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PEMASANGAN TEMPORARY PACEMAKER PADA POST OPERASI MITRAL VALVE REPLACEMENT SERTA PENANGANANNYA PASCA OPERASI: A CASE RESPORT Handayani, Audia; Emaliyawati, Etika; Trisyani, Yanny
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 3 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, September 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i3.1770

Abstract

Background: Valvular Heart Disease (VHD) occurs when one of the valves in the heart is damaged or dies. The highest prevalence of VHD is in mitral regurgitation. The management action that can be given to patients with mitral valve problems is Mitral Valve Replacement (MVR). Objective: To discuss the indications of Temporary Pacemaker (TPM) insertion in intra-operative MVR and the indications of collaborative drug administration in patients. Methods: Descriptive case-report of a 70-year-old woman with VHD after MVR surgery. Case Description: The patient had a history of Permanent Pacemaker (PPM 2023) ec. Bradycardia. Currently the patient was diagnosed with VHD and MVR surgery was performed. At the time of weaning Cardiopulmonary Bypass (CPB) to off, the patient's heart rhythm was not pacing and blood pressure dropped. So it was decided to go back on CPB and install a TPM. The patient received medical support therapy in postoperative care. Discussion: The indication for TPM insertion is to prevent postoperative heart rhythm disturbances and to temporarily replace the inactive PPM function. In postoperative management, the patient received medical therapy and therapeutic interventions. The results obtained are the patient's hemodynamic status is stable, pain is reduced, fluid balance is more negative, there are no signs of infection in the surgical wound, and minimal bleeding. Conclusion: TPM placement is required in patients with PPM if no pacing rhythm is found. The provision of collaborative medication with appropriate doses and indications is effective in reducing the risk of postoperative complications of MVR and stabilizing the patient's hemodynamics.
Disease prevention strategies following flood disasters: A scooping review Taqiuddin, Muhammad Hafidh; Stephania, Agnes; Wiguna, Ilham; Afriana, Reni; Agustin, Sigit; Liana, Yeni; Pakpahan, Yetty Mardelima Uli; Muthmainnah, Muthmainnah; Trisyani, Yanny; Emaliyawati, Etika
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1041

