Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Latar Belakang: Protokol ERAS (Enhanced Recovery After Surgery) adalah sebuah strategi perioperatif berbasis bukti, yang terbukti dapat menurukan lama perawatan pascaoperas dan angka komplikasi pada kasus pembedahan di bidang kolorektal. Penerapan ERAS terdiri atas 15 komponen, namum evaluasi penerapan komponen ini bila dihubungkan dengan luaran masih belum jelas. Metode: Studi retrospektif dilakukan kepada 63 pasien yang telah menjalani operasi elektif kolorektal berbasis protokol ERAS dari Januari 2015 hingga Desember 2017 di Rumah Sakit Cipto Mangunkusumo. Karakteristik pasien, demografi, termuan klinis dan lama perawatan dikumpulkan dari rekam medis. Hubungan antara jumlah komponen ERAS yang diterapkan dikaitkan dengan lama rawat dianalisis. Hasil: Semua pasien diterapkan jumlah komponen ERAS hingga maksimal 11 komponen dari total 15 komponen. Usia rata-rata pasien adalah 53 tahun; 46% pasien laki-laki, dan 54% perempuan. Tidak ditemukan angka mortalitas. Angka morbiditas sebesar 7,9%, disebabkan oleh infeksi luka operasi 1,6%, pneumonia 1,6%, dan retensi urin 4,8%. Lokasi tersering dari tumor kolorektal adalah sigmoid (47%). Prosedur operasi yang paling sering dikerjakan adalah tutup kolostomi (25,4%). Terdapat hubungan yang bermakna antara jumlah penerapan komponen protokol ERAS dan lama perawatan pasca operasi. (p<0.01, r = 0,568). Kesimpulan: Semakin banyak jumlah komponen ERAS yang diterapkan ke satu pasien, semakin singkat lama perawatan pasca operasi.  Kata kunci: Enhanced Recovery After Surgery, Evaluasi, Kolorektal  ......Background. The enhanced recovery after surgery (ERAS) protocol in colorectal surgery has proven to be effective in reducing postoperative length of stay and perioperative complications rates in hospital. At Cipto Mangunkusumo Hospital, ERAS protocol for colorectal surgery has been known since 2015. However, there has never been a program evaluation of the ERAS components that has been applied in relation to outcomes. Method. Sixty-three colorectal patients who underwent surgical procedures from 2015 to 2017 were retrospectively evaluated for complete implementation of ERAS protocol. Complete implementation is defined as the ability to accomplish 15 ERAS components. Demographic, clinical data, and length of stay (LOS) were also collected from medical records. Results. Up to 11 out of 15 ERAS components were implemented to 63 patients. The proportion of male was 46% compare to female was 54%. The average age was 53 years old; mortality rates 0%, morbidity rates 7,9% (surgical site infection 1,6%; pneumonia 1,6%; and urinary retention 4,8%). The most common location of tumor and procedure were sigmoid (47,6%), colostomy closure (25,4%). It is found that there is a relationship between the total number of components that are corresponding to ERAS protocol per subject and the average length of stay. The more number of ERAS components that are fulfilled per subject, the shorter the average length of subject visits became (p<0,01, r = 0,568). Conclusion. Cipto Mangunkusumo Hospital does not yet have an ERAS protocol for colorectal surgery, but has implemented 11 ERAS components out of a total of 15 ERAS components from Toronto as a perioperative management. The greater number of ERAS components that are applied to one subject, the shorter the postoperative care. Keyword: Colorectal, enhanced recovery after surgery, evaluation

Abstrak :
Societies work best where citizens trust their fellow citizens, work cooperatively for common goals, and thus share a civic culture. The accumulation of reciprocal trust, as demonstrated by voluntary efforts for the creation of common goods, builds social capital and contributes to effective government. This volume advances the study of social capital across chronological and geographical space. It examines voluntary associations, comparatively and cross-culturally, as important indicators of citizen readiness for civic engagement. An important conclusion, along the way, is that social capital may not be continuous, or endure. Several of the authors wonder if the accumulation and diminution of social capital will prove cyclical. Or has there been a societal deterioration as we enter a more anonymous age? This book is ultimately about the pattern of social and civic interactions in past times, and how these patterns may no longer exist.

Abstrak :
This book concentrates on two pivotal moments in Edmund Burke's writing career and in the history of Britain in the eighteenth century — the publication of A Philosophical Enquiry into the Origin of Our Ideas of the Sublime and Beautiful (1757/9) during the Seven Years War, and the publication of the Reflections on the Revolution in France (1790) in response to the way the French Revolution was being admired by radicals in Britain. Although the book is divided into two parts which focus on each of these moments in turn, the interpretive strategy adopted throughout is continuously to read each text in terms of the other. I move forwards and backwards between the Enquiry and the Reflections in order to establish and complicate the relationship between them, showing that a rereading of the former demands and enables a reinterpretation of the latter. Simultaneously with this close attention to Burke's texts, I attempt to read the various ways in which they interact with a range of texts which constitute their different historical and discursive moments.

Abstrak :
ABSTRAK
Perempuan pasca abortus mengalami dampak psikologis yang sering diabaikanoleh tenaga kesehatan. Kurangnya infonnasi tentang abortus berkontribusiterhadap penderitaan mereka serta menyebabkan kecemasan di kehamilanselanjutnya. Tujuan penelitian ini adalah untuk mengetahui pengaruh paketpendidikan kesehatan Tegar terhadap pengetahuan, sikap dan kecemasan ibupasca abortus. Penelitian ini menggunakan desain Kuasi eksperimen denganpendekatan pretest andpost test with control group. Jumlah sampel 68 orang yangdiseleksi dengan metode concecutive sampling. Analisis yang digunakan adalahanalisis McNemar dan Chi-Square. Hasil penelitian menunjukkan ada perbedaanbermakna pada pengetahuan p=O,OOl , sikap p= 0,005 , dan kecemasan p=O,OOl sebelum dan sesudah diberikan intervensi. Ada perbedaan bennaknapengetahuan, sikap dan kecemasan p=O.OOl ;0,002 dan 0,001 antarakelompok intervensi dan kelompok control. Perawat Maternitas disarankan untukmenggunakan paket pendidikan kesehatan Tegar sebagai intervensikeperawatan ibu pasca abortus.

---

ABSTRACT
NameStudy programTitleABSTRACT Yessi Andriani Master of Nursing The Influence of health education package Tegar on theknowledge,attitude and anxiety of women after abortion.Women after abortion always exsperience a psychological physical problemsthat are notly forget by the health providers. This in tum will influence the anxietyof women to pregnant again. The purpose of this study is to identify the influenceof Tegar 39 39 fhe package toward the knowledge, attitudes and anxiety amongwomen after abortion. This study uses a quasy experiment with pre test post testwith control group design. Was used in the 68 samples devided into interventionand control group that were selected by concecutive sampling method. The is usethe is McNemar and Chi Square analysis. The results showed is a significantdifference in knowledge p 0.001 , attitude p 0.005 , and anxiety p 0.001 before and after the intervention. Thee 39 is a significant difference inknowledge, attitude and anxiety p O,OOl 0,002 and 0,001 . Maternity nurseare recommended to use this package in order the women after abortion.