scholarly journals EFFECTIVENESS OF COLD PACK WITH EARLY AMBULATION IN PREVENTING COMPLICATIONS OF HAEMORRHAGE AND HAEMATOMA IN PATIENTS POST CARDIAC CATHETERIZATION

2018 ◽  
Vol 4 (1) ◽  
pp. 83-88
Author(s):  
Rizal Ginanjar ◽  
Soeharyo Hadisaputro ◽  
Mardiyono Mardiyono ◽  
Sudirman Sudirman

Objective: To examine the effect of early ambulation with cold pack on the prevention of bleeding and haematoma complications in patients post-cardiac catheterization. Methods: This research used an experimental method with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, with 15 assigned in the experiment and control group. The experiment group was given cold pack and early mobilization, while the control group was given sand pillow with immobilization for 6 hours. Independent t-test and Fisher’s exact test were used for data analysis.Results: Findings showed that there was no significant difference in hemorrhage between experiment and control group after given intervention (p= 1.000), and found a significant difference in hematoma between the two groups  (p=0.001).Conclusion: Cold packs with early ambulation and sand pillow with immobilization for 6 hours were equally effective in preventing hemorrhage. However, cold packs with early ambulation was more effective in preventing haematoma.

2017 ◽  
Vol 3 (2) ◽  
pp. 100
Author(s):  
Eka Afrima Sari ◽  
M Z Arifin ◽  
Sari Fatimah

ABSTRAK Kateterisasi jantung merupakan prosedur untuk mendiagnosis dan/atau mengevaluasi arteri koroner. Pada akhir prosedur, dilakukan pelepasan femoral sheath dan penekanan manual maupun mekanik pada arteri femoralis untuk mengontrol perdarahan hingga tercapai hemostasis. Teknik penekanan yang tidak adekuat pada sisi akses arteri setelah kateterisasi jantung merupakan salah satu penyebab terjadinya hematoma. Ditemukan kejadian hematoma pada pasien pasca kateterisasi jantung yang timbul beberapa waktu setelah penekanan mekanik bantal pasir. Penelitian ini bertujuan untuk membandingkan ukuran hematoma dalam waktu 24 jam pasca kateterisasi jantung berdasarkan penekanan mekanik bantal pasir dan cold pack.  Penelitian ini merupakan penelitian komparatif dengan pendekatan after-only non-equivalent control group design. Subjek penelitian adalah 20 orang pasien pasca kateterisasi jantung yang dibagi menjadi kelompok eksperimen dengan penekanan mekanik cold pack selama 20 menit setelah pelepasan femoral sheath dan kelompok kontrol dengan penekanan mekanik bantal pasir 2,5 Kg selama 6 jam setelah pelepasan femoral sheath. Kejadian hematoma dilihat setelah penekanan manual, penekanan mekanik, dan setiap jam selama 24 jam. Perbedaan kejadian hematoma dilihat dengan menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan bahwa tidak terdapat perbedaan bermakna ukuran hematoma setelah penekanan manual, penekanan mekanik dan setiap jam dalam waktu 24 jam pada pasien pasca kateterisasi jantung yang menggunakan bantal pasir maupun cold pack (ρ > 0,05). Pada kelompok eksperimen ukuran hematoma mengecil di akhir jam ke-24 dan pada kelompok kontrol ukuran hematoma membesar di akhir jam ke-24. Penggunaan penekanan mekanik cold pack dapat mengurangi risiko hematoma sebagaimana bantal pasir, sehingga cold pack dapat digunakan sebagai pilihan alat tekan mekanik pada pasien pasca kateterisasi jantung.  ABSTRACT Cardiac catheterization is a procedure to diagnose and/or  evaluate coronary arteries. At the end of procedure, performed manual and mechanical compression on the femoral artery to control bleeding until homeostasis is achieved. Inadequate compression techniques on the arterial access after cardiac catheterization is one of the causes of hematoma. Found in hematoma incidence in patients after cardiac cathetherization that arise  after mechanical compression using sandbags. The purpose of this study was to compare the size of the hematoma within 24 hours after cardiac catheterization using sandbags and cold pack mechanical compression. The study design was a comparative study with after-only non-equivalent control group design. Research subjects included of 20 after cardiac catheterization patients were divided into an experimental group with cold pack mechanical compression for 20 minutes after femoral sheath release and control group with sandbags mechanical compression for 6 hours after femoral sheath release. Incidence of hematoma was observed after manual compression, mechanical compression, and every hour for 24 hours. Mann-Whitney test was used to see the difference the incidence of hematoma of both of groups. The results showed no significant difference in the size of the hematoma after manual compression, mechanical compression, and every hour within 24 hours after cardiac catheterization in both of groups (ρ> 0.05). But the size of the hematoma in the end of observation time was smaller in experiment group, and bigger in the control group. The use ofcold pack mechanical compressions could reduce the risk of hematoma as well as sandbags. Thus, cold pack could be used as an alternative mechanical compression tool in patients with post cardiac catheterization. 


