The Effectiveness Of Telemonitoring In Treatment Adherence Cardiovascular Disease: A Systematic Review

Background. Cardiovascular disease is one of the leading causes of death in the world. The most important things as a determinant of success in the prevention of risk factors, controlling symptoms, delay the progression of the disease and prevent hospitalization in patients with cardiovascular disease are patients adherence to therapeutic regimens. Non-adherence to long-term therapy is still a global problem especially in chronic diseases such as cardiovascular disease. This requires the development of easy interventions, and can be applied in everyday practice. Methods: Systematic review consists of 5 steps: (1) identification of the instrument in the literature (database search); (2) identification of relevant literature based on the title and abstract; (3) inclusion and exclusion criteria; (4) obtain full text of the literature; (5) grading is based on components of the literature and analysis of the selected instrument. Search articles using the PICOT framework in the database; Ebscho, Science Direct, Elseiver, Sage Journals, Scopus, ProQuest, Journal Ners, limited to the last 7 years, 2010 to 2017 obtained 15 International Journal. Results: The magnitude and significant of telemonitoring effect on adherence in patient with cardiovascular disease. Conclusion: intervention with SMS system combined with smartphone gives good result in adherence patients with cardiovascular disease

Information Technology-Based Interventions for Health Care Support in Patients with Chronic Kidney Disease: A Systematic Review

Background: Self-management and support in managing therapeutic regimens is very important for patients with CKD. Information technology-based interventions are increasingly being used to support the self-management of patients with CKD. This study aimed to conduct a systematic review to evaluate information technology-based interventions in relation to the support of the health management of patients with CKD. Method: We conducted a systematic review using electronic databases (Scopus, Science Direct, ProQuest) limited to the last 8 years from 2010 to 2018 with the relevant keywords. The studies included used RCT, pilot and case-control methods focusing on patients with CKD stage 1-5 and that reported on at least one outcome from the health management of patients with CKD. Out of the 7.852 studies taken, 13 studies fulfilled the inclusion criteria. Result: The interventions in this systematic review are multifaceted, including smartphone/PDA (6/13), telematics devices (2/13), internet/web (3/13) and a combination of several interventions (2 studies). In total, 12 (92%) out of the 13 studies showed a positive outcome from the intervention, 7 studies showed improved outcomes in the clinical points, 3 studies had improved adherence and 2 studies improved knowledge. Conclusion: This evidence indicates the potential of IT-based interventions (i.e. smartphone/PDA, computer, internet/web, telematic device) to support the health management of patients with CKD. The variety of interventions in this systematic review requires further research on which interventions are best applied

Regulation Of Blood Sugar Through Psycological Control To Type-2 DM: A Systematic Review

Background: Diabetes mellitus (DM) is a metabolic disease with characteristic hyperglycemia resulting from impaired insulin secretion, insulin action or both. Based on the etiology of diabetes mellitus can be classified into four types, namely types 1, 2, types and gestational diabetes (American Diabetes Association (ADA), 2012), Results of the study showed that prevalensi diabetes is increasing dramatically worldwide. The negative effects of physiological stress and emotional on blood glucose control has been described can be overcome with a mind-body therapy, such as meditation, yoga, qi-gong, and other relaxation techniques, which had previously been studied in the treatment of diabetes as a means of reducing the stress associated with hyperglycemia. Methods: Search articles through database: Scopus, Proquest, ScienceDirect, and PubMed. The year limit used is 10 years (year 2007 -2016). Results: There are fifteen selected journal articles from 14,487 journal articles found. Conclusions: This systematic review generally recommends intervention with mindfullness gives good result in glucose cotrol patients with diabetes mellitus. However, it should be done more and more research by using RCT with good preparation and cooperation with all elements in the implementation and implementation of the progra

The Relationship of Individual Characteristics and Implementation of Discharge Planning with Compliance Level of Patients with Chronic Kidney Disease

The purpose of this study was to determine the relationship between individual characteristics and discharge planning implementation with the compliance level of chronic kidney disease patients undergoing hemodialysis.A cross sectional designduring July - September 2020 with 105 respondents using simple random sampling. The independent variables were individual characteristics and implementation of discharge planning and the dependent variable was adherence.Data were collected using a questionnaire that was tested for validity and reliability, then data were analyzed using Chi Square test with a significance value P <0.05. Respondents with the highest adherence were women (88.9%; P = 0.015), age range 46 - 55 years (87.8%; P = 0.033), married status (81.1%; 0.031), working (89.5%; P = 0.028), Secondary education level (84.2%; P = 0.043), good knowledge (85.1%; P = 0.026), long hemodialysis> 5 years (93.3%; P = 0.016) and had a history of diabetes mellitus (90.9%; P = 0.035).The discharge planning element also has significant relation (all P <0.05), including sufficient medication (90.0%), a good environment (88.9%), good treatment (100.0%), good health teaching (87.0%), good outpatient referral (100.0%) and good diet (86.7). The level of compliance of hemodialysis patients is very important to improve the quality of life of patients, patient compliance is influenced by the demographic characteristics of the individual and discharge planning in the hospital

