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The Influence of Knowladge and Atitudes on the Implementation of End of Life Care among Nurses in the Emergency Room and Intensive Room Alvareza Ratih Damayanti, Anastasia; Koerniawan, Dheni; Frisca, Sanny
UKMC International Conference (UKMC IC) Proceedings Vol. 1 No. 1 (2024): UKMC International Conference (UKMC IC) Proceeding
Publisher : Catholic University Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/ukmcic.v1i1.1298

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Modelling Quality Of Life Hypertensive Patient Koerniawan, Dheni; Frisca, Sanny
UKMC International Conference (UKMC IC) Proceedings Vol. 1 No. 1 (2024): UKMC International Conference (UKMC IC) Proceeding
Publisher : Catholic University Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/ukmcic.v1i1.1308

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Hypertension (HT) still become silent killer disease leading to mortality. Although many efforts and programs of HT increase blood pressure control, but internal factors such as age, gender, duration of illness (DOI), attitude, medication adherence (MA), routine check-up (RCU), and blood pressure (BP) still play important role to enhancing blood pressure control and even more so the quality of life (QoL) hypertensive patients. This research aims to testing a hypothetic modelling of previous research to find an internal factors model of QoL in hypertensive patients. Cross-sectional study used to 89 samples randomize due to online questionnaire collecting data. Correlation used to eliminate variables which did not significant adding to the model. Then model testing by partial-least square analysis. The result shows that attitude directly affect the MA and RCU significantly, also MA to BP and BP to QoL, but interestingly did not significant in RCU to BP. As addition, it has significant effect as attitude to BP through MA, MA to QoL through BP, and so simultaneously attitude to QoL with MA and BP as intervening. So, it becomes very important as nurses to empower patient’s attitude to manage and maintain their lifestyle with their hypertensive condition to enhance their adherence in medication so they blood pressure in controlled and will have a good quality of life.
Penerapan Massage Abdomen untuk Menurunkan Volume Residu Lambung pada Cronic Kidney Disease (CKD) di Ruang Intensive Care Unit Fransiska Fajar Mulyaningsih; Dheni Koerniawan; Vincencius Surani
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 4 No. 2 (2026): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v4i2.2139

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Chronic Kidney Disease (CKD) is a structural or functional abnormality of the kidneys that lasts ≥3 months with the criteria of eGFR <60 mL/min/1.73 m² or the presence of kidney damage such as albuminuria and urinary abnormalities (Kidney International, 2024). CKD patients, especially those treated in intensive care units, often experience gastrointestinal disorders such as increased volume of gastric residues. Giving enteral nutrition to patients with NGT can increase the volume of gastric residue which is at risk of causing complications. One of the non-pharmacological interventions that can be carried out is abdominal massage, which is a light massage technique in the abdominal area that can stimulate intestinal peristalsis and improve gastrointestinal motility. The purpose of this case study was to determine the effect of giving abdominal massage on reducing the volume of gastric residue in CKD patients in the ICU. This scientific paper uses a case study design using abdominal mass therapy. The number of respondents was 3 people, the intervention was carried out for 3 days with a time of 10-15 minutes. The application of abdominal massage therapy in the three respondents showed a decrease in the volume of gastric residue after admixture was carried out for three consecutive days with an average decrease in the volume of gastric residue, which was 50 cc - 75 cc. Abdominal massage is a safe and effective nonpharmacological nursing intervention to help reduce gastric residue volume and support enteral nutrient tolerance in CKD patients in the ICU.
PENGETAHUAN DAN EFIKASI DIRI DENGAN KINERJA PERAWAT DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI RUANG GAWAT DARURAT DAN INTENSIF M. Rizki Agustin Triyendi; Dheni Koerniawan; Lilik Pranata
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2143

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Resusitasi Jantung Paru (RJP) adalah prosedur penyelamatan nyawa darurat yang dilakukan ketika jantung berhenti berdetak. Baik tidaknya kinerja perawat dalam melakukan RJP dapat ditentukan oleh pengetahuan dan efikasi diri, dampak jika kinerja perawat saat melakukan RJP tidak baik, maka RJP kemungkinan besar tidak akan ROSC sehingga nyawa pasien akibat cardiac arrest tidak tertolong.. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan efikasi diri terhadap kinerja perawat dalam melakukan resusitasi jantung paru pada ruang gawat darurat dan intensif. Jenis penelitian adalah penelitian kuantitatif dengan pendekatan cross-sectional dan survei analitik, sampel berjumlah 36 dengan teknik total sampling, alat pengumpulan data menggunakan kuesioner dan analisis data menggunakan korelasi Kendall Tau-b. Hasil penelitian menunjukkan ada hubungan yang signifikan pengetahuan (p<0,001) dan efikasi diri (p<0,001) dengan kinerja perawat dalam melakukan resusitasi jantung paru di ruang gawat darurat dan intensif. Disarankan bagi perawat yang bekerja di gawat darurat dan intensif perlu untuk meningkatkan pengetahuan guna mencapai efikasi diri dan kinerja yang maksimal dalam melakukan RJP agar dapat memperbesar peluang hidup pada pasien yang mengalami henti jantung.
Pemberian Minum Air Hangat dalam Meningkatkan Bersihan Jalan Nafas pada Pasien Asma di Instalasi Gawat Darurat Lia Safina; Dheni Koerniawan; Sanny Frisca
Journal of Educational Innovation and Public Health Vol. 4 No. 2 (2026): April: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i2.8702

