scholarly journals Effectiveness of Some Educational Methods and Tools on Improving the Level of Understanding of Biostatistics among Medical Students and Paramedical Postgraduate Students

2016 ◽  
Vol 8 (11) ◽  
pp. 302
Author(s):  
Nezhat Shakeri

<p>It has been observed that medical students and researchers lack sufficient knowledge in understanding statistical concepts. This indicates the importance of improving the level of instruction in this field. This experimental study was conducted to introduce and investigate the effectiveness of some educational methods and tools in improving the level of understanding of biostatistics among medical students and paramedical postgraduate students. For this purpose, from 40 medical students and 20 paramedical postgraduate students, who attended the biostatistics course, pre-test and post-test questionnaires were collected. The medical students were divided into two training groups, namely, training with the help of software (intervention group), and the traditional (lecture method) group. The paramedical postgraduate students were also divided into two groups, except that for the intervention group, in addition to training with the help of software, educational DVDs were also provided. Knowledge, attitude and the awareness index of the students were determined by using a questionnaire. Post-test results indicate that, the awareness index in the intervention group was significantly higher than the control group (P&lt;0.05). The new method of teaching significantly upgraded the knowledge of the students (P&lt;0.05) and increased the level of attitude of the medical students (P&lt;0.04). Comparing the post-test results of the two groups, i.e., medical students and paramedical postgraduate students, demonstrated that a combination of software and instructional DVDs had a positive effect on the desired outcome (P&lt;0.01). Usage of statistical software and additional virtual methods will contribute to increasing the level of knowledge and attitude of the students toward biostatistics. The training method and, accordingly, the curricula of biostatistics courses in medical and paramedical schools must be revised.</p>

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Sri Hennyati Amiruddin ◽  
Sri Komalaningsih ◽  
Ma'mun Sutisna ◽  
Hidayat Wijayanegara ◽  
Leri Septiani ◽  
...  

Adolescent period is a critical period that requires quality health services. The aim of this study was to analyze the effect of health education through booklet media on the knowledge and attitude towards reproductive health among adolescents. This was a quasi-experimental case control study with nonequivalent two group design conducted on 282 students of SMP Negeri 37, a public junior high school, in the work area of Ibrahim Adjie Public Health Center in Bandung city during December 2018–May 2019. Subjects were divided into two groups, intervention and control groups, with 141 subjects in each group. Data collected were tested for normality and homogeneity using Kolmogorov-Smirnov and Levene tests, respectively, followed by a bivariate analysis using Wilcoxon test to determine the difference. Knowledge of all students in both groups was poor during pre-test with an increase found in 135 subjects (95.7%) in the intervention group (p=0.001) and 63 subjects (44.7%) in the control group (p=0.003) based on the post-test results. Negative attitude was also seen in both groups during pre-test, with a shift towards positive attitude was evident in 134 students (95.0%) in the intervention group (p=0.001) and 117 students (83.0%) in the control group (p=0.002) based on post-test results. This presence that health information conveyed through booklet has a probability of giving 0.995 times stronger influence leaflet. Thus, the use of booklet can improve knowledge and attitude towards adolescent reproductive health. PENGARUH BOOKLET MEDIA PROMOSI KESEHATAN REPRODUKSI REMAJA TERHADAP PENGETAHUAN DAN SIKAP REMAJA YANG BERTEMPAT TINGGAL DI WILAYAH KERJA PUSKESMAS IBRAHIM ADJIE TAHUN 2018Masa remaja merupakan masa kritis yang membutuhkan pelayanan kesehatan yang berkualitas. Tujuan penelitian ini adalah menganalisis pengaruh pendidikan kesehatan melalui media booklet terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi. Penelitian ini merupakan penelitian quasi-experimental case control dengan rancangan nonequivalent two group yang dilaksanakan terhadap 282 siswa/i SMP Negeri 37 di wilayah kerja Puskesmas Ibrahim Adjie Kota Bandung selama Desember 2018–Mei 2019. Subjek dibagi menjadi dua kelompok, yaitu kelompok intervensi dan kontrol dengan 141 subjek di setiap kelompok. Data yang terkumpul diuji normalitas dan homogenitasnya masing-masing menggunakan Uji Kolmogorov-Smirnov dan Levene, dilanjutkan dengan analisis bivariat menggunakan Uji Wilcoxon untuk mengetahui perbedaannya. Pengetahuan semua siswa pada kedua kelompok kurang saat pre-test dengan peningkatan pengetahuan 135 subjek (95,7%) pada kelompok intervensi (p=0,001) dan 63 subjek (44,7%) pada kelompok kontrol (p=0,003) berdasar atas hasil post-test. Sikap negatif juga terlihat pada kedua kelompok selama pre-test dengan pergeseran ke arah sikap positif 134 siswa (95,0%) pada kelompok intervensi (p=0,001) dan 117 siswa (83,0%) pada kelompok kontrol (p=0,002) berdasar atas hasil post-test. Informasi kesehatan yang disampaikan melalui media booklet ini berpeluang memberikan pengaruh 0,995 kali lebih kuat daripada media leaflet. Dengan demikian, penggunaan booklet dapat meningkatkan pengetahuan dan sikap remaja terhadap kesehatan reproduksi. Simpulan, terdapat pengaruh pendidikan kesehatan melalui media booklet terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi.


