scholarly journals Improving population health in resident clinics: increasing pneumonia vaccination rates in adults 65 years and older

2020 ◽  
Vol 9 (4) ◽  
pp. e000830
Author(s):  
Sheila McGreevy ◽  
Caylin McGowan ◽  
Kristin Gillenwater ◽  
Rebecca Opole ◽  
Meena Veluri ◽  
...  
Keyword(s):  
Intervention Group ◽  
Bacterial Pathogen ◽  
The Elderly ◽  
Vaccination Rate ◽  
Resident Physician ◽  
Control Group ◽  
Vaccination Rates ◽  
Attending Physician ◽  
And Control ◽  
Verbal Encouragement

Streptococcus pneumoniae is a significant bacterial pathogen, especially in the elderly. There are two types of pneumococcal vaccines, one with polysaccharides from the capsule of 23 serotypes (PPSV23) and one with polysaccharides from 13 serotypes that have been conjugated to a protein (PCV13). Both vaccines decrease the incidence of invasive pneumococcal disease and are recommended for all people ≥65 years of age. We found the vaccination rate against S. pneumoniae in patients ≥65 years of age in our resident physician continuity clinics was 59.85%, which is considerably lower than the vaccination rate of 69.16% in our attending physician clinics. The aim of our study was to double the number of vaccinations given in the resident physician clinics over a 1-month period without compromising workflow or unduly burdening the rooming nurse or resident physicians. For our primary intervention, we assigned a designated nurse with expertise in vaccinations the task of reviewing charts ahead of clinic visits then pending the order for the appropriate pneumococcal vaccine. Our secondary intervention was the education of physicians through pocket cards, verbal encouragement and email reminders. χ² test was conducted to compare the proportion of patients 65 years or older who were vaccinated between the intervention and control groups. The results indicated that the intervention group patients were 2.61 times (95% CI 1.18 to 6.10) more likely to be vaccinated compared with the control group patients (20% vs 8.7%, χ2 (1)=5.16, p=0.02, Cramer’s V=0.16). The intervention resulted in more than doubling the number of vaccinations in the intervention group compared with the control group. Moreover, poststudy interviews and surveys indicated our workflow is sustainable and amendable to wider use within the resident physician clinics.

scholarly journals Effect of a Sleep Hygiene Education Program Using Telephone Follow-up Method on the Sleep Quality of the Elderly

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 484-495
Author(s):  
Maryam Moradi ◽  
◽  
Hamideh Mohammadzadeh ◽  
Reza Noori ◽  
Kokab Basiri Moghadam ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Education Program ◽  
Intervention Group ◽  
The Elderly ◽  
Sleep Hygiene ◽  
Control Group ◽  
Hygiene Education ◽  
And Control

Objectives: Low quality sleep is one of the most common problems in old age. The present study aims to determine the effect of a sleep hygiene education program using Telephone Follow-Up (TFU) method on the sleep quality of the elderly. Methods & Materials: This quasi-experimental study was conducted on 80 eligible elderly people aged 60-74 years who were selected using a systematic random sampling method and were randomly assigned into intervention and control groups. The intervention group received a one-hour face-to-face education session on sleep hygiene. The TFU were carried out two times per week in the first month and once a week in the second month after intervention. The control group received routine care. The data collection tools were a demographic form and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The PSQI was completed for both groups immediately after the second month. Results: There was no statistically significant difference in the mean PSQI score before intervention in the intervention (8.02) and control (7.47) groups (P=0.32), but after the intervention, the mean PSQI score in the intervention group (5.42) was significantly reduced compared to the control group (7.67) (P<0.001). Conclusion: Sleep hygiene education program based on TFU improves the sleep quality of the elderly. It is recommended that health care providers use this method to improve the sleep quality of the elderly.

scholarly journals Promotion of the influenza vaccination to hospital staff during pre-employment health check: a prospective, randomised, controlled trial

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Michael Currat ◽  
Catherine Lazor-Blanchet ◽  
Giorgio Zanetti
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Vaccination Campaign ◽  
Intervention Group ◽  
Vaccination Rate ◽  
Health Check ◽  
Control Group ◽  
Vaccination Rates ◽  
Newly Hired