Abstract

Background: Floods are a frequent natural disaster that significantly impacts public health, particularly the spread of infectious diseases. Effective health interventions are needed to reduce post-flood health risks. Purpose: To map the literature related to post-flood disease prevention strategies. Method: This scoping review involved five main stages: (1) identifying the research question; (2) identifying relevant studies; (3) selecting studies; (4) recording data; and (5) summarizing and reporting the results. The literature search for this observation was conducted in three databases: the National Library of Indonesia, ScienceDirect, and Google Scholar. The inclusion criteria for articles were published between 2021 and 2025 in English and Indonesian, literature reviews, opinion pieces, editorials, or conference abstracts focused on post-flood disease prevention, the research setting was community-based, participants were health workers, and post-flood outcomes were the primary outcome. Results: Five key themes emerged from the analysis: increasing access to clean water and sanitation, community education, surveillance and rapid response, mental health support, and a multisectoral approach. Integrated and collaborative health interventions have proven crucial in reducing post-flood disease incidence. Conclusion: Despite progress in post-flood health interventions, there are still gaps in research focusing on long-term interventions, vulnerable populations, and multisectoral approaches. Recommendation: Future research should address these aspects to improve the effectiveness of health policies and practices in addressing post-flood health challenges.   Keywords: Disease Prevention; Post-Flood Disaster; Strategy.   Pendahuluan: Banjir merupakan bencana alam yang sering terjadi dan berdampak signifikan terhadap kesehatan masyarakat, terutama dalam penyebaran penyakit menular. Intervensi kesehatan yang efektif diperlukan untuk mengurangi risiko kesehatan pasca banjir. Tujuan:  Untuk memetakan literatur terkait strategi pencegahan penyakit pasca bencana banjir. Metode: Penelitian scoping review yang melibatkan lima tahapan utama: (1) mengidentifikasi pertanyaan penelitian; (2) mengidentifikasi studi yang relevan; (3) pemilihan studi; (4) pencatatan data; (5) merangkum dan melaporkan hasil. Pencarian literatur dalam tinjauan ini dilakukan di 3 database  yaitu Perpusnas, ScienceDirect dan Google Scholar. Kriteria inklusi artikel yaitu diterbitkan antara 2021-2025 dalam bahasa Inggris dan Indonesia, literature reviews, opini, editorial, atau abstrak konferensi berfokus pada pencegahan penyakit setelah banjir, setting penelitian di komunitas, partisipan adalah tenaga kesehatan, dan post floods sebagai outcome utama. Hasil: Lima tema utama yang muncul dari analisis adalah peningkatan akses air bersih dan sanitasi, edukasi masyarakat, surveilans dan respons cepat, dukungan kesehatan mental, dan pendekatan multisektoral. Intervensi kesehatan yang terintegrasi dan kolaboratif terbukti penting dalam mengurangi insiden penyakit pasca banjir. Simpulan: Meskipun terdapat kemajuan dalam intervensi kesehatan pasca banjir, masih terdapat kesenjangan dalam penelitian yang berfokus pada intervensi jangka panjang, populasi rentan, dan pendekatan multisektoral. Saran: Penelitian di masa depan perlu memperhatikan aspek-aspek ini untuk meningkatkan efektivitas kebijakan dan praktik kesehatan dalam menghadapi tantangan kesehatan pasca banjir.   Kata Kunci: Disease Prevention; Following Flood Disasters; Strategies.
Causal Factors of Violent Behavior in Patients with Schizophrenia: Literatur Review Sutini, Titin; Emaliyawati, Etika; Hidayati, Nur Oktavia; Widiasih, Restuning; Ermiati, Ermiati
Indonesian Journal of Global Health Research Vol 6 No 2 (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.v6i2.3015

Abstract

Schizophrenia causes distortion of thoughts, perception distortions, emotions, and behavior so that patients with schizophrenia have a higher risk of aggressive behavior where dramatic changes in behavior occur within a few days or weeks so that violent behavior is often associated with schizophrenic patients. Violent behavior is a situation where a person performs an action that can harm physically, both to himself and others. Although violent behavior is often associated with schizophrenic patients, not many studies have shown what factors can trigger violent behavior in schizophrenic patients. Aim this study was conducted to determine the factors causing the emergence of violent behavior in patients with schizophrenia. Method. This study uses Qualitative descriptive research approach to find out the description and problems in detail. The source of article data is done using databases and search engines, namely EBSCO, Springer, and Garuda. The strategy used to search the literature is to use the keywords Schizophrenia, Violent Behavior, and Factors. Inclusion criteria in this study were free full text and the year of article published in the range 2012-2022, in Indonesian and English, settings for various geographic locations and settings using the keyword cognitive behavior therapy. Results. Found 383 articles that have a theme according to the keywords entered. Furthermore, full-text article filtering and duplication filtering were carried out to obtain 219 articles. By using the inclusion and exclusion criteria, 6 research articles were obtained which were then analyzed in this study. Article analysis using PRISMA and PICO as the approach.Conclusion. Two main factors cause violent behavior in schizophrenic patients. These factors are predisposing factors such as the patient's personality and history of violence, as well as precipitating factors such as genetics, loss of self-concept, and disharmony in the patient's living environment.
Overview of the Level of Basic Life Support Knowledge in Members of the Humanitarian Student Activities Unit Handayani, Audia; Emaliyawati, Etika; Mirwanti, Ristina
Indonesian Journal of Global Health Research Vol 6 No 3 (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.v6i3.3190

