Jurnal Keperawatan Soedirman最新文献_第6页

Prolonged Slow Expiration (PSE) and Prone Position Intervention in Children : A Literature Review 延长缓慢呼气(PSE)和俯卧位干预儿童:文献综述

Jurnal Keperawatan Soedirman

Pub Date : 2021-07-31 DOI: 10.20884/1.jks.2021.16.2.1532

Permaida Permaida, Fushen Fushen

Nursing interventions to reduce the impact of respiratory problems in children aged < 24 months in inpatient rooms are not only a science but also an art. This study aimed to determine the effectiveness of Prolonged Slow Expiration (PSE) and prone position in improving respiratory function in hospitalized children aged < 24 months with respiratory distress in inpatient rooms. This literature review examined thirteen peer-reviewed journals based on inclusion criteria. The results of the review showed that PSE and prone position can reduce the respiratory frequency, maintain the neuromechanical diaphragm, and increase tidal volume. PSE was more effective at lowering the bronchiolitis scale score, preventing the child from experiencing moderate to severe respiratory distress, and decreasing relative sputum production. The prone position is more effective in increasing SaO2 even when using mechanical ventilation (MV), can increase maximal inspiratory pressure (MIP) and tissue oxygenation index (TOI), provides sleeping comfort, improves cardiorespiratory function, reduces moderate to severe respiratory distress, and can perform intubation. It can be concluded that PSE is a safe and easy therapy to administer to mild respiratory distress patients but has not a significant effect on children < 24 months with moderate to severe respiratory distress in inpatient rooms.

护理干预措施，以减少呼吸问题的影响未满24个月的儿童在病房不仅是一门科学，也是一门艺术。本研究旨在探讨延长缓慢呼气(PSE)和俯卧位在改善住院病房24个月以下呼吸窘迫患儿呼吸功能中的作用。本文献综述根据纳入标准检查了13份同行评议期刊。复习结果显示，PSE和俯卧位可以降低呼吸频率，维持神经机械隔膜，增加潮气量。PSE在降低毛细支气管炎评分、防止儿童出现中度至重度呼吸窘迫和减少相对痰量方面更有效。俯卧位即使使用机械通气(MV)也能更有效地增加SaO2，增加最大吸气压(MIP)和组织氧合指数(TOI)，提供睡眠舒适，改善心肺功能，减少中重度呼吸窘迫，并可进行插管。由此可见，对于轻度呼吸窘迫患者，PSE是一种安全易行的治疗方法，但对于住院病房中、重度呼吸窘迫< 24月龄的患儿，PSE效果不显著。

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引用次数: 0

Knowledge, Attitude, and Behaviours Towards Covid-19 Transmission Among Jakarta-Bogor-Depok-Tangerang-Bekasi Residents 雅加达-茂物-德博-丹格朗-别加西居民对Covid-19传播的知识、态度和行为

Jurnal Keperawatan Soedirman

Pub Date : 2021-07-31 DOI: 10.20884/1.jks.2021.16.2.1612

Desmawati Desmawati, Farahdina Bachtiar, K. Fatema, S. Parveen

Jakarta-Bogor-Depok-Tangerang-Bekasi (Jabodetabek) is the city with the most populous population in Indonesia. This study aims to explore the knowledge, attitude, and behaviour of Jabodetabek people as an epicentre covid-19 in Indonesia. This study was a descriptive quantitative online study with a survey design used a self-developed online questionnaire on 297 Jabodetabek residents in Indonesia. The chairman of the neighbourhood was encouraged to roll out the google form (link) to as many participants as possible, and then the link was forwarded to the next participants and so on. Data were analyzed using descriptive statistics. Among the participants, 72.1 % were female, overall range of correct answers for knowledge questionnaire was 53.2-97.3%, that for attitude was 21.55-93.3% and for behaviors was 66.3-98.7 %. In general, participants had a good knowledge about the disease, a positive attitude, and behavior towards protective measures. However, the results showed that only 22.55% participants state Indonesian government can win the battle against covid-19, the rest (78.45%) less optimistic attitudes, and this will impact less good practice toward covid-19 in the future, although currently still 66.3% of participants following Government Indonesian policy. Findings of this study revealed that knowledge among people of Jabodetabek about covid-19 is satisfactory. Yet almost half of participants are lacking belief in the plague. Better trust and behavior is required to tackle Covid-19 in Jabodetabek-Indonesia.

