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Rahmatul Fitriyah
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The Benefits of Fasting to Improve Health Conditions and to Prevent Cardiovascular Disease Wahyu Sukma Samudera; Gracia Victoria Fernandez; Rahmatul Fitriyah; Hidayat Arifin; Shenda Maulina Wulandari; Roby Aji Permana
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.17168

Abstract

Introduction: Fasting is defined as the voluntary abstinence from eating for variable time intervals and it has been associated with potential beneficial impacts on human health. The study was to review the benefits of fasting on cardiovascular health in humans with or without cardiovascular disease.Methods: The databases search was done using the keywords ‘fasting’ and ‘cardiovascular system’ using Scopus, Science Direct and ProQuest, limited to between 2013 and 2019 for publication year. A total of 3.619 articles were obtained and 15 articles involving experimental and non-experimental studies were used as the reference material.Results: The findings showed that in people who are healthy, fasting can reduce the inflammatory markers (IL-1 & IL-6, TNF-α), the oxidative stress marker (Malondialdehyde), body weight, abdominal circumference, fasting blood glucose, LDL, triglyceride and blood pressure. In people at risk or with cardiovascular disease, fasting can reduce body weight, body mass index, abdominal circumference, fat percentage, blood pressure, triglyceride, the biomarker of inflammation (serum amyloid A), the biomarker of oxidative stress (protein carbonyl), the biomarker of endothelial dysfunction (asymmetric dimethylarginine) and increase the vascular endothelial growth factor.Conclusion: Based on these findings, fasting can improve the health condition of people at risk or with cardiovascular disease by improving the risk factors such as blood pressure, overweight and endothelial dysfunction. In people who are healthy, fasting can be used for the prevention of cardiovascular disease by helping to maintain their weight, blood pressure, LDL and triglyceride within the normal limits.
Discharge Planning of STEMI Patients by Multidisciplinary Professionals to Improve the Health Services Rahmatul Fitriyah; Nursalam Nursalam; Ita Maulidiawati
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.20519

Abstract

Introduction: Discharge planning starts at admission and begins by determining the educational needs.  The objective of this study was to explore the implementation of discharge planning held by multidisciplinary professionals for STEMI (ST elevation myocardial infarction) patients. Methods: The design of this study was descriptive and the data was collected through in-depth interviews with the participants.Results: The results of the interview were transcribed verbatim, and then a FGD (Focus Group Discussion) was conducted. The participants consisted of11 nurses, 1 nutritionist and 1 pharmacist with a minimum working period of 2-10 years. Sampling started with the purposive sampling method. Several things influence the implementation of discharge planning viewed from the perspective of multidisciplinary professionals according to productivity theory in the organization of a cooperative, namely the motivation of the health workers, the abilities and knowledge of the health workers, the job design and the work schedule involved. Conclussion: . For the future, it is necessary to have digital guideline/tools available that can be easily accessed by multidisciplinary professionals to make the work schedule for health workers optimal to improve the health services.