Quality Of Questionnaire Research Articles

Effects of Post-Traumatic Stress Disorder on Sleep Quality in Family Members of Trauma Patients Admitted to The Intensive Care Unit

Introduction: The hospitalization of individuals who have experienced trauma has a significant impact on their family members' lives. Consequently, the objective of this study was to examine the influence of post-traumatic stress disorder (PTSD) on the sleep quality of family members whose loved ones were hospitalized in the intensive care unit (ICU). Material and Methods: This descriptive-analytical cross-sectional study involved 120 participants (66 males and 54 females) who were first-degree relatives of trauma patients admitted to the ICU at 5th Azar Hospital in Gorgan. Within the first 24 hours of the trauma patient's admission to the ICU, one of their first-degree relatives completed the PCL-C questionnaire for assessing PTSD symptoms. If the participant obtained a score of 45 or higher on the PCL-C questionnaire, they were then requested to complete the Pittsburgh sleep quality questionnaire. Statistical analyses were conducted using SPSS 23 software. Results: The study found that the average score for PTSD among participants was 67.8 ± 5, indicating a high level of stress. The sleep quality score for family members of trauma patients upon hospitalization was 3.9 ± 1.8 (acceptable). However, one month later, their sleep quality significantly deteriorated to a score of 9.3 ± 2.5 (poor) (P < 0.001). There was no significant association found between sleep quality and PTSD (P > 0.05). Conclusion: The research findings indicate that the admission of a trauma patient to the ICU has a significant negative impact on the sleep quality of their family members. Although PTSD was prevalent among these individuals, it did not directly influence sleep quality. Nevertheless, addressing psychological issues and providing adequate psychological support are crucial for improving sleep quality and managing PTSD-related problems, especially for patients with severe complications.

COVID-19 GEÇİRİP İYİLEŞMİŞ KİŞİLER VE KONTROLLERDE COVID-19 PANDEMİSİNİN FİZİKSEL VE SOSYAL ETKİLERİNİN KARŞILAŞTIRILMASI: BİR VAKA KONTROL ÇALIŞMASI

Purpose: To compare the fatigue and dyspnea level, respiratory function, mental fatigue, sleep quality, and social influence of the COVID-19 pandemic in convalescent and controls and to explore the relationship between these characteristics in both groups.
 Methods: A total of 352 participants, including COVID-19 convalescent (n=176) and controls (n=176), participated in this study. The following instruments were used by online technologies: Visual Analog Scale (VAS) to investigate fatigue and dyspnea level, Single Breath Counting (SBC) test to measure respiratory function, Wood Mental Fatigue Inventory (WMFI) to evaluate mental fatigue, Pittsburg Sleep Quality Index (PSQI) to assess the sleep quality and Social Influences Survey Questionnaire (SISQ) to investigate social influences of the pandemic. 
 Results: COVID-19 convalescents reported higher levels of tiredness, dyspnea, and mental fatigue than controls (p

Instructional Materials and Quality in Public Primary Schools in Southwestern Nigeria

The study identified the instructional materials that are available and examined the level of its utilization in public primary schools in Southwestern Nigeria. In addition, it established the influence of instructional materials on instructional quality in public primary schools in Southwestern Nigeria. This study adopted descriptive design with a sample size of 450 respondents selected from the population of the study with the use of multi-stage sampling procedure. Instructional Materials Availability, Utilization and Instructional Quality Questionnaire (IMAUIQ) was used to collect data from the respondents which was trial tested on 90 respondents from selected public primary schools in local governments outside the selected ones for the study. The result revealed that chalkboard 450(100%) and textbooks 300(67%) are the predominant instructional materials available. Chalkboard 450(100%) was found to be sufficiently utilized. The result further showed that instructional materials have significantly influence on instructional quality in public primary schools in Nigeria. This is because the calculated value (4.82) is greater than the critical value (3.84) at 0.05 level of significance. The study concluded that there is inadequate utilization of instructional materials with their attendant consequences on instructional quality in public primary schools in Southwestern Nigeria.

