Abstract:Stroke is a condition in which brain function is rapidly disrupted and lasts for more than 24 hours due to an interruption of blood flow to the brain. Globally, the incidence and morbidity rates of stroke continue to increase.…
rease. The quality of life of acute and chronic stroke patients is influenced by post-stroke depression. Community resources (CR) and spiritual religious coping (SRC) factors are also related to the coping adaptation strategies of family caregivers for members who have experienced a stroke. Patients who experience post-stroke depression show a lower quality of life one year after stroke compared to those who do not experience it. This study is a quantitative research with an observational study design. The study was conducted from January to March 2024 in Kotamobagu City. The total population of stroke patients distributed across seven community health centers in Tomohon City is 200 patients. The sample was taken using total sampling method consisting of 200 family caregivers. The results were then analyzed using the Chi Square test with SPSS. All variables were significantly related to the coping adaptation strategies of family caregivers for members who had a stroke. Community resources (CR) were significantly related to caregiver coping strategies (p = 0.025), and spiritual religious coping (SRC) was also significantly related to coping strategies (p = 0.032). Community resources and spiritual religious coping among family caregivers of post-stroke patients are needed to increase motivation and reduce caregiver stress..
Abstract:Background: Mental disorders are conditions that affect a person's emotions, thought patterns, and behavior that can interfere with activities and social interactions. WHO (2022) notes that around 24 million people worldwide…
wide experience mental disorders, where more than 60% of sufferers experience self-care deficits. Self-care deficit is a condition when a person is unable to care for themselves optimally, this has a major impact on the individual's social and self-care functions, including in personal hygiene activities such as brushing their teeth. Where around 45% of patients with self-care deficits show reluctance to brush their teeth which increases the risk of oral disease and other systemic infections. Brushing teeth in patients with self-care deficits is needed to improve oral hygiene and the patient's ability to care for themselves personally. Objective: To determine nursing care from assessment to evaluation in miss Y with self-care deficits with a focus on brushing teeth. Method: The method used is the case study approach method. Results: After nursing care was carried out on miss Y with self-care deficits, it was proven to increase the miss Y's self-care ability, especially brushing their teeth. Conclusion: The act of brushing teeth is effective in increasing self-care awareness in miss Y with self-care deficits.
Abstract:Obesity is a condition of abnormal or excessive fat accumulation which can be a risk factor for dyslipidemia. Uncontrolled dyslipidemia can directly cause endothelial dysfunction by increasing the production of free radicals,…
cals, causing Low Density Lipoprotein (LDL) oxidation and stimulating the release of inflammatory factors that can cause inflammation. Neutrophils and macrophages are the first leucocytes to appear in the early response to inflammation, so the neutrophil-lymphocyte ratio can be useful for evaluating the prognosis of inflammation as an early detector and as a marker of inflammation that can be detected simply and efficiently. This study aims to determine the correlation between Neutrophil-Lymphocyte Ratio (NLR) and Lipid Profile in adult patients with obesity in Prodia Tangerang Clinical laboratory. This study is an analytical study with a cross-sectional approach and used purposive sampling technique. The research sample data was taken from secondary data from patient medical records. The p-value obtained using Rank Spearman correlation from the comparation of neutrophil-lymphocyte ratio with each lipid profile value is total cholesterol (p=0.003), LDL cholesterol (p=0.013), High Density Lipoprotein (HDL) cholesterol (p=0.375) and tryglicerides (p=0.316). This study found a relationship between the neutrophil-lymphocyte ratio with total cholesterol dan LDL cholesterol, but there was no relationship between the neutrophil-lymphocyte ratio with HDL cholesterol and tryglicerides in obese adult patient in Prodia Tangerang Clinical Laboratory.