2021 ◽  
Vol 9 (3) ◽  
pp. 712-719
Author(s):  
Ayşe Eliüşük Bülbül ◽  

The purpose of this study is to determine the effect of the "patience training program" on the patience and life satisfaction levels of university students. The study was organized as a pre-test, post-test experiment and control group design. For a total of 30 students from which were 17 in the control group and 17 in the experimental group, patience training was given for 5 weeks. The "Patient Scale" developed by Schnitker (2010) and adapted to Turkish by Eliüşük and Arslan (2016) and the "Life Satisfaction Scale" developed by Diener, Emmons, Larsen and Griffin (1985) and adapted to Turkish by Dağlı and Baysal (2016) were used as a data collection tool in the study. The "Wilcoxon" test was used for the comparison of in-group differences in the analysis of obtained data and the "Mann-Whitney U" test was used in examining the differences between the two groups. As a result of the study, it was observed that the patience and life satisfaction average scores of students in the experimental group receiving "patience training" increased significantly, while there was no significant difference in the patience and life satisfaction averages scores of the control group students.


MEDISAINS ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 57
Author(s):  
Qurota A'yun ◽  
Mukhoirotin Mukhoirotin

Background: The dysmenorrhea prevalence is still reported high in the world. Several previous studies discovered that deep breathing relaxation effectively reduced dysmenorrhea. Other studies presented the combination of early mobilization and spiritual relaxation could reduce the level of client pain postoperative appendectomy, however the effectiveness of spiritual relaxation techniques to reduce dysmenorrhea is not yet tested.Objective: to determine the effect of spiritual relaxation to reduce dysmenorrhea.Method: The research design used was Quasi Experiment with the pretest-posttest Control Group Design approach. The populations were female students who experienced menstrual pain (dysmenorrhea) and met the inclusion and exclusion criteria. The variable in this study was dysmenorrhea. The sampling technique was simple ramdom sampling consisted of 44 respondents. The calculation instrument was NRS (Numeric Rating Scale) and data were analyzed through statistical test of Paired T-Test and Independent T-Test.Results: After spiritual relaxation treatment, the intensity of menstrual pain reduced significantly from 6.05 - 1.77, it proved that there was an effect of spiritual relaxation on dysmenorrhea with a significant value (ρ) of 0.000 (p ≤ 0.05). There were significant differences in the intensity of menstrual pain in the intervention and control groups (1.77 ± 1,109 vs 5.63 ± 0.445; p> 0.05).Conclusion: Spiritual relaxation effectively reduces dysmenorrhea


2019 ◽  
Vol 2 (2) ◽  
pp. 269
Author(s):  
Yoga Pratama

The objectives of this study were to find out whether or not there was significant improvement in writing and speaking achievements of the eighth grade students of SMPN1 Jarai after they were taught by using Sociogram, to find out whether or not there was significant improvement in each aspect of writing and speaking achievements of the eighth grade students of SMPN1 Jarai after they were taught by using Sociogram, to find out whether or not there was significant difference in writing and speaking achievements between the eighth grade students of SMP 1 Jarai who were taught by using Sociogram and those who were not, and to find out the perception of the eighth grade students of SMPN 1 Jarai after they were taught by using Socoiogram. In this paper, an experimental research method with pre and post test control group design was used with 70 students as the sample divided into two groups, experimental and control group. However, only the students of the experimental group were taught by using Sociogram. The obtained data were analyzed by using t-test. The students were given questionnaire to know their perceptions. The result showed that there was a significant difference in both students? writing and speaking achievements after they were tought by using Sociogram. Furthermore, it was found that there was a significant difference in students? writing and speaking achievement between the experimental and control groups. In conclusion, Sociogram improves the students? writing and speaking achievements.


