scholarly journals The effect of an mLearning application on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage and neonatal resuscitation: pre–post intervention study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Aurore Nishimwe ◽  
Latifat Ibisomi ◽  
Marc Nyssen ◽  
Daphney Nozizwe Conco
Keyword(s):  
Postpartum Hemorrhage ◽  
Healthcare Workers ◽  
Neonatal Resuscitation ◽  
T Test ◽  
Continuous Training ◽  
Post Intervention ◽  
Knowledge And Skills ◽  
Service Training ◽  
The Mean ◽  
Nurses And Midwives

Abstract Background Globally, mobile learning (mLearning) tools have attracted considerable attention as a means of continuous training for healthcare workers. Rwanda like other low-resource settings with scarce in-service training opportunities requires innovative approaches that adapt technology to context to improve healthcare workers’ knowledge and skills. One such innovation is the safe delivery application (SDA), a smartphone mLearning application for Basic Emergency Obstetric and Neonatal Care (BEmONC) content. This study assessed the effect of the SDA intervention on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage (PPH) and neonatal resuscitation (NR). Methods The study used a pre–post test design to compare knowledge and skills of nurses and midwives in the management of PPH and NR at two measurement points: immediately prior to SDA intervention and after 6 months of SDA intervention. The intervention took place in two district hospitals in Rwanda and included 54 participants. A paired-sample t-test was used to measure the pre–post intervention, mean knowledge and skills scores differences. Confidence intervals (CIs) and effect size were calculated. A t-test and a one-way Anova were used to test for potential confounders. Results The analysis included 54 participants. Knowledge scores and skills scores on PPH management and NR increased significantly from baseline to endline measurements. The mean difference for PPH knowledge is 17.1 out of 100; 95% CI 14.69 to 19.49 and 2.6% for PPH skills; 95% CI 1.01 to 4.25. The mean difference for NR knowledge is 19.1 out of 100; 95% CI 16.31 to 21.76 and 5.5% for NR skills; 95% CI 3.66 to 7.41. Increases were unaffected by participants’ attendance to in-service training 6 months prior and during SDA intervention and previous smartphone use. However, pre- and post-intervention skills scores were significantly different by years of experience in obstetric care. Conclusion The SDA intervention improved the knowledge and skills of nurses and midwives on the management of PPH and NR as long as 6 months after SDA introduction. The results are highly relevant in low-income countries like Rwanda, where quality of delivery care is challenged by a lack of in-service continuous training for healthcare providers.

scholarly journals The Effect of An mLearning Application on Nurses’ and Midwives’ Knowledge and Skills for The Management of Postpartum Hemorrhage and Neonatal Resuscitation: Quasi-Experimental Study.

2020 ◽  
Author(s):  
Aurore Nishimwe ◽  
Latifat Ibisomi ◽  
Marc Nyssen ◽  
Daphney Nozizwe Conco
Keyword(s):  
Postpartum Hemorrhage ◽  
Healthcare Workers ◽  
Neonatal Resuscitation ◽  
Continuous Training ◽  
Post Intervention ◽  
Knowledge And Skills ◽  
Service Training ◽  
Quasi Experimental ◽  
The Mean ◽  
Nurses And Midwives

