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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jurnal Kedokteran Brawijaya Journal of Innovation and Applied Technology MEDISAINS Majalah Kesehatan FKUB Jurnal Kesehatan Vokasional Poltekita : Jurnal Ilmu Kesehatan Health Information : Jurnal Penelitian Jurnal Aisyah : Jurnal Ilmu Kesehatan Pediomaternal Nursing Journal Jurnal Health Sains Caring : Jurnal Pengabdian Masyarakat International Journal of Science and Society (IJSOC) Indonesian Journal of Multidisciplinary Science Journal of Social Research Journal of Nursing Science Update Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Journal of Global Pharma Technology Jurnal Keperawatan

Laily Yuliatun

Department Of Nursing, Faculty Of Health Sciences, Universitas Brawijaya, Malang, Indonesia

Author-ID : 2411201

Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

Published : 33 Documents Claim Missing Document

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Acupuncture Prevent Progression of Cachexia in Breast Cancer in Outpatients of Dr. Saiful Anwar General Hospital Malang East Java Indonesia Laily yuliatun
Journal of Global Pharma Technology Volume 11 Issue 04.
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (453.826 KB)

Objective: This study was aimed to assess effect of acupuncture in progression of cachexia in breast cancer patient. Indicator progression of cachexia in this study is level of BMI, FM and FFM was measured before and after eight session of acupuncture procedure.Methods: Seven patients were diagnosed breast cancer provide eight acupuncture session before chemotherapy and radiotherapy procedure. Acupuncture procedure was done every 2 days, with duration 30 minutes for every session. Bioelectrical impedance analysis (BIA) measurements were taken at before and after eight acupuncture session to evaluate the body composition of patients. BIA is fast, inexpensive and noninvasive method for evaluating Body Mass Index (BMI), Fat Mass (FM) and Fat-Free Mass (FFM).Results and Conclusion: All patients were include in the analysis were complete the acupuncture intervention and BIA measurements. Average age was 54 years, with rang 47-58 years. Most of patients in advanced cancer, 28.5% stage 3 and 43% in stage 4. In this study acupuncture could prevent progression of breast cancer cachexia, with maintain body composition during procedure. BMI was relative constant after eight session of acupuncture (20.25±3.1; p>0.00). Similarly, from BIA measurement, FFM decrease only 0.4% (p>0.05) and FM increase 0.4% (p>0.05). The constant value of body composition mean acupuncture could maintain the metabolism rate in cachexia patients. This study indicate acupuncture could prevent progression of cachexia in breast cancer. Keywords: Acupuncture, Cachexia, Breast Cancer, Body composition.

Factors Affecting School-Based Mental Health in Adolescents: Scoping Review Bergita Dumar; Heni Dwi Windarwati; Laily Yuliatun
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Background: Adolescence is a transition period from childhood to adulthood that experiences growth and development marked by physical, psychological, and social changes. Teenagers spend a lot of time in the school environment, so school is one of the places that can have a big impact on adolescent mental health. Objective: This Scoping Review aims to discuss the factors that can affect school-based mental health in adolescents. Methods: This scoping review uses articles from the last ten years (2013 - 2022). Determination of keywords using the PICO format in accordance with the topic scoping review. Search articles using databases such as EBSCO, Science Direct and Google Scholar according to the inclusion and exclusion criteria that have been determined. The article identification process uses the PRISMA Flowchart chart. Results: there were 19 articles reviewed with the same theme showing that several factors affect the mental health of adolescents in the school environment such as knowledge and information, peer relations, academic pressure and technology. Conclusion: It can be concluded that a school environment is a place that has a considerable influence on the emergence of several factors that can impact mental health in adolescents. Abstrak: Latar Belakang: Remaja merupakan masa transisi dari masa kanak-kanak ke masa dewasa yang mengalami tumbuh kembang ditandai dengan perubahan fisik, psikologis, dan sosial. Remaja menghabiskan banyak waktu di lingkungan sekolah, sehingga sekolah menjadi salah satu tempat yang dapat memberi dampak besar terhadap kesehatan jiwa remaja. Tujuan: Scoping Review ini bertujuan untuk membahas terkait faktor-faktor yang dapat mempengaruhi kesehatan jiwa berbasis sekolah pada remaja Metode: Scoping review ini menggunakan artikel 10 tahun terakhir (2013 - 2022). Penentuan kata kunci menggunakan format PICO sesuai dengan topik scoping review. Pencarian artikel menggunakan database seperti EBSCO, Science Direct dan Google Scholar sesuai dengan kriteria inklusi dan eksklusi yang sudah ditentukan. Proses identifikasi artikel menggunakan bagan PRISMA Flowchart. Hasil: terdapat 19 artikel ditinjau dengan tema yang sama menunjukkan bahwa terdapat beberapa faktor yang mempengaruhi kesehatan jiwa remaja dilingkungan sekolah seperti pengetahuan dan informasi, hubungan teman sebaya, tekanan akademik dan teknologi. Kesimpulan: Dapat disimpulkan bahwa lingkungan sekolah merupakan tempat yang memiliki pengaruh cukup besar terhadap munculnya beberapa faktor yang dapat memberi dampak terhadap kesehatan jiwa pada remaja.

