Jurnal Keperawatan Padjadjaran
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Hematomyelia Akibat Traumatic Lumbar yang Menyebabkan Syok Spinal: Sebuah Laporan Kasus
No full textBackground: Spinal cord hemorrhage or hematomyelia can arise from trauma or non-trauma causes, adverse effect of anticoagulation therapy and ruptured vascular malformation. Bleeding in epidural space is common and complications such as acute spinal cord syndrome can arise due to the compression and destruction of the spinal cord. Symptoms of hematomyelia might be varied depending on location of the lesion, often accompanied with acute radicular pain. In this case study, we reported a case of spinal shock after traumatic lumbar hematomyelia.
Case: A 13-year-old girl presented to Dr. Moewardi General Hospital with inferior paraparesis, bladder and bowel incontinence, a day after falling on her gluteus. Physical examination revealed reduced motoric and sensory function below 12th thoracal dermatome, with no patellar and reduced Achilles reflexes. Conventional X-ray was unremarkable and further investigation with MRI showed a hematoma on thoracal 10 to 12 vertebrae. Motor and sensory functions were improved after 12 days administration of corticosteroids and further improvement was seen almost immediately after decompression surgery.
Objective: To describe a case of spinal shock caused by traumatic lumbar hematomyelia
Method: This is a case report study describing spinal shock which improved after administration of corticosteroid and decompression surgery.
Conclusion: Spinal shock could be caused by traumatic lumbar hematomyelia, which is characterized by loss of motor, sensory, and bladder function, and decompression surgery improved the prognosis.Latar belakang: Perdarahan medulla spinalis atau hematomyelia dapat timbul akibat trauma maupun non trauma, efek samping terapi antikoagulasi, dan ruptur dari malformasi vaskular. Pendarahan di ruang epidural sering terjadi dan komplikasi seperti sindrom medulla spinalis akut dapat meningkat karena kompresi dan destruksi medulla spinalis. Gejala hematomyelia mungkin bervariasi tergantung pada lokasi lesi, seringkali disertai dengan nyeri radikuler akut. Dalam studi kasus ini, kami melaporkan kasus syok spinal setelah hematomyelia akibat trauma lumbal.
Kasus: Seorang anak perempuan berusia 13 tahun datang ke RSUD Dr. Moewardi dengan paraparesis inferior, inkontinensia urin dan alvi, sehari setelah jatuh terduduk. Pemeriksaan fisik menunjukkan penurunan fungsi motorik dan sensorik di bawah dermatom toraks ke-12, tanpa refleks patela dan penurunan refleks Achilles. Foto X-ray konvensional dalam batas normal dan penyelidikan lebih lanjut dengan MRI menunjukkan hematoma pada vertebra toraks 10 sampai 12. Fungsi motorik dan sensorik membaik setelah pemberian kortikosteroid dan operasi dekompresi.
Simpulan: Syok spinal dapat disebabkan oleh hematomyelia lumbal traumatis, yang ditandai dengan hilangnya fungsi motorik, sensorik, dan kandung kemih, dan operasi dekompresi dapat meningkatkan prognosis
The effectiveness of wound caring technique with polyhexamethylene biguanide and dialkyl carbamoyl chloride to healing process duration of diabetic foot ulcer patient
No full textBackground: Antimicrobial dressing on moist-based wound care is a successful wound care technique, especially for diabetes mellitus wounds. The moisture on wound can be made by closed wound care to reach a standard moisture in various wounds. The antimicrobial dressing type that can increase the wound healing is Polyhexamethylene biguanide (PHMB) and Dialkyl carbamoyl chloride (DACC). Polyhexamethylene biguanide can accelerate the tissue granulation and reduce the risk of infection. Dialkyl carbamoyl chloride is a part of moist wound healing with strong hydrophobic threat so the bacteria will be lifted and accelerate the wound healing process.  The aim of this research is to analyze the effect of healing technique  using Polyhexamethylene biguanide and Dialkyl carbamoyl chloride wound healing process on diabetic foot ulcer patients. Â
Methods: This research was quasi-experimental with 129 respondents.  The instruments were Bates Jensen’s observation sheet and data were processed by double linear regression.
Results:Â It was obtained an average difference between the duration of the wound healing process between PHMB and DACC therapy with a p-value of 0.0005.
Conclusion: The use of this type of DACC dressing is more effective against the duration of the healing process of diabetic foot ulcers because of the time needed for DACC to work  on killing bacteria in-vitro in 30 minutes compared to other dressing
Factors related to sleep in family caregivers of people with dementia: A systematic review
No full textBackground: Family caregivers (FCGs) face many problems when taking care of people with dementia.
