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 < 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 Pengaruh Jus Apel Terhadap Penurunan Tekanan Darah pada Lansia Hipertensi di Puskesmas Muara Kaman

2018 ◽  
Vol 5 (2) ◽  
pp. 121-129
Author(s):  
Siti Khoiroh
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Apple Juice ◽  
Antihypertensive Drugs ◽  
Intervention Group ◽  
T Test ◽  
Mean Difference ◽  
Control Group ◽  
P Value ◽  
The Mean

Background : Hypertension is a condition of high blood pressure in the arteries that lasted continuously for the long term. Hypertension can be overcome in two ways: pharmacology and non-pharmacology. Pharmacology treatment usually use medicine while one of the ways for non-pharmacology treatment is to consumes apple juice.Research Objective : The aim of this research is to know the effect of apple juice on blood pressure decrease in elderly people with hypertension at Muara Kaman Community Health Center.Methods : The design of this research used quasi experimental design (quasi experiment) with pretest posttest control group design. The sample of the research was hypertensive respondents at Muara Kaman Community Health Center as many as 30 respondents were divided into 2 groups, 15 intervention groups and 15 control groups. The sampling technique used purposive sampling. The research instruments were stethoscope and sphygmomanometer, data analysis using t test dependent and t test independent.Results : There were a significant influence between pretest and posttest of apple juice in the intervention group (P value = 0,000; P <0.005). The mean difference in systolic blood pressure in the intervention group and the control group also had significant differences (P value = 0.002; P <0.05), where as the mean difference in diastolic blood pressure in the intervention group and the control group also had significant differences (P value = 0,039; P <0,05).The Conclusions : The results of this research showed that consumes apple juice gives an effect on the blood pressure of hypertensive patients by consumes regularly.The Suggestions : Nurses and the public can use apple juice as one of the ways to handling to hypertension sufferers besides antihypertensive drugs.

scholarly journals Effectiveness of Midwifery Training Update on Midwife Knowledge Improvement in Midwifery Services in Magetan

2021 ◽  
Vol 5 (5) ◽  
pp. 174-179
Author(s):  
Nani Surtinah ◽  
Sunarto Sunarto
Keyword(s):  
Sample Selection ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Cluster Sampling ◽  
Control Group Design ◽  
The Mean ◽  
Experimental Group

2Department of Midwifery, Poltekkes Kemenkes Surabaya, Indonesia; [email protected] ABSTRACT One of the efforts made to improve the knowledge, skills and competence of midwives is the Midwifery Update training. This study aims to determine the effectiveness of midwifery update training on increasing knowledge of midwives in midwifery services. The study design was a post-test only control group design. The population consisted of an experimental group of 41 people and a control group of 41 people. The experimental group had the midwifery update training in 2019, while the control group was midwives who had never attended midwifery update training in 2019. The experimental group and the control group were selected by using cluster sampling technique after that the sample selection used simple random sampling. Data analysis was used independent samples t -test. The mean knowledge results of the midwifery update group that had never attended midwifery update training was 55.11, while the mean knowledge results of the midwifery update group knowledge was 75.19. Based on the independent t-test, it was found that the t-count results were -8,987 with a p-value of 0.000 (

scholarly journals Meningkatkan Hemoglobin pada Ibu Hamil Trimester III dengan Rebusan Bunga Rosella

2020 ◽  
Vol 2 (3) ◽  
pp. 163-169
Author(s):  
Rifi Wulandari
Keyword(s):  
Pregnant Women ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Third Trimester ◽  
Control Group Design ◽  
Anemia During Pregnancy ◽  
The Mean ◽  
And Control ◽  
Pregnant Mothers

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. Rosella (Hibiscus sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasi-experiment with a pretest-posttest control group design. 32 participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The result indicated that there was an increase in hemoglobin levels in both the experiment and the control group. The mean increase of hemoglobin levels in the control group was 0.59gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. Independent t-test obtained a p-value of 0.241 indicating that there wasn’t a significant mean difference of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared to pregnant women. Therefore, it is suggested for midwives to use the result of this research as evidence-practice through counseling for pregnant mothers about the utilization of rosella that can increase hemoglobin levels in pregnant.

scholarly journals The effectof using reciprocal teachingtowards students’ reading ability of recount text inthe eighth grade of SMPN 1 Sine

