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Difference Effectiveness of Progressive Muscle Relaxation Therapy and Endorphin Massage Therapy Towards Reducing Menstrual Pain Intensity in Adolescents 渐进式肌肉放松疗法与内啡肽按摩疗法减轻青少年经期疼痛强度的疗效差异
Pub Date : 2023-07-01 DOI: 10.32598/jrh.13.4.2183.1
Pawestri Pawestri, Machmudah Machmudah, Sri Rejeki, Satriya Pranata, Savira Ayu Nur Fitria, Medina Laila Fitri, Reina Dhamanik, N. Khayati
Background: Problems arising during menstruation include pain before or during menstruation. Progressive muscle relaxation (PMR) techniques and endorphin massage (EM) therapy are effective in controlling menstrual pain. This study aims to determine the difference in the effectiveness of pain intensity carried out by PMR therapy and EM therapy. Methods: This study was a quasi-experimental research with a two-group pretest and posttest design. Respondents were selected using a purposive sampling technique with inclusion and exclusion criteria. The inclusion criteria included students who experienced dysmenorrhea and do not have a genetic abnormality. The respondents who met the criteria were 80 respondents. The respondents were randomly selected using computerized to divide them into two groups. Forty respondents received PMR intervention and another 40 respondents received EM intervention. Bivariate analysis was performed using Wilcoxon test. Identification of respondents who fit the criteria, i.e. adolescents aged 13-14 years who experience menstrual pain, and do not have genetic abnormalities. Pain measurement was performed with a Numeric Rating Scale (NRS) and analyzed using the Mann-Whitney test. Results: PMR is more effective in lower intensity painful menstruation compared to EM proven that the average painful menstruation after PMR was 2.42±0.675, while the average painful menstruation after EM was 2.90±0955 with a difference of 4.8 points with a significance level of 0.000. Menstrual pain can be reduced by blocking nerve impulses from reaching the brain, including PMR therapy to control tension and anxiety. Conclusion: PMR therapy is more effective for controlling menstrual pain. PMR therapy can be done alone by adolescents when menstrual pain appears.
背景:月经期间出现的问题包括月经前或月经期间的疼痛。渐进式肌肉放松(PMR)技术和内啡肽按摩(EM)治疗是有效的控制月经疼痛。本研究旨在确定PMR治疗和EM治疗在疼痛强度效果上的差异。方法:本研究为准实验研究,采用前测和后测两组设计。使用有目的的抽样技术选择受访者,并采用纳入和排除标准。纳入标准包括经历痛经且没有遗传异常的学生。符合标准的被调查者有80人。调查对象采用计算机随机抽取,分为两组。40名受访者接受PMR干预,另外40名受访者接受EM干预。采用Wilcoxon检验进行双变量分析。确定符合标准的应答者,即13-14岁经历经期疼痛且没有遗传异常的青少年。疼痛测量采用数字评定量表(NRS)进行,并采用Mann-Whitney检验进行分析。结果:PMR治疗低强度痛经较EM更有效,PMR治疗后痛经平均为2.42±0.675,EM治疗后痛经平均为2.90±0955,差异4.8分,显著性水平为0.000。经期疼痛可以通过阻止神经冲动到达大脑来减轻,包括PMR疗法来控制紧张和焦虑。结论:PMR治疗对控制痛经有较好的疗效。当月经疼痛出现时,青少年可以单独进行PMR治疗。
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引用次数: 0
Effectiveness of Cognitive Behavior Therapy on Depression and Quality of Life in Spouse Caregivers of Inpatients With Substance Use Disorders 认知行为治疗对住院物质使用障碍患者配偶照顾者抑郁和生活质量的影响
Pub Date : 2023-07-01 DOI: 10.32598/jrh.13.4.2196.1
Langkham Kalpana, S. Panda
Background: Substance dependence in families can have a wide range of negative effects on the lives of those close to the dependent person, in addition to causing pain to the dependent person. The present study aims to investigate the effect of cognitive behavioural intervention on depression and quality of life (QoL) in wives who cared for husbands with substance use disorders. Methods: The research was conducted using a quasi-experimental design with pre- and post-tests. Purposive sampling was used to select 60 spouse carers of male inpatients with substance use disorders, who were randomly assigned to the intervention (n=30) and control (n=30) groups. At baseline and post-intervention, all participants completed the Depression Anxiety Stress Scale (DASS-21) and the World Health Organization Quality of Life-Bref (WHO QoL-BREF). The intervention group received eight sessions per week of individual cognitive behavioral therapy (CBT) for 45 to 60 minutes, while the control group did not. Data were analyzed using multivariate analysis of covariance (MANCOVA) in SPSS software, version 26. In statistical tests, the significance level was 0.05. Results: The results showed significant differences between the pre-test and post-test scores of the experimental group; therefore cognitive behavior intervention can significantly reduce depression and improve the QoL of substance dependent’s wife. Conclusion: These results have crucial implications for clinical practice in terms of improving mental health and well-being in the context of male substance use disorder spouse caregivers.
