The Implementation Of Patient And Family Education, And Effective Communication In A Hospital At South Sulawesi: An Action Research Study

Background: Frequent phenomena found in hospitals are lack of health education, unclearness medical information delivery, poor communication, or even nurses tried to neglect the importance of health information to patients. To identify problems related to the implementation of effective education and communication in one of hospitals in South Sulawesi Province. Methods: The study used qualitative and quantitative. This action research study involved 30 nurses consisting primary nurses and manager nurses in surgical care room, intesive care room, child care room and internal care room. Problem identification and the implementation is conducted. Analysis of data from the results of the distribution of questionnaires with descriptive statistics, while the results of interviews with content analysis. The questionnaires and interview guidelines were based on the 2012 Hospital Accreditation Rules. Results: Based on interviews and questionnaire distribution, Main problems identified in this study were less education and effective communication for patiens and patiens’ family. Moreover, socialization and provision of standard operational procedure (SOP) for education for patiens and patiens’ family was not available yet. Based on the the problem identification, in-house training for implementation of patiens and patiens’ family education and effective communication were conducted for the nurses.  SOP about giving information and education for patient or patient’s family were made. Conclusion: It was proven that patiens and patiens’ family education and effective communication contributed to improve the quality of health services

Mortality in children under 5: prevalence of congenital malformations and its associated demographic variables

Introduction Congenital malformations (CM) comprise a wide range of abnormalities of body structure or function that are present at birth and are of prenatal origin. It has contributed to a significant proportion of infant morbidity and mortality. The aims of this study were to determine the extent and investigate the relationship between CM and its associated demographic variables. Methods Data was extracted from Ministry of Health (MOH) database compiled from the reports on Stillbirth & Under 5 Mortality from year 2013 to 2014. Results Out of 9,827 child death, 2,840 (28.9%) were classified under CM as defined under ICD-10 classification. Majority of those with CMs died at neonatal stage (62.7%) and among mothers aged between 20 to 35 years old (67.3%). The mean age of mothers among CM children was 30.8±6.5 years old. Approximately 5.8%, 6.7% and 3.3 % of total CM were neural tube defects, heart defects and hydrops fetalis respectively. The prevalence of CM in males was 15% higher than females. The difference were evident between CM and age of death of children under 5 years old (p<0.001) as well as between CM and maternal age groups (p<0.001). Conclusions CM is responsible for 28.9% of total causes of child death with higher occurrence of malformation in males. A significantly higher risk of CMs among mother aged between 20 to 35 years old was observed. This emphasises the importance of raising awareness and the need to strengthen appropriate response for surveillance and prevention program of common CM in Malaysia

Prevalence and factors associated with internet addiction among adolescents in Malaysia: a cross-sectional study

Introduction: Internet is important to university students, especially for medical students who use it to search for literature and relevant information. However, some of the users are experiencing a gradual loss of the ability to reduce the duration and frequency of their internet activities, despite the negative consequences. The literature on internet usage among Malaysian medical students is limited. This study aims to determine the prevalence and factors associated with internet usage among medical students in a public university in Malaysia. Methods: This cross-sectional study was performed among all the medical students (Year 1-5). Students were assessed on their internet activities using the internet addiction questionnaires (IAT). A Multiple Logistic Regression was used for data analysis. Results: The study was conducted among 426 students. The study population consisted of 156 males (36.6%) and 270 females (63.4%). The mean age was 21.6 ±1.5 years. Ethnicity distribution among the students was: Malays (55.6%), Chinese (34.7%), Indians (7.3%) and others (2.3%). According to the IAT, 36.9% of the study sample was addicted to the internet. Using the multivariate logistic regression analysis, we have found that the use of internet access for entertainment purposes (odds ratio [OR] 3.5, 95% confidence interval [CI] 1.05-12.00), male students (OR 1.8, 95% CI 1.01-3.21) and increasing frequency of internet usage were associated with internet addiction (OR 1.4, 95% CI 1.09- 1.67). Conclusion: Internet addiction is a relatively frequent phenomenon among medical students. The predictors of internet addiction were male students using it for surfing and entertainment purposes

Prevalence and Factors Associated with Smartphone Addiction among Adolescents–A Nationwide Study in Malaysia

