scholarly journals INFLUENCE OF INFORMATION, MOTIVATION, AND BEHAVIOR OF “TRISNA” TO DRUG COMPLIANCE. NUTRITIONAL STATUS, AND FAMILY SUPPORT IN PATIENTS WITH TUBERCULOSI

2021 ◽  
Vol 21 (3) ◽  
pp. 222-229
Author(s):  
Rita Benya Adriani ◽  
Jenita DT Donsu ◽  
Dwi Sulistyowati
Keyword(s):  
Nutritional Status ◽  
Family Support ◽  
Medication Compliance ◽  
Intervention Group ◽  
Control Group ◽  
Drug Compliance ◽  
Control Group Design ◽  
Number Of Patients ◽  
And Behavior ◽  
And Control

Indonesia is one of the five countries with the highest number of patients with tuberculosis (TB) worldwide, owing to patients being undetected and untreated. This study aims to analyze the effect of the Information, Motivation, and Behavior (IMB) Skill with “Trisna” approach on the management of drug compliance, nutritional status, and family support for patients with TB. This research is a quasi-experiment with pretest-posttest and control group design. Information about tuberculosis, medication adherence, nutritional status, family support and motivation are provided through training. At the end of training, each patient is given an alarm clock that can be used as a reminder to take medication. One form of family support is done by teaching the song “satu-satu” to remind patients to take medicine so as to minimize forgetting to take medicine. “TRISNA” is an attitude that accompanies TB cadres in providing health services to TB patioents. The socialization of the attitude of “TRISNA” was given by researchers to TB cadres before carrying out IMB training for TB patients. Compliance after intervention in the intervention group (mean, 10.80; SD, 0.98) was higher than in the control group (mean, 10.46; SD, 1.12) and effect size (ES) value of 4.16. Body mass index (BMI) in the intervention group (mean, 23.40; SD, 1.08) was higher than in the control group (mean, 21.43; SD, 0.75) and ES value of 1.95. Family support in the intervention group (mean, 106.28; SD, 22.00) was higher than in the control group (mean, 94.00; SD, 8.40) and ES value of 0.69.  In managing patients with TB, the provision of IMB Intervention Skill with “Trisna” approach could improve medication compliance, nutritional status, and family support.

scholarly journals DIFFERENCE OF BOWEL SOUND RETURN TIME AMONG POST-LAPARATOMY SURGERY PATIENTS AFTER CHEWING GUM

2019 ◽  
Vol 5 (5) ◽  
pp. 204-211
Author(s):  
Warisya Miftah Amanda ◽  
Chandra Isabella Hostanida Purba ◽  
Ristina Mirwanti
Keyword(s):  
Intervention Group ◽  
Return Time ◽  
Chewing Gum ◽  
Control Group ◽  
P Value ◽  
Bowel Sound ◽  
Pharmacological Interventions ◽  
Control Group Design ◽  
Number Of Patients ◽  
And Control

Background: A surgical procedure using general anaesthesia in laparotomy surgery results in reduced bowel sound. A large number of patients who experience a delay in returning bowel sound after laparotomy surgery become the reason to give proper intervention in order to increase bowel sound return time. One of the non-pharmacological interventions that can be used is chewing gum.Objective: The purpose of this study is to identify the difference of bowel sound return time between groups of intervention and control after being given chewing gum intervention among post-laparotomy surgery patients.Methods: This quasi-experimental study used post-test only control group design. Thirty respondents were selected by purposive sampling technique. Data were collected through observation by calculating the bowel sound return time among post laparotomy surgery patients in the intervention group (n=15) and control group (n=15), and were analyzed using the Mann Whitney test.  The intervention group was asked to chew the gum once for 30 minutes, and bowel sound was measured every 30 minutes for 120 minutes.Results: The results showed that bowel sound return time in the intervention group was 90 minutes and the control group was 150 minutes, and p-value was 0.005.Conclusion: There was a difference in the return time of bowel sound between the intervention and control groups. Therefore, the intervention of chewing gum could become one of the non- pharmacological interventions that can be considered in increasing the bowel sound return time among post-laparotomy surgery patients.

