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Counseling intervention on iron-folic acid adherence and clinical outcomes among pregnant women and women planning to be pregnant: a scoping review 孕妇和计划怀孕妇女铁叶酸依从性和临床结果的咨询干预:范围界定综述
Q4 Medicine Pub Date : 2024-03-08 DOI: 10.55131/jphd/2024/220124
R. Atmadani, A. Akrom, Siti Urbayatun, Mayuri N Tuwar
Anemia during pregnancy is a major health problem that affects 25-50% of the world's population and around 50% of pregnant women. One of the causes of stunting is Low Birth Weight, which most often occurs in mothers who suffer from anemia. Making sure pregnant women have access to iron-folic acid supplement programs is challenging. People's inability to comply often occurred as the result of a lack of understanding of the benefits or harms of the supplement. Providing counseling to pregnant women to improve adherence to taking blood-added supplements has resulted in significant benefits and impacts on changes discussed in several studies that have been conducted in several countries. Through a review of the literature, this study seeks to ascertain the contribution that counseling interventions have to improving iron-folic acid prescription adherence. This study used a literature study research method by examining 8 journals published on the SCOPUS, PubMed, and Garuda Websites. After that, descriptive analysis was used to examine the data from the selected journals. The 8 journals supported the idea that counseling can improve adherence to iron and folic-acid supplementation. There are numerous ways to provide counseling, including the traditional face-to-face approach, the 5A brief approach, leaflet/brochure-based approaches, and counseling through illustrated books. This study concludes that counseling interventions are more effective due to the careful planning of tailored interventions with more regular follow-ups, various forms of interactive educational media, patient characteristics, and direct health professional intervention related to counseling.
孕期贫血是一个重大的健康问题,影响着全球 25-50% 的人口和约 50% 的孕妇。导致发育迟缓的原因之一是出生体重不足,而这种情况最常发生在患有贫血症的母亲身上。确保孕妇获得铁-叶酸补充剂是一项挑战。人们不遵守规定的原因往往是不了解补充剂的益处或害处。在多个国家开展的多项研究中,为孕妇提供咨询以提高服用补血补充剂的依从性已带来了显著的益处,并对所讨论的变化产生了影响。本研究通过回顾文献,试图确定咨询干预对改善叶酸铁处方依从性的贡献。本研究采用文献研究法,对发表在 SCOPUS、PubMed 和 Garuda 网站上的 8 篇期刊进行了研究。然后,采用描述性分析法对所选期刊中的数据进行研究。这 8 篇期刊支持这样的观点,即咨询可以提高补充铁和叶酸的依从性。提供咨询的方法有很多,包括传统的面对面方法、5A 简要方法、传单/小册子方法以及通过图解书籍提供咨询。本研究的结论是,由于精心策划了更多定期随访的定制干预措施、各种形式的互动教育媒体、患者的特点以及与咨询相关的卫生专业人员的直接干预,咨询干预更为有效。
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引用次数: 0
Factors affecting preventive behaviors for unplanned pregnancy in female high school students 影响女中学生意外怀孕预防行为的因素
Q4 Medicine Pub Date : 2024-03-08 DOI: 10.55131/jphd/2024/220121
Orathai Panpecth, Pramote Wongsawat
This cross-sectional study aimed to study the factors affecting preventive behavior for unplanned pregnancy in female high school students. The participants were 498 high school students selected through multi-stage sampling and the sampling of random students from the specified educational levels of Grades 10, 11, and 12 was conducted by using the following inclusion criteria: be a student aged 15-18 years; be a student attending Grade 10, 11, or 12. The data were analyzed by using mean, standard deviation, and binary logistic regression. The results showed that seven factors affected behavior concerning unplanned pregnancy in female high school students including: the educational levels in Grade 12 (OR = 10.65, 95% CI = 1.35 - 83.50), the latest GPA ≥ 3.51 (OR = 9.00, 95% CI = 1.45 - 55.99), the knowledge of birth control (OR = 22.12, 95% CI = 2.43 - 201.81), the attitude toward birth control and pregnancy prevention (OR = 4.15, 95% CI = 1.38 - 12.43), perception of the risk of pregnancy from sexual relationships (OR = 3.79, 95% CI = 1.56 - 9.21), the perception of self-efficacy to prevent pregnancy (OR = 5.31, 95% CI = 2.89 - 9.73), and the self-esteem (OR = 4.24, 95% CI = 1.87 - 9.61). These factors had a 79.10% chance of predicting unplanned pregnancy preventing behaviors in high school students. This study suggests that schools or related organizations should develop health education programs for preventing unplanned pregnancies including knowledge, attitudes, self-efficacy, and self-esteem.
