Analysis of Nursing Clinical Practice of Oral Hygiene on Patient with Hemorraghic Stroke – A Case Study

<p><strong>Objective</strong>: The purpose of this case study was to analyze the oral hygiene intervention performed by nurse in stroke hemorrhagic patient in neurological ward</p><p> </p><p><strong>Methods:</strong> .Oral hygiene interventions were performed by using 0.2% chlorhexidine twice daily for seven days. This case study used oral health assessment tool (OHAT) which the measurements were taken before and after the intervention every day</p><p> </p><p><strong>Results</strong>: There was a decrease in oral hygiene assessment score from 9 to 1 which implied an improvement in oral hygiene condition. This study also showed that family of stroke patient was able to perform oral hygiene practice to the patient after simulation performed firstly by nurses</p><p> </p><p><strong>Conclusion</strong>: The study recommends that oral hygiene by using 0.2% chlorhexidine needs to be delivered routinely by nurses and continues by the family at home care.</p><p> </p><p><strong>Keywords</strong>: chlorhexidine 0.2%, oral hygiene, stroke.</p>

The relationship between sleep hygiene and sleep quality among residents of an elderly care institution in DKI Jakarta

<p class="AbstractContent"><strong>Objective:</strong> Elderly are at risk of poor slepp quality and other health problems due to reduced sleep satisfaction. The objective of this study was to explore the association between sleep hygiene and sleep quality in elderly.</p><p class="AbstractContent"><strong>Methods: </strong>This was a descriptive study with cross sectional design. The study was conducted in four elderly care institutions in Jakarta, Indonesia, involving a purposive sample of 103 elderly aged 60 to 111 years old. Data were collected using Sleep Hygiene Index (SHI) and Pittsburgh Sleep Quality Index (PSQI).</p><p class="AbstractContent"><strong>Results:</strong> Over half of the residents had poor sleep hygiene (51.5%) and more than three quarter (81.6%) had poor sleep quality. The study revealed that there was a highly significant relationship between sleep hygiene and sleep quality (p = 0.001). The study also showed that those with poor sleep hygiene were 7.834 times more likely to have poor sleep quality.<strong></strong></p><p class="AbstractContent"><strong>Conclusion: </strong>Nurses need to include interventions that may address residents’ sleep problems. They also need to promote sleep hygiene and improve residents’ sleep quality.<strong></strong></p><strong>Keywords: </strong>elderly, institution, sleep hygiene, sleep quality

The Relationship Between Family Support and the Quality of Post Primary PCI Patients’ Life

<div><p class="Keywords"><strong>Objective: </strong>ST elevation myocardial infarction is the most common myocardial infarction cases. The main intervention of this case is primary percutaneous coronary intervention (PPCI). After PPCI, quality of life in STEMI patients depend on their ability to control the risk factors of reinfarction. In this condition, patients need family support. Therefore, this study aimed to identify the relationship between family support and quality of patients’ life after PPCI.<strong></strong></p><p class="Keywords"><strong>Methods: </strong>This was a descriptive study with cross sectional design. We recruited a purposive sample of 34 STEMI post- Primary PCI patients. We employed the modified family support questionnaire (Hensarling Diabetes Family Support Scale) and the quality of life questionnaire to collect data. Data, then, were analyzed using univariate and bivariate analyses.<strong></strong></p><p class="Keywords"><strong>Results: </strong>The mean score of the family support was 64.44, with the minimum score of 21 and maximum score of 75. More patients received good family support than those who received poor family support. On the other hand, the mean score of patients’ life quality was 68.36, ranging from 25.1-98.43. There was a weak and positive correlation between family support and quality of patients’ life. However, the relationship was insignificant.<strong> </strong></p><p class="Keywords"><strong>Conclusion: </strong>Family support was not significantly related to quality of STEMI patients’ life. Further studies to identify factors contributing to the quality of STEI patients’ life are needed. </p><p class="Keywords"><strong>Key words: </strong>family support, percutaneous coronary intervention, quality of life, ST elevation myocardial infarction <strong></strong></p></div>

Traditional Music Therapy to Decrease Pain Perception on Elderly in Jakarta Elderly Social Institution

