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A review on understanding the risk factors for coronary heart disease in Indian college students 印度大学生冠心病危险因素研究综述
Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jncd.jncd_68_23
Joyeta Ghosh
College students shift from being adolescents to becoming adults, and they are more likely to embrace habits that increase the risk of coronary heart disease (CHD). India has 253 million teenagers and is the second-most populous nation in the world. The current situation in India shows that young people there are at risk for CHD-related diseases. The long-term CHD risk in the future is highly predicted by the current risk factors in young people. The purpose of the current study is to describe all the research that was done among Indian college students to show the depth of CHD exposure in young people. This analysis emphasizes the demand for better risk assessment techniques and more youth awareness among Indians. The evidence of the persistence of CHD risk factors in these college-bound students comes from various cross-sectional studies. However, they are largely modifiable risk factors for diabetes, hypertension, and CHD that are very common among India’s student population. These CHD risks can be changed in 80% of cases. Therefore, a community-based approach will be helpful in this multicultural nation to prevent CHD. To correctly identify and manage CHD, increased screening should play a crucial role in tandem with education.
大学生从青少年转变为成年人,他们更有可能养成增加患冠心病风险的习惯。印度有2.53亿青少年,是世界第二大人口大国。印度目前的情况表明,那里的年轻人有患冠心病相关疾病的风险。年轻人当前的危险因素可以高度预测未来的长期冠心病风险。当前研究的目的是描述所有在印度大学生中进行的研究,以显示年轻人冠心病暴露的深度。这一分析强调了对更好的风险评估技术和提高印度年轻人意识的需求。在这些即将进入大学的学生中,冠心病风险因素持续存在的证据来自各种横断面研究。然而,它们在很大程度上是可改变的糖尿病、高血压和冠心病的危险因素,这些在印度学生群体中非常普遍。这些冠心病风险在80%的病例中可以改变。因此,在这个多元文化的国家,以社区为基础的方法将有助于预防冠心病。为了正确识别和管理冠心病,加强筛查应在教育的同时发挥关键作用。
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引用次数: 0
Economic burden on stroke survivors in Asian and African countries: A protocol for systematic review, meta-analysis, and meta-regression 亚洲和非洲国家中风幸存者的经济负担:一项系统评价、荟萃分析和元回归的方案
Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jncd.jncd_76_22
SummaiyaZareen Shaikh, Anant Patil, MohammedUsman Ali, Asmita Karajgi
Introduction: Stroke is one of the leading causes of morbidity and mortality worldwide accompanied by huge financial burden on an individual and society. Objective: The objective is to estimate the economic burden by calculating the costs (per capita Gross Domestic Product (GDP)) on stroke survivors in African and Asian countries. Materials and Methods: Published electronic articles from inception till August 2022 will be screened from five databases: MEDLINE (PubMed), Scopus, Embase, Science Direct, and Web of Science. Effect sizes in the form of risk ratios and risk differences will be calculated for estimating the burden per capita income of the country. In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis 2020 Guidelines, titles and abstracts will be screened by two authors independently. Any disagreements will be resolved by the third author. Rayyan QCRI software will be used for the inclusion of articles and removing of duplicates. Quality assessment will be conducted by the National Institute of Health (NIH) tool for observational and cross-sectional studies whereas risk of bias will be assessed using the Cochrane’s ROBINS-I tool for observational studies. RevMan 5.4 software will be used for plotting forest plots and further analysis. In case, heterogeneity is observed in the outcomes data, I2 statistics will be calculated to further the possibility of a meta-analysis. Publication bias will be assessed by plotting a funnel plot and “trim-and-fill method”. This systematic review will estimate the economic burden by collating data using socioeconomic indicators of stroke in African and Asian countries. The results will help policymakers in designing and allocation of resources in the two continents.
