Background: Chronic kidney disease (CKD) is defined as a progressive disease that causes renal failure and requires extended and long-term therapies. CKD patients need to choose one of these therapies to improve their quality of life. This study aims to investigate differences in the quality of life of chronic kidney disease patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis (CAPD).Design and Methods: The study design used is similar to the cross-sectional design. Therefore, in this study observations were carried out, a EQ_5D life quality questionnaire sheet was administered to respondents, and a purposive sampling method was used. The total number of respondents was 250 and consisted of 125 hemodialysis and CAPD patients each.Results: The results obtained using the Mann Whitney method was a p-value (0.515)> α (0.05). These results also included five components, namely the ability to move/walk to an acceptable degree, adequate self-care, performance of usual activities, minimal amount of pain/discomfort during hemodialysis and CAPD, and acceptable levels of anxiety/sadness.Conclusions: This research concludes that there is no difference in the quality of life between CKD patients  undergoing hemodialysis and CAPD.

Manajemen nyeri yang optimal merupakan salah satu upaya penting dalam lingkup layanan Rumah Sakit. Nyeri yang tidak tertangani dengan baik dapat menyebabkan masalah tambahan bahkan memperlambat perbaikan kondisi pasien. Perawat merupakan petugas kesehatan yang harus mampu dalam mendukung upaya tersebut. Pengkajian nyeri yang tepat akan menjadi dasar manajemen nyeri yang optimal pada pasien.Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kemampuan perawat dalam melakukan pengkajian nyeri pada pasien komunikatif maupun dengan gangguan komunikasi, sehingga sehingga perawat dapat melakukan pengkajian nyeri secara tepat, rutin, dan terstruktur. Hal ini diwujudkan dengan melatih perawat dengan berbagai teori tentang pengkajian nyeri, terutama penggunaan skala nyeri dengan berbagai kelebihan dan kekurangan masing-masing dan penerapan penggunaan skala nyeri tersebut.Kegiatan dilaksanakan di Rumah Sakit Universitas Brawijaya, Kota Malang pada November-Desember Tahun 2019. Metode kegiatan yang dilakukan terdiri dari: focus group discussion, pre-test dan post-test, dan pemberian materi.Hasil kegiatan menunjukkan bahwa pelatihan pengkajian nyeri ini dapat meningkatkan pengetahuan perawat tentang pengkajian nyeri. Berdasarkan hasil tersebut dapat disimpulkan bahwa pelatihan pengkajian nyeri pada perawat perlu dilakukan secara berkesinambungan untuk mendukung upaya manajemen nyeri yang optimal.

AbstrakSepsis merupakan penyebab utama kondisi sakit kritis dan mortalitas di dunia. Kondisi sepsis membutuhkan identifikasi segera karena penundaan identifikasi sepsis dapat berakibat pada peningkatan angka mortalitas pasien. Review artikel ini bertujuan untuk menganalisis perbandingan qSOFA dan SIRS dalam mengidentifikasi pasien dengan sepsis dan memprediksi mortalitasnya. Artikel didapatkan melalui pencarian menggunakan online database yaitu PubMed dengan menggunakan kata kunci qSOFA, SIRS, sepsis. Hasil pencarian mengidentifikasi hasil yang relevan dengan kata kunci sejumlah 35 artikel, kemudian dipilih 9 artikel untuk dikaji. Hasilnya terdapat satu studi pada 886 pasien yang menyatakan bahwa qSOFA dan SIRS belum optimal dalam mengidentifikasi sepsis. Terdapat dua studi dengan jumlah total 3.542 pasien yang menyatakan bahwa kriteria SIRS lebih baik dalam mengidentifikasi sepsis dan memprediksi mortalitas pasien. Selanjutnya, terdapat enam studi dengan jumlah total 167.172 pasien yang menyatakan keunggulan qSOFA dibandingkan dengan SIRS dalam mengidentifikasi sepsis dan memprediksi mortalitas pasien. Skor qSOFA lebih unggul dari kriteria SIRS dalam mengidentifikasi pasien sepsis dengan disfungsi organ yang berisiko tinggi mengalami kematian, sedangkan kriteria SIRS lebih unggul dari skor qSOFA dalam mengidentifikasi pasien sepsis yang belum mengalami disfungsi organ dan berisiko rendah mengalami kematian. AbstractSepsis is a leading cause of critical illness and mortality in the world. Sepsis condition requires early identification because late identification of sepsis may lead to an increase in patient mortality. The purpose of this article review was to compare the ability of qSOFA and SIRS for identifying patients with sepsis and predicting its mortalities. Studies reporting on qSOFA and SIRS were searched using PubMed by using keywords qSOFA, SIRS, sepsis. The search results identified 35 relevant articles, then 9 articles were selected for review. The results showed one study with 886 patients reported that both of qSOFA and SIRS were not optimal in identifying sepsis. Two studies with a total of 3.542 patients reported that SIRS criteria were better in identifying sepsis and predicting mortality. Six studies with a total of 167.172 patients reported the superiority of qSOFA compared to SIRS in identifying sepsis and predicting mortality. The qSOFA score is superior compared to SIRS criteria in identifying sepsis patients with organ dysfunction who were at high risk of mortality, while the SIRS criteria are superior compared to qSOFA score in identifying sepsis patients without organ dysfunction who were at low risk of mortality.

