The Effect of Self-Evacuation Drill on The Preparedness Level of Children with Disabilities in Facing Tornado Disaster

Many of these casualties are high risk groups, one of which is children with disabilities.  This study aimed to investigate the preparedness level of children with disabilities in facing tornado before and after participating in the self-evacuation drills. This is a quasi-experimental study with one group pre- and post- test with control group design.  Results indicated that the preparedness level of children with disabilities in intervention group before intervention was 46.47 (±13.101), while in control group was 43.13 (±13.101). After intervention, the preparedness level in intervention group increased significantly compared to control group (p=0.000) and the mean of preparedness level in intervention group rose to 51.63 (±10.516) while control group did not record any increase with a mean of 41.20 (±12.288). These findings suggest that a learning method through a self-evacuation drill with audio-visual technique is more effective to improve the understanding of preparedness to face tornado among children with disabilities

The Effects of Chromotherapy on the Stress Level of Patients With Hypertension

Hypertension contributes to 7.5 million deaths or 12.8% of the total mortality rate globally, making it one of the major health problems and is the leading cause of death every year. The high mortality and morbidity rate of hypertension are related to depression and stress. Hence, preventive actions in reducing the stress levels and blood pressure are required. Chromotherapy is a non-pharmacological therapy option to lower blood pressure that has several advantages; inexpensive, easy implementation, and minimal side effects. This research aimed to determine the effectiveness of chromotherapy on the stress level of patients with hypertension. This is a pre-and-post-test quasi-experimental study involving 120 patients with hypertension. The chromotherapy effectively reduce stress level and blood pressure of the treatment group (p0.05). Moreover, the mean score of stress level of treatment group was decreased to 40.10 (± 10.516), while the control group experienced the opposite; an increased mean score to 80.90 (± 12.288). Furthermore, the decreased blood pressure of treatment group was observed by 10-14 mmHg after chromotherapy treatment was given. The chromotherapy is a new innovation in complimentary therapy and can be used as an alternative non-pharmacological treatment that effectively reduces stress level and blood pressure.

The Effect of Chromotherapy on Decreased Blood Pressure during Sleep in Hypertension Patients in Kupang, Indonesia

Various efforts to prevent the increasing prevalence of deaths due to hypertension continue to be developed, including alternative medicine systems (CAMS). One of the alternative treatment methods recommended by the world, easy, cheap, and efficient is chromotherapy or light therapy. The purpose of this study was to look at the influence of chromotherapy in lowering blood pressure during sleep in hypertension sufferers. The research method used is quasy experiment with the design of one group pre- and posttest with a control group design. Sampling techniques are carried out using purposive sampling with the number of 120 respondents. The results of this study have proven that chromotherapy has a tremendous effect in lowering blood pressure by 10–30 mmHg during sleep 15–35 minutes by utilizing the blue and green spectrum that affects the work of the sympathetic and parasympathetic nerves so as to provide elements of relaxation and lower blood pressure. The pretest result of the treatment group obtained a mean from 172/96 to 158/93 mmHg, which showed a decrease while in the control group, there was no significant change with mean values of 166/96 and 166/97 mmHg

The Correlation Between Workload And Occupational Stress Of Nurses In The Emergency Department Of Regional Public Hospital Rsud Prof. Dr. W. Z. Johannes Kupang

The emergency department in a hospital tends to pose a high stress level. This is due to the conditions, i.e., life-threatening condition of patients that often trigger the stress on the nurses. The nurses are required to act immediately and to possess specific skills to provide accurate treatment to the patients. Such a condition signifies the major role of nurses in a hospital. It also demands improvement in the performances of the nurses to conceptualize quality health services. Occupational stress is a term used to refer to depression or emotion, being irritable towards the situation of the workplace, and it is signified by both mental and physical condition of a person. This inevitably affects one’s health as and the spiritual condition. Excessive workload is among the factors causing occupational stress. This study aims at exploring the correlation between workload and occupational stress of nurses in the emergency department of Regional Public Hospital RSUD. Prof. Dr. W. Z. Johannes Kupang. The cross-sectional study involved 40 respondents selected using a total sampling method. The data were analyzed using the Pearson chi-square correlation. It is revealed that the p-value 0.000 is lower than α 0.05, meaning that H0 is rejected and signifying that workload correlates with the occupational stress of the nurses in the research site.

Association Between Family Support and Nurse Motivation in Managing Patients with COVID-19

Background: Coronavirus (COVID19) is a world public health emergency. The coronavirus transmission is highly fast that health workers are at high risk of contracting COVID-19. It raises excessive anxiety for nurses when caring for COVID-19 patients, so one way to help reduce the fears and worries nurses face is by providing support and motivation from their families.Purpose: This study aims to determine the relationship between family support and nurses’ motivation in caring for Patients with COVID19.Methods: The method used was correlational quantitative, involving 84 nurses caring for Patients with COVID19.Result: The results of the spearman rank test showed a p-value of 0,001 ≤ α 0,05, which indicated a relationship between family support and the motivation of nurses in caring for Patients with COVID19. Furthermore,the coefficient correlation (r = 0,362) had a low level of relationship with a positive direction of the relationship.Conclusion: It can be concluded that family support is very important in the psychological dimension by positively affecting nurses' work motivation

Analisis Faktor Yang Mempengaruhi Perawat Dalam Melakukan Manajemen Care Bundle Pada Pasien Cedera Kepala Di Instalasi Gawat Darurat Wilayah Kupang