Pengaruh Terapi Relaksasi Otot Progresif Dan Murotal Al-Quran Terhadap Kulitas Tidur Pasien Hipertensi Di Desa Betek Kecamatan Krucil Kabupaten Probolinggo

Hypertension is a condition where the systolic pressure is above 140 mmHg, while the diastolic pressure is above 90 mmHg. Some hypertension patients often complain of headache, weakness, fatigue, shortness of breath, restlessness, nausea and vomiting, epistaxis and decreased consciousness. This can cause sleep problems in hypertensive patients. Sleep disorders are a collection of conditions characterized by disturbances in the amount, quality or timing of sleep in an individual. One technique to improve sleep quality is progressive muscle relaxation therapy and murotal Al-Quran.This research method uses Pre-Experimental with one group pre-post test approach. The population is 40 respondents and uses a total sampling (technique).The instrument used was a sleep quality questionnaire, measured by the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), then data were collected through Editing, Coding, Scoring, and Tabulating processes. The data obtained were analyzed using the Wilcoxon test.The results showed that the average value of sleep quality before progressive muscle relaxation and murotal Al-Quran therapy was performed was 8.30, while after progressive muscle relaxation and murotal Al-Quran the average value of sleep quality was 6.08. The results of the analysis test showed that there was an effect of progressive muscle relaxation therapy and murotal Al-Quran on improving sleep quality of hypertensive patients with -value = 0.000 <α = 0.05.
 This therapy performs 15 relaxation movements accompanied by the sound of murotal Al-Quran which makes a person relax and calm so that this calmness acts as a pain reliever that makes the patient happy and gives positive energy in a person. this makes the mood to be happy so as to create a good quality sleep.
 
 Keywords: Hypertension, sleep quality, progressive muscle relaxation therapy and murotal Al-Quran.

Evaluation of Radiation Exposure and Image Quality in Congenital Catheterization Laboratory; A Single Centre Comparative Study Using Different Acquisition Modes

Abstract Background The exposure to ionizing radiation delivered during the catheterization procedures has various negative biological effects to the patient, so concern has risen sharply about radiation hazards over the past decade.While angiography imaging system vendors have all made great strides with new technologies that reduce the amount of x-rays needed while maintaining excellent image quality, the procedures have become more complex, lasting longer and require more imaging than standard procedures. Aim of the Work To study the effect of lowering radiation dose by using a fluoro angiography on image quality in pediatric cardiac catheterization. Patients and Methods We studied 90 patients who underwent cardiac cath. for CHD at Ain Shams University hospital. Patients were randomized into three groups according to mode of acquisition used in procedure (fluro angiography only–cine angiography only–mixed). Radiation indices were measured, also image quality questionnaire was filled by operators after each procedure. Results statistically significant difference between three modalities of acquisition as regard the radiation indices (DAP, total air kemra, fluoroscopy time) with p value <0.005. While operators satisfaction with image was nearly the same in the three groups with median score 68.5 (p value 0.681). Conclusion Based on the results of the current study it can be concluded that: Mixed imaging acquisition had highest radiation exposure indices in comparison with other two acquisition modalities (fluro angiography only – cine angiography only), with statistically significant difference with fluro only mode (p value <0.005), and no statistically significant deference with cine only mode. Complexity of the procedures & increased the cath. lab machine imaging protocol to 30 fps and repeat the same injection in the cine mode after fluro mode were the most important factors that made mixed acquisition had the highest radiation indices and exposure. Image quality and operators satisfaction were nearly the same in three acquisition modes (fluro-cine-mixed) with median image score 68.5 (p value 0.681), in expense of more radiation exposure in mixed mode. Increase operators awareness to radiation and continuous monitoring of radiation exposure with application of ALARA principles is important to reduce radiation exposure.

