Hasil Pencarian  ::  Simpan CSV :: Kembali

"By performing a thorough patient assessment, this title can assist physicians in the decision-making process regarding treatment, in evaluating the treatment's effectiveness, and in determining if changes in the treatment need to be made. It covers important aspects and topics of assessment. It emphasizes learning objectives. "

"Latar belakang : Kemajuan sektor industri memberi dampak baik dan buruk. Debu yang dihasilkan dalam proses industri dapat berdampak buruk terhadap kesehatan paru. Belum ada penelitian tentang efek debu karbon hitam terhadap keluhan respirasi dan gangguan faal paru di Indonesia. Tujuan : Penelitian ini mencari keluhan respirasi dan faal paru pekerja yang terpajan debu karbon hitam di PT X Bogor yang berdiri tahun 2006. Metode : Penelitian potong lintang sejak bulan November 2012-April 2013. Sejumlah 248 subjek diperiksa dengan total coverage sampling kemudian dipilih sesuai kriteria inklusi. Dilakukan wawancara dengan kuesioner, pemeriksaan fisis, foto toraks, spirometri dan pemeriksaan carbonmonoxyde (CO). Hasil : Ada 207 subjek inklusi dengan kebanyakan laki-laki (81,2 %), didapatkan keluhan respirasi sejumlah 68 (32,8 %) berupa flu, sesak, batuk, dahak kronik, batuk dahak, dahak, batuk kronik dan mengi. Hasil spirometri rerata VEP1/KVP 93,5± 4,4 (79,2 - 98,8). Tidak didapatkan hubungan bermakna secara statistik antara jenis kelamin, usia subjek, tingkat pendidikan, status gizi, status perokok, kadar CO, kondisi debu, penggunaan masker, kelainan foto toraks dan lama kerja dengan terdapatnya kelainan faal paru.Terdapat hubungan bermakna antara jenis kelamin laki-laki, status perokok aktif dan kadar CO ≥10 dengan terdapatnya keluhan respirasi dengan nilai p < 0,05. Kesimpulan : Tidak ada hubungan antara kadar debu dengan keluhan respirasi dan kadar debu dengan faal paru yang bermakna secara statistik pada penelitian ini.

---

Background : Advances in the industrial sector gives good and bad impact. Dust generated in industrial processes may adversely affect the health of the lungs. No studies on the effects of carbon black dust on respiratory complaints and lung function disorders in Indonesia.

Objective : This research looks at respiratory complaints and lung function of workers exposed to carbon black dust X Factory in Bogor which was founded in 2006.

Methods : A cross-sectional study from November 2012-April 2013. A total of 248 subjects examined by total coverage sampling then selected according to the inclusion criteria. Conducted interviews with questionnaires, physical examination, chest Xray, spirometry and carbon monoxide (CO) inspection.

Results : There were 207 subjects with the inclusion of mostly male (81.2%), respiratory complaints obtained a number of 68 (32.8%) in the form of the flu, tightness, cough, chronic sputum, phlegm cough, phlegm, chronic cough and wheezing. Spirometry results mean 93.5 ± 4.4 FEV1/FVC (79.2 to 98.8). No statistically significant between sex, age of subjects, level of education, nutritional status, smoking status, the rate of CO, dust conditions, the use of masks, chest X-ray abnormalities and work duration with lung function abnormalities. There is a significant relationship between male gender, current smoking status and CO levels ≥ 10 with the presence of respiratory complaints with p <0,05.

Conclusion : There is no correlation between the dust with respiratory complaints and of dust with lung function statistically significant in this study."

