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The Effect of Collaborative Handling on Community Mental Health Nursing Services 协同处理对社区心理健康护理服务的影响
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i02.022
Heni Nurhaeni, A. Azra, A. Sumantri, Didin Saepudin, Dwi Tyastuti
Service collaboration in the community occurs in the working relationship between health workers/sources/community leaders in providing services to patients/clients/individuals in conducting discussions about diagnoses, cooperation in health services, mutual consultation or communication and each is responsible for the scope of work in the job. The purpose of this study was to analyze the effectiveness of collaborative handling in community mental health nursing services (CMHN). This study found an important role in the practice of providing services for people with mental disorders (ODGJ), describing an increase in the independent ability of ODGJ (rang dengan Gangguan Jiwa (People with Mental Disorders), and the effectiveness of handling collaboration in the implementation of Interprofessional Collaboration (IPC). The practice of collaboration between Health Officers and Community Leaders or officers at NISWA is a process of intervening in more than one profession, completing one task to achieve goals, and optimizing services to ODGJ. This condition is evidenced by collaboration services having a positive and significant effect on CMHN. A synergy of collaboration was found between Health workers/sources/community leaders as Reform Agents on the role of Health Workers by jointly providing Interprofessional Collaboration (IPC) in the implementation of CMHN at NISWA
社区服务协作发生在卫生工作者/来源/社区领导人之间的工作关系中,向病人/客户/个人提供服务,进行诊断讨论,卫生服务合作,相互咨询或沟通,每个人都负责工作范围内的工作。本研究的目的是分析社区心理健康护理服务(CMHN)协同处理的有效性。本研究发现了精神障碍患者服务实践的重要作用,描述了精神障碍患者(ODGJ)独立能力的提高,以及处理协作在跨专业协作(IPC)实施中的有效性。卫生官员与社区领导人或NISWA官员之间的合作实践是一个干预多个职业、完成一项任务以实现目标和优化向ODGJ提供服务的过程。协作服务对CMHN有显著的正向影响。作为卫生工作者作用的改革推动者,卫生工作者/来源/社区领导人之间通过在NISWA实施CMHN中共同提供跨专业协作(IPC),发现了协作的协同作用
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引用次数: 0
Family Support Related to Quality of Life in Diabetes Mellitus Patients with Ulcer 糖尿病合并溃疡患者的家庭支持与生活质量的关系
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i02.016
Christina Yuliastuti, Nurpudji Astuti, Didik Dwi Winarno, Mei Ayu Sari, Norin John
Background: Some issues which might be frequently discovered in patients with diabetes mellitus with slow ulcer healing. These conditions are due to prolonged treatment, high treatment costs, decreased productiveness, and less family support, all of which have an essential effect on the patient's quality of life. The objective of the study is to identify the relationship of family support with quality of life in diabetes mellitus patients with ulcers. Methods: This observational study involved 47 randomly selected patients with type 2 Diabetes Mellitus aged 40-80 years, with foot ulcers and have no diabetic ketoacidosis and nonketotic hyperosmolar complications. Using Hensarling’s Diabetes Family Support Scale and Diabetes Quality of Life questionnaire, data were collected. Data were analyzed using the Spearman rank test with a significance level of p <0.05. Results: The results indicated that, on average, diabetes mellitus patients with ulcers had adequate family support, particularly in terms of informational assistance, as well as excellent lifestyles. This study found that family support is related to the quality of life (p = 0.048). Conclusion: Excellent family support will enhance self-care management compliance in order that the quality of life of diabetes mellitus patients will improve. Assistance and empowerment of the role of the family in being concerned for Diabetes mellitus patients can maximize family support for patients.
