Elin Supliyani, Ina Handayani, Suhartika Suhartika, Dedes Fitria
Preparing for childbirth is crucial because it was a demanding and exhausting experience for unprepared mothers. Confidence in caring for the baby was one of the important indicators of success as a parent. This study aimed to examine the influence of parenting classes on maternal self-efficacy in caring for the baby. The study used a quasi-experimental pre-test and post-test nonequivalent control group design method. The research was conducted at several Midwife Clinical Practices in Bogor City. The sample consisted of 42 pregnant women, with 21 in the intervention group and 21 in the control group. Sampling used non-probability sampling with a purposive sampling technique. The Perceived Maternal Parenting Self-Efficacy (PMP-SE) questionnaire with a likert scale was used to measure the mother's self-efficacy variable in caring for the baby before and after attending the parenting class. The data were analyzed using the Wilcoxon test. The results showed that the mean self-efficacy of mothers in caring for their babies before the intervention was 42.57 (8.577), and after attending the parenting class, it increased to 47.71 (8.344). There was a significant influence of parenting class on mothering self-efficacy in caring for the baby (p=0.015). It is recommended that this model of parenting classes be applied in healthcare settings to educate pregnant women on readiness to become parents, thereby increasing mothers' confidence and ability to take care of their babies after childbirth.
{"title":"The influence of parenting classes on maternal self-efficacy in caring for the baby","authors":"Elin Supliyani, Ina Handayani, Suhartika Suhartika, Dedes Fitria","doi":"10.4081/hls.2024.11838","DOIUrl":"https://doi.org/10.4081/hls.2024.11838","url":null,"abstract":"Preparing for childbirth is crucial because it was a demanding and exhausting experience for unprepared mothers. Confidence in caring for the baby was one of the important indicators of success as a parent. This study aimed to examine the influence of parenting classes on maternal self-efficacy in caring for the baby. The study used a quasi-experimental pre-test and post-test nonequivalent control group design method. The research was conducted at several Midwife Clinical Practices in Bogor City. The sample consisted of 42 pregnant women, with 21 in the intervention group and 21 in the control group. Sampling used non-probability sampling with a purposive sampling technique. The Perceived Maternal Parenting Self-Efficacy (PMP-SE) questionnaire with a likert scale was used to measure the mother's self-efficacy variable in caring for the baby before and after attending the parenting class. The data were analyzed using the Wilcoxon test. The results showed that the mean self-efficacy of mothers in caring for their babies before the intervention was 42.57 (8.577), and after attending the parenting class, it increased to 47.71 (8.344). There was a significant influence of parenting class on mothering self-efficacy in caring for the baby (p=0.015). It is recommended that this model of parenting classes be applied in healthcare settings to educate pregnant women on readiness to become parents, thereby increasing mothers' confidence and ability to take care of their babies after childbirth.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"33 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962089","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}
Masfufatun Masfufatun, Budhi Setiawan, R. Purbowati, Lusiani Tjandra, N. Indahsari, Diana Tri Ratnasari, Harya Narottama, Muzaijadah Retno Arimbi
Candida albicans grows rapidly when the microflora becomes imbalanced due to a variety of factors. Its ability to infect a host is aided by its virulence factors, such as biofilm. This study aimed to evaluate the activity of clover honey in inhibiting and degrading the biofilm formation of C. albicans in vitro. This study used a true experimental design with an in vitro post-test-only control group design approach. The microtiter plate assay was used to grow planktonic cells and biofilm. This method was carried out to obtain the Optical Density (OD) value for each test, measured by a Microplate Reader. Cell viability was measured using the MTS Assay kit, the biofilm matrix was measured using the Crystal Violet Assay, and the morphology of C. albicans biofilms was observed by scanning electron microscopy (SEM). Probit and One-way ANOVA tests were applied to determine the MIC50 of both planktonic and biofilm, as well as statistical analysis. The results showed that clover honey exerted inhibitory activity against C. albicans planktonic cells at a MIC50value of 31.60% w/v. At the highest concentration, clover honey exhibited antibiofilm activity by lowering the extracellular matrix and viability of C. albicans cells by 64.59% and 72.09%, respectively. Based on SEM observation, clover honey changed the cell morphology of C. albicans and reduced the thickness of the biofilm. Overall, our findings concluded that clover honey exhibited antifungal properties against C. albicans by inhibiting biofilm formation and degrading mature biofilm.
