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  1. Sjattar EL, Arafat R, Ling LW
    BMJ Support Palliat Care, 2024 Nov 20;14(4):411-415.
    PMID: 38719570 DOI: 10.1136/spcare-2024-004893
    BACKGROUND: The predominant trend in cancer treatment now leans towards outpatient care, placing the responsibility of pain management largely on the patients themselves. Moreover, a significant portion of treatment for advanced cancer occurs in the home environment, so patient self-management becomes increasingly crucial for the effective treatment of cancer pain.

    OBJECTIVES: To map self-management for pain in patients with cancer at all phases of the disease before examining the potential of pain self-care interventions for ill patients with cancer.

    METHODS: A search was conducted on six electronic databases to locate studies published in English, from 2013 to 2023. We followed Arskey and O'Malley's Scoping Reviews guidelines.

    RESULTS: This study thoroughly examined the provision of cancer pain self-management by healthcare professionals and identified four intervention types from 23 studies. Education emerged as the most prevalent form of self-management for cancer pain.

    CONCLUSION: Guiding patients in managing their pain effectively, starting from their hospitalisation and extending to their discharge.

  2. Sjattar EL, Mahaling CSS, Irwan AM
    Med J Malaysia, 2024 Jul;79(4):380-387.
    PMID: 39086333
    INTRODUCTION: High blood glucose levels in individuals with diabetes mellitus (DM) can lead to various complications, highlighting the need for adequate management. Diabetes Self-Management Education has been proven effective in controlling glycaemic events and preventing DM complications. Telenursing is a promising method for educating DM patients. This study aimed to determine the effectiveness of cell phone-based telenursing on fasting blood glucose (FBG) levels of people with DM.

    MATERIALS AND METHODS: This study used a quasiexperimental on 84 participants with DM, which was randomised into intervention (n=42) and control (n=42) groups. The intervention group was provided with health education through booklets and cell phone-based telenursing for four sessions and four sessions of follow-up, while the control group was given health education according to standards from the health centre (Puskesmas). All respondents had their FBG levels checked before, one month, and two months follow-up. The data were analysed using paired sample t-tests, independent samples t-test, and repeated ANOVA.

    RESULTS: The mean FBG measurements in the intervention group prior to treatment were 210.88mg/dL, decreased to 173.21mg/dL in the first month, and 177.48mg/dL in the second month (follow-up), while the control group started at 206.36mg/dL, decreased to 182.55mg/dL in the first month, and 191.64mg/dL in the second month. The difference between the two groups was not significant in both the intervention and control groups, p=0.181.

    CONCLUSION: Health education through mobile phone-based telenursing and standard health centres both affect FBG levels of people with DM.

  3. Arafat R, Islam AM, Sjattar EL, Ningrat S, Ling LW
    Neurol Res Int, 2026;2026:5012364.
    PMID: 42969000 DOI: 10.1155/nri/5012364
    BACKGROUND: Hypertension is one of the primary risk factors for stroke, and nearly 80% of stroke cases can potentially be prevented through increased awareness and early detection. However, previous studies indicate that patients with hypertension often demonstrate inadequate stroke prevention behaviors. Therefore, this study aims to assess knowledge related to early stroke detection among hypertensive patients.

    METHODS: This descriptive quantitative study utilized a cross-sectional design, with 236 respondents recruited through consecutive sampling. Data were collected using the Stroke Recognition Questionnaire (SRQ) and analyzed through univariate statistical methods, including frequency, percentage, mean, and standard deviation.

    RESULTS: Among the 236 respondents, 53.4% demonstrated a moderate level of knowledge, 31.4% had low knowledge, and the remaining respondents showed a high level of knowledge. The average knowledge score was 64.61 (SD = 13.57; range = 26-97). Participants aged 20-44 years had the highest proportion of high knowledge levels (11.4%), whereas older adults aged over 60 years were more commonly classified in the low-knowledge category (36.1%).

    CONCLUSION: The greater proportion of low knowledge among older adults highlights a priority population for targeted education. Integrating structured stroke recognition education into routine hypertension care may strengthen preparedness for early symptom recognition and facilitate timely access to emergency stroke services.

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