Perancangan Antarmuka Berdasarkan Evaluasi Usabilitas Penggunaan Aplikasi KlikDokter Untuk Pralansia dan Lansia

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Christianti Angelin Maarende ◽  
Danny Sebastian ◽  
Restyandito Restyandito
Keyword(s):  
Health Services ◽  
User Satisfaction ◽  
The Elderly ◽  
Elderly Group ◽  
Control Group ◽  
Community Group ◽  
Interface Elements ◽  
Group Control Group ◽  
The Right ◽  
Elderly Users

The situation and condition of the spread of Covid-19 in Indonesia have forced everyone to reduce the intensity of going out of the house, including activities related to the need for health services. Therefore, a solution is needed so that people can meet their health needs without leaving the house. Taking into account that the elderly as the community group that is most vulnerable to contracting the virus and has the highest mortality rate, it can be said that the elderly is the group of people who most need online health services. Along with the growing penetration of internet usage and the increasing number of smartphone ownership in Indonesia, m-health is the right choice to help people access health services online via smartphones. KlikDokter is an example of m-health or a mobile-based application that provides various online health services. However, it was found that there were complaints that the KlikDokter application was too complicated and difficult for the elderly to use. From this problem, a usability test was finally carried out on the KlikDokter application interface, to identify what interface elements in the KlikDokter application were difficult for elderly users. The research respondents were divided into two groups with 16 and 17 people respectively. The first group is the elderly group aged >60 years. And the second group is the pre-elderly group with ages between 45 to 59 years. A pre-elderly group is a comparison group (control group). This test is carried out by measuring several aspects of usability, namely effectiveness, efficiency, user satisfaction, error, and cognitive load.

Multisensory balance training for unsteady elderly people: A scoping review

2021 ◽  
pp. 1-9
Author(s):  
In-Gyu Yoo ◽  
Ji-Hye Do
Keyword(s):  
User Satisfaction ◽  
Web Of Science ◽  
Relevant Literature ◽  
Balance Training ◽  
The Elderly ◽  
Control Group ◽  
Training Methods ◽  
Multisensory Stimulation ◽  
Multisensory Training ◽  
Risk Of Falls

BACKGROUND: Posture control involves complex reactions of dynamic and static movements, and various sensory inputs. There is evidence that exercise using multisensory stimulation is moderately effective in improving the balance of the elderly. OBJECTIVE: The main purpose of this paper was to examine the existing literature to validate the effectiveness and applicability of multisensory stimulation training. METHODS: All relevant literature published as of June 1, 2020 in four prominent databases was searched (Embase, PubMed, PsycINFO, and Web of science) using the five-stage review framework proposed by Arksey and O’Malley. RESULTS: Multisensory stimulation training was more effective when vestibular and somatosensory were combined with visual stimuli, and differences in effectiveness compared to the effectiveness of existing treatments were confirmed. However, most of the reviewed papers are compared to simple strength training, and studies that compare the effects of multisensory stimulation training by setting a control group are still lacking. CONCLUSION: Further research is required to further elucidate the training conditions and treatment environment for multisensory training for the elderly at risk of falls and to provide strategies to improve treatment methods. In addition, a study that can evaluate user satisfaction in a way that best shows the treatment effect using qualitative research methods will be needed.

Radical Cystectomy in Elderly Patients

1993 ◽  
Vol 60 (1) ◽  
pp. 19-22
Author(s):  
P. Bassi ◽  
M. Gholam Alipour ◽  
G.L. Drago Ferrante ◽  
N. Piazza ◽  
N. Panza ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Length Of Hospital Stay ◽  
Wound Dehiscence ◽  
The Elderly ◽  
Elderly Group ◽  
Medical Complications ◽  
Control Group ◽  
Pelvic Hematoma

Radical cystectomy is the most common treatment for deeply invasive bladder cancer; due to reported operative risks, concerns have been expressed regarding the suitability of this operation in elderly patients. We reviewed the morbility and mortality rates in 50 patients aged 70 years and over (elderly group), undergoing radical cystectomy and urinary diversion, to verify if this procedure could be considered as initial treatment in older-age patients. The findings were compared with those observed in 50 patients aged 40 to 69 years (control group). In the elderly group there was no operative mortality; however 2 patients (4%) died post-operatively due to pulmonary embolism and multi-organ-failure syndrome respectively. Four patients (8%) were re-operated due to intestinal obstruction (2 pts), pelvic hematoma (1 pt) and wound dehiscence (1 pt). Wound separation was the more frequent complication (15%); 6% of patients experienced extended intestinal atonia. The length of hospital stay was 17.1 days. In the control group, surgical complications were comparable to those observed in the elderly group: furthermore medical complications were more frequent. In conclusion, these data suggest that radical cystectomy and urinary diversion can be safely performed in the elderly. Radical surgery is an effective treatment modality for elderly individuals who are in reasonably good general health. A higher incidence of medical complications must be expected in elderly patients.

