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Evaluation of the Use of Intradialytic Exercise and Cognitive Behavior Therapy for Improving Patients’ Quality of Life Undergoing Hemodialysis: A Systematic Review 分析运动和认知行为疗法对改善血液透析患者生活质量的评价:一项系统综述
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i04.017
Akhmad Huda, Faridah Binti Mohd Said, Jayasree S. Kanathasan, Sofyan Hadi Hasibuan, Sawiji
Chronic kidney disease not only impacts physical status but also psychological status leading to low quality of life. Patients with chronic kidney disease often receive hemodialysis as replacement therapy for kidney function. Studies preventing the deterioration of quality of life were published in the literature. However, none discusses the combination therapy between intradialytic exercise and cognitive behavior therapy. Therefore, the review aims at evaluating these combination therapies in patients with hemodialysis. The study used a systematic literature review design to identify all articles on intradialytic exercise and cognitive behavior therapy. The results highlighted that there is an improvement in quality of life when implementing combination therapies. Furthermore, it helps to accelerate the medical approach to chronic kidney disease. Further study should focus on the use of therapies among patients with different stages of kidney failure.
慢性肾脏疾病不仅影响身体状况,而且影响心理状态,导致生活质量下降。慢性肾病患者常接受血液透析作为肾功能的替代治疗。预防生活质量下降的研究已在文献中发表。然而,没有人讨论分析内运动和认知行为治疗之间的联合治疗。因此,本综述旨在评价这些联合疗法在血液透析患者中的应用。该研究采用系统的文献回顾设计,以确定所有关于分析性运动和认知行为治疗的文章。结果强调,当实施联合治疗时,生活质量得到改善。此外,它有助于加快慢性肾脏疾病的医疗方法。进一步的研究应侧重于不同阶段肾衰竭患者的治疗方法。
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引用次数: 0
The Effect of the Innovative Healthcare Program "My Color Health" on Knowledge, Behavior, and Perception of Disease Severity in Patients with Diabetes and Hypertension 创新医疗保健计划“我的颜色健康”对糖尿病和高血压患者疾病严重程度的知识、行为和感知的影响
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i03.018
Siriluk Muangthai, Thanaphon Maneesuwan, Pornthip Pinkumpee, Phonphimon Wichienrat, Phattharaphon Ditthaai, Thamonwan Bunchean, Y. Kantabanlang
Motivational program as a form of mutual aid could offer great benefits to promote healthy eating among Thai elderly with Diabetes and Hypertension. The purpose of this study is to examine the average, knowledge, practice recommendations, and patients' perceptions of the severity of their diseases before and after receiving the My Color Health Innovation. This quasi-experimental research used a one-group pretest-posttest design that aimed to examine the effects of the innovation "My color health" on knowledge, behavior, and the perception of disease severity in patients with diabetes and hypertension. This study used the concept of the 7-Color Ball. The sample consisted of 20 elderly people and was selected through purposive sampling. The research instruments consisted of the innovation "My color health" knowledge test behavior, and perception of the severity of diabetes and hypertension questionnaires. The questionnaire in Google Forms was used to collect data. The data were analyzed using descriptive statistics and paired t-tests. The results revealed that after using "My color health", the differences in the mean scores of knowledge, guidelines for practice, and perceived severity of diabetes and hypertension were statistically significant (P< 0.05). This research shows that the innovation of "My color health" can increase knowledge, behavior, and perception of the severity of diabetes and hypertension. It can be used as a guideline for the care of patients with uncontrolled diabetes and hypertension.
