<div class="WordSection1"><p class="AbstractContent"><strong>Objective:</strong> Early warning system (EWS) is a physiological scoring to observe the patient’s condition not only in hospital wards but also in Emergency Department (ED). At an overcrowded ER that have slow of patient flow, EWS is use as an early detection of patient’s deterioration by observing the vital signs. The purpose of this study was to identify the relationship between nurses’ knowledge of initial assessment and the application of EWS at emergency department.</p><p class="AbstractContent"><strong>Methods: </strong>This was a quantitative study that used descriptive correlative with cross-sectional design toward 70 emergency nurses.</p><p class="AbstractContent"><strong>Results:</strong> The result showed there was a relationship between nurses’ knowledge of initial assessment and the application of early warning system at emergency room <em>(p</em>=0 .001)<strong></strong></p><p><strong>Conclusion: </strong>The higher the level of nurses’ knowledge, their behavior is better. It is recommended to maintain the use of EWS in ED that already good through training regularly (re-certification).</p><p class="AbstractContent"><strong> </strong></p><div><p class="Keywords"><strong>Keywords: </strong>Early warning system; emergency department; initial assessment; nurses’ knowledge.</p></div></div>
<p class="AbstractContent"><strong>Objective:</strong> Type 2 diabetes mellitus (type 2 diabetes) is a chronic disease that requires long-term management throughout the life to prevent acute and chronic complications. Self-care is a fundamental and integral part of diabetes management. Social support obtained from family, health professionals, friends, or diabetic peers may predict good self-care behavior. The purpose of this study was to evaluate the self-care behavior of adult with type 2 DM in Persadia Depok.</p><p class="AbstractContent"><strong>Methods: </strong>This quantitative study used a cross-sectional design. A consecutive sample of 52 subjects with type 2 DM who joined in Persadia Depok was included. The instrument used to measure self-care behavior is The Summary of Diabetes Self-Care Activities questionnaire</p><p class="AbstractContent"><strong>Results:</strong> The results showed that self-care behavior of participants in the last seven days is 4,4 days (Median 4.4, Minimal-Maximum 2.6-5.4, 95% CI 4.1-4.5). Self-care was described as “good” in only half of the participant (50%). Self-care behavior was reported good in diet, physical exercise, and taking medication, but it was poor in self-monitoring of blood glucose (SMBG) and foot care.<strong></strong></p><p><strong>Conclusion: </strong>This study recommended that nurses should enhance education and support to improve patient self-care behaviors especially SMBG and foot care.</p><p class="AbstractContent"><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer, deep breathing, early mobilization, effective coughing, preoperative education.</p>
Tuberculosis (TB) is an infectious respiratory disease and still remains a significant health problem in Indonesia. Combating TB is paramount as the drop out and relapse of patients are still high. Generally, there are two types of TB patients, which are: TB patient category I and category II. Someone who never suffered and very first had TB treatment is the characteristic of type 1 whereas relapsed or have second (or several) times of treatment are the characteristic of category II. The aim of this study is to explore the experience of tuberculosis patients who had relapsed; TB patient category II. This research was conducted in Jakarta, Indonesia for seven months (March – October, 2014). The qualitative method with phenomenological approach was conducted in this study. Ten participants, with relapse case that are usually visiting the outpatient of pulmonology department in a respiratory hospital in Jakarta were selected using the purposive sampling and interviewed using semi-structured questions. The data were analysed using conventional content analysis and has been saturated. This study found four themes: the perception of tuberculosis, the impact of tuberculosis on patients, the challenge of TB patients during their treatment and the support from family. These results of this study can be used as the information for the healthcare professional, especially community nurse, to improve TB program such as, increasing health education program, so that the incidence of the relapse in TB patients can be reduced.