{"title":"Anti-biofilm properties of clover honey against Candida albicans","authors":"Masfufatun Masfufatun, Budhi Setiawan, R. Purbowati, Lusiani Tjandra, N. Indahsari, Diana Tri Ratnasari, Harya Narottama, Muzaijadah Retno Arimbi","doi":"10.4081/hls.2024.11988","DOIUrl":"https://doi.org/10.4081/hls.2024.11988","url":null,"abstract":"Candida albicans grows rapidly when the microflora becomes imbalanced due to a variety of factors. Its ability to infect a host is aided by its virulence factors, such as biofilm. This study aimed to evaluate the activity of clover honey in inhibiting and degrading the biofilm formation of C. albicans in vitro. This study used a true experimental design with an in vitro post-test-only control group design approach. The microtiter plate assay was used to grow planktonic cells and biofilm. This method was carried out to obtain the Optical Density (OD) value for each test, measured by a Microplate Reader. Cell viability was measured using the MTS Assay kit, the biofilm matrix was measured using the Crystal Violet Assay, and the morphology of C. albicans biofilms was observed by scanning electron microscopy (SEM). Probit and One-way ANOVA tests were applied to determine the MIC50 of both planktonic and biofilm, as well as statistical analysis. The results showed that clover honey exerted inhibitory activity against C. albicans planktonic cells at a MIC50value of 31.60% w/v. At the highest concentration, clover honey exhibited antibiofilm activity by lowering the extracellular matrix and viability of C. albicans cells by 64.59% and 72.09%, respectively. Based on SEM observation, clover honey changed the cell morphology of C. albicans and reduced the thickness of the biofilm. Overall, our findings concluded that clover honey exhibited antifungal properties against C. albicans by inhibiting biofilm formation and degrading mature biofilm.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"245 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140454619","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}
Oktovina Mobalen, I. M. Raka, Rizqi Alvian Fabanyo
Cases of people living with HIV and AIDS continue to increase from year to year, necessitating a focus on maintaining their health. To ensure their well-being, individuals with HIV/AIDS must be vigilant in preserving their immunity, especially during COVID-19 pandemic. This research aimed to enhance the immunity of people with HIV and AIDS during the COVID-19 pandemic utilizing a self-management model approach. The research employed a quasi-experimental design with pretest and posttest measurements, involving a sample of 30 HIV and AIDS patients in Sorong City, selected through purposive sampling technique. Independent variable in this research was the self-management model, which measured using Self-Management Model Guidebook and dependent variable was increasing the immunity of people with HIV and AIDS, which was measured using Self Reporting Questionnaire (SRQ) and CD4 cell observation. Data were analyzed using Wilcoxon test with significance level for these tests was set at 95%, with α ≤ 0.05. Analyzing the SRQ results of HIV/AIDS patients before and after the intervention, indicated a significant difference with a Sig. (2-tailed) of 0.044 < 0.05. This suggests a notable change in the SRQ results of HIV/AIDS patients. Additionally, the analysis of CD4 cell values before and after the intervention, yielded a Sig. (2-tailed) of 0.000 < 0.05, signifying a difference in the CD4 cell results of HIV/AIDS patients. In conclusion, implementing the self-management model with the four management functions from Planning, Organizing, Actuating, and Controlling (POAC) over a period of 30 days for HIV and AIDS patients during the COVID-19 pandemic can enhance both mental and psychosocial immunity, as well as physical immunity. The findings of this research provide valuable information to health workers, recommending the adoption of the Self-Management Model Guide intervention to enhance the immunity of individuals with HIV and AIDS.
