scholarly journals Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment

Jurnal NERS ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 99
Author(s):  
Ninuk Dian Kurniawati ◽  
Abu Bakar ◽  
Eka MHas ◽  
Elida Ulfiana ◽  
Laily Hidayati ◽  
...  

Introduction. Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients’ non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance. Method This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test. Results. The model was statistically effective to improve nearly all aspects of patients’ compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited. Conclusion. This study concludes that the KM nursing care model was proven effective to improve patients’ adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population. 

2019 ◽  
Vol 7 (7) ◽  
pp. 1220-1225
Author(s):  
Abdul Aziz Alimul Hidayat ◽  
Musrifatul Uliyah

AIM: The purpose of this study is to analyse the usage of nursing care model based on culture to improve parenting practices related to malnutrition among Madurese children. METHODS: This study uses a quasi-experimental design and a purposive sample of 102 respondents from families with toddlers who suffered from nutritional deficiency. The sample consisted of an intervention group (n = 51) and a control group (n = 51). Data were collected using a questionnaire and weight measurement. RESULTS: A t-test found a difference between all of the variables of care, including health technology utilization, when comparing the following variables between the intervention group and the control group (t = 14.12, p < 0.001), beliefs and philosophy (t = 10.20, p < 0.001), cultural values and lifestyle (t = 13.63, p < 0.001), economic reasons (t = 0.20, p = 0.837), nursing action response based on culture (t = 11.28, p < 0.001), and care behaviors for children (t = 16.43, p < 0.001). The Wilcoxon signed-rank test found a difference between pre-intervention nursing care model based on culture and post-intervention nursing care model based on culture regarding the variable malnutrition status (t = 16.43, p < 0.001). CONCLUSION: This study found that the application of nursing care model based on culture affects care practices. Nursing care model based on culture can be applied to families with toddlers who are malnourished because of the lack of a culture of care.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Roya Sheybani ◽  
Zahra Hosseini ◽  
Sayed Hossein Davoodi ◽  
Teamur Aghamolaei ◽  
Amin Ghanbarnejad

Abstract Background Evidence indicates the lower intake of fruits and vegetables than the recommended daily amount. Study aimed at determining the effects of peer education intervention on the consumption of fruits and vegetable in housewives. Methods A quasi-experimental was conducted with 130 housewives referring to health care centers in Bandar Abbas, Iran. Sixty-five subjects were recruited in each of the intervention and the control groups. Intervention group were divided into three subgroups each receiving a seven-sessions educational programs (lecturing and group discussion) through peers about the importance of benefits of fruits and vegetables consumption. Participants were followed for two months. Data were collected using a questionnaire in two stages of pre- and post-intervention. Differences in the outcome before and after the intervention were tested using T-test and paired T-test. Results The daily servings of fruits and vegetables in the intervention group increased from 1.73 to 4.20 and in the control group from 1.96 to 2.16; a statistically significant difference was also observed between the groups (P < 0.001). After the intervention benefits and self-efficacy of fruits and vegetables consumption significantly increased and perceived barriers of fruits and vegetables consumption significantly decreased in the intervention group (P < 0.001). Conclusion Peer education improves benefits and self-efficacy, reduces barriers, and increases the daily servings of fruits and vegetables in housewives.


Author(s):  
Saru Noliqo Rangkuti ◽  
Azizah Nasution ◽  
Azizah Nasution ◽  
Khairunnisa Khairunnisa ◽  
Khairunnisa Khairunnisa

 Objective: The objective of this study was to determine the impact of counseling on adherence of dyslipidemia outpatients to the prescribed medications in An-Nisa Hospital Tangerang period July 2016–November 2016.Methods: This prospective a quasi-experimental design with pre- and post-test design was done to analyze the impact of counseling in An-Nisa Hospital Tangerang. Patients’ characteristics were statistically analyzed using Chi-square. The patient adherence toward therapy was analyzed using Morisky Medication adherence scale-8.Results: The present study indicated that most of the patients (70%) were females with ages: ˃50.70%; ≤50.30%. The counseling significantly affected the adherence level on dyslipidemia patients, p<0.001.Conclusion: This research proved that counseling had a positive impact on the patients’ adherence.


2020 ◽  
Vol 3 (7) ◽  
pp. 189-198
Author(s):  
Ahmed Sanoussi Himeda Al Jawad ◽  
Salem Hamed Abosnan

This study aims to investigate the impact of using small group discussion technique on enhancing students’ speaking skill in English language department at Faculty of Arts and Science Kufrah –Benghazi University. The review of relevant literature revealed that previous researchers presented the advantages of small group discussion technique in teaching English around the world. So, the researcher believed that the use of small group discussion technique might promote students’ performance in speaking skill. The review of literature undeniably revealed that large group discussion technique mostly used by EFL lecturers to teach speaking skill were not solid enough. The advantage of the small group discussion technique over the large group discussion technique was investigated by testing the hypotheses and research questions set after conducting the literature review. The quasi-experimental research design as used in this study. English language department at Faculty of Arts and Science Kufrah was chosen for experimental study with 30 students. A teacher- made task was used as an instrument of the study. The results proved that, the mean performance of the students exposed to small group discussion technique is higher than that of those exposed to the large group discussion. Based on the results, recommendations were made on the need to adopt small group discussion to ameliorate students’ performance in speaking skill in Libyan universities.


