scholarly journals PENGARUH METODE EDUKASI BRAINSTORMING TERHADAP SELF CARE PADA KLIEN CONGESTIVE HEART FAILURE

2019 ◽  
Vol 12 (4) ◽  
pp. 224-234
Author(s):  
Eka Yudha Chrisanto ◽  
Widia Astuti
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Intervention Group ◽  
Self Care ◽  
Average Score ◽  
Control Group ◽  
Educational Methods ◽  
Nursing Services ◽  
Significant Difference ◽  
Post Test

THE EFFECT OF USING BRAINSTORMING STRATEGY ON SELF-CARE BEHAVIORS AMONG PATIENTS WITH CONGESTIVE HEART FAILURE Background: Congestive heart failure is disease with incidence who were is increased yearly, the disease can caused another complicated. This Conditions caused clients and families lack of knowledge about the disease and self-care of congestive heart at home. Self care understanding was important to be given. Brainstorming education is a method that can improve patients' knowledge.Purpose: The Objective these study to determine the effect of brainstorming educational methods to self care of patients with congestive heart failure at heart polyclinic ward.Methods: This study used a quasi eksperimen pre and post-test with control group, with 30 respondents consisting the intervention group and the control group. The average score of self-care after treatment in the intervention group increased.Results: It was significant difference on average self-care intervention group after brainstorming educational methods (p = 0.000 ).There is no relationship between the gender (p = 0.095) and educational level (p= 0.726) with self care. While self-care will increase after brainstorming educational methods and controlled by age (0.016). Brainstorming educational methods can improve self care in clients congestive heart failure, expected to be applied in nursing services, especially patients with congestive heart failurePendahuluan: Congestive heart failure merupakan penyakit yang angka kejadianya cenderung meningkat dari tahun ketahun, penyakit ini menyebabkan komplikasi yang cukup serius. Kondisi yang menyebabkan terus memburuk disebabkan karena kurangnya pengetahuan klien dan keluarga tentang penyakit congestive heart failure dan self care di rumah. Pemahaman terhadap self care sangat penting. Edukasi brainstroming merupakan metode yang dapat meningkatkan pengetahuan klien.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh metode edukasi brainstorming terhadap self care klien congestive heart failure diruang poli jantung.Metode: Penelitian ini menggunakan desain quasi ekperimenpre and post test with control group, dengan jumlah sampel sebanyak 30 responden yang terdiri dari kelompok intervensi dan kelompok kontrol. Rata-rata skor self care setelah perlakuan pada kelompok intervensi mengalami peningkatan.Hasil: Diperoleh adanya perbedaan yang signifikan rata-rata self care kelompok intervensi setelah dilakukan metode edukasi brainstorming dengan (p= 0,000). Tidak ada hubungan antara jenis kelamin (p=0,095) dan tingkat pendidikan (p=0,726) dengan self care. Sedangkan self care akan meningkat setelah dilakukan metode edukasi brainstorming dan dikontrol oleh usia (0,016). Metode edukasi brainstorming dapat meningkatkan self care pada klien congestive heart failure, diharapkan dapat diterapkan di pelayanan keperawatan terutama pasien yang mengalami congestive heart failure. 

scholarly journals Evaluating Frozen Strawberries as a Strategy for Thirst Management in Patients with Congestive Heart Failure (CHF)

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Dian Hudiyawati ◽  
D. L. Suswardany
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Fluid Consumption ◽  
Nyha Classification ◽  
Post Test ◽  
The Mean ◽  
And Control

INTRODUCTION: Thirst sensation in Congestive Heart Failure (CHF) patients is caused by diuretic administration and fluid consumption  limitation.  Unhandled thirst sensation leads to  a  disobedient  patient  in  fluid  consumption limitation   that   causes   the   patient   condition   to   worsen.   This   research   aimed   to   analyse   the   frozen strawberries administration's   effects   on   the   thirst   sensation   in   a   patient   with   CHF . MATERIAL AND METHOD: The  method  used  was  a  quasi-experiment  with  a  pre-test  and  post-test  control  group  design.  The number of respondents was 34 patients divided into two groups: 17 respondents in the intervention group and 17 respondents in  the  control  group.  The  sampling  technique  was  stratified  random  sampling  based  on  NYHA classification  in  the  respondents.  Frozen  strawberries  were  given  to  the  intervention  group,  while  ice  cubes  were given  to  the control group. All the data were  analyzed  using a t-test.RESULT:The results showed that the mean score of the thirst intensity of the intervention and control group was 4.44 and 2.35, respectively. The independent t-test of the mean difference of thirst intensity pre and post-test between the intervention and control groups was p=0.001.  According  to  the  paired  t-test  analysis,  the  thirst  intensity  score  between  pre-test  and  post-test  was p<0.001, from moderate to low thirst  intensity. CONCLUSION:Frozen  strawberries were statistically effective in reducing the thirst intensity in a patient with CHF.