{"title":"The self-management model can increase the immunity of people with HIV and AIDS during the COVID-19 pandemic","authors":"Oktovina Mobalen, I. M. Raka, Rizqi Alvian Fabanyo","doi":"10.4081/hls.2024.11871","DOIUrl":"https://doi.org/10.4081/hls.2024.11871","url":null,"abstract":"Cases of people living with HIV and AIDS continue to increase from year to year, necessitating a focus on maintaining their health. To ensure their well-being, individuals with HIV/AIDS must be vigilant in preserving their immunity, especially during COVID-19 pandemic. This research aimed to enhance the immunity of people with HIV and AIDS during the COVID-19 pandemic utilizing a self-management model approach. The research employed a quasi-experimental design with pretest and posttest measurements, involving a sample of 30 HIV and AIDS patients in Sorong City, selected through purposive sampling technique. Independent variable in this research was the self-management model, which measured using Self-Management Model Guidebook and dependent variable was increasing the immunity of people with HIV and AIDS, which was measured using Self Reporting Questionnaire (SRQ) and CD4 cell observation. Data were analyzed using Wilcoxon test with significance level for these tests was set at 95%, with α ≤ 0.05. Analyzing the SRQ results of HIV/AIDS patients before and after the intervention, indicated a significant difference with a Sig. (2-tailed) of 0.044 < 0.05. This suggests a notable change in the SRQ results of HIV/AIDS patients. Additionally, the analysis of CD4 cell values before and after the intervention, yielded a Sig. (2-tailed) of 0.000 < 0.05, signifying a difference in the CD4 cell results of HIV/AIDS patients. In conclusion, implementing the self-management model with the four management functions from Planning, Organizing, Actuating, and Controlling (POAC) over a period of 30 days for HIV and AIDS patients during the COVID-19 pandemic can enhance both mental and psychosocial immunity, as well as physical immunity. The findings of this research provide valuable information to health workers, recommending the adoption of the Self-Management Model Guide intervention to enhance the immunity of individuals with HIV and AIDS.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"49 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794523","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}
Diabetes mellitus is a chronic disease that has the potential to cause stress due to uncertainty about the course of the disease, treatment, and complications. The aim of this research was to analyze the relationship between the support of health workers, family support, social networks, and health education through the precede-proceed model approach to emotional responses. The type of research is a cross-sectional study. The research was conducted at the Simo Mulyo Health Center in Surabaya, with data collected from June to July 2023. The independent variables, namely the support of health workers, family support, social networks, and health education, were measured using a questionnaire, while the dependent variable, emotional response, was measured using a questionnaire. The population in this study comprised all people with diabetesmellitus registered at the Simo Mulyo Health Center in Surabaya. The inclusion criteria for this study were as follows: patients with unstable blood sugar regulation, aged between 26 and 65 years, capable of reading, and willing to be respondents. The sample size in this study was 112 respondents, and the sampling technique used was simple random sampling. Data analysis utilized the Spearman rho correlation test with a significance level of α = 0.05. The findings indicate that social network support and emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.879. Health education is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.585. Health worker support is correlated with dealing with emotional responses, with a p-value of 0.000 (p < 0.005) and r = 0.786. Family support is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.738. Social network support, health education, family support, and health worker support correlate with the emotional response of people with diabetes mellitus. Therefore, health workers, families, and social networks can enhance support to improve the quality of the patient's emotional response, promoting patient enthusiasm for adhering to treatment and minimizing complications due to diabetes mellitus.
{"title":"Exploring the correlation of social networks, family support, health worker assistance, and health education using the precede-proceed model: impact on emotional responses in diabetes mellitus patients","authors":"Umdatus Soleha, Siti Nurjanah, Umi Hanik","doi":"10.4081/hls.2024.12008","DOIUrl":"https://doi.org/10.4081/hls.2024.12008","url":null,"abstract":"Diabetes mellitus is a chronic disease that has the potential to cause stress due to uncertainty about the course of the disease, treatment, and complications. The aim of this research was to analyze the relationship between the support of health workers, family support, social networks, and health education through the precede-proceed model approach to emotional responses. The type of research is a cross-sectional study. The research was conducted at the Simo Mulyo Health Center in Surabaya, with data collected from June to July 2023. The independent variables, namely the support of health workers, family support, social networks, and health education, were measured using a questionnaire, while the dependent variable, emotional response, was measured using a questionnaire. The population in this study comprised all people with