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All Journal KESANS : International Journal of Health and Science Lentera Perawat Jurnal Keperawatan 'Aisyiyah Journal of Public Health Concerns Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Malahayati International Journal of Nursing and Health Science
Wirawan, Nandar
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Chemistry Health Professions Medicine & Pharmacology Nursing Physics Public Health Other

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Pendidikan kesehatan kegawatdaruratan stroke pada ibu rumah tangga Sasmito, Priyo; Susilawati , Susi; Royani, Royani; Madani, Ultra; Sumartini, Sri; Purwanti, Nunuk Sri; Wirawan, Nandar
JOURNAL OF Public Health Concerns Vol. 4 No. 2 (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.v4i2.446

Abstract

Background: The incidence, paralysis, and death due to stroke in Indonesia are increasing. Generally, people do not understand the signs of stroke and the importance of immediate assistance for stroke sufferers. Housewives are the component of the family who are most often at home, where strokes often begin. Purpose: To increase the knowledge of housewives in recognizing the signs of acute stroke, emergencies that can occur, and efforts that can be made to prevent stroke. Method: This counseling uses a lecture method with leaflet media for housewives in Sudimara Barat Village. Results: A total of 13 participants attended this counseling. Education was carried out by providing material on the understanding of stroke, causes of stroke, signs and symptoms of stroke, risk factors for stroke, stroke complications, foods to avoid in stroke patients, how to prevent recurrent stroke and how to modify the home environment. The average knowledge of participants increased from 40% to 80%. Conclusion: Health education on stroke emergencies can increase housewives' knowledge of stroke emergencies and preventive measures that can be taken. With increased knowledge, it is hoped that it can increase public awareness of the importance of immediate assistance for acute stroke. Keywords: Acute stroke; Emergencies; Health education; Housewives Pendahuluan: Angka kejadian, kelumpuhan, dan kematian akibat stroke di Indonesia kian meningkat. Umumnya masyarakat kurang memahami tanda-tanda stroke serta pentingnya pertolongan segera pada penderita stroke. Ibu rumah tangga adalah komponen dalam keluarga yang paling sering berada di rumah, dimana stroke seringkali berawal. Tujuan: Untuk meningkatkan pengetahuan ibu rumah tangga dalam mengenali tanda-tanda terjadinya stroke akut, kegawatdaruratan yang dapat terjadi, serta upaya yang dapat dilakukan untuk mencegah terjadinya stroke. Metode: Penyuluhan ini menggunakan metode ceramah dengan media leaflet pada ibu rumah tangga di Kelurahan Sudimara Barat. Hasil: Sebanyak 13 partisipan menghadiri penyuluhan ini. Edukasi dilakukan dengan pemberian materi mengenai pengertian tentang stroke, penyebab terjadinya stroke, tanda dan gejala stroke, factor resiko terjadinya stroke, komplikasi stroke, makanan yang dihindari pada pasien stroke, cara mencegah stroke berulang dan cara memodifikasi lingkungan rumah. Rata-rata pengetahuan partisipan meningkat dari 40% menjadi 80%. Simpulan: Penyuluhan kesehatan tentang kegawatdaruratan stroke dapat meningkatkan pengetahuan ibu rumah tangga tentang kegawatdaruratan stroke serta upaya pencegahan yang dapat dilakukan. Dengan meningkatnya pengetahuan diharapkan dapat meningkatkan kesadaran masyarakat tentang pentingnya pertolongan segera pada stroke akut.
Venom-induced consumption coagulation in a hematotoxin snake bite in East Java, Indonesia: A case report Sasmito, Priyo; Mulyatiindo, Leli; Bernadus, Janno Berty Bradly; Arifani, Nisa; Astuti, Novia Dwi; Prasetya, Fika Indah; Librianty, Nurfanida; Wirawan, Nandar
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.668