scholarly journals A Collaborative Deprescribing Intervention in a Subacute Medical Outpatient Clinic: A Pilot Randomized Controlled Trial

Metabolites ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 204
Author(s):  
Anissa Aharaz ◽  
Jens Henning Rasmussen ◽  
Helle Bach Ølgaard McNulty ◽  
Arne Cyron ◽  
Pia Keinicke Fabricius ◽  
...  
Keyword(s):  
Pilot Study ◽  
Controlled Trial ◽  
Inappropriate Medication ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Patient Interviews ◽  
Number Of Patients ◽  
Multimorbid Patients ◽  
And Control

Medication deprescribing is essential to prevent inappropriate medication use in multimorbid patients. However, experience of deprescribing in Danish Subacute Medical Outpatient Clinics (SMOCs) is limited. The objective of our pilot study was to evaluate the feasibility and sustainability of a collaborative deprescribing intervention by a pharmacist and a physician to multimorbid patients in a SMOC. A randomized controlled pilot study was conducted, with phone follow-up at 30 and 365+ days. A senior pharmacist performed a systematic deprescribing intervention using the Screening Tool of Older Persons’ potentially inappropriate Prescriptions (STOPP) criteria, the Danish deprescribing list, and patient interviews. A senior physician received the proposed recommendations and decided which should be implemented. The main outcome was the number of patients having ≥1 medication where deprescribing status was sustained 30 days after inclusion. Out of 76 eligible patients, 72 (95%) were included and 67 (93%) completed the study (57% male; mean age 73 years; mean number of 10 prescribed medications). Nineteen patients (56%) in the intervention group and four (12%) in the control group had ≥1 medication where deprescribing status was sustained 30 days after inclusion (p = 0.015). In total, 37 medications were deprescribed in the intervention group and five in the control group. At 365+ days after inclusion, 97% and 100% of the deprescribed medications were sustained in the intervention and control groups, respectively. The three most frequently deprescribed medication groups were analgesics, cardiovascular, and gastrointestinal medications. In conclusion, a collaborative deprescribing intervention for multimorbid patients was feasible and resulted in sustainable deprescribing of medication in a SMOC.

scholarly journals Tempe Nuggets Provision Improves Energy Adequacy and Protein Intake in Underweight Underfive Children

2018 ◽  
Vol 6 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Oktavina Permatasari ◽  
Retno Murwani ◽  
M. Zen Rahfiludin
Keyword(s):  
Body Weight ◽  
Energy Intake ◽  
Protein Intake ◽  
Local Community ◽  
Intervention Group ◽  
Control Group ◽  
Post Intervention ◽  
Control Group Design ◽  
Soybean Food ◽  
And Control

Tempe is a well known fermented soybean food, inexpensive, and a good source of dietary protein and energy. To improve fresh Tempe as an attractive food to children, Tempe is processed into nugget. A study using pre and post control group design was conducted to determine the effect of the Tempe nugget provision on energy and protein intake, and body weight/age (W/A) of 24-59 months old children. Forty six subjects were selected according to inclusion criteria from local Community Health Center (Puskesmas) and grouped into intervention (provision of Tempe nugget) and control group (no provision). Data of energy and protein intake of subjects before intervention were obtained by 2x24 food recall to determine deficiency in intake for the respective age. The amount of the nugget given to each underweight child in intervention group was calculated on the basis of deficiency in energy and protein intake of each child (W/A) per day. Body weight was recorded pre and post intervention. The deep-fried nuggets contained 276.53 calories per 100 g, 8.60% protein, 28.41% carbohydrate, 13.28% lipid, and 44.28% fiber. The mean age of the subjects in intervention and control group were homogeneous i.e. 40.52±10.88 months and 42.39±12.35 months respectively. Tempe nugget provision for 30 days improved significantly energy intake (p 0.001) in intervention compared to control group. Protein intake and W/A in intervention group were higher compared to control although not significant and further study with higher amount of Tempe nugget provision is needed. This study provides evidence that deep fried Tempe nugget can be used as inexpensive and nutritious food to improve protein and energy intake for underweight underfive children.

