scholarly journals Studi Kasus Gangguan Pola Napas Tidak Efektif Pada Pasien Efusi Pleura

2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Yunita Devi Anggarsari ◽  
Yuyun Setyorini ◽  
Akhmad Rifai

Background: Pleural effusion is a fluid above the normal in the pleural space. Widespread pleural effusions will cause shortness of breath that affects the fulfillment of oxygen demand, so that nursing interventions can be arranged one of them is to set the semifowler position and collaborate in the giving of O2. The purpose of this study was to obtain a picture and experience in providing nursing care significantly for patients with pleural effusion with respiratory disorders. Method: This study uses data analysis method that is comparing the results obtained from two patients with pleural effusions who experienced ineffective breathing disorder and then compared with case study journal or other sources. Result: Based on the results of interviews and observations concluded that with the same diagnosis and performed the same implementation there are differences in outcomes in the intervention group with the control group. Conclusion: Forward in this study is the need to pay attention to accuracy in conducting assessments to maximize data in determining the priority problems that occur in patients and interventions based ONEC (Observation, Nursing Treatment, Education, Collaboration).

2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Vera Budi Nurani ◽  
Yuyun Setyorini ◽  
Akhmad Rifai

Background: Acute Myocard Infarction (AMI) is the death of cardiac muscle cells due to long-lasting ischemia due to grafting in the coronary arteries. One of the nursing interventions is giving proper oxygen because it affects the condition of the patient who is short of breath. The aim of this study was to describe nursing care in patients with Acute Myocard Infarction (AMI) with impaired breathing disorder. Methods: This research uses data analysis method that is comparing the result criteria achieved from two patients of Acute Myocard Infarction (AMI) who experienced ineffective breathing disorder and then compared with case study journal or other sources. Result: Based on interview and observation it is concluded that with the same nursing diagnoses and implementation there are differences in outcomes and responses between the intervention group and the control group. Suggestion: Suggestions put forward in this study is the need to pay attention to accuracy in conducting assessment to maximize data to determine the priority problems that occur in patients and interventions based ONEC (Observation, Nursing Treatment, Education, Collaboration).


Author(s):  
Morteza Habibi Moghadam ◽  
Marzieh Asadizaker ◽  
Simin Jahani ◽  
Elham Maraghi ◽  
Hakimeh Saadatifar ◽  
...  

 Objective: Venous thromboembolism, including deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common complaint in critically ill patients. Therefore, the present study was conducted to determine the effect of nursing interventions, based on the Wells results, on the incidence of DVT in intensive care unit (ICU) patients.Methods: The present clinical trial was conducted on 72 ICU patients without DVT and PE who met the inclusion criteria according to Wells score in Dr. Ganjavian Hospital, Dezful in 2012. The participants were investigated and randomly divided into intervention (n=36) and control groups (n=36). The intervention group received preventive nursing measures based on the risk level determined by the Wells score, and routine therapeutic interventions were performed for the control group. Then, patients were evaluated using Wells score, D-dimer testing, and Doppler sonography on the 1st, 5th, and 10th days. Data were finally coded and entered into SPSS version 23. Data analysis was performed using Chi-square, Fisher’s exact, and Mann–Whitney U tests.Results: The incidence of DVT in both groups showed that 2 patients of the control group who were identified to be at risk using the Wells score were diagnosed with DVT while none of the patients of the intervention group experienced DVT. The present study showed that 22.2% of the patients of the control group suffered from non-pitting edema, which was significantly different from the intervention group (p=0.005).Conclusion: The results of the present study showed that using the Wells score for early identification of the at-risk patients and nursing interventions based on this score’s results is helpful in the prevention of DVT. Appropriate nursing interventions were also effective in reducing the incidence of non-pitting edema in the lower extremities.


Rapid development in information and communication technology (ICT) is changing the instructional strategies in Higher Education. This study aimed to identify the level of self-efficacy of B.Ed. (IT) undergraduates of a local University in a flipped classroom. Further it also investigated gender difference among the undergraduates self-efficacy in the classroom. A group of 35 student selected using convenience sampling method. This group divided into Group 1 as control group and Group 2 as intervention. Group one consists of 17 students and two consist of 18 students. Initially the two classes answered pre-survey questionnaire of self-efficacy. Then control group was exposed to conventional teaching whereas intervention group intervened with Padlet. Data were analyzed with SPSS and revealed the intervention group has high Cohen effect (d) = .53, which is considered moderate size compared Cohen effect (d) = .17, considered small. This study clearly exhibits intervention group has better self-efficacy than control group. Further, the effect size of control group revealed decline in self-efficacy. In study exhibits there is no difference by gender in terms of self-efficacy. It is expected further study should be conducted by taking in to account sample size, duration of intervention, and method.


