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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%.
E-Learning Post Stroke Rehabilitation: Systematic Review Dwiyanto, Yusup; Luanda, Desi; Fredy, Muhammad Khalid; Firdaus, Nuzula; Lusiana, Lusiana; Desy, Kemala; sofiani, Yani
Journal of Global Research in Public Health Vol. 6 No. 1 (2021): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v6i1.298

Abstract

Background: Stroke is the biggest cause of death after heart attack and has an impact on disability that can reduce the quality of life. Disability due to stroke is the result of damage to motor, sensory and cognitive functions of the patient. For this reason, there is a need for rehabilitation that can repair the damage to this function. Rehabilitation in stroke patients can be combined with technological advances. This will have a good impact on the rehabilitation program for stroke patients. The purpose of this study was to provide knowledge about post-stroke rehabilitation programs using electronic learning programs. Methods: This research design uses a systematic review approach by collecting several articles from a data base published in 2011-2020. The article search was conducted by entering the keywords stroke rehabilitation audiovisual, stroke rehabilitation video, stroke rehabilitation system, and stroke rehabilitation telecommunications. Article searches have predefined inclusion and exclusion criteria. Inclusion criteria included patients diagnosed with stroke. The research design was a randomized control trial and experimental research. Exclusion criteria included stroke patients who were being hospitalized. Result: The results of a database search obtained 9,409 articles, from Pubmed 379 articles, Proquest 7,640 articles, and Google Scholar 1,390 articles. After sorting with predetermined criteria, 6 articles were found that matched. Conclusion: The conclusion in this study was that the post-stroke rehabilitation e-learning program gave significant results in improving motor, sensory and cognitive functions of patients in living their daily lives.
Penerapan Familiar Auditory Sensory Training (FAST) terhadap Tingkat Kesadaran Pada Pasien Stroke di Rumah Sakit Jakarta Firdaus, Nuzula; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizky Nugraha
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.v4i4.14152

Abstract

ABSTRACT Decreased consciousness in stroke patients can be caused by brain hypoxia due to blockage of blood vessels in ischemic strokes, while in hemorrhagic strokes, bleeding occurs in the brain accompanied by cerebral edema, increasing intracranial pressure (ICP) and causing narrowing of blood vessels and herniation of brain tissue. FAST sensory stimulation carried out by the family is more effective in influencing the patient's level of consciousness compared to stimulation carried out by nurses. FAST intervention, compared to other sensory stimulation, is a non-invasive method, with low risk, affordable cost, and simple in application, making it an attractive intervention and can be easily applied in patients with decreased consciousness. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. The characteristics of participants in the implementation of EBNP show that the majority are men (76.9%) with a high school education level (46.2%), Javanese ethnicity dominates (46.2%), and self-employed work dominates (53.8%). Participants' ages varied, with a mean of 53.1 years and a range of 42–67 years. The FAST intervention had a significant impact on patients' level of consciousness, with a mean increase from 10.1 to 11.6. These results show high statistical significance, and the implementation of FAST forms a standard operating procedure that can be adopted at PON hospitals. Keywords: Familiar Auditory Sensory Training (Fast), Level of Consciousness, Stroke Patients.    ABSTRAK Penurunan kesadaran pada pasien stroke dapat disebabkan oleh kondisi hipoksia otak akibat sumbatan pembuluh darah pada stroke iskemik, sedangkan pada stroke hemoragik, terjadi perdarahan di dalam otak yang disertai edema serebri, meningkatkan tekanan intrakranial (TIK) dan menyebabkan penyempitan pembuluh darah serta herniasi jaringan otak. Stimulasi sensori FAST yang dilakukan oleh keluarga lebih efektif dalam mempengaruhi tingkat kesadaran pasien dibandingkan dengan stimulasi yang dilakukan oleh perawat. Intervensi FAST, dibandingkan dengan stimulasi sensorik lainnya, merupakan metode non-invasif, dengan risiko rendah, biaya terjangkau, serta sederhana dalam aplikasinya, menjadikannya sebagai intervensi yang menarik dan dapat diterapkan dengan mudah pada pasien dengan penurunan kesadaran. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) digunakan untuk memahami dampak penerapan FAST terhadap tingkat kesadaran pasien stroke. Analisis data dalam penulisan ini menerapkan analisis data univariat untuk mengamati karakteristik demografi dan perubahan tingkat kesadaran pada setiap responden. Selanjutnya, uji statistik digunakan dengan uji paired t-test untuk mengevaluasi pengaruh tingkat kesadaran sebelum dan setelah penerapan Familiar Auditory Sensory Training, dengan tingkat signifikansi 0,05. Penulis menghitung jumlah responden menggunakan perangkat lunak G*Power Versi 3.1 (Kang, 2021) dengan total 11 responden. Karakteristik peserta dalam implementasi EBNP menunjukkan mayoritas adalah laki-laki (76,9%) dengan tingkat pendidikan SMA (46,2%), suku Jawa mendominasi (46,2%), dan pekerjaan wiraswasta mendominasi (53,8%). Usia peserta bervariasi, dengan rata-rata 53,1 tahun dan rentang 42-67 tahun. Intervensi FAST memberikan dampak signifikan pada tingkat kesadaran pasien, dengan peningkatan rata-rata dari 10,1 menjadi 11,6. Hasil ini menunjukkan signifikansi statistik yang tinggi, dan penerapan FAST membentuk standar operasional prosedur yang dapat diadopsi di RUMAH SAKIT JAKARTA . Kata Kunci: Familiar Auditory Sensory Training (Fast), Tingkat Kesadaran, Pasien Stroke
Pengaruh Konsumsi Air Kelapa Muda Dan Biji Chia Terhadap Penurunan Tekanan Darah Pada Lansia Dengan Hipertensi Di Wilayah Kerja Puskesmas Bukit Sangkal Nopriani, Yora; Amanda, Tarissa; Firdaus, Nuzula
JURNAL LENTERA ILMIAH PENGABDIAN MASYARAKAT Vol. 2 No. 2 (2025): JLIPM - AGUSTUS
Publisher : CV. Q2 Lantera Ilmiah Institut

