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Psychological Distress And The Sleep Quality In Older Patients With Chronic Disease 老年慢性病患者的心理困扰与睡眠质量
Pub Date : 2021-09-23 DOI: 10.37341/JKG.V0I0.207
Y. Yodang, Akbar Harisa, S. Syahrul
Background: The prevalence of chronic disease in elderly increase year by year worldwide and it’s related to mortality and decrease of quality of life. The majority of elderly patients complaints about sleep disorders and that affects sleep quality, health status and quality of life. Psychological aspect was identified as one main contributor in sleep disorders among elderly who suffer from chronic disease. This study aims to determine the effect of psychological distress on sleep quality among elderly patients with chronic disease. Methods: This study applied a quantitative research design with cross-sectional approach. The study conducted in a teaching university hospital from October to November 2021. Population is elderly with chronic diseases, the participants selected by using total sampling method. Data collection using psychological distress related questionnaire and Pittsburg Sleep Quality Index (PSQI). Data analysis applied Fishers’ Exact test. Results: There are 52 older patients participate in this study. The study finding 85.6% participants have psychological distress and 51.9% have poor quality of sleep. Based on Fishers’ Exact test analysis, the p-value was 0.308 (statistically insignificant). Conclusion: This study finding report that psychological distress statistically has no significant affect on sleep quality among elder patients who suffer from chronic disease. However, some participants have poor sleep quality. Study in advance to investigate how psychological status affect sleep quality is needed. 
背景:世界范围内老年人慢性病患病率逐年上升,并与老年人死亡率和生活质量下降有关。老年患者以睡眠障碍为主,影响睡眠质量、健康状况和生活质量。心理因素被认为是导致患有慢性疾病的老年人睡眠障碍的一个主要因素。本研究旨在探讨老年慢性病患者心理困扰对睡眠质量的影响。方法:本研究采用横断面法定量研究设计。该研究于2021年10月至11月在一所教学大学医院进行。人群为老年慢性病患者,参与者选用全抽样方法。数据收集采用心理困扰相关问卷和匹兹堡睡眠质量指数(PSQI)。数据分析采用fisher ' s Exact检验。结果:52例老年患者参与本研究。研究发现,85.6%的参与者有心理困扰,51.9%的参与者睡眠质量差。经fisher ' s Exact检验分析,p值为0.308(无统计学意义)。结论:本研究发现,心理困扰对老年慢性病患者睡眠质量无显著影响。然而,一些参与者的睡眠质量很差。需要提前研究心理状态如何影响睡眠质量。
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引用次数: 1
Increasing Public Confidence In Accessing Public Safety Center-119 Services Through First Aid Training 通过急救培训提高公众使用公共安全中心-119服务的信心
Pub Date : 2021-07-13 DOI: 10.37341/JKG.V0I0.232
S. Sunarto, Addi Mardi Harnanto
Background: Emergency conditions in Indonesia can be caused by the vulnerability of disasters, accidents and diseases that threaten life or cause disability in humans. Emergency conditions require immediate assistance to prevent death and disability. The community as the first helper holds a very important key to the safety of individuals who are experiencing emergency conditions. Not all people are familiar with the PSC-119 service. The results of the preliminary study also showed that most of the respondents expressed lack of confidence because they had never received any socialization or training on how to provide first aid. Methods: a form of experimental research with a pretest-posttest model, with intervention towards respondents related to actions in first aid training. Respondents in this study were 217 special lay people. The sampling technique in this study was random sampling by distributing invitations to special lay people in the city of Surakarta, consisting of members of the Voluntary Corps, health cadres and Linmas Kelurahan at Surakarta City. The data analysis technique used a t test Results: There was an increase in the value between the pretest and posttest of 12.2 and the result of different test (t test) shows the value of Sig. (2-tailed) is 0.00. Conclusion: There was an increase in community confidence in accessing PSC-119 services after first aid training was carried out for victims with significant emergency conditions.
