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DETECTION OF LATENT TUBERCULOSIS INFECTION IN HAEMODIALYSIS PATIENTS: A SYSTEMATIC REVIEW Hamidah Retno Wardani; Damon Wicaksi
UNEJ e-Proceeding 2020: Proceeding of The 4th International AgroNursing Conference
Publisher : UPT Penerbitan Universitas Jember

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Background: Patients with end-stage renal disease (ESRD) undergoing hemodialysis are at risk of developing active TB 6 to 25 times higher than the general population. The importance of screening tuberculosis infection using diagnostic tests such as the Tuberculin Skin Test (TST) and QuantiFeron TB-Gold (QFT-G) and proper treatment in hemodialysis patients can prevent the increase of LTBI to active TB. Purpose: To determine the prevalence of Latent Tuberculosis Infection (LTBI) cases in hemodialysis patients using the Tuberculin Skin Test (TST) and Quantiferon TB-Gold (QFT-G). Methods: A Systematic Review study to determine the prevalence of LTBI in hemodialysis patients using the Prefered Reporting Items for Systematic Review and Meta-analysis (PRISMA) protocol. Results: Derived from 67 related articles and obtained 4 articles using the Randomized Control Trial (RCT) which met the criteria involving 516 ESRD patients undergoing hemodialysis. The study showed that the prevalence of LTBI using the diagnostic Tuberculin Skin Test (TST) (cut off ≥ 10 mm) and QuantiFERON-Tuberculosis Gold (QFT-G) showed TST + / QFT + 68 patients (18.47%), TST + / QFT- 22 patients (5.97 %), TST- / QFT + 77 patients (20.92%). Conclusion: This study shows a high prevalence of LTBI in hemodialysis patients. Screening and treatment of LTBI should be performed in hemodialysis patients to prevent the progression of LTBI to active TB. Keyword: Latent tuberculosis infection, hemodialysis, TST, QFT-G, ESRD.

Potential of Herbal Plants Against Mycobacterium Tuberculosis Infection Hamidah Retno Wardani; Destia Widyarani; Rany Agustin Wulandari; Damon Wicaksi
D'Nursing and Health Journal (DNHJ) Vol. 1 No. 2 (2020): The Effectiveness of Family Communication Strategies
Publisher : Universitas Bondowoso

Introduction: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. The leading cause of death worldwide is responsible for 1.5 million deaths each year. The cause of tuberculosis infection is the tubercle bacillus discovered by Robert Koch in 1882. The organism causing it is Mycobacterium tuberculosis.The spread of new cases is divided in several regions including Southeast Asia and Africa, which are the regions that have the biggest contribution to the prevalence of tuberculosis. So it takes pillars and components of TB control that cover all lines. Method: This study aims to discuss the potential of herbal plants spread in Indonesia as herbal medicines that have the potential to treat tuberculosis infection. This study uses a literature study method which prepares the same as other research, but the sources and methods of data collection are by taking data from the library, reading, taking notes, and processing research materials. Result: One of the components that are currently being developed in TB infection intervention methods is the development of herbal medicines for tuberculosis control. The herbal medicines used come from garlic (Allium sativum), Centellaasiatica, beluntas leaves, Hibiscus rosasinensis L., Boechmeria virgate (Forst) Guill, tobacco leaves, Morindacitrifolia L., Javanese wood bark, Spondiaspinnata (Lf)Kurz. Conclusion: The herbal medicinal ingredients contain major chemicals such as alicin, ajoene, asiaticoside, asiatic acid, madecassic acid, and madecassoside, alkaloids, flavonoids, tannins, saponins, phenolic, and triterpenoids which have the ability to have a bactericidal effect to kill the Mycobacterium tuberculosis bacteria.

