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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

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

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

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

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

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

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.

Hubungan Representasi Gejala dengan Keterlambatan Pre Hospital pada Pasien Sindrom Koroner Akut (SKA) Hakiki, Jihaz Haneen; Adam, Muhamad; Riadi, Dela
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

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

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.

EFEKTIVITAS TERAPI RELAKSASI BENSON TERHADAP TINGKAT KENYAMANAN PASIEN SEBELUM CABG Rai Bawa, Ngakan Nyoman; Adam, Muhamad; Nurachmah, Elly; Jaya, Irvantri Aji
Menara Medika Vol 8, No 1 (2025): VOL 8 NO 1 SEPTEMBER 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i1.6927

Pendahuluan: PJK merupakan penyebab kematian kedua di Indonesia, yang berkontribusi terhadap 95,68 kematian per 100.000 penduduk Indonesia. Salah satu cara penanganan penyakit jantung koroner adalah dengan membuat jalur baru menggunakan pembuluh darah sehat dari bagian tubuh lain. Sekitar 44 per 100.000 orang menjalani operasi bypass diseluruh dunia. Pasien yang akan menjalani operasi bypass jantung umumnya mengalami kecemasan. Pada pasien bedah jantung, kecemasan praoperasi juga berhubungan dengan intensitas nyeri pascaoperasi yang lebih tinggi serta peningkatan kebutuhan akan analgesik. Pendekatan psikologis dan komplementer direkomendasikan untuk mengurangi kecemasan dan meningkatkan kenyamanan secara holistik, salah satunya dengan terapi relaksasi Benson. Metode: Penerapan ini menggunakan pendekatan quasi experiment dengan rancangan pre-test and post-test with control dengan jumlah sampel 40 responden. Hasil: Hasil penelitian menunjukkan adanya perbedaan signifikan antara sebelum dan setelah intervensi dan perbandingan antar kelompok dengan nilai p = 0,001. Diskusi: Hasil penelitian menunjukkan rata-rata usia pasien 58 tahun, mayoritas laki-laki, menikah, dan berpendidikan SMA, selaras dengan profil pasien CABG pada studi sebelumnya. Terapi relaksasi Benson terbukti meningkatkan kenyamanan secara signifikan, mendukung temuan serta studi lain yang menunjukkan penurunan kecemasan, tekanan darah, kelelahan, dan risiko delirium. Temuan ini menegaskan pentingnya intervensi non-farmakologis yang mudah diterapkan untuk mempercepat pemulihan pasien pasca operasi jantung.

Peran edukasi terstruktur dalam program discharge planning untuk meningkatkan efikasi diri pada pasien bedah jantung: A systematic review Nisaa, Mariani; Nurachmah, Elly; Maria, Riri; Waluyo, Agung; Adam, Muhamad
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1665

Background: Patients undergoing cardiac surgery often experience decreased self efficacy in managing their health condition, which can complicate recovery and reduce quality of life. Structured discharge planning programs provide ongoing support and instruction, which can help patients improve this self-efficacy. Purpose: To examine the role of structured education within discharge planning programs in improving self-efficacy in cardiac surgery patients. Method: This systematic review used PRISMA guidelines and included data published between 2020 and 2025 from the following databases: PubMed (n = 404), Science Direct (n = 24), ClinicalKey for Nursing (n = 769), Sage Journals (n = 47), ProQuest (n = 1063), and Wiley (n = 97). Results: Nine of the ten studies showed that patients who received structured discharge planning interventions, whether through direct instruction, technology (phone, WhatsApp, and augmented reality/AR), or home care, had higher levels of self efficacy. Furthermore, this intervention reduced readmission rates, depression, anxiety, and fatigue. Conclusion: A structured discharge planning program is effective in improving patient self efficacy after cardiac surgery and provides additional benefits on psychological aspects and quality of life. This program can be consistently implemented in patients undergoing cardiac surgery. Suggestion: Further research should be conducted in hospitals in Indonesia to determine the success of structured discharge planning in improving the self efficacy of cardiac surgery patients by linking local culture, family roles, and health systems. Keywords: Cardiac Surgery; Discharge Planning Program; Patients; Self Efficacy; Structured Education. Pendahuluan: Pasien yang menjalani operasi jantung sering mengalami penurunan efikasi diri dalam mengelola kondisi kesehatan pasien sendiri, yang dapat mempersulit pemulihan dan menurunkan kualitas hidup. Program rencana pemulangan terstruktur memberikan dukungan dan instruksi yang berkelanjutan, dapat membantu pasien meningkatkan efikasi diri. Tujuan: Untuk mengkaji peran edukasi terstruktur dalam program discharge planning untuk meningkatkan efikasi diri pada pasien bedah jantung. Metode: Penelitian systematic review menggunakan pedoman PRISMA, diterbitkan dari tahun 2020-2025 dari database: PubMed (n = 404), Science Direct (n = 24), ClinicalKey for Nursing (n = 769), Sage Journal (n = 47), ProQuest (n = 1,063), dan Wiley (n = 97). Hasil: Sembilan dari sepuluh penelitian menunjukkan, bahwa pasien yang menerima intervensi discharge planning terstruktur baik melalui instruksi langsung, teknologi (telepon, WhatsApp, dan Augmented Reality/ AR), atau home care mempunyai tingkat efikasi diri yang lebih tinggi. Selain itu, intervensi ini mengurangi jumlah rawat inap ulang, depresi, kecemasan, dan kelelahan. Simpulan: Program discharge planning dengan edukasi terstruktur efektif dalam meningkatkan efikasi diri pasien pascaoperasi jantung dan memberikan manfaat tambahan pada aspek psikologis dan kualitas hidup. Program ini dapat menjadi implementasi pada pasien yang menjalani operasi jantung secara konsisten. Saran: Penelitian lebih lanjut harus dilakukan di rumah sakit di Indonesia untuk mengetahui keberhasilan discharge planning terstruktur dalam meningkatkan efikasi diri pasien bedah jantung dengan mengaitkan budaya lokal, peran keluarga, dan sistem kesehatan. Kata Kunci: Bedah Jantung; Edukasi Terstruktur; Efikasi Diri; Pasien; Program Discharge Planning.

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