Open Access Macedonian Journal of Medical Sciences最新文献

{"title":"Effect of Intensive Counseling Training on Participation of Clients in Long-Acting Reversible Contraceptives","authors":"A. Pusponegoro","doi":"10.3889/oamjms.2024.11683","DOIUrl":"https://doi.org/10.3889/oamjms.2024.11683","url":null,"abstract":"BACKGROUND: One of the pillars of safe motherhood is family planning (FP). The FP program aims to avoid unwanted pregnancies or birth by long-term contraceptive methods (long-acting reversible contraceptives [LARCs]). However, percentages of LARCs usage in Indonesia, in 2017 were still far from the target, 14% per 21.7%. This was influenced by Information Education and Communication given by health-care workers, counseling mechanisms, and mother’s knowledge.\u0000AIM: This study aims to find a new counseling training technique that may improve the counseling skills of health workers and provide a better outcome (clients’ knowledge and attitude).\u0000METHODS: Phase one, a qualitative approach by conducting focus group discussions and in-depth interviews with midwives and clients as the basis for making intensive counseling modules. Phase two, quantitative approach to health-care workers using a t-paired group analysis test. Phase three, analysis using T-unpaired group test for clients.\u0000RESULTS: The qualitative phase showed that the appropriate LARCs intensive counseling training model was 2 days, 8 h each, emphasizing communication techniques. A significant difference was found in the counseling competition of health-care workers before and after training (p < 0.001). The interest in LARCs after receiving counseling (intensive or others) also showed significant differences (p < 0.001).\u0000CONCLUSION: The LARCs intensive counseling training module affects the competency of counseling skills and increases the participation of clients.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"46 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140490404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Approach Physical Distancing Model on Immune Resistance Imun New Normal Post Pandemic COVID 19","authors":"Atik Badi’ah, Ni Ketut Mendri, Kurnia Putri Utami","doi":"10.3889/oamjms.2024.11341","DOIUrl":"https://doi.org/10.3889/oamjms.2024.11341","url":null,"abstract":"BACKGROUND: The first COVID-19 reported in Indonesia on March 2, 2020, was two cases. Data on March 31, 2020, showed that there were 1528 confirmed cases and 136 deaths. The COVID-19 mortality rate in Indonesia is 8.9%, this figure is the highest in Southeast Asia. As of March 30, 2020, there were 693,224 cases and 33,106 deaths worldwide. Inadequate immune response leads to viral replication and tissue damage. On the other hand, an exaggerated immune response can cause tissue damage. Several other risk factors established by the Centers for Disease Control and Prevention are close contact, including living in the same house as a COVID-19 patient and a history of travel to an infected area. Based on a preliminary study at the Yogyakarta Special Region Health Center and the Borobudur Magelang Health Center, Central Java, there were 95 cases of corona virus and 75% with comorbidities. Of the corona cases in the Special Region of Yogyakarta and in Borobudur, Magelang, Central Java, the body’s resistance decreased. Researchers are interested in taking the title “The Effect of Psychological Approach Physical Distancing on New Normal Immune Resistance after the COVID 19 Pandemic”\u0000AIM: It is known the influence of Psychological Approach Physical Distancing on New Normal Immune Resistance after the COVID 19 Pandemic.\u0000METHODS: This type of research is Research and Development using a quasi-experimental, “Pre-test Post-test with Control Group Design” design. In this design, there was a comparison group (control), the observations were carried out twice. The first observation was to determine the New Normal maximum resilience after the COVID 19 pandemic before being given Psychological Approach Physical Distancing and the second observation after being given Psychological Approach Physical Distancing with the criteria for comorbid respondents at the Puskesmas. Data were analyzed using pair t-test and Wilcoxon with a significant level of p < 0.05.\u0000RESULTS: Differences in initial immune resistance at month 1, month 1 and month 2, and month 2 and month 3 there was a difference with p = 0.000 (< 0.05).\u0000CONCLUSION: There is an influence of Psychological Approach Physical Distancing on New Normal Immune Resistance after the COVID 19 Pandemic.