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Lifestyle profile of elderly living with non-communicable disease in Bangkok and Surabaya Ni Putu Wulan Purnama Sari; Jintana Artsanthia
International Journal of Public Health Science (IJPHS) Vol 8, No 4: December 2019
Publisher : Intelektual Pustaka Media Utama

Lifestyle is one of the underlying risk factor of non-communicable disease (NCD). Dietary habit and exercise pattern are two indicators of lifestyle. Elderly are prone to NCD due to increased age which being independent risk factor. This study aimed to analyze and compare the lifestyle profile of elderly living with NCD between Bangkok and Surabaya, in term of dietary habit and exercise pattern, and to determine the best predictor of sedentary lifestyle among this population. This cross-sectional study involved 100 and 96 elderly with HT and/or DM in communities of Bangkok and Surabaya respectively (n=196). Self-developed instrument was used in data collection (r=0.178–0.715, Chronbach Alpha=0.644). Mann-Whitney U and regression tests were used in data analysis (α<0.05). There was a significant difference of lifestyle in elderly living with NCD between Bangkok and Surabaya (p=0.008), especially in term of eat variety food (p=0.002), oily food (p=0.015), and curry with coconut milk (p=0.026). Eat vegetable and fruit could not predict dietary habit in elderly living with NCD (p=0.064). Eat fermented food was came up as the best predictor of lifestyle (p=0.000). It was accounted for 52.1% variance in lifestyle score in this population.

Comparison of career decision difficulties between nursing freshmen and interns Ni Putu Wulan Purnama Sari; Made Mahaguna Putra
International Journal of Public Health Science (IJPHS) Vol 8, No 3: September 2019
Publisher : Intelektual Pustaka Media Utama

Career selection is one of the most important decisions an individual makes in his life. High career expectation could result in career decision difficulties. This study aimed to compare and analyze the career decision difficulties between nursing freshmen and interns. This cross-sectional study involved 110 and 66 nursing freshmen and interns respectively (n=176) in two private nursing colleges. Career decision difficulties questionnaire was used in data collection. Descriptive statistic and independent sample t test were used in data analysis (α<.05). Results showed that most respondents experienced moderate difficulties in both groups. Overall, there was no significant difference of career decision difficulty found between groups (p=.057), but indecisiveness, dysfunctional myths, lack of knowledge about the process of career decision making, lack of information, lack of information about occupations, lack of information about ways of obtaining additional information, and internal conflicts were significantly different between groups (all p<α). Career decision difficulties occur similarly both in nursing freshmen and interns.

The best predictor of anxiety, stress, and depression among institutionalized elderly Ni Putu Wulan Purnama Sari; Maria Manungkalit
International Journal of Public Health Science (IJPHS) Vol 8, No 4: December 2019
Publisher : Intelektual Pustaka Media Utama

Anxiety, stress, and depression are the three most common negative emotional constructs found in the elderly. Evidences available worldwide about how psychological problem could be resulted in mental disorder, and there is significant difference in the context of living in the nursing home and in community setting. This study aimed to determine the best predictor of anxiety, stress, and depression in elderly living in the nursing home, useful for future modification and intervention development. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. HARS, SPST-20, and GDS were used in data collection. Linear regression and one way ANOVA tests were used in data analysis (α<0.05). Results showed that mostly in old individuals, mild anxiety and stress, and undepressed state were found. Sensory problems and concentration difficulties were the best predictor of anxiety and stress respectively, which were accounted for 61.2% and 65.6% variances of anxiety and stress in nursing home residents respectively. Spirits, life energy, happiness, and feeling wonderful to be alive could not predict depression significantly. Feeling inferior to others is the best predictor of depression, which was accounted for 25.9% variance of depression in this population. Low self-esteem leads to depression in nursing home residents.

Comparison of blood pressure and blood glucose level among elderly with non-communicable disease Ni Putu Wulan Purnama Sari; Jintana Artsanthia
International Journal of Public Health Science (IJPHS) Vol 8, No 2: June 2019
Publisher : Intelektual Pustaka Media Utama

