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All Journal Care : Jurnal Ilmiah Ilmu Kesehatan ARTERI : Jurnal Ilmu Kesehatan Journal of Telenursing (JOTING) Journal of Applied Nursing and Health
Ariningpraja, Rustiana Tasya
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Electrical & Electronics Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Kombinasi Imajinasi Terpimpin dan Nafas Dalam terhadap Penurunan Kecemasan Pasien dengan Premature Ventricular Contraction (PVC) Kurniawati, Ninuk Dian; Sila, Nissa Aruming; Ariningpraja, Rustiana Tasya; Hariyati, Leli Ika; Suciari, Ana
Journal of Telenursing (JOTING) Vol 6 No 1 (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.v6i1.8948

Abstract

This study aims to explore interventions to prevent anxiety in Premature ventricular complex (PVC) patients in the ICCU treatment room. This research method uses a case study approach on three patients with PVC with almost the exact etiology and experiencing anxiety since the start of treatment and a combination of interventions carried out for three consecutive days. The results show that there are differences in anxiety parameters before and after intervention in each patient. Anxiety parameters were assessed from the first day to the third day, respectively, before the intervention and after the intervention. Conclusion: The combination of guided imagery intervention and deep breathing relaxation can help reduce anxiety in patients with PVC. Keywords: Guided imagination, Anxiety, Deep Breathing, Premature Ventricular Complex
Desinfeksi Nebulizer yang Terkontaminasi Klebsiella Pneumoniae untuk Pencegahan Ventilator-Associated Pneumonia (VAP) Ariningpraja, Rustiana Tasya; Wisnasari, Shila; Lestari, Retno; Perkasa, Wendi Genta; Suwondo, Rifka Anindita
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.v6i2.10738

Abstract

This study aims to evaluate the effectiveness of nebulizer disinfection contaminated with Klebsiella pneumoniae using one of the materials widely used in hospitals, chlorhexidine. The research method used in vitro experiments. K. pneumoniae was isolated from hospital samples and then multiplied for 24 hours. The nebulizer jet was then intentionally contaminated with K. pneumoniae and disinfected using chlorhexidine solution at various concentrations. The effectiveness of the disinfection process was then assessed using culture and calculated based on the number of colonies formed after the disinfection process. The results showed that chlorhexidine was effective in significantly reducing the number of K. pneumoniae colonies, especially at a concentration of 2.5%. The use of chlorhexidine as a routine disinfectant in pneumatic nebulizers could be an effective strategy in the prevention of VAP, thus improving safety in critically ill patients. This study supports the use of chlorhexidine as part of a disinfection protocol to reduce the incidence of VAP caused by K. pneumoniae. In conclusion, chlorhexidine is effective in reducing the number of K. pneumoniae colonies so that it can be a disinfectant to prevent Ventilator-Associated Pneumonia (VAP). Keywords : Disinfectant, Jet Nebulizer, Klebsiella pneumoniae, Ventilator-Associated Pneumonia
Efikasi Bakterisidal Klorheksidin terhadap Escherichia coli dan Klebsiella pneumoniae Penghasil ESBL Ariningpraja, Rustiana Tasya; Lestari, Retno; Susanto, Akhiyan Hadi; Salam, Mohammad Nurus; Asih, Setya; Febriano, Luis Figo
ARTERI : Jurnal Ilmu Kesehatan Vol 6 No 3 (1): Mei
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v6i3.635

Abstract

Nosocomial infections caused by multidrug-resistant bacteria, such as Escherichia coli and Klebsiella pneumoniae producing Extended-Spectrum Beta-Lactamases (ESBL), present a major challenge in healthcare. These bacteria reduce the effectiveness of antibiotics, worsening patient conditions. This study aims to evaluate the effectiveness of chlorhexidine in disinfecting medical devices contaminated with ESBL-producing bacteria. The methodology involves inoculating bacterial strains on plastic medical device surfaces and disinfecting them with chlorhexidine concentrations of 2.5%, 5%, and 7.5% for 10 minutes, with control groups using sterile water and 70% alcohol. The results indicate that chlorhexidine inhibited the colonies of E. coli and K. pneumoniae effectively, with the highest inhibition occurring at 7.5% for E. coli and at 2.5% for K. pneumoniae. This indicates that these bacteria respond differently to higher levels of chlorhexidine. Through cell lysis and membrane disruption, chlorhexidine shows vast promise as a disinfectant for medical devices against healthcare-associated infections.
Evaluating the Effectiveness of Chlorhexidine in Reducing Methicillin-Resistant Staphylococcus Aureus (MRSA) Contamination in Nebulizer Equipment Wisnasari, Shila; Ariningpraja, Rustiana Tasya; Lestari, Retno; Ahsan, Ahsan; Effendy, Nuraeni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6313