Abstract

Cardiac arrest is a sudden cessation of heart activity that requires immediate treatment in the form of Basic Life Support (BLS). Students who are members of the Student Activity Unit (UKM) in the humanitarian field at Unpad are potential first aiders to provide basic life support in the event of cardiac arrest. This study aims to determine the level of knowledge of basic life support in students who are members of UKM in the humanitarian field at Universitas Padjadjaran. The method used in this research is quantitative descriptive with a cross sectional approach. The population in this study amounted to 158 active members of the humanitarian student activity unit and the sample was taken using convenience sampling type (n = 120). Data were collected using a questionnaire containing 30 questions that have been declared valid and reliable with a Cronbach's alpha value of 0.797 and data were analysed using computer software with univariate analysis techniques. The results showed that the level of knowledge of humanitarian UKM members at Unpad regarding basic life support was classified into the good category with a total of 108 respondents (90%). The conclusion in this study is that the level of knowledge of basic life support in members of humanitarian UKM at Universitas Padjadjaran is in the good category, but it is necessary to increase knowledge, especially on procedural topics related to basic life support.
The Overview of Caregiver Burden in Families with Hemodialysis Patient Salsabila, Nada; Pratiwi, Sri Hartati; Emaliyawati, Etika
Indonesian Journal of Global Health Research Vol 6 No 3 (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.v6i3.3199

Abstract

Chronic renal failure patients undergoing haemodialysis therapy experience various conditions and require long-term care which can cause a burden on the families who care for patients. This family caregiver burden can affect the quality of life of both patients and family caregivers, and also affect the care provided to patients. The purpose of the study was to determine the description of caregiver burden in families with haemodialysis patients. This study is a quantitative descriptive study and the sample was taken using purposive sampling technique (n = 107) with the inclusion criteria of respondents as the main caregiver with family members undergoing haemodialysis therapy at RSUD Sumedang, and physically and mentally healthy. Exclusion criteria in the study were potential respondents who refused to participate and respondents who decided to stop in the middle of the study. The burden of caregivers on the family was measured using the Burden Scale for Family Caregivers Short Scale (BSFC-s) questionnaire with test results, namely r results (0.634) > r table (0.786) as well as Cronbach alpha value of 0.900 which means this questionnaire is valid and reliable. The picture of caregiver burden shows that almost half of family caregivers are in the high category (49.5%) and most experience heavy burden in the physical dimension. The results of this study are expected to be used as a reference for learning and evaluation for nurses, family caregivers, and educational institutions to be able to carry out effective interventions that can be carried out to reduce the burden of care experienced by family caregivers.
Manajemen Nyeri pada Pasien Penurunan Kesadaran di Ruang Perawatan Intensif : scooping review Silviani, Sinta; Trisyani, Yanny; Emaliyawati, Etika
MAHESA : Malahayati Health Student Journal Vol 4, No 11 (2024): Volume 4 Nomor 11 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i11.16099