脑卒中是世界范围内发病率和死亡率的主要原因之一,同时给个人和社会带来巨大的经济负担。目的:目的是通过计算非洲和亚洲国家中风幸存者的成本(人均国内生产总值(GDP))来估计经济负担。材料和方法:从成立到2022年8月,将从MEDLINE (PubMed), Scopus, Embase, Science Direct和Web of Science五个数据库中筛选已发表的电子文章。将计算风险比率和风险差异形式的效应量,以估计该国的人均收入负担。根据系统评价和元分析2020指南的首选报告项目,标题和摘要将由两位作者独立筛选。任何分歧将由第三作者解决。将使用Rayyan QCRI软件进行文章的收录和重复的删除。质量评估将由美国国立卫生研究院(NIH)的观察性和横断面研究工具进行,而偏倚风险将使用Cochrane的ROBINS-I观察性研究工具进行评估。RevMan 5.4软件将用于绘制森林图和进一步分析。如果在结局数据中观察到异质性,将计算I2统计量以进一步进行meta分析的可能性。通过绘制漏斗图和“修整填充法”评估发表偏倚。这一系统综述将通过使用非洲和亚洲国家中风的社会经济指标整理数据来估计经济负担。研究结果将有助于决策者在两大洲设计和分配资源。
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引用次数: 0
Nurse-led interventions for prevention and control of noncommunicable diseases in low- and middle-income countries: A systematic review and meta-analysis 低收入和中等收入国家预防和控制非传染性疾病的护士主导干预措施:系统回顾和荟萃分析
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.4103/jncd.jncd_74_22
Kavita Kavita, J. Thakur, S. Ghai, T. Narang, Rajbir Kaur
Background: Low- and middle-income countries (LMICs) face numerous challenges in the implementation of noncommunicable diseases (NCDs) prevention programs due to a shortage of health workforce. Task shifting to nurses is a viable and effective solution to address the healthcare human resource crisis. We, therefore, intend to assess the existing evidence on the effectiveness of interventions by nurses for the management of chronic NCDs in LMICs. Methods: We did a systematic review and meta-analysis of the trials that utilized nurses for the management of NCDs in LMICs. We searched PubMed, Embase, CINAHL, Cochrane Central Register of Controlled Trials, and clinical registries of different LMICs to search for relevant literature. Meta-analysis using an inverse-variance weighted random effect model was used to summarize the findings. The study protocol was registered in the PROSPERO database (CRD42019118430). Results: We found 2097 studies from the literature search, out of which 39 studies with 15,672 participants were eligible for narrative synthesis. Result of the meta-analysis showed that nurse-led interventions were effective in the reduction of systolic blood pressure (SBP) (average pooled mean difference was −4.32 [95% (confidence interval) CI − 7.07–−1.57]), diastolic blood pressure (DBP) (−3.11 mmHg; 95% CI −4.96–−1.26), glycated hemoglobin (HbA1c) (−0.73; 95% CI − 1.08–−0.38), fasting blood sugar (FBS) (−0.8; 95% CI −13.42–−2.58), total cholesterol (TC) (−1.18; 95% CI −20.06–−3.57), and triglycerides (TG) (−12.20; 95% CI − 23.52–−0.87). However, there was no major significant difference in low-density lipoprotein (LDL) and high-density lipoprotein (HDL). The overall quality of evidence based on the Grading of Recommendations Assessment, Development, and Evaluations was moderate for FBS, low for SBP, DBP, HbA1c, HDL, TC, and TG, and very low for LDL. Interpretation: Nurse-led interventions as compared to usual care are effective for the management of diabetes and hypertension and can be effectively used for national NCD programs in LMICs.
背景:由于卫生人力短缺,低收入和中等收入国家在实施非传染性疾病(ncd)预防规划方面面临诸多挑战。任务转移到护士身上是解决医疗人力资源危机的可行和有效的解决方案。因此,我们打算评估中低收入国家护士干预慢性非传染性疾病管理有效性的现有证据。方法:我们对使用护士管理中低收入国家非传染性疾病的试验进行了系统回顾和荟萃分析。我们检索了PubMed、Embase、CINAHL、Cochrane中央对照试验注册库和不同低收入国家的临床注册库,以寻找相关文献。采用反方差加权随机效应模型进行meta分析,总结研究结果。研究方案已在PROSPERO数据库中注册(CRD42019118430)。结果:我们从文献检索中发现2097项研究,其中39项研究15672名参与者符合叙事综合的条件。meta分析结果显示,护士主导的干预措施在降低收缩压(SBP)(平均合并平均差值为- 4.32[95%(置信区间)CI - 7.07 - - 1.57])、舒张压(- 3.11 mmHg;95% CI为−4.96 -−1.26),糖化血红蛋白(HbA1c)(−0.73;95% CI为−1.08 -−0.38),空腹血糖(FBS)(−0.8;95% CI为−13.42 ~−2.58),总胆固醇(TC)(−1.18;95% CI−20.06 -−3.57),甘油三酯(TG)(−12.20;95% ci为−23.52 ~−0.87)。低密度脂蛋白(LDL)和高密度脂蛋白(HDL)无显著性差异。基于分级推荐评估、发展和评估的证据的总体质量,FBS为中等,收缩压、舒张压、HbA1c、HDL、TC和TG为低,LDL为极低。解释:与常规护理相比,护士主导的干预措施对糖尿病和高血压的管理更有效,并且可以有效地用于中低收入国家的非传染性疾病规划。
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引用次数: 2
Hubungan Peran Bidan dengan Pengetahuan Ibu Hamil dalam Layanan Provider Initiated Testing and Counseling (PITC) Ibu Hamil 孕妇在产前检测和辅导服务中的知识接生婆的作用关系
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-12-20 DOI: 10.52365/jond.v2i2.558
Sylvia Kusuma Dewi, Yennike Tri Herawati, Eri Witcahyo
