Browsing by Author "Nurachmah, Elly"
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Item The Effect Of Right Lateral Position On Hemodynamics And Comfort Patients With Heart Failure: A Randomized Controlled Trial(2015-06-20) Febtrina, Rizka; Nurachmah, Elly; Gayatri, DewiBenefits of right lateral position on patients with heart failure has been widely studied, but it is still unclear the effects of right lateral position on hemodynamics of patients with heart failure. This study aims to identify the effect of right lateral resting position on hemodynamic and level of comfort on heart failure patients. The method of this research was randomized controlled trial (RCT) withcross – over design. Twenty patients with heart failure stage II and III (15 men and 5 women) at the Harapan Kita Cardiovascular Hospital were participated. Blood pressure, Mean Arterial Pressure (MAP), heart rate (HR), respiratory rate (RR) and SaO2 were measured before and after setting up the position using bedsite monitor.The level of comfort was measured by using the Verbal Rating Scale Questionnaire. Measurements were taken in the morning (09:00 to 11:00 AM) and evening (04:00 to 06:00 PM). The results of this study showed there are significant effects of right lateral position on the Systolic Blood Pressure (SBP) (Morning: p value .000; Evening: p value: .017), Diastolic Blood Pressure (DBP) (Morning: p value 0.004), MAP (Morning: p value 0.001), HR (Evening: p value 0.008) before and after setting up the right lateral position. There is a significant difference between group on the level of comfort (Evening: p value 0.041). Recommendation of this study is setting the right lateral position can used as one of nursing intervention for maintain hemodynamic and increase level of comfort on patients with heart failure.Item Experiences In Patients With Diabetic Ulcers : A Phenomenological Study(2015-06-18) Agustina, Dwi; Gayatri, Dewi; Nurachmah, EllyDiabetic ulcers as one of the complications of diabetes mellitus disease, has impacts on the patients' physical, psychological, social and environmental comfort. The purpose of this study is to describe the experience of patients with diabetic ulcers. A descriptive phenomenology method with in-depth interview was assigned to eight participants. The results of this study found nine themes of their experience which are the understanding of diabetes mellitus, the experience of dealing with diabetic ulcers, the pain experience, the understanding of comfort, the changes in life, the social support gained, the spiritual experience, the health professional support and the psychological experience. The study recommends further studies.Item Murottal Al-Qur`An Stimulation For Reducing Anxiety Level On Acute Coronary Syndrome Patient : A Practice Based On Evidence(2015-06-20) Safri; Nurachmah, Elly; Herawati, Tuti; Sekarsari, RitaThe need to get help (diagnostic of nursing) generally happened to patients, i.e.: decreased of cardiac output, impaired gas exchange, ineffective airway clearance, risk of hemorrhage, acute pain, and risk for infection. This scientific work is report from Implementation of nursing practical based on evidence, has to done to reducing patient anxiety Acute Coronary Syndrome with Intervention was done Al-Qur`an stimulation up to 30 minutes. This is quasi experiment study using pre and post test non equivalent control group design. Sample of 10 Acute Coronary Syndrome patient recruited using NNT (Number Needed to Treat). The result shows significant differentce on level of anxiety on esperimental group before Murottal Al-Qur’an intervention (mean = 40,80 ) and after Murottal Al- Qur’an intervention (mean = 31,00 ), and different between level of anxiety before Murottal Al- Qur’an intervention in control groups (mean=34,60 ), and after intervention (mean=34,60). Murottal Al-Qur`an stimulation gave positive influence in reducing level of anxiety on Acute Coronary Syndrome Patient. Based on this study it is recommended to nurse? To apply Murottal Al-Qur`an stimulation to Acute Coronary Syndrome Patient patient to improve level of anxiety. Implementation of evidence based nursing practice at patient with Cardiovascular`s system disorder in cardiovascular Hospital Harapan Kita Jakarta