Unterschiede im epaAC© bei Patient_innen mit Herzinsuffizienz mit oder ohne Rehospitalisation

Pflege ◽  
2021 ◽  
Author(s):  
Eva-Maria Höhn ◽  
Hannele Hediger ◽  
Matthias Hermann ◽  
Heidi Petry ◽  
Gabriela Schmid-Mohler

Zusammenfassung. Hintergrund: Herzinsuffizienz ist einer der häufigsten Gründe für eine Hospitalisation bei älteren Menschen. Rund 22,8 % der Betroffenen werden innerhalb von 30 Tagen nach einer stationären Betreuung wieder hospitalisiert. Das pflegerische Assessmentinstrument epaAC könnte Hinweise zu Risikofaktoren für eine Rehospitalisation geben. Ziel: Das Ziel war es, Gruppenunterschiede in den Items und Scores des epaAC Austrittsassessment zu identifizieren hinsichtlich des Endpunktes einer ungeplanten Rehospitalisation bis 30 Tage nach Index-Hospitalisation. Methoden: Unter Verwendung eines retrospektiven Fall-Kontroll-Designs wurden Unterschiede in den epaAC Variablen mittels deskriptiver und vergleichender Statistik untersucht. Chi-Quadrat-Test, Wilcoxon-Test und t-Test wurden mit zweiseitigem Alpha-Niveau α < 0,05 durchgeführt. Die Alphafehler-Kumulierung wurde mittels Benjamini & Hochberg-Korrektur berücksichtigt. Ergebnisse: Es wurden keine signifikanten Gruppenunterschiede in allen Items und Scores des Austritts-epaAC gefunden. Es liegt nur ein schwacher Hinweis vor, dass eine akute respiratorische Beeinträchtigung zum Zeitpunkt der Entlassung bei den Patient_innen mit Rehospitalisation häufiger vorliegt, als bei denjenigen ohne Rehospitalisation. Schlussfolgerungen: Die Items und Scores des Pflegeassessmentinstruments epaAC unterschieden sich nicht signifikant zwischen Patient_innen mit und ohne 30-tägiger Rehospitalisation. Weitere Untersuchungen zur Beurteilung des Potenzials des epaAC zur Vorhersage einer Rehospitalisation bei Herzinsuffizienz sind erforderlich.

2020 ◽  
Vol 5 (2) ◽  
pp. 49-55
Author(s):  
Hafiko Andresni ◽  
Zahtamal Zahtamal ◽  
Winda Septiani ◽  
Mitra Mitra ◽  
Lita Lita

ABSTRACT Toilet training is an effort to train children to be able to control and urinate (BAK) and defecate (BAB). Toilet training is one of the main tasks of children at toddler age. Toilet training is one of the main tasks of children in toddler age which is very important to be done to create independence in children in controlling BAK and BAB and children know the parts of the body and their functions. Data in 2012 shows that ± 60% of parents do not teach toilet training to children from an early age. The aim of the study was to find out the effectiveness of toilet training education on maternal behavior and toilet skills in toddler age training (18-36 months). The study was conducted in July-August 2018. This type of quantitative research used the design of the Quasy pretest and posttest experiment with non-equivalent control group design. Samples were 36 mothers and 36 children with purposive sampling technique. Data analysis used Paired t test, Wilcoxon test, Man-Whitney test an Independent t test. The results showed that toilet training education through lecture methods, modules and maze games was more effective than toilet training education through lecture and leaflet methods on children's knowledge and abilities. Conversely, for the role of mothers in supervision there is no significant difference in effectiveness. Health education is recommended in health promotion programs to increase maternal knowledge, the role of mothers and the ability of toilet training children independently. Keywords: Toilet training, Lecture method, Module, Maze game, Leaflet, Knowledge, Role of mother, Children's ability.


