Intan Idiana Hassan | Universiti Sains Malaysia (original) (raw)

Papers by Intan Idiana Hassan

Research paper thumbnail of Description of apps targeting stroke patients: A review of apps store

DIGITAL HEALTH

Background As a principal cause of mortality and disability worldwide, stroke imposes considerabl... more Background As a principal cause of mortality and disability worldwide, stroke imposes considerable burdens on society and effects on the lives of patients, families, and communities. Owing to their growing global popularity, health-related applications (apps) offer a promising approach to stroke management but show a knowledge gap regarding mobile apps for stroke survivors. Methods This review was conducted across the Android and iOS app stores in September–December 2022 to identify and describe all apps targeting stroke survivors. Apps were included if they were designed for stroke management and contained at least one of the following components: medication taking, risk management, blood pressure management, and stroke rehabilitation. Apps were excluded if they were unrelated to health, not in Chinese or English, or the targeted users were healthcare professionals. The included apps were downloaded, and their functionalities were investigated. Results The initial search yielded 40...

Research paper thumbnail of Effectiveness of Mobile Application Interventions for Stroke Survivors: Systematic Review and Meta-analysis (Preprint)

BACKGROUND Although smartphone usage is ubiquitous, and a vast amount of mobile applications have... more BACKGROUND Although smartphone usage is ubiquitous, and a vast amount of mobile applications have been developed for chronic diseases, mobile applications amongst stroke survivors remain unclear. OBJECTIVE This systematic review and meta-analysis aimed to determine the effectiveness of mobile applications on medication adherence, functional outcomes, cardiovascular risk factors, quality of life and knowledge on stroke in stroke survivors. METHODS A review of the literature was conducted using key search terms in PubMed, EMBASE, Cochrane and Web of Science databases until 24 January 2023 to investigate the benefit of mobile applications in stroke survivors. RESULTS Twenty-three studies involving 2983 participants across nine countries were included in this review. Mobile applications targeting stroke survivors primarily encompassed three areas: rehabilitation, education and self-care. Meta-analysis results demonstrated that mobile application intervention significantly improved trunk...

Research paper thumbnail of Nursing lecturers' perception toward E-learning approaches used in nursing colleges: Scoping review

Journal of Professional Nursing

Research paper thumbnail of Evaluation of a mobile application intervention for elderly stroke survivors in Chenzhou, China

Research paper thumbnail of Coping Strategies for Sexual Problems and Sexual Dysfunction Amongst Malay Women With Breast Cancer. A Qualitative Study

Sexual Medicine, 2021

Introduction Women’ sexuality becomes complex after breast cancer diagnosis and sexual health is ... more Introduction Women’ sexuality becomes complex after breast cancer diagnosis and sexual health is highly neglected in the management of the illness. Aims To explore the coping and strategies to overcome sexuality problems and sexual dysfunction among women with breast cancer. Material And Methods Using the in-depth and photo-elicitation interview methods, this qualitative study following phenomenological analysis was conducted on fourteen married female respondents with breast cancer and had the positive result for female sexual dysfunction (FSD) screened by Female Sexual Function Index (FSFI-6 items) from Kelantan, Malaysia. The interviews data were audio-recorded, transcribed verbatim and managed in analytic computer software NVivo11 Pro. The transcriptions were analyzed using thematic analysis by referring to the meaning-making theory. Main Outcome Measures We identified overlapping themes of coping and strategies among women with breast cancer to overcome sexual problems and sexu...

Research paper thumbnail of “I Lost My Gift to Him”: The Consequences of Female Sexual Dysfunction on Breast Cancer Survivors in Malaysia

Archives of Sexual Behavior, 2021

Sexuality is currently neglected in the medical care of cancer patients although female sexual dy... more Sexuality is currently neglected in the medical care of cancer patients although female sexual dysfunction (FSD) and sexual problems are highly prevalent among breast cancer patients in Malaysia. This paper explores the consequences of breast cancer and its treatment on the sexuality and sexual health of women with breast cancer using a qualitative design and a phenomenological methodology. Fourteen married women with breast cancer who fulfill the criteria for FSD from Kelantan, Malaysia participated in two interviews: in-depth interview and followed by photo-elicitation interview after two weeks duration. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. We identified overlapping themes that can be explained by sexual script theory. Breast cancer treatments disturb the sex response cycle, leading to changes in sexuality, from intimacy in marriage to women preferring physical affection to intercourse. The women struggled with a perceived imperfection about symbol of femininity after noticing changes in their husbands' sexual performance and after experiencing their own sentiments of inadequacy as a wife. Fear and guilt surfaced as part of the journey, accompanied by frustration on the part of the spouse, or him becoming more attentive. This study highlights the problem of breast cancer and its treatment as regards the sexual well-being of patients and their spouses. Hence, recognizing and addressing sexual health will improve the overall experience for survivors.

