Articles
Effectiveness of Physical Exercise and Diet in Heart Failure Patients: A Literature Review
Berna Detha Meilyana;
Nikma Alfi Rosida;
Ekwantoro Ekwantoro;
Sutiyo Dani Saputro;
Ratih Ayu Puspasari
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga
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DOI: 10.20473/cmsnj.v11i1.36047
Introduction: Heart failure is a pathological condition in which the heart's organs no longer have the ability to pump blood to the ventricles and throughout the body. One of the leading causes of morbidity and mortality is heart failure. Functional capacity and patient quality of life are correlated in patients with heart failure. Exercise and diet can be used to increase functional capacity. This study aimed to identify the effectiveness of exercise and diet as treatment modalities to improve patient well-being and quality of life outcomes. Methods: This article employs the evidence-based practice of physical exercise (exercise) and a comprehensive diet for heart failure as part of a literature review methodology. Journal articles that meet the requirement of 12 were included in this article. While articles that are inappropriate or only abstract did not include in this study. Result: Twelve articles were included in the study. The suggested physical activity, such as walking, can be completed in 6 minutes or 30 minutes over a week, three times. And a 30-minute riding session is possible. The DASH diet is advised, and patients should receive the recommended amount of sodium (1500 mg/day). Conclusion: Physical exercise and a comprehensive diet that can be done well in heart failure patients can help patients reduce the risk of developing symptoms that can trigger the severity of heart failure. Moreover, patients can carry out daily activities and do their jobs well, and improve their quality of life.
Effleurage Massage Technique Berpengaruh terhadap Kualitas Hidup pada Lansia Penderita Hipertensi
Fakhrudin Nasrul Sani;
Muzaroah Ermawati Ulkhasanah;
Sutiyo Dani Saputro
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 12 No 2 (2022): Jurnal Ilmiah Permas: jurnal Ilmiah STIKES Kendal: April 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal
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Hipertensi pada lansia diakibatkan adanya perubahan struktur dan fungsional pada pembuluh darah. Pembuluh darah menjadi relaks dengan pemberian terapi relaksasi pada penderita hipertensi sehingga terjadi vasodilatasi yang menyebabkan tekanan darah kembali turun dan normal, salah satunya dengan cara pemberian massage effleurage technique. Tujuan penelitian ini untuk mengetahui apakah pemberian massage effleurage berpengaruh terhadap kualitas hidup pada lansia penderita hipertensi. Populasi dalam penelitian ini, merupakan lansia yang menderita hipertensi berdasarkan data yang diperoleh dari bidan desa dan kader Posyandu lansia, terdapat 42 lansia yang menderita hipertensi. Teknik pengambilan sampel dalam penelitian ini adalah total sampling. Jenis penelitian ini merupakan penelitian pre-eksperiment dengan rancangan the one group pre test-post test design untuk mengetahui pemberian massage effleurage technique apakah berpengaruh terhadap kualitas hidup lansia penderita hipertensi. Proses pengambilan data, lansia terlebih dahulu mengisi kuesioner kulitas hidup sebelum pemberian massage effleurage technique maupun setelah pemberian massage effleurage technique. Hasil uji Wilcoxon menunjukkan nilai p value 0,000 maka p value < 0,05 sehingga effleurage massage technique berpengaruh terhadap kualitas hidup lansia penderita hipertensi. Kesimpulan hasil penelitian ini menunjukkan ada pengaruh pemberian massage effleurage technique terhadap kualitas hidup lansia penderita hipertensi.
