scholarly journals Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome

BMC Urology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jooyeon Park ◽  
Choal Hee Park ◽  
Sang-Eun Jun ◽  
Eun-Ju Lee ◽  
Seung Wan Kang ◽  
...  
Keyword(s):  
Overactive Bladder ◽  
Sleep Onset ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Urinary Symptoms ◽  
Control Group ◽  
Overactive Bladder Syndrome ◽  
Korean Women ◽  
Sleep Patterns ◽  
Significant Difference

Abstract Background The prevalence of overactive bladder syndrome (OAB) increases with age. Sleep disturbances in elderly individuals with OAB is a common problem. The purpose of this study was to examine the effects of a biofeedback-based sleep improvement (BBSI) program on urinary symptoms and sleep patterns in elderly Korean women with OAB. Methods A non-equivalent control group pre−/post-test design was used. Elderly women with OAB were assigned to an intervention group (n = 20) or a control group (n = 18). The BBSI program was implemented in the intervention group for 12 weeks, while two educational sessions of general sleep hygiene and lifestyle modification were provided to the control group. Using SPSS 23.0, the data were analyzed by descriptive analysis using the chi-square test, Fisher’s exact test, Mann-Whitney test, and Wilcoxon test. Results After the 12-week BBSI program, significant improvements were found in the intervention group’s the square root of the mean squared differences of successive R-R intervals (p = 0.025), low frequency/high frequency ratio (p = 0.006), and epinephrine (p = 0.039). We also observed a significant difference in urinary symptoms, sleep efficiency, wake after sleep onset, number of awakenings, and number of awakenings within 3 h after sleep onset (p < 0.001, p = 0.004, p = 0.001, p = 0.001, and p = 0.048, respectively). However, no significant changes were found in these variables in the control group. Conclusions The BBSI program effectively improved urinary symptoms and sleep patterns of elderly Korean women with OAB. Further longitudinal research is required to investigate the sustainability and effects of the BBSI program. Trial registration KCT0003882. Date of registration: 02/05/2019. Retrospectively registered.

scholarly journals Guided Internet-delivered cognitive behavioural treatment for insomnia: a randomized trial

2013 ◽  
Vol 44 (7) ◽  
pp. 1521-1532 ◽  
Author(s):  
A. van Straten ◽  
J. Emmelkamp ◽  
J. de Wit ◽  
J. Lancee ◽  
G. Andersson ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Sleep Onset ◽  
Intervention Group ◽  
Sleep Diary ◽  
The Internet ◽  
Control Group ◽  
Sleep Onset Latency ◽  
Cognitive Behavioural ◽  
Co Morbidity ◽  
Significant Difference

BackgroundInsomnia is a prevalent problem with a high burden of disease (e.g. reduced quality of life, reduced work capacity) and a high co-morbidity with other mental and somatic disorders. Cognitive behavioural therapy (CBT) is effective in the treatment of insomnia but is seldom offered. CBT delivered through the Internet might be a more accessible alternative. In this study we examined the effectiveness of a guided Internet-delivered CBT for adults with insomnia using a randomized controlled trial (RCT).MethodA total of 118 patients, recruited from the general population, were randomized to the 6-week guided Internet intervention (n = 59) or to a wait-list control group (n = 59). Patients filled out an online questionnaire and a 7-day sleep diary before (T0) and after (T1) the 6-week period. The intervention group received a follow-up questionnaire 3 months after baseline (T2).ResultsAlmost three-quarters (72.9%) of the patients completed the whole intervention. Intention-to-treat (ITT) analysis showed that the treatment had statistically significant medium to large effects (p < 0.05; Cohen's d between 0.40 and 1.06), and resulted more often in clinically relevant changes, on all sleep and secondary outcomes with the exception of sleep onset latency (SOL) and number of awakenings (NA). There was a non-significant difference in the reduction in sleep medication between the intervention (a decrease of 6.8%) and control (an increase of 1.8%) groups (p = 0.20). Data on longer-term effects were inconclusive.ConclusionsThis study adds to the growing body of literature that indicates that guided CBT for insomnia can be delivered through the Internet. Patients accept the format and their sleep improves.