Research paper thumbnail of Menopausal women's experiences of husband's support: A negative view

Enfermería Clínica, 2020

This study explores how menopausal women perceived supports provided by their husbands. Methodolo... more This study explores how menopausal women perceived supports provided by their husbands. Methodology: Total of 13 menopausal women recruited using a combination of purposive and snowball techniques from two sources, tertiary hospital and local communities in the state of Kelantan, Malaysia. The in-depth semi-structured interview guided was used to explore how they perceived supports provided by their husbands. The data were then analysed using a thematic analysis. Results: Five (5) themes have emerged which comprises of emotional, instrumental, appraisal, guidance, and sexual supports. One of which was a new theme (sexual intimacy support) that had not been existed previously in other literature reviews. Conclusion: Majority of menopausal women perceived the supports provided by their husband were negative, rather than positive supports that they had hoped. These findings suggest that an education program tool for husbands as a support person is much needed to ensure women walk through the menopause phase in a more meaningful life.

Research paper thumbnail of Long-term effects of honey on cardiovascular parameters and anthropometric measurements of postmenopausal women

Complementary Therapies in Medicine, 2018

To investigate the long-term effects of Tualang Honey versus Honey Cocktail (mixture of honey, be... more To investigate the long-term effects of Tualang Honey versus Honey Cocktail (mixture of honey, bee bread, and royal jelly) on cardiovascular markers and anthropometric measurements of postmenopausal women. Methods: We conducted a randomised, double blinded, two-armed parallel study comparing 20 g/day of Tualang Honey versus 20 g/day Honey Cocktail among postmenopausal women aged 45-65 years. The cardiovascular parameters and anthropometrics measurements were assessed at baseline, 6 months, and 12 months of the intervention. Results: 100 subjects were successfully randomised into the groups. There was a significant decrease in the diastolic blood pressure from 77.92 mmHg at baseline to 73.45 mmHg at 12 months (F-statistic = 2.55, pvalue = 0.047) in the Tualang Honey group compared to Honey Cocktail. There was also a significant decrease in the fasting blood sugar from 6.11 mmol/L at baseline to 5.71 mmol/L at 12 months (F-statistic = 4.03, pvalue = 0.021) in the Tualang Honey group compared to the Honey Cocktail group. The body mass index remained unchanged at 27 kg/m2 (F-statistic = 1.60, p-value = 0.010) throughout 12 months of the intervention in the Honey Cocktail group. Conclusion: Subjects who received Honey Cocktail showed remarkable effects on body mass index. However, Tualang Honey supplementation showed superior effect in lowering diastolic blood pressure and fasting blood sugar compared to Honey Cocktail. Further studies are required to ascertain the underlying mechanism(s) of Tualang Honey and Honey Cocktail on each observed parameter.

Research paper thumbnail of The Effects of Tualang Honey versus Honey Cocktail (HC124) on Physiological Changes and Hormonal Profiles among Postmenopausal Women: A Preliminary Study

Abstract Introduction: Honey and other bee hive products have been reported to contain many highl... more Abstract Introduction: Honey and other bee hive products have been reported to contain many highly nutritious substances in various medical fields. A combination of bee hives products known as Honey Cocktail 124 may provide additional values to Tualang Honey. Objectives: The objective of this study was to investigate the effects of of Tualang Honey versus Honey Cocktail (HC124) on physiological changes (cardiovascular parameters) and hormonal profile among post-menopausal women. Designs: A randomized, double blinded, prospective, preliminary clinical study was conducted involving post-menopausal women aged 45 to 65 years. Materials and Methodology: Hundreds healthy post-menopausal women were given 20 g/day of Tualang Honey or Honey Cocktail and followed up for 6 months. ANCOVA was performed for statistical analysis. Results: There were significant changes in the diastolic blood pressure, serum total cholesterol and LDL levels between the two groups after 6 months. Other clinical fin...

Research paper thumbnail of The Effect ofChanna striatus(Haruan) Extract on Pain and Wound Healing of Post-Lower Segment Caesarean Section Women

Evidence-Based Complementary and Alternative Medicine, 2015

Channa striatushas been consumed for decades as a remedy to promote wound healing by women during... more Channa striatushas been consumed for decades as a remedy to promote wound healing by women during postpartum period. The objectives of this study were to compare postoperative pain, wound healing based on wound evaluation scale (WES), wound cosmetic appearance based on visual analogue scale (VAS) scores and patient satisfaction score (PSS), and safety profiles betweenC. striatusgroup and placebo group after six weeks of lower segment caesarean section (LSCS) delivery. A randomised, double-blind, placebo-controlled study was conducted. Subjects were randomised in a ratio of 1 : 1 into either theC. striatusgroup (500 mg daily) or placebo group (500 mg of maltodextrin daily). 76 subjects were successfully randomised, with 38 in theC. striatusgroup and 35 in the placebo group. There were no significant differences in postoperative painp=0.814and WESp=0.160between theC. striatusand placebo groups. However, VAS and PSS in theC. striatusgroup were significantly better compared with the pla...