Abstract

ABSTRACT Pain is an unpleasant sensory and emotional experience resulting from tissue damage. Unconscious patients cannot directly communicate their pain to nurse, but this doesn’t meant they cannot feel pain. Pain in unconscious patients can arise from routine procedures such as prolonged immobilization to invasive procedures like surgery. Nursing interventions to manage pain are necessary to enhance patient comfort. This study aims to examine pain management in unconscious patients in the Intensive Care Unit. This type of research is a scoping review, searching for articles in the PubMed, SCOPUS, and EBSCO databases. The search process used keywords (unconscious patient OR coma OR sopor OR somnolent) AND (pain management OR pain relief OR pain control) AND (intensive care unit OR critical care OR HCU). 45 articles were found that matched the keywords, but only 5 articles were relevant to the review's objectives. Pain management for unconscious patients starts with recognizing pain symptoms, assessing pain, and followed by nursing interventions. Interventions that can be provided include TENS (Transcutaneous Electrical Nerve Stimulation), foot massage, and music therapy.  Keywords: Pain Management, Unconscious patient, ICU   ABSTRAK  Nyeri merupakan pengalaman sensorik dan emosional yang tidak menyenangkan akibat adanya kerusakan jaringan. Pasien yang tidak sadar tidak dapat mengatakan rasa nyeri yang dirasakan secara langsung pada perawat namun bukan berarti tidak dapat merasakan nyeri. Rasa nyeri pada pasien tidak sadar dapat berasal dari tindakan rutin seperti imobilisasi lama, hingga tindakan invasif yang seperti tindakan pembedahan. Intervensi perawat untuk mengatasi nyeri perlu dilakukan untuk meningkatkan kenyamanan pasien. Penelitian ini bertujuan untuk melihat manajemen nyeri pada pasien penurunan kesadaran di ruang Intensive Care. Jenis penelitian ini adalah scooping review, dengan mencari artikel pada database Pubmed, SCOPUS dan EBSCO. Proses pencarian menggunakan kata kunci (unconscious patient OR coma OR soppor OR somnolent) AND (pain management OR pain relief OR pain control) AND (intensive care unit OR critical care OR HCU).  Didapatkan 45 artikel sesuai kata kunci namun hanya didapatkab 5 artikel yang sesuai dengan tujuan review. Manajemen nyeri pasien tidak sadar dimulai dari mengenali gejala nyeri, pengkajian nyeri dan dilanjutkan dengan intervensi keperawatan. Intervensi yang dapat diberikan adalah TENS (Transcutaneous Electrical Nerve Stimulation), pijat kaki dan terapi musik.  Kata Kunci: Manajemen Nyeri, Pasien Tidak Sadar, ICU 
Prolonged Mechanical Ventilation (PMV) in Adult Patients in ICU (Definitions and Factors): a Scoping Review P, Yetti Kusmiati; Emaliyawati, Etika; Kosasih, Cecep E
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15728

Abstract

ABSTRACT Prolonged Mechanical Venilation (PMV) in the Intensive Care Unit can cause several problems including causing various diseases that are not expected, increasing the length of stay (LOS) of patients which ultimately increases the cost of care.This study aims to determine the limitations of the definition and factors associated with the incidence of Prolonged Mechanical Venilation (PMV) in patients in the ICU room. A scoping review was conducted using two databases, PubMed and CINAHL, with keywords Population: adult patients, Concept: Prolonged Mechanical Ventilation (PMV), Context: Intensive Care Unit. Articles included with the criteria are English articles, published in 2012-2022 and have full-text articles. Based on the search results, 38 articles were obtained which were then analyzed and 17 articles were reviewed. The results of the scoping review found that 3 out of 5 articles mentioned PMV was ventilator use above 21 days. Analysis of factors associated with PMV was seen from several approaches such as demographics. Three studies revealed that advanced age as a related factor. 14 out of 17 studies examined factors related to specific body conditions such as anemia, HAP, ARDS, Hematocytes and so on. While three other researchers discussed systems or tools. It can be concluded that almost all the analyzed articles mention that poor health conditions increase the duration of mechanical ventilation use. Keywords: Adult, Prolonged Mechanical Ventilation (PMV), Intensive Care Unit  ABSTRAK Prolonged Mechanical Venilation (PMV) di ruang Intensive Care Unit (ICU) dapat menimbulkan beberapa masalah diantaranya menimbulkan berbagai penyakit yang tidak di harapkan, meningkatkan lama rawat pasien length of stay (LOS) pasien yang pada akhirnya meningkatkan biaya perawatan. Penelitian ini bertujuan untuk mengetahui batasan definisi serta faktor-faktor yang berhubungan dengan kejadian PMV pada pasien di ruang ICU.  Metode dilakukan dengan scoping review menggunakan dua database yaitu PubMed dan CINAHLdengan kata kunci yaitu Population: pasien dewasa, Concept: Prolonged Mechanical Ventilation (PMV), Context: ruang Intensive Care Unit. Artikel yang masuk dengan kriteria adalah artikel berbahasa inggris, terbit tahun 2012-2022 dan memiliki artikel full-text. Berdasarkan hasil pencarian didapatkan 38 artikel yang selanjutnya dilakukan analisa data dan artikel yang akan di review 17 artikel. Hasil scoping review didapatkan bahwa 3 dari 5 artikel menyebutkan PMV merupakan penggunaan ventilator diatas 21 hari. Analisis faktor yang berhubungan dengan PMV dilihat dari beberapa pendekatan seperti demografi. Tiga penelitian megungkapkan bahwa usia lanjut sebagai factor yang berhubungan. 14 dari 17 penelitian meneliti faktor yang berkaitan dengan kondisi tubuh secara spesifik seperti anemia, HAP, ARDS, Hematoktit dan lain sebagainya. Sedangkan tiga peneliti lain membahas mengenai sistem atau tools. Kesimpulan studi ini adalah kondisi kesehatan yang buruk meningkatkan durasi penggunaan ventilasi mekanik. Kata Kunci: Adult, Prolonged Mechanical Ventilation (PMV), Intensive Care Unit.
Penilaian Agitasi Pada Pasien dengan Ventilasi Mekanis dan Tearpi Sedatif : A Case Report Audly, Tazkia Badliana; Emaliyawati, Etika; Anna, Anastasia
Nursing News : Jurnal Ilmiah Keperawatan Vol 8, No 2 (2024)
Publisher : Tribhuwana Tunggadewi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/nn.v8i2.3094