背景:糖尿病合并溃疡愈合缓慢患者常出现的一些问题。这些情况是由于治疗时间长、治疗费用高、生产力下降和家庭支持较少,所有这些都对患者的生活质量产生重要影响。本研究的目的是确定家庭支持与糖尿病合并溃疡患者生活质量的关系。方法:本观察性研究随机选取47例年龄40-80岁、伴有足部溃疡、无糖尿病酮症酸中毒和非酮症高渗并发症的2型糖尿病患者。采用Hensarling糖尿病家庭支持量表和糖尿病生活质量问卷进行数据收集。数据分析采用Spearman秩检验,显著性水平p <0.05。结果:结果表明,平均而言,糖尿病溃疡患者有足够的家庭支持,特别是在信息援助方面,以及良好的生活方式。本研究发现家庭支持与生活质量相关(p = 0.048)。结论:良好的家庭支持可提高糖尿病患者的自我护理管理依从性,从而提高患者的生活质量。协助及强化家庭对糖尿病患者的关心,可以最大限度地提高家庭对患者的支持。
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引用次数: 0
Effectiveness of Tailored Care Program on Diabetes Self-Care Activity, Risk of Cardiovascular Disease and HbA1C among Patients with Diabetes in Indonesia: A Randomized Controlled Trial 量身定制的护理方案对印度尼西亚糖尿病患者糖尿病自我护理活动、心血管疾病风险和糖化血红蛋白的有效性:一项随机对照试验
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v15i01.002
Satriya Pranata
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引用次数: 0
Integration of Nursing Care as Education Approach in the Implementation of Flexible Learning During the COVID-19 Pandemic COVID-19大流行期间实施灵活学习的护理整合教育方法
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i04.001
Elias C. Olapane, Rosario Clarabel C. Contreras, Mary Jean F. Cataluña, Gabriel C. Delariarte, Engr. Magdalena Cataluña, Fritz Gerard C. Contreras
Background: Flexible learning has become the most viable strategy to survive the education industry across the globe and at all levels since the pandemic. The abrupt shift of modality imposes various agendas, either beneficial to improve learning delivery or, to some extent, a disadvantage, especially among technologically challenged educators. Curative traits are attributed to meeting the education requirements and needs of learners while the pandemic disrupts its core implementation. Integration of nursing care as such involves various key stakeholders, understandably because of its newness in form. In developing countries, continuity of teaching and learning has been affected by the abrupt transition, which further at-risks higher academic institutions' ability to provide quality professional education. The study aimed to document pandemic-induced stories encountered by the stakeholders among higher institutions' implementation as cornerstones to developing a caring-inspired strategy to approach education. Methods: The narratives of stakeholders such as students, faculty, parents, and the school administration are extracted during their elemental months of learning design, innovation, and transition phases. Analyses using NVivo 12 Plus on the participant’s experiences and coping were transcribed, and themes were generated thereafter. Pseudonyms of the 28 participants assigned were obtained prior to researcher-assisted key informant interviews to ensure the ethicality of the qualitative research design. Results: Significant themes as expressions of a caring-inspired approach to flexible learning range from identifying challenges and changes to coping with the implementation of technology-modified learning modalities. In the context of learning material development, digital literacy, curriculum-related concerns, and breaches of academic veracity are themes that surfaced among all participants within the first three months of pandemic adjustments. Conclusion: The study recommends the inclusion of flexible learning as a strategy even in the post-pandemic era as input to strategic planning during management reviews and to sustain technological and educational evolution, ensuring a learning continuum amidst crises
背景:自疫情以来,灵活学习已成为全球各级教育行业生存的最可行策略。模式的突然转变带来了各种各样的议程,要么有利于改善学习交付,要么在某种程度上是一种劣势,特别是在技术挑战的教育工作者中。治疗性特征归因于满足学习者的教育要求和需要,而大流行破坏了其核心实施。这样的护理整合涉及各种关键利益相关者,可以理解的是,因为它的形式新颖。在发展中国家,教学和学习的连续性受到了突然转变的影响,这进一步危及了高等院校提供优质专业教育的能力。该研究旨在记录高等院校实施过程中利益相关者遇到的由流行病引起的故事,作为制定关爱型教育战略的基础。方法:在学生、教师、家长和学校管理等利益相关者的学习设计、创新和过渡阶段的基本月份中提取他们的叙述。使用NVivo 12 Plus对参与者的经历和应对进行转录分析,然后生成主题。为确保定性研究设计的伦理性,在研究人员协助关键信息提供者访谈之前获得了分配的28名参与者的笔名。结果:作为一种关怀激励的灵活学习方法的表达的重要主题,从识别挑战和变化到应对技术改进学习方式的实施。在学习材料开发的背景下,数字素养、课程相关问题和违反学术真实性是在流行病调整的头三个月里所有参与者中出现的主题。结论:研究报告建议,即使在大流行后时代,也应将灵活学习作为一项战略纳入管理审查期间的战略规划,并维持技术和教育的发展,确保在危机中持续学习
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引用次数: 0
Exploring Social Stigma and Awareness Towards Tuberculosis in a Municipality in Southern Philippines: A Mixed-Methods Study 在菲律宾南部的一个城市探索对结核病的社会耻辱和意识:一项混合方法研究
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i03.011
Sittie Jamiah Adiong, Ashley A. Bangcola, Alibasher D. Macalnas
