Sujok triorigin therapy for vaginitis: case reports

Vaginitis cases are the most frequently encountered cases of gynaecologists in women who seek treatment at health facilities. Various therapies are sought by sufferers to overcome this condition. This case report discusses the use of Sujok triorigin therapy with the mudra method to treat the symptoms of vaginitis. Mudra method is the therapy only by using the thumb placed on certain knuckles based on the tri-origin concept and the respondents meditate for 15-20 minutes. There was no charge applied for the therapy were given to the patient. Two female patients on their 40s contacted researcher through social media to get help for their vaginitis problems. Researcher sent the instruction through picture how to apply the therapy on patients’ fingers. In the first case, this extreme vaginal itching condition had been experienced for 1 year with various treatment methods tried but none were successful. In this respondent, it took 9 days for the itching to completely disappear with therapy being done 4 times a day for about 15 minutes. The second respondent complained of extreme itching in the vagina, with a severity scale of 5 (from 1-5) and bleeding because of scratching. After 4 minutes of doing mudra, the itching went down to scale 3 and after 20 minutes the itching went down to a score of 1-2 and then was completely gone after that. In conclusion, Sujok triorigin therapy can reduce vaginitis symptoms in two respondents in a relatively short time of therapy

The most frequent diagnosis on patients undergoing hemodialysis

Background: Hemodialysis is a routine medical intervention for patient with chronic renal failure. Patients may responds differently when they undergoing this procedure. Investigating nursing diagnosis and collaborative diagnoses during hemodialysis procedure need to be explored. The objective of this research is to determine the sequence of nursing diagnosis and the collaborative diagnosis identified among kidney disease patients who are undergoing hemodialysis.Methods: This case study research involving 62 respondents. Research was conducted between June and July 2015. The respondents’ cases were studied to determine what nursing diagnoses and collaborative diagnoses, using a six-step diagnostic reasoning method.Results: Result of this study showed 27 nursing diagnoses and 7 collaborative diagnoses experienced by the patients. The six most commonly experienced nursing diagnoses were: activity intolerance (100%), nausea (96.8%), risk for impaired skin integrity (91.9%), impaired urinary elimination (82.3%), insomnia (77.4%), and sexual dysfunction (58.1%).Conclusions: There were 27 nursing diagnoses and 7 collaborative diagnoses that were experienced by patients who were undergoing hemodialysis

VALIDITY AND RELIABILITY OF NURSING INTERVENTION CLASSIFICATION: SELF-CARE ASSISTANCE ON PATIENTS WITH STROKE

Background: Nursing intervention is part of nursing process. The accurateness of intervention needs to be explored through an effort to measure validity and reliability of the intervention. Objectives: This study aimed to investigate the validity and reliability of four Nursing Intervention Classifications (NICs) of Self-Care Assistance (SCA) on patients with stroke. Methods: Validity measurement involved 4 experts, while reliability involved 7 samples for each NIC. Validity was analyzed using content validity index (I-CVI and S-CVI), while reliability was analyzed using kappa and percent agreement. Results: Sixteen activities of NICs (I-CVI score less than 0.78) were eliminated and two activities considered not applicable. The results of reliability were above 0.85 kappa value with 85% of percent agreement. Conclusion: Elimination of not valid activities increased reliability

Inter-rater reliability of wound care skills checklist in objective structured clinical examination