背景:家庭中的物质依赖除了给依赖者带来痛苦外,还会对依赖者身边的人的生活产生广泛的负面影响。本研究旨在探讨认知行为干预对照顾有物质使用障碍丈夫的妻子的抑郁和生活质量的影响。方法:采用准实验设计,前测和后测相结合。采用目的抽样的方法,选取60名男性物质使用障碍住院患者配偶照顾者,随机分为干预组(n=30)和对照组(n=30)。在基线和干预后,所有参与者完成抑郁焦虑压力量表(DASS-21)和世界卫生组织生活质量量表(WHO QoL-BREF)。干预组每周接受8次45到60分钟的个体认知行为治疗(CBT),而对照组则没有。在SPSS软件26版中使用多变量协方差分析(MANCOVA)对数据进行分析。统计学检验中,显著性水平为0.05。结果:实验组前测与后测成绩有显著性差异;因此,认知行为干预可以显著降低物质依赖者的抑郁情绪,提高其生活质量。结论:这些结果对于改善男性物质使用障碍配偶照顾者的心理健康和幸福感具有重要的临床意义。
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引用次数: 0
The Frequency of Pro-fluoride Verses Anti-fluoride Posts on Instagram Instagram上亲氟和反氟帖子的频率
Pub Date : 2023-07-01 DOI: 10.32598/jrh.13.4.2122.1
S. Babazadeh, T. Movahhed, F. Esmaeilzadeh
Fluoride is currently accessible in various forms, including water, toothpaste, mouth rinses, and professional fluoride therapy at dental clinics. A body of data supports the use of systemic and topical fluoride from various sources to prevent dental caries. Fluoride ions are absorbed by the enamel before tooth eruption and produce fluorohydroxyapatite, which is more resistant to acid attack than hydroxyapatite crystals [1]. Fluoride ions also aid in the early caries lesion remineralization process. As a result of the two mechanisms outlined above, fluoride strengthens enamel teeth against organic acids and dental caries.
目前可以以各种形式获得氟化物,包括水、牙膏、漱口水和牙科诊所的专业氟化物治疗。大量数据支持使用各种来源的全身和局部氟化物来预防龋齿。氟离子在出牙前被牙釉质吸收,生成氟羟基磷灰石,氟羟基磷灰石比羟基磷灰石晶体更耐酸侵蚀[1]。氟离子也有助于早期龋齿损伤的再矿化过程。由于上述两种机制,氟化物可以增强牙釉质,防止有机酸和龋齿。
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引用次数: 0
Perspective on Career Transition of Students With Visual Impairments 视障学生的职业转轨透视
Pub Date : 2023-07-01 DOI: 10.32598/jrh.13.4.2072.1
Chiedu Eseadi, Boitumelo Molegogeng Diale
This article focused on career transition issues of students with visual impairments (SVIs). This article utilized a narrative-integrative research design. The literature review shows that many educators and other stakeholders in the transition process are still unaware of the difficulties experienced by SVIs. The literature shows a mixed attitude from some educators towards students with disabilities in general, and students with VIs in particular. Most employers often do not want to hire people who are visually challenged. Literature also suggests that it is somewhat difficult to find common ground to support full inclusion to promote career transition for SVIs due to conflicting viewpoints among parents and educators of students with and without VIs. While some visually impaired students equipped with valuable job skills can find work in competitive jobs, a concerted effort should be made to overcome some employment hurdles they face. For SVIs to experience successful career transition, they need to be well-equipped with valuable job skills and assisted in job search and placement by career transition agencies.