Background: Social stigma and awareness are frequently associated with the low rate of clinical diagnosis, case detection, and successful treatment of patients with Tuberculosis (TB). In the Philippines, however, there have been few studies on TB stigma and awareness. Objective: The purpose of this study is to look into the level of social stigma and awareness about tuberculosis among patients, their relatives, and the community in a municipality in the southern Philippines. Methods: An institution-based survey was conducted among 244 participants from various Regional Health Units (RHU) to assess social stigma and awareness of the deadly disease. Participants were divided into three groups: patients diagnosed with tuberculosis (TB), family members of the patients, and community members. The researcher used an exploratory sequential mixed method design to get a deep understanding of the statistical relationships between the variables and their context, collecting quantitative data first and then qualitative data. Results: The findings revealed that the patient and the patient's relatives were more aware of the causes, clinical presentation, treatment, and mode of treatment of tuberculosis than members of the community, with a general mean of 1.60. This is attributed to the family's role as the primary caregiver, as well as a lack of general information and advertising about TB in the community. On the other hand, all three groups experienced high levels of social stigma, with a general mean of 1.90. Fear of transmission and discrimination were identified as the primary reasons. There is no significant relationship found between respondents' level of awareness and social stigma, which can be interpreted to mean that the stigma persists regardless of awareness. Conclusion: The study reveals that general awareness of TB among community members stems from rumour and gossip rather than legitimate sources. As a result, the patient's and family members' social stigma remains high, which can contribute to unsuccessful case detection and treatment. It is thus recommended that policymakers strengthen programmes aimed at identifying and addressing the problems that lead to stigma.
背景:社会耻辱感和认知往往与结核病患者的低临床诊断率、病例检出率和成功治疗率有关。然而,在菲律宾,很少有关于结核病污名和认识的研究。目的:本研究的目的是调查菲律宾南部一个城市的患者、其亲属和社区对结核病的社会污名和意识水平。方法:对来自不同地区卫生单位(RHU)的244名参与者进行了以机构为基础的调查,以评估社会耻辱感和对致命疾病的认识。参与者被分为三组:诊断为结核病(TB)的患者、患者的家庭成员和社区成员。研究者采用探索性顺序混合方法设计,深入了解变量及其上下文之间的统计关系,先收集定量数据,再收集定性数据。结果:调查结果显示,患者及其家属对结核病的病因、临床表现、治疗方法和治疗方式的了解程度高于社区成员,一般平均值为1.60。这是由于家庭作为主要照护者的作用,以及社区缺乏关于结核病的一般信息和广告。另一方面,所有三组都经历了高水平的社会耻辱,平均为1.90。对传播和歧视的恐惧被确定为主要原因。被调查者的意识水平与社会污名之间没有发现显著的关系,这可以解释为无论意识如何,污名都会持续存在。结论:该研究表明,社区成员对结核病的普遍认识源于谣言和八卦,而不是合法来源。因此,患者和家庭成员的社会耻辱感仍然很高,这可能导致病例发现和治疗不成功。因此,建议决策者加强旨在确定和解决导致污名化的问题的规划。
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引用次数: 0
Development of Laboratory Skills Application Based on Android as a Media of Flipped Learning Model for Nursing Student 基于Android的护生翻转学习模式实验技能应用开发
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i01.005
B. Buhari, Rian Maylina Sari
The development of the current era is closely related to the increase in digitalization. The impact of the development of digitalization has a positive effect on the field of education. Online learning using digitalization changes learning models that tend to be passive to active through the management of learning models in the classroom or laboratory based on digital media. The research design was development method which was adapted from the 4D model (Four D Model) which consists of four stages, namely: define, design, development, and dissemination. The data type of this research is quantitative data. Quantitative data is obtained from scores from experts and nursing student as user. The data type of this research is quantitative data. Quantitative data is obtained from scoring scores from experts and nursing student as user. This research was conducted at Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi, Jambi Province, Indonesia. The results of media on experts learning applications get a percentage 96.25%. These percentage can be interpreted as application of dissemination media and is very decent to use. The results by design experts, overall learning application get a percentage 85.2%, with these percentage can be interpreted as application of dissemination media is very decent to use. The results of the attractiveness test show that nursing student respond very well to the use of Android as a learning media for flipped learning models. Nursing student consider the packaging of material in the form of material, procedural, learning videos and article, as well as the interactivity and ease of use of these media to make material about skills laboratory more interesting to study.
