No abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has caused the coronavirus diseases 2019 (COVID-19) pandemic, continues to spread rapidly worldwide and is associated with high rates of mortality among older adults, those with comorbidities, and those in poor physiological states. This paper aimed to systematically identify the impact of frailty on overall mortality among older adults with COVID-19. We conducted a systematic review of the literature indexed in 4 databases. A random-effects model with inverse variance-weighted meta-analysis using the odds ratio was used to study the association of frailty levels with clinical outcomes among older adults with COVID-19. Heterogeneity was measured using the I 2 statistic and Egger's test. We identified 22 studies that met our inclusion criteria, including 924,520 total patients. Overall, frailty among older adults was associated with high rates of COVID-19-related mortality compared with non-frail older adults (OR [odds ratio]:5.76; 95% confidence interval [95% CI]: 3.85–8.61, I 2 : 40.5%). Our results show that physical limitations, such as those associated with frailty among older adults, are associated with higher rates of COVID-19-related mortality.

Aims and objectives:The purpose of this study was to explore the self-management of patients with early-stage chronic kidney disease (CKD) and its influencing factors. Methods: A convenient sample of 226 patients with early-stage CKD was recruited from 63 Public Health Centers in Indonesia, from June to September 2020. Demographic characteristics, health literacy, illness perception, self-efficacy and self-management were assessed using self-reported questionnaires. Stepwise multiple linear regression analysis was performed to identify the factors influencing selfmanagement. This study adhered to the EQUATOR checklist, STROBE. Results: The mean estimated glomerular filtration rate was 63.45 ml/min/1.73 m 2 (standard deviation [SD] = 15.34). The average scores for health literacy, illness perception, self-efficacy and self-management were 32.11 (SD = 4.46), 4.57 (SD = 1.46), 183.64 (SD = 38.23) and 76.92 (SD = 9.45), respectively. The influencing factors were education level, monthly income, family history of comorbidity, health literacy and self-efficacy, which accounted for 45% of total self-management score.Conclusions: Indonesian patients with early-stage CKD showed low level of health literacy, but positive illness perception and self-efficacy; these factors significantly affected CKD self-management. Health literacy was found to influence all dimensions of self-management: self-integration, problem-solving, seeking social support and adherence to the recommended regimen.Relevance to clinical practice: Adherence to the recommended regimen is the most challenging dimension of CKD self-management. Health literacy was found to be a major determinant of self-management. Improving health literacy and motivation of patients with early-stage CKD may help sustain positive illness perception and selfefficacy, and improve self-management.

Abstract-In Indonesia, traditional healing, as it is known asSangkal Putung (SP) has been an alternative for fracture treatment. People with fracture at any age, anywhere and any case went to SP even there was a general hospital with surgery service. SP, where was the study taken is located in rural area where is approximately 40 km from Surabaya, the capital city of East Java Province. The study aimed to explore patient's experience of fracture healing at SP. The method and methodology were Hermeneutic Phenomenological study that used deep interviews. The participant was taken by purposive sampling, adult aged 25 to 55-years old and were at the second or more of healing series. Data originated from seven participants and 13 interviews. Interviews were recorded, transcribed verbatim and analysis. The findings showed that previous close friends, relatives and family's experience of SP were the main issued of decision-making process. Participants with several SP experience had different views of SP; they seemed that SP today is more convenient than before. Most of them stated that safety and comfort was the priority for the fracture healing. The concept of culture in the behavioral alteration of fracture healing can have on the participants.

Adolescents are a transition to adulthood with changes in growth and development, adolescents are at risk of reproductive health especially during menstruation. Personal hygiene during menstruation is the issue of determinants of adolescent health that affect the life of old age. Management of disorders at the time of menstruation is to familiarize themselves hygienic behavior. The aim of this research is to know factors related to Personal hygiene during menstruation. Such as knowledge, peer communication, menarche age and belief in mythology at siswi in MI Miftahul Ulum Pamekasan. Quantitative research type with cross sectional approach. Respondents in the study were MI Miftahul Ulum Pamekasan as many as 117 student. The measuring tool used is questionnaire and tested using Chi Square Sampling is done by purposive sampling method. The results showed that 76.1% of respondents have enough Personal hygiene categories and as many as 23.9% of respondents into the category of Personal hygiene is less. The Chi Square test shows that there is a relationship between knowledge (p = 0.001), peer communication (p = 0.002), and mythic belief (p= 0.001) with Personal hygiene during menstruation, and menarche age (p= 0.473) Personal hygiene during menstruation. Teenagers are expected to increase Personal hygiene during menstruation by providing knowledge gained from mass media, parents, health workers and books. Schools apply health education methods to improve Personal hygiene during menstruation like SGD (Small Group Discussion).

Introduction: Patient with nasopharynx cancer may experience emotional distres. Emotional distres and anxiety may lead to decrease self-efficacy. Clients with a negative perception of the health or low self-efficacy would become apathetic and disability in soluns problem as compensation of getting that disease. The purpose of this study was the relaxation affirmations techniques in order to increase self-efficacy patient with nasopharynx cancer.Methods: This study used pra-experiment pre-post test design. Population was taken from patient with nasopharynx cancer of Ear Nose and Throat (ENT) Patient Departement Dr. Soetomo Hospital at Surabaya. Sample comprised of 19 respondents who selected based on inclusion criteria. Independent variable was the relaxation affirmations. Dependent variable was self efficacy of nasopharyngeal cancer patients. Data were collected using the observation sheet.Results: The results showed that there was a significant influence of relaxation affirmation in increased self-effi cacy patient with nasopharynx cancer, with p = 0.008.Conclusion: Based on that results, it can be concluded that relaxation affirmations help patients nasopharyngeal cancer in THT Patient Departement Dr. Soeotomo Hospital at Surabaya in improving self-efficacy so that they would have ability to accept reality and belief in health pattern for optimalizing quality of life. Relaxation affirmations techniques including diaphragma breathing and affirmation decrease sympatic nerve activity and increase positive firm belief in patient.

Introduction: Migraine was one of the headache type which is often griped by most of young woman. Migraine could influence activity, degrading work productivity, bothering work, family and social life, and there was possibility to loose job opportunity and decreased salary. Aromatherapy was one of the alternative that could be taken to decrease the migraine pain. Aromatherapy was trust directly influent brain to changed someone’s emotion and mood. The objective of this study was to analyze the effect of aromatherapy to decrease the migraine pain. Method: This study was used a quasy-eksperimental design. There were 12 respondents who met the inclusion criteria, divided into treatment and control group. The independent variable was giving aromatherapy and the dependent variable was decrease pain level of migraine patients. Data were obtained by using observation and questionare, then analyzed by using Wilcoxon Signed Rank Test with level of significanceα ≤0.05, Mann-Withney U Test with level of significance <0.05. Result: The result showed that giving aromatherapy had strong influence to decrease pain level of migraine patients, with the result of statistical test had same significant  level p=0.014. The result showed that there was differences of post test pain level post test between treatment and control group, with the result of statistical test had same significant  level p=0.011. Discussion:  It can be concluded that giving aromatherapy could decrease pain level of migraine patient. Recommendation for the nurses and other health profession to use aromatherapy as alternative medication of migraine naturally. Further studies need to be conducted regarding aromatherapy in decreasing pain level of migraine patients to help assisted curing prosess.

No abstract