2020 ◽  
Vol 3 (1) ◽  
pp. 19-25
Author(s):  
Febria Restissa ◽  
Ahmad Rasyid ◽  
Devi Azri Wahyuni

ABSTRACT Objective : to determine the correlation between duration of ethambutol and copper levels in serum with color vision disorder examined with Farnsworth Munsell 100 Hue (FM100) in patients with tuberculosis. Methods: This study was an explorative observation of 20 samples during November 2017 - January 2018 period. Comparative analysis using independent t-test, paired t-test, Wilcoxon test and Mann-Whitney test, while correlation analysis using Spearman's test and Pearson's test.  Results: There was a significant difference of FM100 value before and after in category I (p=0.000) with increase of total error value 11.80+5.31 or category II (p=0.000) with increase of total error value 15.00+7.41. There was significant difference of Cu2+ level before and after in category I (p=0.005) with decrease of Cu2+ level 15.57+5.04 mg/dL or category II (p=0.005) with decrease of Cu2+ level 31.66+7.35 mg/dL. There was significant correlation between color vision and duration of ethambutol (p=0.000), but there was no significant correlation of Cu2+ with color vision (p>0.05). Conclusion: The duration of Ethambutol was related to changes in color vision examined with FM100.


Author(s):  
Maitri Shah ◽  
Chirayu Parmar ◽  
Riddhi Gor

Background: Dysfunctional uterine bleeding (DUB) is the most common menstrual disorder of women in any age group and is a diagnosis of exclusion. Medical management of menorrhagia is a difficult task as there are wide variations in the available drugs and a lot of different regimes are available. Present study evaluates efficacy and safety of ormeloxifene a selective estrogen receptor modulator (SERMs) as compared to combined oral contraceptive pills in treatment of dysfunctional uterine bleeding in perimenopausal women.Methods: Total 60 patients meeting with our inclusion and exclusion criteria were enrolled in the study over a time period of 6 months and were further divided randomly into two groups. One group was given Ormeloxifene and the other group was treated with combined oral contraceptive pills (COCP) over a period of six months. The outcome variables noted were pictorial blood loss assessment chart (PBAC) score, Hb level and combined endometrial thickness (CET). Quantitative variables were compared using independent t test/Mann-Whitney test between the two groups and paired t Test/Wilcoxon test was used for comparison between pre and post within the group.Results: Both ormeloxifene and COCP significantly reduce blood loss in these patients evidenced by decrease of PBAC score, rise in hemoglobin levels and decrease in CET levels. However, ormeloxifene was found to be superior to COCP in reducing the menstrual blood loss. Ormeloxifene was also tolerated better compared to COCP with fewer side effects experienced by patients.


Author(s):  
Riska Putri Meiyana ◽  
Cornelia Dede Yoshima Nekada ◽  
Adi Sucipto

