provision on Hispanic informal caregivers. This tool offers healthcare professionals the opportunity to easily explore Hispanic informal end-of-life caregivers’ experiences and discover the type of support they may need (instrumental or emotional) even when there are communicational and organizational constraints.


2020 ◽  
Vol 14 (3) ◽  
pp. 486-493
Author(s):  
Triyoso Triyoso ◽  
Martina Sari

Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centreBackground: The results of the pre-survey conducted on January - 2019 based on the medical records of the Bukit Kemuning Inpatient Health Center in North Lampung recorded in 2018 had of 279 inpatients. Base on evaluation in Bukit Kemuning Inpatient Health Center, the Minimum Service Standards (MSS) achievement scored of 67.29% describes the service quality is still suboptimal.Purpose: Knowing relationship between nurses' caring behavior towards patient satisfaction in Bukit Kemuning Inpatient Health Centre North Lampung RegencyMethod: A quantitative cross-sectional approach, the population of all outpatient who had experienced hospitalization at Bukit Kemuning Inpatient Health Center, with a sample of 282 respondent. The variables of this study were nurse caring behavior and patient satisfaction. The research conducted at the Bukit Kemuning Inpatient Health Center UPT North Lampung Regency. data collection using a questionnaire. Data analysis was univariate and bivariate (chi square).Results: Knowing the respondents' statement that nurses' shown caring behavior in a poor category of 162 (57.4%), patients unsatisfied of 140 (49.4%), There is a relationship between Nurse caring behaviors and patient satisfaction at Bukit Kemuning inpatient public health centre North Lampung Regency (p-value = 0.000 OR = 4.659)Conclusion: There is a correlation between Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centre, for the Health Center management to consider for nurses' staff for conducting caring behavior training and improve health services.Keywords: Nurses; Caring behavior; Patient; SatisfactionPendahuluan: Standar kepuasan pasien di pelayanan kesehatan ditetapkan secara nasional oleh Departemen Kesehatan. Hasil pra survey yang dilakukan tanggal 5 – 9 Januari 2019  berdasarkan data rekam medis Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tercatat tahun 2018 jumlah pasien yang melakukan kunjungan rawat jalan sebesar 11.169 orang dan rawat inap sebanyak 279 orang. Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  Standar SPM > 90 % dengan hasil capaian hanya 67, 29% sehingga dapat menggambarkan mutu pelayanan masih belum optimal.Tujuan : Diketahui  hubungan perilaku caring perawat terhadap kepuasan pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019Metode: Penelitian kuantitatif pendekatan Cross Sectional, populasi seluruh pengunjung Puskesmas, dengan sampel berjumlah 282 orang Objek dalam penelitian ini adalah perilaku caring perawat dan kepuasan pasien. Penelitian dilakukan di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara. bulan Januari – Juni  2019 . pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat (chi square).Hasil: Diketahui pernyataan responden tentang perawat yang menunjukkan perilaku caring kategori buruk, sebesar 162 (57,4%) responden, kepuasan keluarga pasien kurang puas, sebesar 140 (49,4%) responden, Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019 (p-value=0,000,0,05, OR=4,659)Simpulan: Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019, bagi pihak manajemen Puskesmas sebagai bahan pertimbangan untuk mengadakan pelatihan perilaku caring perawat guna meningkatkan pelayanan pasien.


2018 ◽  
Vol 4 (2) ◽  
pp. 27
Author(s):  
Endang Susilowati

AbstrakPemberian Imunisasi Dasar Lengkap (IDL) pada bayi, merupakan suatu keharusan. Hasil survei Riskesdas tahun 2013 didapatkan data cakupan imunisasi HB-0 (79,1%), BCG (87,6%), DPT-HB-3 (75,6%), Polio-4 (77,0%), dan imunisasi campak (82,1%). Cakupan imunisasi lengkap di Jawa Tengah pada tahun 2013 mengalami penurunan. Jumlah sasaran bayi pada tahun 2013 adalah 575.011 menurun dibanding tahun 2012 sebanyak 592.712. Dampak dari cakupan imunisasi yang rendah yaitu cukup tingginya proporsi kematian bayi yang disebabkan karena tetanus neonatorum (TN) di Indonesia,  meningkatnya angka morbiditas dan mortalitas. Tujuan dari penelitian ini adalah mengetahui faktor-faktor  apa yang mempengaruhi minat ibu dalam pelaksanaan program lima imunisasi dasar lengkap di Wilayah Puskesmas Bangetayu Kota Semarang, Jenis penelitian yang digunakan adalah explanatory research, adapun pendekatannya menggunakan rancangan cross sectional. Hasil analisis dengan chi square diperoleh hasil signifikansi p value = 0,000 pada karakteristik umur, pendidikan dan pengetahuan, karena p value < 0,05 maka secara statistik ada hubungan yang signifikan antara umur, pendidikan dan pengetahuan  ibu dengan minat ibu dalam pelaksanaan lima imunisasi dasar lengkap.Kata Kunci : Minat ; Lima Imunisasi Dasar Lengkap THE AFFECTING FACTORS OF INTEREST OF MOTHERS TO IMPLEMENT FIVE BASIC IMMUNIZATIONS PROGRAM IN  BANGETAYU PUBLIC HEALTH CENTER,  SEMARANG DISTRICT Abstract In the immunization program, the provision of Complete Basic Immunization in infants is a must. The result of Riskesdas survey in 2013 revealed immunization coverage of HB-0 was 79,1%, BCG was 87,6%, DPT-HB-3 was 75,6%, Polio-4 was 77,0%, and measles immunization was 82.1%. The coverage of complete immunization in Central Java in 2013 has decreased. The number of targeted infants in 2013 was 575,011, decreased from 592,712 in 2012. The impact of low immunization coverage was the high proportion of infant deaths due to Tetanus Neonatorum (TN) in Indonesia, morbidity and mortality rates among infants also increase. The purpose of this research was to know factors that influence interest of mothers to implement five basic immunization program in Bangetayu Public Health Center, Semarang District. The research type is explanatory research with cross sectional design. The result of analysis with chi square showed p value = 0,000 on the characteristics of age, education and knowledge. As p value <0,05, therefore there is a significant correlation between age, education and mother knowledge with interest of mother to implement five complete basic immunization. Keywords: Interest; Five Basic Immunizations Program


