In 2020, around 1.56 billion people worldwide were estimated to suffer from hypertension, making it one of the leading causes of death across the globe. The purpose of this research was to examine the impact that isometric handgrip training has on changes in blood pressure as well as the quality of life of people who have hypertension. This research used a quasi-experimental approach with a control group that had different characteristics before and after the tests. The hypothesis test carried out by the intervention group produced p-values that were less than 0.05 for the measures of systolic and diastolic blood pressure as well as quality of life. At the time of the pre-test, the independent statistical analysis of systolic blood pressure, diastolic blood pressure, and quality of life scores for both the intervention group and the control group produced p-values that were greater than 0.05. The p-values for systolic, diastolic, and quality of life scores between the intervention group and the control group at the time of the post-test were 0.013, 0.003, and 0.051, respectively. There were significant differences in the average blood pressure and quality of life scores before and after the intervention of isometric handgrip exercises in the intervention group, whereas there was no difference in the control group. The intervention group consisted of people who did the exercises.
The incidence of breast cancer in Indonesia is the highest among other cancers in women, with an estimated prevalence of fatigue between 25-99%. The current study is a 6-week mixed methods action study on fatigue in breast cancer patients. This study aimed to develop a self-management intervention program to reduce empowerment-based fatigue with telenursing strategies and to seek evidence of its effect on fatigue levels, self-esteem, body image, and quality of life. The first stage describes the problem with a qualitative method by exploring the fatigue problem in the survivor's perception. The second stage is the intervention development stage, and the third stage is testing the effectiveness of the intervention, carried out in a quasi-experimental study with a pre-posttest control group design. The first stage produces five themes, and the second stage produces nursing interventions based on transitional nursing theory and telenursing strategies. The third stage of the study proved that the fatigue management intervention (IPK) effectively reduced fatigue levels, increased self-esteem and body image, and improved the quality of life in breast cancer patients. This study recommends oncology nurses consider empowering survivors using this intervention so that the transition period for breast cancer survivors achieves healthy physical and psychological health, achieving optimal health after a cancer diagnosis.
Kualitas hidup pasien TB penting dalam pengobatan. Analisis faktor yang mempengaruhi ku alitas hidup pasien, seperti kondisi sosial ekonomi, dukungan sosial, status kesehatan, kepatuhan terhadap perawatan, dan stigmatisasi, dapat membantu meningkatkan perawatan dan kualitas hidup pasien TB. Penelitian tentang faktor-faktor ini penting untuk meningkatkan perawatan pasien TB. Tujuan penelitian untuk menganalisis faktor-faktor yang berhubungan dengan kualitas hidup pasien tuberculosis yang dirawat di ruang Daisy RSUD Dr. H. Soemarno Sosroatmodjo. Penelitian yang digunakan pada penelitian ini adalah penelitian survey analitik dengan menggunakan pendekatan “Cross Sectional Study”. Populasi dalam penelitian ini adalah seluruh Pasien tuberculosis yang dirawat di ruang Daisy RSUD Dr. H. Soemarno Sosroatmodjo yang berjumlah 68 orang. Teknik pengambilan sampel dalam penelitian ini menggunakan puroisve sampling. Hasil uji statistik Chi-Square menunjukkan bahwa terdapat hubungan antara umur, jenis kelamin, pendidikan, dan pekerjaan dengan kualitas hidup pada pasien TB yang dirawat di Ruang Daisy Rumah Sakit dr. H. Soemarno Sosroatmodjo Tanjung Selor. Nilai p yang diperoleh pada setiap uji statistik menunjukkan bahwa hipotesis alternatif (Ha) diterima dan hipotesis nol (Ho) ditolak. Nilai p untuk faktor umur adalah 0,001, nilai p untuk faktor jenis kelamin adalah 0,032, nilai p untuk faktor pendidikan adalah 0,046, dan nilai p untuk faktor pekerjaan adalah 0,035. Dapat disimpulkan bahwa umur, jenis kelamin, pendidikan, dan pekerjaan berhubungan dengan kualitas hidup pasien TB di Ruang Daisy Rumah Sakit dr. H. Soemarno Sosroatmodjo Tanjung Selor. Hal ini menunjukkan bahwa faktor-faktor tersebut berpotensi mempengaruhi kualitas hidup pasien TB dan perlu diperhatikan dalam penanganan dan perawatan pasien untuk meningkatkan kualitas hidup mereka.
Discharge planning atau perencanaan pulang bertujuan untuk menjaga kesinambungan perawatan di rumah setelah pasien dipulangkan. Perencanaan pemulangan yang efektif dapat memastikan bahwa pasien dan keluarga menerima perawatan yang aman dan realistis setelah keluar dari rumah sakit. Tujuan dari penelitian ini ada untuk mengetahui pengaruh discharge planning terhadap kesiapan pulang dengan batu ginjal di RSD dr. H. Soemarno Sosroatmodjo. Penelitian ini menggunakan desain pra experiment dengan one group pretest and posttest design. Sampel sebanyak 30 orang dengan teknik purposive sampling. Pada penelitian ini hanya dilakukan perlakuan pada satu kelompok. Efektifitas perlakuan dinilai dengan cara membandingkan post test dan pre test. Hasil penelitian ini didapatkan p=0,001 < 0,05 dengan nilai mean post test > pre test yaitu 159,70 > 129,50 dengan selisih 30,2, nilai maksimum post test > pre test yaitu 176 > 149 dengan selisih 27, dan nilai minimum post test > pre test yaitu 138 > 109 dengan selisih 29. Discharge planning dapat meningkatkan skor kesiapan pulang pasien dengan batu ginjal di RSD dr. H. Soemarno Sosroatmodjo. Sehingga diharapkan pelaksanaan discharge planning terus berjalan dalam memberikan asuhan keperawatan yang optimal, terstruktur, dan aplikatif sehingga memberikan manfaat dalam mempertahankan kontinuitas perawatan lanjutan bagi pasien terutama dengan kondisi kronis maupun yang membutuhkan perawatan paliatif.
Diabetes Mellitus (DM) is a disease characterized by an insufficient amount of insulin that does not function normally. According to data of Basic Health Research of Indonesia Government year 2018, the global prevalence of DM among those aged 55 to 64 years reached 6.3% of 265 individuals, the highest value among all other age groups. To present a case study with TTDM in Samarinda, Indonesia and to determine the nursing care plan, explaining the nursing interventions and showing the importance of nursing care of patients with DM. we treated 2 patients who had TTDM using a standardized nursing process for 3 days and made observations and recorded the similarities and differences that emerged as a result of disease response and the effects of the treatment provided. Researcher has completed collecting data set which was then used to establish each of the 6 nursing diagnoses, and further each nursing plan details implemented and evaluated. There is a diversity and resemblance of data that was revealed in the discussion session of ther report. Using a thematic analysis approach, patterns in the data were identified and analyzed. The data were then synthesized using Indonesian Nursing Standardized (3S) terminology. The patient's positive health outcomes supported the accuracy of the diagnoses and the appropriateness of the nursing interventions. case study method contributes in understanding the overall nursing care for patients, especially those with TTDM because it opened up nursing scenarios that support nurses in utilized critical thinking skills including in making decisions in the use of the entire nursing process. By carefully implementing chosen interventions through nursing process nurse was able to compare data between cases, to determine the causes of differences and similarities from the data obtained and analyze based on appropriate theories and concepts.
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