Pengaruh Video Edukasi Dukungan Kesehatan Jiwa dan Psikososial (DKJPS) terhadap Kecemasan dan Kualitas Hidup Lansia Sebelum dan Sesudah Vaksinasi Covid-19 Hesty Febrya Anisa Ulfa; Laily Yuliatun; Ayut Merdikawati; Heni Dwi Windarwati
Jurnal Keperawatan Vol 15 No 3 (2023): Jurnal Keperawatan: September 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i3.1072

Lansia merupakan kelompok rentan dalam pandemi COVID-19 sehingga lansia menjadi prioritas penerima vaksin COVID-19. Dalam pelaksanaannya, banyak lansia yang enggan untuk vaksinasi. Kecemasan selama proses Vaksinasi berdampak buruk terhadap efektivitas Vaksinasi serta berpengaruh pada penurunan kualitas hidup. Penelitian ini bertujuan menganalisis efektivitas video edukasi dukungan kesehatan jiwa dan psikososial (DKJPS) terhadap kecemasan dan kualitas hidup lansia sebelum dan sesudah vaksinasi COVID-19. Desain penelitian ini adalah quasi experimental dengan rancangan nonequivalent control group design. Responden penelitian terdiri dari 30 lansia yang terdaftar vaksinasi COVID-19 di Puskesmas Kepanjen. Instrumen penelitian adalah World Health Organization Quality of Life-BREF (WHOQoL) digunakan untuk mengukur kualitas hidup dan Generalized Anxiety Disorder-7 (GAD-7) digunakan untuk mengukur kecemasan pada lansia. Hasil penelitian ini dilakukan analisis menggunakan uji Wilcoxon dan Mann Whitney. Hasil penelitian menunjukkan terdapat pengaruh pemberian video edukasi DKJPS terhadap kecemasan dan kualitas hidup lansia sebelum dan sesudah vaksinasi COVID-19 dengan p value sebesar 0,001. Hasil analisis uji Mann-Whitney menunjukkan terdapat perbedaan signifikan rata – rata skor kecemasan (p-value 0,019) dan kualitas hidup (p-value 0,002) pada kelompok kontrol dan intervensi setelah pemberian video edukasi DKJPS. Berdasarkan hasil penelitian dapat disimpulkan bahwa terdapat pengaruh signifikan video edukasi DKJPS terhadap kecemasan dan kualitas hidup lansia sebelum dan sesudah vaksinasi COVID-19. Oleh karena itu, untuk menunjang kesuksesan vaksin COVID-19 pada lansia, edukasi melalui video DKJPS dapat dilakukan untuk menurunkan kecemasan selama Vaksinasi COVID-19.

