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VALUE OF CLINICAL PULMONARY INFECTION SCORE IN CRITICALLY ILL PATIENTS: BETWEEN THE USE OF CHLORHEXIDINE AND PIPER BETLE LINN MOUTHWASH Irfany Nurul Hamid; Rr Sri Endang Pujiastuti; Dwi Ari Widigdo; Djenta Saha
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Background: One of the complications of ventilator use in patients in Intensive Care Unit (ICU) is Ventilator-Associated Pneumonia (VAP). Oral hygiene is one of the methods to prevent VAP. Objective: The objective of this study was to compare the value of clinical infection score (CPIS) in critically ill patients after given oral hygiene using chlorhexidine and Piper betle Linn mouthwash. Methods: This was an observational study with cross-sectional study design, which consisted of two intervention groups. Thirty respondents were selected using total sampling, with 15 respondents randomly assigned in each group. Independent t-test was used for data analysis. Results: Findings showed that the mean of CPIS in the Piper betle Linn group was 3.80 and the mean of CPIS in the chlorhexidine group was 4.07. Conclusion: CPIS in the treatment group using Piper betle Linn mouthwash was lower than the mean of CPIS in the treatment group using chlorhexidine.

Online Learning Perception and Nursing Student Learning Motivation During the Covid-19 Pandemic Lembunai Tat Alberta; Dwi Adji Norontoko; Irfany Nurul Hamid
Health Notions Vol 6, No 7 (2022): July
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60603

Countries in the world including Indonesia are being hit by the health problems of the corona virus (Covid-19) pandemic. The government continues to carry out various handling and prevention efforts, especially in controlling the spread of COVID-19 in the community, including students who carry out learning activities on campus. One of the efforts made is to implement policies regarding the learning process through online learning. Online learning methods cause different perceptions among students and this has an impact on several things including student learning motivation. The study was conducted to analyze the relationship between students' perceptions of online learning methods on student motivation in nursing at the Sutomo campus, Surabaya. The research method was observational analytic with a cross-sectional approach. Online data collection using Google Form, data analysis using Spearman's rho statistical test. The results showed that there was a significant relationship between students' perceptions of online learning and students' learning motivation (p = 0.00). It is recommended to increase student learning motivation through improving facilities, infrastructure, facilities and learning methods as well as positive perceptions of online learning. Keywords: online learning; nursing students; perceptions; motivation

Description Study of Student Nursing Perceptions on Online Learning During the Covid-19 Pandemic Lembunai Tat Alberta; Dwi Adji Norontoko; Irfany Nurul Hamid
International Journal of Advanced Health Science and Technology Vol. 2 No. 1 (2022): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

The Covid-19 pandemic that is currently engulfing the world, including Indonesia, has changed the way people live, including education. The online learning process is one of the efforts made by the government in controlling the spread of Covid 19 among students. This study was conducted to explain students' perceptions of online learning, both aspects of the teaching and learning process, aspects of lecturers and infrastructure. The research sample was students majoring in nursing at the Sutomo Surabaya campus for the 2020/2021 academic year, totaling 510 people. Data was obtained online through Google Form, using a questionnaire, data were analyzed descriptively. The results showed that students' perceptions of online learning were in a good category 37.8%, 61.4% sufficient, 0.8% less. The results of the research on student perceptions about online learning from the aspect of the teaching and learning process are in good category 22.35%, 76.87% sufficient, 0.78% less. Students' perceptions of online learning from the lecturer's perspective, good category 58.43%, 41.57% enough. Student perceptions of online learning from the aspect of infrastructure, good category 70.20%, 29.02% enough, 0.78% less. It is recommended to students improve their perception of online learning so that learning goals can be achieved to the maximum.

Quality of Life of Patients with Diabetes Mellitus Based on Their Characteristics Anita Joeliantina; Nur Lailia Antasyia; Irfany Nurul Hamid; Dewi Purnamawati
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 5, No 2 (2023): OKTOBER
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v5i2.457

The quality of life of patients with diabetes mellitus (DM) describes the degree of health and limitations that need to be evaluated to administer treatment. The purpose of this study was to identify quality of life based on patient characteristics. This research is descriptive with a cross-sectional approach. The sample size used was 87 adult patients with DM determined through purposive sampling techniques. This research was carried out from December 2021 to January 2022 at the Bangkingan Surabaya Health Center. Data was collected using questionnaires and analyzed using descriptive analysis. The results of this study showed that patients with DM who had a high quality of life were 50.6% and 49.4% showed a low quality of life. Based on the identification of patient characteristics data that describe the high quality of life are early elderly patients with an age range of 46-55 years (25.3%), female (39.1%), high school education (18.4%), and not working (33.5%). Other data obtained were patients with no family history (31.1%), duration of DM 1-5 years (26.5 and the majority using a single antidiabetic drug. Based on these data, patients still need to get continuous education to manage diabetes. blood glucose levels and can improve quality of life. The characteristics of DM sufferers can be an alarm that makes sufferers aware of the changes that occur in them. Patients who can recognize the characteristics in themselves will be able to maintain their quality of life.

