Manajemen nyeri yang optimal merupakan salah satu upaya penting dalam lingkup layanan Rumah Sakit. Nyeri yang tidak tertangani dengan baik dapat menyebabkan masalah tambahan bahkan memperlambat perbaikan kondisi pasien. Perawat merupakan petugas kesehatan yang harus mampu dalam mendukung upaya tersebut. Pengkajian nyeri yang tepat akan menjadi dasar manajemen nyeri yang optimal pada pasien.Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kemampuan perawat dalam melakukan pengkajian nyeri pada pasien komunikatif maupun dengan gangguan komunikasi, sehingga sehingga perawat dapat melakukan pengkajian nyeri secara tepat, rutin, dan terstruktur. Hal ini diwujudkan dengan melatih perawat dengan berbagai teori tentang pengkajian nyeri, terutama penggunaan skala nyeri dengan berbagai kelebihan dan kekurangan masing-masing dan penerapan penggunaan skala nyeri tersebut.Kegiatan dilaksanakan di Rumah Sakit Universitas Brawijaya, Kota Malang pada November-Desember Tahun 2019. Metode kegiatan yang dilakukan terdiri dari: focus group discussion, pre-test dan post-test, dan pemberian materi.Hasil kegiatan menunjukkan bahwa pelatihan pengkajian nyeri ini dapat meningkatkan pengetahuan perawat tentang pengkajian nyeri. Berdasarkan hasil tersebut dapat disimpulkan bahwa pelatihan pengkajian nyeri pada perawat perlu dilakukan secara berkesinambungan untuk mendukung upaya manajemen nyeri yang optimal.
Background: Gap Junction (GJ) plays a role in supporting the heart electricity. Connexin43 (Cx43) as the main protein constituent of GJ in left cardiac ventricle, will increase in number and slightly redistributed to the lateral sides of cardiomyocytes after aerobic exercise in adulthood. The effects of aerobic exercise that begin at childhood are not well known.Objective: This study aims to observe the effect of aerobic exercise which started from childhood on left ventricle Cx43 distribution.Methods: This study was conducted on 28 male Juvenile (4 weeks) and young adult (8 weeks) rats, divided into 7 groups: 1) Juvenile rats undergoing 4 weeks of exercise (E-J4); 2) Control E-J4 (C-J4); 3) Juvenile rats undergoing 8 weeks of exercise (E-J8); 4) Control EJ-8 (C-J8); 5) Juvenile rats undergoing 12 weeks of exercise (E-J12; 6); Young adult rats undergoing 8 weeks of exercise (E-Yo8); 7) Control E-J12 and E-Yo8 (C-JY128). Exercise group will undergo different length of duration, starting from week 4 until 12 weeks. Cx43 was identified by immunohistochemical staining and analyzed with ImageJ software. Comparison was analyzed using independent t-test.Results: Insignificant lower of total Cx43 expression in E-J4 (64200.45 + 4243.676 total area, p >0.05) compared to control. In contrast, a significant higher of total Cx43 expression was observed in EJ-8, EJ-12 and E-Yo8 (80152.95 + 3760.481, p = 0.001; 75596.775 + 3976.333, p = 0,002; 81216.85+ 2475.768, p = 0,000). Slightly higher of lateral Cx43 redistribution occurred in all aerobic exercise, with significant lateralization in E-J8 and E-Yo8.Conclusion: Aerobic exercise increases Cx43 and slightly redistributed to lateral myocytes under normal condition both in juvenile and young adult rats.
Introduction: The clinical learning environment is a situation for the implementation of student practical learning. Satisfaction with the clinical learning environment is very important to foster a positive learning experience. This study aims to analyze the influence of the clinical learning environment on nursing student satisfaction. Methods: The study design used was an observational analysis with a cross-sectional approach to clinical nursing students in East Java Province with 451 student respondents. A consecutive sampling method was conducted. The Clinical Learning Environment Supervision Teacher (CLES T) instrument was used to assess learning environment variables and Clinical Learning Environment Inventory (CLEI), in particular, the satisfaction dimension was used to assess the satisfaction variable. Data analysis used the Spearman rank test and multiple linear regression. Results: There is a relationship between the clinical learning environment (pedagogic learning, leadership style, nursing care in the ward, the relationship of supervision, the role of nurse teacher) and the satisfaction of nursing clinic students (p = 0.000). Multiple linear regression analysis showed that the dimensions of pedagogic learning (t = 3.261; p = 0.001) and the role of the nurse teacher (t = 2.693; p = 0.007) had an effect on nursing student satisfaction. Conclusion: Student satisfaction is an important factor in the implementation of student clinical learning, so it is necessary to carry out good management by educational institutions and practice fields regarding the learning environment and improving the pedagogic atmosphere and the role of nurse teachers in clinical learning.
Terapi pemberian oksigen (O2) melalui nasal kanul menjadi salah satu terapi yang seringkali diberikan pada pasien di tatanan klinis. Humidifier merupakan alat yang membantu melembabkan oksigen yang diberikan dengan harapan agar oksigen murni yang kering tidak mengiritasi saluran pernafasan pasien. Permasalahan timbul ketika penggunaan alat, terutama cairan humidifier tidak digunakan dengan benar dan menimbulkan resiko kontaminasi. Kontaminasi tersebut malah berisiko menimbulkan infeksi nosocomial yang tentunya dapat memperberat masalah pasien. Terapi oksigen non-humdifikasi dapat menjadi pilihan. Perawat harus memahami dengan baik penggunaan terapi oksigen dengan humidifier maupun tanpa humidifier. Kegiatan ini terdiri dari 3 tahap kegiatan: persiapan, pelaksanaan, dan evaluasi yang bertujuan untuk meningkatkan pengetahuan perawat tentang terapi O2 non-humidifier. Hasil evaluasi kegiatan ini pengetahuan perawat yang meningkat adalah sebesar 100% dari sebelum pelatihan yaitu sebesar 75%. Seluruh peserta aktif berpartisipasi dalam diskusi. Kesimpulan dari kegiatan bahwa edukasi dapat meningkatkan pengetahuan perawat tentang pemberian terapi oksigen non humidifikasi. Terapi oksigen non-humidifier juga dapat di pertimbangkan untuk digunakan di ruang perawatan khusus yang mempunyai tingkat kelembaban dan kebersihan ruangan yang baik.
Efforts to prevent acute respiratory infections (ARI) are very important, because of the ease of transmission and can cause death. Health data from the Desa Gunung Sari Health Center, Kecamatan Pamijahan, Kabupaten Bogor in 2017 indicated that ARI was the most frequent complaint. The purpose of this community service is to educate health cadres about ARI. In addition, an examination of uric acid levels was held for the people of Desa Gunung Sari which was a series of counseling activities. The method used is counseling and direct examination. The counseling participants were 45 people and the uric acid examination was 146 people. The results showed that the cadres listened well to the counseling material, as seen in the correct answers to spontaneous questions during the counseling. The community's uric acid levels were mostly in the normal category and education helps increase public understanding of ARI. Thus, the continuity of similar activities is very much needed.
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