Garuda - Garba Rujukan Digital

Quality of Life among Post PCI and CABG Patients with Coronary Heart Disease in Cardiac Outpatient Units Dr. Slamet Garut Hospital Danis Aditia Syaputra; Aan Nur'aeni; Indra Maulana
Padjadjaran Acute Care Nursing Journal Vol 2, No 3 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Implementing Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Graft (CABG) among CHD patients does not entirely eliminate the risk of recurrence, stenosis, and death. These conditions may affect the patient's physical, psychological, and social condition. Changes in these conditions influence the quality of life. Therefore, this study aimed to identify the quality of life of post PCI and CABG CHD patients.The study used a quantitative design with a cross-sectional approach. The sampling technique used convenience sampling and obtained 42 respondents for one month. The data collection was conducted at Dr. Slamet Garut's cardiac outpatient unit using the Indonesian version of the Quality of Life After Myocardial Infarction QLMI (MacNew) questionnaire. Data were analyzed using quantitative analysis.Based on the results of the data analysis, overall, respondents had a high quality of life. 71.4% of respondents had a high global quality of life. Whereas 73.8% had a high quality of life in the social domain, 71.4% had a high quality of life in the emotional domain, and 69.0% had a high quality of life in the physical domain.Most of the respondents had a high quality of life. However, there were identified that nearly one-third of patients had a low quality of life. The lowest score was presented in the physical domain. Thus, these findings indicate the need for support in the physical domain for the patient.

Spiritual Distress among Patients with Acute Coronary Syndrome in Cardiac Intensive Care Unit Helda Fitria Wahyuni; Aan Nur'aeni; Afif Amir Amirullah
Padjadjaran Acute Care Nursing Journal Vol 2, No 1 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Background. Engaging patients' spiritual needs with Acute Coronary Syndrome (ACS) is still primarily ignored compared to their physical needs. One thing that has been forgotten is spiritual distress assessment, even though the stress experienced can aggravate ACS conditions, especially in acute situations. This study aimed to identify spiritual distress among ACS patients in the Cardiac Intensive Care Unit (CICU). Methods. This study was a quantitative research with a population of ACS patients treated in CICU at one of the hospitals in West Java. The sampling technique used was consecutive sampling and obtained 34 respondents during one month. Collecting data using a modified instrument from the Spiritual Distress Assessment Tool (SDAT) and obtained a validity range of 0.33 - 0.45 and a reliability of 0.80. Data analysis using mean and frequency distribution. Results. 82.35% of respondents had mild spiritual distress, and 17.65% of respondents had moderate spiritual distress. The most disturbing spiritual distress was in the "Need for value acknowledgment," while the "Need to maintain control" was the least problematic among respondents. Conclusions. The spiritual distress experienced among ACS patients in the ICU was mostly mild. However, some patients experienced moderate distress. To reduce this distress level can be executed by paying more attention to the patient's needs to be respected regarding their values and beliefs.

Nursing Intervention in Overcoming Decreased Cardiac Output in Patients with a Medical Diagnosis of Inappropriate Sinus Tachycardia (IST) in the CICU Room "Case Study" Widya Nurwulan Santika Utami; Donny Nurhamsyah; Aan Nur'aeni
Padjadjaran Acute Care Nursing Journal Vol 4, No 1 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Inappropriate Sinus Tachycardia (IST), which is a condition in which a person has a heart rate of more than 100 beats per minute for no apparent reason and if left untreated it will last for months or even years. Inappropriate sinus tachycardia can cause myocardial ischemia, reduce ventricular filling time, cause decreased cardiac output, cardiomyopathy, cardiac arrest, and death. in Indonesia itself there are no studies on IST so that researchers are interested in explaining interventions that can be done to reduce discomfort in IST patients.This research uses case studies. A 30 year old woman came to the hospital with complaints of palpitations, dyspnea, nausea and vomiting. Patients are given bed rest management, hemodynamic monitoring (vital signs, lab electrolytes, EKG), administration of oxygen, deep breathing relaxation for 3 days with a duration of 10 minutes.The results of the study found complaints of chest palpitations in patients resolved with HR: 60x/minute, BP: 98/86 mmHg, RR: 17x/minute, SpO2: 99%, complaints of nausea, vomiting and tightness in patients resolved and on the last day obtained Electrolyte test results were within normal limits.The patient was given non-pharmacological therapy, namely deep breathing relaxation therapy with the result that the patient experienced a decrease in heart rate and an increase in oxygen saturation. Giving deep breathing relaxation techniques will automatically stimulate the sympathetic nervous system to reduce levels of catecholamine substances, causing blood vessels to dilate and eventually blood pressure, heart rate, respiratory rate decrease.

Heat Therapy to Reduce Chest-Pain Among Patients with Acute Coronary Syndromes (ACS): A Literature Review Aan Nur'aeni; Yanny Trisyani; Donny Nurhamsyah; Oman Hendi; Rahmalia Amni; Vanny Leutualy; Gita Maya Sari; Nurlaeci Nurlaeci; Rika Winarni
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

The main clinical manifestations of patients with Acute Coronary Syndrome (ACS) during the acute period is chest pain. Handling complaints of pain patients with ACS definitively done with medication; however, it is possible to do additional nonpharmacological therapies to optimize the results. Nonpharmacological treatment can be performed in various ways, one of them with heat therapy. This literature review aimed to determine the use of heat therapy as an additional nonpharmacological intervention in reducing the intensity of chest pain in patients with ACS. Four electronic databases were used to carry out systematic searches on articles, namely Proquest, Science Direct, Pubmed, and CINAHL-Ebsco. The combination of keywords was "heat therapy" AND "chest pain" AND "acute coronary syndrome" NOT "Literature review" OR "Literature review" OR "Overview" OR "Systematic Review" OR "Meta-analysis." The inclusion criteria used were experimental study articles, peer-reviewed articles, and research articles written in English and performed in the period between 2014-2019. The search results obtained three articles that met the inclusion criteria and analyzed. The results of the study found that heat therapy effective in reducing the intensity of chest pain, the use of analgesic opioids, and improving the patient's hemodynamics. In conclusion, the therapy can be considered used as adjunctive therapy to reduce chest pain in patients with ACS with certain criteria. In addition, further research is also needed to see the effectiveness of this therapy if it is implemented with more frequent frequencies and compare its effectiveness in reducing chest pain if the application is given to the anterior or posterior of the chest.

