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Pregnant woman’s knowledge to the danger signs of pregnancy 孕妇对怀孕危险迹象的了解
Pub Date : 2022-09-16 DOI: 10.21744/ijhms.v5n4.1953
Ayunitri Kurniati, Wantonoro Wantonoro, Dewi Rokhanawati
Background: Based on World Health Organization (WHO,2019) Maternal Mortality Rate is the number of maternal deaths caused by pregnancy, childbirth and postpartum that become the indicator of women’s health level. Maternal mortality rate becomes one of the targets of Sustainable Development Goals (SDGs) in reducing maternal mortality rate to be 70 per 100.000 live birth in 2030. Aim: to review the evidence relate to the pregnant woman’s knowledge to the danger signs of pregnancy. Method: this scoping review used framework from Arksey and O’Malley consisting of conducting focus review by framework PEOS, conducting literature searching by using 3 databased by identifying scoping review question, identifying relevant article, selecting article, data charting, arranging as well as summarizing and reporting the result. Result: The scoping review of 10 article journal having Grade A and B that discuss about danger signs of pregnancy, category of knowledge, utilizing health facilities, the method to improve the knowledge. Conclusion: Based on scoping review result of primigravida’s knowledge is still low compared to multigravida, therefore it needs the alternative to improve pregnant women’s knowledge about danger signs of pregnancy through counselling and telemedicine. 
背景:根据世界卫生组织(世卫组织,2019年)的数据,孕产妇死亡率是指因怀孕、分娩和产后导致的孕产妇死亡人数,是妇女健康水平的指标。孕产妇死亡率已成为可持续发展目标的具体目标之一,目标是到2030年将孕产妇死亡率降至每100 000例活产死亡70人。目的:回顾与孕妇对妊娠危险体征的了解有关的证据。方法:本次范围综述采用Arksey和O 'Malley的框架,包括通过框架PEOS进行焦点综述,通过识别范围综述问题、识别相关文章、选择文章、制作数据图表、整理以及总结报告结果等3个数据库进行文献检索。结果:对10篇有关妊娠危险体征、知识种类、利用卫生设施、提高知识的方法的A、B级期刊文章进行了范围综述。结论:基于范围综述结果,初孕妇女对妊娠危险体征的认识仍低于多孕妇女,需要通过咨询和远程医疗等方式提高孕妇对妊娠危险体征的认识。
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引用次数: 0
Sleep disorders in meningoencephalitis with adjustment disorders 伴有适应障碍的脑膜脑炎患者的睡眠障碍
Pub Date : 2022-09-11 DOI: 10.21744/ijhms.v5n4.1951
Sarah Endang S. Siahaan, N. Ariani, D. Utami
Many patients with medical disorders, such as meningoencephalitis are evaluated by psychiatrists complaining of sleep problems as one of the symptoms. A 65-years old married male patient who was currently unemployed was interviewed by a psychiatrist in an uncomfortable reclining position. The patient had been hospitalized for 8 days prior to the interview with a history of being unconscious. The patient showed disorganized speech, tried to pull the intravenous line, and hit his wife. The patient said that at this time, he was unable to sleep due to the throbbing headaches, nauseous, and frequent urination at night. Thus, the patient felt uncomfortable, tired, and drowsy in the morning. Those symptoms got worse in the last week.  The patient never had sleep problems before. The psychiatric status showed an appropriate appearance, uncomfortable looks, adequate verbal and visual contact, clear consciousness, dysphoric mood and affect which was congruent, logical realist coherent thought process, and a preoccupation of headache. There was no hallucination or illusion, but mixed type insomnia was found. The patient was diagnosed with adjustment disorder with predominant symptoms and sleep disturbances (F43.28). 
