Stroke adalah suatu penyakit cerebrovascular dimana terjadinya gangguan fungsi otak yang berhubungan dengan penyakit pembuluh darah yang mensuplai darah ke otak. Seperempat dari seluruh kejadian stroke adalah stroke. Faktor yang mempengaruhi stroke diantaranya kebiasaan meminum kopi, perilaku merokok, kurangnya aktifitas fisik, tidak melakukan kontrol tekanan darah secara rutin, dan stres. Tujuan penelitian ini untuk mengetahui faktor-faktor risiko yang mempengaruhi kejadian stroke di RS PKU Muhammadiyah Sruweng. Penelitian ini menggunakan metode korelasional dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah 38 pasien yang diambil secara simple random sampling. Instrumen berupa lembar kuesioner. Data dianalisa menggunakan analisa deskriptif dan korelatif menggunakan uji chi square. Hasil penelitian didapatkan tidak ada pengaruh kebiasaan meminum kopi dan merokok dengan kejadian stroke. Ada pengaruh pengaruh aktifitas fisik, kontrol tekanan darah secara rutin, dan stres dengan kejadian stroke. Penelitian selanjutnya dapat dikembangkan dengan melakukan penelitian intervensi seperti memberikan penyuluhan terkait cara meningkatkan aktifitas fisik, dan menurunkan stres serta keteraturan minum obat. Kata kunci: faktor risiko, aktifitas fisik, tekanan darah, stres, stroke THE RISK FACTORS THAT INFLUENCE THE INCIDENCE OF STROKE ABSTRACT Stroke is a cerebrovascular disease in which the occurrence of brain function disorders associated with vascular disease that supplies blood to the brain. A quarter of all stroke events are strokes. Factors affecting stroke include coffee drinking habits, smoking behavior, lack of physical activity, not exercising routine blood pressure control, and stress. The purpose of this study was to determine the risk factors that influence the incidence of stroke in PKU Muhammadiyah Sruweng Hospital. This study uses a correlational method with a cross-sectional approach. The sample in this study was 38 patients taken by simple random sampling. The instrument was in the form of a questionnaire sheet. Data were analyzed using descriptive and correlative analysis using chi square test. The results showed there was no effect of the habit of drinking coffee and smoking with the incidence of stroke. There is an influence of physical activity, routine blood pressure control, and stress with the incidence of stroke. Further research can be developed by conducting intervention studies such as providing counseling related to how to increase physical activity, and reduce stress and regular medication. Keywords: risk factors, physical activity, blood pressure, stress, stroke
Introduction: The condition of the patient in the intensive room and the environmental conditions that occur in the intensive room can affect the quality of the patient's sleep. The purpose of this study was to determine the factors that influence the quality of sleep of patients in the intensive care unit. Methods: This research is a type of quantitative research using descriptive analytical methods. The time approach used is cross- sectional. The sample in this study amounted to 90 respondents. Results: The results showed that the p value of each factor was physical factor p 0.027, noise p 0.020, lighting p 0.043, and activity p 0.000. The p value of the 4 factors is smaller than <0.05, thus indicating that physical variables, noise, lighting and activity have an influence on sleep quality. The strength of the relationship can be seen from the value of OR (EXP [B]), seen from the largest to the smallest values are activity (OR: 5,686), lighting (OR: 2,781), physical (2,040) and noise (OR: 1,491). Based on these results, the most influencing factor for sleep quality is activity. Conclusion: The conclusion of this study is that the factors that affect sleep quality are physical, noise, lighting, and activity. The most influencing factor for sleep quality is activity. Recommendations that can be done are to suppress or reduce factors that affect sleep quality.
Hypertension is a disease where the systolic blood pressure is more than normal (>140 mmHg). The signs and symptoms that often appear area headaches due o increased cerebral vascular pressure and impaired oxygen supply to the brain. A common problem felt by people with hypertension is usually headaches. Nonpharmacological therapy Slow Stroke Back Massage (SSBM) can lower blood pressure by activating the work of the parasympathetic nerves and endorphins. So that blood flow becomes smooth due o vasodilatation of blood vessels. This method increases body relaxation, increases levels of the hormone of happiness, and decreases the hormones cortisol, norepinephrine, and dopamine. This therapy can be done by anyone, so it can be implemented independently without medical personnel. The purpose of this study is to provide an overview of hypertensive patients and determine the effectiveness of Slow Stroke Back Massage therapy with complaints of headache. This study uses a descriptive case study method that describes the results. The results of these data come from the results of interviews and observations of three respondents. There was an average decrease in systolic blood pressure of 10 mmHg after therapy and the pain scale decease from 1 until 0 on the third day. This therapy is easy to do independently because it has no negative effects and is effective in reducing headaches.
Special equipment in Intensive Care Unit such as the installation of mechanical ventilation causes the patient to be unable to express the condition he feels, one of which is pain. This study aims to determine the suitability of pain assessment using Critical Pain Observation Tool (CPOT) and Non Verbal Pain Scale (NVPS) in Intensive Care Unit (ICU). This study used a descriptive analytic research method with a crosectional approach with 50 patient. The results of the measurement of pain at rest showed that the patients experienced: no pain as much as 17 (34%), 19 mild pain (38%), moderate pain 7 (14%), severe pain 6 (12%), and very severe pain 1 (2%). Patients experiencing pain were measured using NVPS at positioning and resting. The results of the measurement of pain during positioning showed that the patient experienced: no pain as much as 9 (18%), moderate pain 35 (70%), and severe pain 6 (12%). The results of the measurement of pain at rest showed that the patients experienced: no pain as much as 25 (50%), moderate pain 22 (44%), and severe pain 3 (6%). CPOT and NVPS can be used to assess the pain experienced by critical patents with mechanical ventilator. These instruments have a good correlation level for measuring the pain scale at rest and positioning.
Introduction: In the critical nursing area, many intubated patients are unable to communicate to indicate the level of pain felt. Assessing the characteristics of pain, especially in patients with mechanical ventilation is a major nursing intervention that requires nursing knowledge. The examination of the CPOT pain scale was certainly accompanied by the knowledge that must be possessed by the nurse when going to conduct a pain assessment in patients who were not able to express pain verbally in the ICU, so as to provide appropriate intervention and help assess the patient's pain response non-verbally. The purpose of this study was to determine the knowledge of nurses in using the Critical-care Pain Observation Tool in assessing pain. Methods: This study used a quantitative descriptive research method, with total sampling. Samples were taken by 72 respondents. Results: The results obtained 14 respondents with good knowledge, 26 respondents with enough knowledge, and 32 respondents with less knowledge. Conclusion: The conclusion is that the knowledge of nurses in using the Critical-care Pain Observation Tool in assessing pain is poor knowledge. The recommendation for this research is to provide knowledge related to pain assessment using CPOT with education.
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