scholarly journals Effect of Nursing Intervention on Knowledge of Diabetes Mellitus among Pregnant Women Attending Selected General Hospitals in Lagos, Nigeria

2020 ◽  
Vol 6 (2) ◽  
pp. 43-51
Author(s):  
Ademuyiwa I. Y
Keyword(s):  
Diabetes Mellitus ◽  
Pregnant Women ◽  
Nursing Intervention ◽  
T Test ◽  
Medical Attention ◽  
Post Intervention ◽  
General Hospitals ◽  
Significant Difference ◽  
Lagos State ◽  
Paired T Test

Inadequate knowledge of Diabetes mellitus (DM) in Pregnancy among diabetic pregnant women could lead to poor skill about self-care, failure to seek timely medical attention and failure to follow medical prescriptions, which could lead to complications and sometimes death of mother and/or fetus/baby. This study seeks to assess the effect of nursing intervention on Knowledge of DM among diabetic pregnant women attending two general hospitals in Lagos Island, Lagos State, Nigeria. This study utilizes one group pretest- posttest experimental research design. The purposive sampling technique and total enumeration sampling size method that included seventy-five participants were used for the study. Instrument for data collection consisted of seven demographic data and forty- two (42) test questions. The study was carried out in three sessions: pre-intervention, intervention and the evaluation sessions over a period of six weeks. Paired t test was used to determine significance level between pre and post-intervention knowledge. Ethical approval and consent were obtained from Babcock University Health Research Ethical committee and Lagos State Heath Service Commission respectively. The results revealed that most of the participants were between the ages of 21 and 45 (88%); most of them had tertiary education (70.7%); most of them (57.3%) had family history of DM. Results also revealed that pre-intervention knowledge among diabetic women was poor (0.28) and the post intervention knowledge was good (0.83). Paired t test results (t= 36.20, p = 0.000) revealed a significant difference between pre-intervention and post-intervention knowledge. This shows that nursing intervention was effective.

scholarly journals “JUMPing into Diabetes Control”: A Group-Setting Self-Empowerment Lifestyle Intervention among Diabetes Patients

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Sheena Henry ◽  
Lu Shi ◽  
Virginia Alexander ◽  
Richard O’Neal ◽  
Stephen Carey ◽  
...  
Keyword(s):  
Group Intervention ◽  
Internal Medicine Resident ◽  
Mean Value ◽  
T Test ◽  
Post Intervention ◽  
Medicine Resident ◽  
Significant Difference ◽  
One Year ◽  
Paired T Test

We examined the impact of a group-based self-empowerment intervention among diabetes patients, which uses multidisciplinary education, collaborative learning, peer support, and development of diabetes-specific social capital to improve glycemic control and weight management. Thirty-five patients who had primary care established at the Prisma Health Upstate, Internal Medicine Resident clinic and held the diagnosis of diabetes for longer than one year were recruited for our single-arm pilot intervention. Each group intervention session involved one to two internal medicine resident physician facilitators, a clinical diabetic educator, and 5–10 patients. Each session had a framework facilitated by the resident, with most of the discussion being patient-led, aiming to provide a collaborative learning environment and create a support group atmosphere to encourage self-empowerment. Patients’ hemoglobin A1c level and body mass index (BMI) before the intervention and 3 to 6 months after completion were collected from the laboratory results obtained in the participants’ routine clinic visits. All graduates from this three-week intervention were invited to attend monthly maintenance sessions, and we tracked the HgbA1c measures of 29 JUMP graduates one year after the intervention, even though 13 of the 29 chose not to participate in the monthly maintenance sessions. The pre-intervention HgbA1c level averaged 8.84%, whereas the post-intervention HgbA1c level averaged 7.81%. A paired t test showed that this pre–post difference of 1.03 percentage points was statistically significant (p = 0.0007). For BMI, there was an average decline of 0.78 from the pre-intervention mean value of 40.56 to the post-intervention mean value of 39.78 (p = 0.03). Among the 29 participants who agreed to participate in our follow-up measure of their HgbA1c status one year after the intervention, a paired t test showed that there was no significant difference between the post-JUMP measure and the follow-up measure (p = 0.808). There was no statistically significant difference between the HgbA1c level of those participating in the maintenance program and that of those not participating (post-intervention t test of between-group difference: p = 0.271; follow-up t test of between-group difference: p = 0.457). Our single-arm, pilot study of the three-week group intervention of self-empowerment shows promising results in glycemic control and weight loss. The short duration and small number of sessions expected could make it more feasible for implementation and dissemination as compared with popular intervention protocols that require much longer periods of attendance, if the effectiveness of this patient group-based self-empowerment approach can be further established by randomized controlled studies in the future.