Abstract Background Vaccination is the most effective prevention of seasonal influenza. Despite its recommendation and active promotion, vaccination coverage remains low among healthcare staff. The goal of the study was to test if a pre-employment health check is a good opportunity to promote future vaccination against influenza among healthcare workers newly hired by a university hospital. Methods All new hospital employees active at the bedside who underwent a pre-employment health check between the end of 2016’s influenza epidemic and the start of the next influenza vaccination campaign were randomly allocated to a control group or an intervention group. The intervention consisted of a semi-structured dialog and the release of an information leaflet about influenza and influenza vaccination during the check-up, and the shipment of a postcard reminder 2 weeks before the next vaccination campaign. Vaccination rates during the campaign were compared among the two groups. Results Three hundred fifty-seven employees were included. Vaccination rates were similar in both groups: 79/172 (46%) in the control and 92/185 (50%) in the intervention group. A significantly higher rate of vaccination was noted among physicians (70/117, 60%) than among other employees (101/240, 42%, p = 0.001). In a pre-defined exploratory analysis among physicians, the vaccination rate was higher in the intervention group (36/51, 71%) than in the control group (34/65, 52%, p = 0.046). Conclusions Promotion of the influenza vaccine during pre-employment health check did not improve the vaccination rate of newly hired hospital healthcare workers overall during the next influenza vaccination campaign. Results suggest a favourable impact on the vaccination rate of physicians. Thus, there may be an interest in using communication strategies tailored to the different categories of healthcare workers to promote the influenza vaccine during pre-employment health check. Trial registration ClinicalTrials, NCT02758145. Registered 26 April 2016.

scholarly journals Pengaruh Edukasi terhadap Self Eficacy Lansia dalam Mengatasi Nyeri Sendi dan Meningkatkan Mobilisasi

JKEP ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 81-95
Author(s):  
Pudjiati Pudjiati ◽  
Rosidawati Rosidawati ◽  
Mia Fatma Ekasari
Keyword(s):  
Self Efficacy ◽  
Joint Pain ◽  
Hypothesis Test ◽  
Intervention Group ◽  
The Elderly ◽  
The Self ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
And Control

Education is  an effort to give informations which is expected to improve client’s self efficacy that is able to change client’s behavior to relieve joint pain faster. Furthermore, education that will be given to relieve joint pain and mobilization is warm compress and gymnastic for elderly. This research uses quasi-experiment with control group design as a method. This research intervenes gymnastic and warm compress for elderly. The sample of this research itself is the elderly who have mild to moderate joint pain through strategic sampling, purposive sampling and the sample size will use two different means test formula (Lemeshow, Holmer, Klar & L Wanga, 2009).  The sample in this research consists of two group, i.e., intervention group which has 40 people and control group which has 40 people. This research uses self-efficacy questionnaire for the elderly in relieving pain and improving mobilization. The result of this research uses bivariate hypothesis test that shows education of gymnastic for elderly and warm compress is more to affect the self-efficacy of the pain and mobilization.

scholarly journals Effect of Reminiscence Therapy on Death Anxiety in Retired Elderly Men: An Interventional Study

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Abbasali Sheykhi ◽  
Farshid Saeedinezhad ◽  
Zahra Raiesi ◽  
Nasrin Rezaee
Keyword(s):  
Death Anxiety ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
Major Life Events ◽  
Major Life ◽  
Reminiscence Therapy ◽  
Significant Difference ◽  
Group Reminiscence ◽  
And Control

Background: Death anxiety is one of the concerns of the elderly population in the late stages of life. In this context, recalling memories is one of the favorite characteristics of these people that can affect different aspects of their mental and social health. Objectives: This study aimed to determine the effect of reminiscence therapy on the death anxiety of men retried from the Islamic Republic of Iran Army living in Zahedan. Methods: A quasi-experimental study was performed on 90 retired men over 60 years of age. The subjects were recruited through convenience sampling at the Army Retirement Center in Zahedan in winter 2019. The participants were randomly divided into the intervention (n = 45) and control (n = 45) groups. In the intervention group, reminiscence therapy was carried out based on major life events twice a week for six sessions. Data were gathered again two months after the intervention. The control group did not take part in any program. Data collection tools included a demographic form and the Death Anxiety scale (Templer, 1970). The results were analyzed by SPSS-21 using descriptive and inferential statistics. The P values < 0.05 were considered statistically significant. Results: The mean scores of death anxiety were 25.37 ± 1.89 and 25.17 ± 1.61 in the intervention and control groups, respectively. After the experiment, this score was 9.09 ± 1.79 in the intervention group and 25.04 ± 1.62 in the control group. Thus, while reminiscence therapy significantly relieved death anxiety in the intervention group (P < 0.0001), the control group showed no significant difference in this respect at the end of the study (P = 0.63). Conclusions: Group reminiscence therapy can reduce the death anxiety of older adults. Since the elderly are fond of expressing their memories, and such storytelling is an attractive, simple, and inexpensive intervention, it could be used to help these people mitigate their death anxiety.

