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Astari, Asti Melani
- The Effectiveness of National Early Warning Score (News) as Predictor of Mortality in Heart Failure Patients in Emergency Department
Authors
1 Nursing Master Program, University of Brawijaya, IQ
2 University of Brawijaya, IQ
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 1387-1391Abstract
Introduction: Heart failure is one of the global health problems for society characterized by a high mortality rate, increased hospitalization and rehospitalization. National Early Warning Score (NEWS) is one who has the EWS development of physiological parameters include pulse rate, systolic blood pressure (SBP), respiratory rate, body temperature, level of consciousness (AVPU), oxygen saturation and the use of supplemental oxygen in the range of 0-3 on each parameter
Objective: This study aimed to analyze NEWS effectiveness as a predictor of mortality of heart failure patients in the Emergency Department (ED) of General Hospital of Dr.. Slamet Martodirdjo Pamekasan
Method: This study using observational analytic design with prospective cohortapproach. The respondents in this study were 64 patients in quota sampling. The research instrument is observation sheet. ROC analysis and multivariate used multiple logistic regression test
Results: ROC test showed that NEWS has value of p=0.000 and AUC of 0.856 which describes NEWS can be a strong predictor related mortality in heart failure patients with CI of 95%, sensitivity value of 0.85 (85%) and specificity of 0.818 (81.8%). Logistic regression analysis explained the SBP became independent variables that most associated with mortality of heart failure patients with Exp(B) of 10.208 which describes the high score of SBP has greater risk 10.208 times to death compared with a normal score of SBP after controlled by SPO2.
Conclusion: NEWS is an effective predictor of mortality of heart failure patients
Keywords
National Early Warning Score, Heart Failure, Mortality, ED.
- Lived Body Principle of a Nurse’s Experience in Emergency Treatment at Remote Area Kokonao, Papua, Indonesia
Authors
1 Student, Nursing Master Program, Medical Faculty of Universitas Brawijaya, ID
2 Lecturer, Nursing Master Program, Medical Faculty of Universitas Brawijaya, ID
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 1664-1668Abstract
Introduction: Medical service at remote places, far from complete medical facilities, provides different challenges for medical workers, especially nurse, they need to prepare themselves both physically and mentally to get their job done properly. By any limitation, it is needed a tough medical worker.
Objective: It is to explore the meaning of physical and mental experiences (lived body) of a medical worker in committing emergency treatment at remote place, Kokanao, Western Mimika, Papua.
Method: The method are qualitative by using phenomenology interpretative approach and Van Manen data analysis.
Results: The emerging themes based on lived body principle are two: physical difficulties in facing limited nature conditions and society’s cultures and mental fatigue in facing negative action of society.
Conclusion: A nurse commences task at remote place, especially Kokonao, Papua, Indonesia, experienced both physical and mental abuses. Any faced limitation at remote place will not hinder them to unlimitedly serve.
Keywords
Nurse, Remote Area, Lived Body, Emergency Treatment.- The Effectiveness of National Early Warning Score (News) as Predictor of Mortality in Heart Failure Patients in Emergency Department
Authors
1 University of Brawijaya, ID
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 1901-1906Abstract
Introduction: Heart failure is one of the global health problems for society characterized by a high mortality rate, increased hospitalization and rehospitalization. National Early Warning Score (NEWS) is one who has the EWS development of physiological parameters include pulse rate, systolic blood pressure (SBP), respiratory rate, body temperature, level of consciousness (AVPU), oxygen saturation and the use of supplemental oxygen in the range of 0-3 on each parameter
Objective: This study aimed to analyze NEWS effectiveness as a predictor of mortality of heart failure patients in the Emergency Department (ED)of General Hospital of Dr. Slamet Martodirdjo Pamekasan.
Method: This study using observational analytic design with prospective cohort approach. The respondents in this study were 64 patients in quota sampling. The research instrument is observation sheet. ROC analysis and multivariate used multiple logistic regression test
Results: ROC test showed that NEWS has value of p=0.000 and AUC of 0.856 which describes NEWS can be a strong predictor related mortality in heart failure patients with CI of 95%, sensitivity value of 0.85 (85%) and specificity of 0.818 (81.8%). Logistic regression analysis explained the SBP became independent variables that most associated with mortality of heart failure patients with Exp(B) of 10.208 which describes the high score of SBP has greater risk 10.208 times to death compared with a normal score of SBP after controlled by SPO 2 .
Conclusion: NEWS is an effective predictor of mortality of heart failure patients.