SELF EFFICACY BERHUBUNGAN DENGAN KESADARAN PEMUDA SEBAGAI BYSTANDER CPR PADA HENTI JANTUNG DI LUAR RUMAH SAKIT DI MASA PANDEMI COVID-19
Anissa Cindy Nurul Afni;
Mila Wahyu Utami;
Meri Oktariani;
S.Dwi Sulisetyawati;
Sutiyo Dani Saputro
Jurnal Kesehatan Kusuma Husada Vol. 14 No. 1, Januari 2023
Publisher : Universitas Kusuma Husada Surakarta
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DOI: 10.34035/jk.v14i1.988
Peningkatan kasus henti jantung di luar rumah sakit (Out of Hospital Cardiac Arrest-OHCA) terjadi sejak pandemi Covid-19. Ditemukan variasi prognosis pada kasus OHCA akibat menurunnya tingkat keberhasilan dan bantuan resusitasi. American Heart Association (AHA) merekomendasikan untuk meningkatkan peran komunitas sebagai bystander salah satunya melalui pemuda. Pemuda mempunyai fisik yang kuat, sigap dan kemauan belajar yang tinggi, tetapi potensi pemuda sebagai bystander masih kurang berhubungan dengan kesadaran diri dan self efficacy. Self efficay erat dengan keengganan untuk membantu orang asing. Penelitian ini bertujuan menganalisis hubungan kesadaran dengan self efficacy pemuda sebagai bystander CPR pada henti jantung di masa pandemi Covid-19. Jenis penelitian ini adalah kuantitatif observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pemuda Desa Waru Karangnayar sebanyak 210 anggota. Sampel diambil menggunakan teknik non probability sampling dengan jumlah 44 responden. Hasil uji chi-square menunjukkan p-value variabel kesadaran dengan self efficacy sebesar 0,006 (p<0,05) berarti bahwa ada hubungan antara kesadaran dengan self efficacy. Self efficacy adalah keyakinan individu mengenai kemampuan dirinya dalam melakukan tugas atau tindakan yang diperlukan untuk mencapai hasil tertentu. Seseorang yang mengenali dirinya tentu menyadari akan kemampuan diri pemuda yang sadar akan perannya, akan memiliki self efficacy yang tinggi untuk menghubungi Emergency Medical Service (EMS). Ketika seseorang sadar akan kejadian henti jantung maka efikasi diri pada seseorang tersebut akan timbul. Since the Covid-19 pandemic there had been an increase in cases of Out of Hospital Cardiac Arrest (OHCA). Variations of survival rate in OHCA cases due to decreased success rates and resuscitation assistance by bystender. The American Heart Association (AHA) recommends increasing the role of the community as bystanders, one of which is addolscents. Young people are physically strong, alert and have a high willingness to learn, but their potential as bystanders is still lacking due to a lack of self afficy. Self efficacy relates to reluctance to help strangers. This purpose of this study was to analyze the relationship between self-efficacy anda awareness addolscents as bystanders CPR in cardiac arrest during the Covid-19 pandemic. The type of research is quantitative observational analytic with a cross sectional approach. The population in this study were the addolscents of Waru Karangnayar Village with 210 members. Sampling used non-probability sampling technique with 44 respondents. Data analysis used the chi-square test. The results showed that the p-value of the variable awareness with self-efficacy is 0.006 (p <0.05) meaning that there is a relationship between self-efficacy and awareness. Self efficacy is an individual's belief about his ability to perform tasks or actions needed to achieve certain results. Someone who knows himself is certainly aware of his own abilities. The Covid-19 pandemic continues to increase and spread widely, giving rise to challenges faced, namely ensuring victims of cardiac arrest without or confirmed Covid-19 get first aid and a chance to live without endangering the safety of helpers. Situation self-awareness is the awareness a person has of a particular situation and an understanding of what is going on. As a bystander, young people who are aware of their role will have high self-efficacy in contacting the Emergency Medical Service (EMS). When a person is aware of the occurrence of cardiac arrest, self-efficacy in that person will arise.
