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Factors that Influence the Resilience of Muhammadiyah Member's Families during the COVID-19 Pandemic in Surabaya, Indonesia 在2019冠状病毒病大流行期间,影响印度尼西亚泗水穆罕默迪亚成员家庭抵御能力的因素
Pub Date : 2023-07-03 DOI: 10.20884/1.jks.2023.18.2.6312
M. Mundakir, Idham Choliq, Dede Nasrullah, Islam Syarifurrahman, Firman Firman, Vika Ramadhana Fitriani
COVID-19 has created uncertainty, and its impacts will undoubtedly be severe, long-lasting, and challenging from socioeconomic and psychological perspectives, particularly for families worldwide. This research identified the resilience level of Muhammadiyah members' families in Surabaya during the COVID-19 pandemic and explained the factors related to their family resilience. This research used a cross-sectional method. The samples were 289 respondents, with the inclusion criteria of either the husband or wife being a Muhammadiyah member in Surabaya.  The sampling technique used stratified multistage random sampling. The research location was divided intofive5 regions: Central Surabaya, North Surabaya, West Surabaya, South Surabaya, and East Surabaya. Descriptive analysis and Chi-Square statistical test were used. The results of this study indicate that the family resilience of Muhammadiyah members obtained a high score during the pandemic. The factor that influenced family resilience was the location of residence, which obtained a p-value of 0.00, which is less than 0.05. Meanwhile, gender, location of residence, age, occupation, income, and education did not affect the level of family resilience. Further research is needed to develop a family resilience intervention model to improve family resilience.
COVID-19造成了不确定性,从社会经济和心理角度来看,其影响无疑将是严重、持久和具有挑战性的,特别是对世界各地的家庭而言。本研究确定了在2019冠状病毒病大流行期间泗水穆罕默迪亚成员家庭的恢复能力水平,并解释了与其家庭恢复能力相关的因素。本研究采用横断面法。样本共有289名回答者,纳入标准是丈夫或妻子是泗水的穆罕默德教徒。抽样技术采用分层多阶段随机抽样。研究地点分为五个区域:泗水中部、北泗水、西泗水、南泗水和东泗水。采用描述性分析和卡方统计检验。本研究结果表明,在大流行期间,Muhammadiyah成员的家庭复原力获得了高分。影响家庭弹性的因素是居住地,p值为0.00,小于0.05。性别、居住地、年龄、职业、收入、受教育程度对家庭弹性水平没有影响。需要进一步研究建立家庭弹性干预模型来提高家庭弹性。
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引用次数: 0
The Effects of Core Stability Exercise in Improving Back Muscle Strength, Limb Muscles and Dynamic Balance in the Elderly in Singaraja, Indonesia 核心稳定性训练对印度尼西亚新加坡老年人背部肌肉力量、肢体肌肉和动态平衡的改善作用
Pub Date : 2023-07-03 DOI: 10.20884/1.jks.2023.18.2.6682
Kadek Dio Agus Bagiartana, Titih Huriah
Balance disorders are a severe problem for the elderly. Exercise that can increase the power of the back muscles, leg muscles and dynamic balance is physical exercise in core stability exercise (CSE). This study aimed to analyse core stability exercise's effect on increasing back muscle strength, leg muscles, and dynamic balance in the elderly. Fifty-six elderly people aged 60-70 years were selected by simple random sampling as the sample in this study. The exercise program was given CSE (n: 28) for four weeks as the intervention group. The back and leg muscle strength were measured using the Back-leg dynamometer and balance measurement using the Time Up Go Test (TUGT). T-test and Mann-Whitney analyses were used to compare the results before and after the intervention. The different tests between the intervention and the control group obtained a p-value of 0.001, meaning an effect of CSE to increase the strength of the back muscles, leg muscles, and dynamic balance in the elderly existed. This study proved that CSE effectively increased back muscle strength, leg muscles and dynamic balance in the elderly. It is suggested to analyze the effectiveness of CSE based on the characteristics of the respondents.
