scholarly journals THE EFFECT OF BODY REPOSITIONING ON HEMODYNAMIC STATUS IN PATIENTS WITH VASOPRESSOR THERAPY IN INTENSIVE CARE UNIT

2018 ◽  
Vol 4 (6) ◽  
pp. 572-580
Author(s):  
Vica Sari Oktorina ◽  
Aan Nuraeni

Background: Repositioning the patients every 2 hours were often not implemented during patient care. One of the causes perceived by nurses as contraindications to repositioning in critical patients is the use of vasoactive agents. This condition increases the risk of decubitus, decreased orthostatic stability and muscle atrophy.Objective: The purpose of this study was to identify the effect of body reposition on hemodynamic patients receiving vasopressor therapy in Intensive Care Unit (ICU).Methods: The research method used Quasi Experiment with non-equivalent control group design. The subjects were ICU patients who received vasopressor therapy. The respondents recruited using consecutive sampling technique for a-four month period and obtained 34 respondents, which was divided into control and intervention group. Data analysis used paired t-test to analyze the difference in the same group and unpaired t-test to test the difference between two groups.Results: Pre-post hemodynamic differences in the intervention group when patients were repositioned from supine to the right lateral and  right lateral to left lateral showed p> 0.05. The hemodynamic difference between  the control and the intervention group also had p> 0.05. The results showed there were no significant difference.Conclusions: In general, there is no effect of body repositioning on hemodynamic status. Critical nurses can perform body repositioning activities every two hours including in patients with vasopressor therapy to prevent complications of immobilization, still considerating contraindication condition.

2020 ◽  
Vol 10 (2) ◽  
pp. 71-77
Author(s):  
Ahmad Zaini Arif

  ABSTRACT Stroke is generally known as an attacking disease, crippling and even able to kill humans. Besides having physical and psychological problems, stroke patients also have psychospiritual problems. The aim of the study was to analyze the effect of Transcultural Theory (ISST) spiritual support implementation on the level of anxiety in Stroke Patients. The design of this study was Quasi-Experimental approach with pre post test control group design, the sample was 36 patients, divided into 2, treatment groups and controls were taken by simple random sampling technique. Data analysis using the t test with 2 free samples with α = 0.05. The results showed that the results of the difference in the anxiety level of the intervention group were ± (SD) = -4.61 ± (1.94) and the control group namely ± (SD) = 0.22 ± (3.38). The results of independent t test, P = 0.007, meaning that there is the effect of transcultural theory (ISST) spiritual support implementation on the level of anxiety. Giving Implementation of spiritual support based on transcultural theory (ISST) can reduce anxiety levels. Nurses can provide spiritual support based on transcultural theory (ISST) in stroke patients as an intervention in spiritual nursing care.  


Author(s):  
Komang Achjar ◽  
Dwi Agustanti ◽  
Sri Parasitha ◽  
Moses Glorino Rumambo Pandin

Diabetes is a chronic disease that often causes progressive complications in the elderly. Along with the decline in cognitive function in the elderly, it causes dependence on disciplined management of diabetes mellitus. This dependence causes a very important mentoring role to be given. The purpose of this study is to provide knowledge, attitudes, and family skills to care for the elderly with diabetes mellitus at home through the empowerment of elderly cadres in Lampung. This research method is a quasi-experimental research with a control group design with a total of 64 elderly respondents and 64 families selected by simple random sampling technique. The assessment used an instrument for assessing family abilities that the researcher developed included aspects of knowledge, attitudes, and skills. The results of the dependent t-test analysis showed a significant increase in the knowledge and skills variable in the intervention group (0.000) but decreased in the attitude variable with p 0.198. Meanwhile, the increase in value also occurred in the attitude and skill variables in the control group. So that the results of the independent t-test only showed a significant difference in the attitude score (0.000) with the highest score in the control group. So that there is no significant increase in the ability of the family after the implementation of elderly cadres empowerment.