AbstrakInfeksi bakteri Escherichia coli (E. coli) dapat menyebabkan gangguan sistem hematologi, di antaranya berupa penurunan konsentrasi hemoglobin. Konsumsi probiotik dianggap sebagai salah satu upaya untuk meningkatkan sintesis hemoglobin. Penelitian ini bertujuan untuk mengetahui pengaruh Lactobacillus spp. terhadap konsentrasi hemoglobin pada tikus putih (Rattus norvegicus) yang diinduksi oleh lipopolisakarida (LPS) E. coli. Rancangan penelitian ini adalah true experimental dengan desain randomized post test only control group. Dua puluh satu ekor tikus putih dibagi ke dalam tiga kelompok yaitu: (1) kelompok tikus tanpa perlakuan sebagai kontrol negatif (n = 7), (2) kelompok tikus yang diinduksi LPS E. coli (n = 7), dan (3) kelompok tikus yang dipapar Lactobacillus spp. dan diinduksi LPS E. coli (n = 7). Konsentrasi hemoglobin diukur dengan metode oksihemoglobin. Hasil penelitian menunjukkan perbedaan konsentrasi hemoglobin antara kelompok tikus dengan paparan probiotik dan diinduksi LPS E. coli (8,9±0,3 mmol/L) dibandingkan dengan kelompok kontrol negatif (8,0±0,8 mmol/L), dan kelompok yang hanya diinduksi LPS E. coli (8,4±0,5 mmol/L) (p < 0,05). Disimpulkan bahwa Lactobacillus spp. dapat meningkatkan konsentrasi hemoglobin pada tikus putih yang diinduksi LPS E. coli. AbstractInfection caused by E. coli may lead to a hematological system disorder, such as decreasing of hemoglobin concentration. Consumption of probiotic was considered as an effort to improve hemoglobin synthesis. This study aimed to assess the effect of Lactobacillus spp. on hemoglobin concentration in rats (Rattus norvegicus) induced by lipopolysaccharide (LPS) of E. coli. A true experimental research with randomized post test only control group design was performed. Twenty one rats were divided into three groups including: (1) a negative control (n = 7), (2) a group was induced with LPS of E. coli (n = 7), and (3) a group was exposed to Lactobacillus spp. prior to induction by LPS of E. coli (n = 7). Hemoglobin concentration was measured by oxyhemoglobin method. The results showed the difference of hemoglobin concentration among groups of rat exposed to Lactobacillus spp prior to induction by LPS of E. coli (8,9±0,3 mmol/L), control negative group (8,0±0,8 mmol/L), and group of rat induced by LPS E. coli (8,4±0,5 mmol/L) (p < 0,05). It is concluded that Lactobacillus spp. can increase the hemoglobin concentration in rats induced by LPS of E. coli.

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Hypertension is a disease that mostly affects the elderly, this is due to unhealthy lifestyle changes, easy fast food, and excessive salt and fat consumption. Poor knowledge and adherence to the hypertension diet make the elderly not follow the hypertension diet properly. This study aimed to analyze the effect of the BASNEF model of health education on dietary knowledge and adherence in elderly people with hypertension. This study used Quasi-experimental one group pre-test and post-test design. The study population was elderly with hypertension taken by purposive sampling method, a total of 40 people with the criteria of being able to read, carry out activities independently, and live with family. The instrument used to measure variables is a questionnaire and data were analyzed using the Wilcoxon test. The average value obtained for knowledge of the hypertension diet increased by 14.78 and adherence to the hypertension diet also experienced an increase in the average value of 44.53. The results of the Wilcoxon test showed that there was an effect of the BASNEF model of health education on knowledge and adherence to the hypertension diet in elderly people with hypertension which was significant with p<0.05. The BASNEF method of health education can be an alternative to increasing knowledge and adherence to hypertension among elderly people in the community.

Introduction: Type 2 Diabetes Mellitus (T2DM) is associated with changes that occur in the peripheral circulation that affect foot functions. Therefore, there is a need for a risk prediction test on foot abnormalities using the leg pain response parameters in T2DM patients with ankle-brachial index (ABI) and peripheral sensory changes as a preventive effort to manage foot care. Design and Methods: This study employed a cross-sectional design in which 63 T2DM patients in a Public Health Center (PHC) in Malang were investigated. The instruments used include visual analog scale (VAS), monofilament, and foot doppler. Results: The Pearson correlation test showed no relationship between the responses to leg pain and the ABI of the right and left feet (p-values = 0.217 and 0.692), but there was a significant relationship between the left foot ABI and sensory status (p-value 0.002; left foot r = 0.383). Meanwhile, the Pearson's correlation and linear regression test also showed a relationship between the right foot ABI and sensory status (p-value = 0.007; r = 0.338). Furthermore, a multiple linear regression test showed a relationship between the leg pain response and sensory perception of the right and left feet (p-value = 0.035; r = 0.325). Conclusions: The relationship between the sensory status of the right and left feet and the response to leg pain in T2DM patients were moderate with a negative direction. It, therefore, implies that a decrease in the sensory responses increased the leg pain. Meanwhile, the moderate relationship and positive direction between the ABI and sensory status of the feet of T2DM patients indicates that a higher ABI score led to an increase in the sensory status of the foot.