2017 ◽  
Vol 3 (5) ◽  
pp. 470-477
Author(s):  
Anjar Astuti ◽  
Suryono Suryono ◽  
Melyana Nurul Widyawati ◽  
Ari Suwondo ◽  
Mardiyono Mardiyono

Background: Autism is a neurodevelopmental disorder. Audio therapy is considered as one of the complementary therapies to improve the behavior of children with autism.Objective: This study was to analysis the effectiveness of the Al-Qur'an murrotal audio therapy on behavioral development in children with autism.Methods: This study was a true-experimental research using pretest and posttest approach with control group. This research was conducted on November 2016 in the Autism Foundation of Semarang City. There were 30 samples were selected using simple random sampling, with 15 samples assigned in the experiment and control group. Mann Whitney and Wilcoxon tests were used for data analysis in this study.Results: Results showed that there was a significant difference in the mean of behavioral development after given intervention between the experiment group and control group with p-value 0.034 (<0.05). The mean of behavioral development in the experiment group (4.53) was higher than the mean in the control group (3.47).Conclusion: The Al-Qur'an murrotal audio therapy is effective to develop behavior of children with autism. Therefore, it is expected that this audio therapy can be applied an alternative therapy for children with autism.


2016 ◽  
Vol 11 (1) ◽  
Author(s):  
Nova Fitriani Wahdah ◽  
A Wahab Jufri ◽  
Lalu Zulkifli

Abstrak. Penelitian ini bertujuan untuk menganalisis: (1) peningkatan kemampuan menulis jurnal belajar, (2) perbedaan kemampuan metakognisi siswa yang menulis jurnal belajar dengan siswa yang tidak menulis jurnal belajar, dan (3) hubungan kemampuan menulis jurnal belajar dengan kemampuan metakognisi siswa. Desain penelitian ini menggunakan nonequivalent control group design. Populasi dalam penelitian ini yaitu siswa kelas X dan kelas XI di SMAN 1 Pringgarata tahun ajaran 2014/2015 (285 orang). Sampel penelitian ditentukan melalui teknik simple random sampling. Sampel penelitian yang berjumlah 124 orang tersebar di kelas X3 dan XI IPA1 sebagai kelompok eksperimen, serta di kelas X2 danXI IPA2 sebagai kelompok kontrol. Instrumen penelitian berupa jurnal belajar, rubrik penilaian jurnal belajar, dan inventori kesadaran metakognisi. Data hasil penelitian dianalisis menggunakan program SPSS for windows 16. Hasil penelitian ini menunjukkan bahwa: (1) kemampuan siswa dalam menulis jurnal belajar mengalami peningkatan (N-gain= 0,2), (2) ada perbedaan kemampuan metakognisi antara siswa yang menulis jurnal belajar dengan siswa yang tidak menulis jurnal belajar (p < 0,05), dan (3) kemampuan menulis jurnal belajar berkorelasi positif dengan kemampuan metakognisi (p < 0,05).Kata kunci: jurnal belajar, kemampuan metakognisiAbstract. The aim of this research were  to analyze: (1) the improvement of students ability in journal writing skills, (2) the difference of metacognitive skills between students who wrote learning journal and those who did not write learning journal, (3) the correlation of journal writing skills and the metacognitive skills of students. The research design was used nonequivalent control group design. The Population of this research were students in X and XI class of SMAN 1 Pringgarata 2014/2015 (285 peoples). Sample of this research was determined by simple random sampling technique. The amount of sample were  124 peoples, that distributed in X3 and XI IPA1 classas experimental group,  X2 and XI IPA2  class as control group. The research instruments were learning journal, rubric of learning journal and metacognitive awareness inventory (MAI). Data in this research was analyzed by using SPSS for windows 16. The result of this research shows: (1) the students skills in writing journal was increase (N-gain = 0,2), (2) there were significant difference between students who wrote journal and those who did not write journal (p < 0,05), and (3) journal writing skills was positively correlated with the students metacognitive skill   (p < 0,05).Keywords: learning journal, metacognitive skills