diabetesmellitus registered at the Simo Mulyo Health Center in Surabaya. The inclusion criteria for this study were as follows: patients with unstable blood sugar regulation, aged between 26 and 65 years, capable of reading, and willing to be respondents. The sample size in this study was 112 respondents, and the sampling technique used was simple random sampling. Data analysis utilized the Spearman rho correlation test with a significance level of α = 0.05. The findings indicate that social network support and emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.879. Health education is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.585. Health worker support is correlated with dealing with emotional responses, with a p-value of 0.000 (p < 0.005) and r = 0.786. Family support is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.738. Social network support, health education, family support, and health worker support correlate with the emotional response of people with diabetes mellitus. Therefore, health workers, families, and social networks can enhance support to improve the quality of the patient's emotional response, promoting patient enthusiasm for adhering to treatment and minimizing complications due to diabetes mellitus.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"76 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794317","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}
Oktovina Mobalen, I. M. Raka, Rizqi Alvian Fabanyo
Cases of people living with HIV and AIDS continue to increase from year to year, necessitating a focus on maintaining their health. To ensure their well-being, individuals with HIV/AIDS must be vigilant in preserving their immunity, especially during COVID-19 pandemic. This research aimed to enhance the immunity of people with HIV and AIDS during the COVID-19 pandemic utilizing a self-management model approach. The research employed a quasi-experimental design with pretest and posttest measurements, involving a sample of 30 HIV and AIDS patients in Sorong City, selected through purposive sampling technique. Independent variable in this research was the self-management model, which measured using Self-Management Model Guidebook and dependent variable was increasing the immunity of people with HIV and AIDS, which was measured using Self Reporting Questionnaire (SRQ) and CD4 cell observation. Data were analyzed using Wilcoxon test with significance level for these tests was set at 95%, with α ≤ 0.05. Analyzing the SRQ results of HIV/AIDS patients before and after the intervention, indicated a significant difference with a Sig. (2-tailed) of 0.044 < 0.05. This suggests a notable change in the SRQ results of HIV/AIDS patients. Additionally, the analysis of CD4 cell values before and after the intervention, yielded a Sig. (2-tailed) of 0.000 < 0.05, signifying a difference in the CD4 cell results of HIV/AIDS patients. In conclusion, implementing the self-management model with the four management functions from Planning, Organizing, Actuating, and Controlling (POAC) over a period of 30 days for HIV and AIDS patients during the COVID-19 pandemic can enhance both mental and psychosocial immunity, as well as physical immunity. The findings of this research provide valuable information to health workers, recommending the adoption of the Self-Management Model Guide intervention to enhance the immunity of individuals with HIV and AIDS.
{"title":"The self-management model can increase the immunity of people with HIV and AIDS during the COVID-19 pandemic","authors":"Oktovina Mobalen, I. M. Raka, Rizqi Alvian Fabanyo","doi":"10.4081/hls.2024.11871","DOIUrl":"https://doi.org/10.4081/hls.2024.11871","url":null,"abstract":"Cases of people living with HIV and AIDS continue to increase from year to year, necessitating a focus on maintaining their health. To ensure their well-being, individuals with HIV/AIDS must be vigilant in preserving their immunity, especially during COVID-19 pandemic. This research aimed to enhance the immunity of people with HIV and AIDS during the COVID-19 pandemic utilizing a self-management model approach. The research employed a quasi-experimental design with pretest and posttest measurements, involving a sample of 30 HIV and AIDS patients in Sorong City, selected through purposive sampling technique. Independent variable in this research was the self-management model, which measured using Self-Management Model Guidebook and dependent variable was increasing the immunity of people with HIV and AIDS, which was measured using Self Reporting Questionnaire (SRQ) and CD4 cell observation. Data were analyzed using Wilcoxon test with significance level for these tests was set at 95%, with α ≤ 0.05. Analyzing the SRQ results of HIV/AIDS patients before and after the intervention, indicated a significant difference with a Sig. (2-tailed) of 0.044 < 0.05. This suggests a notable change in the SRQ results of HIV/AIDS patients. Additionally, the analysis of CD4 cell values before and after the intervention, yielded a Sig. (2-tailed) of 0.000 < 0.05, signifying a difference in the CD4 cell results of HIV/AIDS patients. In conclusion, implementing the self-management model with the four management functions from Planning, Organizing, Actuating, and Controlling (POAC) over a period of 30 days for HIV and AIDS patients during the COVID-19 pandemic can enhance both mental and psychosocial immunity, as well as physical immunity. The findings of this research provide valuable information to health workers, recommending the adoption of the Self-Management Model Guide intervention to enhance the immunity of individuals with HIV and AIDS.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"12 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854382","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}
