scholarly journals Relationship of Physiotherapy Intervention and the Level of Community Reintegration of Stroke Survivors In Accra, Ghana

2021 ◽  
Vol 3 (1) ◽  
pp. 31-39
Author(s):  
Dorcas Kyela Yusuf ◽  
◽  
Samuel Koranteng Kwakye ◽  
Jonathan Quartey ◽  
◽  
...  

Background: Stroke is one of the major causes of death and disability in the world. During rehabilitation, there appears to be little or no emphasis placed on reintegrating the stroke survivors into their communities.The study sought out to determine the relationship between physiotherapy and the level of community reintegration among stroke survivors.Method: This observational study involved51 stroke survivors referred to physiotherapy departments of selected hospitals in Accra. Participants completed the Reintegration to Normal Living Index and the Modified Rankin Scale at baseline and after 8 weeks of physiotherapy sessions. Wilcoxon’s test was used to assess the difference between the baseline and end point scores for reintegration and disability while Chi square and Spearman correlation were used to test for associations between physiotherapy intervention and community reintegration. A p-value of 0.05 was set.Results: The mean reintegration score at baseline was 55.5±17.00 and 76±14.00 at end point (p = 0.001) while the mean disability score at baseline was 3.43±0.67 and 2.31±0.68 at end point (p = 0.001) showing a significant level of improvement from baseline to endpoint of the reintegration and disability scores. There was a low association between duration of stroke (p=0.008) and duration of physiotherapy (p=0.038) with regards to reintegration 8 weeks post physiotherapy.Conclusion: Physiotherapy plays a role in the reintegrating of stroke survivors into their communities. Incorporation of community reintegration into rehabilitation programmes for stroke survivors could be useful. Efforts to include physiotherapy to reintegrate stroke survivors could therefore be strengthened

2020 ◽  
Vol 27 (08) ◽  
pp. 1595-1601
Author(s):  
Shahid Rasool ◽  
Salman Azhar ◽  
Talha Munir ◽  
Mian Sajjad Ahmad ◽  
Rizwan Abbas ◽  
...  

Hepatic encephalopathy (HE), a syndrome observed in some patients with cirrhosis, with depressed level of consciousness. Lactulose as well as lactitol has been used in the treatment of HE. Lactitol is comparable to lactulose in the treatment of HE with fewer side effects and better tolerated. However, literature showed equal efficacy of both drugs. So we conducted this trial to find better drug to implement its use in future. Objective: To compare the effectiveness of lactulose and lactitol in patients with acute hepatic encephalopathy. Study Design: Randomized Controlled Trial. Setting: Department of Medicine OPD and Emergency (East, West, North, South), Mayo Hospital, Lahore. Period: 6 Months June 2017 to Dec 2017. Material & Methods: 570 patients were included through non-probability, consecutive sampling after informed consent. Initial grade of HE was assessed and patients were randomly divided in two groups by using lottery method i.e. lactulose or lactitol. Patients were admitted to ward for management and kept under observation for 5 days. After 5 days, HE grades was measured again, then improvement in grade of HE (effectiveness) was measured. All data was entered and analyzed by using SPSS version 21.0. Chi-square was applied to compare both groups for effectiveness taking p-value≤0.05 as significant. Results: In this study the mean age of the patients was 44.22 ±11.81 years, the male to female ratio of the patients was 2.4:1. The mean duration of the cirrhosis of the patients was 3.73±1.61 months. In our study the effectiveness was achieved in 538 (94.39%) patients, out of which 263 cases were from lactulose group and 275 were from lactitol group and the difference was significant (p<0.0.5). Conclusion: Our study results concluded that Lactitol is better choice for the treatment of patients with acute hepatic encephalopathy as compared to lactulose. More efficacy was achieved in lactitol group patients than in lactulose group patients.


2019 ◽  
Vol 31 (2) ◽  
pp. 142
Author(s):  
Dias Mareta Kusumaningrum ◽  
Sri Tjahajawati ◽  
Ervin Rizali

Introduction: Salivary pH, viscosity and volume play an important role in maintaining tooth and oral tissue integrity. The purpose of this research was to evaluate the difference of young adult smokers and non-smokers saliva reviewed by its pH, viscosity and volume. Methods: The research sample of 28 smokers and 24 non-smokers. Saliva was collected by spitting method then the pH, viscosity and volume was measured. The data was analyze using independent sample t-test and chi-square. Results: The result indicated that there was a significant difference in the mean value of salivary pH on smokers and non-smokers with p-value 0.000 (p < 0.05). There was a significant difference in the mean value of salivary viscosity on smokers and non-smokers with p-value 0.000 (p < 0.05.) There was a significant difference in the mean value of salivary volume on smokers and non-smokers with p-value 0.000 (p < 0.05). Conclusion: The conclusion of the research showed that salivary pH of smokers was lower than non-smokers, salivary viscosity of smokers was higher than non-smokers and salivary volume of smokers was fewer than non-smokers.Keywords: Young adult, smokers, non-smokers, saliva, salivary pH, salivary viscosity, salivary volume


