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Effectiveness of nesting and pronation on oxygen saturation in babies with respiratory distress syndrome 嵌套和内旋对呼吸窘迫综合征婴儿血氧饱和度的影响
Pub Date : 2023-08-31 DOI: 10.30595/medisains.v21i2.17080
Eni Rahmawati, Helda Budi Rahmawati, Meivita Dewi Purnamasari, Haryatiningsih Purwandari, Aris Fitriyani
Background: The infant mortality rate in Indonesia is still relatively high at 15 per 1000 live births. Cause of Infant death can occur due to intrapartum complications, one of which is a respiratory system disorder in the form of Respiratory Distress Syndrome (RDS). The nesting and prone positions intervention can be made to optimize the oxygenation status of babies with RDS. However, it is necessary to see the effectiveness of both positions in increasing oxygen saturation.Objective: This study aims to determine differences in oxygen saturation in infants with RDS who are given nesting and pronation.Methods: This is a quasi-experimental with a two-group pretest-posttest design. The total sample of 36 respondents was divided into the nesting and pronation group positions with the consecutive sampling technique. Oxygen saturation levels were measured using a pulse oximeter before and after the intervention for 15 minutes in one day. The analytical test is a paired t-test and an independent t-test.Results: The statistical test results for the pretest-posttest difference in oxygen saturation (p<0.05) in the pronation group increased by 3.6% compared to the nesting group by 0.3%, which means that the prone position is better at increasing oxygen saturation.Conclusion: Pronation is more effective in increasing oxygen saturation than nesting in infants with RDS. So, pronation can be used as a nursing intervention in infants with RDS.
背景:印度尼西亚的婴儿死亡率仍然相对较高,为千分之十五活产。婴儿死亡的原因可能是产时并发症,其中之一是呼吸窘迫综合征(RDS)形式的呼吸系统疾病。窝位和俯卧位干预可以优化RDS婴儿的氧合状态。然而,有必要观察这两种位置在提高氧饱和度方面的有效性。目的:本研究旨在确定嵌套和内旋治疗RDS婴儿的血氧饱和度差异。方法:这是一个准实验,采用两组前测后测设计。采用连续抽样技术,将36名受访者的总样本分为嵌套组和内旋组。在一天内干预15分钟之前和之后,使用脉搏血氧计测量氧饱和度水平。分析检验是配对t检验和独立t检验。结果:俯卧组的测试前和测试后血氧饱和度差异(p<0.05)的统计检验结果比嵌套组增加了3.6%,这意味着俯卧姿势更能提高血氧饱和度。结论:在患有RDS的婴儿中,俯卧比筑巢更能有效地提高血氧饱和度。因此,内旋可作为RDS患儿的护理干预措施。
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引用次数: 0
HPV vaccine program for cervical cancer prevention: how to increase community acceptance? 宫颈癌症预防HPV疫苗计划:如何提高社区接受度?
Pub Date : 2023-08-31 DOI: 10.30595/medisains.v21i2.19167
Dedy Purwito
Cervical cancer is Indonesia's second leading cause of death and a significant health financing burden. In 2021, there were 36,633 cases, most caused by HPV (95%). This cancer can be prevented with HPV immunization. The Indonesian government is committed to vaccine-preventing diseases and strengthening health services, focusing on prevention. Immunizations are given to girls in grades 5 and 6 of elementary school to achieve a minimum of 90% immunization coverage and reduce cervical cancer. Support from all parties is needed for the success of this program.
