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

Author(s):  
Nurul Hidayah ◽  
Eka Sakti Wahyuningtyas ◽  
Iwan Shalahuddin

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.

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Nurul Hidayah ◽  
Dian Aulia Kurniawati ◽  
Dewi Siti Nurkhasanah Umaryani ◽  
Novi Ariyani

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


2018 ◽  
Vol 3 (1) ◽  
pp. 50
Author(s):  
Deni Susyanti ◽  
Mompang Tua Parlagutan ◽  
Muchti Yuda Pratama

People with congestive heart failure (CHF) need a comprehensive rehabilitative program to restore physical abilities post-attacks and prevent re-attacks. Physical exercise in congestive heart failure (CHF) patients is aimed at optimizing the physical capacity of the body, providing counseling to patients and families in preventing worsening and helping patients to return to physical activity as before congestive heart failure (CHF). This study aims to explore in depth the experience of nurses doing physical exercise exercises in congetive heart failure patients. The research design used is descriptive phenomenology. Participants in this study amounted to 6 participants selected by purposive sampling technique. The data collected were in-depth interviews completed with field notes and then made in verbatim and analyzed using Colaizzi's approach. The research results found four themes, namely: the implementation of physical exercise exercise congestive heart failure patient is not optimal; increased knowledge of nurses and patients; the need for support from the hospital; and expectations for the exercise of physical activity. The results showed that things that could affect physical exercise activity in congestive heart failure patients were standard operating procedures, nurse knowledge, hospital support; and expectations for the exercise of physical activity. This study provides an understanding of the nurse's understanding of physical activity exercises so that nurses are able to provide appropriate nursing care.Keywords: experience, physical activity exercise, congetive heart failure


Author(s):  
Rizka Febtrina ◽  
Elisa Mardika Putri ◽  
Eka Malfasari

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.


2019 ◽  
Vol 3 (1) ◽  
pp. 11-17
Author(s):  
Enceng Herawati ◽  
Aszrul AB ◽  
Andi Baso Tombong

Patients with heart failure already have problems that will affect the quality of life, one of which can be influenced by family support. This study aims to determine the relationship of family support with quality of life in patients with congestive heart failure in H. Andi Sulthan Daeng Radja Hospital Bulukumba District. This study is an analytic observational study with a cross-sectional approach. Sampling was done by consecutive sampling technique. The population in this study were 144 patients with congestive heart failure at H. Andi Sulthan Daeng Radja Regional General Hospital. The sample in this study were 48 people. The measuring instrument used is a questionnaire. Data analysis using the Chi-Square test. The results of the study showed that from 21 respondents who received good family support there were 16 (57.14) whose quality of life was poor and 5 (25%) of good quality. And from 27 respondents who received family support in the poor category, there were 12 (42.85%) of poor quality of life, and 15 (75%) of good quality. Based on the results of the analysis of family support with quality of life using the Chi-Square statistical test obtained p = <0.027 <0.5 indicates that there is a relationship between family support and quality of life in congestive heart failure patients at H. Andi Sulthan Daeng Radja Hospital Bulukumba District.


Author(s):  
Ibrahim Ibrahim ◽  
Sukma Sahreni

Various factors causing premarital sexual behavior are loosening of supervision from parents and schools, lack of faith in God, low education in religious values, social influences, easy to absorb western cultures that are currently rife in Indonesia, mass media as well as the internet that provides a variety of positive and negative information. This type of research is a descriptive-analytic study with a cross-sectional approach, which was conducted in February 2017. The population of this study was students of class XII Natural Sciences and Social Sciences of Kartini High School in Batam City, totaling 111 people. Sampling with random sampling technique, as many as 84 people. Data obtained from filling out the questionnaire to respondents, then the data were analyzed univariately and bivariate by computer using the Chi-Square Statistical Test. The results showed that students who had good knowledge about premarital sex were 32 students (38.1%), students who had sufficient knowledge about premarital sex were 24 students (28.6d%) and students who had less knowledge about premarital sex as many as 28 students (33.3%). The results showed that students who had good attitudes about premarital sex were 44 students (52.4%), students who had sufficient attitudes about premarital sex were 21 (25.0%) and students who had fewer attitudes about premarital sex were 19 students (22.6%). Statistical test results show (P = 0,000) meaning that there is a relationship between knowledge and attitudes of adolescents about premarital sex in Batam City Kartini High School in 2018. From the results of the study it can be concluded that there is a significant relationship between Premarital Sex Knowledge and Premarital Sexual Attitudes in Kartini High School students in Batam City in 2018.


2020 ◽  
Vol 11 (2) ◽  
pp. 86-93
Author(s):  
Alvia Anggreini Setyaningrum ◽  
Sri Adiningsih

Overweight is an accumulation of excess adipose reserve within the body, resulting in an increase of bodyweight. Consumption of ultra-processed beverages, and energy intake from food and beverage are several fators that can cause the problem of overweight. This research aims to understand the relation between sugar intake in ultra-processed beverages and energy intake from food and beverages with overweight among teenage students of senior high school 6 Surabaya. The research is an observational research with cross-sectional design. Sampling is taken using proportional random sampling technique. The number of participants are 80 teenagers from 10th and 11th classes in June 2020. Participants are aged 15-18 years old. Energy intake from food and beverages are taken from 2x24 hour recall questionnaire, and sugar intake from ultra-processed beverages taken from seven-day beverages diary.. Statistical analysis are done using chi-square. The result shows relation between energy intake from food and beverages with overnutrition, with (p =< 0,001). In conclusion, excess energy intake from food and beverages relation with overweight problem to teenagers, thus requiring balanced nutritional guide education as well as annual nutrition status monitoring, from the school to its teenage students.  


