RESUMO
Objective. This study aims to identify predictive factors of COVID-19-related health literacy (HL) among older adults living in rural areas. Method. This study used a cross-sectional design. A total of 106 respondents participated in this study. HL was measured by using a questionnaire modified from the HLS-COVID-Q22, in addition, the scales 'Health Information Seeking', 'Family's Social Support Scale', 'Health Service Utilization'; and information on some socio-demographic variables was also obtained. A multiple linear regression model was used to identify the predictors of HL. Results. About two-thirds of the respondents had a moderate level of HL (63.2%). Multiple linear regression analysis showed that education level, family support, information source, and gender were significant predictors for HL (p<0.01). Conclusion. HL literacy was better among males, highly educated older people, media users, and those with adequate family support. This study provided insight for nurses and healthcare professionals to pay greater attention to vulnerable groups of older people (ie. female gender and those with less formal education) as well as involve family members in education or health promotion activities and use easily accessed media, such as television and radio.
Objetivo. Este estudio tiene como objetivo identificar los factores predictivos de alfabetización en salud (AS) relacionados con el COVID-19 en los adultos mayores indonesios que viven en zonas rurales. Métodos. Este estudio utilizó un diseño de corte transversal. Un total de 106 encuestados participaron en este estudio. La AS relacionada con el COVID-19 se midió con el cuestionario HLS-COVID-Q22, además se utilizaron las escalas 'Búsqueda de información sanitaria', 'Escala de apoyo social de la familia' y 'Utilización de servicios sanitarios'; también se obtuvo información de algunas variables sociodemográficas. Se utilizó un modelo de regresión lineal múltiple para identificar los predictores de la AS. Resultados. Alrededor de dos tercios de los encuestados tenían un nivel moderado de AS (63.2%). El análisis de regresión lineal múltiple mostró que el menor nivel educativo, el apoyo familiar, la fuente de información y el sexo eran predictores significativos de la AS (p<0.01). Conclusión. La AS fue mejor entre los varones, las personas mayores con alto nivel educativo, los usuarios de los medios de comunicación y aquellos con un apoyo familiar adecuado. Este estudio sugirió que las enfermeras y los profesionales de la salud deben prestar más atención a los grupos vulnerables de personas mayores (especialmente las mujeres y las personas con poca educación formal). También mostró la importancia de involucrar a los familiares en las actividades de educación y promoción de la salud, y de usar medios de comunicación accesibles, como la televisión y la radio.
Objetivo. Este estudo tem como objetivo identificar preditores de alfabetização em saúde (AS) relacionados ao COVID-19 em idosos indonésios que vivem em áreas rurais. Métodos. Este estudo utilizou um desenho transversal. Um total de 106 entrevistados participaram deste estudo. A AS relacionada à COVID-19 foi medida com o questionário HLS-COVID-Q22, além das escalas 'Pesquisa de informações em saúde', 'Escala de apoio social familiar' e 'Uso de serviços de saúde'; também foram obtidas informações sobre algumas variáveis sociodemográficas. Um modelo de regressão linear múltipla foi usado para identificar os preditores de HL. Resultados. Cerca de dois terços dos entrevistados apresentaram nível moderado de LH (63.2%). A análise de regressão linear múltipla mostrou que menor escolaridade, apoio familiar, fonte de informação e gênero foram preditores significativos de HL (p<0.01). Conclusão. A alfabetização em LH foi melhor entre os homens, idosos altamente educados, usuários de mídia e aqueles com suporte familiar adequado. Este estudo forneceu ideias para enfermeiros e profissionais de saúde prestarem mais atenção a grupos vulneráveis de idosos (ou seja, mulheres e pessoas com menos educação formal), bem como envolver os familiares em atividades de educação ou promoção de saúde e usar mídias de fácil acesso, como televisão e rádio.
Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Idoso , Zona Rural , Letramento em Saúde , COVID-19 , Apoio FamiliarRESUMO
Objective: . This study aims to identify predictive factors of COVID-19-related health literacy (HL) among older adults living in rural areas. Methods: This study used a cross-sectional design. A total of 106 respondents participated in this study. HL was measured by using a questionnaire modified from the HLS-COVID-Q22, in addition, the scales 'Health Information Seeking','Family's Social Support Scale', 'Health Service Utilization'; and information on some socio-demographic variables was also obtained. A multiple linear regression model was used to identify the predictors of HL. Results: About two-thirds of the respondents had a moderate level of HL (63.2%). Multiple linear regression analysis showed that education level, family support, information source, and gender were significant predictors for HL (p<0.01). Conclusion: HL literacy was better among males, highly educated older people, media users, and those with adequate family support. This study provided insight for nurses and healthcare professionals to pay greater attention to vulnerable groups of older people (ie. female gender and those with less formal education) as well as involve family members in education or health promotion activities and use easily accessed media, such as television and radio.
