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Evaluasi Penerapan Early Warning Score di Ruang Rawat Inap Dewasa Megawati, Sri Wulan; Jundiah, Raden Siti; Khotimah, Nur Intan Hayati Husnul; Muliani, Rizki
Jurnal Keperawatan Muhammadiyah Vol 6, No 1 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v6i1.6488

Abstract

Early Warning Score (EWS) is one of the instruments used to assess the patient's physiological deterioration and is one of the assessments in hospital accreditation. The application of the EWS can predict patient outcomes in the form of mortality, length of stay, and re-hospitalization. The purpose of this study was to evaluate the application of EWS in the inpatient room. This study was a prospective observational cohort study of patients in adult wards (≥16 years) over a while (1 month). The number of samples was 256 patients. The instruments used in this study were a demographic data questionnaire and an EWS observation sheet. Descriptive statistics were used for patient characteristics, and EWS monitoring documents. The results showed that 100% of the EWS sheet documentation was incomplete, if this examination sheet was not carried out correctly it would affect the subsequent patient handling and patient outcomes both related to illness and death. Monitoring and evaluation related to the implementation of the EWS are very much needed in the future for the improvement of hospital services as a whole. Keywords: Early Warning Score, Evaluation
Upaya Pemberdayaan Masyarakat dalam Penanganan Kegawatdaruratan Sehari-hari bagi Warga D’amerta RW 16 Desa Lengkong Kecamatan Bojong Soang Khotimah, Nur Intan Hayati Husnul; Abidin, Imam; Darajat, Agus Miraj; Tambunan, Irisanna; Megawati, Sri Wulan
Jurnal Pengabdian Pada Masyarakat Vol 9 No 2 (2024): Jurnal Pengabdian Pada Masyarakat
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/jppm.v9i2.805

Abstract

Gawat darurat tidak dapat diprediksi, berlangsung cepat, terjadi dimana saja, kapan saja dan beresiko menyebabkan kematian dan kesakitan pada masyarakat. Organisasi terkecil, masyarakat adalah kader. Peran kader PKK dan Posyandu dapat menjangkau masyarakat menjadi dasar dalam upaya memberdayakan individu, kelompok dan masyarakat dalam kesiapsiagaan dan penanganan kegawatdaruratan. Kader D’Amerta, merupakan mitra pemerintah dalam penyebaran informasi, penyuluh khususnya di wilayah RW 16 Desa Lengkong Kec. Bojong Soang. Adanya kasus kegawatdaruratan terutama trauma fisik, cedera ditemukan diwilayah RW 16, sehingga memerlukan pelatihan terkait penanganan kegawatdaruratan. Pengabdian masyarakat bertujuan meningkatkan pemahaman, keterampilan kader dalam menangani kegawatdaruratan sehari-hari, dengan metode edukasi pelatihan dan simulasi penanganan kegawatdaruratan; bantuan hidup dasar, P3K, dan penanganan kejang demam, penanganan tersedak. Hasil diperoleh adanya perubahan tingkat pemahaman dari 20 kader sebelum tindakan sebagian besar buruk (60%) menjadi (90%) hampir seluruhnya baik dengan nilai t test p value 0,000 dan dari keterampilan kader dapat mensimulasikan penanganan kegawatdaruratan seperti bantuan hidup dasar, P3K dan pemanfaatan bahan rumah tangga dalam penanganan kegawatdaruratan; penanganan kejang demam. Edukasi melalui pelatihan dan simulasi efektif dapat meningkatkan pengetahuan dan keterampilan kader dalam penanganan kegawatdaruratan. Sehingga dapat direkomendasikan edukasi kepada kader untuk terus dilakukan sehingga masyarakat dapat melakukan upaya pemberdayaan masyarakat dalam penanganan kegawatdaruratan sehari-hari. Emergencies are unpredictable, occur quickly, occur anywhere, at any time and carry the risk of causing death and morbidity in the community. The smallest organization, society is a cadre. The role of PKK and Posyandu cadres in reaching the community is the basis for efforts to empower individuals, groups and communities in preparedness and handling emergencies. D'Amerta Cadres are government partners in disseminating information, especially in the RW 16 area of ​​Lengkong Village, Kec. Bojong Soang. There are emergency cases, especially physical trauma, injuries found in the RW 16 area, so they require training related to handling emergencies. Community service aims to increase cadres' understanding and skills in handling daily emergencies, with educational training methods and emergency handling simulations; basic life support, first aid, and treatment of febrile seizures, treatment of choking. The results showed that there was a change in the level of understanding from 20 cadres before the action, mostly bad (60%) to (90%) almost all good with a t test p value of 0.000 and from the skills of the cadres they could simulate emergency handling such as basic life support, first aid and use of materials. households in handling emergencies; treatment of febrile seizures. Education through effective training and simulations can increase cadres' knowledge and skills in handling emergencies. So it can be recommended that education for cadres continue to be carried out so that the community can make efforts to empower the community in handling daily emergencies.
Pengetahuan Keluarga Pasien Tentang Tingkat Kegawatdaruratan Berdasarkan Triase Dengan Kepuasan Keluarga Pasien Di Instalasi Gawat Darurat Rumah Sakit Umum Daerah Sumedang Situmorang, Roganda; Khotimah, Nur Intan Hayati Husnul; Aisyi, Raida Rihadatul
Jurnal Keperawatan Muhammadiyah Vol 9 No 2 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i2.21905