2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Huiling Liu ◽  
Baoli Heng ◽  
Xuling Li ◽  
Yahui Zhao ◽  
Huan Wang ◽  
...  

Objective: This study aims to assess the effectiveness of quality control circles (QCCs) in improving the success rate of intravenous indwelling needles among patients. Methods: The study included 1136 patients, that were admitted to the kidney and thoracic surgery wards of the First Affiliated Hospital of Jinan University from June 2019 to December 2019. The patients were using an indwelling needle each. They were divided into two groups: 1) control group (n = 232), where patients received regular nursing interventions; 2) intervention group (n = 904), where patients received QCC nursing intervention. Result: The fishbone diagram analysis revealed that poor training, lack of indwelling needle-related evaluation sheet, and lack of dynamic assessments were the factors that contributed to indwelling failure. In addition, the average indwelling duration of the intervention group was significantly higher than that of the control group. The success rate of indwelling needles in the intervention group (67.8%) was also significantly higher than that of the control group (48.3%), where p < 0.05. Furthermore, the intervention group (seepage = 19.9%; phlebitis = 6.7%) reported a significantly lower prevalence of the main factors of indwelling needle failure than the control group (seepage = 34.5%; phlebitis = 8.6%), where p < 0.05. Conclusion: The implementation of QCC can effectively reduce the occurrence of complications and nursing risks as well as improve the success rate of intravenous indwelling needles among patients.


2016 ◽  
Vol 50 (6) ◽  
pp. 961-964 ◽  
Author(s):  
Gui-qing Dong ◽  
◽  
Wen-wen Wang ◽  
Kai Deng ◽  
Guang-li Wang ◽  
...  

Abstract OBJECTIVE The aim of this study was to investigate the effect of radiology nursing intervention in abdominal examination at 3-T MRI. METHOD 60 patients with abdominal diseases were divided into two groups randomly: MR nursing intervention group and control group. All the patients underwent abdominal MR examination at 3-T. The MR nursing interventions were performed in nursing intervention group. The outcomes, including one-time success rate, the ratio of diagnosable MR images and the points of image quality, were compared between these two groups. RESULTS The one-time success rates in control group and MR nursing intervention group were 66.67% and 96.67% with significant difference ( χ2 =9.017, P<0.05). The ratios of diagnosable images in the two groups were 76.67% and 96.67% with significant difference (χ2 =5.192, P<0.05). The points of MR image quality in the two groups were 1.87±0.86 and 2.33±0.55, respectively. There was significant difference between these two groups (t=-2.508, P<0.05). CONCLUSION The effective nursing intervention can make the patients cooperation better in abdominal MR examination and improve the image quality significantly.


2016 ◽  
Vol 22 (3) ◽  
pp. 60
Author(s):  
E Wilken ◽  
H Fengels ◽  
F Swart ◽  
D Maree ◽  
J W Bruwer ◽  
...  

<p><strong>Background. </strong>Tuberculosis (TB) remains a common cause of pleural exudates in many parts of the globe. Pleural fibrosis with restriction is a well-known complication of tuberculous pleuritis. Current evidence suggests that pleural drainage offers little benefit over and above anti-TB treatment in improving pulmonary function.</p><p><strong>Methods. </strong>We enrolled 20 patients with proven tuberculous pleural effusions (mean age 32.7 years, 10 males, 12 HIV-positive), and performed therapeutic pleural drainage in 10 randomly selected cases. Pulmonary function testing (PFT), chest radiography and transthoracic ultrasound were performed on all patients before treatment and at 7 - 10 days, 3 months and 6 months.</p><p><strong>Results. </strong>Complete therapeutic drainage was achieved in only 4 of the 10 patients randomised to undergo drainage. No significant immediate benefit was achieved in the 10 patients assigned to intervention. However, compared with the non-intervention group, the intervention group showed significant changes in several functional parameters at 6 months, including changes in forced vital capacity from baseline (1.40 L v. 0.65 L; <em>p</em>&lt;0.001), forced expiratory volume in 1 second (1.37 L v. 0.60 L; <em>p</em>=0.002), total lung capacity (1.76 L v. 0.88 L; <em>p</em>=0.034) and diffusion capacity for carbon monoxide (7.42 v. 2.19 mL/min/mmHg, <em>p</em>=0.013). No difference was observed in the change in 6-minute walking distance (113.4 m v. 126 m; <em>p</em>=0.798) compared with the control group at 6 months.</p><p><strong>Conclusions. </strong>Therapeutic drainage may offer additional medium- and long-term functional benefits to patients with pleural TB, in addition to anti-TB drug therapy alone, as evident in the improvement in PFT results.</p>


