scholarly journals CORRELATION BETWEEN RESPIRATORY FREQUENCY (RR) AND OUTCOME IN HEAD INJURY PATIENTS IN EMERGENCY ROOM OF BANGIL HOSPITAL, PASURUAN DISTRICT

2018 ◽  
Vol 7 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Ida Zuhroidah ◽  
Ayu Dewi Nastiti ◽  
Nurul Huda ◽  
Novi Rahmania

Background: Head injuries are a major cause of disability and death under the age of 45 years. The main focus on handling head injury patients is to prevent and limit the occurrence of secondary brain injury which will ultimately affect the outcome of the sufferer. Emergency conditions in head injury patients certainly require quick and appropriate help for better outcome outcomes.Purpose: The purpose of this study was to determine the relationship of respiratory frequency with the outcome of head injury patients in the emergency department of Bangil Hospital Pasuruan Regency.Methods: This research method is quantitative with a cross sectional approach involving 53 respondents. The sampling technique uses purposive sampling method. The outcome of head injury patients was measured using the Trauma and Injury Severity Score (TRISS) scale.Results: Data were analyzed using the Spearman test which showed a relationship p value = 0.013 <α = 0.05 so that H0 was rejected or there was a significant relationship between respiratory frequency (RR) and the outcome of head injury patients.Conclusion: The need for improvement and development of nurse resources through nursing education, emergency training and evaluation of health services at the ED. Keywords: Head Injury, Respiratory Frequency (RR), Outcome.

2018 ◽  
Vol 1 (1) ◽  
pp. 12
Author(s):  
Menik Kustriyani ◽  
Ivana Probo Kaeksi ◽  
Tamrin Tamrin

Joint Commission International ( JCI ) required the achievement of 100% five moment hand hygiene for the nurses who have provided care to patients. The adherence of five moments hand hygiene has been done to reduce the incidence of nosocomial infections. The adherence of five moments hand hygiene has been determined by inside and outside factors, and one of the inside factors is the motivation. The research is a qualitative research with cross sectional approach. The number of sample is 153 nurses with the proportionate random sampling technique at the Public Hospital of Loekmono Hadi Kudus. The research instruments used the questionaire and observation sheet. The research showed the result of Rank Spearman test p value = 0,000 with r value = 0.296, positive correlation means that the higher the nurse motivation, the higher the nurse aderence of five moment hand hygiene.


Author(s):  
Muhammad Zaki Abdul Hafiz ◽  
Syaiful Saanin ◽  
Hesty Lidya Ningsih

A B S T R A C TBackground: Head injuries occur every 15 seconds worldwide, with patientsdying every 12 minutes. The value of the Neutrophil Lymphocyte Ratio (NLR) is afactor that influences the assessment and prognostic value of patients withintracranial hemorrhage and without intracranial hemorrhage in head injury.The aim of this study was to determine the relationship between increased NLRbased on the severity of head injury patients with or without intracranialhemorrhage. Methods: This study is a retrospective cross sectional study of headinjury patients with hemorrhage and without intracranial hemorrhage who weretreated at Dr. M. Djamil Hospital Padang in 2020 from May to December 2020.Data was collected in the Medical Records Department of Dr. M. Djamil HospitalPadang who met the inclusion and exclusion criteria. Results : A total of 92patients were included in the inclusion criteria for this study. The results showedthat the mean NLR value in head injury patients was 11.72 with a variation of7.31. The mean NLR level based on the severity of mild head injury was 10.15with a variation of 6.38. The mean NLR level of moderate head injury severity was12.70 with a variation of 7.09. The mean NLR level of severe head injury, was14.69 with a variation of 9.30. The results showed that there was no difference inthe mean of NLR levels in mild head injury patients with hemorrhage and withoutintracranial hemorrhage. The results showed that there was a significantrelationship between NLR levels in moderate head injury patients withhemorrhage (14.20) and without intracranial hemorrhage (7.20) (p value = 0.029),whereas in severe head injury it could not be assessed because there was nosample without hemorrhage. Conclusion: There is an association betweenincreased NLR and intracranial bleeding in moderate head injury patients