Due to increasing age, elderly are prone to non-communicable diseases (NCD), such as hypertension (HT) and diabetes mellitus (DM). Easy physical condition monitoring of people with HT and/or DM is by measuring their blood pressure (BP) and/or blood glucose level (BGL) periodically. This study aimed to compare and analyze the differences of BP and BGL among elderly with HT and/or DM in Bangkok and Surabaya. This cross-sectional study involved 100 and 96 elderly with HT and/or DM in communities of Bangkok and Surabaya respectively (n=196). There were three groups of samples which consisted of 60 DM, 68 HT, and 68 DM&HT cases. Instruments used were demography questionnaire, sphygmomanometer, and glucometer. Test of one-way ANOVA, Least Significant Difference (LSD), Kruskal-Wallis, and Mann-Whitney U were used for data analysis (α<.05). There was a significant difference of systolic and diastolic BP found between groups (p=.000 and p=.011 respectively), but no difference found between the groups of HT and DM&HT (p=.657 and p=.330 respectively). There was a significant difference of BGL found between groups (p=.002), but no difference found between the groups of HT and DM (p=.075) and between the groups of DM and DM&HT (p=.066). BP is significantly different between the group of HT and DM in term of systole and diastole, especially in elderly, but BGL is similar. The risk of being HT for elderly with DM is very high. Elderly with DM&HT have high BP and BGL similarly to those with single disease of HT or DM.

Predictors of post prandial glucose level in diabetic elderly Ni Putu Wulan Purnama Sari; Maria Manungkalit
International Journal of Public Health Science (IJPHS) Vol 8, No 2: June 2019
Publisher : Intelektual Pustaka Media Utama

Post prandial glucose (PPG) level describes the speed of glucose absorption after 2 hours of macronutrient consumption. By knowing this, we could get the big picture of insulin regulation function and macronutrient metabolism in our body. In elderly, age-related slower glucose metabolism leads to diabetes mellitus (DM) in older age. This study aimed to analyze the predictors of PPG level in diabetics elderly which consist of functional status, self-care activity, sleep quality, and stress level. Cross-sectional study design was applied in this study. There were 45 diabetic elderly participated by filling in study instruments. Pearson and Spearman Rank correlation test were used in data analysis (α<.05). Results showed that most respondents were female elderly, 60-74 years old, had DM for 1-5 years with no family history, and only 33.33% respondents reported regular consumption of oral anti diabetes (OAD). Hypertension was found to be frequent comorbidity. Statistical analysis results showed that functional status, self-care activity, sleep quality, and stress level were not significantly correlated with PPG level in diabetic elderly (all p>α), therefore these variables could not be PPG level predictors. Other factors may play a more important role in predicting PPG level in diabetic elderly.

The decision making process of being palliative volunteer Ni Putu Wulan Purnama Sari; Nia Novita Sari
International Journal of Public Health Science (IJPHS) Vol 8, No 2: June 2019
Publisher : Intelektual Pustaka Media Utama

Palliative care delivery in Surabaya community, Indonesia, is in collaboration with palliative volunteers. The decision to be palliative volunteer was not easy, mainly because of financial matter, time limitation, and role conflict. This study aimed to analyze the decision making process of being a palliative volunteer in Surabaya. This qualitative study involved 13 female palliative volunteers under the supervision of Public Health Center (PHC) of Rangkah. In-depth-interview was used for data collection. Instruments used were interview guideline, observation sheet, and voice recorder. Collaizi method was used for data analysis. The majority was 40-50 years old, married, housewife, and high school graduated. Each participant manages 5-8 patients to be home-visited regularly. The driving force and the reason to persistently be a palliative volunteer was the willingness to help others in need. The major entry point acting as stimulus was health care professional in the Rangkah PHC. The decision making model applied was descriptive model, because despite of insufficient information through various entry points but the decision made was fast and persistent.

Spiritual wellbeing in breast and cervical cancer survivors: differences in each stage of survivorship Ni Putu Wulan Purnama Sari
International Journal of Public Health Science (IJPHS) Vol 8, No 4: December 2019
Publisher : Intelektual Pustaka Media Utama

Spiritual needs in cancer survivors are underappreciated compared to physical and psychological needs. This study aimed to: 1) compare and analyze the differences in spiritual wellbeing (SWB) between breast and cervical cancer survivors (BCS and CCS) generally, and between stages of survivorship specifically, and 2) determine the best predictor of SWB in both cases. This cross-sectional study involved 58 BCS and 47 CCS (n=105). Questionnaire of QOL-CS part IV was used in data collection. Various statistical tests were used in data analysis (α<0.05). SWB was significantly different between BCS and CCS (p=0.002), which influenced by significant differences in religious activity, spiritual activity, uncertainty, positive life changes, life goals, and hope (all p<α). In BCS, overall SWB was not significantly different between survivorship stages (p=0.179); but religious activity, life goals, and hope were significantly different (p=0.043, p=0.022, and p=0.036 respectively) which indicate that these three aspects change overtime along with the survivorship stages. While in CCS, SWB and all of its aspects were not significantly different between survivorship stages (all p>α) which indicate that SWB is stable/stagnant across the survival life span in CCS. Spiritual life changes and religious activity are the best predictors of SWB in both cases and were accounted for 70.3% (R2=0.703) and 69.7% (R2=0.697) variance of SWB in BCS and CCS respectively.