2019 ◽  
Vol 1 (1) ◽  
pp. 11-15
Author(s):  
Yanik Muyassaroh ◽  
Ana Afifah

Malnutrition in pregnant women has an impact on the health of the next generation. Therefore, nutrition counseling first 1000 days of life needs to be given. Good nutrition during the period of 1000 days starting from early pregnancy until the child’s second birthday. This study aims to determine the effect of counseling with “Kalpin” or Smart Calendar on knowledge and attitude of pregnant women about the first 1000 days of life. This type of research is a comparative analytic design with pre-test and post-test control group. Nutrition counseling activities carried out by the lecture method using a smart calendar. Measurement of knowledge and attitude of pregnant women perfomed twice: before and after the extension granted. Analysis of the data used were bivariate analysis test Independent T-Test and Mann Whitney. The result shows influence of counseling about first 1000 days of life with Kalpin to knowledge (p = 0,000) and attitude of pregnant woman (p = 0,000) about first 1000 days of life. For health service can be a new input in efforts to improve the quality of service with realization the Program Healthy Indonesia that include first 1000 days of life.


Author(s):  
Imelda Ritunga ◽  
Gandes Retno Rahayu ◽  
Yoyo Suhoyo

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.


Author(s):  
Murilo Sabbag Moretti ◽  
Alex Sandro Gomes Pessoa

Abstract: Introduction: Assistance in health services is often the first possibility for the identification of cases of Violence Against Children and Teenagers (VACT). Therefore, the aim of this article was to evaluate the effectiveness of an intervention program developed to enable students and health professionals to recognize and report cases of VACT. Additionally, we sought to verify at what level of training (undergraduate, postgraduate or working professional) such intervention would show the greatest effect. Method: This is a quasi-experimental study, of which design was based on the analysis of a non-equivalent Control Group (CG). The research included undergraduate medical students, postgraduate medical students attending pediatric residency and professionals working in health institutions. A total of 105 people participated, of which 89% were women. The participants were subsequently subdivided between the Experimental Group - EG (n = 60) and Control Group - CG (n = 45). A training program on the topic, consisting of 10 sessions (20h in total), was developed and applied with an EG. To assess the effectiveness of the intervention, a questionnaire was applied at previously determined periods (pre-test and post-test). The data were submitted to statistical analysis (descriptive analyses, t test and Tukey’s multiple comparison test), using the software R. Results: The post-test showed statistically significant changes in all dimensions evaluated with the EG, which proves that the intervention resulted in changes regarding the previous conceptions that the participants had about VACT. Additionally, when comparing the responses obtained in the questionnaires between the three EG groups (undergraduate, postgraduate students and working professionals), it was verified that there were no statistical differences between the groups, suggesting that educational programs have positive effects on all levels of training. Conclusions: This study showed that training programs can qualify the conception of students and health professionals, as well as help them feel more prepared to deal with the demands related to VACT. However, a collective effort is needed so that these contents are purposefully incorporated into the training process at all levels, from undergraduate school to continuing education.