Background: The wound care skills checklist in objective structured clinical examination (OSCE) should be valid and reliable. Thus, the reliability test of the wound care skills checklist is needed. Purpose of the study was to identify the reliability of the wound care skills checklist.Methods: This study is a descriptive non-experimental quantitative research with a cross-sectional study design. This study was conducted in the School of Nursing, Universitas Gadjah Mada, Indonesia. The number of respondents was 94 second-year students of this school of nursing. Inter-rater reliability was performed by 2 raters during OSCE. Kappa and Percent agreement (PA) were used to analyze the reliability of the checklist.Results: Inter-rater reliability of the wound care skills checklist is categorized as good based on kappa value (0.7613) and acceptable based on PA value (89.36%). The results of the twenty-two item checklist were divided into five categories. Sixteen of the twenty-two items on the wound care skills checklist are included in the first category in which kappa category (≥0.41) and PA (>70%) are acceptable. One item is in the second category which has unacceptable value of kappa and PA, one item is in the third category which has low kappa value (0.3974) and high PA (89.36%), one item is in the fourth category which has a kappa value of 0, and three items are in the fifth category which has negative kappa value.Conclusions: Inter-rater reliability of the wound care skills checklist OSCE in this nursing school can be categorized as good and acceptable

Guidelines for analysis on measuring interrater reliability of nursing outcome classification

Indicators in nursing outcome classification (NOC) need to be tested for their validity and reliability. One method to measure reliability of NOC is by using interrater reliability.  Kappa and percent agreement are common statistic analytical methods to be used together in measuring interrater reliability of an instrument. The reason for using these two methods at the same time is that those statistic analytical methods have easy reliability interpretation. Two possible conflicts may possibly emerge when there are asynchronies between kappa value and percent agreement. This article is aimed to provide guidance when a researcher faces these two possible conflicts. This guidance is referring to interrater reliability measurement using two raters

Perubahan Tingkat Depresi Setelah ElectroconvulsiveTherapy (ECT) dl RSUP Dr Sardjito Yogyakarta

Background: The reason of doing this research was the absence of the Electra Convulsive Therapy (ECT) affectivity\u27s evaluation to the patients. The aim of this research was to know the depression scale in patients before and after the third ECT. ⢠Methods: A pre-experimental design, one group pre and posttest, was applied. It was started with the selection of the patients. Then the beck\u27s depression scale was given to the patients before the third ECT as pre test and after it as posttest. All patients were inpatient care Sardjito Hospital Yogyakarta, 23 patients, were recruited as subjects. Results: The result of this research were as follows: respondent number was 23 patients, 11 women (47,82%) and 12 men (52,18%), 6 subjects (27%) less than 20 years old, 7 subjects (30%) less than 30 years old, 7 subjects (30%) less than 40 years old, and 3 subjects (13%) less than 50 years old. The score of 7 subjects (30,43%) in pre test showed normal ups and down. From those subjects, as many as 4 subjects have higher score in posttest, one subject has the same score and two subjects have lower score in posttest. The score of 7 subjects (30,43%) in pre test showed mild mood disturbance. From those subjects, as many as 2 subjects have higher score in posttest and 5 subjects have lower score in posttest. The score of 6 subjects (26,10%) in pre test showed borderline clinical depression. From those subjects, as many as 1 subjects have higher score in posttest and 5 subjects have lower score. The score of 3 subjects (13,04%) in pre test showed moderate depression. All of those patients have lower score in posttest. As many as 15 subjects (65,21%) showed lower depression score in posttest, and 7 subjects (30,43%) showed higher depression score in posttest, and one patients (4,36%) was remained. The mean of pre test was 12,8 and the mean of posttest was 10,8. Conclusion: From all of the patients who received the third ECT, no one was in condition of severe or extreme depression. After the third ECT, the majority of the patients have lower score of BID. Keywords: depression scaleElectra Convulsive Therapy (ECT

Nursing and collaborative diagnoses on perioperative patients with and without using six steps of diagnostic reasoning methods

Background: Perioperative is a term that involving three different phases of surgery which are pre-operative phase, intraoperative phase and post-operative phase. Each phase is started and ended in the specific time with the sequence of events that shape patient experience related to surgery.This research is aimed at identifying the different types of nursing diagnosis and collaborative diagnosis on perioperative patients with and without using 6 steps of diagnostic reasoning method.Methods: This is a descriptive quantitative research. Respondents of the research were 52 perioperative patients and 12 nurses.Results: The less number of diagnoses were established without using 6 steps of diagnostic reasoning method. It is found that more various diagnoses established by using 6 steps of diagnostic reasoning method and more heterogenic diagnoses found in preoperative status than in intra and post-operative status. Specific diagnoses also only appear in a specific type of anesthesia.Conclusions: There are differences between the variation and number of nursing diagnoses enforced by nurses on perioperative patients with and without using the 6 steps in diagnostic reasoning method

