Claim Missing Document
Check
Articles

The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community Trisyani , Yanny; Emaliyawati, Etika; Nuraeni, Aan; Anna , Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu; Sugiharto, Firman
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.740

Abstract

Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.
Mengatasi Hiperglikemia Kronis Menggunakan Herbal untuk Menangani Diabetes Mellitus Tipe 2: Laporan kasus uluwiyya, rahma; Anna, Anastasia; Nuraeni, Aan
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.69154

Abstract

Pengelolaan diabetes melitus mencakup 5 pilar yaitu edukasi, terapi nutrisi medis, aktivitas fisik, terapi farmakologi, serta pemantauan kadar glukosa darah mandiri. Dalam praktiknya masih banyak pasien yang belum menjalankan tata laksana diabetes secara menyeluruh sehingga menyebabkan hiperglikemia kronis yang akan memicu komplikasi makrovaskular yaitu Acute Limb Ischemia. Penelitian ini menggunakan metode laporan kasus yang bertujuan untuk melaporkan kasus pasien dengan diabetes mellitus tipe 2 selama 32 tahun yang mengalami komplikasi Acute Limb Ischemia karena pengelolaan diabetes mellitus yang tidak tepat sebelum masuk rumah sakit. Pasien perempuan berusia 58 tahun didiagnosa mengalami Acute Limb Ischemia. Pasien memiliki riwayat penyakit diabetes melitus tipe 2 selama 32 tahun. Pasien hanya berpuasa serta mengonsumsi obat herbal berbentuk kapsul yang mengandung jahe, kunyit, kayu manis serta ekstrak daun insulin untuk mengontrol kadar gula darahnya. Manajemen lima pilar diabetes yang tidak tepat pada pasien diabetes seperti kurangnya edukasi kesehatan, pemantauan gula darah, penggunaan farmakoterapi, pola makan sehat, dan aktivitas fisik, mengakibatkan hiperglikemia kronis yang tidak terkontrol, sehingga dapat terjadi komplikasi akut berupa acute limb ischemia. Obat herbal yang digunakan pasien secara teori dapat membantu menurunkan gula darah, namun tanpa disertai dengan lima pilar manajemen diabetes secara bersamaan, hasilnya tidak cukup ampuh untuk mengontrol kadar glukosa darah. Pengobatan herbal tanpa disertai dengan pengelolaan diabetes mellitus lima pilar secara optimal tidak dapat mencegah terjadinya komplikasi akut berupa Acute Limb Ischemia.
Clinical Variables Associated with Quality of Life Among Women with Breast Cancer: A Cross-Sectional Study Anna, Anastasia; Trisyani , Yanny; Nuraeni, Aan; Priambodo, Ayu Prawesti; Sugiharto, Firman
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.615

Abstract

Background: Breast cancer is a major public health concern in Indonesia. Clinical factors such as disease duration, cancer stage, treatment type, and comorbidities may affect patients’ quality of life (QoL), but evidence in Indonesia remains limited. This study aimed to examine the correlation between clinical variables and QoL among breast cancer patients. Methods: This cross-sectional study was conducted between November 2025 and January 2026 at a referral hospital in West Java, Indonesia, and followed the STROBE guidelines. A total of 53 breast cancer patients were recruited using convenience sampling. The independent variables included clinical characteristics such as duration of illness, cancer stage, treatment received, treatment frequency, comorbidities, body mass index (BMI), and family history of cancer, while the dependent variable was QoL. QoL was assessed using the Indonesian version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), a validated instrument for evaluating functional status, symptoms, and global health status among cancer patients. QoL is categorised into poor, moderate, and good. Bivariate analysis was performed using Fisher’s exact test and the chi-square test. Results: Among the 53 breast cancer patients, the majority had been diagnosed for less than one year (45.3%), underwent surgery combined with chemotherapy (41.5%), and received treatment every three weeks (64.2%). Most patients reported moderate global health status (49.1%), while 35.8% had poor QoL. Significant associations were found between duration of illness (p < .001; Cramer’s V = 0.467), treatment received (p = .030; Cramer’s V = 0.434), and treatment frequency (p = .034; Cramer’s V = 0.396) and global health status. No significant associations were identified between cancer stage, comorbidities, BMI category, or family history of cancer and QoL. Conclusion: Duration of illness and treatment-related factors were significantly associated with quality of life among breast cancer patients. These findings suggest that the illness trajectory and treatment burden may be substantially related to patients’ overall well-being, supporting the need for targeted supportive care and routine QoL monitoring to improve patient-centred outcomes.
Overview of Religiosity of Intensive Care Unit Nurses: A Narrative Review Irfandi Rahman; Anastasia Anna; Aan Nuraeni
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4525

