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Journal : TRIAGE

Efektivitas Posisi Semi Fowler 45° pada Kualitas Tidur Pasien Congestive Heart Failure Nourma Nurlita Sari, Nourma; Rahmasari, Ikrima; Widiastuti, Agung; Utomo, Endrat Kartiko; Yudhianto, Kresna Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1943

Abstract

Sleep disturbance is a common problem in patients with Congestive Heart Failure (CHF), often caused by disease symptoms such as dyspnea, which negatively impacts their quality of life. The 45° Semi-Fowler's position is a simple non-pharmacological nursing intervention that can improve lung expansion, reduce cardiac workload, and enhance patient comfort, thereby potentially improving sleep quality.This study aimed to determine the effect of the 45° Semi-Fowler's position on the sleep quality of CHF patients at RSUD dr. Moewardi Surakarta. This research employed a quasi-experimental design with a one-group pretest-posttest approach. A total of 32 CHF patients were selected using a purposive sampling technique.The intervention, applying the 45° Semi-Fowler's position, was administered for 30 minutes daily over three consecutive days. Prior to the intervention, patients were generally positioned supine or with minimal elevation. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and data were analyzed with the Wilcoxon Signed-Rank Test.The results showed a statistically significant difference in PSQI scores before and after the intervention (p < 0.05), with the median score decreasing from 7.00 (Poor Quality) to 4.00 (Good Quality)10. This clinically significant reduction suggests a positive impact of the positioning.This study concludes that the 45° Semi-Fowler's position is effective in improving the sleep quality of CHF patients and can be recommended as a standard nursing intervention, though future studies should utilize a Randomized Controlled Trial design to control for confounding factors, such as the placebo effect
Hubungan Burnout terhadap Dampak Produktivitas Kinerja Perawat di RSUD Ir. Soekarno Sukoharjo Putri, Erni Fatmawati; Astuti, Andriani Mei; Widiastuti, Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1948

Abstract

Burnout is a state of physical, emotional, and mental exhaustion that arises due to high and prolonged work pressure, especially in professions with high levels of work intensity such as nursing. This condition has a significant impact on reducing the enthusiasm, motivation, and productivity of nurses, which ultimately affects the quality of nursing services in hospitals. This study aims to identify the relationship between burnout and decreased work productivity of nurses in the Inpatient Ward of Ir. Soekarno General Hospital, Sukoharjo Regency. This study applies a quantitative method with a cross-sectional research design. The number of respondents consisted of 69 nurses, selected using a purposive sampling method. The tools used in the study consisted of the Maslach Burnout Inventory (MBI) questionnaire to assess the level of burnout and a work productivity questionnaire that has six indicators: ability, work results, motivation, self-development, quality, and efficiency. The research findings indicate that the majority of respondents experienced burnout in the high category (66.7%) and low work productivity (89.9%). Bivariate analysis using the Spearman Rank test produced a p-value of 0.001 < 0.05. The higher the level of burnout experienced by nurses, the lower their work productivity in completing nursing tasks effectively and sustainably. Workload management, strengthening social support, rewarding performance, improving work-life balance, and regular stress management training can support maximum performance and improve the quality of care services comprehensively and sustainably in addressing burnout