Psychological Wellbeing in Cervical and Breast Cancer Survivors: Differences in Each Stage of Survivorship Ni Putu Wulan Purnama Sari
Journal of Educational, Health and Community Psychology Vol 9 No 1 March 2020
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.v9i1.13108

Being diagnosed with cancer in some females results in impaired psychological wellbeing (PWB). This study aimed to compare and analyze the PWB between cervical and breast cancer survivors (CCS and BCS) especially in each stage of survivorship. This cross-sectional study involved 47 CCS and 58 BCS (n=105) from three districts in Surabaya, Indonesia. QOL-CS was used for collecting data. Independent sample T test, one way ANOVA test, and linear regression test were used in data analysis (Î±<0.05).Â Results showed that most respondents had sufficient PWB. PWB between cases and survivorship stages was not significantly different (p=0.067 overall, p=0.425 in CCS, and p=0.135 in BCS). In CCS, appearances and self-concept were significantly changing over time (p=0.032 and p=0.007 respectively); meanwhile in BCS, life acceptance, happiness, memory/concentration, and usefulness were continuously changed (p=0.044, p=0.019, p=0.020, and p=0.018 respectively). Appearances were the best predictor of PWB in both cases (p=0.000), but it gave more influences in BCS than CCS (52.6% vs. 29.7%).Keywords: breast cancer, cancer, cancer survivorship, cervical cancer, psychological wellbeing

The Influence of Anxiety and Stress toward Depression in Institutionalized Elderly Maria Manungkalit; Ni Putu Wulan Purnama Sari
Journal of Educational, Health and Community Psychology Vol 9 No 1 March 2020
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.v9i1.13917

Due to age-related changes, the elderly are prone to psychological problems, such as anxiety and stress, and mental disorder, such as depression. This study aimed to analyze the influence of anxiety and stress on depression in elderly living in the nursing home. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. Hamilton Anxiety Rating Scale (HARS), Suan Prung Stress Test - 20 (SPST-20), and Geriatric Depression Scale (GDS) was used for collecting data. Linear and ordinal regression tests were used in data analysis (Î±<0.05).Â Results showed that the majority was old married Chinese female with basic education level, and living in the nursing home for 1-3 years. Averagely, respondents had mild anxiety, mild stress, and not depressed. Anxiety has a significant influence on depression in elderly living in the nursing home (p = 0.000), and it was accounted for 12.8% variance of depression in this population (R2 = 0.128). Stress has significant influence also on depression (p = 0.000), and it was accounted for 24% variance of depression in this population (R2 = 0.240). Stress is proved to have more influence on depression in the elderly living in a nursing home compared to anxiety.Keywords: anxiety, depression, elderly, institutionalized elderly, nursing home, stress

Comparison of Career Expectation between Nursing Freshman and Interns Ni Putu Wulan Purnama Sari
Journal of Educational, Health and Community Psychology Vol 8 No 4 December 2019
Publisher : Universitas Ahmad Dahlan

AbstrakThe growing shortage of nurses is a global issue nowadays. The expectation of student nurses towards their future career as a practical nurse should be carefully considered, especially in the millennial generation. This study aimed to compare and analyze the differences in career expectations between nursing first-year students and interns. This cross-sectional study involved 110 and 66 nursing freshmen and interns, respectively (n=176) in two private nursing colleges in the middle part of Indonesia, both institutions were â€œBâ€ accredited. Career expectations questionnaire was used in data collection. Descriptive statistics and the Mann-Whitney U test were used for analyzing the data (Î±<.05). Results showed that nursing interns had higher career expectations than the freshmen (Mean: 77.24 vs. 71.84); interns had high expectations, while first-year students had enough expectations. There was a significant difference found between groups (p=.003), which influenced by promotion (p=.001), leisure time (p=.015), work-life balance (p=.030), business opportunity (p=.028), organization membership (p=.004), and public recognition (p=.038). Career expectation differs significantly between nursing first-year students and interns.Â Keywords: career, career expectation, nursing, student nurse

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