2020 ◽  
Vol 3 (1) ◽  
pp. 13-17
Author(s):  
Ivana Putri Risyanti ◽  
Syafira Atikah Yudianti

According to the WHO in 2004 the coding implementation must be complete and accurate according to the direction of ICD 10. The accuracy of the code is influenced by the determination or determination of the patient's diagnosis. If the diagnosis is not accurate, it will affect the number of cases in making reports of morbidity, mortality and the calculation of various statistics of the hospital. There is an outpatient coding officer at RS X and also duty to make report morbiditas while making report morbiditas made manually because SIMRS not able to present data needed. In addition, the implementation of codification is performed on the main diagnosis only and outpatient morbidity reports have not been well documented. The objective of this research is to know the effect of the outpatient code on the  validation of outpatient morbidity report in RS X. This type of research uses analytic observation with Cross sectional approach. The population of this study is the number of outpatient cases in daily census outpatient dn report morbidity as many as 573 cases with total sampling technique. Statistical test using chi square on SPSS. The result of the research shows that there is an influence between the accuracy of disease codification on the validation of outpatient morbidity report in RS X with p = 0,000.AbstrakMenurut WHO tahun 2004 pelaksanaan pengkodean harus lengkap dan akurat sesuai arahan ICD 10. Keakuratan kode dipengaruhi oleh penetapan atau penentuan diagnosis pasien. Apabila dalam mengode diagnosis tidak akurat maka akan berpengaruh pada jumlah kasus dalam pembuatan laporan morbiditas, mortalitas serta penghitungan berbagai angka statistik rumah sakit. Petugas koding rawat jalan di RS X berjumlah satu dan bertugas pula membuat laporan morbiditas sedangkan pembuatan laporan morbiditas dibuat secara manual karena SIMRS belum bisa menyajikan data yang dibutuhkan. Selain itu, pelaksanaan kodefikasi dilakukan pada diagnosis utama saja dan laporan morbiditas rawat jalan belum terdokumentasikan dengan baik. Tujuan penelitian adalah mengetahui pengaruh ketepatan kodefikasi penyakit rawat jalan terhadap validasi laporan morbiditas rawat jalan di RS X. Jenis penelitian menggunakan observasi analitik dengan pendekatan Cross sectional. Populasi penelitian ini adalah jumlah kasus rawat jalan pada sensus harian rawat jalan dn laporan morbiditas sebanyak 573 kasus dengan teknik pengambilan total sampling. Uji statistik menggunakan chi square pada SPSS. Hasil penelitian menunjukan ada pengaruh antara ketepatan kodefikasi penyakit terhadap validasi laporan morbiditas rawat jalan di RS X dengan nilai p = 0,000. 


2018 ◽  
Vol 2 (2) ◽  
pp. 11
Author(s):  
Anggraeni Rizky Mayangsari ◽  
Widayani Wahyuningtyas ◽  
Ikha Deviyanti Puspita

<p>This study aims to determine the relation between physical activity, sleep duration, breakfast habits and fast food consumption habits at school-age chidren. This is a quantitative study using cross sectional design. The study was conducted in SDS Kartika VIII-5 Jakarta, as many as 102 fourth and fifth grade students were involved. The sampling technique used for this study was stratified sampling technique. The data collection instrument used questionnaire and interview. The data obtained were then analyzed by Chi-Square statistical test. The results showed that 63,7% of children were overweight. Bivariate result using Chi-Square statistical test showed that a significant relationship between physical activity (p = 0,003), sleep duration (p = 0,046), fast food habits (p = 0,035). There was a significant relation between physical activity, sleep duration, and fast food consumption habits with the prevalence of overweight.</p>


2017 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Lidia Widia

Immunization is a process to make the body's immune defense system against invading microorganisms (bacteria and viruses) that can cause infections before these microorganisms have a chance to invade our bodies. Hepatitis B immunization is the immunization to prevent the body less susceptible to hepatitis B virus. The purpose of this study was to identify whether there is the Relationship Between Hepatitis B Immunization Status Completed At Age 0-6 Month With Events Hepatitis B in the Work Area Puskesmas Perawatan Simpang Empat Kecamatan Simpang Empat Kabupaten Tanah Bumbu.This research method is analytical survey and cross sectional approach for studying the dynamics of the correlation between risk factors and the effects of the approach, observation or data collection at once at a time (point time approach), the sampling technique is taken with total sampling technique that met the inclusion criteria and exclusion of mothers with babies were recorded in the register Puskesmas Simpang Empat Kecamatan Simpang Empat Kabupaten Tanah Bumbu. The data obtained were analyzed using chi-square test with significance of 0.05. Chi-Square test results obtained there is a significant relationship between the completeness status of hepatitis B immunization (P = 0.005) with the occurrence of Hepatitis B, for the conclusion in this study found no relationship between the completeness status of hepatitis B immunization with Hepatitis B in Puskesmas Simpang Empat Kecamatan Simpang Empat Kabupaten Tanah Bumbu. It is hoped that no more infants are immunized against the completeness of incomplete hepatitis B immunization to reduce the incidence of hepatitis and reduce infant mortality


1990 ◽  
Vol 36 (12) ◽  
pp. 2121-2123 ◽  
Author(s):  
A Dasgupta ◽  
S Saldana ◽  
P Heimann

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).


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