The Role of Tuan Guru on Improving Iron Intake and Minimalizing Food Restriction Behavior among Pregnant Women with Anemia

Introduction: Anemia in pregnancy is an indirect cause maternal mortality. One of causes anemia during pregnancy is deficit of nutrient especially intake of iron. The aim of this study was to know that the role of religious leaders that called “Tuan Guru” as agent of change to improving iron intake among anemia pregnant women.Methods: This study was quasi-experimental with pre and post-test group design. 86 participants pregnant women with anemia have been recruited in this study with purposive sampling technic. They were divided in intervention group (47 participants) and control group (39 participants). This study involved Tuan Guru as main intervention to give health promotion about nutrition during pregnancy. This study used food recall as an instrument tool that it used to measure nutrient intake especially intake of iron both pre and post intervention and also used questonare to measure food restriction behaviour among anemia pregnant women. Statistical test used paired t-testResults: This study show that there were effect of religious leaders to improving the iron intake among pregnant women with anemia with p=0.01. This study also found that the habits of food restriction among pregnant women are decline between before and after intervention with p=0.00.Conclusion: Tuan Guru has a strong influence in helping to increase nutritional intake and is able to minimize the food restriction behaviour among anemia pregnant women. The result of this study can be a basis for government to make a policy related to involvement of religious leaders in health promotion.

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EFFECT OF HEALTH PROMOTION AND WHATSAPP REMINDER TO SELF EFFICACY OF ADHERENCE CONSUME FE TABLETS PREGNANT WOMEN

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.682 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Dyah Dyah Dewi ◽

Wiwik Wiwik Kusumawati ◽

Ismarwati Ismarwati Ismarwati

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Sampling Technique ◽

Control Group ◽

Control Group Design ◽

Significant Difference ◽

Before And After ◽

The Government

Background: Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.Objective: To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.Method: This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.Results: There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.Conclusion: There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.

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The effectiveness of an online multimodal intervention for mental health promotion: A randomised controlled trial

10.21203/rs.2.12991/v1 ◽

2019 ◽

Author(s):

Geraldine Przybylko ◽

Darren Morton ◽

Lillian Kent ◽

Jason Morton ◽

Jason Hinze ◽

...

Keyword(s):

Mental Health ◽

Health Promotion ◽

Intervention Group ◽

Mental Health Promotion ◽

Satisfaction With Life Scale ◽

Control Group ◽

Post Intervention ◽

Multimodal Intervention ◽

Sf 36 ◽

Emotional Wellness

Abstract Introduction There is an urgent need for efficacious interventions to combat the global mental health crisis, and mental health promotion and primary preventive approaches are paramount. Objective This study examined whether an online multimodal intervention that incorporates evidence-based strategies from the disciplines of Lifestyle Medicine and Positive Psychology improved measures of mental health and emotional wellness. Methods 425 adults (68.8% females, aged 46.5 ± 15.6) from Australia and New Zealand were randomised to an intervention or control group. The intervention group participated in a ten-week online multimodal intervention. Measures of mental health and emotional wellness were taken at baseline (Week 1), post-intervention (Week 12), and 12 weeks post-intervention (Week 24). The control group completed the same assessments. Results The intervention group experienced significant improvements from Week 1 to 12 in: mental health (10%, p<0.001, d=0.50) and vitality (22%, p<0.001, d=0.54) subscales of the Short Form Survey (SF-36); depression (-42%, p<0.001, d=0.48), anxiety (-38%, p<0.001, d=0.39) and stress (-31%, p<0.001, d=0.52) subscales of the Depression, Anxiety and Stress Scale (DASS-21); and life satisfaction (8%, p<0.001, d=0.48) as measured by the Satisfaction With Life Scale (SWLS).The control group experienced significant improvements only in the mental health (3%, p=0.028, d=0.16) subscale of the SF-36, and the stress subscale (-9%, p=0.038, d=0.15) of the DASS-21. The changes in the intervention group were significantly greater (p<0.001) than the control group for all measures. Improvements in the outcome measures were generally sustained for the intervention group at 12 weeks post-intervention. Conclusion The online multimodal intervention improved measures of mental health and emotional wellness suggesting that such interventions may be useful for mental health promotion and prevention.

