Optimalisasi Peran Kader Dalam Meningkatkan Self-Care Management Nutrisi Kehamilan Sebagai Upaya Pencegahan Risiko Stunting Di Kecamatan Air Periukan Kabupaten Seluma

2021 ◽  
Vol 4 (4) ◽  
pp. 991-1001
Author(s):  
Nur Elly Nur Elly ◽  
Asmawati Asmawati ◽  
Betty Yosephin ◽  
Rahma Annisa ◽  
Khelli Fitria Annuril ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Care Management ◽  
Maternal Nutrition ◽  
Self Care ◽  
Development Program ◽  
The Self ◽  
Children Under Five ◽  
Under Five ◽  
Nutrition Management ◽  
Management Of Nutrition

ABSTRAK Pencegahan stunting merupakan program prioritas pembangunan di Indonesia sampai tahun 2024. Nutrisi pada periode 1000 Hari Pertama Kehidupan (HPK), yaitu sejak janin berada dalam kandungan sampai usia 2 tahun kelahiran sangat penting diperhatikan sebagai upaya pencegahan resiko stunting. Kader kesehatan berperan penting dalam self-care management nutrisi ibu selama kehamilan sebagai upaya pencegahan stunting. Permasalahan yang dihadapi kader Kesehatan di Desa Talang Benuang dan Lokasi Baru Kecamatan Air Priukan sebagai desa dari 20 desa lokasi khusus (lokus) stunting di Kabupaten Seluma tahun 2020 adalah kurangnya pengetahuan tentang stunting dan 1000 HPK sehingga belum memiliki bekal yang cukup untuk melaksanakan perannya sebagai pelaku penggerak masyarakat dalam mewujudkan kesehatan termasuk dalam pencegahan dan penanganan stunting. Tujuan  PKM  adalah memberdayakan kader sebagai garda terdepan dalam meningkatkan self-care management nutrisi ibu hamil untuk  meminimalisir risiko stunting pada anak balita. Peserta pelatihan sebanyak 11 (sebelas) orang kader. Metode kegiatan adalah melakukan sosialisasi, pelatihan, dan pendampingan kader dalam self-care management nutrisi ibu hamil. Hasil kegiatan adalah adanya peningkatan pengetahuan, keterampilan serta kemandirian kader dalam memberikan edukasi dan pendampingan pada ibu hamil dalam self-care management nutrisi. Kader diharapkan  mengaplikasikan pengetahuan dan kemampuan yang telah diperoleh untuk memberikan edukasi dan pendampingan terhadap ibu hamil di wilayahnya. Kata Kunci : Kader kesehatan, Self-care management nutrisi, Stunting  ABSTRACT Prevention of stunting is a priority development program in Indonesia until 2024. Nutrition in the first 1000 days of life (HPK), which is from the fetus is in the womb until 2 years old, is very important to consider as an effort to prevent the risk of stunting. Health cadres play an important role in the self-care management of maternal nutrition during pregnancy as an effort to prevent stunting. The problem faced by health cadres in Talang Benuang Village and Lokasi Baru Village of Air Priukan Subdistrict as a village of 20 special locations (locus) for stunting in Seluma Regency in 2020 is a lack of knowledge about stunting and 1000 HPK so that they do not have sufficient provisions to carry out their role as perpetrators driving the community in realizing health, including the prevention and management of stunting. The goal of PKM is to empower cadres as the front guard in improving nutrition self-care management for pregnant women to minimize the risk of stunting in children under five. The participants were 11 cadres. The method was to conduct socialization, training, and mentoring cadres in self-care management of nutrition for pregnant women. The result of the activity was an increase in knowledge, skills, and independence of cadres in providing education and assistance to pregnant women in nutrition management self-care. Cadres were expected to apply the knowledge and abilities they have acquired to provide education and assistance to pregnant women in their area. Keywords: Health cadres, Self-care management nutrition, Stunting

scholarly journals A Patient-Centric Care Approach to Facilitate the Design of an Artificial Intelligence Application in Geriatric Care Management of Heart Failure Readmissions

2021 ◽  
Vol 3 (5) ◽  
pp. 01-07
Author(s):  
Thomas Wan
Keyword(s):  
Heart Failure ◽  
Decision Support ◽  
Human Factors ◽  
Care Management ◽  
Randomized Clinical Trials ◽  
Self Care ◽  
Geriatric Care ◽  
The Self ◽  
Management Approach ◽  
Heart Failure Readmissions