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Asthma is a heterogeneous disease characterized by chronic inflammation of the airways and respiratory symptoms such as wheezing, shortness of breath, chest tightness, and cough, which vary over time in both frequency and severity. This condition is accompanied by limitations in expiratory airflow, which can be either reversible or persistent. In asthma patients, especially those treated in the Emergency Department (ED), a common nursing problem is ineffective airway clearance due to mucus accumulation and bronchospasm. One strategy to address this is the administration of warm drinking water, aimed at improving airway clearance. The design used in this final nursing scientific paper is a qualitative case study with an intervention of warm water intake. The subjects of this study consisted of 3 asthma patients in the ED, and the intervention was conducted from January 3-11, 2026, at the Emergency Department of Charitas Hospital Km.7 Palembang. Airway clearance was measured before and after the intervention, which involved giving 200 ml of warm water at 38ºC, without a control group. After the intervention, all three patients showed improved airway clearance, indicated by more effective coughing, decreased sputum production, reduced wheezing, improved breathing patterns, and improved respiratory rate. The implementation of this evidence-based practice (EBP) is expected to provide additional information regarding the use of nonpharmacological therapy, specifically the administration of warm drinking water, in asthma patients with ineffective airway clearance.
Peningkatan Kesiapsiagaan Masyarakat Awam melalui Edukasi Bantuan Hidup Dasar Aniska Indah Fari; Lilik Pranata; Veroneka Yosefpa Winda Handayani; Sanny Frisca; Dheni Koerniawan
Suluh Abdi Vol. 8 No. 1 (2026): Suluh Abdi
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LPPM), Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/suluhabd.v8i1.1831

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Bantuan Hidup Dasar (BHD) merupakan tindakan pertolongan awal yang penting untuk meningkatkan peluang hidup pada individu yang mengalami henti napas dan henti jantung. Pelatihan BHD perlu diberikan kepada masyarakat awam karena kejadian kegawatdaruratan sering terjadi pada kondisi pra-hospital. Kegiatan pengabdian ini melibatkan 21 orang suster dari Kongregasi FCh yang memiliki pelayanan kepada orang sakit di panti jompo maupun rumah sakit. Kegiatan dilakukan melalui penyampaian materi menggunakan metode ceramah dan demonstrasi praktik BHD dengan bantuan CPR mannequin simulator. Setelah pemberian materi, peserta diminta mempraktikkan satu siklus BHD yang kemudian dievaluasi oleh instruktur dari FIKES UKMC. Hasil kegiatan menunjukkan adanya peningkatan nilai posttest dibandingkan pretest pada sebagian peserta. Dari aspek keterampilan, sebagian peserta berada pada kategori sedang dan sebagian lainnya pada kategori tinggi. Mayoritas peserta berusia 19–24 tahun dan belum pernah mengikuti pelatihan serupa sebelumnya. Secara umum, peserta menilai kegiatan ini bermanfaat dan menarik serta bersedia mengikuti pelatihan kesehatan lainnya.
Pelatihan Evidence Based Practice Nursing (EBPN) Pada Pasien Penurunan Peristaltik Usus Pasca Operasi Veroneka Yosefpa Winda Handayani; Lilik Pranata; Aniska Indah Fari; Sanny Frisca; Dheni Koerniawan
I-Com: Indonesian Community Journal Vol 6 No 1 (2026): I-Com: Indonesian Community Journal (Maret 2026)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70609/i-com.v6i1.9428