Khalid Ibrahim Mohammed Saber, Deldar Morad Abdulah, Nawzad Sulaiman Murad, Zuhair Rushdi Mustafa
Globally, burns are the most devastating injuries, causing more than 120,000 deaths annually, particularly in low- and middle-income countries. This study investigated the epidemiologic and clinical characteristics and outcomes of burn patients. This retrospective study was conducted at the Duhok Burn and Plastic Surgery Hospital between 2014 and 2023. The data collected included demographic characteristics of the patients, burn etiology, location of burn, degree of burn, and hospitalization duration. The study included 713 cases, with the majority (41.37%) in the 0-17 age group. Mortality increased with age, and housewives had the highest mortality rate (54.91%). Urban residents had a higher mortality rate (40.81%) than rural residents (28.80%). Winter and spring had higher rates of burn patients (31.84% and 29.17%). Most burns occurred at home (90.88%), with flame (70.97%) and scald (25.11%) as the primary causes. Hospitalizations were mostly 1-14 days (83.73%), and second and third-degree burns were common (47.27% and 50.07%). About 75.74% of patients suffered upper limb injuries. In 2023, there was a slightly higher burn rate (16.27%) compared to previous years.Burns were most frequently suffered by children, particularly during winter and spring at home. The primary causes were flame and scald injuries. Females were more prone to flame injuries, while males experienced a higher incidence of scald injuries. Among the affected groups, housewives had the highest mortality rate, and this elevated risk was linked to their advancing age.
{"title":"Epidemiologic and clinical characteristics and outcomes of burn patients in Kurdistan Region: a one-decade large retrospective cross-sectional study","authors":"Khalid Ibrahim Mohammed Saber, Deldar Morad Abdulah, Nawzad Sulaiman Murad, Zuhair Rushdi Mustafa","doi":"10.4081/hls.2024.12187","DOIUrl":"https://doi.org/10.4081/hls.2024.12187","url":null,"abstract":"Globally, burns are the most devastating injuries, causing more than 120,000 deaths annually, particularly in low- and middle-income countries. This study investigated the epidemiologic and clinical characteristics and outcomes of burn patients. This retrospective study was conducted at the Duhok Burn and Plastic Surgery Hospital between 2014 and 2023. The data collected included demographic characteristics of the patients, burn etiology, location of burn, degree of burn, and hospitalization duration. The study included 713 cases, with the majority (41.37%) in the 0-17 age group. Mortality increased with age, and housewives had the highest mortality rate (54.91%). Urban residents had a higher mortality rate (40.81%) than rural residents (28.80%). Winter and spring had higher rates of burn patients (31.84% and 29.17%). Most burns occurred at home (90.88%), with flame (70.97%) and scald (25.11%) as the primary causes. Hospitalizations were mostly 1-14 days (83.73%), and second and third-degree burns were common (47.27% and 50.07%). About 75.74% of patients suffered upper limb injuries. In 2023, there was a slightly higher burn rate (16.27%) compared to previous years.Burns were most frequently suffered by children, particularly during winter and spring at home. The primary causes were flame and scald injuries. Females were more prone to flame injuries, while males experienced a higher incidence of scald injuries. Among the affected groups, housewives had the highest mortality rate, and this elevated risk was linked to their advancing age.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":" 0","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139791542","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}
Imroatul Farida, Christina Yuliastuti, Nuh Huda, Nur Muji Astuti, Vedia Lutfiana
This study aimed to evaluate the effectiveness of Cocor Bebek (Kalanchoe pinnata) leaves in wound cleaning for diabetic foot ulcers (DFU) and compare it with the use of NaCl solution. Diabetes mellitus (DM) and its complications, such as DFU, pose a global health problem with increasing prevalence. Given the escalating occurrence of DFU, timely and effective treatment is crucial to prevent severe complications, including amputation. This research employed a quasi-experimental design with a pretest-posttest control group and was conducted at Rumah Luka Surabaya, Indonesia. The sample comprised 40 respondents with DFU, divided into an intervention group (using Cocor Bebek leaves) and a control group (using NaCl solution). Respondents' characteristics, including age, sex, occupation, duration of diabetes, and other factors, were assessed to understand their impact on the response to treatment. The results demonstrated a significant improvement in DFU wound healing in the intervention group after using Cocor Bebek leaves (p<0.05), along with reduced scores on Bates Jensen Wound Assessment Tool (BWAT) indicators such as wound edge, tunnel, and necrotic tissue type. Conversely, the control group using NaCl solution also exhibited significant improvement in wound healing (p<0.05), with decreased scores on indicators such as the amount of necrotic tissue and the quantity of exudate. This study underscores the potential of Cocor Bebek leaves in aiding wound healing in DFU, evident from clinical improvements and reduced BWAT scores. However, further research and clinical trials are needed to comprehensively support these findings and understand the mechanism of action, as well as the safety of using Cocor Bebek leaves in diabetic patients.