Abstract

Penilaian agitasi merupakan salah satu penilaian yang dilakukan untuk menilai status agitasi dan sedatif pada pasien perawatan khusus. Penggunaan ventilasi mekanis menyebabkan terjadinya agitasi pada pasien yang mempengaruhi manajamen sedatif pada pasien. Instrumen agitasi dapat menjadi acuan secara objektif, namun pengaplikasiannya masih jarang digunakan pada pasien perawatan khusus. Casse report ini bertujuan untuk menggambarkan risiko yang didapat pada Ny. L di ruang perawatan khusus tanpa penilaian agitasi secara objektif.  Ny. L berusia 52 tahun yang di rawat di ruang Medical Intensive Care Unit (MICU) RSUP Dr. Hasan Sadikin Kota Bandung Provinsi Jawa Barat. Pasien mengalami gagal nafas dan terpasang ventilator dengan terapi sedatif dexmedetomidine. Pasien terpasang restrain pada kedua tangannya dan tampak gelisah. Penilaian agitasi secara objektif dan berkala tidak dilakukan oleh perawat. Hasil penelitian mendapatkan kegagalan dalam proses penyapihan pada Ny. L dengan ditandai adanya penurunan kondisi pasien hingga terjadi perubahan ventilator pada pasien yang memperpanjang Length Of Stay pasien di ruang intensive. Sehingga dapat disimpulkan risiko perburukan dapat terjadi pada pasien intensive Ketika pemantauan agitasi tidak akurat dan tidak valid diantaranya  meningkatkan ketergantungan terapi sedatif dan ventilasi, Length Of Stay pasien lebih panjang, hingga proses penyapihan ventilator jangka panjang lebih dari 7 hari.
Literature Review: Intervensi Prone Positioning Dalam Pengelolaan Pasien dengan Acute Respiratory Distress Syndrome Emaliyawati, Etika; Sutini, Titin; Ermiati, Ermiati; Solehudin, Asep; Sugiharto, Firman; Widiasih, Restuning
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.15090

