International Journal of Patient Safety and Quality

INFLUENCE COMBINATION OF WARM WATER COMPRESS AND FINGER HAND RELAXATION TO REDUCE HEADACHE IN HYPERTENSION PATIENTS

Dwinta Widya Navita — 2024-10-24

Background: Hypertension is one of the main causes of premature death. Globally, sufferers reach one of the symptoms of headache. Warm water compresses and finger grip relaxation are commonly used as non-pharmacological therapy for these patients. This study aims to determine the effect of a combination of warm water compresses and finger grip relaxation to reduce headaches in hypertension sufferers.

Methods: The research design used quasi-experiment non-equivalent control group. This study has collected data from June – July 2023 at Prima Husada Hospital, Malang. A sample of 42 people was determined through snowball sampling and divided into two groups of equal size (the experimental group with a combination treatment of warm water compresses and finger grip relaxation and the control group with only warm water compresses treatment). The research instrument was a Numeric Rating Scale (NRS) observation sheet. Then the data were analyzed using paired sample T test and independent sample T test.

Results: The average pretest headache scale for the experimental group dominated by women aged 35-45 years who worked as IRT = 4.4762 (medium) and the control group dominated by women aged 46-55 years who worked as farmers = 4.7143 (medium); the average posttest headache scale for the experimental group = 2.7143 (mild) and the control group = 3.4286 (mild); and both treatments, both the combination of warm water compresses and finger grip relaxation and warm water compresses alone, have a significant effect in reducing headaches for hypertension sufferers (each pvalue = 0.000), but the effects of the two are not significantly different. (p-value = 0.078).

Conclusion: These two treatment models are useful in reducing hypertension headaches, although the effectiveness of their effects is not significantly different. Therefore, health service institutions such as hospitals can choose one of the two to be used as a complementary therapy for headaches for hypertension sufferers.

THE EFFECT OF BACK ACUPRESSURE THERAPY IN BLOOD PRESSURE WITH HYPERTENSION PATIENTS

Lidia Nonon — 2024-10-24

Background: Hypertension occurred when there was an increase in blood pressure that exceeded the normal limit according to age. A person with hypertension was prone to blood pressure fluctuations, which risked causing complications in the body's organs. Therefore, people with hypertension require therapies to maintain blood pressure stability. The aim of the study was to identify blood pressure before and after therapy and to analyze blood pressure pre- and post-back acupressure therapy in hypertension sufferers.

Methods: This research used experimental method using one group pretest and posttest design. The sample of this study were 30 respondents who had hypertension, using total sampling technique. Back acupressure therapy was provided 8 times in March-April 2023 at the Malang Passionis Monastery Community. Data analysis used the paired T-test.

Results: Almost all respondents were female (90%), and the majority were aged between 45 and 59 years. Half of the respondents (46.7%) held a bachelor's degree. The research results indicated that the average blood pressure before receiving back acupressure therapy was 146.13/89.57 mmHg, while the average blood pressure after the therapy was 117.20/71.86 mmHg. The results of the paired T-test showed a p-value = 0.000.

Conclusion: This research found that there is a difference in blood pressure in hypertensive patients between after and before back acupressure therapy in the Passionist Monastery Community in Malang. Back acupressure therapy is useful for lowering blood pressure. Suggestions for hypertension sufferers need to do back acupressure therapy with a therapist at least twice a week to lower blood pressure.

CHILDREN'S AGE AND PARENTING STYLE IN CHILDREN WITH SPEECH DELAY

Idola Perdana Sulistyoning Suharto — 2024-10-24

Background: Speech delay is a state of speech development that has below average quality. Speech delay is influenced by several factors including the children’s age and parenting style. The aim of this study was to determine the relationship between child age and parenting patterns with speech delay.

Method: The study was cross-sectional, with a sample size of 70 respondents which from pediatric patients at Kediri Physiotherapy Clinic in 2023, obtained through accidental sampling. The study’s dependent variable was speech delay, and the independent variables were the children's age and parenting style. The instrument used is a questionnaire. Data were collected using a questionnaire analyzed by chi square statistical test.

Result: Most children were male (51 respondents) on pre-school with 1 of siblings (42 respondents). Parents were mostly on high level education and they use authoritarian parenting style for their children. Chi square statistical test show that there is no relationship between the children's age and speech delay (p-value = 0,271), and there is a relationship between parenting style and speech delay (p-value = 0.000).

Conclusion: Parenting style has a correlation with speech delay. Therefore, the role of parents in providing parenting was very important for children's development. Parents must pay attention to provided stimulation and interaction with children, it was very important for children's growth and development, because the role of parents in caring for children was very impactfull.

EVALUATING HOSPITAL READINESS FOR HEALTH EMERGENCIES: A CASE STUDY OF COVID-19 READINESS IN INDONESIA

Ali E M Jarghon — 2024-10-24

Background: It is important to evaluates the readiness of hospitals in response to health emergencies, focusing on their ability to manage crises effectively. The objective of this study was to assess the hospitals' readiness across multiple key components as defined by the WHO hospital readiness checklist.

Method: A cross-sectional study design was used to assess the readiness of 59 hospitals over 2021 and 2022. Data were collected through the WHO checklist, evaluating 12 components such as leadership, communication, surveillance, and resource management. The hospitals were evaluated quarterly to track changes in readiness levels over time. Descriptive statistics were used to analyze the overall readiness scores for each hospital.

Results: Leadership, incident management, and infection prevention and control remained consistently strong during the study period. However, notable weaknesses were found in occupational health, mental health support, and the continuity of essential services, which scored the lowest. Although there were minor improvements in maintaining essential services in 2022, these areas still need considerable improvement.

Conclusions: The study concludes that, despite strong leadership and infection control measures, hospitals in the region need targeted interventions to address gaps in mental health support and service continuity. Improving these areas is critical for achieving comprehensive disaster readiness and enhancing hospital resilience to future health crises and natural disasters.

CORRELATION COMMUNICATION FACTOR WITH PATIENT SAFETY INCIDENTS

Chindy Maria Orizani — 2024-10-24

Background: According to the seventh standard of hospital patient safety, effective communication is crucial for staff to ensure patient safety. Patient safety incidents can often be traced back to miscommunication, which can be avoided through clear and effective communication. The purpose of this research is to explain the correlation between communication factors and patient safety incidents at Hospital X.

Method: The study utilized a cross-sectional design, employing purposive sampling to select 30 nurses working in the inpatient unit. The independent variables included communication among nurses, communication between nurses and doctors, communication between nurses and medical support departments, and communication between nurses and patients. The dependent variable was the occurrence of patient safety incidents. Data were gathered through observation and analyzed using the chi- square test, with a significance level set at p-value < 0.05.

Result: The results showed that there was a correlation between interracial nurse communication with the patient safety incident (p-value = 0.001). There was a correlation between nurse and doctor communication with the patient safety incident (p-value = 0.000). There was a correlation between the communication nurse and the medical support department with the patient safety incident (p-value = 0.000). There was a correlation between nurse and patient communication with the patient safety incident (p-value = 0.000).

Conclusion: Nurses who possess strong and effective communication skills can help prevent patient safety incidents. To achieve this, it is essential to enhance knowledge about communication, provide training on patient safety, and ensure compliance among nurses with the implementation of standard operating procedures, along with support from hospital leadership in supervision.