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Health Gate
Published by Dewan Perwakilan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar
ISSN : -     EISSN : 29861098     DOI : 10.70111
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
"Health Gate" is a media for the publication of articles on research, case report, literature review, book review, perspective, scientific news and letter to editor in the areas of health science and practice such as nursing, midwifery, public health, medicine, dentistry, pharmaceutical, environmental health, nutrition, health technology, clinical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 5 Documents
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Search results for , issue "Vol 2, No 3 (2024): July 2024" : 5 Documents clear
FACTORS RELATING TO VENTILATOR-ASSOCIATED EVENT (VAE) Anang Yoszaria
Health Gate Vol 2, No 3 (2024): July 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2303

Abstract

Mechanical ventilation is an oxygen therapy that is effective in saving the lives of critical patients in the intensive care unit (ICU). Prolonged use results in an increased risk of infection, in this case ventilator-associated pneumonia (VAP). In 2013, the United States Centers for Disease Control and Prevention redefined monitoring of the quality of care for patients using ventilators by moving away from the definition of ventilator-associated pneumonia ( VAP) to the definition of a ventilator-associated event (VAE) as a sustained increase in ventilator support after a period of stable or decreased ventilator support. For this reason, it is necessary to search for data regarding factors that influence ventilator-associated events. The literature search method was carried out based on articles published between 2019-2024 in accordance with the inclusion and exclusion criteria that had been determined using 1 database, namely Scopus. This literature search used PRISMA guidelines in carrying out the screening process. From the search results, 60 articles were obtained. After going through the screening process, there were 3 articles that met the criteria and will be analyzed. The results of the study from 3 pieces of literature show that the factors associated with ventilator-associated events are ventilator-associated events, namely the application of SDD (selective digestive decontamination, VILI (ventilator induced lung injury), lung atelectasis, excess fluid, including pulmonary edema, use of medication chlorhexidine mouthwash for oral care, spontaneous breath trials, early mobility, tracheostomy, use of vasopressors, transfusion overload, delirium, type of sedation (continuous or intermittent), type of sedation drug (midazolam, propofol), and analgesia drugs (fentanyl, morphine, remifentanil ), conditions related to infection, gender, age, presence of comorbidities, body mass index, and disease severity index. Reason for intubation. Intubation can be carried out in the ICU or elsewhere.
The Effect Of Delaying Umbilical Cord Cutting On Hemoglobin Levels In Newborn Babies Erda Restya Restya; Laila Lailaturohmag; Dwi Lukmawati; Fransiska Septiana
Health Gate Vol 2, No 3 (2024): July 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2304

Abstract

AbstractIron deficiency anemia, commonly occurring in infants aged 6-24 months, can be prevented by delaying the cutting of the umbilical cord after birth. A quasi-experimental study conducted at the Mother and Child Clinic in Mojo Kediri involved 30 infants, divided into an experimental group (with delayed cord clamping) and a control group. Hemoglobin levels were measured using a Hematology Autoanalyzer, and the data were analyzed using a t-test. The intervention group, with a delay in cord clamping for 1 hour, showed an average increase in Hb levels from 15.444 g/dl to 19.800 g/dl after 24 hours. Meanwhile, the control group, without any delay, increased from 15.544 g/dl to 16.844 g/dl. Delaying the umbilical cord clamping significantly increased hemoglobin levels in newborns (p-value: 0.000). Infants with delayed cord clamping exhibited higher hemoglobin levels, better body iron reserves, and reduced risk of anemia. The higher red blood cell levels supported better cardiopulmonary adaptation and increased breastfeeding duration in early life. The research concludes that delaying the cutting of the umbilical cord for 2 minutes in newborns can enhance Hb levels after 24 hours compared to cord clamping at 15 seconds after birth. This highlights the importance of delaying cord clamping to support hemoglobin health and infant development.Keywords: Delaying Umbilical Cord Clamping, Hemoglobin Levels, Newborns
Maintaining Stabilization of Blood Sugar Levels in Diabetes Mellitus Patients with Foot Exercises: Case Report Lina Ema Purwanti; Ani Nur 'Aini
Health Gate Vol 2, No 3 (2024): July 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2301

