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Effectiveness of Psycho-educational Program on Perception and Obstacles regarding Electronic learning among Nursing Students 护生电子学习认知及障碍心理教育方案的效果分析
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210310
B. Mohammed, Ikram Mohammed, H. Ahmed, Amera Ezzat Abd El-Naser
Background: Electronic learning (e-learning) nowadays has become a necessity for organizations to support their learning activities and integrating e-learning into learning and teaching may be a tough process with several hurdles. Psycho-educational program is necessary for nursing students to improve their perception and overcome obstacles regarding electronic learning thus improving their learning experience. Objective: The study targets to evaluate the effectiveness of psycho-educational program on perception and obstacles regarding electronic learning among nursing students. Design: This study used quasi-experimental design, pretest-posttests; students were 341 chosen randomly from four academic years, at Assiut University's Faculty of Nursing, during the 2021/2022 academic year. Methods: Students chosen randomly and given the psycho-educational program. Data were collected via student perceptions of electronic learning questionnaire and obstacles to electronic learning questionnaire before and after the program intervension. Results: This study showed an improvement in positive perception as the percentage was (90.3%) compared to (56.9%) before implementing the program, and negative perception decreased from (43.1%) to (9.7%) with a statistical difference after implementing the program (p<0.001). This study revealed reduction obstacles regarding e-learning which in pre-program, 78.9%, 74.5%, and 70.4% reported the presence of obstacles regarding technical and administrative support, infrastructure and technology, and curriculum content dimension, respectively. While, in the post-program, 34.6%, 34.6%, and 28.7% reported the presence of obstacles regarding the same subdimension of obstacles. Also, perception and obstacles were negatively correlated. Conclusion: This study concluded that psycho-educational program showed beneficial effect on improving perception and reducing obstacles faced by nursing students towards electronic learning. Recommendation: this study might help as a guide for future study into the success reasons that contributing to the positive outlook regrading e-learning systems.
背景:电子学习(e-learning)如今已成为组织支持其学习活动的必需品,将电子学习整合到学习和教学中可能是一个艰难的过程,存在一些障碍。通过心理教育,提高护生对电子学习的认知,克服障碍,提高学习体验。目的:评价护生对电子学习的认知和障碍心理教育方案的效果。设计:本研究采用准实验设计,前测后测;研究人员从阿西尤特大学护理学院2021/2022学年的四个学年中随机抽取了341名学生。方法:随机抽取学生进行心理教育。通过项目干预前后学生对电子学习问卷的认知和电子学习问卷的障碍收集数据。结果:项目实施后,积极感知的比例由实施前的56.9%提高到90.3%,消极感知的比例由实施前的43.1%下降到实施后的9.7%,差异有统计学意义(p<0.001)。该研究显示,在学前教育阶段,78.9%、74.5%和70.4%的受访者分别报告了在技术和行政支持、基础设施和技术以及课程内容维度方面存在的障碍。而在后程序中,34.6%、34.6%和28.7%的人报告在相同的障碍子维度上存在障碍。知觉与障碍呈负相关。结论:本研究认为心理教育方案在提高护理学生对电子学习的认知和减少障碍方面具有良好的效果。建议:本研究对未来研究电子学习系统的成功原因有一定的指导作用。
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引用次数: 0
Development of a hot weather warning tool for heat index monitoring in Thailand 开发用于泰国热指数监测的炎热天气预警工具
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210301
Wutthichai Paengkaew, A. Limsakul, Eakkachai Kokkaew, S. Sooktawee, Prachaya Muangnim, Orasa Naban, Nidalak Aroonchan, A. Patpai, Kittiwan Kitpakornsanti, Asadorn Kammuang
This study aims to develop and test an extremely hot weather warning tool. The tool consists of a Node MCU ESP8266 microcontroller, air temperature and relative humidity sensor (DHT22), real time clock module (DS3231), micro-SD-card adapter (HW-125), display screen (2004A), and breadboard-shield. It is connected and controlled by Arduino IDE program. Its measurement ranges for temperature, humidity, and heat index are <10 to >50°C, 0 to 100%, and <27 to >50°C, respectively. This device also presents real-time health impacts by displaying one of five warning levels, namely 1) normal level (HI < 27°C), 2) caution level (HI 27°C to <32°C), 3) extreme caution level (HI 32°C to <41°C), 4) danger level (HI 41°C to <54°C), and 5) extreme danger level (HI ≥ 54°C). The data can be directly transferred to a computer by a card adapter. Based on validation with the occupational health and safety standards instrument, no outliers or missing data were found. HIEHT had a highly positive correlation with HIQT36 (r=0.99; p<0.01; n=4,182). Heat Index data measured by this tool was found to have acceptable values with a bias of 0.54 and RMSE of 0.99. For the pilot areas tested, it was found that the extremely hot weather warning tool can fully measure and record, as well as continuously display the results according to the tested date and time. These results show that the developed tool is a simple, easy-to-use, inexpensive, tiny, and portable instrument that can be used to monitor and measure heat to widely communicate extremely hot weather warning information to vulnerable groups and the general public in the community.