本横断面研究旨在探讨影响女高中生意外怀孕预防行为的因素。研究采用多阶段抽样法,从指定的 10 年级、11 年级和 12 年级中随机抽取 498 名高中生作为研究对象,纳入标准如下:年龄在 15-18 岁之间;就读于 10 年级、11 年级或 12 年级。数据采用均值、标准差和二元逻辑回归进行分析。结果显示,有 7 个因素会影响女高中生的意外怀孕行为,包括:12 年级的受教育程度(OR = 10.65,95% CI = 1.35 - 83.50)、最近 GPA ≥ 3.51(OR = 9.00,95% CI = 1.45 - 55.99)、节育知识(OR = 22.12,95% CI = 2.43 - 201.81)、对节育和避孕的态度(OR = 4.15,95% CI = 1.38 - 12.43)、对性关系怀孕风险的认知(OR = 3.79,95% CI = 1.56 - 9.21)、对避孕自我效能的认知(OR = 5.31,95% CI = 2.89 - 9.73)以及自尊(OR = 4.24,95% CI = 1.87 - 9.61)。这些因素预测高中生预防意外怀孕行为的概率为 79.10%。这项研究建议,学校或相关机构应制定预防意外怀孕的健康教育计划,包括知识、态度、自我效能感和自尊。
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引用次数: 0
Predictive factors for resilience quotient among village health volunteers in Northern Thailand post-COVID-19 COVID-19之后泰国北部乡村卫生志愿者复原商数的预测因素
Q4 Medicine Pub Date : 2024-03-05 DOI: 10.55131/jphd/2024/220123
Orathai Katkhaw, Sunanta Wongrattanakamon, Tienthong Takaew, Taweewun Srisookkum, Surangkana Chairinkam, Somkid Juwa
Village Health Volunteers (VHVs) played an important role during the COVID-19 virus outbreak by coordinating with the public health team and closely engaging with community members. This study aimed to assess the resilience quotient levels of VHVs in Northern Thailand post-COVID-19. The research involved a random sample of 416 VHVs and utilized various tools such as questionnaires. Data analysis employed descriptive statistics and stepwise multiple regression. The study revealed that most of the sample group were women (81.3%), with an average age of 55.03 years (X̅ = 55.03, SD = 10.44). Most were in a relationship (79.3%), and 49.0% had completed primary education. Additionally, 47.8% were employed in agriculture, and 54.3% reported having sufficient income. A significant portion of them, 70.7%, had no history of chronic illnesses, whereas 53.1% had previously tested positive for COVID-19. The overall resilience quotient level of VHVs was high (X̅ = 61.88, SD = 9.14). The study identified the following four significant predictor variables: mental health, anxiety, depression, and mental health literacy, accounting for 40.30% of the variance. These findings were statistically significant at 0.05 (R = 0.639, Adjusted R2 = 0.403, F = 71.071, P-value < 0.001). In conclusion, this study provides valuable insights for developing targeted interventions and support systems to enhance the resilience quotient of VHVs, particularly in the post-COVID-19 landscape and similar situations.