Abstract

The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of different organs. Physical activity is one of the factors that affect glycemic management. This case study aims to maintain the stability of blood sugar levels in DM patients by applying leg exercises. The design of this research is a case report with a nursing process approach carried out on Diabetes Mellitus patients with nursing problems of unstable blood sugar levels. Nursing care was carried out for seven days at the Muhammadiyah Ponorogo General Hospital. The intervention implemented is foot exercises. The results of the case study are presented in the form of nursing documentation. The case study results showed that the patient's blood sugar levels tended to be stable starting on the second day of the intervention.Exercise-induced glycemic control is mostly explained by an increase in whole-body insulin sensitivity. The long-term advantages of frequent exercise on glycemic control appear to be related to the cumulative effect of transitory gains in insulin sensitivity and glycemic control after each bout of exercise, rather than structural changes in insulin sensitivity. Keywords: blood sugar level; diabetes mellitus; foot exercise 
The Relationship Between Knowledge And Adherence To a Hypertension Diet In The Elderly Titik Juwariah; Yoyok yulianto; Agus Priyanto; Slamet Jayadi
Health Gate Vol 2, No 3 (2024): July 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2305

Abstract

  Hypertension or high blood pressure is one of the non-communicable diseases caused by lifestyle. One prevention so that complications do not occur is to change lifestyle, food intake and routine blood pressure control. The purpose of this study was to determine the correlation of level knowledge and elderly hypertension diet adherence in Nganjuk Regency This research design used was correlative with a cross-sectional approach. The population was 28 hypertension elderly people who actively participated in the elderly Posyandu of Cepoko Village the sample all of 28 people as taken by total sampling. The independent variable is the level of knowledge in hypertension, the dependent variable was Elderly Hypertension Diet Adherence. Data collection was carried out using questionnaires. The data was analysed by Spearmen Rank Correlation test with an alpha of 0.05. The results of the study found that 67.86% of respondents including compliant and 32.14% non- adherence, following the hypertension diet and the results of the calculation of SPSS 25 significance value of 0.000, meaning was Ho rejected.  The conclusion of this study was there are The Correlation of Level Knowledge and Elderly Hypertension diet adherence In Nganjuk Regency For this reason, it is hoped that the increasing role of families, cadres and nurses providing health education through interesting information such as using audiovisual such as social media content will be very capable of influencing knowledge that ultimately changes behaviour and compliance with something. Keywordslevel of knowledge, diet adherence, elderly hypertension
Relationship between Frequency of Urinary Catheter Care and Incidence of Urinary Tract Infection (UTI) in KH Ahmad Dahlan Room, RSU Muhammadiyah Ponorogo Henes Nurianto; Laily Isro'in; Anni Fithriyatul Mas'udah
Health Gate Vol 2, No 3 (2024): July 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2302

Abstract

Urinary tract infection (UTI) is a frequent occurrence in hospitals and it was reported that 37% of inpatients at RSU Muhammadiyah Ponorogo were fitted with urinary catheters and 38% of them experienced UTI. Frequency of urinary catheter care could potentially affect the incidence of UTI. This study aims to determine the relationship between the frequency of urinary catheter care and the incidence of urinary tract infection (UTI) in the KH Ahmad Dahlan Room of RSU Muhammadiyah Ponorogo. This research method is quantitative with a correlational design using a Cross Sectional approach. The study population was all inpatients in the KH Ahmad Dahlan Room at RSU Muhammadiyah Ponorogo in September - October 2023 totaling 484 patients with an average of 242 people / month. The sampling technique used purposive sampling with the research sample being a portion of inpatients with catheters installed, totaling 30 respondents. Data collection using Check List. Data analysis techniques using Chi-Square. The results of this study showed that of the 30 respondents, most of the 28 respondents (93.33%) with the frequency of urinary catheter care were irregular (not every day) and most of the 29 respondents (96.67%) experienced the incidence of urinary tract infections (UTI). The results of the Chi-Square statistical test obtained a p-value obtained of 0.095> 0.05 so as not to reject H0 which means there is no significant relationship between the frequency of urinary catheter care and the incidence of urinary tract infection (UTI).

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