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APPROPRIATE USE OF ORAL ANTIHYPERTENSIVE DRUGS EVALUATION IN NONDIALYSIS CHRONIC KIDNEY DISEASE PATIENT OF PRIVATE HOSPITAL IN EAST BEKASI 2018-2020 2018-2020年东北地区民营医院非透析慢性肾病患者口服降压药合理使用评价
Pub Date : 2021-12-20 DOI: 10.47522/jmk.v1iiahsc.123
Sukma Widayani, Wahyu Nuraini Hasmar
Introduction: Chronic Kidney Disease (CKD) is currently one of the most common diseases and being a concern in the world, including in Indonesia. The number of patients with CKD tends to increase year by year. Hypertension is a cause and effect of CKD and contributes to its development. This study aimed to evaluate the appropriateness use of oral antihypertensive drugs in patients with chronic kidney disease of private hospital in East Bekasi for the 2018-2020 period. Method: The method used in this study was observational data taken retrospectively from the medical records of non- dialysis chronic kidney disease patients. The study population were all patients diagnosed with non-dialysis chronic kidney disease at the inpatient installation of private hospital in East Bekasi. The sample was taken by consecutive sampling method where the sample was determined based on the inclusion criteria of 50 patients. Results: Evaluation of drug use in this study included right patient, right indication, right medication and right dose. The following results were obtained: right patient was 100%, right indication was 98%, right medication was 86% and right dose was 94.84%. Conclusion It can be concluded that evaluation of oral antihypertensive drugs usage in patients with chronic kidney disease need to be done so that the contribution of hypertension to CKD development decreases.
慢性肾脏疾病(CKD)是目前世界上最常见的疾病之一,受到关注,包括在印度尼西亚。CKD患者有逐年增加的趋势。高血压是CKD的原因和影响,并有助于其发展。本研究旨在评价2018-2020年东别加西私立医院慢性肾病患者口服降压药的适宜性。方法:本研究采用回顾性观察资料,收集非透析慢性肾病患者的病历资料。研究人群均为东贝卡西私立医院住院诊断为非透析慢性肾脏疾病的患者。样本采用连续抽样法,根据50例患者的入选标准确定样本。结果:本研究的用药评价包括正确的患者、正确的适应证、正确的用药和正确的剂量。结果:患者正确率100%,适应证正确率98%,用药正确率86%,剂量正确率94.84%。结论需要对慢性肾病患者口服降压药的使用情况进行评估,以降低高血压对CKD发展的贡献。
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引用次数: 0
IDENTIFICATION OF FORMALDEHYDE IN UNBRANDED WET NOODLES AT TRADITIONAL MARKETS OF TAMBUN SELATAN USING TEST KIT METHODS AND UV-VIS SPECTROPHOTOMETRY 用检测试剂盒法和紫外-可见分光光度法测定传统坦布西拉坦市场无品牌湿面中甲醛含量
Pub Date : 2021-12-20 DOI: 10.47522/jmk.v1iiahsc.117
Wilis Rarabiella, E. Sari, Siti Nurfajriah
Introduction: Wet noodles are flour-based foods that are widely consumed by the community because of their easy processing. The high water content in wet noodles makes the noodles not last long. In fact, there is still a preservative in wet noodles that is not used, namely formaldehyde. The purpose of this study was to determine whether there was formaldehyde in unbranded wet noodles in the Traditional Market of South Tambun District and to determine the level of formaldehyde in unbranded noodles in the Traditional Market of South Tambun District. Method: This research was conducted at the STIKes Mitra Keluarga laboratory. The type of research used is descriptive. There are 7 samples taken from 4 different markets. The sample was tested using a formaldehyde test kit and resulted in 6 positive formaldehyde samples. According to SNI, formaldehyde should not be in wet noodles. So that the results of the 6 samples did not meet the quality requirements of wet noodles. Results: Furthermore, the positive sample was determined using a UV-VIS spectrophotometer and Nash reagent. The lowest level of formaldehyde is 18.61 mg/L while the highest level is 738.45 mg/L. Conclusion: First, the regulation is not yet known by the producers because it is classified as traditional. Second, there is no good control from authorized institutions or officers. Third, the lack of guidance for producers
导读:湿面是一种以面粉为基础的食品,因其易于加工而被社会广泛消费。湿面含水量高,使得面条保存时间不长。其实湿面中还有一种防腐剂是不用的,那就是甲醛。本研究的目的是确定南潭潭区传统市场无品牌湿面中是否存在甲醛,并确定南潭潭区传统市场无品牌湿面中甲醛的含量。方法:本研究在STIKes Mitra Keluarga实验室进行。使用的研究类型是描述性的。7个样本取自4个不同的市场。使用甲醛检测试剂盒对样品进行检测,结果有6个甲醛阳性样品。SNI表示,湿面条中不应该含有甲醛。导致6个样品检测结果不符合湿面质量要求。结果:采用紫外-可见分光光度计和纳什试剂测定阳性样品。甲醛最低为18.61 mg/L,最高为738.45 mg/L。结论:首先,生产商还不知道该法规,因为它被归类为传统法规。第二,没有来自授权机构或官员的良好控制。第三,缺乏对生产者的指导