Effect of Online Mindfulness-based Stress Reduction Intervention on Sleep Quality of Breast Cancer Patients

Background: Breast cancer diagnosis and treatment can negatively impact the quality of life and lead to symptoms such as insomnia, depression, and anxiety. Internet-delivered interventions may reduce these symptoms in patients with limited access to face-to-face psychological treatments. Objectives: This study aimed to determine the effect of online mindfulness-based stress reduction (MBSR) intervention on the sleep quality of women with breast cancer in Birjand City. Methods: In this randomized controlled clinical trial, 62 eligible women with breast cancer undergoing chemotherapy in Birjand were selected using convenience sampling. They were assigned to two groups, intervention, and control, each consisting of 31 individuals, using random allocation. In addition to standard treatments, the intervention group received online MBSR training consisting of four two-hour sessions over four consecutive weeks. The control group only received standard cancer treatments. The data collection tool included a demographic form and a standard Pittsburgh Sleep Quality Questionnaire completed by individuals before, immediately, and 2 months after the intervention. Data were analyzed using SPSS 16 statistical software. The following tests were conducted at a significance level of P < 0.05: Chi-square, Fisher's exact, Independent t, repeated-measures ANOVA, Bonferroni, Mann-Whitney U, and Friedman. Results: The mean sleep quality scores decreased immediately and 2 months after the intervention compared to before in the intervention group, while it increased in the control group (P < 0.001). Also, the independent t-test showed that the mean sleep quality scores decreased in the intervention group from before to immediately after the intervention, as well as from before to 2 months later (P > 0.001). In contrast, the control group patients experienced increased sleep quality scores (P > 0.001). Conclusions: Mindfulness-based stress reduction significantly improved sleep quality in the intervention group, as demonstrated by decreased scores immediately and 2 months after the intervention. On the other hand, the control group experienced an increase in sleep quality scores. These findings highlight the effectiveness of MBSR in enhancing sleep outcomes.

Fresh Start: A Comprehensive Pilot Produce Prescription Program to Improve Food Literacy and Glycemic Control in Rural, Uninsured Patients

Produce prescription (PRx) programs improve access to fresh fruits and vegetables. However, many programs lack culinary focused nutrition education or behavioral support to promote sustainable lifestyle changes. The pilot Fresh Start PRx (FSPRx) program was a 20-week PRx program. The purpose of this study was to examine the impact of the FSPRx program on food literacy, lifestyle behaviors, and health outcomes (e.g., glycemic control) with rural, uninsured patients with type-2 diabetes. Adult patients (n = 56) diagnosed with type-2 diabetes enrolled in the pilot FSPRx program. The FSPRx program consisted of telephone-based health coaching, group educational sessions, and a PRx. Patients completed diet quality, food literacy, and physical activity questionnaires and had blood drawn for hemoglobin A1C (HbA1C) pre- and post-intervention. Twenty-seven patients had a significant improvement in both fruit and vegetable consumption. Nineteen patients had an increase in total food literacy scores, budgeting skills, meal planning and prepping, nutrition resourcefulness, and physical activity confidence after the intervention. Patients had an average HbA1C decline of .79% (n = 27, P = .01, t = 2.49). This pilot suggests comprehensive PRx programming that integrates culinary and food literacy focused education and behavioral support may be effective in improving patients' diet quality, knowledge, skills, self-efficacy, and health.

Discomfort of pregnant women on the quality sleep of third trimester pregnant women

Background: Physical changes in the third trimester of pregnancy will appear due to physiological changes and psychological changes that cause discomfort. This uncomfortable condition causes sleep disturbances in the mother. Objective: To determine the relationship between discomfort in pregnancy and the quality of sleep of third trimester pregnant women at the Makasar Health Center. Method: This was a descriptive analytic study and a cross sectional study design. Determination of the number of samples using the sample size application resulted in 40 samples of pregnant women in the third trimester. The sampling technique used purposive sampling. When the study was conducted in September-November 2020. The research instrument used the Pittsburgh Sleep Quality (PSQI) questionnaire with cronbach alpha 0.83 and the cronbach alpha 0.86 physical discomfort disorder questionnaire was tested for validity with r-count> 0.367. Data were processed by crosstab and analyzed by Chi-square. Results: Most of the respondents experienced discomfort (66.7%) and experienced poor sleep quality (70.0%). The association between pregnancy discomfort and sleep quality of third trimester pregnant women with a p value of 0.030. Conclusion: There is a relationship between discomfort in pregnancy and the quality of sleep in the third trimester of pregnant women. Recommendation: From this research, it is hoped that it can be used as input for health workers, especially nursing, to provide education on how to reduce pregnancy discomfort and good sleep quality in third trimester pregnant women.
 