背景:印度尼西亚的紧急情况可能是由于易受威胁生命或造成人类残疾的灾害、事故和疾病的影响而造成的。紧急情况要求立即提供援助,以防止死亡和伤残。社区作为第一个帮助者,对正在经历紧急情况的个人的安全起着非常重要的作用。并非所有人都熟悉PSC-119服务。初步研究的结果还表明,大多数受访者表示缺乏信心,因为他们从未接受过任何关于如何提供急救的社会化或培训。方法:采用前测后测模型进行实验研究,并对急救培训中的相关行为进行干预。本研究的调查对象为217名特殊外行人士。本研究的抽样方法是随机抽样,向苏拉arta市的特殊外行人员分发邀请,包括志愿团成员、卫生干部和苏拉arta市的Linmas Kelurahan。数据分析技术采用t检验结果:前测和后测之间的值增加了12.2,不同检验(t检验)的结果显示Sig (2-tailed)的值为0.00。结论:在对有重大紧急情况的受害者进行急救培训后,社区对PSC-119服务的信心有所增加。
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引用次数: 3
Sensitivity And Specificity Numerical Range Scale-Competency (NRS-C) In Emergency Care 急诊护理的敏感性和特异性数值范围量表-能力(NRS-C)
Pub Date : 2021-07-13 DOI: 10.37341/JKG.V0I0.175
Heru Suwardianto, Santi Angraini
Background: Emergency conditions always occur every day around us, and the delay in aid makes the condition getting worse after arriving at the emergency department. Emergency competency assessments that continue to develop ensure increased competence for students to further increase student awareness of emergency conditions. The research objective is the development of the Emergency Sensitivity and Specificity Range Scale Competency (NRS-C) for Emergency Services Methods: Observational analytical research method using secondary data competency assessment of 101 respondents who have done daily emergency training. Inclusion criteria, namely high school students’ class XI and XII. The sampling technique used is random sampling by taking randomly (single blink). Data were analyzed using the Receiver Operating Curve (ROC Curve). Results: The results showed that most respondents were 16 years old (41%), and have a female gender (54%). The results showed that the sensitivity value was 84% and the specificity was 16%, with an AUC Area value of 0.794, and p=0,001, which means it has a fairly good AUC value. Conclusion: The NRS-C instrument can be used in the emergency department competency assessment which is quite good in assessing the competence of an emergency department..
背景:紧急情况每天都在我们身边发生,救援的延误使得到达急诊科后情况变得更糟。持续发展的应急能力评估确保提高学生的能力,进一步提高学生对紧急情况的认识。研究目的是开发应急服务应急敏感性和特异性范围能力量表(NRS-C)。方法:采用观察性分析研究方法,对101名接受过日常应急培训的受访者进行了二次数据能力评估。使用的采样技术是随机采样(单次眨眼)。采用受试者工作曲线(ROC曲线)对数据进行分析。结果:调查结果显示,受访者中16岁(41%)居多,女性(54%)居多。结果表明,该方法的敏感性为84%,特异性为16%,AUC Area值为0.794,p= 0.001,具有较好的AUC值。结论:NRS-C仪器可用于急诊科能力评价,对急诊科能力评价有较好的效果。
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引用次数: 0
Dhikr Therapy Can Improve Muscle Strength In Non-Hemorrhagic Stroke Patients Dhikr疗法可以改善非出血性中风患者的肌肉力量
Pub Date : 2021-07-12 DOI: 10.37341/JKG.V0I0.181
S. Setiyawan, Dewi Anggraeni, Annisa Cindy Nurul Afny
Background: Non-hemorrhagic stroke is a disease that occurs due to a blockage in certain brain blood vessels. Therefore, the brain area is not supplied with energy and oxygen so that the brain tissue does not function. The problem that occurs in non-hemorrhagic strokes is the weakness of the limbs and facial muscles. Non-pharmacological therapy for non-hemorrhagic stroke sufferers is dhikr therapy. Dhikr therapy relies on feelings and heart to calm the soul and increase muscle strength. This study aims to determine the effect of dhikr therapy on muscle strength in non-hemorrhagic stroke patients Methods: This study used a quasi-experimental research design with pre-and post-test with control group. Non-probability sampling was used to determine the sample, which consisted