AbstrakKelelahan merupakan salah satu masalah serius pada pasien dengan gagal jantung karena dapat menurunkan produktivitas dan meningkatkan angka kesakitan. Pijat punggung merupakan salah satu intervensi yang berpotensi efektif mengatasi kelelahan dan relatif sederhana, mudah dan murah dalam pengaplikasiannya. Meski demikian, belum ada studi yang membuktikan pengaruh terapi ini dalam mengatasi kelelahan pasien gagal jantung. Tujuan penelitian ini adalah mengidentifikasi pengaruh pijat punggung terhadap skor kelelahan pasien gagal jantung di RSU dr. Slamet Garut. Penelitian quasi experiment ini menggunakan rancangan one group pretest and postest dengan melibatkan 30 pasien gagal jantung yang diambil secara consecutive sampling. Kelelahan pasien gagal jantung dikumpulkan menggunakan Functional Assessment of Chronic Illness Therapy (FACIT) skala kelelahan. Data dianalisis secara deskriptif dan uji inferensial dilakukan menggunakan paired t test. Hasil penelitian menunjukan rerata skor kelelahan pasien sebelum diberikan intervensi pijat punggung sebesar 24,67 (SD=7,078) dan setelah diberikan intervensi pijat punggung sebesar 15,9 (SD=5,75). Terdapat penurunan skor kelelahan yang bermakna sesudah dilakukan intervensi pijat punggung dengan nilai p=0,000 (p<0,005). Selain itu, didapatkan skor kelelahan setelah intervensi hari ketiga secara bermakna lebih rendah dibanding skor kelelahan hari kedua (p=0,006) dan hari pertama (p=0,000). Simpulan penelitian ini adalah terdapat pengaruh pijat punggung terhadap skor kelelahan pada pasien dengan gagal jantung di RSU dr. Slamet Garut, semakin sering frekuensi pijat punggung semakin besar penurunan skor kelelahan. Berdasarkan hal tersebut menjadi penting bagi petugas kesehatan untuk menjadikan pijat punggung sebagai salah satu upaya terapi komplementer dalam pengelolaan kelelahan pada pasien gagal jantung.Kata kunci: Gagal jantung, kelelahan, pijat punggung. The effect of Back Massage against Fatigue Score on Heart Failure Patients AbstractFatigue is one of the most serious problems in patients with heart failure because it can decrease productivity and increase morbidity. Back massage is one of the potentially effective interventions to overcome fatigue and is relatively simple, easy and inexpensive in its application. Nevertheless, no studies have proven the effect of this therapy in overcoming the fatigue of patients with heart failure. The purpose of this study was to identify the effect of back massage to fatigue score of patients with heart failure in RSU dr. Slamet Garut. This quasi experimental study used a one group pretest and posttest design involving 30 heart failure patients taken by consecutive sampling. Fatigue of heart failure patients was collected using Functional Assessment of Chronic Illness Therapy (FACIT) fatigue scale. Data were analyzed descriptively and inferential test was conducted using paired t test. The results showed the average of patient's fatigue score before back massage treatment applied was 24,67 (SD = 7,078) and after the treatment decreas...

<p>Anxiety is major psychological problem in congestive heart failure (CHF) patients. Anxiety leads to reduced quality of life. Anxiety can be treated using non phamacologic intervention. One of the interventions is progressive muscle relaxation (PMR). PMR is the most simple relaxation technique and possible to be applied in CHF patient. This study aimed to determine the effect of progressive muscle relaxation on anxiety IN CHF patients in dr. Slamet Garut hospital. This study used quasi-experimental design pretest and posttest with control group. Samples were selected using consecutive sampling technique (23 patients for each group). Hamilton Anxiety Rating Scale (HARS) was used to measured anxiety. Data were analyzed by Wilcoxon test and Mann-Whitney test. Analysis showed that there was a significant decrease in the mean anxiety score pre and post test both in the intervention and control group (p=0.000) and a significant difference in mean anxiety score reduction between groups (p=0.017) This study concluded that progressive muscle relaxation was effective to reduce anxiety levels in CHF patients. Nurses can apply progressive muscle relaxation as a complementary therapy to reduce anxiety in CHF patients</p>

