Acute respiratory failure (ARF) is a disorder of the pump function of the respiratory muscles or ... more Acute respiratory failure (ARF) is a disorder of the pump function of the respiratory muscles or dysfunction of the lungs. Patients with respiratory failure use mechanical ventilation for breathing apparatus. However, mechanical ventilation often interferes with airway clearance and coughing. So intervention is needed to remove mucus from the airways. This study aimed to identify interventions that can be performed to reduce and clear mucus in patients with respiratory failure who are attached to a mechanical ventilator. This study used the narrative review method with the keywords “patient with ventilator OR patient with mechanical ventilation OR mechanically ventilated patient OR patient undergoing mechanical ventilation” AND “intervention OR strategies OR best practice OR treatment OR therapy OR program OR management” AND “mucus clearance OR airway clearance OR sputum clearance”. The databases used include Scopus, PubMed, EBSCO, Oxford. The results of 5 articles were obtained whi...
Abstract Critically-ill patients at intensive care unit (ICU) require hemodinamic monitoring such... more Abstract Critically-ill patients at intensive care unit (ICU) require hemodinamic monitoring such as CVP (Central Venous Pressure) monitoring using CVC (Central Venous Catheter). CVC insertion is associated with several complications for the patients. One of them is catheter-related infections which further expose the patients for a higher risk of morbidity and mortality. CVC could be contaminated via extra and intraluminal route which result in systemic spreading of the microorganism and cause blood stream infection (BSI). Health care personnel must actively perform prevention measures to lower the infection risk. Since the infections could be due to migration of the microorganism at insertion site, a proper dressing method plays an essential role to prevent the infections as an effective barrier for the microorganisms. In this review, we will first discuss the prevention measures in general. Finally, we discuss the advantegous and disadvantegous of using two types of dressing methods (transparent polyurethane and gauze and tape dressing). Key words: central venous catheter; blood stream infection; prevention measures; transparent polyurethane; gauze and tape.
Coronary Heart Disease (CHD) is a cardiovascular disease due to atherosclerosis or atheroscleroti... more Coronary Heart Disease (CHD) is a cardiovascular disease due to atherosclerosis or atherosclerotic occlusion of the coronary arteries. Various treatments can be done to treat CHD, including Percutaneous coronary intervention (PCI). The PCI procedure can cause complications. Hematoma is a significant complication that can cause swelling, pain, and increased discomfort. One of the many actions to reduce hematomas and pain is giving cold compresses. This study aimed to determine the potential of giving cold compresses to repair hematomas in post-PCI patients. This research uses scoping review method. Article searches were carried out on databases and search engines: PubMed, ProQuest, Google Scholar, and Garuda, in the period 2017-2022 with the keywords “Percutaneous Coronary Intervention” or “Cardiac Catheterization” and “Cold Therapy” or “Ice Application” and “Hematoma.”. There were seven articles included in the qualitative analysis. All articles discuss the effect of cold compresses...
Pasien COVID-19 dengan gejala ringan hingga sedang menjalani isolasi mandiri sesuai dengan kebija... more Pasien COVID-19 dengan gejala ringan hingga sedang menjalani isolasi mandiri sesuai dengan kebijakan terbaru yang dikeluarkan oleh pemerintah karena keterbatasan ruang perawatan. Pendidikan kesehatan tentang perawatan pasien COVID-19 selama menjalani isolasi mandiri (ISOMAN), menjadi sangat penting untuk mendukung keberhasilan ISOMAN pasien Covid 19. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan tentang self care pada pasien COVID-19 selama menjalani isolasi mandiri dirumah. Sasaran kegiatan adalah seluruh masyarakat terutama pasien COVID-19 yang sedang menjalani isolasi mandiri dirumah. Jumlah partisipan yang terlibat sebanyak 74 peserta. Kegiatan pengabdian kepada masyarakat ini diawali dengan pretest, pemaparan materi, sesi diskusi dan tanya jawab dengan menggunakan aplikasi zoom, kemudian diakhiri dengan mengisi post test. Data univariat dan bivariat dianalisis dengan menggunakan uji t test berpasangan. Hasil kegiatan ini menunjukkan bahwa terjadi peningkatan pengetahu...
