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All Journal Jurnal Keperawatan Malang (JKM) Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Jurnal Menara Medika JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Health Gate Holistik Jurnal Kesehatan VJKM: Varians Jurnal Kesehatan Masyarakat
Adam, Muhamad
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Humanities Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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Penggunaan Stetoskop Elektronik pada Kelainan Katup Jantung Mangole, Josua Edison; Nurachmah, Elly; Waluyo, Agung; Adam, Muhamad
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7756

Abstract

This study aims to see the effectiveness of using an electronic stethoscope compared to a conventional one in patients with heart valve disorders. The method used in this writing is a systematic review through several databases, namely Pubmed, ClinicalKey, Proquest, Science Direct, and Scopus. The article analysis process uses the PRISMA method. The research results show that electronic stethoscopes are more expensive because many parts and applications/software are added. Still, they are very efficient in accurately diagnosing specific heart sound abnormalities and have more advantages than conventional stethoscopes. In conclusion, electronic stethoscopes are very effective and efficient in increasing the speed and accuracy of diagnosing specific heart sound abnormalities, so they have more benefits. Keywords: Heart Valves, Electronic Stethoscope
Sedentary Lifestyle dan Metabolic Syndrome sebagai Predictor Kejadian Sindrom Koroner Akut pada Dewasa Muda Rai Bawa, Ngakan Nyoman; Nurachmah, Elly; Adam, Muhamad; Maria, Riri
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.8549

Abstract

The aim of this study is to identify Sedentary Lifestyle and Metabolic Syndrome as predictors of the incidence of Acute Coronary Syndrome. The method used in this research was the PRISMA (Preferred Reporting Items for Systematic-Reviews and Meta-Analyses) search strategy. The databases used in the literature search were Clinical Key Nursing, ScienceDirect, Springer link, Proquest, EBSCOHost. The results of the study show that there are two groups of predictors in the literature search that cause Acute Coronary Syndrome in young adults. Conclusions based on the 7 articles analyzed in the study showed that Sedentary Lifestyle and Metabolic Syndrome were the main risk factors determining the incidence of Acute Coronary Syndrome in young adults. Keywords: Metabolic Syndrome, Predictor, Sedentary Lifestyle, Acute Coronary Syndrome
DUKUNGAN KELUARGA DAN READMISI PASIEN PASCAOPERASI KATUP JANTUNG Adam, Muhamad; Artati, Artati; Herawati, Tuti; Nova, Prima Agustia; Mirharina, Irza
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 1 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i1.348

Abstract

ABSTRAKOperasi katup jantung sering dilakukan, seiring dengan prevalensi penyakit jantung katup yang masih tinggi. Namun, setelah menjalani operasi, pasien mengalami readmisi dalam 1 bulan yang kemungkinan berkaitan dengan dukungan keluarga. Tujuan penelitian: Penelitian ini bertujuan mengidentifikasi hubungan dukungan keluarga dengan readmisi setelah pasien menjalani operasi katup jantung. Metode: Penelitian cross-sectional ini melibatkan 105 responden pascaoperasi katup jantung yang mengalami readmisi di Rumah Sakit Pusat Jantung Nasional Harapan Kita, Jakarta dengan menggunakan teknik consecutive sampling. Penelitian ini menggunakan kuesioner karakteristik responden, readmisi, dan dukungan keluarga. Analisis univariat dilakukan untuk mengetahui distribusi frekuensi dan analisis bivariat chi square untuk mengetahui kemaknaan hubungan dukungan keluarga dan readmisi. Hasil: Sebagian besar responden (46,7%) berada pada rentang usia pertengahan (45–59 tahun), jenis kelamin perempuan (52%) lebih banyak daripada laki-laki (47%), katup mitral (37,1%) dan aorta (31,4%) yang paling banyak dilakukan operasi. Sebagian besar responden (75%) mengalami dukungan keluarga yang nonsuportif dan sebagian besar responden (61%) setidaknya mengalami satu  kali readmisi dalam 1 bulan. Terdapat hubungan yang bermakna antara dukungan keluarga dengan readmisi pasien pascaoperasi katup jantung (p = 0,019; α < 0,05). Diskusi: Dukungan keluarga dapat meningkatkan perilaku sehat dan proses pemulihan sehingga dapat mencegah terjadinya readmisi. Kesimpulan: Perawat dianjurkan mengkaji dukungan keluarga terhadap pasien yang direncanakan menjalani operasi katup jantung dan memberikan intervensi keperawatan yang diperlukan untuk meningkatkan dukungan keluarga dan mencegah readmisi. Penelitian lebih lanjut diperlukan untuk mengidentifikasi penyebab sebagian besar pasien pascaoperasi katup jantung mengalami dukungan keluarga yang nonsuportif.Kata Kunci: dukungan keluarga, katup jantung, pascaoperasi, readmisi pasien Family Support and Readmission After Heart Valve Surgery  ABSTRACTHeart valve surgery is often performed, along with the high prevalence of valvular heart disease. However, after surgery, the patient is readmitted within 1 month, probably related to family support. Objective: This research aims to identify the correlation between family support and readmission after the patient undergoes heart valve surgery. Methods: This cross-sectional research involved 105 respondents after heart valve surgery who were readmitted at Harapan Kita National Heart Center Hospital, Jakarta. The respondents were taken using a consecutive sampling technique. This research employed a questionnaire on the characteristics of the respondents, readmission, and family support. Univariate analysis was used to identify the frequency distribution, and bivariate chi-square analysis was used to identify the significance of the correlation between family support and readmission. Results: Most of the respondents (46.7%) were in the middle age range (45-59 years), more female (52%) than male (47%), mitral valve (37.1%), and aorta (31.4%) was the most frequently operated on. Most respondents (75%) had non-supportive families, and most respondents (61%) experienced at least 1 readmission in 1 month. There was a significant correlation between family support and patient readmission after the heart valve surgery (p=0.019; <0.05). Discussion: Family support can improve healthy behaviour and the recovery process so that it can prevent readmissions. Conclusion: Nurses are recommended to assess family support in patients planning for heart valve surgery and provide necessary nursing interventions to increase family support and prevent readmission. Further research is needed to identify the cause of most post-heart valve surgery patients having non-supportive families.Keywords: Family support, heart valve, post-surgery, patient readmission
Studi Kasus: Penerapan Teori Self-Care Orem Pada Pasien Post Operasi Katup Mitral Dwitanta, Sucipto; Nurachmah, Elly; Adam, Muhamad
Jurnal Keperawatan Malang Vol 8 No 2 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v8i2.196

