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Journal : Neurona

Gambaran Pengetahuan Perawat Poliklinik dan IGD terhadap Penyakit Parkinson Felix, Felix; Adhanisa Hamdani, Ismi
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 1 (2023): Vol 40 No 1 (2023)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i1.459

Abstract

Introduction: Early detection and prompt treatment in Parkinson’s Disease (PD) can improve patients’ quality of life. The complexity of PD requires multidisciplinary team management. Nurses play roles in explaining nursing diagnosis and interventions such as motor function and fall risk, dysautonomia, disorder of communication and sleep, adherence to treatment, and advance stage PD treatment. Aim: To find out the description of the knowledge of outpatient and emergency department nurses regarding Parkinson's Disease at Ciawi Regional General Hospital. Methods: Observational descriptive study with a cross-sectional design using a questionnaire that has been tested for validity and reliability. Results: The majority of respondents are aged 30-40 years (60.4%), with educational level Diploma-3 (78.2%). About half of them have interacted with patients with PD (56.4%), but most of them have never received education about PD (62.4%). Majority level of knowledge about PD is sufficient (40.6%). The level of sufficient knowledge was obtained from respondents with educational level Diploma-3, aged 30-40 years, work experience > 10 years, and have interaction with patients with PD. Discussion: The level of knowledge of nurses at Ciawi Regional Hospital was mostly at 41 (40.6%), followed by a good level of knowledge at 32 (31.7%), and less at 28 (27.7%). This study is the first in Indonesia, and shows the need to increase the knowledge of PD among nurses as part of a multidisciplinary team. Education programs may have roles in increasing the level of knowledge regarding PD. Keywords: Knowledge, Multidisciplinary, Nurse, Parkinson’s Disease.
EFEKTIVITAS TOKSIN BOTULINUM TIPE A TERHADAP SKALA SPASME, SKALA DEPRESI DAN KUALITAS HIDUP PASIEN HEMIFASIAL SPASME DI RSUD CIAWI Cornelia, Celine; Hamdani, Ismi Adhanisa; Gaharu, Maula N.; Agustina, Lydia
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 4 (2024): Volume 40, No 4 - September 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i2.560

Abstract

Introduction: Approximately 10/100.000 individuals worldwide experience hemifacial spasm (HFS) with a ratio of women-to-men at 2:1. Around 90% HFS patients face social life challenges, leading to self-isolation and decreased quality of life. Therapy modalities for HFS include oral therapy, botulinum toxin injection and surgery, but the oral therapy response rate is low. Aim: To determine the effectiveness of botulinum toxin type A injection on, spasm scale, depression scale and quality of life of HFS patients Methods: A quasi-experimental study was conducted at Ciawi Regional Hospital in May-December 2023. Data were collected using a total sampling technique, injection of Clostridium botulinum neurotoxin type A and succeeded by a 2-weeks, 1 month and 2 month follow-up. We used modified Jankovic scale, Mini International Neuropsychiatric Interview and HFS-7 criteria for our instruments. Results: 29 patients are included in this research, aged 30-93 years (31% are male and 69% are female). 69% suffered left-sided HFS and 31% right-sided HFS. 44,8% patients had hypertension. After 2 weeks post-injection, 81.8% patients with 2nd degree HFS and 71.4% patients with 1st degree HFS reported significant symptom improvement (p = 0.046 and 0.025). Both patient’s degree reported depression improvement without significant p-value (p = > 0.05) after 2 weeks until 2 month post injection. Increased quality of life (p = 0.001). Discussion: Clostridium botulinum neurotoxin type A injection is an effective treatment modality to improve spasm, depression and quality of life in HFS patients at Ciawi Regional Hospital. Keywords: Botulinum Toxin, Degree of Spasm, Experimental, Hemifacial Spasm, Quality of Life