{"title":"The effectiveness of wound cleansing using Cocor Bebek (Kalanchoe pinnata) leaves in healing diabetic foot ulcers","authors":"Imroatul Farida, Christina Yuliastuti, Nuh Huda, Nur Muji Astuti, Vedia Lutfiana","doi":"10.4081/hls.2024.11835","DOIUrl":"https://doi.org/10.4081/hls.2024.11835","url":null,"abstract":"This study aimed to evaluate the effectiveness of Cocor Bebek (Kalanchoe pinnata) leaves in wound cleaning for diabetic foot ulcers (DFU) and compare it with the use of NaCl solution. Diabetes mellitus (DM) and its complications, such as DFU, pose a global health problem with increasing prevalence. Given the escalating occurrence of DFU, timely and effective treatment is crucial to prevent severe complications, including amputation. This research employed a quasi-experimental design with a pretest-posttest control group and was conducted at Rumah Luka Surabaya, Indonesia. The sample comprised 40 respondents with DFU, divided into an intervention group (using Cocor Bebek leaves) and a control group (using NaCl solution). Respondents' characteristics, including age, sex, occupation, duration of diabetes, and other factors, were assessed to understand their impact on the response to treatment. The results demonstrated a significant improvement in DFU wound healing in the intervention group after using Cocor Bebek leaves (p<0.05), along with reduced scores on Bates Jensen Wound Assessment Tool (BWAT) indicators such as wound edge, tunnel, and necrotic tissue type. Conversely, the control group using NaCl solution also exhibited significant improvement in wound healing (p<0.05), with decreased scores on indicators such as the amount of necrotic tissue and the quantity of exudate. This study underscores the potential of Cocor Bebek leaves in aiding wound healing in DFU, evident from clinical improvements and reduced BWAT scores. However, further research and clinical trials are needed to comprehensively support these findings and understand the mechanism of action, as well as the safety of using Cocor Bebek leaves in diabetic patients.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139793029","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}
Khalid Ibrahim Mohammed Saber, Deldar Morad Abdulah, Nawzad Sulaiman Murad, Zuhair Rushdi Mustafa
Globally, burns are the most devastating injuries, causing more than 120,000 deaths annually, particularly in low- and middle-income countries. This study investigated the epidemiologic and clinical characteristics and outcomes of burn patients. This retrospective study was conducted at the Duhok Burn and Plastic Surgery Hospital between 2014 and 2023. The data collected included demographic characteristics of the patients, burn etiology, location of burn, degree of burn, and hospitalization duration. The study included 713 cases, with the majority (41.37%) in the 0-17 age group. Mortality increased with age, and housewives had the highest mortality rate (54.91%). Urban residents had a higher mortality rate (40.81%) than rural residents (28.80%). Winter and spring had higher rates of burn patients (31.84% and 29.17%). Most burns occurred at home (90.88%), with flame (70.97%) and scald (25.11%) as the primary causes. Hospitalizations were mostly 1-14 days (83.73%), and second and third-degree burns were common (47.27% and 50.07%). About 75.74% of patients suffered upper limb injuries. In 2023, there was a slightly higher burn rate (16.27%) compared to previous years.Burns were most frequently suffered by children, particularly during winter and spring at home. The primary causes were flame and scald injuries. Females were more prone to flame injuries, while males experienced a higher incidence of scald injuries. Among the affected groups, housewives had the highest mortality rate, and this elevated risk was linked to their advancing age.
