Erfen Gustiawan Suwangto
Department of Ethics, Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

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Relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan Public Health Center, North Jakarta Micheline Chang; Surilena Hasan; Erfen Gustiawan Suwangto; Nelly Tina Widjaja
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (603.881 KB) | DOI: 10.53638/phpma.2020.v8.i1.p07

Abstract

Background and purpose: Anxiety is generally found in primary health care patients with physical problems and are often not treated. This condition can affect the patient’s sleep quality. The aim of this study was to determine the relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan Public Health Center (PHC), North Jakarta. Methods: This is a cross-sectional study of 434 patients attending the health care service of Kecamatan Penjaringan PHC, North Jakarta from August to October 2019. Data was collected with demographic and drug consumption questionnaire, Zung Selfrating Anxiety Scale (SAS) and Pittsburgh Sleep Quality Index (PSQI). Data analysis were including univariate and bivariate analysis conducted with SPSS 25.0. Results: There were 434 respondents aged 17-81 years old involved in the study, with an average age of 47.1 years, 72.4% of them were female, 56.2% with basic education, 54.8% were unemployed and 61.1% with low-income level. As high as 26.3% of the respondents were fallen into anxiety classification, including 19.4% mild anxiety, 5.5% moderate anxiety and 1.4% severe anxiety; while 53.5% of them reported poor sleep quality. Bivariate analysis showed a significant relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan PHC, North Jakarta (P<0.001). Patients with anxiety were 7.8 times (OR=7.819, 95%CI: 4.462-13.703) more likely to experience poor sleep quality than those without anxiety. Conclusion: There is a significant relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan PHC, North Jakarta. Detection of anxiety disorders and sleep quality should be considered as one essential part of patients’ care at PHC.
The relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City, West Papua Fegita Beatrix Pajala; Erfen Gustiawan Suwangto; Yunisa Astiarani; Astrid Fransisca Padang
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.678 KB) | DOI: 10.53638/phpma.2020.v8.i2.p12

Abstract

Background and purpose: Labor complications are conditionsduring or after labor that can threaten life of the mother and the baby to be born. Some factors have been associated with labor complications, including inter pregnancy interval and gestational age. This study was conducted to determine the relationship between inter pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City. Methods: This study was an analytic observational study with a cross-sectional design. The samples of this study were pregnant women who gave birth at the Sele Be Solu Regional Public Hospitalof Sorong City in 2016-2018 and met the inclusion criteria. We used secondary data from the medical records retrieved in July to August 2019. We retrieved mothers’ identities (age, education, employment status), inter-pregnancy interval, gestational age and labor complications. A number of 261 samples (121 with labor complications and 140 without labor complications) were selected using convenience sampling technique. Descriptive analysis and Chi-Square test with SPSS 25.0 were performed. Results: Most of the mothers (85.8%) were in the non-high-risk age group, graduated from senior high school or above (82%), were not employed/housewives (68.6%), the majority (67.8%) of inter-pregnancy interval was in the non-high-risk group, more than half (52.5%) of gestational age was in the high-risk group and the most common type of complications (17.2%) was the premature rupture of membranes. There were significant relationship between age (p<0.001; OR=5.201; 95%CI: 2.275-11.889), inter-pregnancy interval (p<0.001; OR=2.955; 95%CI: 1.722 5.070) and gestational age (p<0.001; OR=4.606; 95%CI: 2.722-7.794) with labor complications. There were no relationship between education (p=0.166; OR=0.599; 95%CI: 0.312-1.151) and employment status (p=0.230; OR=1.428; 95%CI: 0.845-2.412) with labor complications. Conclusions: There are significant relationship between inter-pregnancy interval and gestational age with labor complications. Health offices and health workers have an essential role in minimizing the risk of labor complications by providing early detection of possible labor complications and active counseling to the community especially women of childbearing age.