Abstract

Objective: This study aims to analyze the relationship between the patient's family knowledge about emergency levels based on triage with the satisfaction of the patient's family in the Emergency Department of Sumedang Regional General Hospital. Methods: The research method uses correlational quantitative descriptive research using a cross sectional approach. The population is a family of 72 patients and the sampling technique uses accidental sampling. Data collection techniques use primary data by distributing questionnaires. The data were analyzed using frequency distribution calculations and the Chi-Square test Results: The results showed that the knowledge of the patient's family about the level of emergency based on triage was not good (12.5%), quite good (61.1%) and good (26.4%). Research also shows that the satisfaction of the patient's family in the Emergency Department is less satisfied (1.4%), quite satisfied (66.7%) and satisfied (31.9%). Research shows that there is a significant relationship (p-value 0.002) between the patient's family knowledge of emergency levels based on triage and the patient's family satisfaction in the Emergency Department. Conclusion: The results of this study are expected to provide information for hospitals to further improve education or strengthening information through print or digital media about emergency levels based on triage in the Emergency Department in order to provide positive support for increasing patient family satisfaction.
Effectiveness of Nebulization Therapy with Chest Physiotherapy After Nebulization on Airway Clearance in Children with Bronchopneumonia M, Denni Fransiska Helena; Nurhayati, Siti; Khotimah, Nur Intan Hayati Husnul
International Journal of Global Operations Research Vol. 4 No. 2 (2023): International Journal of Global Operations Research (IJGOR), May 2023
Publisher : iora

