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Clinical Evidence Based Nursing (EBNP) Penggunaan Berg Balance Scale Untuk Mengkaji Keseimbangan Pada Pasien Stroke Dwi Kartika Rahayuningtyas; Ratna Sitorus; I Made Kariasa; Yunisar Gultom
Jurnal Keperawatan Vol 6 No 2 (2021): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v6i2.836

Abstract

Stroke can affect balance. Balance is the ability to maintain the body in a balanced position both in static and dynamic conditions. However, the assessment of the existing balance is only done in a static state in stroke patients. The balance assessment describes the balance of stroke patients so that they can be written on asessment form and the transfer record and can determine the need for balance training as one of the rehabilitation of stroke patients. This EBN application aims to find out the use of Berg Balance Scale to assess the balance of both static and dynamic conditions in stroke patients. The method used is conducting PICO analysis, searching database, critical appraisal, and determining relevant journals. EBN implementation was carried out on 10 people who had a stroke in zone A on the 5th floor of Building A RSUPN Dr. Cipto Mangunkusumo. This study uses the Berg Balance Scale scale in Indonesian. The analysis showed that stroke patients who experienced balance disorders were 7 people and did not experience a balance of 3 people BBS can assess the balance of stroke patients in accordance with existing evidence. BBS can be used as a balance assessment in stroke patients.
The Deferences of Xylitol Chewing Gum and Mouthwash on Xerostomia in Chronic Renal Failure Patients Hendra Adi Prasetya; Ratna Sitorus; Lestari Sukmarini
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): November 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.131 KB)

Abstract

Increased blood urea or uremic levels often experienced by patients with Chronic Renal Failure can lead to decreased salivary secretion and xerostomia. Xerostomia is a common symptom of difficulty in chewing, swallowing, decreased taste, speaking, increased oral mucosal lesions, and limited tolerance of dentures. This problem will have an impact on increasing thirst sensations that affect the patient to increase fluid intake that leads to an increase Interdialytic Weight Gain and lead to decreased Quality of Life patients. The aim of this research was to know the effect of chewing gum xylitol and mouthwash on xerostomia in chronic renal failure patients. The design was quasi experiment involving 30 respondents selected by consecutive sampling technique and divided into two groups. Xerostomia measured four times in each session of hemodialysis. The results of study showed there was no differences in the four xerostomia measurements in both intervention groups with p-value> 0.05. However, it is seen from the patient's development chart that the xylitol gum intervention reduced xerostomia faster than the mouthwash intervention. The conclusion of this research was xylitol chewing gum and mouthwash had same effect to reduce xerostomia in patients with chronic renal failure. The results of this study can be recommended to be applied as an intervention to resolve xerostomia in chronic renal failure patients.
Social Support in Patient Adherence on Hypertension Management Sapto Haryatmo; Ratna Sitorus; Yulia Yulia
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 4 (2020): Oktober 2020
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.163 KB)

Abstract

Patient compliance with hypertension management is important because non-adherence can lead failure to control blood pressure. This study aims to identify demographic factors and social support in relation to hypertension management adherence. This research is a non-experimental cross sectional analytic study to a population of hypertensive patients in the Temanggung region. Sampling used concecutive sampling with 100 respondents. The Adherence variable was measured using a Medical Outcomes Study (MOS) Measures of Patient Adherence and social support was measured using the Multidimensional Scale of Perceived Social Support. Data were analyzed univariately, bivariately and multivariately to determine the significance and strength of variable correlation. Research result shows a significant relationship between education level (p value = 0.014) and social support (p value = 0.013) with adherence. There was no significant correlation between age (p value = 0.982), gender (p value = 0.435) and financing (p value = 0.521) with adherence. Multivariate test results showed that social support was significantly related to adherence with p value = 0.028 at α = 0.05. Social support has an odds ratio of 5.8, which means patients with good social support have a 5.8 times chance to be more obedient.
The Deferences of Xylitol Chewing Gum and Mouthwash on Xerostomia in Chronic Renal Failure Patients Hendra Adi Prasetya; Ratna Sitorus; Lestari Sukmarini
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): July-December 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Increased blood urea or uremic levels often experienced by patients with Chronic Renal Failure can lead to decreased salivary secretion and xerostomia. Xerostomia is a common symptom of difficulty in chewing, swallowing, decreased taste, speaking, increased oral mucosal lesions, and limited tolerance of dentures. This problem will have an impact on increasing thirst sensations that affect the patient to increase fluid intake that leads to an increase Interdialytic Weight Gain and lead to decreased Quality of Life patients. The aim of this research was to know the effect of chewing gum xylitol and mouthwash on xerostomia in chronic renal failure patients. The design was quasi experiment involving 30 respondents selected by consecutive sampling technique and divided into two groups. Xerostomia measured four times in each session of hemodialysis. The results of study showed there was no differences in the four xerostomia measurements in both intervention groups with p-value> 0.05. However, it is seen from the patient's development chart that the xylitol gum intervention reduced xerostomia faster than the mouthwash intervention. The conclusion of this research was xylitol chewing gum and mouthwash had same effect to reduce xerostomia in patients with chronic renal failure. The results of this study can be recommended to be applied as an intervention to resolve xerostomia in chronic renal failure patients.
Asuhan Keperawatan Perioperatif pada Adenoma Hipofisis dengan Pendekatan Teori Adaptasi Roy Hellena Deli; Ratna Sitorus; I Made Kariasa; M.G Enny Mulyatsih
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v6i2.5656

Abstract

This study aims to describe the implementation of nursing care in post-endoscopic transsphenoidal surgery (ETSS) patients with indications of pituitary adenoma. This research method is a case study in post-ETSS patients with Roy's Adaptation theory approach. This study showed that the patient was free of postoperative complications. The patient could mobilize in stages and went home in a condition that he could walk even with assistance. During treatment, the patient's blood sugar levels were controlled, and signs of dehydration were not found. In conclusion, strict control and good postoperative care can prevent the risk of postoperative complications in patients. Keywords: Roy Adaptation, Pituitary Adenoma, ETSS