In grade 2 block, some atrial impulses fail to reach the ventricles. Usually AV block is harmless, but if associated with acute myocardial infarction, it can cause further AV damage 1st degree AV block is divided into 3įirst Degree AV Block with Left Bundle Branch Blockįirst Degree AV Block with Infranodal Conduction Delay P-R interval: lengthwise (> 0.20 seconds)
Structural causes of myocardial infarction, and degenerative diseases of the conduction system, are often seen in older people. Reversible causes include increased vagal tone, transient ischemic AV nodes, and drugs that can interfere with impulses in the AV node. Conduction disorders usually originate from the AV node, and can be caused by transient disorders or due to structural defects. Is a sinus rhythm with impulses 0.2 seconds. There are 2 main etiologies in the occurrence of bradyarrhythmias, namely disorders of impulse formation and impulse conduction disorders. But if ectopic ventricular contractions are not strong enough to have an effect on blood flow, then the true pulse is 40. For example, a person with a heart rate displayed on an 80 monitor. It is important to remember that the heart rate is determined by the pulse and not what is displayed on the monitor. Pathological bradycardia is most common in older people based on cardiac conduction disorders. Although the limit of bradycardia is 60 times per minute, but generally signs and symptoms can arise if the heart rate is less than 50 times per minute (AHA, 2014).īradycardia is considered pathological if the cardiac output decreases to the point that will cause symptoms. In addition, the elderly are more susceptible to problems with a slow heart rate. In some cases the heart rate is below 60 beats per minute, for example during deep sleep. However, in people whose hearts are trained, such as athletes, their heart rate can be less than 60 times a minute. Normal people generally have a heart rate between 60-100 times per minute. This may be very normal for young people and healthy adults. Baca lebih lanjut →īy Dian Rahmadin Akbar 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delayīradycardia is defined as a heart rate less than 60 times a minute. KEYWORDS: Nursing Care Factors, insurance BPJS Patient Satisfaction, Emergency Department.
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Nurses need to increase understanding about how to provide quality services including speed, accuracy and reliability in providing care to patients in the ED. R.Soedarsono Regency Hospital, Pasuruan City, is a nurse’s response time. The results showed that the value of p value on the factors of nursing services included the response time of nurses, alertness of nurses, attitudes of nurses, and the actions of nurses showed the same p value of 0.000 or <0.05 which means that each of these factors has an influence on patient satisfaction, and if seen from the score estimate the standardized regression weights the 4 factors of nursing services are very influential or contribute to the satisfaction of insurance BPJS patients in the emergency department of Dr. Data were analyzed using the Spearman test to determine the effect between variables and to determine the factors that most influence the satisfaction of insurance BPJS patients in the Emergency Department using Structural Equation Modeling analysis. The sampling technique uses consecutive sampling method. This research method is quantitative with a cross sectional approach involving 135 respondents.
R.Soedarsono Regency Hospital, Pasuruan City. The purpose of this study was to analyze the factors of nursing services that affect the satisfaction of insurance BPJS patients in Dr. Objective and accurate measurement of customer satisfaction can help hospitals form better services. On average, obtained from several hospitals in Indonesia showed 67% of patients complaining of dissatisfaction in receiving nursing services, more than half of respondents were dissatisfied with insurance BPJS. Patient satisfaction is an indicator of the good or bad quality of health services provided by health care providers.
Received date: 17 July 2018 | Revised date: 07 August 2018 | Accepted date: 28 August 2018 ²,³ Lecturer in Master of Nursing, University of Brawijaya, Malang. ¹Student in Master of Nursing, Faculty of Medicine, University of Brawijaya, Malang.
108-117 | Year: 2018īy Dian Rahmadin Akbar ¹ *, Ahsan ², Tony Suharsono ³ SJIF Impact Factor: 3.458 | Original Article | | ISSN: 2457-0400 | Volume: 2.
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