Abstrak Terapi komplementer merupakan salah satu alternatif untuk mengatasi masalah kesehatan. Hidroterapi dan relaksasi Benson merupakan terapi komplementer yang efektif terhadap tekanan darah dan nadi, namun masih jarang masyarakat yang memanfaatkannya. Diketahui ada pengaruh kombinasi hidroterapi dan relaksasi Benson (disebut hidroson) terhadap tekanan darah dan nadi. Metode penelitian pra-eksperimen, pre- and post- design dengan teknik purposive sampel pada 32 responden usia 26-65 tahun. Penelitian dilakukan dari tanggal 1-18 Maret 2019 di RT 19 dan 20, Sungapan V Desa Wahyuharjo, Kecamatan Lendah, Kabupaten Kulon Progo dengan tiap responden diberikan intervensi selama 3 hari berturut-turut. Instrumen yang digunakan adalah sphygmomanometer digital untuk mengukur tekanan darah dan nadi 5 menit sebelum dan sesudah pemberian terapi. Tekanan darah dianalisis dengan wilcoxon test dan paired t-test untuk nadi. Hasil analisis menunjukkan tekanan darah sistolik sebelum terapi sebesar 118,25 mmHg dan setelah terapi sebesar 111,00 mmHg, sehingga disimpulkan terjadi penurunan sebesar 7,25 mmHg dengan ρ Value 0,0001. Tekanan darah diastolik sebelum terapi sebesar 81,25 mmHg dan setelah terapi sebesar 78,75 mmHg, sehingga disimpulkan terjadi penurunan sebesar 2,50 mmHg dengan ρ value 0,002. Nadi sebelum terapi sebesar 82,30 x/menit dan setelah terapi sebesar 80,64 x/menit, sehingga disimpulkan terjadi penurunan sebesar 1,66 x/menit dengan ρ value 0,003. Ada pengaruh yang signifikan terhadap pemberian kombinasi hidroterapi dan relaksasi Benson (hidroson) terhadap penurunan tekanan darah dan nadi di RT 19 dan 20, Sungapan V. Kata kunci: hidroterapi, Relaksasi Benson, tekanan darah, nadi Abstract Complementary therapy is one alternative to solving health problems. Hydrotherapy and Benson's relaxation are effective complementary therapies for blood pressure and pulse, but still few patients utilize it. There is a known effect of hydrotherapy and Benson relaxation combination (called hydrosol) on blood pressure and pulse. The study method was pre-experimental with pre and post design with a purposive sampling technique on 32 respondents aged 26-65 years. The study was conducted from 1-18 March 2019 in neighborhood 19 and 20, Sungapan V, Wahyuharjo Village, Lendah District, Kulon Progo. Regency Each respondent was given intervention with hydrosol therapy for 3 consecutive days. The instrument used was a digital sphygmomanometer to measure blood pressure and pulse 5 minutes before and after the administration of therapy. Blood pressure was analyzed by the Wilcoxon test while pulsing by paired t-test. The analysis showed that systolic blood pressure before therapy was 118.25 mmHg and after therapy became 111,00 mmHg, so there was a decrease of 7,25 mmHg with a p-value of 0,0001. The diastolic blood pressure before treatment was 81,25 mmHg and after therapy became 78,75 mmHg, so there was a decrease of 2,50 mmHg with a p-value of 0,002 mm. The pulse before therapy was 82,30 x / min and after therapy became 80,64 x / min, so there was a decrease of 1,66 x / min with ρ-value 0,003. There is a significant effect of giving a combination of hydrotherapy and Benson relaxation (hydrosol) on reducing blood pressure and pulse among 32 subjects in neighborhood 19 and 20, Sungapan V. Keywords: hydrotherapy, Benson Relaxation, blood pressure, pulse


e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 204
Author(s):  
Cintia Bayahu ◽  
Damajanty H. C. Pengemanan ◽  
Christy N. Mintjelungan

Abstract: Physical appearance has a major influence in determining the quality of individual social interaction, especially in terms of non-verbal interactions. Tooth color is one of the things that affect physical appearance. Various efforts to improve the aesthetics of tooth color should be studied further, including the use of whitening toothpaste. This study was aimed to determine the effectiveness of whitening toothpaste on extrinsic tooth discoloration. This was a true experimen-tal study in the  form of laboratory test. Coffee was used as a discoloring agent for teeth. Twenty-six premolar teeth were immersed in coffee solution for 14 days. Then the samples were divided into four groups based on the toothpaste used. Initial measurements used the CIEL *a*b* digital dental photo technique. Brushing was carried out for 14 days, after which the tooth color was measured again. The paired sample t-test and the Wilcoxon test showed a significant change in * L values in the group receiving 7% perlite, hydrated silica, and sodium bicarbonate (p=0.01; p=0.001; p=0.012). The Wilcoxon test showed no change in *a and *b values in all whitening toothpaste groups (p>0.05). There was no significant change in the *L *a *b toothpaste (p>0.05). In conclusion, whitening toothpaste is effective against extrinsic tooth discoloration.Keywords: extrinsic tooth discoloration; whitening toothpaste; tooth colorAbstrak: Penampilan fisik memiliki pengaruh besar dalam menentukan kualitas interaksi sosial individu, terutama dalam hal interaksi non-verbal. Salah satu hal yang memengaruhi penampilan fisik individu ialah warna gigi. Berbagai upaya untuk meningkatkan estetika warna gigi harus dikaji lebih lanjut, termasuk penggunaan pasta gigi pemutih. Penelitian ini bertujuan untuk mengetahui efektivitas pasta gigi pemutih terhadap perubahan warna gigi ekstrinsik. Jenis penelitian ialah eksperimental murni (true experimental design) berupa uji laboratorik. Kopi digunakan sebagai bahan diskolorasi untuk gigi. Sebanyak 26 gigi premolar direndam dalam larutan kopi selama 14 hari. Sampel dibagi ke dalam empat kelompok berdasarkan pasta gigi yang digunakan. Pengukuran awal menggunakan teknik digital dental photo CIEL*a*b*. Penyikatan dilakukan selama 14 hari, setelah itu warna gigi diukur kembali. Hasil  uji paired sample t-test dan Wilcoxon menunjukkan terdapat perubahan nilai *L yang bermakna pada kelompok yang mendapatkan perlite 7%, silica hydrated, dan sodium bicarbonate (p=0,01; p=0,001; p=0,012). Uji Wilcoxon menunjukkan tidak terdapat perubahan nilai *a dan nilai *b pada semua kelompok pasta gigi pemutih (p>0,05). Pada pasta gigi tanpa pemutih tidak didapatkan perubahan nilai *L*a*b yang bermakna (p>0,05). Simpulan penelitian ini ialah pasta gigi pemutih efektif terhadap perubahan warna gigi ekstrinsik.Kata kunci: perubahan warna gigi ekstrinsik; pasta gigi pemutih; warna gigi


