Meninjau persepsi pelajar kejururawatan ijazah tahun akhir dl Universiti Sains Malaysia terhadap pengajaran klinikal yang berkesan

Clinical teaching is one of the most important parts in nursmg education. Unfortunately. there is still no convincing way to name which aspects is the most important in the contribution to the effectiveness of clinical teaching. So. the aim of this study is to survey students' perception on effective aspects of clinical teaching. This cross-sectional study involved 35 final year nursing students of University Science of Malaysia (USM). chose by purposeful sampling. Mean age of respondent is 22.5 which range from 22-23 years old. Questionnaire distributed was using 3 point Likert Scale to review students' perception on the topic. The result shows that the most important aspect is the characteristic of clinical instructor (2.67±0.34). follo\ved by clinical environment (2.65±0.23) and teaching strategy (2.24±0.31 ). For clinical instructor aspect. respondents feel that 'respect of students' right and dignity' is the most important criteria while in clinical environment aspect. 'support and guidance from the clinical staff' is considered as the most important one. The most important teaching strategy chose by the respondents is 'demonstration for the first time in clinical area'. In conclusion, facts on students' perception on the important aspects in clinical teaching should also be considered as one of enhancement material in nursing education in future for the sake of the effectiveness of clinical teaching and learning

Report(RIGS15-088-0088): Quality of life assessment in head and neck cancer survivors: a follow-up study in East Coast Of Malaysia

Introduction: Head and neck cancer is the fifth most common cancer in Malaysia. Head and neck cancer survivors have potential negative effects of the tumour itself and its treatment on various functions such as swallowing, speaking, tasting, and smiling as well as on their appearance which will affect their quality of life. It also may lead to facial deformities or permanent changes in speech and expression which can effect social and emotional. Studies conclude that the complications after chemo-radiotherapy effect head and neck cancer survivor physically, psychologically and emotionally. Despite all the issues, quality of life of treatable head and neck cancer patients is unknown. Aim: This study aims to measure the quality of life of treatable head and neck cancer patients before treatment and after 6 months of treatment. Methods: In this study, a cohort study will be employed to fundamentally look into the actual situation of the head and neck cancer survivors’ quality of life. The sample will be those from Ear, Nose & Throat (ENT) clinic and dental clinic of 2 hospitals in East Coast Malaysia. Survey was done before and after 6 months of treatment using questionnaire quality-of-life cancer SURVIVOR (QOL-CS) and Quality-of-Life-Questionnaire-Head & Neck 35 (QLQ-H&N35). Semi-structured interview will be done by using recorder tape in each visit. Results: The mean age of cancer detection was at 53 years, male (65%), married (85%) and squamous cell carcinoma being the most common (80%). Pharynx/ larynx were the most common site of tumour (50%) and surgeries were the most common treatment modality (75%). The mean score of QOL for HNC patient’s post-treatments is 4.84, which is significantly lower than pre-treatments score (6.22). Mean symptoms score for post-treatments is 1.25, lower than pre-treatments score (1.58). Patients experienced substantial decrease in amount of pain killer consumed during post-treatments. In terms of Quality of life of head and neck cancer patients were at medium level but reducing; mean score 6.22 before treatment and 4.84 after treatment. Analysis showed only health history (p-value=0.011<0.05; (p-value=0.012<0.05) was directly significant with the quality of life of HNC patients before and after the treatment. Post-treatment showed only marital status (p-value=0.000<0.05) factor associated with quality of life of HNC patients after the treatment. Conclusion: Quality of life of the patient may reduce after treatment (medium level) and it could be due to underlying illnesses, the effect of other treatment or due to the advancement of cancer

Head and neck cancer patients’ quality of life: A conceptual analysis

Background of study: Treatment for head and neck cancer (HNC) may result in a variety of long-term consequences that might impair health-related quality of life (HRQOL). The aim of this study was to systematically review recent literatures on the quality of life HNC patients with a focus on physical and psychological issues and changes in the literature from the previous studies. Methods: A systematic literature search was completed in PubMed, Medline, Science Direct, CINAHL and Google Scholar by means of combined search terms ‘head and neck cancer’, ‘quality of life’, ‘health related quality of life’ and ‘association between quality of life and head and cancer’. The review was restricted to full articles published in English, bio-medical journals (2000 to 2016). Only studies analyzed QOL using questionnaires European Organization for Research and Treatment of Cancer (EORTC) QLQ C 30 and EORTC QLQ H and N 35 were included. Studies related to validation of the questionnaire and purely psychological studies were excluded. Results: The initial search yield 7050 original articles of which access to QOL of treatable HNC using EORTC questionnaire was 116. After considering the predetermined criteria, remaining 11 articles were included. These selected studies have revealed the enormous impact of HNC on survivors’ QOL. Although the global QOL of HNC cancer survivors recovered after treatment, problems with physical and psychological functioning may persist. Conclusion: A Further high-quality study was required to develop appropriate and effective interventions in this population and develop programs that are aimed at maximizing rehabilitation outcomes