"ABSTRAKPolutan utama dari sistem pembakaran batubara salah satunya SO2. Sulfur dioksidia menyebabkan iritasi, batuk refleks, menyebabkan penyakit pernafasan dan gangguan daya tahan paru-paru. Penelitian ini bertujuan menganalisis pajanan SO2 di lingkungan sekitar pembangkit listrik tenaga uap (PLTU) Suralaya yaitu pada desa Lebak Gede, Cipala Dua, Brigil, Gunung Gede, Salira Indah, dan Sumuranja dan gangguan pernafasannya pada masyarakat sekitar. Penelitian ini bersifat deskriptif, dengan pendekatan cross sectional. Sampel responden diambil secara purposive sampling berdasarkan titik pengukuran udara pada setiap desa yaitu 35 orang di setiap desa. Penelitian ini dilakukan dengan metode Analisis Risiko Kesehatan Lingkungan (ARKL) yang menggunakan nilai Rfc SO2 (0,026 mg / kg / hari), dan selanjutnya dilakukan secara cross sectional untuk menghubungkan tingkat risiko dengan kejadian gangguan pernafasan di sekitar PLTU. Hasil ARKL menunjukkan bahwa tingkat risiko di lingkungan sekitar PLTU Suralaya yaitu pada desa Lebak Gede, Cipala Dua, Brigil, Gunung Gede, Salira Indah, dan Sumuranja masih tergolong aman karena nilai RQ dibawah 1 dalam kurun waktu lebih dari 30 tahun. Hasil analisis cross sectional menunjukkan bahwa tidak ada hubungan antara tingkat risiko kesehatan akibat pajanan SO2 dengan kejadian gangguan saluran pernafasan pada masyarakat di sekitar PLTU karena memiliki nilai-p yang lebih besar dari alfa.ABSTRACTOne of the main pollutants from the coal combustion system is SO2. Sulfur dioxidia causes irritation, reflex coughing, causes respiratory disease and lung resistance. This study aims to analyze SO2 exposure in the environment around the Suralaya steam power plant (PLTU), namely in the villages of Lebak Gede, Cipala Dua, Brigil, Gunung Gede, Salira Indah, and Sumuranja and respiratory problems in the surrounding community. This research is descriptive, with a cross sectional approach. The sample of respondents was taken by purposive sampling based on air measurement points in each village, namely 35 people in each village. This research was conducted using the Environmental Health Risk Analysis (ARKL) method using the Rfc SO2 value (0.026 mg / kg / day), and then carried out cross-sectional to link the risk level with the incidence of respiratory problems around the PLTU. The ARKL results show that the level of risk in the environment around PLTU Suralaya, namely in the villages of Lebak Gede, Cipala Dua, Brigil, Gunung Gede, Salira Indah, and Sumuranja is still relatively safe because the RQ value is below 1 in a period of more than 30 years. The results of the cross sectional analysis show that there is no relationship between the level of health risk due to SO2 exposure and the incidence of respiratory problems in the community around the PLTU because it has a p-value greater than alpha."