Abstract

Background: Located in Southeast Asia, Indonesia is one of the countries with the highest incidence of fatal snakebites in the world. Difficulty in identifying snake species and limited availability of antivenom often pose challenges in treating snakebites. Purpose: To illustrate a case of consumption coagulation caused by a hematotoxin-containing snake venom. Method: A case study study describes a snakebite incident managed in the Emergency Department (ED) of a secondary general hospital in Tulungagung, East Java. A 53-year-old male patient presented with pain, swelling, and bleeding in his left thumb, after being bitten by a yellow-brown Bandotan snake, approximately two hours prior to arrival. Results: The patient was given antivenom therapy according to the guidelines. Patients were also given antitetanus, antibiotics, platelet transfusions and fresh frozen plasma (FFP), supportive therapy, and strict monitoring. in the surgical high care unit (HCU). The patient showed improvement on the fifth day and was discharged on the tenth day. Conclusion: The use of local polyvalent antivenom combined with antibiotics, antitetanus therapy, platelets, and FFP transfusion has shown promising results in the management of toxin-induced coagulopathy. Suggestion: Further studies are needed to evaluate the effectiveness of therapy in different age groups, including children, adults, and the elderly. In addition, this study only focused on therapeutic management and did not assess the impact of treatment on organ dysfunction caused by post-treatment lesions.
Knowledge, Attitude, and Practice Among Nurses Regarding Nutrition Management of Diabetes Mellitus Patients Sutrisno, Imam Tri; Rosyda, Rafika; Wirawan, Nandar; Arsa, Sandi Alfa Wiga
Journal of Ners and Midwifery Vol 11 No 3 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i3.ART.p276-285

Abstract

Diabetes mellitus is a chronic metabolic disorder that contributes significantly to the global health burden, with a rising prevalence globally. Understanding nurses' knowledge, attitudes, and practices (KAP) is crucial because knowledge provides essential insights into how diet affects blood glucose levels, a positive attitude encourages support for patient adherence, and efficient practices ensure the consistent application of dietary management strategies. This study aimed to assess the KAP among nurses about the nutritional management of Diabetes. This descriptive study involved 100 nurses working in medical and surgical wards of a hospital, with 99 respondents included in the analysis following the dropping out of one respondent. Data was collected using a structured questionnaire designed to evaluate the KAP of nurses concerning diabetes nutritional management. The study found disparities in the levels of knowledge among nurses: 14.1% demonstrated high knowledge, 49.5% demonstrated intermediate knowledge, and 36.4% demonstrated poor knowledge. Despite these variations, none demonstrated a bad attitude, a lousy 11.1% demonstrated an intermediate attitude, and the majority of nurses (88.9%) exhibited high attitudes towards Diabetes nutritional management. Additionally, 0% engaged in harmful practices, 4% demonstrated intermediate practices, and nearly all respondents (96%) reported engaging in good practices. These results underscore the need for targeted educational interventions to bridge knowledge gaps. Enhancing nurses' knowledge in Diabetes nutritional management is essential to improve the quality of care and health outcomes for patients with Diabetes.
Relationship between workload and nurses response time in the emergency room: A literature review Kusuma, M Iqbal Angga; Palupi, Eva Riantika Ratna; Wirawan, Nandar
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.483

Abstract

Background The Emergency Department (ED) is a critical hospital unit that requires nurses to provide fast and accurate responses to life-threatening conditions. Nurse response time is a key quality indicator, yet delays often occur due to excessive workload. Studies suggest that high workload negatively affects response time, but a comprehensive review in the Indonesian context remains limited. Objective This study aimed to critically review existing literature on the relationship between nurses’ workload and response time in emergency care settings in Indonesia. Methods A systematic literature review was conducted using Google Scholar and PubMed databases. Articles published between 2019 and 2025 were screened based on inclusion criteria: studies conducted in Indonesian EDs, discussing both workload and response time, available in full-text, and written in English or Indonesian. Quality appraisal was performed using the JBI Critical Appraisal Tools, resulting in 8 eligible articles out of 360 initially identified. Results Most of the reviewed studies found a significant relationship between high workload and delayed nurse response time. Nurses with lower workload were more likely to meet the ≤5-minute standard. Other influencing factors included training, years of experience, facility infrastructure, and patient condition. Variations in study design, data collection methods, and perspectives (nurses vs. patients) contributed to inconsistent findings across studies. Conclusion Nurse workload significantly influences response time in emergency settings. However, this relationship is affected by multiple interacting factors such as work environment, professional competency, and support systems. It is recommended to implement real-time workload assessment tools, enhance training programs, and conduct mixed-method studies that differentiate physical, mental, and emotional workload dimensions to improve emergency response performance and patient safety.
Experience of Patients Who Have Been Introduced with Ventilators in The Intensive Care Unit (ICU) Sumedang Regional General Hospital in 2019 Wirawan, Nandar; Ifah Hanifah, Ai
Jurnal KESANS : Kesehatan dan Sains Vol 2 No 5 (2023): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v2i5.141

