Patient adherence during the treatment period must be considered because patient adherence plays an important role in achieving therapeutic success, especially for chronic diseases. Treatment non-adherence is a common and complex problem. Failure to follow a treatment schedule can lead to major health complications, including death. Several interventions are needed to control patient non-adherence. Several interventions can support and improve patient adherence. These include digital interventions, increasing patient knowledge and understanding of the treatment undertaken with counseling, and Drug Information Services (PIO). They provide educational leaflets, digital pillbox reminders, Pill Cards; family support; diaries; keeping treatment commitments. Based on this, it is necessary to have an intervention method in terms of education (educational), behavior (behavior), and attitude (affective) to achieve patient adherence and the success of chronic disease therapy.
Keywords: Non-adherence; treatment; chronic disease control; medication; patient care
Background: Osteoporosis prevention at young ages is crucial to diminish the risk of the disease and its complication in later years of life. Having good osteoporosis knowledge and positive health belief may lead to better preventive behavior which then contributes to build and maintain bone health throughout life.
Objective: To investigate knowledge, health belief, and behavior of osteoporosis prevention among female healthcare students.
Methods: The descriptive cross-sectional study was conducted in a public medical university in Da Nang of Vietnam. Four hundred participants were selected by applying the multistage sampling technique. Data were collected from May 2020 to June 2020 through the questionnaire that consists of 4 parts including the demographic data form, the osteoporosis knowledge assessment tool, the osteoporosis health belief scale, and the exercise and calcium behaviors scale. Data were analyzed using descriptive statistics and Pearson correlation test.
Results: Participants had poor osteoporosis knowledge (mean [SD], 37.8 [16.0]; range, 0 - 75) and low preventive behavior (mean [SD], 5.7 [3.5]; range, 0 - 25). Osteoporosis health belief was found at a moderate level with a mean (SD) of 126.7 (12.9) (range, 84 - 187). There were positive significant correlations between knowledge and health belief, knowledge and behavior of osteoporosis prevention (P < .05).
Conclusions: Osteoporosis preventive behavior of female healthcare students was low. Osteoporosis education programs should be developed for female healthcare students to improve their knowledge and health belief that would then lead to their better preventive behavior.
Objective: This study aimed to describe the perception of cultural competence (CC) among nurses of four Asian countries. Material and Methods: A descriptive qualitative study was carried out, including fourteen nurses for in-depth interviews and 63 nurses for 8 focus group discussions being purposively selected from four Asian countries. Data were analyzed based on content analysis. Results: The participants defined CC as similar to cultural care, and described their CC in four main themes: (1) caring focus for patients with different cultures, (2) valuing holistic care/ patient-centered nursing, (3) preparing for living with God or Buddha, and (4) considering the social norms and patient rights. Assessment of the patient’s cultural background and myths contrary to medicine, along with having professional nursing knowledge, skills, and experience were the components of CC. Conclusion: The participants have addressed their CC in providing culturally, congruent care with a universal, holistic, and empathetic approach. Nurses should be trained to develop skills in multicultural care and language and made aware of their patients’ cultural beliefs. Further, CC scales for nurses working in the selected, four Asian countries should be developed.
This study investigated the effect of simulation-based training on nursing students' problem-solving skills, critical thinking skills, and self-efficacy.
The Korean radish (Raphanus raphanistrum subsp. sativus) cvs. BDM, CDM, HGM, HTM, JKM and SJM, and a standard Vietnamese cv. R13 were evaluated for adaptability, yield and quality as affected by planting geometry in Vietnam over two growing seasons. In first season, radish cultivars were planted under the planting geometries 30 × 15 cm, 30 × 30 cm, or 60 × 30 cm. The Korean radish cultivars produced better yield of good quality than the Vietnamese cultivar. The Korean and Vietnamese cultivars had better root yield with the planting geometries of 30 × 15 cm and 60 × 30 cm, respectively. The Korean radish cultivars SJM, JKM and BDM, performed well in Vietnam, in terms of yield and quality than the Vietnamese cultivar. Therefore, Korean radish cultivars may be grown in Vietnam.
