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The feasibility of increasing the success of tuberculosis programs through drug ingestion supervisors in remote areas 在偏远地区通过药物摄入监督提高结核病项目成功率的可行性
Pub Date : 2023-04-10 DOI: 10.35335/midwifery.v11i1.1222
La Jumu
called PMO) program is a signal of novelty to increase the acceleration of the success of the tuberculosis eradication program. However, the certainty of its feasibility in remote areas is not yet known. The purpose of this study is to find out the feasibility of the PMO program in remote areas. This quantitative method research was conducted in Biak Numfor, Papua, with total respondents of 23. The primary data was obtained from instruments of a set of questionnaires which were distributed randomly to family members of TB patients. The inclusion criteria were family members of TB patients who were currently on treatment and lived in Yendidori district, Biak. The exclusion criteria were family members of TB patients outside Yendidori, and not taking TB drugs. Secondary data was obtained from reputable journals. Data analysis was carried out descriptively. The results of the study showed that the PMO program had great support from TB client families, and were willing to be part of the program. Found cases of multidrug-resistance (26%), ignorance of drug consistency (100%) considering that 5 out of 18 clients were toddlers. The other major challenges were infrastructure conditions and geography, and lack of means of communication. In conclusion, the PMO program was considered to provide benefits and was feasible to implement to support the increase in the success of TB eradication programs involving family members.
简称PMO)项目是一种增加新颖性的信号,加速了结核病根除项目的成功。然而,它在偏远地区的可行性尚不确定。本研究的目的是找出PMO计划在偏远地区的可行性。这项定量方法研究是在巴布亚的Biak Numfor进行的,总共有23名受访者。主要数据来自随机分发给结核病患者家庭成员的一套问卷的工具。纳入标准是目前正在接受治疗并居住在Biak的Yendidori区结核病患者的家庭成员。排除标准为Yendidori以外结核病患者的家庭成员,且未服用结核病药物。辅助数据来自知名期刊。对数据进行描述性分析。研究结果表明,PMO项目得到了结核病患者家庭的大力支持,并愿意成为该项目的一部分。发现多药耐药病例(26%),考虑到18名客户中有5名是幼儿,对药物一致性的无知(100%)。其他主要挑战是基础设施条件和地理位置,以及缺乏通讯手段。综上所述,PMO计划被认为提供了好处,并且是可行的,以支持增加涉及家庭成员的结核病根除计划的成功。
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引用次数: 0
The relationship of use of injection contraception with age menopause in the sub-district of Gung Negeri Kabanjahe Gung Negeri Kabanjahe街道注射避孕与绝经年龄的关系
Pub Date : 2023-04-10 DOI: 10.35335/midwifery.v11i1.1230
Alfrianne
The incidence of menopause in women aged 40-58 years which can occur early or late. One of the factors that influence menopausal women's entry into hormonal contraception. The aim is to determine the relationship between the use of injectable birth control and the age of menopause in the Gung Negeri Kabanjahe sub-district. This study was a cross-sectional design with an analytic survey approach. The research has conducted a total of 105 respondents using the chi square statistical test. The results of the study were 42 respondents (66.7%) who used injectable contraceptives < 3 years experienced menopause at the age of < 49 years, while 21 respondents (33.3%) experienced menopause at the age of ≥ 49 years. While the use of injection contraception ≥ 3 years experienced menopause at the age of <49 years by 18 respondents (42.9%), menopausal age ≥ 49 years by 24 respondents (57.1%). The results of statistical data using the chi-square test found that p value = 0.016 <0.05 indicating that there was a relationship between the use of DMPA injection contraception (Depo Medroxy Progesterone Acetate) and the incidence of menopause in the Gung Negeri Kabanjahe sub-district. The conclusion of this study is that there is a relationship between the use of DMPA injection contraception (Depo Medroxy Progesterone Acetate) and the incidence menopause in the Gung Negeri Kabanjahe sub-district which has a significant level of closeness.
