Meningioma is the most common type of primary brain tumor, which affect several domains of life, such as physiological, psychological, and social life conditions. Although surgery has been performed ...on meningioma patients in Indonesia, some patients still experience sequelae such as headache, impaired mobilization, disruption of activity, and visual disturbances. This narrative review aims to describe nursing rehabilitation programs in patients with meningioma in Indonesia. As a result, the nursing rehabilitation program is considered as an integral part of multidisciplinary rehabilitation, which can be applied in the nursing rehabilitation center and in the form of telenursing. The roles of nurses include providing evidence-based direct care, psychosocial support, patient / family education, care coordination, and continuing health promotion starting from the period of patient care in the hospital to discharge. In conclusion, the nursing rehabilitation program has the potential to improve the quality of life in meningioma patients, especially in Indonesia.
The Sustainable Development Goals (SDGs) are a universal action to ensure peace and prosperity by 2030 by rising to meet various challenges. Achieving the SDGs requires every party to take part, ...including university students. This study aimed to identify knowledge, perceptions, and awareness about the SDGs among students at a public university in Indonesia. An online survey was conducted in 14 faculties and 2 schools at a public university in Indonesia. A total of 138 students from 3 clusters - health, science, and social sciences - participated. Descriptive analysis was used in exploring knowledge, perceptions, and awareness of the SDGs among students from different disciplines. Of the total respondents, 76.8% had good knowledge about the SDGs, and 73.9% had a positive perception towards the SDGs. However, 42.0% of the students were not aware of the SDGs. This study recommends appropriate individual- and population-level educational programs about the SDGs that should be conducted in university settings. Finally, curricular adjustment is essential.
Summary
Introduction
Support of neurosurgery patients following discharge from hospital is important. Currently, little is known about patients' in low‐ and middle‐income countries before and after ...their hospital treatment. This companion paper reports patients' pathways before and after hospital admission and the feasibility of following up this ill‐patient population by telephone.
Methods
Eligible patients were aged ≥18 years admitted to the Neurosurgery Department in Dr. Hasan Sadikin Hospital—a regional referral hospital in Bandung City, Indonesia. Clinical data were collected on admission by clinicians. In‐person interviews were undertaken with a clinical research nurse 1 to 2 days pre‐discharge, and telephone follow‐up interviews at 1, 2, and 3 months post‐discharge. Information was also collected on pathways prior to admission and following discharge. The number of contact attempts for each patient interview was documented, as was the overall acceptability of undertaking a telephone interview.
Results
Of 178 patients discharged from hospital, 12 later died. Of the remaining 166 patients, 95% were able to be followed up to 3 months. Two‐thirds of patients had been referred from another hospital. Patients came from, and were discharged to, locations throughout the West Java region. At the 1‐month interview, 84% participants reported that they had had a follow‐up consultation with a health professional—mostly with a neurosurgeon.
Conclusion
This study has shown that, with a neurosurgery nurse delegated to the role, it is feasible to conduct follow‐up telephone interviews with patients after discharge from a neurosurgery ward and that in fact such follow‐up was appreciated by patients.
Summary
Introduction
Little is known about neurosurgery patient outcomes in Indonesia. Our study sought to describe patient characteristics, health care pathways, health‐related quality of life, and ...health/rehabilitation care needs of patients admitted to, and discharged from, a major neurosurgery department.
Methods
Eligible patients were aged ≥18 years admitted to the Neurosurgery Department in a regional referral hospital in Bandung, Indonesia. Baseline data was collected on admission. An in‐person interview (in the Indonesian language) was held 1 to 2 days pre‐discharge. Sociodemographic along with clinical characteristics, Glasgow Coma Scale (GCS), and EQ‐5D‐5L data were collected.
Results
A total of 217 patients were admitted, 37 died before discharge, and a pre‐discharge interview was undertaken by 178 (82%). Almost half (48%) were admitted because of injury, 38% brain tumour, 10% acute illness, and 4% other conditions. The mean age was 41 years. On admission, 63% had a mild Glasgow Coma Scale, 31% moderate, and 3% severe. The average hospital stay was 8 days for injury and 24 days for illness patients. Prior to discharge, one‐third, or less, of the 178 patients interviewed reported “no problems” in the EQ‐5D dimensions of mobility (32%), self‐care (27%), usual activities (16%), and pain/discomfort (32%), whereas 70% reported “no problems” with anxiety/depression.
Conclusion
A large proportion of patients are being discharged with considerable levels of difficulty in four of the five EQ‐5D dimensions. This stresses the importance of providing good follow‐up and support of patients and their families.
Inserting a nasogastric tube (NGT) is a standard procedure performed by nurses. Assuring the correct position of the tip of the NGT in the stomach is crucial for maximizing the treatment ...effectiveness and preventing complications due to NGT malposition. While the nose-ear-xiphoid distance is one of the simplest applied methods in estimating the depth of NGT, some studies reported that it is not accurate and is considered no longer safe and increasing the risk for NGT malposition. This literature review aimed to identify the most precise method for determining the NGT insertion depth. The article searched from some electronic sources, namely Sciencedirect and Google Scholar, using "nasogastric tube," "placement," "method," "formula," and "nursing" as the keywords and searching focused on the original research articles published in English between March 2017 – March 2022. Three pieces met the inclusion criteria. These three articles used different definitions and formulas in determining the accurate position of NGT in the stomach. Considering the rate of correct position resulting from the formulas, the xiphoid-ear-nose distance + 10 cm formula was considered the most appropriate formula to be implemented in the daily NGT tube insertion procedure. However, using this formula cannot altogether remove the risk of malposition. Therefore, confirming the position of the NGT using a gastric aspirate pH test or chest x-ray is very recommended.
