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All Journal Nurse and Health: Jurnal Keperawatan Jurnal Kreativitas PKM Bali Medika Jurnal Indonesian Journal of Global Health research Jurnal Sains Kesehatan Journal of Language and Health JRKN Jurnal Pengabdian Kepada Masyarakat Itekes Bali Jurnal Info Kesehatan Jurnal Kesehatan Primer
LEWAR, EMANUEL ILEATAN
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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Optimalisasi Manajemen Nyeri melalui Terapi Distraksi Emosional dan Visual bagi Anak dan Keluarga dengan Perawatan Paliatif Care Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Maharyawan, I Wayan Agus; Devi, Ni Luh Putu Lusiana; Dewi, Ni Nyoman Ari Kundari; Parwati, Putu Atika; Tripayana, I Nyoman; Suyasa, Agus Baratha; Putri, I Gusti Ayu Nandita Arta; Sukmawati, Ni Wayan Eni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22093

Abstract

ABSTRAK Kanker pada anak adalah pertumbuhan sel abnormal yang dapat menyebar (metastasis) dan membutuhkan perawatan paliatif. Jenis kanker yang umum antara lain leukimia, tumor otak, neuroblastoma, dan osteosarcoma. Penyebab pasti belum diketahui, namun faktor genetik, paparan karsinogen, dan virus Epstein-Barr (EBV) berperan. Gejala meliputi demam menetap, nyeri berat, kelelahan, dan gangguan tumbuh kembang. Program PKM ini bertujuan mengajarkan manajemen nyeri dan pendampingan orang tua melalui terapi distraksi emosional dan visual. Pasien dan keluarga merasakan manfaat positif. Metode menggunakan action research: perencanaan, pelaksanaan, observasi, dan evaluasi. Kegiatan melibatkan Yayasan Peduli Anak Kanker Bali dan dilaksanakan melalui mewarnai, diskusi, dan pohon harapan. Hasil pretest menunjukkan rata-rata nyeri skala 4, dan posttest menunjukkan penurunan ke skala 1–2.  Kesimpulannya, terapi distraksi efektif mengurangi nyeri secara nonfarmakologis dan perlu diterapkan secara berkelanjutan dalam perawatan paliatif anak. Kata Kunci: Anak, Keluarga, Manajemen Nyeri, Distraksi Emosional dan Visual.  ABSTRACT Childhood cancer is characterized by abnormal cell growth that can metastasize and requires palliative care. Common types include leukaemia, brain tumours, neuroblastoma, and osteosarcoma. Although the exact cause remains unknown, contributing factors include genetics, exposure to carcinogens, and the Epstein-Barr virus (EBV). Symptoms may include persistent fever, severe pain, fatigue, and developmental delays. This community service program aims to educate parents on pain management and provide support through emotional and visual distraction therapy. The method applied is action research, consisting of planning, implementation, observation, and evaluation phases. Activities were conducted in collaboration with the Bali Childhood Cancer Care Foundation and included colouring, discussion, and a hope tree session. Pretest results indicated an average pain score of 4, which decreased to 1–2 in the post-test. Patients and families reported positive outcomes. In conclusion, distraction therapy is effective in reducing pain non-pharmacologically and should be sustainably implemented in pediatric palliative care. Keywords: Children, Family, Pain Management, Emotional and Visual Distraction
ASUHAN KEPERAWATAN MALARIA DENGAN PENDEKATAN PROSES KEPERAWATAN DI PUSKESMAS MELOLO KABUPATEN SUMBA TIMUR LEWAR, EMANUEL ILEATAN
JURNAL KESEHATAN PRIMER Vol 1 No 2 (2016): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v1i2.72

Abstract

Introduction: Malaria is a parasitic infection of red blood cells caused by a protozoan species of plasmodium transmitted to humans through the saliva through puncture (bite) Anopheles mosquito. Nursing to malaria is a process or series of activities in nursing practice that directly provided to clients who suffer from malaria in various arrangements of health services, using the nursing process approach that includes assessment, determination of nursing diagnosis, planning of nursing, implementation and evaluation, as well as guided by the nursing standards. The purpose of this research is to get an overview of nursing care in patients with malaria. Method : This study used a descriptive method eksploiratif with qualitative approach aimed at understanding the social situation or social phenomena from the standpoint that the informant would get a picture of nursing care in patients with malaria. Result: The results of this study are nurses apply nursing care in patients malaria with the nursing process approach by reviewing, determining nursing diagnoses, nursing planning, implementation and evaluation.Conclusions :Research on malaria nursing care with the nursing process in the Public Health Centers Melolo East District Sumba, can be used as an initial step for nurses in health centers to provide nursing care in a proper malaria.
Procedure for Using Crystalloid and Colloid Fluids in Blood Pressure in Sectio Caesaria Patients Using Spinal Anesthesia Technique Sanjaya, Dwi Arymbhi; Agustini, Ni Luh Putu Inca Buntari; Putra, I Gede Agus Shuarsedana; Lewar, Emanuel Ileatan
JURNAL KESEHATAN PRIMER Vol 3 No 2 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i2.255

