Innovation in Health for Society

Innovation in mental health services: Where are we now?

Sumarno Adi Subrata — 2024-08-02

The mental health landscape has undergone a profound transformation in recent years, driven Alongside the recognition that innovative approaches are essential to address the growing needs of individuals grappling with mental health challenges. This editorial explores the current state of innovation in mental health services, examining the emerging technologies, models of care, and research advancements that are shaping the future of mental health support. The editorial delves into the potential of artificial intelligence and precision mental health to revolutionize the delivery and personalization of mental health interventions. It also highlights the progress made in technology-based interventions, such as internet-based psychotherapeutic approaches and virtual reality applications, which have demonstrated promising results in treating various psychiatric conditions. Furthermore, the editorial discusses the challenges and opportunities inherent in the integration of these innovative tools and strategies into mental health service delivery. With synthesizing the latest research and insights, this paper aims to provide a comprehensive understanding of the current state of innovation in mental health services and the promising avenues for future development, ultimately empowering clinicians, policymakers, and individuals to navigate the evolving landscape of mental health care.

Keywords: Mental health; innovation technology; artificial intelligence; precision mental health; internet-based interventions

An observational study on blood pressure measurement discrepancies between left and right arms among Indonesian nursing students

Ekatiara Siva Safira — 2024-08-07

Blood pressure is crucial in healthcare, and measurement deviations can lead to diagnostic errors and incorrect treatment. Additionally, blood pressure helps detect various cardiovascular diseases. Most people measure blood pressure in only one arm, neglecting the other. However, blood pressure readings can vary due to many factors. This research aims to measure differences in blood pressure between the left and right arms, specifically systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP). The study employed a quantitative approach with a comparative observational analysis design. Probability sampling, specifically proportional stratified random sampling, was used for sample selection. A digital blood pressure monitor was utilized for measurements. Data analysis was performed using the Wilcoxon surrogate test. The statistical Wilcoxon test showed a mean difference of 0.002 (p<0.05) in the SBP measurements, indicating a significant difference between right and left-arm SBP measurements. The systolic blood pressure in the right arm was 102.37 mmHg, which was 1.66 mmHg higher than that measured in the left arm. While there is a difference in the average systolic, diastolic, and MAP results between the left and right arms, it is insignificant. However, the right arm's systolic blood pressure (SBP) is notably higher than the left.

Keywords: Blood pressure measurements; hypertension; health assessment; innovation; healthcare delivery

Quality of life in patients with stage 5 chronic kidney disease and type 2 diabetes: A cross-sectional study

Syakira Mumtaz — 2024-10-28

Diabetic Chronic Kidney Disease is a complication of diabetes marked by a progressive decline in kidney function. When kidney function falls below a glomerular filtration rate (GFR) of 15 ml/min (Stage 5), patients require renal replacement therapies, such as hemodialysis. This condition can significantly impact a patient's quality of life. This study aims to identify patient characteristics, assess quality of life, and explore the relationship between patient characteristics and quality of life in individuals with Type 2 Diabetes Mellitus complicated by Stage 5 Chronic Kidney Disease at RSUP Dr. Kariadi Semarang. The research used a cross-sectional design and the KDQoL-SF36 questionnaire for data collection. Results indicate that the patient group was predominantly elderly (90.7%), male (62.8%), married (88.37%), and primarily educated at the primary or secondary level (74.42%). A majority were unemployed (53.49%) and had an income greater than 3.000.000 IDR (62.79%). Most patients had been diagnosed with CKD Stage 5 for ≤12 months (62.79%), were receiving monotherapy for diabetes management (58.14%), and had more than one comorbidity (90.7%). The overall quality of life was rated favorably, with an average score of 72.09%. The study concludes that, while the quality of life is generally favorable, it is not significantly influenced by the specific patient characteristics examined. No correlation was found between these characteristics and the quality of life in patients with Type 2 Diabetes Mellitus and Stage 5 Chronic Kidney Disease at RSUP Dr. Kariadi Semarang.

