Background: Cardiac surgery can elicit both physical and psychological responses. Prayer, exercise therapy, education, hypnosis, and music are expected to be able to overcome pain, anxiety, and immobilization in the cardiac surgery. This study was to create a smartphone-based peri-operative nursing intervention model that was able to reduce pain, anxiety, and increase early mobilization cardiac surgery patients.Design and Methods: This study consisted of three stages. The first stage was research and development, the second was true experimental design, and the third was cross sectional design. The samples size was 86 respondents. The intervention models for the treatment group comprised of a smartphone-based therapy of prayer, education, exercise, hypnosis, and music. The control group was given standard hospital intervention according to the clinical pathway.Results: The majority of respondents were adults, male, high school graduate in the treatment group and bachelor graduate in the control group, CABG type of surgery, and having pain history. The intervention had a significant effect on reducing pain scale and anxiety level as well as increasing early mobilization (p<0.05). The intervention had a direct effect on pain and anxiety, but it had no direct effect on early mobilization. However, it gave indirect effect on early mobilization that was mediated by anxiety.Conclusion: The models can be used by nurses to reduce pain, anxiety and to increase early mobilization on cardiac surgery patients.
Aim This study aimed to determine the factors that influence perceived social support among older adults in Malaysia. Methods We used the 11‐item Duke Social Support Index to assess perceived social support through a face‐to‐face interview. Higher scores indicate better social support. Linear regression analysis was carried out to determine the factors that influence perceived social support by adapting the conceptual model of social support determinants and its impact on health. Results A total of 3959 respondents aged ≥60 years completed the Duke Social Support Index. The estimated mean Duke Social Support Index score was 27.65 (95% CI 27.36–27.95). Adjusted for confounders, the factors found to be significantly associated with social support among older adults were monthly income below RM1000 (−0.8502, 95% CI −1.3523, −0.3481), being single (−0.5360, 95% CI −0.8430, −0.2290), no depression/normal (2.2801, 95% CI 1.6666–2.8937), absence of activities of daily living (0.9854, 95% CI 0.5599–1.4109) and dependency in instrumental activities of daily living (−0.3655, 95% CI −0.9811, −0.3259). Conclusion This study found that low income, being single, no depression, absence of activities of daily living and dependency in instrumental activities of daily living were important factors related to perceived social support among Malaysian older adults. Geriatr Gerontol Int 2020; 20: 63–67.
: Blood Pressure, Light Massage, Hypertention. The impact of hypertension leads to heart attack, renal failure and stroke if the blood pressure is not controlled. Light massage is a complementary therapy for blood pressure control of patients with primary hypertension. Light massage can cause a relaxation response and reduce stress. The purpose of this study was to identify the effect of light massage on the decrease in blood pressure. Research design is pre experimental. The number of respondents in this study were 16 respondents. Sampling technique used is purposive sampling. The study was conducted by measuring blood pressure before and after light massage therapy. Blood pressure measurement using digital tensimeter. Test the difference in blood pressure before and after intervention using Wilcoxon test. The results showed a significant difference in blood pressure before and after treatment in the group receiving light massage therapy (p value 0.035). Light massage affects the decrease in blood pressure in patients with primary hypertension.
Surgery is a medical procedure that can cause perioperative pain. Pain in the perioperative phase that received by the patient can cause various complications. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain. The purpose of the review is to perform a systematic review of the literature. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain in surgery. A comprehensive article search through EBSCO, PROQUEST, and Scopus, the original article was sought in the period of publication between 1999 and 2019. The original articles reported on the effectiveness of hypnosis with surgical patient inclusion criteria. A total of 1994 studies have been identified in the literature search. However, only 27 studies were eligible for analysis in this study. The instruments used were visual analogue scale and numeric rating scale questionnaire were used to identify the level of pain in the study. The outcome revealed that hypnosis can decrease level of pain in each perioperative phase significantly. Further research needs to be done to add strong evidence about the use of hypnosis for perioperative pain management.
Uncontrolled hypertension can lead to heart disease, kidney disease, and stroke. Hence, it needs therapy. There are complementary therapies that can reduce high blood pressure. Music provides a relaxing effect so that blood vessel dilates and blood pressure drops. Humor therapy can provide a relaxation response and decrease blood pressure. Prayer therapy has a positive effect on body physiology that can lower blood pressure. The purpose of this study was to identify the effect of combination of music, humor, and prayertherapy on blood pressure. This study used true experiment pre and post control group design. The number of samples in this study were 131 respondents with primary hypertension on the elderly in Banyumas Regency. The sampling technique used was simple random sampling. Wilcoxon was used to test the difference of blood pressure before and after the intervention in one group, while the difference test among groups employed Mann Whitney test. The result indicated that respondent’s hypertension is categorized into moderate. There is difference on the mean of blood pressure before and after SIKKOMODO therapy and combination of music, humor, and humor therapy. There is a significant difference in term of systolicblood pressure betweentreatment and control group, and there is no difference on the systolic blood pressure between the two groups.