许多患有医学疾病的病人,如脑膜脑炎,都是由精神科医生评估的,他们抱怨睡眠问题是症状之一。一位65岁的已婚男性病人,目前处于失业状态,精神病医生以一种不舒服的斜躺姿势对他进行了采访。患者在访视前住院8天,有昏迷史。病人言语混乱,试图拉静脉注射管,还打了他的妻子。病人说,此时,他无法入睡,因为悸动的头痛,恶心,晚上尿频。因此,患者在早晨感到不舒服、疲倦和昏昏欲睡。这些症状在上周加重了。这位病人以前从未有过睡眠问题。精神状态表现为:外表得体,外表不舒服,语言和视觉接触充足,意识清晰,情绪和情绪一致,逻辑现实连贯的思维过程,头痛的困扰。无幻觉或幻觉,但有混合型失眠。患者被诊断为适应障碍,主要症状为睡眠障碍(F43.28)。
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引用次数: 0
Other mental disorders YDT due to brain damage and dysfunction and physical disease in patients with anti-NMDA encephalitis 抗nmda脑炎患者因YDT所致脑损伤和功能障碍及躯体疾病所致的其他精神障碍
Pub Date : 2022-08-24 DOI: 10.21744/ijhms.v5n4.1948
I. Wardana, I. Ardani, L. Aryani, I. G. Windiani, I. G. A. Adnyana, Yunias Setiawati
Autoimmune encephalitis (AIE) is considered one of the most common causes of acute noninfectious encephalitis. Autoimmune encephalitis is usually of acute or subacute onset and may become chronic later. Suggested mechanisms that may trigger AIE include tumor (paraneoplastic), infection (parainfection) or may be cryptogenic. Autoimmune encephalitis has a wide range of clinical manifestations including behavioral and psychiatric symptoms, autonomic disorders, movement disorders and seizures. In this Case Report 13 year old boy, Hindu, Balinese, currently attending junior high school, unmarried, student. The patient was consulted to the psychiatry department while in the Cempaka room because he looked restless and confused. The patient experienced mood swings in the form of an unstable mood, accompanied by irritability, difficulty calming down, feeling uncomfortable, disturbed sleep, and decreased appetite after the patient underwent treatment at the hospital since last February. On physical examination, physical status was found within normal limits, nutritional status was good, and general status was within normal limits. Examination of psychiatric status found an unnatural appearance that looked confused and uncomfortable, verbal and visual contact was lacking, clear consciousness, mood and affect were labile, in thought processes there was preoccupation with the disease, in perception there were visual hallucinations.
自身免疫性脑炎(AIE)被认为是急性非传染性脑炎最常见的原因之一。自身免疫性脑炎通常为急性或亚急性发作,以后可变为慢性。可能触发AIE的机制包括肿瘤(副肿瘤)、感染(副感染)或可能是隐源性的。自身免疫性脑炎具有广泛的临床表现,包括行为和精神症状、自主神经障碍、运动障碍和癫痫发作。本病例报告13岁男童,印度教徒,巴厘人,目前在读初中,未婚,学生。在Cempaka病房,病人被咨询到精神科,因为他看起来不安和困惑。患者自去年2月开始在该院接受治疗后,出现情绪不稳定、易怒、难以平静、感觉不舒服、睡眠不安、食欲下降等情绪波动。体检身体状况正常,营养状况良好,一般情况正常。精神状态检查发现外表不自然,看起来困惑和不舒服,缺乏语言和视觉接触,意识清晰,情绪和情感不稳定,在思维过程中对疾病有成见,在感知中有视觉幻觉。
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引用次数: 1
Psychiatric aspects and the role of consultation liaison psychiatry (CLP) in traumatic amputation due to electrical burns for adolescents 精神病学方面和咨询联络精神病学(CLP)在青少年电烧伤创伤性截肢中的作用
Pub Date : 2022-08-24 DOI: 10.21744/ijhms.v5n4.1947
Tri Oktin Windha Daniaty, Ida Ayu Kusuma Wardani, N. Ariani
Amputation trauma due to burns is a conflict wound that is very emotionally disturbing, as is often shown on social media and on the small screen to illustrate war, but there are also unintentional events that occur in adolescents that cause burns due to electric shock. The purpose of this paper is to explain the psychiatric aspects and the role of Consultation-Liaison Psychiatry (CLP) in Traumatic Amputation Due to Electrical Burns in Adolescents so that it becomes a consideration in the selection of psychotherapy and therapy for patients. In this case report, an IPWS patient, male, 13 years old, was treated in the Burn Unit, 2nd floor, bed 2. The patient was consulted by a Plastic Surgery colleague at Sanglah Hospital Denpasar. Autoanamnesis data was obtained at the first examination, and the patient followed up during treatment with complaints of feeling sad due to the condition of the wound. The patient complains of sadness and guilt for not obeying his parents' advice not to fly kites in the field, sadness comes and goes, sometimes cries when he remembers and now he feels sad and sorry, he also wants to get well soon and be able to do activities. 