Self-care of chronic illness prevents the risk of diabetic foot ulcers in patients with diabetes: a cross-sectional study Joeliantina, Anita; Adji Norontoko, Dwi; Adinata, Ach. Arfan; Ragayasa, Adivtian; Nurul Hamid, Irfany
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.48387

Introduction: Diabetic foot ulcer (DFU) is a serious and chronic complication of diabetes mellitus (DM). This study aims to explain a model of self-care of chronic illness on the prevention of DFU risk in patients with DM, including foot self-care of maintenance, monitoring, and management. Methods: This study was an analytical study with a cross-sectional approach, with 300 patients randomly selected from six Public Health Centers in Surabaya, Indonesia, from June to August 2022. The inclusion criteria were individuals with DM and aged more than 26 years. Exclusion criteria were reading disabilities or having cognitive impairments Data were collected using a questionnaire. The correlation between variables was analyzed using the statistical method of Partial Least Squares. Results: The risk of DFU in patients with DM was 40% with low risk, 38% with moderate risk, 8% with high risk, 5% remission, and 10% with DFU. This research shows that there is a significant correlation between foot self-care management and the risk of DFU, where the p-value = 0.000, while the indicators of foot self-care maintenance and self-care monitoring do not have a significant correlation with the risk of DFU, where the p-value is respectively equal to 0.350 and 0.844. Conclusions: Foot self-care management was a factor that directly correlates with the risk of DFU. Autonomous self-care management behaviors still needed to be improved, because most patients still had these inadequate behaviors. Further research is needed to improve the behavior quality of patients with DM in managing foot care independently.

Quality of Life of Patients with Diabetes Mellitus Based on Their Characteristics Joeliantina, Anita; Antasyia, Nur Lailia; Hamid, Irfany Nurul; Purnamawati, Dewi
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol. 5 No. 2 (2023): OKTOBER
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v5i2.457

The quality of life of patients with diabetes mellitus (DM) describes the degree of health and limitations that need to be evaluated to administer treatment. The purpose of this study was to identify quality of life based on patient characteristics. This research is descriptive with a cross-sectional approach. The sample size used was 87 adult patients with DM determined through purposive sampling techniques. This research was carried out from December 2021 to January 2022 at the Bangkingan Surabaya Health Center. Data was collected using questionnaires and analyzed using descriptive analysis. The results of this study showed that patients with DM who had a high quality of life were 50.6% and 49.4% showed a low quality of life. Based on the identification of patient characteristics data that describe the high quality of life are early elderly patients with an age range of 46-55 years (25.3%), female (39.1%), high school education (18.4%), and not working (33.5%). Other data obtained were patients with no family history (31.1%), duration of DM 1-5 years (26.5 and the majority using a single antidiabetic drug. Based on these data, patients still need to get continuous education to manage diabetes. blood glucose levels and can improve quality of life. The characteristics of DM sufferers can be an alarm that makes sufferers aware of the changes that occur in them. Patients who can recognize the characteristics in themselves will be able to maintain their quality of life.

Community Empowerment on Recognizing the Risk of Diabetic Complications Through Self-Assessment Joeliantina, Anita; Wuryaningsih, Sri Hardi; Hamid, Irfany Nurul; Proboningsih, Jujuk
Frontiers in Community Service and Empowerment Vol. 4 No. 4 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v4i4.108

Diabetes can cause complications in many parts of the body and can increase the risk of death. This community service activity aims to educate the community through community empowerment to prevent complications that may develop using self-assessment. The method used is to provide education to improve patient knowledge and self-assessment skills to avoid complications for patients with diabetes. The venue was the Menur Pumpungan Village Hall, Surabaya, where 20 participants attended. The flow of this community service activity is registration, health services, education, teaching how to recognize the risk of complications, and evaluation. Data on systolic blood pressure showed that 60% of participants had a ≥ value of 130 mmHg, while 20% had a diastolic blood pressure ≥ 100 mmHg. The abdominal circumference data of the participants showed that most had a circumference of > 80 cm in women. Data on BMI from 20 participants showed 55% had a BMI of more than 25. The blood sugar and cholesterol level data showed that some results had a value of ≥ 200 mg/dL, while partial uric acid levels were still ≥ 6. The data needs to receive attention and vigilance, so that the development of complications can be prevented or slowed down. Participants who participated in this community service activity have actively participated