子宫颈癌是印度尼西亚的第二大死因,也是一个重大的卫生筹资负担。2021年,有36633例,大多数由HPV引起(95%)。这种癌症可以通过HPV免疫来预防。印度尼西亚政府致力于用疫苗预防疾病和加强保健服务,重点是预防。对小学五年级和六年级的女孩进行免疫接种,以达到至少90%的免疫覆盖率并减少宫颈癌。项目的成功需要各方的支持。
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引用次数: 0
Web-based self-mental health screening and emotional mental problem management in incarcerated juvenile 基于网络的在押未成年人自我心理健康筛查与情绪心理问题管理
Pub Date : 2023-08-31 DOI: 10.30595/medisains.v21i2.16950
Prasetyo Aji Nugroho, S. Rungreangkulkij
Background: In Indonesia, The Strength and Difficulties Questionnaire (SDQ) is a standard for emotional mental problems screening in incarcerated. However, according to the Ministry of Law and Human Rights regarding the Standards of Health and Care Services Based on Information Technology, there is no information about mental health self-screening computerize-based. During incarceration, incarcerated adolescents have more significant emotional mental problems than adolescents in the community. Therefore, the focus of developing mental health screening applications is juvenile incarceration, but not limited to adolescents in the community.Purpose: The study aims to develop an application for the early detection of emotional mental problems in juvenile offenders that can be monitored by staff, and the juveniles can manage their mental health status during incarceration.Method: This study conducted the ADDIE model, namely, Analysis, Design, Development, Implementation, and Evaluation.Results: An application called MyBehave, a web application-based using the computer, has been created, which has a feature of detecting emotional mental problems and management of emotional mental problems through mental health promotion while in incarceration. Users can carry out early detection independently, and the staff can monitor the development activities to improve mental health. The results of trials conducted on juvenile incarcerated found that this application system was more effective than the manual.Conclusion: This application is helpful for health workers in incarceration in conducting early detection of emotional mental problems and promoting mental health for juvenile incarcerated. This application was cost-effective (paperless), easy to access, can store vast amounts of database information, repeat over time, and does not need clinical training.
背景:在印度尼西亚,力量和困难问卷(SDQ)是被监禁者情绪心理问题筛查的标准。然而,根据法律和人权部关于《基于信息技术的卫生和护理服务标准》的资料,没有关于基于计算机的心理健康自我筛查的信息。在监禁期间,被监禁的青少年比社区中的青少年有更严重的情感心理问题。因此,开发心理健康筛查应用程序的重点是青少年监禁,但不限于社区中的青少年。目的:该研究旨在开发一种应用程序,用于早期发现青少年罪犯的情绪心理问题,工作人员可以对其进行监测,青少年可以在监禁期间管理自己的心理健康状况。方法:本研究采用ADDIE模型,即分析、设计、开发、实施和评估。结果:创建了一个名为MyBehave的应用程序,它是一个基于计算机的网络应用程序,具有在监禁期间通过心理健康促进来检测情绪心理问题和管理情绪心理问题的功能。用户可以独立进行早期检测,工作人员可以监测发育活动,以改善心理健康。对被监禁的青少年进行的审判结果发现,这种申请系统比手册更有效。结论:该应用程序有助于监狱卫生工作者早期发现被监禁未成年人的情绪心理问题,促进其心理健康。该应用程序具有成本效益(无纸化),易于访问,可以存储大量数据库信息,随时间重复,并且不需要临床培训。
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引用次数: 0
Factors influence self-care behavior and diabetic management in patients with diabetes mellitus 影响糖尿病患者自我护理行为及糖尿病管理的因素
Pub Date : 2023-08-31 DOI: 10.30595/medisains.v21i2.18663
Ni Luh, Putu Sekardiani, Ketut Swarjana, Adi Satriani, Sri Dewi Megayanti
Background: Self-care behavior and diabetic management in patients with diabetes mellitus (DM) tends to be low, especially during the COVID-19 pandemic. Various studies have found the influence of knowledge with self-care behavior diabetic management, as well as attitudes, motivation, family support and self-efficacy, but research analyzing the most dominant factors that play a role in influencing diabetic patients in self-care behavior and diabetic management is still limited.Purposes: Analyzing the factors that influence self-care behavior and diabetic management in diabetic patients. This study also analyzes the factor that play the most dominant role to influence self-care behavior and diabetic management in diabetic patients.Methods: This type of research is observational analytic with cross-sectional design. Patients of type 2 diabetes were the population in this study, with a sample size of 312 selected by convenience sampling. Factors of knowledge, attitude, motivation, family support and self-efficacy were observed in the study which were thought to be factors affecting self-care behavior diabetic management. The data were analyzed by chi square test and logistic regression.Results: The factors of knowledge, family support, and motivation significantly influence self-care behavior and diabetic management (p<0.05). The motivation factor is the most dominant factor affecting it (AOR 2.760; p<0.001).Conclusion: Good knowledge about diabetes management plus optimal family support and high motivation will improve self-care behavior and diabetic management in diabetic patients.