Research paper thumbnail of Safety of Honey in Postmenopausal Women

International Medical Journal (1994)

Research paper thumbnail of Randomized Controlled Trial on the Effects of Tualang Honey and Hormonal Replacement Therapy (HRT) on Cardiovascular Risk Factors, Hormonal Profiles and Bone Density Among Postmenopausal Women: A Pilot Study

Journal of Food Research, 2012

Results of recent trial have shown some negative effects of HRT on postmenopausal women. Therefor... more Results of recent trial have shown some negative effects of HRT on postmenopausal women. Therefore, there has been a need to search for an alternative treatment and honey is one of the well known traditional remedies used in minimizing postmenopausal problems. The objectives of the study were to investigate the effects of Tualang honey on the cardiovascular risk factors, changes in hormonal profiles and also effect on the bone. A randomized controlled trial comparing the effects of Tualang honey 20 g/day and HRT for a 4-month intervention period among healthy postmenopausal Malay women aged 45-60 years old was conducted. The primary outcome measures were changes from baseline on the cardiovascular risk profiles, hormonal profiles and effect on bone. Tualang honey compared with low dose HRT, consumed for 4 months by postmenopausal women had no demonstrable effects on the parameters examined such as blood pressure measurement, body mass index and waist circumference. There was no significant difference in the lipid profile, blood sugar profile and bone density between the two groups at the end of the study period.

Research paper thumbnail of The Effect ofLabisia pumilavar.alataon Postmenopausal Women: A Pilot Study

Evidence-Based Complementary and Alternative Medicine, 2012

This is a randomized, double-blind, placebo-controlled study comparing the effects of a water ext... more This is a randomized, double-blind, placebo-controlled study comparing the effects of a water extract ofLabisia pumilavar.alataat 280 mg/day with placebo, given for 6 months in postmenopausal Malay women. There were 29 patients treated withLabisia pumilaand 34 patients in the placebo group. Menopausal symptoms were assessed at baseline and at 6 months. The blood pressure, body mass index, waist circumference, fasting blood sugar, lipid profile, and hormonal profile (follicle stimulating hormone/luteinizing hormone/estradiol) were measured during visits every two months. ANCOVA model analysis showed significantly lower triglycerides levels in LP subjects at 6 months after treatment as compared to placebo (1.4 versus 1.9 mmol/L; adj. mean difference 0.5, 95% CI: 0.02, 0.89 after adjusted for the baseline values, age, BMI, and duration of menopause placebo). Other parameters in both groups did not differ significantly. In conclusion, daily intake ofLabisia pumilaat 280 mg/day for six m...

Research paper thumbnail of Stressors and Coping Strategies during Clinical Practices among Diploma Nursing Students

Education in Medicine Journal, 2016

Introduction: Stress is a particularly important issue in education because it has the potential ... more Introduction: Stress is a particularly important issue in education because it has the potential to decline learning and performance. However, little empirical evidence about the influence of stress in nurse students' clinical practices. Methods: There are 346 totals of respondents for this study. Perceived Stress Scale (PSS), which have six domains of stressors and Brief COPE inventory, consisted of 28 items which measure 14 different coping styles was used. By using Likert scale in order to measure the degree of stress for each stressor. Higher mean score indicates higher degree of stress. Results: In this study, stress from clinical assignments and workload was the most stressful having by nursing students (Mean = 3.19, SD = 1.09). Among the 14 types of coping strategies, religion was the most frequently used, religion (Mean = 3.30, SD = 0.71). Conclusion: The results provided valuable information for nurse educators, clinical educators and clinical staff in identifying students' needs, facilitating their learning in the clinical setting and developing effective interventions to reduce the stress. Therefore it is important, especially nursing students can handle the pressure because it will affect the level of achievement in academic and thereby affecting student skills in the field of clinical nursing. And this affects the care of patients.

Research paper thumbnail of Clinical Practices Among Nursing Students

High level of stress due to clinical practices faced by nursing students continues to be identifi... more High level of stress due to clinical practices faced by nursing students continues to be identified in the literature. A set of questionnaires including the Perceived Stress Scale (PSS) and Brief COPE inventory was distributed to respondents. Ninety nine respondents from second, third and fourth year nursing students completed the questionnaires given. Descriptive statistics were used to determine the most common clinical stressors and coping strategies. Independent t-test was used to determine the association between interest in nursing and coping strategies. Results indicated that the most common stressor perceived by students was stress from clinical instructors/educators and ward staff. Turning to religion was the most frequent coping strategy practiced by the students in order to overcome their stress. Overall, there was a significant association between interest in nursing and positive reframing, planning, religion and active coping strategies. These findings suggest that diff...

