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All Journal Journal of Applied Nursing and Health Jurnal Abdi Kesehatan dan Kedokteran Sahabat Sosial: Jurnal Pengabdian Masyarakat Jurnal Sains Farmasi dan Kesehatan Jurnal Imiah Pengabdian Pada Masyarakat (JIPM)
Ariani, Sri Purwanti
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Effectiveness of a Nursing-Based Fast Track Surgery Protocol on Postoperative Pain Reduction: A Quasi-Experimental Study Ariani, Sri Purwanti; Yuhansyah, Yuhansyah; Ernawati, Ernawati; Jariyah, Ainun
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.390

Abstract

Background: Ineffective management of postoperative pain can delay recovery, increase the risk of complications, and extend the length of hospital stay. Fast Track Surgery (FTS) is a multidisciplinary approach that speeds up recovery and reduces postoperative pain effectively. However, studies on the effectiveness of nursing-based FTS interventions in regional hospitals are still limited. This study examines the effectiveness of an innovative nursing-based FTS approach in reducing pain intensity among postoperative patients. Methods: This quasi-experimental study used purposive sampling and involved 30 participants, divided into intervention and control groups. The study was conducted at TK III Dr. R. Soeharsono Hospital in Banjarmasin, South Kalimantan. Inclusion criteria were patients aged 18 to 65 years, postoperative, able to communicate well, and willing to participate. Pain intensity was measured using the Visual Analog Scale (VAS) before and two hours after the Fast Track Surgery intervention. The nursing-based FTS intervention included preoperative education, early mobilization, and multimodal analgesia management. The study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines to ensure clarity and completeness. Results: Most participants were between 19 and 44 years old, 60% were male, and the majority had completed high school. Before the intervention, patients mainly reported moderate to severe pain; after the FTS intervention, most reported mild pain. Pain intensity was significantly different between the intervention and control groups (p < 0.001). Conclusion: The nursing-based Fast Track Surgery approach effectively reduces postoperative pain intensity. It is recommended that nurse-led FTS protocols be implemented in regional hospitals to improve pain management and accelerate patient recovery.
Effectiveness of the Early Warning Score in Enhancing Nurses’ Responsiveness to Critical Patients: A Quasi-Experimental Study in the Emergency Department Ernawati, Ernawati; Ariani, Sri Purwanti; Pramunika, Pramunika
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.397

Abstract

Background: Emergency care services in Indonesia continue to face challenges in quickly identifying patients who are critically ill, which contributes to the high mortality rates in Emergency Departments (ED). While the Early Warning Score (EWS) has been proven effective for early detection of patient deterioration, there are limited studies on its implementation in Indonesian EDs, particularly in provincial hospitals. This highlights a gap in research that needs further attention. Methods: This study used a quasi-experimental design with a pre-test and post-test control group at Dr. H. Moch Ansari Saleh Regional General Hospital, Banjarmasin. Twenty-three ED nurses participated. We measured nurse responsiveness by examining how quickly and accurately they took clinical actions after monitoring EWS. A prototype guideline for using EWS was also developed and integrated into the hospital’s ED reporting system. The research followed CONSORT guidelines for quasi-experimental studies. Results: Most participants were female (60.9%), aged between 19 and 44 years (95.7%), with the majority holding a Diploma III in nursing (65.2%). Before introducing the EWS, 83.3% of nurses in the intervention group responded in one minute or longer, with only 25% accuracy. After the EWS implementation, 91.7% responded in under one minute, with 91.7% accuracy. In the control group, one-minute or longer response times remained high at 90.9%, and accuracy improved slightly from 18.2% to 27.3%. Statistical tests showed significant improvement in response time (p = 0.007) and accuracy (p = 0.005) in the intervention group. Conclusion: Introducing the Early Warning Score improved nurses’ responsiveness in the ED, making their clinical actions faster and more accurate. Integrating EWS into daily practice with clear guidelines can help enable timely interventions and improve patient safety during emergency care.
Pengaruh Pendidikan Kesehatan Terhadap Kesiapan Masyarakat Dalam Tindakan Awal Stroke Akut: The Effect of Health Education on Community Readiness in Early Management of Acute Stroke Ernawati, Ernawati; Ariani, Sri Purwanti; Indrayadi, Indrayadi; Yuhansyah, Yuhansyah; Nadia, Nur
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.164

