Introduction. Obstetric and neonatal emergencies are a condition that can be life threatening and can occur both during pregnancy and childbirth. One of the causes of emergency is the complication of pregnancy, where this complication can arise due to risk factors during pregnancy, one of which is the gravida. Pregnant women with primigravida and gravida = 4 are high-risk factors for pregnancy and childbirth. The purpose of this study was to determine the contribution of the number of pregnancies (gravida) to mothers who had complications of pregnancy and childbirth in the work area of the Gatak Health Center, Sukoharjo. Methods. This research is a quantitative descriptive with a retrospective approach, data collection using the record or other documents in the form of health information for pregnant women with pregnancy comorbidities taken based on data from January 1 to December 31, 2018, in total sampling. Result. Of the 224 data of pregnant women with comorbidities, among them experienced pre-eclampsia (67.1%). The characteristics of respondents were based on the most age at 20-35 years old (82.5%), multigravida status (84.8%), and SC delivery (67%). Discussion. The importance of regulating and monitoring the number of pregnancies (gravida) of mothers to prevent complications of pregnancy and childbirth and to improve the degree of life of a mother.
The disease of DM complications often form of stroke, kidney failure, heart, nephropathy, blindness and even had to undergo amputation. The problem of diabetes leg injury in Indonesia to date is still a complex issue, because the mortality rate and the amputation is still high. One of the treatment DM was with education. Research objectives to find out the influence of health education against diabetic foot treatment with the method of demonstration in diabetics mellitus patients. The research was included in this type of Pre-experimental design with Intact-Group Comparison approach. Enginering samples are non probability sampling with technical purposive sampling of as many as 30 respondents. The average level of knowledge prior to health education is 12.766 and after extension or increased 15,166 better. The ability of people with diabetes mellitus care for leg before given health education the average rating is 4,666 and the ability of people with diabetes mellitus in taking care of feet after a given health education with an average 8,133. The summary is the influence of health education against diabetic foot treatment with demonstration methods can improve the care of diabetic foot as much as 3,466 from before the demonstration.
Introduction: Hemodialysis (HD) therapy is the most common therapy for patients with End Stage Renal Disease (ESRD). Insomnia prevalent among dialysis patients which affects their quality of life and death. Although hemodialysis therapy has been proven to prolong survival, the action of hemodialysis therapy has complications that cause symptoms, one of which is sleep disturbance. Complaints of sleep disorders that are often encountered in dialysis units are experienced by 50-80% of dialysis patients. Of the various sleep disorders, insomnia is one of the symptoms that is often experienced by ESRD patients. Methods: A literature review comparing several literatures through the search of accredited journal sites such as PubMed, Elsevier, ResearchGate, and Neliti with the keywords management insomnia in hemodialysis patients in the 2015-2020 period. Research Results: Management of insomnia is reviewed with the aim of providing guidance to encourage treatment. In the six journals reviewed, education on sleep hygiene, CBT-I, relaxation therapy, massage therapy, and drug administration (with caution) improving the quality of sleep for hemodialysis patients. Conclusions: Pharmacological and non-pharmacological management to overcome insomnia in hemodialysis patients can be given by considering the factors that influence it. Management is advised to use a nonpharmacological approach first. The administration of pharmacological therapy is recommended only for short-term use, used with caution in hemodialysis patients.
A significant increase in the number of mental disorders has been a phenomenon in the world, including Indonesia. It may indicate by the increasing number of the inpatients of mental hospitals. The study aims to determine the effect of the combination of psychosocial therapy and vitamin C on the stress and immunity level of patients with mental disorders. This study applied pre-experimental design on three groups in which each group consists of seven respondents with an assumption that 20% will be lost of follow up. The sampling technique is purposive sampling. The criteria of the respondents include patients with schizophrenia, adults and administered with the same antipsychotic medication. The intervention includes the 500 mg of vitamin C and relaxation technique for four weeks on a daily basis. The stress levels and immunity of the patients are measured at the end of each month. One-way ANOVA is employed as the data analysis technique. The results of analysis in stress levels and immune responses between the three groups after the intervention of Vitamin C and relaxation techniques showed a mean difference in each group. The F value of 1.534 and an associated p value of 0.234 for stress levels, and f value of 0.790 with p value of 0.469 statistically indicate the insignificant difference between the three groups. Meanwhile, during the interview as an assessment of stress levels, the second and third intervention groups were more cooperative compared to the first group. Respondents were more cooperative during mental status examination after the end of the second and third weeks, and showed an improvement in CD4 immunity (cluster of differentiation 4).
Pendahuluan: Penyakit gagal ginjal merupakan gangguan fungsi ginjal yang terjadi saat tubuh tidak bisa mempertahankan metabolisme, keseimbangan cairan serta elektrolit sehingga menyebabkan terjadinya retensi urea dan sampah nitrogen dalam darah. Hemodialisa menjadi pilihan terapi untuk mengatasi gagal ginjal kronik. Hemodialisa dilakukan dengan alat khusus untuk mempertahankan fungsi ginjal dengan menyeimbangkan kadar elektrolit dan keseimbangan cairan tubuh. Hemodialisa yang dilakukan dalam waktu lama dapat menyebabkan gangguan pada aspek biologis maupun aspek psikologis bagi pasien hemodialisa. Sebanyak 48,6 % pasien hemodialisa mengalami gangguan kecemasan. Salah satu non-farmakologi terapi untuk mengurangi kecemasan yaitu relaksasi benson yang dilakukan selama 15-20 menit setiap pagi dan sore hari. Tujuan dari penelitian untuk mengetahui efektivitas relaksasi benson terhadap kecemasan pada pasien yang menjalani hemodialisa. Metode yang digunakan untuk penelitian ini adalah studi literature review dengan membandingkan beberapa literature dari penelusuran situs jurnal seperti Sciendirect, PubMed, Elsevier dan Google Schoolar Hasil Penelitian menunjukkan relaksasi benson yang dilakukan sehari 2 kali selama 15-20 menit efektif untuk mengatasi masalah kecemasan pada pasien yang melakukan hemodialiasa. Kesimpulan: relakasi benson efektif dan bekerja dengan baik dalam menurunkan kadar kecemasan pada pasien hemodialisa Kata Kunci : gagal ginjal kronik, Hemodialisa, Cemas, Relaksasi Benson. Abstract: Introduction: Kidney failure is a disorder of kidney function that occurs when the body cannot maintain metabolism, fluid and electrolyte balance, causing retention of urea and nitrogen waste in the blood. Hemodialysis is a therapeutic option for treating chronic renal failure. Hemodialysis is performed with special tools to maintain kidney function by balancing electrolyte levels and body fluid balance. Hemodialysis that is carried out for a long time can cause disturbances in biological and psychological aspects for hemodialysis patients. As many as 48.6% of hemodialysis patients experienced anxiety disorders. One of the non-pharmacological therapies to reduce anxiety is benson relaxation which is done for 15-20 minutes every morning and evening. The aim of this study was to determine the effectiveness of Benson relaxation on anxiety in patients undergoing hemodialysis. The method used for this research is a literature review study by comparing some literature from searching journal sites such as Sciendirect, PubMed, Elsevier and Google Schoolar. The results showed that Benson relaxation which is carried out twice a day for 15-20 minutes is effective in overcoming anxiety problems in patients with do regular hemodialysis. Conclusion: Benson Relaxation is effective and works well in reducing anxiety levels in hemodialysis patients Keywords: chronic renal failure, hemodialysis, anxiety, Benson Relaxation
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