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Makara Journal of Health Research
Published by Universitas Indonesia
ISSN : 23563664     EISSN : 23563656     DOI : https://doi.org/10.7454/msk
Core Subject :
Makara Journal of Health Research (MJHR) is a peer-reviewed and scientific journal published by Universitas Indonesia. Starting from 2019 onwards, MJHR is redirecting its scope, focusing on publishing research articles relevant to non-communicable diseases (NCDs) addressing issues of surveillance, disease management and health policy in the Asia Pacific and Mediterranean countries. Relevant academic articles regarding NCDs analyzed from an integrated perspective including individual and population level, experimental and clinical approaches, epidemiology, public health, disease prevention and health promotion, diagnosis, treatment, prognosis and palliative care are welcome.
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Articles 10 Documents
 1 
Search results for , issue "Vol. 26, No. 3" : 10 Documents clear
Factors Influencing the Utilization of Antenatal Care, Institutional Delivery, and Postnatal Care Services Among Women in Bangladesh Chowdhury, Akibul Islam; Habib, Mohammad Asadul; Rahman, Tanjina
Makara Journal of Health Research Vol. 26, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: In Bangladesh, the utilization of maternal health services is low, which triggers pregnancy-related complications and maternal deaths. The current community-based cross-sectional study aims to evaluate the factors associated with antenatal care (ANC), institutional delivery, and postnatal care (PNC) service utilization among women in selected areas of Southwest Dhaka, Bangladesh. Methods: The study was carried out among 391 mothers from rural and urban areas. Data were collected using a standard questionnaire. Univariate and multivariate analyses were performed to identify the significant determinants associated with maternity care service utilization. Results: Result shows that approximately 65%, 71%, and 72% of women utilized the recommended ANC, institutional delivery, and PNC, respectively. The utilization of ANC was associated with residence type and women’s education, whereas the utilization of institutional delivery and PNC was associated with residence type, women’s education, husband’s education and employment status, family size, monthly family income, and received ANC. The use of ANC and healthy delivery facilities is another important predictor of PNC service utilization. Conclusions: Considering these findings, improved maternal health services, increased availability and affordability of services, counseling, and education during pregnancy are advocated throughout the country.
A Cross-sectional Study of Nurses’ Perception Toward Utilization and Barriers of Electronic Health Record Alboliteeh, Mohammad
Makara Journal of Health Research Vol. 26, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: The utilization of electronic health records (EHRs) is crucial. This study aimed to determine the perception of nurses on the utilization and barriers to the use of EHRs. Methods: This descriptive cross-sectional study on 327 participants was conducted at the government hospitals of Hail City that use EHRs. Data collection was conducted between March and April 2022. The adapted questionnaire was used to collect the data. Results: Nurses perceived EHRs as useful (5.76 ± 1.71), easy to use (4.74 ± 1.56), and intend to use (5.85 ± 1.81). Sex had no effect on perceived usefulness (p > 0.671), perceived ease of use (p > 0.605), or intention to use (p > 0.880). A significant difference was found in the perceived usefulness based on age (p = 0.045). On training, a significant difference was noted in perceived usefulness (p = 0.039) and intention to use (p = 0.007). Conclusions: An EHR system is useful and easy to use, and nurses intended to use it. Sex had no effect on perceived usefulness, perceived ease of use, or intention to use. Age showed a significant difference in perceived usefulness. Moreover, training has a significant difference in perceived usefulness and intention to use. Policymakers can use these findings to create a program that targets the needs of nurses so that they can fully utilize EHRs.
Perceived Stress and Its Relationship to Moral Resilience Among Nurses in the Hail Region, Saudi Arabia Albaqawi, Hamdan; Alrashidi, Maha Sanat
Makara Journal of Health Research Vol. 26, No. 3
Publisher : UI Scholars Hub

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Background: This study aimed to determine the relationship between perceived stress and moral resilience among nurses. Methods: The researcher used a quantitative–comparative correlational study design that utilized a self-administered questionnaire with 393 nurse participants in the Hail Region, Saudi Arabia. Adapted questionnaires were distributed through Google Form survey. Data collection was conducted between October and November 2021. Results: The nurses were moderately stressed (21.69/30) but morally resilient (2.74/4). Perceived stress scale (p < 0.033) and moral resilience (p < 0.25) were found to be significantly associated with gender. The designated ward and age were not significantly associated with perceived stress and moral resilience. Conversely, the years of experience showed a significant association with perceived stress (p < 0.038) but not with moral resilience (p > 0.255). Finally, no relationship was observed between perceived stress and moral resilience (p > 0.248). Conclusions: The nurses were perceived to be moderately stressed but morally resilient. Gender was found to have a significant association with perceived stress and moral resilience but not with designated ward and age. Conversely, the years of experience had a significant association with perceived stress but not with moral resilience. Meanwhile, perceived stress had no significant relationship with moral resilience. Therefore, being morally robust allows nurses to respond to challenging, frequently intractable ethical issues that arise in clinical practice and during pandemics, regardless of the underlying stress at work.
