Robot Scheduling for Assistance and Guidance in Hospitals

At present, the global COVID-19 epidemic has not slowed down. To reduce the contact between people during the epidemic and prevent the epidemic from expanding, we have developed a robot to assist medical staff in patient guidance and communication services. The robot can provide an emergency contact so that users can immediately contact the counter for help. The user does not have face-face contact with the medical staff. When the robot encounters obstacles in the path of travel, the detected event and the time of occurrence are sent back to the back-end system. It also provides security personnel with real-time images and robot control rights to understand the situation and deal with it in real-time.

ROLE OF THE PHARMACIST IN MANAGING HIGH BLOOD PRESSURE OF HYPERTENSIVE PATIENTS IN PRIMARY CARE UNITS

Objective: The aim of this study was to evaluate the influence of pharmaceutical care on the control of high blood pressure (BP) in hypertensive patients. Methods: The study included thirty hypertensive patients from primary or secondary healthcare located in the south of São Paulo, Brazil. Results: The majority of patients was aged over 60 years (68.75%), non-smokers (90%), non-alcoholics (93.33%), did not practice physical activities (93.33%), and presented comorbidities and polypharmacy. The most common drug-related problems were drug-drug interactions, missed doses, incorrect frequency or time of administration, incorrect patient administration technique, and self-medication. The interventions used during the pharmaceutical consultations (PC) were based on the organization of medicines with tools such as a pillbox organizer (84.38%). A significant improvement in BP control (p<0.05) was observed when comparing BP measurements before and after the PC; however, the number of PCs did not influence the BP reduction. Conclusion: Patient guidance and a simple intervention favor better patient understanding of medication administration schedules.

Interrelationship between Interpersonal Interaction Intensity and Health Self-Efficacy in People with Diabetes or Prediabetes on Online Diabetes Social Platforms: An In-Depth Survey in China

Objective: The peer interaction–based online model has been influential in the recent development of diabetes management. This model “extends and innovates” the traditional mode of doctor–patient guidance, transforming it into a mode in which both doctor–patient guidance and patient–patient interaction coexist; this new mode has the added advantage of offering “extended continual intervention.” This study contributes to research on extending diabetes management models by investigating how patients with diabetes or prediabetes interact in online health communities, focusing on the interrelationship between self-efficacy characteristics and online participation during patient–patient interactions. Methods: In this cross-sectional study, participants with diabetes of various severities completed an electronic questionnaire, which was formulated with a revised classical scale. The questionnaire was disseminated through diabetes online health communities. Its content covered the respondent’s general condition, self-evaluation of their self-efficacy, and participation in online health communities, specifically with respect to factors such as the time spent in online information each day, the number of groups joined, and the extent of interaction in diabetes online health communities, etc. The main observation indicators were the participants’ self-efficacy, their extent of online participation, and the characteristics of online health communities. Descriptive statistics, chi-square test, linear trend estimation, and ordinal logistic regression were used to explore the relationship between the three indicators. Results: The self-efficacy scores ( x ¯ ± s) were 51.9 ± 9.12, and 59.1% of interviewed participants had self-efficacy scores greater than the mean. Overall, most participants (96%) considered online diabetes social platforms to be helpful. Groups differed with respect to interaction mode, which indicated that people with high self-efficacy tend to employ various modes of interaction. Participants with high self-efficacy were also more likely to live in cities (p < 0.05) and be married (p < 0.05) and tended to spend more time paying attention to group information (p < 0.05), spend more time viewing group information (p < 0.05), and have a greater degree of interaction with group members (p < 0.05). Information sources for the different grades of participants was primarily obtained from social media. Conclusion: Among people with diabetes, the frequency and intensity of online interaction might positively affect self-efficacy and, by implication, diabetes self-management. Diabetics with high self-efficacy also tend to have positive online interaction and adopt different ways of interaction. In addition, the diabetes information sources of the respondents mainly come from social networks, most of the respondents think that online social networking sites have a positive impact on diabetes self-management, which shows that social network plays an important role in diabetes information source of diabetics. However, the design of online health communities has room for improvement, specifically with respect to the provision of information that patients require. As an interesting side note, among people with diabetes or prediabetes, those who lived in urban area and were married, those who paid more attention to group information, and those who actively participated in interactions tended to have relatively high self-efficacy. The results suggest that people with diabetes have higher-quality self-care when they engage in online health community interactions; such benefits cannot be obtained from treatment in a hospital. In general, enhanced self-efficacy in people with diabetes enables them to more readily acquire diabetes-related knowledge. Online interaction with diabetics, who has the same experience, can not only get more information, but also have a sense of identity and belonging, which enhances self-efficacy and further urges them to actively participate in online interaction. Therefore, online health communities are an important supplement to the clinical treatment of diabetes mellitus and clinicians can take advantage of the educational function of online diabetes groups in their provision of tailored diabetes interventions and take into account the factors that affect the self-efficacy of diabetics (including the frequency and intensity of online interaction, age, marital status, residential area, etc.), to provide tailored diabetes interventions for diabetics. Such a use of online diabetes groups can strengthen diabetes self-management.