背景:糖尿病(DM)患者的自我保健行为和糖尿病管理往往较低,特别是在COVID-19大流行期间。各种研究都发现知识对糖尿病自我护理行为管理的影响,以及态度、动机、家庭支持和自我效能感的影响,但分析影响糖尿病患者自我护理行为和糖尿病管理的最主要因素的研究仍然有限。目的:分析影响糖尿病患者自我护理行为及糖尿病管理的因素。本研究还分析了影响糖尿病患者自我护理行为和糖尿病管理的最主要因素。方法:采用横断面设计的观察分析方法。本研究以2型糖尿病患者为研究人群,采用方便抽样法选取312例样本。研究发现知识、态度、动机、家庭支持和自我效能感是影响糖尿病患者自我护理行为的因素。数据采用卡方检验和logistic回归分析。结果:知识、家庭支持和动机因素对自我护理行为和糖尿病管理有显著影响(p<0.05)。动机因素是影响其最主要的因素(AOR为2.760;p < 0.001)。结论:良好的糖尿病管理知识、良好的家庭支持和良好的动力可以改善糖尿病患者的自我护理行为和糖尿病管理。
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引用次数: 0
Green tea leaf extract reduces viability and migration of cholesteatoma fibroblast of chronic suppurative otitis media cultured in vitro 绿茶提取物降低体外培养慢性化脓性中耳炎胆脂瘤成纤维细胞的活力和迁移
Pub Date : 2023-08-31 DOI: 10.30595/medisains.v21i2.17049
Anika Rizki, Yulia Suciati, R. S. Hadi
Background: Chronic Suppurative Otitis Media (CSOM) is still a health problem, especially in developing countries. CSOM with cholesteatoma is a dangerous type. Cholesteatoma in CSOM sufferers can cause various complications. Therefore, alternative therapies are needed, such as green tea leaf extract. Green tea leaf extract can be an antioxidant and anti-inflammatory, but its effectiveness in treating CSOM has not been studied before, so research is needed..   Purpose: This research aimed to determine the effect of green tea leaf extract that could reduce viability and migration in cholesteatoma fibroblast of CSOM.Methods: This research was an in vitro experiment with a post-test-only control group design. The sample for this research was cholesteatoma fibroblast cells obtained from the isolation of patients with CSOM. The method used is Hoechst staining for viability and scratch techniques for cell migration with eight groups of cholesteatoma fibroblasts consisting of a negative control group (DMEM+FBS), DMEM group, two positive control groups dexamethasone (10 µM and 100 µM), and four green tea leaf extract group (10 µg/ml, 40 µg/ml, 80 µg/ml, and 160 µg/ml). Data analysis used One-Way ANOVA and Kruskal Wallis tests.Results: The results showed that the highest average cell viability was in the negative control group (165.33), and the lowest was in green tea leaf extract at a dose of 160 µg/ml (70.88). Cell migration at 72 hours showed that in the negative control group, there was faster closure of the scratch area (97,78%) and the slowest closure on green tea leaf extract at a dose of 160 µg/ml (13,81%).Conclusion: Green tea leaf extract can reduce the viability and migration in cholesteatoma fibroblast of CSOM. It shows the potential of green tea extract as an alternative to prevent cholesteatoma.
