Healthcare in Low-resource Settings最新文献

{"title":"Self-consciousness of type 2 diabetes mellitus patients","authors":"D. A. Kurnia, P. Soewondo, D. Irawaty, J. Umar, D. Dahlia","doi":"10.4081/hls.2024.12852","DOIUrl":"https://doi.org/10.4081/hls.2024.12852","url":null,"abstract":"The characteristics of self-consciousness of people with diabetes mellitus are determined by knowledge about diabetes mellitus, the signs and symptoms of acute and chronic complications, and the side effects of diabetes treatment. Knowledge plays an important role in the consciousness of behavioural change and diabetes self-management skills. People with diabetes recognize diabetes when they have experienced chronic complications, both macrovascular and microvascular. The study aims to explore how diabetics manage their chronic problems and their daily lives through a qualitative description of the experiences of 20 diabetes patients. This study used a descriptive-qualitative method, conducted a semi-structured interview, then transcribed and uploaded it into manual coding for analysis. Respondents were recruited from one of the community health centres in Jakarta, Indonesia. The themes were i) “Realizing diabetes is a  health problems that cannot be resolved alone”, paying attention to body signs becomes the beginning of self-consciousness; ii) “Coping with diabetes requires self-consciousness”, having adequate knowledge and growing personally with healthcare providers about early diabetes can prevent chronic complications. This study provides implications that self-consciousness greatly affects the self-management of diabetic patients in the long term.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"18 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802986","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":"Anxiety among nurses in caring for COVID-19 patients: a qualitative study","authors":"Sri Eka Wahyuni, B. Keliat, Herni Susanti, B. Besral","doi":"10.4081/hls.2024.12850","DOIUrl":"https://doi.org/10.4081/hls.2024.12850","url":null,"abstract":"This study aimed to explore anxiety among nurses in caring for Coronavirus Disease 2019 (COVID-19) patients.A qualitative descriptive design was used and the number of participants was 13 nurse managers selected using the purposive sampling method. Data collection was conducted using in-depth interviews coupled with a tape recorder and camera following the consent of participants, while framework analysis was used to analyze data.The results showed that participants, comprising 12 females and one male, had work duration in the range of 1-10 years. The identified five major themes included: i) anxiety response, ii) risk factor, iii) protective factor, iv) interventions, and v) anticipated support from nurses.Nurses were found to experience anxiety when caring for COVID-19 patients, underscoring the need for mental health and psychosocial support to reduce risk factors, increase protective factors, and improve coping mechanisms, fostering resilience. The results provided data to help nurses overcome anxiety when facing cases of infection such as the COVID-19 pandemic. Furthermore, this study offered valuable insights for the government and hospitals in establishing policies regarding the importance of mental and psychological health support to maintain the well-being of nurses.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"53 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141804801","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":"Risks associated with laser radiation reflections in a healthcare environment: a surface reflectance study in the range 250 nm – 25 μm","authors":"G. Insero, Luca Mercatelli, Cristina Cimmino, Roberto Gaetano Donato, G. Romano, Franco Fusi, Andrea Guasti","doi":"10.4081/hls.2024.12802","DOIUrl":"https://doi.org/10.4081/hls.2024.12802","url":null,"abstract":"Biomedical applications relying on optical radiation, particularly with the advent of lasers, have experienced exponential growth in the last 20 years. Powerful optical sources are now found not only in universities, hospitals, and industries but also in beauty centers, used for tasks such as tattoo removal, and even in our homes. Despite their widespread use, managing the risks associated with lasers, particularly in non-research contexts, has not kept pace with their proliferation. While the risks associated with direct exposure to radiation to the eye and skin are relatively well understood, the hazards posed by reflected and diffuse radiation remain less characterized and monitored. Therefore, there is a critical need to assess potential eye and skin hazards in spaces where lasers and non-coherent light sources are used. This necessitates a detailed analysis