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hipertensi merupakan penyakit kronis yang sering terjadi pada lansia dan dikenal sebagai “silent killer” karena tidak menunjukkan gejala awal yang jelas. Pengelolaan hipertensi dapat dilakukan melalui pendekatan farmakologis dan nonfarmakologis. Air kelapa muda dan biji chia merupakan alternatif alami yang berpotensi membantu menurunkan tekanan darah. Mengetahui pengaruh konsumsi air kelapa muda dan biji chia terhadap penurunan tekanan darah pada lansia dengan hipertensi. Kegiatan ini merupakan bagian dari kegiatan pengabdian kepada masyarakat dengan desain pre-eksperimental one-group pretest-posttest. Sampel terdiri dari 56 lansia penderita hipertensi di Posyandu Lansia Bina Sejahtera, Palembang. Intervensi berupa pemberian air kelapa muda 300 ml dan biji chia 1 sendok teh, dua kali sehari selama 7 hari. Evaluasi dilakukan dengan pengukuran tekanan darah sebelum dan sesudah intervensi. Terdapat penurunan tekanan darah sistolik dari rerata 168,91 mmHg menjadi 148,84 mmHg, dan tekanan darah diastolik dari rerata 97,44 mmHg menjadi 82,44 mmHg. Penurunan ini menunjukkan adanya efek positif konsumsi air kelapa muda dan biji chia terhadap tekanan darah. Air kelapa muda dan biji chia efektif menurunkan tekanan darah pada lansia hipertensi dan dapat menjadi alternatif terapi nonfarmakologis yang layak dipertimbangkan
PENGARUH AROMATERAPI LAVENDER TERHADAP TINGKAT KECEMASAN PASIEN PRE OPERASI ELEKTIF DI RUANG PERAWATAN BEDAH CHARITAS HOSPITAL KM 7 PALEMBANG Firdaus, Nuzula; Nopriani, Yora; Refitania , Venny
Jurnal Kesehatan dan Pembangunan Vol 15 No 2 (2025): Jurnal Kesehatan dan Pembangunan
Publisher : LPPM STIKes Mitra Adiguna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52047/jkp.v15i2.408

Abstract

Preoperative action is a stressor for patients that can evoke a stress reaction both physiologically and psychologically. Anxiety is one of them. One of the efforts to overcome anxiety levels is the use of lavender aromatherapy. Objective: This study aims to determine the effect of lavender aromatherapy on the anxiety level of elective preoperative patients.Methods: The study used the Pre Experiment design method with a one group pre post test design, with a sample of 35 respondents. Sampling was carried out by purposive sampling technique. Data analysis using univariates, bivariates (Wilcoxon Test) Results: The results of the study obtained a significant value of the non-parametric statistical test (Wilcoxon) sign rank was <0.001 (p value < 0.05) which means that there is an effect of lavender aromatherapy on the anxiety level of elective preoperative patients. It is hoped that the results of this study can be used as reference materials and become one of the options for non-pharmacological therapy for anxiety management.