Causes of recurrent pneumonia in children in a general hospital

AbstrakRisiko terjadinya pneumonia dan meningkatnya risiko anak untuk dirawat inap adalah kurang mampunya ibu merawat anak di rumah. Penelitian ini bertujuan untuk mengidentifikasi pengaruh perencanaan pulang terhadap kemampuan ibu merawat anak pneumonia di rumah. Penelitian ini merupakan studi quasi-experiment dengan rancangan post-test only group. Sampel penelitian adalah 26 responden di dua rumah sakit di Sulawesi Barat. Hasil post-test menggambarkan tingkat pengetahuan dan keterampilan masing-masing kelompok berbeda secara bermakna (p< 0,05), dan ibu pada kelompok intervensi mampu merawat anak pneumonia di rumah, berbeda secara bermakna dengan kelompok kontrol (p< 0,05). Perencanaan pulang anak dengan pneumonia hendaknya diberikan secara terstruktur guna mendukung terlaksananya asuhan keperawatan anak yang berpusat pada keluarga di rumah sakit.

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“…Hal ini berdampak pada ketidakmampuan ibu dalam mencegah maupun merawat anak dengan pneumonia (Hoving & Brand, 2013).…”

Section: Pendahuluanunclassified

Perencanaan Pulang Efektif Meningkatkan Kemampuan Ibu Merawat Anak dengan Pneumonia Di Rumah

Yuliani

Nurhaeni

Waluyanti

2016

JKI

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“…However, compression was found in Patients 3,4,6,7,8,9, and 11. In these patients, the dilated pulmonary artery had approached the chest wall and caused the bronchial Figure 1.…”

Section: Resultsmentioning

confidence: 90%

Unknown vascular compression of the airway in patients with congenitalheart disease and persistent lower respiratory symptoms

T¹,

Aslan²,

Öztunalı³

et al. 2017

Turk J Med Sci

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Background/aim: Airway compression (AC) by vascular structures is an important complication of congenital heart disease (CHD) that often goes unrecognized. It is not easy to identify whether CHD patients require additional invasive examinations or not. Therefore, the present study aims to develop an AC diagnostic algorithm for CHD patients.Materials and methods: CHD patients with persistent respiratory symptoms that were treated between January 2007 and December 2015 were retrospectively reviewed. The following data were recorded for all CHD patients with AC: age, cardiac anomalies, the compressed structure, the airway diameter ratio (ADR), the compressing structure(s), treatment, and follow-up.Results: During the 8-year study period, 62 of 253 CHD patients had persistent respiratory symptoms, of which 11 cases were diagnosed as AC via bronchoscopy and/or thoracic computed tomography angiography. The most frequently affected structures were the left main bronchus and trachea, and the most common compressing structure was the right pulmonary artery. The ADR was near total compression in 3 patients and >0.50 in 3 patients. During follow-up, 5 of the 11 patients with AC underwent surgery, 2 died, and 4 were followed clinically. Patients with ADR of >0.50 did not require surgery and were followed clinically. Conclusion:CHD patients with persistent respiratory symptoms associated with lower respiratory airway obstruction should be evaluated via invasive examination. An AC diagnostic algorithm for pediatric CHD patients was developed.

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“…Using a definition of recurrent pneumonia as two episodes within 1 year or 3 years in a lifetime, 6-9% of children presenting with pneumonia had recurrent disease and 8-16% of these had an immune defect [42][43][44][45][46]. In adults with three or more episodes of pneumonia, 12% had an immunoglobulin defect and 22% in total were found to have an immune defect [47].…”

Section: Database Miningmentioning

confidence: 99%