雅加达-茂物-德波克-丹格朗-贝卡西(Jabodetabek)是印度尼西亚人口最多的城市。本研究旨在探讨印度尼西亚作为covid-19疫情中心的Jabodetabek人民的知识、态度和行为。本研究是一项描述性定量在线研究，采用自行开发的在线问卷调查设计，调查对象为297名印度尼西亚Jabodetabek居民。鼓励社区主席向尽可能多的参与者推出谷歌表单(链接)，然后将链接转发给下一个参与者，以此类推。数据分析采用描述性统计。被调查者中女性占72.1%，知识问卷总体正确率为53.2 ~ 97.3%，态度问卷总体正确率为21.55 ~ 93.3%，行为问卷总体正确率为66.3 ~ 98.7%。总的来说，参与者对疾病有很好的了解，态度积极，并采取了保护措施。然而，结果显示，只有22.55%的参与者认为印尼政府可以赢得对抗covid-19的战斗，其余的(78.45%)不太乐观的态度，这将影响较少的良好做法在未来针对covid-19，尽管目前仍有66.3%的参与者遵循印尼政府的政策。这项研究的结果表明，Jabodetabek人民对covid-19的了解令人满意。然而，几乎一半的参与者对瘟疫缺乏信心。在印度尼西亚贾博德塔巴克，应对Covid-19需要更好的信任和行为。

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引用次数: 0

Case Study: Diabetic Foot Ulcer Nursing Management Using Ozone Regional Non-Invasive (ORNI)Therapy as A Combination Of Care 案例研究:使用臭氧区域非侵入性(ORNI)治疗作为联合护理的糖尿病足溃疡护理管理

Jurnal Keperawatan Soedirman

Pub Date : 2021-07-31 DOI: 10.20884/1.jks.2021.16.2.1647

I. P. Arisanty, D. Dahlia

Background: DFU patients must be treated properly less than 30 days to prevent infection spread to the bone, causes smaller opportunity to recovery and higher risk for amputation. Ozone therpay has a clearer clinical effect, affects the wound healing process, it can be seen by decreasing the length of stay. Method: Case studies of 3 DFU patients who were given ORNi therapy. Wound evaluation using Bettes-Jenssen Assessment tool skoring system. Results: There were significant improvement in these cases after given a noninvasive regional ozone therapy (ORNi) as a combination in standard treatment for 5 – 7 times. There are no sign of infection, granulation and epithelization processes were running optimal and exudate production was controlled. Conclusions and recommendation: Using ORNi therapy as an adjunct to standard care has shown a significant improvement. The rate of granulation and epithelization during 15 days of treatment has an average growth rate of granulation and epithelization up to 22%. Researchers recommend to do more research with suficcient sample size related to the use of ozone therapy as an adjunct in wound care.

背景:DFU患者必须在30天内进行适当治疗，以防止感染扩散到骨骼，导致恢复机会较小，截肢风险较高。臭氧治疗临床效果更明显，影响创面愈合过程，可以看出缩短了住院时间。方法:对3例接受ORNi治疗的DFU患者进行病例分析。使用Bettes-Jenssen评估工具评分系统进行伤口评估。结果:在标准治疗的基础上联合进行无创局部臭氧治疗5 ~ 7次，疗效明显改善。没有感染的迹象，肉芽和上皮过程运行最佳，渗出物的产生得到控制。结论和建议:使用ORNi治疗作为标准治疗的辅助治疗已显示出显着的改善。在15天的治疗期间，肉芽和上皮的平均生长速度可达22%。研究人员建议做更多的研究与足够的样本量有关使用臭氧疗法作为辅助伤口护理。

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引用次数: 0

The Correlation between Sexual Dysfunction and Marital Relationship among Women with Gynaecological Problems 妇科疾病妇女性功能障碍与婚姻关系的相关性研究

