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Associations between Sex, Body Mass Index, Anxiety, and Emotional Eating among High School Students in Surakarta, Central Java 中爪哇苏拉卡市中学生性别、体重指数、焦虑和情绪性饮食之间的关系
Yuliana Rachmawati
Background: Emotional eating may be part of a psychological disorder as a way of coping with emotions or stresses in life. In the adolescent phase, immature cognitive development causes vulnerability to stress and anxiety due to social interaction. These negative emotions may impact on their eating behavior. This study aimed to determine associations between sex, body mass index (BMI), anxiety, and emotional eating among adolescents in Surakarta. Subjects and Method: A cross sectional study was carried out at senior high schools in Surakarta, in July 2019. A sample of 104 high school students aged 15-17 years old was selected by cluster random sampling. The dependent variable was emotional eating. The independent variables were gender, body mass index (BMI), and anxiety. Emotional eating was measured by Emotional Eater Questionnaire (EEQ). Body weight was measured by weight scale. Body height was measured by microtoise. Anxiety was measured by Hamilton Anxiety Rating Scale (HARS). The data were analyzed by a multiple logistic regression. Results: Prevalence of emotional eating in adolescents was 42.3% (53.7% female and 21.6% male). 57.6% adolescents experienced anxiety and 80.8% categorized as overweight/obese. The risk of emotional eating increased with female sex (OR= 0.14; 95% CI= 0.04 to 0.45; p= 0.001), overweight/obesity (OR= 14.32; 95% CI= 3.69 to 55.46; p<0.001), and anxiety (OR= 9.97; 95% CI= 2.93 to 33.91; p<0.001). Conclusion: The risk of emotional eating increased with female sex, overweight/ obesity, and anxiety.
背景:情绪化进食可能是一种心理障碍的一部分,是一种应对生活中情绪或压力的方式。在青少年阶段,不成熟的认知发展导致易受社会交往的压力和焦虑。这些负面情绪可能会影响他们的饮食行为。本研究旨在确定泗水市青少年性别、体重指数(BMI)、焦虑和情绪性饮食之间的关系。研究对象和方法:2019年7月在泗水市的高中进行了一项横断面研究。采用整群随机抽样的方法,抽取15 ~ 17岁高中生104名。因变量是情绪化进食。自变量为性别、身体质量指数(BMI)和焦虑。采用情绪进食问卷(Emotional Eater Questionnaire, EEQ)测量情绪进食。用体重秤测量体重。用微噪声测量身高。采用汉密尔顿焦虑评定量表(HARS)测量焦虑程度。数据采用多元逻辑回归分析。结果:青少年情绪性进食的患病率为42.3%,其中女性53.7%,男性21.6%。57.6%的青少年有焦虑症,80.8%的青少年超重/肥胖。情绪性进食的风险随着性别的增加而增加(OR= 0.14;95% CI= 0.04 ~ 0.45;p= 0.001),超重/肥胖(OR= 14.32;95% CI= 3.69 ~ 55.46;p<0.001),焦虑(OR= 9.97;95% CI= 2.93 ~ 33.91;p < 0.001)。结论:情绪性进食的风险与女性、超重/肥胖和焦虑有关。
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引用次数: 0
The Effect of Motivational Interviewing Intervention on Motivation and Adherence to Antiretrovirus Therapy in People Living with HIV/AIDS in Maumere, East Nusa Tenggara 动机性访谈干预对东努沙登加拉毛梅里地区艾滋病毒/艾滋病感染者抗逆转录病毒治疗动机和依从性的影响
Pasionista Vianitati, I. Manurung, Sabina Gero
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引用次数: 0
Violence on Health Workers at The Workplace and its Management Strategy: A Systematic Review 工作场所对卫生工作者的暴力行为及其管理策略:系统回顾
N. Rahmatika, M. Nadjib
Background: Healthcare workers at workplace frequently face with patients becoming violent because of undesired events such as a long wait. Globally, workplace violence is a major challenge to safety for health workers, involving significant consequences to the victims, patients, and healthcare organizations. This study aimed to systematically review violence on health workers at the workplace and its management strategy. Subjects and Method: A systematic review was conducted by searching published articles from 2015 to 2019 including ProQuest, Springer Link, and Scopus. The keyword for this review was "prevalence" AND "risk factor" AND "workplace violence" AND "hospital". The inclusion criteria were English, open acces, health worker, and cross-sectional. After review process, 14 articles were included in this study. Results: Violence was affected by age of the victim, lack of courage to report incidents of violence, work experience, direct interaction with patients, feeling of worry / anxiety, shift system, and night work. Two articles stated lack of courage to report incidents of violence as a predictor. Three articles stated reporting as a futile act as a cause of under reporting. An article stated that the institution had taken necessary steps and provided encouragement to report act of violence, as well as had chosen strategies to prevent violence, including security measure, protocol, and training related to violence in the workplace. Conclusion: Violence is often found in health workers in the workplace. Violence was affected by age of the victim, lack of courage to report incidents of violence, work experience, direct interaction with patients, feeling of worry/anxiety, shift system, and night work. Improving management in health care facilities is needed to prevent and deal with workplace violence.