scholarly journals Manfaat Relaksasi Otot Progresif Bagi Klien DM Tipe II Untuk Mengurangi Gejala Fatigue

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati
Keyword(s):  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Diabetic Patients ◽  
Significant Difference ◽  
Before And After

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.

scholarly journals EFEKTIVITAS LATIHAN PERNAFASAN RELAKSASI TERHADAP KELELAHAN PADA PASIEN KANKER YANG MENJALANI KEMOTERAPI

2020 ◽  
Vol 8 (01) ◽  
pp. 144-158
Author(s):  
Vervando Janter Sumilat ◽  
Prabawati Prabawati ◽  
Sudibyo Supardi
Keyword(s):  
Cancer Patients ◽  
Intervention Group ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Breathing Exercise ◽  
Chemotherapy Drugs ◽  
Breathing Exercises ◽  
Significant Difference

Abstract Background: Cancer patients with chemotherapy experience fatigue as cancer effects and cell destruction due to the toxicity of chemotherapy drugs. Objective: Determine the effectiveness of relaxation breathing exercises to fatigue cancer patients who undergoing chemotherapy. Methode: This research used quasi experiment pretest and posttest method. There were 92 respondents who examined using purposive sampling technique and divided into 46 respondents as intervention group and 46 respondents as control group. Relaxation breathing exercise was given four weeks for intervention group on April-July 2018 in Siloam Hospital Manado. Result: The majority of cancer patients were age 45-65 years 69,9%, 54,3% were diagnosed cancer ≤1 year and 79,3% received combination chemotherapy. The result of Wilcoxon test revealed there was significant difference before and after intervention to fatigue (p value = 0,00), with mean rank of reduction 21,97% on fatigue. The result of Mann Whitney test revealed that there was significant difference in fatigue between intervention and control groups (p value = 0,00). Multivariate logistic regression revealed that there was an effect of relaxation breathing exercise on fatigue (p value = 0,00) and relaxation breathing exercise may reduce 60,46 times of fatigue on patients who undergoing chemotherapy. Conclusion: Relaxation Breathing Exercise can reduce fatigue in cancer patients who undergoing chemotherapy in Siloam Hospital Manado. It is recommended to perform relaxation breathing exercise as a routine exercise for cancer patients during chemotherapy to minimize fatigue. Keywords: Relaxation Breathing Exercise, Fatigue, Chemotherapy, Cancer

scholarly journals The Effect of 5A Self-management Program on Medication Adherence of Epileptic Patients in During the COVID – 19 Pandemic

2021 ◽  
Author(s):  
Seyede Fateme Moosavimoghadam ◽  
Ali Dehghani ◽  
Rasool Eslami Akbar
Keyword(s):  
Medication Adherence ◽  
Intervention Group ◽  
Management Training ◽  
Wilcoxon Test ◽  
Self Management ◽  
Control Group ◽  
Control Groups ◽  
Significant Difference ◽  
Epileptic Patients ◽  
And Control

Abstract Background: Adherence to medication adherence plays a vital role in controlling the problems and complications of epilepsy. During the COVID – 19 pandemic and limitations of face-to-face education, the use of distance education can play an important role in providing education to patients. Therefore, the aim of this study is the effect of model 5A self-management training on medication adherence in epileptic patients.Methods: In this single-blind randomized controlled trial, 56 epilepsy patients referred to Shiraz Namazi Hospital were divided into intervention and control groups using random allocation. Thereafter, 5A self - management training sessions were virtually held in 5 sessions in WhatsApp application for intervention group. The data collection tool was Morisky medication adherence scale at two stages of before and two months after intervention. Data analysis was performed using SPSS 21 software.Results: The results of Wilcoxon test showed that in intervention group, the mean drug adherence in patients after intervention significantly increased compared to before intervention (p = 0.005). But in control group, this was not significant (p = 0.909). According to results of Mann-Whitney test, there was no significant difference between intervention and control groups before intervention (p = 0.632). However, by passing two months from intervention, a significant difference was found between intervention and control groups (p = 0.041).Conclusion: Based on results, the implementation of Model 5A can be effective on medication adherence in epilepsy patients. This program can be considered as a suitable method in epileptic patients in during COVID – 19 pandemic.