本研究旨在开发和测试一个极热天气预警工具。该工具由Node MCU ESP8266微控制器、空气温度和相对湿度传感器(DHT22)、实时时钟模块(DS3231)、micro- sd卡适配器(HW-125)、显示屏(2004A)和面包板屏蔽板组成。它由Arduino IDE程序连接和控制。温度、湿度和热指数的测量范围分别为50℃、0 ~ 100%和50℃。该设备还通过显示五个警告级别之一来实时显示健康影响,即1)正常级别(HI < 27°C), 2)警告级别(HI 27°C至<32°C), 3)极端警告级别(HI 32°C至<41°C), 4)危险级别(HI 41°C至<54°C)和5)极端危险级别(HI≥54°C)。数据可以通过卡适配器直接传输到计算机。根据职业健康安全标准仪器的验证,没有发现异常值或缺失数据。HIEHT与HIQT36呈高度正相关(r=0.99;p < 0.01;n = 4182)。通过该工具测量的热指数数据具有可接受的值,偏差为0.54,RMSE为0.99。对于测试的试点地区,发现极热天气预警工具可以充分测量和记录,并根据测试日期和时间连续显示结果。这些结果表明,所开发的工具是一种简单、易于使用、价格低廉、小巧便携的仪器,可用于监测和测量热量,向弱势群体和社区公众广泛传播极热天气预警信息。
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引用次数: 0
Comparative study between eras protocol and conventional perioperative care in elective cesarean section patients in a tertiary care centre of eastern India 印度东部某三级医疗中心择期剖宫产患者eras方案与常规围手术期护理的比较研究
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210308
Poreddy Sravani, Rachita Pravalina, Gitanjali Sahoo, Basanta Kumar Pati
Enhanced Recovery after Surgery (ERAS) was originally introduced in colorectal surgery. ERAS pathways have been extensively implemented in various surgical branches like orthopedics, urology, and gynecologic surgery. Commencement of these ERAS programs has consistently resulted in a decreased duration of hospital stay and enhanced patient comfort. We aim to implement the ERAS program successfully with the main objective of comparing the duration of hospital stay in both groups. A prospective comparative observational study was conducted at the Department of Obstetrics and Gynecology, in a tertiary care center of Bhubaneswar. Non-probability convenient sampling was done and consenting patients undergoing elective cesarean sections were included in the study conducted over 1.5 years. 200 pregnant women were included in the study. 100 were enrolled in the ERAS group and 100 in the conventional peri-operative hospital protocol group. None of the participants were lost to follow-up in either group. Post-operative outcomes in both groups were analyzed. In the study, there was a significant difference in the mean duration of 1st oral intake, 1st appearance of bowel sounds, first ambulation, catheter removal, 1st passage of flatus, bowel movements and postoperative length of stay between the two groups. The application of the ERAS protocol in our hospital led to a shorter duration of hospital stay postoperatively. Early allowance of oral diet reduced the duration of appearance of 1st bowel sounds, the first passage of flatus, and bowel movements. It also helped in ambulating the patients early, early catheter removal and faster resumption of regular normal diets. We recommend the application of the ERAS protocol to all uncomplicated cesarean sections. ERAS implementation challenges can be overcome by education of patients and care givers along with communication of economic benefits of ERAS to health care administrators.
术后增强恢复(ERAS)最初是在结直肠手术中引入的。ERAS路径已广泛应用于骨科、泌尿外科、妇科等外科分支。这些ERAS项目的启动持续减少了住院时间,提高了患者的舒适度。我们的目标是成功实施ERAS计划,主要目标是比较两组患者的住院时间。在布巴内斯瓦尔一家三级保健中心的妇产科进行了一项前瞻性比较观察研究。进行非概率方便抽样,同意接受选择性剖宫产手术的患者纳入研究,进行时间超过1.5年。200名孕妇参与了这项研究。ERAS组100例,传统围手术期医院方案组100例。两组均未失去随访对象。分析两组患者的术后结果。在本研究中,两组患者第一次服药的平均持续时间、第一次出现肠音、第一次下床、拔管、第一次排气、排便和术后住院时间均有显著差异。ERAS方案在我院的应用缩短了术后住院时间。早期口服饮食减少了第一次肠音出现的持续时间,第一次排气和排便。它还有助于患者尽早走动,尽早拔除导管,更快地恢复正常饮食。我们建议将ERAS方案应用于所有无并发症的剖宫产。通过对患者和护理人员的教育,以及向卫生保健管理人员宣传ERAS的经济效益,可以克服ERAS实施中的挑战。
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引用次数: 0
Effectiveness of self-massage combined with a health education program using the self-efficacy theory in reducing peripheral neuropathy among diabetes mellitus patients 自我按摩结合自我效能理论的健康教育对糖尿病患者周围神经病变的影响
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210302
Chanida Thaweewannakij, Kavin Thinkhamrop, Kornkawat Darunikorn, M. Kelly
Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus. It often causes impairment of sensory nerves, which can negatively impact functional mobility and quality of life for patients. Self-massage along with health education is one potential method to reduce the impact of DPN. However, to date there have been no studies examining such a treatment program. Our study investigated the effect of self-massage combined with a health education program using the self-efficacy theory on peripheral neuropathy in DPN patients. This randomized controlled trial collected data from 70 DPN patients. The participants were randomly assigned into two groups (intervention and control) which contained 35 participants each. The intervention group received 21 sessions of massage and health education (every other day for 6 weeks). The control group received only the normal program from the hospital. The participants were assessed for their peripheral neuropathy using Michigan Neuropathy Screening Instrument (MNSI) at baseline, after 2-week, 4-week, and 6-week. Generalized estimating equations were used to quantified the mean difference of scores of MNSI comparing between intervention and control groups for overall post measurement compared to baseline. The results showed that the mean of scores of MNSI for intervention and controls at baseline were 11.31 (SD = 1.36) and 11.24 (SD = 1.49), respectively. After receiving the intervention program for 6-week, the mean difference of scores of MNSI in intervention group reduced by 5.49 (95% CI: 5-5.98; p-value <0.001) compared to control group. Our study reveals that combination of self-massage and health education program based on self-efficacy theory can reduce peripheral neuropathy in patients with DPN. This outcome could be useful for healthcare professionals in improving the health of DPN patients.