2015 ◽  
Vol 1 (01) ◽  
Author(s):  
Ayu Astari ◽  
Grace Solely Houghty ◽  
Renova Oktarini Br. Sibuea

ABSTRAK Pendahuluan: Sikap caring adalah salah satu identitas profesi keperawatan yang berusaha ditanamkan oleh institusi pendidikan keperawatan melalui proses sosialisasi profesi. Namun, pada kenyataannya ditemukan sikap mahasiswa yang tidak menunjukkan sikap caring. Tujuan penelitian ini adalah untuk mencari tahu ada atau tidaknya hubungan antara sosialisasi profesi dengan sikap caring mahasiswa. Landasan teori yang dipakai adalah model sosialisasi profesi Hinshaw dan Theory of Caring Swanson. Metode: Metode penelitian yang digunakan adalah metode kuantitatif, menggunakan pendekatan cross sectional. Populasi penelitian ini adalah 45 mahasiswa angkatan 2011 Fakultas Ilmu Keperawatan Universitas x. Sample diambil menggunakan teknik total sampling. Data diolah dan dianalisis menggunakan chi-square. Hasil: Hasil yang diperoleh dari penelitian menunjukan nilai signifikansi hubungan sosialisasi profesi dengan sikap caring sebesar 0,019. Uji korelasi sosialisasi profesi dengan setiap kategori caring Swanson menunjukkan hubungan dua sub variabel caring yaitu “knowing” (p value = 0,001) dan “being with” (p value = 0,04) sebagai dua komponen yang sangat dipengaruhi oleh proses sosialisasi profesi. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara sosialisasi profesi dengan sikap caring mahasiswa. Diskusi: Penelitian ini merekomendasikan agar penelitian selanjutnya dapat mengobservasi perilaku caring mahasiswa sehingga hasil yang didapatkan lebih akurat. Kata Kunci : Sosialisasi Profesi, Sikap Caring, Pendidikan Keperawatan  ABSTRACT Introduction : Caring attitude is one of the professional identity that is tried to be internalized by the nursing education institution through professional socialization process. The process begin since the students entering the faculty and improving as the time goes by. However, in reality, there are students who do not show caring attitude. The aim of this study was to find out if there is a correlation between professional socialization and caring attitude. Theoretical basis used is a model professional socialization Hinshaw and Swanson’s Caring theory. Method: The study used quantitative method with cross-sectional design. The population was 45 batch 2011 nursing students of Faculty of Nursing, University of x, using total sampling technique. The data analyzed using chi-square. Result: The significancy result of the correlation test between professional socialization and caring attitude is 0,019. The study also found that two sub variables of caring that are correlated with professional socialization are “knowing” (p value= 0,001) and “being with” (p value = 0,04). The results of this study indicate that there is significant relationship between professional socialization and sudent’s caring attitude. Discussion: This research recommends that further research can observe nursing student’s caring behavior in order to obtain more accurate results. Keyword: Professional Socialization, Caring attitude, Nursing Education  Full printable version: PDF


2020 ◽  
Vol 3 (1) ◽  
pp. 17-23
Author(s):  
Ni Kadek Erna ◽  
Ni Luh Putu Thrisna Dewi

Introduction: Nurses' lack of understanding and non-compliance in nursing documentation resulted in low quality of documentation and nursing services. One of factors which affects nursing documentation is self-efficacy. The purpose of this study was to know the correlation of self-efficacy and the compliance of nurses in the nursing documentation. Methods: This research used cross-sectional design with the descriptive documentation approach. The sample of the study was 23 nurses in a hospital recruiting with a nonprobability technique type i.e. total sampling. The inclusion criteria in this study were nurses who were willing to be respondents and had at least a diploma in nursing education. The instrument used was a self-efficacy questionnaire and the nursing care documentation compliance observation sheet. Data analysis used Rank Spearman test with the meaning level 0.05. Results: Most of nurses had high self-efficacy (69.9%) and majority nurse obey in nursing care documentation (73.9%). The statistic test showed p value = 0.000 < (0.05) with r = 0.898. Conclusion: This result confirmed that there is a relation between self-efficacy and the compliance of nurses in nursing documentation at hospital.


