scholarly journals Terapi komplementer non invasif pada peningkatan status kesehatan sistem pernapasan penderita PPOK: Sebuah literature review

2021 ◽  
Vol 15 (2) ◽  
pp. 210-229
Author(s):  
Senja Paramita ◽  
I Made Kariasa ◽  
Sri Yona
Keyword(s):  
Randomized Controlled Trial ◽  
Health Status ◽  
Literature Review ◽  
Respiratory System ◽  
Complementary Therapies ◽  
Treatment Plan ◽  
Controlled Trial ◽  
Electrical Nerve Stimulation ◽  
Non Invasive ◽  
Randomized Controlled

Non-invasive complementary therapies in improving the health status of the respiratory system in patients with COPD: A literature review Background: Patients with COPD need an individual treatment plan that aims to cope with symptoms and requires a different and individualized treatment plan. The medication and surgery cause several complications, accompanied by negative side effects, the “one size fits all as a universal approach" is inappropriate in the treatment of COPD. Therefore, non-pharmacological therapy needed to complement and must be part of comprehensive COPD management as rehabilitation in patients with COPD.Purpose: A literature study was explore non-invasive complementary therapies in improving the health status of the respiratory system in patients with COPDMethod: Analysis based on articles from online databases Proquest, EBSCO, Cochrane, PubMed, and Google scholar. The criteria for the articles used are Randomized Controlled Trial (RCT), published in 2015-2020, in English, full text, accessible. The initial search found 875 articles, after going through the screening process, nine articles were found that were suitable and analyzed.Results: Five types of interventions were found in nine publications, namely physical exercise, breathing exercises, chest physiotherapy, hypnosis, and transcutaneous electrical nerve stimulation providing various benefits on status. Globally there are three million deaths every year. The prevalence of COPD is expected to increase over the next 40 years and by 2060 it is estimated that there will be more than 5.4 million deaths each year due to COPD.Keywords: Non-invasive; Complementary therapies; Health status; Respiratory system; COPDPendahuluan: Penderita PPOK membutuhkan rencana pengobatan individual yang bertujuan untuk menanggulangi gejala dan membutuhkan rencana penanganan yang berbeda dan bersifat individual. Mengingat penggunaan obat-obatan dan pembedahan menimbulkan banyak komplikasi dan disertai efek samping negative maka pendekatan “one size fits all” tidak cukup dalam pengobatan PPOK. Oleh karena itu, diperlukan terapi nonfarmakologis untuk melengkapi dan harus menjadi bagian dari manajemen PPOK yang komprehensif sebagai rehabilitasi pada penderita PPOK.Tujuan: Sebuah studi literatur untuk mengeksplorasi terapi komplementer non-invasif dalam meningkatkan status kesehatan sistem pernapasan pada pasien PPOKMetode: Analisa berdasarkan artikel yang berasal dari database online Proquest, EBSCO, Cochrane, PubMed, dan Google scholar. Kriteria artikel yang digunakan ialah Randomized Controlled Trial (RCT), diterbitkan pada tahun 2015-2020, berbahasa Inggris, teks lengkap, dapat diakses. Perncarian awal didapatkan 875 artikel setelah melalui proses penyaringan didapatkan sembilan artikel yang sesuai dan diananlisis.Hasil: Didapatkan lima macam intervensi dalam sembilan publikasi yang ditemukan yaitu physical exercise, latihan pernapasan, fisioterapi dada,  hipnosis, dan trancutaneus electrical nerve stimulation memberikan manfaat yang beragam pada status. Secara global terdapat tiga juta kematian setiap tahunnya. Prevalensi PPOK diperkirakan akan meningkat selama 40 tahun ke depan dan pada tahun 2060 diperkirakan akan ada lebih dari 5,4 juta kematian setiap tahun disebabkan oleh PPOK.

scholarly journals Non-invasive high-frequency oscillatory ventilation in preterm infants after extubation: a randomized, controlled trial

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098491
Author(s):  
Yan Li ◽  
Qiufen Wei ◽  
Dan Zhao ◽  
Yan Mo ◽  
Liping Yao ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
High Frequency ◽  
Controlled Trial ◽  
High Frequency Oscillatory Ventilation ◽  
Positive Pressure ◽  
Non Invasive ◽  
Randomized Controlled ◽  
Oscillatory Ventilation ◽  
High Frequency Oscillatory