Abstract Background: Globally, mobile learning (mLearning) tools have attracted considerable attention as a means of continuous training for healthcare workers. Rwanda like other low-resource settings with scarce in-service training opportunities requires innovative approaches that adapt technology to context to improve healthcare workers’ knowledge and skills. One such innovation is the safe delivery application (SDA), a smartphone mLearning application for Basic Emergency Obstetric and Neonatal Care (BEmONC) content. This study assessed the effect of the SDA intervention on nurses’ and midwives’ knowledge and skills for the management of postpartum hemorrhage (PPH) and neonatal resuscitation (NR).Methods: The study used a pre-post, quasi-experimental design to compare knowledge and skills of nurses and midwives in the management of PPH and NR at two measurement points: immediately prior SDA intervention and after 6 months SDA intervention. The intervention took place in two district hospitals in Rwanda and included 54 participants. A paired-sample t-test was used to measure the pre-post intervention, mean knowledge and skills scores differences. Confidence intervals (CIs) and effect size were calculated. A t-test and a one-way Anova was used to test for potential confounders. Results: The analysis included 54 participants. Knowledge scores and skills scores on PPH management and NR increased significantly from baseline to endline measurements. The mean difference for PPH knowledge is 17.1 out of 100; 95% CI = 14.69 to 19.49 and 2.6% for PPH skills; 95% CI = 1.01 to 4.25. The mean difference for NR knowledge is 19.1 out of 100; 95% CI = 16.31 to 21,76 and 5.5% for NR skills; 95% CI = 3.66 to 7.41. Increases were unaffected by participants’ attendance to in-service training six months prior and during SDA intervention and previous smartphone use. However, pre- and post-intervention skills scores were significantly different by years of experience in obstetric care.Conclusion: The SDA intervention improved the knowledge and skills of nurses and midwives on the management of PPH and NR as long as 6 months after SDA introduction. The results are highly relevant in low-income countries like Rwanda, where quality of delivery care is challenged by a lack of in-service continuous training for healthcare providers.

scholarly journals The Impact of an Educational Program Based on the BASNEF Model on Knowledge and Self-Care Behaviors of Patients with Hypertension

Health Scope ◽  
2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sedigheh Abedini ◽  
Farzaneh Pourjalil ◽  
Shokrallah Mohseni
Keyword(s):  
Educational Program ◽  
Intervention Group ◽  
Self Care ◽  
Educational Interventions ◽  
T Test ◽  
Post Intervention ◽  
Enabling Factors ◽  
Significant Difference ◽  
The Mean ◽  
The Impact

Background: Hypertension is an important health problem that can be controlled by self-care. Objectives: The present study aimed to determine the impact of an educational program based (BASNEF) model on knowledge and self-care behaviors for hypertensive patients in Bastak, Iran. Methods: This quasi-experimental study was performed on 180 patients with hypertension who were admitted to health centers of the Bastak city. The participants were randomly assigned to intervention (n = 90) and control (n = 90) groups. Data were collected using a questionnaire that had three sections of demographic information, knowledge, and BASNEF constructs. The questionnaires were completed before the intervention and two months after providing the intervention. After the pre-test, an appropriate educational intervention was designed and implemented only among the intervention group. To analyze the data, paired t-test, independent t-test, and Chi-square tests were run by SPSS version 19. Results: The mean age of the participants was 50.62 ± 7.549 years. The results showed a statistically significant difference in the mean scores of attitudes, subjective norms, enabling factors, and self-care behaviors in the intervention group pre- and post-intervention (P = 0.001). Besides, it was found that enabling factors (0.311) play a significant role in predicting self-care behaviors. Conclusions: The results of this study support the effectiveness of educational interventions in raising awareness and improving self-care behaviors in patients with hypertension using the BASNEF model. Therefore, with an emphasis on enabling factors, the BASNEF model can be used as a framework to develop educational interventions for self-care.

scholarly journals Evaluating Neonatal Resuscitation Skills of Practicing Nurses and Midwives in Selected Hospitals in Central Uganda

2019 ◽  
Author(s):  
Mary Namuguzi ◽  
Karen Drake ◽  
Elizabeth Namukombe Ekong ◽  
Ekaete Francis Asuquo
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Neonatal Resuscitation ◽  
The State ◽  
Neonatal Mortality Rate ◽  
Successful Resuscitation ◽  
Knowledge And Skills ◽  
Regulatory Policies ◽  
Skills Retention ◽  
Nurses And Midwives

