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Improving the Ability of Nursing Clinical Supervisors in Implementing Targeted Clinical Learning Models (MPKBT) 提高护理临床督导人员实施针对性临床学习模式的能力 (MPKBT)
Pub Date : 2023-07-31 DOI: 10.17509/jpki.v9i1.56625
Anah Sasmita, Ahmad Husni, Desmaniarti Z, Kristoforus Triantono, Sehabudin Salasa
Clinical learning is a process of interaction between clinical preceptors and students as learners on the practice field. The clinical guidance process is often limited to supervising nursing students during clinical practice without any targets that need to be achieved, even students repeat the same activities every day. This study aims to determine the application of a target-based clinical learning model in improving the quality of preceptors. The study used a quasi-experimental design with a one group time series design on 40 nurses from several hospitals and educational institutions who had not received clinical preceptor training. The sampling technique used quota sampling technique according to the proportion of the number of students who were practicing in their respective institutions, the sample was given an intervention in the form of training using a target-based clinical learning model consisting of theory and practice. The practice was conducted in the laboratory and in the hospital from September to December. Evaluation using a checklist instrument for assessing preceptor competence and data analyzed using the Wilcoxon test using SPSS 25.0.  The result of the study, there was a significant increase in the ability of nurses to provide nursing clinic preceptors between before and after training with a significance value of 0.020, while in the first supervisory assessment significant=0.030, second supervision significant=0.040 and third supervision significant=0.050. The data shows how closely the target-based learning model affects the quality of clinical supervisors' abilities. This is important to be applied to all prospective clinical supervisors before conducting clinical guidance.
临床学习是临床带教老师与作为学习者的学生在实习现场的互动过程。临床指导过程往往仅限于在临床实践中指导护理学生,没有任何需要实现的目标,甚至学生每天都在重复同样的活动。本研究旨在确定以目标为基础的临床学习模式在提高戒护师质量方面的应用。研究采用了准实验设计,对来自多家医院和教育机构的 40 名未接受过临床带教培训的护士进行了一组时间序列设计。抽样技术采用了配额抽样技术,按照在各自机构实习的学生人数比例进行抽样,对样本进行干预,培训形式为基于目标的临床学习模式,包括理论和实践。实习于 9 月至 12 月在实验室和医院进行。使用评估戒律者能力的核对表工具进行评估,并使用 SPSS 25.0 进行 Wilcoxon 检验分析数据。 研究结果,培训前后护士提供护理门诊戒治能力有显著提高,显著值为0.020,而在第一次督导评估中显著性=0.030,第二次督导显著性=0.040,第三次督导显著性=0.050。这些数据表明,基于目标的学习模式对临床督导能力素质的影响非常密切。这对所有准临床督导在进行临床指导前的应用具有重要意义。
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引用次数: 0
The Adversity Quotient of the Lecturer Faculty of Nursing, Universitas Padjadjaran in Pandemic COVID-19 Padjadjaran 大学护理系讲师在 COVID-19 大流行中的逆境商数
Pub Date : 2023-07-31 DOI: 10.17509/jpki.v9i1.55692
Fathi Dieni Hanifah, Nita Fitria, Ryan Hara Permana, Putri Karisa
The emergence of various obstacles and challenges during the COVID-19 pandemic can affect the performance of lecturers in carrying out their duties. The dversity quotient is one of the factors that supports one's success in improving one's performance, so measuring the adversity quotient is the first step to discover lecturers' ability to face obstacles and challenges. This study aims to describe the level of adversity quotient for lecturers at the Faculty of Nursing, Universitas Padjadjaran during the COVID-19 pandemic. This study uses a quantitative descriptive method. The subjects studied were 39 nursing faculty lecturers. The instrument used is ARP (Adversity Response Profile) Quick Take TM modified with 40 statement items. The results showed that 23 people (59%) were at the camper-to-climber transition level, two people (5%) were at the camper level, and 14 people (36%) were at the climber level. Based on the sub-dimensions, it is known that the dimensions with the lowest and lowest average values are origin and ownership (37.41) and control (42.53). Lecturers must increase the adversity quotient to help control the challenges they face better. Efforts that can be made are by studying and practicing the LEAD method (Listen, Explore, Analyze, Do). With a good level of adversity quotient, it is hoped that lecturers will be more prepared and maximal in completing assignments, especially related to learning.