本文主要探讨了视障学生的职业过渡问题。本文采用叙事整合的研究设计。文献综述表明,许多教育工作者和其他利益相关者在过渡过程中仍然没有意识到svi所经历的困难。文献显示,一些教育工作者对一般残疾学生,特别是VIs学生的态度不一。大多数雇主通常不愿意雇用视力有问题的人。文献还表明,由于视障学生和非视障学生的家长和教育者之间的观点冲突,很难找到支持全面包容以促进视障学生职业转型的共同点。虽然一些具备宝贵工作技能的视障学生可以在竞争激烈的工作中找到工作,但我们应该共同努力,克服他们面临的一些就业障碍。svi要成功地完成职业转型,他们需要具备宝贵的工作技能,并在职业转型机构的帮助下寻找和安置工作。
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引用次数: 0
Prevalence of refractive error in paediatric age group in a tertiary eye center in Onitsha, south east, Nigeria 尼日利亚东南部奥尼沙某三级眼科中心儿童年龄组屈光不正患病率
Pub Date : 2023-05-10 DOI: 10.18488/9.v10i1.3362
John C Ubah, Kelechi R Onyenemezu, Obinna V Ikwuka, Chukwuemelie D Okeke
Paediatric ophthalmology is an emerging subspecialty in Nigeria and there is a paucity of data on refractive errors in the country. This study set out to determine the prevalence, type, and factors affecting refractive error among paediatric patients at Guinness Eye Centre, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Onitsha. A retrospective cross-sectional study of 685 patients seen over a 3-year period using the simple random sampling technique. Collected data was analysed using the Statistical Package for the Social Sciences (SPSS) version 20. Of the 685 patients, 242 cases of refractive error were identified giving a prevalence rate of 35.3% with 66.5% of them being female and 33.5% males. The mean age range was 12.0 +/- 3.7 years. Prevalence increased with age from 1.7% among those 0-4 years to 46.3% among those 10-14 years. Myopia was the commonest type of refractive error (62%) while hyperopia was 22.7%. However, there was no case of astigmatism. Poor distant vision was the commonest presenting complaint (34.4%). There is a high risk for refractive error among children with eye complaints and females have a significantly higher proportion. It may be necessary to assess if the male children tend to shy away from complaining of any visual disturbance. Children with refractive errors may not be identified soon enough, and this could account for poor learning in childhood. So, children should be routinely screened for refractive error.
儿童眼科在尼日利亚是一个新兴的亚专科,该国屈光不正的数据缺乏。本研究旨在确定奥尼沙Nnamdi Azikiwe大学教学医院(NAUTH)吉尼斯眼科中心儿童屈光不正的患病率、类型和影响因素。采用简单随机抽样技术对685例患者进行回顾性横断面研究,研究时间超过3年。收集的数据使用社会科学统计软件包(SPSS)第20版进行分析。在685例患者中,发现242例屈光不正,患病率为35.3%,其中66.5%为女性,33.5%为男性。平均年龄12.0±3.7岁。患病率随年龄增加,从0-4岁的1.7%增加到10-14岁的46.3%。近视是最常见的屈光不正类型(62%),远视为22.7%。然而,没有散光的情况。远视力差是最常见的主诉(34.4%)。患有眼部疾病的儿童发生屈光不正的风险很高,其中女性的比例要高得多。可能有必要评估男性儿童是否倾向于回避抱怨任何视觉障碍。患有屈光不正的儿童可能不会很快被发现,这可能是儿童学习能力低下的原因。因此,儿童应该定期接受屈光不正检查。
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引用次数: 0
Evaluation of the choices and availability of family planning services in Lagos State: A secondary analysis of census-based health facility assessment data from Noi Polls 评价拉各斯州计划生育服务的选择和可得性:对Noi民意调查基于人口普查的卫生设施评估数据的二次分析
Pub Date : 2023-02-27 DOI: 10.18488/9.v10i1.3303
M. Obubu, N. Chuku, A. Ananaba, R. Diallo, Fi Sadiq, Emmanuel Sambo, O. Kolade, Tolulope Oyekanmi, Kehinde Olaosebikan, Oluwafemi Serrano
Maternal mortality rates remain unacceptably high, especially in developing countries like Nigeria. Nigeria is responsible for about 20% of all global maternal deaths, with a Nigerian woman having a 1 in 18-lifetime risk of dying because of pregnancy or childbirth. Evidence-based strategies have been proposed, including family planning (FP), to reduce the incidence of maternal mortality, which is the only strategy that reduces the proportion of high-risk pregnancies and births and reduces exposure to the risk of maternal mortality. Despite these benefits, there is still a high unmet need for family planning services. The present study assesses the choices and availability of FP services in Lagos state health facilities, examines the challenges, barriers, and cultural restraints to modern contraception, and proffers solutions that will help increase FP uptake in the state. The study also presented supply-and-demand interventions that are most effective at increasing voluntary contraceptive uptake in Lagos state.
