Page 99 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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ID 103 DOES MALAYSIAN EXPERIENCE COVID-19 MESSAGE FATIGUE?

Norbaidurah Ithnain, Rosnani Kassim, Nadia Amirudin, Siti Nurhanim Mohamed Aimanan, Albeny Joslyn Panting
Institute for Health Behavioural Research, Ministry of Health Malaysia

INTRODUCTION: COVID-19 prevention messages are vital for disease mitigation measures
during this pandemic. However, the continual and repetitive nature of COVID-19 messaging
may generate fatigue. Therefore, this study assessed the COVID-19 message fatigue among
Malaysian adults.
METHODS: An online survey was conducted in 2021 using a modified Message Fatigue Scale.
The scale consisted of 17 items with four main dimensions: overexposure, redundancy,
exhaustion, and tedium. The survey was distributed by email, WhatsApp, and other social
media platforms.
RESULTS: A total of 2943 participants across Malaysia, aged 18 years above participated.
Among them, 60.3% were females and 74.0% were Malay. When comparing the dimension
of message fatigue, overexposure showed the highest score, followed by redundancy,
exhaustion and tedium. In terms of responses by items, the majority of participants had heard
enough about COVID-19 (90.9%), perceived too many COVID-19 messages (78.8%) and lost
track of the number of times they heard about COVID-19 (74.5%). Some of them also agreed
that COVID-19 messages are predictive (69.9%), sound identical (60.9%), and repetitive
(59.3%). On the other hand, feeling tired from hearing about COVID-19, the consequences,
and the importance of sustaining preventive behaviour were reported in 42.6%, 36.1%, and
33.0% of participants. The results also showed that about 27.1% agreed that COVID-19
preventive messages are boring.
DISCUSSION/CONCLUSION: The findings demonstrate that COVID-19 message fatigue occurs,
as people have grown tired or fatigued of receiving statistical data, being bombarded with
repeated messages, and changing SOP’s.

ID 104 EFFECTIVENESS OF PROTHROMBIN COMPLEX CONCENTRATE (PCC) IN REDUCING INR
IN OVERWARFARINIZED PATIENTS IN SEREMBAN GENERAL HOSPITAL

Anaanthan Bhuvanendran Pillai, Foo Fuei Ling, Wong Ming Hui
Pharmacy Department, Hospital Tuanku Ja’afar, Seremban

INTRODUCTION: Prothrombin Complex Concentrates (PCC) indicated for reversal agent in
bleeding overwarfarinized patient. Two types of PCC are currently available in Malaysia,
namely 3 factor PCC (3F-PCC) and 4 factor PCC (4F-PCC). Few studies have established the
effectiveness of 3F-PCC due to preference for 4F-PCC in most countries. We aimed to evaluate
the extent of target INR achievement using 3F-PCC in overwarfarinized patients and risk of
thromboembolic complication associated with PCC administration as well as the incidence of
in hospital mortality.
METHODS: We examined the medical records of 46 patients received 3F-PCC and were
admitted to the emergency department or ward of Hospital Tuanku Ja’afar between July 2017
to October 2020 for bleeding secondary to overwarfarinization.
RESULTS: The mean age was 68 (45-85) years comprising 50% men and 50% women. Initial
INR ranged from 2.16 to undetectable high. All patients had INR reduction, of which 52.2%
(N=24) achieved the INR target (<1.5).

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