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PENGARUH FISIOTERAPI DADA DAN CLOSE SUCTION TERHADAP TIDAL VOLUME PADA PASIEN PNEUMONIA YANG MENGGUNAKAN VENTILATOR DI RUANG ICU RSUD TAMAN HUSADA BONTANG Andi Santi; Arsyawina; Hesti Prawita Widiastuti
Jurnal Cakrawala Ilmiah Vol. 3 No. 5: Januari 2024
Publisher : Bajang Institute

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Klien yang terpasang endotracheal tube ering kali mengalami masalah ketidakefektifan jalan napas, sehingga perlu dilakukan Tindakan fisioterapi dada dan close suction. Fisioterapi dada dan close suction dapat menyebabkankan perubahan tidal volume. Tidal volume sangat penting diperhatian karena dapat menentukan efek dan komplikasi yang terjadi. Tujuan : Untuk mengetahui pengaruh fisioterapi dada dan close suction terhadap tidal volume pada pasien pneumonia yang terpasang ventilator di ruang ICU RSUD Taman Husada Bontang 2023. Metode : Penelitian ini merupakan penelitian kuantitatif menggunakan desain pre experiment one group pre-test & post test. Jumlah responden 12 orang. teknik Analisa data dengan uji normalitas dan uji paired t-test. Hasil : Setelah dilakukan intervensi, pre test tidal volume hari ketiga 392,41 dan post test hari ketiga 419,75. Berdasarkan hasil tersebut terdapat peningkatan skor tidal volume. Serta nilai p value 0,00 (nilai α=0,05) Hasil analisis uji paired t test didapatkan p value = 0,00 ≤ 0,05. Kesimpulan: Terdapat pengaruh fisioterapi dada dan close suction terhadap tidal volume pada pasien Pneumonia yang terpasang ventilator. Terdapat perbedaan yang signifikan antara tidal volume sebelum dan sesudah tindakan intervensi. Tidal volume yang maksimal setelah diintervervensi tentunya menurunkan / menghilangkan sekresi pulmonal sehingga pengembangan paru menjadi maksimal. Saran : Peneliti selanjutnya diharapkan dapat mengembangkan penelitian dengan menambah atau mengganti variable penelitian dan perlu adanya pengontrolan factor -faktor yang mempengaruhi seperti durasi suction, mode ventilator dan factor yang ada pada responden.

ANALISIS PRAKTIK KEPERAWATAN DENGAN INTERVENSI PEMBERIAN NASI BASMATI DINGIN DENGAN METODE PIRING PADA PASIEN DIABETES MELITUS TIPE 2 DI WILAYAH PUSKESMAS LOK BAHU SAMARINDA Kadir, Abd; Widiastuti, Hesti Prawita; Mountia, Ariesta; Fitri, Ulia
Ensiklopedia of Journal Vol 8, No 1 (2025): Vol. 8 No. 1 Edisi 3 Oktober 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v8i1.3512

Background: Based on IDF data, the number of Diabetes Mellitus sufferers in the world in 2025 is estimated to reach 589 million, aged 20–79 years. An unbalanced diet can worsen blood glucose control and reduce insulin sensitivity. To control glucose levels, a Diabetes Mellitus diet is required. Objective: to analyze the intervention of providing cold basmati rice with the plate method to reduce blood glucose levels in Type 2 Diabetes Mellitus patients. Method: The study used a descriptive case study method. The intervention was carried out by providing basmati rice cooked at 100°C for 30–40 minutes, then cooled for 6–12 hours at room temperature. Results: The intervention of providing cold basmati rice with the plate method showed a decrease in GDS levels, case 1 post-intervention GDS value on the first day was 227 mg/dl, the second day was 213 mg/dl, the third day was 204 mg/dl, an average value of 134 mg/dl (normal). In case 2, there was an average GDS value of -40 mg/dl, categorized as hypoglycemia, the GDS value of the first day of intervention was 209 mg/dl, the second day was 168 mg/dl, the third day was 204 mg/dl. Case 3, the evaluation results showed a significant decrease, the first day was 296 mg/dl, the second day was 183 mg/dl, and the third day was 88 mg/dl, an average value of 195 mg/dl was obtained, categorized as hyperglycemia. Conclusion: Providing cold basmati rice with the plate method has been shown to reduce blood glucose levels.Keywords: Cold Rice Basmati, Diabetes Mellitus Type 2, Public Health Center, The Plates

