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All Journal Nurse Media Journal of Nursing Jurnal NERS
Kadir, Fairrul
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Nursing

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Prevalence of Persistent Post-Concussion Syndrome in Adults After Mild Traumatic Brain Injury Suwaryo, Putra Agina Widyaswara; Kadir, Fairrul; Omar, Azizan; Singh, Sukhbeer Kaur Darsin
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.56529

Abstract

Background: Although mild Traumatic Brain Injury (mTBI) is one of the primary causes of death and disability worldwide, research on the prevalence of post-concussion syndrome (PCS) after mTBI is still extremely limited. Previous studies have shown that approximately 10-15% of mTBI patients experience PCS, yet these studies often have different methodologies and sample sizes.Purpose: This study aimed to determine and compare the prevalence of persistent PCS (more than one month post-injury) with those without PCS in mTBI patients.Methods: This study employed a retrospective cohort design and analyzed patient data from hospital records between July and December 2022, yielding a sample of 316 participants with mTBI. Patients with complete medical record data and active health checks for one month after being treated were taken as research subjects. PCS measurement was conducted using the Rivermead Post Concussion Symptoms Questionnaire (RPQ). Data were analyzed using an independent t-test with a two-tailed distribution to compare variables between groups (groups with PCS and without PCS).Results: The prevalence of persistent PCS in mTBI patients was 112 (35.4%) patients. The occurrence of persistent PCS was found to be most prevalent in the second month and in motor vehicle accident-related injuries, with 49 (43.7%) patients and 80 (71.4%) patients, respectively. Problems concentrating (37.5%), headache (30.3%), and light sensitivity (32.1%) were the most common symptoms of PCS.Conclusions: A significant proportion of persistent PCS was found, with the most prevalent occurring in the second month after mTBI and involving motor vehicle-related injuries. These findings warrant better screening guidelines and practices that patients can adopt after mTBI.
The effectiveness of modified conventional CPR training among North Borneo University Hospital healthcare providers Ahmad, Nazrin; Wider, Walton; Kadir, Fairrul; Hidrus, Aizuddin; Hassan, Hamidah
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.44667

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Introduction: Numerous studies reported that healthcare providers are not as effective in rendering high-quality CPR over time, despite receiving basic life support (BLS) or advanced cardiac life support (ACLS) training. Thus, to overcome the issue and develop a more feasible implementation of CPR training model, this study aims to identify the effectiveness of a modified conventional training (MT-CPR) method. Method: This was an experimental study conducted to 72 healthcare providers in a teaching hospital in north Borneo. Subjects underwent MT-CPR and data were collected using a validated questionnaire and skills assessment checklist adopted from AHA (2020). Data then was analysed using Friedman, Wilcoxon and McNemar test aided with IBM's Statistical Package for the Social Science (SPSS) statistic software. Result: This study reported that MT-CPR significantly improved the knowledge and skills on CPR (p-value: <0.001). However, the training module significantly incapable to retain the knowledge and skills as early as 3 months post initial MT-CPR (p-value: <0.001). There was a statistically significant difference between the MCQ test scores (pre-course, post-course, and post 3 months-course) with ê­“2 (2) = 36.2 (2), p-value = <0.001. There is an association between post-course overall results and post 3 month overall results using McNemar test (p-value < 0.002). Conclusion: Overall, this study indicated that modified CPR training (MT-CPR) were able to develop and improve the CPR knowledge and skill. The adaptation of conventional CPR training method seen effective as it has the capability for better engagement between trainer and participants. 
Co-Authors Ahmad, Nazrin Hassan, Hamidah Hidrus, Aizuddin Omar, Azizan Singh, Sukhbeer Kaur Darsin Suwaryo, Putra Agina Widyaswara Wider, Walton