背景:慢性化脓性中耳炎(CSOM)仍然是一个健康问题,特别是在发展中国家。CSOM合并胆脂瘤是一种危险类型。胆脂瘤患者可引起各种并发症。因此,需要替代疗法,如绿茶提取物。绿茶提取物具有抗氧化和抗炎作用,但其治疗慢性som的效果尚未见研究,有待进一步研究。目的:研究绿茶提取物对胆脂瘤成纤维细胞活力和迁移的影响。方法:采用体外实验法,采用后验对照组设计。本研究的样本是从CSOM患者的分离中获得的胆脂瘤成纤维细胞。采用Hoechst染色法对8组胆脂瘤成纤维细胞进行细胞迁移和划伤技术,包括阴性对照组(DMEM+FBS)、DMEM组、2个阳性对照组地塞米松(10µM和100µM)和4个绿茶提取物组(10µg/ml、40µg/ml、80µg/ml和160µg/ml)。数据分析采用单因素方差分析和Kruskal Wallis检验。结果:阴性对照组平均细胞活力最高(165.33),160µg/ml绿茶提取物最低(70.88);细胞在72 h时的迁移表明,阴性对照组在160µg/ml剂量下,划痕区愈合速度最快(97,78%),愈合速度最慢(13.81%)。结论:绿茶提取物可降低心肌胆脂瘤成纤维细胞的活力和迁移能力。它显示了绿茶提取物作为预防胆脂瘤的替代品的潜力。
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引用次数: 0
Effect of psycho-religious group therapy on hallucination in schizophrenia patient 心理-宗教团体治疗对精神分裂症患者幻觉的影响
Pub Date : 2023-04-28 DOI: 10.30595/medisains.v21i1.16982
Yanuar Fahrizal, Reny Nur Saputri
Background: Psycho-religious therapy can be used to treat schizophrenia patients. Group therapy is also effective at reducing the signs and symptoms of hallucinations. Combining these two methods for the intervention of schizophrenic patients who experience hallucinations still needs scientific evidence.Objective: This study aims to determine the influence of dhikr psycho-religious group therapy on changes in signs of hallucination symptoms in patients with a psychotic disorder.Methods: This is a pre-experiment study with a pre-post-test design. The sample number was 33 participants in schizophrenia patients with hallucinations. Sampling techniques use purposive sampling that meets inclusion criteria. The research instrument uses a hallucination signs and symptoms evaluation questionnaire. Dhikr psycho-religious group therapy is carried out in 4 times meetings with two stages—data analysis using frequency distribution and statistically paired t-test test.Results: The hallucination symptom score before the intervention was 22.36; after the intervention, it decreased to 11.03. The statistical analysis showed significant differences in hallucination symptoms before and after the intervention of psycho-religious group therapy (p<0.05). Psycho-religious group therapy provides a medium effect in reducing hallucination symptoms (Cohen's d: 3.09).Conclusion: Psycho-religious group therapy can significantly reduce hallucination symptoms.
背景:宗教心理疗法可用于治疗精神分裂症患者。团体治疗在减少幻觉的体征和症状方面也很有效。结合这两种方法对出现幻觉的精神分裂症患者进行干预仍然需要科学的证据。目的:本研究旨在确定dhikr心理宗教团体治疗对精神病患者幻觉症状体征变化的影响。方法:这是一项试验前研究,采用试验前-试验后设计。样本数量为33名患有幻觉的精神分裂症患者。采样技术使用符合纳入标准的有目的的采样。该研究工具使用了幻觉体征和症状评估问卷。Dhikr心理宗教团体治疗分两个阶段进行4次会议——使用频率分布和统计配对t检验进行数据分析。结果:干预前幻觉症状评分为22.36分;干预后降至11.03。统计分析显示,宗教心理团体治疗干预前后幻觉症状有显著性差异(p<0.05)。宗教心理团体疗法在减轻幻觉症状方面具有中等效果(Cohen’s d:3.09)。
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引用次数: 0
Red ginger (Zingiber officinale var. rubrum) nanoparticle extracts on reducing the blood pressure for postpartum hypertension 红姜纳米颗粒提取物对产后高血压的降压作用
Pub Date : 2023-04-28 DOI: 10.30595/medisains.v21i1.15165
Ummu Luthfiyah, Runjati Runjati, M. Anwar