Keywords: Cross-sectional study; kidney disease; prevention; quality of life; type 2 diabetes

Exploring key factors behind stunting in Indonesian children: Insights from a descriptive study

Nur Ilahi Anjani — 2024-12-03

Stunting remains a significant concern among the Indonesian population, and numerous studies have been conducted to decrease its prevalence. This study aims to analyze the risk factors for stunting in children aged 12 to 59 months. Utilizing a cross-sectional design, the research was conducted in the Sutojayan Health Center Work Area in Blitar. The research population consisted of 396 children aged 12 to 59 months, with a sample size of 60 children. The results indicated that maternal education (P-value = 0.010; OR = 4.4), maternal employment (P-value = 0.025; OR = 5.4), exclusive breastfeeding (P-value = 0.016; OR = 5.8), and environmental sanitation conditions (P-value = 0.027; OR = 3.6) are significantly related to the incidence of stunting. In contrast, children's immunization status did not show a significant relationship (P-value > 0.05). Stunting is influenced by various factors from pregnancy through preschool years, so prevention efforts must begin as early as possible. This includes improving maternal health, promoting breastfeeding, providing nutritious food, preventing infectious diseases, and ensuring a clean environment. The findings of this study encourage healthcare professionals to develop innovative strategies aimed at reducing stunting, particularly in Indonesia.

Keywords: Stunting; innovative prevention; community health services; child health; maternal health

Parental role conflict in night shift nursing workers: A perspective on feminist ethics towards nursing career development

Ni Luh Dwi Indrayani — 2024-09-11

The source of professional nurses is inevitably needed in the near future. Contradictory, the nursing professional source remains debatable, as the fact of the occurrence of a nursing turnover rate. Studies reported personal reasons influenced the nurse turnover rate in which parental role conflict was included. The current study utilizes feminist ethics to explore parental role conflict in nurses, specifically in relation to their professional career development in nursing. Applying a feminist ethics approach to understanding parental role conflicts enables a comprehensive analysis of prospective alternatives from both policy and educational perspectives. Prospective alternatives grounded in feminist ethics can effectively address the moral imperatives of respecting nurses' career development preferences and general rights. This paper contributes to developing novel solutions for the ethical dilemmas of parental issues and night shifts in healthcare settings that could benefit healthcare professionals.

Keywords: Feminist ethics; night shift nurses; nursing career development;parental role conflict; hospital

Honey healing: A sweet solution to alleviate diarrhea and curb bowel movement frequency in children

Yafiana Qaromah — 2024-10-04

Diarrhea is the second leading cause of death among children under five years of age. It can persist for an extended period, leading to dehydration and potential malnutrition. While the literature presents various complementary therapies for managing diarrhea, there is a notable lack of studies specifically addressing the use of honey to mitigate hyperactivity of bowel movements in affected patients. Therefore, the objective of this study was to evaluate the benefits of honey in children experiencing diarrhea. The study involved two pediatric patients who were administered pure honey over a two-day period. The dosage consisted of 5 cc of honey mixed with 10 cc of water, given three times daily at 07:00, 17:00, and 21:00. The honey used in the study was confirmed to be pure. The findings suggest that pure honey is effective in reducing the frequency of bowel movements in children with acute diarrhea. This conclusion is supported by the observed outcomes in both patients, which indicated a reduction in bowel movement frequency following the administration of honey. Consequently, it is recommended that pure honey be considered as a complementary treatment for children suffering from acute diarrhea.

Keywords: Children care; diarrhea; honey treatment; innovation in health; medication

Exploring the soothing power of endorphin massage as a natural pain reliever for pregnant women

Amelia Cahya Dewanti — 2024-10-04

Many pregnant women experience discomfort and pain in various body parts, particularly in the back, as their uterus and fetus grow. Endorphin massage, a gentle touch therapy, can provide relief and comfort for pregnant women approaching delivery. This study aims to overview nursing care for third-trimester pregnant women experiencing acute pain issues through the application of endorphin massage. The research utilized a case study design with a consecutive sampling technique. Participants included third-trimester pregnant women suffering from back pain, who received 15 minutes of endorphin massage once daily in the afternoon. Results indicate that the application of endorphin massage significantly reduced the pain scale for the participants, decreasing from an average of 8 to 1 over six consecutive visits. This suggests that endorphin massage effectively alleviates the intensity of back pain in third-trimester pregnant women.

Keywords: Acute pain; innovation in maternity care; endorphin massage; pregnant women; treatment