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

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.

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

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.

Case Study: Application Of Dhikr And Audio Murottal On Changes Hemodynamic Status In Patient With Post-Thoracotomy Pectus Bar Azzah Dinah Rachmah; Aan Nur'aeni; Etika Emaliyawati
Padjadjaran Acute Care Nursing Journal Vol 4, No 1 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Hemodynamic instability is a problem that often occurs in postoperative patients in the ICU, one of which is thoracotomy surgery. Signs of hemodynamic instability are an increase in Mean Arterial Pressure (MAP), heart rate and respiratory rate, changes in decreased oxygen saturation, increased pain scale and even decreased consciousness. Maintaining hemodynamic stability in post-operative patients can be done by administering pharmacological and non-pharmacological interventions. Nursing care that can be done to maintain the patient's hemodynamic stability includes oxygenation, head position adjustment, stimulation with both verbal and non-verbal communication approaches, gentle massage relaxation and music therapy. Music therapy that can make patients relax and calm, one of which is by dhikr therapy and listening murottal Al-Quran. Purpose: to analyze dhikr therapy and listening murottal Al-Quran on changes in hemodynamic status in postoperative (thoracotomy) patients. Methods: This study used the case study method to explore the problem of nursing care. The approach used is the nursing care approach which includes: assessment, diagnoses, interventions, implementation and evaluation. Hemodynamic recording is recorded on a flipchart and pain measurement is carried out using the Critical Pain Observational Tool (CPOT) instrument. Results: The results showed that after 3 days of intervention, there was a decrease in heart rate, respiratory rate, pain scale, increase in GCS values and other hemodynamic component values within normal limits. Conclusion: Therapeutic intervention of dhikr and listening murottal Al-Quran can maintain hemodynamic stability in postoperative patients in the ICU.

PEMBERDAYAAN MASYARAKAT JATINANGOR: PEDULI KEGAWATDARURATAN JANTUNG – SUDDEN CARDIAC ARREST Aan Nur'aeni; Ristina Mirwanti; Anastasia Anna
Bagimu Negeri Vol 2, No 2 (2018)
Publisher : Universitas Muhammadiyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52657/bagimunegeri.v2i2.752

There are many cases of Sudden Cardiac Arrest (SCA) in the community that cannot be rescued, because they did not get the proper and fast action due to ignorance and incompetence of the community. The purpose of this training was increasing the knowledge, attitudes, intentions, and abilities of the community in identifying and handling SCA in Cileles Village, Jatinangor District. The community service activities were integrated with student’s KKN activities. This activity was carried out starting from the initial assessment related to the CPR ability of the community, socialization to KKN students, preparation of materials and learning media, the implementation of socialization and training activities for the community, and also this evaluation. At the implementation stage, 33 training participants participated. Pre-test and post-test measurements were carried out with the response rate as much as 90.9%. As much as 53.3% of respondents had never received information about cardiac arrest, and 93.3% had never received information about CPR before. After training, the respondents' average knowledge score was 75.7. On the attitude aspect, before training, 90% of respondents supported the implementation of CPR and after training, 96.7% of participants supported the implementation of CPR. Meanwhile, before the training, no participants intended to do CPR if they found victims of SCA, but 100% of participants intended to do CPR after training. There was an increase in knowledge, attitudes, and community intentions related to the handling of cardiac emergencies, especially cardiac arrest. This was an indication that CPR will be carried out by respondents if they found victims of SCA. Similar training needs to be conducted periodically to prevent the decline in knowledge or skills related to CPR actions.Keywords: Pemberdayaan Masyarakat, Kegawatdaruratan, Sudden Cardiac Arrest.

Pelatihan Manajemen Bencana Bagi Anggota Padjadjaran Nursing Corps (PNC) Aan Nur'aeni; Anastasia Anna; Ayu Prawesti; Etika Emaliyawati; Ristina Mirwanti
Bagimu Negeri Vol 1, No 2 (2017)
Publisher : Universitas Muhammadiyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52657/bagimunegeri.v1i2.415

The high and varied disasters occur in Indonesia, requiring the government and the whole community to be ready for disaster. In the Faculty of Nursing Universitas Padjadjaran (Unpad), there is a group of students who do extracurricular activities to provide health aid called PNC. Training needs to be done to enhance the role of PNC as well as increasing the participation of students in the disaster relief program. This training resulted in increased knowledge and attitudes of PNC members on disaster management, and also increased the knowledge and attitude related to the role and function of students in disaster management effort. In addition, other additional results related to the effectiveness of training methods for PNC members successfully obtained. The methods compared were lecture and discussion (LD) compared with LD plus simulation and FGD methods. It is measured by using the quasi experimental method with pretest-posttest control group design. Data analysis used Mann Whitney test. The result showed that there was no difference in knowledge and attitude (p = 1,000) in both treatment groups (p = 0,424). Which means that there was no difference between LD method and LD plus simulation and FGD method.Keywords: Training, Disaster Management, Padjadjaran Nursing Corps (PNC)

Title

Found 9 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 9 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 9 Documents
Search