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Booklet Development Process for Preconception Education 学前教育的发展过程小册子
Siti Nurunniyah
Background: Healthy preconception is important to prepare for pregnancy, childbirth, baby health, and family planning. Therefore, preconception education is important for pregnant women. Effective education requires good and standardized educational material and media. This study aimed to explain the booklet development process for preconception education.Subjects and Method: This study proceeded through 3 stages. Firstly, the development of booklet material, which covered: 1) literature studies, 2) preconception need assessment for women of reproductive age, 3) need assessment for health workers at community health center (Puskesmas), and 4) preparation of the first booklet draft. Secondly, the booklet validation process carried out through focus group discussion with experts in midwifery, nutrition, community, and health promotion. Thirdly, trial use on women of reproductive age.Results: This draft of preconception education booklet had been developed based on literature review, user need, and recommendation from experts. The booklet received positive appreciation by women of reproductive age through trial use.Conclusion: This booklet has been validated in terms of content and relevance. This booklet can be used for health workers to provide pregnancy preparation counseling for women of reproductive age.Keywords: booklet, development, preconception education, women of reproductive age
背景:健康的孕前准备对怀孕、分娩、婴儿健康和计划生育都很重要。因此,孕前教育对孕妇很重要。有效的教育需要优质、规范的教材和媒介。本研究旨在解释孕前教育小册子的发展过程。研究对象和方法:本研究分为三个阶段。首先,编写小册子材料,内容包括:1)文献研究;2)育龄妇女孕前需求评估;3)社区保健中心(Puskesmas)卫生工作者需求评估;4)编写第一份小册子草稿。第二,通过与助产、营养、社区和健康促进方面的专家进行焦点小组讨论,对小册子进行验证。三是育龄妇女试用。结果:根据文献综述、用户需求和专家建议,编制了《孕前教育手册》。通过试用,这本小册子得到了育龄妇女的积极评价。结论:本手册在内容和相关性方面得到了验证。卫生工作者可使用这本小册子为育龄妇女提供孕前准备咨询。关键词:小册子,发展,孕前教育,育龄妇女
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引用次数: 1
The Relationship between Inpatient Corridor Layout and the Risk Of Infection Transmission in Hospital: A Systematic Review 住院走廊布局与医院感染传播风险关系的系统评价
Ratna Agtasari, A. Sjaaf
Background: The physical design of the hospital is an important component of infection control measures to minimize the risk of transmission of infectious diseases. Most hospitals in developing countries are not scientifically designed including wards and corridors. This study aimed to review systematically the relationship of inpatient corridor layout in hospital with risk of infection transmission. Subjects and Method: A systematic review was conducted by searching published articles from 2010 to 2019, from databases including Scopus, ProQuest, and EBSCO. The keywords were “hospital OR inpatient AND corridor OR hallway OR passageway AND infection or healthcare-associated infection”. The inclusion criteria of this study were articles published in the last 10 years, full text, system, and open access. After review process, 9 articles were included in this review. Results: Two studies examined the effects of corridor shape on hospitals and mapped the distribution of infections. One article was related to aerosol dilution in the inpatient corridor, another related to energy efficiency as an effect of hospital corridor design. Three studies were concerned with infection transmission through the air, another investigated the use of natural ventilation in buildings. One article looked at the latest air system development. Conclusion: Looped double corridor has a higher risk of spread of infection compared to hybrid and double-loaded corridor. Movement in the looped double corridor is short, so the spread of infection can occur quickly. In addition to the shape of the corridor, the spread of infection in the inpatient room is also influenced by the particular air system used. In double-loaded corridors it is not recommended to apply natural ventilation.