绝经发生在40-58岁的女性中,可早可晚。影响绝经期妇女进入激素避孕的因素之一。目的是确定Gung Negeri Kabanjahe街道使用注射避孕措施与绝经年龄之间的关系。本研究采用横断面设计,采用分析调查方法。本研究共对105名受访者进行了卡方统计检验。使用注射避孕药< 3年的42名(66.7%)女性在< 49岁时绝经,21名(33.3%)女性在≥49岁时绝经。而使用注射避孕≥3年绝经年龄<49岁的有18人(42.9%),绝经年龄≥49岁的有24人(57.1%)。统计数据采用卡方检验,p值= 0.016 <0.05,说明Gung Negeri Kabanjahe街道使用DMPA注射避孕药(Depo me羟孕酮醋酸酯)与绝经发生率存在相关性。本研究的结论是,在Gung Negeri Kabanjahe街道,DMPA注射避孕(Depo me羟孕酮醋酸酯)的使用与绝经发生率之间存在显著的密切关系。
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引用次数: 0
Implementation of the balanced score card as a benches for the performance assessment of Patut Patju Hospital 实施平衡计分卡作为帕图特帕朱医院绩效考核的依据
Pub Date : 2023-04-10 DOI: 10.35335/midwifery.v11i1.1219
L. Azizah, Sastrawan, Sabar Setiawan
This study aims to test and measure the performance of the Patut Patuh Patju Regional General Hospital in West Lombok using the Balanced Scorecard method. The approach used is mixed-methods research. This study uses secondary data to measure performance based on the four perspectives of the balanced scorecard, namely the financial perspective and the perspective of internal business processes. The population of employees at Patut Patju Hospital in West Lombok is 497 people, and the number of samples to be taken is 100 people. This research was conducted at Patut Patuh Patju General Hospital in West Lombok. After applying the balanced scorecard, the performance of the Patut Patuh Hospital in West Lombok is located in the "sufficient" area because 0.4 lies between 0 and 0.6. Whereas before using the Balanced Scorecard, the hospital's performance was also in the "adequate" area with a value of 0.25, and its financial performance was both in the "less" area with a good value of -1. Performance appraisal using the balanced scorecard provides a more comprehensive picture of the results of the performance assessment, which not only looks at the financial aspects but describes more detailed results regarding the non-financial aspects of the Patut Patuh Patju Hospital in West Lombok, and overall every aspect is in the "good" category.
本研究旨在使用平衡计分卡方法测试和衡量西龙目岛Patut Patuh Patju地区总医院的绩效。使用的方法是混合方法研究。本研究使用二手数据,基于平衡计分卡的四个视角,即财务视角和内部业务流程视角来衡量绩效。西龙目岛的Patut Patju医院的员工人数为497人,需要采集的样本数量为100人。这项研究是在西龙目岛的Patut Patuh Patju综合医院进行的。在应用平衡计分卡后,西龙目岛的Patut Patuh医院的绩效位于“充足”区域,因为0.4介于0和0.6之间。而在使用平衡记分卡之前,医院的绩效也处于“适当”区域,其值为0.25,其财务绩效均处于“较差”区域,其值为-1。使用平衡计分卡的绩效评估提供了更全面的绩效评估结果,它不仅着眼于财务方面,还描述了西龙目岛Patut Patuh Patju医院非财务方面的更详细结果,总体而言,每个方面都属于“良好”类别。
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引用次数: 0
Case report : abortus with malaria falciparum in pregnancy 病例报告:妊娠期恶性疟疾流产
Pub Date : 2023-04-10 DOI: 10.35335/midwifery.v11i1.1148
D. Suhendro
Malaria infection is still a global health problem. Malaria can affect all groups including pregnant women. Malaria infection in pregnant women can cause various dangerous complications, one of which is abortion. A 35-year-old pregnant woman was diagnosed with G6P5A0H5 uk 8-9 weeks with falciparum malaria. The patient was given Dihydroartemisin and piperacuine phosphate (DHP) therapy and symptomatic drugs. During observation the patient had no additional complaints and slowly returned to normal. One week later the patient experienced bleeding from the birth canal and was declared an abortion. There are several things that must be considered in the management of malaria in pregnant women such as resources, facilities and infrastructure available at first-level health facilities, and various matters regarding optimal maternal and fetal supervision so as to prevent various complications caused by malaria infection.