"Latar Belakang: Secara global diperkirakan terdapat 313 juta pembedahan yang dilakukan, dengan angka kematian 30 hari pascaoperasi mencapai 4.2 juta jiwa. Penilaian kondisi pasien preoperatif diperlukan untuk memprediksi morbiditas danmortalitas pasien pascabedah, maka modalitas yang digunakan dalam menilai risiko pembedahan sebaiknya memiliki akurasi dan objektivitas yang baik. Salah satu modalitas yang rutin digunakan di RSUPN Cipto Mangunkusumo (RSUPNCM) adalah skor ASA-PS. Namun skor ini sudah banyak ditinggalkan oleh negara maju dan beralih pada skor P-POSSUM yang dinilai lebih objektif, dan akurat. Studi ini menguji kesahihan skor P-POSSUM dalam memprediksi lama perawatan pasien pascabedah digestif mayor di ICU, yang mencerminkan keparahan morbiditaspascabedah. Tujuan: Studi ini menguji kemampuan kalibrasi dan diskriminasi skor P-POSSUM dalam memprediksi lama perawatan di ICU, dan menganalisis hubungan antar variabel skor P-POSSUM dengan lama perawatan di ICU pada pasien pasabedah digestif mayor. Metode: Studi ini merupakan studi kohort retrospektif di RSUPNCM selama Januari 2017 hingga Desember 2018. Sebanyak 289 subjek yang sesuai kriteria inklusi dianalisis dari data rekam medis. Lama perawatan pascabedah di ICU dan skor P-POSSUM subjek dicatat sesuai dengan data rekam medis. Variabel PPOSSUM yang berpengaruh terhadap lama perawatan subjek dianalisis dengan analisis bivariat dan regresi logistik multivariat. Kesahihan skor dinilai menggunakan uji kalibrasi Hosmer-Lemeshow dan uji diskriminasi dengan melihatnilai Area Under Curve. Hasil: Hasil analisis statistik menghasilkan bahwa skor P-POSSUM memiliki kemampuan kalibrasi yang baik (uji Hosmer-Lemeshow p=0.815) dan kemampuandiskriminasi yang cukup baik (AUC 77.8%, IK 95% 0.717-0.827). Variabel PPOSSUM yang secara statistik berpengaruh signifikan (p<0.05) terhadap lama perawatan di ICU adalah kadar natrium, jumlah perdarahan, laju jantung, dan EKG.Kesimpulan: Skor P-POSSUM sahih dalam memprediksi lama perawatan pasien pascabedah digestif mayor di ruang intensif (ICU).

---

Background: It was estimated that there was 313 million surgery underwent worldwide, with the 30-days postoperative mortality rate reaching 4.2 million cases. The evaluation of preoperative patients’ conditions is encouraged to predict

postoperative morbidity and mortality, thus the modality used to assess surgery risk should be accurate and objective. RSUPN Cipto Mangunkusumo (RSUPNCM) routinely uses ASA-PS score to assess patients’ condition. Nonetheless, ASA-PS has

been regarded as subjective. Developed countries has started to replace this score with P-POSSUM score which was considered to be more accurate and objective. This study finds out the validity of P-POSSUM Score in predicting the length of

hospital stay in the ICU in patients who underwent digestive surgery, which reflects the severity of postoperative morbidity. Goals: This study investigated the calibration and discrimination ability of PPOSSUM score in predicting the length of stay in the ICU, and also explored the relationship between variables in P-POSSUM score and the length of stay in the ICU in patients who underwent digestive surgery.

Methods: This retrospective cohort study was conducted in RSUPNCM in January 2017 to December 2018 on 289 subjects who met the inclusion criteria. P-POSSUM score and the length of stay in the ICU unit were recorded, the data was taken from

medical record. Bivariate and multivariate logistic regression was used to investigate the relationship between P-POSSUM variables and the length of stay. The validity of P-POSSUM score was assessed by Hosmer-Lemeshow calibration

test and the measurement of the Area Under Curve (AUC).

Results: Statistical analysis showed that P-POSSUM had a good calibration ability (p=0.815 for Hosmer-Lemeshow test) and moderate discrimination ability (AUC 77.8%, CI 95% 0.717-0.827). Four P-POSSUM variables were found to be significantly associated with length of stay in the ICU (p<0.05), namely natrium level, total blood loss, heart rate and ECG. Conclusion: P-POSSUM score is valid in predicting the length of stay in the ICU in patients who underwent digestive surgery."