在 COVID-19 大流行期间,各种障碍和挑战的出现会影响讲师履行职责的表现。逆境商数是支持一个人成功提高绩效的因素之一,因此测量逆境商数是发现讲师面对障碍和挑战的能力的第一步。本研究旨在描述 Padjadjaran 大学护理学院讲师在 COVID-19 大流行期间的逆境商数水平。本研究采用定量描述法。研究对象为 39 名护理系讲师。所使用的工具是 ARP(逆境反应档案)Quick Take TM,其中包含 40 个陈述项目。结果显示,23 人(59%)处于 "露营者 "到 "攀登者 "的过渡水平,2 人(5%)处于 "露营者 "水平,14 人(36%)处于 "攀登者 "水平。根据子维度可知,平均值最低和最低的维度是起源和所有权(37.41)和控制权(42.53)。讲师必须提高逆境商数,以帮助他们更好地控制所面临的挑战。可以通过学习和实践 LEAD 方法(倾听、探索、分析、实践)来提高逆境商。有了良好的逆境商数,希望讲师们在完成任务时,尤其是与学习有关的任务时,能做好更充分的准备,发挥最大的作用。
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引用次数: 0
Analysis of Total Flavonoid and Phenol Content from the Combination of Red Spinach (Amaranthus tricolor L.) Ethanolic Extract and Chrysanthemum Flower (Chrysanthemum morifolium) Ethanolic Extract as a Potential Anti-anemic 红菠菜(Amaranthus tricolor L.)乙醇提取物和菊花(Chrysanthemum morifolium)乙醇提取物组合作为潜在抗贫血剂的总黄酮和酚含量分析
Pub Date : 2023-07-31 DOI: 10.17509/jpki.v9i1.58209
Jiarti Kusbandiyah, Yuniar Angelia Puspadewi, Dinda Oktia Maghfiroh
Red spinach and chrysanthemum are two plants that contain various active compounds, including flavonoids and phenols which have good antioxidant activity. One of the benefits of antioxidants is as an anti-anemia. The combination of red spinach and chrysanthemum extracts is expected to be a potential alternative treatment for anemia by combining high Fe and antioxidants found in both herbal ingredients. Research related to test the levels of flavonoids and phenols in red spinach and chrysanthemum extracts (in combination) has not been carried out. This study aimed to measure the total flavonoid and phenol levels of the combination of red spinach ethanol extract (EEBM) and chrysanthemum flower ethanol extract (EEBK). The design of this research is descriptif quantitative. The method used for the extraction is maceration. The solvent used is 70% ethanol. Then the two extracts were combined by mixing the two extracts with a ratio of 5.6 ml EEBM and 1.4 ml EEBK. The process of mixing the extracts was carried out by the centrifugation method. The suspension of the combination of EEBM and EEBK was then measured for the total flavonoid and phenol content. Determination of total flavonoid content (TFC) was carried out using UV-Vis spectrophotometry method with AlCl3 reagent at 425 nm. TFC results are expressed in quercetin equivalent (QE). The TFC result from the combination of EEBM and EEBK was 85.33 mg QE/g. Determination of total phenol content (TPC) was carried out using UV-Vis spectrophotometry method with Folin-Ciocalteu LP reagent at 735 nm. TPC results are expressed in gallic acid equivalent (GAE). The TPC result from the combination of EEBM and EEBK is 25.22 GAE/g. Flavonoids and phenols contained in the combination of EEBM + EEBK extracts can be an alternative anti-anemia because they have the effect of helping the absorption of iron in the intestine
红菠菜和菊花这两种植物含有多种活性化合物,包括类黄酮和酚类,具有良好的抗氧化活性。抗氧化剂的功效之一是抗贫血。红菠菜和菊花提取物的组合结合了两种草药成分中的高铁元素和抗氧化剂,有望成为治疗贫血症的潜在替代疗法。有关红菠菜和菊花提取物(组合)中黄酮类化合物和酚类化合物水平的测试研究尚未开展。本研究旨在测量红菠菜乙醇提取物(EEBM)和菊花乙醇提取物(EEBK)组合的总黄酮和酚含量。本研究采用描述性定量设计。提取方法为浸渍法。使用的溶剂是 70% 的乙醇。然后将两种提取物按 5.6 毫升 EEBM 和 1.4 毫升 EEBK 的比例混合。混合提取物的过程是通过离心法进行的。然后测量 EEBM 和 EEBK 组合的悬浮液中的总黄酮和酚含量。总黄酮含量(TFC)的测定采用紫外可见分光光度法,使用 AlCl3 试剂,波长为 425 nm。TFC 结果以槲皮素当量(QE)表示。EEBM 和 EEBK 组合的 TFC 结果为 85.33 mg QE/g。总酚含量(TPC)的测定采用 UV-Vis 分光光度法,使用 Folin-Ciocalteu LP 试剂,波长为 735 nm。TPC 结果以没食子酸当量(GAE)表示。EEBM 和 EEBK 组合的 TPC 结果为 25.22 GAE/g。EEBM + EEBK 提取物组合中所含的黄酮类化合物和酚类化合物可以作为抗贫血症的替代品,因为它们具有帮助肠道吸收铁的作用。
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引用次数: 0
Causative Factor of Low Birth Weight (LBW) Babies in Bandung City Hospital 万隆市医院低出生体重(LBW)婴儿的致病因素