平衡失调对老年人来说是一个严重的问题。可以增加背部肌肉、腿部肌肉力量和动态平衡的运动是核心稳定性运动(CSE)中的体育锻炼。本研究旨在分析核心稳定性运动对增加老年人背部肌肉力量、腿部肌肉和动态平衡的影响。本研究采用简单随机抽样的方法,选取60-70岁的老年人56人作为研究样本。干预组采用CSE (n: 28),为期4周。背部和腿部肌肉力量使用背部测功仪测量,平衡测量使用Time Up Go Test (TUGT)。采用t检验和Mann-Whitney分析比较干预前后的结果。干预组与对照组的差异检验p值为0.001,说明CSE对老年人背部肌肉、腿部肌肉力量和动态平衡的增强作用存在。本研究证明,CSE能有效提高老年人背部肌力、腿部肌肉及动态平衡能力。建议根据被调查者的特点来分析CSE的有效性。
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引用次数: 0
Mindfulness, Spirituality, and Quality of Life among Cancer Survivors Undergoing Chemotherapy: Three-Month Observa-Tional Studies in Indonesia 正在接受化疗的癌症幸存者的正念、灵性和生活质量:印度尼西亚三个月的观察性研究
Pub Date : 2023-07-03 DOI: 10.20884/1.jks.2023.18.2.8298
Wastu Adi Mulyono, Hsing-Mei Chen
Cancer survivors’ population has continued to increase. However, survivorship remains challenging for most. Further development of new strategies to combat stress during survivorship was in demand. While religious-spiritual aspects were available as potential resources. A prospective study contributed 274 cancer survivors was conducted. Instruments included the Freiberg Mindfulness Inventory, Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being, Perceived Stress Scale, and the Brief World Health Organization Quality of Life. Three-time points data were set, baseline, one month, and three months. Data were analyzed using repeated-measures ANOVA. The results showed that the mean age of the 274 cancer survivors was 48.97 (11.85) years old with a survivorship period of 1.35 years. Series data obtained from three points measurements each variable were mindfulness 34.15, 33.12, and 40.41; spirituality 33.40, 30.87, and 32.56, stress 20.31, 21.56, and 19.48, and quality-of-life 61.49, 55.71, 63.84, respectively. In conclusion, cancer survivors experienced fluctuating levels of mindfulness and spirituality, stress, and quality of life for three months of observations. However, the natural improvement of mindfulness, spirituality, stress, and quality of life improved in month three.
癌症幸存者的人数持续增加。然而,对大多数人来说,幸存者仍然具有挑战性。需要进一步开发新的策略来对抗生存期间的压力。而宗教精神方面则是潜在的资源。对274名癌症幸存者进行了前瞻性研究。工具包括Freiberg正念量表、慢性疾病治疗功能评估-精神健康、感知压力量表和世界卫生组织生活质量简表。设置三个时间点数据,基线、1个月和3个月。数据分析采用重复测量方差分析。结果显示,274例癌症幸存者的平均年龄为48.97岁(11.85岁),生存期为1.35年。通过三点测量获得的系列数据,每个变量的正念分别为34.15、33.12和40.41;精神、压力、生活质量分别为33.40、30.87、32.56、20.31、21.56、19.48、61.49、55.71、63.84。总之,在三个月的观察中,癌症幸存者经历了正念、精神、压力和生活质量的波动水平。然而,在第三个月,正念、精神、压力和生活质量的自然改善都得到了改善。
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引用次数: 0
Nurse Managers’ Perception and Practice on the Theory of Technological Competency as Caring in Nursing: A Preliminary Study 护理管理者对护理中技术胜任力理论的认知与实践:初步研究
Pub Date : 2023-07-03 DOI: 10.20884/1.jks.2023.18.2.8357
Yoko Nakano, Tomoya Yokotani, Yoshiyuki Takashima, Feni Betriana, K. Osaka, Mutsuko Kataoka, T. Tanioka, R. Locsin
In spite of emphasis on patient-centered care and promotion of their quality, shortcomings have been seen in psychiatric care due to lack of compassion. To improve the quality of psychiatric caring in nursing, it is important to develop and implement in-service education based on Locsin’s Technological Competency as Caring in Nursing (TCCN) theory. Objectives to determine psychiatric nurse managers' perception and practice status as a preliminary survey to serve as a resource for in-service psychiatric nursing education.  This survey was conducted in August 2022 using the Technological Competency as Caring in Nursing Instrument-Revised for Practice (TCCNI-Repract) scale at "A" psychiatric hospital. Descriptive statistics and Wilcoxon's signed-rank tests were used. Eleven head nurses and assistant head nurses participated in this study. Mean values for the perception dimension of each item of the TCCNI-RePract were high, whereas mean values for practice dimension were low. The results indicated that perception dimension was significantly higher than practice dimension in 21 of 26 items of the TCCNI-RePract. Nurse managers demonstrated a high level of perception of the TCCN theory; however, many practical items scored low. Nurse managers suggested developing a current educational program to inform practice based on the TCCN theory.