of 54 respondents: 27 in the treatment group with ROM therapy, dhikr and 27 in the control group with ROM therapy. Manual Muscle Testing (MMT) Instrument is used to measure muscle strength. The data were analyzed using an independent T-test Results: There is an effect of dhikr therapy on muscle strength after implementing the therapy in the intervention and control groups with a p-value of the right upper extremity of 0.000, p-value of the left upper extremity of 0.008, p-value of the right lower extremity of 0.007 and p-value of the left lower extremity of 0.007 Conclusion: The results of this study indicate that dhikr therapy can improve muscle strength in non-hemorrhagic stroke patients at the Sibela Community Health Center of Surakarta
背景:非出血性中风是由于某些脑血管堵塞而发生的一种疾病。因此,大脑区域没有提供能量和氧气,脑组织无法发挥作用。发生在非出血性中风的问题是四肢和面部肌肉的无力。非出血性中风患者的非药物治疗是dhikr疗法。Dhikr疗法依靠感觉和心灵来平静灵魂,增加肌肉力量。本研究旨在探讨dhikr治疗对非出血性脑卒中患者肌力的影响。方法:采用准实验研究设计,与对照组进行前后测试。采用非概率抽样来确定样本,该样本由54名受访者组成:27名来自ROM治疗组,27名来自dhikr, 27名来自ROM治疗对照组。手动肌肉测试(MMT)仪器用于测量肌肉力量。采用独立t检验对数据进行分析结果:干预组和对照组实施dhikr治疗后对肌力有影响,其右上肢p值为0.000,左上肢p值为0.008,右下肢p值为0.007,左下肢p值为0.007本研究结果表明,在泗水的Sibela社区卫生中心,dhikr疗法可以改善非出血性中风患者的肌肉力量
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引用次数: 0
A Qualitative Study Of Emergency Nurses’ Basic Life Support Practices In A Ghanaian University Hospital 加纳某大学医院急诊护士基本生命支持实践的定性研究
Pub Date : 2021-05-25 DOI: 10.37341/JKG.V0I0.217
Alex Darteh Afrifa, M. Abdulai, J. Prah
ABSTRACT Background: Medical emergencies are common but Sudden Cardiac Arrest (SCA) incidences are rare; yet when they occur could be life threatening leading either to disability or death. During SCA incidents, health care professionals will be required to act skilfully and swiftly to restart the heart and stabilise the patient until advanced care can be accessed or provided. There is evidence that victims of cardio and/or respiratory arrest whilst in the hospital will have improved outcomes if Cardiopulmonary Resuscitation (CPR) is initiated within three to five minutes. The objectives of this study were to find if emergency nurses were adequately resourced to practice Basic Life Support (BLS), and the ease or difficulties with which they practice BLS. Methods: This Qualitative Descriptive (QD) study was conducted at the University of Cape Coast Hospital (UCCH) between June and September 2019. Six nurses were purposively recruited for the study. All interviews were audio-recorded and transcribed verbatim. The transcription was done with Microsoft Word and transferred to Microsoft Excel for thematic analysis using an inductive descriptive approach. Data analysis took a conventional qualitative content analysis approach. Results: Four of the participants were females whilst two were males. During data aggregation and analysis, 17 first-level codes were extracted from which two themes, five categories and six subcategories were obtained for discussion. The major themes were: (1) Basic Life Support (BLS) equipment and material resources, and (2) working environment and human resource. Conclusion: The study found that nurses working at emergency ward at UCCH were adequately resourced and well prepared to practice BLS. They however had challenges as their work seem to be hindered by patients who present to the ward without emergency needs and unavailability of emergency drugs.