Abstract

Background: After surgery, patients are often immobile due to possible postoperative complications and activity restrictions, so that the patient's physical capacity is at risk of decreasing. To maintain conditions that remain optimal even within limitations,patients are required to continue to be able to independently perform self-care. So that this can be realized with the nursing theory developed by Dorothea E. Orem about self-care Purpose: The aim of this study was to find out the application of Orem's self-care theory to patients after mitral valve surgery. Method: The design in this study uses the case study method. This study focuses on nursing care which emphasizes the use of Orem's self-care theory in practice. The subject in this study was one postoperative mitral valve patient who was treated in the postoperative unit with an implementation time of seven days. Results: In the results of applying Orem's self-care theory, five main nursing diagnoses were found. Most of the nursing problems are rooted in problems with decreased cardiac output due to post-surgical complications, but the complications are gradually improving. The application of Orem's self-care theory provides a systematic pattern of thinking in determining diagnoses and nursing interventions that must be carried out by nurses. Conclusion: The application of Orem's self-care model appears to have an effect on the nursing process, specifically in postoperative mitral valve cases in identifying problems in fulfilling self-care. The application of this model can provide benefits in encouraging patients to carry out activities that are in accordance with the patient's abilities and tolerance.
Penerapan Gel Ice Pack untuk Mengurangi Nyeri saat Dilakukan Chest Tube Removal pada Pasien Pascaoperasi Jantung Ihsanidar, Yuniyas; Nurachmah, Elly; Adam, Muhamad; Yuningsih, Yuningsih; Khasanah, Siti Nur
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.12124

Abstract

The application of evidence-based nursing (EBN) aims to demonstrate the use of ice gel packs to reduce pain in post-cardiac surgery patients undergoing chest tube removal (CTR) in the Intermediate Surgical Ward of Harapan Kita Heart and Vascular Hospital in Jakarta in April 2024. The method used in this EBN application is a pre-posttest control group design, where each group consists of 9 respondents. The Mann-Whitney test results show a significant difference in pain reduction between the intervention group and the control group. In conclusion, post-cardiac surgery patients who received a cold compress using ice gel packs before chest tube removal (CTR) experienced minimal pain increase during the chest tube removal (CTR). Keywords: Chest Tube Removal, Pain, Post Cardiac Surgery
The Effect of Phase I of Cardiac Rehabilitation on Length of Stay for Coronary Heart Disease Patients at Mardi Waluyo Hospital, Blitar City Cholis, Eko Prastyo; Nurachmah, Elly; Adam, Muhamad
Health Gate Vol 1, No 1 (2023): January 2023
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg1103