Abstract Background: Uganda has a high neonatal mortality rate (27 per 1,000 live births), with birth asphyxia being the major contributor. Helping babies breathe (HBB) is an evidence-based program that aims to reduce neonatal mortality in resource-limited settings. Successful resuscitation depends on nurses’ and midwives’ knowledge and skills in neonatal resuscitation, and the state of neonatal resuscitation equipment. This study aimed to evaluate knowledge and skills retention in neonatal resuscitation after HBB training among nurses and midwives, and the state/availability of neonatal resuscitation equipment. Methods: This study used a cross sectional design. Participants were 75 nurses and midwives from two hospitals in Central Uganda. Data were collected using questionnaires and observation checklists. Ethics approval was obtained from the Uganda Christian University and the research and ethics committees of the participating hospitals. Results: Nurses and midwives showed a high level of knowledge (92%). However, neonatal resuscitation skills among 44 observed participants were poor, as 68.2% failed to check equipment and select the correct mask and 45.5% did not make a firm seal when applying the mask. In addition, about 72% of participants did not ventilate at a rate of 40 breaths per minute, and 18.2% failed to assess chest movement. Observation of 44 resuscitations to evaluate the state/availability of neonatal resuscitation equipment showed that 27.3% did not have a suction device, 59.1% did not have a heat source/pre-warmed towels to warm the babies, 50% did not have appropriate self-inflating bags and masks for normal and preterm babies, 72.7% had no clock/watch to count heart rate and determine the length of time ventilation was required, and 36.4% did not document that resuscitation was performed. Conclusions: To address Uganda’s neonatal mortality rate, it is necessary to develop regulatory policies for neonatal resuscitation and build nurses’ and midwives’ skills for active interventions during neonatal resuscitation.

scholarly journals Evaluating Neonatal Resuscitation Skills of Practicing Nurses and Midwives in Selected Hospitals in Central Uganda​

2020 ◽  
Author(s):  
Mary Namuguzi ◽  
Karen Drake ◽  
Elizabeth Namukombe Ekong ◽  
Ekaete FRANCIS Asuquo
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Neonatal Resuscitation ◽  
The State ◽  
Neonatal Mortality Rate ◽  
Successful Resuscitation ◽  
Knowledge And Skills ◽  
Helping Babies Breathe ◽  
Regulatory Policies ◽  
Nurses And Midwives

Abstract Background: Uganda has a high neonatal mortality rate (27 per 1,000 live births), with birth asphyxia as one of the major contributor. Helping babies breathe (HBB) is an evidence-based program that aims to reduce neonatal mortality in resource-limited settings. Successful resuscitation depends on nurses’ and midwives’ knowledge and skills in neonatal resuscitation, and access to functional neonatal resuscitation equipment. This study aimed to evaluate knowledge and skills retention in neonatal resuscitation after HBB training among nurses and midwives, and the state/availability of neonatal resuscitation equipment. Methods: This study used a cross sectional design. Participants were 75 nurses and midwives from two hospitals in Central Uganda. Data were collected using questionnaires and observation checklists. Ethics approval was obtained from the Uganda Christian University and the research and ethics committees of the two hospital hospitals. Results: Nurses and midwives showed a high level of knowledge (92%). However, neonatal resuscitation skills among 44 observed participants were poor, as 68.2% failed to check equipment and select the correct mask and 45.5% did not make a firm seal when applying the mask. In addition, about 72% of participants did not ventilate at a rate of 40 breaths per minute, and 18.2% failed to assess chest movement. Observation of 44 resuscitations to evaluate the state/availability of neonatal resuscitation equipment showed that 27.3% did not have a suction device, 59.1% did not have a heat source/pre-warmed towels to warm the babies, 50% did not have appropriate self-inflating bags and masks for term and preterm babies, 72.7% had no clock/watch to count heart rate and determine the length of time ventilation was required, and 36.4% did not document that resuscitation was performed. Conclusions: To address Uganda’s neonatal mortality rate, it is necessary to implement regulatory policies for neonatal resuscitation, building nurses and midwives skills for active interventions during neonatal resuscitation as well as regular refresher courses to enhance skills. Key words: helping babies breathe (HBB), neonatal resuscitation, knowledge, skills and equipment