<p align="left"><strong>Objective: </strong>Pain is a health problem that often occurs in the elderly with various precipitation factors. This study aims to analyze nursing care on elderly with acute pain through traditional music therapy at Jakarta Elderly Social Institution</p><p align="left"><strong>Methods: </strong>Three older adults were given traditional music therapy intervention about twenty minutes each day within five weeks.</p><p align="left"><strong>Results:</strong> The result of this study showed that the pain perception of clients decreased after intervention. It was showed by pain scale (Numerical Rating Scale), blood pressure and pulse decreasing.</p><p align="left"> </p><p align="left"><strong>Conclusion: </strong>Elderly Social Institution as a health service provider can apply traditional music therapy as a program in reducing acute pain on elderly.</p><p align="left"> </p><p align="left"><strong>Keywords</strong><em>: </em>acute pain; elderly; traditional music therapy</p>

The Relationship between Nurses’ Caring Behaviors and Patient Characteristics with Adherence to Hemodialysis Therapy Management in End-Stage Renal Disease Patients

<div><p class="Keywords"><strong>Objective: </strong>Hemodialysis therapy management consists of four main aspects; hemodialysis program, medication, fluid restriction, and diet. One of important factors in patients’ adherence to hemodialysis therapy is the relationship between health care providers and patients. Nurses have a great role in improving patients’ adherence since they have the most acquaintances with patients. The purpose of this study was to identify the association between caring nurses’ behaviors and respondent characteristics with adherence to hemodialysis therapy management in end- stage renal disease patients.<strong> </strong></p><p class="Keywords"><strong>Methods: </strong>This study employed a descriptive quantitative research design with a cross sectional approach. A purposive sample of 97 ESRD patients on hemodialysis were involved in this study. data were collected using questionnaire to identify patients’ characteristics, perception on nurses caring behaviors, and compliance on hemodialysis therapy management. Data were analyzed using univariate and bivariate analyses.</p><p class="Keywords"><strong>Results: </strong>Over half of the patients were adherent to hemodialysis therapy management (50.5%) and perceived that nurses have caring behaviors (54.6%). Age, gender, education, economic and marital status were not associated with patients’ adherence. In addition, nurses caring behaviors were not related with patients’ adherence. In contrast, family support was significantly linked with patients’ adherence (p = 0.033).</p><p class="Keywords"><strong>Conclusion: </strong>Nurses caring behaviors were not related to patients’ adherence but family support was. Nurses need to involve family in nursing care as appropriate to better improve patients’ adherence.<strong> </strong></p><p class="Keywords"><strong>Key words: </strong>end- stage renal disease, nurses’ caring behaviors, patients’ adherence <strong></strong></p></div>

Hypoglycemic Effect of Scarlet Spiral Flag (Costus woodsonii) to Alloxan-Induced Diabetic Mice: An In Vivo Study

<p class="AbstractContent"><strong>Objective:</strong> Diabetes Mellitus is a leading illness to the society and despite of a lot of researches, not a single cure has been discovered. Most of the time, people focused on fighting diabetes and medicinal plants were utilized. The purpose of this study was to investigate the hypoglycemic effect of Scarlet Spiral Flag (<em>Costus woodsonii</em>) and to be reviewed for preclinical trials.</p><p class="AbstractContent"><strong>Methods: </strong>20 male Swiss mice were made diabetic by inducing Alloxan monohydrate. Then separated randomly into 4 groups with different treatments administered daily for 7 days; Control, Positive Control (600 µg/kg Glibenclamide), T1 (250mg/kg Scarlet Spiral Flag ethanolic extract) and T2 (500mg/kg Scarlet Spiral Flag ethanolic extract). Their blood sugar was monitored onset after 1^st treatment (6^th, 12^th and 24^th hours) and during the week within the 1^st, 4^th and 8^th day.</p><p class="AbstractContent"><strong>Results:</strong> Both the onset and fasting blood sugar monitoring showed a significant decrease in the mean average blood glucose level of the mice.<strong></strong></p><p class="AbstractContent"><strong>Conclusion: </strong>The ethanolic extract of Scarlet Spiral Flag (<em>Costus woodsonii</em>) has a potent antidiabetic effect in Alloxan-induced diabetic mice. Since it is under the same Genus of the Insulin plant, it has a common effect in terms of lowering the blood glucose level.</p><p class="AbstractContent"><strong>Keywords: </strong>Acclimatization, Alloxan, <em>Costus woodsonii, </em>Ethanolic Extract, Oral Gavage</p>

Quality Of Nursing Work Life Of Associate Nurses And Work-Related Musculoskeletal Disorders