Investigating the relationship between sleep quality and stress, anxiety and depression in shift workers of one of the food industries

Introduction: Shift work among industrial workers can lead to poor sleep quality, which instead is associated with stress, anxiety, and depression. This study aimed to investigate the relationship between sleep quality and stress, anxiety, and depression in shift workers in one of the food industries.
 Materials and Methods: The participants in this descriptive-analytical study were 208 production line workers in one of the food industries. Data were collected using a demographic questionnaire, Pittsburgh Sleep Quality Questionnaire (PSQI), and depression, anxiety, and stress (DASS-21). Spearman's statistical test was used to investigate the relationship between sleep quality and depression, anxiety, and stress. The data were analyzed using SPSS-23 software.
 Results: About 42% of workers reported undesirable sleep quality (score more than 5). Almost half of the workers reported a level of normal stress, anxiety, and depression. The results showed that there is a positive and significant correlation between sleep quality and stress (r=0.20, P<0.01) and sleep quality and depression (r=0.172, P≤0.01) so that the quality of sleep, stress, and depression interact with each other and have a mutual effect.
 Conclusion: According to the results of this study, reducing stress and depression can improve the sleep quality of workers, and in turn, good sleep quality can lead to reducing stress and depression in shift workers. Therefore, identifying the influencing factors and corrective strategies to reduce stress, anxiety, and depression can play an important role in improving the sleep quality of shift workers.

Effect of Environmental Factors on Learning Quality Among Adult College Students: The Mediation Role of Learning Motivation

In order to explore the impact of school environment and working organization environment on the learning quality of adult college students, 629 students from two adult colleges were randomly selected as participants in this study. The questionnaires of school environment, work organization environment, learning motivation and learning quality questionnaires were filled out by participants online. Statistical analysies were conducted on SPSS26.0 and PROCESS3.5. Results showed that school environment and work environment both positively predicted the learning quality of adult college students; learning motivation of adult college students played a partial mediation role between school environment, work environment and learning quality. Based on the findings, educators and enterprises should work together to create positive learning environments that inspires students’ learning motivation and improve their learning quality.

The effectiveness of mindfulness-based cognitive therapy for social anxiety symptoms in people living with alopecia areata: a single-group case-series design.

Alopecia areata (AA) is an immunological disorder characterised by hair loss. Individuals with AA report high levels of social anxiety. One intervention that holds potential for reducing social anxiety in individuals with AA is mindfulness-based cognitive therapy (MBCT). Our key aim was to investigate whether MBCT reduces social anxiety in individuals with AA. The study also investigated whether MBCT reduces depression, general anxiety, and increases quality of life and increases trait mindfulness in individuals with AA. Five participants with AA took part in an 8-session in-person MBCT intervention. A multiple-baseline single-group case series design was adopted. Idiographic measures of social anxiety were measured each day from baseline, through intervention, to follow-up. Standardised questionnaires of trait mindfulness, social anxiety, depression, anxiety, and quality of life were completed at baseline, post-intervention, and at 4-week follow-up. All participants completed the MBCT course, but one participant was excluded from the idiographic analysis due to a high amount of missing data. The remaining four participants demonstrated reductions in idiographic measures of social anxiety from baseline to follow-up. These effects were larger between baseline and follow-up, than between baseline and post-intervention. Two participants demonstrated significant improvement in standardised measures of wellbeing from baseline to follow-up - they also practised mindfulness most regularly at home between sessions. MBCT may be effective in reducing social anxiety and improving wellbeing in individuals with AA, although this might be dependent on the extent to which participants regularly practise mindfulness exercises.

