scholarly journals SOCIALIZATION OF SELF CARE TOGA AND ACUPRESSURE AT GADING HEALTH CENTER IN SURABAYA

Author(s):  
Ario Imandiri ◽  
Maya Septriana

Background: The  community  made  various  efforts to  be  able  to  overcome  the health complaints that they experienced, whether it was done alone by people who experienced health complaints or by healthy families. Efforts made by the community in overcoming health complaints suffered include self-treatment based on the knowledge they have by massage or consuming materials or processed from plants or animals, conducting consultations or examinations on traditional and medical health facilities, and can also bring in officers home health. Purpose: Increasing public knowledge regarding how to process traditional medicines and independent acupressure. Method: Providing knowledge to the Independent Care Cadres of Gading Surabaya Health Center regarding how to process traditional medicines and independent acupressure through demonstration of making traditional medicines and independent acupressure. Results: The activity of Independent Care of Family Medication and Acupressure Care for Cadre groups in Gading Surabaya Health Center went well. The cadre welcomed the program and they participated in the coaching activities actively. Conclusion: The Independent Care of Family Medication and Acupressure care for Cadre groups coaching program in Gading Surabaya Health Center is very beneficial for the community in overcoming minor ailments without taking chemical drugs.

2020 ◽  
Vol 1 (3) ◽  
pp. 26-31
Author(s):  
Naelaz Zukhruf Wakhidatul Kiromah ◽  
Tri Cahyani Widiastuti

Indonesia has 20,000 types of plants where 300 species have been used as traditional medicines. The use of traditional medicine as an alternative treatment in Indonesia that has been used by both rural and urban communities. The use of traditional medicine is considered safer than modern medicine. The purpose of this study was to identify the level of use of traditional medicine and public awareness in the use of traditional medicine in work area of  Health Center Gombong 1 which consists of 5 villages. This research is a non-experimental and descriptive research that uses a questionnaire. Respondents who participated in this study were 140 people. The characteristics of respondents who participated in this study were the majority of men (50,71%), last educated of elementary school (41,43%), as housewives (27,86%). The majority of people in work area of Health Center Gombong choose treatment with modern medicine (64,29%). In addition there are 35,71% using traditional medicine and the majority use rhizome species (46%) for the treatment of minor ailments. In this study also showed that the majority of people do not know the safety of traditional medicines (50%) due to lack of information so that information is needed on the benefits and safety and the use of good and appropriate traditional medicines.


2019 ◽  
Author(s):  
Sarah Dineen-Griffin ◽  
Victoria Garcia Cardenas ◽  
Kylie Williams ◽  
Shalom Isaac Benrimoj

BACKGROUND Internationally, governments have been investing in supporting pharmacists to take on an expanded role to support self-care for health system efficiency. There is consistent evidence that minor ailment schemes (MAS) promote efficiencies within the healthcare system. The cost savings and health outcomes demonstrated in the UK and Canada opens up new opportunities for pharmacists to effect sustainable changes through MAS delivery in Australia. OBJECTIVE This trial is evaluating the clinical, economic and humanistic impact of an Australian minor ailments service (AMAS), compared with usual pharmacy care in a cluster-randomized controlled trial in Western Sydney, Australia. METHODS The cluster-randomized controlled trial design has an intervention and a control group, comparing individuals receiving a structured intervention with those receiving usual care for specific common ailments. Participants will be community pharmacies, general practices and patients located in Western Sydney Primary Health Network region. 30 community pharmacies will be randomly assigned to either intervention or control group. Each will recruit 24 patients seeking, aged 18 years or older, presenting to the pharmacy in person with a symptom-based or product-based request for one of the following ailments (reflux, cough, common cold, headache (tension or migraine), primary dysmenorrhoea and low back pain). Intervention pharmacists will deliver protocolized care to patients using clinical treatment pathways with agreed referral points and collaborative systems boosting clinician-pharmacist communication. Patients recruited in control pharmacies will receive usual care. The co-primary outcomes are rates of appropriate use of nonprescription medicines and rates of appropriate medical referral. Secondary outcomes include self-reported symptom resolution, time to resolution of symptoms, health services resource utilization and EQ VAS. Differences in the primary outcomes between groups will be analyzed at the individual patient level accounting for correlation within clusters with generalized estimating equations. The economic impact of the model will be evaluated by cost analysis compared with usual care. RESULTS The study began in July 2018. At the time of submission, 30 community pharmacies have been recruited. Pharmacists from the 15 intervention pharmacies have been trained. 27 general practices have consented. Pharmacy patient recruitment began in August 2018 and is ongoing and monthly targets are being met. Recruitment will be completed March 31st, 2019. CONCLUSIONS This study may demonstrate the utilization and efficacy of a protocolized intervention to manage minor ailments in the community, and will assess the clinical, economic and humanistic impact of this intervention in Australian pharmacy practice. Pharmacists supporting patient self-care and self-medication may contribute greater efficiency of healthcare resources and integration of self-care in the health system. The proposed model and developed educational content may form the basis of a MAS national service, with protocolized care for common ailments using a robust framework for management and referral. CLINICALTRIAL Registered with Australian New Zealand Clinical Trials Registry (ANZCTR) and allocated the ACTRN: ACTRN12618000286246. Registered on 23 February 2018.