A kiskorú páciensek jogainak helyzete az erdélyi egészségügyi ellátásban

2018 ◽  
Vol 159 (11) ◽  
pp. 423-429
Author(s):  
Csanád Albert-Lőrincz
Keyword(s):  
Health Services ◽  
Pediatric Patients ◽  
Research Process ◽  
Fundamental Rights ◽  
Control Group ◽  
Vulnerable Children ◽  
Parents And Children ◽  
Communication Difficulties ◽  
The Right ◽  
Phd Thesis

Abstract: This study summarizes the results of the author’s PhD thesis presenting the research process and the most important findings regarding the situation of Transylvanian healthcare. Our data are based on the knowledge and compliance of pediatric patients’ rights as they are seen by healthcare specialists, parents and children. A number of 751 persons were involved in the research: 200 healthcare specialists, 200 parents, 200 children aged from 7 to 17 years who have been experiencing health services at least three times over the past year and a control group of 151 children who did not have this kind of experience. Based on our data, it was possible to highlight the major problems encountered in children’s healthcare. We found that children are treated by obsolete principles of medical practice despite the fact that the rights of pediatric patients are well known to doctors. Neither the parents nor the children themselves are sufficiently aware of their rights. Healthcare professionals are not prepared to overcome communication difficulties due to the age-specific characteristics of children, so the fundamental rights of children are just partially enforced: children are usually heard, but not properly informed, their medical decisions are usually not taken into account violating the right to self-determination. The chances to access adequate health services are lower for vulnerable children living in poverty. Orv Hetil. 2018; 159(11): 423–429.

scholarly journals Health monitoring modular panel: Interface design and evaluation

2018 ◽  
Vol 22 (Suppl. 4) ◽  
pp. 1259-1270
Author(s):  
Milica Vujovic ◽  
Milan Ristanovic ◽  
Marko Milos ◽  
Francisco Perales-López
Keyword(s):  
Interface Design ◽  
The Elderly ◽  
Control Group ◽  
Processing Unit ◽  
Residential Unit ◽  
Lack Of Information ◽  
User Groups ◽  
Future Work ◽  
Functional Areas ◽  
Elderly Users

In this paper we present a conceptual solution of modular panel for measuring health parameters of the elderly. The conceptual solution was followed by a study that analyzed the design and evaluated interface of the system. Modular panel contains sensors, processing unit, and interface enabling data acquisition and communication between the user and the medical staff. Positioning of the panel within the residential unit was determined by the categories of actions which it should provide and functional areas of typical housing unit. Interface design is based on a specific type of users and is on the basis of the type of data that should be collected and displayed. Evaluation of interface is conducted by using two user groups, where the first is made up of people older than 60 years and represents the interest group of the study, while the second group consisted of people younger than 60 years as the control group. The collected data were analyzed and the results indicate that the simplicity of the interface suits good to the users. Elderly users need more time to conduct certain commands, but most of them understood interface completely. The limitations of the system, such as lack of information provided for the users, will be considered in the future work.

scholarly journals Prehabilitation Program in Elderly Patients: A Prospective Cohort Study of Patients Followed Up Postoperatively for Up to 6 Months

2021 ◽  
Vol 10 (19) ◽  
pp. 4500
Author(s):  
Claire Malot ◽  
Astrid Durand-Bouteau ◽  
Nicolas Barizien ◽  
Antoine Bizard ◽  
Titouan Kennel ◽  
...  
Keyword(s):  
Cohort Study ◽  
Elderly Patients ◽  
The Elderly ◽  
Elderly Group ◽  
Control Group ◽  
Functional Capabilities ◽  
Observational Cohort ◽  
6 Minute Walk Test ◽  
The Impact ◽  
Minute Walk

The preoperative period may be an opportune period to optimize patients’ physical condition with a multimodal preoperative program. The impact of a “prehabilitation” program on elderly patients is discussed. This mono-center observational cohort study included consecutively 139 patients planned for major abdominal and thoracic surgery, with 44 in the control group (age < 65) and 95 in the elderly group (age > 65). All patients followed a “prehabilitation” program including exercise training, nutritional optimization, psychological support, and behavioral change. Seventeen patients in the control group and 45 in the elderly group completed the study at six months. The 6-minute walk test (6 MWT) increased in both groups from the initial evaluation to the last (median value of 80 m (interquartile range 51) for those under 65 years; 59 m (34) for the elderly group; p = 0.114). The 6 MWT was also similar after one month of prehabilitation for both populations. The rate of postoperative complications was similar in the two groups. Prehabilitation showed equivalence in patients over 65 years of age compared to younger patients in terms of increase in functional capabilities and of postoperative evolution. This multimodal program represents a bundle of care that can benefit a frailer population.

