Academic literature on the topic 'Patient compliance Malaysia'
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Journal articles on the topic "Patient compliance Malaysia"
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Tuan Anuar, Tuan Nor Atiqah, Norazliah Samsudin, Nur Syahmina Rasudin, and Norhasmah Mohd Zain. "Knowledge and Compliance Regarding Standard Precautions among Nursing Students at Universiti Sains Malaysia." INTERNATIONAL JOURNAL OF CARE SCHOLARS 4, no. 1 (January 31, 2021): 10–17. http://dx.doi.org/10.31436/ijcs.v4i1.158.
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Background: Standard precautions (SP) are important in protecting both patients and healthcare professionals from occupational exposure as well as ensure patient safety. This study aimed to compare the knowledge and compliance regarding SP among diploma and degree nursing students at Universiti Sains Malaysia (USM). Methods: A cross-sectional study has been conducted among 134 nursing students using self-administered questionnaires. Respondents were recruited using a simple random sampling method. The data were analyzed by SPSS version 24 using descriptive and Spearman’s Rank-Order test. Results: The study showed that diploma and degree nursing students had good knowledge regarding SP (mean of 14.7±2.5 and 15.4 ± 2.4) and a high compliance level of SP (mean of 3.6 ± 0.3 and 3.7 ± 0.2 respectively). Washes hand immediately after contacting any blood, body fluid, secretion, excretion, and dirty substances has the highest degree of compliance among diploma nursing students, while washes hands when comes in different contact with different patients has the highest degree of compliance among bachelor degree nursing. Wear protective eye patch or google when performing operations/procedures that might induce spraying of blood, body fluids, secretions, and excretions was the lowest degree of compliance among both bachelor degree and diploma nursing students. There was no significant correlation between the level of knowledge and compliance with SP (p= 0.23) but there is a significant correlation between the duration of practical training and compliance with SP (p=0.02). Conclusion: Nursing students in USM had good knowledge and high compliance regarding SP. Knowledge did not influence compliance with SP but duration of practical training session did influence compliance with SP.
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Chuah, S. Y. "Factors associated with poor patient compliance with antituberculosis therapy in Northwest Perak, Malaysia." Tubercle 72, no. 4 (December 1991): 261–64. http://dx.doi.org/10.1016/0041-3879(91)90051-s.
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Awang, Mohamad Azlan, Rhendra Hardy Mohamad Zaini, and Wan Mohd Nazaruddin Wan Hassan. "Effectiveness of video tutorial on compliance of medical officers to sequence of intubation protocol in simulated Covid-19 patients." Malaysian Journal of Anaesthesiology 1, no. 2 (December 14, 2022): 78–87. http://dx.doi.org/10.35119/myja.v1i2.21.
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Introduction: The use of full PPE, aerosol box, and video laryngoscope are recommended when performing intubation on a Covid-19 patient. However, this technique may be difficult for medical officers unfamiliar with the intubation protocol sequence, especially for those with less experience in anaesthesia. Video tutorials may play a vital role in improving the technique. This study evaluated the compliance of medical officers in our anaesthesia department to the intubation protocol and the effect on compliance before and after viewing the video tutorial on the protocol. Methods: A total of 70 medical officers (n = 70) in the Department of Anaesthesia, Hospital Universiti Sains Malaysia, Kelantan participated in this study. The participants performed the intubation protocol sequence on a simulated Covid-19 mannequin. Participants then viewed a video tutorial after their initial attempt and repeated the intubation sequence afterward. The outcomes measured include the proportion of participants compliant with the intubation protocol, the association between years of experience and compliance, and the compliance score before and after the video tutorial. Results: There was no significant association between years of anaesthesia and compliance score (p = 0.058). A large proportion of the subjects were compliant (n = 57, 81.4%). There was a significant difference between initial and repeatedcompliance score post-video tutorial (p < 0.05). Conclusion: Years of experience in anaesthesia was not a determining factor for compliance with the intubation protocol sequence on simulated Covid-19 patients. However, the video tutorial played a significant role in improving compliance withthe intubation sequence.
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Katherason, Supaletchimi Gopal, Lin Naing, Kamarudin Jaalam, Nik Abdullah Nik Mohamad, Kavita Bhojwani, Najah Dato' Seri Hj Harussani, and Asma Ismail. "Hand decontamination practices and the appropriate use of gloves in two adult intensive care units in Malaysia." Journal of Infection in Developing Countries 4, no. 02 (December 28, 2009): 118–23. http://dx.doi.org/10.3855/jidc.593.