Abstract

Introduction: The complexity of the problems experienced by patients who are installed on ventilators, health workers, especially nurses, need to provide comprehensive nursing care and improve caring attitudes in patients with critical l conditions who are attached to ventilators. Objective: This study aims to dig deeper into the experience of patients who have been installed on ventilators in the Intensive Care Unit (ICU) Room of the Sumedang Regional General Hospital in 2019. Method: Design of the research method used is a qualitative method through a phenomenological approach with samples taken purposively.  Result and Discussion:  Analyst results a theme from the in-depth interview showed that the experiences of patients who have been put on ventilators include: 1) Psychological Responses: linu, feeling stabbed, thirsty, fear, sadness, between conscious and unconscious, added tightness, sleeplessness, feelings of hopelessness, confusion, between believing or not, unable to breathe, anxious, rebelling, nightmares, stinging, itch worried, upset, uncomfortable, tormented. 2) Patient Support: internal support: child and lukewarm, external support: Health workers (nurses). Conclusion: From the research that was found that the expressions of the 3 participants were appropriate and some were not in accordance with the theory / concept of patients who had been put on ventilators. So, a good, honest, and communicative nurse role is needed in meeting the needs of patients who are attached to ventilators holistically and plenary
HUBUNGAN JARAK TEMPAT TINGGAL, ALAT TRANSPORTASI, SERTA PERSEPSI PASIEN TERHADAP KETERLAMBATAN PASIEN KE INSTALASI GAWAT DARURAT PADA PASIEN PENYAKIT JANTUNG KORONER Wirawan, Nandar; Sholihah, Iis Siti; Rohyadi, Yanto; Kusuma, M.Iqbal Angga
Jurnal Keperawatan 'Aisyiyah Vol. 8 No. 1 (2021): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.681 KB) | DOI: 10.33867/jka.v8i1.231

Abstract

Penyakit Jantung Koroner (PJK) merupakan penyakit dengan proporsi angka kematiantertinggi. PJK menduduki tingkat kedua dari 10 besar diagnosis. PJK membutuhkanpenatalaksanaan yang cepat dan tepat dalam masa golden period selama 90 menit,namun seringkali terjadi keterlambantan kedatangan pasien ke Instalasi Gawat Darurat(IGD) yang mengakibatkan kematian. Penelitian ini bertujuan mengetahui faktor-faktoryang melatarbelakangi keterlambatan pasien ke IGD pada PJK di RSUD Sumedang.Penelitian ini menggunakan Pendekatan Cross Sectional dengan besar sampel sebanyak36 responden (accidental sampling). Data dikumpulkan dengan menggunakan kuesionerfaktor keterlambatan pasien PJK datang ke IGD. Data dianalisis dengan Metode UjiChi Square. Hasil analisis terdapat hubungan jarak tempat tinggal (p-value=0,045),penggunaan transportasi (p-value=0,024), perilaku mencari pelayanan kesehatan(p-value=0,001), persepsi pasien (p-value=0,012) dengan keterlambatan pasien datang keIGD dengan keluhan nyeri dada pada PJK. Jarak tempat tinggal, penggunaan transportasi,pencarian pelayanan kesehatan dan persepri pasien memiliki hubungan yang bermaknadengan keterlambatan pasien datang ke IGD pada pasien penyakit jantung koroner.Diharapkan pelayanan kesehatan memberikan edukasi terhadap pasien yang berisikomengalami nyeri dada atau serangan jantung seperti pada pasien dengan riwayat penyakithipertensi, diabetes melitus, kolesterol, strok sehingga jika terdapat tanda gejala nyeridada pasien dapat langsung mengenali, mengatasi kegawatan di rumah dan cepat mencaripelayanan kesehatan.
Co-Authors Arifani, Nisa Bernadus, Janno Berty Bradly Eva Riantika Ratna Palupi Ifah Hanifah, Ai Imam Tri Sutrisno Librianty, Nurfanida M.Iqbal Angga Kusuma Madani, Ultra Mulyatiindo, Leli NOVIA DWI ASTUTI Nunuk Sri Purwanti Prasetya, Fika Indah Rafika Rosyda Rohyadi, Yanto Royani Royani Sasmito, Priyo Sholihah, Iis Siti Sri Sumartini Susilawati , Susi Wiga, Sandi Alfa