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引用次数: 0
FAMILY SUPPORT TO ADOLESCENTS WITH THALASSEMIA 家庭对地中海贫血青少年的支持
Pub Date : 2021-12-20 DOI: 10.47522/jmk.v1iiahsc.108
D. Rejeki, Y. Utami, S. Narulita
Introduction: Thalassemia is one of the genetic disorders characterized by the decrease or absence of one of the globin chains, either alpha chain or beta chain. Which are the main components of normal hemoglobin. Thalassemia has become serious health issue in Mediterranean, Middle East, India, and South East Asia, including Indonesia. The thalassemia gene frequency in Indonesian population ranging from 3-8%. Adolescent is the transition period from children to adult. Thalassemia adolescents express psychosocial reaction and unpleasant experience due to the lifetime treatment routines that they must face off. These impact on the adolescents’ family and self-esteem. This study aims to analyze the relationship between family support and self-esteem of thalassemia adolescents. Method: This was a quantitative study design with phenomenology approach. A total of 50 subjects were collected with purposive sampling technique. Data were obtained by from questionnaire and analyzed using Spearman Rho method with cross sectional approach. Results: The statistical result with Spearman Rho method shows significant p value of 0.024 (p <0.05) and r value of 0.319. The positive correlation implies that both variables are moving in same direction with weak relationship. These results are in accordance with the hypothesis that family support are related with self-esteem of thalassemia adolescents. Conclusion: Family support in thalassemia adolescents is high and no thalassemia adolescents present with low self-esteem, mostly normal. The correlation between these two variables is weak but significant.
地中海贫血是一种遗传性疾病,其特征是珠蛋白链(α链或β链)的减少或缺失。它们是正常血红蛋白的主要成分。地中海贫血已成为地中海、中东、印度和东南亚(包括印度尼西亚)的严重健康问题。印度尼西亚人群中地中海贫血基因频率为3-8%。青春期是从儿童到成人的过渡时期。地中海贫血青少年表现出心理社会反应和不愉快的经历,因为他们必须面对终身治疗程序。这些都对青少年的家庭和自尊产生了影响。本研究旨在分析地中海贫血青少年家庭支持与自尊的关系。方法:采用现象学方法进行定量研究设计。采用目的抽样法,共收集50名受试者。采用问卷调查法获得资料,采用Spearman Rho方法进行横断面分析。结果:Spearman Rho法统计结果显示p值为0.024 (p <0.05), r值为0.319。正相关意味着两个变量的运动方向相同,关系较弱。这些结果与家庭支持与地中海贫血青少年自尊相关的假设相一致。结论:地中海贫血青少年的家庭支持水平较高,无低自尊症状,多数表现正常。这两个变量之间的相关性很弱,但很重要。
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引用次数: 0
ANALYSIS OF THE PHYSICAL HOME ENVIRONMENT AND COMMUNITY BEHAVIOR TOWARDS INCIDENCE OF DENGUE HEMORRHAGIC FEVER IN RIAU PROVINCE 廖内省家庭物理环境与社区行为对登革出血热发病的影响分析
Pub Date : 2021-12-20 DOI: 10.47522/jmk.v1iiahsc.120
Hetty Ismainar, B. Yulianto, N. Sari, Eva Afiani
Introduction: Dengue Hemorrhagic Fever (DHF) is still a health problem in Meranti Islands Regency. There has been an increase of 15-25% of cases every year since 2017-2019. The purpose of this study is to determine the correlation between the physical home environment and community behavior towards DHF incidence which include: ventilation, air temperature, water reservoirs, knowledge, and attitudes. Method: It was observational analytic with a cross-sectional design. This research was conducted for three months (February-April 2020). The research subject was 92 samples were selected by the purposive sampling technique. The research instrument was a structured questionnaire and observation sheet. Data analysis using Chi-square test. Results: There were 49 (53.3%) cases of DHF with the physical home environment that was not following the health standards, namely: ventilation (bad=70.7%), air temperature (bad=77.2%), water reservoirs (bad=59.8%), knowledge (low=55,4%), and attitude (negative=55.4%). There was a significant correlation between ventilation (p=0,002), air temperature (p=0,020), water reservoirs (p=0,027), knowledge (p=0,008), and attitudes (p=0,000) toward incidence of DHF (p-value <0.05). Conclusion: The physical home environment and community behavior are related to DHF incidence. Good coordination between health promotion team, local government in providing health education, socialization of healthy homes by empowering local communities.