Quality of life in pre- and post-treatment among head and neck cancer survivors at a tertiary centre, Malaysia

Background: Treatment for head and neck cancer (HNC) may result in a variety of long term consequences that impair their health and quality of life (QoL). HNC patients often are prone to have a poor health related QoL due to significant changes in vital functions. Despite researches being done in the area cancer survivors’ QoL internationally, those done locally were relatively scares and not clear. The study aim to determine and compares the pre and post treatments QoL in HNC patients. Methods: A cohort study was carried out to recruit 81 newly diagnosed HNC patients purposively; pre and six months post treatment using QoL Cancer Survivor and Questionnaire-Head &Neck 35 questionnaires. .Data was analyzed for descriptive and inferential analysis. Results: A total of 40 (50%) patients participated and the result shows that QoL of HNC patients were at medium level (6.22 ± 1.8) pre-treatment, and however reduced (4.84 ± 1.16) at 6 months post treatment), despite the symptoms or problems that occur reduced post treatment compared (1.58 ± 1.25). The Pearson coefficient correlation test result shows that QoL of HNC patients pre and post treatment were strong but negatively correlated (r = -0.447, p = 0.002). Conclusion: Understanding of QoL and affecting factors in HNC patients’ QoL is very crucial as it may potentially assist in designing interventions that lessen the adverse impact of this disease process and more accurately support those in active treatment, survivors, and caregivers

Socio-demographic factors and quality of life of head and neck cancer patients before and after treatment in the East Coast of Malaysia

Objective: This study aimed to determine the association of socio-demographic factors and quality of life (QOL) of HNC survivors before and after treatment in Malaysia. Methods: 40 HNC patients were recruited, and assessed for their with QOL with Life Cancer Survivor (QLQ-CS) Head & Neck 35 (QLQ-H&N35) questionnaire pre-treatment and six months post-treatment. One way analysis of variance (ANOVA) and paired t-test were done to analyse the data. Results: The result shows that the QOL of HNC patients were at medium level (total mean score M= 6.22) before treatment, and reduced (total mean score M= 4.84) at 6 months after treatment) . Only health history was seen significantly associated with QOL of HNC patients, both pre and post-treatment. Post treatment showed only marital status factor associated with QOL of HNC patients. The paired sample t-test result shows that the symptoms /problem pre- treatment (M = 255.10, SD = 20.405 )was lower than post treatment (M = 201.80, SD = 22.025)(t (49) = 9.337; p =0.001). Conclusions: The present research suggested that the patients’ QOL is reduced after treatment (medium level). This could be due to the advancement of the cancer and evidence when the health history and symptoms found significantly associated with the QOL. Thus, socio-demographic factors is very crucial factors that must be considered during patients’ assessment in improving patients’ care and optimum QOL pre and post treatment

Quality of life and social support among persons with nasopharyngeal cancer receiving combined therapy

Introduction: The quality of life of persons with nasopharyngeal cancer (NPC) receiving combined therapy is an important point of investigation since the disease and its treatments have an impact on many aspects of life: physical, psychological, social relationships, and environmental aspects. Social support may contribute to a better quality of life for NPC persons. Objectives: The purpose of this study is to examine the level of quality of life and social support among NPC persons receiving combined therapy as well as the relationship between these two variables. Methods: This descriptive correlational study used purposive sampling recruited with 70 subjects from outpatient departments of Kuala Lumpur General Hospital and Penang General Hospital in Malaysia. Instruments used included a demographic data form, the World Health Organization Quality of Life-BREF Malay Version and the Personal Resources Questionnaire 2000 Malay Version. Data were analyzed using descriptive statistic and correlations. Results: The results indicated that quality of life among NPC persons receiving combined therapy was at a ‘moderate’ level ("X" ̅= 87.57, SD = 12.33). Social support among NPC persons receiving combined therapy was at a ‘moderate’ level ("X" ̅= 83.80, SD = 9.10). There was a moderate positive correlation between quality of life and social support among NPC persons receiving combined therapy (r = .41, p < .001). Conclusion The findings from this study suggested that social support may enhance the quality of life of NPC persons receiving combined therapy. Thus, providing appropriate support to these people through applying holistic care may enhance their quality of life