Smartphone ownership among adolescents is getting common in this decade especially in Malaysia; Adolescent are strongly devoted to their smartphone and this may lead to smartphone addiction. Studies have reported that smartphone addiction has become an emerging social and health problem especially among the youth in many countries however there is lack of study among adolescents in Malaysia. This study aimed to examine the prevalence and factors associated with smartphone addiction among adolescents in Malaysia. This was a cross-sectional study involving adolescents from 15 primary care clinics throughout the country. Respondents were assessed on their smartphone activities using the Malaysian short version of the Smartphone addiction scale (SAS-M-SV). Multiple logistic regression was used to determine the predictors of smartphone addiction among adolescents. The study was conducted among 921 adolescents with 49.6% male (n = 457). The mean age of adolescents was 16.4 ± 2.4 years. The ethnicity distribution were 74.6% Malay, 7.3% Chinese, 4.7% Indian and 13.4% other ethnicities. The prevalence of smartphone addiction was 37.1% (342/921); 37.4% in male and 36.9% in female. Based on multiple logistic regression analysis, longer duration of smartphone use per week was associated with higher odds of smartphone addiction among adolescent (odd ratio = 1.005%, 95% confidence interval = 1.000–1.009, p-value = 0.039). Smartphone addiction is present in nearly four in ten adolescents in Malaysia. Adolescents who spend longer duration in smartphone usage per week were associated with higher odds of having smartphone addiction. Parents should be more alert and vigilant about this finding. Hence, parents should limit their children from spending too much of time with smartphone in order to prevent their children from getting smartphone addiction

Prevalence and Factors Associated with Smartphone Addiction Among Adolescents-A Nationwide Study in Malaysia

Smartphone ownership among adolescents is getting common in this decade especially in Malaysia; Adolescent are strongly devoted to their smartphone and this may lead to smartphone addiction. Studies have reported that smartphone addiction has become an emerging social and health problem especially among the youth in many countries however there is lack of study among adolescents in Malaysia. This study aimed to examine the prevalence and factors associated with smartphone addiction among adolescents in Malaysia. This was a cross-sectional study involving adolescents from 15 primary care clinics throughout the country. Respondents were assessed on their smartphone activities using the Malaysian short version of the Smartphone addiction scale (SAS-M-SV). Multiple logistic regression was used to determine the predictors of smartphone addiction among adolescents. The study was conducted among 921 adolescents with 49.6% male (n = 457). The mean age of adolescents was 16.4 ± 2.4 years. The ethnicity distribution were 74.6% Malay, 7.3% Chinese, 4.7% Indian and 13.4% other ethnicities. The prevalence of smartphone addiction was 37.1% (342/921); 37.4% in male and 36.9% in female. Based on multiple logistic regression analysis, longer duration of smartphone use per week was associated with higher odds of smartphone addiction among adolescent (odd ratio = 1.005%, 95% confidence interval = 1.000–1.009, p-value = 0.039). Smartphone addiction is present in nearly four in ten adolescents in Malaysia. Adolescents who spend longer duration in smartphone usage per week were associated with higher odds of having smartphone addiction. Parents should be more alert and vigilant about this finding. Hence, parents should limit their children from spending too much of time with smartphone in order to prevent their children from getting smartphone addiction

Prevalence and factors associated with internet addiction among adolescents in Malaysia : a cross-sectional study

Background: Internet addiction (IA) among adolescents has become an important health problem due to its association with many negative consequences if not prevented early. However, there were no data on IA among adolescents in Malaysia. Aim: The objective of this study was to determine the prevalence and factors associated with IA among adolescents aged 10 to 19 years of age in Malaysia. Methods: A cross-sectional study was done in 15 primary care clinics throughout Malaysia using the validated Malay version of the Internet Addiction Test. A standardized, self-administered questionnaire on socio-demographic data and questions assessing IA were given to the participants. Data analyses were done using Statistical Package for Social Sciences (SPSS) 21. The findings were described in terms of frequencies, percentages, means, and standard deviations. The association between socio-demographic factors and IA was determined by using univariate analysis. Multivariate logistic regressions were used to identify predictors of IA Results: A total of 921 participants were included in this study. The male population was 49.5% (n=456), with a mean age of 16.38±2.38 years. The prevalence of internet addiction was 56.4% (n=519). The significant predictors of internet addiction were age, mother's high education level, and having a smartphone. Conclusion: This study showed that there is a high prevalence of internet addiction among adolescents in Malaysia