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All Journal Global Medical and Health Communication Jurnal Biologi Tropis Nurse and Health: Jurnal Keperawatan The Indonesian Journal of Infectious Diseases Pharmaceutical Journal of Indonesia Medica Hospitalia Jurnal Ilmiah Keperawatan Imelda Indonesian Journal of Global Health research CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Hubungan Tingkat Pengetahuan Petugas Pengelola Obat dengan Tingkat Ketersediaan Obat Di Puskesmas Kota Malang Narra J
Maemun, Siti
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Clinical and Laboratory Characterization of Hemodialysis Patients in Relation to Survival Outcomes at a Tertiary Referral Hospital in Indonesia Sipayung, Elisabeth; Nariata, I Wayan; Yassir; Satyawati, Rumaisah; Wijaya, Surya Oto; Budi, Gesang Setia; Anitha; Rivaldiansyah; Maemun, Siti; Widiantari, Aninda Dinar
Current Internal Medicine Research and Practice Surabaya Journal Vol. 6 No. 2 (2025): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v6i2.70810

Abstract

Introduction: Despite advancements in hemodialysis care, disease progression and outcomes in adults with various comorbidities, particularly in Indonesia’s overburdened tertiary hospitals, remain poorly characterized, limiting tailored care strategies. This study analyzed clinical characteristics and laboratory parameters among hemodialysis patients at Sulianti Saroso Infectious Disease Hospital, Jakarta, Indonesia, with stratification by survival outcomes. Methods: We conducted a retrospective cohort study of adults (>18 years) undergoing hemodialysis at Sulianti Saroso Infectious Disease Hospital between March and July 2024. Using purposive sampling, we analyzed 27 cases with documented laboratory parameters (i.e., blood urea nitrogen (BUN), serum creatinine, and estimated glomerular filtration rate (eGFR)) and clinical outcomes. Associations between outcomes and laboratory/clinical variables were assessed using Fisher’s exact test and logistic regression (p<0.05). Results: Mortality was reported in 25.9% of patients, including one who passed away due to complications related to coronavirus disease 2019 (COVID-19) shortly after being discharged. The leading indication for hemodialysis was hyperuricemia (85.2%), followed by chronic kidney disease. Nearly half of the patients (48.1%) had comorbid diabetes mellitus. Diabetic nephropathy was a key contributor to elevated urea levels. Prevalent complications reported among the patients included sepsis (70.4%) and glomerular disease (40.7%). Conclusion: This study found an association between diabetes mellitus and mortality in chronic kidney disease patients who underwent hemodialysis. Severe uremia, marked by elevated BUN levels, and symptomatic complications such as shortness of breath were observed, indicative of advanced disease progression. Earlier detection and optimized management are necessary to mitigate preventable morbidity in high-risk populations.   Highlights: 1. This study examined undercharacterized hemodialysis patients at an Indonesian tertiary hospital, focusing on high comorbidity burdens and outcomes. 2. Severe kidney disease and high mortality were observed, driven by comorbidities such as diabetes mellitus, hypertension, coronavirus disease 2019 (COVID-19), and infectious diseases (drug-resistant tuberculosis and hepatitis B/C). 3. The findings underscore the importance of optimized risk stratification and early intervention for end-stage renal failure in patients with both communicable and non-communicable disease comorbidities.
Utilization of Sludge from the Sulianti Saroso Hospital Wastewater Treatment Plant as Compost Material Anggraeni, Yeyen; Febrina, Laila; Mulyawati, Ira; Pratiwi, Tiara Zakiyah; Maemun, Siti
Jurnal Biologi Tropis Vol. 24 No. 3 (2024): July - September
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i3.7316