由于烧伤造成的截肢创伤是一种非常令人不安的冲突创伤,经常出现在社交媒体和小屏幕上,以说明战争,但也有发生在青少年身上的意外事件,导致因触电而烧伤。本文的目的是解释精神病学方面和咨询联络精神病学(CLP)在青少年电烧伤创伤性截肢中的作用,使其成为患者选择心理治疗和治疗的考虑因素。在本病例报告中,一名IPWS患者,男性,13岁,在烧伤病房2楼2床接受治疗。病人接受了登巴萨Sanglah医院整形外科的一位同事的咨询。首次检查时获得自身记忆数据,患者在治疗期间随访,主诉因伤口状况而感到悲伤。病人抱怨因为没有听从父母的劝告,没有在野外放风筝而感到悲伤和内疚,悲伤来了又去,有时想起就哭,现在他感到悲伤和抱歉,他也想快点好起来,能够参加活动。
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引用次数: 3
Exclusive breastfeeding in family with early marriage 早婚家庭的纯母乳喂养
Pub Date : 2022-07-28 DOI: 10.21744/ijhms.v5n3.1931
Marwa Hasan Kadatua, S. Djannah, L. Rosida
Background: Breast milk is the best nutrient for infant, providing everything the babies need to survive and drink plenty of fluids during the first six months and that is perfect combination of various nutrients. Besides that, breast milk is the best way to reduce infant morbidity and mortality from infectious diseases, which often affect toddlers in developing countries who are not getting the appropriate developmental nutrition. Meanwhile, the level of national initiation is checked according to mother’s age. Young mother (< 19 years old) tends to rarely breastfeed (83.6 percent) compared with the older one (88.5 percent- 92.7 percent). Therefore, the scoping review aims to explore the description about exclusive breastfeeding on mother with early marriage. Method: the method of this scoping review used Arksey & O’Malley framework consisting of five stages such as identifying scoping review question by framework PEOs; identifying relevant article through relevant database, such as Pubmed, Proquest, ScienceDirect and finding Grey literature through Google Scholar; selecting the article with Prism Flowchart that is used to draw the article search flow, doing critical appraisal to assess the quality of article; doing data charting.
背景:母乳是婴儿最好的营养,提供婴儿生存所需的一切,并在前六个月喝足够的液体,是各种营养的完美结合。此外,母乳是降低婴儿传染病发病率和死亡率的最佳途径,这些疾病经常影响发展中国家没有得到适当发育营养的幼儿。同时,根据母亲的年龄来检查国民启蒙水平。与年龄较大的母亲(88.5% - 92.7%)相比,年轻母亲(< 19岁)倾向于很少母乳喂养(83.6%)。因此,本研究旨在探讨早婚母亲纯母乳喂养的描述。方法:本方法采用Arksey & O 'Malley框架,分为五个阶段:通过框架peo识别范围审查问题;通过Pubmed、Proquest、ScienceDirect等相关数据库识别相关文章,通过Google Scholar查找灰色文献;用Prism流程图对文章进行筛选,绘制文章检索流程,对文章质量进行批判性评价;做数据图表。
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引用次数: 3
Monitoring combination of intermittent auscultation and palpation of contractions on oxygen saturation of newborns 间歇听诊与宫缩触诊联合监测新生儿血氧饱和度
Pub Date : 2022-07-24 DOI: 10.21744/ijhms.v5n3.1930
F. Fitria, Mardiana Ahmad, H. Hatijar, Niken Bayu Argaheni, Neny Yuli Susanti
Babies who have problems and oxygen saturation is one of the things that must be maintained in newborns when low oxygen saturation causes hemodynamic disorders in infants that can cause congenital heart defects. This study aims to determine the differences in the results of the oxygen saturation test (SpO2) in newborns whose mothers were monitored using the combination method of intermittent auscultation and palpation of contractions with mothers who used cardiotocography and also to see the difference in the average SpO2 of normal and SC infants. The research method was observational with a cross sectional approach on 36 newborns in 2 groups, namely 18 whose mothers were monitored by the combination method and 18 were monitored by cardiotocography. BBL SpO2 examination using a pulse oximeter. The average SpO2 of BBL monitored using a combination and cardiotocography did not differ (P = 0.887 > 0.05). Conclusion: There is no difference in the results of the examination of oxygen saturation (SpO2) BBL in the results of monitoring the combination of intermittent auscultation and palpation to CTG monitoring. 
