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Padjadjaran Acute Care Nursing Journal (PACNJ)

pacnj
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Published by Universitas Padjadjaran

ISSN : - EISSN : 27156060 DOI : https://doi.org/10.24198/pacnj.v1i1

Core Subject : Health,

Health Professions Nursing

Description: Padjadjaran Acute Care Nursing Journal (PACNJ) is a scientific nursing journal that publishes by the Faculty of Nursing, Universitas Padjadjaran. The PACNJ is published as a means for sharing research findings and development in nursing knowledge. The scope of the PACNJ is nursing and health areas, which focuses on nursing care or health care services in the context of an emergency, acute care conditions, and critical care in all fields and disaster nursing. The PACNJ is published every four months using a peer review system for selected articles. This journal provides an open access for readers to read abstracts and full papers. The PACNJ covers original research papers and reviews literature articles that have not been published previously. Articles submitted to the PACNJ will be filtered through an editorial board meeting to further make a decision. Articles that are decided to be accepted for review will be sent to the reviewer. The peer review process will take around 1-2 months. The accepted article will be returned to the author for revision, and resubmission would be required for the revised article. The publication process of articles in this journal would take about two to three months. The PACNJ reviewer’s team are people who have expertise in nursing and health in the relevant areas. Focus and scope: Launched in November 2019, Padjadjaran Acute Care Nursing Journal (PACNJ) is a newcomer publication place in the field of nursing carried out by the Faculty of Nursing at Universitas Padjadjaran. PACNJ aims to become an international journal to protect researchers around the world. PACNJ continues to improve quality by involving many experts in the field of nursing. PACNJ is an open-access journal. PACNJ focuses on receiving articles in various fields of nursing including; emergency nursing, critical nursing, emergency nursing in children, emergency nursing in maternity, emergency nursing in mental health, nursing emergency in medical surgery, emergency nursing in the community, and miscellaneous. Articles published in PACNJ have been selected by a team of editors and a peer review process from reviewers who are experts in the field of nursing. Articles published on PACNJ have also been completed by Digital Object Identifier (DOI) and indexed by Google Scholar, ISJD, and Kandaga.

Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)

Articles 50 Documents

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Penundaan Hemoroidektomi Dan Peran Advokasi Perawat Pada Ny.Y Dengan Hemoroid Grade IV: Studi Kasus Epi Rohaeti; Titis Kurniawan; Eka Afrimasari
Padjadjaran Acute Care Nursing Journal Vol 3, No 3 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Latar Belakang: Hemoroid grade IV sering disertai nyeri hebat dan perdarahan per-anal berisiko menimbulkan banyak komplikasi serius. Pada kondisi ini, hemoroidektomi merupakan salah satu pilihan terapi terbaik. Meski demikian, pengambilan keputusan untuk menjalani hemoroidektomi sering menjadi hal yang sulit bagi sebagian pasien. Tujuan: Studi ini ditujukan untuk mendeskripsikan masalah kesehatan, pengambilan keputusan dan peran advokasi perawat pada pasien dengan hemoroid grade IV. Metode: Jenis penelitian kualitatif dengan metode studi kasus deskriptif yang dilakukan pada pasien Ny.Y (44 tahun) di ruang rawat penyakit dalam. Data didapatkan dari wawancara, pengkajian fisik, observasi, dan studi dokumen. Hasil: Pasien menderita hemoroid selama 27 tahun dan mengeluhkan perburukan benjolan di area anus disertai nyeri dan perdarahan per-anal. Lima tahun lalu (2017) pasien menjalani hospitalisasi dan disarankan dilakukan hemoroidektomi, namun pasien menolak karena takut dan merasa kondisinya akan membaik dengan pengaturan pola makan. Saat ini rehospitalisasi ke 2 pasien mengalami nyeri kronis, gangguan perfusi perifer (anemia berat), dan deficit nutrisi. Selama perawatan, pasien mendapatkan edukasi dan informasi dari perawat terkait diagnosa yang dialami dan tindakan hemoroidektomi hingga pada hari ke-4 perawatan, pasien memutuskan untuk dilakukan hemoroidektomi karena pasien tersadar bahwa kondisinya tidak akan membaik tanpa operasi. Selain pemberian intervensi untuk mengatasi masalah aktual, pemberian informasi secara berkesinambungan dan refleksi terhadap kondisi yang dialami dapat membantu pasien mengambil keputusan yang tepat. Simpulan: Perburukan kondisi tidak serta merta membuat pasien mengambil keputusan secara cepat dan tepat. Peran advokasi perawat dalam pemberian informasi yang berkesinambungan merupakan peran penting yang membantu pasien dalam proses pengambilan keputusan yang lebih baik, lebih cepat dan lebih tepat.