Abstract

Background: In Indonesia, the study about effectivity and side effect of colloid and crystalloid fluid have been completed, but the study about standard operating procedures (SOP) never have been done. The aim of this research was to describe and evaluate the SOP for the use of crystalloid and colloid fluids on blood pressure in sectio caesarea by using spinal anesthesia techniques. Method: The research employed a descriptive quantitative method by using a questionnaire. The basic features of crystalloid and colloid fluid selection were analyzed by multiple response tests. This research was conducted in type A hospitals in the Denpasar area by involving 30 anesthesiologist as a respondent. Result: The results indicated that 76.7% of respondents stated that there was no SOP for crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. In the multiple response tests, the effectiveness and side effects (21.3%) were the factors that had to be considered in the crystalloid and colloids fluid selection to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. The National Guideline of Medical Services for Anesthesiology and Incentive Therapy have been followed in determining the use of crystalloid and colloid fluids at section Caesarea. However, the guideline did not explain the basis for selecting crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques in more detail, therefore the factors of effectiveness and risk of side effects are the main consideration.
Criteria for Patients using Crystalloid and Colloid Fluids in Sectio Caesaria Lewar, Emanuel Ileatan; Sanjaya, Dwi Arymbhi; Putra, I Gede Agus Shuarsedana
JURNAL KESEHATAN PRIMER Vol 3 No 2 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i2.260

Abstract

Background: In Indonesia, the study about effectivity and side effect of colloid and crystalloid fluid have been completed, but the sample on the study was varied. The aim of this research was to describe the criteria of patient which used of crystalloid and colloid fluids on blood pressure in sectio caesarea by using spinal anesthesia techniques. Method: The research employed a descriptive quantitative method by using a questionnaire. The basic features of crystalloid and colloid fluid selection were analyzed by multiple response tests. This research was conducted in type A hospitals in the Denpasar area by involving 30 anesthesiologist as a respondent. Result: The results indicated that 100% of respondents stated that they used crystalloid for patient with allergic and they used coloid for patient with high risk edema. The result has been reviewed with The National Guideline of Medical Services for Anesthesiology and Incentive Therapy have been followed in determining the use of crystalloid and colloid fluids at section Caesarea. However, the guideline did not explain the basis for selecting crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques, therefore the factors of effectiveness and risk of side effects are the main consideration.
Efektifitas Bilateral Packing Pada Pemasangan Laryngeal Mask Airway Klasik Pada Pasien Dengan General Anesthesia Inhalasi Lewar, Emanuel Ileatan; Suyasa, Agus Baratha; Sanjaya, Dwi Arymbhi
JURNAL KESEHATAN PRIMER Vol 5 No 1 (2020): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v5i1.456