Jurnal Keperawatan Soedirman

Pub Date : 2021-07-31 DOI: 10.20884/1.jks.2021.16.2.1240

N. Nurhayati, Utami Nur Ulsiyah, Suci Noor, Dewi Marfuah, Linlin Lindayani

Women with gynaecological problems are at high risk of having sexual dysfunction because the problems could affect the marital relationship and sexual satisfaction. The purpose of this study is to determine the relationship between sexual dysfunction and marital relationships in women with gynaecological problems. This study was conducted using a cross-sectional study. The samples were women with gynaecological problems, aged above 18 years old, married, and able to communicate well. Patients with mental disorders were excluded from this study. Convenience sampling was used to select participants. The marital relationship was measured using a validated instrument, namely, Revised Dyadic Adjustment Scale (RDAS) and the Female Sexual Function Index (FSFI). A total of 82 women with gynaecological problems joined our study. The majority of the respondents experienced sexual dysfunction (90.2%) and more than half of the respondents (52.4%) experienced distress in marital relationships. There was a relationship between sexual dysfunction and marital relationship among women with gynaecological problems (p value < 0.005) and the coefficient correlation was 0.326. Sexual dysfunction may affect marital relationships in women with gynaecological problems. Healthcare professionals need to provide appropriate intervention to women with gynaecological problems as well as facilitate them to express their sexual activity.

有妇科问题的妇女患性功能障碍的风险很高，因为这些问题可能影响婚姻关系和性满意度。本研究的目的是确定有妇科问题的妇女的性功能障碍和婚姻关系之间的关系。本研究采用横断面研究进行。样本是有妇科问题的女性，年龄在18岁以上，已婚，能很好地沟通。有精神障碍的患者被排除在本研究之外。采用方便抽样的方法选择参与者。婚姻关系的测量采用经验证的工具，即修订二元调整量表(RDAS)和女性性功能指数(FSFI)。共有82名有妇科问题的妇女加入了我们的研究。绝大多数受访者(90.2%)存在性功能障碍，超过一半(52.4%)的受访者存在婚姻关系困扰。有妇科问题妇女的性功能障碍与婚姻关系有相关性(p值< 0.005)，相关系数为0.326。性功能障碍可能影响有妇科问题的妇女的婚姻关系。保健专业人员需要为有妇科问题的妇女提供适当的干预，并协助她们表达自己的性活动。

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引用次数: 1

The Application of Morning Routine for Patients with Critical Illness in Intensive Care Units: A Case Report 重症监护病房重症病人晨间例行程序的应用:1例报告

Jurnal Keperawatan Soedirman

Pub Date : 2021-07-31 DOI: 10.20884/1.jks.2021.16.2.1041

J. Massie, A. Waluyo, Kharisma Adytama Putra

Respiratory failure is still the main cause of morbidity and mortality at the Intensive Care Unit. One of the abnormalities in the respiratory system that can cause respiratory failure is Acute Respiratory Distress Syndrome (ARDS). This condition is a respiratory emergency characterized by a progressive decrease in oxygen after a serious illness or injury. Critical illness and treatment in the Intensive Care Unit are a less pleasant experience for patients and affect the patients’ psychologies. The unstable psychical conditions of the patients during the treatments also influence the physical condition of the patients and it affected to the length of the stay, the risk for complications, and nosocomial infections. Patients’ ability to be adapted to the intensive care environment is one of the keys to the success of the nursing care for the critical cases. The purpose of this study is to describe the comprehensive and holistic nursing care management in ARDS cases at the Intensive Care Unit. One of the focuses of the nursing interventions, in this study, is the environmental and intensive care atmosphere modifications of the intensive care unit called the morning routine.