登革热出血热(DHF)仍然是莫兰蒂群岛的一个健康问题。自2017-2019年以来,每年的病例数增加了15-25%。本研究的目的是确定物理家庭环境和社区行为对DHF发病率的相关性,包括:通风、空气温度、水库、知识和态度。方法:采用横断面设计的观察分析方法。该研究为期三个月(2020年2月至4月)。研究对象为92个样本,采用目的抽样法。研究工具为结构化问卷和观察表。数据分析采用卡方检验。结果:家庭物理环境不符合卫生标准的DHF患者49例(53.3%),分别为:通风不良(70.7%)、气温不良(77.2%)、水库不良(59.8%)、知识不良(55.4%)、态度不良(55.4%)。通气(p=0,002)、气温(p=0,020)、水库(p=0,027)、知识(p=0,008)和态度(p= 0,0000)对DHF发病率有显著相关性(p值<0.05)。结论:家庭物理环境和社区行为与DHF发病有关。健康促进队与地方政府之间的良好协调,通过赋予当地社区权力,提供健康教育和健康家庭社会化。
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引用次数: 1
SYNERGISM TEST OF DATE (PHOENIX DACTYLIFERA L.) AND RAW TEMPE ON ANTIOXIDANT ACTIVITY 枣(凤尾)的增效作用试验和生豆豉的抗氧化活性
Pub Date : 2021-12-20 DOI: 10.47522/jmk.v1iiahsc.122
Intan Kurnia Putri, Aynna Sufana Rani
Introduction: Dates and tempeh are foods that both contain antioxidant compounds. Antioxidant compounds such as flavonoids and isoflavones are known to be found in dates and tempeh. This study was conducted to see how much antioxidant activity contained in dates and tempeh and how the effect of dates and tempeh consumed simultaneously on the increase in total antioxidant activity. Method: This study uses a direct experimental design with prospective data collection. The selected samples were dates with the type of sukkari and tempeh wrapped in plastic. Data processing was carried out using a simple linear regression statistical method. Results: The DPPH test method with UV-Visible Spectrophotometry  instrument  showed the results  of  the % inhibition value of dates fruit of 39.99% and tempeh of 24.52%. Testing the synergistic effect using 7 treatments showed that the treatment with a ratio of 50:50 had a higher % inhibition value than the other treatments, which showed that consuming dates and tempeh in a ratio of 50:50 could provide a synergistic effect on antioxidant activity. Conclusion The results obtained indicate that both samples, both dates and tempeh have high antioxidant activity, consuming both simultaneously can increase antioxidant activity. So it can be concluded that there is an effect on the synergistic effect of antioxidant activity of dates and tempeh which are consumed simultaneously. It is recommended to conduct research on the antioxidant activity of dates and tempeh using other test methods, and further research on the formulation of the preparation or clinical trials using mice.
