Effectiveness of psychosocial interventions for hypertensive disorders in pregnancy: A systematic review and meta-analysis

Objective: Studies on psychosocial interventions for perinatal mental health and wellbeing are mostly limited to the postpartum period. However, the physiological changes associated with hypertensive disorders in pregnancy predisposes women to severe psychological distress and adverse birth outcomes. This review investigated the effectiveness of psychosocial interventions for hypertensive disorders during pregnancy. Methods: Cochrane CENTRAL, Embase, MEDLINE, MIDIRS, CINAHL, PsycINFO, PsycArticles, and Web of Science were searched up to 22nd August 2021. Effect sizes on relevant health outcomes were pooled in a meta‐analysis using STATA software. Results: Eight randomised trials involving 460 participants met the inclusion criteria. Included studies adopted several interventions ranging from music, exercise, cognitive behavioural therapy (CBT), spiritual care education and psychoeducation. The pooled effect showed a significant reduction in anxiety (d= −0.35 [−0.58, −0.11], p=0.004) and depression (d= −0.37 [−0.57, −0.17], p=0.0003). Spiritual care education significantly reduced postpartum stress disorder (d= −62.00 [−93.10, −30.90], p= 0.0001). However, CBT showed no effect on gestational stress (d= −2.20 [-4.89, 0.48], p= 0.11). Conclusion: This study provides satisfactory evidence that psychosocial interventions may likely reduce anxiety and depression associated with hypertensive disorders in pregnancy. However, the evidence is very uncertain about its effect on neonatal outcomes.

Islamic Menstrual Holistic Care Education Class for Young Women during the Covid 19 Pandemic

Physical and psychological changes that occur in adolescent girls, especially at the beginning of puberty can affect anxiety which leads to the risk of decreased body immunity. The purpose of this service is that young women can prepare for or undergo puberty and puberty safely, comfortably and can reduce the risk of anemia and decreased endurance, especially during the pandemic Covid-19. The location of the service is at the LKSA Orphanage of Nurus Syamsi Muhammadiyah, Bungkal District, Ponorogo Regency, East Java. Service activities in the form of educational classes with conventional methods, discussions. In the education class, 3 (three) different materials were given, namely 1) Puberty and Akil Baligh, 2) Myths About Menstruation, 3) Thaharoh and Practices During Menstruation. In this educational class, young women are also given blood-boosting multivitamins to prevent anemia during menstruation. After this service activity is carried out, it is hoped that there will be awareness in maintaining cleanliness and health during puberty, especially to reduce the risk of anemia in young women in orphanages during the pandemic Covid-19.

Development of a Health Education Application Smartphone-based FoCED to Increase Knowledge About Foot Care In Patients With Diabetes Mellitus

One such complication is a diabetic foot ulcer that can lead to amputation. Various strategies are taken to reduce the occurrence of injuries in diabetic mellitus patients. One of them is through foot care education packaged by using interesting media. Through the development of smartphone-based applications, it aims to help patients and families perform the right foot care anytime and anywhere. The purpose of this activity is to develop educational media while increasing the knowledge of patients and families about performing foot care. The method used is to develop educational media in the form of applications on smartphones and measure knowledge score before and after education. In addition, during the education of patients and families, they will be followed up 3 times in 1 week. The targets of this program are diabetic patients and families at PKU Muhammadiyah Pontianak Clinic. The results of this activity show that smartphone-based "FoCED" foot care education applications can increase patient and family knowledge.

Opportunities of and threats to consumer well-being in the age of Fourth Industrial Revolution (IR 4.0) technologies

Purpose Fourth Industrial Revolution (IR 4.0) technologies have strong potential to affect consumer well-being, positively or negatively, so the current paper aims to review potential opportunities and threats that these technologies represent for consumers in several core economic sectors: health care, education, financial services, manufacturing and retailing. Design/methodology/approach This paper proposes a conceptual framework for how IR 4.0 technologies affect consumer well-being in five representative sectors: health care, education, financial services, manufacturing and retailing. The authors argue that the potential transformations of these specific sectors, facilitated by these technologies, may have profound effects on consumer well-being, with urgent public policy implications. Findings Emerging technologies, such as artificial intelligence, robotics, the Internet of Things, three-dimensional printing, machine learning and blockchain, provide customers with novel approaches toward decisions regarding health, education, finances and other fundamental parts of their lives. The organizations that provide these services, such as hospitals, universities and banks, actively adopt the innovations offered by IR 4.0. These evolving and disruptive technologies thus are changing reality for consumers and providers. Originality/value This paper proposes some novel public policy implications of IR 4.0 technologies for consumer well-being, and it outlines further research directions that can enhance understanding of relevant technologies and the consequences of their use for society.

The Effectiveness of Post-Stroke Patient Care Education Intervention in Stroke Caregivers: A Literature Review

Background: Educational interventions about stroke have been carried out by the health workers, one of which is by the nurse. However, the majority of the interventions focus more on the stroke patients than the stroke caregivers. Meanwhile, post-stroke patient care education interventions are urgently needed by the caregivers. Therefore, the author intends to review current literature about post-stroke patient care education interventions on stroke caregivers. Objective: This literature review aims to identify the effectiveness, methods, and impacts of daily care educational interventions for post-stroke patients on stroke caregivers. Methods: The method utilized was by analyzing online databases about the related topics from reputable sources. Seven articles that met the inclusions criteria considering Randomized Controlled Trial (RCT) and Quasi-experimental design, time of publication, and English full text were obtained, and the results were presented. Result: Educational intervention could be carried out by several methods, including direct education at the patient's bedside, lectures followed by questions and answers, and booklets, home visits or telephone follow-up. Educational interventions could improve caregiver knowledge and skills in providing daily care for post-stroke patients, reduce burdens, reduce anxiety and improve the caregiver's quality of life. Educational interventions also positively impacted post-stroke patients, including improving the quality of life, functional abilities and the ability to do daily activities (ADL), reducing cognitive impairment, anxiety, and depression.Conclusion: Daily care education interventions for post-stroke patients can reduce the burden on the caregiver, either physical, psychological or social burdens.