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"18 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140493208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Factors Related to the Incidence of Postpartum Blues in Adolescent Mother","authors":"N. Gartika, Ariani Fatmawati","doi":"10.3889/oamjms.2024.8511","DOIUrl":"https://doi.org/10.3889/oamjms.2024.8511","url":null,"abstract":"BACKGROUND: Adolescent marriage in Indonesia is very high, this will have an impact on the psychological aspects of adolescents. Postpartum psychological disorders of adolescent mothers are postpartum blues.\u0000AIM: The study aimed to identify factors related to the incidence of postpartum blues in adolescent mothers.\u0000METHODS: This quantitative study used a cross-sectional method involving 90 respondents taken by consecutive sampling. Research sites in Bandung City Special Hospital for Mothers and Children and Al-Ihsan Regional Public Hospital, Bandung District. This research was conducted from May to September 2019. Data collection instruments in this study use the Edinburgh Postpartum Depression Scale. Pregnancy planning uses the London Measure of Unplanned Pregnancy questionnaire. Social support uses a postpartum support system and a family coping questionnaire. The last questionnaire is the psychosocial condition of the mother Postpartum Postnatal Risk Questionnaire. Multivariate analysis using logistic regression tests to determine the factors most related to the incidence of postpartum blues in adolescent mothers.\u0000RESULTS: The results showed that there were 44.4% of adolescent mothers experience postpartum blues. There was a significant relationship between social support and the incidence of postpartum blues (p = 0.001; odds ratio [OR] 11,777; 95% confidence interval [CI] = 3604–109,534) and home living also had a significant relationship with the incidence of postpartum blues (p = 0.002; OR = 9,653; 95% CI = 0.001–0.225). A negative B value at the home living indicated that home living is a preventative factor for postpartum blues in adolescent mothers.\u0000CONCLUSIONS: Postpartum blues are influenced by social support, psychosocial conditions, and pregnancy planning. Adolescent mothers need to get attention, especially from their husbands and families during the period of puerperium.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"16 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140492214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect Momming Guide Kangoroe Mother Care Skin to Skin Contact on the Body Weight on Low Birth Weight","authors":"Ni Ketut Mendri, Atik Badi’ah, Amin Subargus","doi":"10.3889/oamjms.2024.11343","DOIUrl":"https://doi.org/10.3889/oamjms.2024.11343","url":null,"abstract":"BACKGROUND: Babies are children who are in the age range 0–12 months. Infancy is the first phase of human life, which at this time requires adaptation to the environment. Low birth weight (LBW) is a newborn who has a birth weight of <2500 g (up to 2499 g). Babies with LBW will have an impact in the long term in the future that will affect the quality of the nation’s next generation. General management of infants with LBW is very necessary to prevent complications. General management that can be given to infants with LBW is maintaining body weight by weighing daily and monitoring nutritional intake. One of the actions that can be given to babies with LBW is using the Kangaroo Mother Care (KMC) method. KMC method of treatment is a skin to skin contact therapy, namely, conduction heat transfer from mother to baby so that the baby remains warm and stable so that it will increase the baby’s weight. Researchers are interested in taking the title “The Effect of Momming Guide Kanggoroe Mother Care Skin To Skin Contact on Body Weight in LBW in Puskesmas Daerah Istimewa Yogyakarta.”\u0000AIM: To find out the effect of Momming Guide Kanggoroe Mother Care Skin To Skin Contact on Body Weight in LBW in Puskesmas Daerah Istimewa Yogyakarta\u0000METHODS: Quasi experimental research type with the design of “Pre-test Post-test with Control Group Design.” Sampling was carried out by purposive sampling with the criteria of parents (mothers) who have babies with LBW at the Yogyakarta Special Public Health Center. Data were analyzed analytically using t-test and Wilcoxon with a significant level of 0.05.\u0000RESULTS: The difference in the weight of newborns with the 1st month and the 2nd month with the 3rd month there is a difference with the value of p = 0.00 (<0.05). While the difference in body weight in the 1st and 2nd month, there was a difference with p = 0.005 (< 0.05).