Mental health assistance: identification of nursing diagnoses in a community mental health service

ABSTRACT Objective: to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy. Method: this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language. Results: 813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem. Final considerations: mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.

Pemberian terapi murattal terhadap penurunan nyeri pada pasien kanker kolorektal pre operasi

Salah satu gejala kanker kolorektal yaitu adanya rasa nyeri. Nyeri adalah perasaan tidak menyenangkan baik secara fisik maupun emosional akibat adanya kerusakan jaringan. Mengatasi nyeri dapat menggunakan cara non farmakologis diantaranya terapi murattal Ar-Rahman. Studi kasus ini bertujuan untuk mengetahui penurunan nyeri pada pasien kanker kolorektal pre operasi setelah diberikan terapi murattal Ar-Rahman. Desain studi ini menggunakan deskriptif dengan pendekatan studi kasus berdasarkan penerapan Evidence Based Nursing Practice yaitu terapi murattal terhadap penurunan nyeri. Subjek studi kasus adalah pasien kanker kolorektal yang belum dilakukan tindakan pembedahan, tingkat skala nyeri 2-5, dan beragama Islam. Subjek studi kasus berjumlah 2 pasien. Pengambilan data menggunakan pengukuran skala Numeric Rating Scale (NRS) sebelum dan sesudah dilakukan terapi murattal Ar-Rahman. Hasil studi kasus menunjukkan adanya penurunan nyeri pada kedua subjek penelitian setelah diberikan terapi murattal Ar-Rahman. Subjek studi kasus 1 terjadi penurunan nyeri sebesar 1 skala nyeri. Subjek studi kasus 2 terjadi penurunan nyeri sebesar 2 skala nyeri. Terapi murattal Ar-Rahman mampu menurunkan nyeri pada pasien kanker kolorektal pre operasi.

Penurunan Kecemasan Pada Pasien Gagal Jantung Kongestif Melalui Pemberian Terapi Murottal Al-Qur’an

Gagal jantung meningkatkan resiko kematian mendadak sehingga membutuhkan penanganan sesuai dengan tingkat keparahannya. Pada pasien penyakit kardiovaskuler lazim merasakan kecemasan dan stress. Kecemasan pada pasien dengan penyakit kardiovaskuler dapat dibantu salah satunya dengan tindakan non farmakologi. Pada studi kasus ini penanganan kecemasan pasien gagal jantung menggunakan intervensi terapi murottal al-qur’an. Tujuan umum studi kasus ini untuk menganalisa penurunan tingkat kecemasan pasien gagal jantung terhadap pemberian terapi murottal al-qur’an. Studi kasus ini menggunakan metode deskriptif dengan pendekatan proses keperawatan. Subjek studi kasus ini adalah pasien gagal jantung kongestif dan berjumlah 2 orang yang didapatkan secara purposive sampling. Studi kasus ini dilakukan di Ruang Ayyub 2 RS. Roemani Kota Semarang pada tanggal 13 Februari 2020 – 15 Februari 2020. Pengkajian kecemasan dan pengukuran tingkat kecemasan menggunakan kuisioner HARS (Hamilton Rating Scale Of Anxiety). Prosedur pelaksanaan studi kasus ini dilakukan sesuai dengan evidence based nursing yaitu dilaksanakan dengan durasi 15-20 menit selama 3 hari. Hasil studi evaluasi menunjukkan bahwa sebelum dilakukan terapi murottal al-qur’an terjadi peningkatan kecemasan dan tanda-tanda vital serta gangguan tidur pada kedua pasien yang mengalami penurunan setelah dilakukan terapi murottal al-qur’an.Setelah dilakukan terapi murottal al-qur’an terdapat perbaikan pada tanda-tanda vital, penurunan tingkat kecemasan, dan penurunan gangguan tidur pada kedua pasien. Terapi murottal al-qur’an efektif dalam menurunkan tingkat kecemasan pada pasien dengan gagal jantung kongestif.