疟疾感染仍然是一个全球性的健康问题。疟疾可影响包括孕妇在内的所有群体。孕妇感染疟疾会导致各种危险的并发症,其中之一就是流产。一名35岁孕妇在8-9周恶性疟疾期间被诊断为G6P5A0H5。患者给予双氢青蒿素和磷酸哌喹(DHP)治疗及对症药物治疗。观察期间,患者无其他主诉,逐渐恢复正常。一周后,患者经历了产道出血,并被宣布流产。在对孕妇进行疟疾管理时,有几件事必须加以考虑,例如一级保健机构现有的资源、设施和基础设施,以及有关最佳产妇和胎儿监护的各种事项,以便预防疟疾感染引起的各种并发症。
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引用次数: 0
The Relationship between Husband's Assistance and Pain During Birth at BPM Zahriah Stabat District in 2022 2022年Zahriah Stabat区BPM分娩过程中丈夫的帮助与疼痛的关系
Pub Date : 2022-12-31 DOI: 10.35335/midwifery.v10i5.1062
Maya Sari
Labor pain is very important to pay attention to because pain in labor can weaken uterine contractions and result in prolonged labor and even death. Efforts that can be made to reduce pain are by providing the closest person, namely assistance from the husband, because the effect of feeling pain in every mother in labor can be minimized by making the husband as a delivery companion. This study aims to find out about the relationship between husband's mentoring and pain during childbirth at BPM Zahriah, Stabat District in 2022. The results of the study showed that the husband's assistance at BPM Zahriah, Stabat sub-district was in the good category (79.17%), the category of pain during labor at BPM Zahriah, Stabat sub-district was (50.0%). The results of the analysis with a value of p = 0.005 so that the conclusion is that there is an effect of the relationship between husband's assistance and pain during childbirth in post partum mothers at BPM Zahriah, Stabat District in 2022.Data was collected using a questionnaire and for pain measurement using a checklist. The conclusion in this study is that there is a relationship between husband's assistance and pain in childbirth at BPM Zahriah, Stabat District in 2022. Suggestions in this study are expected for BPM Zahriah to continue to encourage and support Husband Assistance for mothers in labor to reduce pain during childbirth.
分娩疼痛非常重要,因为分娩时的疼痛会削弱子宫收缩,导致分娩时间延长,甚至死亡。可以通过提供最亲密的人,即丈夫的帮助来减轻疼痛,因为每个母亲在分娩时感受到疼痛的影响可以通过丈夫作为分娩伴侣来最小化。本研究旨在了解2022年在Stabat地区BPM Zahriah的丈夫指导与分娩疼痛的关系。研究结果显示,丈夫在Stabat街道BPM Zahriah的协助程度为良好(79.17%),在Stabat街道BPM Zahriah的分娩疼痛程度为50.0%。分析结果的p值为0.005,因此结论是,2022年在Stabat区BPM Zahriah的产后母亲中,丈夫的帮助与分娩疼痛之间存在关系。数据收集采用问卷调查和疼痛测量使用检查表。本研究的结论是,2022年在Stabat区BPM Zahriah,丈夫的帮助与分娩疼痛之间存在关系。本研究的建议,希望BPM Zahriah继续鼓励和支持丈夫协助产妇分娩,以减少分娩时的疼痛。
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引用次数: 0
Factors Related To The Compliance In The Use Of Personal Protective Equipment At Production Employees At Pt Indofood Cbp Sukses Makmur Noodle Division, Pekanbaru Pt Indofood Cbp在北干巴鲁的Makmur面馆生产员工个人防护装备使用合规的相关因素
Pub Date : 2022-12-30 DOI: 10.35335/midwifery.v10i5.1089
Yuli Devila, Santoso, Herniwanti, Endang Purnawati Rahayu, K. Zaman
The use of PPE is one of the problems in the world of work. This can increase the level of risk of loss, both material and non-material. In general, companies have implemented an OHS management system, in which there are also provisions for the use of Personal Protective Equipment (PPE). However, in reality PPE is not always worn when working, many workers are found who do not use PPE. Compliance with the use of personal protective equipment is a person's attitude in following the rules set by the organization to protect part or all of the body from the dangers of work-related accidents and diseases. Based on the initial survey, it was found that there were 17 employees who did not comply with using personal protective equipment. The purpose of this study was to analyze factors related to Compliance with the Use of Personal Protective Equipment for employees in the production section at PT Indofood CBP Sukses Makmur TBK Noodle Division Pekanbaru. The method in this study used a quantitative approach with a Case Control research design with a total a sample of 34 people. The research was conducted from August to September 2021. Data collection was carried out using a questionnaire using the Google form. Data analysis was carried out using univariate, bivariate and multivariate. The analysis technique used is multiple logistic regression using the SPSS program. Based on the results of the study there is a significant relationship between attitude variables, availability of personal protective equipment, supervision, age and years of service with adherence to the use of personal protective equipment. The most dominant factor in this research is attitude. Suggestions for PT Indofood CBC Sukses Makmur are to form regulations, carry out strict inspections and sanctions for employees who are not disciplined in using personal protective equipment, and provide rewards for employees who comply in using personal protective equipment (PPE).