Abstract

Introduction: The anesthesiologist found the problem in classic LMA and they modified with bilateral packing, but there is no study to see the risk factor for failure in classic LMA and LMA with bilateral packing. The purpose of this study was to identify the effectiveness of bilateral packing on classic LMA use in patients with general inhalation anesthesia at Kasih Ibu Hospital Denpasar. Method: this research is a case control with a retrospective approach which is an analytical survey study with a purposive sampling technique. The variable observed in this study was the risk of leakage, biting, regardless of classic LMA installation compared to classic LMA with bilateral packing. The data used in this study are secondary data based on observations in as many as 46 cases of patients with classic LMA with bilateral packing and classic LMA listed in the medical record. Data analysis was performed with a comparative test of group data fitted with bilateral packing and the classic LMA group with the Mann-Whitney test. Results: of the analysis showed that bilateral packing was significantly effective because there was no leakage, biting, regardless event compared to the use of classic LMA (p <0.005). Conclusion: This researcher stated that the installation of LMA with bilateral packing method is very effective to prevent failures, such as leakage, biting, regardless. Pendahuluan: Hingga saat ini masih ditemukan adanya masalah dalam pemasangan LMA klasik sehingga dilakukan modifikasi yaitu dengan pemasangan bilateral packing, namun belum dilakukan kajian yang lebih mendalam untuk melihat faktor resiko kegagalan. Tujuan penelitian ini untuk mengidetifikasi efektivitas pemasangan bilateral packing pada penggunaan LMA klasik pada pasien dengan general anesthesia inhalasi di rumah sakit Kasih Ibu Denpasar. Metode: penelitian ini yaitu case control dengan pendekatan retrospektif yang merupakan suatu penelitian survei analitik dengan teknik purposive sampling. Variabel yang diamati dalam penelitian ini yaitu resiko kebocoran, tergigit, terlepas pada pemasangan LMA klasik dibandingkan dengan LMA klasik dengan bilateral packing. Data yang digunakan dalam penelitian ini merupakan data sekunder berdasarkan hasil pengamatan pada sebanyak masing-masing 46 kasus pasien dengan pemasangan LMA klasik dengan bilateral packing dan LMA klasik yang tertera pada rekam medis. Analisa data dilakukan dengan uji komparatif terhadap data kelompok yang dipasang bilateral packing dan kelompok LMA klasik dengan uji Mann-Whitney. Hasil: analisis menunjukkan bahwa pemasangan bilateral packing secara signifikan lebih efektif karena tidak ada kejadian kebocoran, tergigit, dan terlepas (p<0,005) dibandingkan dengan penggunaan LMA Klasik. Kesimpulan: Peneliti ini bahwa pemasangan LMA dengan metode bilateral packing sangat efektif yang dilakukan untuk mencegah kegagalan antara lain terlepas, bocor dan tergigit.
Tinjauan Keamanan Penggunaan Lopinavir dan Ritonavir Untuk Terapi Covid-19 Pada Anak Suyasa, Agus Baratha; Lewar, Emanuel Ileatan
JURNAL KESEHATAN PRIMER Vol 6 No 2 (2021): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v6i2.556

Abstract

Kombinasi Lopinavir dan Ritonavir merupakan salah satu obat yang golongan antiviral yang digunakan sebagai terapi potensial untuk pengobatan pada pasien COVID-19. Efektivitas penggunaan Lopinavir dan Ritonavir pada pasien COVID-19 masih dalam uji klinis. Data tentang dosis dan efek samping penggunaan Lopinavir dan Ritonavir untuk pengobatan COVID-19 pada anak sangat terbatas, sehingga dengan adanya suatu tinjauan studi pustaka dapat memberikan gambaran mengenai dosis dan keamanan terapi penggunaan Lopinavir dan Ritonavir pada pasien anak dengan COVID-19. Artikel ini disusun dengan mengkaji hasil-hasil penelitian yang telah dipublikasikan di berbagai jurnal nasional serta internasional, yang diakses dari basis data ResearchGate, PubMed, Google Scholar, dan Mendeley. Gangguan pencernaan seperti mual, muntah dan diare merupakan efek samping yang paling banyak terjadi dari pemberian Lopinavir/ritonavir. Pemberian Lopinavir dan Ritonavir pada pasien anak dengan COVID-19 perlu dipertimbangkan lagi rasio resiko dan efektivitas serta kemanannya pada anak.
Burnout and Compliance in Filling Out Pre-Anesthesia Report Forms by Anesthesitants Tripayana, I Nyoman; Lewar, Emanuel Ileatan; Anggaraeni, Komang Rosa Tri; Diputra, I Nyoman Yoga
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.7483

Abstract

Burnout is a psychological process caused by unrelenting work stress, which indirectly affects the completeness of pre-anesthesia reports. Based on a survey of medical records analysis, surgical anesthesia report forms were still found in medical records that were incomplete. The purpose of this study was to explore preliminary data on the burnout experienced by anesthesiologists and their compliance with filling out anesthesia reports. This study is a qualitative study with a multiple case study design using a descriptive approach. The participants in this study were anesthetists at Klungkung Regional General Hospital, with a total of five participants in the operating room. The data collection method in this study used primary data by conducting interviews on the level of burnout and compliance of anesthetists, as well as assessment sheets of observations regarding compliance in filling out anesthesia report forms. The data analysis techniques used in this study were individual case analysis and cross-case analysis. The level of burnout experienced by anesthesiologists varies across each dimension. Overall, participants tended to experience mild emotional exhaustion. In the depersonalization dimension, participants were found to be in the severe category. Meanwhile, in the self-efficacy dimension, all three participants were in the low category. The pre-anesthesia assessment form contained items that were not filled in, namely those related to lifestyle history. Burnout, especially when influenced by work fatigue and psychosocial stress, has the potential to reduce the quality of documentation, which plays an important role in patient safety. Therefore, organizational efforts are needed to reduce burnout through workload management, managerial support, and a more effective documentation system in order to improve compliance and the quality of anesthesia services.
MULTIPLE CASE STUDY : PRE-ANESTHESIA ASSESSMENT IN AMBULATORY ANESTHESIA PATIENTS yusniawati, yustina ni putu; Lewar, Emanuel Ileatan; Oktaviani Tirta, Ni Putu Sapta
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.804

