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Pengalaman Pasien HIV/Aids dalam Menjalani Pengobatan ARV di RSUD Nabire: Literature Review Allolinggi, Meryana Ambun; Astrid, Maria
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 9 (2025): SENTRI : Jurnal Riset Ilmiah, September 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i9.4519

Antiretroviral (ARV) therapy plays a crucial role in the management of HIV/AIDS, particularly in Regional General Hospitals (RSUD). This article, based on a literature review, explores patients’ experiences while undergoing ARV treatment and the diverse challenges that accompany it. The decision-making process at the beginning of therapy often becomes a difficult stage, as patients face doubts, fears, and social pressures. Nevertheless, adherence to ARV therapy has been proven to bring significant benefits, especially in improving patients’ quality of life and extending life expectancy. On the other hand, social stigma remains a major barrier, both from the surrounding community and within the patients themselves. This stigma affects treatment adherence and patients’ mental well-being. The discussion highlights ethical considerations, clinical effectiveness, and the importance of a holistic approach that integrates physical, psychological, and social aspects of care. Findings emphasize that the success of HIV/AIDS management in RSUD relies not only on the availability of medication but also on comprehensive support systems. Therefore, this article recommends strengthening community education programs, providing psychosocial support services, and equipping healthcare workers with training to become more responsive to patient needs.

EFEKTIVITAS PENGGUNAAN SKOR DIVA DALAM MENILAI KESULITAN AKSES INTRAVENA PADA PASIEN DEWASA LITERATUR REVIEW Ryzka Amalia Dewi S; Maria Astrid
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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

Introduction: DIVA Score, known as a level of difficulty guidance for intravenous access, is designed to assist healthcare workers in reflecting the likelihood of successful PIVC implantation or the risk with certain outcomes in patients and provide information for their decision-making. Approximately 90% of hospitalized patients receive peripheral intravenous catheters, to administer fluids, parenterals and medications. However, for healthcare professionals, difficulties in obtaining devices are sometimes frustrating, challenging, and time-consuming, as well as significant costs associated and often requiring the involvement of other healthcare professionals for further action. In addition, some attempts are associated with complications such as extravasation and phlebitis, including peripheral intravenous tissue depletion and treatment delays. Objective: Looking for further action for failed PIVC insertion. Methods: A search was performed in research for DIVA Scores in Adults. Twelve publications were identified. Results: USG guided has great results in successful attempts for PIVC in high DIVA Score patients. Conclusion: USG can be the treatment of choice for Difficult Intravenous Access patients instead of medical workers' experience or internal factors from the patients

Effectiveness of Using DIVA Scores in Assessing Intravenous Access Difficulty in Adult Patients: A Literature Review Amalia Dewi S, Ryzka; Astrid, Maria
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 12 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i12.441

Introduction: DIVA Score, known as a level of difficulty guidance for intravenous access, is designed to assist healthcare workers in reflecting the likelihood of successful PIVC implantation or the risk with certain outcomes in patients and provide information for their decision-making. Approximately 90% of hospitalized patients receive peripheral intravenous catheters, to administer fluids, parenterals and medications. However, for healthcare professionals, difficulties in obtaining devices are sometimes frustrating, challenging, and time-consuming, as well as significant costs associated and often requiring the involvement of other healthcare professionals for further action. In addition, some attempts are associated with complications such as extravasation and phlebitis, including peripheral intravenous tissue depletion and treatment delays. Objective: Looking for further action for failed PIVC insertion. Methods: A search was performed in research for DIVA Scores in Adults. Twelve publications were identified. Results: USG guided has great results in successful attempts for PIVC in high DIVA Score patients. Conclusion: USG can be the treatment of choice for Difficult Intravenous Access patients instead of medical workers' experience or internal factors from the patients.

