Background: Traffic accidents are unpredictable collisions among vehicles that might lead to casualties. Injuries due to traffic accidents have killed at least 1.2 million lives per year. Fatalities are high as first aid is not properly administered, causing to higher mortality rate.Objectives: This research compared the effectiveness between the use of live demonstration and videos on high school students’ first aid knowledge.Methods: The research was conducted in the form of a comparative study with a cross sectional approach, for three months, starting from March to June 2019 in Senior High School 1 Rendang Karangasem Bali. The sample taken as many as 150 people as respondents who were divided into 2 groups, namely group 1 attended counseling which featured live demonstrations, while group 2 attended counseling where video was used as a medium. The instrument used was a questionnaire modified by researchers from Gorucu-Coskuner, H., Atik, E., & Taner, T. (2020) with 24 question items with yes and no answers. The validity test was carried out using the Pearson product-moment bivariate correlation technique where these results indicate that the value of "r count" (0.873)> "r table (0.227) means that the questionnaire is valid. Reliability test using alpha technique (Cronbach's) obtained r count (0.919)> "r alpha" (0.227) then the questionnaire was declared fit for use. Furthermore, bivariate analysis was carried out by comparing the knowledge of the two groups using the Mann-Whitney analysis.Results: A meaningful difference was found between the use of live demonstration and videos at P <α = 0.05 and p = 0,000. The mean score of the pretest done in group 2 was 96.70, while the one of the groups 1 was 48.30 which scores increased in the posttest to 105.39 and 39.61.Conclusion: Therefore, the use of video media has been found more effective than the use of live demonstrations in improving students’ first aid knowledge. Based on this finding, it is considered necessary to create more tutorial videos to improve first aid knowledge of the community especially students. Keywords: Counseling, Demonstration, Video, First Aid, Traffic Accident.
Background: Effective communication is one of the competencies of nurse anesthetists; they must also play the role of educator to the patients, meaning that they have to disseminate knowledge related to anesthesia to the patients that will undergo the anesthesia process. The communication done by nurse anesthetists may help reduce patients’ anxiety and prepare patients for the post-anesthesia process. Objectives: This study explores the experience of nurse anesthetists in educating patients and families. Methods: This study employed a phenomenological qualitative approach involving 12 nurse anesthetists in Bali. The inclusion criteria for respondents were nurse anesthetists working in the operating room and nurse anesthetists having STRPA and SIPPA. This study took place for 3 months in 2 hospitals. Data were collected through semi-structured interviews with 8 questions. Data collected using in-depth interviews were analyzed using the Colaizzi method. Results: The themes that emerged from this study were “workload of nurse anesthetists”, “uncertainty in documentation results”, and “obstacles in educating patients on anesthesia” that included challenges from patients’ family members, patients, patient management systems, and nurse anesthetists. Conclusion: Limited nurse anesthetists have caused an increased workload, so education related to anesthesia becomes insufficient. v
Introduction: Intravenous anesthetic induction is a medically-induced technique that can cause hemodynamic disorder. The impact that occurs if hemodynamic disorders are not immediately resolved in patients with intravenous anaesthesia induction can cause an increase or decrease in blood pressure, decreased tissue perfusion, increased heart rate and arrhythmias so that it disrupts the surgical action plan. Blood pressure, Mean Arterial Pressure (MAP), and pulse should be monitored carefully during induction. We ought to examine the effect of intravenous induction of anesthesia on the hemodynamic changes among patients in the Level-II Udayana Denpasar Hospital. Methods: This was a descriptive cross-sectional study with a consecutive sampling technique. All patients under intravenous induction of anesthesia were considered eligible study respondents. Data were collected using an observation sheet, The number of samples in this study were 60 respondents, and the statistical test used a univariate technique by looking at the frequency distribution of the hemodynamic features of the patient's blood pressure and pulse. Results: Findings reported that the majority of patients were documented with normal systolic blood pressure (51: 85.0%), normal MAP (56; 93.3%), and normal pulse rate (44; 73.3%) during the intravenous induction. Low diastolic blood pressure was reported among 33 respondents (55.5%). Conclusion: The intravenous anesthetic induction altered the hemodynamic status among the respondents.
Sindrom Koroner Akut (SKA) adalah suatu tanda dan gejala klinis adanya iskemia miokard yang merupakan suatu kegawatdaruratan kardiovaskuler, namun, keterlambatan pasien tiba di IGD masih sering terjadi. Keterlambatan tiba dihubungkan dengan faktor pengetahuan keluarga dan persepsi keluarga dalam mengenali tanda dan gejala SKA, dimana keluarga terdekat dengan pasien SKA menjadi salah datu komponen penting dari keterlambatan tiba pasien SKA dating ke IGD PJT RSUP Sanglah Denpasar. Tujuannya penelitian ini untuk mengetahui hubungan pengetahuan dan persepsi keluarga dengan keterlambatan tiba pasien SKA Di IGD Pelayanan Jantung Terpadu RSUP Sanglah Denpasar. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional, dan teknik pengambilan data menggunakan purposive sampling dengan jumlah 292 keluarga pasien yang mengantar pasien SKA ke IGD PJT. Hasil yang diperoleh yaitu sebanyak 73,3% keluarga pasien tidak memiliki pengetahuan yang baik tentang gejala SKA dan terdapat 62,3% keluarga pasien memiliki persepsi bahwa gejala SKA yang dirasakan merupakan kelelahan akibat dari aktiftas sehari-hari. Dari analisa data diperoleh bahwa terdapat hubungan antara pengetahuan dan persepsi keluarga dengan keterlambatan SKA dimana terdapat hubungan yang sedang antara penetahuan keluarga dan persepsi keluarga dengan keterlambatan tiba pasien SKA di IGD. Keluarga yang tidak mengetahui tanda dan gejela SKA dan persepsi keluarga bahwa gejala yang dialami pasien karena kelelahan, sehingga petugas kesehatan perlu memberikan penyuluhan kepada keluarga mengenai tanda dan gejala SKA, pola hidup sehat, dan pentingnya untuk datang ke IGD ketika tanda SKA dirasakan.
Traffic accidents are the eighth leading cause of death in Indonesia. Data from the Traffic Corps of the Police of the Republic of Indonesia states that every year 28,000-38,000 people die from traffic accidents in Indonesia. This number makes Indonesia ranked first in the country with the highest ratio of deaths from traffic accidents in the world (Kompas, 2017). In 2018 there was an accident with a death toll of 261 people. The number of victims of serious injuries/hospitalization due to transportation accidents was 190 people. Bali is classified as an area with heavy traffic and has a high number of traffic accidents. One of the efforts made is to seek to reduce the number of deaths due to pre-hospital snacking errors. Efforts made in this community service program are to educate students about handling pre-hospital patients at SMA PGRI 4 Denpasar which begins with counseling about fractures and continues with the introduction of pre-hospital handlers in fracture patients. This program aims to increase knowledge about the definition of fracture and train students on pre-hospital handling in road accidents so as to reduce the death rate in accident victims due to the first mishandling on the road. In the implementation of this activity, the activity begins with the provision of a pre-test questionnaire which is filled out by the participants, then counseling about fractures is carried out using the lecture method and finally a post-test aimed at SMA PGRI 4 Denpasar students. The results of the activity showed an increase in students' knowledge about fractures and could train students about handling fractures in road accidents.
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