Introduction There has been a concern whether the decrease in ST-segment elevation myocardial infarction (STEMI) cases during the COVID-19 pandemic era is related to unsatisfactory performance of STEMI systems of care as well as worsening of the clinical outcomes in STEMI patients. Thus, our meta-analysis was conducted to evaluate this matter. Methods We compared the predetermined variables in this meta-analysis during the early and late pandemic. Using a combination of adapted search terms to fit the requirements of several search engines (PubMed, EuropePMC, SCOPUS, ProQuest, and EBSCOhost), we reviewed all observational studies citing our outcomes of interest before and during the outbreak. Results Thirty-five records comprising a total of 62,247 participants were identified. Overall, our meta-analysis showed that there was a huge reduction of nearly 80% for STEMI admission during the outbreak ( n = 10,263) in contrast to before the outbreak period ( n = 51,984). STEMI patients who were admitted during the outbreak received less primary PCI and had longer symptom-to-FMC (first medical contact) time along with prolonged door-to-balloon (DTB) time. A decrease in the achievement of final TIMI (thrombolysis in myocardial infarction) 3 flow after primary PCI was also observed in this study. However, the number of in-hospital mortality was similar between two groups. Conclusion There was a decrease in the STEMI care performance and worsening of clinical outcomes in STEMI patients, especially in the early pandemic period. Overall, concise health services must be implemented following a responsibility to obey health protocols to deliver high-quality services related to STEMI systems of care amidst the global pandemic.

Peran anak remaja pada situasi pandemic covid 19 ini tidak hanya untuk berdiam diri dirumah saja tetapi juga harus bisa membantu melakukan pencegahan penularan covid 19 ini dengan cara saling mengingatkan untuk tetap menjaga jarak bila berada di luar rumah, selalu mencuci tangan setelah bersentuhan dengan benda ataupun hewan dan manusia, serta sebisa mungkin membatasi kontak langsung dengan orang-orang dikarenakan antibody anak remaja yang masih kuat sehingga bisa saja anak remaja sudah terinfeksi covid 19 namun tidak menunjukkan gejala apapun. Oleh sebab itu anak remaja harus mempunyai kesadaran sendiri akan bahaya virus covid 19 ini bagi orang-orang yang mereka sayangi.

Keluarga merupakan sistem pendukung pertama dan utama bagi individu. Dukungan keluarga yang baik bisa menjadi sumber motivasi, semangat dan perlindungan terhadap resiko-resiko bahaya kepada pasien. Keluarga merupakan unit paling dekat dengan pasien, dan merupakan perawat utama bagi pasien. Keluarga berperan dalam menentukan cara atau perawatan yang diperlukan pasien di rumah sakit. Peran serta keluarga sejak awal perawatan di rumah sakit akan berpengaruh terhadap keadaan pasien. Maka dari itu sangat diperlukan peran keluarga sebagai partner bagi pelayanan kesehatan

This systematic review and meta-analysis aimed to evaluate patients with acute ST-segment elevation myocardial infarction (STEMI) who were admitted during off-hours and treated with primary angioplasty associated with an increased risk of mortality compared with those admitted during regular working hours. We performed a systematic literature search using PubMed, SCOPUS, Europe PMC, and Cochrane CENTRAL databases that was finalized on March 15, 2021. The primary outcome was mortality comprising early (in-hospital), midterm (30 days to 1 year), and long-term mortality (>1 year). A total of 384,452 patients from 56 studies were included. The overall mortality of acute STEMI patients admitted during off-hours and regular hours were 6.1 and 6.7%, respectively. Patients admitted during off-hours had similar risk of early, midterm, and long-term mortality compared to those admitted during regular working hours ([relative risk or RR = 1.07, 95% confidence interval or CI, 1.00–1.14, p = 0.06; I 2 = 45%, p = 0.0009], [RR = 1.00, 95% CI, 0.95–1.05, p = 0.92; I 2 = 13%, p = 0.26], and [RR = 0.95, 95% CI, 0.86–1.04, p = 0.26; I 2 = 0%, p = 0.76], respectively). Subgroup analyses indicated that the results were consistent across all subgroups ([women vs. men], [age >65 years vs. ≤65 years], and [Killip classification II to IV vs. Killip I]). Funnel plot was asymmetrical. However, Egger's test suggests no significance of small-study effects (p = 0.19). This meta-analysis showed that patients with acute STEMI who were admitted during off-hours and treated with primary angioplasty had similar risk of early, midterm, and long-term mortality compared with those admitted during regular working hours.

Dokumentasi asuhan keperawatan merupakan bagian penting dari kegiatan yang harus dikerjakan oleh perawat setelah memberi asuhan kepada pasien. Dokumentasi sebagai suatu sarana informasi yang lengkap dari status kesehatan pasien, kegiatan asuhan keperawatan, kebutuhan fisik maupun sosial pasien serta respons pasien terhadap tindakan asuhan yang telah di berikan. Dokumentasi keperawatan memiliki porsi dari catatan klinis pasien yang dapat memberikan informasi faktor tertentu atau situasi yang terjadi selama asuhan dilaksanakan. Catatan pasien sebagai dokumen legal yang berisikan status sehat sakit pasien pada saat lampau maupun sekarang, dituliskan perawat pada saat pengkajian dalam bentuk tulisan, yang dapat memberi suatu gambaran asuhan keperawatan yang akan diberikan.