El efecto de la relajación muscular progresiva en la reducción del síndrome de las piernas inquietas entre los pacientes sometidos a hemodiálisis en una unidad periférica en Indonesia / The effect of progressive muscle relaxation on reducing restless legs syndrome among patients undergoing hemodialysis in a satellite/hospital unit in Indonesia

Objetivo: Determinar el efecto de la relajación muscular progresiva (RMP) sobre el síndrome de piernas inquietas en pacientes sometidos a hemodiálisis.Metodología:Se llevó a cabo un estudio con diseño cuasi-experimental en la unidad de hemodiálisis. La muestra reclutada fue de 12 encuestados tanto en el grupo de intervención como en el de control, siendo el muestreo de conveniencia. El instrumento de investigación utilizado fue la Escala Internacional del Grupo de Estudio del SPI.Resultados:En el grupo de intervención, las puntuaciones medias del SPI antes y después fueron de 22,92 y 17,42, respectivamente. En el grupo de control, las puntuaciones medias del SPI antes y después de la intervención fueron de 24,33 y 23,50, respectivamente. La RPM fue eficaz para mejorar el SPI (p<0,005).Conclusión:La RMP podría ser una alternativa para reducir el SPI en pacientes sometidos a hemodiálisis. Se necesitan estudios futuros para aclarar los hallazgos utilizando métodos más robustos y un tamaño de muestra mayor. (AU)

Introduction: Muscle relaxation is considered as an alternative therapy for restless legs syndrome (RLS).Objective:To determine the effect of progressive muscle relaxation (PMR) on restless legs syndrome in patients undergoing hemodialysis.Methodology:This study was conducted using the quasi-experimental design in the unit hemodialysis. The sample recruited was 12 respondents in both intervention and control group using convenience sampling. The research instrument used the International RLS Study Group Scale.Results:The average score of RLS before and after PMR in the intervention group was 22.92 and 17.42, respectively. In the control group, the mean score of RLS before and after intervention was 24.33 and 23.50, respectively. PMR was effective to improve RLS (p<0.005).Conclusion:PMR could be an alternative to reduce RLS in patients undergoing hemodialysis. Future studies are needed to clarify the findings using more robust methods and large sample size. (AU)

Usability and Usefulness of a Mobile Heath App for HIV Prevention Among Adolescents in Indonesia.

BACKGROUND: Mobile health apps could help reduce human immunodeficiency virus (HIV) transmission in adolescents. A multidisciplinary group developed the HIV Info Corner app to provide information about HIV transmission, risk behaviors, and prevention. OBJECTIVES: This research aimed to evaluate the usability of the HIV Info Corner app and its usefulness as perceived by potential users. METHODS: 15 adolescents engaged in meetings and performed 5 tasks. Usability was evaluated using the System Usability Scale (SUS) and the Nielsen Severity Scale. Usefulness was evaluated using the Intrinsic Motivation Inventory (IMI). RESULTS: 10 usability problems were found; 8 were considered minor problems and 2 classified as major. CONCLUSION: Users considered the information in the HIV Data Corner app relevant, satisfying their requirements.

Eficacia ejercicio basado en el hogar usando una aplicación móvil para mejorar las funciones cognitivas en pacientes con hipertensión: un sencillo diseño experimental / Home based-exercise using mobile application to improve cognitive functions in patients with hypertension: a quesy experimental design

OBJETIVO: El propósito de este estudio fue determinar el efecto del ejercicio en el hogar utilizando una aplicación móvil para mejorar las funciones cognitivas en pacientes con hipertensión. MÉTODOS: Este estudio se realizó utilizando un sencillo diseño experimental con un grupo de prueba previa y posterior en un centro de salud pública ubicado en Java Occidental, Indonesia, de febrero a julio de 2019. Un programa de ejercicios basado en dispositivos móviles era una actividad de caminar en casa todos los días durante un mes. La muestra en el estudio se seleccionó mediante muestreo de conveniencia para adultos mayores de 18 años y diagnosticados con hipertensión. La Evaluación Cognitiva de Montreal (MoCA) se utilizó para medir la función cognitiva. Una prueba t pareada utilizada para analizar datos con el nivel de significancia se estableció en 0.05. RESULTADOS: Un total de 120 participantes se inscribieron en este estudio. La edad media de la muestra fue de 56.42 ± 10.6 años, 70 (58.3%) eran hombres, 61 (50.8%) tenían un nivel educativo más bajo y 77 (64.2%) estaban desempleados. La puntuación media de MoCA mostró una mejoría después de la intervención, de 23.3 ± 3.42 a 26.7 ± 2.78, p = 0.010. Más detalladamente, hubo mejoría después de la intervención en el dominio de nomenclatura (2.930.34 vs. 3.141.06, p = 0.003), atención (2.39 ± 0.68 vs. 3.12 ± 1.04, p = 0.001) y abstracción (1.56 ± 0.49 vs. 2.01 ± 0.89, p = 0.043). CONCLUSIÓN: El uso de una aplicación de ejercicio móvil fue efectivo, fácil de hacer con bajo costo para mejorar la función cognitiva y prevenir la demencia en pacientes hipertensos

EFFECTIVENESS MAIN GOAL: The purpose of this study was to determine the effect of home based-exercise using mobile application to improve cognitive functions in patients with hypertension. METHODS: This study was conducted using a queasy experimental with one group pre-post test design at a public health center located in West Java, Indonesia on February to July 2019. A mobile-based exercise program was a walking activity at home every day for one month. The sample in the study was selected using convenience sampling to adults aged above 18 years old and diagnosed with hypertension. The Montreal Cognitive Assessment (MoCA) was used to measure cognitive function. A paired t-test used to analyze data with the significance level was set at 0.05. RESULTS: A total of 120 participants were enrolled in this study. The mean age of the sample was 56.42 ± 10.6 years old, 70 (58.3%) were male, 61 (50.8%) had lower education level, and 77 (64.2%) were unemployed. The mean score of MoCA showed improved after intervention, from 23.3 ± 3.42 to 26.7 ± 2.78, p = 0.010. In more detail, there were improvement after intervention in domain of naming (2.930.34 vs. 3.141.06, p = 0.003), attention (2.39 ± 0.68 vs. 3.12 ± 1.04, p = 0.001), and abstraction (1.56 ± 0.49 vs. 2.01 ± 0.89, p = 0.043). CONCLUSION: Using a mobile-exercise App was effective, easy to do with low cost to improve cognitive function and prevent dementia in hypertensive patients

Integrating Comprehensive Geriatric Assessment Into HIV Care Systems in Indonesia: A Synthesis of Recent Evidence.

Combination antiretroviral therapy (cART) has improved the health and life expectancy of people living with human immunodeficiency virus (HIV). Comorbidities and geriatric syndrome are more prevalent in patients with HIV than in the general population. As a result, people living with HIV may face unique characteristics and needs related to aging. Health-care systems need to prepare to encounter those issues that not only focus on virology suppression and cART management but also chronic non-AIDS comorbidities and geriatric syndrome. However, there are limited data on geriatric assessment among people living with HIV. The purpose of this article is to present findings of a literature search that integrate age-related issues in HIV care management for health-care professionals caring for people living with HIV in Indonesia to consider. Integrating comprehensive geriatric assessment (CGA) into HIV care is essential. However, some critical issues need to be considered prior to implementing CGA in HIV primary care, including social vulnerability, economic inequality, and aging-related stigma. Developing guidelines for implementing CGA in HIV primary clinics remains a priority. Studies of HIV in the aging population in Indonesia need to be conducted to understand the burden of geriatric syndrome.