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All Journal PROSIDING SEMINAR NASIONAL Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Kreativitas PKM Journal Health & Science : Gorontalo Journal Health and Science Community Jurnal Kajian Ilmiah Kesehatan Dan Teknologi (JKIKT) PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Kesmas Asclepius Jurnal Mitra Kesehatan I Care : Jurnal Keperawatan STIKes Panti Rapih KESANS : International Journal of Health and Science International Journal of Science and Society (IJSOC) Journal of Innovation Research and Knowledge SENTRI: Jurnal Riset Ilmiah Journal of Pubnursing Sciences Asian Journal of Social and Humanities Celebes Nursing Journal Jurnal Cendekia Ilmiah
Maria Astrid
Unknown Affiliation
Aerospace Engineering Humanities Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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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

Abstract

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

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Abstract

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

Abstract

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.
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

Abstract

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

Abstract

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.
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

Abstract

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 Irwida Waruwu; Maria Astrid
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

Abstract

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.
Co-Authors Allolinggi, Meryana Ambun Amalia Dewi S, Ryzka Arindya, Sekar Ayu Putri Asti Dwiyani, Benedicta Bere, Contriana Yusinta Budiharto - Cahyani Hia, Widia Daeli, Melfis Damianus Marissing dany eben Din, Yasinta Emilia Elly - Elly -, Elly Guisela, Sandrina Harianja, Jerni V Heiwer Matongka, Yulian Irwida Waruwu Junaidi Junaidi Kusdianto, Rijal Listiyani, Dwi Lucia Utami, Lucia Margaret, Waisaktini Maria Lousiana, Maria Nurhayati Nurhayati Pasaribu, Jesika Priyo Hastono, Sutanto Priyo, Sutanto Raden Mohamad Herdian Bhakti Rasmaida, Sada Ria, Tutur Sahat Dame Rislanniyata, Cindy Regina Rossalina, Enna Ryzka Amalia Dewi S Sihombing, Intan Kristinasari Suprapti, Fitriana Verawati, Yuli W, Catharina Dwiana Wadu, Novita Marcelina Kana Widjaya, Nila Kumala Wilhelmus Hary Susilo, Wilhelmus Hary Wulandari, Agnes Maharani Puji