scholarly journals Pengaruh Pendidikan Kesehatan Terhadap Upaya Pencegahan Hipoglikemia Pada Pasien Diabetes Mellitus Di Ruang Intensive RSUD DR. Moewardi Surakarta Tahun 2016

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Arnis Prilli Dharmastuti ◽  
Dwi Ariani Sulistyowati
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
T Test ◽  
Test Analysis ◽  
Value Of Knowledge ◽  
Glucose Levels ◽  
Variable Approach ◽  
Significant Difference ◽  
Before And After ◽  
Paired T Test

Abstract: Hypoglycemia, Health Education, Knowledge, Patient. Hypoglycemia is one of the complications faced by people with diabetes mellitus, ie blood glucose levels fall below 50 to 60 mg / dl. Hypoglycemia may occur acutely, suddenly and can be life-threatening. Management of diabetes mellitus one of them is health education, especially about complications, namely Hypoglycemia. The objectives of this study were 1) to identify the level of knowledge of diabetes mellitus patients about prevention of hypoglycemia prior to health education 2) to identify the knowledge level of diabetes mellitus patients about hypoglycemia prevention after health education 3) to analyze knowledge change about prevention of hypoglycemia in patients with diabetes mellitus before and after the provision of health education in the intensive space of Dr Moewardi Hospital in 2016. This research type is experimental with pre-experimental design, variable approach using pre and post test designs method and data analysis used is Paired T-Test. The result of this research is there is influence of health education toward prevention effort of hypoglycemia in patient of diabetes mellitus in intensive room of Dr Moewardi Hospital 2016. This is proved by Paired T-Test test analysis on the value of knowledge before and after given health education obtained t count = -19,090, whereas t table value 2,042 so value -t arithmetic <-t table (-19,090 <-2,042) and sig. 0.000 (<0.05) then Ho is rejected and Ha accepted, meaning there is a significant difference between the value of knowledge before and after being given health education about hypoglycemia. There is an influence of health education on prevention of hypoglycemia in people with diabetes mellitus in intensive space Dr Moewardi Hospital in 2016.

scholarly journals EFFECT OF ROSELLE (HIBISCUS SABDARIFFA) ON CHANGES IN HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA TAKING IRON SUPPLEMENT

2017 ◽  
Vol 3 (6) ◽  
pp. 771-777
Author(s):  
Rif’atun Nisa ◽  
Ariawan Soejoenoes ◽  
Sri Wahyuni
Keyword(s):  
Pregnant Women ◽  
Hemoglobin Level ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Hibiscus Sabdariffa ◽  
Control Group Design ◽  
Significant Difference ◽  
And Control ◽  
Paired T Test

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.Methods: This study was a quasy experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.Results: Paired t-test obtained p-value 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr and in the experiment group was 1.08. The hemoglobin levels in the experiment group were higher than the levels in the control group.  Independent t-test obtained p-value 0.000 (<0.05) indicating that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as a evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.

scholarly journals Pengaruh Pemberian Madu Terhadap Berat Badan Dan Kadar Malondialdehyd Pada Ibu Hamil Dengan Anemia

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Astuti Astuti ◽  
Kartika Asli ◽  
Asrida Asrida ◽  
Nunung Erviany ◽  
Ummul Khair
Keyword(s):  
Pregnant Women ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Design Data ◽  
Average Value ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Paired T Test

Honey contains complex nutrients including vitamins A, C, E, B and flavonoids which play a role in suppressing oxidative stress. This study aimed to determine the effect of honey and Fe on body weight and malondialdehyde (MDA) levels of anemia pregnant women. The type of this study was quasi-experimental with the pretest-posttest design. Data analysis using paired t-test and independent samples test. After implementation the average value of the intervention group was 2.30 ± 0.50 while the average value of the control group was 2.00 ± 0.20 which showed that there was an effect of giving honey + Fe and Fe to the weight of anemic pregnant women. Whereas the statistical test results of the independent samples test showed p> 0.05 (p = 0.307) which means that there was no significant difference between the administration of honey + Fe (intervention) and Fe (control). In the melondialdehyde (MDA) variable there was a decrease in the intervention group by 8.86 ± 2.78 with the paired t-test obtained p value 0.002, this indicates there is an effect of giving honey + Fe to malondialdehyde (MDA) levels. The average value in the control group was 0.92 ± 0.07 with the paired t-test p value of 0.653 indicating no effect of Fe on Melondialdehyde (MDA) levels. Based on the test of the independent samples test obtained p value 0.004 (α <0.05). Conclusion: administration of honey + Fe effectively reduces malondialdehyde (MDA) levels and increases the weight of anemic pregnant women.