PENTINGNYA STATUS ANEMIA DALAM KEHAMILAN DENGAN PERDARAHAN POSTPARTUM PRIMER

2021 ◽  
Vol 3 (4) ◽  
pp. 359
Author(s):  
Nadia Taqiyya ◽  
Djohar Nuswantoro ◽  
Muhammad Ardian C.L
Keyword(s):  
Standard Deviation ◽  
Postpartum Hemorrhage ◽  
Odds Ratio ◽  
Case Control ◽  
T Test ◽  
P Value ◽  
Chi Square ◽  
The Mean ◽  
Anemia In Pregnancy ◽  
In Pregnancy

Abstrak Latar belakang : Kejadian perdarahan postpartum merupakan penyebab kematian ibu tertinggi ketiga di Kota Surabaya Provinsi Jawa Timur. Hal tersebut diiringi oleh kejadian anemia pada ibu hamil di Indonesia yang meningkat pada tahun 2018 sebesar 48.9% daripada tahun 2013 sebesar 37.1%. Penelitian ini bertujuan untuk menganalisis hubungan anemia dalam kehamilan dengan perdarahan postpartum primer di Rumah Sakit DKT Gubeng Pojok Kota Surabaya. Metode : penelitian ini menggunakan metode analitik observasional dengan rancangan penelitian case control design. Jumlah sampel sebanyak 60 ibu bersalin secara pervaginam yang sesuai dengan kriteria eksklusi dan inklusi. Variabel bebas anemia dalam kehamilan adalah sedangkan variabel terikat adalah perdarahan postpartum primer. Hasil : Sebagian besar ibu bersalin secara pervaginam 60% mengalami anemia dalam kehamilan dengan analisis uji chi square menunjukkan p value = 0.000 (p < 0.05), Odds Ratio sebesar 21.35, dan berdasarkan hasil uji T test didapatkan rata-rata kadar Hb pada kelompok anemia sebesar 9.058 g% dengan standar deviasi 0.9782 dan rata-rata kadar Hb pada kelompok non-anemia sebesar 12.063 g% dengan standar deviasi 1.13792 yang menunjukkan bahwa terdapat perbedaan yang signifikan. Kesimpulan : Terdapat hubungan yang signifikan antara anemia dalam kehamilan dengan kejadian perdarahan postpartum primer sehingga bidan sebagai tenaga kesehatan di lini utama harus memperhatikan  kadar Hb pada masa kehamilan.Abstract Background : Primary postpartum hemorrhage was the third-highest cause of maternal death in the city of Surabaya, East Java Province. This was accompanied by the incidence of anemia in a pregnant women in Indonesia which increased in 2018 by 48.9% compared to 2013 at 37.1%. This study aimed to analyze the relationship anemia in pregnancy with primary postpartum hemorrhage in DKT Gubeng Pojok hospitals in Surabaya city East Java. Method : This study used analytic observational methods with a case-control study research design. The number of samples was 60 vaginal delivery mothers who were under the criteria of exclusion and inclusion. A sampling of this study used purposive sampling with independent variable is anemia in pregnancy and dependent variable is primary postpartum hemorrhage. Result : Most of mothers that gave birth pervaginally  60% had anemia in pregnancy with analysis chi-square test showing  p-value =0.000 (p<0.05) , Odds Ratio of 21.35, and based on the results of the T-test it was found that the mean Hb level in the anemic group was 9.058 g% with standard deviation of 0.9782 and the mean Hb level in the non-anemic group was 12.063 g% with standard deviation of 1.13792 indicating that there were significant differences. Conclusion : There is a significant relationship between anemia in pregnancy with the incidence of primary postpartum hemorrhage , so that midwives as health workers in the mainline must pay attention to Hb levels during pregnancy.

scholarly journals Implementation of an educational module on nosocomial infection control measures: a randomised hospital-based trial