2019 ◽  
Vol 13 (4) ◽  
pp. 1533
Author(s):  
Adin Mu'afiro ◽  
Joko Suwito ◽  
Kiaonarni Ongko Waluyo ◽  
Irine Christiany

Background and Purpose: Diabetes mellitus is an important health problem that leads to severe complication and death, health literacy (HL) is capacity of individual to obtain process and understand basic health information and services needed to make proper health decision that leads to empowering in self-care behavior. The purpose of this study was to determine the relationship between health literacy and self-care in patient with typ2 diabetes. Material and Method: This study was a cross sectional study conducted in 2017 on 390 patients with type2 diabetes referred to Babol rural health center. Data were collected using health literacy for Iranian Adults (HELIA) and Summary of Diabetes Self-Care Activities (SDSCA). Result: The result of study showed that mean average of HL was 48.56±16.31 and 55.9percent of patient had inadequate HL. The mean average of self-care in one week was 50.77±15.18. There was no significance association between HL and self-care behavior. HL was significant relation by sex, age, marriage, education, job, economic status and disease duration (p<0.05). Also there were significant relation between self-care behavior with number of family, education and disease duration. Conclusion: Considering that over 50% of patients have inadequate HL and demographic factor play an important role in HL and self-care behavior, it’s suggested that health care provider addressed this factor in order to designing appropriate program.


Author(s):  
Shirin Shirzad ◽  
Nayeb Fadaei Dehcheshmeh ◽  
Mohammad Hosein Haghighizadeh

Background: Human factor has currently become the source of change in organizations. The evaluation of human performance is a practical issue in human resources management and the best way to obtain information for organizational decision-making. Objectives: The current study aimed to monitor the performance of health caregivers in the eastern health center of Ahvaz, Iran, in the self-care program. Methods: This cross-sectional descriptive study was conducted on 72 health caregivers in 20 affiliated and 31 non-affiliated health posts in the eastern health center of Ahvaz in 2018. The census sampling method and ministerial checklist were the tools of assessment for the performance measurement of the health caregivers. The checklist consisted of two parts for personal information and technical performance evaluation. The data were analyzed using the t-test and analysis of variance in SPSS software (version 22). Results: All the participants were female health caregivers. The results showed that there was notanysignificantdifferencebetweenthestudy dimensions with the participants’fieldofstudy (P = 0.798;F = 0.226), academic degree (P value =0.957; t = 0.003), age (P = 0.419; F = 0.955), and work experience (P-value = 0.537; F = 0.627). The health caregiversofthe eastern Ahvaz health center of Ahvaz scored 767.35 out of the total 1,000, indicating that their performance was generally at an acceptable level. Conclusions: The findings of this study can assist the managers and experts of the health sector in evaluating the performance of health caregivers in their self-care program. For the enhancement of the performance of health caregivers, not only health ambassadors should be identified and trained, but also the dimension of organizational self-care should be reinforced.