scholarly journals Family Health Education sebagai Pencegahan Penularan Covid-19 pada Keluarga Dengan Komorbid Diabetes Mellitus

2021 ◽  
Vol 4 (2) ◽  
pp. 60-65
Author(s):  
Susi Wahyuning Asih ◽  
Sri Wahyuni
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Family Health ◽  
T Test ◽  
Purposive Sampling ◽  
Significant Difference ◽  
Before And After ◽  
Education Model ◽  
Paired T Test ◽  
Model Family

AbstrakCovid-19 adalah penyakit yang saat ini menjadi permasalahan global karena penularannya yang sangat masif. Penyakit diabetes mellitus merupakan penyakit yang sangat rentan terpapar atau beresiko tertular Covid-19 yang banyak terjadi di masyarakat. Penerapan protokol kesehatan yang ketat adalah upaya untuk mencegah penularan Covid-19. Keluarga memiliki peran yang penting dalam memberikan pengetahuan, kesadaran dan memperbaiki perilaku kesehatan pada anggota keluarganya. Tujuan penelitian adalah untuk mengetahui model family health education terhadap penerapan protokol kesehatan pencegahan penularan Covid-19 pada klien dengan komorbid diabetes mellitus. Penelitian eksprerimental ini menggunakan one group pretest-postest design. Populasi penelitian adalah keluarga yang memiliki anggota penderita DM. Sampel penelitian sebanyak 31 orang di Desa Sumberwaru Kecamatan Sukowono Kabupaten Jember yang diambil secara Nonprobability purposive sampling. Data dianalisis menggunakan Paired T-Test dengan derajat signifikasi 95%. Hasil penelitian mendapatkan rata-rata penerapan protokol kesehatan pencegahan penularan Covid-19 sebelum intervensifamily health education adalah 35,32 dan setelah intervensi sebesar 41,71 (terjadi peningkatan sebesar 6,39). Ada perbedaan signifikan dari sebelum dan sesudah intervensi (P < 0,05). Model family health education dapat meningkatkan penerapan protokol kesehatan pencegahan penularan covid 19 pada keluarga dengan komorbid diabetes mellitus. Kata kunci: family health education, protokol kesehatan, pencegahan covid-19, komorbid diabetes mellitus  AbstractCovid-19 has become a global problem currently because of its massive transmission. Diabetes mellitus comorbid disease was a risk factor for Covid-19. The implementation of strict health protocols was an effort to prevent the transmission of Covid-19. Family has an important role in providing knowledge, awareness and improving health behavior to family members. The aim of the study was to determine the effect of the family health education model on health protocols to prevent transmission of covid 19 in clients with comorbid diabetes mellitus. This experimental research used one group pretest-postest design. The population was family that has members with DM. The sample size of the research was 31 people in Sumberwaru Village, Sukowono, Jember taken by nonprobability purposive sampling. Data were analyzed using Paired T-Test. The results found that the implementation of health prevention of Covid-19 transmission before the intervention was 35.32 and after the intervention was 41.71 (an increase of 6.39). There was a significant difference before and after the intervention (P <0.05). So, family health education model can improve the application of health protocols to prevent transmission of Covid-19 in family with comorbid diabetes mellitus. Keywords: family health education,health protocols, covid-19 prevention, diabetes mellitus comorbid

Efektivitas Aroma Terapi Lemon untuk Menangani Emesis Gravidarum

2019 ◽  
Vol 11 (4) ◽  
pp. 277-284
Author(s):  
Vitrianingsih Vitrianingsih ◽  
Sitti Khadijah
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
T Test ◽  
The Body ◽  
Nausea And Vomiting ◽  
P Value ◽  
Purposive Sampling ◽  
Body Tissues ◽  
Quasi Experimental ◽  
Paired T Test

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment  dengan  one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah  pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama.  Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM   ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum.  Keywords: lemon aromatherapy, emesis gravidarum

Thyroid Dysfunction in Pregnant Women with Gestational Diabetes Mellitus

2020 ◽  
Vol 16 (8) ◽  
pp. 895-899 ◽  
Author(s):  
Shahin Safian ◽  
Farzaneh Esna-Ashari ◽  
Shiva Borzouei
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Thyroid Dysfunction ◽  
Control Group ◽  
Thyroid Peroxidase ◽  
Free T4 ◽  
Significant Difference ◽  
Experimental Group