2021 ◽  
Vol 9 (A) ◽  
pp. 871-875
Author(s):  
Susiana Candrawati ◽  
Emy Huriyati ◽  
Zaenal Muttaqien Sofro ◽  
Lantip Rujito ◽  
Aulia Nury Faza ◽  
...  

Background: Increased inflammatory mediators in obesity are associated with metabolic syndrome. Exercise is an effective effort to reduce the incidence of obesity. The High-Intensity Interval Training (HIIT) program is an exercise which include combination of high-intensity exercise and rest periods. The decrease in body fat levels due to physical training will further affect inflammatory mediators such as IL6 and TNFα. Besides training factor, genetic also play a role on obesity. One of the genes that influence obesity is the UCP2 Ala55Val gene. Objectives: This research aims to see the effect of HIIT on the levels of inflammatory mediators in obese patients based on the study of the Ala55Val UCP2 gene. Methods: This study was a Quasi-Experimental Pre and Post Design Without Control Group. Thirty obese women (BMI≥25 kg/m2) were given High-Intensity Interval Training (HIIT) as an intervention by comparing the data before and after the intervention. The training intervention was conducted for 12 weeks, consisting of two weeks of adaptation and ten weeks of HIIT intervention. The body weight, BMI and inflammatory mediators (TNFα and IL 6) before and after the intervention were analyzed using the Dependent T-Test and Wilcoxon Test as a nonparametric test. Independent T-Test and Mann Whitney test used to determine the effect of the UCP2 Ala55Val gene on changes in body weight, BMI and the inflammatory mediator. The test results were considered significantly different if p<0.05. Results: Bivariate analysis using Dependent T-Test showed that HIIT significantly improved Body Weight, BMI and IL6 with p=0.0001. Wilcoxon Test showed that HIIT significantly improved TNFα with p=0.0001. Independent T-Test showed no difference in body weight (p=0.719), BMI (p=0.663) and TNFα (p=0.264) improvement in the two genotypes of the UCP2 Ala55Val gene. Mann Whitney Test showed no difference in IL6 (p=0.288) improvement in the two genotypes of the UCP2 Ala55Val gene. Conclusion: The research concluded that the 12-week HIIT interventions improved inflammatory mediators by reducing IL6 and TNFα in obese women. There was no effect of genetic variation on the response to training intervention.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
B Buzgan ◽  
B Mete ◽  
E Pehlivan

Abstract Background Chronic diseases are a major cause of morbidity and mortality due to late diagnosis and insufficient treatment. This study deals with the training on chronic diseases organized by the Ministry of Health in the provinces. The aim of this study was to measure the effectiveness of training programs for family physicians in a province. Methods This semi experimental study was carried out during the training held in Bingöl that is eastern city of Turkey, on 22-26 October 2018 and 19-20 December 2018. The universe of the study consisted of family physicians working in the province. Of the 90 family physicians working in the province, 75 participated in the study. The training was conducted by the researchers and (before-after) 16-question test to the participants were used. The trainings cover the sub-heading Cardiovascular Risk Assessment and Diagnosis and Treatment of Hypertension. The family physicians were divided into 7 groups and were given 7-hour training. SPSS 25 program was used to analyze the data. In the analysis of data, Wilcoxon test, Cochran’s Q test and Bayesian approach samples t test were used. Results The average number of correct before training was 7.33 (min: 2 - max: 13), after training 12.64 (min: 7- max: 16; p &lt; 0.001). After the training, participants’ correct answers to 15 questions increased (p &lt; 0.001). Increase rate is 71%. Bayesian factor was found to be &lt; 0.001 according to the results of Bayesian approach t test. There is definite evidence against the H0 hypothesis. According to the results of this quasi-experimental study, training is very effective. Conclusions In this study, it was shown that the education of the family physicians about the chronic diseases of the Ministry of Health is effective in increasing the knowledge level of family physicians. Key messages The training of the family physicians in charge of the primary health care is important. This study showed that education is very effective accorging to the pre-training.


