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Fitria Saftarina
Universitas Lampung
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Literature Review: Kepatuhan Penggunaan Alat Pelindung Diri (APD) Pada Perawat sebagai Upaya Universal Precaution: Michelle Safna Andari, Fitria Saftarina, Muhammad Maulana, Winda Trijayanthi Utama Andari, Michelle Safna; Saftarina, Fitria; Maulana, Muhammad; Utama, Winda Trijayanthi
Jurnal Kedokteran Universitas Lampung Vol. 9 No. 2 (2025): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila.v9i2.pp297-305

Abstract

Kepatuhan penggunaan Alat Pelindung Diri (APD) merupakan elemen penting dalam universal precautions untuk mencegah paparan infeksi dan melindungi perawat di fasilitas pelayanan kesehatan. Penelitian ini bertujuan menganalisis tingkat kepatuhan perawat terhadap penggunaan APD serta faktor-faktor yang memengaruhinya berdasarkan tinjauan literatur terbaru. Melalui penelusuran artikel menggunakan pendekatan PRISMA, lima studi yang memenuhi kriteria inklusi menunjukkan bahwa tingkat kepatuhan perawat berada pada kisaran 56,1% hingga 91,7%. Faktor internal yang memengaruhi kepatuhan meliputi pengetahuan, sikap, dan kompetensi, sedangkan faktor eksternal mencakup ketersediaan APD, penerapan standar operasional prosedur, pengawasan, dan dukungan dari program Pencegahan dan Pengendalian Infeksi (PPI). Ketersediaan sarana dan fasilitas tercatat sebagai determinan paling dominan dalam meningkatkan kepatuhan. Temuan ini menegaskan bahwa peningkatan kepatuhan penggunaan APD membutuhkan pendekatan multidimensional melalui penyediaan APD yang memadai, pelatihan berkelanjutan, dan penguatan budaya keselamatan demi meminimalkan risiko infeksi okupasional pada perawat.
Systematic Literature Review: Validitas Prognostik NIHSS sebagai Prediktor Luaran Fungsional pada Pasien Stroke (Tinjauan Periode 2020–2025) Naomi Elfriede Sirait; TA Larasati; Laisa Azka; Fitria Saftarina
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/4rte7j40

Abstract

The National Institutes of Health Stroke Scale (NIHSS) is the standard instrument for stroke evaluation, yet its prognostic validity for functional outcomes continues to evolve with the shift from static to dynamic assessment. This systematic review aims to evaluate the prognostic validity of NIHSS (static vs. dynamic) and the influence of lesion location and biological factors on functional outcome prediction accuracy in global and Indonesian literature from 2020–2025. A Systematic Literature Review (SLR) design was employed following PRISMA 2020 guidelines. Searches were conducted across five databases (PubMed, Scopus, Web of Science, Garuda, ISJD) using keywords related to NIHSS and prognosis. Following rigorous selection, 20 articles (10 global, 10 Indonesian) were included for narrative synthesis. Data synthesis demonstrated the superiority of "Dynamic NIHSS" prognostic validity (24-hour score and Delta NIHSS) over admission scores (baseline) in predicting long-term outcomes and quality of life. Significant anatomical bias was identified; the threshold for favorable prognosis in posterior circulation stroke was higher (≤9) compared to anterior circulation (≤4). In Indonesia, NIHSS validity improved when combined with inflammatory biomarkers (NLR) and metabolic profiles. NIHSS validity is multidimensional.
Determinan Faktor-Faktor yang Memengaruhi Kualitas Hidup Pasien Stroke Iskemik di RSUD dr. H. Abdul Moeloek Bandar Lampung Yadika, Adilla Dwi Nur; Saftarina, Fitria; Zuraida, Reni; Sumekar, Dyah Wulan; Susianti, Susianti
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.24575