Abstract

Hospital activities generate by-products from the treatment of liquid waste, namely sludge that settles in sedimentation tanks. The sludge produced thus far has been transported by a third party in collaboration with the hospital. This study was conducted to utilize hospital wastewater treatment plant (WWTP) sludge with the aim of determining the moisture content, carbon (C) content, nitrogen (N) content, and C/N ratio in the raw WWTP sludge before and after composting compared to SNI 19-7030-2004 standards. Additionally, the study aimed to identify the average differences in each variation of WWTP sludge and rice husk composition. This research employed an experimental method. The composting process was conducted aerobically with the following variations: 95% WWTP sludge:5% rice husk (A1), 85% WWTP sludge:15% rice husk (A2), 75% WWTP sludge:25% rice husk (A3), and 65% WWTP sludge:35% rice husk (A4), with the addition of EM4 activator 55 ml + 90 ml sugar solution diluted to 300 ml. The preliminary test results for the WWTP sludge showed a moisture content of 68.76%, C content of 28.00%, N content of 14.32%, and C/N ratio of 1.95. From the results of the ANOVA statistical test and Post Hoc Duncan test, it was found that the average variation in WWTP sludge: rice husk composition had a significant difference, with the ideal composition being variation A1 (95% WWTP sludge:5% rice husk).
Effectiveness of in-Tray Early Waring System Training on Knowledge and Practice of Nurses Nuraidah, Nuraidah; Widiantari, Aninda Dinar; Maemun, Siti; Hutabarat, Veronika; Khamid, Abdul; Wahyuning, Indah; Sumaryati, Sumaryati; Ambarwati, Desi; Murtiani, Farida
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3367

Abstract

Death marks the conclusion of the disease trajectory. Prevention of fatality in patients facing acute and chronic diseases requires the competence of reliable health workers, with nurses playing a crucial role in delivering proficient care. Aiming for early detection of patients' clinical deterioration, nurses use an early warning system. Objective: to determine the effectiveness of EWS training in-tray method on knowledge and practice of EWS. We conducted a quasi-experimental study using one group pretest-posttest without a control group. The sample of this study was 70 executive nurses with consecutive sampling techniques. The research was held at the Inpatient Installation of Sulianti Saroso Infectious Disease Hospital (SSIDH) in June 2023. Observation sheets were utilized to assess Early Warning System (EWS) practices, and we employed valid and reliable questionnaires to gather information on respondents' knowledge. We performed univariate analysis using frequency distribution and bivariate analysis using the Wilcoxon test. Most respondents were in the late adult category (52.9%), female (80.0%), graduate Diploma III in nursing education (54.3%), and the most working period of 5 years (78.6%). The knowledge of participants increased significantly from 7.00 (2.00-13.00) (pretest) to 11.50 (5.00-20.00) (posttest) (p-value = 0.000). There was an increase in nurses' EWS knowledge and practice (p-value <0.05). Efforts to improve nurse competence in caring for patients with critical conditions are necessary. This can be achieved through coaching and regular training with the priority target of implementing nurses in the intensive care room.
Predictors of Ventilator Weaning Failure in Sepsis Patients in Intensive Care Unit Dwisusanti, Oktina; Rohman, Rohman; Yunitri, Ninik; Rayasari, Fitriyan; Anitha, Anitha; Maemun, Siti
Indonesian Journal of Global Health Research Vol 6 No S4 (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.v6iS4.3956

Abstract

Sepsis is one of the most common infection complications in intensive care units (ICU). Sepsis causes organ dysfunction, including respiratory failure, that requires ventilator breath support. However, patients often experience ventilator weaning failure. We analyse the relation of predictor ventilator weaning failure in sepsis patients in ICU. This study was a cross-sectional study with study population consisting of sepsis patients who used ventilators in the ICU of Sulianti Saroso Hospital, and there were as many as 58 patients. We studied age, gender, body mass index (BMI), PCO2 value, prolonged ventilator use, pneumonia, malnutrition, vasopressor use and ventilator weaning with secondary data. The data collection instruments used were case report formulas. Descriptive statistical analysis in the form of frequency distribution (n) and proportion (%) and further analysis with binomial logistic regression (α<0.05). Three factors significantly influenced weaning failure were vasopressor use, malnutrition, and BMI (p<0.05). There is a significant influence of vasopressor use, malnutrition, and BMI with ventilator weaning failure.
The Effectiveness of Forward Leaning Position and Pursed Lip Breathing on Dyspnea in Patients with Lung Disease Astuti, Widia; Sitorus, Ratna; Herawati, Tuti; Aryani, Denissa Faradita; Pratiwi, Tiara Zakiyah; Maemun, Siti
Indonesian Journal of Global Health Research Vol 6 No S4 (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.v6iS4.4148