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Gamil Ghaleb Alrubaiee ◽  
Anisah Baharom ◽  
Ibrahim Faisal ◽  
Hayati Kadir Shahar ◽  
Shaffe Mohd Daud ◽  
...  
Keyword(s):  
Group Intervention ◽  
Intervention Group ◽  
Control Measures ◽  
Hard Copy ◽  
Post Intervention ◽  
Educational Module ◽  
Face To Face ◽  
Significant Difference ◽  
Service Training ◽  
The Mean

Abstract Background Previous cross-sectional studies have reported limited knowledge and practices among nurses regarding controlling nosocomial infections (NIs). Even though health institutions offer many irregular in-service training courses to solve such issues, a three year-nursing educational programme at institutions is not adequate to enable nurses to handle NIs. Therefore, this study aims to evaluate the implementation of an educational module on NIs control measures among Yemeni nurses. Methods A single-blinded randomised hospital-based trial was undertaken involving 540 nurses assigned to two intervention groups and a waitlist group. Intervention group-1 received a face-to-face training course comprising 20 h spread over six weeks and a hard copy of the module, while intervention group-2 only received the hard copy of the module “without training”. In contrast, the waitlist group did not receive anything during the period of collecting data. A self-administered NI control measures-evaluation questionnaire was utilised in collecting the data from the participants; before the intervention, at six weeks and 3 months after the end of the intervention. The period of data collection was between 1st May and 30th October 2016. Results The results from collecting and analysing the data showed a statistically significant difference in the mean knowledge scores between the intervention groups that were detectable immediately post-intervention with a mean difference (MD) of 4.31 (P < 0.001) and 3 months after the end of the intervention (MD = 4.48, P < 0.001) as compared to the waitlist group. Similarly, the results showed a statistically significant difference in the mean practice scores between the intervention groups immediately post-intervention (MD = 2.74, P < 0.001) and 3 months after the intervention (MD = 2.46, P < 0.001) as compared to the waitlist group. Intervention-1 (face-to-face training + module) was more effective than intervention-2 (module only) in improving Yemeni nurses’ knowledge and practices regarding NI control measures compared to the waitlist group. Conclusion The findings of this study found that intervention-1 could be offered to nurses in the form of an in-service training course every six months. The NI course should also be included in nursing curricula, particularly for the three-year-nursing diploma in Yemen. Trial registration Nosocomial infection educational module for nurses ISRCTN19992640, 20/6/2017. The study protocol was retrospectively registered.

scholarly journals Sustainability of the Effectiveness of Complementary Feeding and Learning Session in Improving Nutrition Status and Feeding Practices of Children in Malawi-RCT

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 234-234
Author(s):  
Elisabeth Mamani
Keyword(s):  
Dietary Diversity ◽  
Feeding Practices ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Post Intervention ◽  
Anthropometric Indices ◽  
The Mean ◽  
Minimum Dietary Diversity

Abstract Objectives To estimate the proportion of children aged 6 to 9 months who met the minimum dietary diversity and minimum meal frequency between children in CCFLS group versus children in GMP and compare their anthropometric indices 6 months post-intervention in Thyolo district. Methods Children age 6 to 9 months from Thyolo district, Nchiramwera area were individually randomised into intervention or control arm of the study. Caregivers of children in the intervention arm received CCFLS sessions while those in control arm attended standard growth monitoring promotion sessions (GMP) at their nearest facility. Data on feeding practices were collected at baseline and after six months. Furthermore, data on anthropometric indices were collected monthly for six months. CCFLS vs control group comparisons of baseline-end-line change in proportions of achieving minimum dietary diversity (MDD) and frequency (MDF) were done. Additionally, both bivariate and multivariate logistic regression analyses were done to determine the effect of CCFLS on improving MDD and MDF at six months follow up. Student's t-test was used to compare the mean six months change in anthropometric indices in the CCFLS group to the control group. Results A cohort of 168 children were randomised; 84 in the CCFLS arm and 84 in the GMP arm. There was strong evidence of an association between receiving the CCFLS intervention and achieving MDD. Adjusting for the baseline MMD proportion the children that had CCFLS had a nearly 12 times higher odds of achieving MDD compared to controls, AOR (95% C.I.) 12.43 (5.39 –28.67 p value &lt; 0.001). After 6 months follow up, the mean (95% C.I.) change in weight in the CCFLS group was + 1.45 kg (1.30–1.59) and + 1.22 kg (1.02 –1.42) in the GMP group and this was statistically significantly different (p-value 0.04 t-test). Analysis showed there was no association between receiving CCFLS intervention and achieving a change in MMF and MUAC. Conclusions Impact of CCFLS in improving MDD and weight gain is sustained post intervention, at least in the short term of 6 months follow up. Funding Sources Malawi Government; Ministry of Education Science and Technology.

