scholarly journals Metode Edukasi Brainstorming dan Edukasi Buzz Group Terhadap Peningkatan Self Care pada Klien Congestive Heart Failure

2021 ◽  
Vol 1 (1) ◽  
pp. 01-12
Author(s):  
Eka Yudha Chrisanto ◽  
Andoko Andoko ◽  
Cindy Desmonika
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Self Care ◽  
Group Method ◽  
P Value ◽  
Educational Method ◽  
Group Education ◽  
Average Value ◽  
Before And After ◽  
Group Self

ABSTRACT: BRAINSTORMING EDUCATION AND BUZZ GROUP EDUCATION METHODS TO IMPROVING SELF CARE IN CONGESTIVE HEART FAILURE CLIENTS Introduction: Congestive heart failure is a serious disease, with the incidence and number of patients undergoing rehospitalization that continues to increase. This condition is caused by the lack of knowledge of clients and families about congestive heart failure and self care at home. Brainstorming education and Buzz group education can increase clients' understanding of Self Care.Objective: This study aims to analyze the effectiveness of the Brainstorming educational method and the Buzz Group educational method on Self Care in patients with Congestive Heart Failure at Harapan Bunda Hospital in 2020.Methods: This research is a Quasi Experiment research using a pretest and posttest design. The study population was clients who were treated at Harapan Bunda Hospital in 2020. The sample was taken using purposive sampling consisting of two groups, namely the brainstorming group of 15 respondents and the buzz group of 15 respondents.Results: The results showed that there was a difference in the average value of increasing self-care before and after giving education using the brainstorming method with a difference in the mean value of 6.20 and the difference in increasing self-care before and after giving education using the buzz group method, which was 21.8. While the results of the analysis of differences in self care using the brainstorming and buzz group education methods with an average self-care value of 49.40 and 67.47, respectively, which means that the buzz group has a higher average value than the brainstorming group. The results of the independent t-test obtained a p-value of 0.000.Conclusion: The buzz group method is more effective in improving self-care in patients with Congestive Heart Failure compared to the brainstorming educational method. It is recommended that Harapan Bunda Hospital can use varied methods such as buzz groups in providing self-care education to Congestive Heart Failure patients. Keywords     : Brainstorming, Buzz Group, Self Care, Congestive Heart Failure    INTISARI: METODE EDUKASI BRAINSTORMING DAN EDUKASI BUZZ GROUP TERHADAP PENINGKATAN SELF CARE PADA KLIEN CONGESTIVE HEART FAILURE  Pendahuluan: Congestive heart failure merupakan penyakit yang cukup serius, dengan angka kejadian dan jumlah pasien untuk mengalami rehospitalisasi yang terus meningkat.Kondisi ini dikarenkan minimnya pengetahuan klien dan keluarga tentang penyakit congestive heart failure dan self care di rumah. Edukasi brainstroming dan edukasi Buzz group dapat meningkatkan pemahaman Self Care klien.Tujuan:  Penelitian ini bertujuan untuk menganalisis efektifitas metode edukasi Brainstorming dan metode edukasi Buzz Group terhadap Self Care pada pasien penderita Congestive Heart Failure di Rumah Sakit Harapan Bunda Tahun 2020.Metode: Penelitian ini merupakan penelitian Quasi Experiment dengan menggunakan rancangan pretest and posttest design. Populasi penelitian adalah klien yang dirawat di Rumah Sakit Harapan Bunda pada Tahun 2020. Sampel diambil dengan menggunakan purposive sampling yang terdiri dari dua kelompok, yaitu kelompok brainstorming sebanyak 15 responden dan kelompok buzz group sebanyak 15 responden.Hasil: Hasil penelitian menunjukan terdapat perbedaan nilai rata-rata peningkatan self care sebelum dan sesudah pemberian edukasi menggunakan metode brainstorming dengan selisih nilai mean 6,20 dan perbedaan peningkatan self care sebelum dan sesudah pemberian edukasi menggunakan metode buzz group yaitu 21,8. Sedangkan hasil analisis perbedaan self care menggunakan metode edukasi brainstorming dan buzz group dengan nilai rata-rata self care masing-masing 49,40 dan 67,47 yang artinya pada kelompok buzz group  memiliki nilai rata-rata lebih tinggi dibandingkan kelompok brainstorming. Hasil uji t-tes independen didapat nilai p-value 0,000 .Kesimpulan: Metode buzz group lebih efektif dalam peningkatan self care pada pasien penderita Congestive Heart Failure dibandingkan dengan metode edukasi brainstorming. Kata Kunci    : Congestive Heart Failure, Brainstorming, Buzz Group, Self Care 

