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  1. Saidi S
    MyJurnal
    Introduction: A survey in 2011 reported that the prevalence of diabetes in Malaysia is 20.8% (2.8 million people) and 88% have uncontrolled diabetes. Diabetic foot ulcer (DFU) is one of the common diabetes complications in Malaysia that leads to other devastated situation including infection, amputation and death. In Pahang, 95% of the patients have uncontrolled diabetes and 50% of them suffered from DFU. Self-wound management is an important element in reducing the risk of further complications of DFU. However, little is known on the patients' understanding of diabetes and their practice of self wound management. This study aimed to understand the knowledge, attitude and practice of self-wound management among patients with diabetic ulcer in Pahang.
    Materials and method: A quantitative, cross-sectional study was conducted in a tertiary hospital in Pahang involving 100 participants. Participants were recruited using purposive sampling from April 2017 until May 2017. Participants' knowledge, attitude and practice of self-wound management were measured using self-administered questionnaires. Additionally, the data on socio-demographic was gathered. The data was computed into SPSS and analyzed using descriptive and inferential statistics.
    Results: Out of 100 participants, 95% of them had good knowledge on diabetes and DFU, 84% had a positive attitude towards self-wound management and 56% perceived good practices of self-wound management. However, a chi-square test between knowledge on diabetes and DFU and practice of self-wound management found no significant interaction (p > 0.05). Meanwhile, there was a significant interaction between attitude and practice of self-wound management (p < 0.05).
    Conclusion: Good knowledge on diabetes and DFU do not determine the patients’ practice of self-wound management. However, positive attitude towards self-wound management would contribute to the practice and willingness of the patients to selfmanage their foot ulcer wound at home.
  2. Ruslan R, Saidi S
    Enferm Clin, 2019 09;29 Suppl 2:665-673.
    PMID: 31324543 DOI: 10.1016/j.enfcli.2019.04.102
    OBJECTIVE: To identify the existing simulation session and the impact of simulation on novice nurse.

    METHOD: The articles were searched through CINAHL, Scopus, Proquest, and OVID online database. Articles published from 2000, in English and among novice nurses were selected for review. Then, a narrative review was conducted guided by what are the existing simulation session been used and the impact on novice nurse.

    RESULT: Total of 19 articles been selected for review out of 272 articles. The findings of the reviewed were divided into 3 main themes. The themes are the existing simulation session, simulation as a support tool in the transition program and the impact of simulation on novice nurses.

    CONCLUSION: In summary, each simulation type has its learning domain. The effectiveness of the simulation will much depend on the appropriate simulation type selection.

  3. Saidi S, Milnes LJ, Griffiths J
    Enferm Clin, 2019 09;29 Suppl 2:691-697.
    PMID: 31300296 DOI: 10.1016/j.enfcli.2019.04.106
    OBJECTIVE: The purpose of this study is to explore the self-care support provision for patients with type 2 diabetes by diabetes educators and to explore the challenges that they encountered in providing the intended services.

    METHODS: Single embedded qualitative case study design using in-depth individual face to face interviews were adopted. Twelve diabetes educators from three diabetes clinics in urban areas in Malaysia were purposively selected and interviewed within the period of eight months (November 2012-June 2013). The data were transcribed verbatim and analyzed using Framework technique.

    RESULT: The practice of diabetes educators revolved around the traditional paternalistic approach but emphasize on individualized support. However, their practice was restricted by several factors, including patients' acceptance and interest in self-care, lack of confidence and opportunity to practice, and fragmented health care system.

    CONCLUSION: The current practice of diabetes educators is very limited to knowledge provision and rather a generalist. Considering a more specialized role would increase opportunities for diabetes educators to provide high-quality self-care support provision.

  4. Jamaludin TSS, Ismail N, Saidi S
    Enferm Clin, 2019 09;29 Suppl 2:771-775.
    PMID: 31296469 DOI: 10.1016/j.enfcli.2019.04.116
    OBJECTIVE: This study aimed to survey the knowledge, awareness, and perception of International Islamic University Malaysia (IIUM), Kuantan campus students towards tuberculosis (TB) disease.