scholarly journals Pengaruh Relaksasi Religius terhadap Penurunan Tingkat Insomnia pada Lansia Di PSLU Bondowoso

2018 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Trisna Vitaliati
Keyword(s):  
Rating Scale ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Design ◽  
Falling Asleep ◽  
Quasi Experimental ◽  
And Control

ABSTRAKTujuan penelitian: Penelitian ini bertujuan untuk mengidenfikasi pengaruh relaksasi religius terhadap penurunan tingkat insomia di PSLU Bondowoso. Metode: Metode penelitian yang digunakan ialah quasi experimental dengan pendekatan pre-post test control group design menggunakan instrumen Insomnia Rating Scale, dilakukan pada kelompok intervensi (n=31) dan kelompok kontrol (n=31). Analisis data dilakukan secara univariat dan bivariat. Hasil: Hasil penelitian menunjukkan skor rerata perubahan tingkat insomnia pada kelompok intervensi maupun kelompok kontrol. Pada hasil uji Mann Whitney didapatkan nilai p-value=0,021 sehingga dapat disimpulkan bahwa terapi relaksasi religius berpengaruh secara signifikan terhadap penurunan tingkat insomnia pada lansia. Diskusi: Relaksasi religius akan membuat seseorang merasa tenang sehingga kemudian menekan kerja saraf simpatis dan mengaktifkan kerja sistem saraf parasimpatis. Perlakuan relaksasi religius cukup efektif untuk memperpendek waktu dari mulai merebahkan tubuh hingga tertidur dan mudah memasuki tidur. Hal ini membuktikan bahwa relaksasi religius yang dilakukan dapat membuat lebih relaks sehingga kesulitan ketika mengawali tidur dapat diatasi dengan perlakuan ini. Kesimpulan: Teknik relaksasi religius efektif menurunkan tingkat insomnia pada lansia sehingga program ini disarankan dapat diterapkan pada lansia sebagai bagian dari program kesehatan lansia.Kata Kunci: insomnia, lansia, relaksasi religius.EFFECT OF RELIGIUS RELAXATION ON DECREASING INSOMNIA LEVEL IN THE ELDERLY AT PSLU BONDOWOSOABSTRACTObjective: This study aims to identify the effect of religious relaxation on decreasing insomnia level at PSLU Bondowoso. Methods: This study was quasi-experimental with pre-posttest control group design using Insomnia Rating Scale and was conducted on intervention group (n=31) and control group (n=31). Data were analyzed using univariate and bivariate. Results: The results of the study indicated the average score of changes in insomnia levels in intervention group and control group. The results ofMann-Whitney test indicated p-value=0.021 so it could be concluded that religious relaxation therapy significantly affected the decrease in insomnia levels in the elderly. Discussion: Religious relaxation will make a person feel calm, which will then press the work of sympathetic nervous and activate the work of the parasympathetic nervous system. The treatment of religious relaxation is effective to shorten the time from lying down to falling asleep and easily entering into sleep. This proves that religious relaxation can make a person more relaxed so that difficulty when initiating sleep can be overcome by this treatment. Conclusion: Religious relaxation technique is effective in decreasing insomnia levels in the elderly so that this program is recommended to be applied in the elderly as a part of elderly health program.Keywords: insomnia, elderly, religious relaxation

scholarly journals Digital intervention increases influenza vaccination rates for people with diabetes in a decentralized randomized trial

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
J. L. Lee ◽  
L. Foschini ◽  
S. Kumar ◽  
J. Juusola ◽  
J. Liska ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Controlled Trial ◽  
New Technology ◽  
Intervention Group ◽  
Vaccination Rate ◽  
Control Group ◽  
Number Needed To Treat ◽  
Public Health Burden ◽  
Vaccination Rates ◽  
Increased Risk