2018 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Andika Siswoaribowo ◽  
Mateus Sakundarno ◽  
Muhammad Mu’in

Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with diabetes mellitus type II.Methods: This research used a quasi experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited puposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.


2021 ◽  
Vol 4 (3) ◽  
pp. 32-46
Author(s):  
Sallah E.K. ◽  
Joshua K.S. ◽  
Alex O.

The study was conducted on the use of Maple software to reduce student teachers’ errors in Differential Calculus at Evangelical Presbyterian College of Education, Volta Region - Ghana. The research design for the study was quasi-experimental non-equivalent control group design. Convenience and simple random sampling techniques were employed to obtain a sample of 104 student teachers, which comprised 53 student teachers in the control group and 51 in the experimental group. Test items were the instruments used for data gathering. Descriptive, paired samples t-test and independent samples t-test were used in analyzing data. Descriptive content error analysis revealed that student teachers committed many conceptual, procedural and technical errors when solving tasks in the differential calculus. The results also indicated that there was a statistically significant difference between student teachers’ of the experimental group exposed to the use of Maple software in learning differential calculus to control groups exposed to traditional methods. Consequently, it was recommended that Maple assisted instruction be incorporated in the teaching and learning of differential calculus in the school; and also there is the need for the mathematics teachers in the school to employ blended teaching approaches, in which Maple software are used simultaneously to enhance teaching of mathematics concepts.


2017 ◽  
Vol 5 (2) ◽  
pp. 98-104
Author(s):  
Dewi Pertiwi Dyah Kusudaryati ◽  
Siti Fatimah Muis ◽  
Laksmi Widajanti

Background : Zn supplementation on stunted children in multiple research get the result inconsistent concerning the effect of Zn on children’s growth.Objective : To examine the effect of Zn supplementation to the change in height for index among stunted children age between 24-36 months.Methods: The research design is randomized pretest posttest control group design. The total of thirty six stunted children are divided into two groups. The treatment group is received syrup with 20 mg ZnSO4 twice a week for three months. The control group received placebo without Zn. Height for age z score (HAZ) on WHO Child Growth 2006 is used to measure height for age index while dietary intake and infection diseases are used as confounding variables.Result : There is significant difference in HAZ before and after supplementation at treatment group (p<0.001) and control group (p<0.001). There is a significant difference of the change in HAZ between the treatment group and control group (p=0.006). Percentage Achievement of Energy, Protein, and Zn Dietary Allowance have significant difference between the treatment group and control group (p=0.009; p<0.001; p<0.001, respectively). The change in HAZ, Percentage Achievement of Energy, Protein, and Zn Dietary Allowance are higher in treatment group than control group. Duration of diarrhea (p=0.045) and morbidity (p=0.019) are lower in treatment group than control group. Conclusion : Zn Supplementation among stunted children have significant effect on the change in HAZ, dietary intake, and infection.


1981 ◽  
Vol 29 (1) ◽  
pp. 23-30 ◽  
Author(s):  
James N. Anderson

The purpose of this study was to investigate the effect of using tape-recorded aural models for home practice on selected sight-reading and performance skills of sixth-grade clarinet students. The experimental design was a pretest-posttest control-group design with an additional posttest measure. It was predicted that students in the experimental group would do significantly better than students in the control group with regard to pitch reading, rhythm reading, tempo accuracy, and intonation accuracy as measured by the sight-reading and performance tests. It was also projected that students in the experimental group would complete more music exercises during the study than students in the control group. The statistical analysis indicated no significant difference between the experimental and control groups with regard to either the skills measured or the number of music exercises completed during the study. These results appear to indicate that tape-recorded aural models used in this study had no observed effect on the selected music skills.


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