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Pengalaman Pasien Guillain-Barre Syndrome Selama Fase Hospitalisasi Trisyani, Yanny; Susanti, Vera; Muhaemin, Muhaemin; Winara, Winara; Risnianingsih, Nina; Putri, Saparingga Dasti; Tambunan, Natalia
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.13843

Abstract

Guillain-Barré Syndrome (GBS) is a rare autoimmune condition that can lead to muscle weakness and total paralysis, often occurring following an infection. The hospitalization phase for GBS patients can significantly impact their mental health and recovery process. This study aims to map the literature concerning the subjective experiences of GBS patients during hospitalization, identify the challenges they face, and understand the psychosocial impacts and the support needs required. The methodology employed is a scoping review based on the Arksey and O'Malley framework, with data gathered from three primary databases: PubMed, Scopus, and Medline. Inclusion criteria include studies reporting on subjective experiences during hospitalization, primary studies employing qualitative, quantitative, or mixed-method approaches, and articles published in English within the last ten years (2015-2024). Eight articles met the inclusion criteria, and the analysis showed that GBS patients experience significant physical, psychological, and social challenges, as well as complex interactions with healthcare providers. These findings underscore the importance of clear communication and emotional support during care, while also identifying gaps in the existing research. Recommendations for further research include the development of interventions that are more responsive to the needs of GBS patients, aimed at improving the quality of care and patient experiences during hospitalization. Keywords: Guillain-Barre Syndrome, Experience, Hospital.
Refractory hyperglycemia in a geriatric patient with diabetic ketoacidosis: A critical care nursing case report Pranata, Yodha; Winara, Winara; Rizkianti, Intan; Maryam, Nina; Prawesti, Ayu
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1005

Abstract

Background: Refractory hyperglycemia in diabetic ketoacidosis (DKA) presents a critical challenge in geriatric patients due to multifactorial physiological and clinical complexities. Early recognition and integrated management are essential, with critical care nursing as a pivotal component. Purpose: This case report aims to describe and analyze the multifactorial causes of refractory hyperglycemia in a geriatric DKA patient, highlighting the importance of early detection, comprehensive correction, and collaborative nursing roles. Method: A descriptive analytic approach was employed to examine the clinical course of a 75-year-old woman with DKA and persistent hyperglycemia. Data were collected from direct patient observation, systematic physical examinations, laboratory assessments, imaging, and multidisciplinary clinical records. Daily therapeutic interventions and patient responses were meticulously documented. Results: Persistent hyperglycemia resulted from several interacting factors: the impact of glucocorticoids on glycemic control, effects of severe pulmonary infection on insulin resistance, the role of electrolyte disturbances in exacerbating hyperglycemia, the relationship between heart failure and diuretic use, the impact of malnutrition and sarcopenia on insulin resistance, and the need for an integrated therapeutic approach. Each factor contributed to increased insulin resistance and complicated glycemic control. Conclusion: Optimal management of refractory hyperglycemia in elderly DKA patients requires early identification and simultaneous correction of underlying factors, supported by intensive critical care nursing and multidisciplinary collaboration.
Peningkatan Kesiapsiagaan Masyarakat Daerah Rancabolang Kelurahan Sekejati Kota Bandung Terhadap Bencana Gempa Bumi Megathrust Melalui Edukasi Dan Simulasi: Pengabdian Triana D. Safariah; Winara, Winara; Syiffa Aprilia P.; Keyla Rahma N.
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 2 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 2 (October 202
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i2.3653

Abstract

Kegiatan pengabdian masyarakat dilakukan dalam rangka meningkatkan kesiapsiagaan masyarakat Rancabolang, Kelurahan Sekejati, Kecamatan Buahbatu, Kota Bandung karena adanya potensi gempa bumi megathrust melalui edukasi dan simulasi bencana. Sebagai daerah yang berada padai zona resiko tinggi bencana karena berada pada pengaruh Sesar Lembang dan zona Megathrust Selatan Jawa. Metode peningkatan dilakukan melalui edukasi interaktif, diskusi, dan simulasi lapangan dengan 22 peserta. Evaluasi dilakukan sebelum dan sesudah kegiatan dengan kuesioner pre-test dan post-test untuk memahami tingkat pengetahuan, sikap, dan perilaku masyarakat tentang kesiapsiagaan terhadap gempa bumi. Hasil analisis menunjukkan bahwa terjadi peningkatan rata-rata 67,4% pada semua indikator kesiapsiagaan. Peningkatan paling tinggi terjadi pada kemampuan masyarakat mengenali potensi gempa, menentukan jalur evakuasi, serta melakukan tindakan Drop–Cover–Hold On. Tujuan dari pengabdian masyarakat ini adalah terbentuk Kelompok Sadar Bencana Rukun Warga (RW) untuk mengimplementasikan kesiapsiagaan komunitas. Edukasi berbasis konteks lokal cukup efektif dalam menumbuhkan kesadaran dan perilaku.