糖尿病周围神经病变(DPN)是糖尿病的常见并发症。它通常会导致感觉神经损伤,从而对患者的功能活动和生活质量产生负面影响。自我按摩和健康教育是减少DPN影响的一种潜在方法。然而,到目前为止,还没有研究检验这种治疗方案。本研究运用自我效能理论探讨自我按摩结合健康教育对周围神经病变患者的影响。这项随机对照试验收集了70名DPN患者的数据。参与者被随机分为两组(干预组和对照组),每组35人。干预组接受21次按摩和健康教育(每隔一天进行一次,持续6周)。对照组只接受医院的正常节目。在基线、2周、4周和6周后,使用密歇根神经病变筛查仪(MNSI)评估参与者的周围神经病变。采用广义估计方程量化干预组与对照组总体后测MNSI评分与基线的平均差异。结果显示,干预组和对照组在基线时的MNSI得分均值分别为11.31 (SD = 1.36)和11.24 (SD = 1.49)。接受干预方案6周后,干预组MNSI评分的平均差值减少了5.49分(95% CI: 5-5.98;p值<0.001)。本研究发现,自我按摩与基于自我效能感理论的健康教育相结合可以减少DPN患者周围神经病变。这一结果可能有助于医疗保健专业人员改善DPN患者的健康状况。
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引用次数: 0
Cost analysis of inpatient hypertension patients at Panembahan Senopati Hospital, Bantul, Yogyakarta, Indonesia: comparison between INA-CBGs rates and hospitalized actual rate 印度尼西亚日惹班图尔Panembahan Senopati医院住院高血压患者的成本分析:INA-CBGs率与住院实际率的比较
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210312
Anis Febri Nilansari, N. M. Yasin, D. A. Puspandari
Hypertension as a cardiovascular disease ranks first as a disease with the highest expenditure on health insurance costs. In the financing system implemented by the Indonesian Social Security Program, hospitals as health service providers no longer break down bills based on details of services provided, but only by submitting a diagnosis code that comes out in the form of Indonesia Case-Based Groups (INA-CBGs). The INA-CBGs code for mild hypertension with a severity level of 1 is I-4-17-1. The purpose of this study was to determine the implementation of INA-CBGs rates by comparing the cost difference between the INA-CBG rates and the actual hospital rates for inpatients with hypertension code I-4-17-1 with the parameters studied in the form of gender, age, and length of stay, comorbidities, and drug usage. The analytic observational method with a cross-sectional design was used. Data were hospital financial records and patients medical record documents (inpatient hypertension patients) coded I-4-17-I with the following classes; first class, second class, and third class treatment rooms from October 2016 to July 2017 at Panembahan Senopati Hospital. Data were tested for normality with the Kolmogorov-Smirnov test. One Way ANOVA test and t-test were used to analyze the data in determining the difference in costs between the INA-CBGs rates and the actual hospital rates and in determining the factors that influenced the difference in costs. The results showed that 53 patients met the inclusion criteria. The total cost incurred by the hospital for hospitalized hypertensive patients was Rp. 140,963,105, while the total claim rate for INA-CBGs was Rp. 109,960,000. Gender, length of stay, comorbidities, and drug usage were contributed to the difference in cost, while age had no significant effect. It can be concluded that hospitals need to evaluate the implementation of INA-CBGs rates to minimize financial losses.
高血压作为一种心血管疾病,是医疗保险费用支出最高的疾病。在印尼社会保障计划实施的融资体系中,作为医疗服务提供者的医院不再根据所提供服务的细节来分解账单,而只需要提交以印尼病例分组(INA-CBGs)形式出现的诊断代码。严重程度为1级的轻度高血压的INA-CBGs编码为I-4-17-1。本研究的目的是通过比较编码为I-4-17-1的高血压住院患者的INA-CBG费率与实际住院费率之间的成本差异,并以性别、年龄、住院时间、合并症和药物使用为研究参数,来确定INA-CBG费率的实施情况。采用横断面设计的分析观察方法。数据为医院财务记录和患者病历文件(住院高血压患者),编码为I-4-17-I,分类如下:2016年10月至2017年7月,Panembahan Senopati医院的一等、二等和三等治疗室。用Kolmogorov-Smirnov检验检验数据的正态性。采用单因素方差分析(One - Way ANOVA)检验和t检验对数据进行分析,以确定INA-CBGs率与实际医院率之间的成本差异,并确定影响成本差异的因素。结果显示53例患者符合纳入标准。医院对住院高血压患者的总费用为140,963,105卢比,而INA-CBGs的总索赔率为109,96万卢比。性别、住院时间、合并症和药物使用对成本差异有影响,而年龄没有显著影响。可以得出结论,医院需要评估INA-CBGs费率的实施情况,以尽量减少财务损失。
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引用次数: 0
lity of work life (QoWL) among farmers in Thailand 泰国农民的工作寿命(QoWL)
Q4 Medicine Pub Date : 2023-05-29 DOI: 10.55131/jphd/2023/210222
Rattanaporn Arsa, Apichet Jumniensuk, Jiaranai Pathomrotsakun, Phitchasuda Dechboon