Description of the Process of Grieving and Depression in Patient with Coronary Hearth Disease in the Intensive Room Dewi Dewi; Ayu Prawesti; Etika Emaliyawati
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Background: The process of grieving and depression can affect the treatment process and the condition of patients with coronary heart disease. The process experienced by the patient can be uncomplicated grief, complicated grief and depression. It is important to distinguish between uncomplicated grief, complicated grief and depression in response to normal and healthy loss and with response to the stresses of personal disorders that require more intensive intervention. The nurse is responsible for helping the patient go through the grieving process so as to prevent the adverse effects on the patient, so that the grieving and depression process are needed to determine the problems and to plan the nursing treatment.Objective: This study aimed to identify the process of grieving and depression in patients with coronary heart disease in the Intensive Room of Hospital Dr. Hasan Sadikin Bandung.Methods: This research method was quantitative descriptive. The study population of patients with coronary heart disease was an average of 37 people per month. Consecutive Sampling technique was carried out for one month with 34 respondents. Data collection technique used in this sresearch was the Grief / Depression Assessment Inventory questionnaire that had been tested for validity with the face validity and content validity. The collected data were analyzed by analytic descriptive method using frequency distribution.Result: The results showed that from 34 respondents, most of them (94.1%) had complicated grief while few of them (5.9%) had uncomplicated grief. The highest response to grieving and depression was in the domain of attitude, thought, feeling, and loss.Conclusion: Based on the results of the study, most patients with coronary heart experienced complicated grief. Therefore it was important for nurses to facilitate patients to be able to consult with treating doctors, psychologists, religious leaders or psychiatrists.Keywords: Coronary Heart Disease, Depression, Grieving

Quality of Life among Post PCI and CABG Patients with Coronary Heart Disease in Cardiac Outpatient Units Dr. Slamet Garut Hospital Danis Aditia Syaputra; Aan Nur'aeni; Indra Maulana
Padjadjaran Acute Care Nursing Journal Vol 2, No 3 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Implementing Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Graft (CABG) among CHD patients does not entirely eliminate the risk of recurrence, stenosis, and death. These conditions may affect the patient's physical, psychological, and social condition. Changes in these conditions influence the quality of life. Therefore, this study aimed to identify the quality of life of post PCI and CABG CHD patients.The study used a quantitative design with a cross-sectional approach. The sampling technique used convenience sampling and obtained 42 respondents for one month. The data collection was conducted at Dr. Slamet Garut's cardiac outpatient unit using the Indonesian version of the Quality of Life After Myocardial Infarction QLMI (MacNew) questionnaire. Data were analyzed using quantitative analysis.Based on the results of the data analysis, overall, respondents had a high quality of life. 71.4% of respondents had a high global quality of life. Whereas 73.8% had a high quality of life in the social domain, 71.4% had a high quality of life in the emotional domain, and 69.0% had a high quality of life in the physical domain.Most of the respondents had a high quality of life. However, there were identified that nearly one-third of patients had a low quality of life. The lowest score was presented in the physical domain. Thus, these findings indicate the need for support in the physical domain for the patient.