Peningkatakan Pengetahuan Siswa Tentang Manajemen Patah Tulang dengan Simulasi di SMA Al Islam 1 Surakarta: Improving Student Knowledge About Fracture Management with Simulation at SMA Al Islam 1 Surakarta
Sutiyo Dani Saputro;
Anissa Cindy Nurul Afni;
Budi Prasetyo
Jurnal Pengabdian Kepada Masyarakat : Kesehatan Vol. 2 No. 1 (2022): Maret
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) STIKES Notokusumo Yogyakarta
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Abstrak: Cedera akibat kecelakaan di lingkungan sekolah umumnya terjadi pada sistem muskuloskeletal dan harus ditangani dengan cepat dan tepat. Jika tidak akan menimbulkan cedera yang semakin parah dan dapat memicu terjadinya pendarahan. Dampak lain yang terjadi dapat mengakibatkan kelainan bentuk tulang atau kecatatan bahkan kematian. Pengabdian masyarakat ini bertujuan untuk memberikan penyuluhan kesehatan tentang penanganan patah tulang pada siswa di SMA Al Islam 1 Surakarta. Waktu pelaksanaan kegiatan dilakukan pada bulan Juni-Juli 2021selama 50 jam dengan metode simulasi kesehatan tentang penanganan patah tulang. Sasaran pengabdian masyarakat ini adalah siswa di SMA Al Islam I Surakarta. Kegiatan ini mendapatkan respon yang baik oleh siswa sebagai sasaran kegiatan pengabdian kepada masyarakat dan mendapatkan ijin oleh kepala sekolah sebelum pelaksanaan kegiatan. Hasil pelaksanaan pengabdian masyarakat diikuit sebanyak 80 siswa di SMA Al Islam 1 Surakarta. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dari pengetahuan cukup 70% menjadi pengetahuan baik 90%. Abstract: Injuries due to accidents in the school environment generally occur in the musculoskeletal system and must be treated quickly and appropriately. Otherwise, it will get worse and can lead to bleeding. Other impacts that occur can result in bone deformities or disability and even death. This community service aims to provide health education about the treatment of fractures to students at SMA Al Islam 1 Surakarta. The implementation time of the activity is carried out in June-July 2021 for 50 hours with the Health Education method on handling fractures. The target of this community service is students at SMA Al Islam I Surakarta. This activity received a good response by students as the target of community service and received permission by the school principal before the implementation of the activity. The results of community service were followed by 80 students at SMA Al Islam 1 Surakarta. The results show that there is an increase in knowledge from 70% to 90% good knowledge.
Analysis Of Community Attitudes In First Aid Of Traffic Accident
Afni, Anissa Cindy Nurul;
Saputro, Sutiyo Dani
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu
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DOI: 10.30604/jika.v6iS1.751
Background: Death due to traffic accidents is a global issue. The World Health Organization (WHO) showed that deaths due to traffic accidents increase in developing countries such as Indonesia and Vietnam. It is not uncommon for the result of wrong actions when providing help. It increases injury and even causes death. Aim and objective: This research aimed to identify the factor that associates to attitudes community in providing first aid to a traffic accident. It adopted a descriptive correlative study of 31 members of youth organizations in Joglo Village, Surakarta District. Its sampling was selected by systematic random sampling. Result: The logistic regression analysis revealed two factors related to attitudes. It determined that the experience and knowledge of first aid correlated with attitudes community. The greatest strength of the relationship was the knowledge (OR=2.756) and the smallest was the experience (OR=-0,004). Conclusion: Personal experiences could be the basis for attitude formation if they leave a strong impression. People who have obtained information and experience will have a better chance of giving positive attitudes to provide help.Abstrak: Latar Belakang: Kematian akibat kecelakaan lalu linta merupakan isu global. World Health Organization (WHO) menunjukkan bahwa kematian akibat kecelakaan lalu lintas meningkat di negara berkembang seperti Indonesia dan vietnam. Kematian terjadi tidak jarang akibat dari tindakan yang salah saat memberikan pertolongan pertama. Hal ini dapat meningkatkan cedera dan kematian. Maksud dan tujuan: Penelitian ini bertujuan mengidentifikasi faktor-faktor yang berhubungan dengan sikap masyarakat dalam memebrikan pertolongan pertama pada kecelakaan lalu lintas. Penelitian ini merupakan studi deskriptif korelatif terhadap 31 anggota karang taruna Kelurahan Joglo, kabupaten Surakarta. Pengambilan sampel dilakukan secara sistematik random sampling. Hasil: Hasil analisis regresi logistik menunjukkan dua faktor yang berhubungan dengan sikap yaitu pengetahuan dan pengalaman dalam memberikan pertolongan pertama. Kekuatan hubungan terbesar adalah pengetahuan (OR=2,756) dan terkecil adalah pengalaman (OR = -0,004). Kesimpulan: Pengalaman pribadi akan menjadi dasar terbentuknya sikap karna ada kesan yang kuat. Seseorang yang memiliki pengetahuan dan pengalaman akan memiliki sikap positif dalam memberikan pertolongan pertama.