2018 ◽  
Vol 6 (2) ◽  
pp. 66-74
Author(s):  
Mariusz Kaczmarek ◽  
Joanna Maciejewska ◽  
Łukasz Spychalski ◽  
Magdalena Socha-Kozłowska ◽  
Agata Nowicka ◽  
...  

Abstract The lung cancer is often associated with the development of pleural effusion. Neutrophils are the most numerous population of immune system cells which are an essential component of tumor leukocyte infiltration. These cells are engaged in the development and maintenance of the inflammation. It is indicated that neutrophils support the development of cancer. The aim of the study was the evaluation of neutrophils, regarding their presence and activity in pleural effusions. This was achieved by assessing of molecular structures, which are used by neutrophils in chemotaxis and phagocytosis. 60 pleural effusions and 34 peripheral blood samples received from patients and 15 peripheral blood samples from the control group were analyzed. Expression of CD11a, CD11b, CD11c, CD18 and CD62L molecules with use flow cytometry was evaluated. The concentration of the neutrophil elastase in pleural effusions were measured with use ELISA test. The number of neutrophils in the peripheral blood of patients with pleural effusion was lower than that observed in the control group. Neutrophils present in pleural effusions were characterized by an increased ability to chemotaxis and secrete significant amounts of neutrophil elastase. Neutrophils recruited into the pleura during the formation of the effusion are an essential element of the developing inflammatory reaction in this environment. The presence of neutrophils in pleural effusion may promote its further formation and support the development of cancer.


2020 ◽  
Vol 10 (2) ◽  
pp. 119-129
Author(s):  
Halimah Wenny Yulina Astuti ◽  
Murti Agustin ◽  
Sri Padma Sari ◽  
Diyan Yuli Wijayanti ◽  
Widodo Sarjana ◽  
...  

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population. 


2020 ◽  
Vol 9 (2) ◽  
pp. 1223-1229
Author(s):  
Hapipah Hapipah ◽  
Erida Apsarina ◽  
Istianah Istianah

General anesthesia is one of the techniques that is often chosen in performing surgery as a painkiller when going through surgery, followed by loss of consciousness. Early post-surgery there may be aspiration and decreased ventilation. This study aims to find out the effect of physical exercise to recovery of consciousness of post operative patients with general anesthesia. This study is Pre experimental with one shot case study design with 20 respondents. The technique used to collect samples is purposive sampling. Instruments in this study used Aldrete score. The data analysis showed an average difference in the aldrete score scoring of the control and the intervention group (4), (4), (6.1), (7.8), (8.3), (9.3) and (4), (6), (9.3), (9.9), (9.9), (10). The results of the data analysis showed a signification value of 0.000 ( < 0.05), which means there was a difference in consciousness recovery between the intervention group and control group


Author(s):  
Helen Flavell ◽  
Courtenay Harris ◽  
Connie Price ◽  
Emma Logan ◽  
Sunila Peterson

This paper describes an exploratory case study investigating the capacity of a multidisciplinary approach to academic development, to empower adaptive responses to ongoing technological change impacting on teaching practice. A quasi-experimental design with an intervention group (n = 22) and a comparative control group (n = 7) was adopted. Pre and post online questionnaires were administered to participants in both groups to evaluate attitudes and experiences relating to technology use in teaching and learning. The questionnaires were adapted from the Technology Acceptance Model. Qualitative measurement of the intervention group’s experiences following the professional development was captured using semi-structured interviews, followed by two focus groups to confirm the interview findings. Results indicate that the professional development impacted positively on participants through significantly increased levels of confidence and perceived ease of use. Qualitative data indicated participants experienced cognitive, emotional, and/or practical changes during and/or following the professional development.


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