http://localhost:8080/xmlui/handle/123456789/10723 2026-04-08T22:23:16Z http://localhost:8080/xmlui/handle/123456789/11164 Title: Effect of warming gown use on shivering and body temperature in chronic kidney disease patients undergoing hemodialysis via catheter Authors: Anggraeni, Novita; Saryono, Saryono; Setyo Upoyo, Arif Abstract: Background: Haemodialysis is often accompanied by shivering, especially in patients with catheter access, which can reduce comfort, impair treatment efficacy, increase the risk of complications and contribute to inadequate dialysis. Addressing this issue through non-pharmacological means, such as a warming gown, offers a potentially effective, safe, and economical solution to improve patient outcomes. Purpose: To develop a warming gown as an innovation to reduce the incidence of shivering in chronic kidney disease patients undergoing haemodialysis with a haemodialysis catheter. Methods: This study employed a two-stage Research and Development design. In the first stage, a reusable, adaptive warming gown for HD catheter patients was developed and validated (S-CVI/Ave = 0.99). Second, a quasiexperiment was conducted with 60 patients recruited through total sampling. Subsequently, patients were randomly allocated to either the intervention group (warming gown) or the control group (blanket) using computergenerated randomisation based on their identification numbers. Shivering (Crossley and Mahajan scale) and body temperature (digital thermometer) were measured at 0, 15, 30, 60, and 120 minutes. Data were analysed using Wilcoxon, Friedman, and Bonferroni-corrected repeated Mann–Whitney tests. Results: The intervention group showed a significant reduction in shivering levels from 2.63 ± 1.27 to 0.37 ± 0.49 (p < 0.001) and an increase in body temperature from 36.36 ± 0.52 to 36.84 ± 0.29 (p < 0.001). In contrast, the control group showed no significant changes (p > 0.05). Conclusion: The warming gown was proven effective in reducing shivering and increasing body temperature in haemodialysis patients, offering advantages in comfort, safety, and cost efficiency. 2025-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11163 Title: Validating a mobile application for anemia prevention: Insights from expert feedback on AneMia_Prev Authors: Rahayu, Sri; Saifulaman Mohamed Said, Mohamed; Bin Sansuwito, Tukimin; Mulyono, Sigit Abstract: Background: Anemia remains a critical public health issue among adolescents, particularly in developing countries such as Indonesia. Poor nutritional knowledge and limited awareness of anemia-related symptoms, etiology, and prevention exacerbate this condition. Mobile health (mHealth) technologies have the potential to address these gaps through accessible, engaging, and scalable education tools. Purpose: This study aimed to validate the content of AneMia_Prev®, a mobile application designed as an educational tool to enhance adolescent knowledge on the prevention of anemia. Methods: A Delphi technique was employed involving two rounds of expert panel review. Twelve experts with clinical and academic backgrounds in nursing and public health evaluated the content of AneMia_Prev® based on relevance, clarity, layout, illustrations, language, and motivational features. The Content Validity Index (CVI) and modified kappa statistics were used to assess inter-rater agreement and content adequacy. Data were collected through an online survey using a 17-item validated questionnaire. Results: In the first round, all 17 items achieved excellent content validity with I-CVI values ranging from 0.87 to 1.00 and kappa values above 0.87. Following minor expert recommendations, a revised version of the application was re-evaluated, resulting in unanimous ratings of excellence (I-CVI = 1.00; kappa > 0.92 for all items). Experts emphasized the application’s innovation, relevance, and potential to promote anemia awareness among adolescents. Conclusion: AneMia_Prev® demonstrated excellent content validity and is considered suitable for educational interventions targeting anemia prevention among adolescents. Future research is recommended to assess semantic validation, cognitive impact, and learning outcomes among adolescent users to further refine the tool and evaluate its effectiveness in real-world settings. 2025-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11162 Title: The impact of interactive video-based exercise on quality of life among pregnant women in Indonesia: A pilot study Authors: Marfuah, Dewi; bin Sansuwit, Tukimin; Ayakannu, Rathimalar Abstract: to the general population and experience a decrease in their quality of life as their pregnancy progresses. Video interactive provides an interesting and interactive environment, so participants would be more likely to enjoy completing their physical activity regimen. Purpose: This study aimed to determine the impact of video interactivebased exercise on quality of life among pregnant women in Indonesia. Methods: A quasi-experimental study was carried out in Bandung, West Java, Indonesia from August 2023 to January 2024. The intervention and control groups involved healthy pregnant women aged above 18 years old, second trimester pregnant, advised by healthcare, literate, and willing to participate in physical activity. The study involved 264 pregnant women, with a response rate of 96%. Data was collected before (T0), immediately after (T1), and 2 weeks after the intervention (T2). The videos covered combination of exercise program for pregnant women, including warm-up, main phase (with an aerobic element, followed by strength and endurance exercises) and final stretching and relaxation. quality of life was measure using quality of life Gravidarum. The analysis was evaluated using repeated ANOVA test and difference-in-difference estimate. Results:After a two-week follow-up, the intervention group showed a substantial increase in quality of life scores, with a moderate level of impact (effect size= 0.39). The difference-in-difference estimate showed a modest increase of 3.57 percentage points between groups. Conclusion: The study demonstrated that video interactive exercise significantly improved the quality of life for pregnant women, indicating the potential for encouraging their participation in such activities. 2025-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11161 Title: Estimating the 10-year fracture risk among persons with HIV and persons without HIV: A comparative study Authors: Pramukti, Iqbal; Ibrahim, Kusman; Lukman, Mamat; Harun, Hasniatisari; Nugraha, Andri; Lin, Chung-Ying Abstract: Background: The risk of osteoporotic fracture among persons with HIV was higher than the persons without HIV. Traditional factors are also found as the risk factor affecting fracture risk among persons with HIV and general population. Predicting the fracture risk among the high-risk group is important to develop a comprehensive fracture prevention program. Purpose: This study aimed to compare the estimation of the 10-year fracture risk between persons with HIV and persons without HIV using the FRAX™ algorithm. Methods: This study recruited 245 participants from August to November 2023, while 221 participants agreed to participate. The participants consist of 107 persons with HIV and 114 persons without HIV. The estimation of the ten-year probability of major osteoporotic and hip fractures was calculated using the FRAX™ algorithm. The participant’s characteristics related to osteoporotic fracture risk was analyzed using a Chi-Square analysis. Results: The overall mean score of 10-year probability of major osteoporotic fracture (MOF) was 3.1% (SD 1.9) for the HIV group and 2.7% (SD 2.3) for non-HIV. For the 10-year probability, hip fracture (HF) risk was 0.5% (SD 0.5) for the HIV group and 0.6% (SD 0.9) for non-HIV. For MOF, HIV persons with fracture history showed a lower score (3.5%) compared to persons without HIV (5.3%). Smoker HIV persons showed the same MOF score (4.6% vs. 4.6%) but lower HF score (0.8% vs. 1.6%) when comparing to persons without HIV, respectively. HIV persons with glucocorticoid use showed a higher MOF probability score than persons without HIV (2.8% vs 2.7%). Conclusion: The 10-year fracture risk was higher among persons with HIV compared to persons without HIV. Fracture history, smoking behavior, and glucocorticoid use were identified as the potential factors associated with the risk. Further analysis using multivariate regression analysis may require to confirm the factors associated with high fracture risk. 2025-01-01T00:00:00Z