scholarly journals Pain Evaluation and Treatment Techniques Designed Specially for Hospital Nurses in Order to Provide High-Quality Health Care Services

2021 ◽  
Vol 2 (2) ◽  
pp. 1-7
Author(s):  
Wielfrid Chokwueze ◽  
Kulechy Ịhenache
Keyword(s):  
Pain Assessment ◽  
Management Strategies ◽  
Opioid Analgesics ◽  
P Value ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Breathing Exercises ◽  
Pain Evaluation ◽  
Chi Square Analysis

The purpose of this research was to examine the pain evaluation and treatment procedures used by practicing nurses. The research is a descriptive cross-sectional research that was conducted on 146 nurses who were directly engaged in patient care, were not on leave throughout the data collecting period, and volunteered to participate in the research using the convenience sample methodology. The data collection instrument was a pretested self-structured questionnaire with a 0.9 reliability value. Sorting, coding, entering, and analyzing data were performed using the SPSS version 23.0 software program at a 5% level of significance. The majority of respondents, 136 (93.1 percent), were female, while just 10 (6.9 percent) were male. 48 (23.9 percent) of respondents were SNOs, 86 (58.9 percent) of respondents had 6–10 years of experience, 120 (82.2 percent) were married, and 140 (95.9 percent ) were Christians. Concerning respondents' degree of knowledge regarding pain assessment techniques, 28 (19.2 percent) had inadequate knowledge, 44 (30.1 percent) had acceptable knowledge, and 74 (50.7 percent) had enough information. Self-reported pain management strategies included patient positioning and movement, massage, breathing exercises, diversional therapy, the use of warm or hot compresses, encouraging rest and relaxation, the use of both weak and strong opioid analgesics, and the administration of non-opioid analgesics. Using chi-square analysis, it was shown that there is no statistically significant relationship between nurses' knowledge and use of pain assessment instruments (p-value =0.15).

PENGARUH PEMBERIAN PELAYANAN INFORMASI OBAT DAN KONSELING TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELITUS DENGAN HIPERTENSI DI RUMAH SAKIT DAERAH IDAMAN BANJARBARU

2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal
Keyword(s):  
Drug Information ◽  
Treatment Success ◽  
Information Service ◽  
Regional Hospital ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Quasi Experimental ◽  
High Level ◽  
Chi Square Analysis

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.

scholarly journals Evaluation of full cup test and numeric pain rating scale in the assessment of orofacial pain

2021 ◽  
Vol 7 (4) ◽  
pp. 292-295
Author(s):  
Roland Prethipa P ◽  
Jimsha V K ◽  
Jonathan Daniel M
Keyword(s):  
Pain Assessment ◽  
Rating Scale ◽  
Orofacial Pain ◽  
Study Data ◽  
Self Report ◽  
P Value ◽  
Pain Rating ◽  
Cross Sectional ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

Pain intensity is a common outcome domain assessed in pain clinical trials. The patient’s self-report is the gold standard and it appears to be embedded in everyday clinical practice. Most often pain assessment is considered to be the cornerstone for ideal treatment.The aim of this study was to assess the dental patients’ level of pain using Full Cup Test (FCT) and Numeric Pain Rating Scale (NPRS), and to compare and validate the Full Cup Test in the assessment of orofacial pain with Numeric Pain Rating Scale.A total of sixty patients presenting with various forms of orofacial pain were included in this cross-sectional study. Data collected include the patient demographic details and the diagnosis of each case was made after proper history taking, clinical examination and radiographic investigation. Pain assessment was done for each patient using both numeric pain rating scale and full cup test.All the data were analysed using inferential statistics Mann Whitney test and the analysis was carried out with SPSS 17.The comparison of mean pain scores using full cup test and numeric pain rating scale shows there was significant differences between acute and chronic pain with P- value of 0.023 and 0.005 respectively. FCT had shown 83 percent sensitivity and 94 percent specificity.Patients who presented with either acute or chronic dental conditions experienced moderate to severe level of pain. FCT is useful for both evaluating and discerning changes in pain and it can be used as a tool in pain assessment.

scholarly journals Utilization of MCH handbooks and attitudes of pregnant women regarding pregnancy and childbirth complications

2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina
Keyword(s):  
Pregnant Women ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Live Births ◽  
Pregnancy And Childbirth ◽  
Independent Variable ◽  
The Right ◽  
Chi Square Analysis ◽  
The Relationship

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.

