scholarly journals Pengaruh Prosedur Orientasi terhadap Tingkat Kecemasan pada Pasien yang Menjalani Terapi Oksigen Hiperbarik (TOHB) di Rumah Sakit Paru Jember

2018 ◽  
Vol 6 (2) ◽  
pp. 292
Author(s):  
Pravita Dwi Ariyani ◽  
Dodi Wijaya ◽  
Ahmad Rifai

Hyperbaric oxygen therapy is a treatment method in patients with inhaling pure oxygen at pressuresgreater than normal atmospheric pressure. Patients who first followed the hyperbaric therapy willgenerally feel anxiety due to side effects of hyperbaric therapy. Orientation procedure can be used todecrease level of anxiety of patients. The purpose of this study was to analyze the effect of theorientation procedure on the level of anxiety of patients undergoing hyperbaric oxygen therapy atRumah Sakit Paru Jember. The design of study was pre experimental design with one group pretestand post test. The sampling technique was consecutive sampling involving 32 respondents. Datawere analyzed with Wilcoxon Test. The result showed a significant decrease of moderate anxiety tomild anxiety with implementation of orientation procedure (p=0.000). It can be concluded that thereis an effect of the orientation procedure on the level of anxiety of patients undergoing hyperbaricoxygen therapy at Rumah Sakit Paru Jember. The provision of adequate information and theintroduction of a hyperbaric chamber every corner of the room so that the patient is able to adapt tothe first experience, so that the necessary role of nurses in assisting the patient to provide referralsfor patients who want to undergoing hyperbaric therapy in order to follow the therapy process untilcomplete. Orientation procedure of hyperbaric therapy can be applied as one of method to decreaselevel of anxiety of patients undergoing hyperbaric oxygen therapyKeywords: orientation procedure, hyperbaric oxygen therapy, level of anxiety

2016 ◽  
Vol 56 (3) ◽  
pp. 25-32
Author(s):  
Małgorzata Skiba ◽  
Agnieszka Pedrycz

Abstract In this publication, we adduce examples of the use of hyperbaric oxygen therapy in urinary tract diseases. Hyperbaric oxygen therapy has been proved to have a positive influence on the kidneys of animals with diabetes, sepsis or undergoing chemotherapy. In the literature, we can also find many examples of the use of hyperbaric therapy with good clinical outcomes in human patients with prostatic hypertrophy, pyelonephritis, and hemorrhagic cystitis. The first trials of this kind of treatment of urinary tract diseases were started at the end of the twentieth century. In spite of the promising results, and numerous reports on the effectiveness of this non-invasive method of treatment, it is not currently used on a regular basis. Because many factors such as time, multiple applications, the parameters used in the hyperbaric chamber as well as the medications taken by the patient affect the quality of the result, further studies are needed to make hyperbaric therapy more suitable and safer for each patient.


Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 864
Author(s):  
Miguel A. Ortega ◽  
Oscar Fraile-Martinez ◽  
Cielo García-Montero ◽  
Enrique Callejón-Peláez ◽  
Miguel A. Sáez ◽  
...  

Hyperbaric oxygen therapy (HBOT) consists of using of pure oxygen at increased pressure (in general, 2–3 atmospheres) leading to augmented oxygen levels in the blood (Hyperoxemia) and tissue (Hyperoxia). The increased pressure and oxygen bioavailability might be related to a plethora of applications, particularly in hypoxic regions, also exerting antimicrobial, immunomodulatory and angiogenic properties, among others. In this review, we will discuss in detail the physiological relevance of oxygen and the therapeutical basis of HBOT, collecting current indications and underlying mechanisms. Furthermore, potential areas of research will also be examined, including inflammatory and systemic maladies, COVID-19 and cancer. Finally, the adverse effects and contraindications associated with this therapy and future directions of research will be considered. Overall, we encourage further research in this field to extend the possible uses of this procedure. The inclusion of HBOT in future clinical research could be an additional support in the clinical management of multiple pathologies.


