scholarly journals Discharge Planning Pada Rehospitalisasi Pasien Congestive Heart Failure (CHF)

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Nurul Hidayah ◽  
Dian Aulia Kurniawati ◽  
Dewi Siti Nurkhasanah Umaryani ◽  
Novi Ariyani
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Discharge Planning ◽  
Sampling Technique ◽  
Statistical Test ◽  
Expected Value ◽  
P Value ◽  
Chi Square ◽  
Exact Test ◽  
Contingency Coefficient

Objective:  to analyze a correlation of Congestive Heart Failure (CHF) discharge planning and readmission after hospitalization.Methods: The  study  was  conducted  at  ICCU  Tidar  Magelang  hospital  with  27 Congestive Heart Failure (CHF)  patients  who  had  readmission after hospitalization. The sampling technique was done by consecutive sampling technique. Data analysis in this study using Chi square.  Results:  The results of the statistical test (Chi Square) show that 1 cell (25,0%) with an expected value <5 means that the cell (box) with the expected value is below 5 is 25,0%. The minimum expected value is 2,96 meaning that there is no expected value <1. Continuity correction with p value = 0,002. The p-value of Fisher's Exact Test = 0,001. The results of the Symmetric Measures table (correlation test) obtained the value of the Contingency Coefficient (r) = 0,561 with a value of p = 0,000.Conclusion:  The  conclusion  of  this  statistical  test  is  that  there  is   a correlation of Congestive Heart Failure (CHF) discharge planning and readmission after hospitalization.Keywords:  Congestive Heart Failure, Discharge Planning, Readmission, Hospitalization

scholarly journals CONGESTIVE HEART FAILURE SELF‐MANAGEMENT EDUCATION AND READMISSION AFTER HOSPITALIZATION

2019 ◽  
Vol 1 (2) ◽  
pp. 59-62
Author(s):  
Nurul Hidayah ◽  
Eka Sakti Wahyuningtyas ◽  
Iwan Shalahuddin
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Management Education ◽  
Heart Function ◽  
Sampling Technique ◽  
Statistical Test ◽  
Expected Value ◽  
The Body ◽  
Self Management ◽  
Chi Square

Background: Congestive Heart Failure (CHF) is a condition where the heart can no longer pump blood to the body tissues either to the entire body (systemic circulation) or to the lungs (pulmonary circulation). CHF is a clinical syndrome in patients with structural abnormalities and heart function. Heart function impairment may be a systolic or diastolic function disorder, heart rhythm disturbance, or preload and after load mismatch. This condition can cause death to the patient. Deaths from CHF range from 20-50% per year, in addition CHF is a disease that requires readmission . Frequency of CHF patient readmission  by 45% per year.Purpose: This study aims to analyze the relationship of congestive heart failure self‐management education and readmission after hospitalizationMethods: The study was conducted at ICCU Tidar Magelang hospital with 27 CHF patients who had readmission. The sampling technique was done by consecutive sampling technique. Data analysis in this study using Chi square. The result of statistical test (Chi Square) shows that 2 cells (50%) with expected value <5 means the cells (boxes) whose expected value is below 5 by 50%. The minimum expected value of 2.07 means no expected value <1. Continuity Correction with p = 0,000. Fisher's Exact Test p value = 0,000.Resuts: The results of Symmetric Measure table (correlation test) obtained by the value of Contingency Coefficient (r) = 0.674 with p = 0,000.Conclusion: The conclusion of this statistical test is that there is a correlation between Experience of Self-Management Education (SME)  and readmission  of CHF patients.

scholarly journals Depression and Its Related Factors in Indonesian Congestive Heart Failure Patients Population

2019 ◽  
Author(s):  
Aan Nur’aeni ◽  
Ristina Mirwanti ◽  
Ayu Prawesti ◽  
Ikeu Nurhidayah
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Sampling Technique ◽  
Education Level ◽  
P Value ◽  
Related Factors ◽  
Cross Sectional ◽  
Duration Of Illness ◽  
Contingency Coefficient ◽  
Working Status

