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Relationship Between Medication Adherence and Blood Sugar Levels Among Diabetes Mellitus Outpatients

Mon, 01 Jan 2024 00:00:00 GMT

Title: Relationship Between Medication Adherence and Blood Sugar Levels Among Diabetes Mellitus Outpatients Authors: Untari, Ida; Utami, Sri; Hafiduddin, Muhammad; Yakob, Asmirati; Kusumawati, Yuli; Alfiyani, Lina Abstract: Relationship Between Medication Adherence and Blood Sugar Levels Among Diabetes Mellitus Outpatients Ida Untari 1* , Sri Utami 2 , Muhammad Hafiduddin 1 , Asmirati Yakob 3 , Yuli Kusumawati 4 , Lina Alfiyani 3 , Umi Budi Rahayu 4 , Sri Sat Titi Hamranani 5 , Devid Noor Umam 6 1 PKU Muhammadiyah Surakarta Institute of Science and Health Technology, Indonesia 2 PKU Aisyiyah Boyolali Hospital, Indonesia 3 Faculty of Health Sciences, Muhammadiyah Madiun University, Indonesia 4 Faculty of Health Sciences, Muhammadiyah Surakarta University, Indonesia 5 Faculty of Health and Technology, Muhammadiyah Klaten University, Indonesia 6 Faculty of Health Sciences, Muhammadiyah Karanganyar University, Indonesia * Authors Correspondence: idauntari@itspku.ac.id/081567853435 ARTICLE INFO ABSTRACT Diabetes Mellitus (DM) is a disease with progressively increasing prevalence every year and often leads to complications when not properly managed. Control or success of treatment is influenced by adherence of patients to the treatment process. This study aimed to analyze relationship between medication adherence and fasting glucose levels among DM outpatients. A correlation study was conducted using a cross-sectional approach on a sample of 300 respondents selected by probability sampling technique from the entire population. The instrument used was the MMAS-8 Test (Morisky Scale Medication Adherence Scales-8) and examination of fasting sugar levels. Meanwhile, data analysis was conducted with the Spearman Rho test. The results showed that the highest treatment adherence was in the moderate category by 130 (43.3%) and a decrease in fasting sugar levels was observed among 230 (76.7%) respondents. A significant relationship was found between medication adherence and fasting glucose levels with a p-value = <0.001 and r: -0.597. Based on the results, there was a negative relationship between medication adherence and fasting blood sugar. The higher medication adherence, the better the fasting sugar levels in DM outpatients. Article History: Received Jan, 8 th , 2024 Accepted Mar, 15 th , 2024 Published online Mar, 31 st , 2024 Keywords: Treatment adherence; blood sugar; diabetes m

Hand Hygiene Practices among Nurses in South Sulawesi Hospitals

Mon, 01 Jan 2024 00:00:00 GMT

Title: Hand Hygiene Practices among Nurses in South Sulawesi Hospitals Authors: Rizky Asfarada, Muhammad; Rachmawaty, Rini; Setyawati, Andina; Malik, Gulzar Abstract: Hand Hygiene Practices among Nurses in South Sulawesi Hospitals Muhammad Rizky Asfarada 2 1 1 , Rini Rachmawaty 1* , Andina Setyawati 1 , Gulzar Malik Faculty of Nursing, Hasanuddin University, Indonesia 2 School of Nursing and Midwifery, La Trobe University, Australia * Authors Correspondence: rini.rachmawaty@unhas.ac.id/081213916730 ARTICLE INFO ABSTRACT Healthcare professionals’ adherence to hand hygiene protocols is paramount to prevent Healthcare-Associated Infections (HAIs) and ensure patient safety. This study evaluates compliance with the World Health Organization's (WHO) "Five-Moment Hand Hygiene" protocol among nurses in two Indonesian hospitals: Regional General Hospital X in Makassar City and Provincial General Hospital Y in South Sulawesi Province. A total of 60 nurses participated, with demographic analysis revealing significant differences between the hospitals. Utilizing a comprehensive observation tool provided by the WHO, data analysis indicated variations in hand hygiene practices, particularly after touching patient surroundings. Despite these differences, the data followed a normal distribution, enhancing the reliability of statistical analyses. Significant disparities in hand hygiene practices were found after touching patient surroundings (p-value = 0.008; α < 0.05), underscoring the urgent need for targeted interventions among nurses to improve their compliance and enhance patient safety. This study recommends comprehensive training, resource provision, regular audits, fostering a supportive organizational culture, and integrating robust hand hygiene modules into nursing education. The study also suggests further research to identify barriers and improvement strategies. Addressing these recommendations collectively will bolster patient safety and reduce healthcare-associated infection burdens in Indonesian healthcare settings. The study's identification of specific deficiencies in hand hygiene practices provides actionable insights for healthcare administrators, infection control practitioners, and frontline healthcare workers, emphasizing the urgency of sustained efforts to promote proper hand hygiene practices. Article History: Received Jan, 8 th , 2024 Accepted Mar, 22 nd , 2024 Published online Mar, 31 st , 2024 Keywords: Five moments; hand hygiene; hospital;

