AbstrakInsiden terkait keselamatan pasien semakin meningkat, sehingga diperlukan penanganan akurat. Penelitian ini bertujuan mengetahui pengaruh supervisi kepala ruang model Proctor terhadap pelaksanaan keselamatan pasien. Rancangan penelitian quasi eksperimen dengan pendekatan pre and post test control group. Teknik pengambilan sampel menggunakan proportional sampling, dengan sampel 88 perawat pelaksana. Sebelum dan sesudah penerapan supervisi kepala ruang model Proctor, perawat pelaksana diobservasi pelaksanaan keselamatan pasien. Analisa data menggunakan Mann-Whitney menunjukkan ada pengaruh supervisi kepala ruang model Proctor terhadap pelaksanaan keselamatan pasien (p= 0,000). Fungsi normatif, formatif dan restoratif dalam supervisi model Proctor, berfokus pada monitoring evaluasi kualitas pelayanan. Supervisi kepala ruang model Proctor dapat diaplikasikan sebagai salah satu solusi untuk meningkatkan pelaksanaan keselamatan pasien.
Study Objective: Pain is a sensory and emotional experience shown by the patient as a response to the damage of the skin tissue or muscle. In fact, it is usually found that diabetic patients who experience pain during wound care treatment can not be handled properly. The purpose of this study is to find out the effect of TENS intervention towards the level of pain in DM patients with peripheral neuropathy in diabetic foot ulcer treatment. Design: Random control trial (RCT) Method and Measurements: 28 respondents which were divided into 14 interventions and 14 control groups. Respondents' pain was assessed before and after the intervention of TENS for 15 minutes with the electrical frequency of 100 Hz using Numeric Rating Scale tools. Statistic test: statistical test was conducted using independent T test and Paired T test. Results: There is a difference in the level of pain in the intervention group and control groups with P = 0.000. Intervention of TENS for 15 minutes with a frequency of 100 Hz effectively reduces the pain level of the patients with diabetes mellitus with with peripheral neuropathy in diabetic foot ulcer treatment is done with a P value of <0.05. Conclusions: TENS effectively reduces pain in diabetic patients with peripheral neuropathy in diabetic foot ulcer treatment.
Background: Insomnia is a sleep disturbance which commonly occurs in haemodialysis patients. Some factors contribute to insomnia in dialysis patients such as demographic, biological, psychological, lifestyle, and dialysis factors. However, there are limited studies which investigate the relating factors of insomnia in haemodialysis patients in Indonesia. Purpose:This study aimed to analyze the relating factors of insomnia in haemodialysis patients in Semarang, Central Java, Indonesia. Methods: This study was a cross-sectional study which involved 102 samples recruited by consecutive sampling technique from two dialysis units in Semarang, Central Java. Data were collected by questionnaires and analyzed using Chi-square and multiple logistic regression to know the most relating factors of insomnia. Results: The result showed that insomnia occurred in 63 respondents (61.8%). Further analysis indicated that insomnia was related to anxiety (p=0.034, OR=2.36) and age (p=0.049; OR=1.75). There was no relationship between insomnia and the other factors such as gender, education level, occupation status, marital status, haemoglobin level, smoking and coffee consumption habit, and dialysis factor (period of dialysis). Moreover, anxiety was the most relating factors of insomnia among haemodyalsis patients. Conclusion: This study concluded that anxiety and age were independent factors related to insomnia. This study recommends that anxiety screening should be performed on haemodialysis patients. Anxiety in haemodialysis patients needs to be treated properly so that it will not develop into insomnia.
Background: Antiretroviral (ARV) therapy is a lifelong treatment in people living with HIV/AIDS (PLWHA). Adherence is the key to the effectiveness of antiretroviral therapy. ARV have side effects that may affect patient adherence.Purpose: The purpose of this study was to examine the impact of ARV side effects on drug adherence in PLWHA.Methods: This study used cross-sectional approach. Sample size in this study was 78 consist of people who were recruited by purposive sampling. These subjects received ARV therapy in Tropical Disease and Infection Polyclinic at General Hospital of Dr. Kariadi SemarangResult : Result showed that eta2 is 0,525625. It means that ARV side effect has impact on ARV adherence. Most of the side effects reported by the respondents were nausea and dizziness. Some respondents also reported experiencing weakness, difficult to concentrate, and diarrhea. Conclusion : Side effects have impact on patient’s ARV therapy adherence. Therefore health care provider for PLWHA should be able to recognize and concern on ARV side effect management.
Studi ini merupakan studi kualitatif yang bertujuan untuk mengetahui persepsi pasien terhadap kualitas caring yang islami di intensive care unit. Metode dalam studi ini menggunakan design kualitatif dengan pendekatan fenomenologi yang melibatkan enam pasien yang di rawat di ruang ICU di Rumah Sakit PKU Muhammadiyah Yogyakarta. Pengambilan data dilakukan dengan indepth interview semistructure selanjutnya dianalisa menggunakan content analysis. Tema yang didapatkan dalam study ini adalah lima tema yaitu : Persepsi pasien kualitas caring perawat yang islami di ICU, Pelayanan keperawatan yang harapkan pasien di ICU, Komunikasi yang dilakukan perawat dan petugas kesehatan, Penjelasan perawat tentang pelayan keperawatan dan Fasilitas pelayanan keperawatan.
Background: Colorectal cancer patients with colostomy have various complaints about changes in their life including the need for comprehensive and personal care. Ostomy nurses are responsible for managing people with colostomy, and this particular nursing practice continues to develop globally. Also, previous literature highlights the importance of caregiver’s support, particularly family in colostomy patient care.Purpose: This study aims to explore the family experience of colorectal cancer patients toward colostomy nursing careMethods: The study design used descriptive phenomenology to explore the experience of ten participants through an in-depth interview. The participants were selected using purposive sampling with the following inclusion criteria: family members of colorectal cancer patients with colostomy, over 21 years old, and able to communicate verbally. The data were analyzed using Colaizzi's method.Results: The results revealed three themes related to the family’s experience: (1) Positive and negative behavior in nursing care, (2) Living with colostomy, (3) Expectations for nursing care. The findings found that the families were happy with the ostomy nursing care though some aspects need to be improved. However, colorectal cancer patients experienced some difficulties to live with a colostomy.Conclusion: The study concluded that the colostomy nursing care still needs to be improved. This study recommends the ostomy nurses to improve their nursing care, especially in terms of skills, responsiveness, and awareness.
Intradialytic hypertension can reduce the quality of life in hemodialysis patients. Providing appropriate nursing interventions will reduce morbidity, and improve the quality of intradialytic hypertensive patients. Provision of “SEHAT” nursing intervention package in the form of providing support, education and empowering, holistically with attention to therapeutic sensitivity can be applied to overcome patients problems. The purpose of the study was to analyze the "SEHAT" nursing intervention package to improve the quality of life of intradialytic hypertensive patients. The research method was a randomized controlled trial on 40 samples of hemodialysis patients which were divided into 20 group samples and 20 control group samples. The research instrument uses the Indonesian version of the Kidney Disease Quality of Life (KDQOL-36). The intervention was carried out for 4 weeks using the SEHAT nursing intervention package. The results showed an increase in the quality of life scores of respondents in the intervention group after being given SEHAT nursing intervention (p=0.000). There was a significant difference in the quality of life scores between the intervention group and the control group after being given the intervention (p=0.000). The “SEHAT” nursing intervention package is effective for improving the quality of life of intradialytic hypertensive patients.
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