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Journal : Padjadjaran Acute Care Nursing Journal (PACNJ)

The Effectiveness of NPWT on Burns in Children: A Literature Review Ristina Mirwanti; Asti Oktavianti; Alex Setiawan; Nada Shofi; Nidya Fildza; Rahmi Fitriyani; Aldiano Alham; Silvia Azkhari
Padjadjaran Acute Care Nursing Journal Vol 2, No 2 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.486 KB) | DOI: 10.24198/pacnj.v2i2.33677

Abstract

Burns is a global public health problem, and it is estimated that burns cause 180,000 deaths every year. There are many known wound care techniques, especially in the world of health, which are now constantly developing better by technological developments, consumer demands, and the development of related diseases. Negative Pressure Wound Therapy (NPWT) is a non-invasive therapy that promotes granulation and wound closure. This study aimed to prove the effectiveness of NPWT against burns in children. This study used a literature study approach with a descriptive review type. Based on the search results, seven articles were obtained using keywords, and papers were received from science direct, PubMed, and google scholar. The seven articles were published between 2014-2020, with the research method of each article being a randomized controlled trial and a retrospective study. Based on the results of several research articles, it was found that NPWT (Negative Pressure Wound Therapy) has been proven to be effective in treating burns in children.
The Effect of Blended Learning Approach on Student Satisfaction in the Learning Process at Master Degree Nursing Program in Indonesian Context Yanny Trisyani; Etika Emaliyawati; Ayu Prawesti Priambodo; Ristina Mirwanti; Donny Nurhamsyah
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.09 KB) | DOI: 10.24198/pacnj.v1i1.25222

Abstract

Nursing education at post graduate degree aims to produce graduates with the essential competencies as researchers which are closely related to the capability of implementing information technology which are in the global health era. However, the implementation of blended learning which combines e-learning approach into the learning process has characterised with various challenges for students and lecturers. These study aims are to identify the effect of the blended learning approach to student satisfaction on the learning process in the master's degree nursing program in Indonesian context.Method: The study was conducted in 2018, the quantitative approach has been utilized. Participants in this study are 88 post graduate nursing students who were selected with purposive sampling. Data collection was conducted through survey and analysis correlational with Pearson test.Finding of the study has indicated that the Blended learning approach as indicated in: Quality of Learning Process (QLP) in terms of Student Engagement and Accessibility & interactivity on average is 83% favourable and 17% unfavourable; and QLP from students’ perspective is 58, 96% favourable and 41.04 % unfavourable. Student satisfaction with blended learning process on average is 54.75% favourable and 45.25% unfavourable. The results of the Pearson analysis have shown that there is a very weak correlation between the Blended Learning approach and Student Satisfaction with correlation value of 0.180 and Significance value of 0.864. In this case, almost all participants stated that blended learning is essential as it makes the learning process more innovative and it motivates independent learning.
The Impact of CPR Position (Kneeling, Footstool and Standing Beside Bed) on Cardiopulmonary Resuscitation Quality: A Literature Review Ristina Mirwanti; M Reza Saputra; Wina Supriatna; Raissa Fatimah; Yupira Dera Sopyanti; Risma Dwiriyanti; Nancy Veronica; Jemi Rahmani Abdullah; Irma Mawarni Putri; Iduliah Fitriani
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.943 KB) | DOI: 10.24198/pacnj.v1i2.28846

Abstract

Background: Cardiopulmonary Resuscitation (CPR) is one of the measures to deal with emergency cardiac arrest (cardiac arrest) where the heart organ loses its function suddenly. Hence it is unable to pump blood throughout the body. CPR consists of aid in circulation (compression) and breathing (ventilation). AHA has determined guidelines for implementing CPR, especially an essential point in CPR, namely chest compression. The standing position is fundamental in the implementation of CPR, but kneeling and footstool positions can be carried out during CPR implementation. This paper aims to show the impact of standing, kneeling, and footstool positions on CPR quality.Method: The method used is by searching journals in Science Direct, PubMed, and Google Scholar. The keywords used are CPR, Kneeling Position, Footstool, standing beside the bed Obtained eight selected journals according to the topic, then analyzed.Results: Based on the search result, eight articles meet the criteria. The literature review results showed three positions that can be chosen when conducting CPR: standing, kneeling, and footstool. Those positions could give impact toward helper: pain level and exhaustion degree, and quality of CPR: compression strength, depth of compression, amount of compression, chest recoil, elbow movement, and movement in the lower back.Conclusion: Three CPR positions can be done, including standing beside the bed, kneeling, and standing on stepstool footing. Each position gives impacts both to helper condition and CPR quality. Researchers recommend standing on stepstool footing due to it provides the best effect on CPR quality.
The Effect of Workbook on Illness Cognition in Coronary Heart Disease Patients Aan Nur'aeni; Ristina Mirwanti; Anastasia Anna
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (506.79 KB) | DOI: 10.24198/pacnj.v1i1.24384

