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All Journal Jurnal Kesehatan Hesti Wira Sakti Wiraraja Medika: Jurnal Kesehatan Indian Journal of Forensic Medicine & Toxicology Journal of Nursing Science Update Medika Respati : Jurnal Ilmiah Kesehatan Indonesian Journal of Biomedicine and Clinical Sciences Jurnal Ilmiah Kesehatan Keperawatan
Ika Setyo Rini
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Analysis of Nurse Personal Factors of Triage Decision-Making in Emergency Installation at University of Muhammadiyah Malang Hospital Ali Rahmanto; Loeki Enggar Fitri; Ika Setyo Rini
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16837

Abstract

The high frequency of patient visits to the ER will disrupt the service process at the Emergency Department(IGD). One solution is the application of a triage system, which is the process of sorting patients accordingto their level of gravity. The accuracy of triage decisions has a significant impact on patient outcomes sothat in this case nurses in the ER must have knowledge, understanding, and skills about triage. Analyzepersonal factors that influence emergency nurse decision-making. This study aimed to identify personalfactors influencing triage decision-making among emergency nurses. Respondents were 30 male and femalenurses who worked and were active up to now in the IGD Hospital of the University of MuhammadiyahMalang. Data on work experience, education, and training were taken from data on the characteristics ofrespondents. The knowledge questionnaire came from the Emergency nurses association/ENA while theskills questionnaire used the Triage Skill Questionnaire/TSQ. The Spearman correlation test shows that thereis a significant relationship between skills and education with triage decision making (p=0.000; r=0.626 andp=0.039; r=0.378). Meanwhile, the variables of knowledge, work experience, and training do not correlatewith triage decision making (p> 0.05) except that GELS training shows a significant relationship betweenGELS training and triage decision making (p=0.016; r=0.437). The results of linear regression analysis,skills, and education are factors that influence decision-making in conducting triage in the ER (45,4%).Skills and education are the factors that most influence triage decision-making.
AKURASI REVISED TRAUMA SCORE SEBAGAI PREDIKTOR MORTALITY PASIEN CEDERA KEPALA Riki Ristanto; M Rasjad Indra; Sri Poeranto; Ika Setyo Rini
Jurnal Kesehatan Hesti Wira Sakti Vol. 4 No. 2 (2016)
Publisher : Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen Malang