A patient-centered mobile intervention to promote self-management and improve patient outcomes in chronic heart failure: The ManageHF4Life trial (Preprint)

2020 ◽  
Author(s):  
Michael P. Dorsch ◽  
Karen B. Farris ◽  
Brigid E. Rowell ◽  
Scott L. Hummel ◽  
Todd M. Koelling
Keyword(s):  
Heart Failure ◽  
Mobile Application ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Self Management ◽  
Control Group ◽  
Patient Centered ◽  
Self Monitoring ◽  
Heart Failure Questionnaire

BACKGROUND Successful management of heart failure (HF) involves guideline based medical therapy as well as self-care behavior. As a result, the management of HF is moving toward a proactive real-time technological model of assisting patients with monitoring and self-management. OBJECTIVE Evaluate the effectiveness of a mobile application intervention that enhances self-monitoring on health-related quality of life, self-management, and reduces HF readmissions. METHODS A single-center randomized controlled trial was performed. Patients greater than 45 years of age and admitted for acute decompensated HF or recently discharged in the past 4 weeks were included. The intervention group used a mobile application (App). The intervention prompted daily self-monitoring and promoted self-management. The control group (No App) received usual care. The primary outcome was the change in Minnesota Living with Heart Failure Questionnaire (MLHFQ) from baseline to 6 and 12 weeks. Secondary outcomes were the Self-Care Heart Failure Index (SCHFI) questionnaire and recurrent HF admissions. RESULTS Eighty-three patients were enrolled and completed all baseline assessments. Baseline characteristics were similar between groups with the exception of HF etiology. The App group had a reduced MLHFQ at 6 weeks (37.5 ± 3.5 vs. 48.2 ± 3.7, P=0.039) but not at 12 weeks (44.2 ± 4 vs. 45.9 ± 4, P=0.778) compared to No App. There was no effect of the App on the SCHFI at 6 or 12 weeks. The time to first HF admission was not statistically different between the App versus No App groups (HR 0.89, 95% CI 0.39-2.02, P=0.781) over 12 weeks. CONCLUSIONS The mobile application intervention improved MLHFQ at 6 weeks, but did not sustain its effects at 12 weeks. No effect was seen on HF self-care. Further research is needed to enhance engagement in the application for a longer period of time and to determine if the application can reduce HF admissions in a larger study. CLINICALTRIAL NCT03149510

scholarly journals The effect of nutrition and reproductive health education of pregnant women in Indonesia using quasi experimental study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Pregnant Women ◽  
Intervention Group ◽  
Control Group ◽  
Attitudes And Practices ◽  
Significant Difference ◽  
Reproductive Health Education ◽  
Post Test ◽  
Knowledge Attitudes And Practices

Abstract Background Almost one-third of children under 5 years old in Indonesia suffer from stunting. Stunting can be prevented optimally during pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition and reproductive health education of pregnant women in Bogor Regency, Indonesia. Methods A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from four different villages in Bogor Regency. The intervention group (n = 97) received 2 h of nutrition and reproductive health education in small groups (four or five mothers per group) every 2 weeks for 3 consecutive months. This interactive education was given by facilitators using techniques such as lectures, role-playing, simulation, and games. The control group (n = 97) received regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analysed using t-test and chi-square analysis. Results Pregnant women in the intervention group indicated a significant increase in knowledge, attitudes, and practices regarding nutrition and reproductive health after receiving education. The pre-test and post-test mean scores in the intervention group were 55.1 and 83.1 for overall knowledge, 40.2 and 49.0 for attitudes, and 36.2 and 40.2 for practices, respectively. In the control group, there was no significant difference between the pre-test and post-test mean scores for these three variables. There was a significant difference (P < 0.001) in the post-test mean between the intervention group and the control group, but the difference was not significant (P > 0.05) in the pre-test. Conclusion Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed for large-scale implementation by optimising collaboration between government, non-governmental organizations, and maternal and child health service providers.

scholarly journals The Effect of an Educational Plan Based on the Roy Adaptation Model for Fatigue and Activities of Daily Living of Patients with Heart Failure Disease

