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All Journal Jurnal NERS BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan Padjadjaran Journal of Nursing Care and Biomolecular Journal of Nursing Care Indonesian Journal of Global Health research Action Research Journal Indonesia (ARJI) Padjadjaran Acute Care Nursing Journal (PACNJ) Holistik Jurnal Kesehatan
Nur’aeni, Aan
Fakultas Keperawatan Universitas Padjadjaran
Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Neuroscience Nursing Physics Public Health Social Sciences

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Profil keselamatan pasien dalam penggunaan irigasi hangat perioperatif: A literature review Harlasgunawan, Alia Rahmi; Kosasih, Cecep Eli; Nur'aeni, Aan
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.1153

Abstract

Background: Perioperative hypothermia (core temperature < 36 °C) is a frequent complication during surgery and is associated with adverse outcomes such as myocardial ischemia, coagulopathy, surgical site infections, and delayed recovery. One of the contributing factors is the use of large volumes of room-temperature irrigation fluids. Warming irrigation fluids is a simple and effective strategy to maintain perioperative normothermia, but its implementation requires a thorough understanding of patient safety profiles to ensure safe and optimal practice. Purpose: To analyze the patient safety profile in the use of perioperative warm irrigation. Method: A literature review was conducted on relevant literature to analyze the effectiveness and safety profile of perioperative warmed irrigation fluids. The reviewed literature included clinical studies and research discussing the use of warmed irrigation fluids in various surgical procedures, focusing on hypothermia prevention, patient thermal comfort, and safety aspects. Data were analyzed descriptively to identify key findings regarding effectiveness, safety profile, and clinical practice recommendations. Results: Evidence from various clinical studies shows that warmed irrigation fluids improve thermal comfort, reduce the incidence of hypothermia and shivering, and support patient safety. The effectiveness is particularly notable in endoscopic and urologic procedures, and can be enhanced when combined with warmed intravenous fluids. However, the added value of combining multiple warming strategies in short-duration surgeries remains unclear. Importantly, the use of warmed irrigation fluids has not been linked to increased postoperative complications. Conclusion: Warmed irrigation fluids demonstrate an excellent safety profile when implemented optimally. Optimal implementation requires consistent temperature control, reliable warming equipment, and adherence to safety protocols. Further standardization of safety protocols and healthcare professional training in intraoperative fluid warming practices is needed to optimize patient safety outcomes and ensure safe implementation across various clinical settings.   Keywords: Hypothermia; Patient Safety; Perioperative Warm Irrigation.   Pendahuluan: Hipotermia perioperatif (suhu inti tubuh < 36 °C) merupakan komplikasi yang sering terjadi selama pembedahan dan berhubungan dengan berbagai efek merugikan, seperti iskemia miokard, gangguan koagulasi, infeksi luka operasi, serta pemulihan yang tertunda. Salah satu faktor yang berkontribusi adalah penggunaan cairan irigasi dalam volume besar dengan suhu ruang. Pemanasan cairan irigasi merupakan strategi yang sederhana dan efektif untuk mempertahankan normotermia selama perioperatif. Tujuan: Untuk menganalisis profil keselamatan pasien dalam penggunaan irigasi hangat perioperative. Metode: Tinjauan naratif dilakukan terhadap literatur yang relevan untuk menganalisis efektivitas dan profil keselamatan penggunaan cairan irigasi hangat perioperatif. Literatur yang dikaji mencakup studi klinis dan penelitian yang membahas penggunaan cairan irigasi hangat dalam berbagai prosedur pembedahan, dengan fokus pada pencegahan hipotermia, kenyamanan termal pasien, dan aspek keselamatan. Data dianalisis secara deskriptif untuk mengidentifikasi temuan utama terkait efektivitas, profil keselamatan, dan rekomendasi praktik klinis. Hasil: Bukti dari berbagai studi klinis menunjukkan bahwa cairan irigasi hangat meningkatkan kenyamanan termal, menurunkan kejadian hipotermia dan menggigil, serta mendukung keselamatan pasien. Efektivitasnya sangat menonjol pada prosedur endoskopi dan urologi, dan dapat ditingkatkan dengan kombinasi infus intravena hangat. Namun, manfaat tambahan dari penggabungan beberapa metode pemanasan pada pembedahan berdurasi pendek masih belum jelas. Penting untuk dicatat bahwa penggunaan cairan irigasi hangat tidak dikaitkan dengan peningkatan komplikasi pascaoperasi. Simpulan: Cairan irigasi hangat menunjukkan profil keselamatan yang sangat baik. Ketika diimplementasikan secara optimal membutuhkan kontrol suhu yang konsisten, peralatan pemanas yang andal, serta kepatuhan terhadap protokol. Standarisasi lebih lanjut dalam praktik pemanasan cairan intraoperatif diperlukan untuk mengoptimalkan luaran pasien.   Kata Kunci: Hipotermia; Irigasi Hangat Perioperative; Keselamatan Pasien.
Telehealth dan Teknologi Artificial Intelegence untuk Meningkatkan Dukungan Psikologis dan Kepatuhan terhadap Terapi dalam Perawatan Kanker Payudara: Sebuah Protokol Scoping Review Nur'aeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman; Andrianthi, Salsyah; Febianti, Ranti; Oktafianti, Mutiara Annisa
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.64809

