Donny Nurhamsyah
Universitas Padjadjaran

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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (192.876 KB) | DOI: 10.24198/pacnj.v3i3.46153

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.683 KB) | DOI: 10.24198/pacnj.v1i2.28843

Abstract

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 Blended Learning Approach on Student Satisfaction in the Learning Process at Master Degree Nursing Program in Indonesian Context Yanny Trisyani; Etika Emaliyawati; Ayu Prawesti Priambodo; Ristina Mirwanti; Donny Nurhamsyah
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.09 KB) | DOI: 10.24198/pacnj.v1i1.25222

Abstract

Nursing education at post graduate degree aims to produce graduates with the essential competencies as researchers which are closely related to the capability of implementing information technology which are in the global health era. However, the implementation of blended learning which combines e-learning approach into the learning process has characterised with various challenges for students and lecturers. These study aims are to identify the effect of the blended learning approach to student satisfaction on the learning process in the master's degree nursing program in Indonesian context.Method: The study was conducted in 2018, the quantitative approach has been utilized. Participants in this study are 88 post graduate nursing students who were selected with purposive sampling. Data collection was conducted through survey and analysis correlational with Pearson test.Finding of the study has indicated that the Blended learning approach as indicated in: Quality of Learning Process (QLP) in terms of Student Engagement and Accessibility & interactivity on average is 83% favourable and 17% unfavourable; and QLP from students’ perspective is 58, 96% favourable and 41.04 % unfavourable. Student satisfaction with blended learning process on average is 54.75% favourable and 45.25% unfavourable. The results of the Pearson analysis have shown that there is a very weak correlation between the Blended Learning approach and Student Satisfaction with correlation value of 0.180 and Significance value of 0.864. In this case, almost all participants stated that blended learning is essential as it makes the learning process more innovative and it motivates independent learning.
Factors Influencing People’s Doubt to Conduct Covid-19 Vaccination: A Scoping Review Etika Emaliyawati; Donny Nurhamsyah; Jihan Salimah Aribah; Lisdiawati Lisdiawati; Fauziyyah Ratih Asfari; Femi Luih Nurhasanah; Khairun Nisa Rahmawati; Intan Humaeroh; Iis Kania Nurasiah Jamil; Gina Nurul Azmi; Indah Permata Artamia; Lia Yulia Maulina; Herlina Silviana; Hanna Budhiyana; Gun Gun Gulbudin; Intan Rukmana
Padjadjaran Acute Care Nursing Journal Vol 2, No 3 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.072 KB) | DOI: 10.24198/pacnj.v2i3.36037

Abstract

The Covid-19 pandemic has been considered a global challenge for all countries around the world. The strategy that can be done to control Covid-19 is to develop an effective vaccine. The targets for the first wave of vaccines are health workers, public officials, and the elderly. For the second wave, the targets are vulnerable groups and the general public. The lack of acceptance of the Covid-19 vaccination in the community causes the vaccination program to be less than optimal. The purpose of this study is to determine the factors that influence people's doubts about the Covid-19 vaccine. The literature review method used is a scoping review. Researchers searched for the scientific articles in the Google Scholar, Pubmed, and Ebscohost databases. The keywords that researchers used consisting of 2 languages, in English keyword Covid-19 vaccine AND doubt OR hesitation AND factor OR reason OR cause. The year published was the last 5 years, and articles were selected using critical appraisal tools from The Joanna Briggs Institute (JBI). After screening according to inclusion criteria, 8 articles were found. The conclusion from the results of the journal analysis is that there are factors that influence people to refuse vaccines, including people with low education so they believe more in negative issues about vaccines, are not sure about the side effects of vaccines, are afraid of being injected, lack of information about vaccines, believe that no need vaccines to avoid Covid-19, and people who don't believe in Covid-19.