Number of Bleeding, Placenta Remaining, and Episiotomy Actions on the Incidence of Puerperal Sepsis

2021 ◽  
Vol 2 (2) ◽  
pp. 134-138
Author(s):  
Sheryl Putri Asri ◽  
Soetimah
Keyword(s):  
Sampling Method ◽  
Analytical Description ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Puerperal Sepsis ◽  
Birth Complications ◽  
Chi Square Analysis ◽  
Postpartum Mothers

It is estimated that 60% of maternal mortality resulting from gestation happened right after giving birth, and 50% of puerperium deaths happened in the first 24 hours. This research aims to know the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research uses analytical description methods with a cross-sectional approach. The population of this research was the postpartum mothers in puerperal sepsis cases in October – December 2017 at RSAB Harapan Kita Jakarta Barat counted 85 persons. The sampling method used in this research is an accidental sampling method with 32 respondents. The Instruments of this research are medical records and questionnaires with the chi-square analysis method. This research data analysis has the quality of univariate and bivariate, which means knowing about the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research shows a relation between the amount of bleeding with a p-value (0,035) and OR (7,200). There is a relation between remained placenta variable with a p-value (0,035) and OR (7,200). There is no relation in the act of episiotomy variable with p-value (0,142) and OR (3,500) to puerperal sepsis cases. The researcher suggests RSAB Harapan Kita increase the quality of their health services, mainly socialize information and give education for maternity women about various birth complications, such as bleeding and remaining placenta and sepsis puerperalis's risks.

Providing Data-Driven Equitable Palliative and End-of-Life Care for Structurally Vulnerable Populations: A Pilot Survey of Information Management Strategies

2019 ◽  
Vol 37 (4) ◽  
pp. 244-249
Author(s):  
Akshay Rajaram ◽  
Trevor Morey ◽  
Sonam Shah ◽  
Naheed Dosani ◽  
Muhammad Mamdani
Keyword(s):  
Palliative Care ◽  
North America ◽  
Data Collection ◽  
Information Management ◽  
Vulnerable Populations ◽  
Management Strategies ◽  
Data Driven ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Data Infrastructure

Background: Considerable gains are being made in data-driven efforts to advance quality improvement in health care. However, organizations providing hospice-oriented palliative care for structurally vulnerable persons with terminal illnesses may not have the enabling data infrastructure or framework to derive such benefits. Methods: We conducted a pilot cross-sectional qualitative study involving a convenience sample of hospice organizations across North America providing palliative care services for structurally vulnerable patients. Through semistructured interviews, we surveyed organizations on the types of data collected, the information systems used, and the challenges they faced. Results: We contacted 13 organizations across North America and interviewed 9. All organizations served structurally vulnerable populations, including the homeless and vulnerably housed, socially isolated, and HIV-positive patients. Common examples of collected data included the number of referrals, the number of admissions, length of stay, and diagnosis. More than half of the organizations (n = 5) used an electronic medical record, although none of the record systems were specifically designed for palliative care. All (n = 9) the organizations used the built-in reporting capacity of their information management systems and more than half (n = 6) augmented this capacity with chart reviews. Discussion: A number of themes emerged from our discussions. Present data collection is heterogeneous, and storage of these data is highly fragmented within and across organizations. Funding appeared to be a key enabler of more robust data collection and use. Future work should address these gaps and examine opportunities for innovative ways of analysis and reporting to improve care for structurally vulnerable populations.

scholarly journals Role of Physiotherapy in Hospitalised Patients of COVID-19 disease

2021 ◽  
Vol 9 (3) ◽  
pp. 154-159
Author(s):  
Dr. Sanjay Kumar Bharty ◽  
◽  
Dr. Jitendra Kishore Bhargava ◽  
Dr. Brahma Prakash ◽  
Dr. Vikas Patel ◽  
...  
Keyword(s):  
Severity Index ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Medical College ◽  
Breathing Exercises ◽  
Hospitalised Patients ◽  
Before And After ◽  
Respiratory Physiotherapy

