Malaysian Journal of Medical Sciences最新文献

{"title":"Halal Ethnomedicine as A Health Tourism Initiative: A Case Study from Bayan Village, Lombok.","authors":"Taufiq Kurniawan, Ahmad Ahmad, Herman Supriadi, Hanofi Harianto","doi":"10.21315/mjms-11-2024-878","DOIUrl":"10.21315/mjms-11-2024-878","url":null,"abstract":"<p><strong>Background: </strong>This study explores the integration of halal ethnomedicine (HE) into health tourism within Bayan Village, North Lombok, Indonesia. HE combines traditional medical practices with Islamic principles, offering a culturally resonant health care option. This research aims to assess the potential benefits and challenges of developing HE as a health tourism initiative.</p><p><strong>Methods: </strong>Utilising a qualitative case study approach, this research was conducted in Bayan Village, North Lombok Regency, West Nusa Tenggara Province, Indonesia. Data were collected through interviews with local stakeholders, including policy-makers, residents, and health tourists, from November 2023 to January 2024.</p><p><strong>Results: </strong>The findings indicate that the Bayan community strongly supports the development of HE-based health tourism, primarily because of its economic potential and cultural preservation. The financial impact of HE was highlighted as the most significant, with the community recognising its capacity to generate income and attract investment. However, the health benefits, while acknowledged, were not as strongly prioritised. This study also identifies several challenges, including low local interest, a financial focus that may hinder long-term development, the spread of misinformation, and the limited quality of local human resources. To address these challenges, this research proposes a collaborative model involving public and private sector partnerships. This includes strategies for community engagement, capacity building, and marketing, emphasising the importance of aligning HE with broader tourism and health care infrastructure.</p><p><strong>Conclusion: </strong>This study concludes that while HE holds promise as a health tourism product, its successful implementation requires overcoming significant sociocultural and operational barriers. This research contributes to the understanding of how traditional medicine can be integrated into modern health tourism, offering insights for policy-makers and stakeholders in similar contexts.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"135-147"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural Adaptation and Validation of the Malay Version of the Early Childhood Educators Child Abuse Questionnaire in Malaysia.","authors":"Siti Mariam Ja'afar, Azriani Ab Rahman, Wan Nor Arifin","doi":"10.21315/mjms-12-2024-1009","DOIUrl":"10.21315/mjms-12-2024-1009","url":null,"abstract":"<p><strong>Background: </strong>There is an increasing global trend of child abuse, and research into knowledge, attitudes, and intentions towards reporting child abuse among early childcare providers (ECPs) in Malaysia has been limited. There is no existing questionnaire in the Malay language that measures these aspects. Therefore, this study cross-culturally adapted and validated the Early Childhood Educators Child Abuse Questionnaire (ECECAQ) from English into Malay to assess knowledge and attitude towards child abuse and its reporting, as well as intentions to report child abuse among ECPs.</p><p><strong>Methods: </strong>This study comprises two phases. The first phase involved the cross-cultural adaptation of the original ECECAQ into Malay. The second phase, which involved 218 ECPs working in registered preschools in Kelantan, Malaysia, was conducted to validate the Malay version of ECECAQ. Five-point Likert-scaled attitude items were analysed using confirmatory factor analysis (CFA), while dichotomous-scaled knowledge items were analysed using 2-parameter logistic item response theory analysis.</p><p><strong>Results: </strong>The four-factor model for the attitude had a good fit [χ² = 58.7 (48), <i>P</i> = 0.138; standardised root mean square (SRMR) = 0.044; root mean square error of approximation (RMSEA) = 0.033; comparative fit index (CFI) = 0.986; Tucker-Lewis index (TLI) = 0.981], with factor loadings (FLs) ranging from 0.414 to 0.869 and good reliability (Raykov's rho = 0.672 to 0.878). The knowledge had a good range of difficulty and discrimination values, with acceptable reliability (Cronbach's alpha = 0.66).</p><p><strong>Conclusion: </strong>The Malay version of ECECAQ demonstrated good validity and reliability among ECPs in Malaysia.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"122-134"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Personalities of Patients Who Sustained Minor Injuries Attending the Emergency Department in Hospital Universiti Sains Malaysia.","authors":"Bing Chan Shu, Nik Hisamuddin Nik Abdul Rahman, Syaheedatul Iman Dinsuhaimi","doi":"10.21315/mjms-12-2024-943","DOIUrl":"10.21315/mjms-12-2024-943","url":null,"abstract":"<p><strong>Background: </strong>Injuries from road traffic accidents, falls, and other causes are a global health burden. In Malaysia, while mechanical and geographical factors in injuries are well studied, the role of psychosocial aspects, such as personality traits, remains underexplored. This study investigates the influence of personality traits, measured by the Universiti Sains Malaysia Personality Inventory (USMaP-i), on minor injury occurrence among patients at Hospital Universiti Sains Malaysia, focusing on extraversion, neuroticism, openness, agreeableness, and conscientiousness.