Background: Depression in Congestive Heart Failure (CHF) patients influence the quality of life and worsen their condition. However, Depression and factors related to its incidences in CHF patients in Indonesia are little known. Objectives: This study aimed to identify depression incidences and its related factors, including age, sex, working status, education level, and duration of illness. Methods: This study was quantitative with a cross-sectional approach. The population was CHF patients who were undergoing treatment in one of the referral hospital in Bandung West-Java, Indonesia. The sampling technique used consecutive sampling and obtained 51 respondents for one month period. The data was collected using the Beck Depression Inventory-II instrument and analyzed using frequency distribution; Sommers’d Gamma; and Contingency coefficient Lambda. Result: The frequencies of respondents who experienced depression were mild in 62.7%; depression in 21.6%, and moderate in 5.9%. Besides, factors that significantly related to a depression were age (p=0.001, r=-0.419); and duration of illness (p=0.02, r=-0.396). Other factors were sex; working status; and education level, with the p-value were 0.100; 0.122; and 0.278 respectively. Conclusion: Most of the respondents experienced mild to moderate depression with agesanddurationofillnessassignificantrelatedfactors.Themoreagesandthemore duration of CHF diagnosis, the less depression occurred to the respondents. Thus nurses need to be conscious of the incidence of depression in younger age and or newly diagnosed CHF patients.

scholarly journals HUBUNGAN KEPATUHAN PENGGUNAAN OBAT DENGAN REHOSPITALISASI PASIEN CONGESTIVE HEART FAILURE (CHF) DI ICCU RSUD TIDAR KOTA MAGELANG

2018 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
Nurul Hidayah ◽  
Eka Sakti Wahyuningtyas
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Chi Square ◽  
Exact Test ◽  
Continuity Correction ◽  
Fisher's Exact Test ◽  
Fisher’S Exact Test ◽  
Contingency Coefficient

Pendahuluan: Congestive Heart Failure (CHF) adalah kondisi abnormalitas dari fungsi dan struktur jantung. Abnormalitas ini menimbulkan sindom klinis pada pasien CHF. Penyakit ini mempunyai angka mortalitas dengan jumlah 20-50% pertahun. CHF juga merupakan penyakit dengan frekuensi rehospitalisasi sebesar 45% pertahun. Kepatuhan penggunaan obat sangat berpengaruh pada kondisi pasien CHF. Ketidakpatuhan dalam penggunaan obat mapu meningkatkan angka mortalitas, morbiditas, dan rehospitalisasi pasien CHF di rumah sakit. Metode: Penelitian ini dimulai pada tanggal 31 Januari - 3 Maret 2018 di ICCU RSUD Tidar Kota Magelang dengan 27 responden. Sumber data pada penelitian ini berasal dari data primer dan sekunder. Data primer menggunakan pertanyaan-pertanyaan yang ada di kuesioner dengan cara melakukan wawancara terhadap pasien, sedangkan data sekunder menggunakan rekam medis rumah sakit. Penelitian ini menggunakan lembar kuesioner yang terdiri dari: kuesioner data demografi, kuesioner kepatuhan penggunaan obat, dan lembar observasi. Lembar observasi berisi rawat inap ulang (rehospitalisasi) pada pasien CHF. Analisis data pada penelitian ini menggunakan Chi Square. Hasil: Hasil uji statistik memperlihatkan responden yang tidak patuh penggunaan obat sejumlah 17 orang (94,4%) dengan frekuensi rehospitalisasi > 1 kali, sementara yang patuh terhadap penggunaan obat terdapat 2 orang (22,2%) dengan frekuensi rehospitalisasi > 1 kali. Responden yang tidak patuh terhadap penggunaan obat sejumlah 1 orang (5,6%) dengan frekuensi rehospitalisasi 1 kali, sementara yang patuh terhadap penggunaan obat terdapat 7 orang (77,8%) dengan frekuensi rehospitalisasi 1 kali. Hasil uji statistik (Chi Square) menunjukkan bahwa 1 cell (25,0%) dengan nilai expected < 5 artinya cells (kotak) yang nilai expectednya di bawah 5 sebanyak 25,0%. Nilai minimum expectednya 2,67 artinya tidak ada nilai expected yang < 1. Continuity Correction dengan nilai p = 0,001. Nilai p Fisher’s Exact Test = 0,000. Hasil tabel Symetric Measure (uji korelasi) diperoleh nilai Contingency Coefficient (r) = 0,598 dengan nilai p = 0,000. Kesimpulan: Kesimpulan dari uji statistik ini adalah terdapat hubungan antara kepatuhan penggunaan obat dengan rehospitalisasi pasien CHF. Kata Kunci: Kepatuhan Penggunaan Obat, Rehospitalisasi, Congestive Heart Failure (CHF)

