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All Journal JURNAL KEBIDANAN KESTRA (JKK) SCRIPTA SCORE Scientific Medical Journal Narra J
Sihombing, Benny
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Functional capacity and quality of life improvement in stable chronic obstructive pulmonary disease (COPD) patients following physical exercise and chicken egg white supplementation Sihombing, Benny; Tarigan, Amira P.; Pandia, Pandiaman; Zaluchu, Fotarisman; Sinaga, Bintang YM.; Monica, Nanda S.; Rhinsilva, Ella; Zulkarnain, Zulkarnain
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.404

Abstract

The pillars of comprehensive pulmonary rehabilitation program for chronic obstructive pulmonary disease (COPD) patients include physical exercise and good nutrition. The aim of this study was to evaluate the efficacy of pulmonary rehabilitation, which included physical exercise and chicken egg white supplementation, on the quality of life (QoL) and functional capacity among patients with stable COPD. The COPD patients were enrolled prospectively in this quasi-experimental study and completed a 12-week smartphone-guided home-based physical exercise program that comprised strength and resistance training three times per week for 30 minutes each session. Participants were divided into two groups: the control group who underwent physical exercise only, and the intervention group who had physical exercise and chicken egg white supplementation as a protein source. Patient characteristics including sex, age, nutritional status, comorbidities, smoking status, and obstruction severity, were evaluated. The COPD assessment test (CAT) score and six-minute walk test (6MWT) were used as the parameters to evaluate QoL and functional capacity, respectively. Of the total 50 patients included in the study, 12 were excluded due to follow-up and adherence problems. Our data indicated there were significant CAT score reduction and 6MWT improvement in both control and intervention groups after 12 weeks compared to baseline data. However, reduction of mean CAT score was higher in intervention compared to control group (-13.47±6.49 vs -5.42±5.07, p<0.001). In addition, the improvement of 6MWT was also higher in intervention group compared to control group (145.47±69.2 vs 32.42±17.3 meters, p<0.001). In conclusion, chicken egg white supplement to male patients with stable COPD who exercise with resistance and strength training could improve the QoL and functional capacity.
Effectiveness of adequate chicken egg white consumption on dyspnea degree and exacerbation incidence in stable COPD patients practicing strength and endurance exercises Monica, Nanda S.; Tarigan, Amira P.; Pradana, Andika; Mutiara, Erna; Pandia, Pandiaman; Sinaga, Bintang YM.; Sihombing, Benny; Rhinsilva, Ella; Zulkarnain, Zulkarnain; Listyoko, Aditya S.
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.420

Abstract

Lack of physical exercise and inadequate nutritional intake in chronic obstructive pulmonary disease (COPD) patients could lead to low muscle mass and function, which causes reduced respiratory function, increased incidence of exacerbations, exercise intolerance, increased visits to health facilities, and low health status. Therefore, physical exercise and good nutritional intake are the main foundations of a comprehensive pulmonary rehabilitation program for COPD patients. The aim of the study was to determine the effect of chicken egg white supplementation on dyspnea degree and the incidence of exacerbations in stable COPD patients who perform physical exercise independently at home. A quasi-experimental study was conducted in 38 stable COPD patients based on the Global Initiative for Chronic Lung Disease (GOLD) 2021 classification criteria. The patients were divided into two groups: the control group who did smartphone application-assisted physical exercises and the intervention group who did the same physical exercises plus chicken egg white supplementation for 12 weeks. Performed physical exercises included both strength and endurance training. The degree of dyspnea was assessed with modified Medical Research Council (mMRC) dyspnea scale and the incidence of exacerbations was assessed by direct interviews at the beginning and at the end of the intervention. A Fisher’s exact test was used to assess the association between the intervention with dyspnea degree and exacerbation incidence. In the intervention group, chicken egg white supplementation for 12 weeks lowered the dyspnea degree by 3.16 times than the control (relative risk 3.16 with p=0.001). Furthermore, the incidence of exacerbations was also reduced by 1.8 times compared to the control group (relative risk 1.8, p=0.001). This study highlights a significant improvement in dyspnea degree and exacerbation incidence in COPD patients with the combination of protein supplementation and physical exercise. Therefore, adding chicken egg white intake could be beneficial for stable COPD patients practicing physical exercises.
Readiness of Health Workers in Facing Catastrophic Disease Emergencies in Remote Areas Sihombing, Benny
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2522

Abstract

This study aims to understand the readiness of health workers in dealing with catastrophic disease emergencies in remote areas using a qualitative descriptive approach through case studies. Data were collected using questionnaires, in-depth interviews, participant observation, and document studies. Respondents consisted of 30 health workers, including 15 doctors, 10 nurses, and 5 other medical personnel, with the majority having more than 5 years of work experience and having attended emergency training. The results of the study indicate that health workers have a sufficient level of knowledge in handling emergencies, but practical skills in the use of emergency medical equipment and the implementation of communication protocols still need to be improved. Their attitudes towards emergency situations are generally positive, although some expressed concerns regarding limited facilities and resources. Factors that influence the readiness of health workers include education level, work experience, and support from the government and non-governmental organizations. Recommendations from this study include improving ongoing training, providing more adequate medical equipment, and strengthening coordination between related institutions. In addition, the involvement of local communities in preparedness efforts is also needed to improve the response to emergency situations. In conclusion, the readiness of health workers in dealing with catastrophic disease emergencies is greatly influenced by training, medical facilities, and cross-sector coordination. By improving these aspects, it is hoped that health workers in remote areas can provide a faster and more effective response in dealing with emergency conditions.
Comparison of Risk Scores for Predicting Outcomes in Patients with Hematologic Emergency Sihombing, Benny
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2549