Terdapat banyak kejadian henti jantung di masyarakat yang tidak dapat diselamatkan karena tidak m... more Terdapat banyak kejadian henti jantung di masyarakat yang tidak dapat diselamatkan karena tidak mendapatkan tindakan yang tepat dan cepat akibat ketidaktahuan dan ketidakmampuan perawat puskesmas untuk memberikan tindakan tanggap darurat resusitasi jantung paru.. Tindakan resusitasi jantung paru (RJP) merupakan tindakan utama pada henti jantung dan henti napas, yang dapat meningkatkan harapan hidup.Tujuan yang ingin dicapai dalam pelaksanaan program ini adalah Meningkatnya kemampuan perawat puskesmas dalam melakukan tindakan resusitasi jantung paru. Target khusus kegiatan adalah Meningkatnya kemampuan perawat puskesmas tentang kemampuan melakukan resusitasi jantung paru dengan pedoman terbaru. dan terselenggaranya program pelatihan yang terstruktur mengenai resusitasi jantung paru pada perawat puskesmas secara berkesinambungan. Solusi yang ditawarkan untuk mengatasi permasalahan adalah dilakukannya pelatihan Resusitasi Jantung Paru (RJP) kepada perawat Puskesmas. Kegiatan pelatihan ...
Penatalaksanaan nyeri dan kecemasan yang dialami oleh pasien dapat dilakukan dengan pendekatan fa... more Penatalaksanaan nyeri dan kecemasan yang dialami oleh pasien dapat dilakukan dengan pendekatan farmakologis dan non-farmakologis. Pemberian analgetik dan sedatif tidak bisa langsung menghilangkan nyeri dan kecemasan pasien bahkan jika berlebihan bisa menimbulkan depresi pernapasan dan ketidakstabilan kardiovaskuler sehingga perlu dilengkapi dengan pendekatan non-farmakologis seperti penggunaan terapi musik relaksasi dan suara alam. Tujuan penelitian ini adalah untuk mengetahui sejauh mana efektifitas musik relaksasi, suara alam dan kombinasi keduanya terhadap nyeri dan kecemasan pasien. Metode yang digunakan adalah literature review dengan studi kepustakaan dan pencarian elektronik yang menggunakan search engine EBSCOhost (MEDLINE), GALE ( infotract.galegroup ) dan google dengan kata kunci yang digunakan yaitu patients, anxiety, pain, relaxation, music, dan nature . Kriteria pemilihan sumber antara lain artikel, karya ilmiah atau buku yang membahas tentang teknik relaksasi, terapi m...
Aims: Nursing Services strive to provide a source of support for the patient’s family by implemen... more Aims: Nursing Services strive to provide a source of support for the patient’s family by implementing the Family Centered Care model in critical care rooms, focusing on providing family-centered nursing care services has not been fully applied in hospitals optimally. Objective: To Analyze the factors related to the implementation of family center care in critical nursing rooms at the Karawang district hospital. Methods: The research is a quantitative research with a correlational analytic descriptive research design with a cross-sectional design and the sample used is total sampling. The independent variables include Knowledge, Attitudes Bahavior and Facilities, while the dependent variable is Implementation of Family Center Care. Data analysis used univariate median tests, standard deviation or frequency, while bivariate tests used chi square and multivariate tests used logistic regression tests. Results: The results showed that the average implementation of Family Center Care was ...
Background: Patients with multiple organ dysfunction syndrome (MODS) require complex intensive ca... more Background: Patients with multiple organ dysfunction syndrome (MODS) require complex intensive care, and family involvement plays an essential role in achieving patient recovery. Family-centered care in the intensive care unit (ICU) benefits patients, families, and healthcare workers. Objective: This case study aimed to evaluate the family-centered care approach for patients with MODS in the ICU. Case: A 46-year-old male patient with MODS presented various problems, including the risk of respiratory infections, impaired renal perfusion, and pressure sores. An interview with the patient’s family revealed that they felt guilty, worried, and lacked sufficient information about the patient’s condition. The interventions provided to the family included giving them information about the patient’s condition, care plans, and evaluation results after procedures, providing spiritual guidance, offering family support, and involving them in the patient’s required procedures. Conclusion: After ...
The level of teachers' disaster preparedness in schools is one thing that influences the impa... more The level of teachers' disaster preparedness in schools is one thing that influences the impact of disasters on children with disabilities, especially earthquakes, which can occur at any time, including during school hours. Therefore, this study aims to determine the description of earthquake disaster preparedness for special school teachers. This study used a quantitative descriptive method with a total sample of 37 teachers at Cileunyi State SLB, and the total sampling technique used was this study. Preparedness measurement for SLB teachers uses instruments modified according to research needs. Data analysis with frequency distribution and results were grouped into ready and unprepared categories. The results showed that 86.5% of teachers were categorized as 'ready'. The best preparedness parameter is disaster knowledge, while the lowest is disaster warning. From the study results, it can be concluded that most SLB teachers are categorized as ready to face earthquake d...