2015 ◽  
Vol 10 (2) ◽  
pp. 93
Author(s):  
Anita Rahmawati ◽  
Endah Marianingsih Theresia ◽  
Yuliasti Eka Purnamaningrum

AbstrakKangaroo mother care (KMC) merupakan metode merawat bayi beratbadan lahir rendah (BBLR). Beberapa intervensi perawatan di neonatal intensive care unit seperti pijat bayi, KMC, dan mendengarkan musik bermanfaat untuk pertumbuhan bayi berupa respons fisiologis BBLR dan mengurangi lama rawat. Penelitian ini bertujuan untuk mengetahui manfaat musik keroncong terhadap respons BBLR selama KMC dan lama rawat. Rancangan penelitian adalah quasi eksperimental dengan pretest dan posttest dengan desain grup kontrol. Pada Juli - September 2014 populasi penelitian adalah ibu dan bayi BBLR yang melaksanakan KMC. Pengambilan sampel dengan purposive sampling sebanyak 60 bayi. Kriteria inklusi bayi BBLR yang ditetapkan adalah berat badan bayi 1.500 – 2.499 gram, tanpa memandang usia kehamilan, bayi mampu menghisap walaupun masih lemah, tidak mengalami kesulitan pernapasan. Kriteriaeksklusi adalah bayi dengan kelainan kongenital, gejala sepsis, dan bayi yang dilakukan foto terapi. Uji statistik menggunakan uji-t berpasangan, ujit independen dengan nilai p < 0,05 dan CI 95%. Setelah perlakuan hari ketiga, terjadi penurunan nadi pada bayi dengan BBLR 8,13 kali/menit (nilai p = 0,000), respirasi penurunannya 2,36 kali/menit (nilai p = 0,000). Rerata lama rawat bayi pada kelompok perlakuan adalah 8,57 hari, sedangkan kelompok kontrol adalah 11,87 hari (nilai p = 0,038). Suhu hasilnya tidak bermakna (nilai p > 0,05). Dapat disimpulkan bahwa musik keroncong berpengaruh terhadap penurunan nadi, respirasi selama KMC, dan lama rawat bayi.AbstractKangaroo Mother Care (KMC) is nursing care method for low birthweight(LBW) infants. Some care interventions in neonatal intensive care unit, such as infant massage, KMC and listening to music have advantage for infant growth in form of physiological responses and reduce LBW infant-nursing length. This study aimed to determine advantage of keroncong music toward LBW infant’s response during KMC and nursing length. The study design was quasi experimental using pretest and posttest using control group design. Population was mothers and LBW infants implementing KMC. Samples were 60 infants taken by purposive sampling. Inclusion criteria determined for LBW infants were having weight 1,500 – 2,499 gram, without considering pregnancy age, having ability to suckle though still weak, not suffering breathing distress. Meanwhile, exclusion criteria were infants with congenital disorder, sepsis symptoms and infants during therapy photo. Statistical test used paired t-test, independent t-test with p value < 0.05 and confidence interval (CI) 95%. After third day of treatment, LBW pulse decreased 8.13 times/minute (p value = 0.000), respiration decreased 2.36 times/minute (p value = 0.000). Nursing length mean on the treatment group was 8.57 days, while the control group was 11.87 days (p value = 0.038). Temperature result was insignificant (p value > 0.05). In conclusion, keroncong music influences on decrease of pulse, respiration during KMC and length of infant nursing.


2021 ◽  
Vol 12 (2) ◽  
pp. 242
Author(s):  
Ahmady Ahmady ◽  
Zulhaini Sartika A. Pulungan ◽  
Edi Purnomo

<p class="JKKAbstrakBodyIndo">The problem for pregnant women is iron anemia. The natural material that contains iron is honey. The study aims to determine the difference in hemoglobin levels in pregnant anemic who are supplemented Fe tablets and honey. Quasi-experimental research with nonrandomized pretest and posttest with control group design. Samples amounted to 30 people with purposive sampling technique. Analysis using paired t-test and independent sample t-test. The hemoglobin levels of anemic pregnant given Fe tablets only increased by 0,31gr/dl (3,21%), while those given Fe tablets and honey increased 1,06gr/dl (12,20%). Combination Fe tablets and honey can be an alternative for increasing hemoglobin in anemic pregnant.</p><p> </p>


2018 ◽  
Vol 4 (4) ◽  
pp. 380-389
Author(s):  
Arfiyan Sukmadi ◽  
Rr Sri Endang Pujiastuti ◽  
Aris Santjaka ◽  
Supriyadi Supriyadi

Background: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But the mechanical ventilator is associated with the risk of Ventilator Associated Penumonia (VAP). VAP occurs due to poor hygiene of the endotracheal tube (ETT). ETT hygiene should be maintained to inhibit bacterial development in the lungs using suction above cuff endotracheal tube (SACETT) to prevent VAP.Objective: To analyze the effectiveness of SACETT in preventing Ventilator Associated Pneumonia (VAP) in critical patients in the ICU.Methods: This was a quasy experimental study with posttest only with control group design with 15 samples in intervention group (SACETT and Chlorhexidine 0.2%) and 15 in control group (ETT, Open Suction, and Chlorhexidine 0.2%) with purposive technique sampling. The Simplified Clnical Pulmonary Infection Score (CPIS) was used to measure VAP.Results: This study illustrates that there was no VAP incidence in the intervention group, and as much as 13.3% VAP in the control group. SACETT was more effective in preventing VAP than in standard ETT on day 4 (p = 0.001).Conclusion: SACETT is more effective in preventing VAP than standard ETT in the fourth day in patients with neurological, cardiovascular, urinary, digestive, and immune system disorders.


