Introduction: Thai population data across the country found that the number of older adults who were aged over 80 years old increased. The researcher was interested in caring of older adults following the context of lifestyle, detail of self care, and social support which make older people live longer than the average life expectancy. The nurses can use obtain information to appropriate health promotion for adults who are becoming older adults. It makes people to good quality of life when they are older and life longevity. Methods: This qualitative research has a purposive sampling method that was used to select ten participants who were aged 80 years and above and from five villages, the inclusion criteria was who can communicate in Thai language and agreed to participate in this research project. An in depth interview using open ended questionnaire were conducted to explore the factors leading to longevity among older people. Results: This study revealed four themes related to longevity in older adults as follows: food type choices, exercise as part of daily life, reduction of stress options, and dealing with illness. Conclusion: The relatives and healthcare providers of older adults should support them to eat healthy food, do regular exercises, volunteer in activities that help society, regularly meditate to calm the mind, and have fast access to health system services. Keywords: food type choices, exercise as part of daily life, reduction of stress options, dealing with illness, Life long
{"title":"How to live longer: lived experience of older adults in Thailand","authors":"Kittisak Kumpeera, Laddawan Daengthern, Somsak Thojampa, Kunchayarat Udkhammee","doi":"10.20473/jn.v18i2.46310","DOIUrl":"https://doi.org/10.20473/jn.v18i2.46310","url":null,"abstract":"Introduction: Thai population data across the country found that the number of older adults who were aged over 80 years old increased. The researcher was interested in caring of older adults following the context of lifestyle, detail of self care, and social support which make older people live longer than the average life expectancy. The nurses can use obtain information to appropriate health promotion for adults who are becoming older adults. It makes people to good quality of life when they are older and life longevity. \u0000Methods: This qualitative research has a purposive sampling method that was used to select ten participants who were aged 80 years and above and from five villages, the inclusion criteria was who can communicate in Thai language and agreed to participate in this research project. An in depth interview using open ended questionnaire were conducted to explore the factors leading to longevity among older people. \u0000Results: This study revealed four themes related to longevity in older adults as follows: food type choices, exercise as part of daily life, reduction of stress options, and dealing with illness. \u0000Conclusion: The relatives and healthcare providers of older adults should support them to eat healthy food, do regular exercises, volunteer in activities that help society, regularly meditate to calm the mind, and have fast access to health system services. \u0000 \u0000Keywords: food type choices, exercise as part of daily life, reduction of stress options, dealing with illness, Life long","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79412590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Menap, Sismulyanto Sismulyanto, Mursaka Mursaka, Made Mahaguna Putra
Introduction: COVID-19 spread rapidly, but little is known regarding knowledge, attitudes, and practices (KAP) against COVID-19 among residents from various regions in Indonesia. This study aims to determine the level of knowledge, practice and attitudes related to COVID-19 to provide a scientific basis for the prevention and control of this major outbreak in Indonesia. Methods: Online survey with convenience sampling was conducted among urban and rural residents in West Nusa Tenggara Province, and collected 523 questionnaires through online media. The instruments used in this research are demographic information, such as age, gender, educational level, marital status and area of residence (urban or rural) and knowledge, attitude and practice questionnaires. Results: The results of multiple linear regression analysis showed that education level (p=0.01), gender (p=0.00) and age (p=0.03) had a significant effect on knowledge about COVID-19. Residential area (urban) affects practices related to COVID-19 (p=0.00). Furthermore, knowledge of COVID-19 (p=0.00) and area of residence (urban) (p=0.00) are closely related to residents’ attitudes toward preventive measures that can control this disease. Conclusions: Both urban and rural residents of West Nusa Tenggara Province displayed moderate levels of knowledge as well as the practice of COVID-19 and showed the disease with a positive attitude. Developing suitable education programs targeted at the general residents in West Nusa Tenggara Province is essential to increase knowledge, attitudes, as well as practices of COVID-19, especially for rustic and low-educated citizens.