简介:枣和豆豉都是含有抗氧化化合物的食物。已知在枣和豆豉中含有抗氧化化合物,如类黄酮和异黄酮。这项研究是为了了解红枣和豆豉中含有多少抗氧化活性,以及同时食用红枣和豆豉对提高总抗氧化活性的影响。方法:本研究采用前瞻性数据收集的直接实验设计。所选的样品是用塑料包裹的苏卡里和豆豉类型的枣。数据处理采用简单的线性回归统计方法。结果:采用紫外可见分光光度法检测DPPH,对红枣果实的%抑制值为39.99%,对豆豉的%抑制值为24.52%。7种处理的协同效应试验表明,以50:50的比例处理比其他处理具有更高的%抑制值,说明以50:50的比例食用红枣和豆豉具有协同抗氧化作用。结论红枣和豆豉均具有较高的抗氧化活性,同时食用可提高其抗氧化活性。由此可见,红枣和豆豉同时食用对其抗氧化活性的协同效应有影响。建议采用其他试验方法对红枣和豆豉的抗氧化活性进行研究,并进一步研究其制剂的配方或小鼠临床试验。
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引用次数: 0
FORMULATION AND EVALUATION OF GEL MASK PEEL OF BLACK GLUTINOUS RICE EXTRACT (ORYZA SATIVA VAR GLUTINOSA) AND GREEN TEA (CAMELIA SINENSIS) 黑糯米、绿茶凝胶面膜皮的配方及评价
Pub Date : 2021-12-20 DOI: 10.47522/jmk.v1iiahsc.106
Ajeng Ayu Pebriani, Maya Uzia Beandrade
Introduction: Black glutinous rice (Oriza sativa var glutinosa) and green tea (Camelia sinensis) are plants that are useful for moisturizing the skin. The purpose of this study was to obtain the best formulation of peel-off gel mask preparations from black glutinous rice and green tea extract.Method: The gel mask formulation was made on the basis of variations in the concentration of Hydroxy Propyl Methyl Cellulose (HPMC) of F1 (2,5%), F2 (3%) and F3 (3,5%) with evaluation including organoleptic tests, pH, viscosity, homogenity, dispersity test, and drying time at temperatures of 4oC, 25oC, 40oC for 28 days.Results: The evaluation results of the three formulations met the requirements for a good peel-off gel mask. pH results are between 4.6-5.5 which is still in the standard range of 4.5-6.0. The results of the viscosity test are 6.500-12.166.7 cps which are in the range of 6.000-24.000 cps, the dispersion area meets the requirements of 5-7 cm, the result of the drying time is 15-22 minutes which are in the range of 15-30 minutes.Conclusion: The conclusion of this study was that F1, F2, and F3 met all the requirements for peel off gel masks by storing at temperatures of 4oC, 25oC, 40oC for 28 days.
简介:黑糯米(Oriza sativa var glutinosa)和绿茶(Camelia sinensis)是有益保湿皮肤的植物。以黑糯米和绿茶提取物为原料,优选剥脱凝胶面膜制剂的最佳配方。方法:根据羟丙基甲基纤维素(HPMC) F1(2.5%)、F2(3%)和F3(35%)的浓度变化配制凝胶膜,评价包括感官试验、pH、粘度、均匀性、分散性试验和在4℃、25℃、40℃下干燥28天的时间。结果:三种剂型的评价结果均满足良好的可剥性凝胶面膜的要求。pH值在4.6-5.5之间,仍在4.5-6.0的标准范围内。粘度测试结果为6.500-12.166.7 cps,范围为6000 -24.000 cps,分散面积满足5-7 cm的要求,干燥时间为15-22分钟,范围为15-30分钟。结论:本研究的结论是F1、F2、F3在4℃、25℃、40℃的温度下保存28天,均满足面膜剥离的要求。
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引用次数: 0
THE CORRELATION OF MOTHER’S KNOWLEDGE AND ATTITUDE WITH BREASTFEEDING PRACTICES IN TULANG BAWANG BARAT DISTRICT AT 2021 2021年土郎霸王巴拉特地区母亲知识、态度与母乳喂养行为的相关性
Pub Date : 2021-12-20 DOI: 10.47522/jmk.v4iiahsc.124
A. Yulianty, S. Irianto, A. Kustiani
Introduction:Breast milk is a liquid formed from a mixture of two substances, namely fat and water contained in a solution of protein, lactose and inorganic salts produced by the mother's breast glands, and is useful as baby food. Mother's knowledge and attitude in exclusive breastfeeding plays an important role in increasing the growth and development of children. The purpose of this study was to determine the relationship between the level of knowledge (cognitive factors) and attitudes (affective factors) of mothers in the practice of exclusive breastfeeding in Tulang Bawang Barat District in 2021. Method: This research is a quantitative research, with a cross sectional approach. The population in this study were all mothers who had babies > 6 months-12 months as many as 2285 with samples taken as many as 93 respondents. The object of this research is exclusive breastfeeding, knowledge and attitude. The research was conducted in June 2021 in the District of Tulang Bawang Barat. Collecting data using a questionnaire, data analysis is univariate, bivariate and multivariate. Results: The results showed that there was a relationship between knowledge (p value = 0.016, OR = 3.264), and attitudes (p value = 0.001, OR = 7.848) towards exclusive breastfeeding in Tulang Bawang Barat District in 2021. Dominant factors related to exclusive breastfeeding in Tulang Bawang Barat District in 2021, namely the attitude with a p-value of 0.000 OR 10.197. Conclusion: The dominant factor related to the practice of exclusive breastfeeding in Tulang Bawang Barat is the attitude of the mother. To improve the attitude of mothers in the Practice of Exclusive Breastfeeding, the Health Office needs to carry out health promotions with a more frequent frequency by using more attractive health promotion media in collaboration with the health promoter team at the puskesmas.
