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OBJECTIVE This aim of the study was to determine the effectiveness of guided imagery techniques to decrease pain intensity in patients with breast cáncer. find more METHOD This was a quantitative research with a quasi-experimental design with a total sampling of all breast cancer patients who experience pain in ambulatory surgery in the treatment room and the chemo room using Numeric Rating Scale (NRS) and the guided imagery as an intervention. RESULTS The results indicated guided imagery for pain intensity reduction was (p=0.000), pulse rate (p=0.005), and systolic blood pressure (p=0.000). Spearman correlation test indicated a change in pain intensity with changes in pulse rate (p=0.029, r=0.445), change in pain intensity of the systolic blood pressure (p=0.006, r=0.544), and changes in the pulse of the systolic blood pressure (p=0.000, r=0.809). CONCLUSION This study indicates a reduction of the pain after being carried out guided imagery technique compared to the control. OBJECTIVE This study was conducted to identify the prevalence of pressure injury (PI) in patients with incontinence. METHOD We searched articles through PubMed, Science Direct, ProQuest, EBSCO, COCHRANE, and DOAJ. We identified 138 articles from electronic databases published from 2015 to 2019; all of these articles were clinical studies. We obtained seven articles that met the inclusion criteria consisting of 4 cross-sectional articles, one cross-sectional cohort, one prospective study. RESULTS The prevalence of PI varied incontinence patients, starting from 8.0% of 276 patients, 16.3% of 176,689 patients, 16.9% of 261 patients 30.3% of 8365 patients, 33.3% of 120 patients, 40.6% of 832 patients and 17.1% of 5342 patients. CONCLUSION Our study suggests that the prevalence of PI in patients with varied incontinence, and highest in patients with double incontinences (urine and feces). OBJECTIVE Muscle pain is a musculoskeletal disorder that is mostly encountered in the adult population and affects productivity. Muscle pain in teachers can reduce their performances. One of factors that causes muscle pain is work stress. This study aimed to determine relationship between work stress levels and muscle pain among high school teachers in Makassar. METHOD The method used is the cross-sectional method. A total of 37 people participated in this study. Muscle pain data were obtained through the Nordic Body Map questionnaire. Data analysis used the Spearman's test. RESULTS The results showed that 67.6% experienced low-level muscle pain, 29.7% experienced moderate level muscle pain, and the rest experienced high-level muscle pain. Data analysis showed that there was a statistically significant correlation between work stress and muscle pain among high school teacher (p=0.002; r=0.495). CONCLUSION Work stress has a moderate correlation with muscle pain among high school teachers. L.U.OBJECTIVE To perform a valid and reliable translation process for the Indonesian version of the Stoma Care Self Efficacy Scale (SCSES). METHOD This was a cross-sectional design with sampling techniques using convenience purposive sampling. The process of translating the questionnaire instrument uses standard procedures to translate the original version of the instrument into Indonesian. Begin with the forward translation by translating the original version of the instrument, followed by the synthesis process of the translation results. The synthesis results are continued in the back translation process then the synthesis process is carried out again to evaluate the changes in meaning between the original version and the results of the translation. The next process is a pilot study and validity test with content validity while the reliability test with internal consistency (Cronbach's alpha). RESULTS There were no significant changes from the original instrument although there were some differences in the choice of word usage in the SCSES instrument. The Content Validity Index (CVI) was obtained at 0.949. The results of the internal consistency test were obtained at 0.825. CONCLUSION The Indonesian version of the SCSES is declared as a valid and reliable instrument to be applied to the ostomate. SCSES can identify the level of self-efficacy of ostomate on the ability to treat stoma. OBJECTIVE The aim of this study is to evaluate the reliability of the Diabetic Foot Ulcer Assessment Scale (DFUAS) among different nurses. METHOD This research design was a comparison measurement between wound care nurses. The forward translation of DFUAS was translated into Indonesian and used to evaluated DFU status based on a photograph DFUAS that has been translated into Bahasa was used to evaluate the DFU status based on photographs. Cohen's kappa was used to evaluate inter reliability between nurses. RESULTS The Cohen's kappa revealed that the inter-rater reliability for depth (0.76-0.80), size (0.80-0.86), size score (0.87-0.89), inflammation/infection (0.69-0.75), proportion of granulation tissue (0.73-0.79), type of necrotic tissue (0.65-0.73), proportion of necrotic tissue (0.87-0.89), proportion of slough (0.58-0.65), maceration (0.79-0.85), type of wound edge (0.91-0.93), and tunneling (0.90-0.91). CONCLUSION This study confirmed DFUAS has an adequate reliability between different wound nurses (inter-rater reliability). OBJECTIVE To observe the influence of demonstration methods education on the knowledge of tooth brushing in primary school children in the 10-12 years age group. METHODS The type of research used in this study is quasi-experimental research design with One-Group Pre-Test-Post Test Design. This research uses cross-sectional. Data were tested using the Wilcoxon Signed Ranks Test. RESULTS Showed an increase in the level of knowledge of tooth brushing in students aged 10-12 years after education with the demonstration method, where for pre-treatment students were still found with a sufficient level of knowledge. CONCLUSION Education with the demonstration method influenced the knowledge of tooth brushing in elementary school children in the 10-12 year age group. OBJECTIVE This paper aimed to prove whether it is necessary to support institutional strengthening to reduce dengue fever cases. METHOD This study used the Interpretative Structural Modeling Analysis (ISM) model, which was used to analyze complex matters of a system through patterns designed using graphics. This analysis model was conducted through the stages, namely (1) compiling a structural interaction matrix, (2) collecting a reachability matrix table, (3) compiling a power-dependent matrix driver, and (4) composing a structural model of each sub-element. RESULTS The result showed that 2 out of 10 sub-elements had DP value equal to 1.00, which were the growth of sectoral-centric attitudes and weak inter-institutional commitment. While among institutions, there were three of 11 institutions that play a crucial role in reducing DHF, namely the Office of Health, Community health centers, and hospitals (DP=1.00). CONCLUSION It can be concluded that strengthening the institutional system can help in reducing cases of dengue hemorrhagic fever (DHF).

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