{"title":"Knowledge, attitudes, and practice against COVID-19 in West Nusa Tenggara, Indonesia","authors":"M. Menap, Sismulyanto Sismulyanto, Mursaka Mursaka, Made Mahaguna Putra","doi":"10.20473/jn.v18i2.44580","DOIUrl":"https://doi.org/10.20473/jn.v18i2.44580","url":null,"abstract":"Introduction: COVID-19 spread rapidly, but little is known regarding knowledge, attitudes, and practices (KAP) against COVID-19 among residents from various regions in Indonesia. This study aims to determine the level of knowledge, practice and attitudes related to COVID-19 to provide a scientific basis for the prevention and control of this major outbreak in Indonesia.\u0000Methods: Online survey with convenience sampling was conducted among urban and rural residents in West Nusa Tenggara Province, and collected 523 questionnaires through online media. The instruments used in this research are demographic information, such as age, gender, educational level, marital status and area of residence (urban or rural) and knowledge, attitude and practice questionnaires.\u0000Results: The results of multiple linear regression analysis showed that education level (p=0.01), gender (p=0.00) and age (p=0.03) had a significant effect on knowledge about COVID-19. Residential area (urban) affects practices related to COVID-19 (p=0.00). Furthermore, knowledge of COVID-19 (p=0.00) and area of residence (urban) (p=0.00) are closely related to residents’ attitudes toward preventive measures that can control this disease.\u0000Conclusions: Both urban and rural residents of West Nusa Tenggara Province displayed moderate levels of knowledge as well as the practice of COVID-19 and showed the disease with a positive attitude. Developing suitable education programs targeted at the general residents in West Nusa Tenggara Province is essential to increase knowledge, attitudes, as well as practices of COVID-19, especially for rustic and low-educated citizens.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91039609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: It has been revealed several times that children born to adolescent mothers tend to experience problems in health, growth, and development, also social problems, which continued until now and have even tended to get worse due to various factors such as a pandemic, deteriorating economic conditions, and decreased sense of care among human beings. It is associated with the unpreparedness of adolescent mothers to face the dual roles carry out as mothers and as adolescents themselves. The study aims to explore and describe children’s condition of adolescent mothers during their motherhood in the community Methods: This is an ethnography study, collected data by observation, in-depth interviews, and field notes to explore behaviors, beliefs, values, and perceptions of adolescent mothers about children’s health status. The main key informants were 20 participants, the data were analyzed with content analysis. Results: The result revealed 3 children’s conditions of adolescent mothers in the community which involve: 1) Children’s health status, 2) Children’s breastfeeding status, and 3) Children’s immunization status. Conclusion: Many of their children have health problems at birth and at this time, and it was related to health problems during pregnancy. The low coverage of exclusive breastfeeding and basic immunization is caused by low support from families, inconsistent cultures with beliefs, incomplete information, and the conditions of the Covid-19 pandemic. Stigmatize as adolescent mothers cause they lack carry out regular check-ups on their children.