尽管强调以病人为中心的护理和提高他们的质量,由于缺乏同情心,在精神科护理中已经看到了缺点。为提高精神科护理护理质量,开展和实施基于洛辛护理技术能力理论的在职教育十分重要。目的了解精神科护理管理者的认知和实践状况,为在职精神科护理教育提供资源。本研究于2022年8月在“A”精神病院采用“护理技术胜任力”(TCCNI-Repract)量表进行。采用描述性统计和Wilcoxon符号秩检验。共有11名护士长及助理护士长参与本研究。tccni - repractice的感知维度的平均值较高,而实践维度的平均值较低。结果表明,在tccni - repractice的26个项目中,有21个项目的感知维度显著高于实践维度。护理管理者对TCCN理论的认知水平较高;然而,许多实用项目得分较低。护士管理人员建议在TCCN理论的基础上制定当前的教育计划,以告知实践。
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引用次数: 0
The Effectiveness of Katuk Leaf Extract (Sauropus Androgynus) on Breastmilk Production Katuk叶提取物(Sauropus Androgynus)对母乳生产的影响
Pub Date : 2023-07-03 DOI: 10.20884/1.jks.2023.18.2.7296
Darmawati Darmawati, Hajjul Kamil, R. Rosmawati, M. Rizkia, Nova Fajri
Breast Milk (ASI) is a source of nutrients that are loaded with various bioactive factors. Its unique composition, breast milk is needed to prepare for optimal growth and development for babies. Plants on the leaves of katuk (Auropus Androgynus) are traditionally used by Indonesian people to increase breast milk production. The content of the katuk leaves contains almost 7% protein and up to 19% crude fiber. These leaves are rich in vitamin K and pro-vitamin A (beta-carotene), B, and C. The minerals they contain are calcium. The purpose of this study was to identify the potential of katuk leaf extract on breast milk production in experimental animals (rabbits). Katuk leaves were obtained from Aceh Besar District (Samahani, Indrapuri and Seulimun Village). They carried out the phytochemical process in the Department of Chemistry’s laboratory, FMIPA USK and the extraction process in the pharmacology laboratory of the Faculty of Veterinary Medicine, USK. The experimental animal samples, which were rabbits that had just given birth, were divided into three groups, which were 6 rabbits in the control group, 6 rabbits in the 15 mg dose group and 6 rabbits in the 30 mg dose group. An evaluation was carried out by measuring the breastmilk of rabbits on days 1, 7 and 14. The results of the study using the Generalized Linear Model test (Post Hoc Bonferroni Repeated ANOVA) showed a p-value of .001 for the three groups. It can be concluded that there was a difference in the amount of breast milk between groups in all measurements with the difference value (CI 95%) on the 1st day 0.04 (0.002-0.084), the 7th day 0.05 (0.020-0.090), and the 14th day 0.12 (0.065-0.175). Recommendations from this study are that further research can be carried out regarding the potential of katuk leaf extract to the clinical trial stage so that it is suitable for use in humans, especially postpartum women to increase breast milk productivity.
