Pregnancy may physiologically trigger pregnant women's cardio-vascular system to progressively adapt with significant structural and functional changes, such as increasing blood volume, cardiac output, heart rate and stroke volume as well as decreasing blood pressure and systemic vascular resistance, including hypertension which is possibly triggered by family history of hypertension. The Cold Pressor Test (CPT) was conducted to see pregnant women's blood pressure reactivity differences with and without family history of hypertension. This research aims at examining pregnant women's blood pressure reactivity differences with and without family history of hypertension after undergoing the Cold Pressor Test (CPT). This quasi-experimental research measured both systolic and diastolic blood pressure changes before and after undergoing the Cold Pressor Test (CPT), while the data was processed using Mann-Whitney test. Results: Of 80 pregnant women's mean systolic blood pressure with family history of hypertension before and after undergoing the Cold Pressor Test (CPT)was respectively 103.82 mmhg and 126.76 mmhg, while, their mean diastolic blood pressure before and after undergoing the Cold Pressor Test (CPT) was respectively 76.62 mmhg and 100.29 mmhg. The pregnant women's mean systolic blood pressure without family history of hypertension before and after undergoing the Cold Pressor Test (CPT) was 107.91 mmHg and 118.87 mmHg while their mean diastolic blood pressure before and after undergoing the Cold Pressor Test (CPT) was respectively 76.62 mmHg and 78.50 mmHg. After the data was processed using Mann-Whitney test it showed a significance value of0.003. Because the p-value was <0.05, it can be concluded that there was a significant difference between pregnant mothers with and without family history of hypertension and those with both systolic hypo-reactor and hyper-reactor. Conclusion: there is a significant difference between pregnant women with and without family history of hypertension and blood pressure.
Indonesian Workers were undergoing 18% of hemodyalysis from the number of hemodyalysis patients. They did not know about CRF. The study aimed to analyze the behavior of migrant workers who were suffering hemodyalysis. The study used a qualitative design with a phenomenological approach, that is carried out on former migrant workers who suffer from chronic kidney failure. Indepth interview used as data collection. While data validation used triangulation and confirmability. Data analysis techniques was done by reducing and interpreting the data. The study show migrant workers behavior before becoming migrant workers were very pathetic. They often drunk kind of energy drinks. Further, following the lifestyles of migrant countries such as drinking alcohol, soft drinks, fast food becoming their routine activities as lack of drinking water, vegetables, fruit, and also rarely did exercises. Migran workers activities influenced by the work system and individual interests to get excess income, then they chose to work overtime as their priority. In conclusion, the problem of migrant workers' behavior and hypertensive hereditary disease has an impact on decreasing kidney function. Migrant workers have no knowledge of healthy lifestyles and CRF. Wrong perceptions and attitudes of migrant workers to support culture in migrant countries.
The use of opioids as anti-pain medications in the perioperative period is influenced by intraoperative anaesthesia. There is no conclusive evidence that intraoperative opioids decrease postoperative pain. Opioid-free anaesthesia, which combines several opioid-sparing approaches, has lowered the need for postoperative pain control by reducing the need for restricted pain relief. As a result, the goal of this study is to determine the scope of the benefits of going opioid-free throughout the perioperative period. The electronic databases Google Scholar, Science Direct, and PubMed were searched till May 2021. Analytical reviews, randomized controlled trials, and prospective studies comparing all types of intra-operative opioid general anaesthesia against opioid-free general anaesthesia were included in the study. The first measurement of the pain score at rest and one day after surgery were the key goals. Analgesia was defined as the consumption of comparable intravenous morphine after surgery, as well as rates of postoperative nausea and vomiting in the post-anaesthesia care unit one day after surgery. The opioid-free anaesthesia group had lower mean pain scores at rest at the first measurement and postoperatively than the opioid-free anaesthesia group. In the opioid group, postoperative analgesia intake of iv morphine was lower. There was a statistically significant decrease in nausea and antiemetic medicine use among patients who did not get opioids. The opioid-free group had a longer hospital stay. Opioid-free use did not demonstrate significant results in lowering pain in the postoperative period when compared to those who used opioids. It's also linked to less nausea and vomiting after surgery.
BACKGROUND: The philosophical and theoretical values of nursing moved away from a systematic review of the science of nursing and experienced a shift based on paradigms. The results may be interpreted by several nursing theorists in different ways. AIM: This paper aims to analyze the development of a more comprehensive understanding toward the meaning of confidence concept of the nurses and stimulated services health, person, environment and nursing resolutions based on nursing discussions, and nursing-related literature. The definition of this resolution has been completed and synthesized successfully to fit our nursing philosophy. METHODS: The main argument from the researchers shows the renewal of several nursing theorists and critical appraisal adopted by Walker and Avant in eight steps of the broader concept that was agreed at the beginning in the construction of phased planning from positivistic to questionable views of the research the philosophy in nursing provers that nurses confidence is also important. RESULTS: They are academically constructed so that they do not highlight the daily improvement of nurses as nurses need to be confident in performing their job. We need to offer a philosophy of nursing with four things: Social, environmental health, passenger care, and self-confidence. CONCLUSION: The selection of philosophy and ideology of the second paradigm among various options must be agreed on. Nurses must have strong self-confidence and smart collaboration who can make changes in the quality of life of others considering the good and bad for their health.
Background: Sleep disturbance is the most common problem in patients with end-stage kidney disease (ESRD). This study investigated the adverse events of sleep quality that affect Quality of Life (QoL) and identified risk factors of sleep disorders with general participant's characteristics, related to laboratory data on ESRD patients undergoing hemodialysis in Central Java, Indonesia. Methods: This research was a cross-sectional study involving 123 participants. The research instruments used were a personal information questionnaire, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the WHOQOL-BREF questionnaire which aimed to assess sleep quality affecting quality of life and related factors in ESRD patients. The questionnaires were translated into Indonesian and completed by the participants during the hemodialysis session.Results: Most participants with PSQI> 5 (poor sleep quality) were female (55.05%) with a long history of dialysis> 7 years (38.53%). The PSQI score has an inverse relationship with age, marital status, alcohol intake and smoking history. The results show that multivariate logistic regression analysis with dialysis vintage with p value (0.005) was a more significant predictor than p value of BMI (0.002) and p value of cholesterol level (0.001). There was a significant predictor of poor sleep quality.Conclusion: The research showed that the majority of the participants were at productive age levels ranging from 36-50 years (51.38%), and female generally complained of sleep disturbances in ESRD patients.
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