Author(s):  
Anna Newton-Levinson ◽  
Megan Higdon ◽  
Roger Rochat

Abstract Objectives The aim of this study was to identify key challenges and opportunities to better support non-clinician clinic staff at family planning centers in Southern US states. Methods We conducted qualitative interviews with 15 individuals in clinic staff and leadership positions at family planning centers in seven Southern states. Results Turnover had negative impacts on both clinic functioning as well as patient care. Participants identified several challenges related to recruitment and retention in family planning health centers in the South, including the conservative contextual landscape, the perceived value of support staff, gaps in communication, and rural locations. In response to these challenges, staff also identified key strategies to better support and retain health center workers. These included prioritizing investment in management, creating career advancement opportunities, prioritizing staff retention, and creating space for self-care. Health center staff and leadership who used these strategies to support and retain staff noted improvements in the effectiveness of staff work as well as increases in patient volume. Conclusions for Practice Study findings provide key areas for intervention including providing development opportunities, commitment from leadership to recognize and invest in staff and supporting self-care. Focusing on ensuring internal organizational justice for staff may also facilitate resilience to external challenging environments. Better supporting clinic staff is likely also important for quality services and ensures the full workforce involved in providing family planning care can work at full capacity.


2020 ◽  
Author(s):  
Sascha Accounts ◽  
Lucy Yardley ◽  
Peter Smith ◽  
Mark Weal ◽  
Alexander Milton ◽  
...  

BACKGROUND Around 57 million doctor appointments annually in the UK are for minor ailments that could be self-cared for by patients. As well as taking up healthcare resources, patients experience increased anxiety, lowered confidence and inconvenience. The ‘Internet Dr’ is a digital intervention developed to support patients to self-care for respiratory tract infections. In a randomised controlled trial, patients with access to the intervention had fewer visits to their doctor for respiratory tract infections. Having established intervention efficacy, further examination of the data collected in the trial is required to understand how the intervention was successful. OBJECTIVE This paper reports a process evaluation of the ‘Internet Dr’ intervention. The evaluation identifies meaningful usage metrics (ie, types of interaction that are specific and relevant to the intervention). These metrics are used to examine which parts of the intervention are effective in supporting self-care for respiratory tract infections, who used them and at what time. METHODS The ‘Internet Dr’ trial recorded patients’ characteristics and usage data over 24 weeks. At follow-up users reported changes in their levels of enablement to cope with their illness over the trial period. An evaluation plan to examine this data was developed using Medical Research Council guidance and the framework for Analysing and Measuring Usage and Engagement Data. RESULTS Viewing pages containing advice on caring for respiratory tract infections was identified as a meaningful metric for measuring usage of the intervention. Almost half the users (n=616, 42.32%) viewed at least one advice page, with most people (n=478, 77.60%) accessing them when they initially enrolled in the study. Users who viewed an advice page (M=2.12) reported increased enablement to cope with their illness as a result of having participated in the study (MD =.469, 95% CI [.082, .856]), compared to users who did not view advice pages (M=1.65). Users who had visited their GP for a respiratory tract infection in the year prior to the trial were a target population, and analyses revealed that this group were more likely to access advice pages (Wald's x2=14.915, P=<.001). CONCLUSIONS The process evaluation identifies viewing advice pages as associated to increased enablement to self-care, even when accessed in the absence of a respiratory tract infection, meaning that dissemination activities need not be restricted to targeting users who are ill. The intervention was also effective at reaching the target population of users who consulted their GP previously. However, attrition prior to advice pages was high, highlighting the necessity of prioritising access during the design phase. These findings provide guidance on how the intervention may be improved and disseminated, and have wider implications for minor ailment interventions. CLINICALTRIAL ISRCTN91518452


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