<p class="Default"><strong>Objective:</strong> The aim of study was to identify the relationship between quality of nursing work life (QNWL) of associate nurses with work-related musculoskeletal disorders (WMDs). </p><p class="Default"><strong>Methods: </strong>This descriptive analysis and correlation study used cross sectional design and consecutive sampling technique.</p><p class="Default"><strong>Results:</strong> This study resulted that 51.3% of associate nurses had a high QNWL, the highest subvariabel of job perception (29.95%), the lowest subvariables relation with the head nurse (11.68%), and 91.3% of associate nurses experienced low-musculoskeletal disorders. <strong></strong></p><p class="Default"><strong>Conclusion: </strong>There was no relationship between the quality of nursing work life of associate nurses with work-related musculoskeletal disorders (ρ = 0.47, α = 0.05). This means that although the nurse has musculoskeletal disorders, the quality of work life remains high. Although some nurses do not had WMDs, but some of them have a low quality of nursing work life.</p><p class="Default"><strong>Keywords: </strong>W<em>ork-related musculoskeletal disorders, quality of nursing work life, associate nurse</em></p>

Relaxation Techniques and Therapeutic Communication On Anxiety And Grieving Of Clients with Low Back Pain

<p class="AbstractContent"><strong>Objective:</strong> Low back pain client may have an alteration in their job and had a grieving process with anxiety. Client who experienced it will feel anxiety with certain level and grieving with certain phases. This writing discuss about Mrs. RL’s case about low back pain with anxiety and grieving as psychosocial problems.</p><p class="AbstractContent"><strong>Methods: </strong>This case study aimed to evaluate nursing management given to patient with low back pain to pass grieving process and decrease their anxiety. Nursing management in grieving and anxiety was relaxation techniques and exploring feelings.</p><p class="AbstractContent"><strong>Results:</strong> The evaluation for nursing management was the resolved nursing problem either anxiety or grieving with the teaching interventions. <strong></strong></p><p class="AbstractContent"><strong>Conclusion: </strong>Application of the relaxation techniques with adjusted time for patients in daily living to keep patient’s psychosocial conditions can be performed by nurse.</p><div><p class="Keywords"><strong>Keywords: </strong>Anxiety; Grieving; Low Back Pain; Relaxation Technique</p></div>

Relationship between Nurses’ Knowledge of Initial Assessment and Application of Early Warning System At Emergency Department of Type A Hospital In Jakarta

<div class="WordSection1"><p class="AbstractContent"><strong>Objective:</strong> Early warning system (EWS) is a physiological scoring to observe the patient’s condition not only in hospital wards but also in Emergency Department (ED). At an overcrowded ER that have slow of patient flow, EWS is use as an early detection of patient’s deterioration by observing the vital signs. The purpose of this study was to identify the relationship between nurses’ knowledge of initial assessment and the application of EWS at emergency department.</p><p class="AbstractContent"><strong>Methods: </strong>This was a quantitative study that used descriptive correlative with cross-sectional design toward 70 emergency nurses.</p><p class="AbstractContent"><strong>Results:</strong> The result showed there was a relationship between nurses’ knowledge of initial assessment and the application of early warning system at emergency room <em>(p</em>=0 .001)<strong></strong></p><p><strong>Conclusion: </strong>The higher the level of nurses’ knowledge, their behavior is better. It is recommended to maintain the use of EWS in ED that already good through training regularly (re-certification).</p><p class="AbstractContent"><strong> </strong></p><div><p class="Keywords"><strong>Keywords: </strong>Early warning system; emergency department; initial assessment; nurses’ knowledge.</p></div></div>

Prevention of Delayed Recovery of Right Hemicolectomy in Patients with Ascending Colon Cancer

<p class="AbstractContent"><strong>Objective:</strong> This paper aims to analyze perioperative nursing care given to patients with ascending colon cancer who had right hemicolectomy<strong> </strong></p><p class="AbstractContent"><strong>Methods: </strong>Interventions provided in the form of perioperative education, deep breathing relaxation exercises, effective cough exercises, and early postoperative mobilization</p><p class="AbstractContent"><strong>Results:</strong> The results of the evaluation of the implementation of nursing showed the results of patients able to do post-operative exercises in according to education that has been given, the patient was satisfied, and there was no delay post-surgical recovery.<strong></strong></p><p><strong>Conclusion: </strong>Operative education can be used to improve postoperative recovery in colon cancer patients. Some interventions can be made a protocol and applied to improve patient independence, reduce post-operative care days, and increase satisfaction for patients and families.</p><p><strong> </strong></p><p><strong>Keywords: </strong>Colon cancer; deep breathing; early mobilization; effective coughing; preoperative education</p>