Dariah Yusoff - Academia.edu (original) (raw)

Papers by Dariah Yusoff

Research paper thumbnail of Predictors of decreased stool frequency in constipated elderly: a hierarchical linear regression model approach

Background/Aims Based on our earlier study among the elderly in primary care, The prevalence of f... more Background/Aims Based on our earlier study among the elderly in primary care, The prevalence of functional constipation was 13.5% and 20% reported stool frequency <3 per week. In the current study, we aimed to determine predictors of decreased stool frequency among constipated elderly using a hierarchical linear regression model approach. Methods Consecutive elderly (above 65 years old) participants were recruited after informed consent. In addition to questionnaires (Rome III Questionnaire, demographic, diet and physical activity), patients underwent anorectal studies including high resolution anorectal manometry (M-Compass, Medspira), balloon expulsion test, and colonic transit study (Sitzmarks). Using multiple linear regression, association between a lower stool frequency in constipated elderly and independent factors (three hierarchical models i.e., model 1 demographic, model 2 risk factors and model 3 anorectal parameters) was determined with p<0.05 as significant. Result...

Research paper thumbnail of Sembelit

Research paper thumbnail of Skala impak sembelit - warga tua

Research paper thumbnail of Sembelit kronik dalam kalangan warga emas di Kelantan

Research paper thumbnail of English version of Elderly-Constipation Impact Scale (E-CIS)

Research paper thumbnail of Malay version Stroke Knowledge Test

Malay version Stroke Knowledge Test is originally developed by Sullivan and Dunton (2004) as repo... more Malay version Stroke Knowledge Test is originally developed by Sullivan and Dunton (2004) as reported in their article "Development and validation of the Stroke Knowledge Test. Topics in Stroke Rehabilitation, 11(3), 19-28." Permission was granted from the original author by Siti Noorkhairina et. al. (2019) during her Ph.D study in Universiti Sains Malaysia, Kubang Kerian to translate the original English version into Malay language version. The translated Malay version is named Ujian Pengetahuan Stroke and was utilized among the stroke patients to measure their knowledge level on stroke disease

Research paper thumbnail of Constipation symptoms severity and its effect on the elderly's quality of life in Hospital Universiti Sains Malaysia

Research paper thumbnail of Penggunaan herba dan makanan tambahan dan kepatuhan kepada ubatan konvensional dalam kalangan pesakit buah pinggang kronik (Pattern of herbal and dietary supplement usage and conventional medication adherence among patients with chronic kidney disease: a survey finding

Research paper thumbnail of Chronic constipation among the elderly in Hospital Universiti Sains Malaysia: a pilot study

Constipation is common among elderly population. The prevalence was higher among institutionalize... more Constipation is common among elderly population. The prevalence was higher among institutionalized and female elderly. Lack of fluid and fiber intake, lack of physical activity, underlying diseases and medication consumptions will further expose them to constipation. The prevalence however, was reported vary within different diagnosis tools used. Therefore, this study aims to compare the prevalence of constipation among hospitalized elderly based on self-reported constipation and constipation which is identified through Rome III criteria, as well as to determine agreement between these two measures. A cross-sectional study was conducted among the elderly selected from two medical wards (N=30) in Hospital Universiti Sains Malaysia (USM), Kelantan. Screening for constipation was done using the Malay language Rome III diagnostic questionnaires and also self-reported constipation. The agreement between these two measures was computed using Cohen kappa coefficient. Overall, the prevalenc...

Research paper thumbnail of Prevalence, Symptoms, and Associated Factors of Chronic Constipation Among Older Adults in North-East of Peninsular Malaysia

Clinical Nursing Research

This study aimed to determine the prevalence, symptoms, and associated factors of chronic constip... more This study aimed to determine the prevalence, symptoms, and associated factors of chronic constipation among older adults in the North-East of Peninsular Malaysia. A cross-sectional study was conducted among older patients from four health clinics. A total of 400 older patients participated, with a mean age of 68.7 ( SD = 6.4) years. The prevalence of chronic constipation was 14.8%. The highest symptom reported was the inability to pass stool (98.3%). Chronic constipation was significantly associated with older age (OR = 2.97; 95% CI [1.17, 7.54]; p = .022), inadequate plain water intake per day (OR = 2.13; 95% CI [1.13, 4.02]; p = .020), hypertension (OR = 2.22; 95% CI [1.07, 4.61]; p = .033), and hyperlipidemia (OR = 2.52; 95% CI [1.24, 5.11]; p = .010). Identification of chronic constipation should be done as part of routine clinic visits, especially for older patients with cardiovascular disease.