2017 ◽  
Vol 2 (1) ◽  
pp. 20
Author(s):  
Nur Cahyo Adi Prayitno ◽  
Marisca Agustina

Abstrak : Phlebitis adalah radang pada bagian intima dari vena yang disebabkan oleh iritasi kimia, mekanik, atau infeksi bakteri terjadi setelah pemasangan infus pada intima vena terjadi antara 48-72 jam.Jumlah pasien yang mendapatkan terapi infus diperkirakan sekitar 25 juta pasien pertahun di Inggris, selama perawatannya 90% pasien akan beresiko mengalami komplikasi pada pemasangan kateter intravena. Tujuan penelitian ini adalah untuk mengetahui hubungan persepsi perawat tentang pencegahan phlebitis dengan prosedur pemasangan infus di Ruang Nusa Indah 2 dan Ruang Mawar 2 RSPI Prof. Dr. Sulianti Saroso Jakarta Utara Tahun 2014. Desain penelitian yang di gunakan adalah cross sectional. Pengumpulan data menggunakan kuisioner dan lembar observasi SPO. Populasi berjumlah 36 responden. Sampel yang digunakan yaitu 36 responden dengan total populasi menggunakan uji chi square. Hasil bivariat menunjukan ada hubungan persepsi perawat tentang pencegahan phlebitis dengan prosedur pemasangan infus di ruang nusa indah 2 dan ruang mawar 2 RSPI Prof. Dr. Sulianti Saroso tahun 2014 dengan Pvalue 0,054. Diharapkan penelitian ini dapat dijadikan acuan bagi pengambil kebijakan khususnya untuk dijadikan bahan evaluasi dalam pelaksaaan standar asuhan keperawatan. Abstract : Phlebitis is an inflammation in the intima of the vein caused by mechanical, chemical irritation of bacterial infection that occur after applying of the IV line in the venous intima on 48 – 72 hours. The number of patients that receiving infusion therapy is estimated at around 25 million patients per year in UK, during the treatment 90% patients will be risk of getting complication on applying of the IV line. The difference in perception and non compliance with the SPO is one of the causes of phlebitis. The purpose of this research is to determine the relationship of the nurse’s perception about phlebitis prevention in the procedures of applying IV line at Nusa Indah 2 ward and Mawar 2 ward RSPI Prof. Dr. Sulianti Saroso on 2014. The design of this research is descriptive correlation with cross sectional approach. Data collect using questionnaire and standard procedure observation sheet. The population is 36 with a total population retrieval technique using a chi square Bivariate results shows a relationship between nurses perception and IV line precodures at nusa indah 2 ward and mawar 2 ward rspi prof. dr. sulianti saroso on 2014 with p value 0,054. Hopefully this research can be used as a reference for the policy makers to make an evaluation in the implementation of nursing care standards.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


2016 ◽  
Vol 8 (4) ◽  
pp. 158
Author(s):  
Abolfazl Zolfaghari

<p>Cheating and academic dishonesty is a moral anomaly in the field of scientific research and reflecting, i.e., academic environment and studies show that this phenomenon in many of the worlds is important problem.</p><p>This study measured the dishonesty of students in a quasi-experimental design. For this purpose, features lack of integrity by manipulating the facts were examined and meanwhile first, basic English language test coordination between the strict terms of the 280 students come to practice and after correction of examination papers by teachers, without leaving any traces on them instead, the plates are returned to students and provide them with answers to their paper to correct their score Master announced. The difference between the actual score (score of master) and score of the students to have their own, amount of honesty or lack of integrity appointed them and its relationship with some demographic and socio-ethical characteristics have been studied.</p><p>The results showed that more than 62 percent of the students in your grade to master completely honest with 26.6 percent have low honesty and the rest did not have the necessary integrity and the mean difference of scores announced by the professors and students have been about two score. Also results of chi-square tests and gamma, about the relationship between students’ evaluation of amount of sincerity with sincerity in the declared objective amount of the master score was not significant, this finding means that between demonstrators and people of integrity and honesty in practice, there are gaps.</p>