Background This study sought to determine whether uric acid levels have a relationship with and can potentially be used as a prognosis for coronary heart disease (CHD) biomarkers using a scoping review. Methods This study was conducted following Arksey and O’Malley’s scoping review framework. It was reported as obeying the Preferred Reporting Item for Systematic Review and Meta-analysis for Scoping Review (PRISMA-ScR). The subject was extensively searched for in PubMed, CINAHL, and ScienceDirect. The inclusion criteria in the study were that the sources were journal articles written in English and were available in full text. The age of the subject in the item is the elderly population to capture the relationship between uric acid levels and the prognosis of CHD. The publication time limit was 2010 to 2020. The study was analyzed using thematic analysis. Results We identified 592 studies in our initial search, and 21 studies with a cohort design were included in this study’s analysis. The majority of the evidence suggests an independent correlation with a poor prognosis of CHD in the elderly population. The prognosis of gout includes the prognosis of clinical outcome, severity, and mortality, all of which influence the prognosis value, which becomes a marker. Conclusion Uric acid levels have been identified as a potential biomarker for poor CHD prognosis. Nurses and other healthcare workers should learn how to control poor CHD prognosis.

Kelelahan merupakan salah satu masalah serius pada pasien dengan gagal jantung karena dapat menurunkanproduktivitas dan meningkatkan angka kesakitan. Pijat punggung merupakan salah satu intervensi yang berpotensiefektif mengatasi kelelahan dan relatif sederhana, mudah dan murah dalam pengaplikasiannya. Meski demikian,belum ada studi yang membuktikan pengaruh terapi ini dalam mengatasi kelelahan pasien gagal jantung. Tujuanpenelitian ini adalah mengidentifikasi pengaruh pijat punggung terhadap skor kelelahan pasien gagal jantung di RSUdr. Slamet Garut. Penelitian quasi experiment ini menggunakan rancangan one group pretest and postest denganmelibatkan 30 pasien gagal jantung yang diambil secara consecutive sampling. Kelelahan pasien gagal jantungdikumpulkan menggunakan Functional Assessment of Chronic Illness Therapy (FACIT) skala kelelahan. Datadianalisis secara deskriptif dan uji inferensial dilakukan menggunakan paired t test. Hasil penelitian menunjukanrerata skor kelelahan pasien sebelum diberikan intervensi pijat punggung sebesar 24,67 (SD=7,078) dan setelahdiberikan intervensi pijat punggung sebesar 15,9 (SD=5,75). Terdapat penurunan skor kelelahan yang bermaknasesudah dilakukan intervensi pijat punggung dengan nilai p=0,000 (p<0,005). Selain itu, didapatkan skor kelelahansetelah intervensi hari ketiga secara bermakna lebih rendah dibanding skor kelelahan hari kedua (p=0,006) dan haripertama (p=0,000). Simpulan penelitian ini adalah terdapat pengaruh pijat punggung terhadap skor kelelahan padapasien dengan gagal jantung di RSU dr. Slamet Garut, semakin sering frekuensi pijat punggung semakin besarpenurunan skor kelelahan. Berdasarkan hal tersebut menjadi penting bagi petugas kesehatan untuk menjadikan pijatpunggung sebagai salah satu upaya terapi komplementer dalam pengelolaan kelelahan pada pasien gagal jantung.

Preparedness in the face of a disaster is one of the important elements of activities in reducing the risk and impact of a disaster, this is very much needed during a disaster, therefore a disaster education program is needed to prepare nurses' preparedness so that they can provide fast, accurate service and save victims from physical disability and death. The aim of the literature study is to identify a disaster education program to prepare the preparedness of nursing personnel in both institutional and acute settings. The method used is narrative review. Search for data using electronic data sources, such as PubMed, ScienceDirect, and Garuda Portal. The articles found will be selected based on the full paper with the publication year 2011-2021, open access, publications in English and Indonesian, while articles that are not relevant to the research topic and duplicated will be issued. Increasing disaster preparedness for nurses, namely by providing education coupled with special training, while nursing students by providing modules, peer group discussions, and evaluating materials included in the curriculum.