scholarly journals Investigating the Effect of Education on Self-Care among Chronic Heart Failure Patients Admitted to Shahid Mostafa Khomeini Hospital of Ilam

2016 ◽  
Vol 9 (5) ◽  
pp. 79
Author(s):  
Samira Miss Qavam ◽  
Ali Sahebi ◽  
Masoumeh Shohani ◽  
Firoz Balavandi ◽  
Ramak Qavam ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Self Care ◽  
Statistical Correlation ◽  
P Value ◽  
Common Cause ◽  
Heart Failure Patients ◽  
Before And After ◽  
Discharge From Hospital ◽  
Care Behavior

<p><strong>BACKGROUND:</strong> Congestive heart failure is a common cause of hospitalization. If patients can adhere to self-care behaviors, the progression of the disease can be prevented. The aim of this study is to evaluate the effect of education on self-care in chronic heart failure patients admitted to Shahid Mostafa Khomeini Hospital of Ilam in 2016.</p><p><strong>METHODS:</strong> This study is of intervention typeand 40 patient’s sufferingfrom heart failure were selected. Research tools include a standard indicator questionnaire for measuring self-care by patients. The questionnaire contains 22 questions about their certainty ofself-care. Four point Likert scale was used for scoring and SPSS V.19 was used for data analysis.</p><p><strong>RESULTS:</strong> The sample consisted of 16 men (40%) and 24 women (60%) most of which were married (75%). The statistical correlation between the total score of self-care behavior before and after education was significant (P VALUE = 0.003), which shows that the education conducted on the patients was effective and caused more scores in all areas.</p><p><strong>CONCLUSION:</strong> Self-care behavior can be attained and spread through education. It is recommended that the patients suffering are given enough information about their diet and activities after their discharge from hospital.</p>

scholarly journals Self Care Berhubungan dengan Kualitas Hidup Pasien Congestive Heart Failure

2021 ◽  
Vol 3 (3) ◽  
pp. 585-596
Author(s):  
Afina Muharani Syaftriani ◽  
Dedi Dedi ◽  
Prapti Ningtias
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Self Care ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Congestive Heart Failure menjadi masalah kesehatan masyarakat yang utama pada beberapa negara berkembang seperti Indonesia. Angka kejadian Congestive Heart Faliure yang meningkat menimbulkan penurunan kualitas hidup penderita salah satunya kurangnya perawatan diri (self care). Penelitian bertujuan untuk mengetahui hubungan self care dengan kualitas hidup pasien Congestive Heart Failure di Rumah Sakit Mitra Medika Medan. Penelitian ini menggunakan desain survey analitik dengan pendekatan cross sectional dan menggunakan uji chi-square. Jumlah responden 62 pasien Congestive Heart Failure di Rumah Sakit Mitra Medika Medan yang diambil menggunakan teknik total sampling. Penelitian ini menggunakan analisa univariat dan analisa bivariat dengan menggunakan uji chi-square. Hasil analisa univariat menunjukkan bahwa mayoritas responden memiliki self care baik (30,6%) dan kualitas hidup baik (32,3%). Hasil analisa bivariat menggunakan uji chi-square terlihat nilai p value sebesar 0,035. Karena nilai p value (0,035) < α (0,05), maka dapat disimpulkan bahwa terdapat hubungan antara self care dengan kualitas hidup pasien Congestive Heart Failure di Rumah Sakit Mitra Medika Medan.