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Background: Hand decontamination is a critical infection control practice in the prevention of nosocomial infection. This study was conducted to observe the hand hygiene practices of nurses and doctors in two intensive care units (ICUs) in Malaysia. Methodology: Staff members were observed during patient contacts, and their hand washing techniques and hand hygiene practices were monitored. Five contact periods were observed for staff members while they cared for their assigned patients. Hand hygiene practices before and after patient contacts were categorized as clean uncontaminated, clean recontaminated, new gloves, and unchanged contaminated gloves. Compliance to hand-washing steps and time taken for hand washing were analyzed. Appropriate use of gloves based on CDC criteria also was assessed. Results: Compliance to hand hygiene practices was 70% before each patient contact. Staff members did not completely adhere to the hand-washing steps. The average time taken to wash hands was 20 seconds, and the necessary steps (rubbing palm over dorsum; rubbing fingers interlaced, and rotational rubbing of thumbs) were practiced minimally by all staff. Hand washing protocol was generally followed by all staff (100%). Alcohol hand rubs were available but were used moderately (60%); when used, staff members did not wait for the alcohol to dry. Only 4% of staff changed contaminated gloves between patients. Conclusions: Hand hygiene compliance by ICU staff members needs to be improved. Improving adherence to correct hand hygiene techniques will require effective education programs and behavioral modification techniques. Moreover, hand hygiene guidelines must be incorporated into new staff orientation programs and the continuing education curriculum in the two hospitals studied.
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Hong, L. L., J. C. Yong, K. Y. Lee, N. H. Binti Nasir, P. Gravitt, Y. K. Lee, and Y. L. Woo. "Understanding Barriers to Cervical Screening Follow-Up and Treatment Compliance in Malaysia: A Qualitative Study of Provider Perspectives." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 214s. http://dx.doi.org/10.1200/jgo.18.86200.
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Background: Cervical cancer is a leading cause of women mortality in Malaysia. In Malaysia, system of care remain fragmented despite the increased uptake of cervical screening. Thus, it is important to better understand factors that affect loss to follow-up and treatment along the care continuum. The ability of a patient to attend a cervical screening clinic, to return for possible treatment, and to return to clinic for follow-up evaluation (“the patient factor”) is a major component to the success of a screening program. Women diagnosed with early or local (stage 1) cervical cancer have a 92% chance of survival 5 years after diagnosis whereas survival rates decrease to 17% for women with late cancer diagnoses. Due to this, a better understanding of barriers to cervical cancer treatment can inform initiatives to address therapeutic delays, which is vitally important to providing optimal care. Aim: To explore, from the perspectives of healthcare professionals, the perceived barriers of cervical screening follow-up and treatment compliance in Malaysia. Methods: In-depth semistructured interviews with 45 government health clinic staffs comprise of clinicians, nurses, front desk staffs, medical laboratory technicians and IT support engineers were conducted from 5 government health clinics in Petaling District. Qualitative content analysis through an inductive approach was used to identify barriers of cervical cancer care continuum and treatment compliance in public health clinics settings. Results: Participants identified various potential barriers to seeking follow-up care and treatment after receiving a positive Pap test results or invalid test results at 2 levels: the structural level, and the patient level. Long waiting time, lack of transport to healthcare providers, fear of treatment, poor documentation, absence of cervical screening registry, as well as unsystematic referral or treatment procedures are some of the major reasons affecting follow-up and treatment compliance. Conclusion: The results highlight the need of structural and personal interventions that eliminate barriers to follow-up and treatment compliance along the care continuum.
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Jamaluddin, Nurul Adilla Hayat, Petrick Periyasamy, Chee Lan Lau, Sasheela Ponnampalavanar, Pauline Siew Mei Lai, Ramliza Ramli, Toh Leong Tan, et al. "Point Prevalence Survey of Antimicrobial Use in a Malaysian Tertiary Care University Hospital." Antibiotics 10, no. 5 (May 4, 2021): 531. http://dx.doi.org/10.3390/antibiotics10050531.
