Saha, Djenta
Belitung Nursing Journal

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COMBINATION OF COLD PACK, WATER SPRAY, AND FAN COOLING ON BODY TEMPERATURE REDUCTION AND LEVEL OF SUCCESS TO REACH NORMAL TEMPERATURE IN CRITICALLY ILL PATIENTS WITH HYPERTHERMIA

Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

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Abstract

Objective:  To examine the effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia.Methods: This was a randomized control trial (RCT) with pretest postest control group design and repeated measurement, conducted on December 2016 – January 2017. There were 32 respondents selected using total sampling, with 16 respondents randomly assigned in the experiment and control group. A digital thermometer was used to measure hyperthermia. Paired t-test, Repeated Anova with post hoc, and Mann Whitney were used for data analysis.Results: Findings showed that the mean of body temperature in the experiment group in pretest was 38.762oC and decreased to 37.3oC after given intervention for 60 minutes. The mean difference of body temperature was 1.4625, with p-value 0.000 (<0.05). In control group, the mean of body temperature in pretest was 38.669oC and decreased to 38.188oC given intervention for 60 minutes. The mean difference of body temperature was 0.4812, with p-value 0.000 (<0.05). Conclusion: There was a significant effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia. This combination is more effective than water compress alone. 

EFFECT OF ACCUPRESSURE ON QUALITY OF SLEEP AND PULSE RATE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes.Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction.Methods: This study employed a quasi-experiment study with non randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Accupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test.Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05).Conclusion: Accupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that accupressure could be one of the nursing intervention for AMI patients to increase sleep quality and decrease of pulse rate.

VALUE OF CLINICAL PULMONARY INFECTION SCORE IN CRITICALLY ILL PATIENTS: BETWEEN THE USE OF CHLORHEXIDINE AND PIPER BETLE LINN MOUTHWASH

Belitung Nursing Journal Vol 4, No 1 (2018): January-February 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: One of the complications of ventilator use in patients in Intensive Care Unit (ICU) is Ventilator-Associated Pneumonia (VAP). Oral hygienes is one of the methods to prevent VAP.Objective: The objective of this study was to compare the value of clinical infection score (CPIS) in critically ill patients after given oral hygiene using chlorhexidine and Piper betle Linn mouthwash.Methods: This was an observational study with cross-sectional study design, which consisted of two intervention groups. Thirty respondents were selected using total sampling, with 15 respondents randomly assigned in each group. Independent t-test was used for data analysis.Results: Findings showed that  the mean of CPIS in the Piper betle Linn group was 3.80 and the mean of CPIS in the chlorhexidine group was 4.07.Conclusion: CPIS in the treatment group using Piper betle Linn mouthwash was lower than the mean of CPIS in the treatment group using clorhexidine.