在 COVID-19 病毒爆发期间,村卫生志愿者(VHV)通过与公共卫生团队的协调以及与社区成员的密切接触发挥了重要作用。本研究旨在评估 COVID-19 病毒爆发后泰国北部村卫生志愿者的复原商数水平。研究随机抽取了 416 名 VHV 患者,并使用了问卷调查等多种工具。数据分析采用了描述性统计和逐步多元回归法。研究显示,样本组中大部分为女性(81.3%),平均年龄为 55.03 岁(X̅ = 55.03,SD = 10.44)。大多数人处于恋爱关系中(79.3%),49.0%的人完成了初等教育。此外,47.8%的人从事农业,54.3%的人表示有足够的收入。他们中的很大一部分人(70.7%)没有慢性病史,而 53.1%的人曾在 COVID-19 检测中呈阳性。VHVs 的整体抗逆商数水平较高(X̅ = 61.88,SD = 9.14)。研究确定了以下四个重要的预测变量:心理健康、焦虑、抑郁和心理健康素养,占方差的 40.30%。这些发现在 0.05 时具有统计学意义(R = 0.639,调整后 R2 = 0.403,F = 71.071,P 值 < 0.001)。总之,本研究为制定有针对性的干预措施和支持系统提供了宝贵的见解,以提高 VHV 的抗逆商数,尤其是在后 COVID-19 时代和类似情况下。
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引用次数: 0
Antibiotics Use, Resistance and Self-medication Practices among Healthcare Workers in a Federal Teaching Hospital in Southwest, Nigeria 尼日利亚西南部一家联邦教学医院医护人员的抗生素使用、耐药性和自我用药习惯
Q4 Medicine Pub Date : 2024-03-05 DOI: 10.55131/jphd/2024/220125
John Olujide Ojo, T. Ipinnimo, Blessing Omobolanle Osho, Oluwafemi Ipinnimo, O. A. Ogundun
Antimicrobial resistance is a major threat to global health, and inappropriate drug use, including antibiotic self-medication, has been identified as an important factor in developing countries. This study assessed the knowledge, and attitude of antibiotic use and antibiotics resistance, as well as the practice of self-medication among healthcare workers. This is a cross-sectional study conducted in a federal teaching hospital in Southwest, Nigeria among 320 healthcare workers selected through a two-stage sampling technique. A thirty-four-item self-administered semi-structured questionnaire adapted from the questionnaire on antibiotic resistance: multi-country public awareness survey by the WHO was used for data collection. Descriptive statistics, cross-tabulation and logistic regression were carried out using SPSS version 25.0. The mean ±SD age of the participants was 36.3 ±9.2years and over one-third (37.5%) of them had 6-10years of experience. About two-thirds (66.3%) of the participants had good knowledge about antibiotic use and resistance while only 39.4% had positive attitudes. The prevalence of self-medication with antibiotics was 30%. The identified positive predictors of antibiotics self-medication included having primary education (AOR:5.874, 95%CI:1.020-33.836) compared with tertiary education, poor knowledge (AOR:1.683, 95%CI:1.015-2.789) compared with good knowledge about antibiotic use and resistance as well as negative attitude (AOR:1.861, 95%CI:1.102-3.143) compared with a positive attitude towards antibiotic use and resistance. The level of knowledge and attitude in this study was suboptimal. Self-medication was linked with a lower level of education, poor knowledge, and a negative attitude. Therefore, we recommend the provision of appropriate health education to promote the rational use of antibiotics.