Cedera kepala merupakan penyebab utama kematian dan kecacatan di seluruh dunia. Di Amerika Serikat kematian yang disebabkan oleh cedera kepala telah mencapai 18,4% per 100.000 orang dengan rata-rata 53.014 kasus pertahun. Peningkatan angka cedera nasional di Indonesia yakni pada tahun 2007 sebanyak 7,5% dan tahun 2013 sebesar 8,2 % kasus. Penyebab cedera terbanyak yaitu jatuh (40,9%) ditemukan di Provinsi Nusa Tenggara Timur (NTT). Sebagian besar kasus cedera kepala di Provinsi NTT merupakan dampak dari kecelakaan lalu lintas (34,2%) dan jatuh (55,5%). Hal ini disebabkan mayoritas mata pencarian penduduk asli NTT adalah pengiris buah pohon lontar (Borassus flabellifer) yang mengharuskan mereka memanjat pohon setinggi 15-30 meter. Selain itu, kebiasaan warga NTT yang tidak menggunakan helm (58,4%), akan sangat berbahaya dan mengancam nyawa apabila terjadi kecelakan lalu lintas. Manajemen cedera kepala yang baik dan tepat akan mempengaruhi kualitas perawatan dan outcome pasien. Perawat IGD memiliki peran penting dalam penanganan awal dan pengambilan keputusan independen dalam kondisi gawat darurat. Kurangnya pelaksanaan manajemen care bundle sebagai penanganan awal perawat pada pasien dengan cedera kepala, yang secara teknik merupakan tindakan mandiri dari keperawatan gawat darurat dapat menyebabkan beragam perawatan dan menempatkan pasien pada resiko terjadinya peningkatan tekanan intrakranial serta cedera otak sistemik. Tujuan dari penelitian ini adalah menganalisis faktor yang mempengaruhi perawat dalam melakukan manajemen care bundle pada pasien cedera kepala di IGD wilayah Kota Kupang. Hasil penelitian ini diharapkan dapat meningkatkan pelayanan dan pengelolaan pasien cedera kepala untuk mencegah prognosa buruk, mengurangi angka kecacatan dan kematian. Metode penelitian yang digunakan yaitu kuantitatif dengan pendekatan cross sectional. Pengambilan sampel menggunakan dengan teknik purposive sampling yang melibatkan 114 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner dan lembar observasi perawat untuk pelaksanaan manajemen care bundle. Data dianalisis menggunakan uji regresi linear sederhana yang menunjukkan bahwa p value faktor pengetahuan perawat sebesar 0,003 < α = 0,05, faktor ketrampilan perawat p = 0,017 < α = 0,05, faktor sumber daya perawat p = 0,006 < α = 0,05, dan faktor kerjasama tim p = 0,011 < α = 0,05 yang berarti H0 ditolak atau ada pengaruh antara pengetahuan, ketrampilan, sumber daya dan kerjasama tim perawat dengan pelaksanaan manajemen care bundle di IGD Wilayah Kupang. Faktor pengetahuan perawat ix merupakan faktor yang paling berpengaruh terhadap pelaksanaan manajemen care bundle dengan nilai R sebesai 7,6%. Kesimpulan dari penelitian ini adalah Terdapat pengaruh yang bermakna faktor pengetahuan perawat, ketrampilan perawat, sumber daya perawat dan kerjasama tim perawat dimana pengetahuan merupakan faktor prediktor yang paling mempengaruhi pelaksanaan manajemen care bundle. Penelitian ini dilakukan di seluruh IGD rumah sakit pemerintah wilayah Kupang dengan lokasi penelitian yang berbeda-beda sehingga dalam pengisian kuesioner peneliti tidak dapat mengawasi secara penuh pengisian kuesioner yang diisi responden

Pemberian Terapi KCL dengan Kejadian Flebitis pada Pasien Hipokalemia di Rawat Inap RSUD SK Lerik

Salah satu intervensi yang dapat dilakukan adalah dengan pemberian KCl melalui akses vena perifer biasanya 20-40 mmol KCl per liter dalam normal saline 500 ml. Konsentrasi lebih tinggi dapat menyebabkan nyeri lokal flebitis kimia, iritasi, dan sklerosis. Tujuan penelitian ini adalah menganalisis hubungan Pemberian KCl dengan Kejadian flebitis pada pasien hipokalemia di Rawat Inap Umum RSUD S.K.Lerik Kota Kupang. Penelitian ini merupakan penelitian kuantitatif dengan desain analisis deskriptif korelasi dengan pendekatan Cross sectional yang bertujuan menganalisis hubungan pemberian terapi KCl dengan kejadian flebitis pada pasien hipokalemia di Rawat Inap Umum RSUD S.K Lerik Kota Kupang. Populasi dalam penelitian ini adalah pasien Hipokalemia yang di Rawat di Rawat Inap Umum RSUD S. K Lerik dan mendapat intervensi pemberian terapi KCl intravena lebih dari 1 siklus pada bulan Juni-Juli 2022 yang berjumlah 50 orang. Sampel dalam penelitian ini adalah pasien yang dirawat di Ruang Rawat Inap Umum RSUD S.K.Lerik sejumlah 40 responden. Hasil penelitian ini dapat memberikan masukan mengenai penerapan terapi KCL pada pasien hypokalemia, dimana dalam pemberiannya harus melalui tahapan pengawasan konsentrat obat secara berkala dengan melihat tingkat hypokalemia yang dialami pasien. Selain itu, perawat juga harus mengobservasi setiap komplikasi yang ditimbulkan dari pemberian terapi KCL seperti adanya phlebitis dengan menggunakan visual infusion phlebitis score (VIP)