个人防护装备的使用是工作领域的问题之一。这会增加物质和非物质损失的风险。一般来说,公司已经实施了职业健康安全管理体系,其中也有个人防护装备(PPE)使用的规定。然而,在实际工作中,并不是所有的工人都穿着PPE,很多工人都不使用PPE。遵守使用个人防护装备是一个人遵守组织为保护身体的一部分或全部免受与工作有关的事故和疾病的危险而制定的规则的态度。根据初步调查,发现有17名员工没有遵守使用个人防护装备的规定。本研究的目的是分析PT Indofood CBP sussusmakmur TBK面条事业部北干巴鲁生产部门员工个人防护装备使用依从性的相关因素。本研究采用病例对照研究设计的定量方法,共纳入34人的样本。该研究于2021年8月至9月进行。数据收集是通过使用谷歌表格的问卷调查进行的。采用单因素、双因素和多因素进行数据分析。使用的分析技术是使用SPSS程序的多元逻辑回归。根据研究结果,态度变量、个人防护装备的可获得性、监督、年龄和服务年限与坚持使用个人防护装备之间存在显著关系。在这项研究中最主要的因素是态度。对PT Indofood CBC Sukses Makmur的建议是:制定规章制度,对不遵守个人防护装备使用纪律的员工进行严格检查和处罚,对遵守个人防护装备使用纪律的员工进行奖励。
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引用次数: 0
Introduction To Stress Management In Students In The Covid-19 Pandemic 新冠肺炎大流行期间学生压力管理简介
Pub Date : 2022-12-30 DOI: 10.35335/midwifery.v10i5.1088
Baharuddin, Meutia Yusuf, Ibrahim
We can see the impact of COVID-19 from various aspects, one of which is education. Education is an aspect that has been greatly affected by the pandemic. The imposition of social restrictions due to the Covid-19 pandemic implemented in the field of education in the form of distance learning is a serious problem for students. Uncertainty in aspects of life has caused stress in some students. Stress conditions have affected individual mental health so that it affects daily activities. Stress can cause disturbances in immunity as well as cause anxiety disorders and depression. This study aims to analyze stress management in students during the Covid 19 pandemic. The method used is the provision of health education with lectures, questions and answers, discussions, demonstrations, and re-demonstrations. Before the implementation of the activity, a pre-test was carried out and after that a post-test was carried out using a questionnaire. The results showed an increase in participants' knowledge and attitudes about how to do stress management. This shows the provision of health education using a variety of effective methods to increase knowledge. Alternatives to managing student stress include maximizing counseling services, implementing counseling, time management, setting guidance schedules with supervisors, setting graduation targets and seeking social support. This shows the provision of health education using a variety of effective methods to increase knowledge. Alternatives to managing student stress include maximizing counseling services, implementing counseling, time management, setting guidance schedules with supervisors, setting graduation targets and seeking social support.
