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FACTORS RELATED TO DEPRESSION IN ACUTE CORONARY SYNDROME (ACS) PATIENTS: LITERATURE REVIEW rahmalia amni; Mohammad Rizki Akbar; Aan Nuraeni
JURNAL KESEHATAN INDRA HUSADA Vol 9 No 1 (2021): Januari-Juni 2021
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v9i1.311

Introduction: ACS patients are at risk of experiencing psychological complications, particularly depression. Knowledge of the factors that contribute to the incidence of depression is needed so that the incidence of depression can be prevented as early as possible. This study aims to determine the factors associated with the incidence of depression in ACS patients. Methods: This literature study was made by analyzing scientific articles published from 2009 to 2019 and in English. Data obtained from the PubMed, DOAJ, and Proquest databases. Results: Analisis terhadap 18 artikel ditemukan bahwa depresi pada pasien SKA dipengaruhi oleh berbagai faktor, yaitu faktor demografi (usia, jenis kelamin, pendidikan, dan status perkawinan), status sosial ekonomi (jaminan kesehatan dan pendapatan), komorbiditas, masa rawat inap. , Episode ACS, keparahan penyakit, dukungan sosial, nyeri, indeks massa tubuh, perilaku kesehatan, riwayat depresi keluarga, dan riwayat gangguan depresi mayor sebelumnya. Kesimpulan: Tinjauan pustaka ini dapat menjadi dasar untuk mengelola faktor-faktor yang mempengaruhi depresi pada pasien SKA sehingga depresi dapat dicegah sedini mungkin.

Intervensi Untuk Menurunkan Kecemasan Keluarga Yang Mendampingi Pasien Kritis Di Intensive Care Unit : Literature Review Yahya Endra Kristiano; Cecep Eli Kosasih; Aan Nuraeni
Citra Delima : Jurnal Ilmiah STIKES Citra Delima Bangka Belitung Vol 6 No 1 (2022): Citra Delima : Jurnal Ilmiah STIKES Citra Delima Bangka Belitung
Publisher : STIKES Citra Delima Bangka Belitung

The family plays an important role in determining the method or treatment needed by the patient in the intensive care unit. However, vulnerable families experience anxiety which will prolong the decision-making process and patient care, so it is very important for nurses to overcome family anxiety so as not to interfere with the functioning of the family's role properly. The purpose of this study was to identify interventions to reduce anxiety in families accompanying patients in the intensive care unit. This research method is a literature review that analyzes articles from five reputable databases, namely Pubmed, CINAHL Plus, Wiley, Science Direct, and Google Scholar with the year of publication of the article between 2016-2021. The keywords used in the article search consisted of 'Patient's family', 'caregivers', 'family', 'therapy', 'anxiety in critical care', and 'fear'. The search results found 11 articles that met the criteria from 85,759 identified articles. The results of the article review identified that interventions that could reduce family anxiety consisted of Aurosoma Therapy, Nurse Social Support, Cognitive Behavioral Therapy (CBT), Spiritual-Religious Intervention, Tele-Mental Health Intervention, Family Integrated Care (FICare), and Nursing Intervention. As well as three interventions that can reduce other psychological symptoms such as depression and stress; Communication Facilitator, Nursing Consultation, and Early Integrated Palliative Care. It is necessary to develop research with a combination of interventions that reduce the level of anxiety in families in Indonesia and be integrated with a critical care setting system to develop comprehensive and holistic nursing care with the patient's family as one of the essential aspects that need to be considered by nursing.

Literature Study: Burnout and Coping among Emergency Room Nurses Ivana Sundari; Kurniawan Yudianto; Aan Nuraeni
Journal of Nursing Care Vol 5, No 2 (2022): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v5i2.38271