scholarly journals The effectiveness of training with an emergency department simulator on medical student performance in a simulated disaster

CJEM ◽  
2010 ◽  
Vol 12 (01) ◽  
pp. 27-32 ◽  
Author(s):  
Jeffrey Michael Franc-Law ◽  
Pier Luigi Ingrassia ◽  
Luca Ragazzoni ◽  
Francesco Della Corte
Keyword(s):  
Medical Students ◽  
Student Performance ◽  
Intervention Group ◽  
Command And Control ◽  
Disaster Medicine ◽  
Simulated Patients ◽  
Control Group ◽  
Number Of Patients ◽  
Simulation Based ◽  
And Control

ABSTRACT Objective: Training in practical aspects of disaster medicine is often impossible, and simulation may offer an educational opportunity superior to traditional didactic methods. We sought to determine whether exposure to an electronic simulation tool would improve the ability of medical students to manage a simulated disaster. Methods: We stratified 22 students by year of education and randomly assigned 50% from each category to form the intervention group, with the remaining 50% forming the control group. Both groups received the same didactic training sessions. The intervention group received additional disaster medicine training on a patient simulator (disastermed.ca), and the control group spent equal time on the simulator in a nondisaster setting. We compared markers of patient flow during a simulated disaster, including mean differences in time and number of patients to reach triage, bed assignment, patient assessment and disposition. In addition, we compared triage accuracy and scores on a structured command-and-control instrument. We collected data on the students' evaluations of the course for secondary purposes. Results: Participants in the intervention group triaged their patients more quickly than participants in the control group (mean difference 43 s, 99.5% confidence interval [CI] 12 to 75 s). The score of performance indicators on a standardized scale was also significantly higher in the intervention group (18/18) when compared with the control group (8/18) (p < 0.001). All students indicated that they preferred the simulation-based curriculum to a lecture-based curriculum. When asked to rate the exercise overall, both groups gave a median score of 8 on a 10-point modified Likert scale. Conclusion: Participation in an electronic disaster simulation using the disastermed.ca software package appears to increase the speed at which medical students triage simulated patients and increase their score on a structured command-and-control performance indicator instrument. Participants indicated that the simulation-based curriculum in disaster medicine is preferable to a lecture-based curriculum. Overall student satisfaction with the simulation-based curriculum was high.

scholarly journals The Effects of Community Empowerment on Preventing Dengue Fever in Lampung Province, Indonesia

2020 ◽  
Vol 8 (E) ◽  
pp. 194-197
Author(s):  
Achmad Farich ◽  
Nur Indrawati Lipoeto ◽  
Hafni Bachtiar ◽  
Hardisman Hardisman
Keyword(s):  
Dengue Fever ◽  
Intervention Group ◽  
Sampling Technique ◽  
Community Empowerment ◽  
Wilcoxon Test ◽  
Control Group ◽  
Control Groups ◽  
Quasi Experimental ◽  
And Behavior ◽  
And Control

AIM: The aim of this study was to determine the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia. METHODS: This study used a quasi-experimental design with two groups of pretest-posttest design. The number of samples in this study was 120 people in the intervention group and 120 people in the control group, who is a housewife living in Gading Rejo and Pringsewu subdistrict, Lampung, Indonesia. The sampling technique used a proportional stratified random sampling technique. Community empowerment interventions have been carried out through socialization and inculturation to gather information about community participation, knowledge, attitudes, and behavior of respondents in the prevention of dengue fever. Then, the next stage is the implementation of interventions with capacity building and planting dengue mosquito repellent plants. Data were analyzed using Wilcoxon test using the SPSS version 21.0 software. RESULTS: This study showed that there were differences in the median score of knowledge, attitudes, and behaviors between the intervention and control groups (p < 0.05). The results of the analysis based on the entomologist indicators (larvae-free numbers, house index, container index, and Breteau index) found that there were differences in larvae-free numbers, house index, and Breteau index between the intervention and control groups (p < 0.05), while there were no differences in the container index between the intervention and control groups (p > 0.05). CONCLUSION: This study confirmed the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia.