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Abstract

ABSTRAK Cedera kepala merupakan salah satu penyebab utama kematian dan kecacatan akibat trauma yang membutuhkan tindakan cepat dan efisien untuk mencegah perburukan kondisi pasien. Pengukuran keparahan trauma adalah langkah yang sangat penting untuk mendukung pengambilan keputusan klinis yang tepat, efektif dan efisien untuk mencegah kecacatan dan kematian pasien cedera kepala. Revised Trauma Score (RTS) adalah merupakan physiologycal scoring systems yang dapat digunakan sebagai prediktor mortality pasien cedera kepala. Penilaian RTS dapat mengidentifikasi lebih dari 97% orang yang akan meninggal jika tidak mendapat perawatan dan kemampuan RTS dalam menentukan kondisi yang membahayakan jiwa adalah 76,9%. Namun, pada penelitian di Belanda, RTS memiliki nilai prediktif yang lebih rendah jika dibandingkan dengan hasil penelitian RTS terdahulu. Tujuan penelitian ini untuk mengetahui akurasi penggunaan Revised Trauma Score sebagai prediktor mortality pasien cedera kepala. Penelitian ini adalah penelitian observasional dengan design cohort retrospektif. Sampel dalam penelitian ini berjumlah 96 orang. Hasil analisis Uji Mann-Whitney penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara mortality pasien dalam 7 hari perawatan dengan score GCS, SBP, RR dan SpO2 dengan p value dari semua variabel independen < 0.05. Hasil Uji regresi logistik menunjukkan bahwa persamaan RTS (GCS, SBP, RR) memiliki nilai p value Uji Hosmer and Lamesho = 0.849, nilai sensitivity sebesar 0.93, specificity 0.863, Positive Predictive Value (PPV) 0.95, Negative Predictive Value (NPV) 0.79, dan dengan AUC 0.942 (CI95% 0.88-0.99). Maka persamaan RTS (GCS, SBP, RR) memiliki kualitas diskriminasi, kalibrasi dan akurasi yang baik, sehingga persamaan RTS (GCS, SBP, RR) dapat digunakan sebagai prediktor mortality pasien cedera kepala. Penggunaan persamaan RTS (GCS, SBP, RR) masih layak sebagai alat bantu dalam triage pasien cedera kepala. Kata kunci : Mortality, Pasien Cedera Kepala, RTS. Abstract Head injury is one of the major causes of death and disability due to trauma requiring fast and efficient action to prevent worsening of the patient's condition. Trauma severity measurement is a very important step to support clinical decision making proper, effective and efficient to prevent disability and death of head injury patients. Revised Trauma Score (RTS) is a physiologycal scoring systems that can be used as a predictor of mortality head injury patients. Rate RTS can identify more than 97% of people who will die if not treated and RTS in determining the ability of life-threatening conditions is 76.9%. However, in a study in the Netherlands, RTS has a lower predictive value when compared with the results of previous RTS. The purpose of this study to determine the accuracy of the use of Revised Trauma Score as predictors of mortality head injury patients. This study was an observational study with retrospective cohort design. The sample in this study amounted to 96 people. The results of the Mann-Whitney test analysis showed that there was significant relationship between patient mortality within 7 days of Ristanto, Akurasi Revised Trauma Score Sebagai Prediktor Mortality 77 treatment with a score of GCS, SBP, RR and SpO2 with the p value of all the independent variables of
HUBUNGAN KOMPETENSI PERAWAT GAWAT DARURAT DENGAN KINERJA PERAWAT DI INSTALASI GAWAT DARURAT (IGD) RSUD dr. H. MOHAMMAD ANWAR SUMENEP DAN RSUD SAMPANG Dian Ika Puspitasari; Edi Widjajanto; Ika Setyo Rini
Wiraraja Medika : Jurnal Kesehatan Vol 5 No 2 (2015): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

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Abstract

Emergency department (ED) is initial services in hospital. Nurse on ED must have more capability than nurse in other department. Nurse in ED have to be fast, skilled and ready every time. Patient criteria in ED make nurse have to understand wide range of nursing competency. Competency including work readiness and work behaviour. Nurse’s competency related to work capability so can be use to predict nurse performance. The purpose of this study is to know relationship between emergency nurse’s competency with nurse’s performance in Emergency Department RSUD dr. H. Moh. Anwar Sumenep and RSUD Sampang. The design of this study is  correlational analytic with cross sectional approach. Purposive sampling was used as sampling technique so the participant became 30 nurse. Pearson correlation results indicate that there is a relationship between emergency department nurse competency based on diagnostic function (p value = 0.014), implementation of therapeutic intervention (p value = 0,020) and organizing the work roles (p value = 0.005) with the nurse performance. Emergency nurse competencies which is not related to nurse performance are effective management (p value = 0.890) and the role of helper (p value = 0.056). Correlation confounding variables results showed that there is a relationship between compensation (p value = 0.044) and work environment (p value = 0.037) with nurse performance. Based on the multiple linear regression analysis with backward method shows the most dominant competence that affect nurse performance is implementation of therapeutic intervention and the organizing work roles (52.4%). Confounding variables that greatly affect the nurse performance are working environment (14.7%). Nurse that usually applying skill on emergency nurse competencies will be more competent on doing their nursing skill for patient, and then nurse’s performance become better.   Keywords: Nurses competencies, Nurse performance, Emergency Department (ED)
HUBUNGAN PENGGUNAAN WAKTU PERILAKU KURANG GERAK (SEDENTARY BEHAVIOUR) DENGAN OBESITAS PADA ANAK USIA 9-11 TAHUN DI SD NEGERI BEJI 02 KABUPATEN TULUNGAGUNG Setyoadi Setyoadi; Ika Setyo Rini; Triana Novitasari
Journal of Nursing Science Update (JNSU) Vol. 3 No. 2 (2015)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