简介:母乳是由母亲乳腺产生的蛋白质、乳糖和无机盐的溶液中含有的脂肪和水这两种物质混合而成的液体,是有用的婴儿食品。母亲对纯母乳喂养的认识和态度对促进儿童的生长发育起着重要作用。本研究的目的是确定2021年土郎霸王巴拉特区母亲纯母乳喂养的知识水平(认知因素)与态度(情感因素)之间的关系。方法:采用横断面方法进行定量研究。本研究的人群均为生育婴儿> 6个月-12个月的母亲,多达2285人,样本多达93人。本研究的对象是纯母乳喂养,知识和态度。该研究于2021年6月在土郎霸王巴拉特区进行。使用问卷收集数据,数据分析有单变量、双变量和多变量。结果:2021年土郎霸王巴拉特区母乳喂养知识(p值= 0.016,OR = 3.264)与态度(p值= 0.001,OR = 7.848)存在相关关系。2021年土郎霸王巴拉特区纯母乳喂养相关的优势因素为态度,p值为0.000 OR 10.197。结论:影响土郎霸王村纯母乳喂养的主要因素是母亲的态度。为了改善母亲对纯母乳喂养做法的态度,卫生办事处需要与各诊所的健康促进小组合作,利用更有吸引力的健康促进媒体,更频繁地开展健康促进活动。
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引用次数: 0
FAKTOR-FAKTOR YANG MEMPENGARUHI PENGETAHUAN KELUARGA TERHADAP PENYAKIT HIPERTENSI: TELAAH NARASI 影响家庭高血压知识的因素:叙述
Pub Date : 2021-12-16 DOI: 10.47522/jmk.v4i1.98
E. Rachmawati, Fitria Rahmadhani, Mahftuhatur Rizqi Ananda, Shifa Salsabillah, Anung Ahadi Pradana
Pendahuluan: Jumlah penderita hipertensi terus meningkat setiap tahunnya, diperkirakan pada tahun 2025 akan ada 1,5 miliar orang yang terkena hipertensi dan setiap tahun sebanyak 10,44 juta orang meninggal karena hipertensi. Mengetahui faktor-faktor yang mempengaruhi pengetahuan keluarga tentang hipertensi. Metode: Penulis melakukan literature review dengan pendekatan sederhana terhadap 10 artikel tentang faktor-faktor yang mempengaruhi pengetahuan keluarga tentang hipertensi periode 2015-2020 menggunakan beberapa database dan website antara lain Google Scholar, PubMed, Sience Direct dan Wiley. Hasil: Faktor-faktor yang mempengaruhi pengetahuan keluarga tentang hipertensi berdasarkan 10 artikel yang dikumpulkan meliputi usia, jenis kelamin, riwayat keluarga, merokok, olahraga, pendidikan, dan konsumsi alkohol. Kesimpulan: Penelitian ini menyimpulkan bahwa faktor yang mempengaruhi pengetahuan keluarga adalah tingkat pendidikan dan usia, karena pendidikan yang rendah memungkinkan seseorang mengalami hipertensi karena kurangnya informasi atau pengetahuan yang mengarah pada perilaku hidup sehat seperti tidak mengetahui tentang bahayanya, serta mencegah hipertensi. Faktor usia seseorang sangat mempengaruhi kemampuan seseorang dalam menerima informasi dan cara berpikir seseorang tentang informasi yang diperoleh. Pengaruh tingkat pendidikan dan umur terhadap pengetahuan tentang hipertensi.
