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All Journal Indonesian Journal of Global Health Research
Eppy Setiyowati
Universitas Nahdatul Ulama Surabaya

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The Effect of Closed Suction System Use on the Incidence of Ventilator-Associated Pneumonia (VAP) in Patients Receiving Mechanical Ventilation: A Systematic Literature Review Eppy Setiyowati; Widayati Widayati; Samsudi Samsudi; Eka Sulistiyowati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1137

Abstract

Ventilator-associated pneumonia (VAP) is one of the most common and serious infections in patients who use mechanical ventilation. It has an incidence of 5–50% and contributes to increased morbidity and mortality. One of the efforts to prevent Ventilator-associated pneumonia (VAP) is the endotracheal suctioning procedure. Currently, there are closed suction systems and open suction systems. However, scientific evidence regarding the effectiveness of closed suction systems in reducing the incidence of ventilator-associated pneumonia (VAP) remains variable. This study aimed to evaluate the effectiveness of closed versus open suction systems in preventing ventilator-associated pneumonia (VAP) in mechanically ventilated adult patients, This study is a systematic review of 13 articles published between 2020 until 2025, which were selected through the PRISMA-2020 process using databases such as Google Scholar, ScienceDirect, and Semantic Scholar. The inclusion studies involved adult patients who were mechanically ventilated for more than 48 hours and reported the incidence of ventilator–associated pneumonia (VAP) as the primary outcome. The review showed that most studies reported no significant difference between closed and open suction systems in reducing ventilator-associated pneumonia (VAP) (p < 0.05). However, several studies have shown additional clinical benefits of closed suction systems, including improved oxygenation, reduced hypoxia, delayed onset of VAP, and reduced end expiratory pressure (PEEP). One study reported a significant reduction in VAP when closed suction was combined with chlorhexidine flushing. The close suction system has not been conclusively proven to reduce the incidence of ventilator-associated pneumonia (VAP), however, it provides valuable clinical and safety benefits.
The Effect of Video-Based Education on Knowledge, Attitudes, and Preventive Practices Regarding High-Risk Pregnancy Among Pregnant Women Eppy Setiyowati; Sumiatin Sumiatin; Winarti Winarti; Rudi Hartono
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.v8i5.2271

Abstract

High-risk pregnancy is a dangerous condition because it can lead to an increase in maternal and fetal mortality. Factors such as knowledge, education, environment, habitual behavior and socio-culture as well as the constrained delivery of health information are the causes of high-risk pregnancy. The general objective of this study was to explain the influence of video education on behavior in preventing high-risk pregnancies. Quasi Pre-Experimental with 33 pregnant women in the control group and 33 pregnant women with purposive sampling which was carried out in the Walikukun Health Center. This study covers the dependent variable, namely behavior (knowledge, attitudes, and actions) of high-risk pregnancy prevention and independent variables of education through videos. Statistical analysis of the study using Wilcoxon Signed Rank Test and Mann-Whitney U Test. The results of the study showed that there was effect of education through video on knowledge (p value= 0.000, attitude (p value = 0.000) and actions (p value 0.003) (p <0.05) on the prevention of high-risk pregnancy in pregnant women . in preventing high-risk pregnancies.
Implementation of Evidence-Based Nursing Practice: A Combination of Guided Imagery and PC6 Acupressure to Reduce Nausea in Patients Undergoing Chemotherapy Eppy Setiyowati; Moh Sadli; Widayati Widayati; Mardliyah Mardliyah
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.v8i5.2297

Abstract

Chemotherapy-Induced Nausea and Vomiting (CINV) is a common side effect in cancer patients undergoing chemotherapy. This condition can reduce quality of life and therapy compliance. Non-pharmacological approaches such as guided imagery and PC6 acupressure are alternative evidence-based interventions. To describe the implementation of Evidence-Based Nursing Practice (EBNP) in the form of a combination of guided imagery and PC6 acupressure and to evaluate changes in nausea levels in patients undergoing chemotherapy. EBNP implementation was carried out on 10 cancer patients undergoing chemotherapy at Dr. Mohammad Soewandhie General Hospital, Surabaya. The interventions provided were guided imagery for 10–15 minutes and PC6 acupressure for 2–3 minutes. The level of nausea was measured before and after the intervention using the INVR ( Index of Nausea, Vomiting, and Retching ) instrument. Data analysis used the Wilcoxon test with a significance level of α = 0.05. All respondents experienced a decrease in nausea scores after the intervention. A total of 5 (50%) respondents experienced a decrease in the nausea category, while 5 (50%) respondents remained in the same category even though the nausea score decreased. The results of the Wilcoxon test showed a p value = 0.025 (p < 0.05), which means there was a significant difference between before and after the intervention. The combination of guided imagery therapy and PC6 acupressure showed effectiveness in reducing nausea levels in chemotherapy patients.
Characteristics of Patients Experiencing Post-Spinal Anesthesia Shivering in the Elective Operating Room Eppy Setiyowati; Eka Sulistyowati; Tri Sunu Probolaksono; Ragil Putri Fitriyana
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.v8i5.2377

Abstract

Post-spinal anesthesia shivering can cause discomfort, increased metabolism, heightened surgical wound pain, and serious complications such as increased oxygen consumption, CO₂ production, hypoxemia, lactic acidosis, and cardiac arrhythmias. This condition may also interfere with the interpretation of vital sign monitoring. This study aims to describe the characteristics of patients experiencing shivering in the elective operating rooms of RSUD dr. Mohamad Soewandhie Surabaya. The study focuses on factors such as age, gender, body mass index (BMI), operating room temperature, and duration of surgery. This research employed a descriptive design and used consecutive sampling, involving 101 post-spinal anesthesia patients who experienced shivering in the elective operating rooms of RSUD dr. Mohamad Soewandhie Surabaya. Data were collected using an observation checklist and analyzed descriptively in the form of frequency distribution and percentages. The results showed that the majority of patients were in the late elderly age group (56–65 years) (51.5%), male (63.4%), and had a normal BMI (73.3%). All patients were exposed to operating room temperatures below 20°C (very cold), and almost all surgeries lasted between 1–2 hours (79.2%). Operating room temperature was the most dominant factor.
Co-Authors Eka Sulistiyowati Eka Sulistyowati Mardliyah Mardliyah Moh Sadli Ragil Putri Fitriyana Rudi Hartono Samsudi Samsudi Sumiatin Sumiatin Tri Sunu Probolaksono Widayati Widayati Winarti Winarti