scholarly journals Application of Nightingale's Environmental Theory: The Effect of Heliotherapy on The Clinical Improvements in Individuals with Tuberculosis

2021 ◽  
Vol 14 (3) ◽  
pp. 234-239
Author(s):  
Liza Wijaya ◽  
Sri Nabawiyati Nurul Makiyah
Keyword(s):  
Health Centre ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
Public Health Centre ◽  
Leicester Cough Questionnaire ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Independent Variable ◽  
Environmental Theory

Tuberculosis is a global health problem. Sunlight can trigger vitamin Dproduction, so it increases the immunity system. This study analysesNightingale's environmental theory through the effect of heliotherapy on theclinical improvements in individuals with tuberculosis. It was a quantitativestudy using a quasi-experimental design with a pretest-posttest approach and acontrol group. In addition, the population was 59 individuals with tuberculosisin Depok Sleman District, Yogyakarta. Meanwhile, there were 24 respondentsby purposive sampling method. The intervention group at Depok 3 Public Health Centre (PHC) was 17 respondents with heliotherapy and anti-tuberculosis drugs, while the control group at Depok 2 PHC was 17 respondents with anti-tuberculosis drugs. The independent variable washeliotherapy, while the dependent variable was the clinical improvementsconsisting of weight, cough, and shortness of breath. Heliotherapy wasconducted for four weeks with an intensity of four times a week for 25minutes a day. Instruments used weigh scale, Borg Scale, and Leicester cough questionnaire. In addition, data analysis used the Wilcoxon Test and paired T-Test with a significance of 0.05. The results showed that there were clinical improvements in the intervention group (p=0.000). In addition, there wereincreased clinical improvements in weight and cough scores in the controlgroup (p=0.000). However, there was no significant difference in the shortnessof breath score in the control group (p=0.06). In conclusion, the application ofNightingale's environmental theory through heliotherapy affects clinicalimprovements in individuals with tuberculosis.

scholarly journals Efektifitas Pendidikan Kesehatan Dengan Media Audiovisual Dan Leaflet Terhadap Sikap Remaja Putri Menghadapi Menarche

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Veronica Silalahi
Keyword(s):  
Health Education ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Audiovisual Media ◽  
Teenage Girls ◽  
Significant Difference ◽  
Before And After

Objective: to identify the effectiveness of health education about menarche using audiovisual media and leaflets on the attitudes of teenage girls Methods: This article used a quasi-experimental non-equivalent control group design. This study divided the subjects into two groups, the intervention group and the control group with 31 respondents each, that is class III and IV in Sawunggaling 1 primary school, Surabaya. This article used a simple random sampling. Data processing was carried out by pretest and posttest and health education interventions using audiovisuals and leaflets for the intervention group, and for the control group using leaflet. Data analysis used the Mann Whitney test to assess the mean increase in attitudes in both groups, and the Wilcoxon test to see an increase in attitudes after the intervention in both groups.Results: The results showed p-value = 0.000 (p <0.05) in the intervention groups. This means that there is a significant increase in the attitude of teenage girls before and after being given health education which shows the effectiveness of health education about menarche using audiovisual media and leaflets. Whereas in the control group data obtained that 0.754 (p> 0.005), this means that there is no significant difference from the attitudes of teenage girls before and after being given health education about menarche with media leafletsConclusion : health education using audiovisuals and leaflets that are effective in improving the attitudes of teenage girls in facing menarche 

scholarly journals The Effect of Effleurage Massage on Primary Dysmenorrhea in Female Adolescent Students

2020 ◽  
Vol 18 (1) ◽  
pp. 9-17
Author(s):  
Nur Rahmawati Sholihah ◽  
Imroatul Azizah
Keyword(s):  
Intervention Group ◽  
Simple Random Sampling ◽  
Female Adolescent ◽  
Wilcoxon Test ◽  
Female Adolescents ◽  
Control Group ◽  
Primary Dysmenorrhea ◽  
Lower Abdomen ◽  
Painful Condition ◽  
Significant Difference