Research paper thumbnail of A pilot study of constipation among the elderly in Hospital Universiti Sains Malaysia

Background: Older people are susceptible for constipation, resulting in high prevalence particula... more Background: Older people are susceptible for constipation, resulting in high prevalence particularly among those who are hospitalized. Poor mobility and longer stay in hospital are some of the indication for constipation to occur among them. Thus, understanding of its health-related impact among hospitalized elderly is essential for early identification and management of chronic constipation. Objective: This study aims to determine the prevalence of constipation in hospitalized elderly and to investigate the impacts of symptom severity on their quality of life. Methods: A cross-sectional sample of elderly patients were recruited from two medical wards (N=30). Subjects were initially screened for constipation using the Malay language Rome III diagnostic questionnaires. Severity of constipation and specific health-related quality of life were assessed using Patient-Assessment of Constipation Symptoms (PAC-SYM) and Patient-Assessment of Constipation Quality of Life (PAC-QOL). Differences between the scores were evaluated using independent t-test. Results: Overall, only 14 of the elderly (47%) had constipation and were included in this study. The majority was female (64%). Constipation symptom severity was indicated between mild and moderate (M=11.77, SD=9.11), with stool symptoms domain were commonly reported compared to abdominal symptoms and rectal symptoms domains. Significant difference was indicated between the mean scores of PAC-SYM and PAC-QOL in patients with and without constipation at the p<0.05 level. Conclusion: The prevalence of constipation in the elderly hospitalized patients was high and it obviously compromised their quality of life. Further research in larger scale and on symptom severity impacting the elderly’s quality of life is required particularly in patients who do not meet the Rome III criteria

Research paper thumbnail of Theory of decision-making for treatment of chronic constipation

Throughout theory of decision-making for treatment of chronic constipation, individuals acquire g... more Throughout theory of decision-making for treatment of chronic constipation, individuals acquire greater insight about the process of elderly making decision for treatment in management of chronic constipation. It has cultural sensitivity and has reference to issues of elderly. The theory suggests relationship of domains that involve in explaining decision-making for treatment of chronic constipation by the elderl

Research paper thumbnail of Predictive Factors of Physician Visits in Older People with Chronic Constipation

Research paper thumbnail of Stigma, insecurity and burden: Women's experience with postnatal urinary incontinence in a Malaysian population

The Australian and New Zealand Continence Journal, 2017

Research paper thumbnail of Knowledge, Attitude and Practices of the Risk for Chronic Kidney Disease Among Patients in a Tertiary Teaching Hospital

Patients with chronic diseases such as diabetes, hypertension and cardiovascular diseases are kno... more Patients with chronic diseases such as diabetes, hypertension and cardiovascular diseases are known as high-risk groups for developing chronic kidney disease (CKD). Adequate related knowledge among them helps to increase their awareness towards CKD and adapt healthy attitude and practices for CKD prevention, which will result in better health outcomes. This study aimed to identify the patients' knowledge, attitude, and practices (KAP) towards the risks for CKD. This cross-sectional study used a selfadministered survey questionnaire on 103 adult male and female patients at four general surgical and medical wards in a teaching hospital using convenient sampling method. The data were computed using STATA version 12. Data on KAP were obtained through the Chronic Kidney Disease Screening Index questionnaire. The majority of respondents had poor knowledge (69.9%, n=72), but most of them had good attitude (68.9%, n=71) and good practices (88.3%, n=91) towards the risk of CKD. Signican...