{"title":"Exploring children’s condition of adolescent mothers in East Kalimantan Indonesia: an ethnography study","authors":"Tri Wahyuni, S. Rungreangkulkij","doi":"10.20473/jn.v18i2.44630","DOIUrl":"https://doi.org/10.20473/jn.v18i2.44630","url":null,"abstract":"Introduction: It has been revealed several times that children born to adolescent mothers tend to experience problems in health, growth, and development, also social problems, which continued until now and have even tended to get worse due to various factors such as a pandemic, deteriorating economic conditions, and decreased sense of care among human beings. It is associated with the unpreparedness of adolescent mothers to face the dual roles carry out as mothers and as adolescents themselves. The study aims to explore and describe children’s condition of adolescent mothers during their motherhood in the community\u0000Methods: This is an ethnography study, collected data by observation, in-depth interviews, and field notes to explore behaviors, beliefs, values, and perceptions of adolescent mothers about children’s health status. The main key informants were 20 participants, the data were analyzed with content analysis.\u0000Results: The result revealed 3 children’s conditions of adolescent mothers in the community which involve: 1) Children’s health status, 2) Children’s breastfeeding status, and 3) Children’s immunization status.\u0000Conclusion: Many of their children have health problems at birth and at this time, and it was related to health problems during pregnancy. The low coverage of exclusive breastfeeding and basic immunization is caused by low support from families, inconsistent cultures with beliefs, incomplete information, and the conditions of the Covid-19 pandemic. Stigmatize as adolescent mothers cause they lack carry out regular check-ups on their children.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83131651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: M-health has been developed and tested through studies in various settings and found was useful for providing knowledge and experience for nurses in cancer care settings. However, none has synthesized the effectiveness of m-health on self-management of patients with cancer. To evaluate the effect of interventions using mobile-based application on patient’s self-management. Outcome measures were patients’ medical adherence, self-efficacy and self-management level and health literacy. Method: The review is reported in accordance with the guidelines of the PRISMA statement. A systematic was conducted in five databases. Randomized controlled trials and quasi-experimental trial were eligible for inclusion. Results: Eight studies were including. There was no significant effect on self-efficacy after interventions using mobile-based applications (SMD = 0.36, CI 95%, [ 0.16, 0.56 ], p < 0.00006). Qualitative synthesis shows that the use of m-health can improve changes in health behavior, health literacy and physical activity. Conclusion: M-health app interventions may improve self-efficacy in cancer patients. Meanwhile, changes in health behavior in patients can be significantly improved using m-health based self-management. M-health can be integrated into health services for the management of patients with cancer.
导言:通过各种环境下的研究，移动医疗得到了发展和测试，发现移动医疗有助于为癌症护理环境中的护士提供知识和经验。然而，没有人综合了移动健康对癌症患者自我管理的有效性。目的:评价移动应用干预对患者自我管理的影响。结果测量患者的医疗依从性、自我效能感和自我管理水平以及健康素养。方法:按照PRISMA声明的指南进行综述。在五个数据库中进行了系统分析。随机对照试验和准实验试验符合纳入条件。结果:纳入8项研究。使用移动应用程序干预后，自我效能感无显著影响(SMD = 0.36, CI 95%， [0.16, 0.56]， p < 0.00006)。定性综合表明，移动医疗的使用可以改善健康行为、健康素养和身体活动的变化。结论:移动健康app干预可以提高癌症患者的自我效能感。同时，使用基于移动健康的自我管理可以显著改善患者健康行为的改变。移动保健可纳入癌症患者管理的保健服务。
{"title":"Effectiveness of m-health based self-management on self-efficacy in patients with cancer: A systematic review and meta-analysis","authors":"Olivya Anakotta, E. Rochmawati, S. Saidi","doi":"10.20473/jn.v18i2.46216","DOIUrl":"https://doi.org/10.20473/jn.v18i2.46216","url":null,"abstract":"Introduction: M-health has been developed and tested through studies in various settings and found was useful for providing knowledge and experience for nurses in cancer care settings. However, none has synthesized the effectiveness of m-health on self-management of patients with cancer. To evaluate the effect of interventions using mobile-based application on patient’s self-management. Outcome measures were patients’ medical adherence, self-efficacy and self-management level and health literacy. \u0000Method: The review is reported in accordance with the guidelines of the PRISMA statement. A systematic was conducted in five databases. Randomized controlled trials and quasi-experimental trial were eligible for inclusion. \u0000Results: Eight studies were including. There was no significant effect on self-efficacy after interventions using mobile-based applications (SMD = 0.36, CI 95%, [ 0.16, 0.56 ], p < 0.00006). Qualitative synthesis shows that the use of m-health can improve changes in health behavior, health literacy and physical activity. \u0000Conclusion: M-health app interventions may improve self-efficacy in cancer patients. Meanwhile, changes in health behavior in patients can be significantly improved using m-health based self-management. M-health can be integrated into health services for the management of patients with cancer.