ACTIVATION OF THE PARASYMPATHETIC NERVOUS SYSTEM IN PSYCHOTRAUMATED PERSONS USING THE KORPAN MASK

The article presents the results of using an innovative tool for stabilizing the autonomic nervous system in psychological practice - "Korpan's salt mask". The obtained scientific data are presented in the context of modern research on current global issues of humanity regarding gaps in the field of mental health. Purpose: to highlight the results of the study of the impact of the innovative tool "Korpan's mask" on the activation of the parasympathetic nervous system in people who suffered from psychotraumatic situations as a result of the war in Ukraine. Research methods: theoretical orientation: theoretical-methodological interdisciplinary analysis of scientific literature in order to determine the state of development of the problem; synthesis, generalization of research results; summarizing the research results; methods of empirical orientation: use of standardized psychodiagnostic methods: observation, conversation, questionnaire, formative experiment. The unified Ukrainian clinical protocol of primary, secondary and tertiary medical care according to ICD-10, diagnostic and statistical manual for mental disorders of the 5th edition of DSM-5 was also applied; "Pittsburgh Sleep Quality Questionnaire" (PSQI); "Hospital Anxiety and Depression Scale" (HADS); questionnaire "Diagnosis of PTSD"; methods of mathematical statistics: Wilcoxon's T-test. The results. The search for alternative effective models and tools of psychological assistance to people with post-traumatic stress disorders contributed to the application of Korpan's innovative mask, which is a simple, affordable, safe and reliable means of restoring the basic element of a person's stress resistance - its psychophysiological component. The authors present their own algorithm for providing primary psychological assistance to people who have experienced psychological trauma: psychophysiological stabilization of the autonomic nervous system by applying a Korpan mask, psychoeducation (explaining the cause of the symptoms to the victim); regulation of emotional balance (application of stress management practices), recovery of cognitive cognitive processes and acquisition of constructive coping strategies for mastering stress (methods of CBT, catathymic-imaginative psychotherapy); restoration of the meaning of life, which provides an opportunity to survive the crisis period of life. Conclusions. Through a scientific experiment, the effectiveness of using the Korpan salt mask was proven on a wide sample of subjects: military personnel (diagnosed with acute stress disorder, contusion, post-traumatic stress disorder), children with re-traumatic experiences, people who survived the occupation and live in the zone of constant shelling, internally displaced persons (who survived the loss of property and loved ones), volunteers (who were burnt out at work). The versatility of the mask is that it is effective for people of various age categories, gender, status, psychological diagnosis with post-stress symptoms.

Kualitas Pelayanan Keperawatan dan Hubungannya dengan Kepuasan Pasien di UPTD. Puskesmas Maritaing

Introduction: Hospitals or Puskesmas are faced with competitive challenges and a competitive environment. Hospitals or Public Health Center are required to provide quality nursing services so that they can meet patient expectations and satisfaction. Objectives: The purpose of this study was to describe the quality of nursing services and the level of patient satisfaction and to know the relationship between the quality of nursing services and patient satisfaction in the UPTD. Maritaing Public Health Center, Alor Regency, East Nusa Tenggara Province. Methode: The type of research used in this research is descriptive and correlative. The sample in this study was 80 patients in the inpatient room. The sampling method in this study used a purposive sampling technique. The instruments used in this study were demographic questionnaires, nursing service quality questionnaires, and inpatient satisfaction questionnaires. Test the hypothesis by using the chi-square test. Result: The results of research that has been carried out in the inpatient UPTD. Puskesmas Maritaing can conclude that the average value for the quality of nursing services is 64, which is included in the good quality category with an interval of 60.1 – 80, the average value for patient satisfaction is 67.8, which is included in the satisfied category with a value interval of 60.1 – 80, while Based on the results of the analysis with the chi-square correlation test, it is known that the Asymptotic Significance value is 0.000 = 0.05, namely 0.000, which means Ho is rejected and Ha is accepted. Conclusion: There is a strong and significant influence between the quality of nursing services and the level of patient satisfaction in the UPTD inpatient room. Maritaing Health Center, Alor Regency, East Nusa Tenggara Province.

