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Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Nur Ummi Hayati; Akbar Asfar; Wan Sulastri Emin; Sudarman Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Penerapan Terapi Guided Imagery Pada Tn. A Terhadap Penurunan Skala Nyeri Pada Pasien Gastritis Di Rs Ibnu Sina Makassar Musdalifa Musdalifa; Yusrah Taqiyah; Sudarman Sudarman; H Muhajirin
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.148

Abstract

Gastritis is one of the most common digestive disorders, often referred to as heartburn. This condition is characterized by inflammation of the gastric mucosa due to irritation or infection, which can lead to stomach damage if it persists. Gastritis is typically diagnosed based on clinical symptoms without histopathological examination. One non-pharmacological approach to alleviating pain caused by gastritis is Guided Imagery, a relaxation technique involving guided imagination to create positive mental images perceived by various senses. This technique aims to provide a calming effect and help reduce pain perception. This study aimed to evaluate the effectiveness of Guided Imagery in reducing pain intensity among patients with gastritis. The implementation of Guided Imagery was carried out as part of nursing interventions for patients with gastritis. The results showed that this technique effectively reduced pain levels, as indicated by a decrease in pain intensity and a reduction in expressions of discomfort, such as the absence of grimacing. Additionally, patients reported feeling more relaxed and comfortable after the therapy. In conclusion, Guided Imagery has proven to be an effective non-pharmacological method for reducing pain in gastritis patients. Given its benefits, this therapy can be recommended as part of a holistic approach to pain management for gastritis patients, particularly for those seeking to avoid or complement pharmacological treatments.
Penerapan Slow Deep Breathing Terhadap Penurunan Tingkat Nyeri Pada Pasien Hipertensi Di IGD Rs Ibnu Sina YW.UMI Makassar Widiya Satuwo; Sudarman Sudarman; Idelriani Idelriani; Rochfika Rochfika
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.149

Abstract

Hypertension is a chronic condition characterized by increased blood pressure in the arteries, which can disrupt the supply of oxygen and nutrients to body tissues. One nursing intervention for pain management in hypertensive patients is the slow deep breathing (SDB) technique. This technique can reduce pain intensity, stabilize heart rate and blood pressure, alleviate muscle tension, and improve patient well-being. This study aims to evaluate the effectiveness of SDB in reducing pain levels among hypertensive patients in the Emergency Department of RS Ibnu Sina YW.UMI Makassar. The implementation of this nursing intervention showed significant results, with a reduction in patients' pain levels from moderate (NRS 6) to mild (NRS 4), leading to a decrease in headache complaints. These findings indicate that SDB is an effective and efficient method for alleviating pain in hypertensive patients, making it a practical and applicable non-pharmacological intervention in healthcare settings.
Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar Nurlaela Sari Askar; Sudarman Sudarman; Wan Sulastri Emin; Muhajirin Maliga
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/v0t25860

Abstract

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.
Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Nur Haeni; Sudarman Sudarman; Wan Sulastri Emin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Abstract

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Nur Ummi Hayati; Akbar Asfar; Wan Sulastri Emin; Sudarman Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Wearable-Integrated Education and Its Association with Self-Management and Quality of Life Among Patients with Hypertension: A Quasi-Experimental Study Sudarman, Sudarman; Asfar, Akbar; Asnaniar, Wa Ode Sri; Siokal, Brajakson; Ratniwati S, Wa Ode
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.91277

