Latar Belakang: Ketidakefektifan bersihan jalan nafas menjadi salah satu gangguan kebutuhan oksigenasi dalam pasien gangguan pernafasan (pneumonia). Tindakan keperawatan yang efektif salah satunya dengan melakukan batuk yang efektif dengan tujuan untuk menghilangkan lendir pada saluran pernafasan. Metode: Penelitian ini menggunakan desain deskriptif berupa pendekatan studi kasus praktik keperawatan. Studi kasus pada penelitian ini meneliti respiratory rate (RR) pasien gangguan pernafasan (pneumonia) setelah dilakukan pemberian btindakan batuk secara efektif selama 3x24 jam. Hasil: Hasil penelitian menunjukkan RR pasien sebelum diberikan implementasi sebesar 24 x/menit sedangkan RR setelah diberikan implementasi batuk efektif selama 3x24 jam menjadi 20 x/menit. Kesimpulan: Tindakan keperawatan yang perlu dilakukan pada pasien gangguan pernafasan (pneumonia) meliputi mengkaji produksi sputum, teknik batuk efektif, pemyuluhan mengenai pemberian posisi serta kolaborasi pemberian oksigen atau nebulizer.
Surgery is a medical procedure that can cause perioperative pain. Pain in the perioperative phase that received by the patient can cause various complications. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain. The purpose of the review is to perform a systematic review of the literature. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain in surgery. A comprehensive article search through EBSCO, PROQUEST, and Scopus, the original article was sought in the period of publication between 1999 and 2019. The original articles reported on the effectiveness of hypnosis with surgical patient inclusion criteria. A total of 1994 studies have been identified in the literature search. However, only 27 studies were eligible for analysis in this study. The instruments used were visual analogue scale and numeric rating scale questionnaire were used to identify the level of pain in the study. The outcome revealed that hypnosis can decrease level of pain in each perioperative phase significantly. Further research needs to be done to add strong evidence about the use of hypnosis for perioperative pain management.
Elderly people with Cognitive impairment have various possible impacts on their psychological, social life, and physical activities. The purpose of this study was to determine factors influencing the elderly people with cognitive impairment. This descriptive study used a cross-sectional approach conducted at the Village Integrated Service Unit of Community Health Center Gandrungmangu II (known as UPTD Puskesmas Gandrungmangu II) by involving108 respondents. Two questionnaires consisting of questionnaire A and B were distributed. Questionnaire A was related to the respondent's demographic characteristics, such as age, gender, education level, diabetes mellitus (DM) history, and hypertension history. Meanwhile, questionnaire B which was related to the Mini Mental State Examination (MMSE) assessed the respondents' cognitive functions. Univariate and Chi Square analysis were employed to analyze the data. There was a significant relationship between age (p-value = 0.003), gender (p-value = 0.002), education level (p-value = 0.00), diabetes mellitus (DM) history (p-value = 0.002), and hypertension history (p-value = 0.05). Nursing care was given to the elderly people with cognitive impairment by considering various factors. A comprehensive assessment was then conducted to reveal those known influencing the elderly people with the decreasing cognitive functions
Hypertension is a global health problem resulting in increased morbidity and mortality and the burden of health costs, including in Indonesia. The purpose of this study was to find out the difference between Ar Rahman Murotal Therapy and Progressive Muscle Relaxation in decreasing blood pressure in hypertension patients at Rw 3, Sumampir village. This was a quantitative research with cross over design with The One Group Pretest-Posttest Design approach. The population in this study were all patients with hypertension in Sumampir, North Purwokerto of Banyumas according to data obtained from Puskesmas (Community Health Center). The sampling technique used was purposive sampling. The number of samples used were 13 people who were present at the time of data collection divided into control and treatment groups. The instrument used were speaker and digital sphygmomanometer. Data was analyzed using independent sample test. All respondents were female (100%). Significance value in systolic and diastolic blood pressure reduction in both treatments was not statistically significant (p> 0.05), but the mean systolic blood pressure (4.15) and diastolic (4.53) in therapy using Ar Rahmaan murotal higher than the value of added systolic blood pressure (2.93) and diastolic (1.46) on the therapy of Progressive Muscle Relaxation techniques. This means that clinically Ar Rahman murottal therapy is more effective in helping to reduce blood pressure compared to Progressive Muscle Relaxation therapy. Significance value in systolic and diastolic blood pressure reduction in both treatments was not statistically significant that clinically Ar Rahman's murotal therapy is more effective in helping to reduce blood pressure than Progressive Muscle Relaxation therapy.
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