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 150 adult patients, comparing those with minor injuries to a control group without injuries. The Big Five personality traits were assessed using the USMaP-i, and associations with injury risk were analysed using independent <i>t</i>-tests, Pearson's chi-square tests, and multiple logistic regression (MLR).</p><p><strong>Results: </strong>Significant associations were identified between specific personality traits and injury risk. Higher levels of extraversion were correlated with an increased injury risk, whereas openness demonstrated a protective effect. Gender also played a role, with males showing a 2.8- fold higher likelihood of injury than females. Other traits, such as neuroticism, agreeableness, and conscientiousness, were not significantly associated with injury occurrence.</p><p><strong>Conclusion: </strong>Extraversion and openness significantly influenced the injury risk. The findings of this study enable the development of evidence-based prevention strategies through i) personality-based screening in the emergency department to identify high-risk individuals, particularly those with elevated extraversion scores; ii) targeted safety education programmes addressing trait-specific risk behaviours; and iii) gender-specific interventions focusing on male risk-taking tendencies. These tailored approaches can enhance existing injury prevention frameworks by incorporating psychological and behavioural factors alongside traditional safety measures.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"77-86"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Universiti Sains Malaysia Specialist Hospital Leads in Brain Health: Clinical Neurosciences Mind, Psychological Sciences and Psychiatry.","authors":"Muhammad Ihfaz Ismail, Song Yee Ang, Diana Noma Fitzrol, Zaitun Zakaria","doi":"10.21315/mjms-04-2025-253","DOIUrl":"10.21315/mjms-04-2025-253","url":null,"abstract":"","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"168-177"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco Product Users Among School-Going Adolescents in Malaysia: Prevalence and Associated Factors.","authors":"Kavita Jetly, Aniza Ismail, Noraryana Hassan, Azmawati Mohammed Nawi","doi":"10.21315/mjms-11-2024-907","DOIUrl":"10.21315/mjms-11-2024-907","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use, usually initiated during adolescence, represents a significant public health problem worldwide. This study aimed to determine the prevalence of current users and ever users of tobacco products among adolescents and their associated factors.</p><p><strong>Methods: </strong>This was a cross-sectional study which was conducted among Form 1, Form 2 and Form 4 students in six secondary schools in the Selangor state of Malaysia. A pre-tested and validated self-administered questionnaire was used.</p><p><strong>Results: </strong>A total of 386 adolescents agreed to participate and fulfilled the inclusion criteria, giving a response rate of 89.4%. The prevalence of current users and ever users of all tobacco products was 9.8% and 26.2%, respectively. Vape or e-cigarettes recorded the highest prevalence of current users (8.0%) and ever users (17.4%), followed by cigarette smoking (current users: 3.1%; ever users: 14.0%) and snuff (current users: 2.1%; ever users: 9.6%). Tobacco products that recorded a lower prevalence of current and ever users included cigars, chewing tobacco, and pipe smoking (0.3% to 0.8%). The significant factors for current and ever users of tobacco products usage were Malay ethnicity, males, fathers smoking, peers who smoke, and interaction between gender and ethnicity.</p><p><strong>Conclusion: </strong>In conclusion, about 1 in 10 adolescents were current smokers, and 1 in 4 were ever-smokers. The most popular method of tobacco consumption (current and ever usage) was vaping. Personal, parental, and peer influences were key predictors of smoking, highlighting the need to address them in anti-smoking programmes.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"148-163"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kelulut Honey as an Alternate Source of Carbo-Loading in Abdominal Surgery Involving the Digestive System: A Randomised Blinded Comparative Study.","authors":"Karthik Krishnan, Siti Khatijah Abdul Razak, Mohd Zulkifli Mustafa, Najib Majdi Yaacob, Zalina Zahari, Mohd Shahrulsalam Mohd Shah, Andee Dzulkarnaen Zakaria","doi":"10.21315/mjms-06-2024-419","DOIUrl":"10.21315/mjms-06-2024-419","url":null,"abstract":"<p><strong>Background: </strong>Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care programme aimed at expediting recovery, reducing complications and minimising hospital stay by mitigating the metabolic stress response to surgery. One key shift in ERAS protocols is the replacement of traditional overnight fasting with carbohydrate-loading. Prolonged fasting increases insulin resistance, reduces cellular glucose uptake and glycogen formation, and may lead to hyperglycaemia. While maltodextrin is commonly used for carbohydrate-loading, it has a high glycaemic index and limited nutritional value. Kelulut Honey, a natural product rich in Trehalulose (a low-GI sugar), antioxidants, proteins, and vitamins may serve as a beneficial alternative.