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An Analysis on Nurse Knowledge and Attitude on Pre-Hospital Ambulance Service Satisfaction in Bali, Indonesia 印尼巴厘地区护士院前救护车服务满意度知识与态度分析
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33153
Wayan Edi Sanjana, T. A. Wihastuti, Nurul Muslihah
Introduction: The ambulance service quality has a great impact on well-being and survival of emergency patients. The patient satisfaction was one of main metrics to assess ambulance service and an indicator of quality to manage pre-hospital emergency service. This research was aimed to analyze the correlation between nurse knowledge and attitude and satisfaction of pre-hospital ambulance service in Bali, Indonesia. Methods: This research exerted correlative analytic method and cross-sectional approach. Moreover, this research involved as many as 271 respondents who were consisted of 127 nurses and 144 patients. The cluster sampling technique was used to select the research respondents. Results: The analysis result of Spearman’s rank test referred the knowledge (p = 0,001; r = 0,269) and attitude (p = 0,000; r = 0,307) significantly have a positive relation to the pre-hospital ambulance service satisfaction in Bali. Conclusion: The result of multiple linear regression test referred that the nurse attitude was a dominant factor which related to the pre-hospital ambulance service satisfaction in Bali. Therefore, it needed to conduct a periodical formal training in order to increase the quality of ambulance nurse service which could affect the increase of pre-hospital ambulance service satisfaction in Bali, Indonesia.
摘要:救护车服务质量的好坏对急诊病人的健康和生存有很大的影响。患者满意度是评价救护车服务质量的主要指标之一,也是院前急救服务质量管理的重要指标。本研究旨在分析印尼巴厘地区护士知识与院前救护服务态度及满意度的相关关系。方法:采用相关分析法和横断面分析法。此外,本研究涉及多达271名受访者,包括127名护士和144名患者。采用整群抽样的方法选择调查对象。结果:Spearman秩次检验的分析结果参考了知识(p = 0.001;R = 0.269)和态度(p = 0.000;r = 0,307)与巴厘院前救护车服务满意度显著正相关。结论:多元线性回归检验结果表明,护士态度是影响巴厘地区院前救护车服务满意度的主导因素。因此,需要定期进行正规培训,以提高救护车护士的服务质量,这可能会影响到印度尼西亚巴厘岛院前救护车服务满意度的提高。
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引用次数: 1
Patient Discomfort Experience During ETT Insertion in Intensive Care Unit Husada Hospital Jakarta, Indonesia 印度尼西亚雅加达胡萨达医院重症监护病房内气管插管患者的不适体验
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33200
N. P. J. Sastamidhyani, Ni luh Widani, A. Bandur
Introduction: Organ dysfunction may lead to critical disease. The critical disease has put many patients to be monitored intensively during medical treatment to restore their body function. Most ventilator usage is to support recovery from respiratory system problems. A ventilator is connected to an Endo Tracheal Tube inserted into the patient’s mouth. This study aims to explore in depth the meaning of patient experience dealing with endotracheal tube insertion during hospitalization in intensive care unit. Methods: This study used a qualitative research design with an interpretative phenomenological approach. This study used purposive sampling, with total 10 participants with inclusion criteria: patient that has endotracheal tube experience more than 2 x 24 hours, 30-70 years of age, conscious, has good memory while in intensive care unit, able to communicate well and are willing to become participants by signing the participant’s informed consent form. The data collection strategy used in-depth interview techniques with semi-structured interview guidelines. Researchers conducted data analysis using NVivo. Results: There are five themes in this study, namely: pain, feeling thirsty, disoriented, feeling anxiety, and hard to communicate verbally. Conclusion: Discomfort experienced in patients while utilizing endotracheal tubes and ventilators affects both physically, psychologically, socially, and spiritually. It takes a lot of courage to survive during those hard times. Patients adapt by praying, showing an obedient attitude, keeping calm, and trying to find out their self-comfort position.
