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"Tujuan penelitian ini adalah untuk melihat efek temperatur cairan irigasi terhadap perubahan temperatur inti badan selama prosedur Transurethral Resection of the Prostate ( TURP ).Suatu uji klinis acak terkontrol dilakukan terhadap 32 penderita pembesaran prostat jinak (Benign Prostatic Hyperplasia = BPH) yang menjalani prosedur TURP di RSUPNCM Jakarta, antara bulan September 2003 dan Januari 2004. Secara acak berselang-seling, penderita penelitian dimasukkan ke dalam kelompok standar (menggunakan cairan irigasi setara temperatur kamar) dan kelompok isotermik (menggunakan cairan irigasi yang dihangatkan sampai setara dengan temperatur badan). Jenis cairan irigasi yang digunakan oleh kedua kelompok adalah aquabidest. Kemudian dilakukan pencatatan terhadap usia penderita, lama reseksi, berat jaringan prostat yang direseksi, total volume cairan irigasi yang digunakan, temperatur kamar operasi serta temperatur inti badan sebelum dan sesudah prosedur TURP. Uji hipotesis untuk kedua kelompok menggunakan uji t, dengan nilai p < 0,05 dianggap bermakna.Hasil penelitian menunjukkan bahwa terdapat penurunan temperatur inti badan selama prosedur TURP, baik pada kelompok standar maupun pada kelompok isotermik (keduanya p = 0,000 ), tetapi tidak satupun penderita dari kedua kelompok tersebut yang masuk dalam kriteria hipotermi. Rerata penurunan temperatur inti badan pada kelompok standar ( 0,99 °C ) lebih banyak dibandingkan dengan kelompok isotermik ( 0,75 °C ), tetapi secara statistik tidak berbeda bermakna (p > 0,05 ).Dari penelitian ini dapat disimpulkan bahwa penggunaan cairan irigasi selama prosedur TURP baik dengan temperatur yang setara dengan temperatur badan maupun yang setara dengan temperatur kamar, sama - sama menyebabkan penurunan temperatur inti badan pada tingkat yang kurang lebih sama.

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The objective of the study is to determine the effect of irrigating fluid temperature on core body temperature changes in patients undergoing transurethral resection of the prostate (TURP ).

A prospective trial was conducted on 32 patients with diagnosis Benign Prostatic Hyperplasia (BPH ) who underwent TURP at our institution between September 2003 and January 2004. Patients were randomized to one of two groups. Standard group consisted of 16 patients who received room temperature irrigating fluid (± 23.6 °C) throughout TURP. Isothermic group consisted of 16 patients whose procedure was performed using warmed irrigating fluid ( ± 37.2 °C ). The irrigating fluid used for both groups was aquabidest. The age, resection time, weight of resected prostate, amount of irrigating fluid used, temperature in the operating theatre, core body temperature at beginning and conclusion of TURP were recorded for each patient. All p value was calculated with the t test and a p value of 0.05 or less was considered significant.

The result of this study showed that there was a decrease of core body temperature during TURP, using either room temperature irrigating fluid or warmed irrigating fluid ( both p = 0.000 ). None of the patients in either group demonstrated any criteria of hypothermia. The average decrease of core body temperature in standard group ( 0.99 °C ) was greater than in isothermic group ( 0.75 °C ), but it was not significantly different (p > 0.05 ).

In conclusion, our study revealed that using either room temperature irrigating fluid or warmed irrigating fluid during TURP could decrease core body temperature at approximately similar level."