</p><p><strong>Methods: </strong>A randomised double-blind controlled trial involving 64 patients was conducted to evaluate the safety and efficacy of Kelulut Honey as a carbohydrate-loading agent in patients undergoing elective intra-abdominal surgery. Participants received either Kelulut Honey or commercial maltodextrin (Carborie^®) according to ERAS protocol. Outcomes assessed included insulin resistance, residual gastric volume (RGV) and post-operative recovery parameters.</p><p><strong>Results: </strong>No significant difference was observed in blood glucose levels between the two groups. Average blood glucose at induction ranged from 5.3 to 5.6 mmol/L, with post-operative levels remaining below 10 mmol/L. Most participants passed flatus within 12 hours post-operatively, with over half ambulating and tolerating clear fluids within the same period. No significant differences were noted between groups in terms of complications, length of stay, pain control, or functional recovery. Intention-to-treat analysis confirmed comparable outcomes across all primary and secondary endpoints.</p><p><strong>Conclusion: </strong>Kelulut Honey is a safe and effective alternative to conventional carbohydrate drinks for pre-operative carbo-loading in abdominal surgery. It supports a modern shift away from the traditional surgical dogma of overnight fasting, with equivalent outcomes in glynaecmic control, RGV, and recovery compared to maltodextrin-based solutions.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"50-63"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Probiotic <i>Streptococcus salivarius</i> K12 Application on Palatal Wound Healing: An in Vivo Study.","authors":"Nissia Ananda, Dwi Ariawan, Vera Julia, Vetnizah Juniantito, Kania Alishaputri Wibisono, Endang Winiati Bachtiar","doi":"10.21315/mjms-09-2024-657","DOIUrl":"10.21315/mjms-09-2024-657","url":null,"abstract":"<p><strong>Background: </strong>Oral and maxillofacial surgeons often deal with skin wounds, where the healing process involves phases such as inflammation and remodelling. Excessive inflammation can disrupt healing, leading to complications such as abnormal scarring and impaired tissue regeneration. Probiotics, especially strains such as <i>Streptococcus salivarius</i> K12, show promise in modulating inflammation and enhancing wound healing. Recent studies have aimed to explore how these probiotics affect inflammatory markers during wound healing, potentially offering new therapeutic benefits.</p><p><strong>Methods: </strong>This quasi-experimental study, conducted in June-July 2023 at IPB (Institut Pertanian Bogor) University's Veterinary Teaching Hospital, included 24 healthy Sprague-Dawley rats. The rats were randomly assigned to two groups: one was treated with <i>Streptococcus salivarius</i> K12, and the other was the control group. The treated group's palatal wounds received <i>Streptococcus salivarius</i> K12, covered with a daily-changed mucosal patch, whereas the control group received only the patch. Four rats per group were sacrificed on days 3, 7, and 14. Wound areas were examined histopathologically, and neutrophil, macrophage, and lymphocyte counts were quantified using ImageJ software. Statistical analysis was conducted using MANOVA and the Tukey HSD test.</p><p><strong>Results: </strong>All inflammatory indicators (neutrophils, macrophages, and lymphocytes) showed significant differences between the control and treated groups, as well as across different necropsy days.</p><p><strong>Conclusions: </strong>The inflammation modulation by the probiotic <i>Streptococcus salivarius</i> K12 contributes to enhanced wound healing. In the treated group, there were higher counts of neutrophils, macrophages, and lymphocytes compared with the control group, with notable variations observed over time.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"23-31"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of Scoring Tool for the Lipid Profile Interpretation in Exercise Training: SLIEX.","authors":"Hashbullah Ismail, Wahidah Tumijan, Mazlifah Omar, Sazzli Shahlan Kasim, Shamshuritawati Sharif, Noor Fatihah Ilias","doi":"10.21315/mjms-11-2024-889","DOIUrl":"10.21315/mjms-11-2024-889","url":null,"abstract":"<p><strong>Background: </strong>Interpreting the effects of exercise is complicated because lipid profiles contain four different markers. Thus, scoring tools are required to aid interpretation of the effects of exercise on lipid profiles. A Scoring tool for Lipid profile Interpretation in EXercise (SLIEX) was designed specifically for use by health professionals to interpret effects of exercise intervention on lipid profiles.