器官功能障碍可能导致严重的疾病。这种危重疾病使许多患者在医疗过程中需要密切监测,以恢复他们的身体功能。大多数呼吸机的使用是为了支持呼吸系统问题的恢复。呼吸机与插入患者口腔的远藤气管管相连。本研究旨在深入探讨重症监护病房住院期间处理气管插管患者体验的意义。方法:本研究采用定性研究设计和解释现象学方法。本研究采用目的抽样,共纳入10名受试者,入选标准为:气管插管经历2 × 24小时以上,年龄30-70岁,意识清醒,在重症监护病房期间记忆良好,沟通能力良好,签署受试者知情同意书后愿意成为受试者。数据收集策略采用深度访谈技术和半结构化访谈指导方针。研究人员使用NVivo进行了数据分析。结果:本研究有五个主题,分别是:疼痛、口渴、迷失方向、焦虑、语言沟通困难。结论:患者在使用气管插管和呼吸机时所经历的不适对其生理、心理、社交和精神均有影响。在那些困难时期生存需要很大的勇气。患者通过祈祷,表现出顺从的态度,保持冷静,并试图找到自我安慰的位置来适应。
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引用次数: 0
The Effect of Cupping Therapy on Blood Pressure in Elderly Patients 拔罐治疗对老年患者血压的影响
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33171
Kistan, Najman
Introduction: Hypertension is understood as the silent killer as it frequently appears without symptoms and is a major cause of cardiovascular disease. The elderly is a group who is vulnerable to being diagnosed with cardiovascular disease. Cupping therapy is a popular alternative treatment option performed by the community. Over time, it encourages nurses to entirely evidence the benefits of cupping therapy. The objective of this study is to determine the effect of cupping therapy on reducing blood pressure in the elderly. Methods: This research was conducted by employing a method in the form of a quasi-experimental one-group pretest-posttest. Researchers examined blood pressure before cupping therapy and calculated it again 30 minutes after cupping therapy. The sample administered was 15 elderly patients with cupping at Al Ghaffar Care, Bone Regency, which were selected by administering purposive sampling technique. Results: After conducting statistical analysis by employing the paired sample T-test, the systolic pressure was obtained a significant value (p 0.001 < 0.05) with an average decrease in systolic pressure of 5.133 mmHg and a significant diastolic pressure was acquired (p 1,000 > 0.05). The results signify that there is an effect between a decrease in systolic pressure but no effect on diastolic pressure before and after cupping therapy. Conclusion: In order to allow for a reduction in the dose of antihypertensive medications administered and lower the danger of drug dependence, cupping therapy can be thought of as an alternative therapy and adjunct therapy in patients with high blood pressure.
简介:高血压被认为是无声的杀手,因为它经常出现无症状,是心血管疾病的主要原因。老年人是一个容易被诊断出心血管疾病的群体。拔火罐疗法是一种受社区欢迎的替代疗法。随着时间的推移,它鼓励护士充分证明拔罐疗法的好处。本研究的目的是确定拔火罐治疗对降低老年人血压的影响。方法:采用准实验的一组前测后测的方法进行研究。研究人员在拔火罐治疗前检查了血压,并在拔火罐治疗30分钟后再次计算血压。本研究采用目的性抽样技术,选取了15例在骨政医院Al Ghaffar护理中心接受拔罐治疗的老年患者。结果:采用配对样本t检验进行统计分析,收缩压达到显著值(p 0.001 < 0.05),收缩压平均下降5.133 mmHg,舒张压达到显著值(p 1000 > 0.05)。结果表明,拔罐前后对心脏收缩压有降低作用,对舒张压无影响。结论:为了减少降压药的剂量,降低药物依赖的危险,拔火罐疗法可以被认为是高血压患者的一种替代疗法和辅助疗法。
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引用次数: 1
Correlation Between Risk Perception and Outcome Expectancies on Dietary Compliance in Diabetes Mellitus Patients 糖尿病患者饮食依从性的风险认知与结局预期的相关性
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33122
Arina Qona'ah, Nikmatul Fauziah, Gusmaniarti, Hikmah Lia Basuni
Introduction: Diabetic patients' non-compliance with diet can increase the risk of complications and decrease quality of life. Dietary compliance can be influenced by motivation, self-efficacy, knowledge, intentions, and family support. This study aims to analyze the relationship between perceived risk and expected outcomes with dietary compliance in patients with type 2 diabetes mellitus. Methods: 150 respondents were obtained from five Primary Health Care in Surabaya through the cluster sampling method. The instruments used were a risk perception, a healthy diet-outcome expectation scale, and dietary compliance questionnaire. Data were analyzed using Spearman’s Rho statistics (α≤0.05). Results: Most of the patients had moderate risk perception (67.3%) and high outcome expectation (48%). There was a significant relationship between perceived risk (p = 0.000) and expected outcome (p = 0.000) with dietary compliance in type 2 DM patients. Conclusion: Diabetic patients' perceptions of their disease and the expected results have a positive effect on patient adherence to diet. Patients need accurate information about their disease so that they can create good perceptions and expectations.
