The purpose of the study is to compare SOFA Score and CPIS by using close suction to prevent VAP. This is a quasi-experiment study without a control group. Close suction is used as an intervention. SOFA score and CIPS were used to evaluate VAP. The SOFA score assesses respiratory, platelet, liver, neurology, cardiovascular, and renal function. SOFA scores range from 0 to 24 and if the mean score ≥ 6 indicates the functioning organ is worse. CPIS evaluates body temperature, leucosis, sputum secretion, thorax photo, culture endotracheal secretion, and oxygen saturation. The CPIS score ranges from 0-12, more than 6 indicates the patient has VAP. This study included 20 ICU patients on ventilators. The collected data were analyzed using percentages, mean, and paired t-tests. The mean SOFA score before and after was 4.75 to 4.1 and CPIS 2.9 to 2.65 before and after providing close suction. The close suction is significant to prevent VAP (p-value < 0.00). Close suction is effective to prevent VAP in patients with ventilator mechanics, and VAP can be measured using the SOFA score and CPIS. Keywords: close suction, CPIS, mechanic ventilator, ventilator-associated pneumonia, SOFA
Cervical cancer is a very high reproductive malignancy in women. One of the treatments to deal with the malignancy becoming severe is chemotherapy. Nausea and vomiting are signs of the most frequent symptoms caused by chemotherapy. Autogenic therapy is one of the nonpharmacological solutions to treat nausea and vomiting due to chemotherapists. This study aims to determine the effectiveness of autogenic therapy to reduce symptoms of nausea and vomiting post-chemotherapy among patients with cervical cancer. A quasi-experimental method with a pretest-posttest design was conducted postchemotherapy on 40 patients of stage II and III cervical cancer. The research instrument used was the observation sheet for the assessment of nauseous vomit, namely the NRS assessment. Demographic data revealed that the majority of patients were aged 46-55 years (40%), their education level was high school (40%) and they had undergone chemotherapy more than once (35%). The results showed that autogenic therapy significantly reduced nausea and vomiting in cervical cancer patients after chemotherapy (P value = 0.001). Based on the results of pretest and posttest observations, autogenic therapy can be used as a non-pharmacological treatment to reduce symptoms of nausea and vomiting post-chemotherapy in cervical cancer patients. Autogenic therapy is recommended to reduce the symptoms of nausea and vomiting in post-chemotherapy of cervical cancer patients. Keywords: autogenic therapy, chemotherapy, nausea and vomiting
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