Anxiety, Depression, and Sleep Disorders After COVID-19 Infection.

Introduction As of December 2019, the COVID-19 infection had spread rapidly across the globe, causing a pandemic. Although the virus primarily affects the respiratory and circulatory systems, neuropsychiatric disorders have been reported in a significant number of infected individuals. The aim of this study is to identify anxiety, depression, and sleep disturbances in the early post-COVID period, as well as potential risk factors. Method Symptomatic cases whose COVID-19 diagnosis was confirmed by polymerase chain reaction (PCR) positivity within the previous three months were evaluated in the COVID-19 follow-up clinic, where they were observed for at least four weeks after the diagnosis. Cases with no suspicious symptoms and no documented PCR positivity were selected as the control group. All participants completed the Hospital Anxiety Depression Scale (HADS) questionnaire and the Pittsburgh sleep quality questionnaire. The laboratory parameters of hospitalized patients with infection were recorded. Results A total of 283 patients were included in the study. While the median age of 144 patients with COVID-19 infection was 44 years, and 104 of them (72.2%) were female, the median age of the controls without COVID-19 infection was 52 years, and 65 of them (46.8%) were female. About 89 (61.8%) of the 144 patients with COVID-19 infections were hospitalized. When the results of the applied HADS questionnaire were analyzed, the median total value of all study participants was 10 points, whereas it was 13 in cases with COVID-19 and nine in those who did not have it (p<0.001). Taking into account the subgroups of the anxiety and depression questionnaires, both results are statistically significantly higher (p<0.001 and p=0.022, respectively) in post-COVID patients. When the hospitalization status of COVID-19 patients was compared, there was no difference in the development of anxiety (p=0.23), but depression(p<0.024) and poor sleep quality(p<0.001) were prevalent in hospitalized patients. The median PSQI score of the entire study population was five points, while it was seven points in cases with COVID-19 infection and four points in cases who did nothave it (p<0.001). Sleep latency (p<0.003), sleep disturbances (p<0.001), and daytime dysfunction (p<0.001) were statistically significantly worse in COVID-19-infected patients. Female gender (p<0.01) and the presence of past anxiety-depression symptoms (p<0.013) were found to be as risk factors in patients with infection. The correlation between the total HADS score, the PSQI, and the results of the complete blood count and biochemical analysis at the time of diagnosis in hospitalized patients was also investigated. CRP (CI 0.26-0.58) p<0.001 vs (CI 0.09-0.45) p=0.004 and ferritin (CI 0.05-0.43) p=0.017 vs (CI 0.01-0.40) p=0.047exhibited a positive correlation. Similarly, lymphocyte count (CI -0.65 to -0.37) p<0.001 vs (CI -0.39 to -0.01) p<0.001 and lymphocyte percentage (-0.57 to -0.24) p=0.001 vs (-0.65 to -0.37) p=0.039 were negatively correlated. Conclusion Early post-infection anxiety, depression, and sleep disturbances increased significantly in COVID-19 patients. Female gender and previous symptoms of anxiety and depression are risk factors, and inpatient treatment increases depression and poor sleep quality. High HADS and poor sleep quality scores are positively correlated with inflammatory parameters and should be evaluated in post-infection in particular.

The Relationship between Knowledge, Dietary Supplementation, and Sleep Quality in Young Adults after the COVID-19 Pandemic.