Abstract:Fever is the most common disease in children. Fever in children can be found in various conditions such as infection, inflammation, or other unknown causes. One of the laboratory tests that can be used is the hs-CRP and…
erythrocyte sedimentation rate examination. The purpose of this study was to determine the relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric febrile patients. The research method was observational with a cross-sectional method using secondary data of 62 samples. Data analysis used the Spearman's rho test. The results of the study showed that most of the pediatric patients who experienced fever were male (59.7%), and the age of the child was 5 years (21%). In pediatric patients with fever, the average hs-CRP level was 19.34 mg/l, and the erythrocyte sedimentation rate was 32.73 mm/hour. The results of the correlation test using the Spearman's rho test method obtained p = 0.001 with r = 0.575, so it can be concluded that there is a moderate and positive relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric patients with fever.
Abstract:Background: Gout arthritis is a degenerative disease commonly experienced by the elderly due to elevated uric acid levels in the blood. One safe non-pharmacological treatment alternative is the use of herbal remedies such…
h as soursop leaves (Annona muricata L), which contain active compounds like flavonoids and alkaloids that may reduce uric acid levels. Objective: To describe the effect of boiled soursop leaf water on reducing uric acid levels in elderly patients with gout arthritis in Karangjambu Village, Karangjambu Subdistrict, Purbalingga Regency. Method: This study employed a case study method. Subjects were given an intervention of 200 ml of boiled soursop leaf water daily (100 ml in the morning and 100 ml in the evening) for seven consecutive days. Uric acid levels were measured before and after the intervention. Results: After seven days of soursop leaf water administration, uric acid levels decreased from an average of 8.7–9.0 mg/dl to 5.5–5.8 mg/dl. This suggests that the active compounds in soursop leaves are effective in inhibiting xanthine oxidase and promoting uric acid excretion through urine. Conclusion: Boiled soursop leaf water is effective in lowering uric acid levels in elderly patients with gout arthritis and can serve as a safe and practical complementary non-pharmacological therapy within the community.
Abstract:Exposure to X-ray radiation in conventional radiology procedures can pose a health risk, especially for accompanying caregivers of pediatric patients who only bear the risk without gaining any benefit. This study aims to…
determine the estimated equivalent dose received by accompanying caregivers of pediatric patients and the safest points during conventional radiology examinations. The method used in this research is a field survey, involving the measurement of equivalent radiation doses inside and outside the examination room using a personal dosimeter, as well as measuring the radiation dose rate at 6 points using a surveymeter. The data was processed to obtain the highest and lowest values, as well as the percentage of equivalent dose obtained compared to the established Dose Limit Value (DLV). The results showed that the highest radiation dose received by accompanying caregivers inside the examination room reached 13,46 µSv, with a percentage of 0,27% relative to the DLV, while the lowest dose recorded was 1,12 µSv, with a percentage of 0,0224% relative to the DLV. Analysis of the radiation dose rate distribution revealed that the greater the distance of the measurement point from the radiation source (tube), the smaller the dose received. In conclusion, the radiation dose received by accompanying caregivers is still below the Dose Limit Value (DLV) for caregivers, which is 5.000 µSv. However, to minimize stochastic effects, the implementation of additional protective measures, such as the use of lead aprons and selecting safer locations within the examination room, is highly recommended. These findings are expected to serve as a guide in enhancing the safety of accompanying caregivers of pediatric patients in conventional radiology units.
Abstract:Diabetes Mellitus (DM) is a disease caused by pancreatic failure in performing its function of producing insulin. A lack of insulin will lead to an increase in blood glucose levels, also known as hyperglycemia. Hemoglobin…
n A1c and microalbuminuria are screening examinations used to detect the early onset of diabetic nephropathy. Diabetic nephropathy is defined as a clinical syndrome in diabetes mellitus patients characterized by persistent albuminuria, an irreversible decrease in glomerular filtration rate, and increased arterial blood pressure. The purpose of this study is to determine the relationship between Hemoglobin A1c and microalbuminuria in diabetes mellitus patients at Prodia Sunter. The research method used is quantitative analytic with a cross-sectional approach. The data collected were secondary data from the period of January–July 2024 with a total of 60 samples. Sampling was conducted using purposive sampling and met the inclusion criteria, namely patients over 60 years of age, Hemoglobin A1c value ≥7, diagnosed with diabetes mellitus, no history of thalassemia, and who had undergone Hemoglobin A1c and microalbuminuria examinations. The results of this study show a significant unidirectional positive relationship with a very strong correlation between Hemoglobin A1c levels and microalbuminuria in diabetes mellitus patients, with sig (2-tailed) = 0.000 and correlation coefficient value = 0.892. The relationship between Hemoglobin A1c levels and microalbuminuria is unidirectional positive, meaning that the higher the Hemoglobin A1c levels, the higher the microalbuminuria levels.