Abstract

Hematologic emergencies are critical conditions that require rapid and accurate evaluation to determine the best management strategy. Various risk scores have been developed to predict patient outcomes in these situations, including the Sequential Organ Failure Assessment (SOFA), Acute Physiology and Chronic Health Evaluation (APACHE), and Hematologic Emergency Scoring System (HESS). This study aims to compare the effectiveness and accuracy of several risk scores in predicting mortality and morbidity in patients with hematologic emergencies. The method used is a retrospective study with data analysis from patients treated in the emergency unit with a critical hematologic diagnosis. The results show that the SOFA score has higher sensitivity compared to other scores in predicting patient mortality, while the APACHE score is superior in assessing long-term prognosis. The HESS score is specifically useful for evaluating patients with hematologic malignancies. The conclusion of this study is that selecting the appropriate risk score is crucial to improving the accuracy of outcome prediction and management of patients with hematologic emergencies.
Intervention Effect Between Smartphone and the Knowledge in Chronic Obstructive Pulmonary Disease Patients at Prof Chairuddin Panusunan Lubis General Hospital Tarigan, Amira Permatasari; Pradana, Andika; Rhinsilva, Ella; Ramadhani, Adini Arifah; Sihombing, Benny; Monica, Nanda Soraya; Vera, Yeni
SCRIPTA SCORE Scientific Medical Journal Vol. 5 No. 2 (2024): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v5i2.14694

Abstract

Background: Health applications can assist in managing chronic patients such as Chronic Obstructive Pulmonary Disease (COPD). A smartphone application “Paru Sehat” is expected to help COPD patients increase their knowledge about the disease and its treatment. Objective: This study aims to examine the benefits of smartphone applications “Paru Sehat” on the level of knowledge of patients with the COPD about the disease and its treatment. Methods: A quasi-experimental studies were conducted in outpatient of stable COPD patients at Pulmonology and Respiratory Medicine Universitas Sumatera Utara Hospital. This research was conducted from March to June 2022. A questionnaire which elaborated question about COPD and its treatment were used to evaluate the level of knowledge of participants before and after 3 months of using smartphone application “Paru Sehat”. Results: From a sample of 38 COPD patients, the average knowledge level of COPD patients before using the “Paru Sehat” application as 5.125; after using the smartphone application, it was 8.5625. The hypothesis test shows that the value of p = 0.000, indicating an increase in the level of knowledge about COPD and its treatment. Out of 38 patients, all research subjects were male with the most age being 60 to 70 years old, having a history of heavy smoking and the highest level of severity of COPD 2. Conclusion: “Paru Sehat” application can influence the knowledge of COPD patients about their illness and treatment as well as the patient's independence in dealing with their illness. Keyword: COPD, level of patient knowledge, smarthphone application Latar Belakang: Aplikasi kesehatan dapat membantu dalam menangani pasien kronis seperti Penyakit Paru Obstruktif Kronik (PPOK). Aplikasi smartphone “Paru Sehat” diharapkan dapat membantu pasien PPOK meningkatkan pengetahuannya tentang penyakit dan pengobatannya. Tujuan: Penelitian ini bertujuan untuk menilai manfaat dari aplikasi smartphone “Paru Sehat” untuk tingkat pengetahuan pasien PPOK mengenai penyakit dan pengobatannya.  Metode: Penelitian quasi eksperimental dilakukan pada pasien PPOK stabil rawat jalan di Pulmonologi dan Kedokteran Respirasi Rumah Sakit Universitas Sumatera Utara. Penelitian ini dilakukan antara bulan Maret 2022 hingga Juni 2022. Kuesioner yang berisi pertanyaan tentang PPOK dan pengobatannya digunakan untuk mengevaluasi tingkat pengetahuan peserta sebelum dan sesudah 3 bulan menggunakan aplikasi smartphone “Paru Sehat”. Hasil: Dari sampel 38 pasien PPOK, rata-rata tingkat pengetahuan pasien PPOK sebelum menggunakan aplikasi smartphone “Paru Sehat” adalah 5,125; setelah menggunakan aplikasi smartphone menjadi 8.5625. Uji hipotesis menunjukkan nilai p = 0,000 yang menunjukkan adanya peningkatan tingkat pengetahuan tentang PPOK dan pengobatannya. Dari 38 pasien, seluruh subjek penelitian berjenis kelamin laki-laki dengan usia terbanyak yaitu 60 hingga 70 tahun, memiliki riwayat perokok berat dan tingkat keparahan PPOK 2 tertinggi (GOLD 2). Kesimpulan: Aplikasi “Paru Sehat” dapat mempengaruhi pengetahuan pasien PPOK tentang penyakitnya dan pengobatannya serta kemandirian pasien dalam menghadapi penyakitnya. Kata Kunci: Aplikasi smartphone, PPOK, tingkat pengetahuan pasien
Co-Authors Andika Pradana Erna Mutiara Fotarisman Zaluchu, Fotarisman Listyoko, Aditya S. Monica, Nanda S. Monica, Nanda Soraya Pandia, Pandiaman Ramadhani, Adini Arifah Rhinsilva, Ella Sinaga, Bintang YM. Tarigan, Amira P. Tarigan, Amira Permatasari Vera, Yeni Zulkarnain Zulkarnain