"schemic Heart Disease merupakan salah satu penyebab kematian paling umum di dunia dan frekuensinya terus meningkat setiap tahunnya. Hal ini menjadi tantangan yang besar bagi seorang Ners dalam pelayanan kesehatan di Indonesia. Praktik ilmu keperawatan yang berkualitas harus diimbangi dengan pembuktian secara Evidence Base Nursing (EBN) karena EBN bisa menjadi landasan dalam melaksanakan peran pemberi asuhan, pendidik, peneliti, dan innovator yang profesional. Praktik residensi telah memberikan pengalaman dan menambah pengetahuan residensi tentang keperawatan kardiovaskular. Penerapan teori Lydia Hall: Care, Core, dan Cure dilakukan oleh residensi pada 30 kasus resume dan satu kasus kelolaan yaitu pada pasien dengan STEMI. Peran peneliti telah dilakukan dengan menerapkan EBN tentang penerapan Slow Deep Breathing Relaxation Exercise (SDBRE) setelah chest tube removal pada pasien yang menjalani CABG di Ruang Intermediate Ward Bedah. Penerapan SDBRE didapatkan efektif dalam menurunkan nyeri setelah chest tube removal. Peran Inovasi dilakukan dengan menyusun protokol Munro Scale untuk mencegah kejadian Perioperative Related Pressure Injury pada pasien Bedah jantung. Munro Scale didapatkan mampu mendeteksi adanya resiko Pressure Injury, mudah dipahami oleh perawat, dan mudah dilaksanakan oleh perawat kamar bedah dalam perawatan. Namun sebaiknya follow up pengkajian Munro Scale dilakukan di ruangan ICU bedah, IW Bedah, dan Rawat Inap.

---

Ischemic Heart Disease is one of the most common causes of death in the world and its frequency continues to increase every year. This is a big challenge for a nurse in health services in Indonesia. Quality nursing practice must be balanced with Evidence Based Nursing (EBN) evidence because EBN can be the basis for carrying out the role of professional caregivers, educators, researchers, and innovators. Residency practice has provided experience and increased residency knowledge about cardiovascular nursing. The application of Lydia Hall's theory: Care, Core, and Cure was carried out by residencies in 30 resume cases and one managed case, namely in patients with STEMI. The role of researchers has been carried out by applying EBN regarding the application of Slow Deep Breathing Relaxation Exercise (SDBRE) after chest tube removal in patients undergoing CABG in the Intermediate Ward of Surgery. The application of SDBRE was found to be effective in reducing pain after chest tube removal. The role of innovation is carried out by compiling the Munro Scale protocol to prevent Perioperative Related Pressure Injury in cardiac surgery patients. The Munro Scale was found to be able to detect the risk of Pressure Injury, easily understood by nurses, and easily implemented by operating room nurses in treatment. However, follow-up studies of the Munro Scale should be carried out in the surgical ICU, IW Surgery, and Inpatient rooms."

"Dampak dari penyakit kardiovaskular tidak hanya dirasakan oleh individu namun juga secara global. Pencegahan dan pengawasan perlu dilakukan untuk menurunkan beban yang dihadapi akibat penyakit kardiovaskular dengan pendekatan populasi dan individu. Perawat memiliki peran penting dalam hal promotif, preventif, dan rehabilitatif. Residen mengelola 31 kasus dengan menggunakan pendekatan teori Care, Core, dan Cure dalam memberikan asuhan keperawatan pada pasien dengan gangguan kardiovaskular sebagai cerminan dari peran ners spesialis sebagai pemberi pelayanan dan pendidik. Peran ners spesialis sebagai peneliti dijalani oleh residen dalam menerapkan tindakan keperawatan yang berbasis bukti atau Evidence Based Nurisng EBN berupa pengukuran keterlibatan pasien dengan Patient Activation Measure PAM. Sebagai inovator dan pemimpin kelompok, residen mengembangkan proyek membuat format perencanaan pemulangan pasien dengan pendekatan lima model.

---

The impact of cardiovascular disease is not only felt by individuals but also globally. Prevention and supervision have to do to reduce the cardiovascular disease burden by population and individual approach. Nurses have an important role in promotive, preventive, and rehabilitative. Resident manages 31 cases using Care, Core, and Cure theory approaches in providing nursing care to patients with cardiovascular disease as a reflection of the role of specialist ners as service providers and educators. The role of a specialist ners as a researcher is undertaken by the resident in implementing Evidence Based Nursing EBN by measuring patient engagement with Patient Activation Measure PAM . As an innovator and community leader, the resident developed the project to make a discharge planning format using a five model approach."