Abstract

Acute stroke is a neurological emergency that requires prompt management, as delays can result in permanent brain damage and even death. In Kelayan Subdistrict, community knowledge regarding the signs, symptoms, and initial actions for acute stroke remains low, which increases the risk of delayed treatment. Therefore, health education is necessary to enhance community preparedness in recognizing and responding to stroke appropriately. This study aimed to analyze the effect of health education on community preparedness in providing initial actions for acute stroke in Kelayan Subdistrict. The study employed a pre-experimental one group pretest–posttest design involving intervention and control groups, with interventions including counseling, leaflets and posters, and demonstrations of the FAST method. Community preparedness was measured before and after the intervention using questionnaires on knowledge, attitudes, and skills. The results showed a significant increase in knowledge, attitudes, skills, and overall preparedness scores in the intervention group following the health education program (p < 0.001), whereas the control group showed no significant changes (p > 0.05). These findings indicate that health education effectively enhances the community’s ability to recognize stroke signs and symptoms and take timely and appropriate initial actions. In conclusion, health education effectively improves the preparedness of the Kelayan Subdistrict community in responding to acute stroke and is recommended to be implemented routinely as a promotive and preventive measure to support early detection and timely response to stroke at the community level.
Effectiveness of Digital Sound Therapy (DST) in Reducing Postoperative Pain Intensity Among Adult Surgical Patients Ariani, Sri Purwanti; Ernawati, Ernawati; Yuhansyah, Yuhansyah; Rapika, Rapika
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.705

Abstract

Background: Postoperative pain remains one of the most common complications experienced by patients after surgery and may delay recovery, increase the risk of complications, and prolong hospitalization. Non-pharmacological interventions are increasingly recommended as complementary approaches to postoperative pain management. Despite growing evidence supporting audio-based interventions for pain management, evidence regarding the effectiveness and clinical implementation of Digital Sound Therapy (DST) among postoperative patients in Indonesian hospitals remains limited. Therefore, this study aimed to evaluate the effectiveness of Digital Sound Therapy (DST) in reducing postoperative pain intensity among adult surgical patients. Methods: A quasi-experimental pretest–post-test control group study was conducted and reported according to the TREND guidelines. Sixty postoperative patients were selected through purposive sampling and assigned to an intervention group (n = 30) and a control group (n = 30). The independent variable was Digital Sound Therapy (DST), whereas the dependent variable was postoperative pain intensity. Pain intensity was measured using the Numeric Rating Scale (NRS) four hours after surgery (pretest) and immediately after a 20–30-minute Digital Sound Therapy (DST) intervention (post-test). The control group received standard postoperative nursing care without additional audio therapy. Data were analysed using the Wilcoxon Signed-Rank Test. Results: Baseline demographic characteristics showed that most participants in the intervention group were aged 19–44 years (73.4%), female (63.3%), employed in the private sector (56.7%), and had completed senior high school education (46.6%). Before the intervention, 30.0% of patients reported mild pain, 53.3% moderate pain, and 16.7% severe pain. Following Digital Sound Therapy (DST), the proportion of patients reporting mild pain increased from 30.0% to 86.7%, while moderate pain decreased from 53.3% to 13.3%, and severe pain was eliminated. In contrast, most patients in the control group continued to experience moderate pain (70.0%) after the second assessment. The reduction in postoperative pain intensity following Digital Sound Therapy (DST) was statistically significant (p = 0.005). Conclusion: Digital Sound Therapy (DST) effectively reduces postoperative pain intensity and should be considered as a complementary component of multimodal postoperative pain management in nursing practice. Further multicenter studies with larger sample sizes are recommended to confirm its effectiveness and support broader clinical implementation
Pengaruh Edukasi Kesehatan Terhadap Kesiapsiagaan Masyarakat Dalam Pertolongan Pertama Hipoglikemia: The Effect of Health Education on Community Preparedness in Providing First Aid for Hypoglycemia Ariani, Sri Purwanti; Indrayadi, Indrayadi; Yuhansyah, Yuhansyah; Ernawati, Ernawati; Rapika, Rapika
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.162