2021 ◽  
Author(s):  
Andria Aiello

This study was conducted to assess the content validity of the Modified Engulfment Scale - Family Version (MES-FV) which measures the impact of schizophrenia on a family member’s self-concept and on the identity of the family as a whole. The concept of family engulfment offers a perspective for understanding how a family member’s self-concept and a family’s identity might incorporate the experience of mental illness. Evidence of content validity was sought by computing a content validity index (CVI), based on ratings of item relevance by seven experts. Case studies, and domain and item matching were also used to obtain evidence pertaining to the content validity of the scale. The study results show strong evidence for the content validity of the MES-FV. The results of the case studies, and domain and item matching were particularly useful in extending the understanding of the relevance ratings (CVIs) which were given for certain MES-FV items.


2018 ◽  
Vol 25 (1) ◽  
pp. 36-44
Author(s):  
Suryani Suryani ◽  
S. Effendi ◽  
Refin Herizon

The impact and dangers  of  Pulmonary Tuberculosis  incidence is causing death. In Bengkulu province in 2011 there were 1.565 cases of  pulmonary  tuberculosis in 2012  there were 1,670 cases of pulmonary tuberculosis in 2013 there were 2.671 cases of pulmonary tuberculosis and in 2014 there were 2.014 cases of pulmonary tuberculosis this showed that pulmonary tuberculosis was still high. The purpose of this study was to study the relationship of PMO role with                         the success of the treatment of pulmonary tuberculosis patients in working area of Sukamerindu Public Health Center Bengkulu. The type of research used was                 an analytic survey, with Cross Sectional research design. Population in this research was all patient of pulmonary tuberculosis in working area of  Sukamerindu Public Health Center Bengkulu which had treatment 5 months amounted to 36 people in 2015. Samples taken by using total sampling which amounted to 36 people. Data analysis was done by univariate and bivariate analysis using uni Chi-Square (χ2). The results of this study were 41 patients with pulmonary tuberculosis,  20 people (55.6%)  had good role of  PMO, and there were 30 people (83.3%) who had successful treatment, there was a significant relationship between the role of PMO with successful treatment of patients with pulmonary tuberculosis with moderate category. It was  suggested to the related institution to improve and supervise the cadre of  (PMO) so that the success of   the treatment of pulmonary tuberculosis will  increasing. Keywords : drug  supervisor (PMO), successful  treatment, pulmonary  tuberculosis  patients 


2017 ◽  
Vol 24 (3) ◽  
pp. 45-53
Author(s):  
Suryani Suryani ◽  
S. Effendi ◽  
Nurmaya Pebrianti

The impact if  complementary foods was given early  is the infants will become more easily sick, ranging from cough, colds, fever, constipation, or diarrhea.               The purpose of this study was to study the factors associated with  early complementary feeding practices of  infants in working area of  Basuki Rahmat Public Health Center Bengkulu. This research used Cross Sectional design.                                     The population of this study was all mothers who had infants aged 7-12 months, amounting to 328 mothers. The sampling technique used Simple Random Sampling technique which amounted to 77 mothers. Data collection in this study used primary and secondary data with statistical test Chi-Square (χ2) through SPSS  program. The results of this study were from 77 mothers of  infants aged               7-12 months, 51 mothers (66.2%) had good knowledge, 51 mothers (66.2%) had             a pre-prosperous social economy, 44  mothers (57.1%) did not work, 59  mothers (76.6%) gave complementary  food age 6 months. There was no significant relationship between mother's knowledge, mother's work status, and social economy  with  early  complementary feeding  practices  in  working area of  Basuki  Rahmat  Public  Health Center Bengkulu. It was expected that Basuki Rahmad  Public Health Center to do counseling about exclusive breastfeeding and  complementary   feeding  practices  to pregnant women and mothers who have children under five in  working  area of  Basuki Rahmat  Public  Health Center Bengkulu. Keywords : complementary  food, employment status, knowledge, social economic


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