Winahyu, Frannesty Estu
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Meta-Analysis: The Effectiveness of Acupucture in Reducing Pain and Improving Quality of Life in Patients with Low Back Pain Winahyu, Frannesty Estu; Prasetya, Hanung; Murti, Bhisma
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In Indonesia, low back pain is a common health problem that can interfere with a person's productivity in carrying out activities due to the manifestations of the pain it causes. Acupuncture therapy is one of the complementary treatments that is quite effective in reducing the intensity of low back pain. This study aims to estimate the effectiveness of acupuncture therapy to reduce pain and improve quality of life in patients with low back pain.Subjects and Method: This study is a systematic review and meta-analysis with PICO, Population: Low back pain patients, Intervention: Acupuncture therapy, Comparison: No acupuncture therapy, Outcome: Pain reduction and quality of life improvement. It was measured using the Oswestry Disability Index. The article search process was carried out between 2006-2022 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search were “acupuncture” AND “oswestry disability index” AND “quality of life” AND “low back pain”. The inclusion criteria for full text articles using a Randomized Controlled Trial (RCT) study design by including the results of the study in the form of the number of respondents, the mean and standard deviation (SD) values, for articles using English and Indonesian. Articles that have met the requirements are analyzed using the RevMan 5.3 application.Results: There are 9 articles that meet quantitative requirements and are divided into 2 categories according to independent variables with a Randomized Controlled Trial (RCT) study design originating from Spain, Australia, South Korea, Brazil, Germany and England, which were carried out in a meta-analysis in this study. Meta-analysis of 7 articles showed estimates that acupuncture therapy was effective in reducing pain in LBP patients. Patients experienced a decrease in pain 0.32 units higher than those who were not given acupuncture therapy (SMD = 0.32; 95% CI= -0.46 to -0.17; p <0.001). Meanwhile, a meta-analysis of 9 articles showed the estimation of the effect of effective acupuncture therapy on improving the quality of life in LBP patients. Patients experienced an improvement in quality of life 0.52 units higher than those who were not given acupuncture therapy (SMD = 0.52; 95% CI= 0.22 to 0.81; p= 0.006).Conclusion: Acupuncture therapy is effective in reducing pain and improving the quality of life of LBP patients. Keywords: acupuncture, low back pain, quality of life, oswestry disability index, meta-analysisCorrespondence: Frannesty Estu Winahyu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: frannestyestuwinahyu@gmail.com. Mobile: +6285228783882.Indonesian Journal of Medicine (2022), 07(03): 313-325https://doi.org/10.26911/theijmed.2022.07.03.08
Meta-analysis Effect of Compliance with Folic Acid Supplement Consumption in Pregnant Women on the Risk of Birth Defects Zahra, Fathia Mutiara; Winahyu, Frannesty Estu; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low concentrations of folic acid supplement intake during pregnancy can cause birth defects in the baby. Therefore, this study was conducted to identify those associated with adherence to folic acid supplement consumption in pregnant women and provide a shadow for further research. The purpose of this study was to investigate the effect of birth defects and pregnant women's adherence to taking folic acid supplements during pregnancy.Subjects and Method: This study uses the PRISMA flowchart to perform the meta-analysis. The article review process took place between 2017 and 2022 with PICO as follows, Population: Pregnant Women. Intervention: Folic acid consumption before and during pregnancy, Comparison: no folic acid consumption before and during pregnancy, Outcome: risk of birth defects, articles collected using databases such as PubMed, Google Scholar, and Science Direct used. The articles obtained will be filtered using the stages according to the PRISM flow diagram. The analysis was carried out using RevMan 5.3.Results: A total of 9 articles, including 6 articles from the Asian continent, namely China, Japan, India, and Bangladesh, 2 articles from the Americas, namely Mexico and New York, and 1 from the African continent, namely Ethiopia. Wherefrom the meta-analysis of 9 articles, it is known that adherence to folic acid supplementation can reduce the risk of birth defects in pregnant women (aOR= 0.69; 95% CI= 0.50 to 0.96; p= 0.003).Conclusion: Adherence to folic acid supplementation can help reduce the risk of birth defects in pregnant women.Keywords: pregnant women, folic acid, birth defects.Correspondence:Fathia Mutiara Zahra. Study Program of Pharmacy, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: efemzahra31@student.uns.ac.id. Mobile: +62815-67987661.Journal of Health Promotion and Behavior (2022), 07(02): 97-107DOI: https://doi.org/10.26911/thejhpb.2021.07.02.02