scholarly journals COVID-19 associated changes in the right departments of the heart in the elderly people

2021 ◽  
Vol 2 (3 2021) ◽  
pp. 22-26
Author(s):  
Larysa Bodretska ◽  
Iryna Shapovalenko ◽  
Ivanna Antonyuk-Shcheglova ◽  
Olena Bondarenko ◽  
Svitlana Naskalova ◽  
...  
Keyword(s):  
Heart Disease ◽  
Elderly Patients ◽  
The Elderly ◽  
Left Ventricular ◽  
Control Group ◽  
Shortness Of Breath ◽  
Persistent Symptoms ◽  
The Right ◽  
Chronic Pulmonary Heart Disease ◽  
Heart Lesions

Abstract. Purpose of the work: to study the indicators characterizing heart lesions in elderly patients who had carried COVID-19. Materials and methods: 86 patients older than 60 years old, were examined, of whom 56 (32 women and 24 men) who have carried COVID-19 between 3 and 6 months before the study, and 30 patients (12 men and 18 women) who did not have COVID - 19 in the anamnesis. The patients have been examined clinically, electro and echocardiography have been performed. The results. Elderly patients during the post-covid period have complaints of shortness of breath, pain in the heart, swelling, coughing, weakness, which are more stable and intense than before the infection. Patients who have carried COVID-19 demonstrate the signs of a chronic pulmonary heart disease: increase in the size of a right ventricle and decrease of its contractile ability, increase in pressure in a pulmonary artery. Signs of a statistically significant moderate decrease of the contractility in the left ventricular were also identified. Conclusions. The statistically significant changes in the right departments of the heart among the patients with carried COVID-19 with persistent symptoms after infection were defined. Patients who have carried COVID-19 but have no symptoms did not differ statistically from the control group. Key words: COVID-19, old age, post- COVID period, right departments of the heart.

Use of Social and Health Services by Elderly People during the Terminal 18 Months of Life

1987 ◽  
Vol 15 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Carsten Hendriksen ◽  
Ellinor Lund ◽  
Edith Strømgård
Keyword(s):  
Health Services ◽  
Elderly People ◽  
Public Support ◽  
The Elderly ◽  
Terminal Phase ◽  
Control Group ◽  
Individual Member ◽  
Study Group ◽  
Home Help ◽  
Home Nursing Care

In a randomised and controlled intervention study elderly people aged 75 or more were visited regularly in their own homes over a period of three years. An age and sex matched control group was not contacted until the conclusion of the study period. In the present study, the use of social and health services during the terminal 18 months of life was computed for each individual member of the study group. The categories of services included the bed usage in hospitals, the stays in nursing homes, the provisions of home help and home nursing care as well as contacts with general practitioners. No differences in the use of social and health services were found between the visited elderly ( n=25) and the control group ( n=46). About 50% of the elderly had a considerable use of public services during the months prior to death, and only 14% received no public support, disregarding the terminal phase. Among those elderly people belonging to the study group, and who died within the study period, an increased use of the above mentioned services was seen during all 18 months. However, an increased use of hospital beds was only computed during the terminal 6 months of life. 58% of the bed days were used for patients who died during the next few months.

Assessment of Influence of Smoking, Drinking, Leukoplakia and Dental Irritation on Local Control of Early Oral Tongue Carcinoma Treated with Brachytherapy: Age and Dental Factors are Potential Prognostic Factors

2009 ◽  
Vol 95 (4) ◽  
pp. 461-466 ◽  
Author(s):  
Hideya Yamazaki ◽  
Takehiro Inoue ◽  
Ken Yoshida ◽  
Tadayuki Kotsuma ◽  
Yasuo Yoshioka ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Elderly Patients ◽  
Local Control ◽  
Tongue Cancer ◽  
The Elderly ◽  
Local Control Rate ◽  
Factor Group ◽  
Elderly Group ◽  
Control Group ◽  
Oral Tongue