2020 ◽  
Vol 9 (2) ◽  
pp. 1173-1178
Author(s):  
Nuniek Tri Wahyuni ◽  
Winda Indahsari

Banyak hal yang menjadi penyebab terjadinya cedera kepala, salah satu penyebab terjadinya cedera kepala yang serius adalah kecelakaan lalu lintas (sekitar 60% kematian yang disebabkan kecelakaan lalu lintas merupakan akibat cedera kepala). Tujuan penelitian ini utuk mengidentifikasi cedera kepala dengan disorientasi pada pasien kecelakaan lalu lintas di IGD RSD Gunung Jati Kota Cirebon tahun 2018. Jenis penelitian yang digunakan dalam penelitian ini adalah studi kolerasi yang bersifat deskriptif, dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien cedera kepala di RSD Gunung Jati Kota Cirebon, teknik pengambilan sampel menggunakan accidental sampling dengan jumlah sampel 22 responden. Teknik pengumpulan data menggunakan lembar observasi penilaian GCS dan lembar kuesioner TOAG. Analisis bivariat  menggunakan uji  chi square. Hasil penelitian ini menunjukan bahwa sebagian besar cedera kepala ringan yaitu sebanyak 16 dari 22 responden atau sekitar (72.7%) dan sebagaian besar mengalami disorientasi sedang, yaitu sebanyak 14 orang dari 22 responden atau sekitar (63,6%). Berdasarkan analisa statistik uji Spearman’s Rho menunjukan bahwa terdapat hubungan cedera kepala dengan disorientasi pada pasien kecelakaan lalu lintas di IGD RSD Gunung Jati Kota Cirebon serta nilai probabilitas (p = 0.001). Kata Kunci : Cedera Kepala, Disorientasi  ABSTRACTMany of the causes of head injury, one of the causes of serious head injuries are traffic accidents (about 60% of deaths caused by traffic accidents are the result of head injury). The purpose of this study was to identify head injury with disorientation in traffic accident patients at IGD RSD Gunung Jati Kota Cirebon 2018.The type of research used in this study is a descriptive correlation study, using a cross sectional approach. The population in this study were head injury patients at IGD RSD Gunung Jati Kota Cirebon, the sampling technique used was accidental sampling with a sample of 22 respondents. Data collection techniques used the GCS assessment sheet and TOAG questionnaire sheet. Bivariate analysis using the chi square test.The results of this study indicate that, which is mostly light weight that is as much as 16 out of 22 respondents or approximately (72.7%) and most of moderate disorientation, which is as many as 14 people from 22 respondents or approximately (63.6%).Based on statistical analysis Spearman’s Rho showed that there was correlation with the patient in RSD Teachers Mountain Jati Cirebon City and probability value (p = 0,001).Keywords: Head Injury, Disorientation


2020 ◽  
Vol 1 (2) ◽  
pp. 50-57
Author(s):  
Vivinfitriyafebrianti Etikpurwanti ◽  
Lilla Maria ◽  
Rahmawati Maulidia

Pain and hospitalization create a crisis for the lives of children, because in hospitals children have to face a strange environment and meet caregivers they do not know. In this process the child can experience various events or experiences of hospitalization that are traumatic and full of anxiety. Professional nurses can play a role in reducing feelings of fear, anxiety and pain that are felt by children through service using therapeutic communication. The purpose of this study was to determine the relationship between therapeutic communication of nurses and anxiety levels of preschoolers age. The study design used correlational analysis with a cross-sectional approach. The population is parents with children who experienced hospitalization 67 respondents with a sampling technique using purposive sampling. The results of this study were nearly half the nurses had deficient therapeutic communication (44.8%) and almost half of the patients had severe anxiety levels (44.8%). The results of the Spearman test were obtained (r count) amounting to -0,904 and p value 0,000 so it can be concluded that there is a significant relationship between therapeutic communication nurses with anxiety levels of hospitalization in children. This study is expected so that nurses can improve therapeutic communication skills in providing nursing services through therapeutic communication training programs.


