Analisis Kualiti Hidup Pesakit Kanser Prostat di Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur

Pengenalan@#Kanser prostat merupakan ketiga tertinggi bagi golongan lelaki di Malaysia. Data 2018 melaporkan kanser prostat mencatatkan insiden 1,807 kes berbanding 1,186 kes pada tahun 2014. Kanser prostat ini turut memberi kesan terhadap beban penyakit serta beban ekonomi kepada negara dan memberi kesan terhadap kualiti hidup pesakit terutamanya pesakit berumur melebihi 65 tahun. Kajian ini dilakukan bagi mengukur tahap kualiti hidup pesakit kanser prostat dan menentukan faktor-faktor yang mempengaruhi kualiti hidup pesakit tersebut.@*Metodologi@#Reka bentuk kajian adalah keratan rentas yang dilakukan dari Januari 2018 sehingga Disember 2018. Sampel kajian terdiri daripada pesakit kanser prostat yang didiagnos dan mendapatkan rawatan di Klinik Urologi, Jabatan Pembedahan dan Jabatan Onkologi dari tahun 2008 hingga 2017. Kajian menggunapakai set soal selidik EORTC QLQ-C30 dan EORTC QLQ-PR25 yang telah diterjemahkan ke Bahasa Melayu@*Hasil Kajian@#Seramai 193 pesakit telah mengambil bahagian. Analisis mendapati tahap kanser memberi perbezaan yang signifikan kepada status kesihatan serta fungsi dan simptom kanser prostat (p < 0.001).@*Rumusan@#Kesimpulannya, analisis faktor penentu mendapati umur, skor Gleason dan juga tahap lewat kanser merupakan faktor penentu kepada kualiti hidup pesakit kanser prostat (p < 0.05). Langkah kesedaran, saringan serta rawatan awal dilihat perlu dipertingkatkan bagi meningkatkan tahap kualiti hidup pesakit kanser prostat di hopital ini.

Prevalence and Factors Associated with Overweight and Obesity among Healthcare Workers in Pejabat Kesihatan Daerah Melaka Tengah

@#Introduction Overweight and obesity are a serious public health problem globally. Healthcare workers in some countries have been reported to be having a high prevalence of being overweight despite them being well informed of the aetiology and risks of excessive body weight. However, the problem of being overweight and obese among Malaysian healthcare workers is still poorly understood. The aim of this study is to assess the prevalence and factors associated with overweight and obesity among healthcare workers in Pejabat Kesihatan Daerah (PKD) Melaka Tengah. Methods This is a cross sectional study conducted between June till August 2018 involving 702 respondents sampled from all health facilities under PKD Melaka Tengah. Demographic, socio-economic and lifestyle data was collected using questionnaires whilst anthropometric measurements were taken using the electronic weighing scale and height measuring bar. Results Mean age was 35.81 years and overall prevalence of overweight/obesity was 55.6%. Prevalence of overweight, class I obesity, class II obesity and class III obesity was 34.3%, 14.2 %, 4.8% and 2.1% respectively. The identified risks of being overweight were those aged forty and above (OR: 2.00, 95%CI: 1.39-2.85), non-Chinese (OR: 4.97, 95%CI: 2.13-11.62), married (OR: 1.77, 95%CI: 1.15-2.73), big family size (OR: 1.43, 95%CI: 1.07-1.99), underlying NCD (OR: 1.73, 95%CI: 1.24-2.42), family history of NCD (OR: 1.94, 95%CI: 1.33-2.82), and sedentary lifestyle (OR: 1.52, 95%CI: 1.07-2.17). Conclusions We found a higher prevalence of overweight/obesity among healthcare workers in PKD Melaka Tengah compared to the general population. Older age group and non-Chinese ethnicity emerged as the most conspicuous factors of overweight/obesity.

Acceptance Factors of Pneumococcal Vaccination among Adult Population: A Systematic Review

@#Pneumococcal disease causes considerable morbidity and mortality, including among adults. Adult pneumococcal vaccines help to prevent these burdens, yet, they are underutilized. Our objective is to systematically collect and summarize the available evidence on the potential factors that lead to pneumococcal vaccination acceptance among of adult community.