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Monitoring the Evolution of ST Elevation Myocardial Infarction (STEMI) Complicated by Total Atrioventricular (AV) Block: A Case Study Zuraida, Eli; Ningrat, Syahrul; Said, Syahrani
Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Vol 10, No 2 (2024): JOURNAL NURSING CARE
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jnc.v10i2.1281

Abstract

Background: Myocardial infarction is the necrosis of heart muscle due to a lack of oxygen, often caused by impaired blood flow in the coronary arteries. ST Elevation Myocardial Infarction (STEMI) is characterized by ST-segment elevation, increased cardiac enzymes, and chest pain. Inferior STEMI can lead to arrhythmic complications, such as Atrioventricular (AV) Block, which requires close Electrocardiographic (ECG) and hemodynamic monitoring by nurses. This case report focuses on the ECG evolution of posteroinferior STEMI progressing from sinus rhythm to Total AV Block.Purpose: To present the ECG monitoring of a STEMI patient with AV Block complications.Methods: A case study was conducted on a 47-year-old male who experienced chest pain with an onset of more than 48 hours, demonstrating ECG evolution from sinus rhythm with posteroinferior STEMI to Total AV Block.Results: The patient exhibited significant ECG changes from sinus rhythm with posteroinferior STEMI to total AV Block, necessitating several medical interventions for stabilization. Intensive monitoring and ongoing care were essential to support recovery.Conclusion: Patients with STEMI show characteristic ECG evolution. In inferior STEMI, Total AV Block can occur due to occlusion of coronary arteries, particularly the Right Coronary Artery (RCA). The nurse's role in managing complication risks and ECG monitoring is vital for rapid and effective intervention. Multidisciplinary collaboration is necessary to enhance patient care outcomes.
Hubungan Response Time Perawat dengan Kepuasan Pasien di Instalasi Gawat Darurat (IGD) Rumah Sakit Mata Makassar Daud Valentina, Aurelie; Nur Isnah Sabriyati, Wa Ode; Ningrat, Syahrul; Hastiah
RS Mata Makassar: Journal of Ophthalmology Vol. 1 No. 2 (2024): Journal of Ophthalmology
Publisher : RS Mata Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63670/mata.v1i2.18

Abstract

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan response time perawat dengan kepuasan pasien di IGD Rumah Sakit Mata Makassar. Metode: Penelitian ini menggunakan desain penelitian cross-sectional. Teknik pengambilan sampel adalah total Sampling. Jumlah sampel pada penelitian ini yakni 65 responden. Pengambilan data dilakukan dengan observasi response time dan membagikan kuesioner secara langsung mengenai kepuasan pasien. Hasil: Dari 65 responden terdapat 2 (3.1.%) responden dengan response time yang lambat dan terdapat 19 (29.2%) responden merasa kurang puas. Dari hasil uji chi square didapatkan tidak terdapat hubungan antara response time perawat dengan kepuasan pasien di IGD Rumah Sakit Mata Makassar dengan p-value 0.356 (p>0.05).. Kesimpulan: Mayoritas responden mendapatkan response time yang cepat dan merasa puas. Tidak terdapat hubungan response time perawat dengan kepuasan pasien di Instalasi Gawat Darurat (IGD) Rumah Sakit Mata Makassar. Penelitian ini diharapkan dapat menjadi bahan pertimbangan untuk meningkatkan response time perawat dan kepuasan pasien.
Gambaran Persepsi Penyakit Dan Kecemasan Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa : Gambaran Persepsi Penyakit Dan Kecemasan Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Sahidin, Husnul Khotimah; Majid, Abdul; Ningrat, Syahrul; Fitriani, Nurlaila
Alauddin Scientific Journal of Nursing Vol 6 No 1 (2025): MEI
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/asjn.v6i1.56201

Abstract

Hemodialisis menjadi terapi alternatif yang dapat menggantikan fungsi ginjal yang memiliki efek samping yang beragam yang berdampak pada persepsi dan kecemasan pasien gagal ginjal kronik. Tujuan: untuk mengetahui gambaran persepsi penyakit dan tingkat Kecemasan pada pasien gagal ginjal kronik yang menjalani Hemodialisa di RSUP Dr Tadjuddin Chalid Makassar. Metode: Desain penelitian ini adalah cross sectional dengan melibatkan 90 responden pasien gagal ginjal kronik yang menjalani hemodialisis, yang diambil menggunakan teknik total sampling. Data dikumpulkan menggunakan kuesioner Brief Illness Perception Questionnaire dan Hamilton Anxiety Rating Scale, kemudian dianalisis menggunakan analisis univariat. Hasil: Hasil penelitian menunjukkan sebagian besar pasien gagal ginjal kronik yang menjalani Hemodialisis di RSUP Dr. Tadjuddin Chalid Makassar memiliki persepsi positif 47 responden 52.2% dan persepsi negatif 43 responden (47.8%). Tingkat kecemasan normal 41 responden (45.6%), tingkat kecemasan Ringan 27 responden (30%), tingkat kecemasan sedang 13 Responden (14.4%), dan tingkat kecemasan Berat 9 responden (10%). Kesimpulan dan saran: Persepsi penyakit pasien gagal ginjal kronik yang menjalani hemodialisa di RSUP Dr. Tadjuddin Chalid Makassar tergolong positif dan tingkat Kecemasan responden umumnya berada dalam kategori normal, disarankan agar tenaga kesehatan dapat meningkat edukasi pasien berfokus kepada pemahaman penyakit untuk mempertahankan persepsi positif pasien dan melakukan sesi konseling serta menyediakan layaan dukungan psikososial
Pengaruh Terapi Murottal Terhadap Depresi Pada Pasien Congestive Heart Failure Di Pusat Jantung Terpadu RSUP Dr. Wahidin Sudirohusodo Harisa, Akbar; Wulandari, Putri; Ningrat, Syahrul; Yodang, Yodang
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.75 KB)

Abstract

Congestive Heart Failure can have a psychological impact on a patient's life. The effect ofthe psycologicalimpact which commonly found is depression. Murottal Al-Qur'an therapy is one type of nonpharmacological treatment used to reduce depression because it can cause a relaxation response for thosewho listen to it. This study aims to determine the effect of Murottal therapy on depression scores inCongestive Heart Failure patients at the Integrated Heart Center Dr. Wahidin Sudirohusodo. Thisresearch method was a type of Quasi-experimental research with the research design used is Time SeriesWith Control Group Design. Thirty-six respondents were divided into two groups. Each group was 18respondents. The instrument used was the Hamilton Anxiety and Depression Scale questionnaire. Datawere analyzed using the Wilcoxon test. The results of this study obtained a value of p <0.05. This meansthat in general, there was the influence of murottal therapy interventions on depression. The conclusionwas murottal Al-Quran therapy can reduce depression in Congestive Heart Failure patients. Therefore,care providers were expected to provide nursing interventions using Al-Quran reading as a complementarytherapy to reduce depression scores