The examination of human factors’ role in moderating medical interventions and hospitalizations and/or rehospitalization of heart failure (HF) patients. Objectives: The primary purpose of this study is two-fold: 1) to show relevant human factors influencing the rehospitalization of persons with heart failure by developing a systematic algorithm generated from the cited randomized trials; and 2) to examine how the self-care principles, such as choice/efficacy, restfulness, healing environment, activity, trust, interpersonal relationships, outlook, and nutrition, may reduce heart failure readmissions. Methods: The meta-analytic approach generated a theoretically relevant and empirically validated self-care management decision support protocol for HF. Statistical modeling of the effects of eight human factors for the reduction of HF readmissions was presented. Findings: The systematic review and meta-analysis approach documents the results of randomized clinical trials that affect heart failure hospitalization by selected human factors. A patient-centered decision support system was developed to facilitate the self-care management of heart failure. Discussion: Our research generates systematic knowledge about the importance of human-factor principles in the provision of geriatric care for heart failure. Using shared decision-making strategies under the population health management approach could enhance the quality of care and reduce costly readmissions of heart failure, particularly for elderly patients.

Abstract 245: Demonstrating the Effectiveness of an Outpatient Occupational Therapy Program for Individuals with Heart Failure

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Olivia Carroll ◽  
Kristin Nxumalo ◽  
Amber Bennett ◽  
Whitney Pike
Keyword(s):  
Heart Failure ◽  
Occupational Therapy ◽  
Care Management ◽  
Assessment Tool ◽  
Lifestyle Modification ◽  
Self Care ◽  
The Self ◽  
Lifestyle Modifications ◽  
Care Needs ◽  
Therapy Program

Objective: To demonstrate the effectiveness of an outpatient occupational therapy program on improving self-care for individuals with heart failure. Background: Hospitalizations for heart failure (HF) are the largest Medicare expenditure, and 12% of these admissions are considered preventable. Effective self-management of the debilitating symptoms associated with HF (shortness of breath, fatigue, fluid retention, cognitive decline) helps keep patients out of the hospital. Individuals often experience difficulty incorporating self-care management activities into their daily lives. Occupational therapy (OT) is well suited to address the self-care needs of people with HF by increasing patient self-efficacy and facilitating lifestyle modification through the incorporation of new habits, roles, and routines. Methods: Participants with HF (n=11, ages 40-86) enrolled in an outpatient OT program focusing on self-care management. Participants received weekly, bi-weekly or monthly one-hour treatments over a six-month period. Sessions addressed the following topics: low sodium diet adherence, medication management, activity tolerance, symptom monitoring and psychosocial coping strategies. The Self-Care of Heart Failure Index (SCHFI) was administered at evaluation and upon completion of the program. The SCHFI is a reliable and valid assessment tool that measures self-care maintenance, management and confidence in people with HF. Results: All participants who received two or more treatments demonstrated 33.33% (16.67 of 49.99) to 190.01% (63.33 of 33.33) improvement in maintenance of self-care routines based on pre and post SCHFI scores. Additionally, half of these participants demonstrated 28.47% (22.16 of 77.84) to 85.33% (38.4 of 45) improvement in confidence with self-care management based on pre and post SCHFI scores. Conclusion: Participation in an outpatient OT program that focused on incorporating lifestyle modifications into daily routines was effective at improving self-care for people with HF, specifically maintenance of self-care routines and confidence with ability to self-manage their chronic condition.

Abstract P480: The Distinct Role of Occupational Therapy in Addressing the Self-care Management Needs of Patients With Heart Failure

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Amber Bennett ◽  
Kristin Nxumalo ◽  
Whitney Pike ◽  
Olivia Carroll
Keyword(s):  
Heart Failure ◽  
Occupational Therapy ◽  
Significant Role ◽  
Care Management ◽  
Self Care ◽  
Continuum Of Care ◽  
The Self ◽  
Care Needs ◽  
Assessment Battery ◽  
The Continuum