背景:工作场所的卫生保健工作者经常面临患者因不希望的事件而变得暴力,如长时间等待。在全球范围内,工作场所暴力是对卫生工作者安全的重大挑战,对受害者、患者和卫生保健组织造成严重后果。这项研究旨在系统地审查工作场所对卫生工作者的暴力行为及其管理战略。研究对象和方法:检索2015 - 2019年发表的论文,包括ProQuest、Springer Link和Scopus。本综述的关键词是“患病率”、“危险因素”、“工作场所暴力”和“医院”。纳入标准为英语、开放获取、卫生工作者和横断面。经审查,本研究共纳入14篇文章。结果:受害者的年龄、没有勇气报告暴力事件、工作经历、与患者的直接互动、担心/焦虑感、轮班制度和夜班是影响暴力行为的因素。两篇文章指出,缺乏报告暴力事件的勇气是一个预测因素。三篇文章指出,报告是一种徒劳的行为,是报告不足的原因。一篇文章指出,该机构已采取必要步骤,鼓励举报暴力行为,并选择了预防暴力的战略,包括安全措施、议定书和与工作场所暴力有关的培训。结论:工作场所的卫生工作者经常发生暴力行为。受害者的年龄、缺乏报告暴力事件的勇气、工作经历、与患者的直接互动、担心/焦虑的感觉、轮班制度和夜班是影响暴力的因素。需要改进保健设施的管理,以预防和处理工作场所暴力。
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引用次数: 1
The Benefits of Interoperability to Prevent Medication Error in Hospital 互操作性对预防医院用药错误的好处
Heppi Kartika Rahmawati, W. Adisasmito
Background: Healthcare Information and Management Systems Society (HIMSS) describes interoperability as the extent to which systems and devices can exchange data, and interpret that shared data. Interoperability of health information systems can improve the accuracy of diagnosis, quality of care, and patient safety. One problem in patient safety is medication errors. Medication error defined as a failure in the treatment process that has the potential to lead to harm among patients. This study aimed to analyze the benefits of interoperability to prevent medication error in hospital. Subjects and Method: This was a systematic review study. The study were done by collecting related articles in English, published in 2014 to 2019. The databases used in this study were ProQuest, PubMed, and Sage Publication. The keywords used were interoperability, interoperable, electronic health records, data sharing, big data, health care information technology, hospitals, medication errors, medication without harm, unsafe medication, medication safety, prescribing errors, and prescription errors. Results: There were 10 articles that met the study criteria. From the articles it were found that interoperability prevents medication errors through (1) Providing quality information with credibility; (2) Preventing the occurrence of making recipes; (3) Increasing the effectiveness of information by direct transfer between systems; (4) Preventing data duplication, (5) Updating data in real time; (6) Data access in parallel by several users; (7) Prevention of data loss, differences in interpretation, and differences in measurement unit; (8) Reconciliation of treatment between patient and hospital; (9) Evaluation of diagnoses and services to patients remotely; and (10) Prevention of medication errors at the administrative stage. Conclusion: Interoperability increases accuracy of diagnoses, quality of care, patient safety, by increasing credibility of information. The existence of reconciliation between users, both doctors, nurses, pharmacists, service units, and patients, can prevent administrative errors and prescription making, and help doctors make decisions.