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88289759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Poor air quality due to air pollution, unhealthy lifestyle, and easily transmittable viruses further increases the incidence of acute respiratory infections, especially in toddlers. This study aimed to determine the predictive factors, namely knowledge, attitude, and anxiety, of family health management in preventive and curative areas for caring toddlers with acute respiratory infections. Methods: This type of research is correlational predictive. The sample was mothers who have toddler with a history of ARI. A total of 392 mothers were involved and selected using purposive sampling. The instrument used was a questionnaire of knowledge, attitudes, anxiety, and family health management. Bivariate data analysis used the chi-square test and multivariate analysis used the logistic regression test. Results: Bivariate analysis showed that there was a relationship between knowledge, attitudes, and anxiety with family health management (p-value=0.000). Multivariate analysis showed that variables significantly related to family health management were knowledge (OR=19.791; 95% CI=10.349 to 37.847), attitude (OR=9.265; 95% CI = 3.969 to 21.628), and anxiety (OR=0.137; 95% CI = 0.066 to 0.285). Conclusions: Good knowledge and positive attitudes were related to effective family health management in the care of toddlers with acute respiratory infections. Furthermore, an increase in anxiety will reduce the effectiveness of family health management in the care of toddlers with ARI. Nurses need to optimize the role of the family through health education that focuses on increasing the mother's knowledge and attitudes in family health management, as well as managing anxiety in caring for children with ARI.
导言:空气污染、不健康的生活方式和易传播的病毒导致的空气质量差进一步增加了急性呼吸道感染的发病率，特别是在幼儿中。本研究旨在探讨幼儿急性呼吸道感染防治区家庭健康管理知识、态度和焦虑的预测因素。方法:采用相关预测方法。样本是有ARI病史的孩子的母亲。共有392名母亲参与并采用有目的抽样。使用的工具是知识、态度、焦虑和家庭健康管理问卷。双变量数据分析采用卡方检验，多变量分析采用logistic回归检验。结果:双因素分析显示，家庭健康管理知识、态度和焦虑与家庭健康管理存在相关关系(p值=0.000)。多因素分析显示，与家庭健康管理相关的变量为知识(OR=19.791;95% CI=10.349 ~ 37.847)，态度(OR=9.265;95% CI = 3.969 ~ 21.628)，焦虑(OR=0.137;95% CI = 0.066 ~ 0.285)。结论:良好的家庭健康知识和积极的家庭健康态度与幼儿急性呼吸道感染护理中家庭健康管理的有效性有关。此外，焦虑情绪的增加将降低家庭健康管理在照顾患有急性呼吸道感染的幼儿方面的有效性。护士需要通过健康教育优化家庭的作用，重点是提高母亲在家庭健康管理方面的知识和态度，以及在照顾急性呼吸道感染儿童时管理焦虑。
{"title":"Predictive factors of family health management for caring toddlers with acute respiratory infections","authors":"Marisna Eka Yulianita, Andi Yulia Kasma, Andi Ayumar","doi":"10.20473/jn.v18i2.41408","DOIUrl":"https://doi.org/10.20473/jn.v18i2.41408","url":null,"abstract":"Introduction: Poor air quality due to air pollution, unhealthy lifestyle, and easily transmittable viruses further increases the incidence of acute respiratory infections, especially in toddlers. This study aimed to determine the predictive factors, namely knowledge, attitude, and anxiety, of family health management in preventive and curative areas for caring toddlers with acute respiratory infections.\u0000Methods: This type of research is correlational predictive. The sample was mothers who have toddler with a history of ARI. A total of 392 mothers were involved and selected using purposive sampling. The instrument used was a questionnaire of knowledge, attitudes, anxiety, and family health management. Bivariate data analysis used the chi-square test and multivariate analysis used the logistic regression test.\u0000Results: Bivariate analysis showed that there was a relationship between knowledge, attitudes, and anxiety with family health management (p-value=0.000). Multivariate analysis showed that variables significantly related to family health management were knowledge (OR=19.791; 95% CI=10.349 to 37.847), attitude (OR=9.265; 95% CI = 3.969 to 21.628), and anxiety (OR=0.137; 95% CI = 0.066 to 0.285).\u0000Conclusions: Good knowledge and positive attitudes were related to effective family health management in the care of toddlers with acute respiratory infections. Furthermore, an increase in anxiety will reduce the effectiveness of family health management in the care of toddlers with ARI. Nurses need to optimize the role of the family through health education that focuses on increasing the mother's knowledge and attitudes in family health management, as well as managing anxiety in caring for children with ARI.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"14 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84685997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Fouly, Mervat Gaber Zaghloul, Intisar Alshiekh, Ayat Masoud
