bluuebunny/crossref_metadata_2025_split huggingface dataset:
Utilization of hospice and nonhospice care in patients with end-stage renal disease on dialysis
Authors: Wang Shu-Chen , Hu Kai-Chieh , Chang Wei-Chuan , Hsu Chung-Y. 
Published: December 2021

Objectives:
The prevalence of end-stage renal disease (ESRD) and the number of patients undergoing dialysis in Taiwan are high. Since September 2009, the National Health Insurance has started to provide hospice care to patients with renal failure in Taiwan. Therefore, it is necessary to understand the use of hospice and nonhospice care in patients with ESRD on dialysis. We aim to understand trends in patients with ESRD receiving hospice and nonhospice care as well as medical care efforts during the last month of their lives (2009–2013).

Materials and Methods:
The cohort study was conducted using 1 million randomly selected samples from the Taiwan Health Insurance Research Database for millions of people in Taiwan in 2009–2013. Descriptive statistics were presented to summarize the characteristics of data. To compare differences between cohorts, Chi-square tests and Student's t-tests were used. Mann–Whitney U-tests were performed for nonnormally distributed data. Mantel–Haenszel test was test for trend.

Results:
We recruited 770 ESRD patients who underwent hemodialysis; among them, 154 patients received hospice care. Patients who received hospice care had a significantly longer survival time after removal of mechanical ventilator (20 vs. 0 days) and after discontinuation of dialysis (2 vs. 0 days) compared with those who did not receive hospice care. Patients who received hospice care had more pain control (61.04% vs. 17.37%, P < 0.0001) and other symptomatic control (55.84% vs. 43.18% with diuretics, P < 0.05; 64.29% and 48.21% with laxatives, P = 0.0004) medications than those who did not. Nevertheless, the overall medical cost in the hospice group was significantly lower (90 USD and 280 USD, P < 0.0001).

Conclusion:
Our results suggest that the addition of hospice care may permit patients a longer life-support-free survival time. In addition, despite a more frequent symptomatic controlling agent use, hospice care significantly reduced the overall medical expenditure.
Faktor-faktor yang Mempengaruhi Pelaksanaan Inisiasi Menyusu Dini di Instalasi Kamar Bedah Rumah Sakit Panti Rapih Yogyakarta
Authors: Mahdalena Diyah Pujiastuti Maria , Mahayanti Agnes , Maura Hardjanti, CB Sr. Therese 
Published: December 2021

ABSTRACT

Background: The success of breastfeeding is a team work with proper information and big support to create environment enabled the mothers to give breastfeeding optimally to their baby (Kemenkes, 2019). Keeping in mind that the OT achievement is far below 100% , the researcher is interested in take up factors influence the application of Early Initiation of Breastfeedingin Operating Theater Unit of Panti Rapih Hospital Yogyakarta.
Objective: Unveil factors wish interfere the practice of Early Initiation of Breastfeeding in Operating Theater Unit of Panti Rapih Hospital Yogyakarta.
Methods: The design of the study is observational analytic method with cross sectional approach. The population of the study is every mother who gives birth with sectio caesarea in Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Sampling technique in the study is accidental sampling. This study had 33 respondents. Study instrument in the study is questionnairefilled out by respondents on the first day after sectio caesarea was performed in the inpatient room. The research was conducted from September 2020 to February 2021.
Results: There is no significant correlation between knowledge and IMD practice (p value 0.772), there is no significant correlation between attitudes and IMD practice ( p value 0.500), there is no significant correlation between parity and IMD practice (p value 0.500), there is a significant correlation , strong and unidirectional between health personnel support and IMD practice (p value 0.000) .
Conclusion: Significant factors interfere with the success of Early Initiation of breastfeeding in the Operating Theater Unit of Panti Rapih Hospital Yogyakarta is health personnel supportwhile the insignificant factors consists of knowledge, attitude and parity.
Analisa Faktor Yang Berhubungan Dengan Kecemasan Ibu di Ruang Nicu dan Nhcudi di Rumah Sakit Panti Rapih Yogyakarta
Authors: Wulandari Tutik Priyani Rosa , Mahayanti Agnes , Ririn Widianti Christina 
Published: December 2021

ABSTRACT

Background: Hospitalization is the entry of individuals into the hospital as a patient to get help in medical care or treatment. Intensive care for neonates who are treated in the NICU or NHCU will cause anxiety and worry for the baby's mother. Anxiety is a vague fear accompanied by feelings of uncertainty and discomfort. Anxiety response is the most common thing experienced by mothers when there are health problems in their babies.