Assuntos
COVID-19 , Letramento em Saúde , Masculino , Humanos , Feminino , Idoso , Estudos Transversais , Indonésia , Inquéritos e QuestionáriosRESUMO
BACKGROUND: It is important to assess the cultural beliefs and practices of diabetic patients since such beliefs and practices greatly influence how patients self-manage the disease. However, how cultural beliefs and practices affect self-management in Javanese diabetic patients in Indonesia is still unclear since research about it is very limited. Therefore, the purpose of this study was to explore the cultural beliefs and practices of diabetes self-management in Javanese diabetic patients. METHODS: An ethnographic study was conducted between July 2020 and March 2021 in Banyumas Regency, Indonesia. Forty-seven participants were included, consisting of 36 type 2 diabetes mellitus (T2DM) patients as key informants and 11 family members and health providers as general informants. Purposive and snowball sampling methods were used, and data was collected through in-depth interviews, observations, and the writing of field notes. The data were analyzed by thematic analyses using NVivo 12 software. RESULTS: Four themes emerged from the data analysis: (1) misconception about diabetes and management, such as the belief of there being dry sugar and wet sugar types of diabetes; the belief that consuming a lot of cold rice does not increase blood glucose; the belief that insulin causes organ damage; the belief that diabetes can be completely cured; and the belief that walking barefoot is good for the body; (2) cultural beliefs and practices regarding treatment regimen, such as use of medicinal plants to lower blood glucose and home remedies to treat foot ulcers; (3) coping influenced by a blend of culture and religion, such as managing stress by submitting to God and being patients in dealing with their disease; (4) cultural influence on diet management, such as facing difficulties managing their diets at cultural events and difficulties managing the habit of eating sweet-tasting food. CONCLUSION: This is the first study to show that Javanese culture strongly influences how diabetic patients in Java self-manage their disease. Various aspects of Javanese culture were found to have either beneficial or detrimental effects on diabetic patients' health status. This study provides new insights for nurses in Indonesia and will help them design a culturally sensitive education program for their diabetic patients.
RESUMO
Healthy and clean living behaviors among school-aged children are still relatively low in Indonesia, exposing them to the risk of experiencing health problems in the future, such as diarrhea. This school-age period is actually the earliest phase in which children can develop healthy behaviors, hence making this phase a strategic target for health improvements. School-aged children are in a period of concrete operational development and they require specific health education methods that can reflect real and interactive experiences. The aim of the study was to determine the most influential factors to effectiveness therapeutic sociodramatic play on diarrheal preventive behaviors among school-aged children (6-12 years). The study design was quasi-experimental with pre- and post-tests, involving 102 school-age children who were divided into an intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. The results showed that parental knowledge had a significant effect on therapeutic sociodramatic play improving students' knowledge (p = 0.001), attitudes (p = 0.004), and diarrheal prevention skills (p = 0.003). Therapeutic sociodramatic play will be more effective when followed by good parental knowledge. The study recommends that therapeutic sociodramatic play could be applied in an effort to enhance healthy and clean living behaviors and to prevent diarrhea among school-aged children, and it could be integrated into school nursing services.
Assuntos
Pais/psicologia , Ludoterapia/normas , Adolescente , Análise de Variância , Criança , Estudos Transversais , Feminino , Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Indonésia , Masculino , Ludoterapia/métodos , Ludoterapia/tendências , Estudantes/psicologia , Inquéritos e QuestionáriosRESUMO
Los comportamientos de vida sanos y limpios entre los niños en edad escolar todavía son relativamente bajos, exponiéndolos al riesgo de experimentar problemas de salud en el futuro, como la diarrea. Sin embargo, el período de los niños en edad escolar es el punto de partida para desarrollar comportamientos saludables y se convierte en un objetivo estratégico para mejorar la salud. Los niños en edad escolar están en un período de desarrollo operativo concreto para requerir métodos de educación sanitaria que puedan reflejar experiencias reales e interactivas. El estudio tuvo como objetivo determinar el efecto del sociodrama terapéutico sobre los cambios de comportamiento preventivo de la diarrea en niños en edad escolar (6-12 años). El método de estudio utilizado cuasi experimento pre-post con grupo control que consistió en dos grupos; 38 sujetos fueron como grupos de intervención y 38 sujetos fueron como grupos de control. Muestreo aleatorio multietapa utilizado para determinar el área de investigación y la escuela, mientras que la muestra del sujeto de la investigación utilizó un muestreo aleatorio simple. Los resultados mostraron que el sociodrama terapéutico se realizó significativamente en el conocimiento (valor de p = 0,000), actitud (valor de p = 0,000) y habilidades de prevención de la diarrea (valor de p = 0,001). El sociodrama terapéutico podría aplicarse como un esfuerzo para mejorar el comportamiento preventivo de la diarrea de los niños en edad escolar que podría integrarse en el servicio de enfermería escolar
Healthy and clean living behaviors among school-aged children are still relatively low, exposing them to the risk of experiencing health problems in the future, such as diarrhea. This school-age period is actually the earliest phase in which children can develop healthy behaviors, hence making this phase a strategic target for health improvements. School-aged children are in a period of concrete operational development and they require specific health education methods that can reflect real and interactive experiences. The aim of the study was to determine the effect of therapeutic sociodramatic play on diarrheal preventive behaviors among school-aged children (6-12 years). The study design was a quasi-experimental with pre-and post-tests design, involving 76 school-age children who were divided into intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. The results showed that therapeutic sociodramatic play significantly affects knowledge (p value = 0.000), attitudes (p value = 0.000), and diarrheal prevention skills (p value = 0.001). The study recommends that therapeutic sociodramatic play could be applied in an effort to enhance healthy and clean living behaviors and to prevent diarrhea among school-aged children, and it could be integrated into school nursing services