Abstract

Introduction: Hypertension is a leading global health concern requiring sustained self-management to prevent complications and improve quality of life. While digital health interventions are increasingly adopted, evidence on the effectiveness of wearable-integrated education in hypertension management remains limited.Objective: This study aimed to evaluate the effectiveness of wearable-integrated education on self-management behaviors and quality of life in patients with hypertension.Methods: A quasi-experimental study was conducted with 200 hypertensive patients recruited from community health centers. Participants were allocated into an intervention group (n = 100), which received wearable-integrated educational modules providing personalized feedback and reminders, and a control group (n = 100), which received standard health education. Outcomes included self-management, measured using the Hypertension Self-Management Behavior Questionnaire (HSMBQ), and quality of life, assessed with the WHOQOL-BREF. Descriptive, correlation, and multivariate regression analyses were performed.Results: Participants had a mean age of 54.2 years (SD = 9.1), with no significant baseline differences between groups. Post-intervention, the intervention group reported significantly higher self-management scores (78.4 ± 8.6 vs. 70.2 ± 9.1; p 0.001) and quality of life scores (82.6 ± 10.2 vs. 75.1 ± 11.0; p 0.001) compared with controls. Correlation analyses indicated that higher education, shorter duration of hypertension, and intervention participation were positively associated with outcomes. Multivariate regression confirmed the intervention as an independent predictor of both self-management (β = 0.39, p 0.001) and quality of life (β = 0.36, p 0.001), with models explaining 29% and 26% of the variance, respectively.Conclusion: Wearable-integrated education significantly improves self-management behaviors and quality of life among hypertensive patients. These findings highlight the potential of integrating wearable technology with educational strategies as a scalable, community nursing–driven approach to hypertension management
Co-Authors A. Yuna Triana AA Sudharmawan, AA Abd. Haris, Rizka Putri Yulianti Agusrianti Agusrianti Agustini, Tutik Akbar Asfar Akbar Asfar Akbar Asfar Akbar Asfar Alam , Rizqy Iftitah Aldri Frinaldi Andi Fatmawati Andi Surahman Batara Andi Yuliana Andi Yuliana Armelia Sri Diah Safitri Asfar, Akbar Asnaniar, Wa Ode Sri Awindah Azwar Azwar Azwar Azwar Besse Aulia Rahma Brajakson Siokal Brajakson Siokal Brajokson Siokal Dewi Ulfani Dioso, Regidor III Eka Lutfiatus Solehah Ernasari Ernasari Fairus Prihatin Idris Fatma Jama Firmansyah Firmansyah Gusniaty, Gusniaty H Muhajirin Haeril Amir Haeril Amir Hassan, Hafizah Che Ibrahim, Fifi Nur Afifah Idelriani Ikbar Ibrahim Irmiatinarahma Pago Joko Prasetyo Jumini, Vivi Kadriah Kika La Asu, Supardin Lamukara, Iin Utami Yasrianti Maliga, Muhajirin Masita Duhaling Matdoan, Riska Amelia Muammar Muammar, Muammar Muhajirin Maliga Muhajirin Maliga Muhajirin Muhajirin Musdalifa Musdalifa Muslimah Kurniawati Nadia Aryani Mustar Novitri Cahyani Marinda Nur Ayunda NUR FADILLAH Nur Haeni Nur Ilah Padhila Nur Rahmah Nur Ummi Hayati Nurlaela Sari Askar Nurwahidah Nurwahidah Nuzulia Ramadhani Syarfan Purnama, Hukma Ratu Putri Amalyah Ambanaga Raden Mohamad Herdian Bhakti Rahmawati Ramli Ratniwati S, Wa Ode Reski Indahyani Rochfika Rochfika Rochfika Rochfika Safruddin, Safruddin Samsualam, Samsualam Sastriyadi Kuswanto Thamrin Satriani Satriani Sintawati Majid Sintawati Majid Sitti Aisyah Suci Hardiyanti Suharto Putri Suharto Putri, Suci Hardiyanti Suhermi Suhermi Suhermi Suhermi Syafutri Reski Wanti Laguni Syamsu Nujum Syamsuddin Syamsuddin Taqiyah, Yusrah Tisna HS Sianu Tjahjaningrum, Sajekti Wa Ode Sri Asnaniar Wa Ode Sri Asnaniar Wan Sulastri Emin Wan Sulastri Emin Widiya Satuwo Widyastuti Widyastuti Yulia Ervianti Yusrah Taqiah Yusrah Taqiyah Yusrah Taqiyah