Research paper thumbnail of Exploring the sense of privacy as barrier to formal health service among the elderly with constipation in Kelantan

Introduction: Chronic constipation is a common gastrointestinal disorder among the elderly. It ha... more Introduction: Chronic constipation is a common gastrointestinal disorder among the elderly. It has a significant negative impact on health related quality of life which is largely attributable to failure in managing the symptom. While constipation-related privacy issue has been identified in other population, there is limited research on such issue in Malaysia. Objective: To understand the role of sense privacy as barrier for the constipated elderly to access formal health service. Methodology: Grounded theory approach is applied as key method in examining and understanding the various experiences of constipation among 46 elderly in Kota Bharu, Kelantan. Data was gathered through semi-structured interviews. Results: Constant comparison analysis showed that perceived and internalized sense of privacy associated with constipation influenced access to formal health service by delaying or declines the treatment. The elderly perceived constipation was a personal experience and treatment ...

Research paper thumbnail of Beliefs and behavioural responses to constipation among elderly Malays in north-eastern Peninsular Malaysia

The Australian and New Zealand Continence Journal, 2017

Beliefs and behavioural responses to constipation may be different in an elderly population of Ma... more Beliefs and behavioural responses to constipation may be different in an elderly population of Malay ethnicity. An exploratory study, based on a grounded theory approach, used a semistructured interview to collect data from elderly residents from the north-eastern region of Peninsular Malaysia. A total of 46 elderly people (29 women and 17 men) of Malay ethnicity participated. The study demonstrated that this population had unique beliefs and behavioural responses towards constipation. Specifically, they viewed symptoms associated with constipation as taboo, mild or of low impact, were related to diet and were a part of the normal ageing process. Participants described ways they self-managed constipation, including the use of home remedies. However, whether successful or not in their self-management, they adapted to their symptoms over time unless severe, or they developed haemorrhoids. This study identified and highlighted the importance of including screening for constipation when...

Research paper thumbnail of Educational needs of chronic kidney disease patients who presented to tengku ampuan afzan hospital: Preliminary findings

Saudi Journal of Kidney Diseases and Transplantation, 2020

Knowledge limitation is a major cause of the increasing number of chronic kidney disease (CKD) pa... more Knowledge limitation is a major cause of the increasing number of chronic kidney disease (CKD) patients in Malaysia and the world. Nurses are responsible for identifying the patients’ needs to come up with appropriate discharge plans which might include educational activities. The objective of this study was to determine the baseline information (socio- demographic background, as well as medical and lifestyle histories), along with educational needs of CKD patients. A total of 116 CKD patients who attended the Nephrology Clinic of Hospital Tengku Ampuan Afzan were recruited. Patients who fulfilled the inclusion criteria were selected between April and May 2017. Data were obtained via semi-guided questionnaires; the patients were given enough time to complete the required items. The CKD educational needs’ assessment consisted of seven domains: general information, chronic illness management, complications, self-management, medications, treatment, and financial status. Majority of the patients were men (53.4%), aged 54.65 ± 16.49 years, secondary school-finishers (49.1%), and jobless (48.3%). In terms of medical and life-style histories, most patients were diagnosed with end-stage renal disease (51.7%), hypertension (96.6%), diabetes (51.7%), and anemia (25.9%). The patients were interested to know the complications of kidney disease (57.8%), management of diseases like hypertension (58.6%), complications like edema (55.2%), indications for medication (73.3%), self-management or fluid control (37.9%), hemodialysis (37.1%), and financial status (21.6%). Thus, strengthening patient education strategies in the clinics, hospitals, and community settings should be given due attention by relevant healthcare professionals.