前言:每年高血压的人数继续增加,估计到2025年,将有15亿人患有高血压,每年有1044万人死于高血压。知道影响家庭高血压知识的因素。方法:作者使用谷歌Scholar, PubMed,医学指导和Wiley等数据库和网站,简单地采用10篇影响家庭高血压知识的文章。结果:影响家庭高血压知识的因素基于10篇收集到的文章,包括年龄、性别、家庭历史、吸烟、体育、教育和酒精消费。结论:这项研究得出的结论是,影响家庭知识的因素是教育水平和年龄,因为缺乏信息或知识导致健康的生活行为,如不知道危险,以及预防高血压。一个人的年龄因素极大地影响了他接受信息的能力和他对获得信息的想法。教育水平和年龄对高血压知识的影响。
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引用次数: 2
PENGGUNAAN TEKNOLOGI BAGI LANSIA YANG MENGALAMI DEPRESI: TELAAH LITERATUR 为患有抑郁症的老年人使用技术:研究文献
Pub Date : 2021-12-16 DOI: 10.47522/jmk.v4i1.101
Neta Eka Aprilia, Putri Salsabilla, Susanti Aryani, Tiara Aisha, Theresia Betaria Veronika Sidabu, Anung Ahadi Pradana
Pendahuluan: Penggunaan teknologi dalam sistem pendukung komunikasi sosial yang banyak berkembang sekarang ini menyebabkan adanya gap antara penggunaan dan keterbatasan lansia. Kebutuhan dan teknologi yang meningkat untuk penggunaan media komunikasi sosial bagi lansia tidak dibarengi dengan kemampuan dari lansia yang malah semakin menurun baik secara fisik maupun kognitif. Geronteknologi juga dapat menyediakan teknologi yang canggih untuk mempermudah atau alat yang bersifat dapat membantu dalam meningkatkan kualitas hidup dan kemandirian personal lansia. Metode: Penulis melakukan kajian literatur dengan pendekatan sederhana terhadap 10 artikel penggunaan tekhnologi pada lasia depresi dalam periode 2010-2021. Hasil: Hasil eksperimen kami dan analisis data yang dikumpulkan menunjukkan bahwa orang lanjut usia tertarik untuk memiliki robot, android, dan terapi sebagai pendamping mereka dan minat mereka tidak berkurang seiring waktu. Kesimpulan: Aplikasi yang berhasil dalam penelitian ini adalah aplikasi yang dapat bermanfaat sebagai media komunikasi sosial sekaligus penyedia informasi kesehatan bagi lansia, rancangan ini nanti dapat dukungan penelitian untuk menunjang kehidupan lansia.
初步:在当前高度发展的社会通信支持系统中使用技术导致使用与限制老年人之间的差距。越来越多的社交媒体对老年人使用社交媒体的需求和技术与老年人在身体和认知上都在下降的能力相比。gerontechnology还可以提供先进的技术,使它更容易或工具,有助于提高老年人的生活质量和自力更生。方法:作者在2010年至2021年期间对10篇关于lasia抑郁症使用技术的文章进行了简单的文献研究。结果:我们的实验和收集的数据分析表明,老年人对机器人、android和治疗作为他们的伴侣感兴趣,而且他们的兴趣不会随着时间的推移而减弱。结论:在这项研究中取得成功的应用是一种对老年人的社会传播媒体和健康信息提供帮助的应用,该计划后来为支持老年人提供了研究支持。
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引用次数: 0
ASUHAN KEPERAWATAN STROKE ISKEMIK DENGAN FAKTOR KOMPLIKASI HYPOKALEMIA DI RUANG CEMPAKA RS Swasta BEKASI BARAT SELAMA PANDEMI COVID-19 在COVID-19大流行期间,一名患有缺血性脑损伤的护理护理孤儿院,在西印度私立医院的CEMPAKA房间里出现了低血症并发症
Pub Date : 2021-12-16 DOI: 10.47522/jmk.v4i1.99
Christine Rodo, Devi Susanti