Purpose: This study wanted to explore the factors related to FCGs’ sleep in people with dementia.
Methods: The study used a systematic review approach based on PRISMA. The study focused on FCGs for people with dementia in the home setting. A narrative synthesis was employed.
Results: The result showed that the sleep problem and severity of a patient with dementia have an essential role in their state. Those indirectly impact the FCGs’ condition. The majority of the study’s sleep problems were related to physical fatigue that influenced the FCGs’ distress. Coping mechanisms have an essential role in the caregiver situation. A maladaptive coping mechanism would increase the stress of the caregiver and lead to a sleep problem.
Conclusion: The consequences of those are burden and depression. Therefore, FCGs should be supported by families, friends, and healthcare workers. Community online groups of the FCGs might be helpful to support each other
Exploring the usage of conventional logbooks during the clinical learning practice: A phenomenological study
No full textBackground: The use of a logbook during practice serves as a tool for ongoing assessment, continuous interaction between supervisors and students, and provides continuous feedback for learning activity evaluation
Purpose: This research aims to explore the utilization of logbooks in clinical practice among nursing students.
Methods: This qualitative research uses a phenomenological study approach. Data collection was conducted through open interviews to synchronize informant responses with the observed phenomena. Snowball sampling technique was used to select six students, one responsible lecturer for field practice, and one field supervisor. The obtained data were then processed and analyzed through editing, data reduction, category creation, and drawing conclusions.
Results: Four research themes emerged, namely an exploration of clinical practice and the obstacles experienced by students, the importance of logbooks for students, the weaknesses of paper-based logbooks, and student acceptance of online-based logbooks.
Conclusions: Nursing profession students need the development of a logbook that is easier to fill out. The design of the logbook can be digitally developed with attractive and innovative features while still reflecting the communication medium between students, faculty, and the field. It should also serve as a tool for evaluating students' competencies in their professional roles.Latar Belakang: Praktek lapangan merupakan bagian integral dari target yang harus dicapai bagi mahasiswa Program Profesi Keperawatan. Signifikansi dan keberadaan logbook bagi mahasiswa Profesi Keperawatan yang sedang penulis teliti merupakan salah satu teknologi tertua. Perguruan tinggi, khususnya di Indonesia, harus memikirkan kembali bagaimana logbook berfungsi secara komprehensif sebagai alat evaluasi dan penilaian.
Tujuan: Artikel ini menganalisis hubungan antara mahasiswa, universitas, dan sila dalam keberlanjutan penilaian dan evaluasi mahasiswa.
Metode: Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan studi kasus. Peneliti menggali pengalaman mahasiswa profesi keperawatan dalam mengisi logbook tradisional saat melaksanakan praktik klinik, yang diambil dengan teknik snowball sampling.
Hasil: Buku catatan kegiatan belum dianggap perlu oleh mahasiswa dan bahkan belum digunakan sebagai sarana peningkatan kompetensi saat berpraktik di profesi keperawatan. Di sisi lain, buku catatan berbasis kertas yang digunakan selama ini belum memudahkan mahasiswa untuk mencatat pengalamannya selama praktik lapangan dan memiliki kelemahan berupa potensi kerusakan dan tidak ergonomis.
Kesimpulan: Mahasiswa Profesi Perawat membutuhkan kemudahan seperti kepraktisan dalam pengisian logbook. Desain logbook juga bisa disesuaikan dengan kebutuhan mahasiswa, seperti logbook yang bisa dibawa kemana-mana sehingga tetap bisa mengisi logbook meskipun sedang praktek di lapangan
Is tuberculosis in children a severe disease?