Introduction: Women's knowledge regarding childbirth progress can increase their comfort and satisfaction during labor. This study aimed to assess the effectiveness of the Simple Awareness for Women About (SAWA) labor stages program on their childbirth experience using the childbirth roadmap tool. Methods: A pretest and posttest technique was employed and conducted at the Labor Department, Woman Health Hospital, affiliated to the Assiut University Hospitals, Egypt. Based on the eligibility criteria, a convenient sampling method was used to recruit all parturient women admitted between June 2017 and August 2017. The sample consisted of 172 participants. Results: A statistically significant difference was observed in the baseline information regarding the stages of childbirth subsequent to the SAWA program implementation. There was a significant relationship between the mode of delivery and the participant's satisfaction with the study tool. Conclusion: This study highlighted the benefits of using a simple, attractively illustrated instrument, the childbirth roadmap, for achieving the meaning of support through the SAWA program during labor stages.
{"title":"A Simple Awareness For Women About (SAWA) stages of labor on women's childbirth experience using the childbirth roadmap tool: a quasi-experimental study","authors":"H. Fouly, Mervat Gaber Zaghloul, Intisar Alshiekh, Ayat Masoud","doi":"10.20473/jn.v18i2.45127","DOIUrl":"https://doi.org/10.20473/jn.v18i2.45127","url":null,"abstract":"Introduction: Women's knowledge regarding childbirth progress can increase their comfort and satisfaction during labor. This study aimed to assess the effectiveness of the Simple Awareness for Women About (SAWA) labor stages program on their childbirth experience using the childbirth roadmap tool.\u0000Methods: A pretest and posttest technique was employed and conducted at the Labor Department, Woman Health Hospital, affiliated to the Assiut University Hospitals, Egypt. Based on the eligibility criteria, a convenient sampling method was used to recruit all parturient women admitted between June 2017 and August 2017. The sample consisted of 172 participants. \u0000Results: A statistically significant difference was observed in the baseline information regarding the stages of childbirth subsequent to the SAWA program implementation. There was a significant relationship between the mode of delivery and the participant's satisfaction with the study tool.\u0000Conclusion: This study highlighted the benefits of using a simple, attractively illustrated instrument, the childbirth roadmap, for achieving the meaning of support through the SAWA program during labor stages.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89513101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nazrin Ahmad, Walton Wider, Fairrul Kadir, Aizuddin Hidrus, H. Hassan
Introduction: Numerous studies reported that healthcare providers are not as effective in rendering high-quality CPR over time, despite receiving basic life support (BLS) or advanced cardiac life support (ACLS) training. Thus, to overcome the issue and develop a more feasible implementation of CPR training model, this study aims to identify the effectiveness of a modified conventional training (MT-CPR) method. Method: This was an experimental study conducted to 72 healthcare providers in a teaching hospital in north Borneo. Subjects underwent MT-CPR and data were collected using a validated questionnaire and skills assessment checklist adopted from AHA (2020). Data then was analysed using Friedman, Wilcoxon and McNemar test aided with IBM’s Statistical Package for the Social Science (SPSS) statistic software. Result: This study reported that MT-CPR significantly improved the knowledge and skills on CPR (p-value: <0.001). However, the training module significantly incapable to retain the knowledge and skills as early as 3 months post initial MT-CPR (p-value: <0.001). There was a statistically significant difference between the MCQ test scores (pre-course, post-course, and post 3 months-course) with ꭓ2 (2) = 36.2 (2), p-value = <0.001. There is an association between post-course overall results and post 3 month overall results using McNemar test (p-value < 0.002). Conclusion: Overall, this study indicated that modified CPR training (MT-CPR) were able to develop and improve the CPR knowledge and skill. The adaptation of conventional CPR training method seen effective as it has the capability for better engagement between trainer and participants.
