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HEAD UP POSITION 30° - 45° FOR SUCCESSFUL VENTILATOR WEANING PROCESS IN INTENSIVE CARE UNIT Wibowo, Nugroho Ari; Priyantini, Diah; Saputro, Suyatno Hadi; Kartikaratri, Erinda Sari; Ayatulloh, Daviq
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.74048

Abstract

Introduction: Ventilator weaning is the process of transitioning a patient from ventilator support to independent breathing for more than 48 hours. A 30°-45°head-up position, where the patient's head is raised above the bed, with the body parallel to the bed and the legs straight or unflexed, is believed to influence the success of the weaning process. This study aims to analyze the relationship between a 30°-45°head-up position and the success of ventilator weaning. Methods: A retrospective design was used, with 40 patients meeting the inclusion and exclusion criteria. Total sampling was applied, taking the entire population as the sample. Data were collected from patient medical records in the ICU from May to July 2023 to evaluate the head-up position and the success of ventilator weaning. Data analysis was performed using the chi-square test to determine the significance of the relationship between the variables. Results: The study results showed a significant association between a 30°-45° head-up position and successful weaning in ventilator patients, with a p-value of 0.000 (<0.05). The majority of patients positioned with their heads up were successfully extubated and did not require further ventilator support for the next 48 hours. This head-up position is believed to help increase lung capacity and respiratory efficiency during the weaning process. Conclusions: maintaining a 30°-45° head-up position playe a crucial role in successful ventilator weaning. Therefore, careful monitoring and thorough assessment during the weaning process could be essential to ensure rapid and accurate extubation in ventilator patients.
SKRINING KADAR KOLESTEROL, ASAM URAT DAN GULA DARAH PADA KELOMPOK AISYIAH DENGAN FAKTOR RESIKO Wibowo, Nugroho Ari; Priyantini, Diah; Wijaya, Siswanto Agung; Anandhita, Aries Chandra; Saputro, Suyatno Hadi; Rusdi, Ainur; Badriyah, Fatin Lailatul; Mukarromah, Nur
BESIRU : Jurnal Pengabdian Masyarakat Vol. 1 No. 12 (2024): BESIRU : Jurnal Pengabdian Masyarakat, Desember 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/ztqkc708

Abstract

Health screening is present as a step that is not only important, but also very strategic in efforts to prevent and detect non-communicable diseases early. Not only that, this step can also contribute to reducing the burden of disease in society as a whole. By addressing health problems from an early stage, it is hoped that there will be a decrease in morbidity and mortality rates related to these diseases, as well as optimization of health resources in the community. Cholesterol, Uric Acid and Blood Sugar Level Screening Activities in the Aisyiah Group with Risk Factors Health screening activities were carried out on October 8, 2024 at One of the Aisyiah in Sidoarjo City. This activity was attended by 50 members of the Aisyiah Group who had risk factors for metabolic diseases. The purpose of the activity Routine health checks are very important for early detection of metabolic diseases such as diabetes, high cholesterol, and uric acid. The results of this community service show a fairly high prevalence of metabolic disorders in the Aisyiah Group who have these risk factors. These findings underscore the importance of special attention to metabolic health in this community. Metabolic disorders, such as type 2 diabetes and metabolic syndrome, can have serious long-term health impacts if not managed properly. This health screening activity successfully detected a number of Aisyiah Group members who had risk factors for metabolic diseases. This proves the importance of routine health checks as an effort for early detection and prevention of disease.
Comorbid Diabetes Mellitus in Patients with Coronavirus Disease 2019: A Literature Review Saputro, Suyatno Hadi; Agustin, Ratna; Wahyuni, Sri; Mukarromah, Nur
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i1.26579

Abstract

Diabetes Mellitus (DM) is one of the risk factors faced by COVID-19 patients. diabetics aged >60 years, uncontrolled blood sugar levels, and the presence of complications from diabetes with a poor COVID-19 prognosis. In China, the death percentage of diabetics who contracted COVID-19 was 7.3%. In Italy, 36% of deaths in COVID-19 patients are related to diabetes. This study aims to analyze a comprehensive summary of the article Comorbid Diabetes Mellitus in Coronavirus Disease (COVID-19) Patients. Using the literature review method. PubMed, Science Direct and Medica Hospitalia databases. Inclusion criteria: articles on comorbid diabetes mellitus in COVID-19 patients, causes and effects on comorbid diabetes in COVID-19 patients, years from the end of 2019 to 2021, using English and Indonesian, Journal Article and Research article types, availability abstract and full text, Medline journal category. keyword Diabetes Mellitus, COVID-19 obtained 10 articles. COVID-19 patients with diabetes mellitus exhibit a wide range of severity, many of which weigh. Factors whose severity is characterized by age ranging from 50 to 70 years, a history of hypertension, signs and symptoms that are often experienced by COVID-19 patients with diabetes are dyspnea and weakness, laboratory findings show an increase in neutrophils, C-protein reactive, erythrocyte sedimentation rate, procalcitonin, D-dimer, and decreased lymphocytes and albumin. The radiological findings showed a picture of bilateral pneumonia on CT-scan results. The severity and mortality rates vary widely, the severity ranges from 11.1% to 42.4%, and the mortality rate ranges from 15.4% to 42.9%. Comorbidities of diabetes mellitus can increase the severity of COVID-19 patients, there are factors that are related to age, hypertension, symptoms of dyspnea and weakness, inflammation, increased coagulation activity, bilateral pneumonia, high severity and mortality.