2020 ◽  
Vol 4 (12) ◽  
pp. 400-403
Author(s):  
Ade Ayu Prawita ◽  
Siti Ewin Pasaribu

Introduction: Insufficient volume of breastmilk production is the most common inhibiting factor leading to cessation of breastfeeding practice. This study aims to determine the effect of torbangun leaves (Coleus amboinicus lour) on the increase in breast milk volume in postpartum mothers in Ononamolo Village, Gunungsitoli Selatan District, Gunungsitoli City. Methods: The research design used a pre-experimental design with a pretest-posttest control group design. The population was post partum mothers in Ononamolo I Lot Village, Gunungsitoli Selatan District, Gunungsitoli City with a ratio of 1: 1. The sample size was 20 post partum mothers, selected using purposive sampling technique, with 1 intervention group given torbangun leaves for consumption for 14 consecutive days and 1 control group given booster milk to be consumed at the same time as the intervention group. The instrument used to measure milk production is to use a measuring cup. The results of data collection were analyzed by using the paired sample t-test. Results: Based on the research results obtained were the pre-test mean value of 6.10 with a standard deviation of 3.227, while in the post-test the average value was 10.95 with a standard deviation of 3.720. From the results of t-test with a confidence level of 95%, a p-value of 0.000 was obtained. Conclusion: There is an effect of the consumption of torbangun leaves on increasing the volume of breast milk in Ononamolo Village, Gunungsitoli Selatan District, Gunungsitoli City. Keywords: breastmilk volume production; torbangun leaves; post partum mothers


2020 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Henrianto Karolus Siregar ◽  
Dudut Tanjung ◽  
Nunung Febriany Sitepu

Fracture is the discontinuity of bone tissues according to their types and areas. Intervention for recovering fractured patients is done by using Levine theory. The objective of the research was to identify the influence of Levine conceptual model based-intervention on anxiety. The research used quasi-experimental method with equivalent control group design. The samples were 52 respondents, 26 of them were in the intervention group ad the other 26 of them were in the control group, taken by using consecutive sampling technique. The data were analyzed by using paired t-test and independent t-test. The result of the research showed that there the influence of Levine conceptual model based-intervention program on anxiety before and after the intervention at p-value=0.000 (p<0.05). There was the difference of this type of intervention from hospital standard nursing intervention at p-value = 0.000 (p<0.5). The conclusion that there was the influence of Levine conceptual model based-intervention program on anxiety. It is recommended that this type of nursing intervention be used as a part of independent nursing intervention to help handle on anxiety of fractured patients.