scholarly journals CRITICAL REFLECTION AND FEEDBACK FOR MEDICAL STUDENTS: A COMPARATIVE STUDY

2018 ◽  
Vol 7 (1) ◽  
pp. 84
Author(s):  
Imelda Ritunga ◽  
Gandes Retno Rahayu ◽  
Yoyo Suhoyo
Keyword(s):  
Medical Students ◽  
Transformative Learning ◽  
Critical Reflection ◽  
Intervention Group ◽  
Simple Random Sampling ◽  
Control Group ◽  
Control Group Design ◽  
Post Test ◽  
Giving Feedback ◽  
And Control

Background: The physician who reflects critically will interpret the experience, aware of its limitations, and will become life long learner. When implementing reflection learning in medical education, it is necessary to assess the ability of learners to help improve the ability of reflection. The objective of the research is to know the students 'reflection ability by giving feedback and different of reflection ability between intervention group and control group.Method: Research using pre and post control group design. The subjects of the study were 62 students medical students of Faculty of Medicine UGM year II who had collected narrative reflection to Gamel (n = 176 students) and willing to participate, divided into 2 groups with simple random sampling. Intervention of treatment group are giving feedback based on the result of narrative reflection from Gamel followed by narrative reflection assignment. The subjects' narrative reflection was assessed using the REFLECT rubric, and analyzed by Wilcoxon and Mann-Whitney tests.Results: The results showed that students' pre and post test reflection ability is in the reflection stage. Giving feedback once does not increase the ability from  reflection stage to the critical reflection stage. This result may be due to several things: critical reflection does not occur without significant / dramatic experience that shifts perspective resulting in transformative learning, feedback is given regularly, lack of trustworhty to instructors who are not university lecturers. Another result of a decrease in the ability of reflection in general after 6 months indicates the need to do reflection activity / assignment in each semester to maintain and improve the ability of reflection. Conclusion: Increased reflection ability from reflection stage to critical reflection stage does not occur with single feedback. If reflection is not done regularly, it can cause a decrease in reflection ability.

scholarly journals PSYCHOEDUCATION INTERVENTION INCREASE ON THE ABILITY OF THE PRE-SENILE HYPERTENSION MANAGEMENT

Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Nyoman Sudja ◽  
Meirina Meirina
Keyword(s):  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Physical Changes ◽  
And Behavior ◽  
The City

Introduction: Increasing age in pre-senile, causes a deterioration abilities and physical changes, including the cardiovascular system. Blood vessels lose their elasticity thus be increased peripheral vascular resistance that results in hypertension. This study aims to gain an idea of the effect on the ability of pre-senile people’s psychoeducation in the management of hypertension. Method: Quasi-experimental, the pre-post test with control group design, psychoeducation intervention with a sample size of 72 people . Result: The results showed signifi cant difference of pre-aged knowledge and behavior before and after getting psychoeducation intervention in the intervention group (p-value = 0.000 knowledge, and behaviors = 0.000) . Whereas in the control group there was no difference in knowledge (p-value = 0.896), but there are signifi cant differences in behavior of pre-senile people (p-value = 0.049). There are differences in knowledge and behavior after they were given psychoeducation intervention (post-test ) in the intervention group and the control group (p-value = 0.001 knowledge , behavior=0.018). Discussion: Psychoeducation had effect on the ability of pre-senile in the management of hypertension, so this program can be applied to groups of Posbindu for pre-senile people throughout the areas of the city of Bogor.Key words: psychoeducation, skills, pre-senile, hypertension

scholarly journals OPTIMALISASI POSISI JANIN MELALUI PRENATAL YOGA TERHADAP OUTPUT PERSALINAN DI PUSKESMAS WILAYAH KOTA CIREBON

2020 ◽  
Vol 8 (3) ◽  
pp. 396
Author(s):  
Nurasih Nurasih ◽  
Endang Nurrochmi
Keyword(s):  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Control Group Design ◽  
Before And After ◽  
Chi Square Test ◽  
And Control