导言:糖尿病患者饮食不遵医嘱可增加并发症的发生风险,降低生活质量。饮食依从性可受到动机、自我效能、知识、意图和家庭支持的影响。本研究旨在分析2型糖尿病患者饮食依从性与感知风险和预期结局的关系。方法:采用整群抽样方法,从泗水市五家初级卫生保健机构抽取150名调查对象。使用的工具是风险感知、健康饮食-结果预期量表和饮食依从性问卷。采用Spearman’s Rho统计分析(α≤0.05)。结果:大多数患者有中度风险感知(67.3%)和高结局预期(48%)。2型糖尿病患者的感知风险(p = 0.000)和预期结局(p = 0.000)与饮食依从性之间存在显著相关。结论:糖尿病患者对自身疾病的认知和预期结果对患者饮食依从性有积极影响。病人需要关于他们疾病的准确信息,这样他们才能产生良好的认知和期望。
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引用次数: 0
Coping with COVID-19: Strategies of Frontline Nurses 应对COVID-19:一线护士的策略
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33113
G. Joy, Jibin Kunjavara, Manoj Kumar Larsen, R. George
Nurses are the largest workforce within healthcare systems. They are integral to managing pandemics, but due to pandemics, Nurses encounter various traumatic situations, mainly due to distressing and stressful work life. Therefore, nurses must strengthen their resilience in coping with difficulties, adapting to new strategies, and protecting their work and daily life. If nurses have sufficient resilience strategies, burnout and the rate of leaving a job or resigning decrease, posttraumatic growth develops, and work satisfaction increases. The results showed that psychological resilience is an essential predictor of perceived stress in nurses. Protecting the mental health of nursing staff is essential for nurses to combat COVID-19 effectively. Community mental health and psychiatric nurses should develop, implement, and evaluate interventions designed to enhance psychological resilience in clinical nurses.