Research paper thumbnail of Chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia

Makara Journal of Health Research, 2019

Background: This study aimed to investigate the prevalence, symptoms, and factors associated with... more Background: This study aimed to investigate the prevalence, symptoms, and factors associated with chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia. Methods: A cross-sectional study was conducted in four selected health clinics using stratified cluster sampling. A face-to-face interview was carried out among the elderly outpatients, in order to complete a structured questionnaire. Results: A total of 400 participants were included in the study. The mean age was 68.7 ± 6.4 years, and 55% of the cohort were women. The prevalence of chronic constipation was 32.3% among the sample population. The most common symptom was "sensation of incomplete evacuation" (63.6%), and none of the participants reported having "less than three defecations per week," "straining," or "lumpy or hard stool." Educational level (p = 0.005), number of defecations per week, stool form, time spent for defecation, and abdominal bloating were significantly associated with chronic constipation (p < 0.001). Conclusion: Chronic constipation was common in older people and associated with a low educational level. Recognition of symptoms was predominantly based on clinical features of constipation and will require the healthcare providers to consider these factors in their routine assessment of older people.

Research paper thumbnail of Knowledge and Awareness About Chronic Kidney Disease among Undergraduate Students in International Islamic University Malaysia Kuantan Campus

Education in Medicine Journal, 2019

Chronic kidney disease (CKD) causes 70% of all death globally. The prevalence of CKD has shown an... more Chronic kidney disease (CKD) causes 70% of all death globally. The prevalence of CKD has shown an increasing trend for the past 20 years in Malaysia. Thus, determining the knowledge and awareness of CKD among healthcare students in preparing them to be a good healthcare provider in the future is important. This study aimed to determine the association between knowledge and awareness about CKD among International Islamic University Malaysia (IIUM) undergraduate students. A crosssectional study was conducted among 108 students using simple random sampling method. The questionnaire was given to the class representative to be self-administered to interested students. It had close-ended questions consisting of Part A to Part D. The scoring given for correctly answered items was one and the total score for Part C was 7 marks. Most of the students were female (70.4%). The mean knowledge score of CKD was 3.65 (SD = 1.12) with nearly half of the students (43.5%) classified as having poor knowledge. Most respondents were aware about CKD (99.1%) and have heard about it from medical personnel (48.1%) and the Internet (25.9%). Further analysis showed that only courses taken by the respondents were significantly associated with knowledge on CKD (p = 0.039). The level of knowledge among undergraduate students is still poor, yet they are aware about the existence of CKD and its aetiology. Therefore, the health sciences curriculum should

Research paper thumbnail of Predictors of decreased stool frequency in constipated elderly: a hierarchical linear regression model approach

Background/Aims Based on our earlier study among the elderly in primary care, The prevalence of f... more Background/Aims Based on our earlier study among the elderly in primary care, The prevalence of functional constipation was 13.5% and 20% reported stool frequency <3 per week. In the current study, we aimed to determine predictors of decreased stool frequency among constipated elderly using a hierarchical linear regression model approach. Methods Consecutive elderly (above 65 years old) participants were recruited after informed consent. In addition to questionnaires (Rome III Questionnaire, demographic, diet and physical activity), patients underwent anorectal studies including high resolution anorectal manometry (M-Compass, Medspira), balloon expulsion test, and colonic transit study (Sitzmarks). Using multiple linear regression, association between a lower stool frequency in constipated elderly and independent factors (three hierarchical models i.e., model 1 demographic, model 2 risk factors and model 3 anorectal parameters) was determined with p<0.05 as significant. Result...

Research paper thumbnail of Sembelit

Research paper thumbnail of Skala impak sembelit - warga tua

Research paper thumbnail of Sembelit kronik dalam kalangan warga emas di Kelantan

Research paper thumbnail of English version of Elderly-Constipation Impact Scale (E-CIS)

Research paper thumbnail of Malay version Stroke Knowledge Test

Malay version Stroke Knowledge Test is originally developed by Sullivan and Dunton (2004) as repo... more Malay version Stroke Knowledge Test is originally developed by Sullivan and Dunton (2004) as reported in their article "Development and validation of the Stroke Knowledge Test. Topics in Stroke Rehabilitation, 11(3), 19-28." Permission was granted from the original author by Siti Noorkhairina et. al. (2019) during her Ph.D study in Universiti Sains Malaysia, Kubang Kerian to translate the original English version into Malay language version. The translated Malay version is named Ujian Pengetahuan Stroke and was utilized among the stroke patients to measure their knowledge level on stroke disease

