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Factors Associated with Caregivers' Concern in Maintaining the Oral Function of Elderly Living in Long-Term Care Facilities Nugraha, Susiana; Rahardjo, Tri Budi Wahyuni; Higashijima, Misako; Hirano, Yuko
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Abstract

This study investigated the attentiveness of elderly caregivers in long-term care facilities in maintaining oral function. A cross-sectional approach was used to achieve the study's purpose. The sample size formula accounted for 213 caregivers randomly selected from 18 long-term care facilities in 4 provinces. A self-reported questionnaire of sociodemographic characteristics and an adapted Leopold’s oral care checklist was distributed. The average age of study participants was 35.24 (±11.2 SD; aged 18–70 years), dominated by females (62.9%), and only 39% had experienced long-term care training. Multiple linear regression analysis indicated that younger caregivers likely pay more attention in the swallowing periods (β = -.182), females pay more attention in meal preparation (β = .146), and environmental observation (β = -. 238). Caregivers working in public long-term care facilities and having longer working experience paid more attention in environmental observation (β = .172) and (β = -.161), while training experience showed a significant association with feeding and swallowing periods (β = .291) and (β = .211). This study highlights the importance of training programs for care capacity, particularly oral care.
Factors of Anxiety Symptoms Due to Large-Scale Social Restriction Policy During the COVID-19 Pandemic in Indonesia Susilowati, Indri Hapsari; Alimoeso, Sudibyo; Nugraha, Susiana; Hasiholan, Bonardo Prayogo; Simanjuntak, Magda Sabrina Theofany; Satria, Nur Rachmat
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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Abstract

The Indonesian Government took some preventive measures to slow the spread of the COVID-19 virus, including social restrictions and encouraging individuals to stay at home and avoid needless gatherings. This study aimed to identify factors related to anxiety symptoms during large-scale social restrictions. This study employed a cross-sectional design using the snowball technique in an online survey. A total of 788 respondents comprised the target population to detect the smallest effect size (Cohen's dz = .2), with the level of power of 0.8 using G*Power 3.1, specifically targeting adults aged over 18 years. Out of 1,194 people who took part in the survey, 847 completed all the answers. The findings revealed that 42% of participants experienced feelings of nervousness, anxiety, or agitation, and 42.5% became easily agitated during the COVID-19 pandemic. Nonetheless, 81.7% of those surveyed reported being able to manage their concerns, and 80.7% had good time management during the COVID-19 pandemic. Descriptive analysis showed that sex, residence, marital status, number of children, occupational status, being infected by COVID-19, health concern, and time management had a relationship with anxiety symptoms.
The Change in Mental Health Status of Indonesian Health Care Migrant Worker in Japan Nugraha, Susiana; Hirano, Yuko; Sumihisha, Honda
Kesmas Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

Under the Japan – Indonesia Economic Partnership Agreement, more than 1,000 of Indonesian health care workers have migrated to Japan. Social adjustment during the process of migration is linked to mental health changes. This study aimed to figure out the strongest predictor that influences the change in mental health status as a result of migration. Baseline data were collected in Jakarta in 2013 during pre-departure orientation. Follow-up study was conducted one year after the study participants migrated to Japan in 2014. Using longitudinal design, this study employed 92 participants consisting of nurse and certified care worker candidates. The multiple linear regression analysis was conducted to figure out the predictors that influence the change in mental health status. The prediction model expected to explain 39.9% of the change in mental health status, p value < 0.01, while sex (b = 0.201, p value < 0.05), economic conditions in pre-migration (b = -0.200, p value < 0.05), and the socio cultural adaptation competency (b = -0.238, p value < 0.05). This finding assumed that female candidates and those who have economic constraint in pre-migration stage, and those who have declining in socio-cultural adaptation competency tend to have lower mental health one year after the migration.