呼吸衰竭仍然是重症监护病房发病和死亡的主要原因。急性呼吸窘迫综合征(ARDS)是可导致呼吸衰竭的呼吸系统异常之一。这种情况是一种呼吸急症，其特征是在严重疾病或损伤后氧气逐渐减少。重症监护病房的危重疾病和治疗对患者来说是一种不太愉快的经历，并影响患者的心理。患者在治疗过程中不稳定的心理状态也会影响患者的身体状况，从而影响到住院时间、并发症的发生风险和院内感染。患者对重症监护环境的适应能力是重症监护护理成败的关键之一。本研究旨在探讨重症监护室对急性呼吸窘迫综合征(ARDS)患者的综合护理管理。在本研究中，护理干预的重点之一是重症监护室的环境和重症监护氛围的改变，即早晨例行程序。

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引用次数: 0

How A Cold Sitz Bath Versus Infrared Therapy Can Remove the Pain of Postpartum Perineal Wounds 冷水浴与红外线治疗如何消除产后会阴伤口疼痛

Jurnal Keperawatan Soedirman

Pub Date : 2021-03-31 DOI: 10.20884/1.JKS.2021.16.1.1124

Bina Melvia Girsang, Eqlima Elfira

Women who suffer perineal trauma in spontaneous labor experience pain and edema as the most common problems on the first day after delivery. Impaired mobility and a limited ability to carry out daily activities will affect the mother-baby bond. The study of the cold sitz bath intervention and infrared treatment aims to find out how these interventions can overcome the pain of perineal wounds in postpartum mothers. A quasi-experimental design was used to assess both interventions for treating pain in perineal trauma at the Madina Clinic and Sundari Hospital. The sample consisted of 40 mothers, 20 in the cold sitz bath (intervention group) and 20 in the infrared therapy (control group). Pain was measured using a numerical scale from day one to day three of the postpartum period and then the data were analyzed using the paired t-test statistical test. The results of this study revealed that the cold sitz bath hydrotherapy had a significant effect in reducing pain (p = 0.004), as well as infrared therapy (0.008). Although on the third day of the postpartum period, infrared therapy did not significantly reduce the pain level; several other factors could contribute to the significant differences in pain intensity reduction such as comfort, convenience, and the economic value of the intervention.

在自然分娩中遭受会阴创伤的妇女在分娩后第一天最常见的问题是疼痛和水肿。行动不便和日常活动能力有限会影响母婴关系。本研究旨在探讨冷坐浴干预和红外线治疗如何克服产后母亲会阴伤口疼痛。采用准实验设计评估Madina诊所和Sundari医院治疗会阴创伤疼痛的两种干预措施。样本包括40名母亲，其中20名接受冷坐浴(干预组)，20名接受红外线治疗(对照组)。产后第1天至第3天采用数值量表测量疼痛，数据采用配对t检验进行统计分析。本研究结果显示，冷坐浴水疗法在减轻疼痛方面有显著的效果(p = 0.004)，红外线疗法(p = 0.008)。虽然在产后第三天，红外线治疗没有明显减轻疼痛程度;其他几个因素可能导致疼痛强度降低的显著差异，如舒适度、便利性和干预的经济价值。

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引用次数: 3

Telemedicine for the Self-Management of Type 2 Diabetes: A Literature Review 远程医疗在2型糖尿病患者自我管理中的应用:文献综述

Jurnal Keperawatan Soedirman

Pub Date : 2021-03-31 DOI: 10.20884/1.JKS.2021.16.1.1548

Bunjamin Dante Masepia, A. Isworo

The COVID-19 pandemic is an obstacle that prevents type 2 diabetes sufferers from visiting primary health services. Telemedicine is a virtual health service which helps caregivers and clients to meet virtually. Telemedicine is capable of helping sufferers in the form of self-management. The purpose of this study is to determine the effectiveness of telemedicine for the self-management of type 2 diabetes patient. This study uses a literature review design. Primary studies to be included in this review were searched from Pubmed electronic database. The inclusion criteria of studies were: published in the last 5 years in English-language journals, used randomized control trial design, had population aged > 18 years with type-2 diabetes, and used telemedicine. The exclusion criterion was comparing two or more telemedicine applications. A total of 11 studies was included in the review. Seven out of eleven studies showed a significant reduction in HbA1c in the intervention group compared to the control group. Another result is a change in diet by consuming more fruits and whole grains and an increase in knowledge, skills and ability to control blood sugar. This review concluded that telemedicine is effective in the self-management of type 2 diabetes patient. Health care professionals can use telemedicine as an alternative to improve self-management of type 2 diabetes patient.