Research paper thumbnail of Constipation symptoms severity and its effect on the elderly's quality of life in Hospital Universiti Sains Malaysia

Research paper thumbnail of Penggunaan herba dan makanan tambahan dan kepatuhan kepada ubatan konvensional dalam kalangan pesakit buah pinggang kronik (Pattern of herbal and dietary supplement usage and conventional medication adherence among patients with chronic kidney disease: a survey finding

Research paper thumbnail of Chronic constipation among the elderly in Hospital Universiti Sains Malaysia: a pilot study

Constipation is common among elderly population. The prevalence was higher among institutionalize... more Constipation is common among elderly population. The prevalence was higher among institutionalized and female elderly. Lack of fluid and fiber intake, lack of physical activity, underlying diseases and medication consumptions will further expose them to constipation. The prevalence however, was reported vary within different diagnosis tools used. Therefore, this study aims to compare the prevalence of constipation among hospitalized elderly based on self-reported constipation and constipation which is identified through Rome III criteria, as well as to determine agreement between these two measures. A cross-sectional study was conducted among the elderly selected from two medical wards (N=30) in Hospital Universiti Sains Malaysia (USM), Kelantan. Screening for constipation was done using the Malay language Rome III diagnostic questionnaires and also self-reported constipation. The agreement between these two measures was computed using Cohen kappa coefficient. Overall, the prevalenc...

Research paper thumbnail of Prevalence, Symptoms, and Associated Factors of Chronic Constipation Among Older Adults in North-East of Peninsular Malaysia

Clinical Nursing Research

This study aimed to determine the prevalence, symptoms, and associated factors of chronic constip... more This study aimed to determine the prevalence, symptoms, and associated factors of chronic constipation among older adults in the North-East of Peninsular Malaysia. A cross-sectional study was conducted among older patients from four health clinics. A total of 400 older patients participated, with a mean age of 68.7 ( SD = 6.4) years. The prevalence of chronic constipation was 14.8%. The highest symptom reported was the inability to pass stool (98.3%). Chronic constipation was significantly associated with older age (OR = 2.97; 95% CI [1.17, 7.54]; p = .022), inadequate plain water intake per day (OR = 2.13; 95% CI [1.13, 4.02]; p = .020), hypertension (OR = 2.22; 95% CI [1.07, 4.61]; p = .033), and hyperlipidemia (OR = 2.52; 95% CI [1.24, 5.11]; p = .010). Identification of chronic constipation should be done as part of routine clinic visits, especially for older patients with cardiovascular disease.

Research paper thumbnail of A pilot study of constipation among the elderly in Hospital Universiti Sains Malaysia

Background: Older people are susceptible for constipation, resulting in high prevalence particula... more Background: Older people are susceptible for constipation, resulting in high prevalence particularly among those who are hospitalized. Poor mobility and longer stay in hospital are some of the indication for constipation to occur among them. Thus, understanding of its health-related impact among hospitalized elderly is essential for early identification and management of chronic constipation. Objective: This study aims to determine the prevalence of constipation in hospitalized elderly and to investigate the impacts of symptom severity on their quality of life. Methods: A cross-sectional sample of elderly patients were recruited from two medical wards (N=30). Subjects were initially screened for constipation using the Malay language Rome III diagnostic questionnaires. Severity of constipation and specific health-related quality of life were assessed using Patient-Assessment of Constipation Symptoms (PAC-SYM) and Patient-Assessment of Constipation Quality of Life (PAC-QOL). Differences between the scores were evaluated using independent t-test. Results: Overall, only 14 of the elderly (47%) had constipation and were included in this study. The majority was female (64%). Constipation symptom severity was indicated between mild and moderate (M=11.77, SD=9.11), with stool symptoms domain were commonly reported compared to abdominal symptoms and rectal symptoms domains. Significant difference was indicated between the mean scores of PAC-SYM and PAC-QOL in patients with and without constipation at the p<0.05 level. Conclusion: The prevalence of constipation in the elderly hospitalized patients was high and it obviously compromised their quality of life. Further research in larger scale and on symptom severity impacting the elderly’s quality of life is required particularly in patients who do not meet the Rome III criteria