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47194/ijgor.v4i2.215

Abstract

Bronchopneumonia accounts for 15% of all deaths of children under five. The primary nursing problem of bronchopneumonia patients is ineffective airway clearance which can lead to more severe problems such as shortness of breath and even death. Management of airway ineffectiveness can be done by nebulization and corticosteroids, chest physiotherapy, suctioning and effective coughing. Nebulization accompanied by chest physiotherapy can remove secretions or phlegm effectively. This study aims to analyze the differences in airway clearance before and after nebulization and chest physiotherapy in the control and intervention groups in bronchopneumonia children. The research design used is Quasi-Experimental. A sample of 36 respondents with bronchopneumonia children was divided into two groups, namely control and intervention groups, which were obtained by consecutive sampling. Data collection techniques used observation sheets. The data analysis used in this study is the Mann-Whitney Test. The results showed that before chest physiotherapy after nebulization, all respondents had ineffective airway clearance (100%) in both the intervention and control groups. After chest physiotherapy after nebulization, almost half of the respondents in the intervention group had adequate airway clearance (44.4%). In contrast, in the control group, a small proportion of respondents had adequate airway clearance (16.7%). The analysis showed a p-value of 0.001, meaning there is a significant difference in airway clearance after being given nebulization and chest physiotherapy interventions in the intervention and control groups. Researchers hope that in future studies, airway clearance levels can be included. Thus, chest physiotherapy is effectively used for airway clearance in children after nebulization.
Edukasi masyarakat dalam menangani luka dan kegawatdaruratan sehari-hari pada anak stunting dengan memanfaatkan tanaman obat keluarga Darajat, Agus Mi'raj; Abidin, Imam; Khotimah, Nur Intan Hayati Husnul; Tambunan, Irisanna; Megawati, Sri Wulan
JOURNAL OF Public Health Concerns Vol. 4 No. 3 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i3.429

Abstract

Background: Overall, Sinarjaya Village consists of 10 RW, and supported by good soil conditions, more people are suitable for farming and working in factories. Based on the Garut Regional Government, the prevalence of stunting is targeted to be below 14% in 2024, in accordance with the national target, although the stunting rate in Garut Regency increased from 23.6% to 24.1% in early 2024 based on the Indonesian Health Survey. Purpose: To improve community skills related to daily emergencies and the use of family medicinal plants for wounds through community empowerment in families with stunted children. Method: The implementation of activities involves residents involved as Family Welfare Empowerment Cadres and Integrated Service Post Cadres in Sinarjaya Village, Tarogong, Garut. Participation in increasing community empowerment efforts in handling daily emergencies and understanding related to the use of