Aim This study aimed to determine the factors that influence perceived social support among older adults in Malaysia. Methods We used the 11‐item Duke Social Support Index to assess perceived social support through a face‐to‐face interview. Higher scores indicate better social support. Linear regression analysis was carried out to determine the factors that influence perceived social support by adapting the conceptual model of social support determinants and its impact on health. Results A total of 3959 respondents aged ≥60 years completed the Duke Social Support Index. The estimated mean Duke Social Support Index score was 27.65 (95% CI 27.36–27.95). Adjusted for confounders, the factors found to be significantly associated with social support among older adults were monthly income below RM1000 (−0.8502, 95% CI −1.3523, −0.3481), being single (−0.5360, 95% CI −0.8430, −0.2290), no depression/normal (2.2801, 95% CI 1.6666–2.8937), absence of activities of daily living (0.9854, 95% CI 0.5599–1.4109) and dependency in instrumental activities of daily living (−0.3655, 95% CI −0.9811, −0.3259). Conclusion This study found that low income, being single, no depression, absence of activities of daily living and dependency in instrumental activities of daily living were important factors related to perceived social support among Malaysian older adults. Geriatr Gerontol Int 2020; 20: 63–67.
Background: Cardiac surgery can elicit both physical and psychological responses. Prayer, exercise therapy, education, hypnosis, and music are expected to be able to overcome pain, anxiety, and immobilization in the cardiac surgery. This study was to create a smartphone-based peri-operative nursing intervention model that was able to reduce pain, anxiety, and increase early mobilization cardiac surgery patients.Design and Methods: This study consisted of three stages. The first stage was research and development, the second was true experimental design, and the third was cross sectional design. The samples size was 86 respondents. The intervention models for the treatment group comprised of a smartphone-based therapy of prayer, education, exercise, hypnosis, and music. The control group was given standard hospital intervention according to the clinical pathway.Results: The majority of respondents were adults, male, high school graduate in the treatment group and bachelor graduate in the control group, CABG type of surgery, and having pain history. The intervention had a significant effect on reducing pain scale and anxiety level as well as increasing early mobilization (p<0.05). The intervention had a direct effect on pain and anxiety, but it had no direct effect on early mobilization. However, it gave indirect effect on early mobilization that was mediated by anxiety.Conclusion: The models can be used by nurses to reduce pain, anxiety and to increase early mobilization on cardiac surgery patients.
: Blood Pressure, Light Massage, Hypertention. The impact of hypertension leads to heart attack, renal failure and stroke if the blood pressure is not controlled. Light massage is a complementary therapy for blood pressure control of patients with primary hypertension. Light massage can cause a relaxation response and reduce stress. The purpose of this study was to identify the effect of light massage on the decrease in blood pressure. Research design is pre experimental. The number of respondents in this study were 16 respondents. Sampling technique used is purposive sampling. The study was conducted by measuring blood pressure before and after light massage therapy. Blood pressure measurement using digital tensimeter. Test the difference in blood pressure before and after intervention using Wilcoxon test. The results showed a significant difference in blood pressure before and after treatment in the group receiving light massage therapy (p value 0.035). Light massage affects the decrease in blood pressure in patients with primary hypertension.
Surgery is a medical procedure that can cause perioperative pain. Pain in the perioperative phase that received by the patient can cause various complications. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain. The purpose of the review is to perform a systematic review of the literature. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain in surgery. A comprehensive article search through EBSCO, PROQUEST, and Scopus, the original article was sought in the period of publication between 1999 and 2019. The original articles reported on the effectiveness of hypnosis with surgical patient inclusion criteria. A total of 1994 studies have been identified in the literature search. However, only 27 studies were eligible for analysis in this study. The instruments used were visual analogue scale and numeric rating scale questionnaire were used to identify the level of pain in the study. The outcome revealed that hypnosis can decrease level of pain in each perioperative phase significantly. Further research needs to be done to add strong evidence about the use of hypnosis for perioperative pain management.
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