Background To examine the background characteristics of elderly patients (65 years or older) with node-negative mobile tongue cancer (T1-2N0M0) who showed worse local control than a younger group. Materials and methods We retrospectively analyzed background data for 265 patients treated with brachytherapy with or without external radiotherapy between 1967 and 1999. We examined dental factors (such as irritation by prosthesis), leukoplakia, tobacco smoking and alcohol consumption for comparisons between the elderly (age ≥65 years; n = 83) and a control group (64 years or younger; n = 182). Results The elderly patients showed a worse outcome than the control group (respectively 86% and 70% at 5 years; P <0.05). Incidence of dental factors tended to be higher for elderly patients (53%) than the control group (40%, P = 0.07). Dental factors proved to have prognostic importance for local control. Five-year local control rate was 85% for patients with and 76% for patients without dental factors (P = 0.04). The elderly group positive for dental factors showed a lower 5-year local control rate (61%) than the other three groups [(elderly without the dental factor (–) group (80%), control with the dental factor (+) group (84%), and control without the dental factor (–) group (87%)] (P <0.05). Leukoplakia was found more frequently in the control (23%) than in the elderly group (5%) (P = 0.006) but had no effect on treatment outcome. Conclusions Age and dental factors (including prosthesis irritation) are potentially important prognostic factors for local control of oral tongue cancer treated with brachytherapy, especially for elderly patients.

scholarly journals Radiotherapy for Elderly Patients Aged ≥75 Years with Clinically Localized Prostate Cancer—Is There a Role of Brachytherapy?

2018 ◽  
Vol 7 (11) ◽  
pp. 424 ◽  
Author(s):  
Hideya Yamazaki ◽  
Koji Masui ◽  
Gen Suzuki ◽  
Satoaki Nakamura ◽  
Norihiro Aibe ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Elderly Patients ◽  
Risk Group ◽  
The Elderly ◽  
Elderly Group ◽  
Localized Prostate Cancer ◽  
Control Group ◽  
Healthy Elderly ◽  
Gu Toxicity

We compared radiotherapy outcomes between 241 elderly patients aged ≥75 years and 867 younger controls (age <75 years) with clinically localized prostate cancer. The elderly group showed an equivalent actuarial seven-year biochemical failure-free survival rate (7y-bNED) (94.9%) to the younger control group (96.4%, p = 0.593). The incidence of late genitourinary (GU) and gastrointestinal (GI) toxicities grade ≥2 was also similar between the elderly and younger cohorts, while no grade ≥4 adverse events occurred. We also examined the role of brachytherapy (BT) in the elderly group, in comparison with image-guided intensity-modulated radiotherapy (IG-IMRT). BT showed superior 7y-bNED (94.1%) than IG-IMRT (84.6%, p = 0.0183) in elderly patients, which was 100% (100% for BT and 100% for IG-IMRT, p > 0.999) for the low-risk group, 94.6% (92.8% and 100%, p = 0.203) for the intermediate-risk group, and 80.5% (91.2% and 73.6%, p = 0.0195) for the high-risk group. BT showed higher GU toxicity and equivalent GI toxicity to IG-IMRT. In conclusion, elderly patients showed bNED and toxicity that were equivalent to those observed in younger controls, and BT is a plausible option also for healthy elderly with potential to improve bNED, with higher but acceptable GU toxicity.

scholarly journals Knowledge about SUSALUD and other factors associated with filing complaints due to patient care issues at a national hospital in Lima, Peru 2019

2021 ◽  
Vol 15 (8) ◽  
pp. 2319-2323
Author(s):  
Palmer J. Hernández-Yépez ◽  
Alejandro Rojas-Huillca ◽  
Miguel A. Oscuvilca-Quinteros ◽  
Abihail N. Mendoza-ojeda ◽  
Mario J. Valladares-garrido ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Facility ◽  
User Satisfaction ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Right ◽  
Care Problems ◽  
Health Rights

Introduction: There is little evidence regarding the knowledge of the National Superintendence of Health (Superintendencia Nacional de Salud, SUSALUD), and health rights. The objective of this study was to determine the factors associated with filing complaints in patients treated at a Level III-1 health facility of the Ministry of Health (MINSA) in Lima 2019. Methods: Cross-sectional study on Internal Medicine patients treated at a Level III-1 health facility of MINSA, Lima, Peru in 2019. We used a modified survey taken from the complaints and knowledge about SUSALUD section from the questionnaire of the National Health User Satisfaction Survey (ENSUSALUD 2016). Prevalence ratios were estimated through simple and multiple regression. Results: Of 250 patients, the average age was 52 years and most of them were women (61.2%). Of the total, 37.3% made some health care complaints. The majority of the patients knew about the complaints book (66.4%), but only 30% knew about SUSALUD. Knowing SUSALUD (PR=3.33, CI95%: 1.81-6.11), the right to access health services (PR=1.15, CI95%: 0.41-3.29) and the right to be informed (PR=2.65, CI95%: 1.07-6.60) were associated with a greater frequency of filing health care complaints. Conclusions: The frequency of complaints due to care problems is high. The knowledge about SUSALUD, the right to access health services and the right to be informed were positively associated with filing any type of complaint. Keywords: Knowledge, complaints, health care, hospitals (Source: DECS)

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