{"title":"The effectiveness of modified conventional CPR training among North Borneo University Hospital healthcare providers","authors":"Nazrin Ahmad, Walton Wider, Fairrul Kadir, Aizuddin Hidrus, H. Hassan","doi":"10.20473/jn.v18i2.44667","DOIUrl":"https://doi.org/10.20473/jn.v18i2.44667","url":null,"abstract":"Introduction: Numerous studies reported that healthcare providers are not as effective in rendering high-quality CPR over time, despite receiving basic life support (BLS) or advanced cardiac life support (ACLS) training. Thus, to overcome the issue and develop a more feasible implementation of CPR training model, this study aims to identify the effectiveness of a modified conventional training (MT-CPR) method.\u0000Method: This was an experimental study conducted to 72 healthcare providers in a teaching hospital in north Borneo. Subjects underwent MT-CPR and data were collected using a validated questionnaire and skills assessment checklist adopted from AHA (2020). Data then was analysed using Friedman, Wilcoxon and McNemar test aided with IBM’s Statistical Package for the Social Science (SPSS) statistic software.\u0000Result: This study reported that MT-CPR significantly improved the knowledge and skills on CPR (p-value: <0.001). However, the training module significantly incapable to retain the knowledge and skills as early as 3 months post initial MT-CPR (p-value: <0.001). There was a statistically significant difference between the MCQ test scores (pre-course, post-course, and post 3 months-course) with ꭓ2 (2) = 36.2 (2), p-value = <0.001. There is an association between post-course overall results and post 3 month overall results using McNemar test (p-value < 0.002).\u0000Conclusion: Overall, this study indicated that modified CPR training (MT-CPR) were able to develop and improve the CPR knowledge and skill. The adaptation of conventional CPR training method seen effective as it has the capability for better engagement between trainer and participants. ","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72749112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Effective management of health care system at the district level through an important health project can improve health and quality of life of people in the district. Key factors to drive a successful project are important. The purpose of this study was to explore perspectives of leaders managing the health care system at a district level on improving health problems of people in a community through a project according to preventing and solving overweight and obesity issues. Methods: The participants of this qualitative study consisted of nine district health board committees, ten members of the district health system startup team and twenty-four village health system managers. Data was collected by using focus group interviews, observation and documents analysis, also analyzing data by summarizing and categorizing the data of main points. Results: The study results indicated that managing successful health problems at the district level needed: 1) creating clear and equal understanding, 2) having precious community capital and 4) integrating effective incentives for people in the community. Conclusion: The findings of the study can be used as a guideline for managing the health care system in a district level through a project for the development of health issues and the quality of life among people in a community. This successful health system management might be able to help develop the sustainability of public health care at the district level.