of reflective surfaces, with particular emphasis on evaluating their reflectance characteristics at relevant wavelength ranges. This study investigates the reflectance and transmittance (where relevant) properties of commonly used materials in biomedical settings, including fabrics, plastics, and metals, across a broad spectrum from 250 nm (UVA) to visible light and into the infrared (IR) region up to 25 μm. Both specular (at 45° incidence) and diffuse reflectance spectra were measured using spectrophotometric techniques and used to provide a straightforward parameter to classify the specular/diffusive behavior of the different surfaces. Besides, small-angle reflectance measurements in the IR range were performed by Fourier transform infrared spectrometry. The knowledge of the material optical properties used in environments where optical radiation is employed allows for accurate assessment of associated risks. This facilitates the determination of appropriate preventive measures and the establishment of safer protocols, for both operators and, where applicable, patients and the general public. For this scope, the creation of a database of material reflective properties has been initiated.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"39 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805252","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 effect of spiritual emotional freedom technique impact to pain in cervical cancer post-chemoradiation: a review article","authors":"Hamidah Hamidah, Syahrul Rauf, S. Arifuddin, Andi Muhammad Takdir Musba, P. Prihantono, N. Pelupessy, Irfan Idris, Agussalim Bukhari, Adriani Qanitha, Fatimah Fatimah, Elli Hidayati, T. P. A. Permatasari","doi":"10.4081/hls.2024.12189","DOIUrl":"https://doi.org/10.4081/hls.2024.12189","url":null,"abstract":"Chronic pain that is subjective is experienced by patients with advanced cervical cancer. Simple movements are used in spiritual emotional freedom technique (SEFT) therapy, a therapeutic approach that improves performance and achievement, addresses psychological and physical pain issues, and promotes happiness and serenity in life. In this systematic review study, we evaluate how SEFT affects patients with cervical cancer who have had chemotherapy and radiation treatment. Using databases from 2003 to 2023, including Google Scholar, PubMed, ScienceDirect, PsycINFO, and Ovid, this study employs a systematic review methodology. The keywords “spiritual emotional freedom technique (SEFT)”, “emotional freedom technique (EFT)”, and “cervical cancer” form the basis of the search strategy. Experiments and observational studies with a minimum sample size of two participants involving patients with cervical cancer meet the inclusion criteria. The results show that among patients with post-chemoradiation cervical cancer, SEFT therapy is beneficial in lowering pain, stress, and depression. Cancer patients who experience pain may see a reduction in their quality of life as well as physical health issues. Cervical cancer patients can experience marked improvements in their pain, stress, and depression when the SEFT therapy theory is applied.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"15 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815854","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":"Enhancing the knowledge and skills of health cadres and mothers to prevent developmental disorders through stimulation interventions","authors":"Ningsih Jaya, Ambo Dalle, Sri Anggriani","doi":"10.4081/hls.2024.11966","DOIUrl":"https://doi.org/10.4081/hls.2024.11966","url":null,"abstract":"The golden age of toddlerhood is a crucial time for growth and development that requires special attention. Failure to support children during this time can cause developmental issues that affect their future growth. This study examined whether toddler growth and development interventions prevent developmental disorders. This pre-experimental study used a one-group pre-test/post-test design. The proportional random sample included 70 participants. The respondents’ age, occupation, education, use of toddler growth and development stimulation interventions, and health cadres’ and mothers’ knowledge and skills were variables. Data were analyzed using Wilcoxon and Mann-Whitney. There was a significant increase in health cadres and mothers’ knowledge and skills for promoting toddler growth and preventing developmental disorders (P=0.000<0.05). Effective toddler growth and development interventions improve health cadres and mothers’ knowledge and skills, preventing developmental disorders in toddlers. These findings suggest that targeted educational programs for health cadres and mothers may reduce developmental disorders and promote healthier growth trajectories for children.