Objective: The purpose of this study was to determine the factors associated with maternal anxiety in the NICU and NHCU rooms at Panti Rapih Hospital, Yogyakarta.

Methods: This study uses a quantitative, analytic survey design with a cross sectional approach. The population in this study were all mothers who had babies who were treated in the NICU and NHCU rooms at Panti Rapih Hospital, Yogyakarta. Sample of 35 respondents was obtained by accidental sampling technique. The research instrument used is a questionnaire.

Results: There was a significant relationship between age (p-value: 0.039), education (p-value: 0.028), occupation (p-value: 0.010), economic status (p-value: 0.003), length of stay (p-value : 0.015), and there is no significant relationship between the environment and maternal anxiety (p-value: 0.551).

Conclusion: The factors that were related to the anxiety of mothers in the NICU and NHCU rooms at Panti Rapih Hospital Yogyakarta were age, education, occupation, economic status and length of stay. The unrelated factor is the environment. Suggestions for NICU and NHCU nurses are expected to increase education about the condition of the baby to the baby's mother and teach the mother in caring for her baby.
Erol ÖZTÜRK, (2019) Bolu İli Ağızları
Authors: TOKMAK Gülderen 
Published: December 2021

EROL ÖZTÜRK, (2019) BOLU İLİ AĞIZLARI
(Ankara: Akçağ Yayınları, 374 s., ISBN: 978-605-342-284-6)
Literature Review : Depresi Pada Perawat Dalam Masa Pandemi Covid-19
Authors: Darma Benni Surya , Nafiah Hana 
Published: December 2021

AbstractDepression is one of the psychological disorders that can be experienced by nurses during the covid-19 pandemic. Depression is a mental disorder that often started from untreated stress. It can make the person fall into a phase of depression. To describe the level of depression in nurses during the COVID-19 pandemic. This study was a quantitative study using a literature review. There were 5 articles, searched from Google Scholar and Pubmed published in 2019-2021, analyzed using the Hawker instrument. The results showed that the respondents were female respondents (99.65 %). There were 61.2 percentage points for respondents aged 18-35 and 68.9 percentage points for unmarried respondents. The depression levels of the respondents were mild depression (37.1%), normal level depression (59.5%), and (36%). The depression in nurses during the covid-19 pandemic was caused by their severe psychological disorders, such as increased workloads, exposure to viruses, fear of covid-19 infection. inadequate facilities (PPE).Keywords: Nurse, covid-19, depression
AbstrakDepresi merupakan salah satu gangguan psikologis yang dapat dialami oleh perawat dalam masa pandemi covid-19. Depresi adalah gangguan mental yang sering terjadi berawal dari stres yang tidak bisa diatasi, maka orang tersebut dapat jatuh ke fase depresi. Mengetahui gambaran tingkat depresi pada perawat dalam masa pandemi covid 19. Penelitian ini adalah penelitian kuantitatif menggunakan literature review 5 artikel dan ditelaah menggunkan instrimen hawker dengan penelusuran elektronik pada Google scholar dan pubmed yang dipublish pada tahun 2019-2021. Hasil dari ke-5 artikel responden yang memiliki presentase paling tinggi adalah responden perempuan (99.65 %), responden usia 18 – 35 tahun (61.2 %), responden belum menikah (68.9 %). responden depresi yang tertinggi adalah depresi tingkat ringan (37.1%) depresi tingkat normal mendapatkan (59.5 %) dan (36 %). Kejadian depresi pada perawat dalam masa pandemi covid 19 terjadi karena perawat mengalami gangguan psikologis yang parah mulai dari peningkatan beban kerja, paparan virus, ketakutan akan tertular covid 19, fasilitas yang tidak memadai (APD).Kata kunci: Perawat; depresi; Covid 19
Gambaran Kecemasan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa : Literature Review
Authors: Saadah Safinah , Hartanti Rita Dwi 
Published: December 2021