Factor Contributing Length of Stay of COVID-19 Patients in Hospitals: Scoping Review Nana Septiana Widayati; Titin Andri Wihastuti; Laily Yuliatun; K Kumboyono
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

The very high transmission of COVID-19 has had a massive impact on the current health system, one of which is in hospitals. Understanding the length of stay for COVID-19 patients is needed in a pandemic because the demand for patient care in hospitals is increasing. This paper aims to understand the factors that can affect the length of stay of COVID-19 patients in the hospital. Searches were done on online databases at ScienceDirect, EBSCO, and Google Scholar. A systematic review was carried out on journals published in the last three years, namely 2019-2022, and in English, and met the inclusion and exclusion criteria that had been set. The search results found 12 articles that met the criteria and discussed various factors influencing the severity and length of hospital stay. Several factors identified as having an effect were comorbid, gender, smoking, gender, type of virus, severity, age, and laboratory finding. Hospital preparedness is needed to deal with fluctuations in COVID-19 patients and the number of requests for treatment facilities during the pandemic. Abstrak: Penularan COVID-19 yang sangat cepat menimbulkan dampak yang besar pada sistem kesehatan saat ini salah satunya di rumah sakit. Pemahaman mengenai lama perawatan di rumah sakit (length of stay) pada pasien COVID-19 sangat diperlukan dalam kondisi pandemi dikarenakan permintaan perawatan pasien di rumah sakit meningkat. Tujuan dari penulisan ini adalah untuk memahami faktor-faktor yang dapat berpengaruh pada lama rawat inap pasien COVID-19 di rumah sakit. Pencarian dilakukan pada database online di ScienceDirect, EBSCO dan Google Schoolar. Tinjauan sistematis dilakukan pada jurnal yang terbit pada 3 tahun terakhir yaitu tahun 2019-2022 dan berbahasa inggris serta memenuhi kriteria inklusi dan eksklusi yang telah ditetapkan. Hasil pencarian didapatkan 12 artikel yang memenuhi kriteria dan membahas berbagai faktor yang berpengaruh pada keparahan dan lama perawatan pasien di rumah sakit. Beberapa faktor yang diidentifikasi dapat berpengaruh adalah komorbid, jenis kelamin, merokok, jenis kelamin, jenis virus, tingkat keparahan, usia, dan hasil laboratorium. Diperlukan kesiapsiagaan rumah sakit dalam menghadapi fluktuasi pasien COVID-19 dan jumlah permintaan tempat perawatan selama pandemi berlangsung.

The Effect of Exclusive Breastfeeding on Mother's Weight Retention in Postpartum Period Ayut Merdikawati; Laily Yuliatun; Muladefi Choiriyah; Devi Hana Purnama Sari; Rani Diana Balqis
Journal of Social Research Vol. 2 No. 11 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i11.1489

Exclusive breastfeeding is giving only breast milk to babies, without other drinks food, or water, except for oral rehydration fluids, drops, or syrup containing vitamins, mineral supplements, or drugs recommended by health workers for medical reasons. Breast milk contains complete nutrition which is very good for growth and development and is easily digested by babies. Mothers who exclusively breastfeed find it easier and faster to lose weight to their pre-pregnancy state. As the gestational age increases, there is a progressive accumulation of maternal body fat. These fat reserves are a source of energy that will be used in the process of producing breast milk. By breastfeeding, the body will produce more breast milk so that fat deposits that function as energy reserves will be used. Thus shrinking fat deposits, the mother's weight will quickly return to its pre-pregnancy state. At present, postpartum weight gain is a separate problem for mothers because of frequent postpartum weight retention. The purpose of this study was to determine the effect of exclusive breastfeeding on maternal weight in the postpartum period. A research design used in this study is the pretest-posttest control group design. This study used a group of mothers who exclusively breastfed and a group of mothers who did not exclusively breastfeed as a control group. Data on exclusive and non-exclusive breastfeeding were taken using a questionnaire, while the mother's weight immediately after delivery was taken from the mother's KMS or health worker documents. Calorie intake data was taken using the semi-SSQ questionnaire. While data on body weight in the range of 0-6 months, was taken by way of the researcher weighing directly using the same scales for each respondent. research results obtained Exclusive breastfeeding on mothers causing maternal weight loss in the first 6 months postpartum. Weight retention did not occur as in the non-exclusive breastfeeding group.