2021 ◽  
Vol 5 (10) ◽  
pp. 1379
Author(s):  
Fitri Widya Ningsih ◽  
Muslihati Muslihati ◽  
Nur Hidayah

<p><strong>Abstract:</strong> Self-control helps junior high school students behave positively towards themselves and others. This study aims to test the effectiveness of the use of local wisdom in the <em>cublak-cublak suweng</em> game to the junior high school student self-control training. The research subjects were 8 junior high school students in Malang City using one group pretest-posttest design. Measurements used the Self-Control Scale and were analyzed by the Wilcoxon test and paired t-test. The results showed a significant difference in the improvement of junior high school students' self-control. Positive values of the <em>cublak-cublak suweng</em> game are internalized so that they can improve the management of their thoughts, emotions, and behavior. The suggestion given is more extensive testing of the same student characteristics.</p><strong>Abstrak:<em> </em></strong>Kontrol diri membantu siswa SMP berperilaku positif terhadap diri sendiri dan orang lain. Penelitian ini bertujuan untuk menguji keefektifan penggunaan kearifan lokal permainan cublak-cublak suweng terhadap pelatihan kontrol diri siswa SMP. Subjek penelitian adalah delapan siswa SMP di Kota Malang dengan menggunakan rancangan <em>one group pretest-posttest design</em>. Pengukuran menggunakan Skala Kontrol Diri dan dianalisis dengan uji <em>Wilcoxon</em> dan <em>paired t-test</em>. Hasil penelitian menunjukkan adanya perbedaan signifikan pada peningkatan kontrol diri siswa SMP. Nilai-nilai positif permainan cublak-cublak suweng diinternalisasikan agar dapat meningkatkan pengelolaan pikiran, emosi, dan perilakunya. Saran yang diberikan adalah pengujian lebih luas terhadap karakteristik siswa yang sama.


MEDIKORA ◽  
2019 ◽  
Vol 17 (2) ◽  
pp. 113-119
Author(s):  
Ela Yuliana ◽  
B.M. Wara Kushartanti

Nyeri dan ketegangan otot leher merupakan keluhan muskuloskeletal umum yang sering dirasakan setiap orang (prevalensi 30%-50%). Topurak (Totok, Pukul, Gerak) merupakan salah satu terapi manipulasi. Tujuan penelitian ini adalah untuk menguji efektivitas manipulasi Topurak untuk penyembuhan nyeri dan ketegangan otot leher pasien Klinik Olahraga Terapi dan Rehabilitasi FIK UNY. Rancangan Pre-experimental dengan One Group Pretest-Posttest Design. Teknik pengambilan sampel menggunakan quota sampling yang dihitung dengan rumus Slovin didapatkan quota sebesar 15 orang. Data yang dikumpulkan adalah ROM, skala nyeri, dan skala fungsi baik sebelum maupun sesudah perlakukan. Paired Samples t Test digunakan untuk menganalisis data ROM dan uji Wilcoxon untuk data skala nyeri maupun skala fungsi. Hasil penelitian menunjukkan adanya peningkatan ROM pada gerakan fleksi, ekstensi, left lateral flexion, right lateral flexion, left rotation, dan right rotation. Didapatkan juga adanya penurunan skala nyeri serta peningkatan skala fungsi leher setelah manipulasi Topurak (p<0,05). Berdasarkan hasil tersebut, maka dapat disimpulkan bahwa manipulasi Topurak efektif untuk penyembuhan nyeri dan ketegangan otot leher. TOPURAK MANIPULATION (TOUCH, PUNCH, MOTION) FOR HEALING OF PAIN AND NECK MUSCLE TENSIONAbstractNeck pain and muscle tension is a common musculoskeletal complaint that is often felt by everyone (prevalence of 30% -50%). Topurak (Touch, Pukul, Motion) is a manipulation therapy. and neck muscle tension of FIK UNY Sports and Therapy Sports and Rehabilitation Clinic patients. Pre-experimental design with One Group Pretest-Posttest Design. The sampling technique uses quota sampling which is calculated by Slovin formula obtained quota of 15 people. Data collected were ROM, pain scale, and function scale both before and after treatment. Paired Samples t Test is used to analyze ROM data and Wilcoxon test for pain scale and function scale data. The results showed an increase in ROM in flexion, extension, left lateral flexion, right lateral flexion, left rotation, and right rotation. There was also a decrease in pain scale and an increase in the scale of neck function after Topurak manipulation (p <0.05). Based on these results, it can be concluded that Topurak manipulation is effective for healing neck pain and muscle tension.