背景:医疗信息和管理系统协会(HIMSS)将互操作性描述为系统和设备可以交换数据并解释共享数据的程度。卫生信息系统的互操作性可以提高诊断的准确性、护理质量和患者安全。患者安全的一个问题是用药错误。用药错误被定义为在治疗过程中有可能对患者造成伤害的失败。本研究旨在分析互操作性对预防医院用药错误的益处。研究对象和方法:这是一项系统回顾性研究。该研究通过收集2014年至2019年发表的相关英文文章来完成。本研究使用的数据库为ProQuest、PubMed和Sage Publication。使用的关键词是互操作性、互操作性、电子健康记录、数据共享、大数据、医疗保健信息技术、医院、用药错误、无伤害用药、不安全用药、用药安全、处方错误和处方错误。结果:有10篇文章符合研究标准。从文章中发现,互操作性通过(1)提供具有可信度的高质量信息来防止用药错误;(2)防止制作配方的发生;(3)通过系统间的直接传递提高信息的有效性;(4)防止数据重复;(5)实时更新数据;(6)多个用户并行访问数据;(七)防止数据丢失、解释差异、计量单位差异;(8)医患和解;(9)远程对患者进行诊断和服务评估;(十)预防管理阶段的用药差错。结论:互操作性通过提高信息的可信度,提高了诊断的准确性、护理质量和患者安全。使用者(医生、护士、药剂师、服务单位和患者)之间的和解可以防止行政错误和处方制定,并帮助医生做出决策。
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引用次数: 1
Effect of Bay Leaf Ethanol Extract on Blood Glucose Level in Patients with Type 2 Diabetes Mellitus 月桂叶乙醇提取物对2型糖尿病患者血糖水平的影响
T. Widyawati, M. Pase, M. Daulay, I. B. Sumantri
Background: Previous studies showed that bay leaf or Syzygium polyanthum (Wight) Walp ethanol extract (SPEE) had antioxidant activity. It is safe for use in human. This study aimed to investigate SPEE effect on fasting blood glucose level (FBGL) among patients with type 2 diabetes mellitus. Subjects and Method: This was a pilot study using a randomized controlled trial (RCT) design. A total sample of 8 patients with type 2 diabetes mellitus were selected for this study. The intervention group were given 350 mg SPEE in capsule, once daily for 14 days. The control group were given placebo (Pl). The dependent variable was fasting blood glucose level (FBGL). The data were collected at day 0 and after 14 days administration. The effect of SPEE was determined by comparing mean FBGL in the SPEE-group and Pl-group after intervention. This effect is also shown by Effect Size (ES). The effect is large if ES >0.3. The mean difference after intervention was tested by Mann Whitney test. The means of FBGL of the two groups should be comparable as a result of randomization. Results: After the intervention, the FBGL (mg/dL) was lower in the SPEE-group (Mean= 169.75; SD= 43.72) than the Pl-group (Mean= 225.25; SD= 73.48), and it was not statistically significant (p= 0.438). This statistical non-significant effect was antici-pated in the pilot study, due to the very small sample size (n=8). Effect Size= -0.59, in-dicating large effect of SPEE in lowering the fasting blood glucose level (large if Effect Size > 0.30). Conclusion: Syzygium polyanthum (Wight) Walp ethanol extract (SPEE) is effective to lower fasting blood glucose level in patients with type 2 diabetes mellitus.