Prevalence and Socio Demographic Characteristics of Disability in Older Adults in China Retrospective Study: A Literature Review Hamidah Retno Wardani
D'Nursing and Health Journal (DNHJ) Vol. 1 No. 1 (2020): March
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Program Studi DIII Keperawatan Universitas Bondowoso

Introduction: Illness, injury and aging are the main causes of disability in the elderly, elderly people with disabilities experience economic and health stresses, and may also experience mental and psychological distress, and other life difficulties. The aim of this study was to clarify the prevalence and socio-demographic characteristics of disability in the elderly. Elderly care is a concern of the whole community. Method: The research method used is a retrospective study, namely research (survey) where the design is used to provide information related to the prevalence, distribution and relationships between variables in a population. Result: The bivariate relationship between the level of disability in the elderly according to sex, area, age, social status and in different cities was analyzedwith P value <0.05 was considered statistically significant. The disability rate in adults is 7.0%. Disability rates were significantly higher in women than men, significantly higher in rural areas than urban areas, and higher in northern China than southern China. The urban disability rate ranges from 5.7% to 1.2%. The difference is statistically significant, with Beijing having the highest disability rate and Shanghai the lowest. Defects increase with age. Conclusion: This study shows that the rate of disability among elderly people in northern China is significantly higher than in southern China

The Effect of Humor as a Stress Management for Nurses Working in Hospital: Systematic review Rany Agustin Wulandari; Hamidah Retno Wardani
D'Nursing and Health Journal (DNHJ) Vol. 3 No. 1 (2022): Exploration of Nurses' Knowledge of The Management of Nursing Problems
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36835/dnursing.v3i1.378

Introduction : Nurses are one of the health workers who provide health services who encounter various conditions that can cause stress. Nurses who feel the stress certainly have an impact on the quality of health service that they are giving, therefore the stress management to overcome the stress is needed. One of the stress management that is cheap and accessible for nurses anywhere and anytime is humor. Method: This study uses a systematic review method. Result: Humor is a way that can change the psychological condition of individuals. Ways of this humor therapy is smiling and laughing. Nurses can smile and laugh by reading comics, joking, watching comedy filmsand or can be in the form of a fictional story told by a friend who is considered funny, and so on. In this study, the nurses believed that humour provides an opportunity for change. In relation to this, the results showed that the consequences of humour can range from revival to exhaustion. In addition to enabling mental rest, humour helps change patients’ perspectives regarding their health condition. Conclusion: Stress conditions experienced by nurses arise due to workload and so on. This will have an impact on nursing care services that will be provided to patients in the hospital. Humor is one of the most effective stress management tools to reduce stress. Humor that nurses do is just enough to smile and laugh, of course this method is very easy to do and does not require expensive costs.

Identification Latent Tuberculosis Infection In Dialysis Patients : A Systematic Review hamidah retno wardani
The Indonesian Journal of Health Science Vol 13, No 2 (2021): The Indonesian Journal of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ijhs.v13i2.6452

LTBI infection is a dormant condition of the tuberculosis organism. It is often defined as a condition without symptom with the tuberculosis organisms in the lung tissue, without clinical signs, or radiological signs. LTBI can become active TB in immunosuppressed hosts caused by comorbid disease or medical therapy such as patients with end-stage renal disease. Screening TB infection using examination tests such as the TST, QFT-G, and complete treatment in dialysis patients can avoid the progression of LTBI into active-TB. This research identified the incidence of LTBI in dialysis patients using the two-step TST and QFT-G. A Systematic Review study to identification the incidence of LTBI in dialysis patients using the Prefered Reporting Items for Systematic Review and Meta-analysis protocol. Derived from 67 related articles and obtained 4 articles using the Randomized Control Trial (RCT). Totally 516 dialysis patients and the study showed that the incidence of LTBI using two-step TST (cut off ≥ 10 mm) and QFT-G (≥ 35 IU/ml) showed that TST /QFT-G positive 68 patients (18.47%), only positive TST 22 patients (5.97 %), only positive QFT-G 77 patients (20.92%). This study showed that a high incidence of LTBI in dialysis patients. Early detection and complete treatment of LTBI should be performed in dialysis patients to avoid the reactivation of LTBI into active TB.