Dietary Habit and Physical Activity as Risk Factors of Metabolic Syndrome among Civil Servants in Jambi City

Mon, 01 Jan 2024 00:00:00 GMT

Title: Dietary Habit and Physical Activity as Risk Factors of Metabolic Syndrome among Civil Servants in Jambi City Authors: Guspianto, Guspianto; Nurwaqiah Ibnu, Ismi; Sari, Puspita; Nadwa, Zavira Abstract: Dietary Habit and Physical Activity as Risk Factors of Metabolic Syndrome among Civil Servants in Jambi City Guspianto 2 1 1 , Ismi Nurwaqiah Ibnu 1* , Puspita Sari 1 , Zavira Nadwa Study Program of Public Health, Faculty of Medicine and Health Science, Jambi University, Indonesia 2 Study Program of Medicine, Faculty of Medicine and Health Science, Jambi University, Indonesia * Authors Correspondence: ismiibnu@unja.ac.id/085242773354 ARTICLE INFO ABSTRACT The prevalence of Metabolic Syndrome (MetS) is an important health problem due to the association with increased cardiovascular disease as the main cause of death. Approximately 20-25% of the global adult population including Indonesia suffers from MetS. The high prevalence is attributed to several factors namely lifestyle changes such as dietary habit and physical activity. Therefore, this study aimed to investigate the relationship between dietary habit and physical activity with MetS incidence among civil servant employees in Jambi City, Indonesia. A cross-sectional design was used to assess the proportion of MetS, dietary habit, and physical activity. A total of 108 civil servant employees were selected as respondents from six agencies using a multistage random sampling technique. Data collection was carried out through physical examination and interviews using a questionnaire. The results showed that the prevalence of MetS was 60.2%, with three risk indicators, namely central obesity (74.1%), blood pressure (66.7%), and HDL (63%). Based on the chi-square test, dietary habit (OR=2.571, 95%CI=1.151-5.744) and physical activity (OR=3.692, 95%CI=1.625-8.388) were significantly related to MetS. The persistently high prevalence of MetS was significantly related to dietary habit and physical activity among civil servant employees in Jambi City-Indonesia. These results underscored the need to improve understanding of healthy diets by adopting a balanced nutritional intake, increasing the intensity of physical activity according to age, and engaging in regular exercise. Article History: Received Jan, 25 th , 2024 Accepted Mar, 15 th , 2024 Published online Mar, 31 st , 2024 Keywords: Metabolic syndrome; dietary habit; physical activity; central obesity; blood pressure;

Potential of Noni Leaf Extract (Morinda citrifolia L.) As Aedes aegypti Mosquito Repellent

Mon, 01 Jan 2024 00:00:00 GMT

Title: Potential of Noni Leaf Extract (Morinda citrifolia L.) As Aedes aegypti Mosquito Repellent Authors: Nurmayanti, Demes; Fithriyah, Lailatul; Ngadino, Ngadino; Sulistio, Irwan; Wardoyo, Slamet; Marlik, Marlik; Setiawan, Mahawiraja Abstract: Potential of Noni Leaf Extract (Morinda citrifolia L.) As Aedes aegypti Mosquito Repellent Demes Nurmayanti 1* , Lailatul Fithriyah 1 , Ngadino 1 , Irwan Sulistio 1 , Slamet Wardoyo 1 , Marlik 1 , Mahawiraja Setiawan 2 1 Department of Environmental Health, Health Polytechnic Surabaya, Surabaya, Indonesia 2 Department of Environmental Health, Health Polytechnic Jakarta II, Jakarta, Indonesia * Authors Correspondence: demes@poltekkesdepkes-sby.ac.id/08113627796 ARTICLE INFO ABSTRACT Dengue fever is transmitted every year by the Aedes aegypti mosquitoes in Indonesia. One way to prevent this is by using repellents, such as the noni leaf extract (Morinda citrifolia L.). The objective of this study was to analyze the potential of the noni fruit (Morinda citrifolia L.) leaf extract as a repellent against Aedes aegypti. The study employed a post-test research design with only a control group, using concentrations of 12.5%, 25%, and 37.5%, and 25 mosquitoes with 6 repetitions. The technique for data collection involved counting mosquitoes that perched on hands. The study was conducted from November 2022 to May 2023. Data analysis was performed using SPSS Anova One Away Post Hoc and the power protection formula. The research on Aedes aegypti mosquitoes that perched for 6 hours showed that the noni leaf extract concentration of 37.5% had an average of 2.5 tails perched. The concentration of the noni leaf extract is 37.5%, according to the Pesticide Committee standard (1995). The average protection power for 6 hours is 90.86%. The study also suggests investigating the side effects of use and the addition of an HPMC gelling agent. However, for concentrations of 12.5% and 25%, the protective power is less than 90%. This study shows that concentrations of 37.5% are effective for repelling Aedes aegypti mosquitoes. Further research can be conducted using old or yellowed leaves, as well as for repelling culex and Anopheles mosquitoes. Article History: Received Oct, 18 th , 2023 Accepted Feb, 21 st , 2024 Published online Mar, 31 st , 2024 Keywords: Repellent; Noni leaf extract; Aedes aegypti;