Research paper thumbnail of Complementary Alternative Medicines

This comparative study aims to identify and compare nursing and medical student's knowledge, ... more This comparative study aims to identify and compare nursing and medical student's knowledge, attitudes, and practice (KAP) of complementary and alternative medicines (CAMs) in Universiti Sains Malaysia (USM). There were 74 students (33 nursing students and 41 medical students) randomly selected to participate in this study and a self-administered questionnaire was given and collected at the same time. Independent t-test was used and p-value < 0.05 was accepted statistically significant. The finding from this study revealed that overall, nursing students were more knowledgeable about CAMs, possessed positive attitudes, and more willing to practice CAMs in clinical area compared to medical students. Null hypothesis was rejected at 5% significant level. It is suggested that the inclusion of CAM in nursing curriculum will prepare nursing student as a good future nurses who is knowledgeable to respond patient's questions related to CAM therapies.

Research paper thumbnail of Clinical practices among nursing students: Stressors and coping strategies

Research paper thumbnail of Penaksiran kesakitan bersalin oleh jururawat perbidanan di wad bersalin HUSM

PENGENALAN: Pengurusan kesakitan ibu semasa bersalin sememangnya menjadi tanggungjawab utama juru... more PENGENALAN: Pengurusan kesakitan ibu semasa bersalin sememangnya menjadi tanggungjawab utama jururawat perbidanan bagi memastikan ibu mengalami pengalaman kelahiran yang positif dan pencapaian kualiti perkhidmatan yang optima. Ini kerana penaksiran kesakitan yang sesuai dan tepat amat penting dalam melahirkan pengurusan kesakitan yang berkesan. Oleh kerana kesakitan adalah sesuatu yang subjektif dan sukar diukur secara objektif, kebanyakan kajian melaporkan sering berlaku ketidaktepatan dalam penaksiran kesakitan iaitu penaksiran jururawat sering terkurang atau terlebih daripada persepsi kesakitan sebenar yang dirasai ibu. OBJEKTIF: 1. tvlengetahui kaedah penaksiran intensiti kesakitan yang dipraktiskan oleh jururawat perbidanan di wad bersalin HUSM semasa fasa panjang dan aktif peringkat pertama kelahiran. 2. Membandingkan keputusan penaksiran intensiti kesakitan di antara jururawat perbidanan dengan persepsi kesakitan ibu. 3. Mengenalpasti faktor-faktor yang mempunyai hubungkait d...

Research paper thumbnail of A Review of Spouse’s Reactions to Menopausal-Related Changes

International Journal of Academic Research in Business and Social Sciences

Challenges faced by women during their menopausal phases do not only revolve around them, but als... more Challenges faced by women during their menopausal phases do not only revolve around them, but also their respective spouse. Even though a considerable amount of literature has been published on menopausal context, to date, there is no published review paper regarding spouse's reaction toward menopausal-related changes. Therefore, the purpose of this paper is to review literature and studies conducted that related to spouse's reaction to menopausal-related changes. This review paper is based on multiple databases focusing on spouse's reactions and menopause. As a result, of the thoroughly reviewed literature, three classifications related to the context of spouse's reactions in menopausal phases have been found as the following; (i) types of reactions, (ii) internal and external factors and (iii) impacts on menopausal women and spouse. In conclusion, this review paper will provide useful information to develop effective health education module which involving spouses to ensure that menopausal women have a meaningful life throughout the menopausal phases.

Research paper thumbnail of Adaptation and Validation of the Malay Version of the Osteoarthritis Knee and Hip Quality of Life Questionnaire among Knee Osteoarthritis Patients

BioMed Research International, May 31, 2018

Objective. To adapt and validate the Malay version of Osteoarthritis Knee and Hip Quality of Life... more Objective. To adapt and validate the Malay version of Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) questionnaire. Design. The OAKHQOL was adapted into Malay version using forward-backward translation methodology. It was then validated in a cross-sectional study of 191 patients with knee osteoarthritis (OA). Patients completed the OAKHQOL and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Confirmatory analysis, reliability analysis, and Pearson correlation test were performed. Results. The new five-factor model of 28 items demonstrated an acceptable level of goodness of fit (comparative fit index = 0.915, Tucker-Lewis index = 0.905, incremental fit index = 0.916, chi-squared/degree of freedom = 1.953, and root mean square error of approximation = 0.071), signifying a fit model. The Cronbach's alpha value and the composite reliability of each construct ranged from 0.865 to 0.933 and 0.819 to 0.921, respectively. The Pearson correlation coefficient between the OAKHQOL and the WOMAC showed adequate criterion validity. Known groups validity showed statistical difference in body mass index in physical activity, mental health, and pain construct. The pain domain was statistically different between the age groups. Conclusion. The Malay version OAKHQOL questionnaire is a valid and reliable instrument to assess health-related quality of life in knee OA patients.