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Promosi Kesehatan Nola Pender Berpengaruh Terhadap Pengetahuan dan Kepatuhan ODHA Minum ARV

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2017.5(1).58-67 ◽

2017 ◽

Vol 5 (1) ◽

pp. 58

Author(s):

Tuti Asrianti Utami

Keyword(s):

Health Promotion ◽

Health Service ◽

Peer Group ◽

Intervention Group ◽

Total Sample ◽

Control Group ◽

P Value ◽

People Living With Hiv ◽

Post Intervention ◽

Hiv Aids

<em>The success rate of ARV therapy depends on the adherence of HIV-AIDS patients in ARV treatment. The purpose of this study was to analyze the effect of NolaPender health promotion to improve the knowledge and adherence of PLWHA (People living with HIV-AIDS) with ARV in SintCarolus Health Service (SCHS) and Persahabatan General Hospital (PGH). This study used a Pre-Post test Quasi Eksperimantal Non Equivalent Control Group and a total sample of 90 respondents were recruited through the use of consecutive sampling with inclusion criteria where 45 respondents served as intervention group in SCHS and the remaining as control group in PGH from May-June 2016. The result showed most respondents were in the late adulthood stage (36-55 years old), male, having advanced education, working, exposed to counseling service, having family support as well as peer group support, easy in reaching health service and with health insurance. NolaPender health promotion increased the knowledge of ARV (mean score pre intervention was 5.31 to post intervention 7.04), and improving the adherence of taking ARV from moderate to good adherence as many as 51.1%. There was an effect of Nola Pender health promotion using booklet to respondents’ knowledge (p-value=0.000) from 13.3% to 91.1% and also effect of knowledge improvement of ARV to the adherence of taking ARV, with the support from peer group from 30.2% to 87.2%. The study recommends to continue this program of Nola Pender health promotion for PLWHA taking ARV in a structured and well planned system.</em>

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Effect of health promotion and Whatsapp reminder to self-efficacy of the consumption of Fe tablets adherence among pregnant women

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.683 ◽

2019 ◽

Vol 2 (1) ◽

pp. 23-32

Author(s):

Dyah Tri Kusuma Dewi ◽

Wiwik Kusumawati ◽

Ismarwati Ismarwati

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Sampling Technique ◽

Control Group ◽

Control Group Design ◽

Significant Difference ◽

Before And After ◽

The Government

Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.

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Do exercises improve back pain in pregnancy?

Hormone Molecular Biology and Clinical Investigation ◽

10.1515/hmbci-2017-0012 ◽

2017 ◽

Vol 32 (3) ◽

Cited By ~ 2

Author(s):

Muhammad Azrai Abu ◽

Nur Azurah Abdul Ghani ◽

Lim Pei Shan ◽

Aqmar Suraya Sulaiman ◽

Mohd Hashim Omar ◽

...

Keyword(s):

Back Pain ◽

Pregnant Women ◽

Pain Intensity ◽

Functional Limitation ◽

Intervention Group ◽

Exercise Program ◽

Control Group ◽

Prospective Control Study ◽

Post Intervention ◽

Back Care

AbstractObjectiveTo assess the efficacy of an exercise program towards reducing back pain in pregnant women.MethodsIn this prospective control study, 145 low risk pregnant women who scored more than 20 for functional limitation assessment were recruited. The severity of back pain was assessed using the visual analoque scale (VAS) and the functional limitation was assessed using the Oswestry disability questionnaire (ODQ). All participants were informed of back care measures and provided with Paracetamol as an adjunct analgesia. The intervention group will have a session with a trained physiotherapist. Subsequently, all participants will be required to fill in a similar questionnaire regarding pain intensity and functional limitation assessment after 6 weeks post-intervention.ResultsThere was a significant reduction in the VAS score and improvement in functional ODQ score in the intervention group. The median usage of Paracetamol as an analgesia to control back pain in the control group was 500 mg higher than the intervention group. There was a weak association of age, parity, duration of back pain, and body mass index with functional ODQ score at 6 week following intervention.ConclusionThe back pain exercise reducing program was effective in reducing back pain intensity and analgesia usage with a significant improvement in functional ability.

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Pengaruh Kepatuhan Suplementasi Tablet Kalsium Modifikasi terhadap Kadar Kalsium dan Tekanan Darah Pada Ibu Hamil

PALAPA ◽

10.36088/palapa.v6i1.56 ◽

2018 ◽

Vol 6 (1) ◽

pp. 19-33

Author(s):

Dhany Dahniarti ◽

Irfan Idris ◽

Nasrudin Am

Keyword(s):

