Is It True that CPR Fraction mostly Caused by Physical Fatigue?

Introduction: Based on AHA 2015 guidelines the best fraction for CPR intervention is 60%. It means that in one CPR intervention the interruption must be not more than 40% of total intervention. the standard supposed to be different at each helper, because many factors will affect the effectivity of CPR intervention. There were many study to know the fraction of each helper when do CPR. A CPR actor must reduce the interruption at the smallest thing such as forget the count of compression done. Method: This study is a systematic review with a purpose to understand the factors of CPR that affect the CPR fraction. The study used four search engine such as PubMed, Proquest, Scopus, and Sage Journal. From the four search-engines was found 15 article that matched the study purpose. Result: There are several factors that affect CPR fraction which are sex, weight, height, university degree, and the work place. These factors affect the CPR actor mostly at the case of physical fatigue and the number of distraction. Discussion: The most disturbing factor that affect the CPR fraction was the trouble in remembering the CPR count and the physical fatigue in the helper. The CPR count problem had been solved by the help of a tool. But the physical fatigue still need more discoveries to find the problem solver. It still unclear which solution that affect most of CPR fraction

PRESURGICAL SKIN PREPARATION WITH CHLORHEXIDINE GLUCONAT 2% BATH-CLOTH NO-RINSE FOR AVOIDING SURGICAL SITE INFECTION (SSI) IN ORTHOPAEDIC SURGICAL PATIENTS

Introduction: Surgical Site Infection (SSI) was common complication in orthopaedic surgical patients. Many studies show involvement of endogenous normal skin bacteria collonization that infects acute surgical wound (Eiselt, 2009). Chlorhexidine gluconate 2 % was a current material that was believed as a bacteriostatic and bactericide for reducing bacteria’s collonization on skin that caused SSI (Edmiston, 2013). There is no standardization of time, how many times a day, how much it was needed, and standard operating procedure for using this material for reducing SSI on orthopaedic Surgical Patients. The purpose of this study was to find the effectivity of Chlorhexidine Gluconat 2% bath-cloth no-rinse for avoiding SSI in Orthopaedic Surgical Patients. Method: A Quasy experimental with post-test only non-equivalent control group design. The Total sample were 18 patients with remove implant procedur which divided into two groups : (1) non-intervention control group, (2) group with Chlorhexidine Gluconat 2% bath-cloth no-rinse. The data of Surgical site infection level were collected using a daily obvservational of infection CDC and were analyzed by using Mann Whitney U Test. Result : The result show there was no significant difference on level of surgical site infection between Non-intervention control group and group with Chlorhexidine Gluconat 2% bath-cloth no-rinse (p = 0,16 ). Discussion : There was no significant effect of Chlorhexidine Gluconat 2% bath-cloth no-rinse for avoiding Surgical Site Infection (SSI) in Orthopaedic Surgical for the next study must be do on longer time ad specific measurement with clinical laboratory data Key words : Surgical Site Infection (SSI), chlorhexidine gluconate 2 %, surgical patients, orthopaedi

THERAPEUTIC EFFECT OF AUDIO MUROTTAL FOR RECOVERY TIME OF POST GENERAL ANESTHETIC PATIENT

Introduction: The first hour post general anesthetic is the important time for patient because in this time respiratory distress can occur although patient seems wake up. Accelerate the recovery time is important to minimize the several complications. Post general anesthetic recovery on adult monitored by Aldrete scores. It provides information when the patient can be moved from the recovery room. This study was to determine an overview of the therapeutic effect of murottal for recovery time of post general anesthetic patient. Method: A quasyexperimental study with post only with control group design. Used consecutive sampling and obtained 36 respondents (18 for exsperiment group, 18 for control group). Data collected by observation and analyzed using independent t-test with level of significance 0.05. Result: Recovery time of experimental group were between 15 – 40 minutes with average time 22.5 minutes. The recovery time of control group were between 25 – 60 minutes with average time 37.5 minutes, p-value=0.000. Patients in exspriment group had shorter recovery time than patients in control group. Murottal therapy can accelerate recovery time of post general anesthetic patients. Conclusion: Further research is needed to prove the usage of murottal as complementary therapy for post general anesthetic patient. Keywords: audio Murottal, Comlementary therapy, Quran, General anesthetic, Recovery tim