COVID-19大流行是2型糖尿病患者无法获得初级卫生服务的一个障碍。远程医疗是一种虚拟医疗服务，可以帮助护理人员和客户进行虚拟会面。远程医疗能够以自我管理的形式帮助患者。本研究的目的是确定远程医疗对2型糖尿病患者自我管理的有效性。本研究采用文献回顾法。本综述纳入的主要研究是从Pubmed电子数据库中检索的。研究纳入标准为:近5年发表于英文期刊，采用随机对照试验设计，人群年龄> 18岁，2型糖尿病患者，采用远程医疗。排除标准是比较两个或两个以上的远程医疗应用。本综述共纳入了11项研究。11项研究中有7项显示，与对照组相比，干预组的HbA1c显著降低。另一个结果是饮食的改变，多吃水果和全谷物，提高控制血糖的知识、技能和能力。本文认为远程医疗在2型糖尿病患者的自我管理中是有效的。医疗保健专业人员可以使用远程医疗作为改善2型糖尿病患者自我管理的一种选择。

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引用次数: 1

A Phenomenological Inquiry of the Lived Experiences of Male Homosexual 男同性恋者生活经验的现象学探究

Jurnal Keperawatan Soedirman

Pub Date : 2020-11-30 DOI: 10.20884/1.JKS.2020.15.3.1048

Larasuci Arini, A. Hamid, Feri Fernandes, Setiadi Syarli

The number of homosexuals in Indonesia continues to rise each year. In Padang, there were 662 men with gay sexual orientation. This qualitative study aimed to determine the practice of life as homosexuals. This phenomenological study described the lived experience of men with homosexuality. The participants of this study were six men with same-sex sexual orientation who lived in Padang and could communicate in Bahasa or Minangnese language. They were collected using snowball sampling techniques. The results of this study were analyzed using the Colaizzi method. The results of this study obtained eight themes, namely the causes of same-sex relationships, early experiences in relationships, the process of partner selection, potential physical and psychosocial problems, self-concept of sexual orientation, the roles of parents and mothers, and stabilization of gender status choices. Of these 8 themes, the initial causes of having a relationship were the most dominant experiences. All participants expressed the beginning of being homosexual just for fun, starting pleasure, and influenced by friends. Besides, the relationship process such as how to get a partner, location, and sexual relationship constraints in most participants had also included in the discussion.

印尼的同性恋人数每年都在持续上升。在巴东，有662名男同性恋者。这项定性研究旨在确定同性恋者的生活实践。这项现象学研究描述了男同性恋者的生活经历。本研究的参与者为六名居住在巴东的同性性取向男性，他们可以用马来语或米南南语进行交流。它们是用滚雪球取样技术收集的。本研究结果采用Colaizzi方法进行分析。本研究的结果得到了8个主题，分别是:同性关系的起因、恋爱的早期经历、伴侣选择的过程、潜在的身体和心理问题、性取向的自我概念、父母和母亲的角色以及性别地位选择的稳定。在这8个主题中，恋爱的最初原因是最主要的经历。所有的参与者都表达了同性恋的开始只是为了好玩，开始的快乐，受朋友的影响。此外，大多数参与者的关系过程，如如何找到伴侣，地点，以及性关系的限制也包括在讨论中。

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引用次数: 0

The Impact of Human Resources Management Practices on Job Performance: The Case of Nurses at Siloam Lippo Village Hospital 人力资源管理实务对工作绩效的影响:以西罗亚力宝乡村医院护士为例

Jurnal Keperawatan Soedirman

Pub Date : 2020-11-30 DOI: 10.20884/1.JKS.2020.15.3.1071

Ditta Amelia, Rosdiana Sijabat

Human resources management has a huge role in increasinghospital performance. This study aimed to examine the effect of compensation, performance appraisal, recruitment and selection, teamwork, training, and development, on nurses' performance at the Siloam Lippo Village Hospital. A simple random sampling technique was used to collect data for this study. A questionnaire was distributed among 210 nurses at the hospital. The PLS-based Structural Equation Modeling (SEM) approach was used to check the impact of human resource management practices on job performance. The organizational commitment was used as a mediator variable on the relationship between human resource management practices and job performance. The results indicate that teamwork and organizational commitment have a significant impact on nurses' performance. This study also finds that compensation, performance appraisal, and training and development have a significant impact on organizational commitment, which leads to an increase in the nurses' performance. Organizational commitment significantly mediates the relationship between performance appraisal, teamwork, training and development, and job performance.