Pendahuluan: Stroke merupakan masalah kesehatan yang penting dan perlu mendapat perhatian. Stroke iskemik adalah hilangnya fungsi otak yang disebabkan oleh terhentinya suplai darah ke bagian otak yang disebabkan oleh trombus atau embolus. Stroke atau gangguan peredaran darah serebral (GPDO) merupakan penyakit saraf yang sering dijumpai dan harus ditangani secara cepat dan tepat. Menurut hasil Riset Kesehatan Daerah (RIKESDAS) Provinsi Jawa Barat memiliki prevalensi stroke sebesar 11,4% dan memiliki perkiraan jumlah penderita tertinggi yaitu 131.846 orang. Berdasarkan data rekam medis rumah sakit swasta di Bekasi Barat, dalam setahun terakhir diperoleh data sebanyak 101 pasien atau sekitar 1,98%. Berdasarkan data prevalensi stroke di atas, ditemukan bahwa kejadian stroke semakin meningkat setiap tahunnya. Tujuan Penelitian: Untuk mengetahui cara memberikan asuhan keperawatan pada pasien stroke iskemik dengan faktor penyulit hipokalemia di bangsal cempaka RSUD Bekasi Barat. Metode: Rancangan penelitian ini adalah metode deskriptif dengan pendekatan studi kasus menggunakan purposive sampling yaitu pengobatan dan observasi pasien stroke iskemik dengan faktor penyulit hipokalemia, dirawat di Ruang Medis Rumah Sakit Swasta Bekasi Barat. Hasil: Pengkajian didapatkan 4 diagnosa keperawatan yaitu perfusi serebral tidak efektif berhubungan dengan emboli, ketidakseimbangan elektrolit berhubungan dengan ketidakseimbangan cairan, gangguan menelan berhubungan dengan paralisis serebral, resiko cedera berhubungan dengan penurunan fungsi psikomotor, dan gangguan mobilitas fisik berhubungan dengan penurunan kekuatan otot. Intervensi prioritas dalam diagnosis perfusi serebral yang tidak efektif terkait dengan emboli adalah menilai tanda-tanda peningkatan TIK. Intervensi prioritas dalam diagnosis ketidakseimbangan elektrolit yang berhubungan dengan ketidakseimbangan cairan adalah pencatatan intake-output dan hitung balance cairan 24 jam. Intervensi prioritas dalam mendiagnosis risiko cedera terkait penurunan fungsi psikomotor adalah menghitung risiko jatuh menggunakan Skala Morse Jatuh setiap hari. Intervensi prioritas dalam diagnosis gangguan menelan adalah pemantauan tingkat kesadaran dan kemampuan menelan. Intervensi prioritas dalam diagnosis gangguan mobilitas fisik yang berhubungan dengan penurunan kekuatan otot adalah mengajarkan mobilisasi sederhana yang akan dilakukan. Kesimpulan: Asuhan keperawatan pada pasien stroke iskemik perlu memperhatikan masalah keperawatan yaitu perfusi serebral tanpa komplikasi.
引言:中风是一种重要的、需要关注的健康问题。缺血性中风是由于血液供应过多而导致的大脑功能丧失,这种病是由血栓或栓塞引起的。中风或脑血管疾病(GPDO)是一种神经疾病,必须迅速、准确地治疗。根据西爪哇省(RIKESDAS)地区卫生研究的数据,中风率为11.4%,最高的患者估计为131.846人。根据西印度医院的私人医疗记录,去年共获得了101名患者或大约1.98%。根据上述中风流行数据,人们发现中风的发病率每年都在上升。研究目的:了解如何为病理性脑卒中患者提供治疗方法,以及西cempaka RSUD病房的低组织因子。方法:这项研究的设计是一种描述性的方法,采用采用采样方法的案例研究方法,即用低血体分解因子治疗和观察病例。结果:获得4个护理诊断,即大脑融合无效与栓塞有关,电解质与液体不平衡有关,吞咽与大脑递质有关的失调有关,精神运动功能受损有关的伤害风险与肌肉力量有关。脑栓塞疗法无效的优先干预是评估TIK的增益迹象。与液体不平衡相关的电解质不平衡诊断的优先干预是输入输出记录和24小时平衡。诊断精神运动精神功能降低相关损伤风险的优先步骤是计算每天使用莫尔斯电码水平下降的风险。吞咽障碍诊断的优先级干预是对意识和吞咽能力的监测。对肌肉力量衰退相关的身体流动性障碍的优先干预是教授简单的动员。结论:缺血性中风患者的护理护理护理需要注意无并发症的大脑融合问题。
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