Page 80 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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OBJECTIVES: To evaluate the level of anticoagulation control achieved in patients with
warfarin therapy at a primary care setting through the measurement of TTR, as well as to
explore potential predictors associated with poor TTR, including the use of CHA2DS2-VASc
score and HAS-BLED score in patients with atrial fibrillation (AF).
METHODS: This is a retrospective, observational, single-center study which involved patients
who received warfarin therapy at Mahmoodiah Health Clinic (KPL), Johor from January 2014
to December 2021. Rosendaal method is used to calculate the TTR. TTR <60% indicates a poor
control. Predictors for poor TTR were further determined by using logistic regression.
RESULTS: A total of 135 patients were included. The calculated median TTR was 64.5% and
82 patients (60.7%) were in the good control category. Patients with poor medication
compliance and hypertension are associated with poor INR control. Among 77 patients
diagnosed with AF, 19 patients (24.7%) have a HAS-BLED score of ≥3 and was associated with
poor TTR.
DISCUSSION/CONCLUSION: Patients treated with warfarin and having poor medication
compliance, hypertension and a high HAS-BLED score (≥3 for AF patients) are associated with
poor TTR.

ID 69 A CROSS-SECTIONAL STUDY ON DEPRESSION, ANXIETY, STRESS AND QUALITY OF LIFE
AMONG HEALTHCARE WORKERS IN KLINIK KESIHATAN SULTAN ISMAIL

Norfarahani Md Fadzlillah, Ros Azima Maasah
Pharmacy Department, Klinik Kesihatan Sultan Ismail, Johor Bahru

INTRODUCTION: Healthcare workers are among the high-risk professions for acquiring
occupational mental health diseases. They are required to meet the vast expectations and
health care needs of the public.
METHODS: This is a cross-sectional study that conducted among healthcare workers at Klinik
Kesihatan Sultan Ismail (KKSI) with a total number of respondents (n=90). The DASS 21 and
World Health Organisation QOL (WHOQOL-BREF) questionnaires will be use to assess their
psychological symptoms and quality of life (QOL). Each subject were asked to read the study
information sheet, signed the consent form if agree to participate as their participation is
voluntary.
RESULTS:x In conclusion, the prevalence of anxiety among KKSI healthcare workers is 40%
normal level, where else the prevalence for depression also in normal state and stress are
considerably moderate. Relationship between staff age also have a weak and no significant
correlation with depression, anxiety and stress. In addition, stress is significantly influenced
by factors such as gender where male possess high percentage of stress compared to female.
Besides, Chinese worker possess high mean score of stress and anxiety while Malay scored
lowest level of anxiety and stress. The environmental quality of life domain showed significant
association with staff’s years of services. According to the results, secondary care
professionals including nutritionist, laboratory technicians, radiographer and physiotherapist
recorded significant difference in social relationship quality of life.
DISCUSSION/CONCLUSION: Stress, depression and anxiety among the healthcare workers
may not be avoided but healthy working surrounding is vital in maintaining wellbeing of
worker’s mental state.

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