scholarly journals Application of Nightingale's Environmental Theory: The Effect of Heliotherapy on The Clinical Improvements in Individuals with Tuberculosis

2021 ◽  
Vol 14 (3) ◽  
pp. 234-239
Author(s):  
Liza Wijaya ◽  
Sri Nabawiyati Nurul Makiyah

Tuberculosis is a global health problem. Sunlight can trigger vitamin Dproduction, so it increases the immunity system. This study analysesNightingale's environmental theory through the effect of heliotherapy on theclinical improvements in individuals with tuberculosis. It was a quantitativestudy using a quasi-experimental design with a pretest-posttest approach and acontrol group. In addition, the population was 59 individuals with tuberculosisin Depok Sleman District, Yogyakarta. Meanwhile, there were 24 respondentsby purposive sampling method. The intervention group at Depok 3 Public Health Centre (PHC) was 17 respondents with heliotherapy and anti-tuberculosis drugs, while the control group at Depok 2 PHC was 17 respondents with anti-tuberculosis drugs. The independent variable washeliotherapy, while the dependent variable was the clinical improvementsconsisting of weight, cough, and shortness of breath. Heliotherapy wasconducted for four weeks with an intensity of four times a week for 25minutes a day. Instruments used weigh scale, Borg Scale, and Leicester cough questionnaire. In addition, data analysis used the Wilcoxon Test and paired T-Test with a significance of 0.05. The results showed that there were clinical improvements in the intervention group (p=0.000). In addition, there wereincreased clinical improvements in weight and cough scores in the controlgroup (p=0.000). However, there was no significant difference in the shortnessof breath score in the control group (p=0.06). In conclusion, the application ofNightingale's environmental theory through heliotherapy affects clinicalimprovements in individuals with tuberculosis.

2021 ◽  
Vol 14 (3) ◽  
pp. 250-256
Author(s):  
Tutik Hidayati ◽  
Roviatun Holila

Anemia in pregnancy is a pregnant mother with hemoglobin levels below 11g/dL in the first and third trimesters or hemoglobin levels less than 10.5 g/dLin the second trimester. This paper investigates the effect of consuming mungbeans (Phaseolus radiatus L.) on hemoglobin levels in the Second trimester ofpregnant women with anemia. This research used a quasi-experimental designwith randomized pretest-Posttest with a control group design. The populationwas 37 pregnant women in the second trimester who experienced anemia atKlenang PHC. Meanwhile, the sample was 34 respondents by simple randomsampling. The independent variable was consuming mung beans, while thedependent variable was the hemoglobin levels. In the control group, theauthors observed the consumption of Fe tablets once a day for 20 days in 17respondents. While in the intervention group, we monitored the consumptionof Fe tablets once a day and were given mung bean juice every day for 20days in 17 respondents. The instrument used an observation sheet and a digitalhemoglobin measuring device. Then, data analysis utilized the paired samplet-test with a significance of 0.05. After consuming mung beans and Fesupplements, the average hemoglobin levels in the intervention group were12.1588g/dL. Meanwhile, in the intervention group, after Fe observation were10.6412d/dL. There was a significant difference between the control andintervention groups p=0.000 (p<0.05). In conclusion, consuming mung beansincreases hemoglobin levels among pregnant women with anemia in thesecond trimester.


2019 ◽  
Vol 7 (2) ◽  
pp. 233
Author(s):  
Sudarwati Nababan

Background: Exclusive breastfeeding is a process of giving only breast milk to babies since they are born until they are six month old. Membramo Public Health Office reported that according to the health profile report from Kobakma Public Health Centre, the exclusive breastfeeding program has not achieved the national target, which is 80%, only 55,4% babies who got exclusive breastfeeding in 2015. The chairperson from Kobakma Public Health Centre states that one of the problem is the misunderstanding about breastmilk among mothers in the surroundin. They throw their breast milk away and feed their babies with formulated milk during the period of postpartum for three months. Purpose: This study is aimed to know the effect of counseling program using two sided flipchart on exclusive breastfeeding. Methods: This study uses quasi experiment method with non equivalent control group. The samples of this study are mothers who have 0-6 month old babies and live in working area of Kobakma Public Health. 60 mothers are selected using purposive sampling technique. The Instrument of this study uses questionnaire, data ccollection was done by face to face method. The data was then analyzed using chi square and wilcoxon signed rank test. Results: The result of this study shows significant difference in the improvement of knowledge, behaviour, and practice before and after the counseling program of the intervention group (p=0,000). Conclusion: The implementation of counseling program using two sided flipcharts is effective to improve mothers’ knowledge, behaviour and practice in exclusive breastfeeding.