抗生素耐药性是对全球健康的一大威胁,在发展中国家,不当用药(包括抗生素自我药疗)已被认为是一个重要因素。本研究评估了医护人员对抗生素使用和抗生素耐药性的认识和态度,以及自我药疗的做法。这是一项横断面研究,在尼日利亚西南部的一家联邦教学医院进行,通过两阶段抽样技术选取了 320 名医护人员。在数据收集过程中使用了一份 34 个项目的自填式半结构问卷,该问卷改编自世界卫生组织的 "抗生素耐药性问卷:多国公众意识调查"。使用 SPSS 25.0 版进行了描述性统计、交叉表和逻辑回归。参与者的平均年龄(±SD)为 36.3±9.2 岁,超过三分之一(37.5%)的参与者有 6-10 年的工作经验。约三分之二(66.3%)的参与者对抗生素的使用和耐药性有较好的了解,只有 39.4% 的参与者持积极态度。自行使用抗生素的比例为 30%。已确定的抗生素自我用药的积极预测因素包括:小学学历(AOR:5.874,95%CI:1.020-33.836)与大专学历相比,知识贫乏(AOR:1.683,95%CI:1.015-2.789)与抗生素使用和耐药性方面的良好知识相比,以及消极态度(AOR:1.861,95%CI:1.102-3.143)与抗生素使用和耐药性方面的积极态度相比。本研究中的知识水平和态度均不理想。自我用药与教育水平较低、知识贫乏和态度消极有关。因此,我们建议提供适当的健康教育,以促进抗生素的合理使用。
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引用次数: 0
Investigating of augmented reality and cold vibration therapy on anxiety in children during intravenous insertion: a quasi-experimental study 调查增强现实和冷振动疗法对儿童静脉插入时焦虑的影响:一项准实验研究
Q4 Medicine Pub Date : 2024-02-19 DOI: 10.55131/jphd/2024/220115
Anis Laela Megasari, Ika Subekti Wulandari, Sri Mulyani
Anxiety tends to escalate when children undergo intravenous insertion. The success rate of the first attempt at intravenous insertion is suboptimal, leading to increased anxiety in children and prolonged treatment. Unfortunately, current interventions are not yet optimal. This study aimed to determine the influence of augmented reality and cold vibration on children's anxiety during intravenous insertion procedure. This research used an experimental pre-post-test nonequivalent control group design. Purposive sampling was employed, taking into consideration inclusion and exclusion criteria. The instrument used demographic data and Child Anxiety Meter (CAM). The independent variables in this study are augmented reality and cold vibration. The dependent variable is anxiety. The total sample consisted of 60 respondents divided into an intervention group (n=30) and comparison group (n=30). Descriptive statistics, frequency distribution, percentages, Paired T-test, Wilcoxon, and Independent T-test were applied for data analysis. Participants in the intervention group experienced a decrease in mean higher anxiety score (2.03), compared to the comparison group (0.59). The independent t-test indicated <0.001 (<0.05) for a p-value. Based on these results, the application of augmented reality and cold vibration can be considered as non-pharmacological therapy to reduce anxiety. The results of this research are very useful for preparing operational plans and developing inpatient service systems, especially in providing health services to pediatric patients during intravenous insertion.
儿童在接受静脉注射时往往会焦虑不安。首次尝试静脉插入的成功率并不理想,导致儿童焦虑加重,治疗时间延长。遗憾的是,目前的干预措施尚未达到最佳效果。本研究旨在确定增强现实和冷振动对儿童在静脉插入过程中焦虑的影响。本研究采用实验前-后测非等效对照组设计。考虑到纳入和排除标准,采用了有目的的抽样。研究工具使用了人口统计学数据和儿童焦虑测量仪(CAM)。本研究的自变量是增强现实和冷振动。因变量为焦虑。总样本由 60 名受访者组成,分为干预组(30 人)和对比组(30 人)。数据分析采用了描述性统计、频率分布、百分比、配对 T 检验、Wilcoxon 检验和独立 T 检验。与对比组(0.59)相比,干预组参与者的平均焦虑分数(2.03)有所下降。独立 T 检验表明,P 值小于 0.001(小于 0.05)。基于这些结果,应用增强现实技术和冷振动可被视为减轻焦虑的非药物疗法。这项研究的结果对于制定操作计划和开发住院服务系统非常有用,尤其是在为儿科患者提供静脉插入期间的医疗服务方面。
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引用次数: 0
Workplace health promotion management of non-communicable disease prevention and implementation among organizational leaders and human resource executives in Thailand: A qualitative study 泰国组织领导和人力资源主管对非传染性疾病预防的工作场所健康促进管理及实施情况:定性研究
Q4 Medicine Pub Date : 2024-02-19 DOI: 10.55131/jphd/2024/220113
Jate Ratanachina, P. Sithisarankul