2012 ◽  
Vol 7 (1) ◽  
Author(s):  
Emeliza T. Estimo ◽  
Lourdes C. Arañador ◽  
Luis G. Evidente

This paper is a quasi-experimental investigation on the impact of Collaborative Learning (CL) in Small Group Discussions (SGD) on the development of the eight components of Resilience Quotient (RQ) and the Academic Performance (AP) of students in Maritime English classes. Using different statistical tools such as mean and standard deviation and t-test for dependent and independent means, the study revealed that students who have a higher academic performance tend to also have a higher RQ. Evidence also showed that a high level of RQ could enhance academic performance and that RQ could be developed through constant exposure to small group discussions at a certain period of time. Evidence in the study also showed that too much dependence on the teacher as the main source of learning in the traditional approach could lead to some regression or decline on the students’ personal vision thereby lowering their level of resilience. There was also some evidence that the improvement in the level of RQ can also be a teacher factor. Moreover, it was noticed that working in small groups could give students the opportunity to affirm their personal beliefs and individual capabilities in accomplishing their tasks in the teaching and learning process. Keywords - collaborative learning, small group discussion, Resilience Quotient, academic


2017 ◽  
Vol 27 (4) ◽  
pp. 470-473 ◽  
Author(s):  
Heather N Platter ◽  
Steven B Pokorny

ObjectiveBehavioural interventions, such as smoke-free signage, are used to support air quality in public outdoor spaces that are not protected by a smoke-free policy, such as states with preemptive clause legislation. However, there is little evidence of the effectiveness of these interventions. This paper is an evaluation of whether smoke-free signage posted in public parks altered smoking behaviours of park patrons.MethodsA time-series quasi-experimental design was used. Cigarette butts were collected at the same day and time every week in ten amenities within four parks in 2011. Each park completed a baseline period until a stable trend emerged at six weeks, then received smoke-free signage for the six week intervention period. There were 1684 cigarette butts collected during baseline and 1008 collected during the intervention phase.FindingsWilcoxon signed-rank test demonstrated that smoking at seven out of ten amenities decreased and the overall decrease was significant at p=0.028. Individual parks and amenities grouped by type did not experience a statistically significant change. A neighbourhood median income trend was visually discovered, revealing that as income increased, there was a greater decrease in cigarette butts.ConclusionsThis study provides evidence on the impact of smoke-free signage not supported by local ordinance in public parks using a reproducible measure. States, especially those with a preemptive clause legislation, may benefit from incorporating smoke-free signage in public areas to protect community members from exposure to tobacco smoke, reduce littering, and denormalise smoking.


2021 ◽  
Vol 4 (1) ◽  
pp. 55-66
Author(s):  
Asroful Kadafi ◽  
Alfaiz Alfaiz ◽  
M. Ramli ◽  
Dahlia Novarianing Asri ◽  
Juwita Finayanti

The pandemic caused by the Corona Virus Disease (COVID-19) has had psychological and health impacts on people's lives around the world.  On a psychological aspect, this pandemic has caused anxiety due to low mindfulness.  To increase the potential of mindfulness, one of the ways taken is by counselor psychological intervention.  The authors used an Islamic counseling approach to reduce anxiety and increase mindfulness. Therefore, the research was conducted using a quasi-experimental design with non-equivalent control group design.  Participants in this study were 14 students consisting of 7 students for each experimental and control group. Participants were invited after filling self-report the anxiety scale facing COVID-19 and indicated that they were in the high category. The data analyzed with the Wilcoxon sign rank test to determine the impact of before and after the intervention was given, then used the Mann Whitney to find out the mean differences between the experimental and control group, and the Rank Spearman to determine the correlation between mindfulness and anxiety.  The results showed that Islamic counseling intervention is effective to increase mindfulness which impacted on reducing anxiety in facing the COVID-19 pandemic. Besides, the results of correlation analysis using the Rank Spearman show that there is a correlation between mindfulness and anxiety.


Author(s):  
Muhammad Fendrik ◽  
Elvina Elvina

This study aims to examine the influence of visual thinking learning to problemsolving skill. Quasi experiments with the design of this non-equivalent controlgroup involved Grade V students in one of the Elementary Schools. The design ofthis study was quasi experimental nonequivalent control group, the researchbullet used the existing class. The results of research are: 1) improvement ofproblem soving skill. The learning did not differ significantly between studentswho received conventional learning. 2) there is no interaction between learning(visual thinking and traditional) with students' mathematical skill (upper, middleand lower) on the improvement of skill. 3) there is a difference in the skill oflanguage learning that is being constructed with visual learning of thought interms of student skill (top, middle and bottom).


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