有问题的婴儿血氧饱和度是新生儿必须保持的东西之一当低血氧饱和度会导致婴儿血液动力学紊乱从而导致先天性心脏缺陷。本研究旨在确定间歇听诊和触诊相结合的方法监测母亲的新生儿血氧饱和度(SpO2)结果与使用心脏造影的母亲的差异,并观察正常婴儿和SC婴儿的平均SpO2的差异。研究方法采用横断面法对两组36例新生儿进行观察,其中18例母亲采用联合监护法,18例采用心电监护法。使用脉搏血氧仪检查BBL SpO2。两种方法监测BBL的平均SpO2差异无统计学意义(P = 0.887 > 0.05)。结论:血氧饱和度(SpO2) BBL与间歇听诊、触诊联合监测与CTG监测结果无明显差异。
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引用次数: 6
role of midwives in the application of classroom services for pregnant women during the COVID-19 pandemic period 在COVID-19大流行期间,助产士在为孕妇提供课堂服务方面的作用
Pub Date : 2022-07-12 DOI: 10.21744/ijhms.v5n3.1918
N. Dwijayanti, Mufdlilah Mufdlilah, Endang Koni Suryaningsih
Based on 2021 World Health Organization (WHO) data, as many as 250,715,502 positive Covid-19 confirmed cases, the death rate of Covid-19 sufferers is 5,062,106 (COVID-19 Handling Acceleration Task Force, 2020). The increase in the number of people suffering from Covid-19 proves that Covid-19 spreads easily and quickly (World Health Organization, 2021). The Covid-19 virus attacks all ages, including vulnerable groups, one of which is pregnant women. During the Covid-19 pandemic, health services must continue to run optimally and be safe for patients and midwives with various adjustments based on Covid-19 handling guidelines or health protocols. Implementing antenatal classes during pregnancy and the role of the midwife or health worker is essential in identifying pregnant women class participants who will attend antenatal classes during pregnancy, including in the preparation phase. The objective is to systematically map research conducted in this field and identify the role of midwives in implementing class services for pregnant women during the pandemic. The method used is Prisma Flowchart (Preferred Reporting Items for Systematic review and Meta-Analyses) to describe the literature search flow. The article search uses four databases (Google Scholar, Pubmed, Wiley, and Science Direct). 
根据世界卫生组织(WHO) 2021年的数据,新冠肺炎确诊病例达250,715,502例,患者死亡率为5,062,106例(新冠肺炎应对加速工作组,2020年)。Covid-19患者人数的增加证明Covid-19容易迅速传播(世界卫生组织,2021年)。Covid-19病毒攻击所有年龄段的人,包括弱势群体,其中之一是孕妇。在Covid-19大流行期间,卫生服务必须继续以最佳方式运行,并根据Covid-19处理指南或卫生协议进行各种调整,确保患者和助产士的安全。实施孕期产前课程以及助产士或保健工作者的作用对于确定孕妇课程参与者将在孕期包括准备阶段参加产前课程至关重要。目标是系统地绘制在这一领域进行的研究地图,并确定助产士在大流行期间为孕妇提供班级服务方面的作用。使用的方法是Prisma流程图(系统评价和荟萃分析的首选报告项目)来描述文献检索流程。文章搜索使用四个数据库(Google Scholar、Pubmed、Wiley和Science Direct)。
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引用次数: 21
implementation of referral system in postpartum hemorrhage cases by midwife 产后出血病例助产士转诊制度的实施
Pub Date : 2022-07-12 DOI: 10.21744/ijhms.v5n3.1917
Ria Gustiani, M. Hakimi, Endang Koni Suryaningsih
Postpartum hemorrhage (PPP) is the most significant contributor to maternal mortality worldwide, accounting for 50-75% of all emergency cases that occur during childbirth. Research on the causes, knowledge, prevention, and factors that influence the incidence of postpartum hemorrhage has been carried out previously. However, research on the referral system in postpartum hemorrhage cases done by midwives has not primarily been explored. PRISMA results showed that there were 95 articles obtained from three databases. Article selection was carried out based on predetermined criteria for inclusion and exclusion. This research has acquired five related articles. The seven articles obtained were analyzed for their critical appraisal using the Joanna Briggs Institute (JBI). This study aims to identify the in-depth literature obtained through various sources with various research methods related to the topic, which is the implementation of the referral system in primary postpartum hemorrhage done by midwives of health centers. Therefore, identifying gaps from the existing articles or synthesizing evidence through different studies can be done. Then sources of evidence that provide reference information and research on postpartum bleeding can be found. 
