International Journal of Care Scholars (IJCS)
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Physical Activity and Body Mass Index Among Hypertensive Patients Attending Outpatient Clinic at a Tertiary Hospital in Kelantan, Malaysia
Full text linkIntroduction: Hypertension is one of the predisposing factors for increased morbidity and mortality rate in Malaysia as it significantly contributes to the risk of non-communicable diseases such as heart disease, stroke, and kidney injuries. Non-pharmacological intervention such as physical activity (PA) helps to reduce the progression of hypertension severity and body mass index (BMI) among hypertensive patients. Limited studies were conducted among hypertensive patients at outpatient clinics in the east-coast region of Malaysia. Objective: To determine the level of PA and BMI of hypertensive patients attending outpatient clinics.Methods: This is a cross-sectional study using purposive sampling. The study was conducted among 73 hypertensive patients who attended the outpatient clinic at a tertiary hospital in Kelantan state, the Northern East of Malaysia. Data was collected using a self -reported questionnaires for BMI and hypertension and the short form of the International Physical Activity Questionnaire (IPAQ) was used to measure the level of PA. Results: The findings show that most of the respondents above 50 years old are moderately active (54.8%, n=40) and nearly half (45.2%, n=33) were overweight. There is no significant association between the level of PA and BMI (p=0.854). A significant association was only found between the respondents’ marital status and their BMI (p=0.034). Conclusion: The majority of the respondents in the study were moderately active in performing physical activity and within the category of overweight. PA and BMI are not significantly associated in the study. The non-significance findings could be due to the small sample size in this study and other contributing factors such as co-morbidities, lifestyle variables including dietary habits, and sedentary behaviour that were not investigated in the study. Overall, the study underlined the importance of physical activity and body mass index in achieving public health recommendations. Conclusion: Overall, the study underlined the importance of physical activity and body mass index in achieving public health recommendations
Cardiopulmonary Resuscitation Performed by Bystanders: A Systematic Review
Full text linkCardiopulmonary resuscitation (CPR) is the most popular treatment for unexpected cardiac arrest. In order to enhance the survival and neurological prognosis of out of hospital cardiac arrest patients, both healthcare practitioners and lay rescuers must learn this technique. Millions of people die each year as a result of sudden cardiac arrest across the world due to ineffective CPR performed by bystander. The aim of this review is to identify the existing literature on knowledge, attitude and practice of the community at the out of hospital cardiac arrest level. Guided by the PRISMA Statement review checklist, a systematic review of the Scopus and Web of Science database and Science Direct has identified 332 related studies. The articles were assessed and analysed after evaluation using The Critical Appraisal Skills Programme Qualitative checklist. Total article accepted were n=11. We reviewed 1150 articles and selected 332 for complete evaluation. We included 11 of the 332 papers in this review that was published since 2018. We classified 11 recommendations; those with the highest scores were 1) Knowledge assisted CPR among bystander CPR remain poor, 2) CPR challenge on stranger, 3) CPR challenge on barrier, 4) The impact on quality CPR on survival rate and 5) Conventional CPR with mouth to mouth vs chest-compression only - CPR. CPR at out-of-hospital cardiac arrest, with several factors that influences such as knowledge, attitude, practice of community bystander CPR. While, the willingness (self-efficacy), the barriers and reluctant of bystander CPR still not clear. The targeted group for CPR training and tailored of training CPR for the bystander CPR give the effect and quality of CPR performance. Furthermore, the motivating factors to begin CPR at the out-of-hospital cardiac arrest level that emerged from a study of these publications. Recommendations not supported by evidence include mass training events, pulse taking prior to CPR by community and CPR using chest compressions alone. We evaluated and classified the potential impact of interventions that have been proposed to improve bystander CPR rates. Our results may help communities design interventions to improve their bystander CPR rates
Association Between Sleep Quality and Mental Illness Among Undergraduate Students
Full text linkIntroduction: Understanding the association between sleep quality and mental illness is indeed crucial for promoting the well-being of undergraduate students and addressing potential challenges before they become clinically significant. There is an association between sleep quality and mental health, and disruptions in one can affect the other. Thus, this study was conducted to examine the association between sleep quality and mental illness among undergraduate students.
Methods: A cross-sectional study was conducted using a probability simple random sampling method among 347 International Islamic University Malaysia undergraduate students from February to April 2022. The data was collected using a self-administered questionnaire via Google Form. Two questionnaires were used in this study, Pittsburgh Sleep Quality Index for sleep quality and DASS-21 for mental health status.
Results: The study findings showed that 176 individuals (50.7%) experience mild sleep difficulty, moderate levels of depression (23.3%), extremely severe levels of anxiety (13.3%), and moderate levels of stress (14.4%).
Conclusion: These findings highlight the importance of promoting good sleep habits for the overall students’ well-being.