背景:已有研究表明,月桂叶或合欢乙醇提取物(SPEE)具有抗氧化活性。它对人体是安全的。本研究旨在探讨SPEE对2型糖尿病患者空腹血糖水平(FBGL)的影响。研究对象和方法:本研究采用随机对照试验(RCT)设计。本研究共选取8例2型糖尿病患者。干预组患者给予SPEE胶囊350 mg,每日1次,连用14 d。对照组给予安慰剂(Pl)。因变量为空腹血糖水平(FBGL)。分别于给药第0天和第14天收集数据。通过比较干预后SPEE组和pl组的平均FBGL来确定SPEE的效果。效应大小(ES)也显示了这种效应。当ES >0.3时,效果较大。干预后的均数差异采用Mann Whitney检验。由于随机化,两组的FBGL均值应具有可比性。结果:干预后,spee组FBGL (mg/dL)较对照组低(Mean= 169.75;SD= 43.72)高于l组(Mean= 225.25;SD= 73.48),差异无统计学意义(p= 0.438)。由于样本量非常小(n=8),在初步研究中预料到这种统计上不显著的影响。效应量= -0.59,表明SPEE在降低空腹血糖水平方面效果较大(效应量> 0.30则为较大)。结论:白芍乙醇提取物(SPEE)具有降低2型糖尿病患者空腹血糖的作用。
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引用次数: 4
An Evaluation of The Effectiveness of Chronic Illness Prevention Program: Multiple Logistic Regression Analysis 慢性疾病预防计划的有效性评价:多元Logistic回归分析
Nafi’ah Aprilia, D. Tamtomo, E. S. Sulaeman
Background: The chronic illness prevention program (Prolanis) is a proactive health service system in chronic diseases that can affect the control of hypertension. This stu­dy aimed to analyze the effectiveness of chronic illness prevention program using health belief model (HBM).Subjects and Method: This was a retrospective cohort study carried at 4 community health centers in Ngawi, East Java, from April to May 2019. A sample of 200 elderly aged 60-74 years old was selected by fixed exposure sampling. The dependent variable was hyper­tension prevention. The independent variables were prolanis participation, per­ceived susceptibility, perceived seriousness, and self efficacy. The data were col­lected by questionnaire and analyzed by a multiple logistic regression.Results: Hypertension prevention increased with prolanis participation (b= 2.79; 95% CI= 0.55 to 5.03; p= 0.015), perceived susceptibility (b= 1.35; 95%CI= 0.18 to 2.53; p= 0.024), perceived seriousness (b= 0.82; 95%CI= 0.04 to 1.61; p= 0.039), and self efficacy (b= 1.00; 95%CI= 0.16 to 1.85; p= 0.019).Conclusion: Hypertension prevention increases with prolanis participation, perceived susceptibility, perceived seriousness, and self efficacy.Keywords: hypertension, prevention program, health belief model
背景:慢性疾病预防计划(Prolanis)是影响高血压控制的慢性疾病主动卫生服务系统。本研究旨在运用健康信念模型(HBM)分析慢性疾病预防项目的有效性。对象和方法:这是一项回顾性队列研究,于2019年4月至5月在东爪哇省Ngawi的4个社区卫生中心进行。采用固定暴露抽样法,选取60 ~ 74岁老年人200例。因变量为高血压预防。自变量为前列腺参与、感知易感性、感知严重度和自我效能。采用问卷调查法收集资料,采用多元逻辑回归分析。结果:高血压预防随着prolanis的参与而增加(b= 2.79;95% CI= 0.55 ~ 5.03;P = 0.015),感知易感性(b= 1.35;95%CI= 0.18 ~ 2.53;P = 0.024),感知严重性(b= 0.82;95%CI= 0.04 ~ 1.61;P = 0.039),自我效能感(b= 1.00;95%CI= 0.16 ~ 1.85;p = 0.019)。结论:高血压预防随着前列腺增生的参与、感知易感性、感知严重性和自我效能感的增加而增加。关键词:高血压,预防方案,健康信念模型
{"title":"An Evaluation of The Effectiveness of Chronic Illness Prevention Program: Multiple Logistic Regression Analysis","authors":"Nafi’ah Aprilia, D. Tamtomo, E. S. Sulaeman","doi":"10.26911/the6thicph.02.12","DOIUrl":"https://doi.org/10.26911/the6thicph.02.12","url":null,"abstract":"Background: The chronic illness prevention program (Prolanis) is a proactive health service system in chronic diseases that can affect the control of hypertension. This stu­dy aimed to analyze the effectiveness of chronic illness prevention program using health belief model (HBM).\u0000Subjects and Method: This was a retrospective cohort study carried at 4 community health centers in Ngawi, East Java, from April to May 2019. A sample of 200 elderly aged 60-74 years old was selected by fixed exposure sampling. The dependent variable was hyper­tension prevention. The independent variables were prolanis participation, per­ceived susceptibility, perceived seriousness, and self efficacy. The data were col­lected by questionnaire and analyzed by a multiple logistic regression.\u0000Results: Hypertension prevention increased with prolanis participation (b= 2.79; 95% CI= 0.55 to 5.03; p= 0.015), perceived susceptibility (b= 1.35; 95%CI= 0.18 to 2.53; p= 0.024), perceived seriousness (b= 0.82; 95%CI= 0.04 to 1.61; p= 0.039), and self efficacy (b= 1.00; 95%CI= 0.16 to 1.85; p= 0.019).\u0000Conclusion: Hypertension prevention increases with prolanis participation, perceived susceptibility, perceived seriousness, and self efficacy.\u0000\u0000Keywords: hypertension, prevention program, health belief model","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"104 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131580457","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}