Automatic reminder for fluids management on confidence and compliance with fluid restrictions in hemodialysis patients

Discharge planning has not been able to increase confidence and fluid restriction adherence in endstage renal failure patients undergoing hemodialysis. This study aimed to develop an application of discharge planning with automatic reminder of fluid management to improve fluid restriction adherence in hemodialysis patients. Research and development with the first stage was developing an application prototype by evaluating hemodialysis patients' issues through interviews and questionnaires of 115 respondents. Focus group discussions with health professionals and expert discussions were conducted after data collecting. Second stage was a quasiexperimental study with 30 respondents in each group using simple random sampling. Research analysis used MANOVA test. The development of a prototype consisted of pooling intake, pooling output, fluid control log, education, setting and automatic fluid monitoring reminder. The results of interviews with the target users showed that the app was feasible. The effect of interventions on beliefs (perceived threat, perceived benefit, perceived barrier, and self-efficacy) with p = 0.001, fluid restriction compliance and IDWG p = 0.001 after the intervention using the development of discharge planning with automatic reminder app. Development of discharge planning with automatic reminder of fluid management consists of several menus and the main feature was an automatic fluid monitoring reminder. This app can increase self-confidence in fluid restriction and adherence in patients undergoing hemodialysis. © Advanced Scientific Research. All rights reserved

Perbandingan Penggunaan Baby Walker Dan Mentatih Terhadap Perkembangan Motorik Kasar Pada Anak Usia 10-12 Bulan: Penelitian Studi Komparatif Di Wilayah Posyandu Desa Ngoro Kabupaten Jombang

Gross motor is a part of motor development that involve a great deal part of body which is done by the ampler of muscle. There are some factor that can influence gross motor development, one other thing is stimulation. Some alternatives which often used to stimulate the development of children are baby walker and toddle. The objective of this study was to identify comparison of gross motor development between the child who use baby walker and toddle along. Design used in this study was comparative study with non probability sampling (purposive sampling). The population was all children which the age between 10-12 month in the region of Posyandu Ngoro-Jombang. Sample consist of 12 respondents used baby walker and 10 respondents used toddle. The sample was taken according to inclusion criteria. Data were collected with observational paper and analyzed by using Fisher’s Exact Test with the significant level ≤ 0,05. The statistic result showed that there were differences of gross motor development between baby walker’s group and toddle’s group (p = 0,036). It can be concluded that toddle is better than baby walker to stimulate gross motor development in infant. Further studies are recommended of the respondents to use alternative way to stimulate gross motor development in infant

PENGEMBANGAN DISCHARGE PLANNING DENGAN AUTOMATIC REMINDER PENGELOLAAN CAIRAN TERHADAP KEYAKINAN DAN KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN YANG MENJALANI HEMODIALISIS

Latar Belakang: Discharge planning yang selama ini dilakukan perawat belum mampu meningkatkan keyakinan dan kepatuhan pembatasan cairan pada pasien yang menjalani hemodialisis. Penelitian ini bertujuan mengembangkan aplikasi discharge planning dengan automatic reminder pengelolaan cairan terhadap keyakinan dan kepatuhan pembatasan cairan pada pasien yang menjalani hemodialysis. Metode: penelitian ini menggunakan metode R&D yang terdiri dari 2 tahap. Tahap pertama adalah pembuatan prototype aplikasi melalui: 1. Evaluasi pada pasien hemodialisis untuk menemukan isu strategis melalui wawancara dan kuesioner: 2. Pengembangan dan pemetaan konten prototype melalui Fokus grup diskusi bersama professional kesehatan dan diskusi pakar. Evaluasi dan diskusi menggunakan teknik simple random sampling dan didapatkan 115 responden. Tahap 2 adalah ujicoba pengembangan aplikasi dengan metode Quasy experimental dengan besar sampel 30 kelompok perlakuan dan 31 kelompok kontrol. Pengambilan sampel menggunakan metode simple random sampling pada responden yang memenuhi kriteria inklusi. Hasil dan analisis: tahap 1 berupa sistem prototype meliputi beberapa menu utama dan fitur utama sebuah pengingat otomatis sebagai isyarat pendorong ntuk melakukan pengelolaan cairan, menu dalam aplikasi meliputi pooling intake, pooling output cairan, catatan harian untuk berat badan dan tekanan darah pasien saat kontrol hemodialisis, pengaturan aplikasi, menu informasi kesehatan untuk pasien yang menjalani hemodialisis. Pada tahap 2 menggunakan uji manova, menunjukkan terdapat pengaruh intervensi terhadap keyakinan (perceived threat, perceived benefit, perceived barrier, dan self efikasi. Terdapat perbedaan nilai keyakinan p 0.001 (p<0.005 kepatuhan pembatasan cairan dan nilai IDWG p 0.001 (p<0.005) sebelum dan setelah intervensi menggunakan aplikasi pengembangan discharge planning dengan automatic reminder pengelolaan cairan. Kesimpulan: aplikasi pengembangan discharge planning dengan automatic reminder pengelolaan cairan dapat meningkatkan keyakinan dan kepatuhan pembatasan cairan pada pasien yang menjalani hemodialysis