Tandem Walking Exercise For The Risk Of Falling and The Daily and Activities’ Independency Toward Elderly Preopleat UPT PSTW Nirwana Puri Samarinda Widiastuti, Hesti Prawita; Pamungkas, Leny; Arsyawina, Arsyawina; Hilda, Hilda
Journal Of Nursing Practice Vol. 5 No. 1 (2021): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.166

Background: Stability is the ability of maintaining static and dynamics equilibrium, which influenced the falling incident and the capability in doing everyday activities of elderliesPurpose: The purpose of this study is to analyze the effect of tandem walking exercise for the daily activities’ independency and the risk of falling towards elderly people.Methods: This research is quasi experiment with pre and post-test nonequivalent control group design. The samples are 22 people that distributed into control and treatment group who were given tandem walking exercise three times a week for two weeks. Assessment of the independence of daily activities through observation, interviews and using barthel index instruments while falling risk is assessed using Time Up and Go Test (TUGT).Results: The result of hypothesis tests with Wilcoxon obtained that there is an impact from tandem walking exercise for the daily activities’ independency (p value = 0,009) and the risk of falling (p value = 0,003). The deviation analysis on two groups acquired that the Group 1 with interventions of tandem walking exercise is having more impact on the improvement of daily activities’ independency with Mann-Whitney test (p value = 0,044) and the reduction on risk of falling with Independent T-Test (p value = 0,000) compared to Control Group.Conclusion: Tandem walking exercise could improve daily activities’ independency and lower the risk of falling towards elderly people

The Validity of the Abbey Pain Scale for Assessing Pain in Stroke Patient Arsyawina, Arsyawina; Parellangi, Parellangi; Widiastuti, Hesti Prawita; Hilda, Hilda
Journal Of Nursing Practice Vol. 5 No. 1 (2021): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.167

Background: Apasia and dementia are two of the post-symptoms of stroke disease that cause patients to experience verbal communication disorders, thus requiring nurses to be more sensitive in assessing pain that is felt.Objective: The purpose of this research is to test the validity of the Abbey Pain Scale in assessing pain in stroke patients who are unable to express pain verbally.Methods: This research is a quantitative study using analytic observational research methods. This study used a consecutive sampling technique with the calculation of sample size based on population proportions. Research on one subject was repeated three times at rest and during pain procedures using the Abbey Pain Scale. Data were analyzed using the Pearson and Spearman test.Results: There was a significant correlation (p = 0.001) with a positive and strong correlation coefficient between the Abbey score and the pulse rate (correlation r = 0.699). Then there was a significant correlation (p < 0.001) with a positive and strong correlation coefficient between Abbey scores and mean arterial pressure (correlation r = 0.911). In addition, the Abbey Pain Scale score showed a significant change between the Abbey score at rest and during the pain procedure, both in the morning, afternoon and evening team nurses (p < 0.05).Conclusion: The Abbey Pain Scale is a valid measurement tool in assessing pain in stroke patients.