Faktor-Faktor yang Mempengaruhi Kejadian Hipertensi pada Pekerja : Literature Review: Factors Affecting the Incidence of Hypertension in Workers : Literature Review Midu, Sergio Yudi; Astrid, Maria
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 3 (2024): March 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i3.4846

Latar belakang: Hipertensi adalah suatu kondisi atau keadaan yang secara signifikan dapat meningkatkan resiko penyakit lainnya. Prevalensi dari kejadian hipertensi didunia dapat meningkat setiap tahunnya. Komplikasi hipertensi dapat menyebabkan komplikasi seperti, stroke, infark miokard, gagal jantung dan gagal ginjal. Tujuan: Penelitian ini memiliki tujuan untuk memberikan gambaran terkait faktor-faktor apa saja yang mempengaruhi kejadian hipertensi pada pekerja. Metode: Dalam penulisan ini metode yang digunakan adalah literature review dengan pendekatan narative review. Data yang digunakan merupakan data sekunder yang didapatkan dari beberapa database seperti: Google Schoolar, DOAJ, Pubmed, Science Direct dan Research Gate. Pencarian literatur menggunakan kurun waktu tahun penerbitan jurnal dari tahun 2019 hingga 2023. Hasil: Hasil telaah dari keseluruhan artikel yang telah dikaji menggambarkan bahwa berbagai faktor resiko dari hipertensi yang dialami pekerja terdiri dari durasi tidur, konsumsi alkohol, stres kerja, lingkungan panas dan durasi dari jam kerja. Kesimpulan: Hipertensi terhadap pekerja dapat disebabkan oleh berbagai faktor resiko, sehingga pekerja yang bekerja dilingkungan panas dan bising serta bekerja dengan durasi kerja yang lebih besar dan durasi tidur yang tidak normal dan pekerja pekerja yang mengkonsumsi alkohol dalam jangka panjang beresiko mengalami hipertensi ditempat kerja.

Hubungan Antara Karakteristik, Jenis Stroke, Dukungan Keluarga dan Kualitas Hidup Pasien Stroke di Rumah Sakit Univeritas Kristen Indonesia Jakarta Asti Dwiyani, Benedicta; Astrid, Maria
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 2 No 2 (2021): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v2i2.184

Background: Stroke often results in the burden and thus may affect the patient's quality of life. Objective: This study aims to determine the relationship between characteristics, type of stroke, family support, towards quality of life of stroke patients at UKI Hospital Jakarta. Methods: This study used correlative descriptive research method with cross sectional approach. There were 81 stroke patients choosen using purposive sampling technique. This study conducted from June to July 2020. This study used a questionnaire as a measuring tool. Result: The results revealed that most of the respondents were 25-65 years old (76,5%), male (67,9%), graduated from high school (71,8%), unemployee (63,0%), developed ischemic stroke (76,5%), good family support (79,0%) and good quality of life (86,4%). Chi-Square statistical test showed a significant relationship between work (p value 0.039), type of stroke (p value 0.000) to quality of life for stroke patients; however, there was no significant relationship between age (p value 0.777), gender (p value 0.307), education (p value 0.177), and family support (p value 0.582) to quality of life for stroke patients. Conclusion: A significant relationship between work, type of stroke to quality of life for stroke patients. There was no significant relationship between age, gender, education, and family support to quality of life for stroke patients. It is suggested that Hospital should provide health workers with counseling to the families of stroke patients in outpatient department such as reminding families through posters or leaflets about family support for stroke patients.

Effectiveness of ERAS Nursing Programe to Pain Level, Early Mobilization and Length of Stay for Patients Post Cholecystectomy Laparoscopy in Pluit Hospital, Jakarta Widjaya, Nila Kumala; Astrid, Maria; Priyo, Sutanto
Asian Journal of Social and Humanities Vol. 2 No. 9 (2024): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i9.360