Primary dysmenorrhea is a painful condition during menstruation. It is characterized as cramping and is centered on the lower abdomen. The state may be accompanied by headaches, nausea, vomiting, diarrhea, and mild to severe trembling as it affects daily activities. The dysmenorrhea condition would affect the quality of life of most women. This study aimed to determine the effect of effleurage massage on primary dysmenorrhea of female adolescents in student’s dormitory of General Achmad Yani University, Yogyakarta. Method This research used a quasi-experimental approach with pre and post-test for two-group design. A total sample of 58 respondents was divided into the intervention and control groups. The sample determination used simple random sampling. Furthermore, the data is analyzed using the Wilcoxon test. Results this research showed a significant difference between the intervention groups and the control group was found after the intervention group was given the effleurage massage treatment (p <0.05). The conclusion of this research is effleurage massage has a significant effect on reducing pain in the lower abdomen during menstruation (dysmenorrhea). It is recommended to promote effleurage massage as an alternative to non-pharmacological treatment for female adolescents to reduce pain due to their dysmenorrhea.

scholarly journals Effect of the board game as educational technology on schoolchildren’s knowledge on breastfeeding

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Fernanda Demutti Pimpão Martins ◽  
Luciana Pedrosa Leal ◽  
Francisca Márcia Pereira Linhares ◽  
Alessandro Henrique da Silva Santos ◽  
Gerlaine de Oliveira Leite ◽  
...  
Keyword(s):  
Educational Technology ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
Board Game ◽  
The Third ◽  
Significant Difference ◽  
Post Test ◽  
Cluster Randomized

ABSTRACT Objective: to evaluate the effect of the board game as an educational technology on schoolchildren’s knowledge on breastfeeding. Method: cluster-randomized clinical trial, held in nine schools, with 99 children in the third grade of elementary school (control group = 51 and intervention group = 48). The pretest was conducted in both groups; intervention consisted in the application of the educational technology immediately after pretest to the intervention group; and the post-test was applied on the 7th and 30th days to both groups. For the analysis of children’s knowledge on breastfeeding, we considered the pre- and post-test score means, using the Mann-Whitney test - for comparing the means between groups - and the Wilcoxon test - within the same group. Results: there was no statistically significant difference between the groups in the pretest. In the follow-up, when comparing the groups, there were higher means in the intervention group, on the 7th (19.68 ±1.788) and on the 30th (20.16±1.260) days, with statistically significant difference. Within the intervention group, there was significant increase of the means in the pretest (15.89±3.082) for the 30th day (20.16±1.260). Conclusion: such educational intervention has significantly contributed to the increase in scores of children’s knowledge on breastfeeding for the intervention group. UTN: U1111-1184-7386.

scholarly journals Efficacy of Listening to Murattal in Reducing the Pain Experienced by ICU Patients

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Iwan Purnawan ◽  
Arif Imam Hidayat ◽  
Eman Sutrisna ◽  
Galih Noor Alivian ◽  
Ikit Netra Wirakhmi
Keyword(s):  
Healing Process ◽  
Intervention Group ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Pharmacological Intervention ◽  
Control Group ◽  
Control Group Design ◽  
Icu Patients ◽  
Pain Scores ◽  
Significant Difference

<p>Background: Pain is one of the main problems in patients with ICU. Inadequate handling can cause adverse effects such as unstable hemodynamics, trigger stress, and thus hinder the healing process. Non-pharmacological intervention is needed to help manage pain in patients with ICU. Purpose: This study aims to identify the effect of murottal listening to pain in ICU patients. Methods: This is a quasi-experiment with pre-test and post-test with control group design. The sampling technique was simple random sampling, consisting of 40 respondents divided into two groups. The Critical Pain Observation Tool (CPOT) is used to measure pain. Statistics using a paired t-test, Wilcoxon-test, and Mann Whitney. Results: Significant decreases in pain scores were observed in treatment groups of 4, 5 to 4,0; p = 0,013. In the control group, there was a significant decrease in pain scores from 4,8 to 4,3; p = 0,001. There was no significant difference between the median decrease in pain in the intervention group (0.001 (-1-2.0) and the control group (0.001 (0.001-1.0)) with p = 0.242. Conclusion: Murottal listening does not have a significant effect on pain in patients of ICU.</p>

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