Aims: Investigation thyroid dysfunction and autoimmunity in pregnant women with gestational diabetes mellitus. Background: This article was written to evaluate the thyroid function and anti-thyroid peroxidase (anti- TPO) antibodies in pregnant women with gestational diabetes mellitus (GDM). Method: A total of 252 women with GDM and 252 healthy pregnant women were enrolled. Thyroid tests, including TSH, FreeT3, Free T4, and anti-TPO were performed for all women at 24–28 weeks of gestation. Data analysis was then carried out using SPSS ver. 22. Result: There was a significant difference between the experimental group (38.4%) and the control group (14.06%) in terms of the prevalence of subclinical hypothyroidism (p= 0.016). The frequency of anti-TPO was higher in the experimental group than the control group and positive anti-TPO was observed in 18.6% of women with GDM and 10.3% of healthy pregnant women (P= 0.008). Conclusion: Thyroid disorders are observed in pregnant women with GDM more frequently than healthy individuals and it may be thus reasonable to perform thyroid tests routinely.

The effect of positive thinking training on the quality of life of parents of adolescent with thalassemia

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Adeleh Sadeghloo ◽  
Parna Shamsaee ◽  
Elham Hesari ◽  
Golbanhar Akhondzadeh ◽  
Hamid Hojjati
Keyword(s):  
Quality Of Life ◽  
Emotional Health ◽  
Intervention Group ◽  
T Test ◽  
World Health ◽  
Positive Thinking ◽  
Significant Difference ◽  
And Control ◽  
Paired T Test

Abstract Introduction Thalassemia, as the most common chronic hereditary blood disorder in humans, can impose many adverse effects on parents and their affected children. On the other hand, positive thinking is the method or the result of a positive focus on a constructive issue, so by teaching positive thinking, we can improve physical and social function, and promote emotional health and overall quality of life. The aim of this study was to determine the effect of positive thinking training on the quality of life of parents of adolescents with thalassemia. Methods This quasi-experimental study was performed on 52 parents of adolescents with thalassemia who attended Taleghani Hospital in Golestan province, Iran in 2017. Samples were randomly assigned into two groups of intervention and control. The positive thinking training (based on the theory of Martin Seligman) was carried out in the intervention group in 10 (45–60 min) sessions over a 5-week period. Data collection tools in this study were the World Health Organization (WHO) quality of life questionnaire (WHOQOL-BREF) and a demographic information questionnaire. Data were analyzed by SPSS-16 software using independent t-test, the paired t-test and a covariance test. Results The results of paired t-test showed a significant difference in the score of quality of life in intervention group before and after the intervention (p < 0.001). However, this test did not show any significant difference in the control group (p = 0.11). The covariance test, after removing the pre-test score, showed a significant difference between the intervention and control groups in terms of the score of quality of life, so that 13% of the changes after the intervention were due to the intervention (p = 0.009, η = 0.13). Conclusion The positive thinking training increased the quality of life of parents of adolescents with thalassemia. Therefore, using this program can be an effective way of improving the quality of life of parents. Thus, positive thinking training is suggested to be used as an effective strategy for increasing the quality of life of parents with ill children.

scholarly journals EFFECTIVENESS OF GLUTEAL MUSCLE STRENGTHENING ON FLAT FOOT

2017 ◽  
Vol 10 (6) ◽  
pp. 219
Author(s):  
Pooja A Mulchandani ◽  
Trupti Warude ◽  
Amrutkuvar Pawar
Keyword(s):  
T Test ◽  
P Value ◽  
Random Allocation ◽  
Gluteal Muscle ◽  
Flat Foot ◽  
Muscle Strengthening ◽  
Intrinsic Muscle ◽  
Navicular Drop ◽  
Significant Difference ◽  
Paired T Test

Objectives: To compare the effect of gluteal muscle strengthening along with conventional exercises versus conventional exercises alone on flat foot.Method: An experimental study conducted at Physiotherapy Department of Krishna Institute of Medical Sciences, Karad. A total of 52 subjects were equally divided into two groups using convenient sampling with random allocation (Groups A and B). Baseline treatment was given to both groups (intrinsic muscle strengthening). Group A was given intrinsic muscle strengthening alone while Group B was given gluteal muscle strengthening along with intrinsic muscle strengthening.Result: Statistical analysis was performed using paired t-test and unpaired t-test. In pre-intervention there was no statistically significant difference seen with p values for the navicular drop was 0.3563 and for Ink test was 0.7342. While on comparing the post-interventional values, the results between the two groups using paired t-test revealed that there was extremely significant difference seen with p-value for the navicular drop was <0.0001 and for Ink test was <0.0001.Conclusion: From the study, it can be concluded that there was a significant effect of gluteal muscle strengthening on the flat foot.

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