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Efektivitas Manajemen Cairan Pada Penanganan Syok Hemoragik Akibat Atonia Uteri Di IGD Serly Sani Mahoklory; Rezqiqah Aulia Rahmat
JIMAD : Jurnal Ilmiah Multidisiplin Vol. 3 No. 4 (2026): JIMAD : Jurnal Ilmiah Multidisiplin (July)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

ABSTRACT Hemorrhagic shock due to uterine atony is a major cause of maternal mortality requiring rapid and effective fluid resuscitation. This study aims to analyze the effectiveness of fluid management in improving hemodynamic status in patients with hemorrhagic shock due to uterine atony in the emergency department. A quasi-experimental design was used involving 60 patients. Parameters measured included blood pressure, heart rate, and urine output before and after fluid therapy. Results showed significant improvement in blood pressure and urine output, along with decreased heart rate (p<0.05). It is concluded that fluid management is effective in stabilizing patients with hemorrhagic shock due to uterine atony. Keywords: Hemorrhagic Shock, Uterine Atony, Fluid Management, Emergency Care ABSTRAK Syok hemoragik akibat atonia uteri merupakan salah satu penyebab utama kematian maternal yang memerlukan penanganan cepat dan tepat, terutama dalam resusitasi cairan. Penelitian ini bertujuan untuk menganalisis efektivitas manajemen cairan dalam meningkatkan kondisi hemodinamik pasien dengan syok hemoragik akibat atonia uteri di Instalasi Gawat Darurat (IGD). Metode penelitian menggunakan pendekatan kuantitatif dengan desain quasi-experimental pada 60 pasien. Parameter yang diukur meliputi tekanan darah, denyut nadi, dan output urin sebelum dan sesudah pemberian cairan. Hasil menunjukkan adanya peningkatan signifikan pada tekanan darah dan output urin serta penurunan denyut nadi (p<0,05). Disimpulkan bahwa manajemen cairan efektif dalam stabilisasi pasien syok hemoragik akibat atonia uteri. Kata Kunci: Syok Hemoragik, Atonia Uteri, Manajemen Cairan, IGD
Hubungan Ketersediaan Obat Life-Saving dengan Outcome Pasien Trauma di IGD Serly Sani Mahoklory; Rosida
JIMAD : Jurnal Ilmiah Multidisiplin Vol. 3 No. 4 (2026): JIMAD : Jurnal Ilmiah Multidisiplin (July)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

ABSTRACT Background: Trauma is one of the leading causes of death worldwide, especially among people of productive age. Rapid treatment in the emergency department (ED) greatly determines patient outcomes. One important factor is the availability of life-saving drugs, such as adrenaline, tranexamic acid, antibiotics, opioid analgesics, and intravenous fluids. Objective: This study aims to determine the relationship between the availability of life-saving drugs and the outcome of trauma patients in the ED. Methods: This study used an observational analytical design with a cross-sectional approach. The study sample consisted of trauma patients who came to the ED during the study period. The availability of life-saving drugs was measured using a logistics checklist, while patient outcomes were assessed based on initial stabilization status, level of need for further care, and mortality rates. Analysis was performed using the Chi-square test with a 95% confidence level. Results: The results showed a significant relationship between the availability of life-saving drugs and the outcome of trauma patients (p < 0.05). Patients with quick access to life-saving drugs were more likely to stabilize and survive than patients who did not receive immediate medication. Conclusion: The availability of life-saving drugs in the ED is closely related to trauma patient outcomes. Optimizing logistics management and emergency pharmacy availability is very important for improving the quality of ED services. Keywords: Trauma, ED, Life-Saving Drugs, Patient Outcomes ABSTRAK Latar Belakang: Trauma merupakan salah satu penyebab utama kematian di dunia, terutama pada usia produktif. Penanganan cepat di Instalasi Gawat Darurat (IGD) sangat menentukan outcome pasien. Salah satu faktor penting adalah ketersediaan obat life-saving, seperti adrenalin, traneksamat, antibiotik, opioid analgesik, dan cairan intravena.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara ketersediaan obat life-saving dengan outcome pasien trauma di IGD. Metode: Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Sampel penelitian adalah pasien trauma yang datang ke IGD dalam periode penelitian. Ketersediaan obat life-saving diukur menggunakan checklist logistik, sedangkan outcome pasien dilihat berdasarkan status stabilisasi awal, tingkat kebutuhan perawatan lanjutan, serta angka mortalitas. Analisis menggunakan uji Chi-square dengan tingkat kepercayaan 95%. Hasil: Hasil penelitian menunjukkan terdapat hubungan signifikan antara ketersediaan obat life-saving dengan outcome pasien trauma (p < 0,05). Pasien dengan akses cepat terhadap obat-obatan life-saving memiliki kemungkinan lebih besar untuk stabil dan bertahan hidup dibandingkan pasien yang tidak segera mendapat obat. Kesimpulan: Ketersediaan obat life-saving di IGD berhubungan erat dengan outcome pasien trauma. Optimalisasi manajemen logistik dan ketersediaan farmasi emergensi sangat penting untuk meningkatkan kualitas layanan IGD. Kata Kunci: Trauma, IGD, Obat Life-Saving, Outcome Pasien
Relationship between Level of Knowledge and Medication Adherence among Hypertensive Patients Pasole, Fetty Yublika; Pella, Yosin Herloheti; Mahoklory, Serly Sani
Indonesian Journal of Nursing and Health Sciences Vol 7 No 1 (2026): Indonesian Journal of Nursing and Health Sciences: April 2026
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v7i1.7319