护士是医疗保健系统中最大的劳动力。它们是管理大流行病不可或缺的一部分,但由于大流行病,护士遇到各种创伤情况,主要是由于痛苦和紧张的工作生活。因此,护士必须加强应对困难、适应新战略、保护工作和日常生活的韧性。如果护士有足够的弹性策略,倦怠和离职或辞职的比率会降低,创伤后成长会发展,工作满意度会提高。结果表明,心理弹性是护士感知压力的重要预测因子。保护护理人员的心理健康对于护士有效抗击COVID-19至关重要。社区精神卫生和精神科护士应制定、实施和评估旨在提高临床护士心理弹性的干预措施。
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引用次数: 0
Analysis of Factors and Situations Influencing Preventive Behaviours for the Spread of COVID-19 in Adults with Chronic Diseases and Older Adults 影响成人慢性病患者和老年人COVID-19传播预防行为的因素和情况分析
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33127
Achmad Syukkur, Berliany Venny Sipollo
Introduction: The older adults and people with comorbidities are more susceptible to the infected of the COVID-19 virus, and have a higher risk of mortality compared to other populations. Steps to prevent transmission have been taken by the government, such as socializing physical distancing movements, staying at home, wearing masks when leaving the house, to prohibiting people from going to village. This study wants to know the factors and situations that influence the behaviour of preventing COVID-19. Methods: This research design uses observational design with correlation description approach. The total population is 148, obtained a sample of 126 respondents using the Slovin’s formula. Random sampling technique used with the help of the excel application. The older adult’s group was 63 respondents and the chronic disease group was 63 respondents. The researcher used 11 questionnaires and multivariate analysis test results using SEM with SmartPLS. Results: The results of the multivariate analysis test using SEM (Structural Equation Modeling) with SmartPLS (Partial Least Square) showed that the factors that influenced COVID-19 prevention behaviour in the older adult’s group were knowledge, while in the chronic disease group was social support and attitude towards COVID-19. Conclusion: It is hoped that it can improve preventive behaviour against COVID-19 by understanding what factors are weakening or factors that can increase the risk of COVID-19 transmission in the elderly and people with chronic diseases, and can be a policy reference in implementing the protocol of COVID-19 for the Village Government.
与其他人群相比,老年人和有合并症的人群更容易感染COVID-19病毒,死亡风险更高。政府采取了一些预防传播的措施,如保持身体距离、呆在家里、出门戴口罩、禁止人们去农村等。本研究旨在了解影响预防COVID-19行为的因素和情况。方法:本研究设计采用观察设计和相关描述法。总人口为148人,使用斯洛文公式得到126名受访者的样本。借助随机抽样技术使用的excel应用程序。老年人组63人,慢性病组63人。研究者使用了11份问卷,并使用SEM和SmartPLS进行了多变量分析测试结果。结果:运用结构方程模型(SEM)和偏最小二乘法(SmartPLS)对多因素分析检验结果显示,影响老年人预防行为的因素是知识,影响慢性病患者预防行为的因素是社会支持和对新冠肺炎的态度。结论:希望通过了解哪些因素削弱或增加了老年人和慢性病患者的COVID-19传播风险,从而改善对COVID-19的预防行为,并可为村政府实施COVID-19协议提供政策参考。
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引用次数: 0
Knowledge and Anxiety in Community During the COVID-19 Pandemic COVID-19大流行期间社区的知识与焦虑
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33109
Zidni Nuris Yuhbaba, M. Budiman, Irwina Angelia Silvanasari, Wahyi Sholehah Erdah Suswati
Introduction: The continuous increase in COVID-19 data can cause public anxiety increase. Good knowledge of the COVID-19 pandemic is important to prevent anxiety because with knowledge the individual will have the ability to determine and make decisions on how he can deal with it so that it can minimize the risk of the emergence of anxiety. The purpose of this study was to describe the knowledge and anxiety of the community during the COVID-19 pandemic. Methods: This study used a cross-sectional method, carried out by distributing a google form link to respondents. The number of samples in this study were 115 respondents taken using purposive sampling technique then the data was analyzed using the SPSS application and only displayed the distribution of frequency and percentage. Results: The results showed that the level of knowledge of respondents about the COVID-19 pandemic was in the good knowledge category of 80.8% and the level of anxiety was in the category of not experiencing anxiety as much as 86%. Conclusion: A person's level of knowledge in dealing with the COVID-19 pandemic can be a factor that affects the emergence of anxiety disorders.