AbstractChronic kidney failure patients who are undergoing hemodialysis will experience physical and psychological changes. Patients with chronic kidney failure may feel loss or grieve because hemodialysis activities disrupt their everyday lives. This situation can cause anxiety in patiens with kidney failure. This study aims to portray the anxiety of chronic kidney failure patients who are undergoing hemodialysis. A literature review was used by using the google scholar database, PUBMED, the garuda portal, and for a broad search on google scholar for article in Bahasa Indonesia. A combination of several keyword was used, such as “anxiety” AND chronic kidney failure” AND “hemodialysis”. This study showed that some respondents with moderate to severe levels of anxiety were 152 respondents (46,76%). The result of this study illustrate that anxiety can occur in chronic kidney failure patients undergoing hemodialysis. Therefore, it is necessary to develop particular nursing care to overcome anxiety among hemodialysis patients.Keywords: Anxiety, Chronic Kidney Failure, Hemodialysis
AbstrakPasien gagal ginjal kronik yang menjalani hemodialisa akan mengalami perubahan fisik dan psikologisnya. Pasien gagal ginjal kronik akan mengalami perasaan kehilangan karena kehidupan normalnya terganggu dengan kegiatan hemodialysis, hal ini dapat menimbulkan kecemasan pada pasien gagal ginjal. Penelitian ini bertujuan untuk mendeskripsikan gambaran kecemasan pasien gagal ginjal kronik yang menjalani hemodialisa. Metode yang digunakan dalam penelitian ini adalah literature review, dengan menggunakan database google scholar, PUBMED, portal garuda, dan untuk pencarian luas pada google scholar untuk artikel berbahasa Indonesia. Pencarian menggunakan kata kunci : “kecemasan” DAN “gagal ginjal kronik” DAN “hemodialisa”. Hasil penelitian ini menunjukan sebagian responden dengan tingkat kecemasan sedang dan berat sebanyak 152 responden (46,76%). Hasil penelitian ini memberikan gambaran bahwa kecemasan dapat terjadi pada pasien gagal ginjal kronik yang menjalani hemodialisa, sehingga dalam penerapan ilmu keperawatan khususnya hemodialisa perlu dikembangkan untuk mengatasi kecemasan pada pasien hemodialisa.Kata kunci: Kecemasan, Gagal Ginjal Kronik, Hemodialisa
Literature Review : Gambaran Kualitas Hidup Pasien Kanker Payudara
Authors: Nuha Titik Ulin , Natalia Wiwiek 
Published: December 2021