2020 ◽  
Vol 5 (1) ◽  
pp. 36-42
Author(s):  
Yeviza Puspitasari

Hyperbilirubinemia is one of the clinical phenomena most often found in neonates occurring in the first week of life, which is also one of the factors causing infant death is influenced by the immature liver function of the baby to process erythrocytes (red blood cells), resulting in the accumulation of bilirubin. The purpose of this study was to determine the relationship of birth weight of infants with the incidence of hyperbilirubinemia in RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019. This study uses analytic methods with a cross-sectional approach. The study population was all infants aged 0-7 days in the neonatal room at RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019, with a random sampling. Data analysis uses univariate analysis and bivariate analysis using distribution tables and Chi-Square statistical tests, with a 95% confidence level. In the univariate analysis, of 203 respondents found 26.5% had hyperbilirubinemia and those without hyperbilirubinemia 72.5%, 24.6% of infants with LBW and non-LBW infants 75.4%. Bivariate analysis showed that there was an LBW relationship with the incidence of hyperbilirubinemia (p-value 0,000).


2020 ◽  
Vol 7 (6) ◽  
pp. 997
Author(s):  
Dharmendra Jhavar ◽  
Neha Kirti ◽  
Sumit Kumar Vishwakarma ◽  
Umesh Kumar Chandra ◽  
Vinod Verma

Background: Since a long time ago, the experts have realized that determination of cut-off point for diagnosing diabetes will be revised over time with the lower blood glucose level as the more sensitive diagnosis for detecting the occurring complication and biochemical changes.Methods: This cross sectional study was carried out in the department of medicine, M.G.M. Medical College and M.Y. Hospital Indore from July, 2016 to August, 2017 in 200 individuals and patients having euglycemic status attending General Medicine OPD.Results: In the low and high normal group 2 (2.0%) and 8 (8.0%) were having abnormal total cholesterol (TC) level respectively. The mean total cholesterol in the low normal group was 117.16±26.94mg/dl and it was 154.74±28.38mg/dl in the high normal group. The difference was found to be statistically significant (p value 0.000). In the low and high normal group, 4 (4.0%) and 17 (17.0%) were having abnormal triglyceride (TG) levels respectively. The mean TG levels in the low and high normal group were 96.93±22.64mg/dl and 110.55±32.37mg/dl respectively. The difference was found to be statistically significant (p value 0.001). In the low and high normal group, 6 (6.0%) and 14 (14.0%) patient was having abnormal uric acid levels respectively. The mean uric acid levels in the low and high normal group was 4.88±1.10mg/dl and 5.31±1.31mg/dl respectively. The difference was found to be statistically significant (p value 0.013).Conclusions: Higher levels of Cholesterol and Triglycerides were found more commonly in high normal euglycemic group compared to low normal euglycemic group. Mean cholesterol and mean triglyceride levels were higher in high normal euglycemic group.


2020 ◽  
Vol 8 (4) ◽  
pp. 193-199
Author(s):  
Pujan Balla ◽  
Anil Shrestha ◽  
Ninadini Shrestha ◽  
Navindra Bista ◽  
Moda Nath Marhatta

Background: Spinal anesthesia is the preferred technique of anesthesia employed for caesarean sections. However, it is very often complicated by hypotension. Different drugs and techniques have been used to prevent the hypotension induced by spinal anesthesia. In this study, the effect of ondansetron on the prevention of hypotension after spinal anesthesia was evaluated. Objectives: To determine the effect of prophylactic ondansetron on prevention of spinal induced hypotension in elective caesarean section. Methodology: Eighty-six parturients planned for elective caesarean deliveries were randomized into two groups of 43 each. Group O received Ondansetron 4 mg (4 ml) and Group S received Normal Saline (4 ml) intravenously 10 minutes prior to spinal anesthesia. Blood pressure, heart rate, phenylephrine requirements, occurrence of nausea and vomiting and APGAR scores of neonates were compared between the groups. Hemodynamic data was analyzed using Student’s t-test for intergroup comparison and ANOVA was used for intragroup comparison. Categorical data was analyzed using Pearson Chi-Square test. For all determinants, p-value <0.05 was considered significant. Results: Occurrence of hypotension in Group O (20.9 %) was significantly lower than in Group S (72.1%) (p < 0.05). The mean arterial pressure was significantly higher in Group O at 2, 6, 8, 12 and 14 minutes (p < 0.05). The use of phenylephrine (37.21 mcg vs. 146.51 mcg, p < 0.05) and occurrence of nausea (11.6%, vs. 41.9% p < 0.002) was significantly lower in ondansetron group. Conclusion: Ondansetron is effective in preventing spinal induced hypotension in elective caesarean sections.