母乳(ASI)是一种富含各种生物活性因子的营养来源。其独特的成分,母乳是需要为婴儿的最佳生长和发育做准备。katuk (Auropus Androgynus)叶子上的植物传统上被印度尼西亚人用来增加母乳产量。卡图克叶的含量几乎含有7%的蛋白质和高达19%的粗纤维。这些叶子富含维生素K和维生素A (β -胡萝卜素)、B和c。它们含有的矿物质是钙。本研究的目的是确定鹿角叶提取物对实验动物(家兔)泌乳的潜力。从亚齐Besar区(Samahani, Indrapuri和Seulimun村)获得的Katuk叶。他们在化学系实验室(FMIPA USK)进行了植物化学过程,在USK兽医学院药理学实验室进行了提取过程。实验动物样本均为刚分娩的家兔,分为3组,对照组6只,15 mg剂量组6只,30 mg剂量组6只。通过测定第1、7、14天家兔的乳汁进行评价。使用广义线性模型检验(Post Hoc Bonferroni Repeated ANOVA)的研究结果显示,三组的p值为0.001。由此可见,各组间母乳量各指标均有差异,差异值(CI 95%)分别为第1天0.04(0.002 ~ 0.084)、第7天0.05(0.020 ~ 0.090)、第14天0.12(0.065 ~ 0.175)。这项研究的建议是,可以对katukuk叶提取物的潜力进行进一步的研究,以进入临床试验阶段,使其适合于人类使用,特别是产后妇女,以提高母乳产量。
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引用次数: 0
The Effect of Yoga on Reducing Stress and Improving CD4 Counts among People with HIV: A Systematic Review and Meta-Analysis 瑜伽对艾滋病毒感染者减压和改善CD4计数的影响:一项系统回顾和荟萃分析
Pub Date : 2023-07-03 DOI: 10.20884/1.jks.2023.18.2.7331
Jufri Hidayat, Miao-Yen Chen, Satriya Pranata
Stress is a common mental health problem among HIV patients. Yoga has been frequently used to manage stress, but its potential benefits are not well-established yet. The aim of this meta-analysis is to assess the effect of yoga intervention on reducing stress and improving CD4 among HIV populations. Electronic bibliographic databases were systematically searched for articles reporting randomized controlled trials on yoga, HIV, and stress. The inclusion criteria were studies that (a) assessed yoga intervention in HIV patients; (b) included control groups; (c) evaluated psychological stress or biomarkers of stress as the outcome; and (d) provided mean and standard deviation scores for both groups to calculate the effect size. Meanwhile, our exclusion criteria were studies that (a) used other than randomized controlled trial design; (b) were written in a language other than English; and (c) included participants other than HIV patients. Six studies were sampled, with a total of 348 participants that met our criteria. HIV positive participants who received yoga interventions reported significantly reduced psychological stress compared to control group (total effect size was -0.85, with 95% CI from -1.47 ~ -0.23). Thus, yoga is a stress management exercise that health care providers can use to treat HIV patients.
压力是艾滋病患者常见的心理健康问题。瑜伽经常被用来管理压力,但它的潜在好处还没有得到证实。本荟萃分析的目的是评估瑜伽干预对减轻艾滋病毒人群压力和改善CD4的影响。我们系统地检索了电子书目数据库中关于瑜伽、艾滋病毒和压力的随机对照试验的文章。纳入标准为:(a)评估瑜伽干预对HIV患者的影响;(b)纳入对照组;(c)评估心理压力或压力的生物标志物作为结果;(d)给出了两组的均值和标准差得分,用于计算效应量。同时,我们的排除标准是:(a)采用非随机对照试验设计的研究;(b)以英文以外的语文书写;(c)包括艾滋病毒患者以外的参与者。六项研究被抽样,总共有348名参与者符合我们的标准。与对照组相比,接受瑜伽干预的HIV阳性参与者的心理压力显著降低(总效应值为-0.85,95% CI为-1.47 ~ -0.23)。因此,瑜伽是一种压力管理运动,卫生保健提供者可以用它来治疗艾滋病毒患者。
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引用次数: 1
Validation of Indonesian Brief Measurement of Religious Coping (Brief R Cope BI) 印尼宗教应对简易量表(Brief R Cope BI)的验证
Pub Date : 2023-04-02 DOI: 10.20884/1.jks.2023.18.1.7109
Wastu Adi Mulyono, W. Ekowati
Religion and spirituality are determinants of psychological adjustment of coping resources, especially in a religious country such as Indonesia. However, in general, its measurement does not use standardized scales. This study aimed to examine the validity of the Indonesian version of the Brief Measurement of Religious Coping (Brief RCOPE). The sample of this study was 150 women recruited by a consecutive sampling strategy. Exploratory factor analyses were performed to examine the structure’s validity. The criteria’s validity was measured by its correlation with the Freiburg Mindfulness Inventory and FACIT Sp12. The exploratory factor analyses indicated that the Indonesian Brief RCOPE satisfied the construct validity. The Bartlett sphericity test was significant (df (91) = 1109.79, p < 0.001), and the Kaiser-Meyer-Olkin (KMO) test was 0.782. The exploratory factor analyses confirmed that the two-factor design model with 50.4% explained the variance. Positive religious coping was correlated with mindfulness (r = 0.338, p < 0.01) and spirituality (r = 0.317, p< 0.01), while negative religious coping was correlated with perceived stress (0.182, p < 0.05). Cronbach’s alpha coefficients for Factor 1 and Factor 2 were 0.83 and 0.82, respectively. Thus, the Indonesian version of Brief RCOPE is valid and reliable for measuring positive and negative religious coping.