AbstractPatients who are declared to have breast cancer will experience both physical and psychological impacts that affect their quality of life Decreased quality of life will certainly interfere with daily life and activities. This study aims to describe an overview of the quality of life of breast cancer patients. It is a literature review with an online searching from Semantic Scholar and Google Scholar so that it obtained 5 articles in inclusive and exclusive criteria. The results of the research from these articles show the characteristics of the majority of respondents aged <65 years 237 (100%), most of them have secondary and high education levels as much as 113 (47.67%), most of the work is housewives or not working as much as 154 (64.97%). Meanwhile, based on the results of the study of 5 articles with the quality WHOOL-BREF instrument, most of them had a good quality of life as much as 70 (77.77%). 41 (65.08%) and as measured using the QOL-Indian Scenario instrument had a quality of life below the average of 43 (51.20%). Based on the results of the analysis, it is known that the majority of breast cancer patients, quality of life is good.Keywords: Breast cancer; Quality of life
AbstrakPasien yang dinyatakan menderita kanker payudara, akan mengalami dampak baik secara fisik maupun psikologis yang akan mempengaruhi kualitas hidupnya. Kualitas hidup yang mengalami penurunan akan mengganggu terhadap kehidupan dan aktifitas sehari-hari. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup pasien kanker payudara. Metode penelitian yang digunakan dalam penelitian ini yaitu literature review dengan melakukan penelusuran online dari sumber database semantic scholar dan google scholar sehingga didapatkan 5 artikel yang sesuai dengan kriteria inklusi dan eklusi. Hasil penelitian menujukan dari 5 artikel dengan karakteristik responden mayoritas berusia <65 tahun 237 (100%), sebagian besar tingkat pendidikannya menengah dan tinggi sebanyak 113 (47,67%), sebagian besar pekerjaannya adalah Ibu rumah tangga atau tidak bekerja sebanyak 154 (64,97%). Berdasarkan hasil penelitian dari 5 artikel dengan kualitas hidup pasien kanker payudara yang diukur menggunakan instrumen WHOQL-BREF sebagian besar memiliki kualitas hidup yang baik sebanyak 70 (77,77%) Sedangkan yang diukur menggunakan instrumen SF-36 sebagian besar memiliki kualitas hidup yang baik sebanyak 41 (65,08%) dan yang diukur menggunakan instrumen QOL-Indian Scenario memiliki kualitas hidup dibawah rata-rata 43 (51,20). Berdasarkan hasil analisis diketahui bahwa mayoritas kualitas hidup pasien kanker payudara adalah baik.Kata kunci: Kanker payudara; kualitas hidup
Gambaran Pelaksanaan Kangaroo Mother Care (KMC) Pada Bayi Dengan Berat Badan Lahir Rendah (BBLR): Literature Review
Authors: Rizqiana Hesti , Sulistyanto Benny Afief 
Published: December 2021

AbstractBabies with low brith weight (LBW) require special care to prevent neonatal death due to low birth weight. To identify the description of the implementation of Kangaroo Mother Care (KMC) care in low birth weight infants. This research method used Literature Review. Research articles from several databases, namely PubMed and Portal garuda, were identified using the keywords "Kangaroo Mother Care" AND "Low Brith Weight" AND "Practice".These articles were published in 2015-2021. Research articles that met the inclusion and exclusion criteria were reviewed using the JBI Cross Sectional Study instrument. There are five articles analyzed in this study. The results of the study showed the implementation of Kangaroo Mother Care (KMC) in LBW infants. The average time of KMC implementation duration 65 minutes. Most of the respondent carried out KMC in the hospital after giving birth with the correct SOP according to the hospital procedures. It can be concluded that the implementation of Kangaroo Mother Care (KMC) can increase body weight in LBW babies, normal body temperature, and increase breastfeeding or nutrition.Keywords: LBW Babies; Kangaroo Mother Care; Practice
AbstrakBayi dengan berat badan lahir rendah (BBLR) memerlukan perawatan yang khusus untuk mencegah terjadinya kematian neonatal. Kangaroo Mother Care (KMC) adalah salah satu cara yang mudah dan efektif untuk mencegah terjadinya kematian neonatal akibat BBLR. Untuk mengidentifikasi gambaran pelaksanaan perawatan Kangaro Mother Care (KMC) pada bayi berat badan lahir rendah. Metode penelitian ini menggunakan Literature Review. Artikel penelitian dari beberapa database yaitu PubMed dan Portal garuda di identifikasi dengan menggunakan kata kunci “Kangaroo Mother Care” AND “Low Brith Weight” AND “Practice” yang di batesi dari tahun 2015-2021. Artikel penelitian yang memenuhi kriteria inklusi dan ekslusi di telaah dengan menggunakan instrument JBI Cross Sectional studi. Terdapat lima artikel yang dianalis pada penelitian ini. Hasil dari penelitian menunjukan pelaksanaan Kangaroo Mother Care (KMC) pada bayi BBLR yaitu terdapat durasi waktu pelaksanaan KMC yaitu rata-rata 65menit, mayoritas ibu yang melaksanakan, dilakukan di Rumah Sakit setelah bayi lahir dan dengan cara SOP KMC yang benar sesuai prosedur RS masing-masing. Dapat di simpulkan bahwa pelaksanaan Kangaroo Mother Care (KMC) yang dilakukan dapat meningkatkan berat badan pada bayi BBLR, suhu tubuh normal dan meningkatkan pemberian ASI atau nutrisi.Kata kunci: Bayi BBLR; Perawatan Metode Kanguru; Praktik
Penerapan Tindakan Senam Hipertensi Untuk Menurunkan Tekanan Darah Pada Pasien Lansia
Authors: Istianti I , Fijianto Dwi 
Published: December 2021