Acute respiratory failure (ARF) is a disorder of the pump function of the respiratory muscles or ... more Acute respiratory failure (ARF) is a disorder of the pump function of the respiratory muscles or dysfunction of the lungs. Patients with respiratory failure use mechanical ventilation for breathing apparatus. However, mechanical ventilation often interferes with airway clearance and coughing. So intervention is needed to remove mucus from the airways. This study aimed to identify interventions that can be performed to reduce and clear mucus in patients with respiratory failure who are attached to a mechanical ventilator. This study used the narrative review method with the keywords “patient with ventilator OR patient with mechanical ventilation OR mechanically ventilated patient OR patient undergoing mechanical ventilation” AND “intervention OR strategies OR best practice OR treatment OR therapy OR program OR management” AND “mucus clearance OR airway clearance OR sputum clearance”. The databases used include Scopus, PubMed, EBSCO, Oxford. The results of 5 articles were obtained whi...
Abstract Critically-ill patients at intensive care unit (ICU) require hemodinamic monitoring such... more Abstract Critically-ill patients at intensive care unit (ICU) require hemodinamic monitoring such as CVP (Central Venous Pressure) monitoring using CVC (Central Venous Catheter). CVC insertion is associated with several complications for the patients. One of them is catheter-related infections which further expose the patients for a higher risk of morbidity and mortality. CVC could be contaminated via extra and intraluminal route which result in systemic spreading of the microorganism and cause blood stream infection (BSI). Health care personnel must actively perform prevention measures to lower the infection risk. Since the infections could be due to migration of the microorganism at insertion site, a proper dressing method plays an essential role to prevent the infections as an effective barrier for the microorganisms. In this review, we will first discuss the prevention measures in general. Finally, we discuss the advantegous and disadvantegous of using two types of dressing methods (transparent polyurethane and gauze and tape dressing). Key words: central venous catheter; blood stream infection; prevention measures; transparent polyurethane; gauze and tape.
Coronary Heart Disease (CHD) is a cardiovascular disease due to atherosclerosis or atheroscleroti... more Coronary Heart Disease (CHD) is a cardiovascular disease due to atherosclerosis or atherosclerotic occlusion of the coronary arteries. Various treatments can be done to treat CHD, including Percutaneous coronary intervention (PCI). The PCI procedure can cause complications. Hematoma is a significant complication that can cause swelling, pain, and increased discomfort. One of the many actions to reduce hematomas and pain is giving cold compresses. This study aimed to determine the potential of giving cold compresses to repair hematomas in post-PCI patients. This research uses scoping review method. Article searches were carried out on databases and search engines: PubMed, ProQuest, Google Scholar, and Garuda, in the period 2017-2022 with the keywords “Percutaneous Coronary Intervention” or “Cardiac Catheterization” and “Cold Therapy” or “Ice Application” and “Hematoma.”. There were seven articles included in the qualitative analysis. All articles discuss the effect of cold compresses...
Pasien COVID-19 dengan gejala ringan hingga sedang menjalani isolasi mandiri sesuai dengan kebija... more Pasien COVID-19 dengan gejala ringan hingga sedang menjalani isolasi mandiri sesuai dengan kebijakan terbaru yang dikeluarkan oleh pemerintah karena keterbatasan ruang perawatan. Pendidikan kesehatan tentang perawatan pasien COVID-19 selama menjalani isolasi mandiri (ISOMAN), menjadi sangat penting untuk mendukung keberhasilan ISOMAN pasien Covid 19. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan tentang self care pada pasien COVID-19 selama menjalani isolasi mandiri dirumah. Sasaran kegiatan adalah seluruh masyarakat terutama pasien COVID-19 yang sedang menjalani isolasi mandiri dirumah. Jumlah partisipan yang terlibat sebanyak 74 peserta. Kegiatan pengabdian kepada masyarakat ini diawali dengan pretest, pemaparan materi, sesi diskusi dan tanya jawab dengan menggunakan aplikasi zoom, kemudian diakhiri dengan mengisi post test. Data univariat dan bivariat dianalisis dengan menggunakan uji t test berpasangan. Hasil kegiatan ini menunjukkan bahwa terjadi peningkatan pengetahu...