Family Medicinal Plants for wounds in stunted children in families in particular. Activities are carried out through several stages, namely preparation, implementation, and evaluation. Results: Cadres can make phone calls well and can answer questions about emergency handling well. Training in the form of mini lectures and direct practice can improve skills towards cognitive, affective, and basic behavioral aspects such as the ability to remember, pay attention and control performance. Conclusion: Education through training and simulation can improve cadres' knowledge and skills in handling daily emergencies and the use of TOGA for wounds. Improved skills can improve preparedness and success in handling emergencies. The role of PKK and Posyandu cadres who can reach the community is the basis for efforts to empower individuals and families so that handling will be faster and more appropriate. Keywords: Community Empowerment; Dwarfism; Family Medicinal Plants; Wound Care. Pendahuluan: Secara Keseluruhan Desa Sinarjaya terdiri dari 10 RW,serta di dukung oleh kondisi tanah yang baik,  masyarakat lebih banyak bercocok tanam dan bekerja pabrik. Berdasarkan pemerintah daerah kabupaten (Pemkab) Garut menargetkan prevalensi stunting di bawah 14% pada tahun 2024,sesuai dengan target nasional,meski angka stunting di kabupaten Garut naik dari 23.6% menjadi 24.1% pada tahun 2024 awal berdasarkan Survei Kesehatan Indonesia (SKI). Tujuan: Untuk meningkatkan keterampilan masyarakat dalam menangani luka dan kegawatdaruratan sehari-hari pada anak stunting dengan memanfaatkan tanaman obat keluarga. Metode: Pelaksanaan kegiatan melibatkan warga yang terlibat menjadi Kader PKK dan Kader Posyandu yang ada di Desa Sinarjaya Tarogong Garut. Partisipasinya adalah dalam meningkatkan upaya pemberdayaan masyarakat dalam penanganan kegawatdaruratan sehari-hari dan pemahaman terkait penggunaan TOGA untuk luka pada anak stunting di keluarga khususnya. Kegiatan dilakukan melalui beberapa tahapan, persiapan, pelaksanaan, dan evaluasi. Hasil: Kader dapat mensimulasikan dengan baik dan dapat menjawab pertanyaan dengan baik tentang penanganan kegawatdaruratan. Pelatihan yang berbentuk mini-lecturing dan direct practicing mampu meningkatkan keterampilan menuju aspek kognitif, afektif, serta perilaku mendasar misalnya kemampuan mengingat, perhatian dan mengontrol kinerja. Simpulan: Edukasi melalui pelatihan dan simulasi dapat meningkatkan pengetahuan dan keterampilan kader dalam penanganan kegawatdaruratan sehari-hari dan pemanfaatan TOGA untuk luka. Peningkatan keterampilan dapat meningkatkan kesiapsiagaan dalam penanganan kegawat daruratan. Peran kader PKK dan Posyandu yang dapat menjangkau masyarakat menjadi dasar dalam upaya memberdayakan individu dan keluarga sehingga penanganan akan lebih cepat dan tepat
Peningkatan pengetahuan tentang penanganan kegawatdaruratan sehari-hari pada kader di Kelurahan Binong, Kecamatan Batununggal Jayanti, Tri Nur; Khotimah, Nur Intan Hayati Husnul; Nurmansyah, Andri; Widyawati, Widyawati; Darajat, Agus Mi′raj
JOURNAL OF Public Health Concerns Vol. 5 No. 1 (2025): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i1.467