Research paper thumbnail of Description of apps targeting stroke patients: A review of apps store

DIGITAL HEALTH

Background As a principal cause of mortality and disability worldwide, stroke imposes considerabl... more Background As a principal cause of mortality and disability worldwide, stroke imposes considerable burdens on society and effects on the lives of patients, families, and communities. Owing to their growing global popularity, health-related applications (apps) offer a promising approach to stroke management but show a knowledge gap regarding mobile apps for stroke survivors. Methods This review was conducted across the Android and iOS app stores in September–December 2022 to identify and describe all apps targeting stroke survivors. Apps were included if they were designed for stroke management and contained at least one of the following components: medication taking, risk management, blood pressure management, and stroke rehabilitation. Apps were excluded if they were unrelated to health, not in Chinese or English, or the targeted users were healthcare professionals. The included apps were downloaded, and their functionalities were investigated. Results The initial search yielded 40...

Research paper thumbnail of Effectiveness of Mobile Application Interventions for Stroke Survivors: Systematic Review and Meta-analysis (Preprint)

BACKGROUND Although smartphone usage is ubiquitous, and a vast amount of mobile applications have... more BACKGROUND Although smartphone usage is ubiquitous, and a vast amount of mobile applications have been developed for chronic diseases, mobile applications amongst stroke survivors remain unclear. OBJECTIVE This systematic review and meta-analysis aimed to determine the effectiveness of mobile applications on medication adherence, functional outcomes, cardiovascular risk factors, quality of life and knowledge on stroke in stroke survivors. METHODS A review of the literature was conducted using key search terms in PubMed, EMBASE, Cochrane and Web of Science databases until 24 January 2023 to investigate the benefit of mobile applications in stroke survivors. RESULTS Twenty-three studies involving 2983 participants across nine countries were included in this review. Mobile applications targeting stroke survivors primarily encompassed three areas: rehabilitation, education and self-care. Meta-analysis results demonstrated that mobile application intervention significantly improved trunk...

Research paper thumbnail of Nursing lecturers' perception toward E-learning approaches used in nursing colleges: Scoping review

Journal of Professional Nursing

Research paper thumbnail of Evaluation of a mobile application intervention for elderly stroke survivors in Chenzhou, China

Research paper thumbnail of Coping Strategies for Sexual Problems and Sexual Dysfunction Amongst Malay Women With Breast Cancer. A Qualitative Study

Sexual Medicine, 2021

Introduction Women’ sexuality becomes complex after breast cancer diagnosis and sexual health is ... more Introduction Women’ sexuality becomes complex after breast cancer diagnosis and sexual health is highly neglected in the management of the illness. Aims To explore the coping and strategies to overcome sexuality problems and sexual dysfunction among women with breast cancer. Material And Methods Using the in-depth and photo-elicitation interview methods, this qualitative study following phenomenological analysis was conducted on fourteen married female respondents with breast cancer and had the positive result for female sexual dysfunction (FSD) screened by Female Sexual Function Index (FSFI-6 items) from Kelantan, Malaysia. The interviews data were audio-recorded, transcribed verbatim and managed in analytic computer software NVivo11 Pro. The transcriptions were analyzed using thematic analysis by referring to the meaning-making theory. Main Outcome Measures We identified overlapping themes of coping and strategies among women with breast cancer to overcome sexual problems and sexu...

Research paper thumbnail of “I Lost My Gift to Him”: The Consequences of Female Sexual Dysfunction on Breast Cancer Survivors in Malaysia

Archives of Sexual Behavior, 2021

Sexuality is currently neglected in the medical care of cancer patients although female sexual dy... more Sexuality is currently neglected in the medical care of cancer patients although female sexual dysfunction (FSD) and sexual problems are highly prevalent among breast cancer patients in Malaysia. This paper explores the consequences of breast cancer and its treatment on the sexuality and sexual health of women with breast cancer using a qualitative design and a phenomenological methodology. Fourteen married women with breast cancer who fulfill the criteria for FSD from Kelantan, Malaysia participated in two interviews: in-depth interview and followed by photo-elicitation interview after two weeks duration. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. We identified overlapping themes that can be explained by sexual script theory. Breast cancer treatments disturb the sex response cycle, leading to changes in sexuality, from intimacy in marriage to women preferring physical affection to intercourse. The women struggled with a perceived imperfection about symbol of femininity after noticing changes in their husbands' sexual performance and after experiencing their own sentiments of inadequacy as a wife. Fear and guilt surfaced as part of the journey, accompanied by frustration on the part of the spouse, or him becoming more attentive. This study highlights the problem of breast cancer and its treatment as regards the sexual well-being of patients and their spouses. Hence, recognizing and addressing sexual health will improve the overall experience for survivors.