Abstract

ABSTRACT Acute Respiratory Distress Syndrome (ARDS) is one of the causes of most patients being admitted to the Intensive Care Unit (ICU) and has the potential to cause death due to inadequate gas exchange due to fluid in the alveoli. One of the interventions given is prone positioning to increase lung expansion. This study examines the benefits and impact of prone positioning intervention in ARDS patients. This literature review uses the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines with the keywords "ARDS, effectiveness, and prone positioning" using the Science Direct, PubMed, and Google Scholar databases. The inclusion criteria were full text in English or Indonesian with no restriction a publication year. 4,164 articles were collected according to keywords, and five articles that had gone through elimination and met the inclusion criteria were selected. Prone positioning in ARDS patients can reduce mortality and increase PaO2/FiO2. However, there are drawbacks, such as causing pressure ulcers in certain areas and does not reduce the potential complications of VAP. Prone positioning benefits patients by reducing mortality and increasing PaO2/FIO2. In practice, prone positioning must be supported by the presence of trained medical personnel, and possible complications must be reduced. Keywords: ARDS, Effectiveness, Prone Positioning  ABSTRAK ARDS atau Acute Respiratory Disstress Syndrom merupakan salah satu penyebab kebanyakan pasien masuk Intensive Care Unit (ICU) dan berpotensi menyebabkan kematian sebab pertukaran gas inadekuat akibat cairan di alveolus, salah satu intervensi yang diberikan adalah prone positioning untuk meningkatkan ekspansi paru. Penelitian ini bertujuan untuk melihat manfaat dan dampak dari intervensi prone positioning pada pasien ARDS. Literature review ini menggunakan panduaan Preferred Reporting Items for Systematic Reviews (PRISMA) dengan kata kunci “ARDS, efektivitas, dan prone positioning”dengan menggunakan database Science Direct, PubMed, dan GoogleSchollar. Kriteria inkluasi yaitu fulltext berbahasa Inggris atau Indonesia dan tidak ada retrisksi tahun publikasi. Terkumpul 4.164 artikel sesuai dengan kata kunci dan terpilih 5 artikel yang telah melalui eliminasi dan sesuai dengan kriteria inklusi. Prone posisitioning pada pasien ARDS dapat mengurangi angka kematian dan meningkatkan PaO2/FiO2, meskipun terdapat kekurangan seperti mengakibatkan pressure ulcer di bagian tertentu dan tidak mengurangi potensikomplikasi VAP. Prone positioning bermanfaat untukpasien sebab mengurangi angka kematian dan meningkatkan PaO2/FIO2. Dalam praktiknya, prone positioning harus ditunjang dengan kehadiran tenaga medis terlatih, dan mengurangi komplikasi yang mungkin terjadi. Kata Kunci: ARDS, Efektivitas, Prone Positioning
Peningkatan Kompetensi Perawat Puskesmas dalam Penanganan Tanggap Darurat Kasus Henti Jantung sebagai Upaya Menurunkan Angka Mortalitas pada Tatanan Pra Hospital Melalui Pelatihan Resusitasi Jantung Paru di Kabupaten Pangandaran Prawesti, Ayu; emaliyawati, etika; trisyani, yanny; adimiharja, adimiharja
Jurnal Keperawatan 'Aisyiyah Vol. 5 No. 2 (2018): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (318.188 KB) | DOI: 10.33867/jka.v5i2.44