Abstract

Hypoglycemia is an emergency condition in individuals with diabetes mellitus that can lead to decreased consciousness and even death if not managed promptly and appropriately. A low level of community knowledge and preparedness in recognizing the signs and symptoms and in providing first aid for hypoglycemia constitutes a major risk factor for the development of complications. This activity aimed to improve the preparedness of the Basirih Village community in providing first aid for hypoglycemic events through health education. This activity employed a pre-experimental design with a one-group pretest–posttest approach involving an intervention group and a control group. The sample consisted of residents of Basirih Village selected using purposive sampling. The measured variable was community preparedness in hypoglycemia first aid, encompassing knowledge, attitudes, and skills. The research instruments included standardized questionnaires and skill observation checklists. Data analysis was conducted by comparing pretest and posttest scores in both groups. The results demonstrated a significant increase in knowledge, attitudes, skills, and overall preparedness scores in the intervention group after the provision of health education (p < 0.001). In contrast, no significant differences were observed between pretest and posttest scores in the control group (p > 0.05). These findings indicate that health education has a significant effect on improving community preparedness in providing first aid for hypoglycemia. It can be concluded that health education is effective in enhancing the preparedness of the Basirih Village community toward hypoglycemic events. This activity is recommended to be implemented continuously as a promotive and preventive effort to reduce hypoglycemia-related complications at the community level.
Pengembangan Model Pendidikan Kesehatan Berbasis Kader Dan Media Digital Dalam Meningkatkan Respon Cepat Masyarakat Terhadap Stroke Akut: Development of a Community Health Education Model Based on Community Health Volunteers and Digital Media to Improve Rapid Community Response to Acute Stroke Ernawati, Ernawati; Ariani, Sri Purwanti; Nadia, Nur
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.222

Abstract

Acute stroke is a medical emergency that requires prompt recognition and immediate management to reduce disability and mortality. However, limited public awareness of stroke signs and symptoms, as well as inadequate initial response, remain major causes of delayed treatment at the community level. This study aimed to develop a community health education model based on health cadres and digital media to improve the community's rapid response to acute stroke. This study employed a Research and Development (R&D) design consisting of needs assessment, model development, expert validation, and limited field testing. The study involved health cadres and community members in Kelayan Village selected through purposive sampling. The study variables included model feasibility, community knowledge, and rapid response to acute stroke. Data were collected using validated and reliable questionnaires and observation checklists and were analyzed descriptively. The findings demonstrated that the developed health education model was considered feasible by experts and effectively improved community knowledge regarding the recognition of acute stroke signs and symptoms. In addition, the model enhanced the community's ability to provide an appropriate and timely initial response to suspected acute stroke events compared with the pre-intervention condition. In conclusion, the health cadre- and digital media-based health education model is a feasible and promising innovation for improving community preparedness and rapid response to acute stroke. This model may serve as an alternative community-based health promotion strategy to support early stroke recognition and facilitate timely treatment.
Co-Authors Ainun Jariyah Baidah Baidah Ernawati . Ernawati Ernawati Indrayadi Indrayadi Indrayadi, Indrayadi Indria, Rekha Nadia, Nur Nahdi, Rafi’an Al Pramunika, Pramunika Rapika, Rapika Sarifa Sri Jamilah Sri Jamilah Wahyu Asnuriyati Yuhansyah Yuhansyah, Yuhansyah