引用次数: 0
Opportunity of Mobile Telemedicine Technology for Cervical Cancer Screening in Developing Countries: A Systematic Review 移动远程医疗技术在发展中国家宫颈癌筛查的机会:系统综述
Rizka Arviliana, Atfiana Nur Afifah, T. Eryando
Background: Cervical cancer is the leading cause of cancer death in females. However, a largescale screening of precancerous lesions with cytology is hardly possible, because of the lack of specialists and infrastructures. Telemedicine describes the use of mobile phone including picture, video, or email to exchange information in the context of health care between patients, providers, consultants, and content for the purpose of education, evaluation, decision-making, and treatment. The purpose of this study was to systematically review the opportunity of mobile telemedicine technology for cervical cancer screening in developing countries. Subjects and Method: A systematic review was conducted by searching published article from PubMed, Sage Publications, Scopus, and ProQuest online journal databases. The research question was formulated in PICOS format: (1) Population; (2) Intervention; (3) Comparison; (4) Outcome; and (5) Study design. An initial search found 401 articles. 8 articles were met criteria and selected for this study. Results: Mobile telemedicine is used as a complementary alternative intervention to increase the coverage of early detection of cervical cancer. Visual inspection acetic acid and complemented with digital photography has been used in Rwanda with a significant success. The health workers use a digital camera to capture images of the cervix and share it with remote experts for consultation and further diagnosis. In a different example, the Botswana model involves taking images of the cervix using mobile smartphone and transmitting the images to remote experts through multimedia messaging service (MMS). Conclusion: Mobile telemedicine offers a potential complementary screening method for pre cervical cancer lesion diagnosis.
背景:子宫颈癌是女性癌症死亡的主要原因。然而,由于缺乏专家和基础设施,用细胞学对癌前病变进行大规模筛查几乎是不可能的。远程医疗描述了使用移动电话(包括图片、视频或电子邮件)在患者、提供者、顾问之间交换医疗保健背景下的信息和内容,以达到教育、评估、决策和治疗的目的。本研究的目的是系统地审查移动远程医疗技术在发展中国家进行宫颈癌筛查的机会。研究对象和方法:通过检索PubMed、Sage Publications、Scopus和ProQuest在线期刊数据库中已发表的文章进行系统评价。研究问题以PICOS格式制定:(1)人口;(2)干预;(3)比较;(4)结果;(5)研究设计。最初的搜索发现了401篇文章。8篇符合标准的文章入选本研究。结果:移动远程医疗作为一种补充性的替代干预手段,提高了宫颈癌早期发现的覆盖率。在卢旺达使用醋酸目视检查并辅以数码摄影,取得了重大成功。卫生工作者使用数码相机捕捉子宫颈的图像,并与远程专家分享,以便进行咨询和进一步诊断。在一个不同的例子中,博茨瓦纳模式涉及使用移动智能手机拍摄子宫颈图像,并通过多媒体信息服务(MMS)将图像传输给远程专家。结论:移动远程医疗为宫颈癌前病变诊断提供了一种潜在的辅助筛查方法。
{"title":"Opportunity of Mobile Telemedicine Technology for Cervical Cancer Screening in Developing Countries: A Systematic Review","authors":"Rizka Arviliana, Atfiana Nur Afifah, T. Eryando","doi":"10.26911/the6thicph-FP.01.13","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.13","url":null,"abstract":"Background: Cervical cancer is the leading cause of cancer death in females. However, a largescale screening of precancerous lesions with cytology is hardly possible, because of the lack of specialists and infrastructures. Telemedicine describes the use of mobile phone including picture, video, or email to exchange information in the context of health care between patients, providers, consultants, and content for the purpose of education, evaluation, decision-making, and treatment. The purpose of this study was to systematically review the opportunity of mobile telemedicine technology for cervical cancer screening in developing countries. Subjects and Method: A systematic review was conducted by searching published article from PubMed, Sage Publications, Scopus, and ProQuest online journal databases. The research question was formulated in PICOS format: (1) Population; (2) Intervention; (3) Comparison; (4) Outcome; and (5) Study design. An initial search found 401 articles. 8 articles were met criteria and selected for this study. Results: Mobile telemedicine is used as a complementary alternative intervention to increase the coverage of early detection of cervical cancer. Visual inspection acetic acid and complemented with digital photography has been used in Rwanda with a significant success. The health workers use a digital camera to capture images of the cervix and share it with remote experts for consultation and further diagnosis. In a different example, the Botswana model involves taking images of the cervix using mobile smartphone and transmitting the images to remote experts through multimedia messaging service (MMS). Conclusion: Mobile telemedicine offers a potential complementary screening method for pre cervical cancer lesion diagnosis.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122967065","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}