Abstract:The accuracy of disease diagnosis coding is an important indicator in the management of medical records and health service claims. This study aims to determine the percentage of accuracy in coding pneumonia diagnoses based…
ed on ICD-10 according to the 2023 National Medical Practice Guidelines (PNPK) at Udayana Hospital II in Denpasar. The research method used was quantitative descriptive with a total sampling approach of 72 medical records of pneumonia patients during the period from October 1, 2024, to December 31, 2024. The research instrument was a checklist for assessing the accuracy of diagnosis codes based on the provisions of ICD-10 and PNPK Pneumonia 2023. The results showed that 51 files (70.8%) were coded accurately, while 21 files (29.2%) were coded inaccurately. The inaccuracy in coding was due to a lack of supporting tests, such as microbiological tests, as well as the excessive workload of the coders. These findings indicate the need for an analysis of coders' workload to measure the effectiveness and efficiency of their tasks, time management, and priorities. This study is expected to serve as evaluation material to improve the quality of service and efficiency of hospital administration.
Abstract:This study aimed to obtain information about socio-demographic factors associated with HL of NCD patients in East Bolaang Mongondow Regency. The method used was quantitative method with cross sectional study design with…
a total sample of 383 NCD patients (purposive sampling) with stratified sampling technique. Data were collected using questionnaires both socio and demographics and HL of NCD patients. The results of this study were [education (p=0.023, OR=2.711); gender (p=0.017, OR=2.001); language (p=0.001, OR=1.013); age (p=0.020, OR=2.968); employment status (p=0.001, OR=1.248); residence (p=0.012, OR=2.068); personal health condition (p=0.031, OR=5.840); access to health information (p=0.020, OR=2.968). In the logistic regression test, the personal health condition factor was most associated with HL of NCD patients (p=0.010, OR=5.840). In conclusion, the study showed that socio-demographic factors (education, gender, language, age, employment status, residence, personal health condition and access to health information simultaneously or partially influenced the HL of patients with NCDs. The most dominant factor associated with HL of patients with NCDs was personal health conditions. The role of health workers provides many sources of information to develop and learn solutions and support for people with various types of NCDs.
Abstract:Dengue Hemorrhagic Fever (DHF) is a disease caused by the Dengue virus transmitted to humans through the bite of the Aedes aegypti and Aedes albocpitus mosquitoes. One of the laboratory tests that can help diagnose Dengue…
e fever includes Dengue IgM and IgG Antigens and hematology tests. The number of lymphocytes plays a role in the body's immune system and is one of the parameters found in hematology tests. This study aims to determine the relationship between Dengue IgM and IgG antibodies and the number of lymphocytes in patients suspected of having Dengue fever at the Prodia Sunter Clinical Laboratory for the period 2021-2024. The research method is observational with cross-sectional using secondary data of 104 samples. Data analysis uses Spearman rank. The results of the study showed that most of the suspected Dengue fever patients were male, 56 patients (53.8%) with the highest age at 19-59 years as many as 53 patients (51.0%) and the duration of fever was mostly experienced on the 3rd day of fever 29 patients (27.9%). The results of the Dengue antigen IgM examination in suspected Dengue fever patients were negative for 89 patients (85.6%) and the Dengue antigen IgG was negative for 64 patients (61.5%). The number of lymphocytes was within normal limits for 44 patients (42.3%). The results of the IgM correlation test obtained p = 0.005 with r 0.271, so the hypothesis was accepted, it can be concluded that there is a weak correlation between Dengue IgM antibodies and the number of lymphocytes and the results of the IgG correlation test obtained p = 0.043 with r 0.198, so the hypothesis was accepted, it can be concluded that there is a weak correlation between Dengue IgG antibodies and the number of lymphocytes in suspected Dengue fever patients.