Effect of Theory of Planned Behaviour-Based Structured Education on Knowledge and Interdialytic Weight Gain Among Patients with Chronic Kidney Disease Diah Setiani; Rosdiana Rosdiana; Rivan Firdaus; Indah Nur Imamah; Hesti Prawita Widiastuti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1005

Globally, CKD and ESRD continue to increase substantially with the majority receiving dialysis treatment, involves an irreversible decline in kidney function so that continuous dialysis is carried out for survival. The success of haemodialysis therapy is highly dependent on patient adherence, especially in controlling interdialytic weight gain (IDWG). Knowledge and behavior patient are required in the control of IDWG. One of the health education models is used to increase knowledge so that it has an impact on health-related behaviour change, namely Planned Behaviour Theory (TPB). This study aimed to determine the effect of Theory Planned Behaviour-based structured education on knowledge of fluid restriction and IDWG reduction in CKD patients on haemodialysis. The research employed a quantitative method design using an quasi-experimental pretest-posttest with a control group design. The population of all patients analyzed at the Inche Abdoel Moeis Regional General Hospital, Samarinda, amounted to 60 respondents, sample technique used purposive sampling (according to the inclusion criteria), each group amounted to 30 respondents (with intervention and control groups) The intervention group received structured education based on the TPB and fluid evaluation monitoring with discussion forums. Intervention groups are given with a frequency of education 2x a week, the duration education was 30 minutes and then total implementation was 4 weeks, used instruments consisting of the SOP for Providing TPB-Based Education, IDWG observation sheets, and questionnaires (the questionnaire validity and reliability Cronbach’s Alpha is 0.760). And statistical tests using paired t-tests and independent t-tests. The results of the hypothesis test in the intervention group with the Paired T-test obtained a p value of 0.000<0.05. Meanwhile, in the control group, the p-value was 0.053>0.05. There were significant differences between the intervention and control groups, so it was concluded that there was an effect of TPB-based structured education on knowledge of fluid restriction and IDWG reduction in CKD patients on haemodialysis.

PELATIHAN KADER HIPERTENSI TENTANG AKTIVITAS FISIK AMAN BERBASIS KESELAMATAN PASIEN: PENINGKATAN PENGETAHUAN DAN KETERAMPILAN: PATIENT SAFETY-BASED TRAINING ON SAFE PHYSICAL ACTIVITY FOR HYPERTENSION CADRES: IMPROVING KNOWLEDGE AND SKILLS Hilda Hilda; Hesti Prawita Widiastuti; Arsyawina Arsyawina
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2026): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v6i2.3211

Hipertensi masih menjadi masalah penyakit tidak menular yang tinggi di wilayah kerja Puskesmas Lok Bahu. Salah satu kendala pengendalian hipertensi di masyarakat adalah belum optimalnya kemampuan kader dalam mengedukasi, mendemonstrasikan, dan memantau aktivitas fisik yang aman, teratur, serta sesuai kondisi kesehatan penderita hipertensi. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan kader dalam memberikan edukasi serta demonstrasi aktivitas fisik aman berbasis keselamatan pasien bagi penderita hipertensi. Kegiatan dilaksanakan di Aula Puskesmas Lok Bahu, Samarinda, melalui pelatihan, demonstrasi, praktik penggunaan alat latihan sederhana, monitoring, dan evaluasi. Peserta terdiri atas 19 kader dari lima Posyandu dan 20 penderita hipertensi. Evaluasi pengetahuan dilakukan menggunakan pretest dan posttest, sedangkan keterampilan kader dinilai menggunakan lembar observasi praktik. Dari 20 peserta evaluasi, terdapat 17 peserta dengan data pengetahuan lengkap. Rerata skor meningkat dari 82,35±7,05 menjadi 86,27±6,44, dengan selisih rerata 3,92 poin. Hasil paired t-test menunjukkan peningkatan belum bermakna secara statistik (p=0,096), tetapi secara deskriptif 47,1% peserta mengalami peningkatan skor. Hasil observasi menunjukkan kader mampu menyampaikan edukasi, mendemonstrasikan aktivitas fisik aman, menggunakan alat latihan sederhana, menyampaikan prinsip keselamatan, dan menyusun rencana tindak lanjut. Pelatihan kader tentang aktivitas fisik aman berpotensi memperkuat pengelolaan hipertensi berbasis masyarakat dengan tetap memperhatikan keselamatan pasien.