Working conditions and quality of work life reflect a person’s overall quality of life and wellbeing. The purpose of this cross-sectional survey study was to investigate the working conditions, quality of work life, and related factors among farmers. The samples consisted of 445 farmers from the Wang Chin and Song Districts in Phrae Province, Thailand. Data collection was accomplished through a self-administered questionnaire. A structural equation model was specified to investigate the extent to which individual characteristics, interpersonal factors, and working conditions contribute to the quality of work life. More than half of the participants were (52.1%) men; the average age was 48.26 years; the average monthly income was 5,113.48 THB; 89% held debt; and 56.9% were landowners. Farmers’ perceptions of working conditions, namely, the physical, chemical, and ergonomic working environment were poor, and there was a significant risk of workplace accidents. The results revealed that the overall quality of work life among employees was moderate (82.9%). The causal model of the quality of work life was assessed and justified through SEM. The model fits well with the empirical data (GFI = 0.973, AGFI = 0.912, CFI = 0.985, RMSEA = 0.062, SRMR = 0.053). A combination of marital status, relationships with family and peers, social support, the biological environment, and ergonomics explained 23.3% of the variation in the quality of work life. The findings indicate that government organizations involved in agricultural work should work with interdisciplinary groups to improve the quality of farmers’ working lives. It is recommended that a one-stop service center be established in an easily accessible area, as a resource for farmers to store their knowledge and gain inspiration. Farmers should be encouraged to work together to improve their ability to negotiate and the community’s ability to build a sustainable quality of life.
工作条件和工作生活质量反映了一个人的整体生活质量和幸福感。摘要本研究旨在探讨农民的劳动条件、劳动生活品质及相关因素。样本包括来自泰国Phrae省Wang Chin和Song地区的445名农民。数据收集是通过一份自我管理的问卷完成的。采用结构方程模型研究了个体特征、人际关系因素和工作条件对工作生活质量的影响程度。超过一半的参与者是男性(52.1%);平均年龄48.26岁;平均月收入为5,113.48泰铢;89%持有债务;56.9%是土地所有者。农民对工作条件,即物理、化学和符合人体工程学的工作环境的认知较差,并且存在重大的工作场所事故风险。结果显示,员工的整体工作生活质量一般(82.9%)。通过扫描电镜对工作生活质量的因果模型进行了评估和验证。模型与实证数据拟合良好(GFI = 0.973, AGFI = 0.912, CFI = 0.985, RMSEA = 0.062, SRMR = 0.053)。婚姻状况、与家人和同伴的关系、社会支持、生物环境和人体工程学的结合解释了23.3%的工作生活质量变化。研究结果表明,参与农业工作的政府组织应与跨学科小组合作,以改善农民的工作生活质量。建议在交通便利的地区建立一站式服务中心,作为农民储存知识和获取灵感的资源。应鼓励农民共同努力,提高他们谈判的能力和社区建设可持续高质量生活的能力。
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引用次数: 0
Factors affecting stress among high school students in Phitsanulok Province, Thailand 影响泰国碧仙洛省高中生压力的因素
Q4 Medicine Pub Date : 2023-05-29 DOI: 10.55131/jphd/2023/210225
Wanna Wicheansun, Archin Songthap
This cross-sectional study aimed to determine the factors affecting stress in high school students. The sample participants were 365 high school students in Phitsanulok Province selected by stratified random sampling. Data were collected by a self-administered questionnaire consisting of 6 parts: 1) socio-demographic characteristics; 2) lifestyle factors; 3) disease prevention motivation; 4) social support; 5) stress prevention behaviors, and 6) stress. Frequency, percentage, mean, standard deviation, and binary logistic regression were used for data analysis. All significance levels were set at 0.05. The results showed that 72.9% of the sample participants were female and 75.10% had stress. Female students were more likely to experience stress than male students (ORadj = 1.902; 95%CI: 1.117 - 3.241). Excessive expenses possibly caused stress (ORadj = 3.618, 95%CI = 1.031-12.694). The students with intermediate resilience faced greater stress than those with extraordinary strength (ORadj = 3.198; 95%CI: 1.957 – 5.224). The sample participants who received mild and average social support tended to experience greater stress than those with higher levels of social support (ORadj = 4.762, 95%CI = 1.012-22.412, OR = 2.036, 95%CI = 1.155-3.589). This study suggests that related institutes strengthen living skills and improve social support for high school students to prevent severe stress.