Early Detection of Diabetic Foot Peripheral Neuropathy With The Michigan Neuropathy Screening Instrument (Mnsi): A Scoping Review Nunung Khairun Nissa Oper; Heri Kristianto; Laily Yuliatun
Jurnal Health Sains Vol. 4 No. 12 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

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

Background: Neuropathy is a major cause of morbidity and mortality in type 1 and 2 diabetes worldwide. The development of neuropathy and its severity increases with increasing duration of DM and poor glycemic control. Early detection of neuropathy is essential to prevent worse disease complications. Objective: to identify a simple instrument MNSI in detecting peripheral neuropathy of diabetic foot. Methods: Scoping review protocol using 5 steps of Aksey and O'Malley Framework. Inclusion criteria were published in 2016-2023, full text, English language and discussed the use of MNSI in detecting peripheral neuropathy. This article used 4 databases (Pubmed, ProQuest, and ScienceDirect) with the keywords "Michigan screening instrument AND diabetic neuropathy AND early detection". Results: There were 10 articles that fit the inclusion criteria that mentioned that MNSI is a simple tool in detecting peripheral neuropathy in diabetic foot. Conclusion: MNSI is a reliable instrument, easy to do and can be used by doctors, nurses, and health workers involved in the treatment of patients with diabetes mellitus

Predictors of Cardiac Arrest in Patients with Acute Myocardial Infarction in Singkawang City Suhendra Suhendra; Teguh Wahju Sardjono; Laily Yuliatun; Kelana Kusuma Dharma
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

The current nursing literature has not devoted adequate attention to studying cardiac arrest in hospitals, especially in patients with acute myocardial infarction. Identifying predictors of cardiac arrest in patients with acute myocardial infarction is needed to determine appropriate nursing strategies to prevent cardiac arrest. This study aims to determine the predictor factors of cardiac arrest in patients with acute myocardial infarction. This study used a retrospective cohort design with a population of 181 people who were treated with a diagnosis of STEMI and NSTEMI during 2017-2020. Data analysis using chi-square test, Spearman rank and logistic regression. Spearman rank analysis test, age p=0.045, r=0.149; systolic pressure p=0.002, r=-0.228; diastolic pressure p=0.020, r=-0.173; Heart rate p=0.064, r=0.138; the number of comorbid diseases p = 0.322, r = 0.074 and Killip class p = 0.000, r = 0.431. Chi-square analysis test, gender p=0.487, OR=1.322; ECG picture p=0.885, OR=1.060; troponin enzyme levels p=0.951, OR=1.025; and length of stay p=0.000, OR=0.181. The predictor factors for cardiac arrest in patients with acute myocardial infarction were Killip class, length of stay, systolic pressure and heart rate. The most dominant factor in influencing cardiac arrest in patients with acute myocardial infarction is the Killip class.Abstrak: Literatur keperawatan saat ini belum mencurahkan perhatian yang memadai dalam mempelajari henti jantung di rumah sakit khususnya pada pasien infark miokard akut. Mengidentifikasi factor predictor henti jantung pasien infark miokard akut diperlukan untuk menentukan strategi keperawatan yang tepat dalam mencegah kejadian henti jantung. Penelitian ini bertujuan untuk mengetahui factor prediktor kejadian henti jantung pada pasien infark miokard akut. Penelitian ini menggunakan desain cohort retrospective dengan populasi sebanyak 181 orang yang dirawat dengan diagnosis STEMI dan NSTEMI selama 2017-2020. Analisis data menggunakan uji chi-square, spearman rank dan regresi logistik. Uji analisis spearman rank, usia p=0.045, r=0.149; tekanan sistolik p=0.002, r=-0.228; tekanan diastolik p=0.020, r=-0.173; Heart rate p=0.064, r=0.138; jumlah penyakit komorbid p=0.322, r=0.074 dan kelas Killip p=0.000, r=0.431. Uji analisis chi square, jenis kelamin p=0.487, OR=1.322; gambaran EKG p=0.885, OR=1.060; kadar enzim troponin p=0.951, OR=1.025; dan lama rawat p=0.000, OR=0.181. Factor predictor kejadian henti jantung pada pasien infark miokard akut adalah kelas Killip, lama rawat, tekanan sistolik dan heart rate. Factor paling dominan dalam mempengaruhi henti jantung pada pasien infark miokard akut adalah kelas Killip.

