Dysmenorrhea is a common complaint in young women, characterized by pain. Dysmenorrhea pain has a significant impact on womens lives, such as limitations in daily activities. Primary dysmenorrhea can be treated using yoga and self tapping. Objective: understanding effectiveness on use of mind-body practice: yoga towards changing long pain of primary dysmenorrheal. Method: Study was conducted by quasi experiment with nonequivalent pretest-posttest control group design. Study was conducted on November 2016 until Februari 2017 in SMK "X" and SMK "Y" Klaten. Sample of study amounted 88 respondent divided on 47 respondent on experimental group and 41 respondent as control group. The experimental group was given a yoga intervention, control group was given self tapping. Measuring tool using Numerical Rating Scale (NRS). Data analysis using t-test for independent sample, Mann-Whitney test and Wilcoxon. Result: Statistically yoga and self tapping were equally effective in reducing the long pain of primary dysmenorrheal with p values of 0.000 and 0.012 respectively. Clinically yoga is more effective in reducing the long pain of primary dysmenorrhea with mean 1,49 compared with self tapping 0,46. Conclusion: Yoga intervention effective on reduction long pain of primary dysmenorrhea.
The code blue system consists of a team formed specifically to treat patients with emergency conditions who are often referred to as the code blue team. But this system is inseparable from problems that sometimes pose challenges for the code blue team and the hospital. Objective: The aim of this study was to explore the experiences of nurses when become a member of code blue team. Research Methods: This research was a qualitative study using an interpretive phenomenological approach. Participants in this study were 8 people who were coded blue nurses at Wava Husada Hospital. The participants were selected using purposive sampling technique. The method used in this study is an in-depth interview supported by a guide to semi-structured interviews and open-ended questions. Results: The results of this study obtained 3 themes, namely: 1) nurses who have limited knowledge and skills; 2) long taken decisions by family; 3) application of the code blue system has not been maximized. Many factors make code blue nurses feel difficult when they have to do help on patients in the room. The difficulty comes not only from the patient's family, but also from nurses, and from the code blue management system at the hospital. Conclusion: Nurse as a member of code blue team must be able to provide optimal service in the midst of difficulties they sometimes feel. However, they went through that difficulty, in order to save the lives of their patients.
ABSTRAK Latar Belakang: Early Warning System (EWS) merupakan sistem untuk mendeteksi secara dini kondisi fisiologis berdasarkan respon klinis, yang biasanya digunakan di unit bedah medis sebelum pasien mengalami kondisi darurat[1]. Perawat perlu dilatih untuk dapat mendeteksi atau mengenali perubahan kondisi pasien yang memburuk, serta mampu melakukan tindakan perawatan yang tepat1.Pengetahuan dan pemahaman terhadap pasien yang beresiko mengalami perburukan kondisi dapat membantu mengurangi masalah potensial yang akan muncul[2]. Tujuan penelitian: untuk menganalisis faktor yang dapat mempengaruhi perawat dalam menerapkan Early Warning System (EWS). Metode Penelitian: Penelitian ini menggunakan metode eksplanatif untuk melihat hubungan antar variabel yaitu karakteristik individu dan pengetahuan menggunakan tabulasi silang. Penelitian ini dengan pendekatan cross sectional berdasarkan cara pengumpulan data penelitian ini merupakan penelitian survei karena pengumpulan datanya menggunakan kuesioner, penelitian ini tidak melakukan perlakuan, tetapi meneliti keadaan yang sudah ada. Hasil Penelitian: Hasil yang didapatkan dalam penelitian ini terdapat hubungan antara pengetahuan dengan penerapan Early Warning System (EWS) di ruang rawat inap bedah dan penyakit dalam RS Muhammadiyah Palembang. Perawat yang patuh menerapkan EWS ada 17 orang (53,1%) dari 32 orang perawat yang menjadi responden. Saran: Diharapkan perlu adanya sosialisai kembali mengenai Early Warning System (EWS) kepada perawat terutama di ruang rawat inap. Kata Kunci: Penerapan EWS, perawat
Cedera kepala adalah cedera pada otak yang dapat menyebabkan perubahan fungsi serta struktur jaringan otak akibat mendapatkan dorongan mekanik eksternal seperti trauma tumpul maupun tusuk. Kejadian cedera kepala dan tingkat perburukan cedera kepala sangat tinggi di dunia. Oleh karena itu diperlukan penilaian awal untuk memprediksi perburukan pasien cedera kepala yaitu menggunakan GAP dan RTS. Tujuan penelitian untuk mengetahui perbandingan GAP dan RTS dalam memprediksi perburukan pasien cedera kepala. Desain penelitian observasional analitik dengan pendekatan retrospektif dengan purposive sampling. Responden berjumlah 245 rekam medis cedera kepala. Pengukuran dilakukan menggunakan lembar observasi. Analisis uji Receiver Operating Charateristic (ROC). Didapatkan hasil maisng-masing RTS dan GAP dalam memprediksi perburukan pasien cedera kepala mempunyai nilai = 0.851 vs 0.806. RTS lebih baik dalam memprediksi perburukan pasien cedera kepala dibandingkan dengan GAP.
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