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Mahdieh Abdolahi ◽  
Mohammad Mahdi Doustmohamadi ◽  
Hojjat Sheikhbardsiri
Keyword(s):  
Heart Failure ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Daily Activities ◽  
Control Group ◽  
Roy Adaptation Model ◽  
Educational Plan ◽  
Significant Difference ◽  
Patients With Heart Failure ◽  
Adaptation Model

BACKGROUND: Cardiac failure is one of the most common chronic diseases with high rate of morbidity and mortality. Fatigue and decreased ability to perform daily activities are of the most common complications of this disease. The purpose of this study was to determine the effect of an educational plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure.METHODS: This experimental study was performed on 60 heart failure patients admitted in two educational hospitals supervised by the Kerman University of Medical Sciences in 2019. Sample was randomly assigned into two intervention and control groups. The intervention group received the care plan through a face-toface and group training program in 6 sessions at one month. Interval followed by a follow-up period for 4 weeks later. Fatigue level was calculated based on piper fatigue scale, and daily activities were calculated by Barthes scale.RESULTS: The finding indicated that there was a significant difference between the two groups (control and intervention) after the intervention. The result showed that the intervention group had significantly lower mean scores in fatigue and higher mean scores in daily activities compared to the control group after intervention P ≤ .05. There was a significant relationship between fatigue and daily activities of life with frequency of hospitalization and duration of disease in both groups, P ≤ .05.CONCLUSION: Implementation of Roy model-based education program as a low-cost, effective, and non-aggressive nursing intervention can reduce fatigue, and improve daily activities in patients with heart failure.

scholarly journals PIJAT KAKI EFEKTIF MENURUNKAN FOOT EDEMA PADA PENDERITA CONGESTIVE HEART FAILURE (CHF)

2019 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Kasron Kasron
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Probability Sampling ◽  
Post Test ◽  
Quasi Experiment

Oedema kaki merupakan salah satu gejala pada pasien CHF. Oedema kaki dapat menyebabkan penurunan kualitas hidup, ketidaknyamanan, perubahan postur tubuh, menurunkan mobilitas dan meningkatkan resiko jatuh, gangguan sensasi di kaki dan menyebabkan perlukaan di kulit. Tujuan penelitian untuk mengetahui pengaruh pijat kaki terhadap penurunan oedema kaki pada pasien CHF. Metode penelitian menggunakan quasi-experiment dengan pendekatan pre-post test without control group. Responden penelitian adalah pasien CHF yang mengalami oedema kaki, pemilihan responden menggunakan non-probability sampling dengan metode accidental sampling. Responden diukur lingkar oedema pada lingkar angkle, instep dan MP-Joint menggunakan metline pada sebelum intervensi, hari pertama, kedua dan ketiga. Analisis statistik menggunakan wilcoxon test. Sejumlah 13 responden memenuhi kriteria penelitian. Pada kaki kanan lingkar angkle pre: 27,7±1,8, post 1: 27,6±1,8, post 2 27,5±1,7, post 3: 27,2±1,7, lingkar instep pre: 27,6±1,7, post 1: 27,6±1,8, post 2: 27,2±1,7, post 3: 26,9±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 27,0±1,6, post 1: 27,0±1,6, post 2: 26,7±1,7, post 3: 26,3±1,7. Kaki kiri lingkar angkle pre: 27,6±1,8, post 1: 27,6±1,8, post 2: 27,3±1,8, post 3: 27,0±1,8, lingkar instep pre: 27,6±1,7, post 1: 27,5±1,7, post 2: 27,2±1,7, post 3: 26,8±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 26,9±1,8, post 2: 26,5±1,8, post 3: 26,2±1,8. Hasil analisis menunjukan bahwa terdapat perbedaan yang bermakna lingkar oedema pada kaki kanan setelah hari kedua dan ketiga dengan p-value <0,001. Kesimpulan penelitian adalah terdapat perbedaan lingkar oedema angkle, instep, dan MP-joint pada hari kedua dan ketiga setelah pemijatan kaki pada pasien CHF yang mengalami oedema kaki. Perlu penelitian lanjutan untuk penatalaksanaan oedema kaki pada pasien CHF yang mengalami oedema kaki.

scholarly journals uberty Health Education and Female Students’ Self-efficacy

2019 ◽  
Vol 5 (4) ◽  
pp. 231-238
Author(s):  
Simin Khatirpasha ◽  
◽  
Marhamat Farahani-Nia ◽  
Soghra Nikpour ◽  
Hamid Haghani ◽  
...  
Keyword(s):  
Public Schools ◽  
Health Education ◽  
Self Efficacy ◽  
Intervention Group ◽  
Female Students ◽  
Control Group ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
General Self Efficacy

