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影响印度尼西亚儿童发育迟缓预防工作中医务人员知识水平和积极性的因素。

Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia.

作者信息

Mediani Henny Suzana, Hendrawati Sri, Pahria Tuti, Mediawati Ati Surya, Suryani Mira

机构信息

Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.

Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.

出版信息

J Multidiscip Healthc. 2022 May 11;15:1069-1082. doi: 10.2147/JMDH.S356736. eCollection 2022.

Abstract

PURPOSE

Stunting is a public health problem in Indonesia with a relatively high incidence, thereby making its prevention a priority for the Indonesian government. It potentially causes short and long effects on the quality of human resources as well as the productivity of stunted children when they grow up. Therefore, prevention and early detection efforts are needed by health professionals and cadres. Earlier studies have identified complexities associated with the determinant factors of stunting. This study aims to examine the association between sociodemographic factors as well as the knowledge and motivation of health cadres in stunting prevention in West Java.

METHODS

A correlational study with a cross-sectional approach was conducted on health cadres samples from 8 districts/cities in West Java Province namely Karawang, Tasikmalaya, Garut, Bandung, Subang, Sukabumi, Cianjur, and West Bandung. A total of 363 health cadres participated and the sampling technique used is the stratified method. The data were collected using a questionnaire developed specifically for this study and were analyzed using a correlation with chi-square test and presented in the form of a frequency distribution.

RESULTS

The results showed the majority of health cadres namely 81.27% had good knowledge, which was significantly influenced by education level and marital status with a P-value <0.05. Meanwhile, approximately half of the respondents had moderate motivation with 47.66%, while one-third or 39.12% had high motivation. This motivation was significantly influenced by education level, marital status, and age with p <0.05.

CONCLUSION

Based on the results, it was concluded that the roles and functions of health cadres need to be improved in the prevention and early detection of stunting in West Java by providing continuous guidance, stunting prevention training, and award presentations.

摘要

目的

发育迟缓是印度尼西亚的一个公共卫生问题,发病率相对较高,因此其预防成为印度尼西亚政府的优先事项。它可能对人力资源质量以及发育迟缓儿童长大后的生产力产生短期和长期影响。因此,卫生专业人员和干部需要进行预防和早期检测工作。早期研究已经确定了与发育迟缓决定因素相关的复杂性。本研究旨在探讨西爪哇省社会人口因素以及卫生干部在发育迟缓预防方面的知识和动机之间的关联。

方法

对来自西爪哇省8个区/市(即卡拉旺、塔西克马莱亚、加鲁特、万隆、苏邦、茂物、芝安祖尔和西万隆)的卫生干部样本进行了一项采用横断面方法的相关性研究。共有363名卫生干部参与,所采用的抽样技术是分层抽样法。数据通过专门为本研究开发的问卷收集,并使用卡方检验相关性进行分析,以频率分布的形式呈现。

结果

结果显示,大多数卫生干部(即81.27%)拥有良好的知识,这受到教育水平和婚姻状况的显著影响,P值<0.05。同时,约一半的受访者(47.66%)动机中等,而三分之一(39.12%)的受访者动机较高。这种动机受到教育水平、婚姻状况和年龄的显著影响,p<0.05。

结论

基于研究结果得出结论,需要通过提供持续指导、发育迟缓预防培训和颁奖活动来改善西爪哇省卫生干部在发育迟缓预防和早期检测方面的作用和职能。

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