Critical Medical and Surgical Nursing Journal (CMSNJ)

Utilization of Mobile Health Technologies in Chronic Kidney Disease Management: A Scoping Review

2024-10-22T14:08:04+07:00

Introduction: The increasing prevalence of Chronic Kidney Disease (CKD) necessitates innovative approaches to enhance patient care and management. Mobile health (mHealth) technologies have emerged as promising tools for improving health outcomes through remote monitoring, patient engagement, and data-driven decision-making. This scoping review aims to explore the utilization of mHealth technologies in the management of CKD.

Methods: A comprehensive literature search was conducted across multiple databases including PubMed/Medline, ProQuest, and DOAJ focusing on studies published in the last decade. The inclusion criteria encompassed articles that evaluated mHealth interventions specifically designed for CKD management. Key outcomes were categorized into patient adherence, clinical outcomes, patient satisfaction, and cost-effectiveness.

Results: The review identified diverse mHealth applications, including mobile apps, wearable devices, and telehealth platforms, demonstrating potential benefits in improving medication adherence, monitoring disease progression, and enhancing patient-provider communication. Despite promising results, challenges such as data privacy, technological literacy, and integration with existing healthcare systems were noted.

Conclusion: This review underscores the need for further research to optimize mHealth interventions and address barriers to widespread implementation in CKD management.

Knowledge about Type Diabetes Mellitus : A Descriptive Study in Mujahidin High School Pontianak

2024-09-05T12:44:49+07:00

Introduction: Technological developments and exposure to social media content that promote unhealthy foods have contributed to an increase in cases of type 2 diabetes mellitus,especially among children and adolescents. Although no specific data is currently available regarding the incidence of type 2 diabetes mellitus in adolescents in Indonesia, there has been a significant rise in the prevalence of overweight adolescents. This study aims to describe the level of knowledge about type 2 diabetes mellitus among adolescents at SMA Mujahidin Pontianak.

Methods: This research employs a quantitative approach with descriptive research methods. The sampling technique used is stratified random sampling, involving a total of 245 students from grades X and XI at SMA Mujahidin Pontianak. The instrument used in this research was the DKQ-24 questionnaire, which was administered to the respondents. Data were analyzed using univariate analysis.

Results: The findings indicated that 76.7% (188 respondents) had a moderate level of knowledge about type 2 diabetes mellitus, 17.6% (46 respondents) had a low level of knowledge, and 15.7% (11 respondents) demonstrated a high level of knowledge.

Conclusion: The majority of students at SMA Mujahidin Pontianak possess a moderate level of knowledge about type 2 diabetes mellitus. The study recommends that schools collaborate with healthcare professionals or health organizations to create informative materials,such as posters about type 2 diabetes mellitus, and to strengthen the school health program (UKS) to enhance students' knowledge and awareness.

Effectiveness of Turmeric Rhizome Extract and Egg Shell Waste Ointment in Healing Diabetic Wounds in Mice With DDY Strain

2024-11-26T10:36:35+07:00

Introduction: One of the complications of diabetes is wounds on the feet. The use of curcumin as a natural ingredient can accelerate the healing of diabetic wounds with its anti-inflammatory and antioxidant properties. However, curcumin has low solubility so it requires a conductor such as hyaluronic acid in egg shells to increase hydration and bioavailability. The aim of this research was to determine the effectiveness of turmeric rhizome and egg shell extract ointment in healing diabetic wounds.

Methods: True experimental research was carried out using a pre-post test control group design. This research was carried out using 36 mice which were divided equally into 6 control and treatment groups. This study used Kruskal Wallis analysis to determine differences between groups with a significance level used of p<0.05. Macroscopic monitoring by measuring the diameter of the wound and microscopically monitoring the wound using histopathological tests was carried out in this study.

Results: The results of macroscopic and histopathological observations showed that the F3 ointment dose group had the best speed of healing diabetic wounds in mice when compared with the other groups. The statistical results significantly show the effect of administering turmeric rhizome and egg shell extract ointment at a p-value of 0.035.

Conclusion: Using a combination of turmeric rhizome and egg shell ointment at a dose of 9:15 was proven to be effective in helping speed healing of diabetic wounds in DDY strain mice. This study has the potential to be continued in the next stage by comparing different doses of egg shells so as to create a more effective formulation in healing diabetic wounds.