Provider Initiated Testing and Counseling (PITC) merupakan salah satu upaya dalam menurunkan kasus penularan Human Immunodeficiency Virus (HIV) dari ibu ke janin atas inisiatif pemberi layanan kesehatan. Bidan berperan langsung dalam memberikan layanan konseling sesuai dengan prosedur PITC, namun hasil studi pendahuluan di Puskesmas Kendalsari menunjukkan bahwa sebanyak 67% responden belum mendapat informasi dasar HIV dan layanan PITC dari bidan, sedangkan informasi dasar ini harus ibu dapatkan untuk meningkatkan pemahaman ibu hamil tentang HIV sebelum dilakukannya tes HIV. Penelitian ini bertujuan untuk mengetahui hubungan antara peran bidan sebagai motivator, edukator, dan fasilitator dengan pengetahuan ibu hamil dalam layanan PITC ibu hamil. Jenis penelitian ini adalah analitik dengan pendekatan cross sectional. Sampel penelitian ini yaitu 64 ibu hamil yang telah dites HIV di Puskesmas Kendalsari Kota Malang. Teknik pengumpulan data menggunakan metode wawancara dan dokumentasi. Instrumen penelitian ini adalah kuesioner. Teknik analisis data yang digunakan adalah analisis univariat dan bivariat. Hasil penelitian ini menunjukkan bahwa tidak terdapat hubungan antara peran bidan sebagai motivator dan fasilitator terhadap pengetahuan ibu hamil, dan terdapat hubungan peran bidan sebagai edukator terhadap pengetahuan ibu hamil.Provider-Initiated Testing and Counseling (PITC) is an effort to reduce cases of transmission of the Human Immunodeficiency Virus (HIV) from mother to fetus at the initiative of health service providers. Midwives play a direct role in providing counseling services according to the PITC procedure, but the results of a preliminary study at the Kendalsari Health Center showed that as many as 67% of respondents did not receive basic information on HIV and PITC services from midwives, while this basic information must be obtained by mothers to increase pregnant women's understanding of HIV before taking an HIV test. The purpose of this study is to determine the relationship between the role of midwives as motivators, educators, and facilitators and pregnant women's knowledge of PITC services. This type of research is analytic with a cross-sectional approach. The sample for this study was 64 pregnant women who had been tested for HIV at the Kendalsari Health Center in Malang City. Data collection techniques using interviews and documentation The research instrument is a questionnaire. The data analysis technique used is univariate and bivariate analysis. The results of this study indicate that there is no relationship between the role of the midwife as a motivator and facilitator and the knowledge of pregnant women, but there is a relationship between the role of the midwife as an educator and the knowledge of pregnant women.
疫苗检测与辅导(PITC)是通过一项卫生保健计划将人类免疫缺陷病毒从母亲传染给胎儿的努力之一。助产士按照丘为程序直接参与提供咨询服务,但在Puskesmas Kendalsari初步研究结果表明,多达67%的受访者没有得到丘为艾滋病毒的基本信息和服务的助产士,而这一基本信息必须得到母亲提高孕妇对艾滋病毒之前做艾滋病毒测试。本研究旨在找出助产士作为产妇、教育工作者和孕妇为产妇提供知识的产妇之间的联系。这种研究是对跨部门方法的分析。该研究样本是64名在马郎市肯德尔萨里市接受艾滋病毒检测的孕妇。采用访谈法和文件收集技术。本研究的工具是一份问卷。所使用的数据分析技术是独角兽和双变量分析。这项研究表明,助产士作为动力者和主持人的作用与孕妇知识之间没有联系,助产士作为教育工作者与孕妇知识之间也没有联系。“提供测试和辅导”是一种减少从母亲到fetus的人类免疫缺陷病毒的机会。助产士play a direct角色在提供咨询服务丘为弥足《违反规定,但the results of a份study at the Kendalsari卫生中心那里,以至于美国许多美国67% of respondents丘为nid not我们基本资讯网在艾滋病毒和服务从助产士,而这基本资讯网必须被母亲为了增加怀孕妇女获得谅解的艾滋病毒之前,应试的艾滋病毒测试。这项研究的目的是确定助产士的角色与动机、教育和产前妇女知识之间的关系。这是一种交叉分析研究的类型。这项研究的样本是64名在马郎市肯德尔医疗中心接受艾滋病毒检测的怀孕妇女。使用面试和研究工具的数据收集技术是一个问题。公民分析数据是单变量和双变量分析。这种研究的结果表明,《助产士的角色》和《产前妇女的动力与知识》之间没有联系,但《产前妇女的角色与产前妇女的知识之间存在联系。
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引用次数: 0
Faktor-Faktor yang Berhubungan dengan Kunjungan ANC Pada Ibu Hamil Selama Masa Pandemi Covid-19 Di Wilayah Kerja Puskesmas Gunung Medan Tahun 2022 2022年棉兰市大流行期间Covid-19大流行期间,非国大孕妇探视的相关因素
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-30 DOI: 10.52365/jond.v2i2.539
Eni Yuliawati, Husna Husna, Frens Tika Veriyani, H. Hafizah