产后出血(PPP)是全世界孕产妇死亡的最主要原因,占分娩期间发生的所有紧急病例的50-75%。对产后出血发生的原因、知识、预防及影响因素进行了研究。然而,对助产士在产后出血病例中的转诊制度的研究尚未进行初步探讨。PRISMA结果显示,从3个数据库中共获得95篇文章。根据预先确定的纳入和排除标准进行文献选择。该研究已获得5篇相关文章。使用乔安娜布里格斯研究所(JBI)对获得的七篇文章进行了批判性评估分析。本研究旨在识别与本课题相关的各种来源、各种研究方法所获得的深度文献,该课题为卫生中心助产士在原发性产后出血中实施转诊制度。因此,可以从现有的文章中找出差距,或者通过不同的研究来综合证据。从而为产后出血的研究提供参考信息和证据来源。
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引用次数: 13
Childbirth counseling by WhatsApp group to reduce the anxiety of primigravida 通过WhatsApp群进行分娩咨询,减少初产妇焦虑
Pub Date : 2022-07-01 DOI: 10.21744/ijhms.v5n3.1905
Atik Sunarmi, E. Haksari, Enny Fitriahadi
Background: the anxiety is an unclear situation having by someone. Someone who has this condition will have unpredictable feeling and feeling helpless. Moreover, someone with anxiety disorder tends to be easy to get emotional due to her mood. This condition occurs due to physical tension as well as their worries about the future they will face. Aims: to review about childbirth counseling by WhatsApp group media to reduce the anxiety of primigravida. Method: the method used is scoping review. Scoping review is used to map the literature and to obtain the information about the research activity relate to the topic researched and identify the problems in research area that will be researched, make a framework by identifying the research question through PEOs and identify the relevant study through Google Scholar, Pubmed and Science Direct, select the study article by Prisma Flow Chart, map the data charting and draw the article search flow, arrange, summary and report the result and discussion by using qualitative method which consist of four (4) articles, use qualitative method consisting five (5) articles, three (3) articles from Indonesia, one (1) article from Brazil, one (1) article from Tabriz Iran, , one (1) article from Oared
背景:焦虑是某人所拥有的一种不清楚的情况。有这种情况的人会有不可预测的感觉和无助的感觉。此外,患有焦虑症的人往往容易情绪化,因为她的情绪。这种情况的发生是由于身体紧张以及他们对未来的担忧。目的:综述利用WhatsApp群媒进行分娩咨询,减少初孕焦虑的相关研究。方法:采用范围审查的方法。Scoping review的作用是绘制文献图,获取与研究课题相关的研究活动信息,确定研究领域中需要研究的问题,通过PEOs识别研究问题,并通过b谷歌Scholar、Pubmed和Science Direct识别相关研究,做出框架,通过Prisma Flow Chart选择研究文章,绘制数据图,绘制文章检索流程,整理,用定性方法总结和报告结果和讨论,定性方法由四(4)篇文章组成,定性方法由五(5)篇文章组成,三(3)篇来自印度尼西亚,一(1)篇来自巴西,一(1)篇来自伊朗大不里士,一(1)篇来自Oared
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引用次数: 6
Pregnant women's perceptions of anemia and iron supplement consumption 孕妇对贫血和铁补充剂摄入的认知
Pub Date : 2022-06-26 DOI: 10.21744/ijhms.v5n2.1902
Binti Lu'lu' Muthoharoh, Farida Kartini, Enny Fitriahadi
Anemia is a condition that is commonly indicated by low hemoglobin levels in the blood. This situation is proven by the lack of quality and quantity of red blood cells that consequently decrease the amount of oxygen transported into the tissue. The high incidence of anemia in pregnancy can cause high maternal mortality after childbirth resulting from pregnancy complications such as bleeding. A lot of research on the factors that influence anemia and the prevention of anemia during pregnancy has been conducted previously. However, there is still few of research exploring women's perception of anemia and the consumption of iron supplements. This Scoping Review aims to determine the extent of women's perception of anemia and iron supplement consumption. The method used is Scoping Review using Wiley Online Library, PubMed, and ScienceDirect databases. The research results that match the criteria are then analyzed with the aim of generating these articles. Appropriational study applied here uses Joana Briggs Institute (JBI), and the synthesis method uses PEOS modification. Six of the 141 articles relevant to titles and abstracts met the inclusion and exclusion criteria. 
贫血通常表现为血液中血红蛋白水平低。这种情况可以通过红细胞的质量和数量的缺乏来证明,从而减少了输送到组织中的氧气量。妊娠期贫血的高发可导致分娩后产妇因出血等妊娠并发症而死亡率高。关于影响贫血的因素和孕期预防贫血的研究已经进行了大量的研究。然而,关于女性对贫血和铁补充剂摄入的看法的研究仍然很少。本综述旨在确定妇女对贫血和铁补充剂摄入的认知程度。使用的方法是使用Wiley在线图书馆、PubMed和ScienceDirect数据库进行范围审查。然后对符合标准的研究结果进行分析,以生成这些文章。本文采用的拨款研究采用Joana Briggs Institute (JBI),合成方法采用PEOS修饰。141篇与标题和摘要相关的文章中有6篇符合纳入和排除标准。
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引用次数: 10
期刊
International journal of health &amp; medical sciences
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