Abstract

The high number of hypertension cases in the East Nusa Tenggara region, namely 76,130 people, and in the Kupang region, namely 63.32% of cases, shows that this problem is still a serious concern. The data alsoshows that 13.3% of people with hypertension do not take their medication regularly.This condition is caused by various factors, such as patient noncompliancewith doctors' recommendations to take medication every day, delays intaking medication, boredom with long-term treatment, lowawareness of the risks of hypertension, and lack of knowledge aboutthe importance of drug therapy. This study aims to analyze the relationship between knowledge level and medication adherence among hypertensive patients at the Tarus Health Center in Kupang District. This is a quantitative study using an analytical observational design with a cross-sectional approach. Sample: The study included 100 respondents selected using purposive sampling. The measurement tool used was a questionnaire on hypertension knowledge and medication adherence. Data analysis was performed using the Spearman's Rank test. The study results showed a significant association between knowledge level and medication adherence in hypertensive patients with a p-value of 0.000 (p < 0.05). There is an association between knowledge level and medication adherence in hypertensive patients.
Penyuluhan Manajemen Bencana Dan Pertolongan Pertama Pada Kecelakaan (P3K) Bagi Relawan Mahoklory, Serly Sani; Angriawan, Angriawan; Sembiring, Endam Apulina Br; Haedir, Haedir; Sari, Dwi Ardyna Octa
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2026): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i2.1031

Abstract

Indonesia is a country prone to natural disasters, such as earthquakes, floods, landslides, and fires. These conditions require community preparedness, especially for volunteers, in dealing with emergencies. Volunteers are often the first to arrive at disaster sites, requiring adequate knowledge and skills in disaster management and first aid (P3K). However, many volunteers still lack an optimal understanding and skills in first aid. This Community Service activity aims to improve volunteers' knowledge and preparedness through disaster management and first aid training. Implementation methods include theoretical training, interactive discussions, first aid simulations and practices, and evaluation through pre- and post-tests. The results of the activity indicate a significant increase in volunteers' knowledge and preparedness in dealing with disaster situations and administering first aid. This activity is expected to enhance volunteers' capacity to support disaster management effectively and safely.
Pelatihan Bantuan Hidup Dasar (BHD) bagi Masyarakat di Wilayah Puskesmas Oesapa Kota Kupang Mahoklory, Serly Sani
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2026): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Juni)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract Out-of-hospital cardiac arrest is a life-threatening emergency that requires immediate intervention to prevent death and irreversible brain damage. Basic Life Support (BLS) plays a crucial role as an initial response that can be performed by laypersons before professional medical assistance arrives. However, the level of knowledge and skills related to BLS among community members remains limited, particularly in the working area of Puskesmas Oesapa.This community service program aimed to improve the knowledge and practical skills of the community in performing Basic Life Support. The methods applied included health education sessions, demonstrations, and hands-on practice using mannequins. Participants consisted of local residents, including health cadres and community members. The results showed a significant improvement in participants’ understanding of cardiac arrest recognition and the correct steps of BLS. In addition, participants demonstrated better skills and confidence in performing cardiopulmonary resuscitation (CPR) during simulations. In conclusion, the BLS training program effectively enhanced community preparedness in responding to emergency situations. Continuous and periodic training is recommended to sustain and further improve community competence in life-saving interventions. Keywords: Basic Life Support, Cardiopulmonary Resuscitation, Community Service, Emergency Response Abstrak Henti jantung mendadak merupakan salah satu penyebab kematian tertinggi yang dapat terjadi kapan saja dan di mana saja, termasuk di lingkungan masyarakat. Penanganan awal melalui Bantuan Hidup Dasar (BHD) sangat penting untuk meningkatkan peluang keselamatan korban sebelum mendapatkan pertolongan medis lanjutan. Namun, pengetahuan dan keterampilan masyarakat terkait BHD masih tergolong rendah. Kegiatan Pengabdian kepada Masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat di wilayah Puskesmas Oesapa Kota Kupang dalam melakukan tindakan BHD secara tepat. Metode yang digunakan meliputi penyuluhan, demonstrasi, dan praktik langsung dengan media manekin. Hasil kegiatan menunjukkan adanya peningkatan pemahaman peserta terkait langkah-langkah BHD, serta peningkatan keterampilan dalam melakukan resusitasi jantung paru (RJP). Dengan demikian, pelatihan ini efektif dalam meningkatkan kesiapsiagaan masyarakat dalam menghadapi kondisi kegawatdaruratan. Kata Kunci: Bantuan Hidup Dasar, Resusitasi Jantung Paru, Pengabdian Masyarakat, Kegawatdaruratan