Abstract

ABSTRACT There are many cardiac arrest events in the community that can not be saved because they do not get the right and quick action due to the ignorance and the inability of the nurses of the puskesmas to provide emergency response to cardiac pulmonary resuscitation. Cardiopulmonary resuscitation (CPR) is the main action in cardiac arrest and stop breath, which can increase life expectation. Goal to be achieved in the implementation of this program is Increased ability of nurse puskesmas in performing action of heart resuscitation of lung. The specific targets of the activities are the increased ability of health center nurses on the ability to perform cardiopulmonary resuscitation with the latest guidelines. and the implementation of a structured training program on pulmonary cardiac resuscitation at community health center nurses on an ongoing basis. Solutions offered to overcome the problem is the training of Lung Heart Resuscitation (RJP) to nurses Puskesmas. Training activities conducted for one day include pre-test evaluation, material exposure, rjp skills training and post training evacuation. The result showed that there was significant difference between attitude value and perceived behavioral control between before and after training, whereas there was no difference of subjective norm value between before and after training. Training on updating and increasing the competence of cardiopulmonary resuscitation should be done regularly and periodically. Routine and periodic training needs to be done to improve nursing services, especially cardiovascular emergency. Key Word : Nursing Public Health ,cardiac pulmonary resuscitation ABSTRAK Terdapat banyak kejadian henti jantung di masyarakat yang tidak dapat diselamatkan karena tidak mendapatkan tindakan yang tepat dan cepat akibat ketidaktahuan dan ketidakmampuan perawat puskesmas untuk memberikan tindakan tanggap darurat resusitasi jantung paru.. Tindakan resusitasi jantung paru (RJP) merupakan tindakan utama pada henti jantung dan henti napas, yang dapat meningkatkan harapan hidup.Tujuan yang ingin dicapai dalam pelaksanaan program ini adalah Meningkatnya kemampuan perawat puskesmas dalam melakukan tindakan resusitasi jantung paru. Target khusus kegiatan adalah Meningkatnya kemampuan perawat puskesmas tentang kemampuan melakukan resusitasi jantung paru dengan pedoman terbaru. dan terselenggaranya program pelatihan yang terstruktur mengenai resusitasi jantung paru pada perawat puskesmas secara berkesinambungan. Solusi yang ditawarkan untuk mengatasi permasalahan adalah dilakukannya pelatihan Resusitasi Jantung Paru (RJP) kepada perawat Puskesmas. Kegiatan pelatihan dilakukan selama satu hari meliputi evaluasi pra test, paparan materi, pelatihan skill rjp dan evaliasi post pelatihan. Hasil kegiatan menunjukan adanya perbedaan yang significant antara nilai sikap dan perceived behavioral control antara sebelum dan sesudah pelatihan, sedangkan tidak terdapat perbedaan nilai norma subjektif antara sebelum dan sesudah pelatihan. Pelatihan updating dan peningkatan kompetensi resusitasi jantung paru perlu dilakukan secara rutin dan berkala. Pelatihan secara rutin dan berkala perlu dilakukan untuk meningkatkan pelayanan keperawatan terutama kegawata dararuratan kardiovaskular Keywords: Perawat Puskesmas, Resusitasi Jantung Paru
Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aat Sriati Aat Sriati Ade Surya Dwiyanti adimiharja, adimiharja Adiratna Sekar Siwi Aditya Pratama Afriana, Reni agavia kristi purba Aggi Gregia Muhammad Iqbal Agni Rizkiani Agustin, Sigit Aiyi Asnawi Ali, Samin M. Aliffa Azwadina Almay Rayhan Arrafi Anastasia Anna Andi Miftahul Khair Anis Imtichan Anisah Rahmawati anisah rahmawati Anita Setyawati Anneke Dewina Anton Priambodo Arianto, Albertus Budi Arumsari, Dinda Piranti Asy Syafa Mahfuzhah Atlastika Praptiwi Audly, Tazkia Badliana Aulia Rahmah Azzah Dinah Rachmah Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Clarabelle Puspitadewi Kuncoro Darmawulan, Nurul Deris Riandi Setiawan Desy Indra Yani Dewi Dewi Dhiya Roihana Dhiya Ulhaq Iriana Dhiyaa Ulhaq Amatullah Diana Kusuma Astuti Didi Satiadi Dody Setyawan Donny Mahendra Donny Nurhamsyah Donny Nurhamsyah E, Ermiati Efri Widianti Eki Pratidina Ellin Febrina ENDAH NESTITI URIP RAHAYU Epi Rohaeti Ermiati Ermiati Ermiati Ermiati Ermiati Ermiati Esrha Theresya Siagian Esti Dwi Anani Evania Altsa Radinka Evi Nurjanah Evi Nurjanah F. Sri Susilaningsih F. Sri Susilaningsih, F. Sri Farly Ihsan Farly Ihsan Fatimah, Anugrah Nur Fatimah, Sari Fatimah, Sari Fauzan Zein Mutaqin Fauziyyah Ratih Asfari Femi Luih Nurhasanah Findhya Rachma Pravidanti Finka Laili Nur Adzillah Finka Laili Nur Adzillah Firman Sugiharto Firman Sugiharto Fitri Yoselin Yamadea Purba Fricilia Noya Gina Nurul Azmi Gun Gun Gulbudin Hamidah Nurhalimah Handayani, Annisa Yuniar Handayani, Audia Hanna Budhiyana Hapzi Ali Harlasgunawan, Alia Rahmi Harun, Hasniatisari Hasna Nurul Naafiah Jamaludin Henny Batubara Henny Suzana Mediani Henny Suzanna Mediani Henny Suzanna Mediani Heri Budiawan Herlina Silviana Hesty Adha Hikmat Permana Hilwah Nurul Arafah Iceu Mulyati Iis Kania Nurasiah Jamil Imas Rafiyah Inas Shintia Balqis Indah Permata Artamia Intan Humaeroh Intan Nurul Khofifah Intan Rukmana Iqra S Irman Somantri Ismailah Alam Iyus Yosep Jihan Salimah Aribah Kartika Saragih, Chintya Ysha Khairun Nisa Rahmawati Kosasih, Cecep E Kurniawan Yudianto Kusman Ibrahim Laksono Trisnantoro Laurentza Rikma Manika Lia Yulia Maulina Liana, Yeni Lidya Lidya Lin, Chiao Ling Lisdiawati Lisdiawati Luthfi Rahman, Luthfi M. Hanif Prasetya 'Adhi Masela, Victor Carlos Masruroh, Rurin Mediawati, Ati Surya Meideline Chintya Michael Mochamad Danny Muhammad Iqbal Assafa Murni, Tri Wahyu Muthmainnah Muthmainnah Mutiarasani, Anjani Nani Lestari Novarina Ismayani Anumilah Novia Rahmawati Noya, Fricilia Nur Intan Hayati Husnul Khotimah Nur Oktavia Hidayati Nur Oktavia Hidayati Nuraeni, Nopi Nurhayati, Resti Nursiswati P, Yetti Kusmiati Pakpahan, Yetty Mardelima Uli Pravidanti, Findhya Rachma Priambodo, Ayu Prawesti Rahayu Merdekawati Rahdatul Aisyiyah Rahman, Lutfi Rahmi Fitriyani Ramdani Ramdani Rauzana, Sarah Restuning Widiasih Retno Wahyuningsih Riri Amalina Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rizkika Nur Amalia Rizkika Nur Amalia Rizky Meilando Rusna Tahir Salasa, Sehabudin Salsabila, Nada Salwa Mawaddah Sandra Pebrianti Santi Ariyanti Santi Ariyanti Sari Fatimah Sari, Wulan Puspita Saripudin, Nurul Fatimah Sejati, Femmy Aditya Purnama Senny Nur Wulan Senny Nur Wulan Septiana Fathonah Shari, Weni Widya Shelen Indah Tripriantini Silviani, Sinta Sinaga, Freda Mai Siska Yan Hermana Siti Nur Damayanti Siti Nurfazri Sodiqiah Siwi, Adiratna Sekar Soleha, Nisa Cahya Solehudin, Asep Soni Muhsinin Sri Hartati Pratiwi Sri Hendrawati Srimurni, Nita Ayu Stephania, Agnes Sugiharto, Firman Suryani S Suryani Suryani Sutisnu, Ajeng Andini Syafitri, Ardyanti Syahrizal Syahrizal Syifa Melya Fauziyah Tahir, Rusna Taqiuddin, Muhammad Hafidh Titin Sutini Titin Sutini Tri Wahyu Murni Tri Wahyu Murni Trisyani , Yanny Tuti Pahria Umy Riskyani Untung Sudharmono Urip Rahayu Vania Dwi Ramadhani Widhya Aligita Wiguna, Ilham Witjaksono, Galuh Yani AF Bastian Yanny Trisyani Yanny Trisyani Yanny Trisyani Yayan Mulyana Yulianti Anjayani ZAHRUL INSAN SISMAYADI Zamharira Zamharira