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Antimicrobial resistance remains a significant public health issue, and to a greater extent, caused by the misuse of antimicrobials. Monitoring and benchmarking antimicrobial use is critical for the antimicrobial stewardship team to enhance prudent use of antimicrobial and curb antimicrobial resistance in healthcare settings. Employing a comprehensive and established tool, this study investigated the trends and compliance of antimicrobial prescribing in a tertiary care teaching hospital in Malaysia to identify potential target areas for quality improvement. A point prevalence survey method following the National Antimicrobial Prescribing Survey (NAPS) was used to collect detailed data on antimicrobial prescribing and assessed a set of quality indicators associated with antimicrobial use. The paper-based survey was conducted across 37 adult wards, which included all adult in-patients on the day of the survey to form the study population. Of 478 patients surveyed, 234 (49%) patients received at least one antimicrobial agent, with 357 antimicrobial prescriptions. The highest prevalence of antimicrobial use was within the ICU (80%). Agents used were mainly amoxicillin/β-lactamase inhibitor (14.8%), piperacillin/β-lactamase inhibitor (10.6%) and third-generation cephalosporin (ceftriaxone, 9.5%). Intravenous administration was ordered in 62.7% of prescriptions. Many antimicrobials were prescribed empirically (65.5%) and commonly prescribed for pneumonia (19.6%). The indications for antimicrobials were documented in the patients’ notes for 80% of the prescriptions; however, the rate of review/stop date recorded must be improved (33.3%). One-half of surgical antimicrobial prophylaxis was administered for more than 24 h. From 280 assessable prescriptions, 141 (50.4%) were compliant with guidelines. Treating specialties, administration route, class of antimicrobial, and the number of prescriptions per patient were contributing factors associated with compliance. On multivariate analysis, administering non-oral routes of antimicrobial administration, and single antimicrobial prescription prescribed per patient was independently associated with non-compliance. NAPS can produce robust baseline information and identifying targets for improvement in antimicrobial prescribing in reference to current AMS initiatives within the tertiary care teaching hospital. The findings underscore the necessity to expand the AMS efforts towards reinforcing compliance, documentation, improving surgical prophylaxis prescribing practices, and updating local antibiotic guidelines.
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Embong, Julaida, L. K. Lim, F. S. Lee, M. Nawawi Adha, S. Rajadurai, N. A. A. Fadzil, N. S. Manap, E. G. M. Chong, and W. K. Yau. "133 Factor’s Contrubuting for Non-Compliance Physiotherapy Sesions among Geriatric Patient at Physiotherapy Fall Intervention Program." Age and Ageing 48, Supplement_4 (December 2019): iv28—iv33. http://dx.doi.org/10.1093/ageing/afz164.133.
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Abstract Introduction Current world is going through an increase in ageing population with one in eight people in the world are aged 60 or over. By 2025, 15 % of Malaysia population will be aged above 60 years old. Physiotherapy playing a major role in facilitates healthy ageing process. However, compliance to physiotherapy session is still low among geriatric population. A defaulter was defined as a patient who presented for less than 6 visits during the whole period. Method A Retrospective study will calling patient after patient did not turn up the physiotherapy appointment and interview was done on appointment with the doctor together. This study was conducted at Geriatric Clinic, Hospital Kuala Lumpur. Physiotherapy session records were tracked to get there number of defaulters in Physiotherapy Geriatric clinic during 2017 & 2018. Result Reasons for defaulting the therapy session was gained via phone call interview and during Geriatrician appointment. Total of 223 samples were tracked and interviewed in this study. The result reveals 73% of the patients defaulted in 2017 and 51% in 2018 respectively. Lack of facilities comprises 22% of factors for non-compliance. Meanwhile other factors such as human resource and functional capabilities contribute 14% and 19% respectively for patient’s non-compliance. Conclusion As conclusion, clinic need to take steps such as call to remind their appointment and provide proper home education to increase patient’s compliance. Together with in poor compliance which was successfully brought down by taking into consideration patient factors. This may be the best compromise until which time where special parking lots, improved transportation services or adequate skilled facilities in the periphery are made available to the patients.
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Gillani, Syed Wasif, Syed Azhar Syed Sulaiman, and Nur Hafzan. "A pilot study on patients’ knowledge, attitude and beliefs on medication compliance among medical out-patient pharmacy, Malaysia." International Journal of Food, Nutrition and Public Health 3, no. 2 (January 13, 2010): 101–17. http://dx.doi.org/10.47556/j.ijfnph.3.2.2010.1.