2020 ◽  
Vol 9 (2) ◽  
pp. 1702-1707
Author(s):  
Arif Nurma Etika ◽  
Endang Mei Yunalia

The high incidence of aggressive behavior in adolescence needs further study, So, it is necessary to explore what factors influence aggressive behavior in adolescence. The purpose of this study was to determine the effect of emotional intelligence on aggressive behavior in late adolescence. This study was quantitative research, A cross-sectional analytical study was done in this research. The sample in this study consisted of 191 students at a private university in Kediri. The sampling technique used simple random sampling and the data analysis used a Spearman rank test.  Based on the results of the Spearman test, the p-value was 0.003 with a correlation coefficient of -0.212. This shows that there is a relationship between emotional intelligence and aggressive behavior. The higher a person's emotional intelligence, the lower level of aggressive behavior. It means That Emotional Intelligence gave an effect on aggressive behavior, but only a low effect. 


2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Nanang Bagus Sasmito ◽  
Titin Andri Wihastuti ◽  
Heri Kristianto

Abstract : Head injuries will affect more serious disorder compared with other organ traumatic. Lack of nurse competences, particularly on identify the early sign of critical head injuries and misunderstood of onset head injuries happened with the patient, will cause delays to give precise treatment and decision for the patient, such as giving reference to other hospital. The objective of this study is to analyze the influencing factor related to outcome of head injury patient in RSUD dr. Iskak Tulungagung using Interpersonal Interpersonal Nursing Model by Heldegrad E. Peplau approach. This research used analytical analytics comparative with cross-sectional approch. The data collected by purposive sampling and finally 78 respondent were included in this research. With regard to outcome of head injury patient whose referenced in, the bivariat analysis result showed conditions patients a head injury (p-value 0,005), assistance referral (p-value 0,042), the distnace referral (p value 0,020), and time referral (p value 0,006). In addition, the regression analysis showed variable pattients condition the most dominant relating to outcome patients a head injury referred (p value 0,001 and OR 16.184). The decrease of GCS value for patients who reference at other hospital indicated the deterioration of their condition. Hence, the values of GCS was important indication to be noticed.When in every phase in interpersonal nursing implementation well in patients referred to a head injury, so outcome head injuries with the glasgow outcome scale would be good.Key Word : Outcome Patient Head Injuries, Referrals, Interpersonal Nursing. Abstrak : Cedera kepala akan memberikan gangguan yang sifatnya lebih kompleksbila dibandingkan dengan trauma pada organ tubuh lainnya. Minimnya kompetensi yang dimiliki perawat dalam mengenali tanda dini kegawatan cedera kepala dan tidak memahami onset cedera kepala yang dialami oleh korban memberi dampak pada keterlambatan tindakan segara yang harus diberikan kepada pasien cedera kepala, salah satunya dalam membuat keputusan rujukan.Beberapa hal yang dapat mengurangi dampak dari pelaksanaanrujukan pasien yang tidak optimal, perlu disusun manajemenrujukan pasien gawat darurat yang berfungsi sebagai kerangka acuan bagi petugas kesehatan terlebih lagiperawat. Salah satu teori model keperawatan yang menunjang dan mengembangkan pelaksanaan rujukan adalah teori interpersonal relations in nursingdari Heldegard E Peplau. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan outcome pasien cedera kepala yang dirujuk di IGD RSUDdr. Iskak Tulungagung melalui pendekatan model interpersonal nursing Heldegrad E. Peplau. Metode dalam penelitian ini adalah analitik komparatif dengan pendekatan cross-sectional. Jumlah sampel sebanyak 78 responden dengan menggunakan purposive sampling. Dari analisis bivariat faktor yang berhubungan dengan outcome pasien cedera kepala yang dirujuk adalah tingkat kesadaran pasien cedera kepala (p value 0,005), pendampingan saat merujuk (p value 0,042), jarak rujukan (p value 0,020) dan faktor waktu yang ditempuh (p value 0,006). Hasil analisis uji regresi logistik menunjukkan faktor kondisi pasien yang paling dominan berhubungan dengan outcome pasien cedera kepala yang dirujuk (p value 0,001 dan nilai OR 16.184). Pasien cedera kepala mengalami penurunan nilai GCS pada saat dirujuk merupakan petunjuk bahwa terjadi perburukan kondisi pasien, sehingga nilai GCS menjadi parameter yang penting utnuk diperhatikan. Sehingga apabila dalam setiap fase dalam interpersonal nursing dapat dilaksanakan dengan baik pada pasien cedera kepala yang dirujuk, maka outcome cedera kepala dengan penilaian glasgow outcome scale akan baik.Kata Kunci : Outcome Pasien Cedera Kepala, Rujukan, Interpersonal Nursing.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Ibrahim Alnaami ◽  
Shbeli Alshehri ◽  
Saeed Alghamdi ◽  
Meshal Ogran ◽  
Asim Qasem ◽  
...  