Research paper thumbnail of Menopausal women's experiences of husband's support: A negative view

Enfermería Clínica, 2020

This study explores how menopausal women perceived supports provided by their husbands. Methodolo... more This study explores how menopausal women perceived supports provided by their husbands. Methodology: Total of 13 menopausal women recruited using a combination of purposive and snowball techniques from two sources, tertiary hospital and local communities in the state of Kelantan, Malaysia. The in-depth semi-structured interview guided was used to explore how they perceived supports provided by their husbands. The data were then analysed using a thematic analysis. Results: Five (5) themes have emerged which comprises of emotional, instrumental, appraisal, guidance, and sexual supports. One of which was a new theme (sexual intimacy support) that had not been existed previously in other literature reviews. Conclusion: Majority of menopausal women perceived the supports provided by their husband were negative, rather than positive supports that they had hoped. These findings suggest that an education program tool for husbands as a support person is much needed to ensure women walk through the menopause phase in a more meaningful life.

Research paper thumbnail of Long-term effects of honey on cardiovascular parameters and anthropometric measurements of postmenopausal women

Complementary Therapies in Medicine, 2018

To investigate the long-term effects of Tualang Honey versus Honey Cocktail (mixture of honey, be... more To investigate the long-term effects of Tualang Honey versus Honey Cocktail (mixture of honey, bee bread, and royal jelly) on cardiovascular markers and anthropometric measurements of postmenopausal women. Methods: We conducted a randomised, double blinded, two-armed parallel study comparing 20 g/day of Tualang Honey versus 20 g/day Honey Cocktail among postmenopausal women aged 45-65 years. The cardiovascular parameters and anthropometrics measurements were assessed at baseline, 6 months, and 12 months of the intervention. Results: 100 subjects were successfully randomised into the groups. There was a significant decrease in the diastolic blood pressure from 77.92 mmHg at baseline to 73.45 mmHg at 12 months (F-statistic = 2.55, pvalue = 0.047) in the Tualang Honey group compared to Honey Cocktail. There was also a significant decrease in the fasting blood sugar from 6.11 mmol/L at baseline to 5.71 mmol/L at 12 months (F-statistic = 4.03, pvalue = 0.021) in the Tualang Honey group compared to the Honey Cocktail group. The body mass index remained unchanged at 27 kg/m2 (F-statistic = 1.60, p-value = 0.010) throughout 12 months of the intervention in the Honey Cocktail group. Conclusion: Subjects who received Honey Cocktail showed remarkable effects on body mass index. However, Tualang Honey supplementation showed superior effect in lowering diastolic blood pressure and fasting blood sugar compared to Honey Cocktail. Further studies are required to ascertain the underlying mechanism(s) of Tualang Honey and Honey Cocktail on each observed parameter.

Research paper thumbnail of The Effects of Tualang Honey versus Honey Cocktail (HC124) on Physiological Changes and Hormonal Profiles among Postmenopausal Women: A Preliminary Study

Abstract Introduction: Honey and other bee hive products have been reported to contain many highl... more Abstract Introduction: Honey and other bee hive products have been reported to contain many highly nutritious substances in various medical fields. A combination of bee hives products known as Honey Cocktail 124 may provide additional values to Tualang Honey. Objectives: The objective of this study was to investigate the effects of of Tualang Honey versus Honey Cocktail (HC124) on physiological changes (cardiovascular parameters) and hormonal profile among post-menopausal women. Designs: A randomized, double blinded, prospective, preliminary clinical study was conducted involving post-menopausal women aged 45 to 65 years. Materials and Methodology: Hundreds healthy post-menopausal women were given 20 g/day of Tualang Honey or Honey Cocktail and followed up for 6 months. ANCOVA was performed for statistical analysis. Results: There were significant changes in the diastolic blood pressure, serum total cholesterol and LDL levels between the two groups after 6 months. Other clinical fin...

Research paper thumbnail of The Effect ofChanna striatus(Haruan) Extract on Pain and Wound Healing of Post-Lower Segment Caesarean Section Women

Evidence-Based Complementary and Alternative Medicine, 2015

Channa striatushas been consumed for decades as a remedy to promote wound healing by women during... more Channa striatushas been consumed for decades as a remedy to promote wound healing by women during postpartum period. The objectives of this study were to compare postoperative pain, wound healing based on wound evaluation scale (WES), wound cosmetic appearance based on visual analogue scale (VAS) scores and patient satisfaction score (PSS), and safety profiles betweenC. striatusgroup and placebo group after six weeks of lower segment caesarean section (LSCS) delivery. A randomised, double-blind, placebo-controlled study was conducted. Subjects were randomised in a ratio of 1 : 1 into either theC. striatusgroup (500 mg daily) or placebo group (500 mg of maltodextrin daily). 76 subjects were successfully randomised, with 38 in theC. striatusgroup and 35 in the placebo group. There were no significant differences in postoperative painp=0.814and WESp=0.160between theC. striatusand placebo groups. However, VAS and PSS in theC. striatusgroup were significantly better compared with the pla...