Research paper thumbnail of Theory of decision-making for treatment of chronic constipation

Throughout theory of decision-making for treatment of chronic constipation, individuals acquire g... more Throughout theory of decision-making for treatment of chronic constipation, individuals acquire greater insight about the process of elderly making decision for treatment in management of chronic constipation. It has cultural sensitivity and has reference to issues of elderly. The theory suggests relationship of domains that involve in explaining decision-making for treatment of chronic constipation by the elderl

Research paper thumbnail of Predictive Factors of Physician Visits in Older People with Chronic Constipation

Research paper thumbnail of Stigma, insecurity and burden: Women's experience with postnatal urinary incontinence in a Malaysian population

The Australian and New Zealand Continence Journal, 2017

Research paper thumbnail of Knowledge, Attitude and Practices of the Risk for Chronic Kidney Disease Among Patients in a Tertiary Teaching Hospital

Patients with chronic diseases such as diabetes, hypertension and cardiovascular diseases are kno... more Patients with chronic diseases such as diabetes, hypertension and cardiovascular diseases are known as high-risk groups for developing chronic kidney disease (CKD). Adequate related knowledge among them helps to increase their awareness towards CKD and adapt healthy attitude and practices for CKD prevention, which will result in better health outcomes. This study aimed to identify the patients' knowledge, attitude, and practices (KAP) towards the risks for CKD. This cross-sectional study used a selfadministered survey questionnaire on 103 adult male and female patients at four general surgical and medical wards in a teaching hospital using convenient sampling method. The data were computed using STATA version 12. Data on KAP were obtained through the Chronic Kidney Disease Screening Index questionnaire. The majority of respondents had poor knowledge (69.9%, n=72), but most of them had good attitude (68.9%, n=71) and good practices (88.3%, n=91) towards the risk of CKD. Signican...

Research paper thumbnail of Exploring the sense of privacy as barrier to formal health service among the elderly with constipation in Kelantan

Introduction: Chronic constipation is a common gastrointestinal disorder among the elderly. It ha... more Introduction: Chronic constipation is a common gastrointestinal disorder among the elderly. It has a significant negative impact on health related quality of life which is largely attributable to failure in managing the symptom. While constipation-related privacy issue has been identified in other population, there is limited research on such issue in Malaysia. Objective: To understand the role of sense privacy as barrier for the constipated elderly to access formal health service. Methodology: Grounded theory approach is applied as key method in examining and understanding the various experiences of constipation among 46 elderly in Kota Bharu, Kelantan. Data was gathered through semi-structured interviews. Results: Constant comparison analysis showed that perceived and internalized sense of privacy associated with constipation influenced access to formal health service by delaying or declines the treatment. The elderly perceived constipation was a personal experience and treatment ...

Research paper thumbnail of Beliefs and behavioural responses to constipation among elderly Malays in north-eastern Peninsular Malaysia

The Australian and New Zealand Continence Journal, 2017

Beliefs and behavioural responses to constipation may be different in an elderly population of Ma... more Beliefs and behavioural responses to constipation may be different in an elderly population of Malay ethnicity. An exploratory study, based on a grounded theory approach, used a semistructured interview to collect data from elderly residents from the north-eastern region of Peninsular Malaysia. A total of 46 elderly people (29 women and 17 men) of Malay ethnicity participated. The study demonstrated that this population had unique beliefs and behavioural responses towards constipation. Specifically, they viewed symptoms associated with constipation as taboo, mild or of low impact, were related to diet and were a part of the normal ageing process. Participants described ways they self-managed constipation, including the use of home remedies. However, whether successful or not in their self-management, they adapted to their symptoms over time unless severe, or they developed haemorrhoids. This study identified and highlighted the importance of including screening for constipation when...