Antenatal Care (ANC) adalah suatu pelayanan yang diberikan oleh perawat kepada ibu hamil, seperti pemantauan kesehatan secara fisik, psikologis, termasuk pertumbuhan dan perkembangan janin serta mempersiapkan proses persalinan dan kelahiran supaya ibu siap menghadapi peran baru sebagai orang tua. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan ANC pada ibu hamil selama masa pandemi Covid-19 tahun 2022. Metode penelitian survei analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berada di wilayah kerja puskesmas Gunung Medan dengan jumlah sampel 47 orang. Analisis data ini menggunakan uji chi square. Hasil penelitian didapatkan dari 47 ibu hamil dengan kunjungan ANC lengkap hampir setengahnya yaitu sebanyak 22 orang (46,8%) yang memiliki pengetahuan baik, hampir setengahnya yaitu 31 orang (66,0%) mendapatkan dukungan dari suami, dan hampir setenganya yaitu sebanyak 21 orang (44,7%) mendapatkan gaji diatas UMR. Dari hasil pengujian tersebut didapatkan hasil P Value = 0,925 > 0,05 yang artinya tidak ada hubungan antara pengetahuan dengan kunjungan ANC, diperoleh hasil P Value = 0,05 < 0,05 yang artinya ada hubungan antara dukungan suami dengan kunjungan ANC, dan diperoleh hasil P Value = 0,071 > 0,05 yang artinya tidak ada hubungan antara status ekonomi dengan kunjungan ANC.Antenatal Care (ANC) is a service provided by nurses to pregnant women that includes physical and psychological health coaching, including information on fetal growth and development, as well as preparation for labor and delivery so that the mother is ready to face her new role as a parent. This study aims to determine the factors associated with ANC visits to pregnant women during the COVID-19 pandemic in 2022. The analytical survey research method uses a cross-sectional approach. The population in this study was all pregnant women in the working area of the Gunung Medan Public Health Center, with a total sample size of 47 people. This data analysis uses the chi-square test. The results of the study were obtained from 47 pregnant women with complete ANC visits; almost half, namely 22 people (46.7%)had good knowledge; almost half, namely 31 people (66.0%) received support from their husbands; and almost half, namely as many as 21 people (44.7%) earned a salary above the minimum wage. From the test results, we obtained P values of 0.925 > 0.05, which means there is no relationship between knowledge and ANC visits; a P value of 0.05 < 0.05, which means there is a relationship between husband support and ANC visits; and a P value of 0.071 > 0.05, which means there is no relationship between economic status and ANC visits.
产前护理(ANC)是护士为产妇提供的服务,如生理上和心理上的健康监测,包括胎儿的生长和发育,并为分娩和分娩做好准备,使母亲为新的为人父母角色做好准备。这项研究的目的是确定在2022年covid大流行期间非国大产妇访问的相关因素。经节方法分析调查方法。这项研究的总体人口是在棉兰普斯马斯工作区域的所有孕妇,样本总数为47人。使用chi square测试对这些数据进行分析。这项研究的结果来自47名孕妇,她们的知识率只有22人(46.8%),近一半的人得到丈夫的支持,近一半的人得到21人(44.7%)的收入高于UMR。从测试的结果是得到了结果P Value = 0.925 > 0。05的意思是没有知识和非国大的访问,获得的结果之间的关系的P Value = 0。05 < 0。05意味着有支持非国大的访问,和丈夫之间的关系获得结果P Value = 0.071 > 0。05意味着没有经济地位之间的关系的非国大的访问。产前护理是一种服务,由护士提供,包括生理和心理健康结合、情感发展相关信息,以及实验室的准备和交付,这样母亲就准备好面对她的新家庭角色。这一研究是为了确定与非c有关的原因,即在2022年的COVID-19大流行期间怀孕的妇女。分析调查研究方法有一个跨向的结果。这项研究的人口都是在山区公共卫生中心工作的妇女,总共有47人的样本大小。这是对chi square uses的分析测试。研究结果来自47名怀孕妇女,持完整的非国大签证;将近半,namely 22人(46.7%)有良好的知识;将近半人,namely 31人(66.0%)从丈夫那里得到支持;差不多一半,namely乘以21人(44.7%),工资高于最低wage。从结果来看,我们计算了0.925 > 0.05的价值,这意味着知识和非c签证之间没有关系;这意味着丈夫支持和非国大签证之间有关系;这意味着经济地位和ANC签证之间没有关系。
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引用次数: 0
Faktor-Faktor yang Berhubungan dengan Efektifitas Pelaksanaan Telemedicine 与遥测执行有效性有关的因素
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-30 DOI: 10.52365/jond.v2i2.515
Fajar Kurniawan, Niaty Sauria, Lisnawati Lisnawati, Andriyani Andriyani
Pemanfaatan layanan telemedicine merupakan salah satu kebijakan yang strategis guna meminimalisir kontak fisik antara dokter dan pasien dalam upaya pengendalian penyebaran penyakit. Telemedicine memang memiliki banyak kelebihan, tetapi ada beberapa kekurangan telemedicine untuk konsultasi dokter online yang perlu diketahui, seperti sulit mengakses telemedicine, kurang membangun ikatan dengan dokter dan ada penyakit yang tidak bisa diperiksa secara online. Desain penelitian ini adalah systematic review dengan melihat secara sistematis jurnal dan artikel rentang tahun 2020-2022 pada google scholar, portal garuda, dan science direct. Dalam melakukan pengumpulan artikel tentang faktor pelaksanaan telemedicine, penulis melakukan pencarian dengan menggunakan kata kunci yang sudah disusun dan setelahnya dilakukan seleksi dan dihasilkan sebanyak 27 artikel dan diseleksi kembali menjadi 5 