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Ang, Wei Chern, Noorsyahiruh Abdul Khadir, Nurfatin Amira Sofia Lahazir, and Alia Hayati Baharudin. "Perception of Halal Pharmaceuticals among State Hospital Outpatients in Perlis, Malaysia." International Journal of Human and Health Sciences (IJHHS) 7, no. 70 (January 22, 2023): 16. http://dx.doi.org/10.31344/ijhhs.v7i70.518.
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Objectives: Halal pharmaceuticals have expanded globally, which is one of the elements in Shariah compliance hospitals. With the emergence of COVID-19 vaccines, the ‘Halal’ status has become a debate causing some to reject it. The aim of this study was to explore the perception of halal pharmaceuticals among hospital outpatients. Methods: A qualitative study by in-depth interviews were conducted among adult Muslim outpatients collecting their medications. A Malay language semi-structured interview guide was prepared and underwent content trustworthiness by the State Mufti, a Malaysian pharmacy professor, two pharmacists with a special interest in Halal pharmaceuticals and two Islamic affairs officers in the Ministry of Health Malaysia. Subjects were recruited in the waiting area of the outpatient pharmacy, Hospital Tuanku Fauziah (HTF). Interview sessions were audio-recorded and transcribed verbatim. The transcripts were back-translated in English and analysed using thematic content analysis. Results: Ten outpatients were interviewed in which data saturation was reached. Overall, the patients were proactive in observing the label to ensure they received the correct medications. However, all patients were unfamiliar and not curious about the concepts of ‘halal pharmaceuticals’ and ‘Shariah-compliant hospital’. The patients also trusted that the government would provide only the safest and halal medicines. Most patients did not prioritise halal status while choosing their medicines. However, if options were available, most would choose halal medication regardless of its price and effectiveness. They still would consent to receive non-halal treatments for life-saving conditions. Conclusion: There was a good perception of halal pharmaceuticals among outpatients in HTF. There are many opportunities for patient education on this topic as the public is currently not familiar with the terms and halal concepts in medical settings. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S16
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Lim, Mun Kit, Pauline Siew Mei Lai, Sasheela Sri La Sri Ponnampalavanar, Sharifah Faridah Syed Omar, Nur Aishah Taib, Mohamad Yasim Yusof, Claire Marie Italiano, David Chee Ming Kong, and Adeeba Kamarulzaman. "Antibiotics in surgical wards: use or misuse? A newly industrialized country’s perspective." Journal of Infection in Developing Countries 9, no. 11 (November 30, 2015): 1264–71. http://dx.doi.org/10.3855/jidc.6731.
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Introduction: Studies exploring the appropriateness of therapeutic antibiotic use among surgical patients are limited, particularly in developing countries. Therefore, the aim of our study was to determine the appropriateness of antibiotics prescribed in a surgical setting in Malaysia. Methodology: A prospective observational study was conducted in two surgical wards at a tertiary hospital in Malaysia from November 2012-July 2013. Data was collected using a case report form. The appropriateness of antibiotic therapy was based on compliance with either the Malaysian National Antibiotic Guidelines 2008 or International Clinical Practice Guidelines and determined by an expert panel (consisting of two infectious disease consultants and a pharmacist). Results: Over the study period, a total of 593 antibiotic courses were prescribed for 129 patients (4.6±3.4 antibiotics/patient). Only 34 (26.4%) patients received appropriate antibiotic therapy, whilst 95 (73.6%) patients received at least one course of inappropriate antibiotic therapy. The prevalence of inappropriate antibiotic use was 214 (66.3%) and 55 (42.0%) for prophylactic and therapeutic purposes, respectively. The most common causes of inappropriate prophylactic antibiotics were inappropriate timing 20 (36.4%) and inappropriate duration of prophylaxis 19 (34.5%). In cases of inappropriate timing, 9 (45%) were administered too late while 6 (30%) were too early. . In contrast, inappropriate choice of antibiotics (42.1%) and inappropriate indication (40.7%) were the most common reasons encountered for inappropriate therapeutic antibiotics. Conclusion: Our study suggests considerable inappropriate use of both prophylactic and therapeutic antibiotics in the surgical wards; highlighting an urgent need for antibiotic stewardship initiatives in this setting.