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Dyah Restuning Prihati ◽  
Maulidta Karunianingtyas Wirawati

Diabetic ulcer is caused by damage to the skin nerves due to reduced blood flow. Pain and anxiety when wound care begins when dressing and cleaning the wound. Murottal therapy is a distraction technique in the form of al-quran records, decreases stress hormones and provides a feeling of relaxation. The purpose of this study was to reduce the level of pain and anxiety during wound care in patients with DM ulcers after being given murrotal therapy in RSUD K.M.T. Wongsonegoro Semarang. The research method with quasi experimental pre-posttest control group. a sample of 17 people in the intervention group and 15 in the control group. Sample selection with total sampling. The murrottal listening intervention group played for 3 times for 15 minutes. Respondents were conducted pre and posttest with NRS pain measuring instruments and DASS anxiety. The results of the Wilcoxon test in the intervention group obtained p = 0,000, there were differences in the level of pain between before and after murotal therapy and p = 0.002 there was a difference in the level of anxiety between before and after murotal therapy. In the control group obtained p = 0.02, there were differences in the level of pain between before and after murotal therapy and the value of p = 1.00, there was no difference in the level of anxiety between before and after given murotal therapy. Conclusion: Murrotal therapy can reduce the level of pain and anxiety during wound care for DM ulcer patients.


2019 ◽  
Vol 11 (1) ◽  
pp. 58
Author(s):  
Ulfah Sofindra Syahidatunnisa ◽  
Holil M Par'i ◽  
Fred Agung Suprihartono ◽  
Fred Agung Suprihartono ◽  
Rr. Nur Fauziyah ◽  
...  

One of the factors that influence Kadarzi's achievement is the knowledge and attitudes of the toddler's mother. This study aims to determine the effect of counseling using backsheet media on the knowledge and attitudes of toddlers' mothers about Kadarzi in the Cipeundeuy Health Center District of West Bandung Regency. The research design used was quasi-experimental with a pre-post test control group design model with a total sample of 28 people each for the experimental group and the control group. The experimental group was given an intervention in the form of counseling using flipchart media, while the control group was given an intervention in the form of counseling using leaflet media. The results obtained from the Wilcoxon test in the experimental group and the t-dependent test in the control group were changes in the increase in knowledge and attitude scores in the experimental group and the control group after intervention (p <0.005). The results of the Mann-Whitney test showed no significant difference between knowledge and attitude scores in the experimental group and the control group (p> 0.005). It is better to do further research related to Kadarzi's behavior so that the application of the Kadarzi indicator can be monitored so that it can describe the results of attitudinal changes, and to increase Kadarzi's knowledge and attitudes to toddler mothers.


2021 ◽  
Author(s):  
Eslam Moradi Asl ◽  
Abedin Saghafipour ◽  
Amir Hamta ◽  
Zahra Taheri-Kharameh ◽  
Malek Abazari ◽  
...  