Objective To investigate the effectiveness and safety of non-invasive high-frequency oscillatory ventilation (NHFOV) in post-extubation preterm infants. Methods This was a randomized, controlled trial. A total of 149 preterm infants aged between 25 to 34 weeks’ gestational age with a birth weight of <1500 g who required invasive mechanical ventilation on admission were included. After extubation, they were randomized to the NHFOV group (n = 47), nasal intermittent positive pressure ventilation (NIPPV) group (n = 51), or nasal continuous positive airway pressure (NCPAP) group (n = 51). We compared the effectiveness and safety among these three groups. Results A total of 139 preterm infants finally completed the study. The reintubation rate was significantly lower in the NHFOV group than in the other groups. The duration of non-invasive ventilation and the length of hospital stay in the NHFOV and NIPPV groups were significantly shorter than those in the NCPAP group. The incidence of bronchopulmonary dysplasia in the NHFOV and NIPPV groups was significantly lower than that in the NCPAP group. The NHFOV group had significantly less nasal injury than the NCPAP group. Conclusion As post-extubation respiratory support in preterm infants, NHFOV has a lower reintubation rate compared with NCPAP and NIPPV, without increasing the rate of complications.

scholarly journals Status Gizi pada Lansia Pengguna dan Bukan Pengguna Gigi Tiruan

e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 217
Author(s):  
Dwita N. Halim ◽  
Vonny N. S. Wowor ◽  
Dinar A. Wicaksono
Keyword(s):  
At Risk ◽  
Randomized Controlled Trial ◽  
Literature Review ◽  
Nutritional Status ◽  
Tooth Loss ◽  
Critical Appraisal ◽  
Controlled Trial ◽  
The Elderly ◽  
Cross Sectional ◽  
Randomized Controlled

Abstract: Tooth loss which is often found among elderly may cause problems in mastication. Chewing efficiency may decrease if the elderly do not replace the function of the missing teeth by using dentures. This can further affect their nutritional intake and nutritional status. This study was aimed to explore scientific information regarding differences in elderly nutritional status of removable denture wearers and non-denture wearers. This was a literature review study by searching data on three databases, namely Pubmed, ScienceDirect, and Google Scholar using keywords and a combination of boolean operators. After being selected based on inclusion and exclusion criteria, a critical appraisal was performed, and 10 literatures were obtained consisting of cross-sectional, cohort, and randomized controlled trial design studies. The results showed that the percentage of the elderly with normal nutritional status was higher in denture wearers than in non-denture wearers. There was an increase in nutritional status based on MNA and MNA-SF scores in the elderly after wearing removable dentures. Among elderly, the nutritional status of denture wearers was relatively at risk of malnutrition, while of non-denture wearers was at risk of malnutrition and experienced malnutrition. In conclusion, risk of malnutrition and the occurrence of malnutrition are greater in non-denture wearer elderly.Keywords: nutritional status; elderly; tooth loss; denture wearers; removable dentures  Abstrak: Kehilangan gigi yang banyak ditemukan pada lansia dapat menyebabkan timbulnya gangguan dalam pengunyahan. Efisiensi kunyah dapat menurun bila lansia tidak menggantikan fungsi gigi asli yang hilang dengan menggunakan gigi tiruan. Hal tersebut dapat berpengaruh terhadap asupan nutrisi dan status gizi lansia. Penelitian ini bertujuan untuk menelaah mengenai perbedaan status gizi pada lansia pengguna dan bukan pengguna gigi tiruan lepasan. Jenis penelitian ialah suatu literature review dengan pencarian data pada tiga database yaitu Pubmed, ScienceDirect, dan Google Scholar menggunakan kata kunci dan kombinasi boolean operator. Setelah diseleksi berdasarkan kriteria inklusi dan eksklusi, dilakukan critical appraisal, dan didapatkan 10 literatur dengan desain studi cross sectional, cohort, dan randomized controlled trial. Hasil penelitian mendapatkan persentase lansia dengan status gizi normal lebih besar ditemukan pada lansia pengguna gigi tiruan daripada lansia bukan pengguna gigi tiruan. Terdapat peningkatan status gizi berdasarkan skor MNA dan MNA-SF pada lansia setelah pemakaian gigi tiruan lepasan. Status gizi lansia pengguna gigi tiruan relatif berisiko malnutrisi, sedangkan pada lansia bukan pengguna gigi tiruan berisiko malnutrisi dan mengalami malnutrisi. Simpulan penelitian ini ialah risiko malnutrisi dan terjadinya malnutrisi lebih besar ditemukan pada lansia bukan pengguna gigi tiruan.Kata kunci: status gizi, lansia; kehilangan gigi; pengguna gigi tiruan; gigi tiruan lepasan

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