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Abstract

Obesitas pada anak merupakan keadaan patologis ditandai dengan penimbunan lemak berlebih daripada yang diperlukan untuk fungsi tubuh akibat konsumsi energi terlalu berlebih dibandingkan dengan pemakaian energi yang ditandai dengan Indeks Massa Tubuh (IMT) menurut umur ≥ 2 SD. Sedentary behavior merupakan sekelompok perilaku yang terjadi saat duduk atau berbaring yang membutuhkan pengeluaran energi yang sangat rendah. Sebanyak 21.08% siswa obesitas di SD Negeri Beji 02 Tulungagung usia 9-11 tahun. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan waktu perilaku kurang gerak (sedentary behaviour) dengan obesitas pada anak usia 9-11 tahun di SD Negeri Beji 02 Kabupaten Tulungagung. Desain penelitian ini adalah case control dengan kohort retrospektif, menggunakan sampel sejumlah 34 siswa yang terdiri dari 17 anak obesitas dan 17 anak berat badan normal yang dipilih dengan uji hipotesis perbedaan 2 proporsi. Penelitian menggunakan timbangan injak pegas, microtoise, dan kuesioner. Hasil uji korelasi Spearman menunjukkan significancy sebesar 0,000 dengan value sebesar 0.589. Terdapat 14 (82.4%) anak obesitas sering melakukan sedentary behaviour dan 4 (23.5%) pada anak berat badan normal dengan total rata-rata keduanya 8.5359±1.05233 jam/minggu. Hal ini menunjukkan bahwa anak obesitas lebih sering melakukan sedentary behaviour dibandingkan dengan anak berat badan normal dengan nilai efektivitas 58.9% sedangkan sisanya dipengaruhi faktor lain, mengingat bahwa obesitas sebabkan oleh mulitifaktorial. Kata Kunci : Obesitas Anak, Sedentary Behaviour
STUDI FENOMENOLOGI: PENGALAMAN PERAWAT DALAM MERAWAT PASIEN DENGAN DO NOT RESUSCITATE (DNR) DI RUANG ICU RSUP DR. SOERADJI TIRTONEGORO KLATEN Tia Asmetiasih; Retty Ratnawati; Ika Setyo Rini
Medika Respati : Jurnal Ilmiah Kesehatan Vol 10, No 4 (2015)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (420.011 KB) | DOI: 10.35842/mr.v10i4.98

Abstract

Latar belakang : DNR merupakan satu tindakan yang belum lama dilegalkan di RSUP Dr. Soeradji Tirtonegoro Klaten. Berdasarkan hasil wawancara pada analisa data sebelum lapang di ketahui bahwa selama melakukan perawatan pada pasien yang didiagnosa DNR perawat mengalami empati dan perasaan bersalah, perawat juga memiliki pengalaman kegagalan komunikasi kepada pihak keluarga sehingga pernah pula mendapatkan penolakan dari keluarga, dan partisipan mengatakan bahwa pasien DNR di RS tersebut tidak diberikan perlakuan khusus terkait kunjungan karena pasien dengan DNR belum berhak ditemani keluarganya selama 24 jam setiap harinya.Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pengalaman perawat dalam merawat pasien dengan  DNR di ruang ICU RSUP Dr. Soeradji Tirtonegoro KlatenMetode : Desain penelitian yang digunakan adalah kualitatif dengan pendekatan fenomenologi interpretif. Peneliti melakukan wawancara mendalam menggunakan panduan wawancara yang berisi pertanyaan semi terstruktur dengan melibatkan 5 orang perawat di ruang ICU RSUP Dr. Soeradji Tirtonegoro Klaten. Data yang sudah terkumpul dianalisa menggunakan analisis tematik menggunakan pendekatan Braun and Clarke. Hasil : Penelitian menghasilkan 10 tema yaitu (1) kesesuaian penerapan prosedur DNR, (2) sumber informasi DNR inadekuat, (3) penolakan labelling, (4) strategi penerimaan labeling, (5) kompleksitas eksistensi hak keluarga-pasien, (6) perawatan bermartabat, (7) dilema psikis, (8) empati, (9) inkonsistensi iklim kolaborasi, (10) perlindungan legalitas.Kesimpulan : DNR merupakan satu tindakan yang tidak mudah untuk diputuskan. Banyak faktor yang terkait dengan keputusan DNR. Informasi DNR yang dimiliki perawat haruslah adekuat agar keputusan tindakan DNR dilakukan dengan tepat. Adanya penolakan labelling oleh keluarga, empati dan dilema yang dirasakan perawat, iklim kolaborasi inkonsisten, ternyata tidak mengahalangi perawat untuk tetap mendapatkan perawatan bermartabat dengan tetap melihat kompleksitas eksistensi hak pasien-keluarga. Hal yang lebih penting lagi adalah bahwa setiap keputusan yang diambil haruslah dilegalkan dalam bentuk dokumentasi dan saksi diperlukan sebagai penguat jaminan perlinduungan legalitas. Kata kunci: fenomenologi, DNR
GLASGOW COMA SCALE (GCS), TEKANAN DARAH DAN KADAR HEMOGLOBIN SEBAGAI PREDIKTOR KEMATIANPADA PASIEN CEDERA KEPALA S Sumarno; Moch. Hidajat; Ika Setyo Rini
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v12i3.162

