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Penurunan Risiko Kambuh dan Lama Rawat Pada Klien Stroke Iskemik Melalui Rencana Pemulangan Terstruktur Uke Pemila; Ratna Sitorus; Sutanto Priyo Hastono
Jurnal Keperawatan Indonesia Vol 13 No 3 (2010): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i3.251

Abstract

AbstrakPenelitian tentang pengaruh rencana pemulangan terstruktur klien stroke iskemik dalam menurunkan faktor risiko kekambuhan, lama rawat, dan peningkatan status fungsional telah dilakukan di sebuah RS di Bukittinggi. Desain penelitian adalah kuasi eksperimen dengan sampel 43 orang (20 kelompok intervensi dan 23 kelompok kontrol). Hasil penelitian menunjukkan perbedaan faktor risiko kekambuhan (p= 0,00; α= 0,05 ), lama rawat (p= 0,02; α= 0,05) antara kelompok intervensi dan kelompok control setelah diberikan rencana pemulangan, namun belum dapat mengubah status fungsional klien (penilaian Barthel Index). Rencana pemulangan terstruktur pada klien stroke iskemik dapat menurunkan faktor risiko kekambuhan dan lama rawat. Hasil penelitian ini dapat diterapkan dalam penatalaksanaan stroke iskemik di rumah sakit maupun di rumah (home care). Penelitian lanjut perlu dilakukan untuk mengkaji pengaruh sistem dukungan klien dalam upaya mencegah kekambuhan, komplikasi, dan meminimalkan kecacatan pada klien stroke. AbstractA research to examine the effect of structured discharge planning for the ischemic stroke patients in decreasing the recurrence risk factors and length of stay, and improving functional status has been conducted in a hospital in Bukittinggi. This quasiexperimental research included 43 subjects (20 subjects as the intervention group and 23 subjects as the control group). The findings of the study demonstrated that there is difference in recurrence risk factors (p= 0.00, α= 0,05 ) and length of stay (p= 0,02; α =0,05) but no difference in functional status (measured by Barthel Index) between two groups. This finding showed that structured discharge planning has significant effect to reduce recurrence of risk factors and length of stay of the ischemic stroke patients. This study can be an evidence to be incorporated in the ischemic stroke nursing care in the hospital as well as home care. Further, it is recommended to examine the patien’s support system on reducing stroke recurrence, complication, and disability.
PENGARUH TERAPI KOMBINASI INHALASI AROMATERAPI LAVENDER DAN MUSIK TERHADAP KECEMASAN PASIEN HEMODIALISA Vivian Meika Arly; Uke Pemila; Budi Antoro
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 9 No 2 (2024): Vol. 9 No. 2 Desember 2024
Publisher : Universitas Aufa Royhan di Kota Padangsidimpuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v9i2.1684

Abstract

Chronic Renal Failure is a state of progressive reduction in kidney function which is signalled by a decrease in Glomerular Filtration Rate (GFR) <60 mL/min/1.73 m2 for ≥ 3 months. Haemodialysis aims to remove metabolic waste carried out for 3-5 hours with a frequency of 2-4 times a week which is lifelong, this causes anxiety. This study aims to see the effect of combined music inhalation therapy and lavender aromatherapy on the anxiety of chronic renal failure patients who do haemodialysis. This type of research is quantitative research using the Quasi experimental non-equivalent control design method. The population of this study were chronic renal failure patients who performed haemodialysis at the Hemodialysis Unit of Dr. H. Abdul Moeloek Hospital. The sample of 86 respondents was divided into 43 respondents of the intervention group and 43 respondents of the control group with non-probability purposive sampling technique based on inclusion and exclusion criteria. The research instrument used was the Hamilton Anxiety Rating Scale (HARS). The results of the study obtained a p-value of 0.000 (p-value <0.05) using the Mann Whitney U Test which shows that there is a Significant Effect of Lavender Aromatherapy and Music Inhalation Combination Therapy on Anxiety of Chronic Kidney Failure Patients Carrying out Hemodialysis at Dr. H. Abdul Moeloek Lampung Hospital in 2024. It is hoped that this therapy can be applied independently either in the haemodialysis unit or at home to reduce anxiety.