激励计划作为一种互助形式,可以为促进泰国老年糖尿病和高血压患者的健康饮食提供巨大的好处。本研究的目的是检查接受“我的颜色健康创新”前后患者对其疾病严重程度的平均、知识、实践建议和感知。本准实验研究采用一组前测后测设计,旨在检验创新“我的颜色健康”对糖尿病和高血压患者的知识、行为和疾病严重程度感知的影响。这项研究使用了七色球的概念。样本由20名老年人组成,采用有目的抽样方法。研究工具包括创新的“我的颜色健康”知识测试行为,以及糖尿病和高血压严重程度感知问卷。采用谷歌表格问卷进行数据收集。采用描述性统计和配对t检验对数据进行分析。结果显示,使用“我的颜色健康”后,糖尿病和高血压的知识、实践指南和感知严重程度的平均得分差异有统计学意义(P< 0.05)。本研究表明,“我的颜色健康”的创新可以增加对糖尿病和高血压严重程度的认识,行为和感知。可作为糖尿病和高血压未控制患者的护理指南。
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引用次数: 0
Enhancing Maternal Behavior Towards Prevention of Stunting among Children Below 5 Years Old in the District of Tebing Tinggi Indonesia 加强母亲行为以预防印度尼西亚特炳廷吉地区5岁以下儿童发育迟缓
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i02.012
H. Diana, Evra Yusandra
Background: Stunting is a condition of chronic malnutrition that affects the growth and development of a child from an early stage. This study determined the enhanced maternal behavior towards the prevention of stunting among children below 5 years old. Methods: A cross-sectional descriptive-correlational quantitative design was utilized for this study. Data was collected from June to December 2021 at Tebing Tinggi, South Sumatera Kalimantan. The purposive sampling technique with inclusion and exclusion criteria helped to select the 150 mothers as respondents to answer the survey questionnaire. This research was specifically conducted at the High Cliff Health Center using a self-administered online questionnaire. Results: The identified enhanced maternal behaviors related to the prior behaviors of the respondents (53.52 ± 13.89349, 113%). On the contrary, the perceived benefits (9.8067 ± 3.05, 24.93%), perceived barrier to action (53.52 ± 15.33987, 25.25%), preventive behavior (8.02 ± 2.25831, 18.439%) were identified to be insignificant. There was a relationship (r ≤0.05) between the prior related behavior, perceived benefits, perceived barriers to action, and preventive behavior. Conclusion: It was determined that there was still a need to enhance some of the maternal behaviors towards the prevention of stunting among children under 5 years of age.
背景:发育迟缓是一种慢性营养不良的状况,从早期就影响儿童的生长和发育。本研究确定了母亲行为对预防5岁以下儿童发育迟缓的增强作用。方法:本研究采用横断面描述性相关定量设计。数据于2021年6月至12月在南苏门答腊加里曼丹的Tebing Tinggi收集。采用纳入和排除标准的有目的抽样方法,选取150名母亲作为调查对象回答问卷。这项研究是在High Cliff健康中心进行的,使用了一份自我管理的在线问卷。结果:已识别的增强母性行为与被调查者的既往行为相关(53.52±13.89349,113%)。相反,感知利益(9.8067±3.05,24.93%)、感知行动障碍(53.52±15.33987,25.25%)、预防行为(8.02±2.25831,18.439%)不显著。先前相关行为、感知利益、感知行动障碍与预防行为之间存在相关关系(r≤0.05)。结论:在预防5岁以下儿童发育迟缓方面,仍有必要加强母亲的一些行为。
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引用次数: 1
Use of High-Fidelity Simulation in Clinical Teaching: Nurse Educators’ Perspective 高保真模拟在临床教学中的应用:护士教育工作者的观点
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i04.008
Joana Mariz C. Pananganan
Background: Despite the benefits of high-fidelity simulation (HFS) in developing clinical skills, Nursing schools in lower-middle-income countries like the Philippines are less successful in the implementation of HFS as a pedagogy. The utilization of HFS was recommended to offset the effects of COVID-19 on clinical placements which received various reactions from nurse educators. Objective: This study aimed to explore the views of nursing educators who did not use HFS as an instructional strategy in nursing education. Methods: A qualitative descriptive research design was utilized and data were gathered through a focus group discussion involving seven nurse educators who fit the criteria. Using thematic analysis, the following themes were uncovered: (1) technological complexities and difficulties, (2) lack of training and application, (3) need for expert support, (4) inadequate resources, (5) fear and apprehensions, and (6) not a requirement but an option. Results: Multiple factors affect the use of HFS among nursing educators in a lower middle-income country that requires users to be knowledgeable, skillful, and technologically adept. The lack thereof coupled with fear has consequently reduced HFS to an option rather than an indispensable tool for nursing education. Conclusion: Hence, to facilitate the utilization of HFS, a structured HFS training program that considers the context, and faculty needs might be instrumental. Additionally, the likelihood of integrating HFS in the curriculum as an equivalent to clinical placements can be explored to future-proof nursing education from the effects of a pandemic.