{"title":"Epidemiologic and clinical characteristics and outcomes of burn patients in Kurdistan Region: a one-decade large retrospective cross-sectional study","authors":"Khalid Ibrahim Mohammed Saber, Deldar Morad Abdulah, Nawzad Sulaiman Murad, Zuhair Rushdi Mustafa","doi":"10.4081/hls.2024.12187","DOIUrl":"https://doi.org/10.4081/hls.2024.12187","url":null,"abstract":"Globally, burns are the most devastating injuries, causing more than 120,000 deaths annually, particularly in low- and middle-income countries. This study investigated the epidemiologic and clinical characteristics and outcomes of burn patients. This retrospective study was conducted at the Duhok Burn and Plastic Surgery Hospital between 2014 and 2023. The data collected included demographic characteristics of the patients, burn etiology, location of burn, degree of burn, and hospitalization duration. The study included 713 cases, with the majority (41.37%) in the 0-17 age group. Mortality increased with age, and housewives had the highest mortality rate (54.91%). Urban residents had a higher mortality rate (40.81%) than rural residents (28.80%). Winter and spring had higher rates of burn patients (31.84% and 29.17%). Most burns occurred at home (90.88%), with flame (70.97%) and scald (25.11%) as the primary causes. Hospitalizations were mostly 1-14 days (83.73%), and second and third-degree burns were common (47.27% and 50.07%). About 75.74% of patients suffered upper limb injuries. In 2023, there was a slightly higher burn rate (16.27%) compared to previous years.Burns were most frequently suffered by children, particularly during winter and spring at home. The primary causes were flame and scald injuries. Females were more prone to flame injuries, while males experienced a higher incidence of scald injuries. Among the affected groups, housewives had the highest mortality rate, and this elevated risk was linked to their advancing age.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139851463","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}
Diabetes mellitus is a chronic disease that has the potential to cause stress due to uncertainty about the course of the disease, treatment, and complications. The aim of this research was to analyze the relationship between the support of health workers, family support, social networks, and health education through the precede-proceed model approach to emotional responses. The type of research is a cross-sectional study. The research was conducted at the Simo Mulyo Health Center in Surabaya, with data collected from June to July 2023. The independent variables, namely the support of health workers, family support, social networks, and health education, were measured using a questionnaire, while the dependent variable, emotional response, was measured using a questionnaire. The population in this study comprised all people with diabetesmellitus registered at the Simo Mulyo Health Center in Surabaya. The inclusion criteria for this study were as follows: patients with unstable blood sugar regulation, aged between 26 and 65 years, capable of reading, and willing to be respondents. The sample size in this study was 112 respondents, and the sampling technique used was simple random sampling. Data analysis utilized the Spearman rho correlation test with a significance level of α = 0.05. The findings indicate that social network support and emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.879. Health education is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.585. Health worker support is correlated with dealing with emotional responses, with a p-value of 0.000 (p < 0.005) and r = 0.786. Family support is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.738. Social network support, health education, family support, and health worker support correlate with the emotional response of people with diabetes mellitus. Therefore, health workers, families, and social networks can enhance support to improve the quality of the patient's emotional response, promoting patient enthusiasm for adhering to treatment and minimizing complications due to diabetes mellitus.