AbstractPeople with diabetes (PWD) have an increased risk of developing influenza-related complications, including pneumonia, abnormal glycemic events, and hospitalization. Annual influenza vaccination is recommended for PWD, but vaccination rates are suboptimal. The study aimed to increase influenza vaccination rate in people with self-reported diabetes. This study was a prospective, 1:1 randomized controlled trial of a 6-month Digital Diabetes Intervention in U.S. adults with diabetes. The intervention group received monthly messages through an online health platform. The control group received no intervention. Difference in self-reported vaccination rates was tested using multivariable logistic regression controlling for demographics and comorbidities. The study was registered at clinicaltrials.gov: NCT03870997. A total of 10,429 participants reported influenza vaccination status (5158 intervention, mean age (±SD) = 46.8 (11.1), 78.5% female; 5271 control, Mean age (±SD) = 46.7 (11.2), 79.4% female). After a 6-month intervention, 64.2% of the intervention arm reported influenza vaccination, vers us 61.1% in the control arm (diff = 3.1, RR = 1.05, 95% CI [1.02, 1.08], p = 0.0013, number needed to treat = 33 to obtain 1 additional vaccination). Completion of one or more intervention messages was associated with up to an 8% increase in vaccination rate (OR 1.27, 95% CI [1.17, 1.38], p < 0.0001). The intervention improved influenza vaccination rates in PWD, suggesting that leveraging new technology to deliver knowledge and information can improve influenza vaccination rates in high-risk populations to reduce public health burden of influenza. Rapid cycle innovation could maximize the effects of these digital interventions in the future with other populations and vaccines.

scholarly journals Effect of Education on Physical Activity among the Rural Elderly in Zabol City

2018 ◽  
Author(s):  
Mohammad Saeed Jadgal ◽  
Saeedeh Sadeghi ◽  
Ehsan Movahed ◽  
Moradali Zareipour ◽  
Sayed Mostafa Davoodi
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Educational Intervention ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
Post Intervention ◽  
The Mean ◽  
Knowledge And Practice ◽  
And Control

Introduction: One of the most important causes of chronic diseases in elderly people is lack of physical activity. Studies have shown that lack of physical activity in the elderly causes osteoporosis, obesity, depression and sudden death from cardiovascular disease, type 2 diabetes and colon cancer. The aim of this study was to determine the effect of an educational intervention on knowledge and practice of physical activity among the rural elderly in Zabol city. Methods: In this semi-experimental study, 200 elderly people over 60 years of age living in rural areas of Zabol city who were selected by multi-stage random sampling were divided into two groups: intervention and control. The data collection instrument was a researcher- made questionnaire that comprised 3 parts: demographic and background variables, knowledge and practice. Before the intervention, the questionnaires were completed by intervention and control group. The educational content for the intervention group was the Healthy Lifestyle Handbook and face-to-face training which included a practical representation of six smooth movements. However, no intervention was performed in the control group. After 2 months, the same questionnaire was completed again and the data were analyzed using SPSS software. Results: Before the intervention, there was no difference in the mean score of knowledge and practice of the participants, but these differences were significant in the post intervention (p < 0.001). The mean of knowledge and practice scores in the control group in pre-intervention stage was 35.17 ± 2.05 and 6.24 ± 2.82, respectively, Which was 35.59 ± 1.82 and 5.91 ± 2.64 in the post-intervention phase, respectively, But the mean score of knowledge and practice in the intervention group in pre intervention stage increased from 35.6 ± 2.47 and 6.73 ± 3.43 to 37.85 ± 1.38, and 12.83 ± 9.09 in the post-intervention phase, respectively. Conclusion: Educational intervention is effective in increasing awareness and overall level of physical activity among the elderly.

scholarly journals Effects of Thought Stopping Therapy on Anxiety in the Elderly Facing the Covid 19 Pandemic in Elderly Home

2020 ◽  
Vol 4 (1) ◽  
pp. 135-139
Author(s):  
Niken Yuniar Sari ◽  
Budi Antoro ◽  
Maria Septijantini Alie
Keyword(s):  
Intervention Group ◽  
Emotional Responses ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Thought Process ◽  
Elderly Home ◽  
Cognitive Behaviour ◽  
Post Test ◽  
And Control

Thought stopping is a therapy that can help stop disruptive thoughts from changing the thought process. This study aims to determaine the influence of  thought stopping therapy on anxiety in the elderly facing  the Covid 19 Pandemic in Elderly home . This study used quasi eksperimental design with  pre- post test with control group. Responden  were 70 people that devided into two group. They were 35 as intervention group that received thought stopping and 35 as control group that received nursing therapy of anxiety. Result showed anxiety in the intervention group decreased  from moderate anxiety to mild anxiety and control group decreased still in the moderate anxiety. Thought stopping decreased  physiologic, cognitive, behaviour and emotional responses of anxiety significantly (p value <0,05). thought stopping therapy was recommended as therapy to solve the anxiety at home elderly and community.