artikel saja dikarenakan artikel tersebut memiliki struktur kurang lengkap dan berbentuk review artikel. Hasil review diketahui dari ulasan mengidentifikasi dari 5 (lima) artikel tentang telemedicine memiliki beberapa inovasi yang dapat digunakan dalam mengamati, mengantisipasi, dan mengobati beberapa penyakit tertentu, namun dalam penerapan telemedicine terdapat hambatan antara lain berasal dari sumber daya manusia dan sarana prasarana yang digunakan telemedicine dimana masih banyak masyarakat dengan kalangan menengah ke bawah yang belum dapat mengoperasikan internet maupun handphone berbasis internet. Terdapat korelasi yang kuat dengan himbauan pemerintah untuk pencegahan penularan penyakit pada masa pandemic ataupun infeksi nosokomial. Secara kemanfaatan, telemedicine adalah salah satu solusi masalah kesenjangan pelayanan kesehatan pengetahuan, sikap, kepercayaan, aksesbilitas, peran lingkungan sekitar, penilaian kesehatan individu, dan persepsi manfaat bagi masyarakat.The use of telemedicine services is one of the strategic policies to minimize physical contact between doctors and patients in an effort to control the spread of disease. Telemedicine does have many advantages, but there are some drawbacks of telemedicine for online doctor consultations that need to be known, such as difficulty accessing telemedicine, a lack of building bonds with doctors, and the fact that some diseases cannot be examined online. The research design is a systematic review by systematically looking at journals and articles spanning 2020–2022 on Google Scholar, Garuda Portal, and Science Direct. In collecting articles on telemedicine implementation factors, the author conducted a search using the keywords that had been compiled, and after that, a selection was carried out, and 27 articles were produced and re-selected into 5 only because the articles had an incomplete structure and were in the form of an article review. The results of the review are known from the review, which identified five articles about telemedicine that have several innovations that can be used in observing, antici
遥测服务的使用是尽量减少医生和病人之间的身体接触的战略政策之一。遥测技术有很多优点,但也有一些缺陷,这些缺陷需要知道,比如很难接触到遥测技术,与医生之间缺乏建立联系,以及无法在网上检查的疾病。该研究的设计是系统地审查谷歌奖学金、门户garuda和科学direct上长达20-2022年的期刊和文章。在收集有关遥测实施因素的文章时,作者使用设计好的关键字进行了搜索,然后对27篇文章进行了选择,并对其中5篇进行了重新选择,因为这篇文章的结构不完整,形式完整。关于遥测技术的文章有一些创新可以用于观察、预测和治疗某些疾病,然而,到目前为止,遥测技术的应用带来了一些障碍,其中包括人力资源和遥测技术使用的基础设施,在这些基础设施中,仍有许多中产阶级尚未能够运营互联网或基于互联网的手机。与政府有关的预防大流行或传染病感染的指示密切相关。从本质上讲,遥测是解决卫生不平等问题的方法之一。遥测服务的使用是医生和病人之间为控制疾病扩散而努力接触的战略政策之一。遥测技术有很多进步,但需要知道的在线医疗顾问也有一些困难,比如很难接受电话提议,医生的束缚,以及一些疾病是无法上网的。研究设计是对《科学直接》的系统审查在muensterberger articles on telemedicine implementation factors,《作家conducted用《安装that had been a search compiled,和那之后,a selection是carried out, 27 articles是由和re-selected只进5,因为《articles有一个完整vesalius和表格》在文章的评论。评论的结果是众所周知的,这五种解释都是关于观察、反cipating和测试确定确定的技术。但在电话的实施中,存在着obstacles,包括来自人类资源和基础设施的电话使用的电话,那里仍然有很多来自中下阶层的人,他们无法操作互联网或基于手机。政府呼吁防止疾病在pandemics或nosocomial inction中传播。在贝尼菲特的条件下,遥测是对气体在知识、态度、信仰、包容、环境包围、个人健康评估和福利社会观念问题的解决方案。
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引用次数: 0
Edukasi Self Care Management dalam Meningkatkan Efikasi Diri dan Motivasi Mencegah Komplikasi pada Pasien Hipertensi di Wilayah Kerja Puskesmas Kabila 改善自我治疗管理,预防高血压患者在Puskesmas Kabila工作地区并发症的并发症
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-29 DOI: 10.52365/jond.v2i2.534
Fakhriatul Falah, Gusti Ayu Putu Ariani
Penyakit hipertensi merupakan penyakit tidak menular peringkat pertama terbanyak di Provinsi Gorontalo selama empat tahun berturut-turut dengan 29.391 kasus pada tahun 2020. 60% penderita hipertensi mengalami komplikasi stroke, penyakit ginjal, dan kebutaan. Hal ini disebabkan kurangnya kemampuan pasien hipertensi dalam melakukan manajemen perawatan diri atau self care management. Self care management sangat dipengaruhi oleh motivasi dan keyakinan diri pasien hipertensi yang dikenal dengan istilah efikasi diri. Tujuan kegiatan pengabdian masyarakat ini adalah meningkatkan efikasi diri pasien hipertensi melalui edukasi terstruktur di masyarakat. Kegiatan pengabdian masyarakat ini dilakukan di Wilayah Kerja Puskesmas Kabila pada bulan Juli sampai September dengan metode edukasi terstruktur terhadap 20 orang