Laparoscopic Cholecystectomy is method surgery to choice. With the ERAS, role of nurses is high to care the patient recovery after surgery can reducing length of stay in hospital, post operative hospitalization early mobilization and level pain have been proven. However, most studies have been carried out in medical research. In this study, we evaluated the efficacy of ERAS compared with control perioperative period care for Laparoscopic Cholecystectomy. The research has been designed as a quasi-experiment one group control and group intervention. The study was conducted at Pluit Hospital, Jakarta from July-August 2023 on a total of 65 patients with 40 patients each in the ERAS group and 25 patients control group. The main outcome was the length of hospital stay after surgery. The secondary outcomes Numeric Rating Scale (NRS) scores for post operative pain and early mobilization after surgery. The ERAS group was provided with perioperative education, pre operation 2 hours oral carbohydrates, intra operative insulation, early mobilization post operative, multimodal analgesia (colaborative intervention) and early activity. In the ERAS group Numeric Rating Scale after surgery was lower (1,87 vs 5,72, p value < 0,001), more earlier mobilization (3,45 hours vs 9,12 hours, p value < 0,001) and the length of hospital stay after surgery was shorter (27,13 hours vs 74,84 hours, p value < 0,001). Conclusion: Even the research in X hospital Jakarta, the use of the ERAS Nursing Programme concept for Laparoscopic Cholecystectomy surgery can reduce the length of hospital stay and lessen the pain of patients after surgery, early mobilization and accelerate post operative recovery.

Pengaruh Latihan Range of Motion Aktif Terhadap Nyeri Dan Rentang Gerak Sendi Lutut Pada Lansia Dengan Osteoarthritis Di Puskesmas Doda Sulawesi Tengah Heiwer Matongka, Yulian; Astrid, Maria; Priyo Hastono, Sutanto
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 4 No. 1 (2021): January 2021
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Osteoarthritis adalah jenis arthritis yang paling umum yang berhubungan dengan degenerasi progresif dari tulang rawan artikular dalam sendi sinovial. Masalah utama osteoarthritis yaitu rasa nyeri, kekakuan sendi sehingga menyebabkan rentang gerak sendi terbatas. Tujuan penelitian ini menganalisis pengaruh latihan Range of Motion aktif terhadap nyeri dan rentang gerak sendi lutut pada lansia dengan osteoarthritis di Puskesmas Doda Sulawesi Tengah. Penelitian dilakukan pada April-Mei 2020 dengan rancangan quasy experimental pretest-posttest control group. Responden dipilih dengan teknik simple random sampling dibagi dalam kelompok intervensi (n=22) yang menerima latihan Range of Motion selama 4 minggu (5xseminggu) dilakukan 8 kali dengan repetisi atau pengulangan 3 kali dan kelompok kontrol (n=68) tidak dilakukan intervensi oleh peneliti. Intensitas nyeri diukur menggunakan VAS & rentang gerak sendi diukur menggunakan alat goniometer. Hasil penelitian mayoritas intensitas nyeri sebelum dilakukan latihan Range of Motion kelompok intervensi nyeri sedang (4-6) = 60,0% sesudah intervensi nyeri ringan (1-3) = 33,3%, sedangkan kelompok kontrol sebelum dan sesudah penelitian tetap mayoritas nyeri sedang (4-6). Rentang gerak sendi lutut sebelum dilakukan intervensi 24,4% dan sesudah intervensi 92,2%, sedangkan kelompok kontrol sebelum dan sesudah penelitian 4.55%. Hasil analisis uji paired sampel t-tes ada perbedaan penurunan nyeri dan rentang gerak sendi lutut sebelum dengan sesudah intervensi Range Of Motion (p=0,000 ; <0,05). Hasil uji regresi linear berganda menunjukkan bahwa intervensi Range of Motion berpengaruh terhadap nyeri (p=0,000) & rentang gerak sendi lutut (p=0,000). Penelitian ini merekomendasikan latihan Range of Motion sebagai salah satu jenis terapi yang mudah dilakukan oleh Lansia dengan osteoarthritis untuk menurunkan nyeri sendi dan meningkatkan rentang gerak sendi lutut. Di sarankan agar latihan ini dapat dilakukan oleh Lansia secara rutin dan teratur.Â

Efektivitas Oral Hygiene Menggunakan Povidone-Iodine 1% terhadap Pencegahan Pneumonia pada Pasien dengan Penurunan Kesadaran di Ruang ICU Daeli, Melfis; Astrid, Maria
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 8 No 1 (2026)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v8i1.315