Effect of aromatherapy massage with orange essential oil on postoperative pain after cesarean section: a randomized controlled trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Seyedmohammad Mirhosseini ◽  
Ali Abbasi ◽  
Nastaran Norouzi ◽  
Fatemeh Mobaraki ◽  
Mohammad Hasan Basirinezhad ◽  
...  
Keyword(s):  
Side Effects ◽  
Essential Oil ◽  
Cesarean Section ◽  
Statistical Tests ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Anxiety Score ◽  
Control Group ◽  
And Control ◽  
Orange Essential Oil

Abstract Objectives Many women in recent years have been willing to undergo puncture surgery for childbirth, which, like other surgeries, has physical and psychological side effects such as incision, infertility, chronic pain, and anxiety. Therefore, it is important to reduce and improve these side effects. The aim of this study was to determine the effect of foot massage with orange essential oil on pain and anxiety in women undergoing cesarean section. Methods This randomized clinical trial study was conducted in 2019 on 80 women referred to Bahar Shahroud Hospital after cesarean section surgery. The samples were divided into two groups by intervention (foot massage with orange essential oil) and control (foot massage without orange essential oil). The Spielberger scale was used to determine anxiety scores after cesarean section. In the intervention group, the feet were massaged with orange essential oil, and in the control group, the orange essential oil massage was performed without oil. Anxiety before, immediately after, and 60 min after the intervention was measured and evaluated in both groups. Data analysis was performed using descriptive and inferential statistics. Significant levels were considered for all statistical tests (p<0.05). Results The anxiety score before the intervention in the two groups of intervention and control was 57.12 ± 3.12 and 57.07 ± 3.54, respectively, which were not significantly different, but immediately after the intervention, the anxiety scores in both groups decreased significantly so that there was a further decrease in the intervention group (52.10 ± 4.75 and 56.02 ± 3.77), 1 h after the intervention, the anxiety score in the intervention group decreased compared to the previous stage and increased in the control group (50.40 ± 3.74 and 56.85 ± 4.27). Conclusions Foot massage with orange essential oil can probably be effective as a proper nursing intervention in reducing anxiety after cesarean section surgery.

The effect of practicing yoga during pregnancy on labor stages length, anxiety and pain: a randomized controlled trial

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Ellahe Mohyadin ◽  
Zohreh Ghorashi ◽  
Zahra Molamomanaei
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Total Duration ◽  
Measurement Data ◽  
Labor Pain ◽  
Control Group ◽  
Chi Square ◽  
Nulliparous Women ◽  
Two Stages ◽  
And Control

AbstractBackgroundAnxiety and fear of labor pain has led to elevated cesarean section rate in some countries. This study was conducted to investigate the effect of yoga in pregnancy on anxiety, labor pain and length of labor stages.MethodsThis clinical trial study was performed on 84 nulliparous women who were at least 18 years old and were randomly divided into two groups of yoga and control groups. Pregnancy Yoga Program consisting of 6 60-min training sessions was started every 2 weeks from week 26 of pregnancy and continued until 37 weeks of gestation. Anxiety severity at maternal admission to labor was measured by the Spielbergers State-Trait Anxiety Inventory, and labor pain was measured by Visual Analogue Scale (VAS) at dilatation (4–5 cm) and 2 h after the first measurement. Data were analyzed using Chi-Square and t-test.ResultsIntervention group reported less pain at dilatation (4–5 cm) (p=0.001) and 2 h after the first measurement (p=0.001) than the control group. Stat anxiety was also lower in intervention group than the control group (p=0.003) at the entrance to labor room. Subjects in the control group required more induction compared to intervention group (p=0.003). Women in intervention group experienced shorter duration of the first phase of the labor than the control group (p=0.002). Also, the total duration of two stages of labor was shorter in intervention group than the control group (p=0.003).ConclusionsPracticing yoga during pregnancy may reduce women’s anxiety during labor; shorten labor stages, and lower labor pain.

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