Phutthikhamin, Nichapatr
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Nursing Diagnoses in Acute Stroke Patients at the Emergency Department Hidayati, Nur; Aldianti, Elfa; Hanafi, Aprelia Afidatul; Phutthikhamin, Nichapatr
Babali Nursing Research Vol 5 No 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54412

Abstract

Introduction: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Nurses play a crucial role in providing care for stroke patients. Accurate and precise nursing diagnoses serves as the foundation for providing appropriate nursing care. This study aims to identify nursing diagnoses in acute stroke patients based on the Indonesian Nursing Diagnosis Standards. Method. This study utilized a descriptive research design. The research sample consisted of 471 patients (205 hemorrhagic strokes; 266 ischemic strokes) selected through random sampling techniques. The data were collected from the medical records of stroke patients treated at the Emergency Department of Muhammadiyah Lamongan Hospital from January to December 2023. The research instrument employed was a summary sheet, and data were analyzed descriptively. Result. The results of this study indicate that common signs and symptoms in hemorrhagic stroke patients included headache, decreased level of consciousness, and increased blood pressure with widened pulse pressure. The most frequent nursing diagnoses observed were decreased intracranial adaptive capacity (87.3%), impaired physical mobility (70.7%), and verbal communication impairment (74.1%). Similarly, common signs and symptoms in ischemic stroke patients include difficulty moving extremities, decreased range of motion (ROM), and decreased muscle strength. The most frequent nursing diagnoses observed were impaired physical mobility (81.5%), risk for falls (57.5%), and decreased intracranial adaptive capacity (49.6%). Conclusion: There are differences in signs and symptoms between hemorrhagic stroke and ischemic stroke during the acute phase, as well as differences in primary nursing diagnoses. However, these distinctions may vary in subsequent phases depending on the severity of the disease and underlying comorbidities. Future researchers are encouraged to conduct real-time studies to promptly identify any missing data.
The Effect of Reading the Holy Al-Quran on Stress Levels Among Patients with Hypertension Sukron, Sukron; Sari, Indah; Aristoteles, Aristoteles; Wahyudi, Joko Tri; Phutthikhamin, Nichapatr; Rahmadhani, Wulan; Ameilia, Ade Dwi
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.428

Abstract

The impact of psychological conditions faced by hypertension patients is stress. This can disrupt physical activity and make the condition more serious if nursing intervention is not provided. Reading the holy Al-Qur'an is one alternative that can reduce stress levels. It is can reduce stress hormones and increase feelings of relaxation and improve body chemistry so that it can reduce blood pressure and stress levels. The study aimed to determine the effect of reading the Al-Qur'an on stress levels in hypertension patients. This study uses quantitative research with a pre-experiment research a one group pre-posttest design. The sampling technique uses purposive sampling, namely respondents with hypertension as many as 63 respondents. The intervention of reading the Al-Qur’an by choosing a surah that the patient is able to do with a moderate tone of voice. The instrument uses the Perceived Stress Scale (PSS). The results of the study showed that, the average score of stress levels before the intervention for the low category was a mean of 21.56 (SD = 0.72), while the moderate category was the mean score of 38.17 (SD = 4.20). Then the mean score of stress levels after the intervention for the low category was the mean score of 19.10 (SD = 2.87), and the moderate category was the mean score of 25.71 (SD = 3.45). The Wilcoxon test found that the p-value was 0.001 (p <0.05) which means that there is an effect of reading the Qur'an on stress levels in hypertensive patients. It is hoped that to the Muhammadiyah Hospital Palembang can implement the intervention of reading the Al-Qur’an for patients with hypertension which is useful for reducing the stress level of patients.