Terdapat banyak kejadian henti jantung di masyarakat yang tidak dapat diselamatkan karena tidak m... more Terdapat banyak kejadian henti jantung di masyarakat yang tidak dapat diselamatkan karena tidak mendapatkan tindakan yang tepat dan cepat akibat ketidaktahuan dan ketidakmampuan perawat puskesmas untuk memberikan tindakan tanggap darurat resusitasi jantung paru.. Tindakan resusitasi jantung paru (RJP) merupakan tindakan utama pada henti jantung dan henti napas, yang dapat meningkatkan harapan hidup.Tujuan yang ingin dicapai dalam pelaksanaan program ini adalah Meningkatnya kemampuan perawat puskesmas dalam melakukan tindakan resusitasi jantung paru. Target khusus kegiatan adalah Meningkatnya kemampuan perawat puskesmas tentang kemampuan melakukan resusitasi jantung paru dengan pedoman terbaru. dan terselenggaranya program pelatihan yang terstruktur mengenai resusitasi jantung paru pada perawat puskesmas secara berkesinambungan. Solusi yang ditawarkan untuk mengatasi permasalahan adalah dilakukannya pelatihan Resusitasi Jantung Paru (RJP) kepada perawat Puskesmas. Kegiatan pelatihan ...
Penatalaksanaan nyeri dan kecemasan yang dialami oleh pasien dapat dilakukan dengan pendekatan fa... more Penatalaksanaan nyeri dan kecemasan yang dialami oleh pasien dapat dilakukan dengan pendekatan farmakologis dan non-farmakologis. Pemberian analgetik dan sedatif tidak bisa langsung menghilangkan nyeri dan kecemasan pasien bahkan jika berlebihan bisa menimbulkan depresi pernapasan dan ketidakstabilan kardiovaskuler sehingga perlu dilengkapi dengan pendekatan non-farmakologis seperti penggunaan terapi musik relaksasi dan suara alam. Tujuan penelitian ini adalah untuk mengetahui sejauh mana efektifitas musik relaksasi, suara alam dan kombinasi keduanya terhadap nyeri dan kecemasan pasien. Metode yang digunakan adalah literature review dengan studi kepustakaan dan pencarian elektronik yang menggunakan search engine EBSCOhost (MEDLINE), GALE ( infotract.galegroup ) dan google dengan kata kunci yang digunakan yaitu patients, anxiety, pain, relaxation, music, dan nature . Kriteria pemilihan sumber antara lain artikel, karya ilmiah atau buku yang membahas tentang teknik relaksasi, terapi m...
Aims: Nursing Services strive to provide a source of support for the patient’s family by implemen... more Aims: Nursing Services strive to provide a source of support for the patient’s family by implementing the Family Centered Care model in critical care rooms, focusing on providing family-centered nursing care services has not been fully applied in hospitals optimally. Objective: To Analyze the factors related to the implementation of family center care in critical nursing rooms at the Karawang district hospital. Methods: The research is a quantitative research with a correlational analytic descriptive research design with a cross-sectional design and the sample used is total sampling. The independent variables include Knowledge, Attitudes Bahavior and Facilities, while the dependent variable is Implementation of Family Center Care. Data analysis used univariate median tests, standard deviation or frequency, while bivariate tests used chi square and multivariate tests used logistic regression tests. Results: The results showed that the average implementation of Family Center Care was ...
Background: Patients with multiple organ dysfunction syndrome (MODS) require complex intensive ca... more Background: Patients with multiple organ dysfunction syndrome (MODS) require complex intensive care, and family involvement plays an essential role in achieving patient recovery. Family-centered care in the intensive care unit (ICU) benefits patients, families, and healthcare workers. Objective: This case study aimed to evaluate the family-centered care approach for patients with MODS in the ICU. Case: A 46-year-old male patient with MODS presented various problems, including the risk of respiratory infections, impaired renal perfusion, and pressure sores. An interview with the patient’s family revealed that they felt guilty, worried, and lacked sufficient information about the patient’s condition. The interventions provided to the family included giving them information about the patient’s condition, care plans, and evaluation results after procedures, providing spiritual guidance, offering family support, and involving them in the patient’s required procedures. Conclusion: After ...
The level of teachers' disaster preparedness in schools is one thing that influences the impa... more The level of teachers' disaster preparedness in schools is one thing that influences the impact of disasters on children with disabilities, especially earthquakes, which can occur at any time, including during school hours. Therefore, this study aims to determine the description of earthquake disaster preparedness for special school teachers. This study used a quantitative descriptive method with a total sample of 37 teachers at Cileunyi State SLB, and the total sampling technique used was this study. Preparedness measurement for SLB teachers uses instruments modified according to research needs. Data analysis with frequency distribution and results were grouped into ready and unprepared categories. The results showed that 86.5% of teachers were categorized as 'ready'. The best preparedness parameter is disaster knowledge, while the lowest is disaster warning. From the study results, it can be concluded that most SLB teachers are categorized as ready to face earthquake d...
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