pasien hipertensi terkait self care management yang meliputi strategi diet, aktifitas fisik , manajemen stress dan kepatuhan pengobatan. Sebelum dan setelah kegiatan, dilakukan pengukuran efikasi diri dan motivasi mencegah komplikasi pada pasien hipertensi. Setelah kegiatan, didapatkan peningkatan efikasi diri pasien hipertensi dengan rata-rata skor 19 menjadi 28, selain itu juga didapatkan peningkatan skor pada motivasi mencegah komplikasi dari skor 32 menjadi 65. Edukasi self care management dapat menjadi alternatif strategi dalam meningkatkan keyakinan diri atau efikasi diri dan motivasi pasien hipertensi dalam melakukan perawatan diri dan pengobatan sehingga kualitas hidup pasien hipertensi dapat meningkat.Hypertension is the first-ranked non-communicable disease in Gorontalo Province for four consecutive years, with 29,391 cases in 2020. Complications such as stroke, kidney disease, and blindness affect 60% of hypertension patients. This is due to hypertensive patients' inability to manage their own health care. Self-care management is strongly influenced by the motivation and self-confidence of hypertensive patients, known as self-efficacy. The purpose of this community service activity is to increase the self-efficacy of hypertensive patients through structured education in the community. This community service activity was carried out in the working area of the Kabila Health Center from July to September with a structured educational method for 20 hypertension patients regarding self-care management, which included diet strategies, physical activity, stress management, and medication adherence. Before and after the activity, self-efficacy and motivation to prevent complications in hypertension patients were measured. After the activity, there was an increase in the self-efficacy of hypertensive patients with an average score of 19 to 28, and besides that, there was also an increase in the score on motivation to prevent complications from a score of 32 to 65. Self-care management education can be an alternative strategy for increasing hypertensive patients' self-confidence, self-efficacy, and motivation to carry out self-care and treatmen
最常见的疾病高血压是不会传染的,排名第一的省份,连续四年保持到2020年实现29391案例。60%的高血压患者并发症失明、肾病和中风。这是因为缺乏治疗高血压的病人做管理能力或自我护理管理。赛尔夫护理管理深受动机和自我信念被称为efikasi术语的高血压病人。这个社会奉献活动的目标是通过教育提高自我efikasi高血压病人在社会结构。这项公共服务活动是在7月至9月期间的Kabila医疗中心工作区域进行的,该地区有20名高血压患者的结构教育方法,包括饮食策略、身体活动、压力管理和药物依从。活动前后,对高血压患者的生理机能和动机进行了测量,预防并发症。活动结束后,高血压患者的平均得分增加到19分至28分,动机也增加了分数,防止32分的并发症增加到65分。赛尔夫替代护理管理可以成为教育战略中提高自信或自我efikasi和动力治疗高血压的病人做治疗,高血压病人的生活质量可以改进。Hypertension是《first-ranked non-communicable疾病在省for four consecutive保持在2020年岁月里,用29.391案子。这样的中风,肾疾病,和失明影响60%的高血压患者。这是丹到hypertensive病人“inability to管理他们自己的医疗中心。Self-care管理是strongly influenced by《motivation》和hypertensive看到病人,美国知道self-efficacy。这个社区服务活动之目的是要增加境hypertensive的self-efficacy病人通过structured教育社区。这个社区服务活动是carried out in the短期Kabila之健康区域中心从7月到9月为20 hypertension with a structured教育方法病人关于self-care管理,哪种included固定的饮食策略,身体活动,压力管理援助和medication adherence。之前的活动之后,self-efficacy和motivation to prevent在hypertension病人是measured complications。境活动,有一个增加援助之后hypertensive的self-efficacy病人的平均得分19到28,此外这著作百科全书》,也有在《分数的增加在motivation to prevent complications从a的比分32到65。Self-care管理教育可以成为一个另类个会为increasing hypertensive病人”看到,self-efficacy motivation到嘉莉出去Self-care和治疗,thereby improving他们生命的质量。
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引用次数: 3
Pengaruh Edukasi Kesehatan Terhadap Peningkatan Pengetahuan Ibu Tentang Pemberian MP-ASI Pada Balita Usia 6-24 Bulan 健康教育对母亲在6-24个月大的幼儿中增加母乳喂养的知识的影响
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-28 DOI: 10.52365/jond.v2i2.533
Eva Yuliani, Sastriani Sastriani, I. Irfan, Evawaty Evawaty, Herlis Herlis