AbstractHypertension in the elderly is those who experience an increase in systolic blood pressure above 140 mmHg and diastolic pressure above 90 mmHg. This paper aims to apply hypertension exercises to lower blood pressure in the elderly.Two elderly people with hypertension in Johosari Village, Kandeman, Batang were taken as the subject. The result showed both have experienced a decrease in pain and blood pressure. At the visit, a pain scale was 6, TD: 160/90 mmHg and it has decreased into 1, and TD: 120/80 mmHg at the last visit on the first case. Meanwhile, on the second case, a pain scale was 7, TD: 170/90 mmHg in the first visit and it has decreased into 1, TD: 120/90 mmHg in the last visit. Therefore, it could be concluded the exercises are effectively applied to lowe blood pressure on the elderly. And, it is expected as one of the ways to reduce blood pressure on the elderly with hypertension.Keywords: Hypertension, The elderly, Hypertension exercises
AbstrakHipertensi pada lansia adalah lansia yang mengalami peningkatan tekanan darah sistolik diatas 140 mmHg dan tekanan diastolik di atas 90 mmHg.Tindakan untuk menurunkan tekanan darah salah satunya adalah dengan senam hipertensi.Senam hipertensi mampu untuk menurunkan tekanan darah.Tujuan Karya Tulis Ilmiah ini adalah untuk mengaplikasikan tindakan senam hipertensi untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Metode Karya Tulis Ilmiah ini adalah penerapan tindakan senam hipertensi pada lansia.Subyek studi kasus yang digunakan dua lansia yang mengalami hipertensi di desa Johosari Kecamatan Kandeman kabupaten Batang.Hasil penerapan menunjukkan selama 7 kali kunjungan dua lansia mengalami penurunan nyeri dan penurunan tekanan darah, pada kasus satu kunjungan pertama skala nyeri 6, TD: 160/90 mmHg dan kunjungan ketujuh skala nyeri menjadi 1, TD: 120/80 mmHg, sedangkan kasus dua kunjungan pertama skala nyeri 7, TD: 170/90 mmHg dan kunjungan ketujuh skala nyeri menjadi 1, TD: 120/90 mmHg.Kesimpulan dari studi kasus ini menunjukkan senam hipertensi efektif digunakan untuk menurunkan tekanan darah pada lansia.Saran dari penulis diharapkan senam hipertensi dapat dijadikan sebagai tindakan untuk menurunkan tekanan darah pada lansia hipertensi.Kata kunci: Hipertensi, lansia, senam hipertensi
Penerapan Kompres Air Hangat Untuk Menurunkan Nyeri Penderita Asam Urat Pada Lansia Di Desa Wonokerto Kulon
Authors: Janah Khaulatul , Prasojo Sigit , Sugiharto S 
Published: December 2021