Burnout Level and Its Associated Factors Among Critical Care Nurses: A Literature Review
Full text linkBurnout is defined as a prolonged response to ongoing interpersonal and emotional stresses at work and has three dimensions: emotional exhaustion (EE), depersonalization (DP), and decreasing personal accomplishment (PA). Burnout is a condition that affects individuals working in a variety of professions, including healthcare, and is currently the subject of much national and worldwide interest. Burnout in critical care nurses can result from several different things. So, this review aimed to determine the prevalence of burnout among critical care nurses and the risk factors that affect it. The search, filtration, and selection procedures were carried out using the PRISMA 2020 flow diagram. The publications considered for the thematic review were located using Google Scholar, Science Direct, PubMed, and Wiley Online Library. Items released in English between January 2010 and August 2020 were included in the inclusion period. The search criteria were selected by assessing the abstracts before studying the full-text documents. The keywords to be included in the final analysis were burnout, critical care nurses, critical care units, and the associated factor tied to burnout as the outcome. There was a total of 264 full texts discovered from the electronic databases searched. After the duplicate articles were eliminated and the initial examination of the abstract was finished, twenty studies satisfied the criteria for inclusion. Most of the research used the Maslach Burnout Inventory (MBI) questionnaire. The prevalence of burnout ranged widely, from 8.7% to 84.4%, according to the findings. EE was shown to have the highest levels of burnout, with DP coming in second with ranges of 38.4% to 84.0% and 26.1% to 77.0%, respectively. The range for PA, on the other hand, was 15.0% to 77.1%. The main risk factors for burnout were age, gender, marital status, having children, education level, and sociodemographic traits. While working shifts, the number of years of experience, the working environment, the nurse-to-patient ratio, workload, job discontent, and workplace conflict were all occupational characteristics associated with burnout. Burnout is a threat to the critical care nurse. It is unknown whether the factors contributing to burnout pose a significant problem for nurses
Knowledge and Compliance on Infection Prevention and Control Among Healthcare Professionals in Teaching Hospital, Pahang Malaysia During Pandemic Covid-19: A Cross Sectional Study
Full text linkIntroduction: The European Centre for Disease and Prevention Control and World Health Organization (WHO) had established the guidelines for infection prevention and control (IPC) in managing possible and confirm cases of COVID-19. WHO has enforced an interim guideline for public and healthcare services for COVID-19 to be used together with the existing core component of IPC. Objective: To investigate the level of knowledge on COVID-19 and IPC and its compliance among healthcare providers (HCPs) in one of teaching hospitals, Sultan Ahmad Shah Medical Centre (SASMEC@IIUM).Methods: A quantitative cross-sectional study with convenience sampling was conducted among 114 HCPs by using self-reported questionnaire from May 2021 to July 2021. Descriptive and correlation statistical analysis were employed in this study. The data was analysed using IBM SPSS Statistic version 20. Results: Majority of the respondents (N=114) reported have good knowledge and 84.2% have good compliance on COVID-19, IPC There is a moderate positive correlation between level of knowledge on COVID-19 and knowledge on IPC, respectively (r=0.616, r=0.601), but fair correlation between knowledge on COVID-19 and compliance on IPC (r=0.374). There is a moderate positive correlation between knowledge on IPC and IPC compliance (r=0.601). Conclusion: HCPs in SASMEC@IIUM have good knowledge on COVID-19 and IPC as well as good compliance on IPC. This indicates regular training on IPC among HCPs provide great impact to the teaching hospital
Health Behaviors in School-Age Children and Quality of Life
No full textIntroduction: Health behaviour is commonly found such as smoking, consuming alcohol, unhealthy eating behaviour, physical activity, perception of school, violence and bullying currently are associated with better quality of life. School-age Children are at risk to adapt their environment in doing healthy risk behaviors. Objective: To describe the health behaviors and examine the association between health behaviour and their quality of life.Methods: Health behaviour (i.e., eating habit, physical activity, smoking, drinking alcohol, sexual behaviour, violence, school behaviour, and social life) were examined among 200 School-age Children in a Junior High School in Teluk Naga, Tangerang, Indonesia using Indonesian-Health Behaviour School-age Children questionnaire, and also using translated PedsQL Questionnaire that developed for Pediatric quality of Life, which measures 4 domains of quality of life (physical functions, mental status, social and school functions). Results: School-age children showed high prevalence of eating habit (n = 130), less physical activity (n= 77), smoking (n = 47), drinking alcohol (n = 55), sexual behaviour (n=62), violence (n= 90), low economy status (n= 65), school perception (n= 43), and difficulties in social life (n= 63). In addition, this study revealed for the quality-of-life school-age children have prevalence in good physical functions (47%), mental status (42%), social (58%) and school functions (43.5%). In a multivariate model, health behaviours (physical activity, smoking, sexual behaviour, social activity and violence) (P<0.05) were dominantly correlated with quality of life. Conclusion: The current study provides significant information on how health risk behaviour influenced the quality of life, and this study has the potential to develop better health education and promotion programs in school-age children