A Cross-Sectional Study on the Relationship Between Health Literacy and Family Involvement in the Care of Stroke Patients at Regional Hospital

2024-12-19T09:34:24+07:00

Introduction: Stroke was a leading cause of mortality and disability globally, with a significant prevalence in Indonesia. Health literacy and family involvement played critical roles in stroke management. This study examined the relationship between health literacy and family involvement in the care of stroke patients at Regional Hospital.

Methods: A cross-sectional descriptive analysis was conducted with 35 family members of stroke patients, selected using consecutive sampling. The sample size was calculated with a formula where the margin of error is 17%. Data were collected using the Health Literacy Survey-Short Form (HLS SF Q12) and the Family Engagement Measure (FAME) questionnaire, both validated and reliable. Statistical analysis using Chi-square tests evaluated the relationship between health literacy and family involvement, with a significance threshold of p<0.05.

Results: The majority of respondents demonstrated high health literacy (57.14%) and high family involvement (77.14%). Research results also revealed that respondents with high health literacy also exhibited high family involvement (54.29%), whereas those with low health literacy had lower involvement (14.29%). Chi-square analysis indicated a significant positive relationship between health literacy and family involvement (p=0.000).

Conclusion: The study demonstrated that improving family health literacy positively influenced their involvement in stroke care. Educational interventions to enhance health literacy are essential to promote effective, family-centered care strategies.

The Use of Date Juice and Sugarcane Juice for Hypoglycemia Therapy in Young Adult

2024-09-30T12:58:58+07:00

Introduction: Hypoglycemia is a medical emergency requiring immediate intervention as it can lead to fatalities. One of the initial treatments for hypoglycemia out of hospital settings is the administration of sweet food and drinks. This research aims to analyze the difference in blood glucose level increase between respondents given date juice and those given sugarcane juice.

Methods: A quasi-experimental two-group pretest-posttest design was conducted in March 2024, involving 92 students divided into 2 groups (Intervention Group: 46; Control Group: 46) recruited through purposive sampling. Both groups were asked to fast for 14 hours, followed by blood glucose measurement (pretest), and then given date juice (intervention group) and sugarcane juice (control group). Blood glucose post-test was conducted at 15 and 30 minutes after intervention with a glucometer, and data were analyzed using ANOVA (α≤0.05).

Results: The study indicated an increase in blood glucose levels after date juice intake at 15 minutes with a mean of 129.83 mg/dl (p=0.000), followed by a decrease in mean blood glucose from 15 to 30 minutes by 21.7. There was an increase in blood glucose levels after sugarcane juice intake at 15 minutes with a mean of 131.17 mg/dl, followed by a decrease in mean blood glucose from 15 to 30 minutes by 19.8. Statistically, there was no difference in blood glucose increase between the two groups at both 15 minutes (p=0.633) and 30 minutes (p=0.347).

Conclusion: Date juice and sugarcane juice similarly increase blood glucose levels and can be used as out-of-hospital therapies for conscious hypoglycemic patients.

Impact of Semi-Fowler Position and Clapping in Oxygen Saturation in COPD Patients

2024-09-30T12:36:12+07:00

Introduction: Chronic obstructive pulmonary disease (COPD) is a non-communicable disease that often causes low oxygen levels and shortness of breath. The semi-Fowler position and clapping are non-pharmacological techniques that help improve lung function and clear mucus. This study aims to determine their effect on increasing oxygen saturation in COPD patients.

Methods: This experimental study included 18 COPD patients in the Hospital Care Unit (HCU), selected through consecutive sampling. Inclusion criteria were diagnosed COPD, conscious patients willing to participate, and oxygen saturation below 90%. Exclusion criteria included hemodynamic instability. The intervention involved placing patients in a semi-Fowler position (45° incline) to enhance lung expansion and performing clapping (gently tapping the chest with cupped hands) to aid mucus clearance. Oxygen saturation was measured before and after using a pulse oximeter. The Wilcoxon Signed-Rank Test was used to analyze non-normally distributed data.

Results: The mean oxygen saturation before intervention was 85.94%, increasing to 98.56% post-intervention, with a significant improvement of 12.62% (p=0.00, p < 0.05). Demographic data, including age, gender, and COPD severity, were collected.

Conclusion: The semi-Fowler position and clapping significantly improve oxygen saturation in COPD patients, highlighting their clinical usefulness. Future research should explore long-term effects, different COPD severities, and combinations with other respiratory therapies for better disease management.

Back Matter

2025-02-28T17:05:49+07:00

Front Matter

2025-02-28T17:04:42+07:00