Recently, stroke is a new trend among the young age group in the range of 15-45 years. One of the main complications of this disease is s physical disability, but it also causes communication disorders, emotional disturbances, pain, sleep disturbances, depression, and dysphagia. All of these signs have a major impact on the productivity of the young age group. This article aims to review literatures related to the factors that influence the incidence of stroke at a young age. This study uses a literature study design from 6 databases, namely: Science Direct, ProQuest, Wiley, Sage Pub and Pubmed research. The search used various keyword combinations with the help of Boolean operators, including: Young Stroke; Young Adults; Risk Factor; Factor, combined as MESH terms and keywords, and assessment of article quality using the JBI Cohort Studies Cross-Sectional Studies Cohort studies and Case-Control Studies. There were 19 selected articles were analyzed by adjusting the inclusion criteria, namely articles published in the last year, full text accessible, young stroke patient respondents, and discuss the factors that influence the incidence of stroke at a young age. Based on the results of the review, there are several factors that influence the occurance of stroke at a young age including physical factors with a percentage of 85%, lifestyle factors with a percentage of 55%, psychological factors with a percentage of 15%, sex factors with a percentage of 10% and age factors. as much as 5%. Implications in clinical practice include providing psychoeducation as a preventive measure to reduce the incidence of stroke at a young age.
Self-management is very important in treating asthma patients. Various selfmanagement support interventions have been developed to facilitate adequate self-management of asthma. This review aims to identify, describe and assess the evidence regarding self-management intervention programs and their effects on self-management outcomes among asthmatic patients. Four databases, Google Scholar, Europe PMC, Science Direct, and PubMed, were searched using a systematic strategy using keywords: Asthma, Chronic disease, eHealth, smartphone, self-management, educational programs, and quality of life. The study eligibility criteria was a Randomized Control Trial study, published between 2016 and 2021, with language restrictions published in English only. The JBI ( Joanna Brings Institute) tool was used to evaluate study quality. 422 studies were screened, and 11 studies that met the criteria were extracted. The review identified two intervention group methods to improve self-management among asthma patients, including digital-based self-management and non-digital-based self-management. Most research shows that self-management programs improve and maintain quality of life so that people with asthma can live normal lives without obstacles in carrying out daily activities. The self-management program for asthma patients provides the ability to manage the disease so that it can improve the quality of life. Keywords: asthma, self-management program, quality of life, mHealth
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