Perkembangan dan pertumbuhan bayi erat kaitannya dengan pemberian nutrisi pada bayi melalui makanan pendamping ASI (MP-ASI). Pemberian makanan pendamping ASI dipengaruhi oleh kurangnya pengetahuan ibu. Edukasi merupakan salah satu intervensi keperawatan dalam meningkatkan pengetahuan yang lebih baik terhadap pemberian makanan pendamping ASI pada anak. Tujuan dari penelitian ini untuk mengetahui pengaruh edukasi terhadap peningkatan pengetahuan ibu tentang pemberian MP-ASI pada balita usia 6-24 bulan di Desa Bonde Utara Kecamatan Pamboang Kabupaten Majene. Metode penelitian yang digunakan yaitu Quasi Eksperimen dengan desain penelitian One Group Pre Test dan Post Test Design. Dengan jumlah sampel 30 orang diambil menggunakan Purposive sampling. Hasil penelitian rata-rata pengetahuan responden sebelum diberikan edukasi yaitu 84,27 dan sesudah diberikan edukasi pengetahuan responden meningkat menjadi 91,73 dengan p = 0,000 < α = 0,05. Kesimpulan ada pengaruh edukasi terhadap peningkatan pengetahuan ibu tentang pemberian MP-ASI pada balita usia 6-24 bulan di Desa Bonde Utara Kecamatan Pamboang Kabupaten Majene.Infant development and growth is closely related to providing nutrition to infants through complementary feeding (MPASI). The provision of complementary feeding is influenced by the mother's lack of knowledge. Education is one of the nursing interventions in increasing better knowledge of the provision of complementary foods to breast milk in children. The purpose of this study was to determine the effect of education on increasing mother's knowledge about giving complementary feeding to toddlers aged 6-24 months in North Bonde Village, Pamboang District, Majene Regency. The research method used is Quasi Experiment with One Group Pre Test and Post Test Design research designs. With a sample of 30 people taken using purposive sampling. The results of the study the average knowledge of respondents before being given education was 84.27 and after being given education the knowledge of respondents increased to 91.73 with p = 0.000 < = 0.05. The conclusion is that there is an effect of education on increasing mother's knowledge about giving complementary feeding to toddlers aged 6-24 months in North Bonde Village, Pamboang District, Majene Regency. 
婴儿的发育和发育与母乳喂养密切相关。母乳喂养的喂养喂养受到母亲无知的影响。教育是一种改善母乳喂养知识的护理干预措施。这项研究的目的是确定母亲对6-24个月大的幼儿接受母乳喂养的教育影响。采用的实验方法是试验前一组实验设计和后试验设计的试验性质。用采样器采集了30个样本。研究结果平均受访者给予教育即84.27之前和之后提供知识知识教育的受访者和p =万增至91.73 <α= 0。05。结论是,教育影响到母亲在潘博镇镇北部邦邦区(ramaboang street of Majene)接受6-24个月幼小的母乳喂养的知识的增加。发展和生长与为完整的喂养提供营养是密切相关的。《完整喂养的证明》受到知识母亲无知的影响。教育是教育的一部分,它增加了对儿童早餐牛奶的完整食品的认识。这项研究的目的是确定这位母亲关于在潘博区北邦德村以6-24个月的时间为基础的教育效果。研究方法使用是一组预试验和后设计设计设计的实验。30个人用样本进行采样。在接受教育前,研究平均知识的结果是84.27,在接受教育前,调查知识增加到91.73,p = 0.05。结论是,在Pamboang区北邦村6-24个月的时间里,有一种教育效果。
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引用次数: 1
Noncommunicable diseases associated with household air pollution from biomass fuel in South-East Asia region: A systematic review and meta-analysis protocol 东南亚地区与生物质燃料家庭空气污染相关的非传染性疾病:系统综述和荟萃分析方案
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-01 DOI: 10.4103/jncd.jncd_69_22
Anjali Rana, Rajbir Kaur, Samir Malhotra, J. Thakur
Introduction: The WHO states that around 2.6 billion people still cook using solid fuels (such as wood, crop wastes, charcoal, coal, and dung) and kerosene in open fires and inefficient stoves. Evidence suggests that exposure to indoor air pollution by biomass fuel cooking is associated with chronic obstructive pulmonary disease, asthma, cardiovascular diseases, lung cancer, hypertension, depression, breast cancer, and cataract. This systematic review aims at providing evidence-based insight into indoor air pollution by comprehensively assessing the association of major noncommunicable diseases with the household air pollution from biomass solid fuel. Methods and Analysis: We will undertake a systematic search in PubMed, EMBASE, Scopus, OVID, MEDLINE, and Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library from January 2000 to April 2022. The study designs to be included will be cross-sectional, case-control, cohort, and randomized controlled trials. Subgroup analyses will be performed, and sensitivity analyses will be conducted to assess the robustness of the findings. Ethics and Dissemination: No ethical issues are foreseen. Dissemination will be done by submitting scientific articles to academic peer-reviewed journals. We will present the results at relevant conferences and meetings. Study Design: Systematic review and meta-analysis. Conclusion: This systematic review will collate empirical evidence to assess the association of NCDs with the household air pollution from biomass fuel. Prospero Registration: CRD42022356857.