Abstract

Background: Emergency is a condition that is critical and urgent and requires rapid treatment. Emergency at home in everyday life has a significant prevalence due to the many accidents or sudden medical conditions that often occur in the home environment such as falls, burns, choking, heart attacks, asthma, and poisoning. PKK and Posyandu cadres act as health educators in the community. Purpose: To improve the understanding and skills of cadres in handling daily emergencies. Method: This community service activity is carried out with the aim of providing health education and training to PKK and Posyandu cadres of the Ros Group RW 10, Binong Village, Batununggal District. The activity was carried out in two days on different days at the RW 10 Mosque, Binong Village, Batununggal District. The implementing team for this community service activity were Lecturers and 9 Nursing students from Bhakti Kencana University and under the supervision of Pokja 4 of the local Health Center. The implementation was carried out by delivering materials using lecture, discussion, and demonstration methods. The first day's activities were carried out on Wednesday, November 13, 2024, which was attended by 11 participants and the second day's activities were carried out on Thursday, November 28, 2024, which was attended by 13 participants. Results: The activity went well and smoothly where the participants enthusiastically gave positive responses. Accumulation of questionnaire data showed that the activities on the first and second days showed an increase in the respondent's score between the level of knowledge before the counseling activity (pre-test) and the level of knowledge after the counseling (post-test). Most of the participants were able to demonstrate and re-practice the handling actions after gaining knowledge such as cardiopulmonary resuscitation (CPR) in cardiac arrest, handling choking, handling when a child has a seizure, how to compress with a sponge tape, simple wound care, and TTV examination Conclusion: Community service activities for handling daily emergencies for cadres can provide direct knowledge enhancement and foster self-confidence in handling daily emergencies. Increasing the skills of cadres provides motivation in carrying out their roles, empowering individuals or groups towards preparedness and handling daily emergencies. Suggestion: This activity needs to be carried out continuously so that it is recommended for the local Health Center to be able to follow up on this activity so that the knowledge and skills of cadres can be maintained and improved. Keywords: Cadres; Counseling; Emergency; Training Pendahuluan: Kegawatdaruratan merupakan kondisi yang bersifat gawat dan darurat dan memerlukan penanganan yang cepat. Kegawatdaruratan di rumah dalam kehidupan sehari-hari memiliki prevalensi yang cukup signifikan karena banyaknya kecelakaan atau kondisi medis mendadak yang sering terjadi di lingkungan rumah seperti jatuh, luka bakar, tersedak, serangan jantung, asma, dan keracunan.  kader PKK dan Posyandu berperan sebagai edukator kesehatan di lingkungan masyarakat. Tujuan: Untuk meningkatkan pemahaman dan keterampilan kader dalam menangani kegawatdaruratan sehari-hari. Metode: Kegiatan pengabdian masyarakat ini dilakukan dengan sasaran memberikan penyuluhan kesehatan dan pelatihan kepada kader PKK dan Posyandu Kelompok Ros RW 10 Kelurahan Binong Kecamatan Batununggal. Kegiatan dilaksanakan dalam dua hari pada hari yang berbeda bertempat di Masjid RW 10 Kelurahan Binong Kecamatan Batununggal. Tim pelaksana kegiatan pengabdian ini adalah Dosen dan 9 mahasiswa Keperawatan Universitas Bhakti Kencana serta di bawah pengawasan Pokja 4 Puskesmas setempat. Pelaksanaan dilakukan dengan menyampaikan materi menggunakan metode ceramah, diskusi, dan demonstrasi. Kegiatan hari pertama dilakukan pada hari Rabu, 13 November 2024 yang dihadiri oleh 11 peserta dan kegiatan hari kedua dilakukan pada hari Kamis, 28 November 2024 yang dihadiri oleh 13 peserta. Hasil: Kegiatan berjalan dengan baik dan lancar dimana para peserta secara antusias memberikan respon yang positif. Akumulasi data kuesioner menunjukan bahwa kegiatan pada hari pertama dan hari kedua terdapat peningkatan nilai skor responden antara tingkat pengetahuan sebelum kegiatan penyuluhan (pre-test) terhadap tingkat pengetahuan setelah penyuluhan (post-test). Sebagian besar para peserta dapat mendemonstrasikan dan mempraktikkan ulang tindakan penanganan setelah mendapatkan pengetahuan seperti resusitasi jantung paru (RJP) pada henti napas henti jantung, penanganan tersedak, penanganan saat anak kejang, cara kompres dengan tapid sponge, perawatan luka sederhana, dan pemeriksaan TTV Simpulan: Kegiatan pengabdian kepada masyarakat penanganan kegawatdaruratan sehari-hari pada kader dapat memberikan peningkatan pengetahuan secara langsung dan menumbuhkan rasa kepercayaan diri dalam penanganan kegawatdaruratan sehari-hari. Meningkatnya ketrampilan para kader memberikan motivasi dalam melaksanakan perannya, pemberdayaan individu atau kelompok terhadap kesiapsiagaan dan penanganan kegawatdaruratan sehari hari. Saran: Kegiatan ini perlu dilakukan secara terus-menerus sehingga disarankan bagi Puskesmas setempat untuk dapat menindaklanjuti kegatan ini agar pengetahuan dan keterampilan kader dapat dipertahankan dan ditingkatkan.
Edukasi pengelolaan sampah sebagai bentuk pemeliharaan lingkungan dan pencegahan penyakit Widyawati, Widyawati; Khotimah, Nur Intan Hayati Husnul; Darajat, Agus Mi’raj; Jayanti, Tri Nur
JOURNAL of Public Health Concerns Vol. 5 No. 7 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i7.1516