"ABSTRAK Pendahuluan: Salah satu faktor yang dapat mempengaruhi komplikasi perioperatif TURP adalah jenis cairan irigasi yang digunakan. Penelitian ini bertujuan untuk mengetahui komplikasi perioperatif dan perubahan hasil pemeriksaan laboratorium rutin pada TURP yang menggunakan cairan irigasi dextrose 5 ; berikut hubungannya dengan karakteristik pasien, volume cairan irigasi, dan temuan intra-operatif. Metode: Metode yang digunakan dalam penelitian ini adalah potong lintang prospektif dengan 32 subyek pasien benign prostatic hyperplasia BPH , yang menjalani tindakan TURP di RSUD Karawang Jawa Barat; pada periode Juli-Agustus 2017. Data yang diambil meliputi karakteristik pasien, volume cairan irigasi intraoperatif, durasi reseksi, volume jaringan yang direseksi, parameter laboratorium sebelum dan sesudah TURP hemoglobin, hematokrit, lekosit, gula darah sewaktu, natrium, kalium, klorida , electrocardiography ECG sebelum dan sesudah TURP; serta komplikasi perioperatif TURP ekstravasasi cairan irigasi, perforasi buli, cidera ureter, perforasi kapsul prostat,anemia pasca operasi yang membutuhkan transfusi, sindrom TUR, retensi urin akut, retensi bekuan darah, dan infeksi . Data penelitian ditampilkan dalam bentuk tabel distribusi frekuensi dan persentase; sedangkan analisis hubungan kemaknaannya menggunakan metode t-test dan chi-square test, dengan nilai p yang dianggap bermakna adalah kurang dari 0,05.Hasil: Dari 32 subyek penelitian, didapatkan data rata-rata volume dextrose 5 yang digunakan untuk irigasi saat TURP adalah 33,17 liter dengan kisaran volume irigasi antara 10 - 52 liter. Uji statistik pada hasil pemeriksaan laboratorium sebelum dan sesudah TURP menunjukkan bahwa nilai rata-rata hemoglobin sebelum operasi adalah 12,75 g / dL dan pasca operasi 11,99 g / dL yang berbeda bermakna p = 0,000 . Rata-rata nilai hematokrit sebelum operasi dan sesudah operasi adalah 38,25 dan 35,97 , yang berbeda bermakna p = 0,000 . Rata-rata nilai leukosit sebelum dan sesudah operasi adalah 7773.47 / uL dan 10466.62/ uL yang berbeda bermakna p = 0,000 . Nilai natrium rata-rata sebelum dan sesudah operasi adalah 138,09 mmol / L dan 135,97 mmol / L yang berbeda bermakna p = 0,000 . Nilai gula darah sewaktu GDS rata-rata sebelum dan operasi adalah 111 mg dan 123,94 mg yang berbeda bermakna p = 0,000 . Komplikasi perioperatif TURP dalam penelitian ini adalah anemia pasca operasi yang memerlukan yang transfusi, pada 1 pasien 3,13 . Secara statistik, karakteristik pasien dan volume cairan irigasi tidak berhubungan dengan komplikasi perioperatif yang terjadi. Kesimpulan: Dextrose 5 dapat menjadi cairan irigasi alternatif pada TURP; jika dipandang dari insidensi komplikasi perioperatif yang rendah dan data hasil pemeriksaan laboratorium rutin sebelum dan sesudah tindakan. Secara statistik; parameter laboratorium yang berbeda bermakna sebelum dan sesudah TURP adalah hemoglobin, hematokrit, lekosit, natrium, dan gula darah sewaktu; namun secara klinis tidak signifikan mempengaruhi komplikasi perioperatif yang terjadi. ABSTRACT Introduction One of the factors that may affect perioperative complications is the type of irrigation fluid used at TURP. This study aims to evaluate the perioperative complications and changes in routine laboratory examination of TURP with 5 dextrose irrigation fluid as well as its relationship to the patient profile, the volume of the irrigation fluid, and intra operative findings. Methods A prospective cross sectional method was done towards 32 Benign Prostatic Hyperplasia BPH patients who undergoing TURP in Karawang General Hospital, West Jawa, since July 2017 until August 2017. We documented patient profile operative details including volume of the irrigation fluid, resection time, and weight of resected tissue before and after TURP laboratory parameters hemoglobin, haematocrit, leukocytes, blood sugar at the time, sodium, potassium, chloride and electrocardiography ECG also perioperative TURP complications extravasation of irrigation fluid, bladder perforation, ureter injury, perforation of the prostate capsule, postoperative anemia requiring blood transfusion, TUR syndrome, acute urinary retention, blood clot retention, and infection prospectively. Research data is presented in the form of frequency distribution table, and the hypothesis test analysis using t test and chi Square test. Results From 32 study subjects, it was found that the average of 5 dextrose dextrose volume used for irrigation when TURP is 33.17 liters with irrigation volume ranges from 10 52 liters. T test statistics on laboratory tests before and after TURP showed that mean preoperative hemoglobin values were 12.75 g dL and post operative 11.99 g dL, were significantly different p 0.000 . The mean hematocrit value before surgery was 38.25 and postoperative was 35.97 , which was significantly different p 0.000 . The average preoperative leukocyte values were 7773.47 uL and post operative 10466.62 uL which also differed significantly p 0.000 . Mean sodium values before surgery were 138.09 mmol L and post operative 135.97 mmol L, were significantly different p 0.000 . The mean current time glucose value of blood before surgery was 111 mg and post operative 123.94 mg , was significantly different in the statistical test p 0.000 . The perioperative complications of TURP obtained in this study was postoperative anemia requiring a transfusion of 1 patient 3.13 . The relationship of patient profile and intra operative findings with perioperative complication were not statistically significant. Conclusion , Dextrose 5 could be alternative irrigation fluid for TURP considering the lower rates of perioperative complication and the evaluation of routine laboratory results before and after surgery. Statistically, laboratory parameters whose results differ significantly between before and after surgery are hemoglobin, hematocrit, leukocytes, sodium, and blood sugar at the time but not associated with clinically significant perioperative complication."