    METHODS: A cross-sectional study was carried in six faculties (Kulliyyah) in IIUM Kuantan campus using an adopted self-administered questionnaire. Data were collected after obtaining ethical approval and analyzed the data by using SPSS version 20.0.

    RESULT: Relatively low level of knowledge and awareness (73.8%) and high stigma (67.9%) about TB disease was found among IIUM Kuantan students. There was a significant association between type of Kulliyyah and level of knowledge and awareness. The level of TB perception does not have any significant association with the level of knowledge and awareness of TB disease.

    CONCLUSION: These findings would suggest that more efforts should be made to improve the knowledge, awareness, and perception of students regarding TB disease.

  5. Jamaludin TSS, Jorani S, Saidi S
    Enferm Clin, 2019 09;29 Suppl 2:776-779.
    PMID: 31311745 DOI: 10.1016/j.enfcli.2019.04.117
    OBJECTIVE: This study aimed to determine the level of knowledge, awareness, and perception about CHD symptoms and risk factors among residents in Kuantan, Pahang.

    METHODS: A cross-sectional study was conducted in 400 participants who presented at four shopping malls in Kuantan city. A convenient sampling method was used to recruit participants. A self-administered questionnaire was used in collecting data. Data were analyzed by using SPSS version 22.0.

    RESULTS: Majority of the participants were Malays with mean age among 18-39 years old. Of the 400 participants, the majority had high knowledge of CHD poor awareness and poor perception of CHD. There was an association between socio-demographics and knowledge, awareness, and perception level towards CHD with p-value <0.05.

    CONCLUSION: These study findings indicated that public health promotion and intervention are needed in Kuantan, Pahang regards to knowledge and awareness of CHD symptoms and risk factors.

  6. Saidi S, Milnes LJ, Griffiths J
    J Clin Nurs, 2018 Oct;27(19-20):3758-3767.
    PMID: 29893043 DOI: 10.1111/jocn.14559
    AIMS AND OBJECTIVES: To explore self-care and self-care support in patients with Type 2 diabetes in urban Malaysia.
    BACKGROUND: The prevalence of Type 2 diabetes in Malaysia and associated long-term and life-changing complications is increasing. With effective self-care and self-care support, severe complications of the condition can be avoided or reduced. Prior to this study, no evidence existed about Malaysian patients' management of the condition or support for self-care from the healthcare system.
    DESIGN: A single embedded qualitative case study.
    METHODS: Semistructured interviews with 18 patients with Type 2 diabetes aged 28-69 years, healthcare professionals (n = 19), observations (n = 13) of clinic appointments from two urban settings in Malaysia and a documentary analysis. Recordings were transcribed verbatim, field notes were made during observations and the data analysed and synthesised within and across case using Framework analysis.
    FINDINGS: Three main themes explained self-care and self-care support in Malaysia: fatalism, faith and fear. Patients were fatalistic about developing diabetes - they perceived it as inevitable because it is so common in Malaysia. However, faith in God, coupled with fear of the consequences of diabetes, motivated them to engage in self-care practices. The fear was largely induced by diabetes healthcare professionals working in overcrowded clinics, and stretched thinly across the service, who used a direct and uncompromising approach to instil the importance of self-care to avoid severe long-term complications.
    CONCLUSION: This study provided important insight on how people in Malaysia developed diabetes, their responses to the disease and the approach of healthcare professionals in supporting them to engage with self-care.
    RELEVANCE TO CLINICAL PRACTICE: Any future development of self-care programmes in Malaysia needs to recognise the factors that motivate patients to self-care and include components that build self-efficacy.
    Study site: three outpatient clinics (one in primary care and two in secondary care), Malaysia
  7. Che Abdullah CA, Saidi S, Lee SP
    Enferm Clin, 2021 04;31 Suppl 2:S152-S156.
    PMID: 33849151 DOI: 10.1016/j.enfcli.2020.12.012
    This review is conducted to understand the self-management experience among the patients throughout their cancer trajectory. Five databases were inputted systematic searches from February to April 2018. Several important themes emerged from the review, including their needs, facilitators, barriers, strategies, and provision of support towards self-management. The needs for sufficient and appropriate information was the most severe concern among nasopharyngeal cancer patients. Understanding self-management from the patients' perspectives may draw attention to specific concerns for self-management. However, the study of nasopharyngeal cancer patients is still under-researched. Therefore, exploratory research to understand their unique self-management experiences may help to design the care and support tailored to them to provide more holistic yet individualized care.
  8. Othman H, Ludin SM, Saidi S, Awang MS
    J Public Health Res, 2021 Apr 14;10(2).
    PMID: 33855403 DOI: 10.4081/jphr.2021.2205
    BACKGROUND: Traumatic brain injury (TBI) survivors require attention and dependence from their primary caregiver. This is because TBI is a defect that affects both the psychological and physical functions of the victim. Caregivers play an essential role in providing the adequate care victims need to adjust to the new problems they may experience due to their condition, as family members alone may not be able to provide for their needs. In particular, TBI caregivers may face specific challenges when assisting their patients in handling unexpected changes to their daily routines. Therefore, this quantitative study aims to explore the needs of caregivers, their coping mechanisms towards stressful and traumatic circumstances, and how they provide care to their loved ones during the COVID-19 pandemic.

