1.The experience of providing home-based services to children with cerebral palsy with the support of a physical therapist
Baigali Kh ; Otgonbaatar A ; Batlkham D
Mongolian Journal of Health Sciences 2025;87(3):128-134
Background:
The prevalence of cerebral palsy is estimated to be between
1.5 and 3.8 per 1,000 live births. In Mongolia, the incidence is
reported to be 1.89 per 1,000 live births. Physical therapy for children
with cerebral palsy improved their motor abilities. The involvement of
family members plays a critical role in engaging children in therapeutic
activities.
Aim:
Empowering parents and guardians to ensure regular
participation in physical therapy is a priority.
Materials and Methods:
A total of six children aged 4–9 years (2 males, 4 females) with quadriplegia
who received home-based services between October 1, 2023,
and October 1, 2024, were selected using a case-controlled clinical trial
design. A physical therapist visited once every two weeks for 60-minute
sessions. Children’s motor development was assessed using the
GMFM-88 criteria, and statistical analysis was conducted using SPSS
version 26.
Results:
Following the physical therapist’s guidance, parents
conducted physical therapy exercises with their children an average
of 4.5 times per week, with each session lasting approximately
26.6 minutes. Statistically significant improvements in motor function
were observed at the 3-month (p = 0.020), 6-month (p = 0.006), and
1-year (p = 0.006) reassessments.
Conclusion
These findings highlight
the importance of parental and guardian involvement in supporting
the motor development of children with cerebral palsy.
2.Workplace stress level study regarding the some health factors
Otgonbaatar D ; Lkhagvasuren Ts ; Naranbaatar N ; Munkhkhand J
Mongolian Medical Sciences 2020;192(2):45-50
Background:
Over the past 20 years, world wide scale social and economic reforms, technological breakthroughs,
and the population growth (increased by 1.64 billion), especially in urban areas, have had a negative
impact on human health; changes in living and working conditions (environmental and air pollution),
population density, traffic jam, unhealthy lifestyles, workload, and work stress – all contribute to non-communicable diseases – are increasing. According to researchers from Stanford University in the
United States, “Stress plays a key role in the development of behavioral disorders such as poor diet,
lack of exercise, alcohol and tobacco use, and addiction. Furthermore, these behavioral disorders
play a major role in the development of metabolic disorders and cancer, such as hypertension,
cardiovascular disease such as myocardial infarction, and diabetes and obesity. “Stress, in particular,
depends on the type of workplace, work environment, and occupation in which the person spends
most of their life.
Materials and Methods:
The study is covered 473 nurses from the specialized tertiary level hospitals in Mongolia. We
determined their perceived work stress by the WPS (3 parts 57 questions) questionnaire of American
scientist Rice. The work stress results were analytically analyzed with the cross-sectional method
regarding the nurses’ arterial blood pressure.
Results:
Totally 473, or 121, 89, 146, and 117 nurses participated from NCTO (1), NCMH (3), NCID (4), and
NCC (4). In present study, 34 or 7.2% of 18-24 year olds, 139 or 29.4% of 25-30 year olds, 99 or
20.9% of 31-40 year olds, 169 or 35.7% of 41-50, and 32 or 6.8% over 51 year olds. The study was
conducted by collecting an age group similar to the age pyramid of nurses working in the hospital.
The participants illustrated low levels of work stress in 7.6%, medium levels in 27.1%, and high levels
of work stress in 65.3%, respectively. When we examine whether the level of stress exposure of
nurses differs between the groups by high, medium, and low levels of workplace stress, the analysis
of one factor variance confirms the statistical real difference (F = 3.071), (p = 0.028).
The study results revealed that long lasted accumulated work stress trigger the hypertention.
Conclusion
The onset of stress in a nurse’s workplace depends on many different social factors,
such as age, gender, organizational characteristics, organization, place of work, and years of
experiences. In conclusion, we agreed with Spruil Tanya et al., that chroronic stress at work can be
the reason for the high blood pressure.