No full textTuberculosis is one of the health issues over the world. However, childhood TB is often less attention and neglected, particularly in the endemic area, due to the negative result of sputum smear and no specific signs and symptoms among children. Children exposed to infectious disease have a high risk of infection and progressing to TB disease. TB disease among children may develop into a severe form of TB, such as TB meningitis or military TB, and cause death. Therefore, case finding or contact screening is needed to prevent undiagnosed and untreated childhood TB. Parents or family and health professional staff should support adherence to preventive therapy for infected children and anti-TB treatment for TB disease
Analysis of hospital management information system satisfaction using the end-user computing satisfaction method: A cross-sectional study : End-User Computing Satisfaction Method
No full textBackground: The completeness of patient information can help improve the patient service process. However, the application of the hospital management information systems (HMIS) is experiencing obstacles that affect user satisfaction. The end-user computing satisfaction (EUCS) method was developed for improvement of HMIS in accordance with the needs of user in the field of medical records.Purpose: To analyze the correlation satisfaction of HMIS and EUCS in hospital setting.Methods: Quantitative descriptive design with a cross-sectional approach was conducted among 105 healthcare providers at Graha Sehat Medika Hospital from June to July 2022. The EUCS questionnaires related to aspects of content, accuracy, format, timeliness, and ease of use were used to measure user satisfaction of HMIS. A Pearson Product Moment was used to analyze the correlation between HMIS and EUCS user satisfaction.Results: There was significant correlation between satisfaction of HMIS and components of EUCS (p= 0.001), including content (r= 0.705), accuracy (r= 0.651), format (r=0.538), timeliness (r= 0.706), and ease of use (r= 0.875). Furthermore, there were differences between ease to use of EUCS method and attending a computer course (10.93±2.66; p= 0.022) and gender (10.74±2.58; p= 0.007) of healthcare providers.Conclusion: The EUCS method is important for improving HMIS satisfaction. Therefore, training and socialization of EUCS should improve to maintain ease of use of computers to increase satisfaction of management systems in hospitals.Background: The completeness of patient information can help the patient service process to be better. However, the application of the hospital management information systems (HMIS) is experiencing obstacles that affect user satisfaction. The end-user computing satisfaction (EUCS) method was developed for improvement of HMIS in accordance with the needs of user in the field of medical records.
Purpose: To analyse the correlation satisfaction of HMIS and EUCS in hospital setting.
Methods: Quantitative descriptive design with a cross-sectional approached was conducted among 105 healthcare providers at Graha Sehat Medika Hospital from June to July 2022. The EUCS questionnaires related to aspects of content, accuracy, format, timeliness, and ease of use were used to measure user satisfaction of HMIS. A Pearson Product Moment is used to analyse the correlation between HMIS and EUCS user satisfaction.
Results: There were significantly correlation between satisfaction of HMIS and components of EUCS (p= 0.001), including of content (r= 0.705), accuracy (r= 0.651), format (r=0.538), timeliness (r= 0.706), and ease of use (r= 0.875). Furthermore, there were differences between ease to use of EUCS method and attending course of computer (10.93±2.66; p= 0.022) and gender (10.74±2.58; p= 0.007)of healthcare providers.
Conclusions:TheEUCS method is important for improving HMIS satisfaction. Therefore, training and socialization of EUCS should improve to maintain of ease of use of computers to increase of satisfaction of management systems in hospital
The relationship between sequential organ failure assessment (SOFA) score and mortality in covid-19 patients with ARDS
No full textBackground: The WHO declared a COVID-19 pandemic on January 30, 2020. Five percent of all patients with coronavirus disease-19 symptoms are emergency and critical cases of ARDS by 49% mortality. The SOFA score is an assessment in intensive care unit patients to determine the level of organ failure.Purpose:The research aimed to determine the relationship between SOFA scores and mortality in coronavirus disease-19 patients with ARDS.Methods: This type of research was quantitative with a retrospective cohort design. The population was coronavirus disease-19 patients with ARDS in the intensive care unit room at RSUD dr. Moewardi in January-September 2021 with 485 people. Eighty-three (83) respondents were selected through the purposive sampling technique. The research instrument used the SOFA scoring sheet. Results: The study on the characteristics of respondents revealed that 57.8% were male, the average age of respondents was 57.31 years and 57.8% with comorbid diseases. The abnormal SOFA scores were 96.4%, 91.6% mortality. The Chi-Square test showed a p-value of 0.018.Conclusion: There is a relationship between SOFA scores and mortality in coronavirus disease-19 patients with ARDS. SOFA score could be used as a predictor of mortality in coronavirus disease-19 patients with ARDS. SOFA score scores can describe the patient’s prognosis, because SOFA scores have an assessment of all six organ functions such as respiration (PaO2 / FiO2), blood pressure, creatinine and diuresis, bilirubin, platelets, and GCS, so that it is effective in assessing organ failure
Prevention of Cardiovascular Disease in the Community Through Walking Intervention:Â Scoping Review
No full textBackground: Cardiovascular disease is the number one killer in the world. The SDGs target reducing mortality through cost-effective prevention efforts. Physical activity, including walking, has been proven to prevent cardiovascular disease. Walking is an activity that is cheap, easy, simple, and does not need tools and skills, so it can be done in general by the community. However, the modern world makes people's walking activities low. There is a need to find evidence of walking interventions that can increase walking and prevent cardiovascular disease.