Background. Head injuries contribute to almost 50% of all injuries. Head injuries are still one of the major causes of loss of life and loss of function among young adults. Nowadays, head injury has become a major community problem. Recently, head injury has become one of the biggest issues of almost more than 57 million people in the whole world living with the neurological problem raised by TBI, in which 10 million people require hospital base care. Objectives. To determine the epidemiological aspects of patients with head injury (HI) in Aseer Central Hospital (ACH). Materials and Methods. This is a retrospective cross-sectional study. Data were gathered from patients’ files and the registrar’s database of ACH. The study duration was January 2015–December 2017. All patients with head injury admitted to ACH during the study duration were included in the study. SPSS software was used for analysis. Descriptive statistics were obtained (mean SD frequencies, percentages). Statistical tests, t test, and chi-squared test were applied to measure the significant difference among the variables. P-value less than 0.05 was considered as a significant difference. Results. There were 353 patients with head injury, and the mean ± SD of age was 27.01 ± 13.9. Motor vehicle accidents (MVA) accounted for (89.3%) of head injury. A total of 87.3% of the patients were male while 12.7% were female. Conclusion. In this study, we observed that MVA is the leading cause of brain/head injuries in the KSA, despite the implementations of new speed rules. However, with new regulations of forbidding cell phone use while driving and forcing the seat belt regulations, a major impact on these numbers is expected in the future. Thus, a future study is recommended to assess these expectations.


2021 ◽  
Vol 6 (1) ◽  
pp. 1-6
Author(s):  
Nian Afrian Nuari

  Diabetes mellitus is a metabolic disease that has characteristics of high blood sugar levels (hyperglycemia), this can occur due to abnormalities in insulin secretion. The aim of this study was to determine the relationship of hemoglobin levels with long suffering  Diabetes Mellitus patients.  This study used was correlational design with a cross sectional approach.  The population in this study were 225 people with a sample of 67 respondents with purposive sampling technique.  Data was collected by checking hemoglobin levels and Quesioner. The results showed that almost all respondents had normal hemoglobin levels and most of the respondents had  long history of suffering from Diabetes Mellitus for 5-10 years..  Data analysis used was the Rho Spearman test and can not found the relationship between hemoglobin levels and long suffering Diabetes Mellitus (p value = 0.565). History of suffering from Diabetes Mellitus,did not necessarily have low hemoglobin levels, because it can be noticed from other factors such as routine taking medication, diet, exercise, and lifestyle that can affect the condition of diabetes patients themselves.  Diabetes Mellitus patients need to maintain the blood sugar levels and hemoglobin levels with a healthy lifestyle, take the recommended diet, routinely consume drugs, and check blood sugar levels regularly.


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