AbstractGout is a disease characterized by high levels of uric acid in the blood that normally is 2-7 mg/dl in men and 2-6 mg/dl in women. Consequently, uric acid was build-up in the joints and the other organs. High level of uric acid related to consuming high-purines foods. The signs and symptoms were joints sore, painful and inflammation. The purpose of this case study was to applied warm water compress to reduce pain in elderly gout patients. The cash study was used a descriptive case study method. The study subjects were two elderly patients who have uric acid above >6 mg/dl for women and >7 mg/dl for men, pain scale <4, and complaints of joint pain in the legs. The study was conducted in Wonokerto Kulon Village, Wonokerto District, Pekalongan Regency. The results showed a that uric acid levels was decreased and pain was reduced in both clients. As the conclusion, warm water compress is applicable to reduce pain among gout patients. Accordingly, warm water compress can be an alternativ non-pharmacological therapy to reduce pain in gout patients.Keywords: Gout, Elderly, Warm Water Compress
AbstrakAsam urat adalah penyakit kadar asam urat yang tinggi di dalam darah melebihi batas normal menyebabkan penumpukan asam urat di dalam persendian dan organ tubuh lainnya penumpukan yang disebabkan karena terlalu banyak mengkonsumsi makanan tinggi purin dan membuat sendi sakit, nyeri dan meradang dengan nilai normal pada laki-laki 2-7 mg/dl dan pada wanita 2-6 mg/dl. Tujuan dari studi kasus ini adalah untuk mengaplikasikan tindakan kompres air hangat untuk menurunkan nyeri penderita asam urat pada lansia. Rancangan Karya Tulis Ilmiah ini menggunakan metode studi kasus deskriptif dengan subyek dua klien asam urat yang mengalami asam urat diatas >6 mg/dl untuk wanita dan >7 mg/dl untuk laki-laki dengan skala nyeri <4 dengan keluhan nyeri sendi pada kaki di desa Wonokerto Kulon Kecamatan Wonokerto Kabupaten Pekalongan. Hasil studi ini menunjukan adanya penurunan asam urat dan menyatakan nyeri berkurang pada kedua klien. Simpulan studi kasus ini menunjukan bahwa Terapi Kompres Air Hangat mampu menurunkan nyeri pada penderita asam urat. Untuk itu perawat diharapkan dapat memberikan tindakan terapi nonfarmakologis untuk menurunkan nyeri yang berupa Terapi Kompres Air Hangat pada penderita asam urat.Kata kunci:Asam Urat, Lansia, Kompres Air Hangat
Literature Review : Pengaruh Terapi Distraksi Musik Klasik Terhadap Intensitas Nyeri Pada Pasien Post Operasi Hernia
Authors: Ifa Mifta Hidayatul , Wirotomo Tri Sakti 
Published: December 2021

AbstractHernia is the expulsion Of body contents through the weakest part Of a Wall Of the abdominal cavity. Handling is done by surgery. The surgical procedures will cause pain. One of the non-pharmacological therapies to treat pain in post-hernia surgery patients is classical music distraction therapy. This study aims to describe the effect of classical music distraction therapy on reducing pain intensity in post hernia surgery patients. The design of this scientific paper used a literature review with a total of 3 articies taken from the Googie Scholar page with the keywords a pain, post hemia surgery, classical music therapy" in the form of full-text articles published in 2014-2018. The results showed that the average value before being given therapy was 5.11 and after being given therapy, the average pain was 3.11 with a p-value <0.05. Therefore it can be concluded that there is an effect of giving classical music distraction techniques to reducing pain intensitu in post hernia surgery patients. This result can be used as a consideration for nurses to apply classical music distraction therapy to reduce pain in post hernia surgery patients.Keywords: Pain; Post Hernia Surgery; Classical Music Therapy
AbstrakHernia yaitu keluarnya isi tubuh melewati bagian terlemah dari suatu dinding rongga perut. Penanganan yang dilakukan yaitu dengan pembedahan, dan prosedur pembedahan akan menimbulkan rasa nyeri. Salah satu terapi non farmakologi untuk mengatasi nyeri pada pasien post operasi hernia adalah terapi distraksi music klasik. Penelitian ini bertujuan untuk menggambarkan pengaruh terapi distraksi musik klasik terhadap penurunan intensitas nyeri pada pasien post operasi hernia. Desain karya tulis ilmiah ini menggunakan literature review dengan jumlah 3 artikel yang diambil dari laman google scholar dengan kata kunci “nyeri, post operasi hernia, terapi musik klasik” berupa artikel fulltex dengan tahun terbit 2014-2018. Hasil analisa dari literature review 3 artikel didapatkan nilai rata-rata sebelum diberikan terapi adalah 5,11 dan setelah diberikan terapi rata-rata nyeri menjadi 3,11 dengan p-value <0,05. Simpulan dari literature review ini yaitu terdapat pengaruh pemberian teknik distraksi music klasik terhadap penurunan intensitas nyeri pada pasien post operasi hernia. Saran bagi perawat dapat menerapkan terapi distraksi musik klasik untuk menurunkan nyeripasien post operasi hernia.Kata kunci: : Nyeri; Post Operasi Hernia; Terapi Musik Klasik