产妇死亡率仍然高得令人无法接受,特别是在尼日利亚等发展中国家。尼日利亚约占全球孕产妇死亡总数的20%,尼日利亚妇女一生中因怀孕或分娩而死亡的风险为1 / 18。提出了以证据为基础的战略,包括计划生育,以减少产妇死亡率,这是减少高危妊娠和分娩比例以及减少产妇死亡风险的唯一战略。尽管有这些好处,但计划生育服务的需求仍未得到满足。本研究评估了拉各斯州卫生机构中计划生育服务的选择和可用性,考察了现代避孕的挑战、障碍和文化限制,并提供了有助于提高该州计划生育使用率的解决方案。该研究还提出了在拉各斯州增加自愿避孕措施最有效的供需干预措施。
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引用次数: 0
Availability and Utilization of Instructional Materials in Nursing Training Institutions in Anambra State 阿南布拉州护理培训机构教学材料的可得性和利用情况
Pub Date : 2022-08-24 DOI: 10.18488/9.v9i1.3102
Ezennakwe, Juliet Okwuchukwu, Ndie, Elkenak Chibuike, Anieche John Emenike
This descriptive survey research assessed the availability and utilization of instructional materials in nursing training institutions in Anambra State. A sample size of 298 students and 50 teachers were randomly selected from four Nursing schools in Anambra State. Self-structured questionnaire was used for data collection. Inferential statistics was applied in testing the null hypotheses at 0.05 level of significant. Results revealed that student nurses and Teachers believed that instructional materials- Audio/Visual equipment (59.7% of students, 64.0% of teachers); Power point presentation (74.7% students, 58.0% teachers); Anatomical Models (98.0% Students, 80.2% Teachers); Medical Instruments (99.7% students, 96.0% teachers); Good demonstration rooms (95.7% students,86.0% teachers) were available in nursing training institutions in Anambra State. 73.6% Students and 74.0% Teachers indicated that these materials were often utilized by Tutors. Private/mission owned schools make more available (80.2% the students and 54.0% teachers) and utilize more (82.8% students, 62.0% teachers) instructional materials than the government owned schools. Significance difference (P <0.05) exists in the availability and utilization of instructional materials between university-based and hospital-based nursing schools as well as between private/mission-owned and government-owned schools. There is positive relationship (Rho= 0.603, P <0.000) between availability and utilization of instructional materials in nursing training. The study concluded that instructional materials were adequately available and often utilized by Tutors in nursing schools. The researchers recommended that incentives should be given to Nurse Educators who utilize instructional materials in other to encourage them.
本描述性调查研究评估了阿南布拉州护理培训机构教学材料的可用性和利用率。从阿南布拉州的四所护理学校随机抽取298名学生和50名教师作为样本。采用自结构化问卷进行数据收集。在0.05的显著水平上,采用推理统计法检验原假设。结果显示,护生和教师认为教学资料-视听设备(学生占59.7%,教师占64.0%);ppt演示(74.7%学生,58.0%教师);解剖模型(98.0%学生,80.2%教师);医疗器械(学生99.7%,教师96.0%);阿南布拉州护理培训机构拥有良好的示范室(95.7%的学生和86.0%的教师),73.6%的学生和74.0%的教师表示这些材料经常被导师使用。私立/教会拥有的学校比政府拥有的学校提供更多(80.2%的学生和54.0%的教师)和使用更多(82.8%的学生和62.0%的教师)的教学材料。大学护理学校与医院护理学校、民办/教会学校与公办护理学校在教学材料的可得性和利用率方面存在显著性差异(P <0.05)。护理培训教学资料的可得性与利用程度呈显著正相关(Rho= 0.603, P <0.000)。该研究得出结论,教学材料是充分的,并且经常被护理学校的导师使用。研究人员建议,应该给予那些利用其他教学材料来鼓励他们的护士教育工作者奖励。
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引用次数: 0
Nurses’ Perception of Learning Organization Dimensions 护士对学习型组织的认知维度
Pub Date : 2022-04-06 DOI: 10.18488/9.v9i1.2953
O. Salem, S. Alatawi, Zakari MA Nazik
Converting the healthcare delivery system into a learning organization is essential for improving health outcomes. As nurses are the forces that implement changes to meet organizational objectives, they are continuously involved in the learning process. This study aims to explain the learning organization dimensions as perceived by Nursing staff in Saudi Arabia. This is a descriptive study that uses a convenience sample of 550 nurses. Data was collected using The Dimensions of the Learning Organization Questionnaire (DLOQ). The questionnaire consists of seven dimensions of learning organization. The DLOQ is based on a six-point Likert scale which was scored from 1-6. The study found the highest perceived dimension was “Embedded Systems.” While the lowest perceived dimension was “Empowerment.” The study concluded that while some dimensions were perceived highly by nurses like embedded systems, some dimensions, like system connections and empowerment, were perceived lowly which indicates areas of weaknesses in the organization.
