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Journal : Padjadjaran Acute Care Nursing Journal (PACNJ)

The Correlation Between Post-Procedural Complications and Length of Stay Among Post Primary PCI Patients: A Retrospective Study Sugiharto, Firman; Trisyani, Yanny; Nuraeni, Aan; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64834

Abstract

Background: Coronary heart disease (CHD) is a leading cause of morbidity and mortality globally. Primary PCI is an effective intervention, it is not without risks, and complications arising post-procedure can significantly affect both patient outcomes and the length of hospital stay (LOS).Aim: To describe the types and frequency of complications that occur in patients after Primary PCI and to analyze their relationship with the length of stay in the hospital.Design: This study employed a retrospective design, utilizing medical records of patients who underwent Primary PCI at a referral hospital in West Java, Indonesia, from December 2019 to April 2024. The study sample was selected using a convenience sampling method, focusing on patients who had complete medical records. Data analysis was conducted using univariate and bivariate analyses, including Fisher's exact test to assess the relationship between complications and LOS. The dependent variable, LOS, was categorized into three groups: ≤ 3 days, 4-5 days, and ≥ 6 days.Results: The findings showed that 81.8% of patients did not experience any complications post-procedure, while 14.5% experienced hematomas and 3.6% experienced bleeding. The median LOS was 4.00 ± 2.28 days, with 60.9% of patients having an LOS of more than 3 days. Patients who experienced complications, especially hematomas or bleeding, were more likely to have prolonged hospital stays, with 11.8% of them staying for ≥ 6 days.Conclusion: Complications following Primary PCI significantly affect the length of stay in the hospital. The study highlights that patients who experience complications such as hematomas or bleeding tend to have longer hospitalizations. These findings underscore the importance of early detection and timely management of post-procedural complications to reduce LOS and enhance patient outcomes.
Telehealth dan Teknologi Artificial Intelegence untuk Meningkatkan Dukungan Psikologis dan Kepatuhan terhadap Terapi dalam Perawatan Kanker Payudara: Sebuah Protokol Scoping Review Nur'aeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman; Andrianthi, Salsyah; Febianti, Ranti; Oktafianti, Mutiara Annisa
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.64809

Abstract

  Kanker payudara merupakan jenis kanker dengan kasus terbanyak secara global dan memberikan dampak serius terhadap kesehatan mental serta kepatuhan pasien terhadap terapi. Pasien sering menghadapi kecemasan, depresi, dan gangguan psikologis lain yang dapat menghambat proses pengobatan. Telehealth menawarkan solusi dukungan jarak jauh, namun masih memiliki keterbatasan dalam hal personalisasi dan keberlanjutan layanan. Integrasi kecerdasan buatan (Artificial Intelligence/AI) ke dalam sistem telehealth dinilai memiliki potensi besar untuk meningkatkan efektivitas intervensi melalui deteksi dini, pemantauan real-time, serta pemberian dukungan yang lebih responsif dan individual. Manuskrip ini merupakan protokol dari scoping review yang bertujuan untuk memetakan jenis, konten, dan pendekatan intervensi telehealth, baik yang berbasis AI maupun tidak, dalam mendukung kesehatan mental dan kepatuhan terapi pada pasien kanker payudara. Kajian disusun berdasarkan pedoman PRISMA-ScR dan menggunakan kerangka PCC (Population: pasien perempuan dengan kanker payudara; Concept: intervensi telehealth dan/atau AI; Context: dukungan psikologis dan kepatuhan terapi). Pencarian literatur dilakukan pada delapan basis data utama: PubMed, Scopus, Web of Science, ProQuest, CINAHL, EBSCO, ScienceDirect, dan Google Scholar, dengan rentang publikasi 2015–2025. Temuan dari review ini diharapkan dapat menjadi dasar pengembangan intervensi digital yang lebih efektif, personal, dan berkelanjutan, khususnya di wilayah dengan keterbatasan layanan kesehatan.  
Comprehensive Nursing Care in a Neonatal Asphyxia with Hypoxic Ischemic Encephalopathy and Sepsis Complications: A Case Report Sugiharto, Firman; Khoirunnisa, Khoirunnisa; Hendrawati, Sri; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64835

Abstract

Background: Asphyxia is one of the highest causes of neonatal mortality in the world. Delayed treatment of asphyxia can have an impact on permanent organ failure and neurological disability in neonates such as cerebral palsy, hyperactivity, and epilepsy.Aim: This study aimed to describe nursing care for neonates with asphyxia neonatorum.Case Description: A boy named H (By. H), 22 day old was transferred from the neonatal intensive care unit (NICU) with a diagnosis of severe asphyxia with complications of HIE and sepsis. At the time of assessment, the level of consciousness compos mentis, general condition was weak, often restless, short of breath, there was lobed breathing, intercostal retractions, stridor, secret in the mouth, rhonchi in both lung fields. Vital signs obtained HR: 150 x/minute, RR: 50 x/minute, body temperature: 36.60C, SpO2: 96%. The neonatus has good nutritional status and adequate hydration status, with positive fluid balance and no signs of fluid overload. Rest and sleep status of the neonatus is enough. The patient had a history of apnea, seizures, and post cooling therapy.Conclusion: The interventions and implementations carried out were monitoring vital signs, monitoring signs and symptoms of hypoxia, monitoring additional breath sounds, positioning the semi-fowler 30-450, changing position to prone position after breastfeeding, and nebulization with 3% NaCl 4 ml. After the intervention, the nursing problems in this case study had only been partially resolved. There is a need for further monitoring related to airway management which includes observation of vital signs and respiratory distress, continued nebulization with 4 ml of 3% NaCl, and monitor for signs of hypoxia.
The Information Needs of Breast Cancer Patients at All Stages of Their Journey: A Protocol of Scoping Review Priambodo, Ayu Prawesti; Trisyani, Yanny; Anna, Anastasia; Nuraeni, Aan; Oktafianti, Mutiara Annisa; Sugiharto, Firman; Pebianti, Ranti; Andrianthi, Salsyah
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.65055

Abstract

Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death in women, therefore breast cancer is the most common cancer in women in most countries. Providing adequate information needed by patients can reduce anxiety and feelings of insecurity. Most of women with breast cancer stated that the information obtained was unsatisfactory. However, few studies have comprehensively addressed the information needs of women with breast cancer across all stages of the disease. This scoping review aimed to fully understand the unique information needs of breast cancer patients at various stages of the cancer continuum. A scoping review will be conducted following PRISMA guidelines. Relevant studies will be identified from databases such as PubMed, Scopus, and Taylor & Francis, EBSCOhost, and ScienceDirect. In addition, searches via Google Scholar, interpersonal network recommendations, and reference chains will also be conducted. Studies will be selected based on PCC criteria, focusing on breast cancer patients as the population, information needs as content, and at various stages of the cancer continuum as the context. Data extraction and risk of bias assessment will be performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. This review is expected to provide comprehensive information needs of breast cancer patients at various stages of the cancer continuum. The findings will be valuable for educational institutions, healthcare facilities, in designing innovative, technology-based educating programs that enhance knowledge retention, practical skills, and psychological preparedness.