Nursing Care for Mrs H Who Has Chronic Renal Failure with Hypervolemia Nursing Problems in The Bougenville Room General hospital Dr. H. Koesnadi Bondowoso Hamidah Retno Wardani; Indah Novita Azzahro; Leni Agustin
D'Nursing and Health Journal (DNHJ) Vol. 4 No. 2 (2023): Innovation in Nursing Interventions
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v4i2.700

Background: Chronic Kidney Disease (CKD) is damage to the kidneys both in structure and/or function that lasts for 3 months or more. The purpose of this writing is to carry out Nursing Care for Clients Experiencing Chronic Kidney Disease (CKD) with Hypervolemia Nursing Problems. Method: This study used a case study research design with one of the clients who experienced Chronic Kidney Disease (CKD) with Hypervolemia nursing problems in the Bougenville Room General hospital Dr. H. Koesnadi Bondowoso, starting from May 15, 2023 – May 17 2023, data collection was in the form of interviews, observations, physical examinations, documentation studies and questionnaires. Results: The results of this study were obtained from the study, namely hypervolemia in accordance with the theory, diagnosis according to the theoretical review. In nursing interventions according to the circumstances experienced by the client, while the implementation refers to predetermined interventions and evaluation refers to the outcome criteria that have been set in accordance with the theory. Clients are expected to be able to keep physically fit by exercising, keeping blood sugar levels normal, keeping blood pressure normal. Conclusion: Patients with chronic kidney disease often experience hypervolemia which is accompanied by an increase in laboratory results in the form of creatinine and ureum levels. then management is needed in improving patient hydration in the form of input and output as well as improving renal physiological anatomy through haemodialysis intervention in patients.

The Impact of Head Room Leadership Style on Motivation and Performance of Implementing Nurses (A Literature Review Leni Agustin; Siti Riskika; Hamidah Retno Wardani
D'Nursing and Health Journal (DNHJ) Vol. 4 No. 2 (2023): Innovation in Nursing Interventions
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v4i2.709

Introduction: In nursing, leadership is the use of the skills of a leader (nurse) in influencing other nurses who are under his supervision for the division of tasks and responsibilities in providing nursing care services so that nursing goals are achieved (Latif, 2008). Leadership behavior will be reflected in the leadership style that appears when leading his subordinates. In influencing the performance of subordinates, an effective leadership style is needed. The purpose of this study is to review some of the literature that contains the leadership style of the head of the room that can improve and optimize the motivation and performance of nurses in hospitals as an effort to improve the quality of nursing services. Method: Literature search strategy through Google schoolar using several keywords, namely "headroom leadership style", "nurse performance", "nurse work motivation". Literature search is limited from December 2010 to December 2014. Literature search from 1 database found 10 articles and then selected and reviewed, only 3 articles were found that matched the inclusion criteria set by the author. The inclusion criteria in this review is the leadership style of the head of the room that affects the motivation & performance of nurses in hospitals. Result: The results of the research from the 3 articles there is a positive influence between the leadership style of the head of the room with the motivation and performance of nurses that can improve the quality of nursing services and improve overall organizational performance. Conclusion: The leadership style of the ward head can increase the motivation & performance of nurses in providing nursing care.

Nursing Care for Mrs. S Who Experienced Diabetes Mellitus with Nutrition Deficit Problems in the Bougainville Room of the Dr. Koesnadi Bondowoso General Hospital Hamidah Retno Wardani; Putri Wulandari; Leni Agustin
D'Nursing and Health Journal (DNHJ) Vol. 4 No. 2 (2023): Innovation in Nursing Interventions
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v4i2.713