2019 ◽  
Vol 4 (1) ◽  
pp. 58
Author(s):  
Waryana Waryana ◽  
Almira Sitasari ◽  
Danissa Wulan Febritasanti

Community-based interventions to overcome chronic energy malnutrition among women of childbearing age and pregnant women can be done with communication, education, and information. Video can be useful for education purpose. The goal of this study was to determine whether video may have different effect to knowledge and attitude on preventing energy malnutrition among teenage girls compared to food model intervention. The Research a quasi experiment with pre-post test with control group design was conducted in Tridadi Village, Sleman in May 2018. Teenage girls in intervention group were asked to view video specifically developed for the study. Knowledge and attitude on energy malnutrition was assessed right after the intervention. Data were analyzed using paired and independent t-test. The results a total of 54 teenage girls completed the study. The pretest average score on knowledge was 7,09 in the control group, and 7,70 in the intervention group. The pretest average score of attitudes was 24,11 in the control group and 25,00 in the intervention group. While the post test average score on knowledge was 7,37 in the control group and 8,44 in the intervention group. The average post test score of attitude was 26,70 in the control group and 28,38 in the treatment group. The results showed that video intervention has different effect on knowledge (p= 0,00) and attitude (p= 0,01) on chronic energy malnutrition prevention compared to education with food model. Conclusion, there are difference knowledge and attitude between video intervention group and food model education group on chronic energy malnutrition prevention among teenage girls. Intervensi melalui pendekatan komunitas untuk penanggulangan kekurangan energi kronis (KEK) pada wanita usia subur dan ibu hamil dapat dilakukan melalui komunikasi, informasi, dan edukasi. Intervensi video dapat menjadi alternatif pemecahan masalah tersebut khususnya untuk meningkatkan pengetahuan dan sikap pencegahan KEK pada remaja putri. Penelitian bertujuan untuk mengetahui  perbedaan  pengetahuan dan sikap remaja putri  dalam pencegahan kurang energi kronik (KEK)  antara yang diintervensi penyuluhan dengan media  video dan dengan   food model. Penelitian ini adalah eksperimen semu dengan menggunakan rancangan pre-post test with control group design. Penelitian dilaksanakan pada bulan Mei 2018. Remaja putri pada kelompok intervensi diberikan perlakuan menonton video yang sebelumnya telah dikembangkan untuk studi ini. Pengetahuan dan sikap dinilai setelah proses menonton video Analisis data menggunakan independent sample t- test. Hasil penelitian menunjukkan adanya pengaruh pemberian media video terhadap perubahan pengetahuan (p= 0,00) namun tidak pada sikap pencegahan kurang energi kronis (p= 0,01). Kesimpulan, terdapat perbedaan pengetahuan dan sikap remaja putri antara grup media  video dan grup media food model dalam edukasi tentang pencegahan kurang energi kronik pada remaja putri.


2020 ◽  
Vol 4 (3) ◽  
pp. 124
Author(s):  
Jayanti Dwi Puspitasari ◽  
Nani Nurhaeni ◽  
Allenidekania Allenidekania

ABSTRAKLatar Belakang: Kejang demam yang terjadi berulang akan mengakibatkan efek yang buruk bagi anak, terutama untuk kecerdasan dan perkembangan otak. Salah satu cara untuk mencegah kejang demam berulang adalah dengan memberikan edukasi kesehatan kepada ibu. Edukasi kesehatan dapat meningkatkan pengetahuan ibu, sehingga sikap ibu akan berubah kearah positif. Tujuan: untuk mengetahui pengaruh edukasi kesehatan terhadap pengetahuan dan sikap ibu dalam pencegahan kejang demam berulang. Metode: Desain penelitian ini adalah Quasi Experiment dengan teknik pre test and post test nonequevalent control group pada 58 responden (kelompok intervensi=29 dan kelompok kontrol=29). Instrumen yang digunakan dalam penelitian ini adalah kuesioner A, B, C dan media audiovisual. Responden adalah ibu yang memiliki balita pernah mengalami kejang demam dan pernah dirawat di rumah sakit. Kelompok intervensi diberikan edukasi kesehatan tentang pencegahan kejang demam berulang dengan media video, sedangkan kelompok kontrol tidak diberikan intervensi. Analisis yang digunakan dalam penelitian ini adalah analisis bivariat dengan uji paired t-test dan independent t-test dan multivariate dengan MANCOVA. Hasil: ada pengaruh edukasi kesehatan terhadap pengetahuan (p=0,001) dan sikap (p=0,001). Kesimpulan: Edukasi dapat dimasukkan ke dalam rencana asuhan keperawatan ketika anak pertama kali dirawat di rumah sakit karena kejang demam, karena terbukti dapat meningkatkan pengetahuan ibu sehingga ibu dapat mengambil sikap yang positif untuk pencegahan terjadinya kejang demam berulang.Kata kunci: edukasi kesehatan, pengetahuan, sikap, kejang, demamThe Effect of Health Education on Knowledge and Attitude of Mothers in Preventing the Recurrent Febrile Seizures Abstract The Recurrent Febrile Seizures (RFS) could affect the children intelligence and their brain development. Health education is one of the ways in order to prevent the RFS. By providing health education among mothers, it might increase their knowledge and could lead to a positive attitude in preventing the RFS. Aim: This study was aimed at investigating the effect of health education on knowledge and attitude of mothers in preventing the RFS among hospitalized children. Method: This was a quasi-experimental study with pre- and post-test nonequivalent control group with total sample was 58 respondents (intervention group, n=29, and control group, n=29). The instruments used in this study were questionnaire A, B, C and audiovisual media. Respondents in this determination are mothers who have children who have experienced febrile seizures and have been hospitalized. The video guidelines on RFS prevention was performed in the intervention group, while there was no intervention performed in the control group.Data was analysed with univariate (paired t-test and unpaired t-test) and multivariate with MANCOVA. Result: There was a significant effect of health education on knowledge (p=0.001), and attitude (p=0.001). Conclusion: Health education should be included in the nursing care plan when the children with RFS were admitted to the hospital.Keywords: Health education, knowledge, attitude, febrile, seizures