引用次数: 2
Effect of E-Prescribing Implementation on Reducing Medication Error in Hospital 实施电子处方对减少医院用药差错的影响
Akhmad Safi’i, A. Achadi
Background: Medication error (ME) is a failure in the treatment process that can harm and endanger patient safety. One of the causes of ME is error in prescribing. Several studies have shown that electronic prescribing (e-Prescribing) is beneficial in reducing prescribing errors and improving patient safety. This study aimed to determine the effect of e-Prescribing in reducing ME. Subjects and Method: This was a systematic review study. The keywords used in this study were “implementation” AND “electronic prescribing” AND “hospital”. The articles were obtained from PubMed and Google Scholar. The articles were selected from 2015 to 2019, in English and Indonesian languages, full text, hospital setting area, and evaluate about implementation E-Prescribing in Hospital. The data were collected and analyzed based on PRISMA flow diagram. Results: A total of 11 out of 27 articles were reviewed for this study. Nine articles stated that the impact of implementing e-Prescribing were to reduce ME, facilitate prescription services, process data input faster, and increase the effectiveness of communication between pharmacist and doctor. One article showed a non-significant changes after the implementation of the e-Prescribing, although it is encourages certain types of errors and mitigates others. While the other article discussed recommendation in implementing e-Prescribing, such as increased coordination between users, modification and flexibility of the hospital information system, optimizing systems from the outset, how expertise should be developed as well as increased learning by experience. Conclusion: Implementation of e-Prescribing can reduce medication errors so that it has a positive impact on patient safety.
背景:用药错误(Medication error, ME)是指在治疗过程中出现的失误,会危害和危及患者的安全。ME的原因之一是处方错误。一些研究表明,电子处方(e-Prescribing)有利于减少处方错误和提高患者安全。本研究旨在确定电子处方在减少ME方面的效果。研究对象和方法:这是一项系统回顾性研究。本研究使用的关键词是“实施”、“电子处方”和“医院”。文章来源于PubMed和b谷歌Scholar。选取2015 - 2019年的英文、印尼语、全文、医院设置区域的文章,对医院实施电子处方的情况进行评价。基于PRISMA流程图对数据进行了采集和分析。结果:27篇文献中有11篇被纳入本研究。9篇文章指出,实施电子处方的影响是减少ME,方便处方服务,更快地处理数据输入,提高药师与医生之间沟通的有效性。一篇文章显示了电子处方实施后的非显著变化,尽管它鼓励了某些类型的错误并减轻了其他类型的错误。而另一篇文章则讨论了实施电子处方的建议,例如增加用户之间的协调,修改和灵活性医院信息系统,从一开始就优化系统,如何开发专业知识以及增加经验学习。结论:实施电子处方可减少用药差错,对患者安全产生积极影响。
{"title":"Effect of E-Prescribing Implementation on Reducing Medication Error in Hospital","authors":"Akhmad Safi’i, A. Achadi","doi":"10.26911/the6thicph-FP.04.01","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.01","url":null,"abstract":"Background: Medication error (ME) is a failure in the treatment process that can harm and endanger patient safety. One of the causes of ME is error in prescribing. Several studies have shown that electronic prescribing (e-Prescribing) is beneficial in reducing prescribing errors and improving patient safety. This study aimed to determine the effect of e-Prescribing in reducing ME. Subjects and Method: This was a systematic review study. The keywords used in this study were “implementation” AND “electronic prescribing” AND “hospital”. The articles were obtained from PubMed and Google Scholar. The articles were selected from 2015 to 2019, in English and Indonesian languages, full text, hospital setting area, and evaluate about implementation E-Prescribing in Hospital. The data were collected and analyzed based on PRISMA flow diagram. Results: A total of 11 out of 27 articles were reviewed for this study. Nine articles stated that the impact of implementing e-Prescribing were to reduce ME, facilitate prescription services, process