scholarly journals Pemberian snack bar meningkatkan kadar hemoglobin (Hb) pada remaja putri

2018 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Sajiman Syahwal ◽  
Zulfiana Dewi
Keyword(s):  
Young Women ◽  
Control Program ◽  
T Test ◽  
Deficiency Anemia ◽  
Post Intervention ◽  
Iron Supplements ◽  
Group Members ◽  
The Mean ◽  
And Control ◽  
Prevalence Of Anemia

Program Pencegahan dan Penanggulangan Anemia Gizi Besi tidak selalu berhasil karena prevalensi anemia tidak banyak menurun, hal tersebut disebabkan antara lain penerimaan (compliance) suplemen yang rendah. Tujuan penelitian mempelajari perbedaan Hb remaja putri yang mendapatkan Snack Bar (SB) dan Suplemen Fe (SF). Penelitian ini adalah eksperimen dengan sampel remaja putri dengan Hb < 12 g/dl yang terbagi dalam 3 kelompok : kontrol (SF), P1 (SB dan SF) dan P2 (SB), dengan anggota kelompok minimal 15 orang, analisis menggunakan uji t-test. Hasil penelitan rerata Hb sebelum intervensi (Ob0) ; Kontrol = 11.74±0.62 g/dl,  P1 = 11.12±0.53 g/dl dan P2 = 11.65±0.59 g/dl, sedangkan sesudah intervensi (Ob1) ; Kontrol = 12.81±0.54 g/dl, P1 = 12.88±0.56 g/dl dan P2 = 12.69±0.69 g/dl. Ada perbedaan Hb Ob0 dan Ob1  pada semua kelompok (p = 0.000). Terjadi peningkatan Hb Ob0 dan Ob1 pada semua kelompok, dengan rerata  Kontrol = 1.08±0.66 g/dl, P1 = 1.75±0.61 g/dl dan P2 = 1.04±0.78 g/dl. Terdapat perbedaan rerata perubahan Hb  diantara P1 dengan Kontrol dan P2 (p = 0.016), antara Kontrol dengan P2 tidak berbeda (p=0.986). Rerata Hb 1 bulan pasca intevensi (Ob2) mengalami kenaikan dibandingkan Ob1. Kenaikan tertinggi pada P1 ;  0.29±0.36 g/dl, sementara P2 ; 0.25±0.33 g/dl dan kontrol; 0.18±0.18 g/dl. Tidak berbeda kenaikan Hb diantara kelompok penelitian setelah Ob2. Kombinasi SB dan SF mampu meningkatkan Hb lebih tinggi dibandingkan kelompok lain. Sementara pemberian SB tidak berbeda dengan SF dalam meningkatkan Hb remaja yang anemia.Kata kunci:    Hemoglobin, snack bar, suplemen fe, remaja putri  Prevention and Control Program Iron Deficiency Anemia is not always successful because of the prevalence of anemia did not decline significantly, it is caused, among others, acceptance (compliance) supplement low. The research objective studies the differences in Hb girls who get Snack Bar (SB) and iron Supplements (SF). This study is an experiment with a sample of young women with Hb <12 g / dl were divided into 3 groups: control (SF), P1 (SB and SF) and P2 (SB), with group members at least 15 people, analysis using t-test, research results the mean Hb before intervention (Ob0)) ;Control = 11.74 ± 0.62 g / dl, P1 = 11:12 ± 0:53 g / dl and P2 = 11.65 ± 0:59 g / dl, while after intervention (Ob1) Control = 12.81 ± 0:54 g / dl, P1 = 12.88 ± 0:56 g / dl and P2 = 12.69 ± 0.69 g / dl. There is a difference Hb Ob0 and Ob1, in all groups (p = 0.000). An increase in Hb Ob0 and Ob1 0 in all groups, with a mean control = 1.08 ± 0.66 g / dl, P1 = 1.75 ± 0.61 g / dl and P2 = 1.04 The ± 0.78 g / dl. There are differences between the mean change in Hb between P1 and P2 with controls (p = 0.016), between the control with P2 no different (p = 0.986). The mean Hb 1 month post-intervention (Ob2)2) increased compared Ob1 1.The highest increase in P1; 0:29 ± 0:36 g / dl, while P2; 0:25 ± 0:33 g / dl and control; 0:18 ± 0:18 g / dl. Did not differ between the study group Hb rise after Ob2 2. The combination SB and SF are able to increase Hb higher than other groups. While the administration is no different from SF SB in improving adolescent anemia Hb.Keywords: Hemoglobin, snack bar, iron supplements, adolescent

