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Association between Holistic Nursing Intervention Combined with Self-Administered Reiki and Changes in Mean Arterial Blood Pressure among Pregnant Women Diagnosed with Mild Hypertensive Disorder 整体护理干预结合自我给药灵气与轻度高血压病孕妇平均动脉血压变化的关系
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i01.010
Preeya Keawpimon, Wilaiporn Samankasikorn
Background: Hypertensive disorder leads to maternal dead and mortality in Thailand. Objective: This quasi-experimental study aimed to test the effect of a holistic nursing program applying Reiki to the mean arterial pressure (MAP) of pregnant women. Methods: Purposive sampling method was used to recruit pregnant women diagnosed with hypertensive disorders. A total of thirty-four pregnant women were assigned to either the control or intervention groups. Blood pressure was measured as the baseline prior beginning of the program, then after completion of eight-week program intervention. Descriptive statistics were used to demonstrate the characteristics of demographic data and the MAP in each group. Wilcoxon test was used to examine the MAP pre- and post-intervention in each group. Mann-Whitney U test was used to compare the significant difference in the MAP between groups. Results: From this study it was seen that there was a significant difference in MAP between pre- and post-intervention in the intervention group (p< 0.020), while there was no difference in the control group. After the eight-week program, there was no statistically significant difference in the MAP between two groups. Conclusion: The program can potentially be an alternative therapy to calm the sympathetic nervous system resulting in better blood pressure control of pregnant women with the hypertensive disorder.
背景:高血压疾病导致泰国产妇死亡和死亡率。目的:探讨灵气整体护理对孕妇平均动脉压(MAP)的影响。方法:采用目的抽样方法,对诊断为高血压疾病的孕妇进行调查。共有34名孕妇被分为对照组和干预组。在计划开始前测量血压作为基线,然后在完成八周的计划干预后测量血压。使用描述性统计来展示每组人口统计数据和MAP的特征。采用Wilcoxon检验检测各组干预前后的MAP。采用Mann-Whitney U检验比较各组间MAP的显著性差异。结果:从本研究中可以看出,干预组干预前后MAP有显著差异(p< 0.020),而对照组无差异。8周后,两组之间的MAP没有统计学上的显著差异。结论:该程序可能是一种替代疗法,可以镇静交感神经系统,从而更好地控制高血压孕妇的血压。
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引用次数: 0
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
Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines 对儿科疫苗接种和依从性的看法:菲律宾母亲的一项研究
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2022.v14i01.009
Earl Gene L. Maturan, Maria Jessica Erlinda Fabroa, J. Santos
Vaccination is a universal health development initiative which aims to save millions of lives every year. Vaccines reduce the risks of acquiring many diseases by developing antibodies and boots the immune system of the body. Aim: This paper aims to determine the mothers’ perceptions on pediatric vaccination guided by the components of the Health Belief Model. It is likewise aimed to determine the correlation of the mother’s perception to their vaccination adherence. Methods: This study utilized a cross-sectional design utilizing a self-report scale. Participants composed of mothers who have children aged one year old and below, from Ormoc City, Philippines. Results: It revealed that mothers’ have high perceived threat (m=3.76, SD=0.77), perceived benefits (m=3.82, SD=0.84), and perceived self-efficacy (m=3.78, SD=0.79), towards vaccination. Similarly, cues to action revealed a high mean score of 3.86 (SD=0.88). On the other hand, factors such as financial (m=2.83; SD=1.06), personal (m=2.12, SD=1.02), Spiritual (m=2.29, SD=1.01), Geographical (m=2.172; SD=1.54), and Health Care Professional's Approach (m=2.26; SD=0.99) were not considered as a barrier among the participants. Among the perceptions identified, we found a positive correlation between a mother's perceived threat (r=0.290, p=<0.001), perceived benefits (r=0.147, p=0.001), and perceived self-efficacy (r=0.217, p=0.001) to their vaccination adherence. On the other hand, among the perceived barriers, only personal beliefs (r=1.78, p=<0.001) and the approach of health care providers (r=-0.096, p=0.038) revealed a significant negative relationship to a mother's adherence to vaccination. Conclusion: Related factors such as perceived threat, benefit, and self-efficacy are facilitative, while personal beliefs and negative approaches health care personnel can be barriers to immunization. When a mother's perception outweighs their perceived barriers, they are more likely to submit to vaccination.
疫苗接种是一项全民卫生发展倡议,旨在每年挽救数百万人的生命。疫苗通过产生抗体和增强人体免疫系统来降低患许多疾病的风险。目的:通过健康信念模型的组成部分,确定母亲对儿科疫苗接种的认知。它同样旨在确定母亲的看法与他们的疫苗接种依从性的相关性。方法:本研究采用横断面设计,采用自我报告量表。参与者由菲律宾奥尔莫克市有一岁及以下孩子的母亲组成。结果:母亲对疫苗接种有较高的感知威胁(m=3.76, SD=0.77)、感知利益(m=3.82, SD=0.84)和感知自我效能(m=3.78, SD=0.79)。同样,动作提示的平均得分也很高,为3.86分(SD=0.88)。另一方面,财务(m=2.83;SD=1.06),个人(m=2.12, SD=1.02),精神(m=2.29, SD=1.01),地理(m=2.172;SD=1.54)和卫生保健专业人员的方法(m=2.26;SD=0.99)不被认为是参与者之间的障碍。在确定的感知中,我们发现母亲的感知威胁(r=0.290, p=<0.001),感知利益(r=0.147, p=0.001)和感知自我效能(r=0.217, p=0.001)与他们的疫苗接种依从性呈正相关。另一方面,在感知到的障碍中,只有个人信念(r=1.78, p=<0.001)和卫生保健提供者的方法(r=-0.096, p=0.038)显示出与母亲坚持接种疫苗的显著负相关。结论:感知威胁、利益和自我效能感等相关因素对免疫接种具有促进作用,而卫生保健人员的个人信念和消极态度可能成为免疫接种的障碍。当母亲的看法超过他们所感知到的障碍时,他们更有可能接受疫苗接种。
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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
Covid-19 Health Education and Promotion Strategies for Children: An Integrative Review 新冠肺炎儿童健康教育与促进策略综述
Pub Date : 1900-01-01 DOI: 10.31674/mjn.2023.v15i01.018
Ryan T. Roldan, Michael Joseph S. Diño, Dominic B. Hermano
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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。
{"title":"Association Between Socio-Dynamic and Other Individuals Characteristics on Perceptions of Occupational Safety Among Workers in Kathmandu, Nepal","authors":"Subash Ghimire, Anjay Kumar Mishra, A. Bhaumik","doi":"10.31674/mjn.2023.v14i04.003","DOIUrl":"https://doi.org/10.31674/mjn.2023.v14i04.003","url":null,"abstract":"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.","PeriodicalId":261912,"journal":{"name":"Malaysian Journal of Nursing","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115339867","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
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
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
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
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
期刊
Malaysian Journal of Nursing
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