Hemodialysis (HD) Duration is Associated with The Quality of Life of Patients with Kidney Failure Undergoing Hemodialysis Arifin Hidayat; Frana Andrianur; Dwi Prihatin Era; Hesti Prawita Widiastuti
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4839

Hemodialysis is an early procedure that can quickly save the lives of patients with end-stage renal disease. Various studies show inconsistent results for several factors related to sociodemographics, such as age, gender, education, occupation, and income. Hemoglobin levels and hemodialysis access are rarely discussed, and the length of undergoing hemodialysis is rarely discussed. Therefore, this study investigates the variables related to the quality of life of chronic renal failure patients receiving hemodialysis. This study is a descriptive correlational study using a cross-sectional design. Purposive sampling was conducted with 60 chronic renal failure patients undergoing hemodialysis from July to October 2023 at Abdul Wahab Sjahranie Regional General Hospital, Samarinda. This research instrument uses a questionnaire; the first part is a fill-in sheet that includes (age, gender, education, occupation, income, length of hemodialysis, hemoglobin (HB) level, and hemodialysis access (HD). The second component is an instrument used by researchers to assess the patient's quality of life, the WHOQoL instrument. The logistic regression test was utilized in the statistical analysis. The length of hemodialysis is the most dominant factor in the quality of life of patients with kidney failure undergoing hemodialysis (p-value=0.029, with Odd-Ratio (OR)=10.86, 95%CI=1.282-92.036). The results of this study indicate that the length of hemodialysis is the most dominant factor in the patient's quality of life. Thus, it is important to make educational efforts and provide assistance to family and peer nurses during hemodialysis to prevent the emergence of negative thoughts that worsen the quality of life for patients.

PELATIHAN KADER HIPERTENSI TENTANG AKTIVITAS FISIK AMAN BERBASIS KESELAMATAN PASIEN: PENINGKATAN PENGETAHUAN DAN KETERAMPILAN: PATIENT SAFETY-BASED TRAINING ON SAFE PHYSICAL ACTIVITY FOR HYPERTENSION CADRES: IMPROVING KNOWLEDGE AND SKILLS Hilda Hilda; Hesti Prawita Widiastuti; Arsyawina Arsyawina
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2026): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v6i2.3211

Hipertensi masih menjadi masalah penyakit tidak menular yang tinggi di wilayah kerja Puskesmas Lok Bahu. Salah satu kendala pengendalian hipertensi di masyarakat adalah belum optimalnya kemampuan kader dalam mengedukasi, mendemonstrasikan, dan memantau aktivitas fisik yang aman, teratur, serta sesuai kondisi kesehatan penderita hipertensi. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan kader dalam memberikan edukasi serta demonstrasi aktivitas fisik aman berbasis keselamatan pasien bagi penderita hipertensi. Kegiatan dilaksanakan di Aula Puskesmas Lok Bahu, Samarinda, melalui pelatihan, demonstrasi, praktik penggunaan alat latihan sederhana, monitoring, dan evaluasi. Peserta terdiri atas 19 kader dari lima Posyandu dan 20 penderita hipertensi. Evaluasi pengetahuan dilakukan menggunakan pretest dan posttest, sedangkan keterampilan kader dinilai menggunakan lembar observasi praktik. Dari 20 peserta evaluasi, terdapat 17 peserta dengan data pengetahuan lengkap. Rerata skor meningkat dari 82,35±7,05 menjadi 86,27±6,44, dengan selisih rerata 3,92 poin. Hasil paired t-test menunjukkan peningkatan belum bermakna secara statistik (p=0,096), tetapi secara deskriptif 47,1% peserta mengalami peningkatan skor. Hasil observasi menunjukkan kader mampu menyampaikan edukasi, mendemonstrasikan aktivitas fisik aman, menggunakan alat latihan sederhana, menyampaikan prinsip keselamatan, dan menyusun rencana tindak lanjut. Pelatihan kader tentang aktivitas fisik aman berpotensi memperkuat pengelolaan hipertensi berbasis masyarakat dengan tetap memperhatikan keselamatan pasien.