2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Anna Piotrowska ◽  
Magdalena Zych ◽  
Jakub Oliwa

The hyperbaric oxygen therapy (HBOT) involves the use of 100% pure oxygen in conditions of increased pressure, exceeding atmospheric pressure. This allows the supply of several times more oxygen to internal organs and blood serum than when using standard pressure. HBOT has proven to support the treatment of autoimmune skin diseases, complications of metabolic diseases and burns, as confirmed by clinical studies. In addition, this therapy can also be used to improve the physiological condition of the skin after cosmetology procedures. The aim of this work is to review information on the therapeutic effects of hyperbaric oxygen therapy in the treatment of skin diseases, especially atopic dermatitis, psoriasis, diabetic foot, second degree burns and complications after cosmetic procedures. The review was based on the works published in the last twenty years (1999-2019), available in the following databases: PubMed, GoogleSchoolar, PEDro. The use of HBOT is becoming more common in the treatment of skin complications of diabetes, as well as burn wounds. It is estimated that HBOT reduces the risk of foot ulcers and amputation in diabetic foot syndrome. In addition, HBOT promotes faster healing of burn wounds, also with the use of allogenic skin grafts. By increasing the level of reactive oxygen species (ROS), hyperbaric oxygen therapy significantly supports the treatment of psoriasis and atopic dermatitis. Despite this, the exact mechanisms of hyperbaric oxygen are still poorly understood, and the use of HBOT in the treatment of skin diseases has not yet been included in treatment protocols.


2021 ◽  
Vol 7 (5) ◽  
pp. 2624-2631
Author(s):  
Wei Di ◽  
Lei Wang ◽  
Qinghong Ji ◽  
Lihui Wang ◽  
Lifang An ◽  
...  

To study application effect of accompanying nursing mode and health education on infants with hypoxic ischemic encephalopathy (HIE) treated with hyperbaric oxygen therapy (HBOT) via pure oxygen chamber. 124 cases of HIE infants treated with pure oxygen chamberHBOT admitted to our department (December 2018-December 2019) were chosen as the research samples, and split into experimental group and control group according to the order of admission, with 62 cases in each group. The control group received routine nursing while and the experimental group received accompanying nursing mode combined with health education to compare the mental development index (MDI), psychomotor development index (PDI), height, weight, neurological sequelae, efficacy and family members’ satisfaction with HBOT between the two groups. After nursing, MDI and PDI in experimental group were obviously higher compared with control group (P<0.001);After nursing, the height and weight indexes in experimental group were obviously higher compared with control group (P<0.05);After nursing, the total incidence of neurological sequelae in experimental group (3.2%) was obviously lower compared with control group (P<0.05);After nursing, the total number of effective infants in experimental group was obviously higher compared with control group (P<0.05);After nursing, the number of family members satisfied with HBOT in experimental group was obviously higher compared with control group (P<0.05).The accompanying nursing mode combined with health education can greatly improve clinical indicators of HIE infants treated with pure oxygen chamber HBOT, promote their physical and mental development, and then improve the satisfaction of the family members with pure oxygen chamber HBOT, which should be promoted and applied in clinical practice as a high-quality nursing mode.


2010 ◽  
pp. 423-429
Author(s):  
F Gurdol ◽  
M Cimsit ◽  
Y Oner-Iyidogan ◽  
H Kocak ◽  
S Sengun ◽  
...  

The main pathological condition in patients with impaired wound healing is diabetes mellitus. These patients have significantly low circulating nitric oxide (NO) levels because the stimulatory action of insulin on NO synthesis is absent. Additionally, asymmetric dimethylarginine (ADMA), an inhibitor of NO synthase, is increased owing to the generation of oxidative stress. NO was thought to contribute to wound healing. Hyperbaric oxygen (HBO) treatment is generally used in order to accelerate the healing of wounds. The aim of this study was to determine the changes in plasma procollagen type I and III N-terminal peptides (PINP and PIIINP), total nitrite/nitrate (NOx) and ADMA levels; and to evaluate their relation to healing during the HBO treatment of foot ulcers. Data obtained from 18 diabetic patients before and after the HBO therapy were compared statistically by the Wilcoxon test. NOx was increased in 11 and ADMA was decreased in 12 patients following HBO treatment. Both PINP (32.6±29.4 μg/l vs 44.3±33.4 μg/l) and PIIINP (6.97±3.01 μg/l vs 7.92±2.49 μg/l) were significantly increased (p<0.05). Progressive reductions were observed in wound areas, as assessed by the digital wound imaging. In 12 patients, wounds healed by 50 % or higher; whereas only two subjects had minimal improvements (15 % or less healing). The duration of diabetes correlated negatively with wound healing (r = -498, p<0.05). This study suggests that increased collagen synthesis is associated with wound healing during hyperbaric oxygen therapy. Nitric oxide generation may also contribute to the healing process.