Combination of Music Therapy and Murottal Therapy on Pain Level of Breast Cancer Patients Mery Eka Yaya Fujianti; Heri Kristianto; Laily Yuliatun
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Cancer causes complaints of pain. Pain is caused by cancer cell metastases, treatment, or both. Pain management can be done using a non-pharmacological approach including music therapy and murottal therapy. The purpose of this study was to determine the effect of a combination of music therapy and murottal therapy on the pain level of breast cancer patients at dr. H. Moh. Anwar Sumenep. This type of research is quantitative with a quasy experimental design and a pre-test post-test control group design approach. A total of 54 respondents were divided into treatment and control groups using purposive sampling technique. The measurement tool used is the McGill Pain Questionnaire (MPQ). Data were analyzed by univariate and bivariate analysis using the Wilcoxon test. The results showed that there was an effect of a combination of music therapy and murottal therapy on the pain level of breast cancer patients (p-value = 0.000). The combination of music therapy and murottal therapy has more points, namely beautiful tones and rhythms that are psychologically motivating and uplifting to deal with the problems at hand. The results of this study are expected to be a reference in using complementary therapies to reduce pain in breast cancer patients.Abstrak: Penyakit kanker menimbulkan beberapa keluhan diantaranya yaitu nyeri. Nyeri diakibatkan oleh metastase sel kanker, pengobatan, ataupun keduanya. Penanganan nyeri dapat dilakukan menggunakan pendekatan non farmakologi diantaranya yaitu terapi musik dan terapi murottal. Tujuan penelitian ini yaitu untuk mengetahui pengaruh kombinasi terapi musik dan terapi murottal terhadap tingkat nyeri pasien kanker payudara di RSUD dr. H. Moh. Anwar Sumenep. Jenis penelitian yaitu kuantitatif dengan desain quasy eksperimental dan pendekatan pre-test post-test control group design. Sebanyak 54 responden dibagi menjadi kelompok perlakuan dan kontrol menggunakan teknik purposive sampling. Alat ukur yang digunakan yaitu McGill Pain Questionnaire (MPQ). Data dianalisi dengan analisis univariat dan bivariat menggunakan uji wilcoxon. Hasil penelitian menunjukkan bahwa ada pengaruh kombinasi terapi musik dan terapi murottal terhadap tingkat nyeri pasien kanker payudara (p value=0,000). Kombinasi terapi musik dan terapi murottal memiliki poin lebih yaitu nada dan irama yang indah serta secara psikologis mampu memotivasi dan membangkitkan semangat untuk menghadapi masalah yang dihadapi. Hasil penelitian ini diharapkan dapat menjadi referensi dalam menggunakan terapi komplementer untuk mengurangi nyeri pada pasien kanker payudara