Sleep is one of the most important factors affecting the quality of life. More than 50% of Polish adults have sleeping disorders, and young adults are the ones particularly vulnerable to this. This is why the analysis of the predictors of sleep quality, such as sleep hygiene knowledge and dietary knowledge, in young adults is a very important topic, especially after the COVID-19 pandemic, which may have affected sleeping habits. 402 young adults (mean age 28.12 ± 6.08 years old) were enrolled in the study during the COVID-19 pandemic. Sleep quality was assessed with the Pittsburgh Sleep Quality Questionnaire, while dietary knowledge and sleep hygiene knowledge were assessed with dedicated questionnaires. The participants were also asked about the use of specific dietary supplements. The analysis showed that sleep hygiene knowledge was significantly associated with sleep length (R = -0.17, p = 0.003) and overall sleep quality (R = -0.17, p = 0.005), while dietary knowledge significantly correlated with time to fall asleep (R = -0.12, p = 0.026). The regression analysis revealed that sleep hygiene knowledge was a significant negative predictor of sleep quality impairment (β = -0.13, p = 0.028). Significant results were also obtained for the use of supplements (β = -0.20; p = 0.001) and the use of medications (β = -0.32, p = 0.001), which were negative predictors of sleep quality impairment. This study showed that increased sleep hygiene knowledge promoted improved sleep length and overall sleep quality. In addition, dietary knowledge significantly correlated with time to fall asleep. On the other hand, decreased sleep quality was observed in participants who used medications or dietary supplements.

Effect of Lavender Inhalation Aromatherapy on Sleep Quality in Cancer Patients at Murni Teguh Memorial Hospital

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Sleep is a physiological human need. Sleep disorders can affect a person's quality of life. One of the complementary therapies is aromatherapy, which can improve one's sleep quality non-pharmacologically. This study aims to identify the effect of lavender inhalation aromatherapy intervention on sleep quality in cancer patients. The research method used is quantitative or quantitative design with a quasi-experimental design non-equivalent approach. The sampling technique is a non-probability sampling technique, namely the convenience sampling method. Respondents to this study were hospitalized cancer patients totaling 100 respondents consisting of 50 respondents for the intervention group and 50 respondents for the control group. Data was collected using a questionnaire. The sleep quality measurement instrument used is the Sleep Quality Questionnaire. Data were analyzed using the dependent t-test and independent t-test. The results of the study found an effect of lavender inhalation aromatherapy on improving sleep quality in cancer patients with a p-value (p=0.000). Conclusion Lavender inhalation aromatherapy can improve sleep quality in cancer patients and is recommended as a nursing intervention and alternative therapy to improve sleep quality in cancer patients.&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Keyword: Cancer, Lavender Aromatherapy, Sleep quality&lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;

Studi Eksperimen: Edukasi Sleep Hygiene dan Terapi Kognitif Perilaku terhadap Kecanduan Gawai Remaja di Kota Jambi

Device users in Indonesia are dominated by teenagers. Excessive use of gadgets can lead to gadget addiction and the risk of experiencing mental health problems. The purpose of this study was to determine the effect of sleep hygiene education and cognitive behavioral therapy on adolescent device addiction in Jambi City. The research design used was "quasi experimental pre-post test with control group". The number of samples in this study were 130 people with 65 people in the intervention group, and 65 people in the control group. The sampling method is purposive sampling. The measurement tools used in this study were the internet addiction test (IAT) questionnaire and the sleep quality questionnaire: the Pittsburgh sleep quality index (PSQI). The statistical test used is the paired sample t-test. The results showed that there was a significant effect of providing sleep hygiene education and cognitive behavioral therapy on adolescent gadget addiction p=0.000 (p &lt;0.05) in the intervention group. Whereas in the control group which was only given sleep hygiene education there was also a significant effect p=0.013 (p &lt;0.05). Providing nursing interventions needs to be carried out for all adolescents by nurses in the community to prevent device addiction from occurring and also to help the condition of adolescents who are addicted to devices.

Concentric Isokinetic Strengthening Program's Impact on Knee Biomechanical Parameters, Physical Performance and Quality of Life in Overweight/Obese Women with Chronic Meniscal Lesions.