Research paper thumbnail of Educational needs of chronic kidney disease patients who presented to tengku ampuan afzan hospital: Preliminary findings

Saudi Journal of Kidney Diseases and Transplantation, 2020

Knowledge limitation is a major cause of the increasing number of chronic kidney disease (CKD) pa... more Knowledge limitation is a major cause of the increasing number of chronic kidney disease (CKD) patients in Malaysia and the world. Nurses are responsible for identifying the patients’ needs to come up with appropriate discharge plans which might include educational activities. The objective of this study was to determine the baseline information (socio- demographic background, as well as medical and lifestyle histories), along with educational needs of CKD patients. A total of 116 CKD patients who attended the Nephrology Clinic of Hospital Tengku Ampuan Afzan were recruited. Patients who fulfilled the inclusion criteria were selected between April and May 2017. Data were obtained via semi-guided questionnaires; the patients were given enough time to complete the required items. The CKD educational needs’ assessment consisted of seven domains: general information, chronic illness management, complications, self-management, medications, treatment, and financial status. Majority of the patients were men (53.4%), aged 54.65 ± 16.49 years, secondary school-finishers (49.1%), and jobless (48.3%). In terms of medical and life-style histories, most patients were diagnosed with end-stage renal disease (51.7%), hypertension (96.6%), diabetes (51.7%), and anemia (25.9%). The patients were interested to know the complications of kidney disease (57.8%), management of diseases like hypertension (58.6%), complications like edema (55.2%), indications for medication (73.3%), self-management or fluid control (37.9%), hemodialysis (37.1%), and financial status (21.6%). Thus, strengthening patient education strategies in the clinics, hospitals, and community settings should be given due attention by relevant healthcare professionals.

Research paper thumbnail of Chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia

Makara Journal of Health Research, 2019

Background: This study aimed to investigate the prevalence, symptoms, and factors associated with... more Background: This study aimed to investigate the prevalence, symptoms, and factors associated with chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia. Methods: A cross-sectional study was conducted in four selected health clinics using stratified cluster sampling. A face-to-face interview was carried out among the elderly outpatients, in order to complete a structured questionnaire. Results: A total of 400 participants were included in the study. The mean age was 68.7 ± 6.4 years, and 55% of the cohort were women. The prevalence of chronic constipation was 32.3% among the sample population. The most common symptom was "sensation of incomplete evacuation" (63.6%), and none of the participants reported having "less than three defecations per week," "straining," or "lumpy or hard stool." Educational level (p = 0.005), number of defecations per week, stool form, time spent for defecation, and abdominal bloating were significantly associated with chronic constipation (p < 0.001). Conclusion: Chronic constipation was common in older people and associated with a low educational level. Recognition of symptoms was predominantly based on clinical features of constipation and will require the healthcare providers to consider these factors in their routine assessment of older people.

Research paper thumbnail of Knowledge and Awareness About Chronic Kidney Disease among Undergraduate Students in International Islamic University Malaysia Kuantan Campus

Education in Medicine Journal, 2019

Chronic kidney disease (CKD) causes 70% of all death globally. The prevalence of CKD has shown an... more Chronic kidney disease (CKD) causes 70% of all death globally. The prevalence of CKD has shown an increasing trend for the past 20 years in Malaysia. Thus, determining the knowledge and awareness of CKD among healthcare students in preparing them to be a good healthcare provider in the future is important. This study aimed to determine the association between knowledge and awareness about CKD among International Islamic University Malaysia (IIUM) undergraduate students. A crosssectional study was conducted among 108 students using simple random sampling method. The questionnaire was given to the class representative to be self-administered to interested students. It had close-ended questions consisting of Part A to Part D. The scoring given for correctly answered items was one and the total score for Part C was 7 marks. Most of the students were female (70.4%). The mean knowledge score of CKD was 3.65 (SD = 1.12) with nearly half of the students (43.5%) classified as having poor knowledge. Most respondents were aware about CKD (99.1%) and have heard about it from medical personnel (48.1%) and the Internet (25.9%). Further analysis showed that only courses taken by the respondents were significantly associated with knowledge on CKD (p = 0.039). The level of knowledge among undergraduate students is still poor, yet they are aware about the existence of CKD and its aetiology. Therefore, the health sciences curriculum should