Abstract

ABSTRACT Stroke is a cerebral blood circulation disorder lasting for 24 hours or more. Stroke is a leading cause of disability and death in Indonesia and causes functional disability and mental disorders that can reduce quality of life. Quality of life is an individual's perception of their position. In Lampung, 66.7% of stroke patients have poor quality of life. This study aims to determine the factors that influence ischemic stroke patients’ quality of life at RSUD dr. H. Abdul Moeloek Bandar Lampung. This study used an observational analysis and cross-sectional design. The dependent variable was ischemic stroke patients’ quality of life and the independent variables were age, gender, education level, employment status, marital status, comorbidities, duration after stroke, stroke recurrence, and family support. Primary data were obtained through interviews using questionnaire and secondary data from medical records. Bivariate analysis used Chi Square and multivariate used logistic regression. There were relationship between age (p=0.014), employment status (p0.001), marital status (p=0.016), and stroke recurrence (p=0.012), there were no relationship between gender (p=0.209), education level (p=0.071), comorbidities (p=0.158), duration after stroke (p=0.184), and family support (p=0.700) with the ischemic stroke patients’ quality of life at RSUD dr. H. Abdul Moeloek Bandar Lampung. The most dominant factor was employment status (p0.001; PR=29.9). Active roles from health institutions, government, and families are essential to improve ischemic stroke patients’ quality of life. Keywords: Ischemic Stroke, Quality of Life, Factors, Comorbidities, Family Support.  ABSTRAK Stroke adalah gangguan sirkulasi darah otak selama 24 jam atau lebih. Stroke menjadi penyebab utama kecatatan dan kematian di Indonesia dan menyebabkan disabilitas fungsional dan gangguan mental sehingga dapat menurunkan kualitas hidup. Kualitas hidup adalah persepsi individu mengenai posisinya dalam kehidupan. Sebanyak 66,7% pasien stroke memiliki kualitas hidup yang tidak baik di Provinsi Lampung. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi kualitas hidup pasien stroke iskemik di RSUD dr. H. Abdul Moeloek Bandar Lampung. Penelitian ini menggunakan metode analisis observasional dengan rancangan cross sectional. Variabel dependen berupa kualitas hidup pasien stroke iskemik dan variabel independen berupa usia, jenis kelamin, tingkat pendidikan, status pekerjaan, status pernikahan, komorbiditas, lama waktu pasca stroke, status serangan, dan dukungan keluarga. Data primer diperoleh melalui wawancara menggunakan kuesioner dan data sekunder dari data rekam medis. Analisis statistik bivariat menggunakan uji Chi Square dan multivariat berupa regresi logistik. Terdapat hubungan antara usia (p= 0,014), status pekerjaan (p 0,001), status pernikahan (p=0,016), dan status serangan (p=0,012), serta tidak terdapat hubungan antara jenis kelamin (p=0,209), tingkat pendidikan (p=0,071), komorbiditas (p=0,158), lama waktu pasca stroke (p=0,184), dan dukungan keluarga (p=0,700) dengan kualitas hidup pasien stroke iskemik di RSUD dr. H. Abdul Moeloek Bandar Lampung. Faktor yang paling dominan adalah status pekerjaan (p 0,001; PR=29,9). Diperlukan peran aktif instansi kesehatan, pemerintah, dan keluarga dalam meningkatkan kualitas hidup pasien stroke iskemik. Kata Kunci: Stroke Iskemik, Kualitas Hidup, Faktor-Faktor, Komorbiditas, Dukungan Keluarga.