背景:尽管高保真模拟(HFS)在发展临床技能方面有好处,但菲律宾等中低收入国家的护理学校在将HFS作为一种教学法的实施方面并不成功。建议使用HFS来抵消COVID-19对临床安置的影响,这收到了护士教育者的各种反应。目的:本研究旨在探讨护理教育工作者在护理教育中未采用高质量教学策略的观点。方法:采用定性描述性研究设计,并通过7名符合标准的护理教育工作者的焦点小组讨论收集数据。通过专题分析,揭示了以下主题:(1)技术复杂性和困难;(2)缺乏培训和应用;(3)需要专家支持;(4)资源不足;(5)恐惧和忧虑;(6)不是要求,而是一种选择。结果:多种因素影响着中低收入国家护理教育工作者对HFS的使用,这要求使用者具备知识、技能和技术熟练度。缺乏这种能力,再加上恐惧,因此使HFS成为护理教育的一种选择,而不是不可或缺的工具。结论:因此,为了促进HFS的使用,考虑情境和教师需求的结构化HFS培训计划可能是有用的。此外,可以探讨将HFS作为临床实习纳入课程的可能性,以使未来的护理教育免受大流行的影响。
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引用次数: 0
Exploring the Barriers of Entrepreneurship in Nursing as Perceived by Nurse Managers 探索护士管理人员认为的护理创业障碍
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v15i01.005
Hala Taher Othman Radwan, Nora Elsayed Mohammed Khalil
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引用次数: 0
Food Access and Fast Food Consumption Behaviour among Health Sciences Students at Uitm Puncak Alam punak Alam大学健康科学学生的食物获取和快餐消费行为
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v13i04.001
R. Isa, N. A. Mohd Adam, Siti Anissha Ahmad Subari, S. Nordin, Rosuzeita Fauzi
Background: Fast foods are convenient to people who lives a busy lifestyle. Nevertheless, uncontrolled consumption of fast food can lead to obesity. About 84% of Malaysian students consume fast food and are often unable to meet recommended nutrient intake due to snacking habits and skipping meals. Objective: To identify food access and fast food consumption behaviour among Health Sciences students at UiTM Puncak Alam. Methods: This cross-sectional study was done among Health Sciences students at UiTM Puncak Alam. The questionnaire was adapted from ‘Fast Food Consumption and Obesity’. A total 267 from Year 2 and Year 3 was participated. The questionnaire consists of 27 questions including demographic data, food access and fast food consumption behaviour. Results: Majority of the students have problem in transportation for food access and consumed fast food many times per month. However, the study finding showed no relationship between transportation problem, fast food consumption behaviour and BMI. Conclusion: With the advance in technology food can be ordered online and can be delivered by the restaurant. Therefore, there was no relationship between transportation problem and fast food consumption behaviour. Future research should focus on effect of fast food consumption behaviour on students’ academic performance and health related quality of life.