我们可以从各个方面看到新冠疫情的影响,其中之一就是教育。教育是受这一大流行病严重影响的一个方面。由于新冠肺炎疫情,在远程教育领域实施的社会限制对学生来说是一个严重的问题。生活各方面的不确定性给一些学生带来了压力。压力状况影响到个人的心理健康,从而影响到日常活动。压力会导致免疫力紊乱,也会导致焦虑症和抑郁症。本研究旨在分析2019冠状病毒病大流行期间学生的压力管理。所采用的方法是提供健康教育,包括讲座、问答、讨论、示范和再示范。在活动实施之前,进行了一次前测,之后使用问卷进行了一次后测。结果显示,参与者对如何进行压力管理的知识和态度有所增加。这表明提供健康教育使用各种有效的方法来增加知识。管理学生压力的替代方法包括最大限度地提供咨询服务、实施咨询、时间管理、与导师制定指导时间表、设定毕业目标以及寻求社会支持。这表明提供健康教育使用各种有效的方法来增加知识。管理学生压力的替代方法包括最大限度地提供咨询服务、实施咨询、时间管理、与导师制定指导时间表、设定毕业目标以及寻求社会支持。
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引用次数: 0
Effectiveness Of Using Hot Jelly Belt in Reducing Pain Disminore in Latest Adolescents at STIKES AS Syifa Kisaran 使用热胶带减轻青少年中风患者疼痛感的效果
Pub Date : 2022-12-30 DOI: 10.35335/midwifery.v10i5.1046
Ririn Anggriani Sitorus, Selvi Puspan Sari
Menstrual pain is a symptomatic phenomenon including abdominal pain, cramps, back pain. Applying a warm compress using the principle of conducting heat through conduction will improve blood circulation and reduce muscle tension in the area of pain. The purpose of this study was to reduce dysmenorrhea pain in late adolescents by using the Hot Jelly Belt. This type of research used a quasi-experimental research design with a pretest posttest control group design. The sampling technique used was purposive sampling with a sample of 60 late adolescents (18-21 years old). Analysis test with wilcoxon signed rank test. Based on the results of the statistical test, the chi square test obtained a significant p-value of 0.018 <α 0.05, which means that there is a difference in dysmenorrhea pain before and after using the hot jelly belt in adolescents. These results prove that the use of hot jelly belts to reduce dysmenorrhea pain in adolescents is proven effective.
经期疼痛是一种症状性现象,包括腹痛、痉挛、背痛。利用热传导原理进行热敷,可以改善血液循环,减轻疼痛部位的肌肉紧张。本研究的目的是通过使用热果冻带来减少晚期青少年的痛经疼痛。本研究采用准实验研究设计和前测后测对照组设计。抽样方法为目的抽样,选取60名年龄在18-21岁的晚期青少年为样本。用wilcoxon符号秩检验进行分析检验。根据统计检验结果,卡方检验p值为0.018 <α 0.05,说明青少年使用热果冻带前后痛经疼痛有显著性差异。这些结果证明,使用热果冻带来减少青少年痛经疼痛是有效的。
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引用次数: 0
Factors Affecting Inpatient Patient Satisfaction of Social Security Agency of Health (BPJS) Participants at Bangkinang Hospital 影响曼谷医院社会保障卫生机构(BPJS)参与者住院患者满意度的因素
Pub Date : 2022-12-30 DOI: 10.35335/midwifery.v10i5.1091
Mahmudah, Hetty Ismainar, Budi Hartono, Doni Jepisah
Bangkinang Hospital is the main referral hospital for the people of Kampar, especially Social Security Agency of Health (BPJS) patients. Inpatient satisfaction at Bangkinang Hospital in 2021 is 76%. The standard according to the Ministry of Health is ≥90%. The BOR value has decreased in the last three years, namely 2019 by 57%, 2020 by 52% and 2021 by 43%. One of the causes is the Covid-19 pandemic that has occurred in the last two years. The standard BOR value is 60-85%. The purpose of this study was to look at the factors that influence inpatient satisfaction of Social Security Agency of Health (BPJS)  participants at Bangkinang Hospital. The research was conducted in the inpatient room of Bangkinang Hospital, August 2022 with a total sample of 96. This type of research is an analytic study with a cross-sectional design. The data analysis used was univariate, bivariate and multivariate. Bivariate analysis showed that the variables that influenced patient satisfaction were empathy (p = 0.011), responsiveness (p = 0.009), reliability (p = 0.014) and patient experience (p = 0.007). Variables that have no effect are assurance (p = 0.238) and tangible (p = 0.073). Multivariate analysis obtained two confounding variables, namely assurance and tangible. The variable that has the dominant influence is the patient's experience with a POR value of 7,495. The conclusion of this study is that there are four variables that influence patient satisfaction and two confounding variables. The suggestion of this research is that it is necessary for homes to complete facilities in inpatient rooms, especially call bells, provide training to improve the competence of officers, and ESQ training.