简介:世界卫生组织指出,约有26亿人仍然在明火和低效炉灶中使用固体燃料(如木材、农作物废料、木炭、煤炭和粪便)和煤油做饭。有证据表明,生物质燃料烹饪暴露于室内空气污染与慢性阻塞性肺病、哮喘、心血管疾病、肺癌癌症、高血压、抑郁症、癌症乳腺癌和白内障有关。这项系统综述旨在通过全面评估主要非传染性疾病与生物质固体燃料家庭空气污染的关系,为室内空气污染提供循证见解。方法和分析:我们将于2000年1月至2022年4月在Cochrane图书馆的PubMed、EMBASE、Scopus、OVID、MEDLINE和Cochrane对照试验中央登记册(Central)中进行系统检索。纳入的研究设计将是横断面、病例对照、队列和随机对照试验。将进行分组分析,并进行敏感性分析,以评估调查结果的稳健性。道德和传播:没有预见到任何道德问题。传播将通过向学术同行评审期刊提交科学文章来完成。我们将在有关会议上介绍结果。研究设计:系统综述和荟萃分析。结论:本系统综述将整理经验证据,以评估非传染性疾病和生物质燃料家庭空气污染的关系。Prospero注册号:CRD42022356857。
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引用次数: 0
Patient compliance, comorbidities, and challenges in the management of hypertension in India 印度高血压管理中的患者依从性、合并症和挑战
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-01 DOI: 10.4103/jncd.jncd_72_22
Prateek Singh, T. Dilip
Background and Objectives: As of now, only one-third of those with hypertension in India are unaware of the existence of this condition, and only a negligible share of those diagnosed can control it through medication. There is a need to understand the characteristics and behaviors of patients treated for hypertension for generating evidence for better management of this condition. In this context, the study examines the key factors associated with uncontrolled blood pressure (BP) levels in patients under medication for hypertension. Subject and Methods: Data from the nationally representative Longitudinal Ageing Study of India survey, 2017–18, are used for the analysis. This study is restricted to 12,353 respondents aged 45 years and above who were already diagnosed with hypertension before the survey and are under medication. BP level at the point of the survey was used to classify the respondents as hypertension under control (systolic <140 mm and diastolic <90 mm), Grade-1 Hypertension (systolic 14–159 mm or diastolic 90–99 mm), Grade-2 Hypertension (systolic160–179 mm or diastolic 100–109 mm), and Grade-3 Hypertension (systolic 180 or above mm or diastolic 110 or above mm). Bivariate and multivariate logistic regression analysis is performed to study the association between hypertension control in these patients and their demographic, socioeconomic, and behavioural characteristics. Results: A critical proportion of respondents have uncontrolled hypertension of Grade 1 (31%), Grade 2 (15%), and Grade 3 (2%), despite taking medication for the same. As compared to their remaining counterparts, the risk of uncontrolled hypertension is high in rural areas (odds ratio [OR] = 1.37, 95% confidence interval [CI], P < 0.01), old-adults living alone (OR = 1.63, 95% CI, P < 0.05), patients having no schooling (OR = 1.18, 95% CI, P < 0.05), patients with obesity (OR = 1.2, 95% CI, P < 0.05), moderate alcohol drinkers (OR = 2.1, 95%CI, P < 0.01), abusive alcohol drinkers (OR = 1.6, 95% CI, P < 0.01). Interpretation and Conclusions: Poor control over BP levels among patients from rural areas, the poorest and most vulnerable sections, supports the governmental efforts initiated since 2018 to expand community-level screening and provisioning of noncommunicable diseases, including that for hypertension. In addition, concrete efforts for health promotion within patients under medication for hypertension too are essential for better management of this condition.
背景和目的:截至目前,印度只有三分之一的高血压患者不知道这种情况的存在,只有极少数确诊患者可以通过药物控制。有必要了解接受高血压治疗的患者的特征和行为,为更好地管理这种情况提供证据。在这种情况下,该研究考察了与高血压药物治疗患者血压(BP)水平失控相关的关键因素。主题和方法:2017-18年印度具有全国代表性的纵向老龄化研究调查数据用于分析。这项研究仅限于12353名45岁及以上的受访者,他们在调查前已经被诊断为高血压,正在接受药物治疗。调查时的血压水平用于将受访者分为受控高血压(收缩压<140 mm和舒张压<90 mm)、1级高血压(收缩14–159 mm或舒张90–99 mm)、2级高血压(收缩期160–179 mm或舒张100–109 mm)和3级高血压(缩缩缩180或以上mm或舒张110或以上mm)。进行双变量和多变量逻辑回归分析,以研究这些患者的高血压控制与其人口统计学、社会经济和行为特征之间的关系。结果:尽管服用了药物,但仍有相当比例的受访者患有1级(31%)、2级(15%)和3级(2%)的未控制高血压。与其他人群相比,农村地区高血压失控的风险较高(比值比[OR]=1.37,95%置信区间[CI],P<0.01)、独居老年人(OR=1.63,95%CI,P<0.05)、没有上学的患者(OR=1.18,95%CI)、肥胖患者(OR=1.2,95%CI,酗酒者(OR=1.6,95%CI,P<0.01)。解释和结论:来自农村地区、最贫穷和最脆弱地区的患者对血压水平的控制不力,支持了政府自2018年以来为扩大非传染性疾病(包括高血压)的社区筛查和供应所做的努力。此外,在接受高血压药物治疗的患者中,具体努力促进健康对于更好地管理这种情况也至关重要。
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引用次数: 0
期刊
International Journal of Noncommunicable Diseases
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