Introduction: Respiratory physiotherapy is one of the therapeutic methods in various respiratoryviral infections. Breathing exercises with other interventions, could enhance the total lung capacityand symptom alleviation in patients with virus-related acute respiratory distress syndrome (ARDS).Aim: To study the clinical evaluation of the role of physiotherapy in hospitalised patients of covid-19diseases. Method: This was an Observational (prospective, cross-sectional) study. 187 patientswere recruited and diagnosed as COVID-19 as per RTPCR at NSCB Medical College, Jabalpur (MP).Patients were randomised into the physiotherapy group and controlled group. Patients in thephysiotherapy group were undergone positional changes, prone ventilation, Breathing exercise,Resistive training, Passive joint motion, Muscle stretching, Bedside standing training, enduranceexercise by a specialized physiotherapist. Mean cough severity index, MMRC grade, respiration rateand peripheral blood saturation were recorded before and after intervention and compared with thecontrolled group. Result: There was significant improvement found in MMRC grade and respirationrate after physical therapy in the physiotherapy group (p-value < 0.05). Exertional dyspnoea andcough severity index significant deceased in physiotherapy group. The positive change was found inperipheral blood saturation. There was decreased in hospitalization stay in the physiotherapy groupas compared to the controlled group. Conclusion: Our study revealed the positive effect ofphysiotherapy on covid-19 disease in terms of symptoms and hospitalization duration among thephysiotherapy group. Physiotherapy exerts a beneficial role in the management of the covid-19disease.

scholarly journals Hubungan indeks massa tubuh dengan kejadian osteoartritis lutut di Rumah Sakit Umum Zainoel Abidin Kota Banda Aceh

2020 ◽  
Vol 20 (3) ◽  
Author(s):  
Cici Enjelia Nata ◽  
Safrizal Rahman ◽  
Sakdiah Sakdiah
Keyword(s):  
Body Mass Index ◽  
Knee Osteoarthritis ◽  
General Hospital ◽  
Body Mass ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
American College Of Rheumatology ◽  
Chi Square Analysis ◽  
Banda Aceh

Abstrak. Indeks Massa Tubuh (IMT) merupakan parameter yang digunakan untuk menilai komposisi tubuh dengan menggunakan klasifikasi Asia Pasifik. IMT menjadi salah satu faktor risiko terjadinya osteoartritis lutut. Osteoartritis lutut merupakan penyakit degeneratif yang terjadi pada sendi lutut. Berdasarkan RISKESDAS tahun 2018, Provinsi Aceh menduduki peringkat pertama sebagai provinsi dengan angka penyakit sendi terbanyak yang termasuk osteoartritis lutut yaitu 13.3%. Prevalensi indeks massa tubuh berlebih di Indonesia pada tahun 2018  meningkat dari 26.3% menjadi 34.4% sehingga kemungkinan terjadinya osteoartritis lutut juga meningkat. Penelitian ini menggunakan metode observasional analitik dengan desain cross-sectional dilakukan dengan cara mengukur berat badan dan tinggi badan responden yang memenuhi kriteria penelitian berdasarkan pedoman American College of Rheumatology (ACR). Sampel dikumpulkan berdasarkan rekam medis di Rumah Sakit Umum Zainoel Abidin kota Banda Aceh sejak september hingga oktober 2019 yang melibatkan tujuh puluh responden sebagai sampel penelitian yang dimana 51 responden (72.9%) memiliki indeks massa tubuh berlebih dan 43 responden (61.4%) didiagnosis dengan Osteoartritis lutut. Berdasarkan hasil analisis uji Chi Square, nilai p value yang diperoleh adalah 0.021 (p value ≤ 0,05). Dengan demikian, penelitian ini menunjukkan bahwa terdapat hubungan antara indeks massa tubuh dengan kejadian osteoartritis lutut di Rumah Sakit Umum Zainoel Abidin di kota Banda Aceh.Kata Kunci: Indeks massa tubuh; berat badan lebih, osteoartritis lutut;               Abstract. Body Mass Index (BMI) is a parameter to measure body composition which is classified into underweight, normal and overweight. Overweight has been known to potentially cause knee osteoarthritis. Knee osteoarthritis is a degenerative disease happening on the knee. Based on RISKESDAS 2018, Aceh led Indonesia as a province with the highest number of knee arthritis (13.3%). In the same year, the prevalence of overweight in Indonesia has also increased from 26.3% to 34.4% and is expected to rise annually. This research is an analytic observational using cross sectional design. The method used in this research is body weight and body length measurement of samples fulfilling the criteria based on American College of Rheumatology (ACR). Data were collected based on medicalr record at Zainoel Abidin General Hospital, Banda Aceh, from September to October 2019. We examined 70 respondents, 51 of them (72.9%) had overweight IMT and 43 of them (61.4%) were diagnosed with knee osteoarthritis. Chi Square analysis showed p value 0,021 (p value ≤ 0.05). We concluded that there is a correlation between body mass index with knee osteoarthritis in Zainoel Abidin General Hospital, Banda Aceh.Keyword: Body Mass Index; overweight; knee osteoarthritis;