Comparing Methods of Diagnostic Reasoning in Nursing

Background. Several methods of diagnostic reasoninghave been explained in the literature, but there has been noresearch to date comparing one method of diagnostic reasoningto another.Aims. This study aimed to identify differences between the 4steps method and the 6 steps method of diagnostic reasoning interms of what the possible diagnoses based on scenario providedand in terms of ease of use, effectiveness, usefulness and thepossibility of implementation in a clinical setting.Method. Forty four participants, including nurse practitionersand academics participated in this study. All participants wereattending a diagnostic reasoning workshop. Participants weretaught the 4 steps method and the 6 steps method of formulatinga nursing diagnosis. Using three scenarios participants identifiedpossible diagnoses using each method, which were thencompared. The participants were subsequently given aquestionnaire with Likert scale. Statistical analysis with aWilcoxon signed-rank test was performed using SPSS version 20.Result. Results of this study showed that the 6 step method ofdiagnostic reasoning can identify more possible plausiblediagnoses and differential diagnoses (DDx) than the 4 stepmethod can. The 6 steps method of diagnostic reasoning alsoreduced the possibility of identifying inaccurate nursingdiagnoses. The 6 steps method was considered easier to use, moreeffective, more useful and more likely to be implemented in aclinical setting than the 4 steps method (p<0.001)

Correlation between body constitution and quality of life in hypertensive elderly in the Berbah health center area

Background: One of the health conditions that the majority of the elderly experience is hypertension. Those who cannot adjust to changes in their physical condition and health decline will experience a deterioration of their quality of life. The elderly’s health conditions can be examined using traditional Chinese medicine constitution which is used for disease prevention, treatment, and health improvement. This research aimed to investigate the correlation between body constitution and quality of life in hypertensive elderly patients in Sendangtirto Village. Methods: This research employed a quantitative approach with an analytic research type and cross-sectional design. The respondents of this research were 79 elderlies with hypertension in Sendangtirto Village, obtained by simple-random sampling technique. This research was started from February to March 2023. The instruments used were the traditional Chinese medicine constitution (TCMC) and the WHOQoL-BREF instruments. The analytical test employed was Kendall’s tau correlation to investigate the correlation between the two examined variables. Results: This research shows that 64.5% (51 respondents) can be categorized into sick category and 35.44% (28 respondents) are in non-sick category. As many as 87.34% (69 respondents) were in moderate quality of life and 12.66% (10 respondents) are in high quality of life. The final result of body constitution and the final result of quality of life did not have a significant correlation (p=0.306; r=0.116). Conclusions: Body constitution and quality of life do not have a significant correlation in hypertensive elderly in Sendangtirto village

Experience and social support needs of becoming a mother in adolescence in Yogyakarta City

PurposeThis study aimed to determine the experience and social support needs of becoming a mother in adolescence.MethodsThis study was a qualitative research with a descriptive phenomenology approach. Data collection was performed by in-depth interview method and using a semi-structured study guide. Research was conducted at health centers of Jetis, Gedong Tengen and Umbulharjo 1 in May - June 2017. The participants were 7 adolescent (18-19 years old) mothers who had a 2 weeks - 12 months baby. The sampling was conducted by purposive sampling and recorded by a tape recorder. Data analysis was done manually by using Colaizzi method.ResultsFive themes emerged from the results of data analysis: 1) variation of feelings experienced from pregnancy up to delivering the baby, 2) freedom from routine of baby care, 3) early experience of baby care, 4) social support from significant other and midwives, and 5) improved confidence in baby care.ConclusionThe variety of experiences by adolescent mothers is accompanied by social support providing increased confidence in caring for their baby