{"title":"Insights from leaders on effectively addressing overweight and obesity in the Thai community","authors":"Duangporn Piyakong, Sangduan Apiratanawong, Chanikan Suasing","doi":"10.20473/jn.v18i2.44167","DOIUrl":"https://doi.org/10.20473/jn.v18i2.44167","url":null,"abstract":"Introduction: Effective management of health care system at the district level through an important health project can improve health and quality of life of people in the district. Key factors to drive a successful project are important. The purpose of this study was to explore perspectives of leaders managing the health care system at a district level on improving health problems of people in a community through a project according to preventing and solving overweight and obesity issues. \u0000Methods: The participants of this qualitative study consisted of nine district health board committees, ten members of the district health system startup team and twenty-four village health system managers. Data was collected by using focus group interviews, observation and documents analysis, also analyzing data by summarizing and categorizing the data of main points. \u0000Results: The study results indicated that managing successful health problems at the district level needed: 1) creating clear and equal understanding, 2) having precious community capital and 4) integrating effective incentives for people in the community. \u0000Conclusion: The findings of the study can be used as a guideline for managing the health care system in a district level through a project for the development of health issues and the quality of life among people in a community. This successful health system management might be able to help develop the sustainability of public health care at the district level.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79433030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Suyasa, N. K. Sutini, N. Kamaryati, I. Nuryanto
Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. Keywords: aged, depression, epidemiology, Indonesia
导言:我们对居家老年人日常生活工具活动中与功能性残疾相关的因素了解甚少。本研究旨在探讨巴厘岛农村地区老年人日常生活工具活动(IADL)功能障碍的患病率及其决定因素。方法:采用横断面设计，招募巴厘岛农村地区60岁及以上老年人1053人。由训练有素的数据收集人员进行结构化访谈。问卷采用劳顿IADL量表、老年抑郁量表5项，并采用华盛顿小组残疾问题短集中的视力、听力和沟通问题问卷。采用logistic回归模型探讨决定因素。结果:75岁以上的患者占26.1%，女性占52.3%。8%的人在IADL中经历了功能障碍，1.9%的人独自生活，11.8%的人表现出抑郁，5.1%、4.7%和1.6%的人分别有视力丧失、听力障碍和沟通问题。影响IADL患者功能障碍的最强决定因素是抑郁(OR 7.869;95% CI 4.657-13.296)，其次是年龄(OR 4.602;95% CI 2.764-7.663)和听力障碍(OR 2.903;95% ci 1.190-7.083)。结论:抑郁症是IADL患者功能失能的决定性因素。农村地区的卫生专业人员应积极筛查抑郁症，以提高老年人实现其iadl的能力。关键词:老年人;抑郁症;流行病学
{"title":"Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study","authors":"I. Suyasa, N. K. Sutini, N. Kamaryati, I. Nuryanto","doi":"10.20473/jn.v18i2.45700","DOIUrl":"https://doi.org/10.20473/jn.v18i2.45700","url":null,"abstract":"Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. \u0000Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. \u0000Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). \u0000Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. \u0000Keywords: aged, depression, epidemiology, Indonesia","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74070224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Klinik merupakan fasilitas pelayanan kesehatan tingkat pertama. Keberhasilan instansi kesehatan dalam mencapai tujuan tidak terlepas dari peran tenaga kesehatan. Kemampuan klinik memenuhi kebutuhan pasien dapat diukur dari kepuasan pasien dalam menerima mutu pelayanan kesehahatan. Karena mutu pelayanan yang baik akan memberikan kepuasan kepada pelanggan dan pelanggan akan memanfaatkan ulang dan merekomendasikan pelayanan kesehatan tersebut. Faktor-faktor yang mengidentifikasi dan berpotensi mempengaruhi seseorang untuk memanfaatkan pelayanan kesehatan dipengaruhi oleh fasilitas, kualitas pelayanan dan komunikasi petugas kesehatan. Jenis penelitian adalah kuantitatif dengan pendekatan penelitian yang digunakan adalah pendekatan Cross Sectional dengan anggota sampelnya berjumlah 96 orang dengan tekhnik pengambilan sampel secara proporsional random sampling. Dengan menggunakan analisis univariat, bivariat dan multivariat. Hasil penelitian menunjukkan ada pengaruh antara fasilitas kesehatan P Value 0,00 (<0,05), ada pengaruh kualitas pelayanan kesehatan P Value 0,00 (<0,05) 0,00 dan ada hubungan komunikasi P Value 0,00 (<0,05) dengan pemanfaatan Klinik Engsar Kecamatan Polewali. Disarankan bagi pihak manajemen Klinik Engsar dapat lebih meningkatkan ketersediaan fasilitas/peralatan yang dapat menunjang pemberian pelayanan kepada pasien, meningkatkan kualitas pelayanan yang diberikan kepada pasien dan dapat memperbaiki maupun meningkatkan cara berkomunikasi yang baik kepada pasien sehingga pasien merasa petugas memiliki rasa kepedulian terhadap penyakit yang diderita pasien.