In Thailand, the Cabinet has outlined a national reform plan (public health), which emphasizes the concept of health promotion in alignment with the United Nations' Sustainable Development Goals. The plan focuses on policies and measures within the workplace and setting goals to establish workplace health policies. Workplace health promotion yields positive effects on businesses by enhancing work productivity and reducing costs. However, national policies specifically aimed at promoting good health and well-being in the workplace are still limited in scope and are predominantly implemented by governmental agencies in Thailand. This study aimed to investigate the management and implementation of health promotion policies in the workplace by organizational leaders and human resource (HR) executives. We conducted exploratory research using the inductive approach of conventional content analysis. Data were collected through in-depth interviews with senior-level and HR executives affiliated with influential bodies of the Joint Standing Committee on Commerce, Industry, and Banking (JSCCIB), the Personnel Management Association of Thailand (PMAT), industrial estates, and prominent businesses representing all eight industry groups in Thailand between May and November 2022. In-depth interviews were conducted with all key informants, totalling 35 individuals, representing 27 businesses and organizations. The findings were categorized into three main themes: 1) Management including organizational policies, and leadership, 2) Operations including budget allocation, activities, and operational tips, and 3) Challenges including operational challenges and individual factors. This study has outlined strategies for more effective management and implementation to enhance workplace health promotion, and refined policies for improvement of health promotion initiatives in Thai workplaces.
在泰国,内阁概述了一项国家改革计划(公共卫生),强调根据联合国可持续发展目标促进健康的概念。该计划的重点是工作场所的政策和措施,以及制定工作场所健康政策的目标。促进工作场所健康可提高工作效率,降低成本,从而对企业产生积极影响。然而,泰国专门针对促进工作场所健康和福祉的国家政策范围仍然有限,而且主要由政府机构实施。本研究旨在调查组织领导者和人力资源(HR)管理人员对工作场所健康促进政策的管理和实施情况。我们采用传统内容分析的归纳法进行了探索性研究。在 2022 年 5 月至 11 月期间,我们通过对商业、工业和银行业联合常设委员会(JSCCIB)、泰国人事管理协会(PMAT)、工业园区以及代表泰国所有八个行业集团的知名企业中具有影响力的机构的高层和人力资源高管进行深入访谈,收集了相关数据。对所有关键信息提供者进行了深入访谈,共计 35 人,代表 27 家企业和组织。研究结果分为三大主题:1)管理,包括组织政策和领导力;2)运营,包括预算分配、活动和运营技巧;3)挑战,包括运营挑战和个人因素。本研究概述了更有效的管理和实施战略,以加强工作场所的健康促进,并完善了政策,以改进泰国工作场所的健康促进措施。
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引用次数: 0
A SARIMA time series forecasting for dengue cases for reporting to Yangon Region, Myanmar 对缅甸仰光地区登革热病例报告的 SARIMA 时间序列预测
Q4 Medicine Pub Date : 2024-02-19 DOI: 10.55131/jphd/2024/220114
Soe Htet Aung, A. M. Kyaw, Suparat Phuanukoonnon, P. Jittamala, N. Soonthornworasiri
Dengue fever is a significant public health challenge in Myanmar, which requires accurate monitoring to mitigate its impact. The study aimed to develop a forecasting model for dengue cases in Myanmar's Yangon region using historical data from January 2002 to December 2022, with the objective of enhancing epidemiological surveillance and outbreak management. This retrospective observational study examines dengue cases in Yangon from January 2002 to December 2022, employing Seasonal Autoregressive Integrated Moving Average (SARIMA) models for predictive analysis. The most accurate model identified was SARIMA (2,0,1) (1,1,1) 12, with an AIC (Akaike Information Criterion) of 206.19 and MAPE (Mean Absolute Percentage Error) of 1.47%. According to the model, a peak in dengue cases was expected in July 2023, with an estimated 451 cases between January and December that year. Spatial variations in dengue incidence across Yangon's townships emphasize the need for targeted interventions. While the SARIMA model is valuable, it would also be important to consider many other risk factors like climate, migration patterns, virus characteristics, and socioecological factors to improve forecasting accuracy. These findings can aid public health policymakers in preventing and managing dengue outbreaks in Myanmar. However, additional research is needed to incorporate additional risk factors into the model to comprehensively understand dengue epidemiology and improve forecasting accuracy.
