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All Journal Jurnal Keperawatan Malang Jurnal Kesehatan Primer Jurnal Keperawatan Notokusumo
Linda Widyarani
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Humanities Education Health Professions Nursing Public Health

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Journal : Jurnal Keperawatan Notokusumo

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Faktor yang Berperan Sebagai Prediktor Kematian pada Pasien Non-ST Elevation Infarction (NSTEMI) pada 48 Jam Pertama Perawatan Linda Widyarani; Muhammad Rasjad Indra; Tony Suharsono
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background: In-hospital mortality rate NSTEMI equally even higher than STEMI. In dr. Soedono Madiun general hospital, in-hospital mortality rate of NSTEMI was 17% in 2012 and had escalated reached 21% in 2013. Among patients NSTEMI with late arrival (>2 hours) and arrhythmias had a higher in-hospital mortality rate. Objective: To determine the factors that had a role as early predictor of in-hospital mortality in NSTEMI patient. Method: This research had been conducted in dr. Soedono Madiun general hospital. This research use quantitative research method, use approach of observational analytic with longitudinal prospective design. This research had been done in April until June, 2014 with the number of samples is 50 people. Analysis of data use multivariate analysis regression logistics. The collecting data obtained by observation and an interview. Result: The mean of delay time was 7,89±6,44 hours. Self-medication (0,000) and health-care seeking pattern (0,002) were factors influencing pre hospital delay among patients NSTEMI >2 hours. Analysis of bivariate showed that pre hospital delay statistically significant predictor of in-hospital mortality (0,001). Among patients NSTEMI with late arrival (>2 hours) had a higher in-hospital mortality rate. The number of patients who arrive at the hospital early was 13 people and at the hospital late only 2 people. After analysis of multivariate, regression logistic showed that systolic blood pressure ?90 mmHg (p=0,023, RR=7,596, ?=0,05) and arrhythmias (p=0,047, RR=6,866, ?=0,05) proven a role as early predictor of in-hospital mortality in NSTEMI patient. Frequently, total AV block proven a role as early predictor of in-hospital mortality of NSTEMI. Conclusion: The strongest factor had a role as early predictor of in-hospital mortality in NSTEMI patient is systolic blood pressure ?90 mmHg.
Blended Learning sebagai Metode Pembelajaran Inovatif pada Pelatihan Cardiopulmonary Resuscitation (CPR) Linda Widyarani
Jurnal Keperawatan Notokusumo Vol. 3 No. 1 (2015): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.486 KB)

Abstract

One of the emergency cases which is a major cause of death was cardiac arrest. Relief is given to patients with cardiac arrest is an act of Cardiopulmonary Resuscitation (CPR). Nurses must have the competence to perform CPR to engage themselves in training BTCLS. Currently the training is done by conventional methods but the resulting output is less than optimal. This study aimed to examine the effectiveness of blended learning as an innovative teaching methods in the implementation of CPR training. Through a data base search method EBSCHost, Science direct, Medscape, Proquest, and PubMed from 2010-2014, using related keywords. Selection of the RCT criteria and fulltext. Showed that the blended learning method is shown to have a higher success rate than conventional methods (face-to-face) or computer-based methods (e-learning). Learners are more active and longer retention of science proven, flexible and cost-efficient over time. It was concluded that the blended learning as an innovative teaching methods in the implementation of CPR training is more effective than conventional methods and computer-based methods (e-learning).
Co-Authors Maria Putri Sari Utami Muhammad Rasjad Indra Tony Suharsono