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

Digital volumetric measurements based on 3D scans of the lower limb: A valid and reproducible method for evaluation in lymphedema therapy. (Preprint)

2019 ◽  
Author(s):  
Daniel Schiltz ◽  
Natalie Kiermeier ◽  
Dominik Eibl ◽  
Christoph Koch ◽  
Karolina Müller ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lower Leg ◽  
T Test ◽  
Volume Changes ◽  
Quick Method ◽  
Reproducible Method ◽  
The Mean ◽  
3D Scans ◽  
Paired T Test ◽  
Volumetric Measurements

BACKGROUND Exact quantification of volumetric changes of the extremities is difficult. There are several direct and indirect methods to assess extremity volume. As water displacement volumetry is rarely viable in a clinical setting and circumference measurements are prone to errors due to poor reproducibility and high inter- and intra-observer variability, an objective and easily reproducible method is indispensable. OBJECTIVE The aim of this study was to establish a standardized method based on 3D scans with defined caudal and cranial landmarks of the lower leg which allows for measurements of exactly the same body area. Furthermore, this study tests the method in terms of reproducibility and evaluates volume changes after surgical therapy in patients suffering from lymphedema. METHODS 3D-scans of the lower limb were performed with a mobile 3D-scanner. Volumetric calculation was done digitally. “Repeatability“ and “Inter-observer reliability” of digital volumetry were tested. Furthermore, the method was applied on 31 patients suffering from chronic lymphedema. ANOVA (analyses of variance) was conducted to compare the digital volumetric measurements. To assess the sensitivity to changes in digital volumetry, the mean volume of 31 patients before and 3 months after therapy were compared by a paired t-Test. RESULTS Calculations of repeatability of the volume based on 20 3D-scans of the same lower leg showed a mean volume of 2,488 ± 0,011 liters (range: 2,470 – 2,510). The mean volume of the 7 measurements of the 3 examiners did not differ significantly (F(2,18) = 1,579, p = .233). The paired t-Test showed a significant mean volume decrease of 375ml (95% CI = 245/505ml) between pre and post treatment (t (30) =5,892, p < .001). CONCLUSIONS 3D-Volumetry is a noninvasive, easy and quick method to assess volume changes of the lower leg. Other than the costs, it is reproducible and precise and therefore ideal for evolution of therapy in lymphedema.

Sign in / Sign up

Export Citation Format

Share Document