曼谷医院是坎帕人民的主要转诊医院,特别是社会保障卫生机构(BPJS)的病人。2021年,曼谷医院的住院病人满意度为76%。卫生部规定的标准为≥90%。近三年来,BOR值下降了57%,2020年下降了52%,2021年下降了43%。其中一个原因是过去两年发生的Covid-19大流行。标准BOR值为60-85%。本研究的目的是探讨影响曼谷医院社会保障卫生机构(BPJS)住院病人满意度的因素。研究于2022年8月在曼谷医院的住院病房进行,样本总数为96人。这种类型的研究是采用横断面设计的分析研究。数据分析采用单因素、双因素和多因素。双因素分析显示,影响患者满意度的变量为共情(p = 0.011)、反应性(p = 0.009)、信度(p = 0.014)和患者体验(p = 0.007)。没有影响的变量是保证(p = 0.238)和有形(p = 0.073)。多变量分析得到两个混杂变量,即保证变量和有形变量。具有主要影响的变量是患者的经验,其POR值为7,495。本研究的结论是,有四个变量影响患者满意度和两个混杂变量。本研究建议住院部有必要完善住院部的设施,特别是呼叫铃,提供培训以提高官员的能力,以及ESQ培训。
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引用次数: 0
Combination of Gymnastics and Warm Compresses for Reducing Menstrual Pain (Dysminore) in Young Girls at SMA 1 West Pasaman 在SMA 1 West Pasaman的年轻女孩中,体操和热敷的结合减少了月经疼痛
Pub Date : 2022-12-30 DOI: 10.35335/midwifery.v10i5.1045
Endang Sari, E. Silvia, Welly Handayani
Menstrual pain or dysmenorrhea is a problem the most common reasons for a decrease in women's activity during menstruation, for example not going to school. According to data from the World Health Organization (WHO) 85% of women experience dysmenorrhea with 15-20% experiencing severe dysmenorrhea. Handling this problem in a non-pharmacological way needs to be developed, for example by exercising and warm compresses. The purpose of this study was to determine the effect of a combination of exercise and warm compresses on reducing dysmenorrhea in young women at SMA 1 Pasaman Barat. The type of research used was a pre-experimental design with one group pre and post test. Samples were obtained based on inclusion criteria as many as 30 people. data acquisition through observation sheets in the form of a Numerical Rating Scale (NRS). Of the 30 respondents before being given treatment as much as 20 (67%) experienced moderate pain during menstruation and 6 respondents (20%) experienced mild pain during menstruation and after being given treatment as many as 18 respondents (60%) became painless and 6 respondents (20% ) to mild pain. From the analysis of the data obtained value (p value = 0.0001). This p value indicates a relationship between a combination of exercise and warm compresses on reducing pain. Based on the results of this study it can be concluded that doing a combination of exercise and warm compresses has an effect on reducing menstrual pain in young women at SMA 1 Pasaman Barat.
月经疼痛或痛经是一个问题,是女性在月经期间活动减少的最常见原因,例如不去上学。根据世界卫生组织(WHO)的数据,85%的女性患有痛经,其中15-20%患有严重痛经。需要发展一种非药物的方法来处理这个问题,例如通过锻炼和热敷。本研究的目的是确定运动和热敷相结合对减少Pasaman Barat SMA 1年轻女性痛经的影响。使用的研究类型是实验前设计,一组前和后测试。根据纳入标准获得的样本多达30人。通过以数值评定量表(NRS)形式的观察表获取数据。在接受治疗前的30名应答者中,多达20名(67%)在月经期间出现中度疼痛,6名应答者(20%)在月经期间出现轻度疼痛,接受治疗后多达18名应答者(60%)变得无痛,6名应答者(20%)出现轻度疼痛。从分析得到的数据值(p值= 0.0001)。这个p值表明了运动和热敷在减轻疼痛方面的关系。根据这项研究的结果,可以得出结论,在SMA 1 Pasaman Barat,运动和热敷相结合可以减少年轻女性的月经疼痛。
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引用次数: 0
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