Application of Evidence-Based Nursing Intervention in the Treatment of Advanced Squamous Cell Carcinoma of the Lung by Erlotinib Combined with Tegafur, Gimeracil, and Oteracil Potassium and Its Influence on Quality of Life

Objective. To explore the application of evidence-based nursing intervention in the treatment of advanced squamous cell carcinoma of the lung by erlotinib combined with tegafur, gimeracil, and oteracil potassium (TS-1) and its influence on quality of life (QOL). Methods. Clinical data of 92 patients with advanced squamous cell carcinoma of the lung treated with erlotinib and TS-1 in our hospital (January 2017–January 2021) were retrospectively analyzed. Forty-six patients receiving conventional nursing were set as the control group (CG), and other 46 patients receiving evidence-based nursing intervention additionally were set as the study group (SG). The clinical observation indexes of the two groups were compared and analyzed. Results. No obvious difference in general data between both groups ( P > 0.05 ). According to EORTC QLQ-C30, compared with the CG, the scores of role function, physical function, social function, cognitive function, and emotional function in the SG were remarkably higher ( P < 0.05 ). After intervention, scores of VAS of patients were obviously lower than those before intervention ( P < 0.05 ), and scores of VAS in the SG after intervention were obviously lower than those in the CG ( P < 0.05 ). After intervention, scores of SAS and SDS were lower than those before intervention, and those of the SG were obviously lower than those of the SG ( P < 0.05 ). Compared with the CG, incidences of adverse reactions such as diarrhoea, nausea and vomiting, erythra, pressure sores, and leukopenia in the SG were obviously lower ( P < 0.05 ). Compared with the CG, “very satisfied” and total satisfaction in the SG were obviously higher ( P < 0.05 ). Conclusion. Application of evidence-based nursing intervention in the treatment of advanced squamous cell carcinoma of the lung by erlotinib combined with TS-1 can help patients to relieve pain, improve their psychological state, reduce the incidence of adverse reactions, significantly improve the QOL, and also enhance the satisfaction of clinical nursing.

Systematic Reviews to Strengthen Evidence-based Nursing Practice

Systematic reviews are essential to developing evidence-based nursing practice. The JBI, formerly known as the Joanna Briggs Institute, has contributed significantly to research through technical training on reviews. Cochrane Living Systematic Reviews and Systematic Reviews of Measurement Instruments have been approaches recently used by the scientific community. The purpose of Living Systematic Reviews is to continuously update priority issues, while Systematic Reviews of Measurement Instruments condense evidence on the validity of measurement instruments. This article overviews the JBI Systematic Review approaches and provides critical information about Cochrane Living Systematic Reviews and Systematic Reviews of Measurement Instruments. The use of these new approaches is necessary to maintain the evidence-based nursing practice and advance nursing knowledge.

Clinical Evidence Based Nursing (EBNP) Penggunaan Berg Balance Scale Untuk Mengkaji Keseimbangan Pada Pasien Stroke

Stroke can affect balance. Balance is the ability to maintain the body in a balanced position both in static and dynamic conditions. However, the assessment of the existing balance is only done in a static state in stroke patients. The balance assessment describes the balance of stroke patients so that they can be written on asessment form and the transfer record and can determine the need for balance training as one of the rehabilitation of stroke patients. This EBN application aims to find out the use of Berg Balance Scale to assess the balance of both static and dynamic conditions in stroke patients. The method used is conducting PICO analysis, searching database, critical appraisal, and determining relevant journals. EBN implementation was carried out on 10 people who had a stroke in zone A on the 5th floor of Building A RSUPN Dr. Cipto Mangunkusumo. This study uses the Berg Balance Scale scale in Indonesian. The analysis showed that stroke patients who experienced balance disorders were 7 people and did not experience a balance of 3 people BBS can assess the balance of stroke patients in accordance with existing evidence. BBS can be used as a balance assessment in stroke patients.