背景:快餐对生活忙碌的人来说很方便。然而,不加控制地食用快餐会导致肥胖。大约84%的马来西亚学生吃快餐,由于吃零食和不吃饭的习惯,他们经常无法达到推荐的营养摄入量。目的:了解印度理工大学punak Alam分校健康科学专业学生的食物获取和快餐消费行为。方法:本横断面研究在UiTM punak Alam的健康科学专业学生中进行。这份调查问卷改编自“快餐消费与肥胖”。二年级和三年级共有267人参加。问卷由27个问题组成,包括人口统计数据、食物获取和快餐消费行为。结果:大部分学生有交通问题,每月有多次快餐消费。然而,研究结果显示交通问题、快餐消费行为和身体质量指数之间没有关系。结论:随着科技的进步,食品可以在网上订购,也可以由餐厅配送。因此,交通问题与快餐消费行为之间没有关系。未来的研究应侧重于快餐消费行为对学生学习成绩和健康相关生活质量的影响。
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引用次数: 1
Care-Seeking Behavior in Cervical Cancer Screening among Gwafan Community Women, Jos, Plateau State 高原乔斯瓜藩社区妇女宫颈癌筛查中的求诊行为
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i04.009
Eunice Samuel Ari, Regidor Iii Poblete Dioso, J. Sotunsa
Background: Most people are infected with human papillomavirus (HPV) shortly after their sexual debut. Cervical cancer is preventable through screening, yet the screening rate is lower than the 70% WHO target. This study aimed to assess the care-seeking behavior of Gwafan community women in cervical cancer screening participation. Methods: A convergent mixed method was adopted for this study. Thematic analysis was used for qualitative data, while SPSS was used for quantitative data analysis. Results: The results show a significant relationship between age group and screening where older women were the most screened (X2=6.290; P-value=0.012), and no significant difference in screening participation amongst women who experienced gynecological symptoms and those that did not experience (X2=1.168; P-value=0.281). Most women (77.4%) have fears of diagnosis, uncovering the private areas of their bodies, painful procedures, and the feelings of shamefulness. They agreed that having more than one sexual partner is the risk cause, they moderately agreed that the outcome of cervical cancer is death. Majority agreed that a woman must obtain consent from her husband before going for screening and that husbands do not allow another person to touch their wives’ private areas. Conclusion: The majority of the community women did not screen for cervical cancer, which may result from low income, feelings, social norms, negative beliefs and expectations, and past experiences. Screening participation among older women was higher, and experiencing gynecological symptoms has no positive influence on screening participation. This study formed the baseline for care-seeking behaviour interventions to improve screening participation.
背景:大多数人在初次性行为后不久就感染了人乳头瘤病毒(HPV)。宫颈癌可通过筛查预防,但筛查率低于世卫组织70%的目标。本研究旨在评估瓜湾社区妇女参与子宫颈癌筛查的求诊行为。方法:本研究采用收敛混合法。定性数据采用专题分析,定量数据采用SPSS分析。结果:年龄与筛查有显著相关性,其中老年妇女筛查率最高(X2=6.290;p值=0.012),有妇科症状的妇女和没有妇科症状的妇女在筛查参与方面无显著差异(X2=1.168;假定值= 0.281)。大多数妇女(77.4%)对诊断、暴露身体私处、痛苦的手术以及羞耻感感到恐惧。他们同意,拥有一个以上的性伴侣是危险的原因,他们中等程度地同意宫颈癌的结果是死亡。大多数人同意,女性在接受检查前必须征得丈夫的同意,丈夫不允许其他人触摸妻子的隐私部位。结论:大部分社区妇女没有进行宫颈癌筛查,这可能与低收入、情感、社会规范、消极的信念和期望以及过去的经历有关。老年妇女的筛查参与率较高,经历妇科症状对筛查参与率没有积极影响。这项研究形成了寻求护理行为干预的基线,以提高筛查的参与。
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引用次数: 0
The Effects of Essential Oil and Massage on Patients’ Affected by Alzheimer’s Disease. An Observational Study 精油和按摩对老年痴呆症患者的影响。观察性研究
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i03.014
Antonio Bonacaro, Ivan Rubbi, Carmela Triglia, Valeria Cremonini, A. Conti, S. Brownie
Background: Alzheimer's Disease (AD) is the most widespread form of dementia. The present study analyses the effects of aromatherapy using Melissa Officinalis essential oil, applied by massage to the hands and forearms of patients suffering from Alzheimer's disease. and to evaluate the effect on their perceived overall quality of life. Methods: A prospective observational study was conducted in two nursing homes in Italy in 2018. Data were collected through individual qualitative structured interviews based on the Quality of Life in Alzheimer’s Disease (QoL-AD) questionnaire and the Mini Mental State Examination (MMSE). The authors referred to STROBE guidelines for quality reporting of observational studies. Results: Treatment with Melissa Officinalis showed positive effects on all patients after the 12th week of treatment. The results were most evident in patients in class 3 MMSE. However, class 4 MMSE patients also benefited from the treatment. Conclusions: The aromatherapy treatment delivered in this observational study, using Melissa Officinalis essential oil applied to hands and forearms, showed an improvement in the quality of life of the patients living in two different nursing homes. Due to the small sample size in this study, it is suggested that more research be done on the effects and effectiveness of aromatherapy with Melissa Officinalis essential oil for Alzheimer's disease patients.
