Sriwijaya Journal of Internal Medicine

Assessing the Efficacy of Cardiac Catheterization in Enhancing Blood Circulation in Patients with Coronary Heart Disease: A Systematic Literature Review

Khomariyana Purnama Sari — 2024-01-30

Introduction: Cardiac catheterization is a highly efficient treatment for enhancing blood circulation to the heart in individuals with coronary heart disease (CHD). This operation has the potential to alleviate angina, enhance quality of life, and mitigate the likelihood of myocardial infarction. The objective of this study is to investigate the efficacy of cardiac catheterization in enhancing blood circulation among individuals suffering from CHD.

Methods: We conducted a literature search on multiple databases, including PubMed, Web of Sciences, EMBASE, Cochrane Libraries, and Google Scholar, to investigate the efficacy of cardiac catheterization in enhancing blood circulation among individuals diagnosed with CHD. This study adheres to the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Guidelines.

Results: We identified twenty papers that satisfied the inclusion criteria in this investigation. The research articles were published between 2013 and 2023. The study analysis demonstrates that cardiac catheterization is efficacious in enhancing blood circulation in individuals with CHD. Cardiac catheterization can augment myocardial perfusion by up to 20%.

Conclusion: Cardiac catheterization is more successful in individuals who have mild or moderate stenosis of the coronary arteries. The study analysis indicates that cardiac catheterization is efficacious in enhancing blood circulation in individuals with CHD.

Quality of Life of Coronary Artery Disease Patients Based on the Degree of Physical Ability

Zuriati Zuriati — 2024-03-06

Introduction: Coronary artery disease (CAD) is a chronic disease that can reduce the patient's quality of life (QoL). Decreased physical ability is one of the factors that can influence the QoL of CAD patients.

Methods: This study used a cross-sectional descriptive design with a sample of 125 CAD patients aged 35-64 years at Dr. M. Djamil General Hospital Padang. QoL data was collected using the WHOQOL-BREF questionnaire, and the degree of physical ability was measured using the Duke Activity Status Index (DASI) questionnaire. Data analysis used the chi-square test.

Results: The results showed that 43.8% of patients had good QoL, and 56.2% had very severe physical abilities. There is a significant relationship between the degree of physical ability and QoL in CAD patients (p-value 0.000).

Conclusion: The degree of physical ability is a predictor of QoL in CAD patients. Interventions to improve physical abilities can help improve QoL in CAD patients.

Analysis of Risk Prediction Models to Identify Patients at High Risk of Urinary Incontinence

Rizki Jaya Amal — 2024-03-28

Introduction: Urinary incontinence (UI) is a common health problem and is often undiagnosed in hospital patients. UI can cause complications such as urinary tract infections, dermatitis, and decreased quality of life. This study aims to apply a risk prediction model to identify patients at high risk of experiencing UI at Tengku Peukan General Hospital, Southwest Aceh, Indonesia.

Methods: This study used a prospective cohort design. Data was collected from 100 patients hospitalized at Tengku Peukan General Hospital, Southwest Aceh. A risk prediction model was developed using logistic regression. Model performance is measured by AUC-ROC values and accuracy.

Results: The risk prediction model developed had an AUC-ROC value of 0.85 (95% CI: 0.78-0.92) and an accuracy of 82%. The most significant risk factors for UI are age, gender, history of UI, and use of diuretic medications.

Conclusion: This risk prediction model can help nurses and doctors identify patients who are at high risk of experiencing UI at Tengku Peukan General Hospital, Southwest Aceh. Early intervention in high-risk patients can help prevent UI complications and improve the patient's quality of life.

Impact of Smartphone Application Education on Stress in Type 2 Diabetes Mellitus Patients

Winanda Rizki Bagus Santosa — 2024-05-31

Introduction: Lack of knowledge about managing health and the duration of the disease causes stress in Diabetes Mellitus (DM) patients. Uncertainty about their future health and the ongoing burden of disease can worsen the mental health of type 2 diabetes mellitus (T2DM) patients. Smartphone application education can be a solution for T2DM patients in reducing stress regarding their health condition. This study aims to determine the impact of smartphone application education on stress in type 2 diabetes mellitus patients.

Methods: The design in this research is a pre-test and post-test control group design. The research was conducted in the period October 2023 – January 2024. Respondents in this study were T2DM patients. The locations of this research were nine Public Health Centers in Kediri City, Indonesia. The sample in this study was 131 respondents.

Results: The results of the research showed that the stress score for T2DM sufferers in the pre-test was 41.34, after three months of smartphone application education, post-test the mean stress decreased was 4.31, and the p-value 0.000. There is a mean difference October – November was 13.50, November – December was 10.77, December – January was 12.76 and the P-Value was 0.008.

Conclusion: There was a decrease in stress during the periods of October, November, December, and January after being given smartphone application education. Smartphone applications are effective in reducing stress in T2DM patients.

Antibacterial Potential of Dewandaru Leaves (Eugenia uniflora L.) Against Escherichia coli: In Vitro Study

Riyan Setiyanto — 2024-06-05

Introduction: Escherichia coli is a pathogenic Gram-negative bacteria that commonly causes digestive tract infections, including diarrhea. Continuous use of antibiotics has led to an increase in bacterial resistance. Dewandaru leaves (Eugenia uniflora L.) have been known to have antibacterial activity against several pathogenic bacteria. This study aims to evaluate the antibacterial activity of dewandaru leaf extract against E. coli in vitro.

Methods: Dewandaru leaves were extracted using the maceration method with 96% ethanol. The antibacterial activity test was carried out using the Kirby-Bauer disk diffusion method with gentamicin as a positive control and sterile NaCl as a negative control. The diameter of the inhibition zone was measured and analyzed statistically.

Results: Dewandaru leaf extract shows antibacterial activity against E. coli with a significant zone of inhibition. An extract concentration of 80% showed moderate antibacterial activity, while concentrations of 40% and 60% did not show antibacterial activity.

Conclusion: Dewandaru leaves have the potential to be a natural antibacterial agent against E. coli. Further studies are needed to isolate and identify the active compounds and evaluate the effectiveness and safety of dewandaru leaf extract in vivo.