data input faster, and increase the effectiveness of communication between pharmacist and doctor. One article showed a non-significant changes after the implementation of the e-Prescribing, although it is encourages certain types of errors and mitigates others. While the other article discussed recommendation in implementing e-Prescribing, such as increased coordination between users, modification and flexibility of the hospital information system, optimizing systems from the outset, how expertise should be developed as well as increased learning by experience. Conclusion: Implementation of e-Prescribing can reduce medication errors so that it has a positive impact on patient safety.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126043853","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}
引用次数: 2
Factors Influencing Clean and Healthy Behavior among Elderly with Hypertension 影响老年高血压患者清洁健康行为的因素
Septian Najib Imtichan, D. Tamtomo, E. S. Sulaeman
Background: Previous studies suggest that healthy lifestyle plays an important role in improving health-related quality of life. As a kind of behavior-related disease, the occurrence of hypertension is closely associated with unhealthy behaviour. However, the rate of hypertension self-awareness, access to treatment service, and hypertension control among elderly are low because early stages of the disease do not show any obvious signs and symptoms. This study aimed to examine factors influencing clean and healthy behavior among elderly with hypertension. Subjects and Method: This was a cross sectional study conducted in Ngawi, East Java, from June to July 2019. A sample of 200 elderly was selected for study by a multistage random sampling. The dependent variable was clean and healthy behavior. The independent variables were perceived susceptibility, perceived benefit, attitude, and family support. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Clean and healthy behavior increased with high perceived susceptibility (OR= 4.38; 95% CI= 0.15 to 0.41; p<0.001), high perceived benefit (OR= 4.51; 95% CI= 0.13 to 0.33; p<0.001), positive attitude (OR= 9.81; 95% CI= 0.30 to 0.45; p<0.001), and strong family support (OR= 2.61; 95% CI= 0.03 to 0.23; p= 0.010). Conclusion: Clean and healthy behavior increases with high perceived susceptibility, high perceived benefit, positive attitude, and strong family support.
背景:以往的研究表明,健康的生活方式在改善健康相关生活质量方面发挥着重要作用。高血压作为一种行为相关疾病,其发生与不健康行为密切相关。然而,老年人高血压自我意识、获得治疗服务和高血压控制的比例很低,因为疾病的早期阶段没有表现出任何明显的体征和症状。本研究旨在探讨影响老年高血压患者清洁健康行为的因素。对象和方法:这是一项横断面研究,于2019年6月至7月在东爪哇的Ngawi进行。采用多阶段随机抽样的方法,选取200名老年人作为研究对象。因变量为清洁和健康行为。自变量为感知易感性、感知获益、态度和家庭支持。采用问卷调查法收集数据,并采用多元线性回归进行分析。结果:清洁和健康行为增加且感知易感性高(OR= 4.38;95% CI= 0.15 ~ 0.41;p<0.001),高感知获益(OR= 4.51;95% CI= 0.13 ~ 0.33;p<0.001),积极态度(OR= 9.81;95% CI= 0.30 ~ 0.45;p<0.001),强烈的家庭支持(OR= 2.61;95% CI= 0.03 ~ 0.23;p = 0.010)。结论:清洁健康行为的增加与高感知易感性、高感知利益、积极态度和强大的家庭支持有关。
{"title":"Factors Influencing Clean and Healthy Behavior among Elderly with Hypertension","authors":"Septian Najib Imtichan, D. Tamtomo, E. S. Sulaeman","doi":"10.26911/the6thicph.02.13","DOIUrl":"https://doi.org/10.26911/the6thicph.02.13","url":null,"abstract":"Background: Previous studies suggest that healthy lifestyle plays an important role in improving health-related quality of life. As a kind of behavior-related disease, the occurrence of hypertension is closely associated with unhealthy behaviour. However, the rate of hypertension self-awareness, access to treatment service, and hypertension control among elderly are low because early stages of the disease do not show any obvious signs and symptoms. This study aimed to examine factors influencing clean and healthy behavior among elderly with hypertension. Subjects and Method: This was a cross sectional study conducted in Ngawi, East Java, from June to July 2019. A sample of 200 elderly was selected for study by a multistage random sampling. The dependent variable was clean and healthy behavior. The independent variables were perceived susceptibility, perceived benefit, attitude, and family support. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Clean and healthy behavior increased with high perceived susceptibility (OR= 4.38; 95% CI= 0.15 to 0.41; p<0.001), high perceived benefit (OR= 4.51; 95% CI= 0.13 to 0.33; p<0.001), positive attitude (OR= 9.81; 95% CI= 0.30 to 0.45; p<0.001), and strong family support (OR= 2.61; 95% CI= 0.03 to 0.23; p= 0.010). Conclusion: Clean and healthy behavior increases with high perceived susceptibility, high perceived benefit, positive attitude, and strong family support.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"73 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114029117","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}