scholarly journals SELF CARE ABILITY INFLUENCES THE QUALITY OF LIFE CONGESTIVE HEART FAILURE (CHF) PATIENTS

2021 ◽  
Vol 5 (2) ◽  
pp. 117-124
Author(s):  
Rizka Febtrina ◽  
Elisa Mardika Putri ◽  
Eka Malfasari
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Self Care ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Outpatient Unit

The prevalence of congestive heart failure sufferers in Indonesia is very high and is expected to continue to increase every year. Heart failure conditions and other manifestations cause a decrease in the quality of life due to the patient's inability to perform self-care properly. The purpose of this study was to determine the relationship between self-care ability and the quality of life of patients with congestive heart failure (CHF) in cardiac outpatient unit Arifin Achmad Hospital, Riau Province. This research was conducted on 64 respondents which by purposive sampling technique. Methode of this research was descriptive correlative with cross-sectional disign. The instrument of this research is the Self Care of Heart Failure Index (SCHFI) questionnaire to measure self-care ability and  Minnesota  Living  with  Heart  Failure  Questionnaire (MLHFQ)  questionnaire  to measure quality of life. The results of this study indicate that the respondent's self-care ability is balanced by good and bad as many as 32 respondents (50.0%)   and the quality of life of the majority is bad as many as 39 respondents (60.9%). Based on the chi square test it can be concluded that p value= 0.01 (<0.05) means that there is a significant relationship between self-care ability and the quality of life of people with congestive heart failure (CHF). The recommendation for further research is to study about the factors that influence self-care ability and quality of life in patients with congestive heart failure.

Monitoring free digoxin instead of total digoxin in patients with congestive heart failure and high concentrations of digoxin-like immunoreactive substances

1990 ◽  
Vol 36 (12) ◽  
pp. 2121-2123 ◽  
Author(s):  
A Dasgupta ◽  
S Saldana ◽  
P Heimann
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Volume Expansion ◽  
Chi Square ◽  
Exact Test ◽  
Normal Volunteers ◽  
Test Protein ◽  
High Concentrations ◽  
Fluorescence Polarization Assay ◽  
Group B

Abstract Digoxin-like immunoreactive substances (DLIS) are present in patients with conditions associated with volume expansion (including hypervolemic hypertension, renal failure, and liver failure) and in pre-eclampsia and premature birth. These strongly-protein-bound substances cross-react with anti-digoxin antibodies and cause falsely increased measured concentrations of digoxin in serum. Patients with congestive heart failure (CHF) often have volume expansion and are receiving digoxin therapy. They are also very sensitive to digoxin toxicity and have a very narrow therapeutic range (1.0-1.9 nmol/L). We found monitoring the concentrations of free digoxin (in protein-free ultrafiltrates) helpful in eliminating the interferences of DLIS in CHF patients. DLIS concentrations were measured by fluorescence polarization assay. Concentrations of DLIS were detectable in significantly more (58.3%) of the 12 CHF patients (group A) who were not receiving digoxin than in the 22 normal volunteers tested (13.6%) (P less than 0.05 by both chi-square and Fisher's exact test). Protein-free filtrates from patients or normal volunteers did not show any measurable DLIS activities. We also determined the concentrations of total and free digoxin in 12 patients with CHF who were receiving digoxin (group B) and compared the results with those for 22 patients receiving digoxin without the diagnosis of CHF or any known pathological conditions that could increase DLIS concentrations. The ratio of free to total digoxin in patients in group B was significantly lower (mean = 52.8%, SD 10.2%) than in those receiving digoxin (mean = 72.7%, SD 6.5%) for other reasons (independent two-tailed t-test, P less than 0.05).