"Penelitian ini bertujuan untuk mendapatkan gambaran "pengaruh Kegel's exercise terhadap keluhan dribbling pada pasien pasca transurethral resection of the prostate (TURP)". Penelitian ini merupakan penelitian quasi - eksperimental dengan pre - test and post - test with control group. Hipotesis yang dibuktikan dalam penelitian ini adalah "Ada perbedaan pengaruh Kegel's exercise terhadap perubahan keluhan dribbling pasien pasca TURP sebelum dan sesudah Kegel's exercise pada kelompok intervensi dengan kelompok kontrol di Makassar. Sampel penelitian adalah responden yang dirawat di Rumah Sakit Umum Pemerintahan (RSUP) Dr. Wahidin Sudirohusodo dan Rumah sakit (RS) Tingkat II Pelamonia yang memenuhi kriteria inklusi. Jumlah sampel pada kelompok intervensi sejumlah 10 responden, sedangkan kelompok kontrol 10 responden. Hasil penelitian ada perbedaan yang signifikan rata - rata lama keluhan dribbling antara kelompok intervensi dan kelompok kontrol (pada alpha 5 %, p = 0,007) dan ada perbedaan yang signifikan rata - rata lama keluhan dribbling responden yang patuh melakukan Kegel's exercise dengan responden yang tidak patuh melakukan Kegel's exercise (pada alpha 5 %, p = 0,004). Simpulan dari penelitian ini adalah Kegel's exercise terbukti dapat menurunkan keluhan dribbling pasien pasca TURP.

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This study aimed to see the effect of Kegel's Exercise on Dribbling Complaint of Post Transurethral Resection of the Prostate (TURP) patient in Makassar. In this study was used the quasi-experimental with pre and post test with the control group. The hypotheses of this study which was there is differences effect of Kegel's exercise for intervention and control group before and after the Kegel's exercise in dribbling complaint of post TURP patient is proven. The sample was the patients who are hospitalized in Dr. Wahidin Sudirohusodo hospital and Pelamonia hospital fulfill the inclusion criteria. There were 10 responden each for intervention and control groups.