Abstract

The high demands on intensive care unit (ICU) nurses can be a source of stressors and cause distress for nurses. When nurses lack effective coping skills to deal with problems in the workplace, this can add to the stress levels of ICU nurses. Nurses' religiosity can affect nurses' beliefs in carrying out their duties as ICU nurses. The purpose of this narrative review was to understand and describe the religiosity of nurses in the intensive care unit. The method used was a narrative review with researchers searching for articles from quantitative and qualitative studies collected from electronic databases such as Pubmed, EBSCO, Cinahl, Science Direct, and Google Scholar, with keywords: religiosity, nurse, intensive care unit. We found ten articles and identified four themes related to the topic, namely: 1) the impact of nurses' religiosity, 2) dimensions of nurses' religiosity, 3) factors affecting nurses' religiosity, and 4) instruments to measure religiosity, namely: CRS, DSES, SSCRS, DUREL, PFS, PEMS, DRIS-F, MQS-T, and NSCTS.
TELEHEALTH-BASED PSYCHOSOCIAL SUPPORT FOR WOMEN WITH BREAST CANCER: A NARRATIVE REVIEW Aan Nuraeni; Yanny Trisyani; Anastasia Anna; Ayu Prawesti Priambodo; Firman Sugiharto
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12366

Abstract

Breast cancer is one of the most common malignancies among women worldwide and is associated with multidimensional burdens throughout the disease trajectory, including diagnosis, treatment, and survivorship. Beyond physical symptoms, women with breast cancer frequently experience psychosocial problems such as anxiety, depression, emotional distress, and impaired quality of life, which may persist even after active treatment and influence treatment adherence and long-term outcomes. Conventional psychosocial support is typically delivered through face-to-face interactions; however, access to such services is often limited by geographical, temporal, and resource-related constraints. Telehealth has emerged as a promising approach to support psychosocial care by utilizing information and communication technologies to deliver health services remotely. In the context of breast cancer, telehealth encompasses various modalities, including mobile health applications, web-based platforms, teleconsultations, text messaging, and remote monitoring systems. Recent developments also indicate a growing integration of artificial intelligence, such as chatbots and conversational agents, to enhance information delivery and emotional support. This narrative review aims to critically discuss the role of telehealth in providing psychosocial support for women with breast cancer. Relevant literature was identified through searches of major scientific databases and analyzed descriptively to explore psychosocial challenges, telehealth concepts, and potential benefits for mental health and patient engagement. The findings suggest that telehealth may contribute to improved access to psychosocial support, enhanced coping, and increased patient involvement in care, although evidence remains heterogeneous across intervention types and outcomes. Telehealth should be considered a complementary approach within holistic breast cancer care, with careful attention to individual needs, digital literacy, and implementation context.  
Penerapan Bundle Keperawatan untuk Pencegahan Komplikasi pada Pasien Stroke Hemoragik dengan Prolonged Ventilator: A Case Study Fitri Sesilia; Cecep Eli Kosasih; Anastasia Anna
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.22965