</p><p><strong>Methods: </strong>The tool consisted of 18 scores (4 scores for changes pre- and post-intervention, and 14 scores for weightage of changes). This score provides the proportion of improvement in the lipid profile following exercise intervention. Kappa statistics (κ) were used to measure interobserver agreement, and the interclass correlation coefficient (ICC) was used to check the reliability of the scoring tool. One-way ANOVA was used to identify systematic differences between observers using the Statistical Package for the Social Sciences (SPSS) version 28 with statistical significance set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>The summated SLIEX scores for each observer showed no systematic differences [F (2, 69) = 0.09, <i>P</i> = 0.991]. The summated SLIEX scores of the three observers showed significant association and excellent agreement as follows: Observers 1 and 2: ICC = 0.950, 95% confidence interval (CI), 0.889-0.978, <i>P</i> < 0.001; Observers 2 and 3: ICC = 0.993, 95% CI, 0.983-0.997, <i>P</i> = 0.000; Observers 1 and 3: ICC = 0.972, 95% CI, 0.937-0.988, <i>P</i> < 0.01.</p><p><strong>Conclusion: </strong>The SLIEX score is a new and reliable tool designed for health professionals to interpret the effect of exercise intervention on lipid profiles.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"64-76"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Provider's Quality of Information System on User Satisfaction and Perceived Net Benefits in Malaysian Public Hospitals.","authors":"Muhd Siv Azhar Merican Abdullah, Azimatun Noor Aizuddin, Mohd Rizal Abdul Manaf","doi":"10.21315/mjms-12-2024-952","DOIUrl":"10.21315/mjms-12-2024-952","url":null,"abstract":"<p><strong>Background: </strong>Hospital Information Systems (HIS) are pivotal in enhancing decision-making, operational efficiency, and patient care. The quality of the provider-supported HIS, particularly in outsourced settings, critically influences user satisfaction and perceived net benefits. This study investigates the impact of provider quality, including system, service, and information quality, on user satisfaction and perceived net benefits in Malaysian public hospitals. Employing the DeLone and McLean Information System Success Model as a theoretical framework, this study also explores the mediating role of user satisfaction.</p><p><strong>Methods: </strong>Structural Equation Modelling using Analysis of Moment Structures (AMOS) was applied to data from 1,376 respondents across six hospitals.</p><p><strong>Results: </strong>The structural model revealed significant direct effects: system quality (<i>β</i> = 0.480, <i>P</i> < 0.001) and service quality (<i>β</i> = 0.438, <i>P</i> < 0.001) positively impacted user satisfaction, whereas information quality had no significant effect (<i>P</i> = 0.232). Service quality also significantly influenced perceived net benefits (<i>β</i> = 0.135, <i>P</i> < 0.001), as did user satisfaction (<i>β</i> = 0.342, <i>P</i> < 0.001). The indirect effects highlighted user satisfaction as a key mediator, with significant mediation observed for system quality (<i>β</i> = 0.164, <i>P</i> < 0.001) and service quality (<i>β</i> = 0.150, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>This study highlights the critical mediating role of user satisfaction, providing deeper insights into user interactions in healthcare settings. In addition, it offers valuable contributions to understanding how system quality and service quality impact user satisfaction and perceived net benefits, along with practical recommendations for improving HIS.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"108-121"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Discharge Planning on Enhancing Independence in Ischaemic Stroke Patients: A Post-hospitalisation Rehabilitation Approach.","authors":"Upik Rahmi, Lisna Anisa Fitriana, Suci Tuty Putri, Septian Andriyani, Farida Murtiani","doi":"10.21315/mjms-01-2025-027","DOIUrl":"10.21315/mjms-01-2025-027","url":null,"abstract":"<p><strong>Background: </strong>Ischaemic stroke is a leading cause of physical disability, significantly impacting patients' independence in daily activities. The inability to perform basic activities of daily living poses a major challenge for post-stroke patients, affecting their quality of life. Discharge planning is a crucial approach in stroke rehabilitation aimed at enhancing patient independence after hospitalisation. This study evaluated the impact of structured discharge planning on the independence of ischaemic stroke patients.</p><p><strong>Methods: </strong>A quasi-experimental design was employed, with the intervention group receiving discharge planning and the control group receiving no intervention. Patient independence was assessed by applying the Barthel Index, evaluating their ability to perform daily activities before and after the intervention.</p><p><strong>Results: </strong>The intervention significantly improved the independence levels of the participants in the intervention group, as measured by the Barthel Index, with their mean score increasing from 2.8 to 11.3. In comparison, the control group also showed improvement, with the mean score rising from 5.7 to 10.1.</p><p><strong>Conclusion: </strong>Discharge planning effectively enhances the independence of patients with ischaemic stroke. Implementing this programme in hospitals is expected to reduce patient dependency and improve the quality of life.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"99-107"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}