scholarly journals Hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien gagal ginjal kronik di RSUP Prof. Dr. R. D. Kandou Manado

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Vicka V. A. Tartum ◽  
Theresia M. D. Kaunang ◽  
Christofel Elim ◽  
Neni Ekawardani
Keyword(s):  
Rating Scale ◽  
Chronic Renal Disease ◽  
Chronic Kidney Failure ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Loved One ◽  
Hamilton Depression Rating Scale ◽  
Chi Square Analysis ◽  
The Impact

Abstract: Depression is a disturbance in the function of human nature associated with feelings of sadness and accompanying symptoms, including changes in sleep patterns and appetite, anhedonia, concentration, psychomotor, fatigue, despair and helplessness. Depression can be obtained by any person, including a person suffering from chronic diseases such as chronic renal disease requiring hemodialysis therapy for life. However, the impact of depression was not only felt by the patient, but also the patient's family, especially spouses of patients would be very easy to get depressed as a result of seeing a loved one suffer, so will affect the support and motivation given to patients, especially in patients undergoing hemodialysis should undergo dialysis for life, so a lot of depression in patients and their families, especially spouses of patients. This study aimed to determine the relationship of the length of hemodialysis with the level of depression in spouses of hemodialysis patients in Prof. Dr. R. D. Kandou Hospital Manado. This was an observational analystical study with a cross sectional design. This study used Hamilton Depression Rating Scale questionaire (HDRS). Data were processed by using SPSS 20.0. The chi-square analysis test showed a p value of 0.105 (p > 0.05). Conclusion: There was no correlation between the duration of hemodialysis with the degree of depression of chronic kidney failure patient’s live spouses.Keywords: depression, chronic kidney disease, hemodialysis, spouse.Abstrak: Depresi adalah terganggunya fungsi manusia yang berkaitan dengan alam perasaan yang sedih dan gejala penyertanya, termasuk perubahan pada pola tidur dan nafsu makan, anhedonia, konsentrasi, psikomotor, kelelahan rasa putus asa dan tidak berdaya. Depresi bisa didapatkan oleh setiap orang termasuk seseorang yang menderita penyakit kronik seperti penyakit ginjal kronik yang membutuhkan terapi hemodialisis seumur hidup. Dampak depresi pun tidak hanya dirasakan oleh pasien, keluarga pasien terutama pasangan hidup pasien akan sangat mudah mendapatkan depresi akibat melihat orang yang dicintai menderita, sehingga akan memengaruhi dukungan dan motivasi yang akan diberikan kepada pasien, terutama pada pasien yang menjalani hemodialisis yang harus menjalani proses cuci darah seumur hidup, sehingga banyak terjadi depresi pada pasien dan keluarganya terutama pasangan hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien hemodialisis di RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan ialah analitik observasional dengan pendekatan potong lintang. Penelitian ini menggunakan kuesioner Hamilton Depression Rating Scale (HDRS) dan data diolah menggunakan SPSS 20.0. Uji analisis chi-square mendapatkan nilai p sebesar 0,105 (p >0,05). Simpulan: Tidak terdapat hubungan antara lama hemodialisis dengan tingkat depresi pasangan hidup pasien penyakit ginjal kronik.Kata kunci: depresi, penyakit ginjal kronik, hemodialisis, pasangan hidup

scholarly journals The Relationship of Clinical Instructure Motivation with the Implementation of Preceptorship in dr. Soeselo Slawi Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Ikawati Setyaningrum ◽  
Firman Hidayat ◽  
Ratna Widhiastuti
Keyword(s):  
Soft Skills ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hard Skills ◽  
Chi Square Analysis ◽  
Patient Service ◽  
Relationship Of ◽  
The Relationship