当今时代的发展与数字化程度的提高密切相关。数字化的发展对教育领域产生了积极的影响。数字化在线学习通过对基于数字媒体的课堂或实验室学习模式的管理,将被动的学习模式转变为主动的学习模式。研究设计是采用4D模型(Four D model)的开发方法,分为定义、设计、开发、传播四个阶段。本研究的数据类型为定量数据。定量数据来自专家和护理学生作为用户的评分。本研究的数据类型为定量数据。定量数据来源于专家和护理学生作为用户的评分。本研究在印度尼西亚占碑省Ibu Jambi的Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi的护理研究项目中进行。媒体对专家学习应用的结果占96.25%。这些百分比可以理解为传播媒介的应用,使用起来非常体面。根据设计专家的结果,整体学习应用得到了85.2%的百分比,以这些百分比可以理解为传播媒介的应用是非常体面的使用。吸引力测试结果显示,护生对使用Android作为学习媒介进行翻转学习模式反应良好。护生考虑将材料以材料、程序、学习视频和文章的形式进行包装,以及这些媒介的互动性和易用性,使技能实验室的材料学习起来更有趣。
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引用次数: 0
Examining the Relationship between Patient’s Spiritual Well-Being and the Nurse’s Spiritual Care Competence, in Southern Philippines 检查病人的精神健康和护士的精神护理能力之间的关系,在菲律宾南部
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v13i04.009
Ashley A. Bangcola
Background: Nurses and other healthcare providers must become culturally competent as well as culturally aware to meet the needs of culturally diverse patients. This descriptive inferential study investigated whether the patient's internal and external characteristics, as well as the nurse's spiritual care competency, influenced the patient's spiritual well-being. Methods: Descriptive correlation research design was utilized to capture information on the variables that were assumed to have an influence on the older persons’ spiritual well-being and to test the hypotheses concerning the existence of significant relationships between the variables under investigation. Three sets of questionnaires were answered by three separate groups of respondents: 117 older persons aged 60 years and older admitted in Amai Pakpak Medical Center in Marawi City, 117 family members, and 117 nurses providing care to the patients. Linear regression and path analysis were used to analyze the data. Results: The results showed that the nurse’s spiritual care competency was determined through the internal and external variables of the patient. Moreover, the patients’ satisfaction in spiritual nursing care as a mediating variable of spiritual well-being was dependent on the patient’s trust and the spiritual care competence of the nurse. Lastly, the spiritual well-being of the patient was significantly dependent on the spiritual care competence of the nurse and the patient’s satisfaction. Conclusion: To attain optimal spiritual well-being, the patient, the family, and the nurse must work together in a harmonious triumvirate relationship.
背景:护士和其他医疗保健提供者必须具备文化能力和文化意识,以满足不同文化患者的需求。本研究旨在探讨病人的内在与外在特质,以及护士的精神照护能力,是否会影响病人的精神幸福感。方法:采用描述性相关研究设计,获取被认为对老年人精神健康有影响的变量的信息,并检验被调查变量之间存在显著关系的假设。三组问卷由三组不同的受访者回答:马拉维市Amai Pakpak医疗中心收治的117名60岁及以上老年人、117名家属和117名护理患者的护士。采用线性回归和通径分析对数据进行分析。结果:结果表明,护士的精神护理能力是通过患者的内部和外部变量来决定的。此外,患者对精神护理的满意度作为精神幸福感的中介变量,依赖于患者的信任和护士的精神护理能力。最后,患者的精神幸福感显著依赖于护士的精神护理能力和患者的满意度。结论:为了获得最佳的精神健康,病人、家属和护士必须在一个和谐的三位一体的关系中共同努力。
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引用次数: 0
Application of the Levine Theory and Health Belief Model in Anemia and Thrombocytopenia in Pregnancy: A Case Report 莱文理论与健康信念模型在妊娠期贫血、血小板减少症中的应用1例
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i03.025
Eny Dewi Pamungkas, S. Setyowati, Yati Afiyanti
Pregnant women with anemia and thrombocytopenia are exposed to health risks. Therefore, Levine's conservation theory approach combined with the Health Belief Model theory could be applied to assist pregnant women to optimize their adaptive responses and achieve maximum health. Levine's conservation theory focuses on maintaining an individual’s integrity and helping them to adapt to their conditions through the principle of conservation. For the Health Belief Model theory, the involvement and belief of pregnant women are the main aspects required to prevent and treat anemia and thrombocytopenia through their perceived susceptibility, seriousness, benefits, and barriers. Five cases of pregnant women with anemia and thrombocytopenia were provided nursing care that used Levine's conservation and Health Belief Model theory. Doing so resulted in the pregnant women adapting to their conditions and prevented any adverse impacts on their pregnancy.