背景:医院的物理设计是感染控制措施的重要组成部分,以尽量减少传染病的传播风险。发展中国家的大多数医院包括病房和走廊的设计都不科学。本研究旨在系统探讨医院住院走廊布局与感染传播风险的关系。研究对象和方法:通过检索Scopus、ProQuest和EBSCO数据库中2010 - 2019年发表的文章进行系统评价。关键词是“医院或住院患者、走廊或走廊或通道、感染或卫生保健相关感染”。本研究的纳入标准为近10年发表的文章、全文、系统和开放获取。经过审查,9篇文章被纳入本综述。结果:两项研究考察了走廊形状对医院的影响,并绘制了感染分布图。一篇文章是关于住院走廊的气溶胶稀释,另一篇是关于医院走廊设计对能源效率的影响。三项研究涉及通过空气传播的感染,另一项研究调查了建筑物中自然通风的使用。一篇文章研究了最新的空气系统发展。结论:环形双通道感染传播风险高于混合型双通道。环形双通道内的活动时间很短,因此感染的传播可能很快发生。除了走廊的形状外,病房内感染的传播也受到所使用的特定空气系统的影响。双负荷走廊不建议采用自然通风。
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引用次数: 0
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
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
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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。
{"title":"Violence on Health Workers at The Workplace and its Management Strategy: A Systematic Review","authors":"N. Rahmatika, M. Nadjib","doi":"10.26911/the6thicph-FP.02.05","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.02.05","url":null,"abstract":"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.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"21 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":"132889905","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: 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。
{"title":"Effect of Bay Leaf Ethanol Extract on Blood Glucose Level in Patients with Type 2 Diabetes Mellitus","authors":"T. Widyawati, M. Pase, M. Daulay, I. B. Sumantri","doi":"10.26911/the6thicph-FP.05.07","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.05.07","url":null,"abstract":"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.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"23 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":"130465129","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: 4
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。
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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
Management of Medical Waste in Developing Countries: A Systematic Review 发展中国家医疗废物管理:系统综述
Asriyanti Bandaso, D. Ayuningtyas
Background: Health care activities can generate different kinds of hazardous waste. Management of hospital health care waste (HCW) especially in developing countries is still a big challenge. Medical waste can result in environmental and occupational health risk. This study aimed to review systematically the management of medical waste in developing countries. Subjects and Method: This was a systematic review conducted according to the PRISMA model. This review was conducted by searching published articles from 2014 to 2019 from databases including Proquest and Scopus. The inclusion criteria were English dan open access. Results: Hospital medical waste management in developing countries was poor. It increased the risk of spreading infections such as HCV, HBV, and HIV. Poor management of hospital medical waste was affected by lack of an effective waste management plan, lack of resources, lack of budget, lack of facilities, and poor hospital staff awareness. Budget, facility, staff, surveillance, and audits were essential to ensure safe and appropriate hospital waste management practices. Conclusion: Poor management of hospital medical waste is affected by lack of an effective waste management plan, lack of resources, lack of budget, lack of facilities, and poor hospital staff awareness.
背景:卫生保健活动可产生不同种类的危险废物。特别是在发展中国家,医院卫生保健废物的管理仍然是一个巨大的挑战。医疗废物可造成环境和职业健康风险。本研究旨在系统回顾发展中国家医疗废物的管理情况。对象和方法:这是一项根据PRISMA模型进行的系统综述。本综述通过检索Proquest和Scopus等数据库中2014 - 2019年发表的文章进行。纳入标准为英文和开放获取。结果:发展中国家医院医疗废物管理水平较差。它增加了传播丙型肝炎病毒、乙型肝炎病毒和艾滋病毒等感染的风险。医院医疗废物管理不善受到以下因素的影响:缺乏有效的废物管理计划、缺乏资源、缺乏预算、缺乏设施以及医院工作人员意识差。预算、设施、工作人员、监督和审计对于确保安全和适当的医院废物管理做法至关重要。结论:影响医院医疗废物管理不善的主要因素是缺乏有效的废物管理计划、缺乏资源、缺乏预算、缺乏设施以及医院员工意识不强。
{"title":"Management of Medical Waste in Developing Countries: A Systematic Review","authors":"Asriyanti Bandaso, D. Ayuningtyas","doi":"10.26911/the6thicph-FP.01.02","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.02","url":null,"abstract":"Background: Health care activities can generate different kinds of hazardous waste. Management of hospital health care waste (HCW) especially in developing countries is still a big challenge. Medical waste can result in environmental and occupational health risk. This study aimed to review systematically the management of medical waste in developing countries. Subjects and Method: This was a systematic review conducted according to the PRISMA model. This review was conducted by searching published articles from 2014 to 2019 from databases including Proquest and Scopus. The inclusion criteria were English dan open access. Results: Hospital medical waste management in developing countries was poor. It increased the risk of spreading infections such as HCV, HBV, and HIV. Poor management of hospital medical waste was affected by lack of an effective waste management plan, lack of resources, lack of budget, lack of facilities, and poor hospital staff awareness. Budget, facility, staff, surveillance, and audits were essential to ensure safe and appropriate hospital waste management practices. Conclusion: Poor management of hospital medical waste is affected by lack of an effective waste management plan, lack of resources, lack of budget, lack of facilities, and poor hospital staff awareness.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"2014 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":"128838397","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
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。
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引用次数: 2
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Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes
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