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Journal : Journal of Nursing Science Update

THE INFLUENCE OF CPR MEASURES TRAINING TOWARD KNOWLEDGE AND MOTIVATION TO HELP THE VICTIM OF CARDIAC ARREST IN HIGH SCHOOL STUDENT OF DARUL HIJRAH PUTERA ISLAMIC BOARDING SCHOOL Ahmad Lathif; Abdurahman Wahid; Ifa Hafifah
Journal of Nursing Science Update (JNSU) Vol. 6 No. 2 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5880.881 KB) | DOI: 10.21776/ub.jik.2018.006.02.6

Abstract

Cardiac arrest is the biggest dead cause in Europe. In Indonesia, it is estimated there are 10.000 cases of people who has cardiac arrest every year. However cardiac arrest can be handled with cardiac pulmonary resuscitation (CPR). In Darul Hijrah Putera Islamic Bording School, CPR has not been ever conducted. The method of this research used pre experimental with pre-post test design approach. The technique of collecting the data was by using probability sampling with simple random sampling approach. The samples were 40 respondents. The instrument used knowledge and motivation questioner to obtain respondents’ data on 21st December 2017 in Darul Hijrah Putera Islamic Boarding School. The Result in this research was obtained (p-value 0,000<α=0,05) on CPR action knowledge of the student and it was obtained (p-value= 0,000<α=0,05) on the students’ motivation result. It explains that giving training about RJP to the students affect the knowledge and help the victim of cardiac arrest in student high school in Darul Hijrah Putera Islamic Boarding School.  
ANALYSIS OF THE EFFECTIVENESS OF NATIONAL EARLY WARNING SCORE (NEWS) USAGE ON THE OUTCOMES OF HEAD INJURY Laila Agustina; Abdurahman Wahid; Ifa Hafifah
Journal of Nursing Science Update (JNSU) Vol. 6 No. 2 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (8063.792 KB) | DOI: 10.21776/ub.jik.2018.006.02.4

Abstract

NEWS (National Early Warning Score) is a new developmental instrument for early detection of declining patient conditions. Head injury is still a problem in Indonesia and so far its assessment is still based on GCS to know the category of head injury. Therefore, an appropriate early assessment instrument is needed to detect outcomes thus a management plan can be done quickly and accurately. This study aims to know the effectiveness of NEWS use against the outcome of head injury patients. The design of this study is a prospective cohort. Samples were taken by consecutive sampling in 48 head injured patients in three hospitals. The study was conducted from 27 November 2017 to 08 January 2018 with observation and documentation study. The result of analysis shows that p-value is 0,013 <0,05 (H0 is rejected), meaning that there is difference of outcome according to NEWS category. Significant differences were seen in mild and severe category of NEWS (0.013 <0.05). The percentage of NEWS influence on outcome is 78.34%. This suggests that NEWS is effectively used for initial assessment of outcomes of partients with head injury.
THE DEAD OF MILD AND MODERATE HEAD INJURY Musyarrofah Musyarrofah; Abdurahman Wahid; Rismia Agustina
Journal of Nursing Science Update (JNSU) Vol. 6 No. 2 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6384.318 KB) | DOI: 10.21776/ub.jik.2018.006.02.7

Abstract

The head injury is one of the accidents causing death and disability. Head injuries include in the top 10 most surgical diseases in the Emergency Department of Ulin Hospital Banjarmasin. From January to September 2017, head injured patients amounted to 974 cases. Patients dominated by mild head injury with GCS were 13-15. Patients with head injuries come with severe GCS and some die on the same day of head injury occurrence, but others get intensive care. This research to find out the relationship between GCS on admission and outcome of head injury patient in Emergency Department (ED) of Ulin Hospital Banjarmasin, ED of Idaman Hospital Banjarbaru and ED of Ratu Zalecha Martapura. This research used non-experiment method in cohort way with consecutive sampling for its sample collecting technique from 56 respondents who are the head injury patients in 3 hospital emergency departments. The analysis of relationship between GCS score on admission and outcome of head injury patient using fisher exact test obtained the significance value (2-tailed) of 0.006 < 0.5 which means that H0 is rejected, so there is relationship between GCS score on admission and outcome. The higher the score of GCS on admission, the better outcome received.
COMPARISON OF NATIONAL EARLY WARNING SCORE (NEWS) AND REVISED TRAUMA SCORE (RTS) IN THE OUTCOME PREDICTION OF HEAD INJURY PATIENTS Iseu Mapagresuka; Abdurahman Wahid; Ifa Hafifah
Journal of Nursing Science Update (JNSU) Vol. 7 No. 2 (2019)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1519.707 KB) | DOI: 10.21776/ub.jik.2019.007.02.4

Abstract

Head injury is a global problem with mortality and morbidity outcome of 90%. One of the factors that infuence the outcome is the physiological status that can be assessed by using NEWS and RTS as simple validated assessments to predict outcome. This study aimed to compare NEWS and RTS in the outcome prediction of head injury patients. This study used an analytic observational method with prospective cohort design and consecutive sampling technique type in 48 head injured patients at Emergency Room of Ulin Banjarmasin Hospital, Idaman Banjarbaru Hospital, and Ratu Zalecha Martapura Hospital conducted from November 2017 to January 2018. Based on this study, the average age of head injury patients was 35.54 years, male, caused by traffic accidents, and 87.5% of people had living outcomes. Statistical analysis with a diagnostic test revealedthat NEWS accuracy in the outcome prediction of head injury patients had AUC value of 0.911, p<0.001 with 83.33% sensitivity and 83.33% specificity. RTS accuracy analysis in the outcome prediction of head injury patients had AUC value of 0.879, p = 0,001 with 83,33% sensitivity and 92,86%specificity. RTS was excelled and more able to predict the outcome of head injury patients compared to NEWS.