登革热在缅甸是一项重大的公共卫生挑战,需要准确的监测才能减轻其影响。本研究旨在利用 2002 年 1 月至 2022 年 12 月的历史数据,建立缅甸仰光地区登革热病例预测模型,以加强流行病学监测和疫情管理。这项回顾性观察研究采用季节自回归综合移动平均模型(SARIMA)进行预测分析,对仰光地区 2002 年 1 月至 2022 年 12 月的登革热病例进行了研究。确定的最准确模型是 SARIMA (2,0,1) (1,1,1) 12,其 AIC(阿凯克信息准则)为 206.19,MAPE(平均绝对百分比误差)为 1.47%。根据该模型,登革热病例的高峰期预计为 2023 年 7 月,该年 1 月至 12 月间估计将出现 451 例登革热病例。仰光各乡镇登革热发病率的空间差异强调了采取有针对性干预措施的必要性。虽然 SARIMA 模型很有价值,但还必须考虑许多其他风险因素,如气候、移民模式、病毒特征和社会生态因素,以提高预测的准确性。这些发现有助于公共卫生决策者预防和管理缅甸登革热疫情。不过,还需要开展更多研究,将更多风险因素纳入模型,以全面了解登革热流行病学并提高预测准确性。
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引用次数: 0
The impact of a comprehensive physical, mental and spiritual programme on fall risk, physical fitness and blood pressure in elderly residents of nursing homes: An RCT Study 综合身体、心理和精神计划对养老院老人跌倒风险、体能和血压的影响:一项 RCT 研究
Q4 Medicine Pub Date : 2024-02-19 DOI: 10.55131/jphd/2024/220118
Kanthi Suratih, Erindra Budi Cahyanto, Sri Mulyani, Akhmad Azmiardi
As bodily functions decline, older people encounter various challenges in physical, mental and social well-being, for example risk of falls, hypertension and depression. Physical exercise is among the most recommended solutions to address the issues faced by the elderly. This study aimed to evaluate a holistic programme incorporating diverse physical exercises (aerobic exercise, muscle strength, flexibility), combined with mental and spiritual practices (breathing relaxation and gratitude) in reducing fall risk, enhancing physical fitness, and regulating blood pressure, in elderly residents of nursing homes. The study employed a Cluster Randomised Controlled Trial design in Surakarta, Indonesia. Seventy-one participants were randomly assigned to either the intervention group (n=42) or control groups (n=29). The intervention group engaged in the programme three times per week, for 60 minutes per session, over 16 weeks. The control group continued their routine activities, including sunbathing or other relaxing pursuits. In the fall risk variable, the intervention group exhibited a higher mean score than the control group, specifically 49.79 ±2.70 compared to 46.21 ±3.16, p=0.05, while for physical fitness, 60.24 ±7.65 compared to 49.57 ±11.66, p=0.05. Concerning systolic blood pressure, the mean value for the intervention group was 146.11 ± 20.07, while the control group was 148.59 ± 23.20, p = 0.63. The intervention group recorded a mean value of 84.10 ± 13.75 for diastolic blood pressure, whilst the control group recorded 86.25 ± 9.83, p = 0.98. This research underscored the influence of SPIRIT programme on reducing fall risk and enhancing physical fitness in elderly nursing home residents, although it is not effective in lowering blood pressure. Elderly people in nursing homes and communities can consider the SPIRIT programme as an attempt to prevent non-communicable diseases. Additional research is recommended to explore the impact of this programme on the blood pressure of older people.
