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D Determinants Of Medication Adherence Among Outpatients With Schizophrenia: The Role Of Health Belief Model Constructs And Family Support Dian Utama Pratiwi Putri; Takfha Nur Asyifa; Bambang Setiaji; Dewi Rahayu
An Idea Health Journal Vol 5 No 03 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i03.675

Abstract

Introduction: Medication adherence is essential for preventing relapse and enhancing the quality of life in individuals with schizophrenia. Despite its importance, consistent adherence remains a significant challenge in outpatient care. The Health Belief Model (HBM) offers a framework for understanding patients’ perceptions of treatment, and family support is critical for sustaining long-term adherence. This study investigated the determinants of medication adherence among schizophrenia outpatients by assessing the influence of HBM constructs and family support in Tangerang Regency, Indonesia. A quantitative analytic cross-sectional design was employed, involving schizophrenia outpatients at three public health centers in Tangerang Regency. Data collection utilized structured questionnaires and interviews to assess medication adherence, HBM constructs, and family support. Statistical analyses included univariate, bivariate, and multivariate approaches. Results indicated that most patients (56%) exhibited moderate medication adherence, with lower (33%) and higher (17%) adherence rates observed in smaller proportions. Significant associations were found between HBM factors and medication adherence, particularly regarding perceived benefits and beliefs about treatment effectiveness. Family support, especially emotional and practical assistance, was also significantly related to adherence. Health belief variables wereidentified as the most influential determinants, followed by family support. Overall, medication adherence among schizophrenia outpatients is primarily influenced by health beliefs and family support systems.
A ANALISA FAKTOR PERILAKU TERHADAP KEPATUHAN PENGUNAAN ALAT PELINDUNG DIRI PADA PETUGAS DI MASA PANDEMI COVID-19 Ari Pratama Yudha; Dewi Rahayu; Ferizal Masra; Atikah Adyas
An Idea Health Journal Vol 3 No 01 (2023): FEBRUARY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i01.134

Abstract

The COVID-19 pandemic endangers everyone, especially Health Workers (Nakes) and Non Health Workers (Non Health Workers) who work in Health Service Health Facilities, Hospitals as health care facilities, can also be a source of infection. Hospital-acquired infections, otherwise known as nosocomial infections. To prevent nosocomial infections, a guideline is needed that aims to reduce the incidence of these infections, one of which is the use of Personal Protective Equipment (PPE). This study aims to determine the relationship between the determinants of the use of Personal Protective Equipment and to determine the effectiveness and workload of using PPE felt by workers at the Bandar Negara Husada Hospital during the COVID-19 pandemic. The design of this research is Crosssectional. The sample is 79 people. Data analysis used Chi-Square test and multiple logistic regression. The results of statistical analysis showed that there was a significant relationship between compliance with PPE use and knowledge (P=0.000), compliance with PPE use and availability (P= 0.018), compliance with PPE use with training (0.037) and compliance with PPE use with supervision (P= 0.000). Based on the multiple logistic regression test, it was found that the most dominant variable related to compliance with the use of PPE is knowledge (OR = 0.035) which means that officers with good knowledge of PPE are 0.35 times more obedient in using PPE than officers with poor knowledge.
A Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Berat Badan Lahir Rendah Di Kabupaten Mesuji Tahun 2022 Rini Iwan Lestari; Dewi Rahayu; Endang Budiati; Sugeng Eko Irianto; Aila Karyus
An Idea Health Journal Vol 3 No 02 (2023): JULY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i02.157

Abstract

According to WHO (2020) 35.5% of infant deaths are caused by low birth weight (LBW). In Indonesia, 79.1% of deaths occur in infants. In Mesuji District, there were 97 cases of LBW from 2,786 births. The research objective was to analyze the factors associated with the incidence of low birth weight in Mesuji District. This type of quantitative research, with a case control approach design. study population, all newborns were 2,907 babies. The research sample is 124 respondents. The sampling technique was purposive sampling. The method of collecting data is by observing checking medical record books and MCH books. Based on statistical tests, it was found that there was a relationship between maternal age (p-value 0.035, OR 2.476), ANC visits (p-value 0.000, OR 24.537), maternal nutritional status (p-value 0.001, OR 4.253), and anemia (p-value 0.010 OR 3.133) with the incidence of low birth weight in Mesuji District.The ANC visit variable became the dominant variable (p-value 0.000 OR 22.624) with the incidence of LBW. Suggestions, it is hoped that the health office can facilitate increased collaboration in improving education and community empowerment in order to create public understanding of health behavior and optimal utilization of health services.
Determinants of Obstetric Ultrasound Utilization Among Pregnant Women in Efforts to Prevent the Infant Mortality Rate in Tulang Bawang Regency Afdinda Firtanti; Endang Budiati; Dewi Rahayu; Dian Utama Pratiwi Putri
Health Dynamics Vol 3, No 4 (2026): April 2026 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30404

Abstract

Background: Low utilization of ultrasonography (USG) examinations among pregnant women, at only 16.1% during the first antenatal care (ANC) visit and 18.7% during the last ANC visit, may hinder the early detection of pregnancy complications and contribute to the high infant mortality rate (IMR), which reached 34 cases in 2024 in Tulang Bawang Regency. This study aimed to analyze the determinants of USG examination utilization among pregnant women in Tulang Bawang Regency in 2025. Methods: This quantitative analytic study employed a cross-sectional design. From a population of 2,694 pregnant women in Tulang Bawang Regency in 2025, a sample of 267 respondents was selected using stratified random sampling from six primary health centers. Data were collected using questionnaires and secondary data sources. Data analysis included univariate, bivariate (Chi-square), and multivariate analyses using multiple logistic regression. Results: Of the 267 respondents, 141 (52.8%) adhered to ultrasound examinations. Knowledge (p=0.000), attitude (p=0.008), age (p=0.000), service availability (p=0.008), accessibility (p=0.000), and perception (p=0.013) were significantly associated with ultrasound examination adherence, whereas pregnancy risk status was not significantly associated (p=0.643). Age was identified as the dominant factor influencing ultrasound examination adherence (p=0.001; OR=3.660; 95% CI: 1.751–7.650). Conclusions: Ultrasound utilization among pregnant women was primarily influenced by age, accessibility, and knowledge. To improve ultrasound utilization as an innovation to strengthen ANC services, we recommend prioritizing screening among pregnant women aged <20 and >35 years, providing structured ultrasound education, implementing written scheduling systems, tiered reminders, and active follow-up for missed appointments. These efforts should be supported by flexible service hours and improved accessibility through scheduled transportation and mobile ultrasound services, subject to resource availability.