Improving Knowledge and Self-Efficacy in Caring at Home for Parents with Low Birth Weight Babies Sholihatul Amaliya; Rinik Eko Kapti; Asti Melani Astari; Laily Yuliatun; Nurona Azizah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Low birth weight babies (LBWB) are more vulnerable to health problems. It is challenging to care them after discharge from the hospital. Mother knowledge and self-efficacy are essential components in determining the quality of care and health outcome of LBWB. However, research investigating mother’s self-efficacy (consisting of self-efficacy in general care, performing KMC, and giving breastfeeding) in parents of LBWB is rare. We aimed to determine the effect of an audiovisual-based educational package on knowledge and self-efficacy in caring for LBWB at home. The study was a pre-post quasi-experimental research with a control group of 48 postpartum mothers with LBWB who met the inclusion criteria. Twenty-four of these mothers whose babies were cared for in the perinatology unit were provided an audiovisual-based educational package as an intervention group, and the rest of these were provided health education standards from the hospital from August to November 2023. Data were collected using a maternal knowledge questionnaire and a modified perceived maternal parenting self-efficacy (PMP-SE) questionnaire. The data were analyzed using the Paired t-test/Wilcoxon and Kruskall-Wallis tests. The analysis revealed that comparison of increasing post-test mean scores across groups (control compared to intervention group) were significantly different in Mother's knowledge (p less than 0,007) and self-efficacy in providing care of LBWB (p less than 0,021; p less than 0,001 and p less than 0,001). The mother's knowledge and self-efficacy significantly improve after received an audiovisual-based educational package. An audiovisual-based educational package for mothers with LBWB can be a helpful nursing intervention to improve mothers' knowledge and self-efficacy. Abstrak: Bayi berat lahir rendah (BBLR) lebih rentan mengalami masalah kesehatan, sehingga perawatan BBLR di rumah menjadi hal yang sulit. Pengetahuan ibu dan efikasi diri merupakan komponen penting dalam menentukan kualitas asuhan dan status kesehatan BBLR. Namun penelitian yang mengidentifikasi efikasi diri ibu (yang terdiri dari efikasi diri dalam perawatan umum, melakukan KMC, dan memberikan ASI) pada orang tua dengan BBLR masih jarang. Peneliti bertujuan untuk mengetahui pengaruh paket edukasi berbasis audiovisual terhadap pengetahuan dan efikasi diri dalam merawat BBLR di rumah. Penelitian merupakan penelitian eksperimen semu pre-post dengan kelompok kontrol sebanyak 48 ibu nifas dengan BBLR yang memenuhi kriteria inklusi. Dua puluh empat ibu yang bayinya dirawat di unit perinatologi ini diberikan paket pendidikan berbasis audiovisual sebagai kelompok intervensi, dan sisanya diberikan pendidikan kesehatan standar dari rumah sakit. Penelitian dilakukan di rumah sakit pendidikan negeri di Jawa Timur dari Agustus hingga November 2023. Pengumpulan data dilakukan dengan menggunakan kuesioner pengetahuan ibu dan kuesioner perceived maternal parenting self-efficacy (PMP-SE). Data dianalisis dengan menggunakan Paired t-test/Wilcoxon dan Kruskall-Wallis. Hasil analisis menunjukkan bahwa perbandingan peningkatan skor rata-rata post-test antar kelompok (kontrol dibandingkan kelompok intervensi) berbeda bermakna, yaitu pada pengetahuan ibu nilai p kurang dari 0,007 dan efikasi diri dalam memberikan perawatan BBLR dengan nilai p kurang dari 0,021 (efikasi perawatan umum BBLR); p kurang dari 0,001 (efikasi PMK) dan p kurang dari 0,001 (efikasi menyusui). Pengetahuan dan efikasi diri ibu meningkat secara signifikan setelah mendapatkan pendidikan kesehatan menggunakan media audiovisual. Paket edukasi berbasis audiovisual untuk ibu dengan BBLR dapat menjadi intervensi keperawatan yang bermanfaat untuk meningkatkan pengetahuan dan efikasi diri ibu.

Accuracy of ESI triage, qSOFA Score And Their Combinations As Predictor of Sepsis Prognosis Nikma Alfi Rosida; Teguh Wahdju Sardjono; Laily Yuliatun
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