Research paper thumbnail of Safety of Honey in Postmenopausal Women

International Medical Journal (1994)

Research paper thumbnail of Randomized Controlled Trial on the Effects of Tualang Honey and Hormonal Replacement Therapy (HRT) on Cardiovascular Risk Factors, Hormonal Profiles and Bone Density Among Postmenopausal Women: A Pilot Study

Journal of Food Research, 2012

Results of recent trial have shown some negative effects of HRT on postmenopausal women. Therefor... more Results of recent trial have shown some negative effects of HRT on postmenopausal women. Therefore, there has been a need to search for an alternative treatment and honey is one of the well known traditional remedies used in minimizing postmenopausal problems. The objectives of the study were to investigate the effects of Tualang honey on the cardiovascular risk factors, changes in hormonal profiles and also effect on the bone. A randomized controlled trial comparing the effects of Tualang honey 20 g/day and HRT for a 4-month intervention period among healthy postmenopausal Malay women aged 45-60 years old was conducted. The primary outcome measures were changes from baseline on the cardiovascular risk profiles, hormonal profiles and effect on bone. Tualang honey compared with low dose HRT, consumed for 4 months by postmenopausal women had no demonstrable effects on the parameters examined such as blood pressure measurement, body mass index and waist circumference. There was no significant difference in the lipid profile, blood sugar profile and bone density between the two groups at the end of the study period.

Research paper thumbnail of The Effect ofLabisia pumilavar.alataon Postmenopausal Women: A Pilot Study

Evidence-Based Complementary and Alternative Medicine, 2012

This is a randomized, double-blind, placebo-controlled study comparing the effects of a water ext... more This is a randomized, double-blind, placebo-controlled study comparing the effects of a water extract ofLabisia pumilavar.alataat 280 mg/day with placebo, given for 6 months in postmenopausal Malay women. There were 29 patients treated withLabisia pumilaand 34 patients in the placebo group. Menopausal symptoms were assessed at baseline and at 6 months. The blood pressure, body mass index, waist circumference, fasting blood sugar, lipid profile, and hormonal profile (follicle stimulating hormone/luteinizing hormone/estradiol) were measured during visits every two months. ANCOVA model analysis showed significantly lower triglycerides levels in LP subjects at 6 months after treatment as compared to placebo (1.4 versus 1.9 mmol/L; adj. mean difference 0.5, 95% CI: 0.02, 0.89 after adjusted for the baseline values, age, BMI, and duration of menopause placebo). Other parameters in both groups did not differ significantly. In conclusion, daily intake ofLabisia pumilaat 280 mg/day for six m...

Research paper thumbnail of Stressors and Coping Strategies during Clinical Practices among Diploma Nursing Students

Education in Medicine Journal, 2016

Introduction: Stress is a particularly important issue in education because it has the potential ... more Introduction: Stress is a particularly important issue in education because it has the potential to decline learning and performance. However, little empirical evidence about the influence of stress in nurse students' clinical practices. Methods: There are 346 totals of respondents for this study. Perceived Stress Scale (PSS), which have six domains of stressors and Brief COPE inventory, consisted of 28 items which measure 14 different coping styles was used. By using Likert scale in order to measure the degree of stress for each stressor. Higher mean score indicates higher degree of stress. Results: In this study, stress from clinical assignments and workload was the most stressful having by nursing students (Mean = 3.19, SD = 1.09). Among the 14 types of coping strategies, religion was the most frequently used, religion (Mean = 3.30, SD = 0.71). Conclusion: The results provided valuable information for nurse educators, clinical educators and clinical staff in identifying students' needs, facilitating their learning in the clinical setting and developing effective interventions to reduce the stress. Therefore it is important, especially nursing students can handle the pressure because it will affect the level of achievement in academic and thereby affecting student skills in the field of clinical nursing. And this affects the care of patients.

Research paper thumbnail of Clinical Practices Among Nursing Students

High level of stress due to clinical practices faced by nursing students continues to be identifi... more High level of stress due to clinical practices faced by nursing students continues to be identified in the literature. A set of questionnaires including the Perceived Stress Scale (PSS) and Brief COPE inventory was distributed to respondents. Ninety nine respondents from second, third and fourth year nursing students completed the questionnaires given. Descriptive statistics were used to determine the most common clinical stressors and coping strategies. Independent t-test was used to determine the association between interest in nursing and coping strategies. Results indicated that the most common stressor perceived by students was stress from clinical instructors/educators and ward staff. Turning to religion was the most frequent coping strategy practiced by the students in order to overcome their stress. Overall, there was a significant association between interest in nursing and positive reframing, planning, religion and active coping strategies. These findings suggest that diff...