Author(s):  
Murilo Sabbag Moretti ◽  
Alex Sandro Gomes Pessoa

Abstract: Introduction: Assistance in health services is often the first possibility for the identification of cases of Violence Against Children and Teenagers (VACT). Therefore, the aim of this article was to evaluate the effectiveness of an intervention program developed to enable students and health professionals to recognize and report cases of VACT. Additionally, we sought to verify at what level of training (undergraduate, postgraduate or working professional) such intervention would show the greatest effect. Method: This is a quasi-experimental study, of which design was based on the analysis of a non-equivalent Control Group (CG). The research included undergraduate medical students, postgraduate medical students attending pediatric residency and professionals working in health institutions. A total of 105 people participated, of which 89% were women. The participants were subsequently subdivided between the Experimental Group - EG (n = 60) and Control Group - CG (n = 45). A training program on the topic, consisting of 10 sessions (20h in total), was developed and applied with an EG. To assess the effectiveness of the intervention, a questionnaire was applied at previously determined periods (pre-test and post-test). The data were submitted to statistical analysis (descriptive analyses, t test and Tukey’s multiple comparison test), using the software R. Results: The post-test showed statistically significant changes in all dimensions evaluated with the EG, which proves that the intervention resulted in changes regarding the previous conceptions that the participants had about VACT. Additionally, when comparing the responses obtained in the questionnaires between the three EG groups (undergraduate, postgraduate students and working professionals), it was verified that there were no statistical differences between the groups, suggesting that educational programs have positive effects on all levels of training. Conclusions: This study showed that training programs can qualify the conception of students and health professionals, as well as help them feel more prepared to deal with the demands related to VACT. However, a collective effort is needed so that these contents are purposefully incorporated into the training process at all levels, from undergraduate school to continuing education.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Ulfa Tri Oksianti Widiastuti ◽  
Ragil Setiyabudi

Abstrak Background: Dysmenorrhea is menstruation accompanied by pain and physical causes such as nausea, vomiting, diarrhea and in some cases it can also disrupt daily activity. Students who experience dysmenorrhea will be disrupted during learning activities because it is an activity that involves both physical work and the brain. Furthermore, it is found recently that the pain during menstruation is not only felt in the lower abdomen, but it reaches the back. Objective: To determine the effect of the child and animal poses yoga on the changes of the pain scale in dysmenorrhea in students of the Faculty of Health Science, Universitas Muhammadiyah Purwokerto. Method: This study used a quasi-experimental design which was a non-equivalent control group pre-test-post test. Samples were collected by means of purposive sampling with a total of 80. Forty female students were given interventions of yoga child and animal poses and there were 40 control groups. In addition, a paired sample t-test was used in the statistical test. Results: There was a change of 1.62 in pain in the intervention group scale. On the other hand, there was a change in the pain scale of 0.06 in the control group. Statistical test results showed the value of p = 0.0001. Conclusion: The movement of yoga child and animal poses have an effect on the dysmenorrhea pain scale since it can decrease the pain caused by dysmenorrhea.Keywords :Child and animal poses yoga, Dysmenorrhea, Pain scale


2019 ◽  
Vol 10 (2) ◽  
pp. 307
Author(s):  
Dwi Astuti ◽  
Dewi Hartinah ◽  
David Reveindra Afif Permana