Preceptorship is one method of guidance with one to one relationship in the scope of nursing which is considered good enough to add skills in care, both soft skills, hard skills and attitude of the nursing profession. Many factors affect the implementation of preceptorsip in hospitals. This study aims to determine the relationship between clinical instructional motivation and the implementation of preseptorship at Dr. Soeselo Slawi. This research is a quantitative study and the type of descriptive correlation research design with cross sectional approach. The sampling technique used was a total sampling of 39 people. The research instrument uses a motivation questionnaire containing 26 statements, whereas for Preceptorship uses a questionnaire containing 10 statements. Chi square analysis results showed that the p value was 0.007 (<0.005), which means there was a significant relationship between CI motivation and the implementation of Preseptorship. The hospital is expected to be able to choose nurses who will become CIs according to certain competency and knowledge standards, as well as specializing CI assignments so that they do not overlap with patient service tasks.  Keywords: Motivation. Clinical instructure, preceptorship

scholarly journals Comparison of a Mobile Health Electronic Visual Analog Scale App With a Traditional Paper Visual Analog Scale for Pain Evaluation: Cross-Sectional Observational Study

10.2196/18284 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e18284
Author(s):  
Alexandra Turnbull ◽  
Dean Sculley ◽  
Carles Escalona-Marfil ◽  
Lluís Riu-Gispert ◽  
Jorge Ruiz-Moreno ◽  
...  
Keyword(s):  
Observational Study ◽  
Visual Analog Scale ◽  
Mobile Health ◽  
Pain Assessment ◽  
Pain Clinic ◽  
Analog Scale ◽  
Cross Sectional ◽  
Pain Evaluation ◽  
Adolescents And Adults ◽  
Healthy Participants

Background Accurate quantification of pain in a clinical setting is vital. The use of an electronic pain scale enables data to be collected, analyzed, and utilized much faster compared with traditional paper-based scales. The advancement of smart technology in pediatric and adult pain evaluation may offer opportunities to introduce easy-to-use and reliable pain assessment methods within different clinical settings. If promptly introduced within different pediatric and adult pain clinic services, validated and easily accessible mobile health pain apps may lead to early pain detection, promoting improvement in patient’s quality of life and leading to potentially less time off from school or work. Objective This cross-sectional observational study aimed to investigate the interchangeability of an electronic visual analog scale (eVAS) app with a traditional paper visual analog scale (pVAS) among Australian children, adolescents, and adults for pain evaluation. Methods Healthy participants (age range 10-75 years) were recruited from a sporting club and a secondary school in Melbourne (Australia). The data collection process involved application of pressure (8.5 kg/cm2) from a Wagner Force Dial FDK 20 to the midpoint of the thumb. The pressure was applied twice with a 5-minute interval. At each pressure application, participants were asked to randomly record their pain perception using the “eVAS” accessible via the “Interactive Clinics” app and the traditional pVAS. Statistical analysis was conducted to determine intermethod and intramethod reliabilities. Results Overall, 109 healthy participants were recruited. Adults (mean age 42.43 years, SD 14.50 years) had excellent reliability, with an intraclass correlation coefficient (ICC) of 0.94 (95% CI 0.91-0.96). Children and adolescents (mean age 13.91 years, SD 2.89 years) had moderate-to-good intermethod and intramethod reliabilities, with an ICC of 0.80 (95% CI 0.70-0.87) and average ICC of 0.80 (95% CI 0.69-0.87), respectively. Conclusions The eVAS app appears to be interchangeable compared with the traditional pVAS among children, adolescents, and adults. This pain evaluation method may offer new opportunities to introduce user-friendly and validated pain assessment apps for patients, clinicians, and allied health professionals.

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