Research paper thumbnail of Complementary Alternative Medicines

This comparative study aims to identify and compare nursing and medical student's knowledge, ... more This comparative study aims to identify and compare nursing and medical student's knowledge, attitudes, and practice (KAP) of complementary and alternative medicines (CAMs) in Universiti Sains Malaysia (USM). There were 74 students (33 nursing students and 41 medical students) randomly selected to participate in this study and a self-administered questionnaire was given and collected at the same time. Independent t-test was used and p-value < 0.05 was accepted statistically significant. The finding from this study revealed that overall, nursing students were more knowledgeable about CAMs, possessed positive attitudes, and more willing to practice CAMs in clinical area compared to medical students. Null hypothesis was rejected at 5% significant level. It is suggested that the inclusion of CAM in nursing curriculum will prepare nursing student as a good future nurses who is knowledgeable to respond patient's questions related to CAM therapies.

Research paper thumbnail of Clinical practices among nursing students: Stressors and coping strategies

Research paper thumbnail of Penaksiran kesakitan bersalin oleh jururawat perbidanan di wad bersalin HUSM

PENGENALAN: Pengurusan kesakitan ibu semasa bersalin sememangnya menjadi tanggungjawab utama juru... more PENGENALAN: Pengurusan kesakitan ibu semasa bersalin sememangnya menjadi tanggungjawab utama jururawat perbidanan bagi memastikan ibu mengalami pengalaman kelahiran yang positif dan pencapaian kualiti perkhidmatan yang optima. Ini kerana penaksiran kesakitan yang sesuai dan tepat amat penting dalam melahirkan pengurusan kesakitan yang berkesan. Oleh kerana kesakitan adalah sesuatu yang subjektif dan sukar diukur secara objektif, kebanyakan kajian melaporkan sering berlaku ketidaktepatan dalam penaksiran kesakitan iaitu penaksiran jururawat sering terkurang atau terlebih daripada persepsi kesakitan sebenar yang dirasai ibu. OBJEKTIF: 1. tvlengetahui kaedah penaksiran intensiti kesakitan yang dipraktiskan oleh jururawat perbidanan di wad bersalin HUSM semasa fasa panjang dan aktif peringkat pertama kelahiran. 2. Membandingkan keputusan penaksiran intensiti kesakitan di antara jururawat perbidanan dengan persepsi kesakitan ibu. 3. Mengenalpasti faktor-faktor yang mempunyai hubungkait d...

Research paper thumbnail of A Review of Spouse’s Reactions to Menopausal-Related Changes

International Journal of Academic Research in Business and Social Sciences

Challenges faced by women during their menopausal phases do not only revolve around them, but als... more Challenges faced by women during their menopausal phases do not only revolve around them, but also their respective spouse. Even though a considerable amount of literature has been published on menopausal context, to date, there is no published review paper regarding spouse's reaction toward menopausal-related changes. Therefore, the purpose of this paper is to review literature and studies conducted that related to spouse's reaction to menopausal-related changes. This review paper is based on multiple databases focusing on spouse's reactions and menopause. As a result, of the thoroughly reviewed literature, three classifications related to the context of spouse's reactions in menopausal phases have been found as the following; (i) types of reactions, (ii) internal and external factors and (iii) impacts on menopausal women and spouse. In conclusion, this review paper will provide useful information to develop effective health education module which involving spouses to ensure that menopausal women have a meaningful life throughout the menopausal phases.

Research paper thumbnail of Adaptation and Validation of the Malay Version of the Osteoarthritis Knee and Hip Quality of Life Questionnaire among Knee Osteoarthritis Patients

BioMed Research International, May 31, 2018

Objective. To adapt and validate the Malay version of Osteoarthritis Knee and Hip Quality of Life... more Objective. To adapt and validate the Malay version of Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) questionnaire. Design. The OAKHQOL was adapted into Malay version using forward-backward translation methodology. It was then validated in a cross-sectional study of 191 patients with knee osteoarthritis (OA). Patients completed the OAKHQOL and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Confirmatory analysis, reliability analysis, and Pearson correlation test were performed. Results. The new five-factor model of 28 items demonstrated an acceptable level of goodness of fit (comparative fit index = 0.915, Tucker-Lewis index = 0.905, incremental fit index = 0.916, chi-squared/degree of freedom = 1.953, and root mean square error of approximation = 0.071), signifying a fit model. The Cronbach's alpha value and the composite reliability of each construct ranged from 0.865 to 0.933 and 0.819 to 0.921, respectively. The Pearson correlation coefficient between the OAKHQOL and the WOMAC showed adequate criterion validity. Known groups validity showed statistical difference in body mass index in physical activity, mental health, and pain construct. The pain domain was statistically different between the age groups. Conclusion. The Malay version OAKHQOL questionnaire is a valid and reliable instrument to assess health-related quality of life in knee OA patients.