Introduction:Critical patients are patients who potentially get reversible dysfunction in one or more life-threatening organs and require care in the Intensive Care Unit (ICU). Methods: The objective of this research is to analyse the physical function-tardive dyskinesia in critical patients with sedation in the ICU. The design of this research is cross-sectional. The population is all of the critical patients in the ICU of the Baptist Hospital in Kediri. The purposive sample population was 41 respondents based on the inclusion and exclusion criteria. The variables are 'giving the sedation' and 'physical functiontardive dyskinesia'. The data was collected using a Motor Activity Assessment, and the Sedation Scale for Critically Ill Patients and Tardive Dyskinesia Screening. Results: The results showed that giving sedation can slow physical function in the form of motor activity; the response of noxious stimuli (7.3%), response to touch or calling name (19.5%) and an increasing score of agitation and co-operative (4.9%). Symptoms of tardive dyskinesia increased after sedation in the form of tongue protrusion (4.9%), lip-smacking, puckering and pursing (2.4%), and rapid movements of the arms and legs. The administration of sedation in the first 24-hours in ICU patients affects the physical function of the critical patients (p = 0.005). Conclusions: Giving sedation affects the patients' physical functions. Therefore, the prevention of the effects of sedation and treatment during ICU is needed in order to avoid a decrease in the physical function of critical patients.

Background: The state of emergency at school is a crisis condition of an environmental or individual condition. An emergency situation can happen to anyone, anywhere, anytime. Critical patients are a condition of one or more system organ failures that are irreversible. Purpose : The purpose of this study is to determine the level of perception emergency skills in youth red cross at Senior High School 3 Kediri City. Methods : Research Design was descriptive analitic. The population was the students who are members of the youth red cross at the Senior High School 3 Kediri City. Sample ware 35 respondents based on inclusion and exclusion criteria using purposive sampling. The variable ware skill in performing the act of measurement of blood pressure, pulse, temperature position the victim fainted because of low blood pressure, position the victim fainted because of asthma, open wounds dressing, splinting of extremities injured or fracture, cardiopulmonary resuscitation, removing off helmet and fixation of the neck victims of traffic accidents. Measuring devices using Analog Range Scale (ARS 1-10): Skill. Result : The results showed that the mean score of less than 5 was on the skill lift the victim fainted because of low blood pressure (4.60 ± 2.51), splinting of extremities injured or fracture (4.77 ± 2.52), cardiopulmonary resuscitation, and removing the helmets and fixation of neck victims of traffic accidents (1.63 ± 2.47). The results of the study also found that 8 groups of data had a skewness ratio of -2 / + 2, and a group of non-distributed data on cardiopulmonary resuscitation skills (3.42), and removal of helmets and neck injuries for traffic casualties (4.77 ). Conclusion : Increased preparedness with training is required in schools to reduce the risk of emergency or disaster events

Background: Covid-19 is a contagious and dangerous disease. So that the sufferer must be isolated either independently at home, isolated in the hospital, or isolation in the village. In addition to patients, the community also implements health protocols. A person who is declared positive for Corona often gets negative prejudice, and gets unfavorable treatment, and is often shunned or ostracized by the community because people are afraid of being infected. This causes them to be labeled, stereotyped, discriminated against, and treated differently, and experience status harassment because they are associated with a disease. The purpose of the study was to find out community stigma about sufferers. Methods: The Design of this study was descriptive, with the research variable being community stigma about sufferers Covid-19. The population of the community research in Dusun Batu, Joho Village, Pace District, Nganjuk Regency, was 730 people and the sample was 73 respondents. The sampling technique used purposive sampling. The study was conducted on December 15-26, 2020. The research instrument was in the form of a questionnaire. The data were analyzed by percentage and interpreted to obtain quantitative data. Results: The results were obtained from 73 respondents, most of them 55 respondents (75%) with a negative stigma and a small proportion of respondents, namely 18 (25%) positive stigmatized respondents. The public's stigma about sufferers is Covid-19 influenced by several factors including age, education, occupation, whether or not they have received information about Covid-19, sources of information. Look for sources of information about Covid-19 that can be trusted Conclusion: By better understanding the information provided, it is hoped that the negative stigma will become positive about sufferers Covid-19. And from health workers to provide counseling to the community, so that people better understand the disease Covid-19 and maintain health protocols

