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All Journal Indonesian Journal of Global Health Research Jurnal Penelitian Perawat Profesional
Isnaeni Nurhayati
Universitas Muhammadiyah Semarang

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Analisis Konsep Discharge Planning pada Pasien Post URS Isnaeni Nurhayati; Irma Liana Putri; Siti Aisah; Aric Vranada
Jurnal Penelitian Perawat Profesional Vol. 7 No. 6 (2025): Desember 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i6.1036

Abstract

Discharge planning merupakan komponen krusial dalam transisi perawatan pasien dari rumah sakit menuju rumah, terutama pada pasien post-Ureterorenoscopy (URS) yang memiliki risiko komplikasi seperti nyeri, hematuria, infeksi, dan keluhan terkait ureteral stent. Namun, berbagai penelitian internasional maupun nasional menunjukkan bahwa implementasi discharge planning masih belum optimal, dipengaruhi oleh rendahnya kepatuhan tenaga kesehatan, kurangnya komunikasi, keterbatasan tenaga, serta minimnya edukasi spesifik prosedur yang diberikan kepada pasien. Penelitian ini bertujuan menganalisis konsep discharge planning pada pasien post-URS. Penelusuran literatur dilakukan pada PubMed, CINAHL, ScienceDirect, Google Scholar, serta pedoman EAU dan AUA periode 2022–2025. Dari 156 artikel yang diidentifikasi, 128 artikel diseleksi berdasarkan judul dan abstrak, dan 49 artikel ditelaah secara penuh. Sebanyak 17 artikel memenuhi kriteria inklusi dan dianalisis secara konseptual menggunakan kerangka Walker & Avant dengan pendekatan analisis tematik untuk mengidentifikasi definisi konsep, atribut karakteristik, antecedents, dan consequences discharge planning pasca-ureteroskopi (URS). Hasil analisis mengidentifikasi definisi konsep, atribut karakteristik, antecedents, dan konsekuensi klinis discharge planning pada konteks URS. Atribut utama meliputi asesmen individual, edukasi terarah sesuai prosedur, koordinasi multidisiplin, perencanaan tindak lanjut, dokumentasi komprehensif, serta keterlibatan pasien dan keluarga. Discharge planning yang efektif terbukti meningkatkan keselamatan pasien, mengurangi risiko readmisi, menurunkan kejadian komplikasi, serta memperkuat kontinuitas asuhan pasca-operasi. Penelitian ini menegaskan bahwa discharge planning pada pasien post-URS harus dilakukan secara terstruktur sejak hari pertama perawatan untuk mendukung pemulihan optimal dan mencegah dampak klinis yang tidak diinginkan.
The Role of Multimedia Based Preoperative Education in Improving Surgical Outcomes: A Systematic Literature Review Isnaeni Nurhayati; Yunie Armiyati
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2462

Abstract

Preoperative education is an important part of surgical care to improve patient understanding, readiness, and engagement before surgery. The limitations of conventional educational methods encourage the use of multimedia as a more interactive educational medium. To evaluate the effectiveness of multimedia-based preoperative education in improving patient outcomes compared to conventional education. This study used a Systematic Literature Review method based on the PRISMA 2020 guidelines. Literature searches were conducted through PubMed and ScienceDirect using keywords related to multimedia, preoperative education, patient education, surgery, and surgical outcomes. The included articles were Randomized Controlled Trials (RCTs) and quasi-experimental studies in English for the period 2020–2025. A total of 199 articles were selected, 5 of which met the inclusion criteria and were described narratively. Multimedia-based education, such as Virtual Reality (VR), educational videos, informed consent videos, and mobile applications, were proven to be more effective than conventional education in reducing preoperative anxiety, increasing knowledge, compliance with surgical preparation instructions, psychological readiness, and patient cooperation during medical procedures. However, its impact on postoperative clinical outcomes still shows varying results. Multimedia-based preoperative education is effective in improving the quality of education and patient experience before surgery, but cannot replace direct communication with healthcare professionals and is therefore more appropriate as a complement to conventional education.
Co-Authors Aric Vranada Irma Liana Putri Siti Aisah Yunie Armiyati