Abstrak Latar belakang:Di Indonesia dalam Riset Kesehatan Dasar tahun 2013 proporsi persalinan dengan bedah sesar menunjukkan sebesar 9,8% Provinsi Jawa Tengah sendiri untuk metode persalinan Caesar sebesar 10%. Bedah caesar merupakan bedah yang bukan tanpa resiko, risiko dari bedah Caesar ini merupakan potensi stressor yang dapat menyebabkan pasien operasi SC mengalami kecemasan.  Dunia kesehatan Islam, memasukkan dzikir sebagai salah satu upaya untuk mengatasi kecemasan. Tujuan: mengetahui pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pada pasien post SC. Metode: Penelitian ini menggunakan quasy experiment dengan desain pre-post test design with control group. Sampel sebanyak 24 orang yang diambil secara sampel jenuh. Statistik yang digunakan adalah paired t test, wilcoxon test dan independent t test. Hasil uji Paired t Test diperoleh ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan terapi dzikir pada kelompok intervensi nilai p = 0,000 > α = 0,05, terjadi penurunan rata-rata sebesar 9,917.  Hasil uji Wilcoxon diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan komunikasi terapeutik pada kelompok kontrol nilai p = 0,636 > α = 0,05, penurunan yang terjadi yaitu hanya 0,83. Hasil uji Independent t Test diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan perlakuan pada kelompok intervensi dan kelompok kontrol dengan nilai p = 0,211 > α = 0,05. Kesimpulan: ada pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pasien post operasi SC Kata kunci      : Kecemasan, Post SC, Dzikir AbstractBackground: In Indonesia in 2013 Basic Health Research the proportion of deliveries with cesarean section showed 9.8% of Central Java Province alone for the method of caesarean delivery by 10%. Caesarean section is a surgery that is not without risk, the risk of a C-section is a potential stressor that can cause SC surgery patients to experience anxiety. The world of Islamic health, incorporating dzikir as an effort to overcome anxiety. Objective: to determine the effect of dzikir therapy on reducing anxiety levels in post SC patients. Method: This study uses a quasy experiment with a pre-post test design with control group design. A sample of 24 people were taken in a saturated sample. The statistics used were paired t test, Wilcoxon test and independent t test. Results: Paired t Test results obtained there were differences (changes) in the anxiety level of post SC patients before and after given dzikir therapy in the intervention group the value of p = 0,000> α = 0.05, there was an average decrease of 9,917. The results of the Wilcoxon test obtained no difference (change) in the anxiety level of post SC patients before and after therapeutic communication in the control group p = 0.636> α = 0.05, the decrease that occurred was only 0.83. The results of the Independent t Test obtained no difference (change) in the anxiety level of post SC patients before and after treatment in the intervention group and the control group with a value of p = 0.211> α = 0.05. Conclusion: there is an effect of giving dzikir therapy to decrease anxiety level of postoperative SC patients Keywords: Anxiety, Post SC, Dzikir


2017 ◽  
Vol 4 (3) ◽  
pp. 640 ◽  
Author(s):  
Basanta Kumar Behera ◽  
Narahari Agasti ◽  
Kamalakanta Sahoo

Background: In traditional lecture method of teaching most of the time there is time consumption, duplication and overlapping of topics taught in the MBBS course. Integration (both horizontal and vertical) of subjects improves the cognitive and psychomotor domains of students to enhance their skills to correlate clinically to obtain an accurate diagnosis.Methods: The present study comprised of 96 students of 3rd semester MBBS course. A pretested questionnaire was given to study their existing level of knowledge and attitude regarding antenatal care. The students were divided into two groups by simple random method - a study group of 48 students, who receive integrated teaching including didactic lectures, case studies and live demonstrations by department of Community Medicine and Obstetrics and Gynaecology, whereas the control group of 48 students received only didactic lectures. Post test was conducted after 3 days. The mean knowledge and attitude scores of pre-test and post-test of the two groups were analyzed by using Z- test.Results: In the post test, the mean knowledge score between traditional and integrated groups were 12.40 and 14.46 respectively with standard deviation of 1.869 and 1.864. Whereas the mean values of attitude is 36.95 and 60.00 with standard deviation of 1.972 and 1.977. There was a significant improvement in both knowledge and attitude of students of integrated group as compared to traditional group (P<0.001).Conclusions: Integrated method of teaching was found to be more effective than traditional lecturing method.


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