宗教和灵性是应对资源的心理调整的决定因素,特别是在印度尼西亚这样的宗教国家。然而,一般来说,它的测量不使用标准化的尺度。本研究旨在检验印尼语版宗教应对简易测量量表(Brief Measurement of Religious Coping, RCOPE)的效度。本研究的样本是通过连续抽样策略招募的150名女性。进行探索性因素分析以检验结构的有效性。通过与Freiburg正念量表和FACIT Sp12的相关性来衡量标准的有效性。探索性因素分析表明,印尼简要RCOPE满足构念效度。Bartlett球形检验显著(df (91) = 1109.79, p < 0.001), Kaiser-Meyer-Olkin (KMO)检验显著(0.782)。探索性因子分析证实,双因子设计模型解释了50.4%的方差。积极的宗教应对与正念(r = 0.338, p< 0.01)和灵性(r = 0.317, p< 0.01)相关,消极的宗教应对与感知压力相关(0.182,p< 0.05)。因子1和因子2的Cronbach 's alpha系数分别为0.83和0.82。因此,印尼语版本的简短RCOPE是有效和可靠的衡量积极和消极的宗教应对。
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引用次数: 1
A The Determinant Factors of Patient Satisfaction among Outpatient and Inpatient Services in A Type B Hospital in Indonesia A .印度尼西亚A类B医院门诊和住院服务患者满意度的决定因素
Pub Date : 2023-03-22 DOI: 10.20884/1.jks.2023.18.1.7280
B. Suhita, Asruria Sani Fajriah, J. R. Acob
Healthcare providers have made various efforts to increase patient and community satisfaction with health services. However, large sample size studies have not been conducted to investigate the determinants of community stratification in Indonesia. This research aimed to analyze determinant factors affecting patient satisfaction in a type B hospital. A cross-sectional with an online survey was used and analyzed with path analysis. A total of 884 participants were recruited with the criteria that all respondents were patients aged 17 years and over who visited the inpatient and outpatient hospital. Overall, the value service satisfaction was very good (scored 87.44 score). Moreover, online service directly increased by age (b = 0.68; 95% CI = 0.08 to 1.27; p = 0.026), gender (b = 0.82; 95% CI = 0.15 up to 1.49; p = 0.016), and education level (b = 1.76; 95% CI = 0.86 to 2.66; p <0.001). Moreover, service costs are directly affected by employment (b = 0.67; 95% CI = 0.92 to 1.26; p = 0.023); and product-specific services were directly affected by age (b = 0.74; 95% CI = 0.20 to 1.29; p = 0.008). These findings suggest that education, gender, and age directly affect online services as an indicator of satisfaction.
医疗保健提供者作出了各种努力,以提高患者和社区对医疗服务的满意度。然而,还没有进行大样本研究来调查印度尼西亚社区分层的决定因素。本研究旨在分析某B类医院患者满意度的决定因素。使用了在线调查的横截面,并使用通径分析进行了分析。总共招募了884名参与者,其标准是所有受访者都是到住院和门诊医院就诊的17岁及以上的患者。总体而言,价值服务满意度非常好(得分87.44分)。此外,在线服务直接随年龄增加(b = 0.68;95% CI = 0.08 ~ 1.27;P = 0.026)、性别(b = 0.82;95% CI = 0.15 ~ 1.49;P = 0.016),文化程度(b = 1.76;95% CI = 0.86 ~ 2.66;p < 0.001)。此外,服务成本直接受到就业的影响(b = 0.67;95% CI = 0.92 ~ 1.26;P = 0.023);特定产品服务受年龄直接影响(b = 0.74;95% CI = 0.20 ~ 1.29;P = 0.008)。这些发现表明,教育程度、性别和年龄直接影响在线服务满意度的指标。
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引用次数: 0
The Experience of Type II Diabetes Mellitus Patients with Early Symptoms of Hypoglycemia: A Phenomenological Study 2型糖尿病患者早期低血糖症状的经验:现象学研究
Pub Date : 2023-03-13 DOI: 10.20884/1.jks.2023.18.1.5281
Misbah Nurjannah, Ni Wayan Wiwin Asthiningsih
Hypoglycemia is one of the acute complications that often occur in diabetes mellitus (DM) patients and could become an emergency condition that requires immediate treatment. The initial symptoms of hypoglycemia are cold sweats, tremors, dizziness, and blurred vision. Generally, DM patients’ lack of diet management exacerbates hypoglycemia. This study aimed to explore experience of type 2 diabetes patient’s hypoglycemia symptoms and affected factors. This qualitative research applied a phenomenological approach to seven participants. Semi-structured interviews were done to collect data. The Braun & Clarke method was then used to analyze the data. This study revealed three themes including the initial hypoglycemia symptoms, diet modification, and medication adherence. The study’s results are expected to provide information on the importance of education and control related to initial hypoglycemia symptoms, nutrition, and medications awareness to the type 2 diabetes patients and family.