<p><strong>Objective</strong>: This study aimed to describe the diethary adherence in outpatient clinic diabetes mellitus type II Doctor Haji Marzoeki Mahdi Bogor hospital based on the schedule, type, and amount of food.</p><p> </p><p><strong>Methods</strong>: The design of this study used cross sectional with consecutive sampling method involving 109 respondents.</p><p> </p><p><strong>Results</strong>: The result of this study shows that most of respondent has non-adherence to diet especially adherence of food amount.</p><p> </p><p><strong>Conclusion</strong>: The recommendation of this study is to conduct further research on the factors that influence non-adherence of food amount.</p><p><em> </em></p><p><strong>Keywords:</strong> Diabetes Mellitus Type 2, Medical Nutrition Therapy, Diethary Adherence</p>
Pruritus merupakan rasa gatal yang menimbulkan gangguan dan ketidaknyamanan dimana dapat muncul sesekali ataupun regular. Masalah keperawatan gangguan rasa nyaman dan risiko perusakan integritas kulit dapat ditemukan baik dari respons subjektif pasien maupun temuan klinis objektif. Gatal dan pruritus dapat ditemui pada pasien gagal ginjal kronis dengan dialysis maupun tanpa dialysis. Prevalensi gejala pruritus yang sering ditemui dengan penyakit ginjal kronik yaitu pruritus uremik. Keluhan gatal dari pruritus ini dapat dikurangi dengan pemberian pelembab yang berfungsi untuk meningkatkan dan mempertahankan hidrasi kulit. Tujuan studi kasus ini untuk menganalisis keefektifan intervensi pemberian petroleum jelly untuk mengatasi masalah gangguan rasa nyaman dan risiko kerusakan integritas kulit pada pasien gagal ginjal kronik dengan pruritus. Metode penulisan yaitu analisis studi kasus pada intervensi keperawatan yang dilakukan di pasien selama perawatan di ruang rawat penyakit dalam. Evaluasi terhadap keefektifan tindakan dinilai dari respon pasien terhadap rasa gatal dengan menggunakan Visual Analogue Scale (VAS) serta pemeriksaaan kondisi kulit. Hasil intervensi didapatkan penurunan nilai VAS dari skala 5 ke skala 1 dan kondisi kulit yang lebih baik. Rekomendasi dari studi kasus ini adalah intervensi penggunaan petroleum jelly dapat dilakukan untuk mengatasi masalah keperawatan gangguan rasa nyaman dan risiko kerusakan integritas kulit pada pasien gagal ginjal kronik dengan pruritus.
Ventilator associated pneumonia (VAP) adalah yang sering terjadi di rumah sakit terutaman di ruang intensif. VAP merupakah infeksi saluran pernapasan bawah yang mengenai parenkim paru setelah pemakaian ventilasi mekanik lebih dari 48 jam. Kejadian VAP dapat ditekan dengan pelaksanaan bundle VAP. Tujuan penelitian ini untuk mengetahui tingkat kepatuhan dan faktor-faktor yang mempengaruhinya. Metode penelitian adalah deskriptif analitik dengan desain crosssectional dengan sampel sebanyak 45 perawat ICU. Alat ukur yang digunakan adalah VAP Bundle Checklist dari Institute for healthcare improvement (IHI) 2012 dan adaptasi PRECEDE model. Hasil penelitian ini menunjukkan bahwa tingkat kepatuhan perawat terhadap bundle VAP adalah tinggi (75,9%). Analisa dengan Chi square menunjukkan bahwa tidak ada hubungan antara faktor predisposisi, pemungkin dan penguat terhadap kepatuhan (nilai p 0,473). Rekomendasi dari penelitian ini adalah perawat harus meningkatkan pengetahuan dan motivasi terkait dengan implementasi bundle VAP.Kata kunci: Faktor kepatuhan, Kepatuhan perawat, Bundle VAP, Ventilator associated pneumonia
<p><strong>Objective: </strong>This study aimed to describe nursing care provided for Acute Lymphoblastic Leukemia (ALL) patient who was affected by anxiety with case study approach which conducted for five consecutive days</p><p><strong>Methods: </strong>The emotional support intervention which was provided for 30-45 minutes in each of 5 days and evaluated by hemodynamic values monitoring, observation of patient's general condition, and the Hospital Anxiety and Depression Scale (HADS) revealed the effectiveness of the intervention. The monitoring of hemodynamic values was performed prior to and following the intervention.</p><p><strong>Results: </strong>The result suggested the stability of hemodynamic values within 5 days of intervention. There was no sign of bleeding, though the patient complained for cough and cold. The patient was still required to undergo blood transfusions due to low platelet counts. The patient reported that he felt more exuberant and seemed vigorous within those 5 days. The patient was also able to perform ADLs including eating, changing clothes, and praying independently on the bed, and seemed to be smiling all the time and remained a cheerful and sociable figure with his surroundings.</p><p><strong>Conclusion: </strong>Anxiety level score using HADS was decreased to 7 with normal category.</p><p><strong>Keywords: </strong>Acute Lymphoblastic Leukemia (ALL); anxiety; emotional support intervention.</p>
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