Pub Date : 2023-07-31 DOI: 10.17509/jpki.v9i1.55744
Deva Nursilawati, Henny Cahyaningsih, Dhika Dharmansyah
The LBW mortality rate reaches 15 to 20% in the world. the proportion of infant deaths originating from the age of 0-28 days (Neonatal) was 84.63% or 3.32/1000 live births and and body weight 2500 grams reached 6.3%, while the proportion of babies born weighing 2500 grams with body length 48 cm in Indonesia reached 4.0% and in West Java reached 4.2%. The purpose of this study was to determine the factors that cause babies born with low birth weight. The type of research used by researchers is a descriptive survey research method using a retrospective study design using medical record register data for newborns who have been treated. The population in this study were all low-birth-weight babies in the last year at Bandung City Hospital, using secondary data at the medical record installation section in the last year as many as 543 babies. The sample in this study is secondary data from babies born with LBW as many as 85 respondents. The sampling technique is probability sampling using a random sampling method using register data from medical records. The analysis in this study uses univariate analysis to see the frequency distribution of each sub-variable. The results of the study occurred in multipara parity, namely 46 (54.1%), gestational age at risk, namely 47 (55.3%), maternal age at risk, namely 46 (54.1%), twin births, namely 19 (22.4%) of the 85 respondents, pregnancies without placenta previa were 77 (90.6%). The results of this study indicate that the factor of gestational age is the highest that causes LBW babies to be born. It is recommended that efforts be made to reduce the number of LBW babies born by optimizing preventive efforts, health workers are required to provide health education about the causes of LBW.
全世界低出生体重儿死亡率高达 15%至 20%。0-28 天(新生儿)婴儿死亡比例为 84.63%,即 3.32/1000 活产,体重 2500 克的婴儿死亡比例为 6.3%,而印度尼西亚体重 2500 克、身长 48 厘米的婴儿死亡比例为 4.0%,西爪哇省为 4.2%。这项研究的目的是确定导致婴儿出生体重过轻的因素。研究人员采用的研究类型是描述性调查研究法,利用接受过治疗的新生儿的医疗记录登记数据进行回顾性研究设计。本研究的研究对象是万隆市医院去年所有低出生体重儿,使用的是去年病历安装科的二手数据,多达 543 名婴儿。本研究的样本是来自低出生体重婴儿的二手数据,受访者多达 85 人。抽样技术采用随机抽样的概率抽样法,使用病历中的登记数据。本研究的分析采用单变量分析,以了解每个子变量的频率分布。研究结果显示,在 85 名受访者中,多胎妊娠的有 46 人(54.1%),高危妊娠的有 47 人(55.3%),高危产妇的有 46 人(54.1%),双胎妊娠的有 19 人(22.4%),无前置胎盘的有 77 人(90.6%)。这项研究的结果表明,孕龄因素是导致低体重儿出生的最大原因。建议通过优化预防工作来减少低体重儿的出生数量,同时要求卫生工作者提供有关低体重儿原因的健康教育。
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引用次数: 0
Gratitude Therapy in Chronic Low Self-Esteem in Schizophrenia Patients: Case Study 感恩疗法在精神分裂症患者长期低自尊中的应用:案例研究
Pub Date : 2023-06-30 DOI: 10.17509/jpki.v9i1.56071
Azka Aflahatinufus, Nur Oktavia Hidayati, H. Hendrawati
Schizophrenia can cause negative symptoms such as delusions, hallucinations, disorganized speech or behavior, and impaired cognitive abilities. So that many people with schizophrenia get stigma from their families and society. This makes people with schizophrenia experience chronic low self-esteem, that is, they feel they are worthless and do not have any talents or abilities. One of the non-pharmacological therapies to reduce chronic low self-esteem is gratitude therapy. The purpose of writing this case study is to illustrate the giving of gratitude therapy to chronic low self-esteem in schizophrenic patients. This research uses a sample of patients who are being treated at a mental rehabilitation house. The patient in this case study was diagnosed with paranoid schizophrenia and experienced chronic low self-esteem, characterized by