Abstract

  Kanker payudara merupakan jenis kanker dengan kasus terbanyak secara global dan memberikan dampak serius terhadap kesehatan mental serta kepatuhan pasien terhadap terapi. Pasien sering menghadapi kecemasan, depresi, dan gangguan psikologis lain yang dapat menghambat proses pengobatan. Telehealth menawarkan solusi dukungan jarak jauh, namun masih memiliki keterbatasan dalam hal personalisasi dan keberlanjutan layanan. Integrasi kecerdasan buatan (Artificial Intelligence/AI) ke dalam sistem telehealth dinilai memiliki potensi besar untuk meningkatkan efektivitas intervensi melalui deteksi dini, pemantauan real-time, serta pemberian dukungan yang lebih responsif dan individual. Manuskrip ini merupakan protokol dari scoping review yang bertujuan untuk memetakan jenis, konten, dan pendekatan intervensi telehealth, baik yang berbasis AI maupun tidak, dalam mendukung kesehatan mental dan kepatuhan terapi pada pasien kanker payudara. Kajian disusun berdasarkan pedoman PRISMA-ScR dan menggunakan kerangka PCC (Population: pasien perempuan dengan kanker payudara; Concept: intervensi telehealth dan/atau AI; Context: dukungan psikologis dan kepatuhan terapi). Pencarian literatur dilakukan pada delapan basis data utama: PubMed, Scopus, Web of Science, ProQuest, CINAHL, EBSCO, ScienceDirect, dan Google Scholar, dengan rentang publikasi 2015–2025. Temuan dari review ini diharapkan dapat menjadi dasar pengembangan intervensi digital yang lebih efektif, personal, dan berkelanjutan, khususnya di wilayah dengan keterbatasan layanan kesehatan.  
Description of Blood Pressure and Healthy Lifestyle Behavior among Employees Maharani, Glena Dwi; Nur'aeni, Aan; Purnama, Dadang
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3908

Abstract

Productive age workers often experience hypertension due to unhealthy lifestyles. Hypertension is known as "The Silent Killer" because it occurs without symptoms (asymptomatic), thus requiring more attention. The purpose of this study is to identify blood pressure levels and healthy lifestyle behaviors among employees at PT Kinaya Multi Energi. The method used in this research is descriptive quantitative, with the population consisting of employees of PT Kinaya Multi Energi. A total of 52 samples were determined using the total sampling technique. The tools used for hypertension screening were a digital sphygmomanometer and a digital body weight scale. The instrument for measuring healthy lifestyle behaviors was a self-efficacy questionnaire for practicing a healthy lifestyle to prevent hypertension. The data analysis used was descriptive quantitative analysis with frequency distribution and percentage. The result of the study shows that The majority of participants in this study experienced increased blood pressure. Respondents without a history of hypertension were mostly in the prehypertension category (32.6%), while a significant number were classified as having stage 1 hypertension (30.4%), and stage 2 hypertension (6.5%). Among respondents with a history of hypertension, most were categorized as having stage 1 hypertension (50%), with a significant number also classified as experiencing prehypertension and stage 2 hypertension (16.7%). Additionally, the majority of respondents have less healthy lifestyle behaviors (57.7%). In conclusion, most respondents experience hypertension and are unaware of it. In terms of healthy lifestyle behaviors, respondents are indicated to have unhealthy behaviors because out of 6 aspects, only 2 aspect supports a healthy lifestyle. This indicates a lack of awareness regarding personal health conditions among the employees.
Co-Authors Aat Sriati Adinda Utami Anastasia Anna Andrianthi, Salsyah Azzahra, Meza Belindiani Casta Casta Cecep Eli Kosasih Dadang Purnama Dadang Rochman Febianti, Ranti Hajjin Mabrur Harlasgunawan, Alia Rahmi Henny Suzana Mediani Ikeu Nurhidayah Imas Rafiyah Kusman Ibrahim Maharani, Glena Dwi Mutiara Putri Mutiara Putri Oktafianti, Mutiara Annisa Priambodo, Ayu Prawesti Putri Puspa Delima Ratna Purwati Rega Dwi Putri Ristina Mirwanti Sri Hendrawati Sugiharto, Firman Valentina Belinda Marlianti Lumbantobing Yanny Trisyani