Meniscal injuries are one of the most common intra-articular knee injuries. Different treatments are presented depending on the symptoms and duration of meniscus tears, such as arthroscopic partial meniscectomy, physiotherapy, or even pharmacological treatment. The purpose was to investigate the effect of a concentric isokinetic knee muscle strengthening program on strength, joint range of motion, physical performance, quality of life and pain tolerance in overweight/obese women with chronic meniscal lesions. Twenty-four overweight/obese women were randomized into two groups. A control group (CG) performed a usual rehabilitation program plus isokinetic muscle strengthening (IMS) in the continuous passive motion mode and measured with an isokinetic dynamometer. An experimental group (EG) performed the same program in combination with IMS in the isokinetic active mode. The peak torque of the knee extensors (PTE) and flexors (PTF), sit-to-stand test, stair climb test, joint amplitude, heel-to-buttock distance, Thessaly test, KOOS questionnaire of pain and quality of life were measured pre- and post-protocol. After the intervention, the sit-stand number for both groups was significantly higher (p < 0.001) and the time to climb stairs was significantly reduced for the EG (p < 0.001). A significant improvement in joint range of motion, life quality (p < 0.001), relief in knee pain (p < 0.001) and in the post-program evaluation at the EG (p < 0.05) was noted. There was no significant difference in PTE and PTF between groups at 60°/s and 180°/s. The IMS in the active mode could be an effective therapeutic modality in managing middle-aged patients suffering from a degenerative meniscal tear.

Mediating effects of general self-efficacy on social support and quality of life in patients after surgical aortic valve replacement.

To explore whether general self-efficacy can mediate the relationship between social support and quality of life in patients after surgical aortic valve replacement. A cross-sectional design. The final analysis included 283 patients who underwent surgical aortic valve replacement from May 2021 to September 2021. They completed a set of questionnaires, including the Chinese version of the General Self-Efficacy Scale, the Chinese Questionnaire of Quality of life in Patients with Cardiovascular Diseases and the Social Support Rating Scale. The PROCESS Macro in SPSS was used to analyse the mediating effect. Quality of life and all of its dimensions were significantly related to social support and general self-efficacy. A significant indirect effect of social support existed through general self-efficacy in relation to quality of life with the mediation effect ratio of 32.82%.

Association between Diet Quality and Stroke among Chinese Adults: Results from China Health and Nutrition Survey 2011.

The low-burden Diet Quality Questionnaire (DQQ) is a standardized tool to collect indicators of dietary adequacy as well as indicators of the protection of health against noncommunicable diseases (NCDs) within the framework of the global diet quality project. Stroke is the leading cause of the cardiovascular disease burden in China, with poor diet being one of the major risk factors. In this study, we aimed to understand the association of several indicators of diet quality derived from the DQQ with stroke among Chinese adults and, further, to examine the gender differences using the 2011 wave of the China Health and Nutrition Survey. Multivariable logistic regression was used to examine the associations of the NCD-Protect score, NCD-Risk score, and global dietary recommendations score (GDR) score with stroke. There were 192 stroke cases (121 in men and 71 in women) of 12,051 adults. The continuous NCD-Risk score was positively associated with stroke in women (odds ratio (OR) = 1.52, 95% confidence interval (CI): 1.13-2.06). When compared with women with an NCD-Risk score of 0 points, those with an NCD-Risk score ≥2 points had a higher risk of stroke (OR = 2.71, 95% CI: 1.35-5.43). In addition, compared with women with a GDR score ≤0, those with a GDR score ≥2 points had lower odds of stroke (OR = 0.42, 95% CI: 0.22-0.77). Poor diet quality, as reflected by the NCD-Risk score, was associated with an increased risk of stroke in Chinese women, but not in men. Our findings provided evidence that an optimal diet quality could be conducive to preventing stroke for Chinese women and suggested a diverse diet characterized by the limited consumption of unhealthy foods, such as red meat, processed meat, sweets, soft drinks (sodas), and packaged ultra-processed salty snacks.