patients who are difficult to communicate with and say they are worthless. This study used a case study descriptive method in patients with schizophrenia with chronic low self-esteem. After being given the gratitude therapy intervention for 5 days and interspersed with several interventions, namely yoga and butterfly hugs, the patient seemed to be more cheerful and active. This is evidenced by the patient looking willing and inviting other people to communicate, and starting to be confident to appear in front of others. Gratitude therapy can reduce chronic low self-esteem in schizophrenic patients. Therefore, giving gratitude therapy interventions is recommended for health workers, especially the psychiatric nursing team as a non-pharmacological intervention in reducing chronic low self-esteem in schizophrenic patients. Suggestions for further research, so that you can apply gratitude therapy interventions with more samples and carry out follow-ups in sufficient time. So it is hoped that in the future more and more nurses will use gratitude therapy interventions as evidence-based practice to overcome chronic low self-esteem in patients with mental health problems.
精神分裂症可导致妄想、幻觉、言语或行为紊乱、认知能力受损等阴性症状。因此,很多精神分裂症患者会受到家人和社会的歧视。这使得精神分裂症患者长期处于自卑状态,即觉得自己没有价值,没有任何才能或能力。感恩疗法是减少长期自卑的非药物疗法之一。撰写本案例研究的目的在于说明感恩疗法对精神分裂症患者慢性自卑的治疗效果。本研究使用的样本是在精神康复之家接受治疗的患者。本案例研究中的患者被诊断为偏执型精神分裂症,并经历了长期的自卑,其特点是患者很难与人沟通,并说自己毫无价值。本研究对长期自卑的精神分裂症患者采用了案例研究描述法。在接受了为期 5 天的感恩疗法干预,并穿插了瑜伽和蝴蝶拥抱等多项干预后,患者似乎变得更加开朗和活跃了。这表现在患者看起来愿意邀请他人交流,并开始自信地出现在他人面前。感恩疗法可以减轻精神分裂症患者的长期自卑感。因此,建议医务工作者,尤其是精神科护理团队,将感恩疗法作为一种非药物干预措施,用于减轻精神分裂症患者的长期自卑感。建议进一步开展研究,以便在更多样本中应用感恩疗法干预,并在足够长的时间内开展随访。因此,希望今后能有越来越多的护士将感恩疗法干预作为循证实践来克服精神健康问题患者的慢性自卑。
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引用次数: 0
Potential of Monoclonal Antibody (mAb) as Alternative Treatment of Alzheimer: A Sytematic Scoping Review 单克隆抗体 (mAb) 作为阿尔茨海默病替代治疗方法的潜力:一项系统性范围研究
Pub Date : 2023-06-30 DOI: 10.17509/jpki.v9i1.52874
Nuraulia Aghnia Armansyah, Azalia Melati Putri, Wafiq Nurul Azizah, Ida Maryati
Alzheimer's disease (AD) is a global problem that is expected to increase along with the increasing rate of population aging. Monoclonal antibodies (mAb) are considered capable of overcoming the accumulation of amyloid-β plaques; pathological signs of AD. This study aims to explore the potential of mAbs as alternative pharmacological therapies for the elderly with AD. This study uses a scoping review design based on the PAGER framework. The results of the study were identified based on the PRISMA-ScR protocol and criticized using the JBI Critical Appraisal Checklist. Article searches were conducted through 3 databases including EBSCO-Host Academic Science Complete, PubMed, and ScienceDirect, and 3 online resources including Sage Journals, Taylor Francis, and Google Scholar. Inclusion criteria were full English text, primary research articles, and published between 2018-2022.A total of 8 articles were included in the review. Most of the evidence shows 6 mAbs have potential to reduce amyloid-β accumulation in AD patients. Alternative therapy with monoclonal antibodies has side effects that represent a major problem in the high incidence of vasogenic cerebral edema and micro cerebral hemorrhage or Amyloid Related Imaging Abnormalities (ARIA). Plasma tau has the potential to strengthen the clinical diagnosis of AD. The use of mAbs as AD immunotherapy can reduce amyloid-β with side effects that are monitored continuously. Differences in mAb examination results can be influenced by less accurate clinical diagnostic accuracy.