Background: Adolescence is an essential period in every human’s life. The lack of knowledge on puberty issues may adversely impact an adolescent’s future mental health and self-efficacy. The present study aimed to determine the effect of puberty health education on the general self-efficacy of female students. Methods: This was a quasi-experimental study with a pre-test; post-test and a control group design. This study was conducted on 100 female students of public schools with the onset of menstruation in 2018 in Ghaemshahr City, Iran. To prevent data contamination, the control group was selected from another similar public school. The required data were collected by Sherer General Self-efficacy Questionnaire and analyzed by SPSS using statistics, including mean, standard deviation, Chi-squared test, Fisher’s Exact test, one-way Analysis of Variance (ANOVA), and Paired Samples t-test. Results: The study groups were matched for demographic variables except for the mother’s age (P=0.01) and father’s education (P=0.001). Self-efficacy was not low in any of the groups before and after the training. Mean±SD pre-training self-efficacy scores in the intervention (63.68±9.72) and control (65.3±8.78) groups were not statistically significant (P=0.69). Comparing the students’ self-efficacy mean Pre-test-Post-test scores revealed a significant difference in the intervention group (P=0.017); however, there was no significant change in the control group (P=0.284) in this respect. Comparing between-group mean self-efficacy changes concerning before and after the intervention values suggested no significant difference (P=0.294). Conclusion: Puberty health education was effective in promoting the explored female students’ self-efficacy. Accordingly, it is recommended to include puberty education in female students’ courses. In addition, community health nurses are suggested to include this training in their programs.

scholarly journals THE EFFECT OF HERRINGBONE TECHNIQUE ON THE STUDENTS’ ABILITY IN READING COMPREHENSION ON RECOUNT TEXT

2020 ◽  
Vol 3 (2) ◽  
pp. 91-100
Author(s):  
Sam Roberto Andre Hasian Lumbantobing ◽  
Hilman Pardede ◽  
Herman Herman
Keyword(s):  
Reading Comprehension ◽  
Reading Ability ◽  
Test Score ◽  
Alternative Hypothesis ◽  
Average Score ◽  
Control Group ◽  
Significant Difference ◽  
Tenth Grade ◽  
Post Test ◽  
Experimental Group

This research is a study of improving students’ ability in reading comprehension. The aim was to find out whether the use of Herringbone technique would bring a significant difference in teaching reading comprehension through Recount text, compared with the result before the students being treated. The study was conducted in the tenth grade students of SMA N 4 Pematangsiantar. The research method used was the experimental design, where the Experimental group was the PMIA 3 class, and the PMIA 2 class as the control class. Both of the classes had 34 students in each of it. The data were obtained through pre-test, treatment and post test. The pre-test was held to know the students’ basic ability or score before treatment was given. Meanwhile, the post test was held to know the students’ achievement and significant effect after the students were taught using Herringbone technique. Finding of the research showed that both groups had a significant improvement in their reading ability after being treated and passed the KKM. The Control group, which the pre-test score was 60, made an improvement shown in their post-test score in amount of 70,44. The experimental group, the group which the researcher treated the Herringbone technique to them, had a higher improvement than the control group. The average score of pre-test in this group was about 54,41 where then being improved up to 78,97. The score of t-test (3,981) was higher than t-table (1,668) at the level of significance 5% for two tailed test, so Null Hypothesis is rejected and Alternative Hypothesis is accepted.

scholarly journals Effectiveness of Solution-Focused Group Counseling on the Mental Health of Midwifery Students

2019 ◽  
Vol 41 (08) ◽  
pp. 500-507 ◽  
Author(s):  
Nezhat Javid ◽  
Atefeh Ahmadi ◽  
Moghadameh Mirzaei ◽  
Monavvareh Atghaei
Keyword(s):  
Mental Health ◽  
Group Counseling ◽  
Social Performance ◽  
Intervention Group ◽  
Physical Symptoms ◽  
Control Group ◽  
Significant Difference ◽  
Post Test ◽  
The Mean ◽  
Solution Focused

