Journal of Health and Quality of Life

Adherence To Fluid Restrictions Among Haemodialysis Patients In Private Haemodialysis Centres In Kuala Lumpur Malaysia

Kamsimah Haslinda Kamaruzaman, Yee Bit Lian — Mon, 10 Jun 2024 00:00:00 +0000

End stage kidney disease (ESKD) is an irreversible progressive kidney function that requires kidney replacement therapy. Over two million people have currently received dialysis treatment worldwide. Haemodialysis treatment has been developed as a practical, safe and efficient method for the care of patients with ESRD. However, HD treatments generally have a more negative impact on patients' quality of life (QoL), high morbidity and mortality rate, as well as major adverse cardiovascular events. Compliance to dietary, fluid restrictions, medications and treatment regimens is one of the contributors to the quality of life observed in patients ESKD undergoing haemodialysis treatment. This study is aimed on the measurement of the fluid restriction adherence of 132 haemodialysis patient in MAIWP-PICOMS haemodialysis centres. An interdialytic weight gain (IDWG) was used as an indicator to describe the level of adherence level. Method: An observational study was conducted among consenting patients on HD for ≥3 months with criteria of age from 18 to 65 years old using end-stage renal disease-adherence questionnaire (ESRD-AQ). Result: Of 132 participated patients were observed, 53% were female and 47% were male with a mean age of 49.05 ±11.52 years and HD duration mean length of 1.33 ranging from 1-5 years. Statistically, a significant association between level of fluid adherence behaviour and treatment duration (p < .01) was found in this study. Meanwhile, the level of adherence to fluid restrictions was range between 45.5% - 50%, which was considered good. Conclusion: Significantly, adhered to fluid restriction among haemodialysis patients may prevent patients from many adverse consequences and improve the quality of life. Therefore, nurses and healthcare providers has been suggested to play a pivotal role in delivering education on fluid restriction for haemodialysis patient.

Building Resilience: A SWOT and TOWS Analysis of LPPKN's Role in Enhancing Population Quality and Family Well-being in Malaysia

Mon, 10 Jun 2024 00:00:00 +0000

The National Population and Family Development Board (LPPKN) plays a crucial role in shaping Malaysia's demographic landscape, but there are challenges to be tackled. This article conducts a thorough SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis of LPPKN, exploring its impact and effectiveness in promoting population and family well-being. Additionally, a TOWS (Threats, Opportunities, Weaknesses, Strengths) analysis refines our understanding of LPPKN's strategic positioning. The research employs a dual-method approach, combining web-based desk review and structured interviews. Seven central themes emerge from the SWOT analysis, including legislative framework and policy environment; integrated educational programs; comprehensive reproductive healthcare services; innovative research; information sharing and public awareness; skilled and dedicated personnel; technological innovation and digitalization. The TOWS matrix identifies 28 potential key strategies aligning internal strengths and weaknesses with external opportunities and threats. The study identifies Malaysia's legislative frameworks and policies as strengths in promoting family well-being and population management, despite ongoing challenges from evolving societal demands and international integration. Opportunities in leveraging technology for education and establishing a National Subfertility Centre are noted, countered by threats from rapid socio-economic-political changes and governance issues, requiring strategic adaptation. By integrating SWOT and TOWS analyses, this study provides recommendations for LPPKN's strategic development, aiming to foster a resilient environment that supports Malaysia's population well-being and family dynamics.

The Influence of Physical Workplace Environment (PWE) for A Healthy Culture of Employees

Mon, 10 Jun 2024 00:00:00 +0000

The paper reviews the influence of the physical workplace environment (PWE) on the organisational culture of employees that can affect the employees’ performance, well-being, satisfaction, engagement, and creativity. It emphasises that the physical environment can reflect and shape the organisational culture, which is the shared values, beliefs, and norms that influence how employees interact and work. A healthy workplace environment of an organisation will influence the innovation and collaboration between employees, decrease absenteeism and increase the performance of employees. The paper employs analytical reviews of the related articles to justify the influences of the physical workplace environment on employees’ well-being in the organisational culture. The content analysis is used to analyse the literature framework of the article. The findings revealed the significance of the physical workplace environment on employees who are well-equipped with positive environment support, who will be highly satisfied and show a high level of commitment towards the organisation. It is essential to design a physical workplace environment aligned with the organisational culture and supporting the employee's needs and preferences. A well-designed physical workplace environment can enhance the organisation’s communication, collaboration, innovation, and productivity and influence the employees’ attitudes, behaviours, and outcomes