Background: Red ginger contains flavonoids, which can cause vasodilation and decreased cardiac output and pressure. Previous research on red ginger on blood pressure has been carried out and showed significant results. However, it has yet to be studied in nanoparticle extracts, where nanoparticles are the best drug carrier system, so it is necessary to research.Purpose: Making and testing red ginger nanoparticle administration (Zingiber officinale var. rubrum) to reduce blood pressure in hypertensive postpartum mothers.Methods: This is an experimental study with a pre-post control group design. The sample consisted of 40 postpartum hypertensive mothers divided into two groups, namely 20 interventions and 20 controls. The intervention group was given red ginger nanoparticles made using the bottom-up method with a dose of 300 mg and the antihypertensive drug nifedipine, while the control group was given the antihypertensive drug nifedipine alone; both were given for two weeks. Data analysis used the Independent t-test and reapeted ANOVA tests.Results: The systolic blood pressure in the intervention group decreased by 12.95 mmHg on the 7th and 28.4 mmHg on the 14th day (p<0.001) while the control group was 7.05 mmHg on the 7th day and 14.8 mmHg on the 14th day (p<0.001). Diastolic blood pressure in the intervention group decreased by 3.55 mmHg on the 7th day and 11.90 mmHg on the 14th day (p<0.001), while the control group was 2.88 mmHg on the seventh day (p<0.007) and fifth day 35 mmHg on day 14 (p<0.002).Conclusion: Giving red ginger nanoparticles can reduce blood pressure in postpartum hypertension
背景:红姜中含有黄酮类化合物,可引起血管舒张,降低心输出量和血压。先前对红姜降压的研究已经进行并显示出显著的结果。然而,它在纳米颗粒提取物中还有待研究,其中纳米颗粒是最好的药物载体系统,因此有必要进行研究。目的:制备并测试红姜纳米颗粒给药(姜)对产后高血压母亲降压的作用。方法:采用前后对照组设计进行实验研究。样本由40名产后高血压母亲组成,分为两组,即20名干预者和20名对照者。干预组给予自下而上制备的红姜纳米粒子300mg和降压药硝苯地平,对照组单独给予降压药硝硝苯地平;两个疗程均为两周。数据分析采用独立t检验和收获方差分析检验。结果:干预组收缩压第7天下降12.95 mmHg,第14天下降28.4 mmHg(p<0.001),对照组第7天和第14天分别下降7.05 mmHg和14.8 mmHg(p<0.001),对照组第7天为2.88mmHg(p<0.007),第5天为35mmHg(p>0.002)
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引用次数: 0
The effectivity of mindfulness-based art therapy application-based artificial intelligence on the mental health of pregnant women 基于正念的艺术治疗基于人工智能的应用对孕妇心理健康的有效性
Pub Date : 2023-04-28 DOI: 10.30595/medisains.v21i1.16097
Yeyen Wulandari Dhanio, Runjati Runjati, A. Suwondo, Kurnianingsih Kurnianingsih, S. Sudiyono
Background: The COVID-19 pandemic has become a new stressor with significant pregnancy consequences, limiting access to health services. Mindfulness-Based Art Therapy (MBAT) has been proven to intervene in the body-mind-soul and improve mental health problems. However, no research has developed it into a form of artificial intelligence for use by pregnant women in supporting the current situation of access to health services.Purpose: This study aims to produce a system of MBAT based on artificial intelligence for early detection and to prove the effectiveness of improving mental health in pregnant women.Methods: This study employed Research & Development consisting of 4 stages, namely Literature Study, Development Stage, Validity Expert, and Trial.Results: The MBAT application has five features, from mental health information to history. The validity score of the application system is 87.33%. The trial results showed that the application effectively reduces stress levels by 91.26% and anxiety by 90.24%. Also, the application can predict the percentage reduction in stress and anxiety levels correctly and without errors using the decision tree.Conclusion: This application is helpful for pregnant women and health workers in detecting stress and anxiety levels early in pregnancy and improving mental health.