Introduction: Hospitalizations for heart failure (HF) are the highest single Medicare expenditure. This cost primarily results from readmissions linked to failed self-care. Evidence suggests that effective self-care routines are equivalent to medication in preventing HF exacerbation and hospitalization. Occupational therapists (OT) are well suited to address HF self-care needs by facilitating self-efficacy and adapting patients’ routines, roles and habits. A recent study determined that OT is the only hospital spending category associated with lower HF readmission rates. Hypothesis: Occupational therapy has a significant role in addressing the self-care management needs of patients with HF throughout the continuum of care. Methods: The OT department launched a HF self-care management program as part of process improvement initiatives at an AHA-recognized teaching hospital. An assessment battery was developed which included the following: The Self-Care of Heart Failure Index (SCHFI) v.6.2, Minnesota Living With Heart Failure Questionnaire, Patient Health Questionnaire-9, and the Montreal Cognitive Assessment. Administration of the OT HF assessment battery to a pilot group of 12 inpatients revealed factors that affect patient adoption and adherence to beneficial self-care management routines. Based on assessment battery data, an outpatient OT program was established. Eleven outpatients were enrolled and completed 3-6 hours of OT treatment. The SCHFI was administered at program evaluation and completion to measure self-care maintenance and confidence. To expand service access, a telehealth self-care program was introduced and a single patient case study was assessed to determine the feasibility and effectiveness of the virtual format. Results: Assessment battery data enabled the development of outpatient treatment modules focusing on symptom monitoring, medication management, low sodium diet, activity tolerance and psychosocial strategies. All outpatients who completed the modules demonstrated improved self-care maintenance (ranging from 16-53 points) and half demonstrated improved self-care confidence (ranging from 6-39 points). The patient assessed after completing the telehealth program demonstrated improved self-care maintenance (70 points) and self-care confidence (28 points). Conclusions: In conclusion, OT has a significant role in addressing the self-care management needs of patients with HF throughout the continuum of care. The utilization of a standardized OT HF assessment battery is effective in determining the needs of this population and for guiding the implementation of targeted individualized treatment. Outpatient and telehealth delivery of OT programming is effective in improving self-care for people with HF.

scholarly journals Use of Insecticide-Treated Mosquito Net among Pregnant Women and Guardians of Children under Five in the Democratic Republic of the Congo

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Joseph N. Inungu ◽  
Nestor Ankiba ◽  
Mark Minelli ◽  
Vincent Mumford ◽  
Dido Bolekela ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Democratic Republic ◽  
Signs And Symptoms ◽  
Sub Saharan Africa ◽  
Vulnerable Groups ◽  
Mosquito Net ◽  
Children Under Five ◽  
Under Five ◽  
Behavior Change Interventions ◽  
Republic Of The Congo

Background. Insecticide-treated mosquito nets (ITNs) are one of the most effective tools for preventing malaria in sub-Saharan Africa. Objective. This study examined knowledge, attitude, and practice on the use of ITNs in the prevention of malaria among pregnant women and guardians of children under five in the Democratic Republic of the Congo. Methods. A total of 5,138 pregnant women and guardians of children under five were interviewed. Results. The majority of participants (>80%) knew the signs and symptoms of malaria; 81.6% reported having an ITN in the household, but 78.4% reported using it the night before the interview. Only 71.4% of pregnant women used ITN the night compared to 68.2% of children under five. In the Logistic Regression model, women who believed that it is normal to use ITNs were 1.9 times more likely to use it than those who did not (OR: 1.930); women who were confident in their abilities to use ITNs were 1.9 times more likely than those who were not confident (OR: 1.915); and women who had a good attitude towards ITNs were also more likely to use ITNs compared to those who did not (OR: 1.529). Conclusion. New and innovative evidence-based behavior change interventions are needed to increase the utilization of ITNs among vulnerable groups.

scholarly journals Maternal Characteristics Determine Stunting in Children of Less than Five Years of Age Results from a National Probabilistic Survey

2008 ◽  
Vol 1 ◽  
pp. CMPed.S1019 ◽  
Author(s):  
Teresa Shamah-Levy ◽  
Lucia Cuevas Nasu ◽  
Hortensia Moreno-Macias ◽  
Eric Monterrubio-Flores ◽  
Marco Antonio Avila-Arcos
Keyword(s):  
Social Services ◽  
Maternal Nutrition ◽  
Marginal Effect ◽  
Sociodemographic Characteristics ◽  
Maternal Height ◽  
Nutrition Survey ◽  
Maternal Characteristics ◽  
Children Under Five ◽  
Under Five ◽  
Mother And Child

Background Maternal nutrition and some variables are the main determining factors of birthweight and delayed intrauterine growth of children. Objective To explore the association between the mothers’ biological and sociodemographic characteristics, and the anthropometry status in children under five years of age. Design The population consisted of a sub-sample of 1,047 mother-and-child selected pairs from the probabilistic National Nutrition Survey, carried out in Mexico. Mother-and-child pairs included mothers aged 12 to 49 years, with children under five years of age. Data on sociodemographic characteristics, obstetric history, 24-hour recall dietary intake, and the women and children's anthropometry were collected. The association between maternal characteristics and children's anthropometry status was assessed using multiple logistic regression models. Result Nearly 16.7% of the children <5y of age were stunted (13.5% ≤ 2y and 18.8% > 2y). The height/age of the children was severely affected by maternal height and birth order. In addition, the interaction between socioeconomic level and maternal schooling had a marginal effect (p = 0.09) in the ≤2y group. On the other hand, whether the family received social services and the interaction between maternal height and a dichotomy urbanism variable were significant (p = 0.05) and (p < 0.01) respectively in >2y group. Conclusion Some biological and socioeconomic characteristics among mothers have a negative effect on their children's attained size, especially in the period between 2 and 5 years of age.