Interrelationship between Interpersonal Interaction Intensity and Health Self-Efficacy in People with Diabetes or Prediabetes on an Online Diabetes Social Platform: An In-Depth Survey in China (Preprint)

BACKGROUND - TBC OBJECTIVE The peer interaction–based online model has been influential in the recent development of diabetes management. This model “extends and innovates” the traditional mode of doctor–patient guidance, transforming it into a mode in which both doctor–patient guidance and patient–patient interaction coexist; this new mode has the added advantage of offering “extended continual intervention.” This study contributes to research on diabetes management models by investigating how patients with diabetes or prediabetes in China interact in online health communities, focusing on the interrelationship between self-efficacy characteristics and online participation during patient–patient interactions. METHODS In this cross-sectional study, participants with diabetes of all severities completed an electronic questionnaire, which was formulated with a revised classical scale. The questionnaire was disseminated through diabetes online health communities. Its content covered the respondent’s general condition, self-evaluation of their self-efficacy, and participation in online health communities, specifically with respect to factors such as the time spent each day consuming information online, the number of groups joined, and the extent of interaction in diabetes online health communities. The main observation indicators were the participants’ self-efficacy, their extent of online participation, and the characteristics of online health communities. Descriptive statistics, chi-square testing, linear trend estimation, and ordinal logistic regression were used to explore the relationship between the three indicators. RESULTS The self-efficacy scores (x̅ ± s) were 51.9 ± 9.12, and 59.1% of interviewed participants had self-efficacy scores greater than the mean. Overall, most participants (87.2%) considered online diabetes social platforms to be helpful. Groups differed with respect to interaction mode, which indicated that people with high self-efficacy tend to employ various modes of interaction. Participants with high self-efficacy were also more likely to be married (p < 0.05) and tended to spend more time paying attention to group information (p < 0.05), spend more time viewing group information (p < 0.05), and have a greater degree of interaction with group members (p < 0.05). Informationsources for the different grades of participants was primarily obtained from social media. CONCLUSIONS Among people with diabetes, the frequency and intensity of online interaction positively affect self-efficacy and, by implication, diabetes self-management. However, the design of online health communities has room for improvement, specifically with respect to the provision of information that patients require. As an interesting side note, among people with diabetes or prediabetes, those who were married, those who paid more attention to group information, and those who actively participated in interactions tended to have relatively high self-efficacy. The results suggest that people with diabetes have higher-quality self-care when they engage in online health community interactions; such benefits cannot be obtained from treatment in a hospital. In general, enhanced self-efficacy in people with diabetes enables them to more readily acquire diabetes-related knowledge. Therefore, online health communities are an important supplement to the clinical treatment of diabetes mellitus, and clinicians can take advantage of the educational function of online diabetes groups in their provision of tailored diabetes interventions. Such a use of online diabetes groups can strengthen diabetes self-management. CLINICALTRIAL none

To What Extent Does Clinically Assisted Nutrition and Hydration Have a Role in the Care of Dying People?

The question over whether to administer clinically assisted nutrition and hydration (CANH) to a dying patient is controversial, with much debate concerning this sensitive issue. The administration of CANH poses clinical and ethical dilemmas, with supporting and opposing views. Proposed positive effects of CANH include preventing thirst, delirium, hypercalcemia, and opioid toxicity. However, CANH has been shown to increase the risk of aspiration, pressure ulcers, infections, and hospital admissions as well as potentially causing discomfort to the patient. Guidance from several national bodies generally advises that the risks and burdens of CANH outweigh the benefits in the dying patient. However, an individualized approach is needed, and the patient’s wishes regarding CANH need consideration if they have capacity and can communicate. Otherwise, sensitive discussions are required with the family, enquiring about the patient’s prior wishes if there is no advanced care plan and acting in the patient’s best interests. The ethical principles of autonomy, beneficence, non-maleficence, and justice need to be applied being mindful of any cultural and religious beliefs and potential misperceptions.