scholarly journals HUBUNGAN SELF CARE ACTIVITY DENGAN TINGKAT DEPRESI PADA PASIEN CONGESTIVE HEART FAILURE DI POLIKLINIK JANTUNG RSU FAMILI HUSADA

2021 ◽  
Vol 7 (1) ◽  
pp. 90-96
Author(s):  
Luh Desy Suandari ◽  
Putu Wira Kusuma Putra ◽  
A. A. Kompiang Ngurah Darmawan
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Self Care ◽  
P Value ◽  
Cross Sectional ◽  
Care Activity ◽  
Spearman Test

Depresi merupakan kondisi yang rentan dialami oleh pasien Congestive heart failure, dimana keadaan patologis gagal jantung seperti kerusakan struktur dan fungsi jantung secara tidak langsung mempengaruhi kualitas hidup pasien, serta tingginya angka rehospitalisasi dan mortalitas dapat menyebabkan timbulnya keterbatasan fungsional dan distress psikologis bagi pasien. Penelitian ini bertujuan untuk mengetahui Hubungan Self Care Activity Dengan Tingkat Depresi Pada Pasien CHF. Jenis penelitian ini adalah kuantitatif dengan desain deskriptif korelasional dengan pendekatan cross sectional. Penelitian ini dilakukan di Poliklinik Jantung RSU Famili Husada. Pengambilan sampel dengan menggunakan nonprobability sampling dengan teknik proposive sampling, diperoleh sampel 50 orang. Hasil penelitian menunjukkan dari 50 responden sebagian besar  memiliki tingkat depresi sedang yaitu 30 responden (60%). Sedangkan self care activity sebagian besar memiliki self care activity yang cukup yaitu 36 responden (72%).  Hasil uji rank spearman  test menunjukan nilai p-value 0,000  α = 0,05 yang artinya ada hubungan self care activity dengan tingkat depresi pada pasien CHF di poliklinik Jantung RSU Famili Husada.

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.

Association between self-care and prognosis in 1123 patients with chronic heart failure

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
E Calero ◽  
E Hidalgo ◽  
R Marin ◽  
L Rosenfeld ◽  
I Fernandez ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Acute Heart Failure ◽  
Nyha Class ◽  
Self Care ◽  
P Value ◽  
Funding Source ◽  
Class Iii ◽  
Cox Models ◽  
Lower Tertile

Abstract Background Self-care is a crucial factor in the education of patients with heart failure (HF) and directly impacts in the progression of the disease. However, little is published about its major clinical implications as admission or mortality in patients with HF. Aims and methods The aim of the study was to analyze time to admission due to acute heart failure and mortality associated with poor self-care in patients with chronic HF. We prospectively recruited consecutive patients with stable chronic HF referred to a nurse-led HF programme. Selfcare was evaluated at baseline with the 9 item European Heart Failure Self-Care Behavior Scale. Scores were standardized and reversed from 0 (worst selfcare) to 100 (better self care). For the purpose of this study we analyzed the associations of worse self-care (defined as scores below the lower tertile of the scale) with demographic, disease-related (clinical) and psychosocial factors in all patients at baseline. Results We included 1123 patients, mean age 72±11, 639 (60%) were male, mean LVEF 45±17 and 454 (40,4%) were in NYHA class III or IV. Mean score of the 9-item ESCBE was 69±28. Score below 55 (lower tertile) defined impaired selfcare behaviour. Those patients with worse self-care had more ischaemic heart disease, more COPD, and they achieved less distance in the 6 minute walking test. Regarding psychosocial items patients in lower tertile of self-care needed a caregiver more frequently, they present more cognitive impairment, depressive symptoms and worse score in terms of health self-perception. Multivariate Cox Models showed that a score below 55 points in 9-item ESCBE was independently associated with higher readmission due to acute heart failure [HR 1.26 (1.02–1.57), p value=0.034] and with mortality [HR 1.24 CI95% (1.02–1.50), p value=0.028] Conclusion Poor self-care measured with the modified 9-item ESCBE was associated with higher risk of admission due to acute decompensation and higher risk of mortality in patients with chronic heart failure. These results highlight the importance of assessing self-care and provide measures to improve them. Funding Acknowledgement Type of funding source: Public hospital(s). Main funding source(s): Hospital Univesitario de Bellvitge