scholarly journals RELATIONSHIP between NURSE CHARACTERISTICS WITH DISCHARGE PLANNING IMPLEMENTATION

2017 ◽  
Vol 1 (2) ◽  
pp. 193-197
Author(s):  
Ana Zakiyah ◽  
Duwi Basuki ◽  
Windu Santoso
Keyword(s):  
Discharge Planning ◽  
Pearson Correlation ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Planning Implementation ◽  
Relationship Of ◽  
The Relationship

Discharge planning is one of the activities in the provision of nursing care on patients in the hospital, it will have a shortening impact on patient care in the hospital and reduce the patient's recurrence rate, but the implementation is not appropriate. so far, implementation of Discharge planning is still to be done after the patient finished having treatment by making a summary of the recording of patients return. Various characteristic factors of nurses can influence the implementation of discharge planning in hospital. The research purpose was to know the relationship of factors that influence discharge planning with the implementation of discharge planning. The research design used was cross-sectional, the instrument used was the questionnaire about the characteristics of the nurses and the implementation of discharge planning. The population of research was nurses who served in the inpatient room RSI Sakinah Mojokerto number of 80 nurses and obtained the number of 67 samples with proportional random sampling technique. The result of analysis with pearson correlation for age, education, length of work and chi-square for marital status showed that the characteristics of nurses related to discharge planning implementation were educational factor with p-value 0,023. The higher the nurse education caused more critical, logical and systematic in thinking so as to improve the quality of its work and the greater the desire to utilize the knowledge and skills it possesses keywords        : discharge planning, nurses, education

HUSBAND'S SUPPORT RELATIONSHIP WITH THE INCIDENCE OF POSTPARTUM BLUES IN PUSKESMAS TG.BALAI KARIMUN

2021 ◽  
Vol 10 (2) ◽  
pp. 12-17
Author(s):  
Brain Gantoro ◽  
Haivan Kusuma Aji
Keyword(s):  
Sampling Technique ◽  
Statistical Test ◽  
P Value ◽  
Enabling Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Postpartum Blues ◽  
Pregnancy Status ◽  
Postpartum Mothers ◽  
The Relationship

Background : The causes of the postpartum blues include predisposing factors which include hormonal factors, physical fatigue, age, parity, pregnancy status, education level and marital status, enabling factors which include socio-economic as well as driving factors which include social support (Mansur in Hasanah, 2014). This study aims to determine the relationship between husband's support and the incidence of postpartum blues. Method : This study used an analytical survey research method with a cross sectional approach. The population in this study were all postpartum mothers who gave birth at the Tanjung Balai Health Center, totaling 113 people. Samples were taken using purposive sampling technique. Data analysis using computer aids through the SPSS program. Result : The results of the chi square statistical test showed that the p value = 0.01, which means that the p value is less than 0.05 (0.01 <0.05). Congclusions : The conclusion is that Ho is rejected and Ha is accepted, this shows that there is a relationship between husband's support for the incidence of postpartum blues.

scholarly journals Health Services of Breast Engorgement on the Postpartum Mothers at Bone Regency South Sulawesi

2021 ◽  
Vol 6 (4) ◽  
pp. 341-347
Author(s):  
Mustar . ◽  
Hasnidar . ◽  
Indryani .
Keyword(s):  
Sampling Technique ◽  
Statistical Test ◽  
Bivariate Analysis ◽  
P Value ◽  
Psychological Benefits ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Breast Care ◽  
Postpartum Mothers