Abstract

ABSTRACT Hemorrhagic stroke is a neurological emergency with higher mortality and morbidity rates compared to ischemic stroke. Patients with extensive bleeding often require prolonged mechanical ventilation, which increases the risk of complications such as ventilator-associated pneumonia (VAP), pressure ulcers, and respiratory muscle weakness. Although international guidelines recommend bundle-based prevention strategies, their implementation still varies across healthcare facilities. A 67-year-old female patient with a diagnosis of post-craniectomy decompression due to spontaneous intracerebral hemorrhage in the right basal ganglia was admitted to the ICU. The patient underwent treatment with a prolonged ventilator for 38 days. Nursing interventions included a VAP prevention bundle (head-of-bed elevation, aseptic suctioning with pre-oxygenation, chest physiotherapy, nebulization, and oral hygiene), repositioning every two hours using a pressure-relieving mattress, passive mobilization, cuff pressure monitoring every eight hours, and provision of enteral nutrition according to daily calorie and protein targets. During 38 days of ICU care, the patient showed no clinical or radiological signs of pneumonia. Chest X-ray and sputum culture confirmed the absence of pulmonary infection. The patient also did not develop pressure ulcers, maintained oxygen saturation within the range of 95–99%, had reduced sputum production, and remained hemodynamically stable. The patient was deemed fit to be transferred to the neurology ward to continue therapy. This report demonstrates that consistent implementation of a nursing bundle is effective in preventing complications in patients with hemorrhagic stroke requiring prolonged ventilation, and highlights the importance of nurse compliance in maintaining the quality of critical care. Keywords: Complication Prevention, Hemorrhagic Stroke, Nursing Bundle, Nursing Strategy, Prolonged Ventilator.  ABSTRAK Stroke hemoragik merupakan kegawatdaruratan neurologis dengan angka mortalitas dan morbiditas lebih tinggi dibandingkan stroke iskemik. Pasien dengan perdarahan luas sering membutuhkan ventilasi mekanik jangka panjang yang meningkatkan risiko komplikasi, seperti ventilator-associated pneumonia (VAP), luka tekan, dan kelemahan otot pernapasan. Meskipun pedoman internasional merekomendasikan strategi pencegahan berbasis bundle, implementasinya masih bervariasi antar fasilitas kesehatan. Seorang pasien perempuan berusia 67 tahun dengan diagnosis post-craniectomy decompression akibat perdarahan intraserebral spontan pada basal ganglia kanan dirawat di ICU. Pasien menjalani perawatan dengan prolonged ventilator selama 38 hari. Intervensi keperawatan difokuskan pada pencegahan komplikasi, meliputi: (1) bundle pencegahan VAP (elevasi kepala, suction aseptik dengan pre-oksigenasi, fisioterapi dada, nebulisasi, dan oral hygiene); (2) reposisi tiap dua jam dengan pressure-relieving mattress; (3) mobilisasi pasif dan latihan pernapasan sederhana untuk mempertahankan fungsi otot pernapasan; (4) pemantauan cuff pressure setiap delapan jam (20–30 cmH₂O) untuk mencegah aspirasi; serta (5) pemberian nutrisi enteral sesuai target kalori dan protein dengan posisi kepala elevasi. Selama 38 hari perawatan di ICU, pasien tidak menunjukkan tanda klinis maupun radiologis VAP. Foto toraks dan kultur sputum mendukung tidak adanya infeksi paru. Pasien juga tidak mengalami luka tekan, saturasi oksigen stabil pada kisaran 95–99%, produksi sputum berkurang, serta kondisi hemodinamik tetap stabil. Pasien dinilai layak dipindahkan ke ruang perawatan neurologi untuk melanjutkan terapi. Laporan kasus ini menggambarkan bahwa penerapan bundle keperawatan secara konsisten dapat membantu mencegah komplikasi pada pasien stroke hemoragik dengan prolonged ventilator. Laporan kasus ini juga menekankan pentingnya kepatuhan perawat dalam melaksanakan intervensi berbasis bukti untuk mendukung stabilitas klinis pasien kritis. Kata Kunci: Bundle Keperawatan, Pencegahan Komplikasi, Prolonged Ventilator, Strategi Keperawatan, Stroke Hemoragik.
Pertimbangan Etik Keputusan Do Not Resuscitate (DNR) pada Pasien Perdarahan Intraserebral di Intensive Care Unit: Laporan Kasus Finny Fauziah Hidayat; Etika Emaliyawati; Anastasia Anna
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1377

Abstract

Intensive Care Unit (ICU) menjadi lingkungan pelayanan yang sering menghadapi dilema etik berkaitan dengan keputusan akhir kehidupan pasien, termasuk keputusan Do-Not-Resuscitate (DNR). Pasien dengan perdarahan intraserebral sebagian besar mendapatkan keputusan DNR karena kondisi neurologis yang buruk. Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis pertimbangan etik yang mendasari keputusan DNR pada pasien perdarahan intraserebral di ICU berdasarkan perspektif medis dan keluarga. Penelitian ini menggunakan studi kasus deskriptif pada seorang pria berusia 64 tahun yang dirawat di ICU. Pasien mengalami penurunan kesadaran hingga koma dengan volume perdarahan intraserebral sebanyak 91,2 cc di daerah ganglia basalis hingga substansia alba periventrikular lateralis kanan, disertai perdarahan intraventrikular, edema perifokal, dan midline shift sekitar 1 cm. Selama perawatan, tim medis dan keluarga berulang kali melakukan family meeting mengenai keputusaan DNR. Keputusan DNR pada kasus didukung oleh prognosis neurologis yang buruk, ditandai oleh volume hematoma besar, perdarahan intraventrikular, midline shift, dan ketergantungan ventilator yang mengarah pada medical futility. Berdasarkan proses komunikasi antara keluarga dan tim medis, keluarga memahami kondisi medis pasien dan menyetujui keputusan DNR. Pemberian perintah do-not-resuscitate pada pasien seharusnya dibuat berdasarkan prognosis klinis, nilai, dan preferensi pasien serta hasil diskusi antara keluarga dengan tenaga kesehatan.
Case Report: Kebutuhan Psikososial dan Kesiapan Pulang Pasien Dewasa Awal dengan Combustio 43% TBSA di Ruang GICU Rumah Sakit Umum Daerah Kabupaten Bandung Hana Zahra; Anastasia Anna; Efri Widianti
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1483

