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All Journal Prosiding University Research Colloquium JHeS (Journal of Health Studies)
Iwan Setiawan
Universitas Muhammadiyah Surakarta
Humanities Computer Science & IT Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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Neurogenic Bladder Management in Spinal Medula Trauma: A Literature Review Aditya Nur Rahman; Iwan Setiawan; Dodik Nursanto; S Sulistyani
Prosiding University Research Colloquium Proceeding of The 15th University Research Colloquium 2022: Mahasiswa (Student Paper Presentation) A
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.521 KB)

Abstract

Background : Neurogenic bladder is a condition in which the urinary sphincter is unable to increase or decrease its pressure in response to pressure on the bladder. This occurs due to damage to the central, peripheral, or autonomic nervous systems. Neurogenic bladder in spinal cord trauma patients is a condition that can pose a significant risk to the patient. Many medical and intervention approaches are available today. The goals of treatment for neurogenic bladder are to stop urine leakage due to overactivity of the detrusor muscle during bladder filling, to reduce intravesical pressure and vesicoureteral reflux, and to treat and prevent complications such as urinary tract infections. Purpose : Knowing the various neurogenic bladder management in spinal cord trauma patients. Method : This research is a literature review type. Literature review data was collected by browsing published articles on Pub Med, Science Direct, and Google Scholar databases. Outcome : There were 3 articles discussing the use of Clean Intermitten Catheterization (CIC), 4 articles discussing electrical stimulation, and 2 articles discussing Botox. Electrical stimulation can increase bladder capacity and suppress detrusor activity. The use of CIC makes it easier for the patient to submit urine. Botox will inhibit involuntary detrusor contractions. Conclusion : There are various treatments for neurogenic bladder in spinal cord trauma patients, such as the use of intermitten catheters, Botox injections, and electrical stimulation.
Relationship of acid–base imbalance with hemorrhage volume and mortality in intracerebral stroke hemorrhage Gavin Mukti; Iwan Setiawan; Metana Puspitasari; Sulistyani Sulistyani
JHeS (Journal of Health Studies) Vol. 10 No. 1 (2026): Maret
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.4008

Abstract

This study aimed to evaluate the relationship between acid-base balance disturbances and intracerebral hemorrhage volume with mortality rates in hemorrhagic stroke cases. The research used an observational analytic design with a cross-sectional approach and was conducted at Dr. Soeratno Gemolong General Hospital, Sragen, from September to November 2024. The study population consisted of medical records of patients diagnosed with hemorrhagic stroke at the hospital between August 2021 and August 2024 who met the inclusion criteria. A total of 50 samples were selected using a purposive sampling technique. Data analysis included univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using logistic regression. The results showed a significant relationship between acid–base balance disturbances and intracerebral hemorrhage volume with mortality in hemorrhagic stroke cases (p=0.001). In addition, intracerebral hemorrhage volume was significantly associated with mortality (p=0.007). Multivariate analysis confirmed that both acid–base imbalance and hemorrhage volume significantly influence mortality outcomes. These findings indicate that acid–base imbalance and intracerebral hemorrhage volume greater than 30 ml are strong predictors of mortality in hemorrhagic stroke patients. Therefore, strict monitoring of arterial blood gases, neurological status, and hemodynamic stability is essential during the acute phase of care. Early detection of physiological deterioration and prompt intervention may help reduce the risk of adverse outcomes. Future research is recommended to use prospective multicenter designs with larger sample sizes to further clarify causal relationships and evaluate whether early correction of acid–base disturbances can improve mortality outcomes in hemorrhagic stroke patients.
Co-Authors Aditya Nur Rahman Dodik Nursanto Gavin Mukti Metana Puspitasari Sulistyani Sulistyani