背景:阿尔茨海默病(AD)是最常见的痴呆形式。本研究分析了使用Melissa Officinalis精油的芳香疗法的效果,通过按摩阿尔茨海默病患者的手和前臂。并评估对他们整体生活质量的影响。方法:2018年在意大利的两家养老院进行前瞻性观察研究。通过基于阿尔茨海默病生活质量(QoL-AD)问卷和迷你精神状态检查(MMSE)的个体定性结构化访谈收集数据。作者参考了STROBE观察性研究质量报告指南。结果:经12周治疗后,所有患者均有良好的治疗效果。结果在3级MMSE患者中最为明显。然而,4级MMSE患者也从治疗中获益。结论:在这项观察性研究中,将Melissa Officinalis精油应用于手部和前臂的芳香疗法,改善了住在两家不同疗养院的患者的生活质量。由于本研究样本量较小,建议进一步研究梅丽莎精油芳香疗法对阿尔茨海默病患者的疗效。
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引用次数: 0
Self-Management Education to Control Blood Sugar Levels and Hba1c Value for Type 2 Diabetes Patients 自我管理教育对控制2型糖尿病患者血糖水平和糖化血红蛋白的影响
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i01.012
D. M. Bakara, Kurniyati
Backgroud: Self-care education can be carried out patients with diabetes through the Diabetes Self-Management Education (DSME) method. The DSME method helps people to perform with type 2 diabetes self-management in managing and treating type 2 diabetes, such as controlling blood sugar levels and HbA1c values. Objective: The purpose of this research is to understand the effect of DSME for reducing blood sugar levels and decreasing HbA1c values ​​in type 2 diabetes patients. Methods: The design of this research is a Pre-Experimental with Pretest-Posttest Group Design with a Pretest-Posttest Group Design, approach which aims to see the use of the DSME method for reducing blood sugar levels and decreasing HbA1c values ​​in type 2 diabetes patients. This research was conducted from July to October 2021. The research location was at the Curup Regional General Hospital, Rejang Lebong Regency. Respondents in this study were 35 patients with type 2 diabetes. The instrument used was the DSME method consisting of 3 instruments, including the theoretical concept of diabetes, care and treatment of diabetes, and complications of diabetes. Results: The results of the study show a significant change in blood sugar levels before and after the DSME. Before being carried out, blood sugar levels were with a Mean±SD of 341.60±157.589; meanwhile, after the intervention, blood sugar levels became 107.97±9.984 with a p:0.001. On the other hand, the HbA1c Value before intervention was Mean±SD 8.4313±2.2610, and after the intervention, the HbA1c value became 6.4553±1.2426 with p=0.001. Conclusion: DSME can be used as an alternative intervention that decreases in blood sugar levels and HbA1c values ​​in patients with type 2 diabetes.
