Pertanyaan dan nasihat dokter untuk konsumsi sayur dan buah: penelitian potong lintang pada 10 puskesmas di Yogyakarta dan Sleman
Abstract: Mortality caused by
noncommunicable disease (NCD) has increased in the last ten years in Indonesia
in line with the elevation of NCD prevalence. The NCD mortality and prevalence
can be prevented by practicing a healthy lifestyle. One of a healthy lifestyle
is adequate vegetable and fruit consumption that unfortunately was still far
from expectation in the Basic Health Survey 2007 and 2010. Puskesmas as primary
health care should anticipate the problem by encouraging doctor to routinely
ask and educate on a healthy lifestyle.
Objective: This study aimed to assess physician ask and advice on vegetable
and fruit consumption based on patient and physician report.
Method: Two hundred and fifty-one patients from primary health care
(Puskesmas) in Yogyakarta City and Sleman District participated in this
cross-sectional survey. Subsequently, a survey of 57 physicians was conducted.
Data were collected by structured questionnaires and exit interviews. We
analyzed the data using Chi-Square test and logistic regression.
Results: The results showed that patients have been asked and advice
about vegetable and fruit consumption. However, the proportion of physician
report was higher than the proportion of patient’s report. Patient who had
gastrointestinal disorder, had body weight problem, suffered from diabetics and
cardiovascular diseases were more being asked and educated about vegetable and
fruit consumption than other symptoms or diseases. Patients who were female,
not married and did not eat vegetable and fruit everyday reported more being
asked and advised by doctor on fruit and vegetable consumption than patients
who were male, married and did not regularly eat fruit and vegetable. There was
no difference of patient’ s perception of the relation between their disease
and fruit and vegetables consumption based on characteristics, symptoms,
disease and the frequency of eating fruit and vegetable.
Conclusion: Primary health care physician has asked and advised patient
about vegetable and fruit consumption although did not routinely practice it.
Delivering advice as part of patient education on high fiber diet should be
included in the national insurance scheme, so that physician will routinely
educate patient.
Keywords: vegetable and fruit
consumption; physician ask and advice; patient; primary health care
Penulis: Yayi Suryo Prabandari
Kode Jurnal: jpkesmasdd130688