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All Journal Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) MAHESA : Malahayati Health Student Journal
Haryanti, Noviana
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Dentistry Health Professions Nursing Public Health

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The Effect of Smoking on Oxygen Saturation Level of Patients Covid-19 Dwiyanto, Yusuf; Wahyudin, Muhammad Didin; Isnaani, Ria Mariatul; Ernawati, Dedeh; Firmansyah, Doddy; Haryanti, Noviana; Erlina, Rita; Firdaus, Nuzula; Harahap, Ali Asman; Purnama, Agus; Gultom, Satriani H
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 11 No 02 (2021): Jurnal Ilmiah Ilmu Keperawatan Indonesia Volume 22 June 2021: Covid-19 disease,
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.913 KB) | DOI: 10.33221/jiiki.v11i02.1094

Abstract

Background: The Novel Coronavirus (Covid-19) disease caused by SARS-COV2 was first discovered in Wuhan, China, December 2019. WHO has set Covid 19 to be a pandemic which has resulted in an increase in death rates worldwide. Covid-19 attacks the respiratory system which resembles pneumonia but has signs of a decrease in oxygen saturation. In Indonesia, many people, especially men, practice smoking, where smoking can cause respiratory system problems, but there is no sign of a decrease in oxygen saturation. Objectives: This study aims to determine the effect of smoking on oxygen saturation levels in Covid-19 patients. Methods: This type of research is an analytic study with a cross sectional design. Total population of 52 people, with inclusion and exclusion criteria. Results: This study shows that 21.2% of patients who smoke 6-12 cigarettes / day have oxygen saturation <75%, with the result p-value = 0.000, which means that there is an effect between smoking on decreasing oxygen saturation, with a 53-fold chance of covid patients. People who smoke can cause a decrease in oxygen saturation. Conclusion: Decrease in oxygen saturation in covid-19 patients, can be caused due to the toxicity of cigarettes smoked. In smokers who are confirmed Covid-19, there will be an worsening of oxygen supply in the blood, which is indicated by a decrease in oxygen saturation <75%.
The Influence of Oral Hygiene Using NaCl 0.9% and Chlorhexidine on Ventilator Associated Pneumonia (VAP) in the ICU of Jakarta Hospital Haryanti, Noviana; Nursanti, Irna; Irawati, Diana
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 01 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 01 March 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i01.3183

Abstract

Background: VAP is a problem found in patients who are on a ventilator, the VAP has not been considered by nursing staff when providing nursing care processes, starting from when reviewing patients, conducting interventions and evaluating patients. Prevention is done from the beginning of nursing care, one of which is oral hygiene. Objectives: The purpose of this study was to examine the effect of oral hygiene using a combination of 0.9% Natrium Chloride (NaCl) and Chlorhexidine (CHG) in patients who were on a ventilator. Methods: The design of this study was a quasi experiment with a pretest-post test with a control group design. The sampling technique used the Federer formula with a sample of 18 respondents with 9 respondents per group. Statistical analysis used in this research is univariate characteristic test, bivariate test with paired t-test and for multivariate using simple linear regression test for confounding. Results: Of the research conducted showed that there was no significant effect in group A before and after the intervention with a p-value (0.403) and the average increased slightly, while group B before and after the intervention had a p-value (0.512) with a decreasing average. The multivariate test found that age confounding had an effect on VAP with a p-value (0.024) while gender confounding had no effect on VAP with a p-value (0.277). Conclusion: In this study, oral hygiene using a combination of 0.9% NaCl and CHG was effective against VAP.
Penerapan Evidance Based Practice Therapy Music White Noise terhadap Gangguan Tidur pada Pasien Stroke Haryanti, Noviana; Agung, Rizki Nugraha; Yunitri, Ninik; Rayasari, Fitrian; Sulistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14131

Abstract

ABSTRACT Stroke is a multi-complex neurological deficit disease that impacts not only the physical condition but also the psychological and social condition of stroke patients which can affect all aspects of their life. Sleep disorders are a group of conditions characterized by disturbances in the quality and quantity of a person's sleep. Sleep quality is related to sleep interruption due to frequent and repeated brief periods of nighttime wakefulness while sleep quantity is related to difficulty in initiating and maintaining sleep. This Evidance Based Nursing application aims to get an idea of the effect of white noise on sleep disorders in hospitalized stroke patients. This research is cross-sectional. The number of samples determined by the researcher, using the G*Power 3.1 application, obtained results of 5 people with 1 additional person as a respondent in preparation for the drop out of 1 person with a final total of 7 people. White noise music therapy was effective in reducing sleep disturbances in stroke patients before the intervention, the average sleep disturbance was 8.57, decreased to 4.14 after the intervention, with a significant effect of -3.91 and a p-value <0.001, even though the EBNP journal recommended therapy using Fitbit, in the field, the use of Fitbit is not recommended because it can interfere with the patient's sleep comfort with the device worn on the wrist throughout sleep. Keywords: Evidance Based Practice, White Noise Music Therapy, Sleep Disorders, Stroke Patients.  ABSTRAK Stroke merupakan penyakit defisit neurologis multi kompleks yang berdampak bukan hanya pada kondisi fisik namun juga psikologis dan sosial pasien stroke yang dapat mempengaruhi semua sendi kehidupannya. Gangguan tidur merupakan suatu kumpulan kondisi yang dicirikan dengan adanya gangguan dalam kualitas dan kuantitas tidur seseorang. Kualitas tidur terkait dengan terputusnya tidur akibat periode singkat terjaga di malam hari yang sering dan berulang sedangkan kuantitas tidur terkait dengan kesulitan untuk memulai dan mempertahankan tidur. Aplikasi Evidance Based Nursing ini bertujuan untuk mendapatkan gambaran pengaruh white noise  terhadap gangguan tidur  pasien stroke yang menjalani rawat inap.  Penelitian ini bersifat potong lintang (cross-sectional). Jumlah sampel yang ditentukan oleh peneliti, menggunakan aplikasi G*Power 3.1 dengan mendapatkan hasil 5 orang dengan 1 orang tambahan sebagai responden sebagai persiapan droop out 1 orang dengan total akhir 7 orang. Terapi musik white noise efektif dalam mengurangi gangguan tidur pasien stroke sebelum intervensi, rata-rata gangguan tidur adalah 8.57, turun menjadi 4.14 setelah intervensi, dengan efek signifikan sebesar -3.91 dan nilai p-value <0.001, meskipun jurnal EBNP merekomendasikan terapi menggunakan Fitbit, di lapangan, penggunaan Fitbit tidak disarankan karena dapat mengganggu kenyamanan tidur pasien dengan perangkat terpasang di pergelangan tangan sepanjang tidur. Kata Kunci: Evidance Based Practice Therapy Music White Noise, Gangguan Tidur, Pasien Stroke.
Co-Authors Agung, Rizki Nugraha Agus Purnama Dwiyanto, Yusuf Ernawati, Dedeh Firdaus, Nuzula Firmansyah, Doddy Gultom, Satriani H Harahap, Ali Asman Irawati, Diana Isnaani, Ria Mariatul Nursanti, Irna Rayasari, Fitrian Rita Erlina, Rita Sulistyorini, Cahyo Ismawati Wahyudin, Muhammad Didin Yunitri, Ninik