PENGARUH PEMASANGAN NIV (NON INVASIVE VENTILATION) DAN HFNC (HIGH FLOW NASAL CANNULA) TERHADAP FREKUENSI NAFAS DAN SATURASI OKSIGEN PADA PASIEN HAPPY HIPOXIA TERKONFIRMASI COVID-19
Wahyu Rima Agustin;
Sutiyo Dani Saputro;
Noviana Nur Zaidah;
S Susilowati
Jurnal Kesehatan Kusuma Husada Vol. 14 No. 2, Juli 2023
Publisher : Universitas Kusuma Husada Surakarta
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DOI: 10.34035/jk.v14i2.1091
Penggunaan NIV pada pasien gagal napas pada 3 jam pertama lebih efektif dalam memperbaiki klinis respirasi, kadar pCO2 dan rasio PaO2/FiO2 dibanding penggunaan ventilasi mekanik dengan intubasi. HFNC dapat memberikan campuran udara dan oksigen dengan FiO2 tinggi yang dipanaskan dan dilembabkan secara memadai dengan laju aliran 30 - 60 L / menit, dan dianggap memiliki sejumlah manfaat fisiologis. Penelitian ini bertujuan umtuk mengetahui pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoxia terkonfirmasi Covid-19. Metode penelitian ini menggunakan rancangan Quasy Experiment dengan bentuk Pre Post Test. Penelitian ini menilai frekuensi nafas dan saturasi oksigen sebelum dan sesudah pemasangan NIV dan HFNC. Teknik sampling dengan menggunakan purposive sampling sebanyak 172 responden. Pengaruh pemasangan NIV dan HFNC terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoksia terkonfirmasi covid-19 dilakukan uji uji Wilcoxon. Hasil analisa Uji Wilcoxon menunjukkan bahwa ada pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap Frekuensi Nafas (p value 0,000) dan saturasi oksigen (p value 0,000) pada pasien happy hipoxia terkonfirmasi Covid-19 . Kesimpulan pada penelitian ini asalah ada pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoxia terkonfirmasi Covid-19. The use of NIV in patients with respiratory failure in the first 3 hours is more effective in improving clinical respiration, pCO2 levels and PaO2/FiO2 ratios compared to the use of mechanical ventilation with intubation. HFNC can provide adequately heated and humidified high FiO2 air and oxygen mixtures at flow rates of 30 – 60 L/min, and is thought to have a number of physiological benefits. This study aims to determine the effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installations on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed with Covid-19. This research method uses the Quasy Experiment design with the Pre Post Test form. This study assessed respiratory rate and oxygen saturation before and after NIV and HFNC installation. The sampling technique used purposive sampling of 172 respondents. The effect of NIV and HFNC installation on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed by Covid-19 was carried out by the Wilcoxon test. The results of the Wilcoxon Test analysis showed that there was an effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installation on Respiratory Frequency (p value 0.000) and oxygen saturation (p value 0.000) in happy hypoxic patients confirmed with Covid-19. The conclusion in this study is that there is an effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installation on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed with Covid-19.