导语:随着新冠肺炎疫情数据的持续增加,公众焦虑情绪加剧。对COVID-19大流行的良好了解对于预防焦虑很重要,因为有了知识,个人将有能力确定和决定如何应对它,从而最大限度地降低出现焦虑的风险。本研究的目的是描述社区在COVID-19大流行期间的知识和焦虑。方法:本研究采用横断面方法,通过向受访者分发谷歌表单链接进行。本研究的样本数量为115名受访者,采用有目的抽样技术,然后使用SPSS应用程序对数据进行分析,仅显示频率和百分比的分布。结果:调查结果显示,被调查者对新冠肺炎大流行的知识水平为80.8%,处于良好知识类别,焦虑水平为86%,处于无焦虑类别。结论:个人应对COVID-19大流行的知识水平可能是影响焦虑症出现的一个因素。
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引用次数: 1
Effectiveness of Blended Learning with Flipped Classroom Method on the Knowledge Level and Self Efficacy among Nurses During the Basic Life Support Course 翻转课堂混合学习对基础生命支持课程护士知识水平和自我效能的影响
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33203
Fitra Jayadi, M. Akbar, Aan Nuraeni
Introduction: The blended learning with flipped classrooms combination may propose a more effective and efficient way to share information in the course sessions. However, a scientific-based investigation is required to confirm its effect on knowledge and self-efficacy improvement during the BLS course learning sessions. Methods: This was a quasi-experimental study with a pre-post test design, enrolling nurses who were participating in BLS Courses. Participants were assigned into two groups: a control group with Blended learning (BL) or conventional learning approach (n=30) and an experimental group with Blended Learning with Flipped Classroom (BLFC) (n=30). A knowledge questionnaire from the American Heart Association (AHA) Guidelines and a Self-Efficacy questionnaire of Resuscitation Self-Efficacy Scale (RSES) were employed to gather the study data. Data were then analyzed using the SPSS with the mean, median, Wilcoxon, and Mann-Whitney tests. Results: Wilcoxon test revealed a significant mean difference in knowledge and self-efficacy in the BL group with a p-value of 0.000 and 0.000, respectively. Further, the Mann-Whitney test showed mean differences between groups, with p=0.084 in the knowledge and p=1.000 in the self-efficacy variable. Conclusion: Significant changes in knowledge and self-efficacy before and after the course sessions were observed in the BL and BLFC groups. However, findings yielded insignificant differences in the mean and median between groups.
简介:将混合学习与翻转课堂相结合,可以提供一种更有效、更高效的课程信息共享方式。然而,需要科学的调查来证实其在劳工统计局课程学习期间对知识和自我效能感提高的影响。方法:这是一项准实验研究,采用前后测试设计,招募参加劳工统计局课程的护士。参与者被分为两组:采用混合学习(BL)或传统学习方法的对照组(n=30)和采用混合学习与翻转课堂(BLFC)的实验组(n=30)。采用美国心脏协会(AHA)指南知识问卷和复苏自我效能量表(RSES)自我效能问卷收集研究数据。然后使用SPSS软件对数据进行均值、中位数、Wilcoxon和Mann-Whitney检验。结果:Wilcoxon检验显示,BL组在知识和自我效能上有显著的平均差异,p值分别为0.000和0.000。此外,Mann-Whitney检验显示组间平均差异,知识变量p=0.084,自我效能变量p=1.000。结论:BL组和BLFC组在课程前后的知识和自我效能感均有显著变化。然而,研究结果显示各组之间的平均值和中位数差异不显著。
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引用次数: 0
The Implementation of Early Warning Score for Early Detection of Death in Adult Inpatient Rooms 成人病房早期发现死亡预警评分的实施
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33191
Wardah Fauziah, Novian Mahayu Adiutama
Introduction: The Early Warning Score (EWS) can be used to predict the likelihood of short-term and long-term death. It is associated with abnormalities in the condition of vital signs of patients who are at high risk of death, regardless of the intervention or timeliness of medical personnel. Methods: This research is an innovation for the management of Evidence-based practice-based nursing actions. It was conducted using quantitative research (quasi-experiment) using post-test design with control group. The populations were all hospitalized patients in the adult room of the Subang Hospital. Results: The result showed that the Gross Death Rate in the control group of 29 people with a percentage of 10.54% of the total number of respondents is 275. Then, in the intervention group, the GDR figure was a small percentage of 12 people with a percentage of 4.36%. Meanwhile, the Net Death Rate in the control group was 9 people with a percentage of 3.27%. In the intervention group, the number of NDR was small, namely 4 people with a percentage of 1.45%. Conclusion: Based on the results and analysis of statistical tests that have been conducted on the implementation of the application of Early Warning Score (EWS), it was found that the detection of early death intervention group is lower than the control group. Early Warning scores significantly decreased the GDR and NDR in the intervention group compared to the control group.