Abstract

The number of incidence and mortality of patients with traumatic brain injury (TBI) is high, so it is called for better service, on the other hand healthcare care facilities, particularly bed of intensive care unit (ICU) limited. So often the hospital should perform a selection against patients. Mortality predictors can be used as tool for selection. The aims of this research is to gain a predictive model of mortality in isolativeTBI patients using a standardized examination in Emergency Department. Design of this study is a observational study with prospective approach. Respondents totaled 49 person byconsecutive sampling.The results of this research show that there is a correlation between all the independence variables with mortality of the patient.GCS (p<0,001, r=0,732), TDS (p=0,005, r=0,420), MAP (p=0,005, r=0,429), Hb (p=0,048, r=0,272). The result of logistic regression showed that GCS is the most dominant factor related to patient mortality is GCS (p=0,002, correlation coefisient = - 0,906). Keywords : Traumatic brain injury, mortality predictor, GCS, components of GCS
The effect of fluid restriction monitoring guidelines using the Heart Failure Self-Care Application (Aplikasi Perawatan Mandiri Heart Failure/ATRIA) on reducing risk of fluid retention in heart failure patients at Dr. Saiful Anwar Hospital Malang Ghazyarda Aqilah Setya; Mifetika Lukitasari; Suryanto; Ika Setyo Rini; Hikmawan Wahyu Sulistomo; Cholid Tri Tjahjono Candra; Mohammad Saifur Rohman; Ardian Rizal
Indonesian Journal of Biomedicine and Clinical Sciences Vol 56 No 4 (2024)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v56i4.13534

Abstract

Heart failure patients are often at risk of rehospitalization due to recurrent symptoms such as dyspnea, edema, pulmonary congestion, and rapid weight gain resulting from fluid retention. This study aimed to analyze the impact of guided fluid restriction using the ATRIA application on risk of fluid retention in heart failure patients. The quasi-experimental method was used with a posttestonly control group design. Simple random sampling was carried out to select respondents, with the intervention group given the ATRIA application and the control group receiving a booklet intervention. The study duration was four weeks, with 16 respondents in the intervention group and 15 respondents in the control from Dr. Saiful Anwar Hospital, Malang. Data analysis used an independent sample t-test to assess differences in body and weekly weight changes. The resultsshowed no significant difference in body weight between the intervention and control groups each week (p > 0.05). Similarly, there was no significant difference change in body weight between the two groups (p > 0.05). In conclusion, there is no distinction observed between the ATRIA application and booklet concerning fluid restriction guidelines for reducing risk of fluid retention in heart failure patients. The results suggested that nurses could provide educational services and monitor the condition of heart failure patients using either application or booklet. Future studies are recommended to analyze factors that might impact fluid retention in heart failure patient.
Co-Authors Ali Rahmanto Ardian Rizal Cholid Tri Tjahjono Candra Dian Ika Puspitasari Edi Widjajanto Ghazyarda Aqilah Setya Hikmawan Wahyu Sulistomo Loeki Enggar Fitri M Rasjad Indra Mifetika Lukitasari Moch. Hidajat Mohammad Saifur Rohman Retty Ratnawati Riki Ristanto S Sumarno Setyoadi Setyoadi Sri Poeranto Suryanto Tia Asmetiasih Triana Novitasari