背景:新冠肺炎大流行已成为一种新的压力源,对怀孕产生重大影响,限制了获得医疗服务的机会。基于正念的艺术疗法(MBAT)已被证明可以干预身心灵魂,改善心理健康问题。然而,没有任何研究将其发展成一种人工智能形式,供孕妇用于支持目前获得医疗服务的情况。目的:本研究旨在建立一个基于人工智能的MBAT系统,用于早期检测,并证明其改善孕妇心理健康的有效性。方法:本研究采用研究与开发的方法,分为文献研究、开发阶段、有效性专家和试验四个阶段。结果:MBAT应用具有从心理健康信息到历史的五个特点。该应用系统的有效性得分为87.33%。试验结果表明,该应用程序有效地降低了91.26%的压力水平和90.24%的焦虑水平。此外,该应用软件可以使用决策树准确无误地预测压力和焦虑水平的降低百分比。结论:该应用程序有助于孕妇和卫生工作者在怀孕早期检测压力和焦虑水平,改善心理健康。
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引用次数: 0
Chicken floss and catfish nuggets supplementary to increasing weight gain in stunted children 鸡牙线和鲶鱼块对发育不良儿童体重增加的补充作用
Pub Date : 2023-04-28 DOI: 10.30595/medisains.v21i1.17150
Krisdiana Wijayanti, Bekti Putri Harwijayanti, M. Ani
Background: Stunted children are not only less tall, but most of them are also underweight. Lack of nutritional intake, especially protein intake, is suspected as one of the factors. Shredded chicken and catfish nuggets have high protein, but the scientific evidence for these food supplements in increasing stunting children's weight is still limited.Objective: To determine the effectiveness of supplementation chicken floss and catfish nuggets to increase weight gain in stunted children.Methods: This is a quasi-experimental with a pretest-posttest design; as many as 70 stunted children with underweight participated in this study. Respondents were given supplementation for 14 days. Respondents' weight was monitored before and after. Data were analyzed by pair t-test.Results: The results of the hedonic test of 30 panelists said that 27 (90%) stated that they received chicken floss, and 28 (90.33%) received catfish nuggets. There was an increase in the average stunting toddler weight after the given supplementation, which was 0.534 kg, (p<0.0001).Conclusion: Chicken floss and catfish nuggets supplements can increase weight gain in stunted children.
背景:发育迟缓的儿童不仅身高不高,而且大多数人体重不足。营养摄入不足,尤其是蛋白质摄入不足,被怀疑是其中一个因素。鸡丝和鲶鱼块含有高蛋白,但这些食物补充剂增加发育迟缓儿童体重的科学证据仍然有限。目的:探讨添加鸡牙线和鲶鱼块对发育不良儿童增重的效果。方法:准实验,采用前测后测设计;多达70名体重过轻的发育迟缓儿童参加了这项研究。被调查者给予14天的补充。调查对象的体重在调查前后被监测。数据采用配对t检验。结果:30名小组成员的享乐测试结果显示,27人(90%)表示他们收到了鸡牙线,28人(90.33%)收到了鲶鱼块。在给予补充后,发育迟缓幼儿的平均体重增加了0.534 kg, (p<0.0001)。结论:鸡牙线和鲶鱼块补充剂可以增加发育迟缓儿童的体重。
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引用次数: 0
Unwanted pregnancy as a critical factor of stunting in Indonesia 意外怀孕是印度尼西亚发育迟缓的关键因素
Pub Date : 2023-04-28 DOI: 10.30595/medisains.v21i1.17414
Linda Yanti, Supriyadi Supriyadi, A. Santosa
Specific and sensitive nutrition fulfillment programs have been carried out to reduce the incidence of stunting in Indonesia, but the results are still not optimal. Handling stunting should not only focus on the nutrition fulfillment sector. A fundamental factor to consider as the root cause of high stunting in Indonesia is unwanted or unplanned pregnancies.
印度尼西亚实施了具体而敏感的营养实现方案,以减少发育迟缓的发生率,但效果仍不理想。处理发育迟缓不应只关注营养履行部门。作为印度尼西亚高度发育迟缓的根本原因,需要考虑的一个根本因素是意外怀孕。
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引用次数: 0
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Medisains
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