Abstract

Dyspnoea is the most common and distressing symptom of lung disease, and it causes uncomfortable feelings. Dyspnoea occurs in patients with lung diseases such as lung cancer, COPD, asthma and tuberculosis. Positioning that can reduce shortness of breath in COPD patients is the tripod position and breathing exercises, namely lip breathing exercises, which can affect oxygen saturation. The aim of study is to determine the effectiveness of the application of forward leaning position and pursed lip breathing on dypsnea in patients with lung disease. Pursed lips breathing exercises and a tripod position significantly improved symptoms of shortness of breath and strengthened respiratory muscles. To determine the effectiveness of applying the forward leaning position and pursed lip breathing for dyspnea in patients with lung disease. This research is quantitative with a quasi-experimental design with a pretest-posttest design approach without a control group design. The inclusion criteria for adult patients ≥ 18 years, patients with lung disease: COPD, Asthma, Tuberculosis and Lung Cancer and moderate to severe dyspnea at rest as measured by the Modified Borg Dyspnea Scale (MBDS ≥3). The number of samples was 30 people. The results of the analysis using the Wilcoxon Test and the results obtained were that providing a forward leaning position (FLP) and Pursed Lips Breathing (PLB) breathing exercises in patients with lung disease could significantly reduce the degree of dyspnea. The application of a combination of forward-leaning positions and pursed lips breathing exercises can have an effect on reducing the degree of dyspnea in patients.
Factors Related to the Implementation of Patient Safety Anitha, Anitha; Dwisusanti, Oktina; Nuraidah, Nuraidah; Wijiarti, Kunti; Pratiwi, Tiara Zakiyah; Maemun, Siti
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5293

Abstract

Patient safety is a critical global health issue. Despite solutions from JCI and WHO, 70% of medication errors still occur in many countries, including Indonesia. Objective: To identify factors influencing patient safety implementation by nurses at Sulianti Saroso Infectious Diseases Hospital (SSIDH). Methods: This cross-sectional observational study was conducted at SSIDH in October-November 2024. The population included 150 nurses, midwives, and heads of inpatient wards, selected using purposive sampling. Data were analysed using Kolmogorov-Smirnov, chi-square, and multiple logistic regression (p<0.05). Results: Most respondents were female and held a bachelor’s degree in nursing. Knowledge, attitude, and motivation were not significantly associated with patient safety implementation. Factors significantly influencing patient safety were age, duty room, and tenure (p<0.05). Nurses aged ≥40 years were four times less likely to implement patient safety standards compared to those <40 years (OR=4.04; 95%CI=1.68-9.72). Those working in non-intensive wards were 0.11 times less likely to implement standards (OR=0.11; 95%CI=0.05-0.27). Conclusion: Nurses/midwives should enhance patient safety implementation based on the six patient safety goals. Healthcare providers are encouraged to create programs to support quality improvement and reduce adverse events.
Relationship between Family Support and Compliance in Taking Antiretroviral (ARV) Drugs with the Incidence of Opportunistic Infections in Children With HIV/AIDS Budiyati, Dwi; Purwati, Nyimas Heny; Apriliawati, Anita; Istiyani, Sri; Fitriarini, Fitriarini; Maemun, Siti
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6016

Abstract

Opportunistic infections are one of the leading causes of morbidity and mortality in children with HIV/AIDS. These infections can be prevented through lifelong adherence to antiretroviral (ARV) therapy and strong family support. This study aims to analyze the relationship between family support and adherence to ARV medication with the incidence of opportunistic infections in children with HIV/AIDS. The study employed a cross-sectional design. The respondents were 50 children with HIV/AIDS receiving treatment at RSPI Sulianti Saroso Jakarta, selected using purposive sampling. Data were analyzed using the Chi-square test and Logistic Regression for multivariate analysis. The results indicated a significant relationship between family support including emotional support (p = 0.002), appraisal support (p = 0.001), instrumental support (p = 0.001), and informational support (p = 0.009) as well as ARV adherence (p = 0.001) with the incidence of opportunistic infections. Multivariate analysis revealed that instrumental support had the greatest influence, with p = 0.012 and Exp (B) = 1.458, indicating that children with low instrumental support had a 1.46 times higher risk of developing opportunistic infections compared to those with adequate support. There is a significant association between family support and ARV adherence with the occurrence of opportunistic infections in children with HIV/AIDS. Strengthening family-based nursing interventions focus on empowering parents to provide instrumental support such as meeting nutritional needs, ensuring access to healthcare services, and supervising ARV adherence is essential to improving the quality of life of children with HIV/AIDS.
The THE RELATIONSHIP BETWEEN SELF EFFICACY AND SPIRITUAL WELL-BEING WITH THE USE OF COPING STRATEGIES IN PEOPLE WITH HIV (ODHIV) Sukmawati, Lina; Azzam, Rohman; Yunitri, Ninik; Rayasari, Fitrian; Novianti, Dian; Maemun, Siti
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 1 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1598