本研究旨在探讨高中生压力的影响因素。采用分层随机抽样的方法,选取彭世洛省365名高中生作为样本。采用自填问卷收集数据,问卷包括6个部分:1)社会人口学特征;2)生活方式因素;3)疾病预防动机;4)社会支持;5)压力预防行为;6)压力。采用频率、百分比、均值、标准差和二元logistic回归进行数据分析。所有显著性水平均设为0.05。结果显示,72.9%的样本参与者为女性,75.10%的样本参与者有压力。女生比男生更容易感受到压力(ORadj = 1.902;95%ci: 1.117 - 3.241)。过度消费可能造成压力(ORadj = 3.618, 95%CI = 1.031-12.694)。中等韧性学生面临的压力大于超常韧性学生(ORadj = 3.198;95%ci: 1.957 - 5.224)。接受轻度和中等社会支持的被试比接受高水平社会支持的被试更容易感受到压力(ORadj = 4.762, 95%CI = 1.012-22.412, OR = 2.036, 95%CI = 1.155-3.589)。本研究建议相关机构加强高中生的生活技能及改善社会支持,以预防严重的压力。
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引用次数: 0
The use of various interventions to reduce falls and improve balance in knee osteoarthritis patients: a narrative review 使用各种干预措施,以减少跌倒和改善平衡在膝骨关节炎患者:叙述性回顾
Q4 Medicine Pub Date : 2023-05-29 DOI: 10.55131/jphd/2023/210224
Bahareh Ahmadinejad, F. Bahramian, S. Mousavi, Alireza Jalali, M. Habibi
People with knee OA are more likely to fall, which is a major public health concern because it can lead to serious injuries and trips to the hospital. Despite the greater balance disorders, and fall prevalence among patients with knee OA, the field of study in this population has received less attention. This study aims to review articles using different interventions for balance improvement and fall prevention in individuals with knee OA. An extensive literature search was performed in the databases of Science Direct, Scopus, Google Scholar, PubMed, and ISI Web of Knowledge using OR, AND, and NOT operators and the selected keywords. Only studies written in English and published in journals from 2010 to May 2022 were used for this purpose. The studies that have examined the effect of various therapies on balance improvement and fall prevention in the individuals with knee OA were the ones that were selected for this study. Studies that examined balance and falls in the osteoarthritis of other joints, as well as those involving other disabilities that affect balance and stability were excluded from the study. Finally, 34 articles were selected from the final evaluation. Most of the studies showed that exercise and dance could be effective to improve balance and reducing falls in patients with knee OA. It can be concluded that these interventions can help individuals with knee OA enhance their balance and reduce their risk of falling. Therefore, they might be viewed as promoting this population's health. Although games and neuroscientific interventions can be effective, more studies are needed in this field. Moreover, there are contradictory results regarding the effect of orthotics.
患有膝关节炎的人更容易摔倒,这是一个主要的公共卫生问题,因为它可能导致严重的伤害和去医院。尽管膝关节OA患者中存在更大的平衡障碍和跌倒患病率,但该人群的研究领域受到的关注较少。本研究旨在回顾使用不同干预措施改善膝关节OA患者平衡和预防跌倒的文章。在Science Direct、Scopus、Google Scholar、PubMed和ISI Web of Knowledge数据库中使用OR、and和NOT运算符和选定的关键词进行广泛的文献检索。仅使用2010年至2022年5月期间在期刊上发表的英文研究。在本研究中,研究了各种治疗方法对膝关节OA患者平衡改善和预防跌倒的影响。检查其他关节骨关节炎的平衡和跌倒的研究,以及涉及影响平衡和稳定的其他残疾的研究被排除在研究之外。最终从最终评审中选出34篇文章。大多数研究表明,运动和舞蹈可以有效地改善膝关节OA患者的平衡和减少跌倒。因此,这些干预措施可以帮助膝关节OA患者增强平衡能力,降低跌倒风险。因此,它们可能被视为促进了这一人群的健康。虽然游戏和神经科学干预可能有效,但在这一领域还需要更多的研究。此外,关于矫形器的效果也有矛盾的结果。
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引用次数: 0
Effectiveness of training program by blended learning on knowledge and practices regarding first aid among preparatory year engineering students at Assiut University 阿西尤特大学工科预科学生急救知识与实践混合学习培训项目的有效性
Q4 Medicine Pub Date : 2023-05-29 DOI: 10.55131/jphd/2023/210221
Adel Aljawfi, R. Hassanen, S. Sharkawy