人力资源管理在提高医院绩效方面发挥着巨大的作用。本研究旨在探讨西罗亚力宝乡村医院的薪酬、绩效评估、招聘与选择、团队合作、培训与发展对护士绩效的影响。本研究采用简单的随机抽样技术收集数据。在医院的210名护士中分发了一份问卷。采用基于pls的结构方程建模(SEM)方法来检验人力资源管理实践对工作绩效的影响。组织承诺作为人力资源管理实践与工作绩效关系的中介变量。结果表明，团队合作和组织承诺对护士绩效有显著影响。本研究还发现，薪酬、绩效考核和培训与发展对组织承诺有显著影响，从而导致护士绩效的提高。组织承诺显著中介绩效考核、团队合作、培训与发展与工作绩效之间的关系。

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引用次数: 2

Effects of ‘STOP’ Mindfulness on Decreasing Cortisol in Primigravida Mothers “停止”正念对降低初生雌性皮质醇的影响

Jurnal Keperawatan Soedirman

Pub Date : 2019-11-05 DOI: 10.20884/1.jks.2019.14.3.893

Anggorowati Anggorowati, S. Munawaroh, Meidiana Dwidiyanti

Background: Stress in pregnant women may give different effects on the development of pregnancy. Mindfulness is an intervention which can be practiced independently by primigravida mothers for stress management. Stress is indicated by a biological parameter of cortisol levels. Purpose: This study aimed to analyze the effects of mindfulness on decreasing cortisol levels in primigravida mothers. Methods: This study used a pretest-posttest quasy experimental design with a control group. The samples were 30 primigravida mothers who experienced stress in the area of public health centers in Semarang city. A consecutive sampling technique was used to select the samples. Mindfulness with STOP technique (Stop-Take a breath-Observe-Proceed) was given for four meetings for 60 minutes each. Before and after the implementation of mindfulness, 3 ml of blood was taken from the samples for the cortisol examination. Data were analyzed using a paired t-test.Results: The results showed that the majority of women (46.7%) were in the second trimester of pregnancy, and aged 20-35 years old (86.7%). The mean of cortisol level before and after the intervention was 180.60 and 152.50, respectively. There was a decrease in the level of cortisol after the implementation of mindfulness with a p-value of 0.000 (? <0.05).Conclusion: Mindfulness is effective in decreasing cortisol levels in primigravida mothers. Mindfulness can be used as an intervention to increase the self-reliance of pregnant women for stress management.

背景:孕妇的压力可能对妊娠的发展产生不同的影响。正念是一种干预，可以由初产妇独立练习压力管理。压力是由皮质醇水平的生物学参数来指示的。目的:本研究旨在分析正念对降低初产妇皮质醇水平的影响。方法:本研究采用前测后测的准实验设计，并设对照组。样本是三宝垄市公共卫生中心地区30名经历过压力的初产妇。采用连续抽样技术选择样本。正念停止技术(停止-深呼吸-观察-继续)进行四次会议，每次60分钟。实施正念前后分别取血3 ml进行皮质醇检测。数据分析采用配对t检验。结果:以妊娠中期(46.7%)居多，年龄在20 ~ 35岁(86.7%)。干预前后皮质醇水平均值分别为180.60和152.50。实施正念后，皮质醇水平下降，p值为0.000 (?< 0.05)。结论:正念能有效降低初产妇的皮质醇水平。正念可以作为一种干预手段，增强孕妇在压力管理方面的自立能力。

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引用次数: 0