Effect of Clarithromycin on Steady-State Digoxin Concentrations

2003 ◽  
Vol 37 (2) ◽  
pp. 178-181 ◽  
Author(s):  
Hideko Tanaka ◽  
Kana Matsumoto ◽  
Kazuyuki Ueno ◽  
Mayumi Kodama ◽  
Kohji Yoneda ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Digoxin Concentration ◽  
Concomitant Administration ◽  
Percentage Increase ◽  
P Glycoprotein ◽  
Before And After ◽  
Glycoprotein Inhibitors ◽  
Dose Dependent ◽  
Digoxin Therapy

OBJECTIVE: To evaluate the magnitude and dose-relatedness of the effect of clarithromycin on the pharmacokinetics of digoxin, and to compare the effects of clarithromycin with those of P-glycoprotein inhibitors. METHODS: Eight Japanese inpatients with congestive heart failure participated in this study. Each patient received oral digoxin therapy for at least 7 days and were coadministered oral clarithromycin to prevent or treat pneumonia. To evaluate the effects of clarithromycin on the pharmacokinetics of digoxin, digoxin concentrations were compared before and after coadministration of clarithromycin. RESULTS: Digoxin concentrations were higher after coadministration of clarithromycin in all patients (before, 0.838 ± 0.329 ng/mL; after, 1.36 ± 0.619 ng/mL); (p < 0.005). A significant correlation was observed between the dose of clarithromycin and the percentage of increase in the digoxin concentration. CONCLUSIONS: Digoxin concentrations increased during concomitant administration of clarithromycin, and this effect was dose-dependent on clarithromycin. The percentage increase in digoxin concentrations after the usual oral dose of clarithromycin (400 mg/d) is approximately 70%. Therefore, digoxin concentrations must be monitored carefully after coadministration of clarithromycin, and the doses of digoxin may need readjustment in patients who are concomitantly receiving clarithromycin.

scholarly journals PIJAT KAKI EFEKTIF MENURUNKAN FOOT EDEMA PADA PENDERITA CONGESTIVE HEART FAILURE (CHF)

2019 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Kasron Kasron
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Probability Sampling ◽  
Post Test ◽  
Quasi Experiment

Oedema kaki merupakan salah satu gejala pada pasien CHF. Oedema kaki dapat menyebabkan penurunan kualitas hidup, ketidaknyamanan, perubahan postur tubuh, menurunkan mobilitas dan meningkatkan resiko jatuh, gangguan sensasi di kaki dan menyebabkan perlukaan di kulit. Tujuan penelitian untuk mengetahui pengaruh pijat kaki terhadap penurunan oedema kaki pada pasien CHF. Metode penelitian menggunakan quasi-experiment dengan pendekatan pre-post test without control group. Responden penelitian adalah pasien CHF yang mengalami oedema kaki, pemilihan responden menggunakan non-probability sampling dengan metode accidental sampling. Responden diukur lingkar oedema pada lingkar angkle, instep dan MP-Joint menggunakan metline pada sebelum intervensi, hari pertama, kedua dan ketiga. Analisis statistik menggunakan wilcoxon test. Sejumlah 13 responden memenuhi kriteria penelitian. Pada kaki kanan lingkar angkle pre: 27,7±1,8, post 1: 27,6±1,8, post 2 27,5±1,7, post 3: 27,2±1,7, lingkar instep pre: 27,6±1,7, post 1: 27,6±1,8, post 2: 27,2±1,7, post 3: 26,9±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 27,0±1,6, post 1: 27,0±1,6, post 2: 26,7±1,7, post 3: 26,3±1,7. Kaki kiri lingkar angkle pre: 27,6±1,8, post 1: 27,6±1,8, post 2: 27,3±1,8, post 3: 27,0±1,8, lingkar instep pre: 27,6±1,7, post 1: 27,5±1,7, post 2: 27,2±1,7, post 3: 26,8±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 26,9±1,8, post 2: 26,5±1,8, post 3: 26,2±1,8. Hasil analisis menunjukan bahwa terdapat perbedaan yang bermakna lingkar oedema pada kaki kanan setelah hari kedua dan ketiga dengan p-value <0,001. Kesimpulan penelitian adalah terdapat perbedaan lingkar oedema angkle, instep, dan MP-joint pada hari kedua dan ketiga setelah pemijatan kaki pada pasien CHF yang mengalami oedema kaki. Perlu penelitian lanjutan untuk penatalaksanaan oedema kaki pada pasien CHF yang mengalami oedema kaki.