2019 ◽  
Vol 6 (1) ◽  
pp. 38
Author(s):  
S. Sukini ◽  
Nuri Ati Ningsih ◽  
Dwi Rosita Sari
Keyword(s):  
Reading Ability ◽  
T Test ◽  
Reciprocal Teaching ◽  
Eighth Grade ◽  
Control Group ◽  
P Value ◽  
Equality Of Means ◽  
Post Test ◽  
The Mean ◽  
Experimental Group

The purpose of this research is to know the effects of Reciprocal Teaching toward students’s reading ability of recount text in the eighth grade of SMPN 1 Sine in the Schooling year of 2016/2017. Reciprocal Teaching has four strategies, such as; Predicting, Questioning, Clarifying and Summarizing. The method that is used by the researcher is Experimental Design. The researcher used two classes, the first class as control class and the other one is expeimental class. Each class consists of 20 students. They had different treatment. The control class is not treat by the Reciprocal Teaching but the experiment class treated Reciprocal Teaching. The researcher got the data by using pretest and postest for each class. The test is 50 items of multiple choices. The researcher used SPSS v23 to count the result of the data. The data analysis showed the significancy of the data. The mean score for experimental group has 49, 20. Then, the mean score for control group has 43, 25. Based on the two means, it can be considered that both of the groups are significantly different. The results of the sig. of the Lavene’s test for equality of variances show that it exceeds the level of tolerance p. value .05. The result of sig. is .095. It means that there is no significant different from the two groups and Ho can be rejected. The mean score for group which is treated by using Reciprocal Teaching has 79, 55. Then, the mean score for the group which is not treated by using Reciprocal Teaching has 73, 55. The results of post-test both of the groups show significantly different. The result of independent sample t-test shows the significantly different can be seen from the sig. 004 in t-test for equality of means. This result is lower than the p value .05 of significance tolerance. It can be concluded that Reciprocal Teaching Technique is effective toward students’ reading ability of recount text in the eighthgrade of SMPN 1 Sine.

scholarly journals EFFECT OF SPIRITUAL NURSING CARE ON THE LEVEL OF ANXIETY IN PATIENTS WITH STROKE

2018 ◽  
Vol 4 (1) ◽  
pp. 98-103
Author(s):  
Bernadeta Trihandini ◽  
Diyah Fatmasari ◽  
Lucia Endang Hartati YK ◽  
Sudirman Sudirman
Keyword(s):  
Nursing Care ◽  
Rating Scale ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Life Changes ◽  
Stroke Patients ◽  
The Mean ◽  
And Control ◽  
Paired T Test

Background: Anxiety in stroke patients occurs as a normal reaction to stress with life changes; however, when it becomes excessive, It becomes disabling. Effort to deal with anxiety is needed and spiritual approach nursing care is considered useful in caring patients with stroke.Objective: To examine the effect of spiritual nursing care on anxiety in stroke patients in the inpatient ward.Methods: This study used a quasy experimental design with pretest-postest control group. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in the experiment and control group. The Hamilton Anxiety Rating Scale was used to measure anxiety. Data were analyzed using paired t-test and independent t-test.Results: The results showed that the mean level of anxiety in the experiment group before intervention was 29.33 and decreased to 9 after intervention, while in the control group the mean level of anxiety before intervention was 29.47 and decreased to 17.73 after intervention. Paired t-test obtained p-value 0.000 (<0.05), which indicated that there was a significant effect of spiritual nursing care on anxiety levels in patients with stroke.Conclusion: Spiritual nursing care could reduce anxiety in patients with stroke. 

scholarly journals COMBINATION OF HYPNOSIS THERAPY AND RANGE OF MOTION EXERCISE ON UPPER-EXTREMITY MUSCLE STRENGTH IN PATIENTS WITH NON-HEMORRAGHIC STROKE

2018 ◽  
Vol 4 (1) ◽  
pp. 104-111
Author(s):  
Chandra Irawan ◽  
Mardiyono Mardiyono ◽  
Suharto Suharto ◽  
Aris Santjaka
Keyword(s):  
Muscle Strength ◽  
Upper Extremity ◽  
Mean Value ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
The Mean ◽  
And Control ◽  
Paired T Test

Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy.Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic.Methods: This study employed a quasy experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using Muscle Strength Scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis.Results: The mean value of muscle strength in the experiment group was 3.50 and  the mean value in the control group  was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatmentConclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-haemorrhagic.