Daily Living Assistance Provided by Residents to Other Residents in Residential Aged Care Homes: Knowledge, Attitudes, and Practices Asmuri, Siti Noraini; Kadar, Masne; Razaob, Nor Afifi; Chui, Chai Siaw; Mohd Rasdi, Hanif Farhan
Makara Journal of Health Research Vol. 26, No. 3
Publisher : UI Scholars Hub

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Background: The rise of the aged population in Malaysia has resulted in the increased need for services, especially in terms of healthcare. Hence, continuous support is crucial to managing the daily living activities of this group. This study aimed to identify the knowledge, attitudes, and practices of older adults residing in Malaysian aged care homes concerning daily living activities and their provision of assistance to other residents with more significant disabilities. Methods: Semi-structured interviews were conducted on ten older adults and six staff members of two selected residential aged care homes. The interview session concerned the knowledge, attitudes, and practices of older people related to the basic activities of daily living (BADL) and instrumental activities of daily living (IADL). We also applied a qualitative content analysis method. Results: Three themes emerged after the interviews: (1) knowledge of older adults on BADL and IADL (highest response); (2) attitudes toward the assistance given to other residents; (3) types of assistance given to other residents and the staff. Conclusions: The knowledge, attitude, and practices related to the assistance in activities of daily living by older adults may contribute to the development of a program or module that can fulfill the needs of other residents with more significant disabilities, especially in aged care homes.
Caregivers of Elderly with Moderate to Total Dependence in Activities of Daily Living in Yogyakarta Indonesia: Correlation of Burden and Quality of Life Widagdo, The Maria Meiwati; Gulo, Lise Insani; Cendrasilvinia, Herose; Manus, Widya Christine
Makara Journal of Health Research Vol. 26, No. 3
Publisher : UI Scholars Hub

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Background: Aging is accompanied by a functional decline leading to the loss of independence in conducting activities of daily living. The dependence of the elderly can cause burden that affects the quality of life of caregivers. This study aimed to assess the correlation between the burden and quality of life of caregivers looking after moderately to totally dependent elderly. Methods: This research is a cross-sectional study that used Zarit Burden Interview to assess caregiver burden and World Health Organization Quality of Life to measure the quality of life of people caring for elderly with moderate to total dependence based on the scores in Activities of Daily Living and Instrumental Activities of Daily Living questionnaires. The data were analyzed using Spearman’s rank correlation test. Results: A total of 30 caregivers participated in this study. Significant negative correlations were observed between the burden and quality of life of caregivers of elderly with moderate to total dependence in all four domains: physical (p = 0.001), psychological (p < 0.001), social relationships (p = 0.028), and environmental (p < 0.001). Conclusions: The findings imply that the burden of caring for the elderly with moderate to total dependence may affect the caregivers’ burden and quality of life in all domains.
Evaluation of Internalized Stigma and Quality of Life of Patients with Psoriasis Demirkiran, Bedriye Cansu; Kiyak, Emine
Makara Journal of Health Research Vol. 26, No. 3
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Background: Internalized stigma is defined as individuals’ acceptance of negative stereotypes created by society and then their alienation from society. Psoriasis is a dermatological disease that affects the quality of life. The study evaluated the internalized stigma and quality of life of patients diagnosed with psoriasis. Methods: This cross sectional study enrolled 222 patients. Data were collected using the internalized stigma scale and the dermatology life quality index questionnaires. Data were analyzed using the Cronbach’s alpha. Results: The internalized stigma score of the patients was 78.41 ± 23.14, and the quality of life score was 12.30 ± 5.67. Stigmatization and quality of life were affected by patients’ physical, psychological, and social lives (p < 0.05). Conclusions: Patients’ internalized stigma level was high, their quality of life was low, and their quality of life decreased as the internalized stigma level increased. Furthermore, the internalized stigma level of the patients who suffered more from psoriasis was higher, but their quality of life was lower than those who suffered less.
Association of Smoking with Total Oxidant and Antioxidant Levels in Breast Milk Yildiz, Nesibe; Yilmaz, Adnan
Makara Journal of Health Research Vol. 26, No. 3
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Background: Breast milk is a natural food that contains all the fluids, energy, and nutrients necessary for the optimum growth and development of newborns. Smoking is a public health problem that has harmful effects on the mother and baby. This study aimed to examine the association of exposure to smoking with total oxidant status (TOS) and total antioxidant status (TAS) in breast milk. Methods: Healthy mothers without any health problems during their pregnancy and lactation periods were selected as subjects. Eighty-eight milk samples (44 in the smoking group and 44 in the nonsmoking group) were examined. TOS and TAS were analyzed using Rel Assay commercial kits. Results: TAS level was significantly lower in the smoking group than in the nonsmoking group (p < 0.05). TOS level was higher in the smoking group than in the nonsmoking group, although the difference was not statistically significant (p > 0.05). Oxidative stress index (OSI) was significantly higher in the smoking group than in the nonsmoking group (p < 0.05). Conclusions: Exposure to smoking was associated with low TAS and high OSI in breast milk.