First aid training is necessary for engineering students to increase their health and safety knowledge relating to reducing damage and suffering and improving their chances of survival. Objective: This study aims to evaluate the effectiveness of a training program by blended learning on knowledge and practices regarding first aid among preparatory year engineering students at Assiut University. A pretest, posttest design was used in this study. About 85 participants were selected randomly from the preparatory year of engineering students at Assiut University. Participants were randomly selected and provided with a first-aid training program. Data were collected via a self-administered knowledge questionnaire sheet and an observational checklist pre, post, and three months after the program intervention. The repeated measured ANOVA was used. Results: The study revealed that 61.2% of students had poor knowledge scores about first aid in the pre-test with a total mean of 65.16±24.41, which improved to 95.3% of students who had good knowledge scores in the post-test with a total mean of 121.89±10.27, and slightly declined to 77.6% having good knowledge scores in the follow-up test with a total mean of 110.93±27.38. Moreover, 85.9% of students had poor practice scores about first aid in the pre-test with a total mean of 19.19±4.71, which improved to 72.9% having good practice scores in the post-test with a total mean of 52.49±7.84, and 65.9% having good practices scores in the follow-up test with a total mean of 48.64±13.49. The study concluded that the training program by blended learning showed a positive effect on knowledge and practices of students at post and follow-up tests. This provides a safe learning environment for engineering students. Recommendation: Blended learning programs should be taken as a learning approach in the health training program implementation.
急救培训对工程专业学生来说是必要的,以增加他们关于减少伤害和痛苦以及提高生存机会的健康和安全知识。目的:本研究旨在评估阿西尤特大学工科预科学生急救知识与实践混合学习培训计划的有效性。本研究采用前测、后测设计。大约85名参与者是从阿西尤特大学工科预科生中随机挑选出来的。参与者被随机选择,并提供急救培训计划。数据通过自我管理的知识问卷和观察性检查表在项目干预前、后和三个月收集。采用重复测量方差分析。结果:研究发现,61.2%的学生在前测急救知识得分较差,总平均值为65.16±24.41;后测急救知识得分较好的学生占95.3%,总平均值为121.89±10.27;随访急救知识得分较好的学生占77.6%,总平均值为110.93±27.38。85.9%的学生在前测急救实践得分较差,总平均值为19.19±4.71;后测急救实践得分较好,为72.9%,总平均值为52.49±7.84;随访急救实践得分较好,为65.9%,总平均值为48.64±13.49。研究结果表明,混合式学习训练方案对学生的知识和实践表现出积极的影响。这为工科学生提供了一个安全的学习环境。建议:在实施卫生培训计划时,应将混合式学习方案作为一种学习方法。
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引用次数: 0
Cost-effectiveness analysis of COVID-19 treatment for hospitalized patients: a healthcare provider perspective in Batam, Indonesia 住院患者COVID-19治疗的成本效益分析:印度尼西亚巴淡岛医疗保健提供者的视角
Q4 Medicine Pub Date : 2023-05-29 DOI: 10.55131/jphd/2023/210223
Mesa Sukmadani Rusdi, Yusvina -, D. Dillasamola, Mariam Efendi
The COVID-19 pandemic is a global crisis that has continued to impact health, population, and the economy. Therefore, this study aims to evaluate the cost-effectiveness of COVID-19 treatment for hospitalized patients from the perspective of healthcare providers. An observational study was conducted retrospectively by collecting data from medical records of hospitalized COVID-19 patients between April 1 and June 30, 2021. The effectiveness of the therapy was evaluated based on COVID-19 treatment guidelines in Indonesia, by calculating the number of recovered patients within 14 days. The study only considered the direct medical costs of treatment, while the cost-effectiveness was analyzed using Average Cost-Effectiveness Ratio (ACER) and Incremental Cost-Effectiveness Ratio (ICER). The results showed that the average direct cost of COVID-19 treatment per patient was approximately IDR 28,114,775.52 ± IDR 16,352,597.11. The most effective treatment was Favipiravir + Levofloxacin + N-acetylcysteine, followed by Favipiravir + Levofloxacin + Azithromycin + N-acetylcysteine, with 97% and 91% effectiveness, respectively. The ACER of COVID-19 treatments ranged from Rp 15,596,973 to 58,140,864, while the ICER was mainly located in the South East Quadrant, with Favipiravir + Levofloxacin + N-acetylcysteine being dominant compared to other treatments, saving IDR 161,653.97 to 33,870,916.17 per recovered patient. Effective COVID-19 treatments for hospitalized patients provide good value for the health system. However, this study was limited by the unavailability of the most recent information on the rapidly evolving pandemic.
