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All Journal NERS Jurnal Keperawatan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Holistik Jurnal Kesehatan
Muhamad Adam
Fakultas Ilmu Keperawatan, Universitas Indonesia
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Active Cycle Of Breathing Technique Terhadap Fungsi Paru pada Pasien Paska Operasi Bedah Jantung Fakrul Ardiansyah; Elly Nurachmah; Muhamad Adam
Ners Jurnal Keperawatan Vol 17, No 1 (2021)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.17.1.42-46.2021

Abstract

The pulmonary complications after cardiac surgery is estimated to be 2-4%.  These complication increase the length of hospital stay and increase cost. Postoperative cardiac surgery care focuses on pulmonary function with active cycle of breathing technique (ACBT). This study aimed to identify the effectiveness of ACBT in recovery pulmonary function in postoperative cardiac surgery. This study used pra experiment method involving 30 respondents  with purposive sampling technique in adult surgery intensive care unit and Surgical ward. This group applies ACBT for 4 days: 2x/day, duration 15 minutes/session on 1st and 2nd  day after surgery; 1x/day, duration 15 minutes/session on 3rd and 4th day after surgery. The Peak Expiratory Flow Rate is evaluated with Peak flow meter tools. The pre test data were obtainedd on the pre operation and the post test data were obtained on the 3rd day after surgery.  This data analyzies with distribution mean and wilcoxon. The result distribution mean of Peak Expiratory Flow (PEF) pre test is 420,33 l/minute and the post test is 432,33 l/minute. The result of wilcoxon test is p=0,001< α=0,05,  it is show that significant effect in  PEF (Peak Expiratory Flow) pre, 3rd day PEF. ACBT consists of deep breathing and hold breathing, so the air flow easier  and the discharge mucous, on the last step is the huffing technique. It is not require stretgh to discharge mucous and reduce pain. ACBT can be used as a nursing intervention for airway management to recovery pulmonary function in postoperative cardiac surgery.  Keywords: active cycle of breathing technique, postoperative cardiac surgery, and pulmonary function
The DESCRIPTION OF INTRADIALYSIS COMPLICATIONS IN HEMODIALYSIS PATIENTS BASED ON THE LEVEL OF INTERDIALYTIC WEIGHT GAIN (IDWG) Muhammad Putra Ramadhan; Krisna Yetti; Tuti Herawati; Muhamad Adam; Achmad Masfi
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i1.1043

Abstract

Hemodialysis is the most preferred renal replacement therapy. Besides having a therapeutic effect, hemodialysis also has side effects, namely intradialysis complications. The intradialysis complications are related to Interdialytic Weight Gains (IDWG) because if patient have higher IDWG level, make more fluid will be excreted during hemodialysis. The purpose of this study was to determine the description of intradialysis complications based on the IDWG level. This research used a descriptive design involving 90 hemodialysis patients in one of hospitals in Malang. The data collection technique was carried out by observing the patient every hour during hemodialysis. The results of this study indicate that the higher the IDWG level, the higher the number and frequency of intradialysis complications. Nurses need to optimize their role in assessing, monitoring, planning and documenting patients undergoing hemodialysis so that they can reduce and prevent problems that may be experienced by patients during hemodialysis.
Kelemahan dan kemampuan perawatan diri pada pasien gagal jantung: Tinjauan sistematik Kapriana Tanty Natalia; Agung Waluyo; Muhamad Adam; Riri Maria; Ichsan Rizany
Holistik Jurnal Kesehatan Vol. 18 No. 2 (2024): Volume 18 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i2.127

Abstract

Background: Heart failure patients are prone to various problems. Frailty is one of the problems faced. Self-care is a key factor to support the success of heart failure treatment. Although few studies have evaluated the relationship between frailty and self-care ability, there has been no systematic review examining these two variables. Purpose: To assess the relationship between frailty and ability to perform self-care in heart failure patients. Method: The design of this research is a systematic review using the PRISMA flow diagram and searched for English language articles published from 2013 to October 2023. The databases used were ProQuest, PubMed, Scopus, Science Direct, and Taylor & Francis. The Covidence tool is used for the data selection process through extraction and uses the JBI instrument to evaluate articles. Results: Seven articles were identified and analyzed. All articles used a cross-sectional design. The sample sizes of the reported studies ranged from 87 to 281 people conducted in various geographic regions, including Iran, China, Indonesia, Poland, and South Korea. The association between frailty and self-care was reported by all seven studies. Six studies reported a relationship between these two variables, but one study found no relationship between them. Conclusion: Frailty can affect self-care in heart failure patients. Suggestion: Future research is needed to better assess the relationship between frailty and self-care in heart failure patients.   Keywords: Frailty; Heart Failure; Self-Care.   Pendahuluan: Gagal jantung masih menjadi ancaman dan tren penyakit yang tinggi secara global. Gagal jantung memiliki gejala dan atau tanda yang disebabkan oleh kelainan struktural dan/atau fungsional jantung dan didukung oleh peningkatan kadar peptida natriuretik dan atau bukti obyektif, kongesti paru atau sistemik. Pasien gagal jantung rentan mengalami berbagai permasalahan. Kelemahan (frailty) merupakan salah satu masalah yang dihadapi. Perawatan diri menjadi faktor kunci untuk menunjang keberhasilan pengobatan gagal jantung. Tujuan: Untuk menilai hubungan antara kelemahan dan kemampuan melakukan perawatan diri pada pasien gagal jantung. Metode: Desain penelitian ini menggunakan tinjauan sistematis dengan acuan PRISMA dan mencari artikel bahasa Inggris yang diterbitkan pada tahun 2013-2023. Database yang digunakan adalah ProQuest, PubMed, Scopus, Science Direct, dan Taylor & Francis. Tool covidence digunakan untuk proses seleksi data sampai dengan ekstraksi serta menggunakan instrumen JBI untuk mengevaluasi artikel. Hasil: Tujuh artikel telah diidentifikasi dan dianalisis semua menggunakan desain cross sectional. Ukuran sampel dari studi yang dilaporkan berkisar dari 87 hingga 281 orang yang dilakukan di berbagai wilayah geografis, termasuk Iran, China, Indonesia, Polandia, dan Korea Selatan. Hubungan antara kelemahan dengan perawatan diri dilaporkan oleh ketujuh penelitian. Enam penelitian melaporkan hubungan antara kedua variabel ini, namun satu penelitian tidak menemukan hubungan diantara keduanya. Simpulan: Kelemahan dapat memengaruhi perawatan diri pada pasien gagal jantung. Saran: Penelitian lanjutan diperlukan untuk menilai lebih baik lagi hubungan antara kelemahan dengan perawatan diri pada pasien gagal jantung.   Kata Kunci: Gagal Jantung; Kelemahan; Perawatan Diri.
Co-Authors Achmad Masfi Agung Waluyo Elly Nurachmah Fakrul Ardiansyah Kapriana Tanty Natalia Krisna Yetti Maria, Riri Muhammad Putra Ramadhan Rizany, Ichsan Tuti Herawati