Spiritual Distress among Patients with Acute Coronary Syndrome in Cardiac Intensive Care Unit Helda Fitria Wahyuni; Aan Nur'aeni; Afif Amir Amirullah
Padjadjaran Acute Care Nursing Journal Vol 2, No 1 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Background. Engaging patients' spiritual needs with Acute Coronary Syndrome (ACS) is still primarily ignored compared to their physical needs. One thing that has been forgotten is spiritual distress assessment, even though the stress experienced can aggravate ACS conditions, especially in acute situations. This study aimed to identify spiritual distress among ACS patients in the Cardiac Intensive Care Unit (CICU). Methods. This study was a quantitative research with a population of ACS patients treated in CICU at one of the hospitals in West Java. The sampling technique used was consecutive sampling and obtained 34 respondents during one month. Collecting data using a modified instrument from the Spiritual Distress Assessment Tool (SDAT) and obtained a validity range of 0.33 - 0.45 and a reliability of 0.80. Data analysis using mean and frequency distribution. Results. 82.35% of respondents had mild spiritual distress, and 17.65% of respondents had moderate spiritual distress. The most disturbing spiritual distress was in the "Need for value acknowledgment," while the "Need to maintain control" was the least problematic among respondents. Conclusions. The spiritual distress experienced among ACS patients in the ICU was mostly mild. However, some patients experienced moderate distress. To reduce this distress level can be executed by paying more attention to the patient's needs to be respected regarding their values and beliefs.

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

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.

Systematic Review: Position Changes After Transfemoral Percutaneous Coronary Intervention Indriani Merlyn Manueke; Yanny Trisyani; Nurlaeci Nurlaeci
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Background. Percutaneous Coronary Intervention (PCI) is the gold standard diagnostic test for Coronary Heart Disease (CHD). To minimize complications after PCI, patient activity is limited to bedrest for 2-24 hours. But the long bedrest can cause complaints of back pain and discomfort. This systematic review aims to identify the position changes in the first 6 hours after PCI for back pain and discomfort. Metode. Three electronic databases were used to carry out systematic searches namely Pubmed, CINAHL ebsco and ProQuest. The keyword combination is 'percutaneous coronary intervention' AND 'position change' OR 'changing position' OR 'early mobilization' NOT 'Literature Review' OR 'review of the literature' OR 'overview' OR 'Systematic Review' OR 'meta analysis’. The inclusion criteria used were articles with the last 12 years of research 2007 - 2019, quantitative research, English and Indonesian, peer review, randomized controlled trial and quasi experiment. The article search results found 49 articles on CINAHL ebsco, 81 articles on PubMed and 273 articles on ProQuest. A total of 13 articles met the inclusion criteria and were analyzed. Results. From 13 articles, 6 articles reported a decrease in complaints of back pain and discomfort after changing positions in the first 6 hours in bed. 4 articles indicate the same thing after a change of position made the first 6 hours then walking beside the bed. And 3 articles reported a decrease in complaints of back pain and discomfort after ambulation in the first 6 hours. Conclusion. Changes in position within a period of 6 hours after PCI can reduce the incidence of back pain and discomfort that is felt by patients.Keywords: position changes, percutaneous coronary intervention

Combination Benson's Relaxation Technique and Energy Manajement to Overcome Activity Intolerance Nursing Problems in Coronary Artery Disease Patients: A Case Report Umy Riskyani; Nita Fitria; Nursiswati Nursiswati
Padjadjaran Acute Care Nursing Journal Vol 3, No 2 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

In patients with Coronary Artery Disease (CAD), activity intolerance is a major issue. Energy management is a non-pharmacological intervention that is commonly used in patients with activity intolerance. The problem of activity intolerance can be overcome with complementary or alternative relaxation therapy, namely the Benson relaxation technique. The goal of this case study is to describe how a combination of Benson relaxation techniques and energy management helped CAD patients with activity intolerance nursing problems. The method used in this study is a case report. Data collection techniques include observation, interviews, physical examinations, and hospital medical records. Interventions are carried out to address the main problem of activity intolerance. In this study, the Benson relaxation technique was given together with energy management, namely, gradual physical activity for 3 days for 20 minutes per day. The results of this case study show that after the Benson relaxation technique intervention, which was given in conjunction with the energy management intervention, these outcomes improved, namely subjective data, complaints of fatigue after decreased activity, and objective data showing improved pulse rate and ease of doing daily activities. In conclusion, the Benson relaxation technique can be applied as a complementary and alternative intervention that is given together with energy management interventions to address the problem of activity intolerance in CAD patients.