2019冠状病毒病大流行是一场持续影响健康、人口和经济的全球危机。因此,本研究旨在从医疗服务提供者的角度评估COVID-19治疗住院患者的成本-效果。回顾性观察性研究收集2021年4月1日至6月30日住院的COVID-19患者的医疗记录数据。根据印度尼西亚新冠肺炎治疗指南,通过计算14天内康复的患者数量,评估了治疗效果。本研究仅考虑治疗的直接医疗费用,使用平均成本-效果比(ACER)和增量成本-效果比(ICER)分析成本-效果。结果显示,每名患者治疗新冠肺炎的平均直接成本约为28,114,775.52±16,352,597.11印尼盾。以Favipiravir +左氧氟沙星+ n -乙酰半胱氨酸治疗效果最好,其次为Favipiravir +左氧氟沙星+阿奇霉素+ n -乙酰半胱氨酸,有效率分别为97%和91%。COVID-19治疗的ACER范围为15,596,973 - 58,140,864卢比,ICER主要位于东南象限,与其他治疗相比,Favipiravir +左氧氟沙星+ n -乙酰半胱氨酸占主导地位,每位康复患者节省161,653.97 - 33,870,916.17卢比。针对住院患者的有效COVID-19治疗为卫生系统提供了良好的价值。然而,由于无法获得关于这一迅速演变的大流行病的最新信息,这项研究受到了限制。
{"title":"Cost-effectiveness analysis of COVID-19 treatment for hospitalized patients: a healthcare provider perspective in Batam, Indonesia","authors":"Mesa Sukmadani Rusdi, Yusvina -, D. Dillasamola, Mariam Efendi","doi":"10.55131/jphd/2023/210223","DOIUrl":"https://doi.org/10.55131/jphd/2023/210223","url":null,"abstract":"The COVID-19 pandemic is a global crisis that has continued to impact health, population, and the economy. Therefore, this study aims to evaluate the cost-effectiveness of COVID-19 treatment for hospitalized patients from the perspective of healthcare providers. An observational study was conducted retrospectively by collecting data from medical records of hospitalized COVID-19 patients between April 1 and June 30, 2021. The effectiveness of the therapy was evaluated based on COVID-19 treatment guidelines in Indonesia, by calculating the number of recovered patients within 14 days. The study only considered the direct medical costs of treatment, while the cost-effectiveness was analyzed using Average Cost-Effectiveness Ratio (ACER) and Incremental Cost-Effectiveness Ratio (ICER). The results showed that the average direct cost of COVID-19 treatment per patient was approximately IDR 28,114,775.52 ± IDR 16,352,597.11. The most effective treatment was Favipiravir + Levofloxacin + N-acetylcysteine, followed by Favipiravir + Levofloxacin + Azithromycin + N-acetylcysteine, with 97% and 91% effectiveness, respectively. The ACER of COVID-19 treatments ranged from Rp 15,596,973 to 58,140,864, while the ICER was mainly located in the South East Quadrant, with Favipiravir + Levofloxacin + N-acetylcysteine being dominant compared to other treatments, saving IDR 161,653.97 to 33,870,916.17 per recovered patient. Effective COVID-19 treatments for hospitalized patients provide good value for the health system. However, this study was limited by the unavailability of the most recent information on the rapidly evolving pandemic.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84025604","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}
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Journal of Public Health and Development
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