随着身体机能的衰退,老年人在身体、精神和社会福祉方面会遇到各种挑战,例如跌倒风险、高血压和抑郁症。体育锻炼是解决老年人所面临问题的最值得推荐的解决方案之一。本研究旨在评估一项综合计划,该计划包含多种体育锻炼(有氧运动、肌肉力量、柔韧性),并结合心理和精神练习(呼吸放松和感恩),可降低养老院老人跌倒的风险,增强体质,调节血压。该研究在印度尼西亚苏腊卡尔塔采用了分组随机对照试验设计。71 名参与者被随机分配到干预组(42 人)或对照组(29 人)。干预组每周参加该计划三次,每次 60 分钟,为期 16 周。对照组则继续其日常活动,包括日光浴或其他放松活动。在跌倒风险变量方面,干预组的平均得分高于对照组,具体为 49.79 ± 2.70,而对照组为 46.21 ± 3.16,P=0.05;在体能方面,干预组为 60.24 ± 7.65,而对照组为 49.57 ± 11.66,P=0.05。关于收缩压,干预组的平均值为(146.11 ± 20.07),而对照组为(148.59 ± 23.20),P=0.63。干预组的舒张压平均值为(84.10 ± 13.75),而对照组为(86.25 ± 9.83),P = 0.98。这项研究强调了 SPIRIT 计划对降低养老院老人跌倒风险和增强体质的影响,尽管该计划在降低血压方面效果不佳。养老院和社区中的老年人可以考虑将 SPIRIT 计划作为预防非传染性疾病的一种尝试。建议开展更多研究,探讨该计划对老年人血压的影响。
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引用次数: 0
Applying the concept of Thai nutrient profiling as a model for the Thai school lunch planner 将泰国营养成分分析的概念作为泰国学校午餐计划制定者的模式
Q4 Medicine Pub Date : 2024-02-19 DOI: 10.55131/jphd/2024/220117
Arisa Keeratichamroen, P. Praditsorn, P. Churak, Nuttarat Srisangwan, itti Sranacharoenpong, Punnee Ponprachanuvut, antanit Chammari
This study aimed to develop the Thai school lunch planning program using nutrient profiling (NP). The intention was to create a user-friendly tool that aids teachers in preparing nutritionally balanced school lunch menus. The Thai school lunch planner was developed by gathering 53 popular lunch menus from a school lunch outsourcing company in Bangkok. Menus were grouped into ten categories based on food characteristics and cooking methods. Then, menus were graded according to their energy and 13 nutrients using NP criteria as ‘grade A’ (score >16), ‘grade B’ (scores 12-16), and ‘grade C’ (score <12), and menu category codes were created. Lunch sets were matched across the menu category codes and based on the two formats of school lunch standards. Finally, lunch sets were graded based on energy and 13 nutrient contents using NP criteria, with cut-off macronutrients set at 30% of Thai DRI 2020. Regarding the two formats of school lunch standards, this study found 63 uniquely matched patterns, with the possibility of forming 5,160 lunch sets. Lunch pattern format 1 had 57 patterns and 5,085 menu sets, of which 2,706 menu sets met 30% of the Thai DRI macronutrient requirement. The lunch pattern format 2 could create up to 75 sets from six patterns. Thirty-seven menu sets (49.3%) met the 30% Thai DRI macronutrient requirement. NP could be a valuable alternative for planning school lunch sets to guarantee high-quality and nutritious meals. This technique can be combined with the existing school food menu guidelines. Teachers, with or without basic nutrition knowledge, can find this strategy relatively user-friendly. Even though this technique is suitable for primary schools that serve two side dishes, schools serving one side dish can apply it by increasing the portion of the side dish.