Blood Pressure ◽

Pregnant Women ◽

Calcium Level ◽

Intervention Group ◽

Test Group ◽

Maternity Hospital ◽

Control Group ◽

Average Decrease ◽

Level Increase ◽

Pregnant Mothers

A low intake of calcium leads to an increase in high blood pressure by stimulating the release of paratiroid and renin hormones that lead to increase in intracellular calcium concentration in the vasculer smooth muscle cells and result in vasocontriction. This study aims to determine the influence of compliance to supply modified calcium tablet toward calcium level and blood pressure in pregnant mothers. This research was conducted at RSIA Sitti Khadijah I Maternity Hospital Makassar with research design of quasy experiment with prepost test group control design. There were 30 pregnant mother sampels of prehypertension in gestational age> 20 weeks, 12 pregnant women were given normal calcium tablets and 18 pregnant women given modified calcium tablets for 8 weeks each. Data analysis use paired t test. The results indicate that there is a different changes of calcium level and blood pressure between pregnant mothers of intervention group and control group with the value of p = 0.000 (p<0.05). After intervention averagely the calcium level increase in intervention group 0.4 mg/dl while in control group 0.1 mg/dl, followed by the average decrease in blood pressure of systole and dyastole in the intervention group 15.4/9.6 mmHg while in the control group 3.5/4.5 mmHg.

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The Effect of a Sexual Health Promotion Training Program on Sexual Function of Pregnant Women with Gestational Diabetes Mellitus

Medical - Surgical Nursing Journal ◽

10.5812/msnj.118769 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Elahe Fayyazian ◽

Farnoosh Khojasteh ◽

Farshid Saeedinezhad ◽

Maryam Haghighi

Keyword(s):

Diabetes Mellitus ◽

Health Promotion ◽

Sexual Health ◽

Sexual Function ◽

Pregnant Women ◽

Training Program ◽

Intervention Group ◽

Control Group ◽

Control Groups ◽

And Control

Background: Pregnancy care and screening programs are very important, especially in high-risk pregnancies. However, few interventional studies have addressed mental and sexual health in women with gestational diabetes mellitus (GDM). Objectives: The present study aimed to examine the effect of a sexual health promotion training program on sexual function of pregnant women with GDM referring to comprehensive health centers in Zahedan, Iran, in 2020. Methods: This quasi-experimental study was performed on 80 pregnant women with GDM (gestational age: 24 - 30 weeks). The participants were selected using multi-stage sampling method and randomly assigned into intervention and control groups. The participants in the intervention group received sexual health promotion training in four sessions (60 - 90 minutes) two sessions per week. The participants in the control group received routine care. The demographic information questionnaire was completed by the participants at the beginning of the study, and the Female Sexual Function Index (FSFI) was administered before and four weeks after the completion of the sexual health promotion training program. The collected data were analyzed in SPSS software (version 22) using independent samples t-test, paired samples t-test, analysis of covariance (ANCOVA), and chi-square test. Results: The results showed a statistically significant difference between the intervention and control groups in all subscales of sexual function (P < 0.05). Moreover, the results of ANCOVA for the total sexual function score showed that the women in the intervention group had significantly higher levels of sexual function (22.89 ± 3.24) compared to the women in the control group (16.78 ± 3.16) (P = 0.001). Conclusions: Given the positive and significant effect of sexual health promotion training on the sexual function of pregnant women with GDM, it is recommended to integrate this training program in prenatal care of these vulnerable women.

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Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study

10.21203/rs.2.18245/v3 ◽

2020 ◽

Author(s):

Ramesh Kumar ◽

Midhat Farzeen ◽

Assad Hafeez ◽

Baseer Khan Achakzai ◽

Muskan Vankwani ◽

...

Keyword(s):

Experimental Study ◽

Health Education ◽

Pregnant Women ◽

Health Workers ◽

Intervention Group ◽

Educational Interventions ◽

Bed Nets ◽

Control Group ◽

Post Intervention ◽

Quasi Experimental

Abstract Background About one quarter of pregnant women in the population of Pakistan are using long-lasting insecticide-treated bed nets (LLINs) for prevention of malaria. Past research reported that adequate information and education would act as mediator to change behaviour among patients for prevention of malaria infection. The effective use of LLINs would contribute to reduction of disease burden caused by malaria. The aim of this study was to determine the effectiveness of health education on the adoption of LLINs among pregnant women living in Tharparkar, a remote district in Sindh Province, Pakistan.Methods A quasi-experimental study design with control and intervention groups was conducted with 200 pregnant women (100 in each group). Women in the intervention group were provided with health education sessions on malaria for 12 weeks, while those in the control group obtained routine information from lady health workers (LHWs). Pre- and post-intervention assessment was done of knowledge about malaria and use of LLIN, which was statistically analysed using descriptive statistics and difference in difference (DID) multivariable regression analysis to test effectiveness of the intervention.Results Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups with slight differences in age, education, income, type of latrine, and source of drinking water. There were no significant differences between mean knowledge and use of LLINs scores between groups at baseline. However, the estimated DID value after the intervention was 4.170 (p <0.01) and represents an increase in scores of knowledge in the intervention group compared to control. Similarly DID value of 3.360 (p <0.05) showed an increase in use of LLINs score after the intervention which was significant, showing that the intervention had a positive effect.Conclusions Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for the prevention of malaria. Such educational interventions have a positive potential to be implemented at larger scale by incorporating them into routine health sessions provided by health workers.