Background & Aim: Sleep plays a crucial role in controlling blood pressure. Older adults commonly suffer from poor sleep quality which results in several negative health outcomes, such as cognitive impairment, depression, and increased risk of falling. However, limited research exists on sleep quality in older Vietnamese adults. This study aimed to investigate sleep quality and its associated factors in older adults with hypertension in Central Vietnam. Methods & Materials: A cross-sectional study was conducted at a tertiary hospital in Central Vietnam with 235 outpatients who were aged 60 years or older, diagnosed with hypertension, and without cognitive impairment. The Pittsburgh Sleep Quality Index was utilized to assess the participants' sleep quality. Multiple binary logistic regression was computed to identify factors associated with sleep quality with a P value less than 0.05. Results: The mean sleep quality score was 8.2 (±3.9), with 71.9% of participants reporting poor sleep quality. Participants with a high school education or less were more likely to report poor sleep quality than those with higher education (OR = 1.91; 95% CI: 1.05 - 3.46; p= 0.034). Additionally, the presence of musculoskeletal disease increased the risk of poor sleep quality (OR= 2.26; 95% CI: 1.04 - 4.87; p= 0.038). Conclusion: The majority of participants suffered from poor sleep quality, which was strongly associated with educational level and the presence of musculoskeletal diseases. Strategies for early detection, prevention, and treatment of poor sleep quality are essential for improving health outcomes in this population.
Background & Aim: As the future nursing workforce, evidence-based practice is one of the key competencies for undergraduate nursing students in delivering safe and quality care. While plenty of studies investigate nurses' evidence-based practice, understanding this topic is limited among nursing students. Thus, this study aimed to identify barriers and associated factors to adopting evidence-based practice among undergraduate nursing students in Vietnam. Methods & Materials: A cross-sectional descriptive study was conducted on 395 undergraduate nursing students who were conveniently selected at a public university in Central Vietnam from March to May 2022. A questionnaire was administered to collect information about general characteristics and barriers to implementing evidence-based practice regarding knowledge, practice, authority, setting, and research utilization. Data were analyzed using SPSS 20.0 with descriptive statistics, independent T-test, one-way analysis of variance, and Pearson's correlation coefficients. Results: Among 395 participants, most of them faced barriers regarding knowledge (91.9%), practice (96.2%), authority (89.1%), clinical setting (92.2%), and research utilization (96.2%). The most mentioned barriers were related to research utilization and clinical settings. Barriers to adopting evidence-based practice were significantly associated with a level of seeking information about research/scientific evidence and a level of participating in research/implementing evidence-based practice (p<.05). Moreover, knowledge barriers were related to age, school year, and sources of data for searching (p<.05). Conclusion: Undergraduate nursing students have faced many barriers when adopting scientific evidence into clinical practice. Supporting students in addressing these barriers is necessary to enhance their evidence-based practice competency.
Background & Aim: Turnover intention can predict the actual turnover behavior of nurses. Previous studies identified a variety of factors influencing nurses' turnover intention. However, few studies investigate nursing students' career turnover intention. This study aimed to examine turnover intention and associated factors among nursing students in Central Vietnam.
Methods & Materials: A cross-sectional study was implemented among 425 nursing students recruited through a multistage sampling technique from April to May 2022. Data were collected using a questionnaire including demographic characteristics, fear of COVID-19, perceived academic stress, and turnover intention. Descriptive statistics were used to describe demographic characteristics and study variables. Independent t-test, one-way analysis of variance, and Pearson's correlation coefficients were computed to examine the association between variables.
Results: Approximately one-third (32.5%) of the respondents will look for jobs without patient contact, 32.2% would not study nursing if given a choice, and 31.1% often think of not staying in the nursing profession. The sum scores of turnover intention ranged from 3 to 15 with a mean of 9.19 (SD= 2.49). The turnover intention was associated with the year of study, the reason to study nursing, and preparation for nursing school (p<.05). Perceived academic stress had a moderate correlation with turnover intention (r= -.325, p<.05). In contrast, the association between fear of COVID-19 and turnover intention was not significant.
Conclusion: A considerable number of nursing students had turnover intention upon graduation. Factors affecting turnover intention should be considered to retain students in educational programs and avoid a future nursing shortage.
Hemodialysis is cleaning blood through an artificial kidney or dialyzer assisted by a machine. Kidney failure patients undergoing therapy experience anxiety due to various stressors. One way to overcome fear is to use relaxation therapy, including Benson relaxation. Benson relaxation is a breathing relaxation technique with the addition of an element of belief in the form of words that express the anxiety that the patient is experiencing. This literature aims to determine the effectiveness of Benson's relaxation on reducing stress in chronic kidney failure patients undergoing hemodialysis. A literature review comparing some literature through the journal databases used is Pubmed, Google Scholar, ScienceDirect, Garuda Portal, and Jane Semantic. The keywords are "Benson relaxation, anxiety, chronic renal failure and hemodialysis," "Benson relaxation technique on the anxiety of patient hemodialysis," "Benson relaxation for anxiety disorders," or "Benson relaxation for patients undergoing hemodialysis" or "non-pharmacological therapy for reduce anxiety from 2016-2021 full text. There are seven journals reviewed and used in this literature review. The results show that Benson relaxation is proven effective in reducing anxiety in chronic kidney failure patients undergoing hemodialysis.
Keywords: Kidney disease; nursing care; relaxation technique; anxiety; psychological outcomes