Ratio of Vascular Pedicle Width and Thoracic Diameter to Differentiate Cardiogenic and Non-Cardiogenic Pulmonary Edema Afifi, Rahmi; Fachri, Achmad; Madjid, Amir Sjarifuddin; Prihartono, Joedo; Prasetyo, Marcel; Christian, Andreas
Makara Journal of Health Research Vol. 26, No. 3
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Background: Excess intravascular volume evaluation is essential in the intensive care unit (ICU); however, clinical information to differentiate cardiogenic and non-cardiogenic pulmonary edema has been proven ineffective. Thus, this study aimed to distinguish cardiogenic from non-cardiogenic pulmonary edema using the ratio of vascular pedicle width (VPW) to thoracic diameter (VPTR). Methods: This cross-sectional study was conducted based on secondary data from chest radiographs of 100 patients with clinical symptoms of pulmonary edema in the ICU from January 2013 to December 2015. Cardiogenic and non-cardiogenic pulmonary edema were distinguished using VPW and cardiothoracic ratio measurements (CTR). VPTR was measured to differentiate between the two types of pulmonary edema, and the cut-off value was obtained using a receiver operating characteristic curve. Results: This study revealed a prevalence of 21% and 79% for cardiogenic and non-cardiogenic pulmonary edema, respectively. A VPTR cut-off value of 25.1% with a sensitivity of 90% and specificity of 86%, may distinguish cardiogenic from non-cardiogenic pulmonary edema. Conclusions: VPTR is an alternative method to differentiate between cardiogenic and non-cardiogenic pulmonary edema, and this ratio measurement is useful in cases where radiograph films are not standardized.
Apoptotic Effect of Bortezomib on Pancreatic Islet Cells in STZ-induced Diabetic Rats Ekin, Çiğdem; Karacaer, Neslihan Tekin; Tarhan Karaoğlan, Mehtap; Örün, ibrahim; Öztürk, Kamile
Makara Journal of Health Research Vol. 26, No. 3
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Background: This study aimed to investigate the possible apoptotic role of bortezomib (BMZ) on pancreatic islets of streptozotocin (STZ)-induced diabetic rats. Methods: Sprague-Dawley rats were divided into groups that were administered BMZ alone or in combination with STZ. To evaluate the effect of BMZ on the development of diabetes, blood glucose levels were measured regularly in the animals. Islet cell viability was determined by staining the islets with fluorescein diacetate and propidium iodide. Expression of the Bcl-2 and bax genes was determined in islet cells by quantitative real-time polymerase chain reaction. Results: Administering STZ-induced hyperglycemia in the rats reduced the viability of islet cells and the bcl-2/bax ratio. In the group administered BMZ alone, the bcl-2/bax gene expression rate in islets increased significantly compared to the control group. BMZ co-administered with STZ significantly increased islet cell viability and the bcl-2/bax ratio compared to the diabetic group. Conclusions: This study demonstrates that BMZ may protect pancreatic islet cells from apoptosis by increasing islet viability and upregulating the bcl-2/bax gene expression ratio, even though it failed to protect against the destructive effect of STZ.
Potential Antihyperlipidemia Effect of Lactoferrin in Hyperlipidemia-Induced Male Sprague–Dawley Rats Jusni, Louis Fabio Jonathan; Chandra, Valencia; Djuartina, Tena; Notario, Dion; Arieselia, Zita; Hananta, Linawati
Makara Journal of Health Research Vol. 26, No. 3
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Background: Hyperlipidemia is a condition that is characterized as an increase in total cholesterol and triglyceride levels in the blood. Lactoferrin is a protein that can serve as an antioxidant. This study aims to determine whether lactoferrin can reduce total cholesterol and triglyceride levels. Methods: This study used 24 Sprague–Dawley rat strains, which were divided into six groups: normal group; negative control; positive control; and dose groups 1, 2, and 3. The normal group was given standard feed, whereas the other group was given high cholesterol and fat. The positive control group and dose groups 1, 2, and 3 were given 1.5 mg/kg BW of simvastatin and 100, 200, and 400 mg/kg of BW lactoferrin, respectively. After 6 weeks, total cholesterol and triglyceride levels were measured. Results: This study showed that lactoferrin doses of 100, 200, and 400 mg/kg BW could significantly reduce total cholesterol and triglyceride levels (p < 0.05). Lactoferrin could also significantly reduce activated Kupffer cell and steatosis area in the liver (p < 0.05). Conclusions: Lactoferrin can reduce total cholesterol and triglyceride levels. Thus, further research is needed to address the existing bias and confirm that lactoferrin can reduce cholesterol and triglyceride levels.

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