低血糖是糖尿病(DM)患者经常发生的急性并发症之一,可能成为需要立即治疗的紧急情况。低血糖的最初症状是冷汗、颤抖、头晕和视力模糊。一般来说,糖尿病患者缺乏饮食管理会加重低血糖。本研究旨在探讨2型糖尿病患者低血糖症状及影响因素的体会。本定性研究采用现象学方法对七名参与者进行研究。采用半结构化访谈来收集数据。然后使用Braun & Clarke方法分析数据。这项研究揭示了三个主题,包括初始低血糖症状、饮食改变和药物依从性。该研究的结果有望为2型糖尿病患者及其家属提供有关教育和控制与初始低血糖症状、营养和药物意识相关的重要性的信息。
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引用次数: 0
Educational Intervention to Improve Knowledge and Attitudes about Thalassemia Premarital Screening Surveys among Muslim Societies: A Pilot Study in Indonesia 教育干预提高穆斯林社会对地中海贫血婚前筛查调查的认识和态度:印度尼西亚的一项试点研究
Pub Date : 2023-03-09 DOI: 10.20884/1.jks.2023.18.1.6253
Lantip Rujito, Indah Pusparini, Dyah Woro Dwi Lestari, J. Mulyanto
Premarital screening is an effective preventive intervention to decrease the prevalence of thalassemia. However, the use of premarital screening is still low in Indonesia. This study assesses the effect of educational interventions on the knowledge and attitudes of Muslim couples regarding premarital screening for thalassemia in Indonesia. This pilot study used a pre-posttest design that included 17 premarital couples in Banyumas District. The participant’s knowledge and attitude regarding premarital screening for thalassemia were measured using a paper-based questionnaire before and after the intervention. The participants received a class-based lecture about thalassemia screening and were provided a handbook containing lecture material to read at home. The knowledge and attitude score was analyzed using Wilcoxon and Kruskal-Wallis test. The knowledge score significantly increased after the intervention, but the proportion of positive attitudes did not differ significantly. The participants knew that premarital screening for thalassemia was necessary; however, it did not affect their marriage decision. Thus, educational intervention increases the knowledge and shapes the attitude of couples toward thalassemia premarital screening but is inadequate for changing their behavior. Further exploration of the factors that affect the behavior of couples is needed to increase the use of premarital screening among couples in Indonesia.
婚前筛查是降低地中海贫血患病率的有效预防干预措施。然而,在印度尼西亚,婚前筛查的使用率仍然很低。本研究评估了教育干预对印度尼西亚穆斯林夫妇关于婚前地中海贫血筛查的知识和态度的影响。本试点研究采用前后测试设计,包括班尤马斯区的17对婚前夫妇。在干预前后使用纸质问卷调查参与者对婚前地中海贫血筛查的知识和态度。参与者接受了关于地中海贫血筛查的课堂讲座,并获得了一本包含讲座材料的手册,供他们在家阅读。知识和态度得分采用Wilcoxon和Kruskal-Wallis测验进行分析。干预后知识得分显著提高,但积极态度所占比例无显著差异。参与者知道婚前地中海贫血筛查是必要的;然而,这并没有影响他们的婚姻决定。因此,教育干预增加了夫妻对地中海贫血婚前筛查的认识和态度,但不足以改变他们的行为。需要进一步探索影响夫妻行为的因素,以增加印度尼西亚夫妻婚前筛查的使用。
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引用次数: 0
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