Cultura

Mental Health Management As A Mediator Between Job Stress And Job Performance Among Malaysian Secondary School Teachers

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Yulin Shi, Dr. Intan Marfarrina Binti Omar, Dr. Norfaezah Binti Md Khalid

Abstract

Research aims: This study investigates the effect of job stress on teachers’ job performance and examines the mediating role of mental health management among Malaysian secondary school teachers.

Design/Methodology/Approach: A quantitative research approach was utilized, and data were gathered from 537 teachers through a self-administered questionnaire. This study used AMOS 23.0 to test the measurement and structural models by applying structural equation modeling (SEM) to look at the data.

Research findings: The results show that stress at work hurts both mental health management and job performance. On the other hand, mental health management helps job performance and partially mediates the link between stress and performance.

Theoretical contribution/Originality: This research synthesizes the Transactional Model of Stress and Coping, the Stress Response System Theory, and the Job Demands Resources Theory to elucidate how teachers' mental health management alleviates the detrimental impacts of stress on performance.

Practical implications: The results help school leaders and legislators design better stress management and mental health initiatives that will help teachers feel better and do better at their jobs.

Keywords : Job stress, mental health management, job performance, SEM, Malaysian teachers.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty