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The Related Factors to Hypertension among Young Adults in Pakis Village, Jember East Java 东爪哇Jember Pakis村青壮年高血压相关因素分析
Kholid Rosyidi, Bagus Arditya Husadha
ABSTRAC. This study aims to determine the associated factors with the incidence of hypertension among young adults in Pakis village. This study used an observational analytic design by using a cross-sectional approach. The total sample of 368 respondents was taken by purposive sampling technique from young adult groups in Pakis village, Panti sub-district. The research used questionnaires and direct observation as the instruments. The data were analyzed by the chi-square test. Based on the results of the study it could be seen that factors that associated with the prevalence of hypertension among young adults were age, family history with hypertension, nutritional status, and physical activity. However, there was no relationship between gender, smoking habits and the incidence of hypertension among young adults in village orphanage. It is expected to the community of Pakis Village, Panti sub-district, to check their health regularly. Health centers should provide health education consistently, and periodic supervision should be applied to the patient with high blood pressure so that they could maintain their health.
ABSTRAC。本研究旨在确定Pakis村年轻人高血压发病率的相关因素。本研究采用观察性分析设计,采用横断面方法。采用有目的抽样法,从潘提街道巴基斯村青年群体中抽取368名调查对象。本研究采用问卷调查和直接观察相结合的方法。资料采用卡方检验分析。根据研究结果可以看出,与青壮年高血压患病率相关的因素有年龄、高血压家族史、营养状况和体力活动。然而,在乡村孤儿院的年轻人中,性别、吸烟习惯与高血压发病率之间没有关系。预计Panti街道Pakis村社区将定期检查他们的健康状况。健康中心应持续开展健康教育,并对高血压患者进行定期监护,使其保持健康。
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引用次数: 0
Factors and Outcomes of Unplanned Extubation among Mechanically Ventilated Patients In The ICU ICU机械通气患者意外拔管的影响因素及结果
D. C. Chin, Norfidah Mohamad, Z. A. Mulud
Unplanned extubation is the premature removal of the endotracheal tube by action of the mechanical ventilated patient or accidentally during nursing or medical procedure. The purpose of this study is to determine the risk factors and outcomes of unplanned extubation among mechanically ventilated patients in the intensive care unit.A retrospective study was conducted using a sample of 300 patients who experienced planned extubation and unplanned extubation from January 2015 to December 2017. Data were collected using a case report form by reviewing medical records and incident reports of unplanned extubation. The results from this study found factors associated with increased risk for unplanned extubation included earlier day of intubation (65.8%), weaning process (63.2%), males (60.5%), afternoon shift (55.3%), and when patient appears agitated (55.3%). Poor outcomes were significant in unplanned extubation group with regards to higher re-intubation rate, the need for tracheostomy insertion and more post extubation complications. This study revealed that the risk factors associated with unplanned extubation based on various factors were very significant and the outcomes were also poor. This warrants that unplanned extubation to be acknowledged as a critical issue for the intensive care unit quality control.
计划外拔管是由于机械通气患者的动作或护理或医疗过程中意外的气管内管过早拔出。本研究的目的是确定重症监护病房机械通气患者意外拔管的危险因素和结果。回顾性研究选取2015年1月至2017年12月300例计划拔管和非计划拔管患者。通过查阅医疗记录和意外拔管事件报告,使用病例报告表收集数据。本研究的结果发现,与意外拔管风险增加相关的因素包括插管日较早(65.8%)、脱机过程(63.2%)、男性(60.5%)、下午班(55.3%)和患者出现躁动(55.3%)。非计划拔管组再插管率较高,需要插管,拔管后并发症较多,预后较差。本研究显示,基于各种因素的非计划拔管的相关危险因素非常显著,预后也较差。这保证了非计划拔管被认为是重症监护病房质量控制的关键问题。
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引用次数: 0
The Influence of The Element Warmer of Intravenous Fluid in Increasing The Body Temperature on Post-Surgical Patients in The Recovery Room Grandmed Hospital 静脉输液元素加热器对恢复室术后患者体温升高的影响
Kardina Hayati, Tahan Adrianus Manalu, Pranita
. The Operation procedure has the integrity risks of the body disturbed, and even it can cause a threat to the patient's life. One of the risks is Hypothermia post-surgery. In the GrandMed Hospital, almost all of the patients who had post-surgery experienced hypothermia. The purpose of this research was to investigate the influence of the element warmer of intravenous fluid in increasing the body temperature post-surgery in Recovery Room at Grandmed Hospital Lubuk Pakam 2018. The research was quantitative research, with research design quasi-experiment and with used approach pre-test and post-test with acontrol group design. The population in this research were all of the post-surgery patients with the sample as many 26 respondences for the intervention group, and 26 respondences for the control group with the sampling technique used purposive sampling. The Intervention group used warm blankets, and element warmer of intravenous fluid and the control group used only warm blankets. Based on the result of Dependent T-test and Independent T-test showed significance level ( p ) = 0,001 or p V lue = 0 001 ≤ 0 05. The result of this rese rch showed there w s n influence giving the element warmer of intravenous fluid to increase hypothermia body temperature on post-surgery patients in Recovery Room. With the use of this tool, patients undergoing surgery receive a supply of fluids that is in accordance with the core temperature and flows throughout the body so that it is effective in increasing the body temperature of the patient's postoperative hypothermia. Giving the element warmer of intravenous fluid can increase body temperature on post-surgery patients in Recovery Room.