Keywords: Nursing intervention; nutritional status; nasogastric tube; clinical practice; nursing care
Head injury is a crucial public health problem and causes social and economic problems throughout the world. Increased brain blood volume associated with increased body temperature will increase ...intracranial pressure (ICP) and cause the brain at risk of other injuries. This paper aims to identify the effect of hypothermia management on head injury patients. This article was a review of literature from several data bases, Pubmed, EBSCO Host, Google scholar, and Web of Science. Article search was restricted from 2007 to 2018 using the keyword "head injury", "hypothermia management", "hypothermia in head injury". The search results of the article were that management of hypothermia in head injury patients can reduce metabolic requirements, cerebral metabolic rate for oxygen (CMRO2), excitotoxicity, reduce glutamate release, reduce free radical formation, reduce edema formation, stabilize membranes, maintain adenosine triphosphate (ATP), reduce influx Ca, and intracranial pressure so that it can reduce brain damage and risk of death.
Keywords: head injury; hypothermia in head injury; hypothermia management
ABSTRAK
Cedera kepala merupakan masalah kesehatan masyarakat yang krusial dan menyebabkan permasalahan sosial serta ekonomi di seluruh dunia. Peningkatan volume darah otak yang dihubungkan dengan kenaikan suhu tubuh akan meningkatkan tekanan intrakranial (intracranial pressure/ICP) dan menyebabkan otak berisiko terkena cedera lain. Tulisan ini bertujuan untuk mengidentifikasi pengaruh manajemen hipotermia pada pasien cedera kepala. Tulisan ini merupakan tinjauan literature dari beberapa data base yaitu Pubmed, EBSCO Host, Google scholar, dan Web of Science. Penelusuran artikel dibatasi pada tahun 2007 sampai dengan tahun 2018 dengan menggunakan kata kunci “cedera kepala”, “manajemen hipotermia”, “hipotermia pada cedera kepala”. Hasil penelusuran artikel adalah manajemen hipotermia pada pasien cedera kepala dapat berefek mengurangi kebutuhan metabolik, cerebral metabolic rate for oxygen (CMRO2), eksitotoksisitas, menurunkan pelepasan glutamat, menurunkan pembentukan radikal bebas, mengurangi pembentukan edema, stabilisasi membran, memelihara adenosine triphosphate (ATP), menurunkan influx Ca, dan tekanan intrakranial sehingga dapat mengurangi kerusakan otak dan risiko kematian.
Kata kunci: cedera kepala; hipotermia pada cedera kepala; manajemen hipotermia
Sepsis is a medical emergency that describes the body's systemic immunological response to infectious processes that can lead to end-stage organ dysfunction and death. The role of nurses in tackling ...sepsis patients is critical to identifying the initial condition of sepsis and reducing the continuation of even more severe sepsis. This narrative review aims to identify the role of nurses in treating sepsis patients in critical care units. This research method was the narrative review by analyzing online search databases namely Pubmed, Google Scholar, and Science Direct. The search inclusion criteria were an English-language article, published in 2008-2021, full text, the keywords used were "sepsis", "the role of nurses", "critical care". Our search found 11 articles showed that the role of nurses in treating sepsis patients is early introduction to sepsis to start treatment, team training to ensure a safe and effective approach and the implementation of infection prevention and control measures as prevention of sepsis. So the role of nurses in tackling sepsis patients is critical to identifying the early conditions of sepsis, controlling and preventing sepsis, preventing the progression of the disease and contributing to decreased morbidity and mortality.
Keywords: sepsis; the role of nurses; critical care
ABSTRAK
Sepsis merupakan keadaan darurat medis yang menggambarkan respons imunologi sistemik tubuh terhadap proses infeksi yang dapat menyebabkan disfungsi organ stadium akhir dan kematian. Peran perawat dalam menanggulangi pasien sepsis sangatlah penting untuk mengidentifikasi kondisi awal sepsis serta mengurangi kelanjutan sepsis yang lebih berat lagi. Tinjauan naratif ini bertujuan untuk mengidentifikasi peran perawat dalam merawat pasien sepsis di unit critical care.Metode penelitian ini adalah narrative review dengan menganalisis database online pencarian yaitu Pubmed, Google Scholar, dan Science Direct. Kriteria inklusi pencarian adalah artikel berbahasa inggris, terbit tahun 2008-2021, full text, dengan kata kunci pencarian “sepsis”, “the role of nurses”, “critical care”. Dari hasil penelusuran kami menemukan 11 artikel yang menunjukkan bahwa peran perawat dalam merawat pasien sepsis yaitu adanya pengenalan dini terhadap sepsis untuk memulai pengobatan, pelatihan tim untuk memastikan pendekatan yang aman dan efektif serta penerapan langkah-langkah pencegahan dan pengendalian infeksi sebagai pencegahan sepsis. Sehingga peran perawat dalam menanggulangi pasien sepsis sangatlah penting untuk mengidentifikasi kondisi awal sepsis, pengendalian dan pencegahan sepsis, mencegah perkembangan penyakit dan berkontribusi pada penurunan morbiditas dan mortalitas.Kata kunci: sepsis; peran perawat; perawatan kritis
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