\u0000CONCLUSION: There is an effect of Momming Guide Kanggoroe Mother Care Skin To Skin Contact on Body Weight in LBW in Puskesmas Daerah Istimewa Yogyakarta.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140491990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Frenuloplasty in Ankyloglossia on Speech Quality: A Systematic Review","authors":"Y. Y. Ariestiana, Mohammad Gazali, Husnul Basyar","doi":"10.3889/oamjms.2024.9604","DOIUrl":"https://doi.org/10.3889/oamjms.2024.9604","url":null,"abstract":"BACKGROUND: Ankyloglossia, known as tongue-tie, is an inherited anomaly and is caused by a short nonelastic frenulum that causes limited tongue movement. Because of the limitations of tongue movement, it can affect the quality of speech. Ankyloglossia treatment is to divide or separate fibrous bands or frenuloplasty. The purpose of making this systematic review is to systematically review the results of frenulopasty governance in cases of ankyloglossia related to speech quality.\u0000AIM: The aim of this systematic review is to explain the original study in patients with Ankiloglosia who underwent a frenectomy procedure on the tongue tie. This study included research evaluating results related to speech quality.\u0000METHODS: PubMed, EMBASE, and Cochrane Databases, No restrictions on published studies until September 10, 2021. Studies are included if subjects of all ages have ankyloglossia and performed frenuloplasty procedures. The results assessed were the level of speech quality in the subjects of preoperative ankyloglossia and postoperative frenuloplasty.\u0000RESULTS: Overall, 473 abstracts resulted from literature searches; 13 studies met the criteria for data extraction and analysis. Of the 13 studies, eight studies were Randomize control trial studies and 5 case–control studies. Three studies evaluated speech outcomes using Likert scores, 3 studies using questionnaires, and 7 studies using different assessments pre-operative and post-operative speech quality.\u0000CONCLUSION: Frenuloplasty in subjects with ankyloglossia mostly gives good results in terms of speech quality. Improvements in articulation and mention of consonant phonation improve after frenuloplasty. Frenuloplasty with the 4 flap Z-Plasty Technique provides better results compared to conventional and horizontal vertical frenuloplasty. A long-term study of the correlation of ankyloglossia and speech difficulties and the effects of frenuloplasty is needed.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"17 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140493216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Level of Distress Experienced by Glioblastoma Multiforme Patients and Caregivers in Relation to their Medical Education Background: A Qualitative Study","authors":"Made Agus Mahendra Inggas, Dyani Pitra Velyani, Petra O. P. Wahyoepramono, Julius July","doi":"10.3889/oamjms.2024.9087","DOIUrl":"https://doi.org/10.3889/oamjms.2024.9087","url":null,"abstract":"BACKGROUND: Glioblastoma multiforme (GBM) is a primary brain tumor with extensive infiltration of surrounding brain tissue and a high rate of recurrence, with an average survival of 13–16 months. Due to the rapid course of the disease, multimodality treatment, and poor prognosis, both the patients and their caregivers will face significant psychological distress. Identification of the types and severity of distress is crucial to control morbidity during treatment.\u0000AIM: This study aims to define the level of distress experienced by patients and their caregivers during the treatment period by considering their medical education background. At the time of publication, this type of study is unique and has never been done before.\u0000MATERIALS AND METHODS: This study was conducted at the Neurosurgery Outpatient Department of Mochtar Riady Comprehensive Cancer Center Siloam Hospital Jakarta. Patients with GBM and their caregivers were recruited during the early stages of radiation treatment (T1) and the follow-up chemotherapy (T2) and were assessed using the distress thermometer (DT) and National Comprehensive Cancer Network (NCCN) problem checklist followed by in-depth interviews. Participants were divided into two groups based on medical education background. Significant distress is defined as DT score >4.