2019 ◽  
Author(s):  
fendi ntobuo

One of negative behavior that is mostly done by adolescents is bullying, this behavior is prevalent in the school enviroment. Generally, the factor that influence bullying behavior are family factors, shool factor, peer factor. The focus was on the influence of parenting style because it has a correlation between parenting on an aggressive behavior. The purpose of this study was to determine the relationship of parenting to bullying behavior in Bolangitan 1 N Senior High study approach. The total population was 48 respondents. The result of study by using the Chi Square statistical tes tah there is a significant relationship between parenting of bullying behavior in Bolangitan N 1 School with a value (p value: 0,000). It can concluded there is a significant relationship between parenting style towards bullying behavior in Bolangitan 1 Senior High School. It suggest that counseling can be held about bullying behavior and its response to adolescents.


2018 ◽  
Vol 13 (2) ◽  
pp. 28
Author(s):  
Dorce Sisfiani Sarimin ◽  
Semuel Tambuwun ◽  
Suci Laila Tonote

ABSTRACTAcute Respiratory Infection (ARI) is one of the diseases that often affects children. The data found in the Manando Minanga Malalayang Public Health Center in the last year from January to December 2017 were 364 cases. One of the factors that causes ARI in children is mother's knowledge. The purpose of this study was to analyze the relationship of parental knowledge with health behaviors in children with ARI. This type of research is observational analytic conducted on 36 respondents. The measuring instrument used is a questionnaire. Hypothesis testing used Chi-Square (x²) with a significance level (α) <0.05, and a significant level> 95%. The results of the study found that from 17 respondents who had less knowledge of ARI with less behavior there were 11 respondents (30.5%) and 6 respondents (2.16%) knowledge of parents with sufficient behavior. Of the 19 respondents who had good knowledge but lack of health behavior there was 1 respondent (0.36%), good parental knowledge but enough behavior there were 7 respondents (2.52) and good parental knowledge and good behavior there were 11 respondents (30, 5). Chi-square statistical analysis obtained the value of p = value of 0,000, meaning that p = value <0.05 so that there is a relationship between parents' knowledge and health behavior in children with ARI. Suggestions for parents are expected to be willing to increase knowledge about ARI so that awareness of the importance of health for children so as not to get ARI.Keywords: ARI, Knowledge, Health BehaviorABSTRAKInfeksi Saluran Pernafasan Akut (ISPA) merupakan salah satu penyakit yang sering menyerang anak-anak. Data yang ditemukan di Puskesmas Minanga Malalayang Kota Manando satu tahun terakhir ini dari bulan Januari sampai dengan Desember 2017 sebanyak 364 kasus. Salah satu faktor penyebab terjadinya ISPA pada anak-anak adalah pengetahuan ibu. Tujuan penelitian ini adalah untuk menganalisis hubungan pengetahuan orang tua dengan perilaku kesehatan pada anak yang mengalami penyakit ISPA. Jenis penelitian ini adalah analitik observasional yang dilakukan terhadap 36 responden. Alat ukur yang digunakan adalah kuesioner. Uji hipotesa yang digunakan Chi-Square (x²) dengan derajat kemaknaan (α)<0,05, dan tingkat signifikan > 95%. Hasil penelitian ditemukan dari 17 responden yang mempunyai pengetahuan kurang penyakit ISPA dengan perilaku kurang terdapat 11 responden (30,5%) dan 6 responden (2,16%) pengetahuan orang tua dengan perilaku cukup. Dari 19 responden yang mempunyai pengetahuan baik tetapi perilaku kesehatan kurang terdapat 1 responden (0,36%), pengetahuan orang tua baik tetapi perilaku cukup terdapat 7 responden (2,52) dan pengetahuan orang tua baik kemudian perilaku baik terdapat 11 responden (30,5). Analisi statistic chi-square didapatkan nilai p=value sebesar 0,000, artinya p=value < 0,05 sehingga terdapat hubungan pengetahuan orang tua dengan perilaku kesehatan pada anak yang mengalami penyakit ISPA. Saran bagi orang tua diharapkan bersedia meningkatkan pengetahuan tentang ISPA sehingga kesadaran dalam hal pentingnya kesehatan bagi anak agar tidak sampai terkena penyakit ISPA.Kata kunci : ISPA, Pengetahuan, Perilaku Kesehatan


Sign in / Sign up

Export Citation Format

Share Document