2019 ◽  
Vol 17 (1) ◽  
pp. 77
Author(s):  
ARIF RAHMAN NURDIANTO ◽  
ARYATI ARYATI ◽  
MOHAMMAD GURITNO SURYOKUSUMO ◽  
MUSASIRIN MUFASIRIN

<p align="center"><strong>Abstract</strong></p><p><strong>Background:</strong> To find the effect of Hyperbaric Oxygen Therapy in the myometrium expressions of ICAM1 from pregnant Rattus norvegicus infected with Tachyzoite <em>Toxoplasma gondii.</em></p><p><strong>Material and Methods :</strong></p><p>This is an experimental study with a post-test only design on 37 pregnant <em>Rattus norvegicus</em> <em>Sprague Dawley</em>, then the rats were divided into 4 groups. The HBOT group A is pregnant rats infected with tachyzoite received therapy 10 sessions of HBOT 2.4 ATA in 3x30 minutes; the group B is Pregnant only and get no HBOT; the group C is Pregnant and infected with <em>tachyzoite T.gondii</em> but not received HBOT, and the group D is normal pregnant rats. Each infected pregnant rats were given a 10<sup>3 </sup>Tachyzoite of <em>Toxoplasma gondii</em> via intraperitoneal. Examinations of ICAM1 expressions were performed on day-5 after HBOT (twice a day). Rats were killed and the myometrial ICAM1 levels were measured with Immunohistochemistry examination. All data were analyzed with the ANOVA test with SPSS 21 Program.<strong></strong></p><p><strong>Results: </strong>The results show that Hyperbaric Oxygen Therapy can downregulate ICAM1 in the administered of HBO 2.4 ATA for 3x30 minutes in 10 sessions over 5 days of therapy.</p><p><strong>Conclusion:</strong> The study concludes that HBOT can downregulate the expressions of ICAM1 in the myometrium, in the provision of HBO 2.4 ATA for 3x30 minutes in 10 sessions.</p>


2017 ◽  
Vol 53 (2) ◽  
pp. 163
Author(s):  
Fanny Margaretha Laihad ◽  
I Ketut Sudiana ◽  
M Guritno S

Mucormycosis infection is an invasive, acute and rapidly progressing fungal infection with high mortality rate unless it was identified promptly. Oral manifestations of these infections, some times appeared as palatal ulcer and can be triggered by tooth extraction on maxilla or mandibula in which the organ is not cured but even damage the gingival and alveolar bone. Hyperbaric oxygen (HBO) therapy is the administration of 100% pure oxygen in a pressurized room more than 1 atmophere that can be used for therapy of mucormycosis infection in oral cavity. The aim of this study is to analyze the use of hyperbaric oxygen therapy on mucormycosis infections in oral cavity in 30 journals and 1journal of suspected case of mucormycosis infection post dental extraction from 1980 until 2016. Hyperbaric oxygen therapy was used as the last and adjunctive therapy after antifungal and surgery in 30 jounals but in 1 suspected case, hyperbaric oxygen therapy was given earlier. The need for consideration to provide early HBO therapy in case of mucormycosis infection in oral cavity will improve prognosis and survival rate of the patient.


2017 ◽  
Vol 3 (1) ◽  
pp. 19
Author(s):  
Inggried Angelica Valentina Wiliyams Peni