Ventilator-Associated Pneumonia (VAP) is a nosocomial infection that frequently occurs in patients treated in the Intensive Care Unit (ICU), particularly among stroke patients with comorbid diabetes mellitus who require mechanical ventilation. Decreased level of consciousness, endotracheal tube insertion, impaired protective airway reflexes, and hyperglycemic conditions increase the risk of oropharyngeal microorganism colonization that may lead to VAP. One of the nursing interventions recommended in the VAP prevention bundle is oral hygiene using antiseptic agents. This study aimed to analyze the effectiveness of oral hygiene using 1% povidone-iodine in preventing Ventilator-Associated Pneumonia in stroke patients with diabetes mellitus receiving mechanical ventilation in the ICU. This study employed a descriptive case study design involving two patients treated in the same hospital ICU: one patient diagnosed with recurrent ischemic stroke and diabetes mellitus, and one patient diagnosed with ischemic stroke and diabetes mellitus. The nursing intervention consisted of scheduled oral hygiene using 1% povidone-iodine performed three times daily and combined with the VAP prevention bundle, including effective suctioning, 30° semi-Fowler positioning, and continuous clinical monitoring. Evaluation was conducted through clinical observation, including oral cavity hygiene, secretion characteristics, respiratory rate, oxygen saturation, random blood glucose levels, and the Modified Clinical Pulmonary Infection Score (MCPIS). The results demonstrated improved airway clearance in both patients, indicated by reduced secretion production, decreased rhonchi, stabilized respiratory rate, and increased oxygen saturation. Throughout the observation period, MCPIS values in both patients remained ≤5, and no clinical signs of VAP were identified. Therefore, oral hygiene using 1% povidone-iodine is effective in preventing Ventilator-Associated Pneumonia in stroke patients with diabetes mellitus receiving mechanical ventilation in the ICU and is recommended for integration into ICU nursing standard operating procedures.

Efektivitas Teknik Active Cycle Of Breathing Technique ( ACBT) Terhadap Penurunan Sesak Napas Pada Pasien Penyakit Paru Obstruksi Kronik (PPOK) Di Instalasi Gawat Darurat (IGD) RS X Jakarta Waruwu, Irwida; Astrid, Maria
J-CEKI : Jurnal Cendekia Ilmiah Vol. 5 No. 4: Juni 2026
Publisher : CV. ULIL ALBAB CORP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/j-ceki.v5i4.15371

Sesak napas merupakan keluhan utama pada pasien Penyakit Paru Obstruktif Kronik (PPOK) akibat obstruksi jalan napas, peningkatan produksi sekret, dan gangguan pertukaran gas. Penatalaksanaan sesak napas umumnya bersifat farmakologis; namun, intervensi nonfarmakologis seperti Active Cycle of Breathing Technique (ACBT) juga terbukti efektif. Tujuan: Menganalisis efektivitas ACBT dalam menurunkan sesak napas pada pasien PPOK di Instalasi Gawat Darurat RS X. Metode: Studi kasus dilakukan pada dua pasien PPOK dengan keluhan sesak napas. Intervensi ACBT meliputi tiga tahap: kontrol pernapasan, latihan ekspansi toraks, dan teknik ekspirasi paksa (huffing), dilakukan selama 10–15 menit dan diulang tiga kali. Tingkat sesak napas dievaluasi menggunakan keluhan subjektif serta parameter objektif, termasuk frekuensi napas dan saturasi oksigen. Hasil: Pada pasien pertama, frekuensi napas menurun dari 31 menjadi 20 napas/menit, dan saturasi oksigen meningkat dari 93% menjadi 98%. Pada pasien kedua, frekuensi napas menurun dari 29 menjadi 19 napas/menit, dengan saturasi oksigen meningkat dari 93% menjadi 97-98%. Kedua pasien menunjukkan penurunan penggunaan otot bantu pernapasan, napas lebih teratur, batuk lebih efektif sehingga sputum berhasil dikeluarkan, serta peningkatan kenyamanan dan toleransi bernapas. Kesimpulan: ACBT efektif sebagai intervensi nonfarmakologis untuk menurunkan sesak napas pada pasien PPOK dan dapat diterapkan dalam asuhan keperawatan gawat darurat berbasis bukti.

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