将医疗保健提供系统转变为学习型组织对于改善健康结果至关重要。由于护士是实施变革以满足组织目标的力量,他们不断参与学习过程。本研究旨在解释沙特阿拉伯护理人员所感知的学习型组织维度。这是一项描述性研究,使用了550名护士的方便样本。采用学习型组织量表(DLOQ)收集数据。问卷由学习型组织的七个维度组成。DLOQ是基于6分的李克特量表,得分从1到6。研究发现,最高的感知维度是“嵌入式系统”。而最低的感知维度是“授权”。研究得出的结论是,虽然护士对嵌入式系统等一些维度的感知程度很高,但对系统连接和授权等一些维度的感知程度较低,这表明了组织中的弱点。
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引用次数: 0
Pharmacological and Non-Pharmacological Methods for Coping with Stress among Female Saudi University Undergraduates 沙特大学女大学生应对压力的药物与非药物方法
Pub Date : 2022-03-04 DOI: 10.18488/9.v9i1.2932
A. El-Sheikh, F. Alradini, Nouf Algahtani, Razan Alqarni, Ahad M Almalki, Ghadeer Alghamdi, Norah Alshalwi, Shaden M. Alkhayal
Exposure to stress among undergraduate university students, without enough coping methodologies might lead to deterioration in academic level and psychiatric complications. The current study aimed at evaluating the stress prevalence among the undergraduates of Princess Nourah University (PNU), assessing their level of awareness of symptoms indicating stress, and comparing the pharmacological coping methods with the non-pharmacological methods in terms of effectiveness in reducing stress. For this, a questionnaire was developed in Arabic, based on the Four-Dimensional Symptom Questionnaire (4DSQ) as a reference, measuring the prevalence of distress, depression, anxiety or somatization. In addition, various strategies of stress management were assessed. The response rate among the study subject was 97.7% (n=510). The prevalence of self-perception of being stressed was significantly higher in health colleges compared to non-health colleges. A significant number of the participants diagnosed as having somatization, anxiety, depression or distress were aware of the problem and have stress self-perception (P<0.001). Different chronic co-morbidities were correlated with stress self-perception, where diabetes had the highest significant effect. Alarmingly, the method most significantly used to cope with stress was taking medications. In conclusion, the prevalence of stress was high, especially among health colleges’ undergraduates. Most participants with stress self-perception used medications to cope with their stress. It is, thus, recommended that campaigns should be held among university students for raising the awareness of the dangers of persistent stress and the hazards of self-medication to cope with stress.
大学生面对压力,缺乏适当的应对方法,可能导致学业水平下降和精神并发症。本研究旨在评估诺拉公主大学(PNU)本科生的压力患病率,评估他们对压力症状的认识程度,并比较药物应对方法与非药物方法在减轻压力方面的效果。为此,以四维症状问卷(4DSQ)为参考,用阿拉伯语编制了一份调查问卷,测量痛苦、抑郁、焦虑或躯体化的流行程度。此外,还评估了各种压力管理策略。研究对象应答率为97.7% (n=510)。健康院校学生自我感觉压力的普遍程度显著高于非健康院校学生。大量被诊断为躯体化、焦虑、抑郁或痛苦的参与者意识到这个问题,并有压力自我知觉(P<0.001)。不同的慢性合并症与压力自我感知相关,其中糖尿病的影响最大。令人担忧的是,应对压力最常用的方法是服药。综上所述,压力的患病率较高,特别是在卫生院校的本科生中。大多数有压力自我感知的参与者使用药物来应对压力。因此,建议在大学生中开展运动,以提高他们对持续压力的危险和自我药物治疗以应对压力的危害的认识。
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引用次数: 0
Difficulties in Thought, Language and Communication: A Cross-Sectional Study of Psychiatric People in Bangladesh 思维、语言和交流的困难:孟加拉国精神病患者的横断面研究
Pub Date : 2021-08-05 DOI: 10.18488/journal.9.2021.81.36.42
Mizanur Rahman, H. M. Abubakar Siddik, Zobaer Hasan, J. Ferdous, M. Alam, Md. Saiful Islam, Md. Fakhrul Islam
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引用次数: 0
期刊
International Journal of Medical Research and Health Sciences
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