引用次数: 0
The Impact of Clinical Pathway Implementation on Length of Stay and Hospital Cost: A Systematic Review 临床路径实施对住院时间和住院费用的影响:一项系统综述
Herlin Putri Tanjung, A. Nurwahyuni
Background: Clinical Pathway (CP) is a method of clinical documentation that reflects clinical practice standards for physicians, nurses, and other members of healthcare team. Clinical pathways are increasingly being used by hospitals to improve efficiency in the care of certain patient populations. This study aimed to review systematically the impact of CP implementation on length of stay and hospital cost. Subjects and Method: A systematic review was conducted by searching published articles from 2010 to 2019 from databases including: Proquest, Scopus, and Pubmed. The keywords for this review “impact, implementation, clinical pathways, critical pathways, care pathways, integrated care pathways, hospital costs and length of stay”. The dependent variables were length of stay and hospital cost. The independent variable was CP. There were 7 articles obtained after implementing the inclusion criteria. Results: There was a significant reduction in hospital costs and length of stay after the implementation of CP. There was no significant difference between before and after the application of CP in aspects of complication, mortality, readmission, and clinical outcome. Conclusion: Implementation of CP can significantly reduce hospital length of stay and cost without reducing the quality of health service.
背景:临床路径(CP)是一种反映医生、护士和医疗团队其他成员临床实践标准的临床记录方法。医院越来越多地使用临床路径来提高某些患者群体的护理效率。本研究旨在系统回顾CP实施对住院时间和住院费用的影响。研究对象和方法:通过检索2010 - 2019年Proquest、Scopus和Pubmed数据库中已发表的文章进行系统评价。本综述的关键词是“影响、实施、临床途径、关键途径、护理途径、综合护理途径、住院费用和住院时间”。因变量为住院时间和住院费用。自变量为CP。执行纳入标准后得到7篇文章。结果:CP实施后患者的住院费用和住院时间均显著降低,在并发症、死亡率、再入院率、临床转归等方面,CP实施前后无显著差异。结论:实施CP可在不降低医疗服务质量的前提下显著缩短住院时间和降低医疗费用。
{"title":"The Impact of Clinical Pathway Implementation on Length of Stay and Hospital Cost: A Systematic Review","authors":"Herlin Putri Tanjung, A. Nurwahyuni","doi":"10.26911/the6thicph-FP.04.22","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.22","url":null,"abstract":"Background: Clinical Pathway (CP) is a method of clinical documentation that reflects clinical practice standards for physicians, nurses, and other members of healthcare team. Clinical pathways are increasingly being used by hospitals to improve efficiency in the care of certain patient populations. This study aimed to review systematically the impact of CP implementation on length of stay and hospital cost. Subjects and Method: A systematic review was conducted by searching published articles from 2010 to 2019 from databases including: Proquest, Scopus, and Pubmed. The keywords for this review “impact, implementation, clinical pathways, critical pathways, care pathways, integrated care pathways, hospital costs and length of stay”. The dependent variables were length of stay and hospital cost. The independent variable was CP. There were 7 articles obtained after implementing the inclusion criteria. Results: There was a significant reduction in hospital costs and length of stay after the implementation of CP. There was no significant difference between before and after the application of CP in aspects of complication, mortality, readmission, and clinical outcome. Conclusion: Implementation of CP can significantly reduce hospital length of stay and cost without reducing the quality of health service.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132593891","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}
引用次数: 5
期刊
Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes
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