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a significant healthcare-associated pathogen, capable of spreading through contaminated aerosols generated by medical equipment such as nebulizers. The increasing prevalence of MRSA infections, coupled with challenges in effective disinfection, highlights the urgency of identifying optimal disinfection methods. This study aims to assess the effectiveness of chlorhexidine in reducing MRSA contamination in nebulizer equipment, focusing on determining the optimal concentration for disinfecting nebulizers to minimize airborne transmission. This study employed an in vitro experimental design. The study population consisted of MRSA isolates obtained from clinical sputum specimens. The samples included nebulizer equipment inoculated with MRSA suspensions standardized to 10⁷ CFU/mL. Disinfection was carried out using chlorhexidine at concentrations of 2.5%, 4%, and 5%, each diluted in 70% alcohol. Control groups were rinsed with sterile saline and 70% alcohol. Post-disinfection, the nebulizer surfaces were swabbed and cultured on Mueller-Hinton agar to quantify colony-forming units (CFUs). Data were analyzed using paired t-tests and one-way ANOVA followed by Tukey’s post-hoc test, with a significance level set at p 0.05. The results show that chlorhexidine 2.5% reduced bacterial counts to an average of 1 CFU/plate, and 4% chlorhexidine reduced it to 49 CFU/plate. Chlorhexidine 5% resulted in an average of 1,430.6625 CFU/plate. Statistical analysis revealed significant reductions with 2.5% and 4% chlorhexidine compared to controls (p0.01), whereas 5% Chlorhexidine did not show a significant difference. These findings suggest that lower concentrations of chlorhexidine may be sufficient for effective disinfection in nebulizer equipment, addressing the risk of MRSA spread through airborne particles.
Resilience, Psychological Well-Being, and Academic Success in Blended Learning: A Cross-Sectional Study among Healthcare Students Effendy, Nuraeni; Ariningpraja, Rustiana Tasya; Lestari, Retno
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.v7i3.275

Abstract

Background: Students in healthcare are expected to face high clinical and academic stressors that may influence their psychological well-being and academic achievement. Resilience plays a significant role in helping students navigate these challenges while maintaining their well-being. The research examines the relationship between psychological well-being, resilience, and academic achievement among Universitas Brawijaya healthcare students in a blended learning environment. Methods: A cross-sectional research design was employed, and 302 students participated through purposive sampling. Data were collected through the Academic Resilience Scale (ARS-30) and Ryff's Psychological Well-Being Scale, with GPA as an indicator of academic performance. This study was reported in accordance with the STROBE guidelines. Results: A strong positive relationship between resilience and psychological well-being (r = 0.615, p < 0.01), highlighting the focus on resilience as an effective protective factor. There was, nonetheless, no significant correlation between resilience and GPA (r = -0.006, p = 0.913).. Conclusion: Among the psychological well-being factors, environmental mastery, autonomy, and purpose in life contributed significantly to academic resilience. These findings suggest that cultivating psychological well-being, particularly ecological mastery and self-acceptance, can enable resilience in online learning environments.
Co-Authors Ahsan Ahsan Asih, Setya Effendy, Nuraeni Febriano, Luis Figo Hariyati, Leli Ika Kurniawati, Ninuk Dian Perkasa, Wendi Genta Retno Lestari Salam, Mohammad Nurus Sila, Nissa Aruming Suciari, Ana Susanto, Akhiyan Hadi Suwondo, Rifka Anindita Wisnasari, Shila