本研究旨在利用营养成分分析(NP)开发泰国学校午餐计划程序。目的是创建一个用户友好型工具,帮助教师准备营养均衡的学校午餐菜单。泰国学校午餐计划程序是通过从曼谷的一家学校午餐外包公司收集 53 份受欢迎的午餐菜单而开发的。根据食物特点和烹饪方法,菜单被分为十个类别。然后,根据菜单的能量和 13 种营养成分,采用 NP 标准将菜单分级为 "A 级"(得分大于 16 分)、"B 级"(得分在 12-16 分之间)和 "C 级"(得分小于 12 分),并创建了菜单类别代码。午餐套餐根据菜单类别代码和两种形式的学校午餐标准进行匹配。最后,根据能量和 13 种营养素的含量,采用 NP 标准对午膳套餐进行分级,并将常量营养素的临界值设定为 2020 年泰国 DRI 的 30%。关于学校午餐标准的两种形式,本研究发现了 63 种唯一匹配的模式,可组成 5,160 套午餐。午餐模式 1 有 57 种模式和 5,085 套菜单,其中 2,706 套菜单符合泰国 DRI 宏量营养素要求的 30%。午餐模式 2 可从 6 种模式中创建多达 75 种套餐。37 套菜单(49.3%)符合 30% 的泰国 DRI 常量营养素要求。营养规划可作为规划学校午餐套餐的重要替代方案,以确保高质量的营养膳食。这项技术可与现有的学校食品菜单指南相结合。无论教师是否具备基本的营养知识,都会发现这一策略相对容易操作。儘管此方法適用於供應兩款配菜的小學,但只供應一款配菜的學校亦可採用此方 法,增加配菜的份量。
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引用次数: 0
Perception, attitude and stigma of community pharmacists toward patients with mental disorders: a cross-sectional study 社区药剂师对精神障碍患者的看法、态度和成见:一项横断面研究
Q4 Medicine Pub Date : 2024-02-19 DOI: 10.55131/jphd/2024/220116
Nisa Febrinasari, Anna Wahyuni Widayanti, Y. Prabandari, S. Satibi
One of the potential barriers to providing pharmaceutical care services to patients with mental disorders is stigma. Therefore, this study aims to explore the perception, attitude and stigma of community pharmacists toward patients with mental disorders in Indonesia. A self-report questionnaire was used including a convenience sample of 1,878 Indonesian community pharmacists from January to March 2023. The regression analyses showed that the perception in confidence level was significantly affected by age (95% CL :0.468-0.851; p-value:0.003) and work experience (95% CL: 1.205-2.284; p-value :0.002). Furthermore, age also affected the attitude of the community pharmacists towards patients with mental disorders (95% CL: 0.705-0.985; p-value: 0.033). Gender and a history of mental illness in a family member or a close friend contributed significantly to social distance (95% CL: 0.584-0.937; p-value: 0.013 and 95% CL: 1.212-1.779; p-value: <0.001, respectively). However, the self-disclosure of pharmacists about mental disorders remained unfavourable. In conclusion, this study found that majority of respondents had good perception and a low level of stigma towards patients with mental disorders. Based on the results, the continuous promotion of mental health awareness and education is recommended. In addition, sharing the personal experiences of individuals with mental disorders is essential for reducing self-stigma. Further studies are required to support service development in this field.
为精神障碍患者提供药物治疗服务的潜在障碍之一是耻辱感。因此,本研究旨在探讨印尼社区药剂师对精神障碍患者的认知、态度和成见。研究采用自我报告问卷调查法,在 2023 年 1 月至 3 月期间对 1,878 名印尼社区药剂师进行了抽样调查。回归分析表明,年龄(95% CL:0.468-0.851;P 值:0.003)和工作经验(95% CL:1.205-2.284;P 值:0.002)对信心水平的认知有显著影响。此外,年龄也会影响社区药剂师对精神障碍患者的态度(95%CL:0.705-0.985;p 值:0.033)。性别和家庭成员或亲密朋友有精神病史对社会距离有显著影响(95% CL:0.584-0.937;p 值:0.013 和 95% CL:1.212-1.779;p 值:<0.001):<0.001)。然而,药剂师对精神障碍的自我披露仍然是不利的。总之,本研究发现,大多数受访者对精神障碍患者有良好的认知,成见程度较低。根据研究结果,建议继续推广精神健康意识和教育。此外,分享精神障碍患者的个人经历对于减少自我成见也至关重要。我们需要进一步开展研究,以支持这一领域的服务发展。
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引用次数: 0
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Journal of Public Health and Development
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