Abstract

Background: Pre-anesthesia assessment is a procedure to assess the feasibility and preparation of a patient's medical condition before anesthesia. Ambulatory anesthesia is a medical service that does not require hospitalization after anesthesia. Purpose: To identify case study of pre-anesthesia assessment in ambulatory anesthesia patients Methods: This study employed descriptive qualitative with a case study approach with multiple case study design. The data were collected by using interview guide. There were 5 participants included in this study. The data were analyzed by using case analysis and cross-case analysis. Results: The finding showed that 5 participants described the pre-anesthesia assessment of ambulatory anesthesia patients, namely anamnesis including identity assessment, surgical indications, and anesthetic focus data. Physical examination includes breathing, blood, brain, bladder, bowel, and bone. Diagnostic examination analysis included laboratory and radiology, ASA physical status assessment, anesthetic considerations, and special considerations including distance and access to the hospital from the hospital, as well as the responsibility of the patient, but the history of obstructive sleep apnea and special considerations were not assessed in detail. Conclusion: The pre-anesthesia assessment of the outpatient anesthesia included participant anamnesis, physical examination, diagnostic examination, assessment of ASA physical status, and assessment of anesthesia, whereas a detailed study of obstructive sleep apnea and special considerations is not carried out.
Kesiapsiagaan Masyarakat Dalam Menghadapi Bencana Gempa Bumi di Indonesia : Literature Review Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Parwati, Putu Atika; Devi, Ni Luh Putu Lusiana; Maharyawan, I Wayan Agus; Dewi, Ni Nyoman Ari Kundari; Tripayana, I Nyoman; Suyasa, Agus Baratha; Sukmawati, Ni Wayan Eni; Putri, I Gusti Ayu Nandita Arta; Karisma, Putu Ayu; Juniawan, Putu Denny
Jurnal Sains Kesehatan Vol 32, No 3 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Tri Mandiri Sakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/jsk.32.3.364-373

Abstract

Kesiapsiagaan merupakan suatu proses menyiapkan masyarakat untuk siap baik secara pengetahuan, sikap, dan sarana prasarana terutama pada daerah daerah yang memiliki resiko jiwa terhadap bencana gempa bumi. Saat ini pemahaman masyarakat terkait kesiapsiagaan tergolong masih kurang dan sarana prasaranan dalam melakukan tatalaksana gempa bumi juga masih belum maksimal. Perlu dilakukan pengkajian lebih lanjut dalam melihat bagaimana kesiapsiagaan masyarakat Indonesia terhadap kejadian gempa bumi.  Tujuan penelitian ini adalah untuk mengetahui bagaimana literatur tingkat kesiapsiagaan masyarakat dalam menghdapi bencana gempa bumi di Indonesia. Penelitian ini menggunakan tinjauan literatur (literature review) yaitu google scolar. Artikel yang diperoleh dipilih berdasarkan publikasi yang diterbitkan antara tahun 2020–2025. Berdasarkan hasil tinjauan sistematis terhadap 9 artikel penelitian, diketahui bahwa kesiapsiagaan masyarakat dalam menghadapi bencana gempa bumi secara umum berada pada tingkat cukup hingga tinggi, khususnya pada daerah-daerah yang sudah mendapatkan sosialisasi, edukasi, dan simulasi bencana. Pelatihan, penyuluhan, dan pendekatan berbasis kearifan lokal terbukti efektif dalam meningkatkan pengetahuan dan kesiapsiagaan masyarakat. Namun, masih terdapat wilayah tertentu yang memiliki tingkat kesiapsiagaan rendah akibat kurangnya pemahaman terhadap risiko dan ketergantungan terhadap mitos lokal yang tidak ilmiah. Faktor lain seperti resiliensi komunitas juga berpengaruh signifikan terhadap kesiapsiagaan masyarakat. Tingkat kesiapsiagaan masyarakat Indonesia dalam menghadapi bencana gempa bumi bervariasi, dipengaruhi oleh faktor pengetahuan, sosialisasi, sarana prasarana, kearifan lokal, dan resiliensi komunitas. Upaya edukasi dan simulasi secara berkelanjutan sangat diperlukan untuk meningkatkan kesiapsiagaan masyarakat secara merata di seluruh wilayah.Kata Kunci: bencana, gempa bumi, kesiapsiagaan, masyarakat, mitigasi
Factors Associated with Delays in Early Stroke Detection among Older Adults Yusniawati, Yustina Ni Putu; Putra, I Gde Agus Shuarsedana; Lewar, Emanuel Ileatan; Dari, Ni Putu Desy Ratna Wulan; Juniawan, Putu Denny; Meikayani, Ida Ayu Putu Carisa; Irawan, I Kadek Feri; Djami, Rani Velentina Angelina
JURNAL INFO KESEHATAN Vol 24 No 1 (2026): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol24.Iss1.2278