2020 ◽  
Vol 6 (4) ◽  
pp. 510-514
Author(s):  
Henniwati Henniwati

ABSTRACT  Background: Impland and IUD are the lowest number 2 and 3 contraceptives used by couples of childbearing age at Langsa Barat Community Health Center. Long-term contraceptive method (MKJP) is the best choice for couples of childbearing age to space their pregnancies. Providing counseling to couples of childbearing age is very influential in increasing the knowledge and interest of PUS in MKJP selection.Purpose: This study was to determine the effect of counseling on the interest of fertile age couples (PUS) in the selection of impland contraceptives and the IUD at Langsa Barat Public Health Center.Methods: This study used a quasi-experimental study with a pretest-posttest control group design approach. The sampling technique used random sampling technique, the number of samples in this study were 38 couples of childbearing ageResults: The study was found in the intervention group who were interested in using contraceptives as many as 17 (89.5%). 9 people (47.4%) were interested in the control group. The results of the paired sample T Test analysis showed that there was no effect of counseling on the interest of fertile age couples in choosing impland contraceptives and IUDs.Conclusion: There is no effect of counseling on the interest of fertile aged couples in choosing contraceptives.Suggestion: It is hoped that the next researcher can conduct further research on the method of video visual counseling in providing family planning counseling to fertile elderly couples. Keywords: Counseling, Interest of EFA ABSTRAK Latar Belakang : Impland dan AKDR merupakan alat kontrasepsi nomor 2 dan 3 terendah yang digunakan pasangan usia subur di Puskesmas Langsa Barat. metode kontrasepsi jangka panjang (MKJP) merupakan pilihan terbaik bagi pasangan usia subur untuk menjarangkan kehamilannya. pemberian konseling kepada pasangan usia subur sangat berpengaruh untuk meningkatkan pengetahuan dan minat PUS dalam pemilihan MKJP.Tujuan : Penelitian ini untuk mengetahui pengaruh konseling terhadap minat pasangan usia subur (PUS) dalam pemilihan alat kontrasepsi Impland dan AKDR di Puskesmas Langsa Barat.Metode : Penelitian ini menggunakan quasi eksperimen dengan pendekatan desain control group pretest- posttest. tehnik pengambilan sampel menggunaka Tehnik Random Sampling, jumlah sampel pada penelitian ini yaitu 38 pasangan usia suburHasil: Penelitian didapat pada kelompok intervensi yang berminat menggunakan alat kontrasepsi sebanyak 17 (89.5%). pada kelompok kontrol  yang berminat sebnayak 9 orang (47,4%). hasil analisis paired sampel T Test menunjukan tidak ada pengaruh konseling terhadap minat pasangan usia subur dalam memilih kontrasepsi impland dan AKDR.Kesimpulan : Tidak ada pengeruh konseling terhadap minat pasangan usia subur dalam pemilihan alat kontrasepsi.Saran : Diharapkan bagi peneliti selanjutnya dapat melakukan penelitian lebih lanjut tentang metode konseling video visual dalam pemberian konsiling KB pada pasanagan usisa subur. Kata Kunci : Konseling, Minat PUS, IUD dan Implant


2018 ◽  
Vol 10 (1) ◽  
pp. 45
Author(s):  
Ulfah Agus Sukrillah

Research backgroud: Kinds of methodsin health promotion to address the spread and transmission of HIV/AIDS has been applied to the society. The focus of today's HIV-AIDS is housewifes. Method of sociodrama about the transmission of HIV/AIDS aims to provide an understanding, appreciation and develop their ability to solve the problem of HIV/AIDS through role play. The purpose ofthis research: is to determine the effect sociodrama in health promotion methods about transmission of HIV/AIDS towards housewives. Research method: The methodused is quasie xperimental with pre and post-test with control group design, where it measures the difference between before and after intervention using control groups. The differences between before and after the intervention are assumed to bethe effect of the intervention. The result of reserach: based on paired t test and independent t test both intervention group and control group before and after the treatment has p value (0,000) < a (0,05). It means that there was significant different in term of knowledge level between two groups. Conclusion : there is significant difference between sociodrama method with the use of audio- visual media in the delivery of health promotion about the transmission of HIV / AIDS on housewife.


2017 ◽  
Vol 1 (2) ◽  
pp. 115
Author(s):  
Eny Kusmiran ◽  
Istianah Istianah ◽  
Lisbet Octovia Manalu

Background: International policy recommends Interprofesional Education (IPE) to improve the practice of interprofessional In an effort to improve the practice of professional nurses, the IPE is the strategy of forming professional conduct of nurses in team work and collaboration between other health professionals, especially doctors in critical care. Objective: to identify the effect of IPE model of team work and collaboration of the attitudes of nursing students in an intensive care unit of Hospital. Methods: This study was conducted with The quasi-experimental design. The number of 30 subjects (15 intervention and 15 control group) by random sampling. The intervention consisted of 1) pretest 2) the provision of material interprofessional education modules on subjects of critical nursing for 2 weeks, 2) posttest. Paired t tests were used to determine the effects of interprofessional Education. Independence t-test were used to determine the difference effect of interprofessional Education. The instrument used was The Attitudes towards interprofessional Health Care Teams Scales to measure the attitude of teamwork and Interprofesional Collaboration Scales to measure the attitude of collaboration. Results: There were differences rates of team work and collaboration attitudes of nurses before and after on intervention group. There werenot differences rates of team work and collaboration attitudes of nurses before and after on control group. There were differences scores of the attitude of team work and collaboration between the intervention and control groups. Conclusions and Recommendations: Giving IPE modules for nurses are commonly regarded to be an essential strategy for improving team work and collaboration attitudes on nurses student at intensive care unit of hospital. Keyword: Interprofessional Education, team work, collaboration, nurses student.


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