This study has shown that, with a neurosurgery nurse delegated to the role, it is feasible to conduct follow-up telephone interviews with patients after discharge from a neurosurgery ward and that in fact such follow-up was appreciated by patients.

A large proportion of patients are being discharged with considerable levels of difficulty in four of the five EQ-5D dimensions. This stresses the importance of providing good follow-up and support of patients and their families.

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Head injury is a crucial public health problem and causes social and economic problems throughout the world. Increased brain blood volume associated with increased body temperature will increase intracranial pressure (ICP) and cause the brain at risk of other injuries. This paper aims to identify the effect of hypothermia management on head injury patients. This article was a review of literature from several data bases, Pubmed, EBSCO Host, Google scholar, and Web of Science. Article search was restricted from 2007 to 2018 using the keyword "head injury", "hypothermia management", "hypothermia in head injury". The search results of the article were that management of hypothermia in head injury patients can reduce metabolic requirements, cerebral metabolic rate for oxygen (CMRO2), excitotoxicity, reduce glutamate release, reduce free radical formation, reduce edema formation, stabilize membranes, maintain adenosine triphosphate (ATP), reduce influx Ca, and intracranial pressure so that it can reduce brain damage and risk of death. Keywords: head injury; hypothermia in head injury; hypothermia management ABSTRAK Cedera kepala merupakan masalah kesehatan masyarakat yang krusial dan menyebabkan permasalahan sosial serta ekonomi di seluruh dunia. Peningkatan volume darah otak yang dihubungkan dengan kenaikan suhu tubuh akan meningkatkan tekanan intrakranial (intracranial pressure/ICP) dan menyebabkan otak berisiko terkena cedera lain. Tulisan ini bertujuan untuk mengidentifikasi pengaruh manajemen hipotermia pada pasien cedera kepala. Tulisan ini merupakan tinjauan literature dari beberapa data base yaitu Pubmed, EBSCO Host, Google scholar, dan Web of Science. Penelusuran artikel dibatasi pada tahun 2007 sampai dengan tahun 2018 dengan menggunakan kata kunci “cedera kepala”, “manajemen hipotermia”, “hipotermia pada cedera kepala”. Hasil penelusuran artikel adalah manajemen hipotermia pada pasien cedera kepala dapat berefek mengurangi kebutuhan metabolik, cerebral metabolic rate for oxygen (CMRO2), eksitotoksisitas, menurunkan pelepasan glutamat, menurunkan pembentukan radikal bebas, mengurangi pembentukan edema, stabilisasi membran, memelihara adenosine triphosphate (ATP), menurunkan influx Ca, dan tekanan intrakranial sehingga dapat mengurangi kerusakan otak dan risiko kematian. Kata kunci: cedera kepala; hipotermia pada cedera kepala; manajemen hipotermia

Meningioma is the most common type of primary brain tumor, which affect several domains of life, such as physiological, psychological, and social life conditions. Although surgery has been performed on meningioma patients in Indonesia, some patients still experience sequelae such as headache, impaired mobilization, disruption of activity, and visual disturbances. This narrative review aims to describe nursing rehabilitation programs in patients with meningioma in Indonesia. As a result, the nursing rehabilitation program is considered as an integral part of multidisciplinary rehabilitation, which can be applied in the nursing rehabilitation center and in the form of telenursing. The roles of nurses include providing evidence-based direct care, psychosocial support, patient / family education, care coordination, and continuing health promotion starting from the period of patient care in the hospital to discharge. In conclusion, the nursing rehabilitation program has the potential to improve the quality of life in meningioma patients, especially in Indonesia.

Background: Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and information on the condition to achieve improved outcomes after discharge. Objective: This study aimed to assess transitional care programs to improve outcomes of patients with traumatic brain injury and their caregivers. Methods: A systematic review and meta-analysis were performed on studies retrieved from ProQuest, PubMed, Science Direct, CINAHL, and Google Scholar from January 2010 to July 2021. RevMan 5.4.1 software was used for meta-analysis. Results: Nine studies were systematically selected from 1,137 studies. The standard approaches of interventions used in patients with traumatic brain injury and their caregivers were education, mentored problem-solving, home-and community-based rehabilitation, counseling, skill-building, and psychological support. We observed that there was significant evidence indicating beneficial effects of intervention in increasing the physical functioning of patients with traumatic brain injury (SMD = -0.44, 95% CI -0.60 to -0.28, p <0.001), reducing the psychological symptoms among caregivers (SMD = -0.42, 95% CI -0.59 to -0.24, p <0.001), and increasing the satisfaction (SMD = -0.35, 95% CI -0.60 to -0.11, p = 0.005). Conclusion: Education, skill-building, and psychological support should be the main components in transitional care nursing programs for patients with traumatic brain injury and their caregivers.   Funding: Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.

Background: Postoperative hypoxia (POH) is a complication that often occurs in patients after Coronary Artery Bypass Grafting (CABG). Breathing exercises are considered effective in overcoming POH after CABG. However, this intervention has not been implemented using the dynamic nurse-patient relationship model from Ida Jean Orlando. The dynamic nurse-patient relationship model is expected to improve the quality of nursing care after cardiac surgery.Purpose: This study aimed to describe the application of breathing exercises in postoperative hypoxia after CABG using the dynamic nurse-patient relationship model.Methods: This study was the summary of the case presentation along with the interventions on three patients after CABG through the dynamic nurse-patient relationship model approach with the main intervention focusing on breathing exercises.Results: After three days of implementing the intervention, most patients showed improvement in POH. This condition was evidenced by an increase in the PaO2/FiO2 ratio from less than 200 to above 200, with an average increase of 89.3. The blood gas analysis results supported the results from a respiratory alkalosis condition to a normal PH and a PaCO2 value from <35 mmHg to the normal range (35-45 mmHg). Also, X-rays of the patients showed pulmonary atelectasis improvement.Conclusion:Applying breathing exercises in postoperative hypoxia after CABG using the dynamic nurse-patient relationship model can improve POH in post-cardiac surgery patients. We recommend using the model theory approach because this theory can see patients’ psychological and physical changes dynamically in post-CABG patients.