诊所是一流的卫生保健设施。卫生部门在实现目标方面的成功与卫生工作者的作用无关。临床满足病人需求的能力可以通过患者在接受保健保健质量方面的满意度来衡量。因为良好的服务质量对顾客满意和顾客会重新利用并推荐医疗服务。确定和潜在影响一个人利用医疗保健的因素受到设施、服务质量和卫生工作者沟通的影响。与所使用的研究方法是定量研究类型是横截面样品96名成员与方法技巧地抽样比例随机抽样。使用单变量、双变量和多变量分析。研究表明，卫生设施P值0.00(< 0.05)、P值0.00(< 0.05)0.00和P值0.00(< 0.05)与Polewali地区客户客户服务中心(clinic of Polewali)之间的影响。建议对管理层Engsar诊所可以进一步增加的设施/设备供应维持病人服务,提高服务质量的礼物赐给病人可以改善和提高对病人,感觉良好的沟通方式有官员认为关心病人遭受的疾病。
{"title":"Faktor Faktor yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan di Klinik Engsar Polewali Mandar","authors":"Muhandas Alim, Indar Indar, Harniati Harniati","doi":"10.31004/jn.v7i2.15096","DOIUrl":"https://doi.org/10.31004/jn.v7i2.15096","url":null,"abstract":"Klinik merupakan fasilitas pelayanan kesehatan tingkat pertama. Keberhasilan instansi kesehatan dalam mencapai tujuan tidak terlepas dari peran tenaga kesehatan. Kemampuan klinik memenuhi kebutuhan pasien dapat diukur dari kepuasan pasien dalam menerima mutu pelayanan kesehahatan. Karena mutu pelayanan yang baik akan memberikan kepuasan kepada pelanggan dan pelanggan akan memanfaatkan ulang dan merekomendasikan pelayanan kesehatan tersebut. Faktor-faktor yang mengidentifikasi dan berpotensi mempengaruhi seseorang untuk memanfaatkan pelayanan kesehatan dipengaruhi oleh fasilitas, kualitas pelayanan dan komunikasi petugas kesehatan. Jenis penelitian adalah kuantitatif dengan pendekatan penelitian yang digunakan adalah pendekatan Cross Sectional dengan anggota sampelnya berjumlah 96 orang dengan tekhnik pengambilan sampel secara proporsional random sampling. Dengan menggunakan analisis univariat, bivariat dan multivariat. Hasil penelitian menunjukkan ada pengaruh antara fasilitas kesehatan P Value 0,00 (<0,05), ada pengaruh kualitas pelayanan kesehatan P Value 0,00 (<0,05) 0,00 dan ada hubungan komunikasi P Value 0,00 (<0,05) dengan pemanfaatan Klinik Engsar Kecamatan Polewali. Disarankan bagi pihak manajemen Klinik Engsar dapat lebih meningkatkan ketersediaan fasilitas/peralatan yang dapat menunjang pemberian pelayanan kepada pasien, meningkatkan kualitas pelayanan yang diberikan kepada pasien dan dapat memperbaiki maupun meningkatkan cara berkomunikasi yang baik kepada pasien sehingga pasien merasa petugas memiliki rasa kepedulian terhadap penyakit yang diderita pasien.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86366023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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