Abstract

Pendahuluan: Luka bakar luas merupakan trauma serius yang tidak hanya berdampak pada kondisi fisik, tetapi juga menimbulkan permasalahan psikososial dengan prevalensi mencapai 28–75% pada penyintas. Selain itu, kesiapan pulang pasien luka bakar menjadi faktor krusial yang memengaruhi keberhasilan pemulihan jangka panjang di luar rumah sakit. Tujuan: Menggambarkan kondisi psikososial pada pasien dewasa muda dengan luka bakar luas dan kesiapan pasien untuk pulang. Metode: Laporan kasus ini menggunakan pendekatan deskriptif observasional. Data diperoleh melalui observasi, wawancara, pemeriksaan fisik, pemeriksaan penunjang, dan dokumentasi keperawatan selama 3 hari di GICU dan 5 hari di ruang rawat inap RSUD Kabupaten Bandung. Kerahasiaan identitas pasien dijaga dan informed consent telah diperoleh. Presentasi Kasus: Seorang laki-laki berusia 19 tahun, mengalami luka bakar derajat II seluas 43% TBSA akibat ledakan gas. Pasien tampak tidak menunjukkan gangguan citra tubuh, namun terdapat sejumlah tanda yang mengindikasikan kemungkinan fase denial pasca-trauma. Kondisi ini diduga dipengaruhi oleh norma maskulinitas dan tuntutan peran sebagai anak pertama yang mendorong pasien menyembunyikan kerentanan emosionalnya. Terkait kesiapan pulang, ditemukan kesenjangan pengetahuan yang tidak disadari, di mana pasien dan keluarga merasa informasinya sudah memadai namun belum memahami proses penyembuhan jangka panjang, perawatan area skin graft, pencegahan komplikasi, kebutuhan fisioterapi, perlindungan kulit pasca-luka bakar, serta kebutuhan psikososial pasien pasca-pemulangan. Kesimpulan: Kondisi psikososial pasien dewasa muda dengan luka bakar luas tidak selalu tampak dari luar dan dapat tersembunyi di balik mekanisme koping menghindar yang bersifat maladaptif. Identifikasi dini fase denial, pendekatan komunikasi yang sensitif terhadap konteks budaya dan gender, serta perencanaan edukasi komprehensif sebelum pemulangan merupakan komponen penting dalam asuhan keperawatan holistik pada pasien ini.
Co-Authors Aan Nur&#039;aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aldri Frinaldi Andrianthi, Salsyah Anita Setyawati Asmara, A Danang Atlastieka Praptiwi Audly, Tazkia Badliana Ayu Prawesti Priambodo Barkah Waladani Cecep Eli Kosasih Deris Riandi Setiawan Donny Mahendra Donny Nurhamsyah Dos Reis , Silvestre Efri Widianti Endah Setianingsih Eryani, Theresia Etika Emaliyawati Evangelista, Gabriela Fauziah, Oktaviani Febianti, Ranti Findhya Rachma Pravidanti Finny Fauziah Hidayat Firman Sugiharto Fitri Sesilia Freitas, Lurdes A Hana Zahra Heni Dwi Windarwati Henik Tri Rahayu Henny Suzana Mediani Heriyansyah, Heriyansyah Ikeu Nurhidayah Ilfanty, Ananda Rafa Irfandi Rahman Jessica Jessica Larashati, Defa Lesmana, Hendy Lin, Mei-Feng Linlin Lindayani Linlin Lindayani Marlynda Triana Megawati, Sri Wulan Mudiyanselage, Sriyani Padmalatha Konara Nai-Ying Ko Nehemia Simanjuntak Neli Hartini Nintyas, Felantina Restyar Noya, Fricilia Nur Aini Nuraeni, Aan Nursiswati Nur’aeni, Aan Oktafianti, Mutiara Annisa Oktavia Nu razizah Jain Pebianti, Ranti Plita Muliahati Pravidanti, Findhya Rachma Puji Rahayu Rahmah Tresnala Rahmi Harlasgunawan , Alia Reza Ariyanur Rian Nugraha Risnandar, Mochammad Wisnu Ristina Mirwanti Ristina Mirwanti Rizki Mardhotulloh Syarief Rizkiani Tri Ramdani Rosi Handayani Sari, Wulan Puspita Septi Rizki Amaliyah Sesilia , Fitri Setianingsih - Setianingsih, Endah Shasqia Novelia Dingri Sheren Yolavia Soleha, Nisa Cahya Sri Susilaningsih Sugiharto, Firman Susilaningsih, Sri Sutisnu, Ajeng Andini Syifanaurah, Salma Taty Hernawaty Tri Wahyu M Tri Wahyu Murni Trisyani , Yanny Tutu April Ariani Ulfah Nasti Wiliastuti Uluwiyya, Rahma Valentina B.M Lumbantobing, Valentina B.M Waladani, Barkah Wiliastuti, Ulfah Nasti Yanny Trisyani Ying-Chin Liao Yuli Wahyuni Yusanti, Irma