scholarly journals Congestive Heart Failure 30-Day Readmission: Descriptive Study of Demographics, Co-morbidities, Heart Failure Knowledge, and Self-Care

Cureus ◽  
2021 ◽  
Author(s):  
Luai Madanat ◽  
Monique Saleh ◽  
Marina Maraskine ◽  
Alexandra Halalau ◽  
Florian Bukovec
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Self Care ◽  
Descriptive Study

scholarly journals HUBUNGAN SELF CARE DENGAN KUALITAS HIDUP PASIEN GAGAL JANTUNG DI RSD MANGUSADA

2020 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Ida Ayu Agung Laksmi ◽  
Made Ani Suprapta ◽  
Ni Wayan Surinten
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Functional Status ◽  
Service Providers ◽  
Self Care ◽  
Rank Test ◽  
Average Score ◽  
P Value ◽  
Heart Failure Patients

Long term of heart failure symptoms will affect the patient functional status and ability to do self-care appropriately. Decreasing functional status and self-care ability will certainly affect the quality of life of patients. This study aimed to determine the relationship of self-care with the quality of life of heart failure patients that undergoing treatment at Heart Polyclinic of Mangusada Hospital. The research design was descriptive correlational using cross sectional approach. The study was conducted in January-February 2019. Total respondent participated were 61 respondents and were taken using a purposive sampling technique. Self care of heart index (SCHFI) questionnaire and the Minnesota Living With Heart Failure Questionnaire (MLHFQ) were used. The results showed that the average of self-care score was 45.25 and the average score of the quality of life was 60.67. Analysis using the Spearman Rank test obtained p-value = 0,000 and r = 0.506. It can be concluded that self care had a significant correlation on quality of life patients with heart failure in Mangusada Hospital. We recommended that nursing service providers play an active role in providing education and motivation to heart failure patients to improve self-care abilities.

scholarly journals PENGARUH PEMBERIAN OKSIGEN DAN ELEVASI KEPALA 30º TERHADAP TINGKAT KESADARAN PADA PASIEN CEDERA KEPALA SEDANG

2020 ◽  
Vol 2 (2) ◽  
pp. 102-112
Author(s):  
Luci Riani Ginting ◽  
Kuat Sitepu ◽  
Renni Ariana Ginting
Keyword(s):  
Head Injury ◽  
Skull Fracture ◽  
P Value ◽  
Average Value ◽  
Level Of Consciousness ◽  
Before And After ◽  
Quasi Experimental ◽  
Oxygen Perfusion ◽  
The Brain ◽  
Adequate Oxygenation

Head injury is directly or indirectly mechanical injuries that resulted wound in the scalp, skull fracture, tear the lining of the brain, and brain damage, and neurological disorders. The basic method for brain protection of head injury patients are freeing the airway and giving adequate oxygenation. Giving oxygen and headv elevation 30° of head are the appropriate action for the moderate head injury classification to launch the cerebral oxygen perfusion and to increase consciousness level. The purpose of this research were to determine the GCS before and after giving oxygenation with and position 30 ° of head and to analyze the effect of giving oxygen and headv elevation30 °of head to change the levels of consciousness of moderate head injury patients. This research was an Quasi-Experimental study with 10 respondents. The test were used Paired Sample T-test Test. The results showed that there was an effect of giving oxygen and headv elevation 30 °of head toward to change the level of consciousness of moderate head injury patients. GCS average value before was 10.10 and GCS average after 12.90 value was with p value was 0.000. Keywords : Levels of Consciousness GCS, Moderate Head Injury, Position 30° of the Head

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