Breast milk consists of the nutrients and immunity needed for the growth and development of babies in the first months. Breastfeeding until the end of two years is recommended because it has physiological and psychological benefits for both mother and baby. Lactation failure is often caused by several lactation problems, one of which is the problem of breast engorgement. Postpartum mothers with breast engorgement due to incomplete emptying process of the mammae with breast pain when it is pressed. The purpose of this study is to determine the factors that influence the breast engorgement in postpartum mothers. The research design is a quantitative analytical survey with a cross-sectional approach with a population of 50 respondents and a sample of 35 respondents with purposive sampling technique, data analysis using univariate and bivariate analysis. The results showed that there is a relationship between breastfeeding techniques and the occurrence of breast engorgement with the results of the chi square test statistical test obtained p-value 0.02α<0.05, there is a relationship between the condition of the nipple and the occurrence of breast engorgement with the results of the chi square statistical test -value = 0.01α<0.05, and there is a relationship between breast care and the occurrence of breast engorgement with the chi square test statistical test results obtained -value = 0.03α<0.05. There is a relationship between breastfeeding techniques, the condition of the mother's nipples, and breast care with the occurrence of breast engorgement. Keywords: Breast Engorgement, Breastfeeding Technique,Nipple condition, Breast Care.

scholarly journals CORELATION OF FAMILY ECONOMIC STATUS WITH STUNTING IN THE WORKING AREA OF PUSKESMAS SAMBAU, KOTA BATAM

2021 ◽  
Vol 11 (1) ◽  
pp. 35
Author(s):  
Siti Iqbalwanty ◽  
Meirina Daulay
Keyword(s):  
Economic Status ◽  
Sampling Technique ◽  
Statistical Test ◽  
P Value ◽  
Questionnaire Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Nutritional Problem ◽  
Textual Form ◽  
The Relationship

Stunting is a chronic nutritional problem that arises as a result of prolonged malnutrition. The incidence of stunting arises as a result of long-standing conditions such as poverty, improper parenting behavior, and frequent illnesses due to poor hygiene and sanitation. According to WHO, the prevalence of stunting in Indonesia is around 8.9 million, in Riau Islands as many as 262 cases, in Batam City as many as 154 cases. The purpose of this study was to determine the relationship between economic status and the incidence of stunting. Method : The research method used was an analytic survey with a cross sectional approach. Conducted at Posyandu in the working area of Puskesmas Sambau, Batam City, the study was conducted for 6 months, the population in this study were all mothers who had toddlers aged 24-59 months, with a sample of 58 respondents, using purposive sampling technique. Data collection using a questionnaire. Data presented in tabular and textual form, data analysis using Chi-square. Result : The results obtained were low economic status (55.6%), and the incidence of stunting (39.7%). The results of the statistical test of economic status obtained a p-value of 0.004, so Ho is rejected. Conclusion :. There is a relationship between Parents' Knowledge of Toddler Nutrition and Family Economic Status with the Incidence of Stunting in Toddlers at the Posyandu in the working area of Puskesmas Sambau, Batam City. It is hoped that parents will pay more attention to the nutrition of children under five so that the incidence of stunting can be reduced.

scholarly journals The maternal knowledge and occupation concerning the development of baby

2019 ◽  
Vol 1 (1) ◽  
pp. 81-88
Author(s):  
Devi Elfita Sari ◽  
Ria Gustirini
Keyword(s):  
Sampling Technique ◽  
Statistical Test ◽  
Abnormal Development ◽  
Bivariate Analysis ◽  
P Value ◽  
Maternal Knowledge ◽  
Inclusion Criteria ◽  
Developmental Milestones ◽  
Chi Square ◽  
Cross Sectional

Child development towards critical times needed or stimulation that is useful for developing potential so that it is necessary to have more attention and needs of children at various stages of development. Knowing the correlation between maternal knowledge and occupation toward baby's developmental milestones. Analytical survey research with cross sectional approach, the populations of this study were all babies aged 0-5 years. The number of samples of this study were 48 respondents where sampling was taken by purposive sampling technique with inclusion criteria. Analyzed using univariate and bivariate analysis. The results of the study showed that a small proportion of children with abnormal development 16 respondents (33.3%), respondents with less knowledge 20 respondents (41.7%) and respondents who worked 18 respondents (37.5%). Based on statistical test Chi-square, there was a significant correlation between maternal knowledge and occupation toward baby’s developmental milestones (p value 0.003) and obtained that there was correlation between maternal occupation and baby’s developmental milestones (p value 0.004). Conclusion: It was concluded that there was a significant correlation between maternal knowledge and occupation toward baby’s developmental milestones.

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