Burnout Dimensions Among Emergency Nurses in Post-Pandemic East Kalimantan: A Cross-Sectional Study Arsyawina Arsyawina; Hilda Hilda; Hesti Prawita Widiastuti; Joko Sapto Pramono; Rispiyandi Rispiyandi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.939

ObjectiveThis study examined burnout dimensions and their associations with demographic and professional characteristics among emergency nurses in East Kalimantan, Indonesia, during the post-pandemic transition period.MethodsA quantitative descriptive-analytic cross-sectional study was conducted in December 2022 in the emergency department of a Coronavirus Disease 2019 (COVID-19) referral hospital in East Kalimantan. Seventy-one full-time emergency nurses were recruited through total population sampling. Burnout was measured using the Maslach Burnout Inventory–Human Services Survey, and demographic and professional data were collected using a structured questionnaire. Data were analyzed using descriptive statistics and Spearman’s rank correlation.ResultsMost participants reported low emotional exhaustion (83.10%), while high depersonalization was found in 45.07% and low personal accomplishment in 94.36%. Age showed weak negative correlations with emotional exhaustion (r = -0.257, p = 0.031), depersonalization (r = -0.324, p = 0.006), and reduced personal accomplishment (r = -0.320, p = 0.006). Length of employment showed weak negative correlations with depersonalization (r = -0.261, p = 0.028) and reduced personal accomplishment (r = -0.266, p = 0.025). Gender, marital status, and education level were not significantly correlated with burnout dimensions.ConclusionRoutine multidimensional burnout monitoring and targeted professional support are recommended for emergency nurses.Keywords:Burnout, emergency nurses, post-pandemic

Effectiveness of Foot Exercise and Kersen Leaf Infusion on Blood Glucose in Type 2 Diabetes Mellitus Hesti Prawita Widiastuti; Eka Putri Kumala Dewi; Rivan Firdaus; Ismansyah Ismansyah
MEDICA (International Medical Scientific Journal) Vol. 8 No. 8 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i8.1106

Type 2 diabetes mellitus (T2DM) requires accessible complementary strategies to support glycemic control. This study aimed to evaluate the effects of foot exercise, kersen (Muntingia calabura L.) leaf infusion, and their combination on random blood glucose levels. A quasi-experimental pretest-posttest study with four parallel groups involved 60 adults with T2DM, allocated equally to diabetic foot exercise, kersen leaf infusion, combined intervention, or control groups (n = 15 each). Interventions were delivered for two weeks. Foot exercise consisted of seven movements for approximately 30 minutes, three times weekly, while the infusion group received 100 mL of warm kersen leaf infusion once daily before bedtime. Random blood glucose was measured before and after the intervention using a glucometer. Within-group changes were examined using paired t-tests, and post-intervention differences among the four groups were evaluated using one-way analysis of variance followed by Bonferroni-adjusted post hoc comparisons. The results of this study showed that blood glucose decreased significantly in the diabetic foot exercise group (mean change 16.67 mg/dL; 95% CI 3.08-30.26; p=0.020), kersen infusion group (12.53 mg/dL; 95% CI 6.24-18.83; p=0.001), and combination group (39.07 mg/dL; 95% CI 19.48-58.65; p=0.001), but not in the control group (9.87 mg/dL; 95% CI -5.50 to 25.23; p=0.190). Bonferroni analysis showed lower posttest glucose in the combination group than in the foot-exercise group (mean difference -64.80 mg/dL; 95% CI -119.94 to -9.66; p=0.013). In conclusion, the combined intervention produced the largest reduction and significantly lower posttest glucose than foot exercise alone and control.

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