. 手术过程中存在着身体完整性受到干扰的风险,甚至会对患者的生命造成威胁。其中一个风险是术后体温过低。在GrandMed医院,几乎所有的术后患者都经历过体温过低。本研究的目的是探讨静脉输液元素加热器对鲁巴克帕克姆格兰德医院2018年恢复室术后体温升高的影响。本研究采用定量研究,采用研究设计准实验,采用对照组设计的前测和后测方法。本研究的人群为全部术后患者,干预组26例,对照组26例,抽样技术采用目的抽样。干预组采用温毯加静脉输液元素加温,对照组仅采用温毯。根据相关t检验和独立t检验结果显示显著性水平(p) = 0.001或p V值= 0.001≤0.05。本研究结果表明,在恢复室给予静脉输液元素加温对术后患者提高低温体温无明显影响。通过使用该工具,接受手术的患者可以获得与核心温度一致的液体供应,并在全身流动,从而有效地提高患者术后低体温的体温。术后恢复室给予静脉输液元温可提高患者体温。
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引用次数: 0
Exercises as a Hand Rehabilitation on Poststroke Muscle Strength by Modified Sphygmomanometer Test 通过改良血压计测试,运动作为中风后手部肌肉力量的康复
Novita Elisabeth Daeli
Stroke is a disease that affects of arteries leading to and within the brain. Poststroke patients have may experiences like a loss of motor function and may cause impaired mobility. Hand open exercises could increasing the strengthening muscles and the recovery of hand function is one of the most challenging topics in stroke rehabilitation. This research aims to determine the effectiveness of Hand Open exercises on muscle strength by modified sphygmomanometer test (MST) as a measurement method. This research design used quasi experimental design. Number of samples 90 respondents with sampling technique used purposive sampling. Most respondent of this study has age (55-65 years) that 38.9% and female is 56.7%. Different paired test results showed a significant increase in muscle strength before and after intervention p=0.000 (<0,05). The result of independent different test have a significant increase in muscle strength between the hand open intervention group and the control group with p=0,000 (<0,05). Hand open intervention gives an effect to increasing of muscle strength by modified sphygmomanometer test (MST) method as many 45,1%. It means that hand open can be increased muscle strength of poststroke patients and this research recommends for further research as nursing self-care interventions in nursing care.
中风是一种影响通往大脑和大脑内部的动脉的疾病。中风后患者可能会经历运动功能丧失,并可能导致活动能力受损。开手运动可以增强肌力,手功能的恢复是脑卒中康复中最具挑战性的课题之一。本研究旨在通过改良血压计测试(MST)作为一种测量方法来确定手开运动对肌肉力量的有效性。本研究设计采用准实验设计。样本数量90人,采用有目的抽样技术。调查对象中年龄(55-65岁)占38.9%,女性占56.7%。不同配对检验结果显示,干预前后肌力显著增加p=0.000(< 0.05)。独立差异检验结果显示,手张开干预组与对照组肌力显著增加,p= 0000(< 0.05)。通过改良血压计试验(MST)方法,手张开干预对肌力的增加效果达45.1%。这意味着手张开可以增加脑卒中后患者的肌肉力量,本研究推荐作为护理自我护理干预的进一步研究。
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引用次数: 0
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Enhancing Capacity of Healthcare Scholars and professionals in Responding to the Global Health Issues
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