    DESIGN AND METHODS: It was conducted with ten caregivers of individuals suffering from traumatic brain injury, that were selected using a theoretical sampling method. Data were obtained using a semi-structured interview guide, which helped the caregivers provide their responses. Meanwhile, data analysis was performed using the NVIVO analysis software.

    RESULTS: The results showed that there were, three significant themes namely, (a) Support needed, (b) the information need for care, and (c) developing self-resilience. The results also showed that caregivers really need support from the various parties, and the participants lack information on specific care techniques for the severe traumatic brain injury (TBI) survivors.

    CONCLUSION: In conclusion, caregivers require approval and seek more useful information to provide excellent care to their loved ones. Being aware of the caregiver's needs would enable them to offer improved customized care.

  9. Saidi S, Iliani Jaafar SN, Daud A, Musa R, Nik Ahmad NNF
    Enferm Clin, 2018 Feb;28 Suppl 1:180-183.
    PMID: 29650181 DOI: 10.1016/S1130-8621(18)30063-9
    OBJECTIVE: The aim of this study was to investigate the correlation between levels of depression symptoms and age, thyroid-stimulating hormone levels, and stressful life events of the participants.

    METHOD: Patients above 18 years old, with any thyroid disorders, and without psychiatric disorders were included in this study. All participants completed the Depression Anxiety Stress Scale 21 (DASS-21). The depression symptom score was calculated and interpreted as follows: less than 9: no depression; between 10 and 13: mild depression; between 14 and 20: moderate depression; between 21 and 27: severe depression, and more than 28: extremely severe depression.

    RESULTS: The total number of participants in this study was 199. There was no correlation between age, thyroid stimulating hormone, and the DASS score. There was also no significant difference in the DASS-21 score between genders. However, there was a positive correlation between depression symptoms and stressful life events (r=0.201, n=199, p < 0.05).

    CONCLUSIONS: These findings would suggest that increased depression symptom scores correlate with increased stressful life events. A larger study should be undertaken to confirm these findings.

  10. Isa RM, Saidi S, Salam A, Nurumal MS, Jamaludin TSS
    Enferm Clin, 2021 04;31 Suppl 2:S321-S325.
    PMID: 33849190 DOI: 10.1016/j.enfcli.2020.12.037
    This study aimed to survey the factors influencing attendance to eye screening among Diabetes mellitus (DM) patients. This cross-sectional survey was carried out among 170 DM patients using self-administered questionnaires. Majority of participants, 45.9% (n=78) highlighted that lack of information regarding diabetes and not understanding the significance of eye screening are the barriers to eye screening. Whereas, 10.6% (n=18) reported lack of access to healthcare facilities, 6.5% (n=11) experienced time limitation and 2.9% (n=5) suffered financial issues. However, more than half of the participants (58.2%) have good knowledge related to diabetic eye complications. There was a significant difference between educational level with patients' attendance in yearly eye screening. Lack of information received by the patients on the importance of eye screening and communication issues seems to be prominent and becomes the reason for patients not attending eye screening.
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