DSpace Collection:

Effectiveness of m-health based self-management on self-efficacy in patients with cancer: A systematic review and meta-analysis

2025-06-20T03:27:50Z

Title: Effectiveness of m-health based self-management on self-efficacy in patients with cancer: A systematic review and meta-analysis Authors: Rochmawati, Erna; Olivya Anakotta, Ni; Binti Saidi, Sanisah Abstract: Introduction: M-health has been developed and tested through studies in various settings and found useful for providing knowledge and experience for nurses in cancer care settings. However, none has synthesized the effectiveness of m-health on self-management of patients with cancer. To evaluate the effect of interventions using mobile-based application on patient’s self-management, outcome measures were patients’ medical adherence, self-efficacy and self-management level and health literacy. Methods: This is a systematic review and meta-analysis that is reported in accordance with the guidelines of the PRISMA statement. A systematic review was conducted in five databases. Randomized controlled trials and quasi-experimental trials evaluating self-efficacy in patients with cancer were included. Critical appraisal was performed using the Critical Appraisal Checklist from the Joanna Briggs Institute. Data were synthesized using Review Manager version 4.5. Results: Eight studies were included. There was a significant effect on self-efficacy after interventions using mobile-based applications (SMD = 0.36, CI 95%, [0.16, 0.56], p < 0.00006). Qualitative synthesis shows that the use of m-health can improve changes in health behavior, health literacy and physical activity. Conclusions: M-health-based self-management interventions may improve self-efficacy in cancer patients. Meanwhile, changes in health behavior in patients can be significantly improved using m-health-based self-management. M-health can be integrated into health services for the management of patients with cancer.

How to live longer: lived experience of older adults in Thailand

2025-06-20T03:26:01Z

Title: How to live longer: lived experience of older adults in Thailand Authors: Kumpeera, Kittisak; Daengthern, Laddawan; Thojampa, Somsak; Udkhammee, Kunchayarat Abstract: Introduction: Thai population data across the country have revealed an increase in the number of older adults aged over 80 years. The data indicate that individuals exhibit good self-care practices in terms of lifestyle, effective emotional coping, and strong social support, which contributes to their ability to live longer than the average life expectancy. The primary objective of this study was to explore the experiences of older people regarding self-care practices aimed at surpassing the average life expectancy of Thai individuals. Methods: This phenomenological descriptive qualitative research utilized a purposive sampling method to select ten participants who were aged 80 years and above and residing in five villages. The inclusion criteria required individuals to be able to communicate in the Thai language and express their agreement to participate in the research project. In-depth interviews utilizing open-ended questionnaires were conducted to explore the perspectives of older people on self-care practices that contribute to longevity among this population. Data were analyzed thematically using descriptive phenomenological analysis. Results: This study identified four themes related to longevity in older adults as follows: food type choices, exercise as part of daily life, reduction of stress exposure, and dealing with illness. Conclusions: The findings of the study can serve as guidelines for managing the healthcare system at the sub-district level. This can be achieved through a project that focuses on developing self-care practices to promote longevity among older adults in a community. Successful management of the health system can contribute to the sustainability of healthcare management at the sub-district level.

Predictive factors of family health management for caring toddlers with acute respiratory infections

2025-06-20T03:24:04Z

Title: Predictive factors of family health management for caring toddlers with acute respiratory infections Authors: Eka Yulianita, Marisna; Yulia Kasma, Andi; Ayumar, Andi Abstract: Introduction: Poor air quality due to air pollution, unhealthy lifestyle, and easily transmittable viruses further increases the incidence of acute respiratory infections, especially in toddlers. This study aimed to determine the predictive factors, namely knowledge, attitude, and anxiety, of family health management in preventive and curative areas for caring toddlers with acute respiratory infections. Methods: This type of research is correlational predictive. The sample was mothers who have toddler with a history of ARI. A total of 392 mothers were involved and selected using purposive sampling. The instrument used was a questionnaire of knowledge, attitudes, anxiety, and family health management. Bivariate data analysis used the chi-square test and multivariate analysis used the logistic regression test. Results: Bivariate analysis showed that there was a relationship between knowledge, attitudes, and anxiety with family health management (p-value=0.000). Multivariate analysis showed that variables significantly related to family health management were knowledge (OR=19.791; 95% CI=10.349 to 37.847), attitude (OR=9.265; 95% CI = 3.969 to 21.628), and anxiety (OR=0.137; 95% CI = 0.066 to 0.285). Conclusions: Good knowledge and positive attitudes were related to effective family health management in the care of toddlers with acute respiratory infections. Furthermore, an increase in anxiety will reduce the effectiveness of family health management in the care of toddlers with ARI. Nurses need to optimize the role of the family through health education that focuses on increasing the mother's knowledge and attitudes in family health management, as well as managing anxiety in caring for children with ARI.

Experiences of professional nurses regarding shortage of resources at a tertiary hospital in Gauteng Province, South Africa: Qualitative study

2025-06-20T03:21:39Z

Title: Experiences of professional nurses regarding shortage of resources at a tertiary hospital in Gauteng Province, South Africa: Qualitative study Authors: Khunou, Sisinyana; Makoasha Jiyane, Phyllis Abstract: Introduction: The shortage of resources in hospitals is a global problem that includes South Africa. This leads to a situation where most healthcare facilities are unable to perform adequately in their provision of quality patient care. The study aimed to explore and describe Professional Nurses' (PNs) experiences concerning the shortage of resources at a tertiary hospital in Gauteng Province, South Africa. Methods: An Exploratory-Descriptive Qualitative design was used on a sample of 16 PNs, who have worked for two or more years in selected units. To enhance optimum variation and obtain a diverse sample concerning participants’ experiences, the study was conducted in various units at the tertiary hospital under study. Unstructured individual conversation with a grand tour question was used. Tesch’s method was employed to analyse data. Results: The study revealed both negative and positive experiences regarding the deficiency of resources. PNs experienced the following under these four themes: 1) Experiences about lack of material resources; 2) Negative impact of the shortage of resources for patients; 3) Experiences on inadequate number of nurses and support staff; 4) Dealing with the shortage of resources. Conclusions: Appropriate measures should be put in place to ensure that resources are adequate at this tertiary hospital. Medical machinery should be audited monthly and a daily checklist used to document available stock. Appropriate recruitment and retention policies must be implemented by the Human Resource Department to ensure that vacant posts are filled timeously and reduce high staff turnover. Perceptions of patients could be explored related to the unavailability of medicine in healthcare facilities.