Simulation of Basic Life Support (BLS) Training in Improving Self-Efficacy of Cardiac Arrest First Aid in Adolescents Home Mental Revolution WCS
Nikma Alfi Rosida;
Sutiyo Dani Saputro;
Muhammad Nur Rahmad
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 11 (2023): Volume 6 No 11 2023
Publisher : Universitas Malahayati Lampung
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DOI: 10.33024/jkpm.v6i11.11939
ABSTRACT Basic life support (BLS) is an indispensable skill in handling cardiac arrest. However, not everyone has BLS knowledge and skills. BLS skills can be taught to youth through simulations and training. Adolescents have the potential to provide first aid for cardiac arrest but still lack the confidence and skills to do so. This community service is to improve the ability of adolescents to provide first aid for cardiac arrest so that they can have a positive impact in handling emergencies. Community service activities were carried out 2 times. The first meeting was on December 23, 2022, which was attended by 20 teenagers, and the second meeting on December 30, 2022, which was attended by 17 teenagers. Used is pre-experiment with a one-group pretest-posttest design with lecture, demonstration, simulation, discussion and question and answer methods. The results of this study provide significant results regarding the effectiveness of BLS training simulations in increasing first aid self-efficacy for cardiac arrest in adolescents. Youth can learn actively and be involved in hands-on practice used simulation method, which provides real experience in basic life support. Keywords: Basic Life Support (BLS), Self-Efficacy, Cardiac Arrest, Adolescent Age
Pengembangan AEM (Apllication Electronic Modul) dalam Meningkatkan Pengetahuan Mahasiswa Tentang 6 Sasaran Keselamatan: Development of AEM (Apllication Electronic Module) In Increasing Student Knowledge About 6 Safety Goals
Sutiyo Dani Saputro;
Meri Oktariani;
Endang Zulaicha Susilaningsih
Jurnal Pengabdian Kepada Masyarakat: Kesehatan Vol. 3 No. 3 (2023): September
Publisher : Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta
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Abstrak: Keselamatan pasien sangat penting untuk keamanan klinik darurat, yang mencakup keamanan peralatan klinis dan struktur klinik (keamanan perangkat keras dan bangunan), kesejahteraan ekologis, kesejahteraan bisnis klinik darurat, dan kesejahteraan bisnis klinik darurat. Pengabdian Masyarakat ini bertujuan untuk memberikan penyuluhan kesehatan dengan Peningkatakan Pengetahuan 6 Sasaran Keselamatan Pasien Menggunakan AEM (Apllication Electronic Modul) Pada Mahasiswa Prodi Keperawatan. Pengabdian masyarakat yang dilakukan menggunakan pendekatan Participation Action Research (PAR) dengan melibatkan dosen dan mahasiswa. Kegiatan penyuluhan dilaksanakan pada tanggal Desember 2022 – Januari 2023. Evaluasi menggunakan kuesioner dan dianalisis menggunakan uj Wilcoxon. Dari hasil persiapan dan bimbingan selama 1 hari yang diikuti oleh 90 siswa, ternyata latihan tersebut mendapat respon yang baik dari siswa. Mahasiswa menjadi lebih peka terhadap 6 SKP. Hal ini terlihat dari hasil pre-test dan post-test, dimana sebelum pembimbingan menggunakan AEM (Modul Elektronik Aplikasi) diperoleh informasi dalam penerapan 6 SKP yang mempunyai nilai rata-rata 64,27 namun setelah bimbingan dan penggunaan AEM (Aplikasi Modul Elektronik) menunjukkan hasil informasi dengan nilai rata-rata 88,03. Hasil uji Wilcoxon mendapat p value sebesar 0,0001 yang berarti terjadi peningkatan yang sangat besar. Abstract: Patient safety is very important for emergency clinic safety, which includes clinical equipment and clinic structure safety (hardware and building safety), ecological welfare, emergency clinic business welfare, and emergency clinic business welfare. This Community Service aims to provide health education by increasing Knowledge of 6 Targets of Patient Safety Using AEM (Application Electronic Module) for Nursing Study Program Students. Community service is carried out using the Participation Action Research (PAR) approach by involving lecturers and students. Extension activities were carried out on December 2022 – January 2023. The evaluation used a questionnaire and was analyzed using the Wilcoxon test. From the results of the preparation and guidance for 1 day which was attended by 90 students, it turned out that the exercise received a good response from students. Students become more sensitive to 6 SKP. This can be seen from the results of the pre-test and post-test, where before the guidance using AEM (Electronic Application Module) obtained information in the application of 6 SKP which had an average value of 64.27 but after guidance and use of AEM (Electronic Application Module) showed information results with an average value of 88.03. The Wilcoxon test results got a p value of 0.0001 which means there was a very large increase.