Abstract

Coronary Heart Disease (CHD) is a specific term for a cardiovascular disease characterized by narrowing coronary artery tissue mainly due to atherosclerosis that causes microangiopathy. CHD patients in the treatment, in addition to receiving treatment, also receive rehabilitation to help speed up the recovery from physical, psychological, and social conditions. The rehabilitation program should be given since admission to the hospital, known as phase I of Cardiac Rehabilitation. One of the components of phase I of Cardiac Rehabilitation is a physical activity aimed at speeding up the recovery of the patient's condition to return to regular activities. This study aims to determine the relationship between cardiac phase I rehabilitation for the length of patient care for CHD in Mardi Waluyo Hospital Blitar City. This study used a quasi-experimental design with the post-test only non-equivalent group. The sample in this study consisted of 14 respondents from the intervention group and 14 patients for the control group respondents who were diagnosed with CHD in Mardi Waluyo Hospital, Blitar City, matching the specified inclusion criteria. The results showed a significant correlation between heart phase I rehabilitation on the duration of care (p-value = 0.007). The statistical test used a bivariate correlation test with the Mann-Whitney Test. This result yielded that it needs to be given early on to CHD patients as it can help the healing process and shorten hospitalization. Furthermore, the shorter length of care will further save the operational costs of CHD patient care.
Terapi Akupresur Untuk Mengurangi Rasa Haus Pada Pasien Gagal Jantung dan Gagal Ginjal Kronis : Sistematic Review Kusumastuti, Kartikaningtyas; Amelia, Amelia; Adam, Muhamad; Waluyo, Agung
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44654

Abstract

Latar Belakang: Rasa haus merupakan salah satu bentuk komplikasi pada penderita gagal jantung dan gagal ginjal kronis yang menjalankan program pembatasan cairan. Apabila tidak diberikan tatalaksana yang adekuat, rasa haus dapat memperburuk kondisi penyakit akibat kelebihan cairan karena intake yang berlebih. Terapi akupresur merupakan salah satu intervensi nonfarmakologis dapat diterapkan oleh perawat untuk mengatasi haus. Tujuan: Mengeksplorasi efektivitas terapi akupresur dalam manajemen haus pada penderita gagal jantung dan gagal ginjal kronis. Metode: Studi ini menggunakan metode tinjauan sistematis berdasarkan pedoman PRISMA. Artikel diperoleh dari basis data Pubmed, ScienceDirect, ProQuest, Sage Journals, dan Taylor and Franchis, serta sumber lain yang diterbitkan sebelum tahun 2025. Seleksi artikel dilakukan berdasarkan kriteria inklusi dan eksklusi, kemudian dianalisis secara kritis menggunakan pedoman JBI Critical Appraisal Checklist. Hasil: Dari 4.628 artikel, 6 artikel studi RCT dan 1 studi kuasi eksperimen diikutsertakan dalam analisis. Hasil analisis menunjukkan bahwa akupresur terbukti efektif untuk menurunkan intensitas haus, distres haus, dan xerostomia yang dialami pasien gagal jantung dan gagal ginjal kronis. Jenis akupresur dapat berupa akupresur tubuh maupun akupresur telinga. Kesimpulan: Terapi akupresur dapat menjadi alternatif intervensi keperawatan untuk mengatasi rasa haus pada pasien gagal jantung dan gagal ginjal kronis.
Terapi Akupresur Untuk Mengurangi Rasa Haus Pada Pasien Gagal Jantung dan Gagal Ginjal Kronis : Systematic Review Kartikaningtyas Kusumastuti; Amelia , Amelia; Adam, Muhamad; Waluyo, Agung
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.44713

Abstract

Background: Thirst is a common complication experienced by patients with heart failure and chronic kidney disease who undergo fluid restriction programs. Without adequate management, thirst can exacerbate the underlying disease due to fluid overload resulting from excessive intake. Acupressure therapy is one of the non-pharmacological interventions that can be implemented by nurses to alleviate thirst. Objective: To explore the effectiveness of acupressure therapy in managing thirst among patients with heart failure and chronic kidney disease. Methods: This study employed a systematic review method based on the PRISMA guidelines. Articles were retrieved from databases including Pubmed, ScienceDirect, ProQuest, Sage Journals, and Taylor and Franchis, as well as other sources published before 2025. Article selection was conducted according to inclusion and exclusion criteria, followed by critical analysis using the JBI Crit ical Appraisal Checklist. Results: Out of 4,628 articles, 6 RCTs and 1 quasi-experimental study were included in the analysis. The results indicated that acupressure, both body and auricular acupressure, was effective in reducing thirst intensity, thirst distress, and xerostomia in patients with heart failure and chronic kidney disease. Conclusion: Acupressure therapy can serve as an alternative nursing intervention to alleviate thirst in patients with heart failure and chronic kidney disease.
Hubungan Representasi Gejala dengan Keterlambatan Pre Hospital pada Pasien Sindrom Koroner Akut (SKA) Hakiki, Jihaz Haneen; Adam, Muhamad; Riadi, Dela
VJKM: Varians Jurnal Kesehatan Masyarakat Vol. 2 No. 2 (2024): Desember 2024
Publisher : Varians Statistik Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/vjkm.v2i2.21