The study results there was a significant difference of the average of dribbling complaint duration between intervention and control groups (alpha 5%, p= 0.007) and that there is a significant difference of the average of dribbling complaint duration between those who do the exercise regularly and who do not do it regularly (alpha 5 %, p = 0,004). In conclusion, the Kegel's exercise had proven to reduce the dribbling complaint on post TURP patient."

"Salah satu hal yang harus diperhatikan perawat dalam melakukan asuhan keperawatan pada klien post op TURP adalah pemantauan cairan irigasi. Penelitian ini bertujuan untuk mengidentifikasi hal-hal yang perlu diperhatikan dan diketahui perawat dalam melakukan pemantauan irigasi bladder.Hasil penelitian menunjukkan bahwa hal yang harus diperhatikan perawat dalam melakukan pemantauan irigasi bladder antara lain jenis cairan yang digunakan, kecepatan aliran, ballance cairan, pemantauan tanda-tanda penyumbatan kateter, dan meningkatkan intake cairan di atas 3000 ml per hari. Pengetahuan perawat tentang irigasi bladder perlu ditingkatkan untuk menghindari komplikasi yang umum terjadi pada klien post op TURP.

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One of important thing that should be cared by nurse for post TURP patient is monitoring bladder irrigation. The aims of the study was to identify the thing that should be cared by nurse during monitoring bladder irrigation. The result indicated the thing that shuould be cared during bladder irrigation are kind of fluid, rapidity of fluid, fluid ballance, sign of chatheter blockage, and increase fluid intake up to 3000 ml per day. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client."

"Penuaan menyebabkan pembesaran kelenjar prostat, sehingga insiden dan prevalensi Benign Prostatic Hyperplasia (BPH) pada lansia pria semakin meningkat. Kasus BPH di perkotaan, banyak ditangani dengan Transurethral Resection of the Prostate (TURP). Karya ilmiah ini memaparkan dan menganalisis asuhan keperawatan perioperatif pada kasus penundaan operasi, salah satu klien BPH-TURP, dengan menitikberatkan pada implementasi preoperative teaching. Hasil analisis menunjukkan bahwa ansietas preoperatif dan risiko komplikasi postoperatif dapat ditangani dengan preoperative teaching. Penyusun menyarankan penerapan preoperative teaching secara optimal oleh perawat, sesuai dengan kebutuhan klien.

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Aging process cause enlargement of prostate gland, so that the incidence and prevalence of Benign Prostatic Hyperplasia (BPH) in elderly male is increasing. The case of BPH in urban areas, most dealt with Transurethral Resection of the Prostate (TURP). This paper aimed to describe and analyze perioperative nursing care of the delay surgery case on one client with BPH-TURP, with emphasized on preoperative teaching. Analysis showed that preoperative anxiety and risk of postoperative complications can be reduce by preoperative teaching. Writer suggested that delivering preoperative teaching by nurse should be done optimally, based on client's needs."

"[ABSTRAK BPH salah satu penyakit yang sering ditemukan di negara-negara berkembang, prevelansi dan insiden BPH banyak terjadi pada lansia pria yang banyak tinggal di daerah perkotaan dan menempati presentase kasus urologi yang paling umum terjadi dimana kasusnya mencapai 75%. Kasus BPH di perkotaan sering ditangani dengan tindakan Transurethral Resection Prostate (TURP). Salah satu hal yang harus diperhatikan perawat dalam melakukan asuhan keperawatan pada klien post op TURP adalah pemantauan cairan irigasi. Penulisan ini memaparkan dan menganalisis asuhan keperawatan post operasi yang menitikberatkan pada implementasi pemantauan irigasi bladder. Hasil analisis menunjukkan ada hal-hal yang harus diperhatikan oleh perawat dalam melakukan pemantauan irigasi bladder antara lain jenis cairan yang digunakan, kecepatan aliran, dan pemantauan tanda-tanda penyumbatan kateter. Pengetahuan perawat tentang irigasi bladder perlu ditingkatkan untuk menghindari komplikasi yang umum terjadi pada pasien post op TURP; ABSTRACT BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client., BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.]"