Abstract

 Introduction: Recurrence of coronary heart disease (CHD) occurs due to non-compliance patients in managing CHD. One predictor of compliance with CHD management is illness cognition (IC), and IC can be improved through illness stimuli that can be done through health education in this study through workbooks. Purpose: This study aimed to identify the effect of the workbook on illness cognition in CHD patients. Methods. This research was a quasi-experimental with pretest-posttest control design. A pretest was done to the patient who was treated in the Cardiac Intensive Unit; posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospital in West Java, Indonesia. Purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The instrument used was the illness cognition questionnaire (ICQ). Data were analyzed using the mean, median, percentage, and to estimate the effect of the workbook to the patients' IC used Wilcoxon and Friedman test. Results: The results showed an increase in acceptance and perceived benefits for both groups while in the helplessness showed the decrease scores. The p-value of IC comparison in the pre-test, post-test I, and II between groups for helplessness, acceptance, and perceived benefits were 0.118; 0.376; and 0.424, respectively. Besides, the p-value for differences of IC within control and intervention groups was less than 0.05. Conclusions: The workbook in this study generally did not provide significant IC changes to respondents.
Gambaran Tingkat Kesiapsiagaan dalam Menghadapi Bencana Gempa Bumi pada Mahasiswa Fakultas Keperawatan Universitas Padjadjaran Kampus Garut Rahmi Fitriyani; Etika Emaliyawati; Ristina Mirwanti
Padjadjaran Acute Care Nursing Journal Vol 3, No 1 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.883 KB) | DOI: 10.24198/pacnj.v3i1.32350

Abstract

Kabupaten Garut has a baribis fault, especially in the South Garut region and Mount Guntur which can cause earthquakes. Preparedness needs to be had to minimize the impact that might be caused by disaster, one of them is by students because students will be involved in all phases of the disaster. This study aims to determine the level of preparedness possessed by students of the Faculty of Nursing, Universitas Padjadjaran, Garut Campus. This research used a descriptive quantitative research design with cross sectional approach. Sampling using a total sampling technique on 356 respondents. Data collection uses a preparedness questionnaire consisting of 20 questions consisting of knowledge indicators, activity plans, disaster warning systems and resource mobilization. The data obtained were analyzed using a frequency distribution then presented in the form of a percentage. The results showed 29.8% of students were at the high level, 66.9% of students included at the moderate level, and 3.4% of students were at the low level. This study shows there are indicators of preparedness that are still lacking. Therefore, it is very important for the Garut campus to make efforts to improve student preparedness in dealing with earthquakes in the indicator of disaster warning systems
Acceptance, Perceived Benefits, and Helplessness among Coronary Heart Disease Patients Undergoing Treatment in A Different Ward Aan Nur'aeni; Ristina Mirwanti
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (662.334 KB) | DOI: 10.24198/pacnj.v1i2.27999

Abstract

Background. One of the factors determining CHD patients' adherence to treatment is Illness Cognition (IC). IC is described as acceptance, perceived-benefits, and helplessness. This study aims to identify and compared IC in CHD patients treated in different wards. Method: This research used a descriptive quantitative method with a cross-sectional approach. The study population was CHD patients who were undergoing treatment at a referral hospital in West Java. Selection of respondents using consecutive sampling, and data collected within three months, using the Illness Cognition Questionnaire on 106 respondents. Data were analyzed using mean and frequency distribution. Furthermore, ICs were compared using the Kruskal Wallis Test. Results: The following are an average IC respondent based on different IC dimensions and ward. Dimensions of helplessness: High Care Cardiac Unit (HCCU) 16.1 (SD = 4.06); Regular ward 12.86 (SD = 4.95); Outpatient 14.05 (SD = 5); Cardiac-Rehabilitation (CR) 11.04 (SD = 3.52) with p = 0.013. Dimensions of acceptance: HCCU 14.00 (SD = 2.7); Regular-ward 18.26 (SD = 2.7); outpatient 19.34 (SD = 2.88); RJ 18.20 (SD = 3.47) p = 0.005. Dimensions of perceived-benefits of HCCU 18.00 (SD = 3.6); Regular-ward 19.96 (SD = 2.76); outpatient 20.95 (SD = 3.01); RJ 20.08 (SD = 3.46) p = 0.043. Conclusion: The worst ICs of all dimensions were owned by respondents who were undergoing treatment at HCCU. ICs with relatively better are seen in respondents who were undergoing treatment in outpatient and cardiac-rehabilitation. ICs in CHD patients differ in all dimensions and categories of the ward. Thus, patient acceptance at HCCU need to be increased and as well as participation in cardiac rehabilitation so that patient perceived-benefits increase.
Manajemen Syok Kardiogenik pada Pasien Valvular Heart Disease dengan Masalah Keperawatan Penurunan Curah Jantung: A Case Report RAHAYU MERDEKAWATI; RISTINA MIRWANTI
Padjadjaran Acute Care Nursing Journal Vol 3, No 2 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.418 KB) | DOI: 10.24198/pacnj.v3i2.46127

Abstract

Valvular heart disease (VHD) adalah keadaan di mana salah satu katup di jantung mengalami kerusakan atau mati. Jika katup mengalami kerusakan, jantung tidak dapat memompa darah secara efektif ke seluruh tubuh dan harus bekerja lebih keras untuk memompa. Hal ini dapat menyebabkan gagal jantung, henti jantung, dan kematian. Penelitian ini menggunakan metode desain case report atau laporan kasus. Perawat melakukan manajemen syok kardiogenik yang meliputi pemberian oksigen, pemasangan IV line, pemasangan folley catether, kolaborasi pemasangan ventilator dan tindakan kardioversi dengan Dokter. Manajemen syok kardiogenik merupakan intervensi keperawatan yang tepat dilakukan pada pasien VHD dengan masalah keperawatan penurunan curah jantung.