Abstract

Sindrom Koroner Akut (SKA) merupakan kondisi kegawatdaruratan akibat ketidakseimbangan antara kebutuhan oksigen miokardium dengan suplai darah yang dapat berakibat pada kematian. Penanganan SKA dengan intervensi koroner perkutan dapat meningkatkan kualitas hidup. Pedoman American Heart Association (AHA) merekomendasikan standar waktu ≤120 menit dari awal mula munculnya gejala hingga pasien tiba di rumah sakit yaitu. Namun masih ditemukan terjadinya keterlambatan prehospital. Penelitian ini bertujuan untuk mengidentifikasi hubungan representasi gejala dengan keterlambatan prehospital pada pasien sindrom SKA. Desain penelitian menggunakan cross sectional dengan metode purposive sampling yang melibatkan sampel sebanyak 63 responden. Responden didominasi oleh lansia yang berusia 51-60 tahun, laki-laki, tingkat Pendidikan SMA. Hasil penelitian menunjukan ada hubungan antara representasi gejala yang meliputi tingkat nyeri (p 0.001), kualitas nyeri (p 0.01), dan lokasi nyeri (p 0.032) dengan keterlambatan prehospital terkecuali gejala penyerta (p 0.054). Perawat dianjurkan meningkatkan kompetensi dalam pengkajian gejala SKA dan pemberian edukasi. Sehingga dapat menurunkan angka keterlambatan prehospital.
Cultural factors and risks: Incidence analysis of acute coronary syndrome in young adults in Bali Bawa, Ngakan Nyoman Rai; Nurachmah, Elly; Adam, Muhamad; Herawati, Tuti; Sungkono
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 2, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss2.art9

Abstract

Background: The prevalence of acute coronary syndrome (ACS), which is the most critical ischemic heart disease and is the main source of morbidity and mortality worldwide, increases significantly every year in Indonesia, including Balinese young adults. Identification of modifiable risk factors, such as smoking habits, consuming alcohol, and processed food, is culturally important for making primary prevention strategies, the occurrence of attacks, and secondary prevention to reduce readmissions.Objectives: This study aims to identify modifiable factors using a cultural approach associated with the incidence of ACS in Balinese young adults.Methods: This is a quantitative cross-sectional study. A total of 150 eligible respondents were recruited consecutively at the Integrated Heart Service Centre of Prof. Dr. I.G.N.G Ngoerah General Hospital, Bali. Data were collected using validated questionnaires on socio-demographics, diet (SQ-FFQ), physical activity (GPAQ), alcohol use (AUDIT), psychological status (DASS-42), and sleep quality (PSQI). Independent variables included hypertension, diabetes, dyslipidemia, hyperuricemia, lifestyle, and psychosocial factors, with ACS incidence as the outcome. Data were analysed with descriptive statistics, chi-square, and logistic regression (p < 0.05).Results: Results showed a significant relationship between hypertension, high salt intake, and sleep quality. Hypertension demonstrated the strongest statistical association with ACS among the variables included in the model (OR = 6.785, 95% CI: 2.429 - 18.956). The Nagelkerke R² value was 0.449, indicating a moderately strong predictive model. This shows that hypertension, risky diet, and poor sleep quality contribute to 44.9% of the explained variance in the incidence of ACS among young adults. Conclusion: Risk factors contribute to the high prevalence of hypertension in Bali, including a high salt and fat diet in Balinese cuisine, poor sleep habits, and traditional activities in Bali. Recommendations for future research include exploring cardio-social factors and culturally based prevention and control strategies for ACS in young adults in Bali.
Co-Authors Agung Waluyo Amelia , Amelia Amelia Amelia Artati, Artati Bawa, Ngakan Nyoman Rai Cholis, Eko Prastyo Dela Riadi Dwitanta, Sucipto Elly Nurachmah Hakiki, Jihaz Haneen Ihsanidar, Yuniyas Jaya, Irvantri Aji Josua Edison Mangole, Josua Edison Kartikaningtyas Kusumastuti Kusumastuti, Kartikaningtyas Maria, Riri Maria, Riri Mirharina, Irza Nisaa, Mariani Nova, Prima Agustia Rai Bawa, Ngakan Nyoman Solly Aryza Sungkono Tuti Herawati Yuningsih Yuningsih