Abstract

Background: Waste is a serious problem worldwide due to its potential negative impacts on the environment, health, and the economy. Several factors contributing to the increasing rate of solid waste production per capita include population growth, urbanization, and economic growth. Active community participation in environmental protection will contribute to a clean and healthy environment. In RW 06, Dukuh Village, Ibun District, waste remains a problem because most residents dispose of it in their gardens and around their homes. Several strategies that can be implemented with partners include proper waste management through proper sorting, collection, and processing. Purpose: To increase community knowledge, awareness, and skills in waste management as an effort to improve environmental quality and prevent disease. Method: The activity was held on August 15, 2025, in RW 06, Dukuh Village, Ibun District, Bandung Regency. Twenty community members, including RW and RT heads, participated in the activity. The educational activity included counseling and demonstrations on Managing Waste Together, Protecting the Environment Together, and Preventing Diseases Caused by an Unhealthy Environment. Participants completed a pre-test questionnaire before the outreach activity began, followed by a post-test questionnaire after the outreach activity. Pre-test and post-test scores were compared to assess changes and improvements in participants' knowledge following the educational intervention. Results: The majority of respondents' knowledge before the pre-test was in the poor category (8%, 40%). After the post-test, 18 respondents' knowledge improved to the good category (90%). Conclusion: The outreach activities on waste management and environmental preservation were found to be very beneficial by partners in increasing knowledge and awareness of implementing clean and healthy lifestyles to protect the environment and prevent disease. Placing and constructing appropriate waste management facilities can also motivate the community to maintain a clean environment free of potentially polluting waste. Suggestion: It is hoped that the activities carried out can be utilized sustainably by partners, and that lecturers will continue to conduct community service activities with different themes and partners as an application of scientific knowledge. Keywords: Disease; Education; Healthy Environment; Waste Pendahuluan: Sampah menjadi salah satu masalah serius diseluruh dunia karena berpotensi memiliki dampak negatif baik bagi lingkungan, kesehatan dan ekonomi. Beberapa faktor yang berkontribusi terhadap peningkatan laju produksi sampah padat per kapita antara lain Peningkatan populasi, urbanisasi dan pertumbuhan ekonomi. Partisipasi aktif masyarakat dalam menjaga lingkungan akan berpengaruh pada peningkatan lingkungan bersih dan sehat. Di RW 06 Desa Dukuh kecamatan Ibun sampah masih menjadi masalah karena sebagian besar masyarakat membuang sampah di kebun dan disekitar lingkungan rumah. Beberapa strategi yang dapat dilakukan bersama mitra antara lain: pengelolaan sampah yang baik dengan cara pemilahan, pengumpulan, dan pengolahan sampah yang tepat. Tujuan: Untuk meningkatkan pengetahuan, kesadaran dan kemampuan masyarakat dalam mengelola sampah sebagai upaya meningkatkan kualitas lingkungan dan mencegah penyakit. Metode: Kegiatan dilaksanakan pada tanggal 15 Agustus 2025 di RW 06 Desa Dukuh Kecamatan Ibun Kabupaten Bandung. Kegiatan ini melibatkan 20 orang warga masyarakat yang merupakan ketua RW dan ketua RT menjadi peserta. Kegiatan edukasi dilakukan dengan melakukan penyuluhan dan demonstrasi tentang Bersama Mengelola Sampah, Bersama Menjaga Lingkungan, Bersama Mencegah Penyakit yang terjadi akibat dari lingkungan yang tidak sehat. Sebelum kegiatan penyuluhan dimulai, para peserta mengisi kuesioner pretest dan mengisi kuesioner post-test setelah kegiatan penyuluhan. Dengan membandingkan nilai pre-test dan post-test untuk melihat perubahan dan peningkatan pengetahuan peserta setelah intervensi edukasi.  Hasil: Menunjukkan bahwa sebagian besar tingkat pengetahuan responden sebelum edukasi (pre-test) adalah dalam kategori kurang yaitu sebanyak 8 (40.0%) dan terdapat peningkatan pengetahuan responden setelah edukasi (post-test) menjadi kategori baik yaitu sebanyak 18 (90.0%).  Simpulan: Kegiatan penyuluhan tentang pengelolaan sampah dan memelihara lingkungan dirasakan sangat bermanfaat oleh mitra dalam meningkatkan pengetahuan dan kesadaran menerapkan pola hidup bersih dan sehat dalam menjaga lingkungan untuk mencegah penyakit. Menempatkan dan membuat tempat pengelolaan sampah yang baik juga dapat memotivasi masyarakat untuk menjaga lingkungan bersih dari sampah yang berpotensi mencemari lingkungan. Saran: Diharapkan kegiatan yang sudah dilakukan dapat dimanfaatkan secara berkesinambungan oleh mitra dan kegiatan pengabdian masyarakat dengan tema dan mitra berbeda terus dilakukan oleh dosen sebagai aplikasi dari ilmu pengetahuan.