PENCEGAHAN KEJADIAN DEKUBITUS DENGAN PENGGUNAAN HEEL RING PADA PASIEN YANG TERPASANG TRAKSI SKELETAL

Dekubitus pada area kaki merupakan dampak dari pemasangan traksi pada pasien dengan cedera muskuloskeletal, karena posisi elevasi dan tekanan yang lama membuat aliran sirkulasi vaskuler kurang baik, salah satu usahanya penggunaan heel ring harapannya dapat mengurangi tekanan dan tahanan yang statis tersebut. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penggunaan heel ring terhadap kejadian dekubitus pada pasien yang terpasang skeletal traksi di Ruang Rawat Inap Bedah Flamboyan Instalasi Rawat Inap Bedah RSUD Dr. Soetomo Surabaya. Rancangan penelitian ini adalah pra eksperimental dengan teknik one group pra-post test design, populasinya pasien yang terpasang skeletal traksi Bohler Braun Frame, jumlah sampel 14 pasien yang memenuhi kriteria inklusi penelitian, variable bebas heel ring dan variable terikat kejadian dekubitus, pengumpulan data dengan lembar observasi dekubitus dan analisis data dengan Wilcoxon Signed Rank Test dengan signifikansi <0,05. Hasil penelitian ini hamper setengahnya (31,71%) terjadi dekubitus derajat 1 sebelum penggunaan heel ring, seluruhnya (100%) tidak terjadi dekubitus sesudah penggunaan heel ring. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh penggunaan heel ring terhadap kejadian dekubitus (p=0,025). Dapat disimpulkan heel ring dapat mencegah terjadinya dekubitus di tumit pasien yang terpasang skeletal traksi. Hasil penelitian ini dapat sebagai bahan referensi dalam pembuatan standar prosedur tetap khususnya bagi pelayanan pada pasien yang terpasang skeletal traksi

Promoting Spiritual Nursing Care in an Intensive Care Unit: A Systematic Review

Most of the patients in intensive care units (ICU) are intubated. These conditions can affect the psychological, social and spirituality condition of the patients. The nurse’s role in terms of providing spiritual care is still not optimal. Many feel the urge to reach out to their patients and offer spiritual support, but they do not know how to do it. However, the procedure or intervention needed for providing spiritual care is still little known about. This study aimed to explain the nursing interventions that could be applied for promoting spiritual care based on the existing literature. The systematic review was guided by the PRISMA protocol. A comprehensive search was carried out on a selection of databases; PubMed (Medline), CINAHL, Scopus, Springerlink, ProQuest, EBSCOHost, Web of Science Clarivate Analytic and Science Direct. The searching of published studies was done comprehensively using several keywords: “spiritual nursing care” OR “spiritual care in ICU” OR “spiritual intervention” OR “spiritual AND nurse” OR “spiritual AND critically ill patients” OR “implement spiritual intervention”. The searches were limited to publications in English with the year of publication being from 2009 up to February 2019. Ten studies were included in the review. This review confirmed some of the ways to promote spiritual nursing care in the ICU. Nurses, in promoting spiritual nursing, need the ability to communicate effectively and also to collaborate with the patient’s family and/or chaplain. It is hoped that this review could be a reference for nurses to allow them to provide spiritual nursing care in the ICU. Keywords: nursing, spiritual care, intensive care uni

Water Consumption on the Morning to Constipation of Patient with Immobilization

Introduction: Patient with musculoskeletal disorder has been moving limitation and caused decreasing of gut peristaltic. The aimed of this study to find out the influence of drinking plain water 500 ml on the morning to constipation Incident of Immobilize Patient with musculoskeletal system disorder. Methods: The methode of this study were quasi-eksperiment with post test only non equivalent control group design. The number of sample was 24 respondents as intervention group, and 24 respondent as control group. The instrument that be used were Bowel Score that have been observed everyday for three days. Result: The result shows significant influences of drinking plain water on the morning to constipation incident of immobilize patient musculoskeletal system dysorder (p value=0.002; α=0.05. Discussion: consuming water can avoid constipation on immobilize patient with musculoskeletal disorder. For the next research hopefully measures and analize psychosocial faktor of the patient defecation such as comfortable and privacy