阿尔茨海默病(AD)是一个全球性问题,预计将随着人口老龄化速度的加快而加剧。单克隆抗体(mAb)被认为能够克服淀粉样蛋白-β斑块的积累;淀粉样蛋白-β斑块是阿尔茨海默病的病理标志。本研究旨在探索 mAb 作为 AD 老年患者替代药物疗法的潜力。本研究采用了基于 PAGER 框架的范围综述设计。研究结果根据 PRISMA-ScR 协议进行鉴定,并使用 JBI 批判性评估核对表进行批评。文章检索通过 3 个数据库进行,包括 EBSCO-Host Academic Science Complete、PubMed 和 ScienceDirect,以及 3 个在线资源,包括 Sage Journals、Taylor Francis 和 Google Scholar。纳入标准为英文全文、主要研究文章、发表于 2018-2022 年间。综述共纳入 8 篇文章。大多数证据显示,6 种 mAbs 有可能减少 AD 患者体内淀粉样蛋白-β 的积累。单克隆抗体替代疗法的副作用是血管源性脑水肿和小脑出血或淀粉样蛋白相关成像异常(ARIA)的高发率。血浆 tau 有可能加强 AD 的临床诊断。使用 mAb 作为 AD 免疫疗法可以减少淀粉样蛋白-β,但副作用需要持续监测。mAb检查结果的差异可能受到临床诊断准确性较低的影响。
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引用次数: 0
The Influence of Video Guide to Using the iPosyandu Application on Increasing Recording and Reporting Skills for Cadres in Purwarkarta Regency iPosyandu应用程序使用视频指南对提高普瓦卡尔塔地区干部记录和报告技能的影响
Pub Date : 2023-06-30 DOI: 10.17509/jpki.v9i1.55765
Vanny Fabianti, F. Rinawan, N. Arisanti, L. A. Fitriana, S. Rohaedi
The iPosyandu application is an innovation in the health sector in the form of mobile technology to assist cadres in recording and reporting. Implement cadres can record and report using iPosyandu. Video as a communication channel for the diffusion of innovations is an attempt to convey messages so that the knowledge, attitudes, and skills of someone who watches the video change. The study aimed to identify the effect of video guides on cadre skill improvement in recording and reporting using the iPosyandu application. The pre-post test study in 120 cadres in Purwakarta Regency was divided into two groups, 60 cadres in the intervention group and 60 in the control group. The intervention group received modules and videos on using the iPosyandu application, while the control group only received modules on using the iPosyandu application. iPosyandu recording and reporting skills using observation sheets. The study shows that video guide influences improving the skills of cadres when using the iPosyandu application (p0.001). Video as a media guide that suits the needs of cadres and media experts can affect the skills of cadres in recording and reporting through iPosyandu.