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816419","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 effectiveness of risperidone on PANSS score and IL-6 in confirmed COVID-19 schizophrenic patients","authors":"Sonny T. Lisal, Hawaidah Hawaidah, Dessy Natalia, A. Seweng, Yuyun Widaningsih, Erlyn Limoa, S. Syamsuddin","doi":"10.4081/hls.2024.12723","DOIUrl":"https://doi.org/10.4081/hls.2024.12723","url":null,"abstract":"The study aimed to determine the efficacy of risperidone on PANSS scores and Interleukin 6 (IL-6) levels in schizophrenia patients with confirmed COVID-19. The study type was analytical observational, with a prospective cohort design. The subjects included inpatient Schizophrenia patients with and without COVID-19, mild-moderate and asymptomatic COVID-19, and schizophrenic patients without COVID-19 who were hospitalized and met the inclusion and exclusion criteria, for a total of 22 subjects in each group. The Positive and Negative Syndrome Scale (PANSS) and Elisa Interleukin 6 (IL-6) serum were sampled consecutively for this study. In the positive covid-19 group, the Mean IL-6 Post was significantly lower than Pre (23.0 vs. 26.1, p<0.001), while in the control group, the Mean IL-6 Post (four weeks) was significantly lower than Pre (baseline), with 19.3 vs. 21.0 (p<0.001). Serum IL-6 levels appeared to be an effective prognostic biomarker in COVID-19 patients. The 35 pg/mL cut-off point could distinguish mild-moderate patients from more severe ones. We discovered that schizophrenia patients with verified positive COVID-19 received COVID-19 therapy in the form of a combination of antipsychotic and antivirals had IL-6 levels lower than 35 pg/mL, indicating the role of antipsychotic (risperidone) and antiviral in reducing IL-6 levels.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"36 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816788","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":"Exploring the relationship between maternal parenting styles and stunting prevention behaviors in children aged 3-5 years","authors":"Arum Dwi Ningsih, E. Yuswatiningsih, Dwi Prasetyaningati","doi":"10.4081/hls.2024.12054","DOIUrl":"https://doi.org/10.4081/hls.2024.12054","url":null,"abstract":"Indonesia, as a developing country, continues to grapple with various nutritional challenges, with stunting among toddlers being a significant concern. According to Nutritional Status Monitoring data from the past three years, stunting has the highest prevalence compared to other issues such as undernutrition, underweight, and obesity. Stunting reflects inhibited growth owing to insufficient nutrient intake. This study aimed to analyze the relationship between parenting styles and behaviors aimed at preventing stunting in children aged 3-5 years. Employing a correlational analysis with a cross-sectional research design, the study surveyed 128 respondents. Maternal parenting styles were assessed using questionnaires with parameters for authoritarian, democratic, and permissive approaches, while stunting prevention behaviors were evaluated using questionnaires covering cognitive, affective, and conative aspects. Analysis revealed that most respondents exhibited a democratic parenting style (52 respondents, 41%), and most demonstrated good stunting prevention behaviors (58 respondents, 45%). The Spearman test yielded a p-value of 0.000, indicating a significant relationship. Therefore, enhancing parents' understanding of proper parenting practices is crucial for preventing stunting in children aged 3-5 years.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":" 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141826931","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":"Relationship between peer conformity and reproductive health maintenance behaviours among early adolescent girls in Islamic boarding schools","authors":"Peni Perdani Juliningrum, Lantin Sulistyorini, Layinatul Qoriah, Ira Rahmawati, Nuning Dwi Merina","doi":"10.4081/hls.2024.11993","DOIUrl":"https://doi.org/10.4081/hls.2024.11993","url":null,"abstract":"Reproductive health problems are often experienced by early adolescents who live in Islamic boarding schools because Islamic boarding schools have a higher population density and interpersonal contact than other schools. In the early adolescent years, there is a tendency in terms of a solid urge to behave like peers, so conformity quickly occurs when adolescents adopt reproductive health care behaviours. This study aimed to determine the relationship between peer conformity and reproductive health maintenance behaviour of early adolescent girls at Islamic boarding schools. This study used a correlational research design with a cross-sectional approach and a purposive sampling technique conducted on 165 early adolescents. The analytical method used for this study was univariate and bivariate analysis tests, in bivariate tests using the Pearson test processed with the Statistical Package for Social Sciences (SPSS) program. The analysis showed that all early adolescents (100%) had a history of vaginal discharge. The results of the bivariate test showed a value of p=0.0001. The level of reproductive health maintenance behaviour is determined by the extent to which conformity occurs in adolescents. Conformity that occurs can affect and change one's perceptions and behaviour.