The Effectiveness of NPWT on Burns in Children: A Literature Review Ristina Mirwanti; Asti Oktavianti; Alex Setiawan; Nada Shofi; Nidya Fildza; Rahmi Fitriyani; Aldiano Alham; Silvia Azkhari
Padjadjaran Acute Care Nursing Journal Vol 2, No 2 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Burns is a global public health problem, and it is estimated that burns cause 180,000 deaths every year. There are many known wound care techniques, especially in the world of health, which are now constantly developing better by technological developments, consumer demands, and the development of related diseases. Negative Pressure Wound Therapy (NPWT) is a non-invasive therapy that promotes granulation and wound closure. This study aimed to prove the effectiveness of NPWT against burns in children. This study used a literature study approach with a descriptive review type. Based on the search results, seven articles were obtained using keywords, and papers were received from science direct, PubMed, and google scholar. The seven articles were published between 2014-2020, with the research method of each article being a randomized controlled trial and a retrospective study. Based on the results of several research articles, it was found that NPWT (Negative Pressure Wound Therapy) has been proven to be effective in treating burns in children.

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

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.

Pain Management for Unconscious Patient Based on Indonesian Nursing Intervention Standards in Intensive Care Unit : Case Study Meideline Chintya; Henny Batubara; Etika Emaliyawati
Padjadjaran Acute Care Nursing Journal Vol 4, No 1 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Introduction: Pain is a subjective thought and can be experienced by everyone. Patients with decreased consciousness may also feel pain. The intensity of pain experienced by patients in the intensive care unit ranges from moderate to severe pain. Previous studies stated that the phenomenon of pain in patients can cause physical and psychological complications. Thus, pain management in the scope of intensive care is crucial to do. Purpose: To identify management that can be done in patients with unconsciousness who experience pain. Methods: This case study used Indonesian Nursing Intervention Standards as a guideline for pain management. Results: A 29-year-old female patient with decreased consciousness was treated in the intensive care unit. The patient was in the intensive care unit for four months. The results showed a severe pain scale at the time of the assessment using the CPOT. This study established a nursing diagnosis of chronic pain related to treatment procedures characterized by a severe pain scale using the CPOT, invasive devices, and the presence of fourth-degree pressure sores on the sacrum. Conclusion: Pain management carried out is pain assessment, non-pharmacological and pharmacological management. In each of these interventions, nurses must pay attention to nursing ethics. Evaluation and documentation are carried out to review the interventions' effect and become a part of communication for interprofessional regarding the treatment process.Keywords: ICU settings, pain management, unconscious patient,

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Donny Nurhamsyah

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Faculty of Nursing, Universitas Padjadjaran Jl. Raya Bandung Sumedang KM.21, Hegarmanah, Kec. Jatinangor, Kabupaten Sumedang, Jawa Barat 45363

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Home Page

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Contact Name Donny Nurhamsyah

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Editorial Address Faculty of Nursing, Universitas Padjadjaran Jl. Raya Bandung Sumedang KM.21, Hegarmanah, Kec. Jatinangor, Kabupaten Sumedang, Jawa Barat 45363

Location Kota bandung, Jawa barat INDONESIA

Abstract

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Contact Name
Donny Nurhamsyah

Contact Email
donny.nurhamsyah@unpad.ac.id

Phone
+6285230848493

Journal Mail Official
info.pacnj@unpad.ac.id

Editorial Address
Faculty of Nursing, Universitas Padjadjaran Jl. Raya Bandung Sumedang KM.21, Hegarmanah, Kec. Jatinangor, Kabupaten Sumedang, Jawa Barat 45363

Location
Kota bandung,

Jawa barat

INDONESIA