Objective The present study was conducted with the objective of investigating the effectiveness of solution-focused group counseling (SFGC) on promoting the mental health of midwifery students. Methods The present study is an intervention-based study with a pretest, a post-test, and a control group. The statistical population included all of the midwifery students studying in the midwifery department of the Bam University of Medical Sciences, Kerman, Iran, who filled out the General Health Questionnaire (GHQ) in the screening phase. In the second phase, 40 individuals, having a low level of mental health based on the cutoff score of 23, were selected and randomly divided into 2 groups (intervention and control), each group with 20 participants. The intervention group participated in 5 sessions of 75 minutes for SFGC. Then, the post-test was held in both groups and the data analysis was conducted using the Mann-Whitney and the Kruskal-Wallis test with IBM SPSS Statistics for Windows, Version 21.0 (IBM Corp, Armonk, NY, USA). The significance level was considered as p < 0.05. Results The findings showed that the mean of the post-test mental health scores of the intervention group (14.5 ± 50.35) and of the control group (23.6 ± 35.83) showed a statistically significant difference (p < 0.0001). Moreover, the comparison between the mean scores of the mental health subscales (physical symptoms, stress, social performance, and depression) showed a statistically significant difference in these groups, and SFGC improved physical symptoms, stress, social performance, and depression in the members of the intervention group. Conclusion Solution-focused group counseling may improve all levels of mental health. This type of counseling is recommended to be used to solve the psychological problems and to improve the mental health of students, as well as of the staff of the health system.

An improvement in self-care behaviour in heart failure patients lead to better management of hypertension

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
D.S Sahlin ◽  
S Gerward
Keyword(s):  
Heart Failure ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Control Group ◽  
Chi Square ◽  
Home Based ◽  
Number Of Patients

Abstract Background A common heart failure (HF) aetiology is hypertension (HTN), second only to ischemic heart disease and with a prevalence in the HF community of between 62% and 84%, depending on sex and ejection-fraction. Undertreated HTN leads to worse prognosis and resistant HTN is defined as blood pressure (BP) exceeding 140/90 mmHg, in spite of pharmacological treatment. Since one constituent of self-care behaviour is treatment adherence, we wished to study whether patients exposed to a digital intervention shown to improve self-care behaviour, would also display improved BP control. Methods SMART-HF was a randomized controlled trial, recruiting patients from seven centres in Region Skåne in southern Sweden, where patients in the intervention group (IG) were equipped with a digital home-based tool, designed to enhance self-care behaviour for HF-patients and the control group (CG) were subject to standard care. BP data was registered at baseline and after eight months of intervention and self-care behaviour was measured using the European Heart Failure Self-care Behaviour Scale (EHFScB). We used a Chi-square test to analyse whether there was an inter-group difference of prevalence of resistant HTN or a mean arterial pressure (MAP) outside the recommended range of 60 mmHg &lt; MAP &lt;100 mmHg. Results Out of the 118 patients included in the original analysis, 92 (78%) had complete BP measurements. At baseline there was no difference in self-care behaviour between the groups, with CG: 25 [17.5; 32] and IG: 24.5 [18; 30], p=0.61, and 28% of the CG patients and 24% of the IG population displayed resistant HTN, p=0.73. After eight months of intervention the IG had 21% (or 4.5 points) better self-care behaviour compared to the CG, p=0.014, and the fraction of patients with resistant HTN was 30% for the CG and 11% for the IG, p=0.027. There was also a significant effect on the fraction of patients having a MAP &gt;100 mmHg, with 22% in the CG versus 16% in the IG having MAP &gt;100 mmHg at baseline (p=0.39) and 19% in the CG versus 0% in the IG at follow-up (p=0.002). Conclusions There was a significant improvement in self-care behaviour and also a significant reduction in the number of patients with resistant hypertension and elevated mean arterial pressure after eight months of intervention. Funding Acknowledgement Type of funding source: None

scholarly journals Efektivitas Metode Edukasi Audiovisual terhadap Self Management pada Pasien Hipertensi

2019 ◽  
Vol 3 (1) ◽  
pp. 221-233
Author(s):  
Fernalia Fernalia ◽  
Busjra Busjra ◽  
Wati Jumaiyah
Keyword(s):  
Intervention Group ◽  
Total Sample ◽  
Self Management ◽  
Control Group ◽  
Hypertensive Patients ◽  
Audiovisual Education ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental ◽  
Equivalent Control

This study aims to determine the effectiveness of audiovisual education methods on self management in hypertensive patients. This study used a quasi-experimental design with a non-equivalent control group pre and post test design, with a total sample of 38 respondents consisting of an intervention group and a control group. Obtained a significant difference in the average self-management of the intervention group after the audiovisual education method was performed with (p = 0,000). There was no relationship between age (p = 0.71), sex (p = 0.955) and self-management in hypertensive patients. While self management will increase after the audiovisual education method is carried out and controlled by knowledge (p = 0.005). The conclusion of this study is the audiovisual education method can improve self management in hypertensive patients.  Keywords: Audiovisual Education, Hypertension, Self Management

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