患有贫血和血小板减少症的孕妇面临健康风险。因此,Levine的守恒理论方法与健康信念模型理论相结合,可以帮助孕妇优化其适应反应,实现最大的健康。莱文的守恒理论侧重于维护个体的完整性,并通过守恒原则帮助他们适应他们的条件。对于健康信念模型理论,孕妇的参与和信念是预防和治疗贫血和血小板减少症所需要的主要方面,通过其感知的易感性、严重性、益处和障碍。采用Levine's守恒与健康信念模型理论对5例贫血伴血小板减少孕妇进行护理。这样做的结果是孕妇适应了她们的条件,并防止了对她们怀孕的任何不利影响。
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引用次数: 0
Correlation between Profile and Outcomes of COVID-19 Patients COVID-19患者特征与预后的相关性
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i03.002
Johnry C. Bulat-ag, Marc Ryan V. Portuguez, John Carlo L. Divina
There is a need to perform investigations on the threats of COVID-19 and its correlation with patient outcomes to design a basis for a more responsive vaccine deployment approach. The present study assessed the outcomes of COVID-19 and its relationship with patients’ demographic and clinical profiles. A descriptive correlational design was utilized in this investigation. Results revealed a significant relationship between patients’ severity of symptoms and underlying conditions and outcomes. Patients with prior conditions such as Hypertension, Diabetes Mellitus and Chronic Obstructive Pulmonary Disease, and those manifesting shortness of breath were associated with a worse clinical outcome. This variable becomes a determinant of the severity of the disease and its outcomes. The implication of the study is that it provides knowledge of the disease and the classification of risks that impact the outcomes of COVID-19 patients.
有必要对COVID-19的威胁及其与患者预后的相关性进行调查,以便为更具响应性的疫苗部署方法奠定基础。本研究评估了COVID-19的结局及其与患者人口统计学和临床概况的关系。本研究采用描述性相关设计。结果显示,患者症状的严重程度与潜在的条件和结果之间存在显著的关系。既往有高血压、糖尿病和慢性阻塞性肺疾病的患者以及表现为呼吸短促的患者的临床结果较差。这一变量成为疾病严重程度及其结果的决定因素。这项研究的意义在于,它提供了对这种疾病的了解,以及影响COVID-19患者预后的风险分类。
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引用次数: 0
The Impact of Frequency and Duration of Diving Activities on the Occurrence of Decompressive Sickness 潜水活动频率和持续时间对减压病发生的影响
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i02.013
Nurul Chabibah, Ayu Citra Mayasari, D. Rachmawati, Faridah Binti Mohd Said
Background: Diving activities have a risk of disease called decompression sickness. One of the risks for the incidence of decompression sickness is the number of hours of diving and diving experience. This study aims to analyze the number of dives in a week and the experience of diving on the occurrence of decompression sickness. Methods: The study used an observational analytic design with a cross-sectional approach, involving 66 divers as research samples taken by simple random sampling. Data were collected using questionnaires and observations of divers' health status to see the incidence of decompression in divers. Data were analyzed using logistic regression with a significance value of P<0.05. Results: The results showed that the number of hours of diving in one week, and diving experience influenced the incidence of decompression sickness experienced by divers (p<0.05). The results of the regression test showed an Exp (B) value of 10,540 for the number of dives in a week, which means that the value of the number of dives in a week >10.5 hours tended to experience decompression compared to those with a number of dives <10.5 hours, and the Exp (B) value of 2,645 during the working period of a long dive. This means that diving experience of >2.6 years are more likely to experience decompression compared to those with experience <2.6 years. Conclusion: Monitoring diving activities and the complaints felt by divers after diving is needed as early detection of decompression sickness, providing appropriate activities, and reducing the impact of decompression sickness on divers.
背景:潜水活动有患减压病的风险。发生减压病的风险之一是潜水的小时数和潜水经验。本研究旨在分析一周潜水次数及潜水经验对减压病发生的影响。方法:采用横断面法观察分析设计,采用简单随机抽样的方法,选取66名潜水员作为研究样本。通过问卷调查和观察潜水员的健康状况来收集数据,以了解潜水员减压的发生率。数据采用logistic回归分析,显著性值为P10.5小时,潜水时间为2.6年的人比潜水时间<2.6年的人更容易出现减压。结论:监测潜水员的潜水活动和潜水后的抱怨,可以早期发现减压病,提供适当的活动,减少减压病对潜水员的影响。
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引用次数: 1
期刊
Malaysian Journal of Nursing
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