Background: End-stage renal disease (ESRD) patients undergoing hemodialysis require essential self-management to lifestyle changes to minimize the risk of complications, morbidity, and mortality. Efforts made to improve self-management of hemodialysis patients in previous studies were carried out by health workers that may not provide 'real' knowledge, while peer support programs carried out by patients as peers to share their experiences may provide more benefits.Purpose: The purpose of this study was to determine the effects of peer support programs on improving self-management in patients with ESRD undergoing hemodialysis.Methods: This study employed a quasi-experimental design and involved a total of 33 patients in the control group and 32 patients in the intervention group, who met the inclusion and exclusion criteria. The samples were recruited consecutively. The intervention of peer support programs was implemented through information support, emotional support, and mutual reciprocity in groups of 10-12 people to share experiences related to their self-management. The intervention was given for six sessions; each lasted for 30-45 minutes. The data were collected using the Indonesian version of the hemodialysis self-management instrument (HDSMI) and analyzed using a paired-sample t-test and independent-sample t-test.Results: The results showed that after the intervention, the mean score of self-management in the intervention group increased from 79.47±7.919 to 90.75±7.089, and in the control group, the mean increased from 81.88±8.291 to 82.12±7.692. After the implementation of peer support programs, there was a significant difference in the score of self-management between the intervention and control groups (p<0.001).Conclusion: Peer support programs gave an effect on increasing self-management in patients with ESRD undergoing hemodialysis. Peer support programs should be introduced early to ESRD patients undergoing hemodialysis so that they can learn about self-management from other patients.
Latar Belakang: Cedera kepala ringan (CKR) adalah suatu keadaan dimana GCS antara 13-15, dapat terjadi kehilangan kesadaran tidak lebih dari 10 menit. Manifestasi klinis pasien CKR ditemukan nyeri kepala, diziness atau keduanya sebanyak 57%. Penanganan CKR dapat dilakukan dengan terapi nonfarmakologi yaitu guide imagery. Guide imagery suatu terapi menggunakan kekuatan pikiran untuk menyembuhkan diri/ relaksasi melalui komunikasi dalam tubuh. Tujuan: tujuan dari literature review ini adalah untuk mengidentifikasi manajemen nyeri non farmakologi pada pasien CKR di Instalasi Gawat Darurat (IGD). Metode: Pencarian database ini dilakukan dengan penelusuran di Google Scholar dengan kata kunci guide imagery, cedera kepala ringan, nyeri. Kriteria inklusi dari literature review ini yaitu artikel yang dipublikasikan dalam kurun waktu 5 tahun terakhir dengan tahun terbit 2015-2020, full text, menggunakan bahasa indonesia, artikel yang digunakan adalah artikel eksperimental. Hasil: intervensi yang dapat dilakukan pada saat terjadi nyeri pada cidera kepala ringan yaitu guide imagery serta dapat dikombinaksian dengan sloowdeep breathing. Kesimpulan: semua intervensi hasil luteratur review ini berupa pemberian gudie imagery serta pemberian relaksasi nafas dalam atau sloowdeep breathing.
Background: Head injury is a serious problem that can lead to death and even death. Handling of head injuries starts from protecting the brain with blood flow to the brain so that hypoxia or brain ischemia does not occur. Hemodynamics is the result of measuring systolic and diastolic blood pressure, pulse rate, and respiratory rate. Objectives: This literature review aims to find out what interventions can be done when there is an increase in hemodynamic status in head injury patients Methods: This database search was conducted by searching on google scholars with the keywords head injury, hemodynamics. The inclusion criteria of this literature review are articles that were researched within the last 5 years with the year published 2015-2020, full text, using the Indonesian language, the article that used is the article. Results: Interventions that can be done when there is an increase in hemodynamic status in head injury patients are giving oxygen and increasing 30o, giving oxygen through a simple mask and head position 30o, giving head-up position 30o compared to 15o position, giving nasal prong oxygenation therapy and murotal therapy Al-Qur'an for 30 minutes 3 times/day. Conclusion: All interventions resulting from this literature review were in the form of giving oxygen and increasing the head 30o, giving oxygen through a simple mask and head position 30o, giving the head position 30o compared to 15o position, giving nasal branch oxygenation therapy, and murotal Al-Qur'an therapy for 30 minutes 3 times/day.
End-stage kidney disease (ESRD) has an impact on the sufferer's physical, psychological, social, and spiritual well-being. These problems can reduce the quality of life of ESRD patients undergoing hemodialysis. This requires the patient to be fully involved, both in management and therapeutic decision-making, symptom management, and self-care. This literature review aims to describe various programs to improve the self-management skills of ESRD patients undergoing hemodialysis. The articles used in this literature review are sourced from the CINAHL, MEDLINE, and Google Scholar electronic databases with the keywords self-management, self-care, adherence, ESRD, and hemodialysis with inclusion criteria: published in 2015-2020, full text, using English or Indonesian, and experimental studies conducted on hemodialysis patients. Eight articles were obtained discussing programs that can be used to improve self-management of ESRD patients undergoing hemodialysis, including education and counseling programs, self-management programs, self-efficacy training, self-monitoring programs, and social support. The differences between each program include the time and technical implementation, while the similarities are that each program cannot be separated from education for providing health information to patients. Providing structured education and involving social support can be used as a program to improve self-management in ESRD patients undergoing hemodialysis.
Latar belakang : Ketidakmampuan pasien asma dalam mengelola sesak nafas dapat mempengaruhi saturasi oksigen dan respiratory rate (Yulia et al., 2019). Perlu literature review mengenai berbagai cara untuk mengurangi sesak nafas pada pasien asma. Metode : penelusuran artikel dilakukan pada pasien asma. Outcome berupa intervensi untuk mengurangi sesak nafas. Penelusuran dilakukan menggunakan google scholar, artikel dibatasi terbitan tahun 2015-2020 dan eksperimental study. Hasil : Intervensi yang dilakukan untuk mengurangi sesak nafas pada pasien asma antara lain teknik nafas dalam dan pengaturan posisi, Respiratory Muscles Stretching, teknik Pernafasan Buteyko, latihan batuk efektif pada nebulizer, teknik relaksasi nafas dalam dan Terapi Guided Imageri. Kesimpulan : Semua intervensi hasil literature review ini berupa teknik nafas dalam dan pengaturan posisi, Respiratory Muscles Stretching, teknik Pernafasan Buteyko, latihan batuk efektif pada nebulizer, teknik relaksasi nafas dalam dan Terapi Guided Imageri untuk mengurangi sesak nafas pada pasien asma.
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