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All Journal Jurnal Riset Kesehatan
Made Desak Wenten Parwati, Made Desak
Nursing Department, Polytechnic Health Ministry of Semarang

Published : 2 Documents
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4T Zikr in Anxiety Reduction in Acute Coronary Syndrome Patients

Jurnal Riset Kesehatan Vol 3, No 2 (2014): Mei 2014
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

Anxiety is a psychological problem that often arises in heart disease, especially in patients with acute coronary syndromes. Anxiety could prolong the healing process of ACS and increase the cost of care and treatment. Purpose of the study was to evaluaste the effect of 4T Zikr on anxiety in patients with ACS in the CICU. This research was a quasi-experimental two group pre post design. 64 subjects were recruited by purposive sampling; 28 subjects in intervention group and 28 subjects in control group. Anxiety was measured by NRS 0-10. 4T zikr composes of subhanallah, alhamdulillah, allahuakbar and laailahaillah with intensity 60 dB, beat rate 60-80 mm, pitch 220-800 Hz, volume 4-5 for 30 minutes. The results show that 4T zikr could reduce anxiety at 12 hours, 24 hours, 36 hours, 48 hours, 60 hours, and 72 hours in patients with ACS (p<0,05). There were significant differences in anxiety reduction at 24 hours (p<0,001) and 72 hours (p<0,001) between group after 4T zikkr in patients with ACS. In conclusion, 4T zikr can reduce anxiety within 72 hours after admission in patients with ACS.

Open and Closed Suction Ventilator Associated Pneumonia Prevention of Patient On Ventilator Installed

Jurnal Riset Kesehatan Vol 3, No 3 (2014): September 2014
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

The objective of studys is to evaluate the differences of CPIS in applying CSS and OSS with oral hygiene chlorhexidine in critical patients with ventilators. In two hospitals in Semarang for two months. There were 30 subjects recruited by purposive sampling and divided in two groups equally (n=15). VAP was measured by CPIS on the third day after invasion. The interventions are OSS and oral hygiene with clorhexidine twice a day and CSS and oral hygiene with clorhexidine once a day during inserted ventilators. CPIS in the two groups were no significant difference. The OSS and oral hygiene with clorhexidine twice a day was similarly effective to the CSS and oral hygiene with clorhexidine once a day to prevent VAP in critical patients with ventilator (U=105; p=0,766). The application of the OSS with oral hygiene with clorhexidine twice a day is instead of the CSS with oral hygiene with clorhexidine once a day, which is more expensive to prevent VAP. Since there is no difference of CPIS in patients with OSS and CSS, at is recommended the use of SCC due to its lower cost compered to CSS method.