Model Dakwah dalam Pelayanan Pasien

This Research aimed at knowing the model of Da'wah in patient serviceconducted in the public hospital of Salatiga and hospital of Dr. AsmirSalatiga.this research Used a qualitative research approach. The results ofthis research showed that (1) the Patient service of counselors given byRSUD Salatiga had been conducted since 2010. With a seven-personcounselor. The Model of Da'wah was used in serving the patient guidance bypromoting religious spirituallitas such as dhikr, prayers and so on. (2) Theimplementation of Da'wah conducted by the hospital of Dr. Asmir Salatigato the needs of the patients when requiring counseling for psychiatric, orsedative ruhani when they abused by many severe diseases, or some otherproblems, such as conducting guidance or direction which was of nature tomake comfort in the psychic patients.AbstrakPenelitian bertujuan untuk mengetahui model dakwah dalam pelayananpasien yang dilaksanakan di rumah sakit umum daerah Salatiga danrumah sakit dr. Asmir Salatiga. Dengan menggunakan pendekatanpenelitian kualitatif. Hasil penelitian ini menunjukkan bahwa (1)Pelayanan pasien konselor yang diberikan oleh RSUD Salatiga sudahdilakukan sejak tahun 2010. Dengan tenaga konselor berjumlah tujuhorang. Model dakwah yang digunakan dalam melayani pasiennyabimbingan dengan mengedepankan spirituallitas agama seperti dzikir,doa dan sebagainya. (2) Pelaksanaan dakwah yang dilakukan oleh pihakrumah sakit dr Asmir Salatiga terhadap kebutuhan pasien ketikamembutuhkan konseling bagi kejiwaan, atau penenang ruhani merekasaat dirundung banyak penyakit yang berat, atau beberapa masalah yanglainnya, misalnya melakukan bimbingan atau arahan yang sifatnya untukmembuat kenyamanan dalam psikis pasien.

SEMINAR DAN WORKSHOP PEMENUHAN KEBUTUHAN SPIRITUAL PASIEN MENJELANG AJAL DAN PENGURUSAN JENAZAH”

ABSTRACTFullfill the spiritual needs of patients end of life is important so that patients can die peacefully. Actually not all Muslim patients can be fulfilled spiritual needs because of lack of knowledge in spiritual needs when sick. Management of sick patients is done when s ick, end of life and after death. When a Muslim dies, a person who takes care of the mortal management is needed. Mortal management in the Great Lenteng Region is carried out by a team from several related foundations in the Lenteng Agung region, but due to limited personnel so sometimes residents have difficulty getting people to mortal management. Community service activities were carried out on 31 December 2017 in the Hall of RW 10 Lenteng Agung, South Jakarta with 67 participants of residents of RW 10 and RW 08 Lenteng Agung. This activity consisted of seminars and workshops for patient guidance patient end of life and the mortal management. The outcome of this activity was the formation of a team in the Lenteng Agung community area in South Jakarta. A few days after the seminar workshop there were residents of RT 014 RW 08 Lenteng Agung who had pass away and were taken care of mortal management team (4 people) who had participated in community service seminars and workshop on team.Keywords: Spiritual, end of life, ABSTRAKPemenuhan kebutuhan spiritual pada pasien menjelang ajal penting agar pasien dapat meninggal dengan damai. Pada kenyataannya belum semua pasien Muslim dapat terpenuhi kebutuhan spiritualnya karena kurang pengetahuan dalam memenuhi kebutuhan spiritual saat sakit. Pengurusan pasien yang sakit dilakukan ketika sakit, menjelang ajal dan setelah meninggal. Ketika seorang Muslim meninggal diperlukan orang yang mengurus jenazah. Pengurusan jenazah Di Wilayah Lenteng Agung dilakukan oleh tim dari beberapa Yayasan terkait yang ada di wilayah Lenteng Agung, akan tetapi karena keterbatasan tenaga sehingga terkadang warga kesulitan untuk mendapatkan orang yang mengurus jenazah. Kegiatan pengabdian masyarakat telah dilaksanakan pada 31 Desember 2017 di Aula RW 10 Lenteng Agung Jakarta Selatan dengan 67 peserta warga RW 10 dan RW 08 Lenteng Agung. Kegiatan ini terdiri dari seminar dan workshop bimbingan pasien menjelang ajal dan pengurusan jenazah. Luaran dari kegiatan ini terbentuknya Tim pengurusan jenazah di lingkungan masyarakat Lenteng Agung Jakarta Selatan. Beberapa hari setelah seminar workshop ada warga RT 014 RW 08 Lenteng Agung yang meninggal dan telah diuruskan oleh tim pengurusan jenazah (4 orang) yang telah mengikuti kegiatan pengabdian kepada masayarakat seminar dan workshop pengurusan jenazah. Kata kunci: spiritual, menjelang ajal, pengurusan jenazah