The Mook-Up Metode for Disaster Education on the of People Improvement and Attitude in Landslide Preparedness

Indonesia is one of countries with the biggest risk of natural disasters in the world. One of most common disasters was landslides. In November 2003, there was a landslide happened in Bahorok River, North Sumatra which made victims as lot as 151 people death and 100 people missed. The purpose of this research was explain efficacy the mook-up metode for disaster on the people’s improvement and attitude in landslide preparadnes. The design used in this study was Quasy Experimental with pre-post test design. The samples were 150 respondents, consisting of 75 respondents on the treatment group and another 75 on the control group. The sampling used cluster sampling. The independent variable is disaster education with mock-ups method, while the dependent variable is the level of knowledge and attitudes of citizens in the preparedness of facing landslides. The technique for data analysis was using Wilcoxon Signed Rank Test and The Mann Whitney Test. Analysis result with the Wilcoxon test obtained p=0.000 in the treatment group, and p=1.000 in the control group. Analysis result with Mann Whitney test obtained the value of p=0.111 in pre-test, and p=0.000 in post-test (p<0.05). This result indicates that disaster education with mock-up method have the influences to improve knowledge and attitude in the preparedness of facing landslides. Further research needs to conduct the disaster education with another method which more attractive and focused on disasterprone areas

Promoting spiritual nursing care in an intensive care unit: A systematic review.

Most of the patients in intensive care units (ICU) are intubated. These conditions can affect the psychological, social and spirituality condition of the patients. The nurse’s role in terms of providing spiritual care is still not optimal. Many feel the urge to reach out to their patients and offer spiritual support, but they do not know how to do it. However, the procedure or intervention needed for providing spiritual care is still little known about. This study aimed to explain the nursing interventions that could be applied for promoting spiritual care based on the existing literature. The systematic review was guided by the PRISMA protocol. A comprehensive search was carried out on a selection of databases; PubMed (Medline), CINAHL, Scopus, Springerlink, ProQuest, EBSCOHost, Web of Science Clarivate Analytic and Science Direct. The searching of published studies was done comprehensively using several keywords: “spiritual nursing care” OR “spiritual care in ICU” OR “spiritual intervention” OR “spiritual AND nurse” OR “spiritual AND critically ill patients” OR “implement spiritual intervention”. The searches were limited to publications in English with the year of publication being from 2009 up to February 2019. Ten studies were included in the review. This review confirmed some of the ways to promote spiritual nursing care in the ICU. Nurses, in promoting spiritual nursing, need the ability to communicate effectively and also to collaborate with the patient’s family and/or chaplain. It is hoped that this review could be a reference for nurses to allow them to provide spiritual nursing care in the ICU

Pengaruh Pendidikan Kesehatan Explicit Instruction Terhadap Perubahan Perilaku Penanganan Cedera Di Komunitas Breakdance

Background: Injury isa condition causes the body getting damage by physical pressure or chemical.The breakdance community members need to know the ability of the first injury handling. Objective: The purpose of this study is to analyze the influence of health education with explicit instruction method towards the injury handling behavior in Surabaya breakdance community.Methods: This study used quasy experimental design with pre-test and post-test in two groups. It comprised 13 treatment group and 13 control group respondents. This study used purposive sampling. The data were analyzed by Wilcoxon Signed Rank Test, Mann Whitney Test and Chi Square Test significance p<0,05. Results: The Wilcoxon Signed Rank Test result of the treatment group respondents showed knowledge (p = 0.001) and action (p = 0.001). The control group respondents showed the knowledge(p= 0.102) and action (p = 1,000). The Mann Whitney Test result between the treatment and control group were obtained knowledge(p = 0.000) and action (p = 0.000). For the Chi Square Testgot the attitude (p=0.047).Conclusion: This research shows the health education with explicit instruction method influences the breakdance community member’s behavior in injury handling. It suggests for further research to undertake the health education by using other methods