Burnout is an emotional fatigue syndrome that often occurs on nurses in Emergency Department (ED). Emergency room nurses provide care quickly, responsively, and precisely. One of the factors that influence the burnout level is coping. Previous theories have not been able to explain positive coping for nurses who experience burnout, as well as literature review concerning burnout and coping among emergency room nurses are still minimal, so further research is needed. This study aims to identify burnout and coping among emergency room nurses. This research is a narrative review. Conduct search for research articles in the CINAHL, Pubmed, Science Direct, and Google Scholar databases using "burnout" AND "coping" AND "emergency nurse" OR "perawat IGD." Inclusion criteria are articles on last ten years, primary research, sample of emergency nurses. Unrelevant articles are excluded. Thus, 19 relevant articles were obtained which were analysed using compare and contrast techniques. The results of this literature study found that emergency room nurses are prone to burnout, especially on emotional exhaustion dimension. Coping strategies that are often used by emergency room nurses are planful problem solving, seeking social support, and positive reappraisal which are effective coping in dealing with problems and modifying attitudes. Problem focused coping is associated with low risk of experiencing burnout. Training in the use of appropriate coping strategies in burnout prevention for emergency room nurses should be done so that work errors reduced and service quality improved.

Case Study: Application of Slow Deep Breathing and Murottal Al-Qur'an Therapy to Reduce Chest Pain in Coronary Artery Disease (CAD) Patient Vira Amelia; Aan Nuraeni; Ristina Mirwanti
Padjadjaran Acute Care Nursing Journal Vol 4, No 1 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Acute coronary syndrome (ACS) occurs due to sudden cessation of coronary blood flow so that blood flow to the myocardium is disrupted, which causes chest pain. Pain management can be done by providing slow deep breathing and murottal Al-Qur'an intervention. This study aimed to analyze the intervention of slow deep breathing and murottal Al-Qur'an in reducing chest pain in patients with acute coronary syndrome. This type of research was a case study in patients with acute coronary syndrome by exploring the problem of nursing care with a descriptive method through a nursing care approach. The chest pain scale was measured using a numerical rating scale (NRS) instrument. The pain measurement tool for the numerical questionnaire Rating Scale uses numbers from 0 to 10 to express patients' pain levels. The results showed that on the first day, there was no decrease in pain intensity. The pain score was on a scale of 6 before and after the intervention. On the second day, there was a decrease in pain from a scale of 6 to a scale of 5. The third day of the intervention showed a decrease in pain to a scale of 3. The intervention of slow deep breathing and murottal Al-Qur'an can potentially reduce the scale of chest pain in patients with acute coronary syndrome. Future research is expected to see the effectiveness of slow deep breathing and murottal Al-Qur'an in reducing chest pain in patients with acute coronary syndrome

Case Study: Application Of Slow Deep Breathing Intervention In Post-CABG Coronary Artery Disease Patients With Acute Pain Nursing Problems ALMAY RAYHAN ARRAFI; Ristina Mirwanti; Aan Nuraeni
Padjadjaran Acute Care Nursing Journal Vol 3, No 2 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Coronary Artery Disease (CAD) is a cardiovascular disease. Coronary Artery Bypass Graft (CABG) is a revascularization therapy in CHD which causes side effects in the form of pain which can worsen the patient's health if left untreated. The use of pharmacological therapy requires additional therapy such as non-pharmacological therapy to support the success of the pharmacological therapy that has been given. Slow Deep Breathing has the potential to be an intervention that nurses can perform to efficiently manage pain. The purpose of writing this article is to report on the implementation of Slow Deep Breathing (SDB) interventions in patients with CHD after the Coronary Artery Bypass Grafting procedure with acute pain nursing problems. There was a 66-year-old patient with a history of CAD who had performed the second day of the CABG procedure and experienced chest pain after CABG surgery accompanied by tightness. Slow Deep Breathing given for 15 minutes every time the patient feels pain can potentially be an additional pain management intervention for patients with post-CABG chest pain.