Purpose:Â This scoping review aims to identify literature focusing on walking interventions that increase footsteps and reduce disease risk to prevent cardiovascular disease.
Methods:Â Following the guidelines for the JBI scoping review methodology. Articles conducted searches on the Ebscho CINAHL, Academic, PubMed, and ProQuest databases from 2013 to 2021. The collected data were extracted in tabular and narrative form.
Results:Â Thirteen articles met the criteria involving 2,910 people from eight countries. Eleven studies used a randomized controlled trial, and two used a quasi-experimental design.
Conclusion:Â Walking interventions that support increased footsteps include: distance, duration per week (< 150 minutes or > 150 minutes), supervision, activities accompanied by socio-cultural activities, counselling, and motivation, in addition to the use of tools such as pedometers, accelerators, and smartwatch is used as a footstep monitor. Intervention in walking is beneficial in reducing cardiovascular diseases risk indicators such as blood pressure, BMI, blood glucose, cholesterol, and triglycerides.Â
Development of early detection of low-birth-weight instrument based on maternal risk factors: A mixed-methods study
No full textBackground: Babies born with low birth weight (LBW) are at a higher risk of experiencing health problems. The absence of quick and reliable instruments to detect LBW conditions can significantly impact the growth and development of newborns.
Purpose: This study aims to develop an instrument to detect the incidence of LBW based on mother’s risk factor.
Methods: In this study, mixed-methods research was conducted, consisting of qualitative and quantitative stages. A total of 20 participants participated in Focus Group Discussions (FGDs) during the qualitative stage, and 321 respondents took part in the quantitative stage. During the qualitative stage, the process of labeling, synthesizing significant codes, and theoretical integration was carried out. Furthermore, at the quantitative stage, the calculation of the cut-off point using receiver operating characteristic (ROC) analysis was performed.
Result: Four indicators were added in newly developed instrument; there are currently ten indicators based on results of our FGD with the experts (OR/score: 74.395/10, 15.557/2, 13.877/2, 9.952/2, 7.203/1, 2.756/1, 2.532/1, 1.280/1, 1.268/1, and 1.163/1). Instrument was tested on 321 samples; it was able to detect 111 (88.1%) cases from a total 123 (38.3%) cases of LBW (p=0.000). Cut-off point determination used Receiver Operating Characteristic (ROC) curve; any score greater than 3 was predicted with LBW incidence (AUC=0.952, 95% CI 0.923-0.973).
Conclusions: LBW could be predicted by our newly developed instrument. These finding could help health workers or policy makers to reduce the LBW incidence by early detection. Further study is needed to determine the ideal screening time to maximize the usage of this instrument
Cross-culture adaptation and validation of knowledge, attitude and behavior regarding disaster preparedness among community in Indonesia
No full textBackground: At the time of the research, there were only a limited number of instruments accessible for recognizing the knowledge, attitude, and behavior of the Indonesian population concerning disaster preparedness.
Objectives: The goal of this study was to modify and evaluate the reliability and uniformity of a survey that individuals can complete on their own, focusing on their knowledge, attitude, and behavior related to disaster preparedness.
Methods: The translation of this tool into Bahasa Indonesia went through four phases: first translation, back-translation by experts, pre-testing, and cognitive interviews. The evaluation of the tool's accuracy involved a study with 250 volunteers using a cross-sectional approach. The validity of the questionnaire was checked based on its content and structure, and its reliability was measured by looking at internal consistency and stability (Cronbach's alpha).
Results: The CVI scores for knowledge, attitude, and behaviors ranged from 0.80 to 1.00. Regarding knowledge, the exploratory factor analysis (EFA) outcomes indicated the presence of two factors with eigenvalues surpassing 1.0, collectively explaining 71.4% of the total variance. The loading factor for 25 items was observed between 0.34 and 0.65, within the acceptable threshold of 0.3. In terms of attitude, the EFA results revealed a single factor with an eigenvalue exceeding 1.0, accounting for 86.2% of the total variance. The loading factor for 18 items ranged from 0.30 to 0.50. Similarly, for behaviors, the EFA findings displayed the existence of two factors with eigenvalues greater than 1.0, explaining a cumulative 79.7% of the total variance. The loading factor for 22 items ranged from 0.30 to 0.60. The Cronbach's alpha values for knowledge regarding earthquake and tsunami preparedness stood at 0.763, for attitude it was 0.736, and for behaviors, it was 0.760.
Conclusion: The recently implemented scale designed to assess the knowledge, attitude, and behavior of communities regarding disaster preparedness has been verified to possess satisfactory validity and reliability, making it suitable for survey applications within Indonesia