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"1 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640744","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":"Enhancing self-care in elderly patients: the impact of WhatsApp reminder messages at the Heart and Vascular Center","authors":"Hidayatus Sya’diyah, Dewi Purnama Sarira, Diyan Mutyah, A. Mayasari, Sukma Ayu Candra Kirana","doi":"10.4081/hls.2024.11752","DOIUrl":"https://doi.org/10.4081/hls.2024.11752","url":null,"abstract":"The importance of reminder messages lies in improving self-care among heart disease patients. At the Heart and Vascular Center, many patients, both those under ongoing care and those recently treated, do not consistently engage in self-care activities. Reminder messages can encourage adherence to medication regimens. This study aimed to investigate the effectiveness of WhatsApp reminder messages on the self-care of elderly patients at the Heart and Vascular Center. The research employed a quasi-experimental design with a two-group pre- and post-test control design. Using a probability sampling technique with simple random sampling, the study required 16 new patients in each group. The instrument used was the Self-Care Heart Failure Index (SCHFI) questionnaire, consisting of 22 questions. Data analysis was performed using the Mann-Whitney test. The results indicated that WhatsApp reminder messages are effective in enhancing patient self-care at the Heart and Vascular Center at Premier Hospital Surabaya (p-value<0.001). The Mann-Whitney test results post-intervention showed a p-value of 0.013, confirming the effectiveness of WhatsApp reminder messages in improving self-care among patients. This study demonstrated a significant positive influence of WhatsApp reminder messages on the self-care of elderly patients at the Heart and Vascular Center. These messages are an effective tool for improving patient self-care practices at Premier Hospital Surabaya.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"11 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640545","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 birth weight and length: an analysis of the 2020 mothers' cohort register data","authors":"G. P. Mulyo, Denira Kusuma Putri, Aryani Sudja, Yenny Moviana, Mulus Gumilar, Umi Nurhidayah, Nitta Isdiany","doi":"10.4081/hls.2024.11979","DOIUrl":"https://doi.org/10.4081/hls.2024.11979","url":null,"abstract":"A woman's nutritional status significantly impacts the qualities of the baby she delivers, as assessed by the baby's weight and length at birth. This study aimed to identify factors influencing birth weight and length using a retrospective case-control design with secondary data collected from the mothers' cohort register at the Community Health Center in 2020-2021. The study included 100 samples, comprising 25 cases and 75 controls. Several determinants of birth weight and length were examined: the mother's age (OR=4.1, 95% CI 1.41-12.0), weight gain during pregnancy (OR=3.6, 95% CI 1.051-12.553), mid-upper arm circumference (OR=2.9, 95% CI 1.061-8.220), hemoglobin level (OR=4.711, 95% CI 1.57-14.11), and iron supplement intake (OR=1.837, 95% CI 0.600-5.624), with hemoglobin level identified as the most influential factor on birth qualities. Mothers with less than normal hemoglobin levels have a 4.7 times higher risk of delivering babies of lower weight and length than mothers with normal hemoglobin levels. The impact of low hemoglobin in pregnant women includes reduced oxygen supply for both the mother and fetus, resulting in low birth weight, child anemia, premature birth, and child mortality. Given these significant effects, it is crucial to establish standards for health services in Indonesia, ensuring that pregnant women with low hemoglobin receive comprehensive care aligned with Indonesia's Sustainable Development Goals (SDGs) standards.","PeriodicalId":507714,"journal":{"name":"Healthcare in Low-resource Settings","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141646886","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}