背景:医疗紧急情况是常见的,但心脏骤停(SCA)的发生率是罕见的;然而,当它们发生时,可能会危及生命,导致残疾或死亡。在SCA事件中,医疗保健专业人员将被要求熟练而迅速地采取行动,重新启动心脏并稳定患者,直到可以获得或提供高级护理。有证据表明,如果在三到五分钟内开始心肺复苏(CPR),住院期间心脏和/或呼吸骤停的受害者将有更好的结果。本研究的目的是发现急诊护士是否有足够的资源来实践基本生命支持(BLS),以及他们实践BLS的难易程度。方法:本定性描述性(QD)研究于2019年6月至9月在海岸角大学医院(UCCH)进行。有目的地招募了六名护士参加这项研究。所有采访都有录音记录,并逐字抄写。转录是用Microsoft Word完成的,并转移到Microsoft Excel中使用归纳描述方法进行主题分析。数据分析采用传统的定性内容分析方法。结果:四名参与者是女性,两名是男性。在数据汇总分析过程中,抽取17个一级代码,从中得到2个主题、5个类目和6个小类目供讨论。主要主题是:(1)基本生命支持(BLS)设备和物质资源;(2)工作环境和人力资源。结论:本研究发现,在UCCH急诊科工作的护士有充足的资源和充分的准备来实践BLS。然而,他们遇到了挑战,因为他们的工作似乎受到了没有紧急需要和无法获得紧急药物的病人的阻碍。
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引用次数: 1
Gender Differences in COVID-19 Anxiety Syndrome Among Filipino Nursing Students 菲律宾护生COVID-19焦虑综合征的性别差异
Pub Date : 2021-03-12 DOI: 10.37341/JKG.V0I0.170
Ryan Michael Flores Oducado
Background: The global COVID-19 outbreak has affected all sectors of society. Nursing students were not exempted. This study examined COVID-19 anxiety syndrome among Filipino nursing students and whether significant differences existed according to gender. Methods: This cross-sectional study used the COVID-19 Anxiety Syndrome Scale (C-19ASS) as the primary tool for data collection. Significant gender differences were tested using the Mann-Whitney U test. Results: Results showed that the composite score in the C-19ASS was 3.92 (SD=.69) indicating a moderate to a high level of anxiety syndrome features associated with COVID-19 among nursing students. The mean scores in the preservation and avoidance factors were 3.94 (SD=.76) and 3.88 (SD=.91), respectively. Female nursing students had a significantly higher (p=.004) COVID-19 anxiety syndrome compared to male nursing students. Conclusion: The global outbreak of COVID-19 brought about extraordinary anxiety syndrome and stressful situations among nursing students. Nursing students, particularly female students, may benefit from additional support and guidance during the COVID-19 pandemic.
背景:全球新冠肺炎疫情已影响到社会各界。护理专业的学生也不例外。本研究考察了菲律宾护生的COVID-19焦虑综合征,以及性别是否存在显著差异。方法:本横断面研究采用COVID-19焦虑综合征量表(C-19ASS)作为主要数据收集工具。使用Mann-Whitney U检验显著的性别差异。结果:C-19ASS综合得分为3.92 (SD= 0.69),提示护生存在与COVID-19相关的中高水平焦虑综合征特征。保存因子和回避因子的平均得分分别为3.94 (SD= 0.76)和3.88 (SD= 0.91)。女护生的COVID-19焦虑综合征明显高于男护生(p= 0.004)。结论:新型冠状病毒肺炎(COVID-19)全球疫情给护生带来了异常焦虑综合征和应激情境。在2019冠状病毒病大流行期间,护理专业学生,特别是女学生,可能会受益于额外的支持和指导。
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引用次数: 3
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JKG (Jurnal Keperawatan Global)
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