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Mapping cognitive function screening instruments for patients with heart failure: A scoping review Arseda, Astuti; Pahria, Tuti; Kurniawan, Titis
Belitung Nursing Journal Vol. 10 No. 3 (2024): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3165

Abstract

Background: Patients with heart failure (HF) often experience cognitive impairment, which negatively affects their quality of life. An effective screening tool is essential for nurses and healthcare professionals to assess cognitive function as part of HF management. Although many instruments exist, none are specifically designed for patients with HF. Objective: This study aimed to map the instruments for screening cognitive function in patients with HF. Design: A scoping review. Data Sources: Articles published between 2019 and 2023 were searched in PubMed, ScienceDirect, and Google Scholar, with the last search conducted on 27 January 2024. Review Methods: The review followed the scoping review framework by Arksey and O’Malley and adhered to PRISMA guidelines for scoping reviews. Results: Of the 21 articles meeting inclusion criteria, six cognitive function screening instruments were used across various cognitive domains, effectively identifying cognitive impairment in both inpatient and outpatient HF settings. The Montreal Cognitive Assessment (MoCA) was the most frequently used tool, covering a broad range of cognitive domains. MoCA showed high efficacy with a kappa coefficient of 0.82, Cronbach’s alpha reliability of 0.75, sensitivity of 90%, and specificity of 87%. Conclusion: Instruments like MoCA, Mini-Cog, and TICS-m show promise for assessing cognitive function in patients with HF, each with specific strengths and limitations. MoCA is notable for its comprehensive coverage despite being time-consuming and having language barriers. Further research is needed to revalidate and improve the existing instruments. It is crucial for nurses and healthcare professionals to integrate these tools into regular patient management, highlighting the need for continued research in their application.
EXPLORING THE LIVED EXPERIENCES OF PATIENTS AFTER CORONARY ARTERY BYPASS GRAFTING: A SCOPING REVIEW OF QUALITATIVE EVIDENCE Rofidin, Opi; Ibrahim, Kusman; Kurniawan, Titis
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1444

Abstract

Coronary Artery Bypass Grafting (CABG) is an effective revascularization procedure; however, postoperative recovery extends beyond clinical outcomes and involves complex physical, psychological, social, and spiritual dimensions. Understanding patients’ lived experiences is essential to develop holistic and patient-centered care. This study aimed to synthesize qualitative evidence on the lived experiences of patients following CABG. A scoping review was conducted following the Arksey and O’Malley framework and reported in accordance with PRISMA-ScR guidelines. A systematic search was performed across PubMed, Scopus, Taylor & Francis, and EBSCO databases. Studies were selected using predefined inclusion and exclusion criteria based on the PCC (Population, Concept, Context) framework. A total of 14 qualitative studies published between 2015 and 2026, conducted across 10 countries, were included. Data were analysed using a descriptive and thematic synthesis approach, categorizing extracted data to identify recurring patterns, then synthesizing findings across physical, psychological, social, and spiritual dimensions of recovery. The synthesis identified four overarching themes: (1) psychospiritual transformation and meaning reconstruction, (2) gaps in information, communication, and patient involvement, (3) physical burden and functional limitations, and (4) social role disruption and structural barriers to recovery. The synthesis results show that post-CABG patient recovery is influenced by various aspects, including psychospiritual changes, physical limitations, lack of information and patient involvement, and social barriers in carrying out daily roles. Therefore, a more comprehensive treatment approach is needed to optimally support the patient’s recovery process.
Mobilisasi Dini Dan Perawatan Luka Pasca Arthrodesis Lutut Pada Kondrosarkoma Tibia: Laporan Kasus Fajar, Kana; Kurniawan, Titis; Pratiwi, Sri Hartati; Maryam, Nina
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.3186

Abstract

Background: Proximal tibial chondrosarcoma is a malignant bone tumor requiring wide resection and often causing challenges in wound management and lower-limb functional recovery. In resource-limited healthcare settings, knee arthrodesis remains an important limb-salvage procedure when endoprosthesis reconstruction is unavailable. However, evidence regarding nursing-based postoperative wound care and early mobilization remains limited. Objective: This case report describes the implementation of an evidence-based nursing approach integrating early mobilization with objective monitoring of wound healing and functional outcomes following knee arthrodesis. Case: A 40-year-old male with grade 2 proximal tibial chondrosarcoma underwent wide resection followed by knee arthrodesis using plate–screw fixation and bone cement. Postoperatively, the patient experienced massive bleeding resulting in anemia, leucocytosis, severe lower-limb muscle weakness, restricted mobility, and partial functional dependence. Intervention and Outcomes: Daily nursing assessments were conducted using the Bates–Jensen Wound Assessment Tool (BWAT) and the Modified Iowa Level of Assistance Scale (mILOA). Early mobilization was initiated on postoperative day two. Over 19 days, BWAT scores improved from 24 to 13 without wound dehiscence, accompanied by increased functional mobility and reduced dependence from partial assistance to minimal assistance. Conclusion: Early mobilization combined with BWAT- and mILOA-based monitoring may provide a safe, practical, and sustainable nursing strategy to support wound healing and functional recovery after knee arthrodesis in resource-limited settings.
PERCEPTION OF PROLANIS PARTICIPANTS ABOUT CHRONIC DISEASE MANAGEMENT PROGRAM ACTIVITIES (PROLANIS) IN THE PRIMARY HEALTH SERVICE UNIVERSI TAS PADJADJARAN Risman Ariana; Citra Windani M.S; Titis Kurniawan
NurseLine Journal Vol. 4 No. 2 (2019): November 2019
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v4i2.60136

Abstract

Prolanis is a program that the purpose is to handle health problems in Indonesia. However, the participation of prolanis participants in the activities and the presents itself are still low in every month. The purpose of this study was to identify theparticipants about project activities in UPT Layanan Kesehatan Unpad encom passes perception, seriousness, benefits, obstacles to action and confidence. This quantitative descriptive study was conducted on 81 respondents by means of total sampling. The research data was taken using questionnaire which consisted of 46 statements developed from literature related to prolanis and previously had tested the validity with value range 0,453-0,760 and reliability with result 0,729, then data analyzed descriptively. The results showed that most prolanis participants (54.3%) had good activities with pro-public activities. In addition, there were mostly participants and no response to the disease if there were no prolanis program (50.6%), impact of prolanis (54.3%), current sensitivity of prolanis (53.1%) and belief to follow prolanis (54.3%). While almost all participants (81.5%) had infor mation and instructions to follow prolanis. This action demonstrates good activities but there are still significant obstacles in the framework of existing projects to support existing services for UPT Layanan Kesehatan Unpad with roles to increase participation of prolanis participants.