ABSTRAK Indonesia termasuk dalam 7 negara dengan prevalensi diabetes tertinggi di dunia menurut data dari International Diabetes Federasi (IDF) tahun 2013. Tujuan dari penelitian ini adalah untuk mengetahui apakah ada perubahan kadar gula pasien DM tipe 2 sebelum dan setelah terapi oksigen hiperbarik. Metode penelitian ini adalah metode kuantitatif yang bersifat cross sectional dengan desain pre expereimental one group pre-test and post- test design. Populasi penelitian ini adalah pasien DM tipe 2 di Rumah Sakit Advent Bandung, sebanyak 8 orang yang berjenis kelamin perempuan dan yang berusia ≥40 tahun menjadi sampel yang telah dipilih secara purposive sampling. Hasil penelitian, rata-rata kadar gula darah pasien sebelum terapi adalah 257,25 mg/dL dan rata-rata kadar gula darah pasien sesudah terapi adalah 176,00 mg/dL. Hasil uji statistik untuk keefektivan terapi oksigen terhadap kadar gula darah telah diukur menggunakan paired T-test memiliki nilai probabilitas 0,000 < 0,05. Kesimpulan penelitian ini adalah terapi oksigen hiperbarik mempunyai pengaruh terhadap menurunkan kadar gula darah sewaktu yang signifikan. Untuk menggembangkan penelitian ini diharapkan kepada peneliti selanjutnya untuk memperhatikan pada jumlah kalori yang dikonsumsi dan interval lama pasien terdiagnosa DM atau melakukan penelitian ulang.   Kata Kunci : Terapi Oksigen Hiperbarik, Diabetes Mellitus, Kadar Gula Darah   ABSTRACT Indonesia is among the 7 countries with the highest prevalence of diabetes in the world according to data from the International Diabetes Federation (IDF) in 2013. The purpose of this study was to determine whether there is a change in blood sugar levels of patient with type 2 diabetes before and after hyperbaric oxygen therapy. This research method is quantitative method which is cross sectional with pre experimental design one group pre-test and post-test. The population of this study is the patient with type 2 diabetes mellitus in Adventist Bandung Hospital, 8 people of woman and over the age of 40 years into a sample that has been selected by purposive sampling. The result of this study, the mean of patient’s blood sugar level before therapy was 257,25 mg/dl and the mean of patient’s blood sugar level after therapy was 176,00 mg/dl. Statistical test result for the effectiveness of oxygen therapy to blood sugar levels were measured using paired t-test having a probability value 0,000 < 0,05. The conclusion of this study is hyperbaric oxygen therapy has an effect on decreasing blood sugar level. To develop this study is expected for next researchers to pay attention to the number of calories consumed and the intervals of patient diagnosed diabetes mellitus or re-do this study. Keywords: Hyperbaric Oxygen Therapy, Blood Sugar Levels, Diabetes Mellitus


DENTA ◽  
2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Pambudi Rahardjo ◽  
Maria Lisdiana Tandjung ◽  
Dandy Bayu Angkasa

<strong><em>Background</em></strong><em>: The mechanical force of orthodontic device causes occurrence of a tension and a pressure area in the periodontal ligament. In the tension area, an inflammatory response characterized by vasodilation of blood vessels will occur. The function of blood vessel is to flow blood and other nutrients to accelerate the periodontal ligament remodeling process, so that relapse can be prevented. <strong>Objective:</strong> To determine the effect of combination of propolis 3%, 5% for 14 days and HBOT 2,4 ATA 3x30 minutes with 5 minutes interval for 7 days in the tension area of the periodontal ligament as an effort to prevent relapse. <strong>Materials and Methods</strong>: A randomized post-test only control group design was used in this study. 42 male guinea pigs (cavia cobaya) are divided into 7 groups K- (without treatment), K + (using separator), P1 (using separator and propolis extract 3%), P2 (using separator and propolis extract 5%), P3 (using separator and hyperbaric oxygen therapy), P4 (using separator and combination of hyperbaric oxygen therapy and 3% propolis extract), and P5 (using separator and combination of hyperbaric oxygen therapy and 5% propolis extract) . <strong>Results</strong>: Data shows that mean of diameter of blood vessels increased from the smallest K- (41,8417±0,84511), K+(61,77±1,254482), P1(72,5983±0,68869), P2(73,2333±1,24481), P3(74,2583± 0,62030), P4(91,47±0,76585), to the largest in P5(91,5483±0,96178). One-way Anova and LSD test showed significant differences in blood vessels diameter (p &lt;0.05). <strong>Conclusion</strong>: The combination of propolis 3% and 5% and HBOT have significant effect in increasing blood vessels diameter in the tension area of the periodontal ligament</em>


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