\u0000RESULTS: Data from four pairs of patient-caregivers are collected during the early stages of T1. Two pairs of Patient-Caregivers without medical educational background (P-C non-D) are included later during T2. From T1, patients and caregivers with medical education (P-D) are higher than those without medical education (P-D > P-non D; C-D > C-non D). Another comparison shows that P-D is higher than C-D. In contrast, P-non D is lower than C-non D. Based on the time data collected, it shows DT: P-non D T2 > P-non D T1, but there is no difference between T2 and T1 in the caregiver’s group: C-non D T1 = C- non D T2. From the NCCN problem checklist, it is known that they attribute their distress mostly to physical problems.\u0000CONCLUSION: The physical and mental changes experienced by patients cause distress for patients and their caregivers. Knowledge of disease and treatment possessed by patients or caregivers helps them deal with GBM and the entire course of treatment.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"16 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140493901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Vasopressor and Tourniquet to Reduce Hemorrhage during Myomectomy for Uterine Fibroid Removal: A Systematic Review","authors":"Suskhan Djusad, Ario Bimo, Annisa Futihandayani","doi":"10.3889/oamjms.2024.11786","DOIUrl":"https://doi.org/10.3889/oamjms.2024.11786","url":null,"abstract":"AIM: This review aims to evaluate the efficacy of vasopressin and tourniquet to reduce blood loss during myomectomy for uterine fibroids removal.\u0000BACKGROUND: Uterine fibroids and uterine leiomyomata, the most common benign tumors in women, can be difficult for women trying to conceive. Surgical therapy, such as hysterectomy or myomectomy, is one of the main treatment options. Excessive blood loss may occur during the procedure. Clamps or tourniquets around the uterine vessels are commonly used as anti-bleeding precautions during myomectomy. Intra-myometrial injection of vasopressin at the base of the largest fibroids and during hysteroscopic myomectomy is effective in reducing blood loss during laparoscopic myomectomy.\u0000METHODS: A literature search and computer-aided comprehensive electronic bibliographic search was performed using PubMed, Science Direct, SCOPUS, and Wiley for studies published from January 1997 to November 2017.\u0000RESULTS: Ten studies met the eligibility criteria and were included in this review. Each study assessed and compared the effects of vasopressin to the control group that exerts a hormonal hemorrhagic effect during myomectomy procedures. About 50% of vasopressin hemostatic agents have better outcomes in reducing blood loss. However, the use of both vasopressin and tourniquet simultaneously failed to reduce blood loss.\u0000DISCUSSION: Intramyometrial vasopressin injection resulted in a higher efficacy to decrease blood loss during myomectomy. Despite deciding which methods provide the most effective way to decrease blood loss, the two techniques showed excellent outcomes for the quality of the myomectomy procedure itself.\u0000CONCLUSION : Hemostatic medications have shown to have positive effects on myomectomy patients. The predicted volume of blood loss significantly decreased by both the mechanical tourniquet approach and the injection of the hormone vasopressin.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140498831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Safety of Long-Term Anticoagulation Therapy with Direct Oral Anticoagulants versus Vitamin K Antagonist in Patients with Cerebral Venous Thrombosis","authors":"Victor Febriant, Tracy Solansa","doi":"10.31586/ojms.2023.808","DOIUrl":"https://doi.org/10.31586/ojms.2023.808","url":null,"abstract":"Introduction: Cerebral venous thrombosis is a rare type of stroke caused by partial or complete occlusion of cerebral venous sinuses. Current guidelines recommend the administration of Low Molecular Weight Heparin (LMWH) during the acute phase and oral Vitamin K antagonists (VKAs) such as warfarin for 3-12 months. Direct Oral Anticoagulants (DOACs) are an attractive alternative to VKAs as therapy for CVT, for its safety and efficacy as anticoagulation therapy for deep venous thrombosis or pulmonary embolism. Method: This systematic review is written based on PRISMA guidelines with electronic search performed on various databases for journals published from June 1, 2018 to June 1, 2023. Results: We found four studies fulfilling the inclusion criteria, with four randomized controlled studies presenting 179 CVT patients treated with DOAC and 150 patients treated with standard therapy. DOACs used in reviewed studies are Dabigatran and Rivaroxaban. Discussion: Administration of DOACs as anticoagulation therapy in patients with CVT presents better recanalization rate with no significant differences in efficacy compared with VKAs, along with a better safety profile through similar mortality rate across two groups. Conclusion: DOACs as long-term anticoagulation therapy in patients with CVT has better efficacy along with a similar safety profile compared to VKA.