ABSTRAK Diabetes mellitus (DM) menjadi masalah kesehatan di seluruh dunia, diperkirakan 462 juta orang (6,28% populasi dunia) terkena DMT2. Hiperglikemia kronik menyebabkan disfungsi endotel seperti kalsifikasi medial arteri yang menyebabkan gangguan sirkulasi dan syaraf di kaki. Ulkus DM yang terinfeksi menyebabkan gangrene sehingga berisiko amputasi apabila tidak ditangani. Ankle Brachial Index (ABI) untuk screening gangguan sirkulasi kaki. Strategi pencegahan mengurangi risiko ulkus, gangrene dan amputasi dapat menggunakan pendidikan kesehatan pada pasien terkait gaya hidup dan olah raga/senam. Angka kejadian DM tertinggi di Desa Karanggedang dibandingkan 10 desa lainnya di Kecamatan Sidareja. Sejumlah 61 orang DMT2 memiliki GDS > 200 mg/dl. Tujuan PKM ini yaitu meningkatkan kesadaran penderita DMT2 tentang gaya hidup yang baik, serta perbaikan sirkulasi perifer dengan perbaikan nilai ABI pada 2 kali pengkuran. Metode PKM ini menggunakan ceramah, diskusi, tanya jawab, wawancara, demonstrasi, redemonstrasi, dan menonton video senam kaki diabetes meliputi tahap persiapan hingga evaluasi sebanyak 14 kali pertemuan. Didapatkan hasil rata-rata peserta berumur 55,27 tahun, mayoritas memiliki hipertensi 9 (60%) orang, lama menderita DM 1-6 tahun, skala nyeri pre 5 (sedang) yang menurun 2 poin menjadi 3 (ringan), mengeluh baal pre 12 (80%) dan membaik menjadi 5 (33,5%) orang, kadar GDS pre 216,07 mg/dl menurun menjadi 185 mmg/dl, nilai ABI pre seluruh peserta 0,81 (abnormal) dan membaik seluruhnya saat post 1,12 (normal) yang signifikan secara statistik. Saran bagi penderita DMT2 di Desa Karanggedang agar tetap rutin melakukan senam kaki diabetes secara mandiri, dan bagi kader kesehatan aktif mengingatkan dan memotivasi penderita untuk melakukan senam kaki diabetes secara rutin. Kata kunci: senam kaki diabetes, ABI, gangren, amputasi. ABSTRACT Diabetes mellitus (DM) is a health problem worldwide, it is estimated that 462 million people (6.28% of the world's population) are affected by T2DM. Chronic hyperglycemia causes endothelial dysfunction such as calcification of the medial artery which causes circulatory and nerve disorders in the legs. Infected DM ulcers cause gangrene so there is a risk of amputation if untreated. Ankle Brachial Index (ABI) is used to screen for circulatory disorders in the legs. Prevention strategies to reduce the risk of ulcers, gangrene, and amputation can use health education in patients related to lifestyle and exercise/sports. The highest DM incidence was found in Karanggedang Village compared to 10 other villages in Sidareja District. A total of 61 DMT2 patients had GDS > 200 mg/dl. The purpose of this community service is to increase awareness of DMT2 sufferers about a good lifestyle, as well as to improve peripheral circulation by increasing the ABI value in 2 measurements. This community service method uses lectures, discussions, questions and answers, interviews, demonstrations, re-demonstrations, and watching videos of diabetic foot exercises starting from the preparation stage to evaluation for 14 meetings. The results showed that the average age of participants was 55.27 years, have hypertension 9 (60%) people, have suffered for 1-6 years, pre pain scale 5 (moderate) decreased by 2 points at the post becomes 3 (mild), pre numbness complaints 12 (80%) and improved to 5 (33.5%) people, pre levels blood glucose 216.07 mg/dl which decreased post levels blood glucose becomes 185 mg/dl, the pre-ABI of all participants was 0.81 (abnormal) and a statistically significant increase at all at post 1.12 (normal). Suggestions for DMT2 sufferers in Karanggedang Village to continue to regularly do diabetes foot exercises independently, and for care providers to always actively remind and motivate the sufferers to routinely do diabetic foot exercises. Keywords: diabetic foot exercise, ABI, gangrene, amputation.
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