scholarly journals Warm Compress Reduced Pain Intensity of Arthritis Rheumatoid for Elderly People; Pre- and Post-test Design Study

2019 ◽  
Author(s):  
Agussalim . ◽  
Josephine Lorica
Keyword(s):  
Pain Intensity ◽  
Elderly People ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Post Intervention ◽  
Two Samples ◽  
Post Test ◽  
Quasi Experimental ◽  
Arthritis Rheumatoid

Arthritis Rheumatoid (AR) is an autoimmune disease showing erosive of symmetric joint. It sometimes refers to many systems disturbances inside our bodies. The progressivity of AR has chronic fluctuation in daily life. AR can increase mortality risk, especially for chronic disabilities. This study aims to understand the effect of warm compress on the pain intensity of AR cases for elderly people. The method used in this study was a quasi-experimental one. The sampling method used was a purposive technique. The total number of respondents was 10, with 5 as the interventional arm of the study and 5 as the control arm. This study was conducted between February and July 2014. A paired t-test was used to identify whether the sample means for those in the intervention arm was statistically different from the average of the sample means drawn from those drawn from the control group presumed to be from the general elderly population who do not benefit from the particular intervention of a warm compress. What the author wanted to conclude on was whether the two samples at hand actually differ significantly from each other. The intensity of pre- and post-intervention using parametric statistics following the application of warm compress was noted and used as a basis of comparison. The result of the statistics formula showed the effectiveness of warm compress in decreasing the AR pain, the t-test was 6.000 and the p-value was lower than 0.05. It can be summarized that warm compress can be used to decrease pain intensity for elderly people with AR. Discussion – the result of this study can be used as a reference to conduct care among elder people who are affected by AR. People living in the community area should help their family member with AR on first aid.

ShishuPushti Trial: a cluster randomized controlled trial to evaluate extended peer counselling for improving feeding practices and reducing undernutrition in children aged 0-48 months in urban Bangladesh. (Preprint)

2021 ◽  
Author(s):  
Seema Mihrshahi ◽  
Gulshan Ara ◽  
Mansura Khanam ◽  
Sabrina Rasheed ◽  
Kingsley Agho ◽  
...  
Keyword(s):  
Complementary Feeding ◽  
Controlled Trial ◽  
Feeding Practices ◽  
Child Growth ◽  
Control Group ◽  
The Mean ◽  
Cluster Randomized ◽  
Peer Counselling

BACKGROUND Lack of exclusive breastfeeding and inappropriate complementary feeding are critical factors in reducing child undernutrition, morbidity and mortality. There are reported trials of peer counselling to improve breastfeeding; however, they did not examine the efficacy of peer counselling to improve complementary feeding or the long-term impacts on child growth and development. OBJECTIVE To assess if peer counselling of women improves breastfeeding and complementary feeding practices, child growth and reduces the prevalence of undernutrition in their children up to four years of age. METHODS This study will use a community-based, cluster randomized controlled trial (cRCT) with a superiority design and two parallel treatment arms. It will assess the impact of a peer-counselling starting in the late pregnancy to one year after delivery on child feeding practices, growth and development with follow-up until 48 months of age. The study site will be in Mirpur, a densely populated area in Dhaka. Using satellite maps and GIS mapping, we will construct 36 clusters with an average population of 5,000 people. We will recruit pregnant women in the third trimester aged 16-40 years, with no more than three living children. Trained peer counsellors will visit women at home twice before delivery, four times in the first month; then monthly from 2 to 6 months, and again at 9 and 12 months. Trained research assistants will collect anthropometric measurements. The primary outcome will be differences in child stunting and mean length-for-age at 6, 12, 15, 18 months. Secondary outcomes will be differences in the percentage of women exclusively breastfeeding, in the mean duration of any breastfeeding, in the percentage of children at 6 and 9 months of age who receive solid, semi-solid or soft foods and the percentage of children consuming foods from 4 or more food groups at 9, 12, 15 and 18 months. We will assess the mean cognitive function scores from the Ages and Stages Questionnaire (9 and 18 months) and Bayley tests (24 and 36 months). RESULTS We identified 65,535 people in mapped residences, from which we defined 36 clusters and randomly allocated them equally to intervention or control groups stratified by cluster socio-economic status. From July 2011 to May 2013, we identified 1056 pregnant women and 993 births in the intervention and 994 pregnancies and 890 births in the control group. At 18 months, 692 children remained in the intervention, and 551 in the control group. From January 2015 to February 2017, we conducted the long term follow-up of the cohort. We have now completed the data collection and processing and have started analyses. CONCLUSIONS This study will help fill the evidence gap about the short- and long-term impact of peer counselling on improving infant feeding, preventing childhood undernutrition, and enhancing child cognitive development. CLINICALTRIAL NCT01333995

scholarly journals Effects of Islamic Spiritual Mindfulness on Stress among Nursing Students