{"title":"Exploring the correlation of social networks, family support, health worker assistance, and health education using the precede-proceed model: impact on emotional responses in diabetes mellitus patients","authors":"Umdatus Soleha, Siti Nurjanah, Umi Hanik","doi":"10.4081/hls.2024.12008","DOIUrl":"https://doi.org/10.4081/hls.2024.12008","url":null,"abstract":"Diabetes mellitus is a chronic disease that has the potential to cause stress due to uncertainty about the course of the disease, treatment, and complications. The aim of this research was to analyze the relationship between the support of health workers, family support, social networks, and health education through the precede-proceed model approach to emotional responses. The type of research is a cross-sectional study. The research was conducted at the Simo Mulyo Health Center in Surabaya, with data collected from June to July 2023. The independent variables, namely the support of health workers, family support, social networks, and health education, were measured using a questionnaire, while the dependent variable, emotional response, was measured using a questionnaire. The population in this study comprised all people with diabetesmellitus registered at the Simo Mulyo Health Center in Surabaya. The inclusion criteria for this study were as follows: patients with unstable blood sugar regulation, aged between 26 and 65 years, capable of reading, and willing to be respondents. The sample size in this study was 112 respondents, and the sampling technique used was simple random sampling. Data analysis utilized the Spearman rho correlation test with a significance level of α = 0.05. The findings indicate that social network support and emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.879. Health education is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.585. Health worker support is correlated with dealing with emotional responses, with a p-value of 0.000 (p < 0.005) and r = 0.786. Family support is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.738. Social network support, health education, family support, and health worker support correlate with the emotional response of people with diabetes mellitus. Therefore, health workers, families, and social networks can enhance support to improve the quality of the patient's emotional response, promoting patient enthusiasm for adhering to treatment and minimizing complications due to diabetes mellitus.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854487","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}
Imroatul Farida, Christina Yuliastuti, Nuh Huda, Nur Muji Astuti, Vedia Lutfiana
This study aimed to evaluate the effectiveness of Cocor Bebek (Kalanchoe pinnata) leaves in wound cleaning for diabetic foot ulcers (DFU) and compare it with the use of NaCl solution. Diabetes mellitus (DM) and its complications, such as DFU, pose a global health problem with increasing prevalence. Given the escalating occurrence of DFU, timely and effective treatment is crucial to prevent severe complications, including amputation. This research employed a quasi-experimental design with a pretest-posttest control group and was conducted at Rumah Luka Surabaya, Indonesia. The sample comprised 40 respondents with DFU, divided into an intervention group (using Cocor Bebek leaves) and a control group (using NaCl solution). Respondents' characteristics, including age, sex, occupation, duration of diabetes, and other factors, were assessed to understand their impact on the response to treatment. The results demonstrated a significant improvement in DFU wound healing in the intervention group after using Cocor Bebek leaves (p<0.05), along with reduced scores on Bates Jensen Wound Assessment Tool (BWAT) indicators such as wound edge, tunnel, and necrotic tissue type. Conversely, the control group using NaCl solution also exhibited significant improvement in wound healing (p<0.05), with decreased scores on indicators such as the amount of necrotic tissue and the quantity of exudate. This study underscores the potential of Cocor Bebek leaves in aiding wound healing in DFU, evident from clinical improvements and reduced BWAT scores. However, further research and clinical trials are needed to comprehensively support these findings and understand the mechanism of action, as well as the safety of using Cocor Bebek leaves in diabetic patients.
{"title":"The effectiveness of wound cleansing using Cocor Bebek (Kalanchoe pinnata) leaves in healing diabetic foot ulcers","authors":"Imroatul Farida, Christina Yuliastuti, Nuh Huda, Nur Muji Astuti, Vedia Lutfiana","doi":"10.4081/hls.2024.11835","DOIUrl":"https://doi.org/10.4081/hls.2024.11835","url":null,"abstract":"This study aimed to evaluate the effectiveness of Cocor Bebek (Kalanchoe pinnata) leaves in wound cleaning for diabetic foot ulcers (DFU) and compare it with the use of NaCl solution. Diabetes mellitus (DM) and its complications, such as DFU, pose a global health problem with increasing prevalence. Given the escalating occurrence of DFU, timely and effective treatment is crucial to prevent severe complications, including amputation. This research employed a quasi-experimental design with a pretest-posttest control group and was conducted at Rumah Luka Surabaya, Indonesia. The sample comprised 40 respondents with DFU, divided into an intervention group (using Cocor Bebek leaves) and a control group (using NaCl solution). Respondents' characteristics, including age, sex, occupation, duration of diabetes, and other factors, were assessed to understand their impact on the response to treatment. The results demonstrated a significant improvement in DFU wound healing in the intervention group after using Cocor Bebek leaves (p<0.05), along with reduced scores on Bates Jensen Wound Assessment Tool (BWAT) indicators such as wound edge, tunnel, and necrotic tissue type. Conversely, the control group using NaCl solution also exhibited significant improvement in wound healing (p<0.05), with decreased scores on indicators such as the amount of necrotic tissue and the quantity of exudate. This study underscores the potential of Cocor Bebek leaves in aiding wound healing in DFU, evident from clinical improvements and reduced BWAT scores. However, further research and clinical trials are needed to comprehensively support these findings and understand the mechanism of action, as well as the safety of using Cocor Bebek leaves in diabetic patients.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"112 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139852957","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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