scholarly journals A psychometric evaluation of the Caregiver Contribution to Self-Care of Heart Failure Index in a Thai population

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Nittaya Srisuk ◽  
Nutchanath Wichit ◽  
David R. Thompson ◽  
Chantal F. Ski
Keyword(s):  
Heart Failure ◽  
Factor Analysis ◽  
Care Management ◽  
Self Care ◽  
The Self ◽  
Thai Population ◽  
Heart Failure Patients ◽  
Failure Index ◽  
Patients With Heart Failure ◽  
Confirmatory Factor

Abstract Background Caregivers are major contributor to the self-care of patients with heart failure. The Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI) measures these contributions across three scales: self-care maintenance (symptom monitoring and treatment adherence); self-care management (dealing with symptoms); and confidence in contributing to the self-care (self-efficacy in managing self-care) of patients with heart failure. Informal caregivers play a vital role in supporting family members with heart failure in Thailand, yet no validated tool exists to measure their contribution. We examined the psychometric properties of the CC-SCHFI in a Thai population. Methods The CC-SCHFI was translated into Thai using a standard forward and backward translation procedure. A cross-sectional design was used to examine the psychometric properties of the Thai version of the CC-SCHFI in 100 family caregivers of heart failure patients in Southern Thailand. Confirmatory factor analysis was used to assess construct validity, and factor score determinacy coefficients were computed to evaluate internal consistency reliability. Results The Thai version of the CC-SCHFI demonstrated acceptable internal consistency (composite reliability of each scale ranged from 0.76 to 0.99). Reliability estimates were adequate for each scale (McDonald’s omega ranged from 0.75 to 0.96). Confirmatory factor analysis supported the original factor structure of the instrument, with good fit indices for all three scales (comparative fit index = 0.98–1.00; root-mean-square error of approximation = 0.00–0.07). Conclusions The Thai version of the CC-SCHFI appears to be a valid and reliable instrument for measuring caregiver contributions to self-care maintenance and self-care management as well as contributing to caregiver confidence in the self-care of Thai heart failure patients.

scholarly journals “A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED TEACHING WITH REINFORCEMENT HANDBOOK ON KNOWLEDGE REGARDING SELF-CARE MANAGEMENT AMONG HEMODIALYSIS PATIENTS AND ALSO ON SELF-CARE BEHAVIOR OF PATIENTS IN SHRI VINOBA BHAVE CIVIL HOSPITAL, DADRA & NAGAR HAVELI.”

2020 ◽  
pp. 1-2
Author(s):  
Sani S George ◽  
Sriram N ◽  
Jerrin Rajan
Keyword(s):  
Care Management ◽  
Hemodialysis Patient ◽  
Kidney Diseases ◽  
Self Care ◽  
Educational Status ◽  
Hemodialysis Patients ◽  
The Self ◽  
Video Assisted ◽  
Study Results ◽  
Care Behavior

Background: One of the greatest challenges that will face by the health system globally in the 21stcentury will be the increasing burden of chronic kidney diseases. Self-care management becomes an inevitable and significant task for them. Aim: The aim of the study was to assess the effectiveness of VAT with reinforcement handbook on knowledge patient and their self-care behavior among hemodialysis. Methods: An evaluative approach with one group pretest post -test design was adopted for the study. The study was conducted in SVBCH, Silvassa among 70 hemodialysis patients using convenience sampling method. Results: The results of the study revealed that the posttest mean knowledge scores of patient(18.6), and the self-care behavior of patients(111.5) found higher that the pretest mean(13.1, and 103.6) scores and the obtained ‘t’ values (patient- 11.02, patient’s self-care behavior-7.99, were greater than the table value 1.995 and it found to be highly significant at p<0.05. Hence the intervention was effective in improving knowledge and self-care behavior. The knowledge scores and the self-care behavior scores of hemodialysis patients found positively correlated (0.3). There was a significant association between hemodialysis patient pretest knowledge & educational status. There was no significant association between patient pretest self-care behavior & selected demographic variables. Conclusion: The study results confirmed that the knowledge regarding self-care management of hemodialysis patient significantly increased among patients after administration of video assisted teaching with reinforcement handbook. Self-care behavior also increased among patients along with the knowledge of patients.

Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes

2021 ◽  
Author(s):  
Maddalena De Maria ◽  
Diletta Fabrizi ◽  
Michela Luciani ◽  
Rosario Caruso ◽  
Stefania Di Mauro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Care Management ◽  
High Reliability ◽  
Self Care ◽  
The Self ◽  
Cross Sectional

Abstract Background The Self-care of Diabetes Inventory (SCODI) is a theory-based tool that measures self-care, a key strategy in the appropriate treatment of diabetes. However, despite the clinical differences between people with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM), the psychometric properties of the SCODI were only tested in mixed samples. Purpose This study aims to test the psychometric performances of the SCODI in two separate groups of adults with T1DM and T2DM. Methods This is a secondary analysis from two previous multicentre cross-sectional observational studies involving patients with T1DM (n = 181) and T2DM (n = 540). We tested dimensionality with confirmatory factor analysis and reliability with a multidimensional model-based coefficient for every scale of the SCODI: self-care maintenance, self-care monitoring, self-care management, and self-care self-efficacy. Results We found that the SCODI showed the same dimensionality, with minimal variation in factor loadings for each factor and each scale among T1DM and T2DM groups. High reliability for each scale in both groups was also found (self-care maintenance: T1DM = 0.86, T2DM = 0.83; self-care monitoring: T1DM = 0.84, T2DM = 1.00; self-care management: T1DM = 0.87, T2DM = 0.86; self-care self-efficacy: T1DM = 0.88; T2DM = 0.86). Conclusion The SCODI can be used for measuring self-care in people with T1DM, T2DM, or mixed groups using identical scoring procedures. Considering the well-known differences between Type 1 and Type 2 diabetes diseases and patients’ characteristics, our results support the generalizability of the self-care theory on which the instrument is based.

Development and utility of m-health enabled nutrition informatics intervention for self-care management of type 2 diabetes in home settings (Preprint)

2021 ◽  
Author(s):  
Abhijeet Prasad Sinha ◽  
Manmohan Singhal ◽  
Mansi Gupta ◽  
Ashish Joshi
Keyword(s):  
Public Health ◽  
Type 2 Diabetes ◽  
Care Management ◽  
Self Care ◽  
The Self ◽  
Self Management ◽  
Integrative Approach ◽  
Health Application ◽  
The Impact

BACKGROUND Diabetes represents an important public health challenge in India and Globally. It affects quality of life and is one of the leading causes of death and disability. The burden on global health is huge and about 463 million adults are currently living with diabetes. 77 million people in India in the age group of 20-79 years are affected by this pandemic and total cost to health expenditure is 8 billion US dollars, therefore huge burden, and great economic cost on Public health. The self-management of diabetes, the research priorities include exploring the concept of diabetes self-management and major research questions would comprise of asking what affects self-management in persons with diabetes and how do m-health application and interventions can impact on the self-management behaviors in development, utility of the m-health app in self-management of person with diabetes. Therefore, this project research is of great significance and would bring an integrative approach on self-care management OBJECTIVE To design, develop and evaluate the impact of m-health enabled nutrition informatics intervention for home based self-management of type 2 diabetes in an Indian setting. METHODS A mixed research study will be conducted between January 2022 and January 2023. A sample of approximately 250 individuals will be recruited and enrolled using a nonprobability complete enumeration sampling method from selected urban settings of Delhi inclusion and exclusion criteria with age20-79 years male and female with Type 2 diabetes and have access to Smart phone Data will be collected using which questionnaires. The collected data will be used to assess use and utility of mobile health application developed. The knowledge, attitudes, practices, and beliefs regarding Diabetes self-care management. Lastly, the study questionnaire system usability survey(SUS) will be used to assess the usability of mobile applications on selfcare management of Diabetes RESULTS A pilot of 250 individuals has been conducted to pretest the DBMS questionnaire. The data collection will be initiated from January 2022, and the initial results are planned for publication by October 2022.Descriptive analysis of the gathered data will be performed using SPSS V11, and reporting of the results will be done at 95% CIs and P=.0.05. CONCLUSIONS The findings of the study would inform the elements essential for the development of m-health intervention to improve self-care management of diabetes at home settings. The usefulness and acceptance of the proposed intervention will be conducted. CLINICALTRIAL DITU/UREC/2021/07/10

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