Co-Authors -, Intanri Kurniati -, Ramadhana komala Abiyyi Pratama HW Agung, Lovina Ramadhita Airlangga Damara Akhmad Rizki Farhan Aldo Fatejarum Alia, Ega Chessa Aliffia Bingga, Isvi Alvin Widya Ananda Amalia, Usnida Khoiru Amallia, Rizka Dina Amelia, Rizqina Fara Andari, Michelle Safna Anggita Gardeesna Sari Anggraini, Dian Isti Anis Permanasari Anisya Yulida Syani Aprianna, Belinda Aprina Adha Widiastini Arlandi, Charity Binda Arrizky, Muhammad Heickal Ikhlasul Amal Arsistya Ayu Marella Asep Sukohar Athoriq, Muhammad Reivan Putra Atika Damayanti ATIKA RAHMAWATI Azelia Nusa Dewiarti Azka, Laisa Bachtiar, Nabylly Aghna Baresti, Sarah Windia Bayu Anggileo Pramesona Belinda Apriannanti Beauty Betta Kurniawan, Betta Camilia, Anita Camillia, Anita Carolina, Imelda Charisatus Sidqotie Chintya Chintya Redina Habsari Citra Yuliyanda Pardilawati Daniel Surya Wijaya Devi Liani Octiara Dewi Nur Fiana Dian Isti Anggraini Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Diana Mayasari Diana Mayasari Diana, Mayasari Dinda Annisa Fitria Dwi Indria Anggraini Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Eka Lestari Emir Yusuf Muhammad Endro Prasetyo Wahono Ety Apriliana Ety Apriliana Ety Apriliana Evi Kurniawati Fadhila, Syifa Rahmi Fairuz Khanza Amalia Fairuz Rabbaniyah Fairuz Rabbaniyah Farhah, Putri Dzahabiyyah Fauzi Ahmad Muda Fauziah Dwi Apriani Febriana, Wiwi Febriawan, Rahmat Febrina Dwiyanti Firinfa Soniya Fitri, Hilda Fitriani Antika Dhamayanti Freshilia Agustin Giska Tri Putri Haekal Alfhad Hanifa Yuniasari Hanna Mutiara Hanna Mutiara, Hanna Happy, Terza Aflika Hartoyo Hartoyo Helmi Ismunandar Herlambang, Geri Indra Hilda Fitri Hotman Natama Nainggolan Ibrahim, Syachrony Iffatunnada Khalishah Ihsanti Dwi Rahayu Indri Windarti Indria, Anggraini Dwi Intan Kusumaningtyas Isti Anggraini, Dian Isti Angraini, Dian Iswandi Darwis Jhons Fatriyadi Suwandi Karima, Nisa Karimah, Nisa Kartika, Juspeni Khairani, Dinda Aulia Khairun Nisa Khairunissa Athira Nauli Siregar Kurniawan, Ryanda Masri Laisa Azka Larasati, Ratri Mauluti Liana Sidharti, Liana M. Muhlis Rizki Maristiana Ayu Maryatun Hasan Maya Ganda Ratna Mayasari, Diana Merry Indah Sari Merry Indah Sari Milatul Fauziah Minerva Nadia Putri Mochammadin, Rafly Abdullah MS Mahrinasari Muhammad Gilang Muhammad Maulana Muhammad Ridho Muhammad Yusran Muhammad, Innou Dhanu Muhartono Muhartono Muthia Aya Syahmalya Nabilah, Deana Rifqoh Nadhila Nur Shafitha Nadila Ayuni Putri Nadiya Dewi Kusnadi Nainggolan, Hotman Natama Nanda Tiara Santika Naomi Elfriede Sirait Nisa Karimah Novita Carolia Novita Carolia Noviyanti, Dwi Wulan Nurul Utami Nyimas, Naflah Nadila Oktavia, Rizwiki Ovalia, Nora Wilya Pangestu, Arief Ristia Pramesona, , Bayu Anggileo Pratama, Arraian Berdha Putri Damayanti Putri Giani Purnamasari Putri, Tasya Ellyana Rahmatika, Achisna Ramadhan, Rifqi Ihza Ramadhana Komala Rani Himayani Reandy Ilham Andriyono Reinita Aulia Reni Zuraida Ridho Pambudi Rika Lisiswanti Rika Lisiswanti Rika Rahmawati Risti Graharti Rizky Arif Prasetyo Rizqa Atina Rodiani S, Johns Fatriyadi Salma Alya Ihsan Salsabila, Karina Adra San Maulina Sihaloho Santoso, Trio Sari, Riska Permata Satria Bangsawan Sefin, Ilu Salsabila Selly Stepriyani Septiani, Linda Setiawan, Gigih Setiorini, Anggi Shaffa Aulia Shabrina Shafia, Anindya Silvi Qiro'atul Aini Sinum, Ilham Muhammad SOEDJARWO Soedjarwo, Soedjarwo Sofyan Musyabiq Wijaya Soni Setiya Wardana Soraya Rahmanisa Sormin, Merris Hartati Sri Waluyo Stepriyani, Selly Subardiman, Najla Fadiyah Sudjarwo MA Suharmanto Suharmanto Suharmanto Suryadi Islami Susianti Susianti Susianti, Susianti Susilawati Susilawati Sutarto Sutarto Syaka, Muthiiah Khodista Syazili Mustofa TA Larasati Tara Aulianova Tarigan Sibero, Hendra Tasya Alifia Hanin Tri Umiana Soleha Tricia, Yulita Tuti Malindasari Utama, WInda Trijayanti Utami, Nabila Rachmadita Viera Rininda Mauli Dinar Winda Puspita Sari Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wulan, Anggraini Janar Yadika, Adilla Dwi Nur Yasmin, Deffina Widya Yoga, M Agung Prasetya Adnyana Yogi Maryadi Yulita Tricia Zahara, Noeril Asy Syifa Zenith Puspitawati