Percutaneous Coronary Intervention (PCI) adalah salah satu perawatan untuk penyakit arteri koroner selain penatalaksanaan obat dan tindakan Coronary Artery Bypass Graft (CABG). PCI secara signifikan mengurangi gejala PJK, mengurangi angka kematian, dan meningkatkan kualitas hidup, tetapi beberapa pasien dapat mengalami kecemasan setelah PCI karena beberapa faktor. Tujuan dari penelitian ini adalah untuk mengidentifikasi kecemasan dan faktor-faktor terkait demografi. Penelitian ini merupakan penelitian deskriptif dengan teknik total sampling. Total sampel adalah 80 responden. Data dikumpulkan menggunakan Depression, Anxiety, and Stress Scale (DASS), kemudian dianalisis dengan analisis univariat. Hasil penelitian menunjukkan bahwa 78,8% responden adalah laki-laki, 52,5% berusia 56-65 tahun, 52,5% bekerja, 93,8% menikah, 42,5% berpendidikan sekolah menengah, 71,2% berpenghasilan 1,1-3 juta, 83,8% tidak pernah menjalani PCI dan 72,5% responden berada dalam tingkat kecemasan sedang. Oleh karena itu diperlukan tindakan yang tepat untuk mengurangi kecemasan pasien yang menjalani PCI seperti berbagi pengalaman, pendekatan perilaku kognitif,, teknik napas lambat, distraksi, hipnosis, serta adanya tim psikiatri yang terlibat dalam tim perawatan pasien yang menjalani PCI
Patient safety is a global issue and a top priority in hospitals. Incidence of unexpected events varies significantly in Indonesia. Nurses’ compliance is an essential factor in the successful implementation of patient safety policies in hospitals. This study aimed to determine the factors influencing nurses’ compliance with patient safety policies in inpatient units of Dr. Kariadi general hospital, Semarang. This study employed a descriptive correlational design with a cross-sectional approach. The samples were 220 staff nurses recruited using a proportional random sampling technique. The data were collected using a questionnaire developed by the researchers and analyzed using the univariate analysis, Chi-Square test, and multivariate multiple logistic regression test. Results of the bivariate analysis showed that there were effects of supervision (p=0.038; OR=1.828), the character of authority figures (p=0.001; OR=2.648), and non-compliant colleagues (p=0.0001; OR=2.899) on nurses’ compliance with patient safety policies. However, gender (p=0.691), working environment (p=0.891), and contradictory orders (p=0.243) were found to have no effects on nurses’ compliance with patient safety policies. Results of multivariate analysis using a multiple logistic regression analysis showed that non-compliant colleagues were the most influential factor of nurses’ compliance with patient safety policies in the hospital. There were effects of supervision, the character of authority figures, and non-compliant colleagues on nurses’ compliance with patient safety policies. In contrast, gender, working environment, and contradictory orders showed no effects on nurses’ compliance. Non-compliant colleagues had the most effect on nurses’ compliance.
Hyperemesis gravidarum is excessive or uncontrollable vomiting during pregnancy, which causes dehydration, electrolyte imbalance, or nutritional deficiencies. If this situation gets worse and cannot be overcome, it will endanger the mother and the fetus. The purpose of this study was to determine the description of the hyperemesis gravidarum of pregnant women in the first trimester in Kendal Regency. Descriptive research design using a non-probability sampling design with a total sample of 54 pregnant women with gestational age 0-12 weeks who conducted pregnancy checks at the Polindes, Nolokerto Village, Kaliwungu District, Kendal Regency. The research instrument used a Check List. Data analysis using percentage. The results showed that almost all respondents (92.6%) had mild hyperemesis gravidarum, and a small proportion (7.4%) of respondents had moderate hyperemesis. It can be concluded that most of the trimester 1 pregnant women have hyperemesis gravidarum. It is recommended that pregnant women and their families actively seek information regarding the handling of hyperemesis gravidarum.
Morbus Hansen (Leprae) is communicable disease which caused by Mycobacterium Leprae. This disease disrupt peripheral nerves, skin, and other body tissues. Blora Regency, Central Java, has the largest of proportion of people with leprosy level 2 disabilities and new cases has increased from year to year. Several findings show that people with leprosy are still not able to perform self-care properly at home so that they experience advanced disabilities that reduce their quality of life. One effort to reduce solve this problem is a patient-family empowerment program in self-care training based on support groups. The purpose of this study is to analyze effect of empowerment among leprae’s patients in Subdistrict Kunduran, District Blora based on support group with family on increasing selfcare competencies. Method of this study is quasy experiment without control group with purposive sampling. Total samples in this study is 8 respondents. This research use leprae’s patients quetionary that has been used by other researcher before. The result show that any significant differences of selfcare competencies between before and after leprae’s patients empowerment program in self-care training use wilcoxon test. Average of pretest score is 55,67 (8-76) and average of posttest is 83,67 (64-100) with p=0,004. Based on this result, so it’s mean that empowerment program in self-care training among leprae’s patients with family based on support group effectively increase selfcare competencies in their home. This therapy can be an innovation on nursing intervention for leprae’s patients.
Introduction: Fatigue is a characteristic symptom and is often found in CHF patients and has a negative effect on daily activities, disease prognosis, and patient's quality of life. However, fatigue is a common symptom that is often overlooked and ignored. Limited study explored fatigue in CHF patients. The aim of this study was to explore fatigue in CHF patients. Methods: The research design is a descriptive survey. The total research sample is 85 respondents. Data were taken using a Multidimensional Assessment Fatigue (MAF) questionnaire with univariate data analysis in the form of a frequency distribution. Respondents involved in the study were patients aged >18 years who suffered from CHF based on a doctor's diagnosis and confirmed by medical records. Results: The majority of respondents are elderly with female gender, work as household workers, and heve income less than Rp1,500,000/month. Examination of vital signs performed on the majority of CHF patients showed normal temperature (36.5℃ - 37.5℃), pre-hypertensive blood pressure (120/80 - 139/89 mmHg), normal pulse (60-100x/min), and normal respiratory rate (12-20x/minute). Most patients have a CHF duration of 1–3 years, and are in grades 2 and 3 based on the New York Association (NYHA) classification. The results of this study were 65.9% of CHF patients experienced moderate fatigue, 17.6% severe fatigue, and 16.5% mild fatigue. Conclusion: Health services can consider efforts to improve the quality of nursing services in overcoming or minimizing fatigue experienced by CHF patients. These efforts can be a therapy, evidence-based health education, or fatigue monitoring for preventing a worsening of disease prognosis and improving the patient's quality of life. Keywords: CHF, Fatigue, Multidimensional Assesment Fatigue.
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