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"352 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135321173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Nursing Staff Engagement in Nursing Care in Slovenia","authors":"Nenad Kondić, Jasmina Starc","doi":"10.3889/oamjms.2023.11655","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11655","url":null,"abstract":"BACKGROUND: Understanding employee engagement enables management to increase the connection between the employee and the mission of the work organization. Employee engagement is linked to high employee satisfaction and, at the same time, high performance in work organizations. AIM: The aim of the study is to develop a theoretical model of the determinants of employee engagement in nursing, to illustrate the complex problem of employee engagement in nursing in Slovenia, and to examine and identify the factors that influence the strengthening of employee engagement. METHODS: This review was guiding using preferred reporting items for systematic reviews and meta-analyses review protocol incorporating the  research guestion of “What are the most important factors of nursing staff engagement in nursing care in Slovenia?” The databases used in this review include Scopus, PubMed, COBISS, CINAH, and MedLine. RESULTS: Based on the analysis of scientific articles and monographs, we developed a theoretical model of the determinants of employee engagement in nursing, which we classified into six subcategories: Management, leadership, communication, education, career development, and quality nursing service. CONCLUSION: The impact of engagement factors on employees in work organizations is reflected in more engaged and better quality service delivery, lower absenteeism, higher employee satisfaction, and greater effort in different areas of work.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139322716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Situation with Institutionalized Elderly in Bulgaria during COVID-19 Pandemic","authors":"Sevdalina Todorova","doi":"10.3889/oamjms.2023.11765","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11765","url":null,"abstract":"BACKGROUND: At the beginning of the pandemic, health authorities warned that the most vulnerable group of the coronavirus infection are persons over the age of 65 and in particular institutionalized elderly, as their mortality rate is growing exponentially. Therefore, the protection of old people living in social institutions during the periods of COVID-19 waves is an essential priority. AIM: The study presents information from Bulgarian and foreign surveys and available data from regional, international social and health organizations, government institutions, and departments regarding the situation with institutionalized elderly in Bulgaria during COVID-19 pandemic. MATERIALS AND METHODS: A systematic review was used by searching the Web of Science, Science Direct, Scopus, and PubMed online databases of various legal and scientific sources for relevant and reliable information. RESULTS: Bulgarian old people inhabiting specialized social institutions are at a much higher risk of coronavirus infection and disease. A significant part of them has severe impairments and accompanying chronic conditions, which instantly make them potential, quick, and easy victims of the  pandemic. Residents of social homes are isolated from the outside world. They are forced to eat in the common dining room and to share the personal room with another accommodated individual. Compliance with social and physical distancing, as well as hygienic and anti-epidemic measures, turns out to be impossible. They communicate daily with staff who care for them and who are in constant contact with the external environment, which inevitably contributes to the spread of the virus in social institutions. CONCLUSION: The pandemic put institutionalized elderly, a very vulnerable population group, at health risk and affected their well-being. The presented results confirmed the need for urgent change of policies in the long-term care and nursing home sector not only in preparation for future pandemics but also for the overall improvement of the quality of care provided.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139340106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}