Abstract

Stroke is a medical emergency caused by disrupted blood circulation to the brain, leading to rapid neurological dysfunction and potentially fatal outcomes if not treated promptly. Optimal management must be initiated within the first three hours after symptom onset, known as the golden period. However, many stroke patients experience delays in receiving treatment, particularly in the prehospital phase, where more than 80% of cases fail to obtain timely medical intervention due to late recognition of stroke signs and symptoms (Satapathy, et al., 2025). Several factors related to early stroke detection require further investigation to determine the most dominant contributors to delayed detection and management. This study aimed to analyze the factors associated with the occurrence of delays stroke detection among older adults in five Banjar in Melinggih Village. A descriptive correlational analytic design with a cross-sectional, conducted over three months from July to September 2025, with 292 respondents were selected proportionally based on inclusion and exclusion criteria. Data were collected from older adult using structured questionnaires from AST (Face, Arm, Speech, Time), the Los Angeles Prehospital Stroke Screen (LAPSS), and PACS (Medic Prehospital Assessment for Code Stroke). Data analysis was performed using spearman rho and multivariable logistic regression. The results demonstrated significant associations between early stroke detection and knowledge (p<0.001; OR=5.702), attitude (p<0.001; OR=4.820), awareness (p<0.001; OR=4.820), assistant support (p<0.001; OR=4.620), information access ((p<0,001; OR=0.474), education background (p<0,001; OR=4.820). Multivariate analysis identified knowledge factor associated early stroke detection occurrence (P<0.001; OR =5.502; 95% CI: 1.938–9.843). In conclusion, delays in early stroke detection among older adults is significantly associated with knowledge, attitudes, awareness, family accompaniment, access to information, and educational background. Enhancing knowledge among older adults, along with strengthening public health programs that provide stroke related education and reinforce the role of elderly health cadres in monitoring older adults’ health, is essential to reduce delays in early stroke detection among this population.             
Co-Authors Adiana, I Nengah Angelina Djami, Rani Valentina Anggaraeni, Komang Rosa Tri Dari, Ni Putu Desy Ratna Wulan Darmini, A.A.A Yuliati Devi, Ni Luh Putu Lusiana Dewi, Ni Nyoman Ari Kundari Diputra, I Nyoman Yoga Djami, Rani Velentina Angelina Dwi Arymbhi Sanjaya I Kadek Nuryanto Irawan, I Kadek Feri Juniawan, Putu Denny Kadek Buja Harditya Karisma, Putu Ayu Maharyawan, I Wayan Agus Meikayani, Ida Ayu Putu Carisa Ni Luh Putu Inca Buntari Agustini Oktaviani Tirta, Ni Putu Sapta Parwati, Putu Atika Putra, I Gde Agus Shuarsedana Putra, I Gde Agus Shuasedana Putra, I Gede Agus Shuarsedana Putri, I gusti Ayu Andita Arta Putri, I Gusti Ayu Nandita Arta S.Pd. M Kes I Ketut Sudiana . Sanjaya, I Wayan Edi Sari, Ni Kadek Nirmala Sukmawati, Ni Wayan Eni Suyasa, Agus Baratha Tripayana, I Nyoman Wijaya, I Nyoman Hendra Yusniawati, Yustina Yusniawati, Yustina Ni Putu