Abstract Background Head lice are a main public health problem and the most important human ectoparasites and the use of pediculicides is the most common way to control it. One of the possible causes of treatment failure is the lack of improper application of pediculicide. The aim of this study was to assess the effect of education on efficacy of 1% permethrin or 4% dimeticone lotion to treat head lice infestation. Methods This quasi-experimental study was performed on 100 people infected with head lice in comprehensive urban health centers of Ardabil (intervention group) and 400 people of East Azerbaijan and West Azerbaijan (control group) provinces from April to March 2019. The data collection tool included demographic questionnaire and examination evidence recording sheet in terms of presence of hits or adult lice. Results The outcome of treatment included elimination of head lice infestation on days 7, and in the case of recurrence, it was considered on days 14 and 30 after treatment. Data were analyzed using R software and Generalized Estimating Equation method. GEE analysis showed there is significant difference in evaluating head lice over time. Conclusion Participants who received the training intervention (OR = 3.29; CI 95%: 2.21–4.88) were more likely to have a successful treatment than control group. In the case of providing proper training on the use of pediculicides and observing hygiene tips to patients with pediculosis, could help to successful treatment of pediculosis.


Author(s):  
Byamukama Topher ◽  
Keraka M. Margaret ◽  
Gitonga Eliphas

Background: Immunization is one of the most cost-effective public health interventions to reduce child mortality and morbidity associated with infectious diseases. The objective of this study was to determine the perceptions of caregivers on immunization in Ntungamo district.Methods: Quasi-experimental study was used with health centres assigned to intervention and control groups. Purposive sampling was used to select the two counties where the study was done. Proportional sampling was done to get study samples from each health facility, while systematic sampling was done to get study participants. A total of 787 children from twelve health facilities provided the study sample. A post intervention evaluation was conducted to determine the effect of these interventions. Association of variables was tested using Mann Whitney U-test and Chi-square.Results: On benefits, most caregivers in the intervention group (85.3%) and in the control group (54.3%) regarded immunization as very highly and moderately beneficial to their children respectively. On risks, most caregivers in the intervention group (85.5%) and control group (43.1%) regarded the risk factor associated with immunization as very low and moderate respectively. From hypothesis testing, there was a significant difference on the perceived benefits and risks of immunization between the intervention and control group.Conclusions: Most caregivers in the intervention and control group regarded immunization as very highly beneficial and moderately to their children respectively. Most of the caregivers in the intervention and control group regarded the risk factor associated with immunization as very low and moderate respectively. 


2021 ◽  
Vol 15 (5) ◽  
pp. 1774-1779
Author(s):  
Sanaz Nehbandani ◽  
Hajar Salehi ◽  
Khadije Rezaie Keikhaie ◽  
Hossein Rashki Ghalenow ◽  
Fatemeh Mirzaie ◽  
...  

Introduction & Objective: Nausea and vomiting during pregnancy is one of the most common gastrointestinal disorders that more than 85% of pregnant women experience. However, controlling and treating this complication is still one of the most important issues in antenatal care. Therefore, the aim of this study was to investigate the effect of ear acupressure at Shen Men point on relieving nausea, vomiting and retching during pregnancy. Materials and Methods: In this quasi-experimental study, 100 pregnant women with a gestational age of less than 16 weeks attending the health clinics of Zabol city during 2019-2020 were studied in two control and intervention groups (n = 50 in each group). The samples in the intervention group were trained to apply pressure on their ears’ Shen Men point with the thumb for three minutes three times a day (morning, noon, and night), for a duration of one month. At the end of second and fourth weeks, the data were collected using the Rhodes index form and then, were analyzed by SPSS software version 22. Results: According to the results, there was no significant difference between the two groups in terms of age, gestational age, occupation and education. The difference in the mean scores of nausea, vomiting and retching was not statistically significant between the control and intervention groups before the study. But four weeks after the study, a significant difference was observed in the mean scores of vomiting, nausea and retching between the two groups, so that the mean scores of vomiting, nausea and retching were significantly lower in the intervention group than in the control group. Conclusion: The ear acupressure medicine at the Shen men point can be used as a non-invasive, safe and inexpensive method to relieve nausea, vomiting and retching during pregnancy. Keywords: Acupressure medicine, Shen Men, Vomiting, Pregnancy, Nausea, Retching, Rhodosis


2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.


2019 ◽  
Vol 3 (1) ◽  
pp. 221-233
Author(s):  
Fernalia Fernalia ◽  
Busjra Busjra ◽  
Wati Jumaiyah

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


2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.


Sign in / Sign up

Export Citation Format

Share Document