THE EFFECTIVENESS OF GALENIC CREAM OF DURIAN PEEL EXTRACT AND CHITOSAN FOR TREATMENT OF DIABETIC ULCERS
Agustin, Wahyu Rima;
Harti, Agnes Sri;
Crisdian S, Hanugrah Ardya;
Saputro, Sutiyo Dani;
Saelan, Saelan
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 2 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)
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DOI: 10.24990/injec.v8i2.597
Introduction: The chemical substance of durian peel (Durio zibethinus L.) is a polysaccharide polymer of D-galacturonic acid which is polar and anti-microbial. Chitosan is a derivative of chitin from the peels of Crustaceae animals, which is polycationic and antimicrobial; biodegradable, and biocompatible wit animal tissues. Diabetic ulcers are chronic wounds due to neurological disorders and vascular disorder in the legs, causing tissue damage. The purpose of the study was to analyze the effectiveness of galeni preparations of durian peel extract and chitosan for the treatment of diabetic ulcers.Method: This research is experimental including testing the quality of 5% durian peel extract cream preparations; 2% chitosan, a mixture of both ratio = 1:1; 1:2 physically, chemically, and microbiologically,and the rate of wound healing in test animals. Statistical data analysis of One Way Anova parametric test.Results: The results showed that the preparation of galenic durian peel extract cream and chitosan and their combination ratio (1:1), (1:2) could be formulated and met the quality test of cream preparations physically, chemically, and microbiologically according to the requirements of BPOM No. 32 of 2019 and is effective for healing diabetic ulcers on the 8th day.Conclusions: The preparation of galenic durian peel extract cream and chitosan and their combination ratio (1:1), (1:2) can potentially be developed as a cream preparation for healing diabetic ulcers.
The Effect of Electronic Module Simulation (EMS) Injury Handling on Student Preparedness in Injury Handling at SMP Muhammadiyah 8 Surakarta
Dani Saputro, Sutiyo;
Anissa Cindy Nurul Afni
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional
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DOI: 10.55299/ijphe.v3i1.547
Wounds from mishaps in the school climate by and large happen in the outer muscle framework and should be dealt with rapidly and properly. Injury will cause dying, bone disfigurement or inability and even passing. Support dressing alleviation can be performed by any prepared layman. One of the laypeople prepared at school is an understudy who has gotten essential crisis instruction. Nursing fundamental instruction is given through the Adolescent Red Cross (PMR) extracurricular. There should be an expansion in treating breaks in understudies with online reenactments utilizing the Electronic Recreation Module (EMS). The motivation behind this study was to decide the impact of Electronic Module Reproduction (EMS) of Injury Dealing with on Understudies' Readiness in Taking care of Wounds at SMP Muhammadiyah 8 Surakarta. This research of exploration is a quantitative report utilizing a semi exploratory examination plan with a pre-post test without control which is completed via doing a mediation in one gathering without a correlation. The examination test was 43 understudies of SMA Al Islam 1 Surakarta. Information assortment was done two times at the time before treatment and after treatment. Information examination was performed utilizing the Wilcoxon test. The consequences of the Wilcoxon test on readiness when the mediation got a p worth of 0.000 so there was an impact of the Electronic Module Reproduction (EMS) of Injury The executives on Understudy Readiness in Dealing with Wounds at SMP Surakarta. There is an Impact of Electronic Reenactment Module (EMS) Injury Taking care of on Understudies' Readiness in Dealing with Wounds at SMP Muhammadiyah 8 Surakarta with a p worth of 0.000.