Background:Diabetes Mellitus is a chronic disease characterized by the body's inability to metabolize carbohydrates, fats and proteins which causes hyperglycemia (high blood glucose levels). Patients with Diabetes Mellitus will experience changes in appetite and experience weight loss. Method: This study uses a case study research design with clients experiencing diabetes mellitus with nutritional deficit problems in the Bougenvil room of the Dr. H. Koesnadi Bondowoso General Hospital, starting from May 15, 2023 to May 17, 2023, data collection in the form of interviews, observations, physical examinations, documentation studies and questionnaires. Results: The results of this study were obtained from research, namely nutritional deficits in accordance with theory, diagnoses in accordance with the theoretical review. In nursing interventions in accordance with the circumstances experienced by the client, while implementation refers to predetermined interventions and evaluation refers to predetermined outcome criteria in accordance with theory and the final evaluation of calories met is rice (735 kcal) and 1 glass of milk (260 kcal). Conclusion: Nutritional deficits are insufficient nutritional intake to meet metabolic needs. The purpose of writing is to provide nursing care to clients who experience diabetes mellitus with nutritional deficit problems.

Nursing Care for Mrs H Who Has Chronic Renal Failure with Hypervolemia Nursing Problems in The Bougenville Room General hospital Dr. H. Koesnadi Bondowoso Wardani, Hamidah Retno; Azzahro, Indah Novita; Agustin, Leni
D'Nursing and Health Journal (DNHJ) Vol. 4 No. 2 (2023): Innovation in Nursing Interventions
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v4i2.700

Background: Chronic Kidney Disease (CKD) is damage to the kidneys both in structure and/or function that lasts for 3 months or more. The purpose of this writing is to carry out Nursing Care for Clients Experiencing Chronic Kidney Disease (CKD) with Hypervolemia Nursing Problems. Method: This study used a case study research design with one of the clients who experienced Chronic Kidney Disease (CKD) with Hypervolemia nursing problems in the Bougenville Room General hospital Dr. H. Koesnadi Bondowoso, starting from May 15, 2023 – May 17 2023, data collection was in the form of interviews, observations, physical examinations, documentation studies and questionnaires. Results: The results of this study were obtained from the study, namely hypervolemia in accordance with the theory, diagnosis according to the theoretical review. In nursing interventions according to the circumstances experienced by the client, while the implementation refers to predetermined interventions and evaluation refers to the outcome criteria that have been set in accordance with the theory. Clients are expected to be able to keep physically fit by exercising, keeping blood sugar levels normal, keeping blood pressure normal. Conclusion: Patients with chronic kidney disease often experience hypervolemia which is accompanied by an increase in laboratory results in the form of creatinine and ureum levels. then management is needed in improving patient hydration in the form of input and output as well as improving renal physiological anatomy through haemodialysis intervention in patients.

The Impact of Head Room Leadership Style on Motivation and Performance of Implementing Nurses (A Literature Review Agustin, Leni; Riskika, Siti; Wardani, Hamidah Retno
D'Nursing and Health Journal (DNHJ) Vol. 4 No. 2 (2023): Innovation in Nursing Interventions
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v4i2.709

Introduction: In nursing, leadership is the use of the skills of a leader (nurse) in influencing other nurses who are under his supervision for the division of tasks and responsibilities in providing nursing care services so that nursing goals are achieved (Latif, 2008). Leadership behavior will be reflected in the leadership style that appears when leading his subordinates. In influencing the performance of subordinates, an effective leadership style is needed. The purpose of this study is to review some of the literature that contains the leadership style of the head of the room that can improve and optimize the motivation and performance of nurses in hospitals as an effort to improve the quality of nursing services. Method: Literature search strategy through Google schoolar using several keywords, namely "headroom leadership style", "nurse performance", "nurse work motivation". Literature search is limited from December 2010 to December 2014. Literature search from 1 database found 10 articles and then selected and reviewed, only 3 articles were found that matched the inclusion criteria set by the author. The inclusion criteria in this review is the leadership style of the head of the room that affects the motivation & performance of nurses in hospitals. Result: The results of the research from the 3 articles there is a positive influence between the leadership style of the head of the room with the motivation and performance of nurses that can improve the quality of nursing services and improve overall organizational performance. Conclusion: The leadership style of the ward head can increase the motivation & performance of nurses in providing nursing care.

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