This study is to identify the combination of ESI, qSOFA and their combination as a predictor of sepsis prognosis. The research method was a retrospective study design. Out of a total of 2394 MRs of patients during that period, there were only 112 MRs met the inclusion criteria and then included in this study, consisting of 42 survival and 70 un-survival outcomes respectively. Among the un-survival group, there were 41 (58,6%) have ESI 1-2, and 29 (41.4%) ESI 3-5; also 21 (30%) qSOFA more than 2, and 49 (70%) qSOFA less than 2. The sensitivity of ESI to predict the unsurvive outcome was 71.4% and its specificity was 28.6%. Meanwhile, the sensitivity of qSOFA to predict the unsurvive outcome was 30% and its specificity was 85.7%. The use of a combination of both to predict the prognosis was not significantly increased (p more than 0.05). The sensitivity of the combination of ESI and qSOFA to predict the unsurvive outcome was 61.9% and its specificity was 52.9%. So, a low ESI-score seemed to be more relevant to predicting the risk of unsurvival outcome than a high qSOFA, but a low qSOFA is more relevant to predicting the risk of survival outcome than a high ESI-score. The combination of both does not significantly increase the accuracy of the prognosis-predictor. Abstrak: Penelitian ini bertujuan untuk mengidentifikasi kombinasi ESI, qSOFA dan kombinasinya sebagai prediktor prognosis sepsis. Metode penelitian yang digunakan adalah desain penelitian retrospektif untuk membandingkan akurasi ESI dengan qSOFA. Data yang digunakan adalah seluruh rekam medis pasien di RS Sumberglagah Mojokerto, Jawa Timur, Indonesia. Kriteria inklusi adalah rekam medis pasien berusia lebih dari 18 tahun, data lengkap meliputi tekanan darah, HR, RR, SaO2 dan kadar ESI pasien. Dari total 2394 MR pasien selama periode tersebut, hanya 112 MR yang memenuhi kriteria inklusi dan kemudian dimasukkan dalam penelitian ini, terdiri dari 42 hasil survival dan 70 unsurvival. Diantara kelompok unsurvival, ada 41 (58,6%) memiliki ESI 1-2, dan 29 (41,4%) ESI 3-5; juga 21 (30%) qSOFA 2, dan 49 (70%) qSOFA kurang dari 2. Sensitivitas ESI adalah 71,4% dan spesifisitasnya adalah 28,6% untuk memprediksi unsurvive outcome, sedangkan sensitivitas qSOFA adalah 30% dan spesifisitasnya 85,7%. Kombinasi keduanya untuk memprediksi prognosis tidak meningkat secara signifikan (p lebih dari 0,05). Sensitivitas kombinasi ESI dan qSOFA adalah 61,9% dan spesifisitasnya adalah 52,9%. Skor ESI rendah tampaknya lebih relevan untuk memprediksi risiko hasil yang tidak bertahan hidup daripada skor qSOFA tinggi, tetapi skor qSOFA rendah lebih relevan untuk memprediksi risiko hasil kelangsungan hidup daripada skor ESI tinggi. Kombinasi keduanya tidak secara signifikan meningkatkan akurasi prediktor prognosis.

Co-Authors Achdiat Agoes Acik Wijayanti Aliyah Adek Rahmah, Aliyah Adek Amin Aji Budiman Asti Melani Astari Ayut Merdikawati Ayut Merdikawati, Ayut Azizah, Nurona Azizha Adila Fitri Bergita Dumar Christina Dewi Devi Hana Purnama Sari Dewi Purnama Sari Elvira Sari Dewi Fatma, Endah Panca Lidya Fransiska Imavike Fevriasanty Fujianti, Mery Eka Yaya Hayati, Yati Sri Heni Dwi Windarwati Heni Dwi Windarwati Heri Kristianto Hesty Febrya Anisa Ulfa Hidayat Sujuti Ika Setyo Rini Japar, Salimah Kamalia, Nabiela Kelana Kusuma Dharma Kumboyono Kumboyono Kuswantoro Rusca Putra Lailiyatul Munawaroh Lestari, Retno Lisajidin, Muhamad Maghfiratul Laily, Maghfiratul Maharanie, Jelita Masitah, Putri Dewi Muladefi Choiriyah Nana Septiana Widayati Niken Ummu Raehana Nikma Alfi Rosida Ningrum, Evi Harwiati Novia , Kristia Nunung Khairun Nissa Oper Nurona Azizah Nurul Evi Oper, Nunung Khairun Nissa Putri, Irenne Sekar Qomariyah, Durrotul Rahmayanti, Asih Devi Rani Diana Balqis Resti Ikhda Syamsiah Retty Ratnawati Rinik Eko Kapti Rinik Eko Kapti, Rinik Eko Ruliatna, Etty Fitria Saputriyana, Tasya Septiana, Lucy Puspita Setyoadi Setyoadi Sholihatul Amaliya Sholihatul Amaliya, Sholihatul Suhendra Suhendra Teguh Wahdju Sardjono Teguh Wahju Sardjono Tita Hariyanti Titin Andri Wihastuti Utami, Rahma Putri Windarwati, Heni Dwi Wirmando, Wirmando Yulaily Riza Yulian Wiji Utami Yulian Wiji Utami Yusfina Himayanti Yusuf Arifin

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