Introduction: Many patients with hypertension have not got the proper treatment in controlling blood pressure (BP). The purpose of this study was to analyze the effectiveness of deep breathing (DB) and slow-stroke back massage (SSBM) in BP reduction to patients with hypertension. Method: The design was a True Experiment the Solomon Three-Group Design. Sampling technique was group randomized plan as many as 60 people. The treatment given was BP and SSBM. Blood pressure data retrieval used mercury spigmomanometer. Results: The results were ρ of BP values (systolic) was 0,000, while the value of ρ (diastolic) was 0,000. The value ρ of SSBM (systolic) was 0.000 while the value of ρ (diastolic) was 0.001. The statistical results of the effectiveness BP systolic reduction was the significant difference in both interventions with a control group with ρ = 0.000 and the most effective was the DB compare to SSBM with ρ = 0.05 (4.0 mmHg). While there are differences in BP diastolic reduction significantly in both interventions with the control group with ρ = 0.000 and the most effective was DB than SSBM with ρ = 0.01 (6.6 mmHg). Discussion: It can be concluded DB and SSBM are effective to lower BP (systolic mean difference of 9.3 mm Hg of DB and SSBM 5.3 mmHg, while diastolic mean DB 11.2 mmHg and SSBM. Keywords: deep breathing, slow stroke back massage, blood pressure, hypertension

The study population was all patients in the ICU. Samples were 170 patients in the ICU according to the inclusion criteria. Independent variables are room temperature, lighting level, and noise level. The dependent variable is the level of pain. The research instruments were CPOT, lux meter, and light meter. Data were collected using observation sheets and analyzed using regression. Result of research showed that the pain scale based on CPOT most respondents had Moderate pain as many as 43 respondents (50.6%), that the lighting environment (40.22 ± 41.1), noise (60.23 ± 8.5), and room temperature (26.76 ± 1.2) were not directly related to the patient's pain level. Environments factors in this study were not directly related to the pain level. there may be other factors that cause the patient's pain to determine the action, prognosis, and use of a mechanical ventilator

Research Design using Cross-Sectional Design. The population is all mothers with infants in the Pesantren District of Kediri City using the incidental sampling technique, with a sample of 30 respondents. The Independent variable is Family Social Support and the Dependent variable is Lactation Management. The instrument uses a questionnaire. Statistical tests using the spearmen rho The results showed that the most supportive assessment of family support was as good as 18 respondents (60%), Instrumental Support was mostly as good as 18 respondents (60%), the most information support was good as many as 15 respondents (50 %) The most emotional support is good as many as 15 respondents (50%). The results of the study using the Rho spearman test obtained p = 0.025 with a Correlation Coefficient of 0.612 which means there is a strong relationship between family support and lactation management.

The condition of Critically ill patients in the Intensive Care Unit (ICU) can make heavier impairment physical and cognitive functions. The research objective is to prove that physical-cognitive therapy affects towards increasing physical and cognitive functions to Critically ill patients in ICU. The research design was a Randomized Controlled Trials (RCTs). The samples were Critically ill patients in the ICU of Kediri Baptist Hospital as many as 64 Critically ill patients according to inclusion and exclusion criteria. The research has got ethical clearance from the Committee Ethics Medical Faculty of Diponegoro University. The research instrument used Physical Function ICU Test (PFIT) Indonesian Version and Mini-Mental State Examination (MMSE) Indonesian Version. The differential test used Independent t-test on physical function and Mann-Whitney test on cognitive function towards the intervention group and control group. The results showed that physical-cognitive therapy significantly affected increasing physical function (P < 0.001) with a mean increase of 3.2 points and cognitive function (P < 0.001) with a mean increase of 7.3 points. The difference test of influence between the intervention group and the control group was done by testing the posttest data on physical function (P < 0.001) and cognitive function (P < 0.001) in both groups. Effect size >0.8 (Physical Function: 3.2; Cognitive Function: 1.9). In conclusion, there was affecting physical-cognitive therapy towards increasing physical and cognitive functions to Critically ill patients in ICU.

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