ABSTRACT
@#Introduction: Acute Coronary Syndrome (ACS) is still a major cause of mortality and morbidity globally. One of the factors that cause a prehospital delay is the delay in early detection and inaccuracy of early treatment of ACS. The Internet of Things, which is supported by the high use of smartphones with the DETAK application, can be an opportunity to facilitate ACS education programs so that ACS can be detected early. Method: This study has used a quantitative research design with a quasi-experimental approach which pretest and posttest, in which both the experimental and control groups participate. The inclusion criteria of this study were age >45 years; obesity; smoker; Respondents with a history of: hypertension/diabetes mellitus/hyperlipidemia/hypercholesterolemia/CVD/families with cardiovascular disease. 252 respondents who met the inclusion criteria were randomly divided into control (n=126) and intervention groups (n=126). The intervention group was given education through the DETAK application and the control group was given leaflet about ACS. Results: The results of the study showed that there was an increased in early treatment ability was only found in the intervention group (p<.001). Mean differences of the ability of early detection (p<.001) and early treatment (p=.019)between intervention and control groups were both significance. Conclusion: There is potential for DETAK applications to improve the early detection and treatment capabilities of ACS.
ABSTRACT
@#Introduction: Uncontrolled hypertension is a leading cause of death worldwide and self-care is one of the essential management strategies. However, data regarding the psychometric properties of self-care instruments in the Indonesian context is lacking. This study aims to validate the Hypertension Self-care Profile (HBP SCP) instrument in the Indonesia version. Methods: A forward-backward translation technique was used for the Hypertension (HBP SCP) questionnaire. This questionnaire had three domains namely motivation, self-efficacy, and behavior. It was completed by a total of 191 respondents and the survey was conducted from September to December 2021 in the Health Primary Care Bandung West Java, Indonesia. The Cronbach’s alpha was used to test the reliability scale, the content validity index was assessed by five experts, and item inter-correlation was analyzed to test the total items. Results: The results showed that the content validity index was in the excellent category with a value of 0.89. The Cronbach’s alpha coefficient was 0.875, indicating satisfactory internal consistency. Furthermore, the total items correlation had a significance value of 0.05 (df = N-2) for the three scales namely 0.353-0.742, 0.302- 0.642, and 0.237-0.649 for motivation, self-efficacy, and behavior, respectively. Conclusion: The Indonesian version of the Hypertension HBP SCP instrument is valid and reliable.
ABSTRACT
@#Introduction: Accidents including traffic accidents can occur anywhere, anytime. Around the world, 1.2 million die each year from accidents, and 50 million are injured. Indonesia has the fifth highest rate of accidents. The consequences of unexpected accidents can be life threatening, on an average one traffic accident occurs every 0.5 minutes. Cardiac Pulmonary Resuscitation (CPR) is an individual's skill to save a person's life. This is very important in the first five minutes in a victim's life in many emergency situations. In an emergency, bystander including children in the high school is expected to perform a core role in carrying out CPR. The aim of this study is to determine CPR knowledge in High School. Methods: The type of research is a pre-experimental research by approaching the One Group Pre and Post Test Design. Intervention study using pre and post-test validated questionnaire was conducted among 40 students of Tunas Husada high school that were randomly selected. Data analysis was performed with the Macnemar test. Results: The results of the study obtained p= 0.000 which is less than 0.05, so result of the study reveal significant difference in knowledge before and after health education. Thus, there is an effect of health education in increasing knowledge of first aid in traffic accidents among students at Tunas Husada high school, Kendari. Conclusion: This study identify that majority students has poor knowledge on CPR. Therefore, implementation of basic life-support training for all school children is recommenced.
ABSTRACT
@#Introduction: Chronic kidney disease is a public health problem in the world which is increasing every year. Hemodialysis is one of the methods commonly used for patients with end-stage chronic kidney disease. However, hemodialysis does not cure the disease and requires long term therapy. So, the patient's decision whether to undergo hemodialysis, is crucial. Methods: This study is aimed to identify the factors associated with decision making in patients with end-stage chronic kidney disease undergoing hemodialysis in the Bahteramas General Hospital of Southeast Sulawesi Province, Indonesia. This study is a descriptive-analytic study using a cross-sectional design to observe the relationship between patients' decision making for hemodialysis. Results: A total of 34 patients with end-stage chronic kidney disease were chosen by accidental sampling technique. Analysis of the data was done by the Chi-Square test. The results of this study showed that age, level of knowledge, and family support have a significant relationship with the patient's decision for hemodialysis. The distance of home and economic status showed no relationship with the patient's decision to undergo hemodialysis. Conclusion: Based on the results of this study it can be concluded that age, level of knowledge and family support is related to the patient's decision to hemodialysis in the Bahteramas General Hospital of Southeast Sulawesi Province.