A Community-Based Education on the Use of Medicinal Plants for Diabetes Mellitus Management among Elderly Participants at Posyandu Lansia Sadewo, Jati Village, Sidoarjo Aida Novitasari; Irfany Nurul Hamid; Anita Joeliantina
Frontiers in Community Service and Empowerment Vol. 4 No. 4 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v4i4.121

Diabetes mellitus is a chronic disease that requires lifelong management and often encourages patients to explore complementary therapies. Herbal remedies are frequently used alongside medical treatment, though in some cases patients reduce or discontinue prescribed medications. Limited knowledge of proper self-care and the integration of herbal therapies contributes to poor adherence and increases the risk of complications. This community service program aimed to enhance knowledge among health cadres and community members regarding the use of family medicinal plants (TOGA) as complementary therapy to support blood glucose control. The activity was conducted in RT 26 RW 06, Pondok Jati, Jati Village, Sidoarjo, focusing on communities affected by non-communicable diseases, particularly diabetes. Interventions included structured educational sessions, distribution of an educational module, and live demonstrations of herbal preparation. Effectiveness was evaluated through pre- and post-test questionnaires, assessment of program implementation, and follow-up planning. Results showed a 65% increase in participants’ knowledge of TOGA utilization for diabetes management. The coaching approach, which emphasized empowerment, emotional support, and healthy dietary practices, further demonstrated its value as a strategy for community-based diabetes prevention and management. In conclusion, integrating herbal education into community programs can substantially improve knowledge and promote complementary practices, while coaching-based interventions strengthen empowerment and encourage sustainable behavioral change.

The Experiences of Patients with Diabetes and Strategies for Their Management during the COVID-19 Pandemic: a Qualitative Study Anita Joeliantina; Irfany Nurul Hamid; Endang Sulistyowati
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i1.214

The COVID-19 pandemic has posed significant challenges for individuals with chronic conditions like Diabetes Mellitus (DM), especially in terms of maintaining proper self-care. This qualitative study aimed to explore the self-care experiences of patients with DM during the pandemic, with a focus on the impact of restricted access to healthcare services and changes in daily routines. The study adopted a phenomenological approach, involving ten purposively selected DM patients from the Keputih Health Center in Surabaya, Indonesia. Data were collected through semi-structured in-depth interviews, both online and offline, between August and October 2021. The Van Manen method was utilized for data analysis. The results revealed five key themes: poor diabetic diet, absence of physical activity, impaired monitoring of blood glucose levels, changes in medication patterns, and neglect of foot care. These findings indicate a significant decline in self-care behaviors, largely attributed to restricted movement, limited access to health services, and heightened fear of COVID-19 transmission. The study also highlighted the use of herbal remedies as a supplementary treatment, a behavior not widely reported in previous research. The study concludes that diabetes management during the pandemic was adversely affected, emphasizing the need for tailored interventions, including online consultations and education, to support DM patients. Further research is recommended to explore effective strategies for managing DM during health crises, particularly the integration of traditional and medical treatments.

Effect Of Rheumatic Exercises On Pain Levels In Rheumatic Patients In The Working Area Of Kalijudan Public Health Center Surabaya Rindi Antika Putri; Mohammad Najib; Irfany Nurul Hamid; Sari Luthfiyah; Mazlinda Musa Musa
International Journal of Advanced Health Science and Technology Vol. 5 No. 3 (2025): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i3.456

Rheumatism is a condition marked by joint inflammation, swelling, and pain, often causing limitations in daily activities and decreasing productivity. Prolonged symptoms, especially over 10 years, may lead to joint damage, making patients reliant on others and impacting their social and economic functioning. This study aims to examine the effect of rheumatic exercises on pain levels among rheumatic patients in the Kalijudan Public Health Center area, Surabaya. The research employed a pre-experimental one-group pretest-posttest design involving 31 participants selected through purposive sampling. Rheumatic exercises were the independent variable, while pain levels were the dependent variable, measured using the Numeric Rating Scale (NRS). The data were analyzed using the Wilcoxon test with a significance level set at p<0.05. The results showed a Wilcoxon test value of 0.000, indicating a statistically significant difference in pain levels before and after the intervention. These findings demonstrate that rheumatic exercises effectively reduce pain in rheumatic patients. The study concludes that implementing rheumatic exercise programs can be a beneficial non-pharmacological intervention to manage pain in patients with rheumatism, particularly in community health settings like the Kalijudan Public Health Center.

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