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Role of Intravenous Dexmedetomidine as an Adjuvant in Labour Analgesia in Pre-eclampsia: A Prospective Study

Academia Anesthesiologica International ◽

10.21276/aan.2020.5.1.11 ◽

2020 ◽

Vol 5 (1) ◽

pp. 57-60

Author(s):

Jyothsna C ◽

Roopa Kotha

Keyword(s):

Prospective Study ◽

Pregnant Women ◽

Test Group ◽

Labour Analgesia ◽

Control Group ◽

Medical College ◽

A Prospective Study ◽

Age Range ◽

And Control

Background: Dexmedetomidine is a highly selective α-2 adrenergic receptor agonist with several diverse actions like sedation, anxiolysis, sympatholysis, analgesia, and decreased intraoperative anesthetic requirements (narcotic, inhalational). Intravenous (IV) dexmedetomidine can be used as an adjuvant in labour analgesia in preeclampsia patients as onset is faster and duration of analgesia is longer. Aim of the study: The aim of the study was to determine the role of intravenous Dexmedetomidine as an adjuvant in Labour analgesia in PIH.Subjects and Methods:This was a prospective study and was done in the department of Anaesthesia at Maheshwara Medical College. Our study included 60 full term pregnant women with preeclampsia, within 25 to 45 years age range. They were divided into two groups, as Test group and Control group of 30 patients each. Test group received IV Dexmedetomidine and Control group received IV Fentanyl.Results:Maximum number of cases 15/30 (50%) were in the age group 31-35 years, Majority were primigravida ie, 60% ( 36/60). Onset of analgesia was faster, duration of analgesia was longer and uterine contraction was greater with IV Dexmedetomidine as compared to IV fentanyl.Conclusion:From the present study we conclude that IV Dexmedetomidine can be used for labour analgesia in pregnant women with preecampsia and observed that onset and duration of analgesia are better and also it gives stable maternal parameters of maternal heart rate and mean blood pressure.

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The effectiveness of an online multimodal intervention for mental health promotion: A randomised controlled trial

10.21203/rs.3.rs-22666/v1 ◽

2020 ◽

Author(s):

Geraldine Przybylko ◽

Darren Morton ◽

Lillian Kent ◽

Jason Morton ◽

Jason Hinze ◽

...

Keyword(s):

Mental Health ◽

Health Promotion ◽

New Zealand ◽

Intervention Group ◽

Mental Health Promotion ◽

Control Group ◽

Post Intervention ◽

Multimodal Intervention ◽

Sf 36 ◽

Emotional Wellness

Abstract Introduction: There is an urgent need for efficacious interventions to combat the global mental health crisis, and mental health promotion and primary preventive approaches are paramount. Objective: This study examined whether an online multimodal intervention that incorporates evidence-based strategies from the disciplines of Lifestyle Medicine and Positive Psychology improved measures of mental health and emotional wellness. Methods: 425 adults (68.8% females, aged 46.5 ± 15.6) from Australia and New Zealand were randomised to an intervention or control group. The intervention group participated in a ten-week online multimodal intervention. Measures of mental health and emotional wellness were taken at baseline (Week 1), post-intervention (Week 12), and 12 weeks post-intervention (Week 24). The control group completed the same assessments. Results: The intervention group experienced significant improvements from Week 1 to 12 in: mental health (10%, p < 0.001, d = 0.50) and vitality (22%, p < 0.001, d = 0.54) subscales of the Short Form Survey (SF-36); depression (-42%, p < 0.001, d = 0.48), anxiety (-38%, p < 0.001, d = 0.39) and stress (-31%, p < 0.001, d = 0.52) subscales of the Depression, Anxiety and Stress Scale (DASS-21); and life satisfaction (8%, p < 0.001, d = 0.48) as measured by the Satisfaction With Life Scale (SWLS).The control group experienced significant improvements only in the mental health (3%, p = 0.028, d = 0.16) subscale of the SF-36, and the stress subscale (-9%, p = 0.038, d = 0.15) of the DASS-21. The changes in the intervention group were significantly greater (p < 0.001) than the control group for all measures. Improvements in the outcome measures were generally sustained for the intervention group at 12 weeks post-intervention. Conclusion: The online multimodal intervention improved measures of mental health and emotional wellness suggesting that such interventions may be useful for mental health promotion and prevention. Trial registration: The Australian New Zealand Clinical Trials Registry ACTRN12619000993190. Registered on 12 July 2019 (Retrospectively registered). The ANZCTRN is part of the WHO Primary Registries.

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