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All Journal Journal of Nursing Care Jurnal Kesehatan
Amelia, Iftikar Salma
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Health Professions Nursing Physics Public Health

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Quality of Life Patients HIV Based on Characteristic, Duration of Diagnosis, and Types Antiretroviral (ARV) Amelia, Iftikar Salma; Rahayuwati, Laili; Harun, Hasniatisari; Ibrahim, Kusman; Prawesti, Ayu; Pramukti, Iqbal
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4349

Abstract

Human Immunodeficiency Virus (HIV) is a retrovirus that attacks the body's immune system, leading to an increase in morbidity and mortality rates in Indonesia. HIV can cause problems in both physical and emotional aspects, impacting the quality of life in daily activities. This study aims to determine the health-related quality of life of HIV patients based on characteristics, duration of diagnosis, and types of antiretroviral treatment at RSUD Sumedang. The research utilized a cross-sectional design with a population of HIV patients visiting the teratai clinic at RSUD Sumedang. Sampling was done using consecutive sampling, involving 71 respondents who met the inclusion criteria. Data analysis in this study utilized univariate analysis and bivariate analysis using chi-square. The univariate analysis results indicated that the majority of respondents had a good quality of life at 56.3%, measured using EQ-5D-5L, with the anxiety/depression domain being the one with the most issues. The results of bivariate analysis using chi-square showed no significant relationship between characteristics, duration of diagnosis, and types of antiretroviral treatment with the quality of life in HIV patients at RSUD Sumedang. It was concluded that the quality of life of HIV patients at RSUD Sumedang, measured using EQ-5D-5L, is mostly good. The domain of anxiety/depression is the most problematic.
Collaborative Nursing Interventions in Geriatric Patients with Adrenal Crisis and Blood Glucose Fluctuations: A Case Report Amelia, Iftikar Salma; Pebrianti, Sandra; Pahria, Tuti
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64310

Abstract

Adrenal crisis is an endocrine emergency condition, with one of its clinical manifestations being hypoglycemia. To date, its management focuses on the administration of corticosteroid therapy primarily hydrocortisone as the first-line treatment alongside glucose administration. This study aims to observe and report blood glucose levels, hemodynamic status, and multidisciplinary collaboration in the administration of corticosteroids, as a collaborative intervention in stabilizing blood glucose. This case study was conducted on a 70 years old geriatric patient who experienced an adrenal crisis due to the sudden discontinuation of long-term steroid therapy without a doctor's prescription. Data were collected over five days through patient interviews, family reports, and medical records. The patient experienced severe hypoglycemia despite receiving parenteral glucose. Following the administration of dexamethasone, the patient's blood glucose levels improved and began to stabilize. Dexamethasone proved effective as an alternative initial therapy for adrenal crisis when hydrocortisone was unavailable or the diagnosis is not yet confirmed. Nurses played a vital role in the early recognition of adrenal crisis signs, monitoring of blood glucose levels and hemodynamic parameters. Education for the family is essential, considering the dependency of geriatric patients on caregivers in managing daily health needs. Multidisciplinary collaborative management and educational support are key to successful care in geriatric patients with adrenal crisis.
Co-Authors Ayu Prawesti Priambodo Harun, Hasniatisari Iqbal Pramukti Kusman Ibrahim Laili Rahayuwati Sandra Pebrianti Tuti Pahria