e-GIGI ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Feiby Rawung ◽  
Jane Wuisan ◽  
Michael A. Leman

Abstract: Mouthwash is one of the accessible oral healthcare and practical for use by the community. Various commercial products contain more than one active ingredient; the most common one is alcohol with varied concentrations from 6% to 26%. Mouthwash with high concentration of alcohol can cause some effects to some users, like burning and dry sensation of the oral mucosa. Dry oral mucosa caused by reduced saliva production will be more susceptible to irritation. Reduced amount of saliva also causes lower oral pH which leads to increased growth of cariogenic bacteria. This study was aimed to investigate the influence of alcoholic mouthwash to salivary flow and salivary pH. This was a quasi-experiment study with before and after treatment groups. The population study was students of Dental Medical Education Program of Medical Faculty of University of Sam Ratulangi, Manado, batch 2012, with a total of 30 respondents obtained by using purposive sampling method. The T test showed that salivary flow rate before and after treatment had no significant difference (p >0.05) based on T test. Moreover, the Wilcoxon test showed that there was no significant difference of salivary pH between before and after treatment (p >0.05). Conclusion: There was no effect of rinsing with alcoholic mouthwash on salivary flow and salivary pH.Keywords: alcoholic mouthwash, salivary flow rate, salivary pH Abstrak: Obat kumur merupakan salah satu produk perawatan kesehatan gigi dan mulut yang mudah diperoleh dan praktis digunakan sendiri oleh masyarakat. Berbagai produk komersial mengandung lebih dari satu bahan aktif; salah satunya yaitu alkohol dengan konsentrasi bervariasi dari 6% hingga 26,9%. Kandungan alkohol yang tinggi dapat menimbulkan efek bagi sebagian pengguna, seperti sensasi terbakar dan kering di area mukosa mulut disebabkan berkurangnya saliva yang memudahkan terjadinya iritasi. Berkurangnya saliva juga menyebabkan pH mulut rendah sehingga pertumbuhan bakteri kariogenik meningkat. Penelitian ini bertujuan untuk mengetahui adanya pengaruh obat kumur beralkohol terhadap laju aliran saliva dan pH saliva. Jenis penelitian ialah eksperimen semu dengan kelompok sebelum dan sesudah perlakuan. Populasi penelitian yaitu mahasiswa Angkatan Tahun 2012 Program Studi Pendidikan Dokter Gigi, Fakultas Kedokteran, Universitas Sam Ratulangi Manado yang berjumlah 30 responden, diperoleh dengan purposive sampling. Hasil uji T berpasangan mennunjukkan data laju aliran saliva sebelum dan sesudah perlakuan tidak memiliki perbedaan bermakna (p >0,05). Berdasarkan uji Wilcoxon, data pH saliva sebelum dan sesudah perlakuan tidak memiliki perbedaan bermakna (p >0,05). Simpulan: Tidak terdapat pengaruh berkumur dengan obat kumur beralkohol terhadap laju aliran saliva dan pH saliva.Kata kunci: obat kumur beralkohol, laju aliran saliva, pH saliva


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