早期预警评分(EWS)可用于预测短期和长期死亡的可能性。它与高危死亡患者生命体征异常有关,无论医务人员的干预或及时性如何。方法:本研究是基于循证实践的护理行动管理的创新。采用定量研究(准实验),采用后测设计,对照组。人群均为苏邦医院成人病房的住院患者。结果:对照组29人,总死亡率为275人,占调查对象总数的10.54%。然后,在干预组中,GDR数字是一个很小的百分比,只有12人,百分比为4.36%。对照组净死亡率为9人,占3.27%。干预组NDR人数较少,为4人,占1.45%。结论:通过对早期预警评分(EWS)应用实施情况的统计检验结果和分析,发现早期死亡干预组的检出率低于对照组。与对照组相比,干预组的早期预警评分显著降低了GDR和NDR。
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引用次数: 0
Family Experience Dealing with Relapse in People with Mental Disorders 处理精神障碍患者复发的家庭经验
Pub Date : 2022-07-31 DOI: 10.37363/bnr.2022.32106
Ni Made Sri Muryani, I. Y. Putra, I. K. Artawan
Introduction: Recurrence is a problem that often occurs in patients with mental disorders. Families who have family members with mental disorders, said that relapse can be caused by not taking medication regularly and when they relapse the family is afraid to face the patient, because the patient is angry and throw things. This study aims to explore in depth the meaning of family experience dealing with relapse in people with mental disorders. Methods: This study uses a qualitative research design with an interpretative phenomenological approach. This study used purposive sampling, with total 15 participants with inclusion criteria: families who have family members with mental disorders who have experienced a relapse in the last six months and are willing to become participants by signing the participant's informed consent form. Exclusion criteria were families with family members with mental disorders who also had other illnesses. The data collection strategy used in-depth interview techniques with semi-structured interview guidelines. Researchers conducted data analysis using Interpretative Phenomenological Analysis (IPA). Results: There are four themes in this study, namely (1) Always pay attention to prevent recurrence, (2) Families are able to recognize signs of relapse in family members with mental disorders, (3) Families use medical health services when a relapse occurs, (4) Feel emotional and fearful when the patient relapses. Conclusion: The results of this study indicate that families feel emotional and fear when the patient experiences a relapse, and the family also knows about the signs of relapse in patients with mental disorders.
复发是精神障碍患者经常出现的问题。有精神障碍患者的家庭表示,复发可能是由于没有定期服药造成的,当他们复发时,家人不敢面对病人,因为病人很生气,会扔东西。本研究旨在深入探讨家庭经验处理精神障碍患者复发的意义。方法:本研究采用定性研究设计和解释现象学方法。本研究采用有目的抽样,共纳入15名参与者,纳入标准为:有家庭成员患有精神障碍,在过去6个月内复发,并愿意签署参与者知情同意书成为参与者的家庭。排除标准是家庭成员有精神障碍并有其他疾病的家庭。数据收集策略采用深度访谈技术和半结构化访谈指导方针。研究人员使用解释现象学分析(IPA)进行数据分析。结果:本研究有四个主题,即(1)始终注意预防复发;(2)家庭能够识别精神障碍家庭成员复发的迹象;(3)家庭在发生复发时使用医疗保健服务;(4)患者复发时感到情绪和恐惧。结论:本研究结果表明,患者复发时,家属会感到情绪和恐惧,家属也了解精神障碍患者复发的迹象。
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引用次数: 0
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Babali Nursing Research
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