2019 ◽  
Vol 9 (1) ◽  
pp. 69 ◽  
Author(s):  
Badrul Munif ◽  
Sri Poeranto ◽  
Yulian Wiji Utami
Keyword(s):  
Nursing Students ◽  
Stress Level ◽  
Intervention Group ◽  
T Test ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Depression Anxiety Stress Scale ◽  
The Mean ◽  
Mindfulness Therapy

Background: Academic stress is a major problem that often occurs in nursing students. Islamic spiritual mindfulness (ISM) is an adaptive coping strategy used to mitigate various negative psychological reactions to respond stressors experienced by the body to build self-awareness that any problems experienced today are the scenario of Allah.Purpose: This study aimed to determine the effects of Islamic spiritual mindfulness therapy to reduce stress.Methods: This study used a pre-post quasi-experimental design with a control group. Participants were bachelor students of nursing who are Muslim and experienced stress in working on the thesis (n=36) and were assigned to two groups: the experimental group receiving Islamic spiritual mindfulness and the control group. Data were collected using questionnaires of Depression Anxiety Stress Scale (DASS) and analyzed using paired t-test and unpaired t-test.  Results: The results showed that the mean stress level of students in the intervention group decreased from 20.6±2.97 to 11.4±5.81 after the intervention. Meanwhile, in the control group, the mean student stress level slightly decreased from 19.7±2.82 to 17.8±5.01. The t-test obtained a p-value of 0.001, indicating that there were significant differences in stress levels between the intervention group and the control group. The effect size obtained the value of 0.59, meaning the level of influence was in the medium category.Conclusion: This study concluded that Islamic spiritual mindfulness was effective in reducing stress among nursing students working on the thesis. It is recommended for the nursing profession, especially mental health nurses, to apply Islamic spiritual mindfulness therapy as one of the psychotherapy interventions.

scholarly journals THE EFFECT OF CHEWING GUM ON IMPROVING THE INTESTINE PERISTALTIC AMONG POST CESAREAN SECTIO PATIENTS AT HOSPITAL OF KENDARI CITY

2019 ◽  
Vol 2 (3) ◽  
pp. 158-163
Author(s):  
Andi Herman ◽  
Budi Santoso ◽  
Esty Yunitasari
Keyword(s):  
Cesarean Section ◽  
Intervention Group ◽  
T Test ◽  
Chewing Gum ◽  
Control Group ◽  
P Value ◽  
Two Samples ◽  
Intestinal Peristalsis ◽  
Quasi Experimental ◽  
The Mean

Cesarean section is a surgical intervention that most significantly affects the central nervous system and slows down bowel movements post section Caesarea. Intestinal function in women undergoing section caesarian surgery is essential, starting early. The study aimed at examining the effect of chewing gum on increasing the intestinal peristalsis in post-cesarean section. This study used a quasi-experimental, pre, and post with a control group was applied in this study. Seventy-two samples were recruited using a non-probability sampling such as consecutive sampling. CG was given to the intervention group 3 times, per 3 hours for 5 minutes with a frequency of chewing 30 times. Data analysis was performed and presented in descriptive statistics, and significant findings were computed using the paired t-test. The results showed that the mean Intestine Peristaltic intervention group increases from 11,47+1,647 to 16,61+2,487 after the intervention. Meanwhile, in the control group, the mean Intestine Peristaltic level slightly increases from 11,31+1,470 to 14,22+1,290. The t-test obtained a p-value of 0.000, indicating that there were significant differences in the increase Intestine Peristaltic between the intervention and the control group. Chewing gum can increase intestinal peristalsis in cesarean section patients. Based on the findings, The nurse profession can use chewing gum to become one of the nursing independent interventions because easy. Keywords: cesarean section, peristaltic, chewing gum.

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