iPosyandu 应用程序是卫生部门的一项创新,它以移动技术的形式协助干部进行记录和报告。执行干部可以使用 iPosyandu 进行记录和报告。视频作为创新传播的一种沟通渠道,是一种传递信息的尝试,使观看视频的人的知识、态度和技能发生变化。本研究旨在确定视频指导对干部使用 iPosyandu 应用程序提高记录和报告技能的影响。在普瓦卡塔地区对 120 名干部进行的前后期测试研究分为两组,60 名干部为干预组,60 名干部为对照组。干预组接受了使用 iPosyandu 应用程序的模块和视频,而对照组只接受了使用 iPosyandu 应用程序的模块、iPosyandu 记录和使用观察表报告的技能。研究表明,视频指导有助于提高干部使用 iPosyandu 应用程序的技能(p0.001)。视频作为适合干部和媒体专家需要的媒体指南,可以影响干部通过 iPosyandu 记录和报告的技能。
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引用次数: 0
The Relationship Between Self Efficacy and Family Support With Hypertension Treatment Adherence of Elderly 自我效能感和家庭支持与老年人坚持高血压治疗的关系
Pub Date : 2023-06-30 DOI: 10.17509/jpki.v9i1.59455
Indra Ruswadi, Hasyim Asyari, M. Marsono, Akhmadi Akhmadi, Purwanta Purwanta
Hypertension is a degenerative disease that increasing in its prevalence. Hypertension requires a long enough time to its treatment, even if there are no symptoms the patients should continue taking medication. So, patients need to obey to take medication. Adherence to taking medication correlated with self-efficacy and family support. This research aims to determine the relationship between self-efficacy and family support in hypertension treatment adherence of the elderly at Widasari Health Center, Indramayu Regency. The research design is a cross-sectional study. The sample of this research was 78 elderly. The data analysis used univariate to explain independent variables such as self-efficacy and family support, the dependent variable is hypertension treatment adherence, while the bivariate was used to determine the relationship between independent variables and the dependent variable. Dependent variable using the chi-square statistical test. The result of this research showed that 61.5% of the elderly had high self-efficacy criteria, 71.8% of the elderly received their family support, and 60.3% of the elderly obey to hypertension treatment adherence. The chi-square statistical test showed that there was a relationship between self-efficacy and family support with hypertension treatment adherence and also there is a relationship between self-efficacy and the level of adherence to taking medication in people with hypertension. It is recommended to increase the elderly self-efficacy by being able to communicate with fellow elderly who are undergoing hypertension treatment and now have reduced symptoms due to treatment adherence. Nurses should be able to provide health promotion about the importance of self-efficacy and family support in increasing compliance for the elderly undergoing hypertension treatment.
高血压是一种退行性疾病,发病率越来越高。高血压的治疗需要足够长的时间,即使没有任何症状,患者也应继续服药。因此,患者需要坚持服药。坚持服药与自我效能感和家庭支持有关。本研究旨在确定自我效能感和家庭支持对因德拉马尤地区维达萨里保健中心老年人坚持高血压治疗的影响。研究设计为横断面研究。研究样本为 78 名老年人。数据分析采用单变量解释自变量,如自我效能感和家庭支持,因变量是高血压治疗依从性,而双变量用于确定自变量和因变量之间的关系。因变量采用卡方统计检验。研究结果表明,61.5%的老人具有较高的自我效能标准,71.8%的老人得到了家人的支持,60.3%的老人服从高血压治疗依从性。卡方统计检验表明,自我效能感和家庭支持与高血压治疗依从性之间存在关系,自我效能感与高血压患者服药依从性水平之间也存在关系。建议通过与正在接受高血压治疗并因坚持治疗而症状减轻的老年人进行交流,提高老年人的自我效能感。护士应能够提供健康宣传,让老年人了解自我效能感和家庭支持对提高高血压治疗依从性的重要性。
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引用次数: 0
The Effect of Ergonomic Exercise on Reducing Blood Pressure in Hypertensive Elderly at Ciparay Panti Sosial Tresna Werdha Ciparay 人体工程学运动对降低西帕雷 Panti Sosial Tresna Werdha Ciparay 高血压老人血压的影响
Pub Date : 2023-06-30 DOI: 10.17509/jpki.v9i1.61105
Erna Irawan, Maidartati Maidartati
Hypertension is a condition when blood pressure is at 140/90 mmHg or more. Every year people with hypertension continue increased, it is estimated that in 2025 as many as 1.5 billion people suffer from hypertension... One way to reduce blood pressure is to do ergonomic exercises. The purpose of this study is to find out ergonomic exercises for decreasing blood pressure on elderly hypertension at Ciparay Elderly Social Rehabilitation Institution. This research used quasi Experiment design by designing a pre and post test group. The population of this study was hypertensive elderly totaling 70 people, The sampling technique uses non probability sampling with the technique purposive sampling, its about 23 respondent. Data collection using questionnaires, observation sheets, and digital sphygmomanometer. The number of respondents was 23 respondents, ergonomic exercises done 3 times repeatedly - according to 3 weeks. Pressure measurement blood is done before gymnastics (pre test) and after 30 minutes after gymnastics (post test). Statistical test results show the average systole pressure before gymnastics is equaldari to160.15 mmHg to and the remaining gymnastics 140.05 mmHg, a decrease of 20.1 mmHg. Diastolic pressure before gymnastics isfrom 96.28 mmHg and as is gymnastics to 86.11 mmHg, a decrease of 10.17 mmHg. Data analysis using Paired Sample T-Test related to ergonomic exercises for impairment blood pressure in hypertensive elderly with systole pressure p value = 0,000 and diastolic pressure p = 0,000.The conclusion Can be accessed the effect of ergonomic exercises on reducing blood pressure in elderly hypertension. The results of ergonomic exercise intervention can be used as a therapy in pressure reduction blood and it is expected that the elderly are routinely approved for ergonomic exercises.