Abstract

HIV infection continues to be a significant public health problem worldwide, including Indonesia, with impacts spanning social, economic, and cultural aspects. People living with HIV (PLHIV) are faced with various pressures and are in dire need of coping strategies. This study aimed to determine the relationship between self-efficacy and spiritual well-being with the use of coping strategies in PLHIV. This study is an analytic study with a cross sectional approach. A sample of 39 ODHIV was selected using purposive sampling method. Data were collected by filling out the GSES questionnaire to assess self-efficacy, the SWBS questionnaire to measure spiritual well-being, and the BRIEF RCOPE questionnaire to determine coping strategies. Logistic regression multinomial inferencial test found no association between self-efficacy and spiritual well-being with the use of coping strategies. Most were male (76.9%), high school education level (64.1%), and married (59%). Descriptive analysis obtained respondents who used problem-oriented coping strategies (28.2%); emotion-oriented (38.5%); and religious-oriented (33.3%). Multinomial logistic regression test showed no significant association between self-efficacy and the use of coping strategies and no association between spiritual well-being and coping strategies (p-value > 0.05). Spiritual aspects are important to consider as they can be a source of coping and motivation to help patients cope with sudden illness and reduce the level of pain due to the perceived condition so as to quickly move towards healing. Nurses need to apply nursing care using coping instruments, comprehensively from the assessment process to the evaluation process.
Co-Authors AA Sudharmawan, AA Abdul Khamid, Abdul Adria Rusli, Adria Afrina, Yeni Aliza, Nur Ambarwati, Desi Amin, Desrinawati Muhammad Anggraeni, Yeyen Anitha Anitha, Anitha Apriliawati, Anita Aryani, Denissa Faradita Aryanto, Dara Tyas Putri Azijah, Izzatul Azzam, Rohman Budi, Gesang Setia Budiyati, Dwi Devita, Yeni Dwisusanti, Oktina Fitriarini, Fitriarini Herlina Herlina Hutabarat, Veronika Istiyani, Sri Juwita, Disma Kunti Wijiarti, Kunti Kurniasih, Dian Noviati Laila Febrina Matondang, Faisal Mulyawati, Ira Murtiani, Farida Nafrialdi Nafrialdi Nariata, I Wayan Nina Mariana, Nina Novianti, Dian Nur Aini Nuraidah Nuraidah, Nuraidah Permatasari, Debby Intan Pratiwi, Tiara Z. Pratiwi, Tiara Zakiyah Purnama, Tri B. Purwati, Nyimas Heny Rahayu, Esti Kusuma Rahmawani, Atika Ratna Sitorus Rayasari, Fitrian Rayasari, Fitriyan Rina Yuliaty, Rina Rivaldiansyah Rivaldiansyah, Rivaldiansyah Rohman Rohman Rohman rosamarlina, rosamarlina Saadulloh, Dadang Saputra, Rahmat Satyawati, Rumaisah Setyawati, Rumaisah Shahroh, Yuni Sipayung, Elisabeth Sitompul, Pompini Agustina Sopiani, Pina Sukmawati, Lina Sumaryati Sumaryati Suprono Syafendra, Mega Oktariena Tampubolon, Maria L. Tanjungsari, Dian W. Titi Sundari Tuti Herawati Ulina, Barita Vivi Lisdawati Vivi Setiawaty Wahyuning, Indah Wibowo, Agus Ari Widia Astuti Widiantari, Aninda D. Widiantari, Aninda Dinar Wijaya, Surya Oto Windiyaningsih, Cicilia Yassir Yoenoes, Dedet Hidayati Yunitri, Ninik Zakiah Zakiah