Quality Of Life Patients With CAD After Percutaneous Coronary Intervention At Cardiac Center Rsup Dr. Hasan Sadikin Bandung Syifa Aulia; Aan Nuraeni; Hasniatisari Harun
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Quality of life of patients CAD after PCI needs to be seen as an evaluation of the interventions carried out, which need to be studied continuously by looking at health status, socioeconomic, and differences in the measurement tools used can be found differences from each item measured. This study aims to look at the quality of life of patients with CAD after PCI at the cardiac center of RSUP Dr. Hasan Sadikin Bandung. This study uses a quantitative descriptive method with a cross-sectional approach. The samples in this study were all patients CAD after PCI who were outpatient at RSHS Bandung. Samples were taken using purposive sampling technique and obtained 100 respondents. Data is collected using Macnew instruments by analyzing data using frequency distribution.The results showed that 95 respondents (95%) had a high quality of life. The quality of life results based on subvariables from highest to lowest are obtained as follows; emotional subvariable (94%) with a mean of 5.90, social subvariable (94%) with a mean of 5.84 and physical subvariable (93%) with a mean of 5.60.In conclusion, almost all respondents have a high quality of life which is reinforced by the results of high social and emotional aspects, but the physical aspects still need to be improved by providing adequate information regarding the patient's disease and the benefits of attending cardiac rehabilitation to improve the quality of life. In addition, physical, emotional and social management plays an important role in improving the quality of life of patients.Keywords: After Percutaneous Coronary Intervention, Coronary Heart Disease, Quality of Life

Intervensi Untuk Menurunkan Kecemasan Keluarga Yang Mendampingi Pasien Kritis Di Intensive Care Unit : Literature Review Yahya Endra Kristiano; Cecep Eli Kosasih; Aan Nuraeni
Citra Delima Scientific journal of Citra Internasional Institute Vol 6 No 1 (2022): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Ilmiah Institut Citra Internasional

The family plays an important role in determining the method or treatment needed by the patient in the intensive care unit. However, vulnerable families experience anxiety which will prolong the decision-making process and patient care, so it is very important for nurses to overcome family anxiety so as not to interfere with the functioning of the family's role properly. The purpose of this study was to identify interventions to reduce anxiety in families accompanying patients in the intensive care unit. This research method is a literature review that analyzes articles from five reputable databases, namely Pubmed, CINAHL Plus, Wiley, Science Direct, and Google Scholar with the year of publication of the article between 2016-2021. The keywords used in the article search consisted of 'Patient's family', 'caregivers', 'family', 'therapy', 'anxiety in critical care', and 'fear'. The search results found 11 articles that met the criteria from 85,759 identified articles. The results of the article review identified that interventions that could reduce family anxiety consisted of Aurosoma Therapy, Nurse Social Support, Cognitive Behavioral Therapy (CBT), Spiritual-Religious Intervention, Tele-Mental Health Intervention, Family Integrated Care (FICare), and Nursing Intervention. As well as three interventions that can reduce other psychological symptoms such as depression and stress; Communication Facilitator, Nursing Consultation, and Early Integrated Palliative Care. It is necessary to develop research with a combination of interventions that reduce the level of anxiety in families in Indonesia and be integrated with a critical care setting system to develop comprehensive and holistic nursing care with the patient's family as one of the essential aspects that need to be considered by nursing.

Overcrowding Factors in an Emergency Department: A Literature Review Muhammad Nur Hidayah; Yanny Trisyani W; Aan Nuraeni
Jurnal teknologi Kesehatan Borneo Vol 1 No 2 (2020): Jurnal Teknologi Kesehatan Borneo
Publisher : POLTEKKES KEMENKES PONTIANAK

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jtkb.v1i2.18

The Emergency Department (ED) is an important department or unit and the core clinical unit of a hospital, which functions to receive, stabilize, and manage patients who need immediate emergency treatment, both in daily conditions and in disasters. Overcrowding in ED is a problem in many countries and is one cause of increased mortality and decreased quality of optimal health and nursing services in the world today, including in Indonesia. There has been little research on overcrowding factors in the ED. Many factors are thought to cause overcrowding. This literature review identifies factors that can influence overcrowding in the ED. The literature search was carried out on the electronic databases of Medline, PubMed, CINAHL, PsycInfo and the Cochrane Library with the keywords factors overcrowding, AND, ED crowding. The inclusion criteria consisted of overcrowding factors in the ED, Fulltext, and publishing from 2013 to 2019 in English. The assessment of the quality of the articles was carried out using instruments from CONSORT. The first search results found 5,026 articles, and after screening and evaluation, 3 articles met the inclusion criteria. The results of the literature review show that the many factors that influence the occurrence of overcrowding in the ED are categorized into three factors, namely input factors (increased number of patient visits), throughput factors (patient disposition and delay in diagnostic examination results), and output factors (access block, inability to transfer patients out of the emergency room to inpatient, lack of inpatient beds, entry rooms, and other resources).

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