高血压是指血压达到或超过 140/90 mmHg。高血压患者每年都在增加,预计到 2025 年,高血压患者将多达 15 亿人......降低血压的方法之一是进行人体工程学锻炼。本研究的目的是找出符合人体工程学的锻炼方法,以降低西帕雷老年人社会康复机构的老年高血压患者的血压。本研究采用了准实验设计,设计了前后测试组。研究对象为高血压老人,共计 70 人,抽样技术采用非概率抽样和目的性抽样技术,受访者约 23 人。数据收集使用问卷、观察表和数字血压计。受访者人数为 23 人,根据 3 周时间反复进行 3 次人体工程学练习。体操前(测试前)和体操后 30 分钟后(测试后)进行血压测量。统计测试结果显示,体操前的平均收缩压为 160.15 毫米汞柱,体操后为 140.05 毫米汞柱,下降了 20.1 毫米汞柱。体操前的舒张压为 96.28 mmHg,体操后为 86.11 mmHg,下降了 10.17 mmHg。使用配对样本 T 检验分析了人体工程学运动对高血压老年人血压的影响,收缩压的 P 值 = 0.000,舒张压的 P 值 = 0.000。人体工程学运动干预的结果可作为一种降压血液疗法,预计老年人将被例行批准进行人体工程学运动。
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引用次数: 0
Persepsi Perlindungan Hukum dan Aspek Etik terhadap Keinginan Perawat IGD Melakukan CPR pada Out-of-Hospital Cardiac Arrest (OHCA) 针对IGD护士在院外心脏骤停时进行心肺复苏要求的法律和伦理保护视角(OHCA)
Pub Date : 2020-12-08 DOI: 10.17509/jpki.v6i2.23438
W. Winarti, Rosiana Rosiana
ABSTRAKKejadian henti jantung dapat terjadi dimana saja baik di rumah sakit maupun di luar rumah sakit atau Out-of-Hospital Cardiac Arrest (OHCA). Usaha untuk meningkatkan survival rate kejadian henti jantung adalah pemberian Cardiopulmonary resuscitation (CPR)/ resusitasi jantung paru (RJP) yang berkualitas. Faktor yang mempengaruhi seseorang untuk mau menjadi bystander CPR bukan hanya terkait pengetahuan dan teknik melakukan CPR namun juga dipengaruhi oleh faktor sosial, kerelaan melakukan, kesiapan psikologis dan faktor lainnya seperti aspek etik dan hukum. Tujuan penelitian ini untuk mengetahui pengaruh persepsi perlindungan hukum dan aspek etik terhadap keinginan perawat dalam memberikan tindakan CPR pada kejadian Out-of-Hospital Cardiac Arrest. Penelitian menggunakan desain cross-sectional dengan metode kuisioner yang dikembangkan oleh peneliti dan menggunakan total sampling yang melibatkan seluruh perawat IGD RSUD Budhi Asih sebanyak 30 orang. Analisis menggunakan uji Fisher’s Exact dan Cochran-Mantel Haenszel. Hasil penelitian menunjukkan mayoritas responden (56,7%) memiliki persepsi yang negatif terhadap perlindungan hukum terhadap bystander CPR pada OHCA. Meskipun demikian, perawat cenderung memiliki persepsi yang positif ketika menjawab pertanyaan terkait isu etik CPR pada korban anak-anak, wanita maupun lansia. Sebanyak 43,33% (13 perawat) memiliki keinginan positif untuk melakukan CPR pada OHCA sementara 56,67% (17 perawat) lainnya memiliki keinginan negatif sebagai bystander CPR. Hasil uji Cochran-Mantel Haenszel menunjukkan persepsi terhadap perlindungan hukum mempengaruhi keinginan perawat dalam memberikan CPR pada OHCA dan akan diperbesar kemungkinan memberikan CPR apabila perawat tersebut berusia ≥ 30 tahun (p 0,014; OR 