In Indonesia, Yoga is currently one of the most popular sports, not only for the general public but also for pregnant women. Many benefits can be obtained from prenatal yoga including the mother feeling comfortable and relaxed throughout pregnancy and during childbirth, training the pelvic floor muscles and perineum, keeping the body's muscles relaxed, balanced during childbirth, reducing stress, increasing and improving oxygen circulation to the body and fetus. . This study aims to determine the effect of prenatal yoga on optimizing fetal position on third trimester Primigravida maternal delivery output at Puskesmas Cirebon City. This research is a quasi-experimental research pre post control group design and only post control group design with T test and Chi Square test. Paired T Test results of the intervention group (mean difference = 3.111, P value = 0.000, control group (mean difference = 0.833, P value = 0.318). Independent T Test results obtained (average difference = -1.944, P value = 0.024), Chi Square test obtained a value of P = 0.73. There is a difference in the average anxiety before and after the intervention in the intervention group, there is no difference in average anxiety before and after the intervention in the control group. There is a difference in the average anxiety between the intervention and control groups. There is a difference in mean Long I stage between the intervention and control groups There was no effect of prenatal yoga on the type of labor.

scholarly journals Pengaruh kompres hangat terhadap nyeri leher pada penderita hipertensi esensial di wilayah Puskesmas Depok I, Sleman Yogyakarta

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Siti Fadlilah
Keyword(s):  
Essential Hypertension ◽  
Neck Pain ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Post Test ◽  
Headache Pain ◽  
And Control

Hypertension is increased blood pressure in the artery. Signs and indication arise from this disease are a dizzy, headache, pain in the nape of the neck (neck pain), easily angered, and hard to breathe. This neck pain can offend essential hypertension in daily patient activities. One of the non-pharmacological actions to decrease or overcome the neck pain is by a warm compress. The warm compress is giving a sense of warm/heat in a certain area. This research is purposed to find out the influence of warm compress towards neck pain in essential hypertension patients. This research is carried out in Puskesmas Depok I area, Sleman, Yogyakarta. Type of this research is quasi-experiment with pre-test post-test with control group design. Several samples consist of 40 respondents and divided into two groups, which are 20 respondents of the intervention group and 20 respondents of the control group. Statistic test used in this research is Wilcoxon and Mann Whitney tests. Before applying pre-test, 12 respondents (60%) are having moderate pain, and after giving warm compress (post-test), 17 respondents (75%) are having minor pain. There is a significant scale of neck pain before and after the warm compress treatment (p-value = 0,003) as well as contrast scale of neck pain between intervention group and control group (p-value = 0,000). There is the influence of warm compress towards neck pain in essential hypertension patients in Puskesmas Depok I area, Sleman, Yogyakarta.

scholarly journals COMPARISON OF TWO TURNING REGIMENS (1 VERSUS EVERY 2 HOURS) IN THE PREVENTION OF CONSTIPATION IN PATIENTS WITH STROKE

2019 ◽  
Vol 5 (5) ◽  
pp. 192-196
Author(s):  
Nur Hidayati ◽  
Tintin Sukartini ◽  
Padoli Padoli
Keyword(s):  
Experimental Research ◽  
Intervention Group ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
Diet Modification ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Common Problems ◽  
And Control

Background: Constipation is one of the most common problems in stroke due to inactivity and immobility.Objective: To compare one hour and every two-hour turning regimens in the prevention of constipation in patients with stroke.Methods: This was a quasi-experimental research with pretest posttest with control group design. There were 39 participants assigned in intervention group (n=17) and control group (n=22). The intervention group turned every one hour, while control group turned every two hours. The turning regimen was implemented for five days. A bowel score was used to measure constipation. McNemar Test and Fisher Test were used to measure and compare the bowel score between the two groups.Results: There was no significant difference in the effect of two turning regiments on constipation (p > .05). However, based on a descriptive result, there was a slight decrease in the number of constipation from 47% to 29.4% in the intervention group, and from 32% to 27% in the control group.Conclusion: Turning might still become an effective way to prevent constipation in patients with stroke either every one hour or two hours without diet modification.

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