背景:糖尿病自我管理教育(DSME)方法可以对糖尿病患者进行自我保健教育。DSME方法有助于2型糖尿病患者在管理和治疗2型糖尿病方面进行自我管理,如控制血糖水平和糖化血红蛋白值。目的:本研究的目的是了解DSME对2型糖尿病患者血糖水平和HbA1c值的降低作用。方法:本研究采用Pre-Experimental with Pretest-Posttest Group design with Pretest-Posttest Group design,旨在观察DSME方法在2型糖尿病患者中降低血糖水平和降低HbA1c值的作用。该研究于2021年7月至10月进行。研究地点在reang Lebong reggency的Curup地区总医院。研究对象为35例2型糖尿病患者。使用的仪器为DSME法,包括糖尿病的理论概念、糖尿病的护理和治疗、糖尿病的并发症3种仪器。结果:研究结果显示,DSME前后血糖水平有显著变化。术前血糖均值±SD为341.60±157.589;干预后血糖值为107.97±9.984,p值为0.001。另一方面,干预前HbA1c为Mean±SD 8.4313±2.2610,干预后HbA1c为6.4553±1.2426,p=0.001。结论:DSME可作为降低2型糖尿病患者血糖水平和HbA1c值的替代干预措施。
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引用次数: 0
Association Between Socio-Dynamic and Other Individuals Characteristics on Perceptions of Occupational Safety Among Workers in Kathmandu, Nepal 尼泊尔加德满都工人职业安全感知的社会动态和其他个体特征之间的关联
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v14i04.003
Subash Ghimire, Anjay Kumar Mishra, A. Bhaumik
Background: Occupational safety is questioned in developing countries like Nepal. Health-care workers have been exposed to potential risks due to different kinds of hazards at their workplace. They are responsible for providing a safe climate for others, which is why their safety should be given high priority, ensuring that they feel safe. Objective: This study has aimed to provide insight into overall healthcare workers perceptions of the available hospital safety facilities and strategies adopted in the hospitals of Kathmandu, Nepal. Methods: The findings of this study are anticipated to assist the hospital industry and agencies to formulate plans and policies to improve safety precautions in hospital duties. For the perception and attitude of workers and nurses towards the safety and health status of workers, the primary data were collected from workers and nurses based on a questionnaire of two different sets, including demographic data. Data from workers and nurses was collected based on the questionnaire ranking the causes of accidents. Results: The study results indicate that several perception-based and socio-demographic variables were found to be significantly associated with the safety perception of workers and nurses. Among the perception-related variables, work motivation and education and training were found to significantly shape the workers’ and nurses' perceptions during hospital duties. These results suggest that the management could increase the incentives and rewards for the workers and deliver safety education and training to make them feel safe working in a hospital. Conclusion: Among socio-demographic variables, gender, household size, household income, and personal income were statistically significant, and worker types, marital status, and possession of permanence were marginally significant predictors of workers’ safety perceptions.
背景:职业安全在尼泊尔等发展中国家受到质疑。由于工作场所的各种危险,保健工作者面临着潜在的风险。他们有责任为他人提供一个安全的环境,这就是为什么他们的安全应该得到高度重视,确保他们感到安全。目的:本研究旨在深入了解尼泊尔加德满都医院采用的现有医院安全设施和策略的总体卫生保健工作者的看法。方法:本研究结果可协助医院业界及机构制订计划及政策,以改善医院工作中的安全防范措施。对于工人和护士对工人安全和健康状况的看法和态度,根据两组不同的调查问卷收集了工人和护士的原始数据,包括人口统计数据。根据对事故原因进行排序的调查问卷收集了工人和护士的数据。结果:研究结果表明,一些基于感知和社会人口统计学的变量与工人和护士的安全感知显著相关。在感知相关变量中,工作动机和教育培训对医护人员在医院工作期间的感知有显著影响。这些结果表明,管理层可以增加对工人的激励和奖励,并进行安全教育和培训,使他们在医院工作时感到安全。结论:在社会人口统计变量中,性别、家庭规模、家庭收入和个人收入具有统计学意义,工人类型、婚姻状况和拥有永久性住房是工人安全感知的边际显著预测因素。
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引用次数: 0
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Malaysian Journal of Nursing
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