14,133; 95% CI 2,081-95,947) dan memiliki masa kerja ≥ 5 tahun (p 0,008; OR 25,667; 95% CI 2,253-292,462). Promosi mengenai aspek legal dan etik, serta landasan hukum perlindungan terhadap bystander CPR menjadi penting untuk dapat meningkatkan keinginan perawat dan jumlah bystander CPR. ABSTRACTCardiac arrest can occur anywhere in the hospital or outside the hospital, which is called Out-of-Hospital Cardiac Arrest (OHCA). An effort to increase the survival rate of cardiac arrest is the provision of quality Cardiopulmonary resuscitation (CPR). Factors that influence a person's willingness to become a bystander CPR are not only related to the knowledge and techniques of conducting CPR but are also influenced by social factors, willingness, psychological readiness, and other factors such as ethical and legal aspects. The purpose of this study is to determine the effect of perceptions of legal protection and ethical issues on the nurses' willingness to provide CPR in the OHCA incident. This study used a cross-sectional design using a questionnaire developed by researchers, conducted at Emergency Department Budhi Asih Regional Hospital in East Jakarta, and used a total sampling method involving 30 ED nurses. Fisher's
ABSTRACK心力衰竭可能发生在医院内外或院外心脏骤停(OHCA)的任何地方。提高心脏骤停存活率的尝试是高质量心肺复苏(CPR)/肺复苏(RJP)。影响一个人成为心肺复苏旁观者的因素不仅与心肺复苏的知识和技术有关,还受到社会因素、心肺复苏意愿、心理准备和其他因素的影响,如道德和法律方面。本研究的目的是确定在院外心脏骤停的情况下,法律保护和伦理方面对护士进行心肺复苏的意愿的影响。这项研究采用了研究人员开发的量子方法的截面设计,并使用了30名亚洲佛教IGD护士的总样本。使用Fisher精确检验和Cochran-Mantel-Haenszel检验进行分析。研究表明,大多数响应者(56.7%)对OHCA的CPR旁观者的法律保护持负面看法。尽管如此,护士在回答儿童、妇女或老人受害者有关心肺复苏术伦理的问题时,往往会有积极的看法。多达43.33%(13名护士)对OHCA进行心肺复苏有积极的愿望,而56.67%(17名护士)作为心肺复苏旁观者有消极的愿望。Cochran-Mantel-Haenszel测试显示,法律保护影响了护理人员对OHCA进行心肺复苏的愿望,并将增加护理人员≥30岁时进行心肺肺复苏的可能性(p 0.014;OR 14.133;95%CI 2.081-95.947),且工作时间≥5年(p 0.008;OR 25.667;95%CI 2.253-292.462)。宣传法律和伦理方面,以及保护心肺复苏术旁观者的法律基础,对于提高护士的意愿和心肺复苏法旁观者的数量非常重要。【UNK】摘要心脏骤停可发生在医院内或医院外的任何地方,称为院外心脏骤停(OHCA)。提高心脏骤停存活率的一项努力是提供高质量的心肺复苏(CPR)。影响一个人成为旁观者心肺复苏意愿的因素不仅与进行心肺复苏的知识和技术有关,还受到社会因素、意愿、心理准备以及其他因素的影响,如伦理和法律方面。本研究的目的是确定在OHCA事件中,法律保护和[UNK]道德规范对护士提供心肺复苏的意愿的影响。这项研究采用了横断面设计,使用了研究人员开发的问卷,该问卷在雅加达东部的Budhi Asih地区医院急诊科进行,并使用了一种涉及30名急诊科护士的总抽样方法。Fisher精确检验和Cochran-Mantel-Haenszel检验用于分析数据。研究结果表明,大多数受访者(56.7%)对旁观者的法律保护持负面看法。然而,护士在回答与儿童、妇女和老年人受害者心肺复苏的伦理问题有关的问题时,有积极的看法。43.33%(13名护士)对OHCA进行心肺复苏有积极意愿,而56.67%(17名护士)作为旁观者心肺复苏持消极意愿。Cochran-Mantel-Haenszel测试的结果表明,对法律保护的认知可能会影响护士为OHCA患者提供CPR的意愿,如果护士年龄≥30岁(p 0.014;OR 14.133;95%CI 2.081-95.947)并且工作时间≥5年(p 0.008;OR 25.667;95%CI 2.253-292.462),则会增加进行CPR的可能性。促进法律方面、道德问题和对旁观者心肺复苏术的保护对于提高护士的意愿和旁观者心肺切除术的数量至关重要。
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