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Salah satu proses tindakan penyembuhan penyakit dengan  prosedur operasi. Dibutuhkan anastesi untuk menjalankan operasi dengan lancar dan aman. Setelah operasi, tindakan anastesi mempengaruhi beberapa fungsi tubuh, salah satunya adalah kemampuan usus untuk bergerak, juga dikenal sebagai peristaltik usus. Pasien yang mendapatkan anatesi jenis umum dan spinal biasanya mengalami keterlambatan peristaltik usus. Seorang perawat Wajib mengetahui tindakan apa yang dapat dilakukan pada pasien pasca operasi untuk membantu mereka kembali bekerja seperti biasa. Tujuan dari kegitan PKM meningkatkan pengatahuan perawat dalam menerapkan evidence-based practice nursing (EBPN).  Peserta PKM adalah perawat yang bekerja di Rumah Sakit Siti Fatimah. Aktivitas yang dilakukan dengan memberikan pelatihan dan menunjukkan hasil pencarian EBPN, yang kemudian dievaluasi. Hasil PKM menunjukkan adanya peningkatan pengetahuan dan keterampilan perawat dalam menerapkan EBPN, termasuk kemampuan dalam menelusur literatur ilmiah, memahami hasil penelitian, serta mengaplikasikannya dalam praktik keperawatan. Selain itu, kegiatan ini juga meningkatkan kepercayaan diri perawat dalam pengambilan keputusan klinis berbasis bukti.. Hasil pretest seluruh peserta mendapatkan nilai maksimal 50 (12,5-50), tetapi setelah pendampingan, pemahaman peserta tentang penggunaan EPBN meningkat menjadi 93,75 (50-93,75). Disimpulkan bahwa pelatihan EBPN efektif dalam meningkatkan kompetensi perawat dalam menangani penurunan peristaltik usus pada pasien pasca operasi.
When, How, and Barriers of Palliative Care in Intensive Care Unit: A Scoping Review Sanny Frisca; Dheni Koerniawan; Ketut Suryani; Vincensius Surani
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.4258

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Palliative and near-death conditions in critical ill patients may occur, either predictable prognosis or acute conditions. Nurses are often unprepared for these care needs, resulting in suboptimal patient care. This study aims to review empirical evidence over the past 10 years regarding when to start, how to apply, and constraints during applying palliative care and end of life (EoL) care in intensive care. This review was conducted using journal database CINAHL, PubMed, Scopus, and WOS and selected article by PRISMA. The findings show EoL care begins when the medical team has assessed and approved by the patient and family including using the referral checklist format from intensive care to EoL care including the resources needed. In addition, during the upbringing process counselling and consultation with the family for any decision-making medical measures, nursing rounds, emotional and spiritual support and touches and hugs for the patient and family, including support for the entire medical team. However, there are also obstacles in the right communication time to families, discussions about death, and improving the competence of nurses through EoL education and training.
High Self-Efficacy Strongly Predicted Self-Management Among Hypertensive Patients in Palembang Sanny Frisca; Dheni Koerniawan
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.5694

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Hypertension as a chronic disease with a major sign of increased blood pressure is becoming a problem globally. Increased blood pressure can be the cause of various other chronic diseases such as coronary artery disease and stroke. As an effort to prevent these complications, hypertensive patients need good and sustainable self-care. Self-efficacy is one of the factors that contribute to good self-care. This study aims to determine the effectiveness of self-efficacy on self-management in hypertensive patients. This study was conducted in Palembang with 35 respondents with hypertension aged >17 years. Data was taken through self-efficacy and self-management questionnaires that have been declared valid and reliable. Most 35 respondents have elementary and high-school education backgrounds, high self-efficacy, and moderate self-management. Self-efficacy strongly predicts self-management, although age and educational background do not significantly influence it.
Kenyamanan Kontemplasi dan Mendiskusikan Proses Menjelang Akhir Hayat Dheni Koerniawan; Sanny Frisca
Jurnal Penelitian Perawat Profesional Vol. 8 No. 2 (2026): April 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i2.1089

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Proses menjelang akhir hayat atau End-of-Life (EoL) merupakan hal yang sangat jarang didiskusikan antara pasien, keluarga, dan perawat karena hal ini bersifat sensitif dan sebagian besar menganggapnya tabu. Namun, perawat perlu memahami perasaan dan tingkat kenyamanan individu untuk menentukan cara dan waktu yang tepat untuk mulai mendiskusikan kondisi EoL dan pilihan perawatan yang dapat diambil. Penelitian ini bertujuan untuk mengetahui perbedaan tingkat kenyamanan dalam kontemplasi dan mendiskusikan EoL dan pilihan perawatan EoL (EoL care/EoLC). Sampel penelitian berjumlah 175 subjek didapat melalui purposive sampling yang diukur menggunakan kuesioner dan kemudian datanya dianalisis secara deskriptif dan inferensial menggunakan uji komparasi Wilcoxon. Hasil penelitian menunjukkan adanya perbedaan yang signifikan antara kontemplasi dan mendiskusikan EoL serta antara kontemplasi dan mendiskusikan pilihan EoL.