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All Journal Juiperdo Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jambura Nursing Journal Jurnal Kajian Ilmiah Kesehatan Dan Teknologi (JKIKT) Jurnal Pengabdiaan Masyarakat Kasih (JPMK) Elisabeth Health Jurnal Edu Dharma Journal: Jurnal penelitian dan pengabdian masyarakat PROFESSIONAL HEALTH JOURNAL Media Publikasi Promosi Kesehatan Indonesia (MPPKI) International Journal of Health, Engineering and Technology Asian Journal of Social and Humanities Lontara Journal Of Health Science And Technology
Maria Astrid
Dosen Program Studi Magister STIK Sint Carolus Jakarta
Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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Efektivitas Nebulisasi Budesonide dalam Menurunkan Derajat Sesak pada Pasien Bronkopneumonia Akut Dinda Hasianty Nababan; Maria Astrid
Lontara Journal of Health Science and Technology Vol. 7 No. 2 (2026): Juli-Desember 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v7i2.739

Abstract

Acute bronchopneumonia is a major cause of respiratory distress in children, often requiring immediate emergency care. This condition is characterized by airway inflammation and increased secretion production, which can exacerbate shortness of breath. This study aimed to analyze the effectiveness of nebulization therapy using budesonide on changes in the degree of shortness of breath in patients with acute bronchopneumonia. This study used a case study approach with the application of the nursing process to pediatric patients treated in the emergency department. Data were collected through clinical assessment, observation of respiratory signs, supporting examination results, and evaluation of patient responses before and after nebulization intervention. The results showed clinical improvement characterized by decreased respiratory rate, reduced chest retractions, and increased breathing comfort after nebulization of budesonide. These findings suggest that nebulization of budesonide has the potential to be an effective supportive intervention in helping improve respiratory status in patients with acute bronchopneumonia.
Pengaruh Latihan Range of Motion Aktif Terhadap Nyeri Dan Rentang Gerak Sendi Lutut Pada Lansia Dengan Osteoarthritis Di Puskesmas Doda Sulawesi Tengah Yulian Heiwer Matongka; Maria Astrid; Sutanto Priyo Hastono
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 4 No. 1 (2021)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (532.095 KB) | DOI: 10.56338/mppki.v4i1.1388

Abstract

Osteoarthritis adalah jenis arthritis yang paling umum yang berhubungan dengan degenerasi progresif dari tulang rawan artikular dalam sendi sinovial. Masalah utama osteoarthritis yaitu rasa nyeri, kekakuan sendi sehingga menyebabkan rentang gerak sendi terbatas. Tujuan penelitian ini menganalisis pengaruh latihan Range of Motion aktif terhadap nyeri dan rentang gerak sendi lutut pada lansia dengan osteoarthritis di Puskesmas Doda Sulawesi Tengah. Penelitian dilakukan pada April-Mei 2020 dengan rancangan quasy experimental pretest-posttest control group. Responden dipilih dengan teknik simple random sampling dibagi dalam kelompok intervensi (n=22) yang menerima latihan Range of Motion selama 4 minggu (5xseminggu) dilakukan 8 kali dengan repetisi atau pengulangan 3 kali dan kelompok kontrol (n=68) tidak dilakukan intervensi oleh peneliti. Intensitas nyeri diukur menggunakan VAS & rentang gerak sendi diukur menggunakan alat goniometer. Hasil penelitian mayoritas intensitas nyeri sebelum dilakukan latihan Range of Motion kelompok intervensi nyeri sedang (4-6) = 60,0% sesudah intervensi nyeri ringan (1-3) = 33,3%, sedangkan kelompok kontrol sebelum dan sesudah penelitian tetap mayoritas nyeri sedang (4-6). Rentang gerak sendi lutut sebelum dilakukan intervensi 24,4% dan sesudah intervensi 92,2%, sedangkan kelompok kontrol sebelum dan sesudah penelitian 4.55%. Hasil analisis uji paired sampel t-tes ada perbedaan penurunan nyeri dan rentang gerak sendi lutut sebelum dengan sesudah intervensi Range Of Motion (p=0,000 ; <0,05). Hasil uji regresi linear berganda menunjukkan bahwa intervensi Range of Motion berpengaruh terhadap nyeri (p=0,000) & rentang gerak sendi lutut (p=0,000). Penelitian ini merekomendasikan latihan Range of Motion sebagai salah satu jenis terapi yang mudah dilakukan oleh Lansia dengan osteoarthritis untuk menurunkan nyeri sendi dan meningkatkan rentang gerak sendi lutut. Di sarankan agar latihan ini dapat dilakukan oleh Lansia secara rutin dan teratur. 
Efektivitas Oral Hygiene Menggunakan Povidone-Iodine 1% terhadap Pencegahan Pneumonia pada Pasien dengan Penurunan Kesadaran di Ruang ICU: The Effectiveness of Oral Hygiene Using Povidone-Iodine 1% in Preventing Pneumonia in Patients with Impaired Consciousness Melfis Daeli; Maria Astrid
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol. 8 No. 1 (2026)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v8i1.315

Abstract

Ventilator-Associated Pneumonia (VAP) is a nosocomial infection that frequently occurs in patients treated in the Intensive Care Unit (ICU), particularly among stroke patients with comorbid diabetes mellitus who require mechanical ventilation. Decreased level of consciousness, endotracheal tube insertion, impaired protective airway reflexes, and hyperglycemic conditions increase the risk of oropharyngeal microorganism colonization that may lead to VAP. One of the nursing interventions recommended in the VAP prevention bundle is oral hygiene using antiseptic agents. This study aimed to analyze the effectiveness of oral hygiene using 1% povidone-iodine in preventing Ventilator-Associated Pneumonia in stroke patients with diabetes mellitus receiving mechanical ventilation in the ICU. This study employed a descriptive case study design involving two patients treated in the same hospital ICU: one patient diagnosed with recurrent ischemic stroke and diabetes mellitus, and one patient diagnosed with ischemic stroke and diabetes mellitus. The nursing intervention consisted of scheduled oral hygiene using 1% povidone-iodine performed three times daily and combined with the VAP prevention bundle, including effective suctioning, 30° semi-Fowler positioning, and continuous clinical monitoring. Evaluation was conducted through clinical observation, including oral cavity hygiene, secretion characteristics, respiratory rate, oxygen saturation, random blood glucose levels, and the Modified Clinical Pulmonary Infection Score (MCPIS). The results demonstrated improved airway clearance in both patients, indicated by reduced secretion production, decreased rhonchi, stabilized respiratory rate, and increased oxygen saturation. Throughout the observation period, MCPIS values in both patients remained ≤5, and no clinical signs of VAP were identified. Therefore, oral hygiene using 1% povidone-iodine is effective in preventing Ventilator-Associated Pneumonia in stroke patients with diabetes mellitus receiving mechanical ventilation in the ICU and is recommended for integration into ICU nursing standard operating procedures.
Pengetahuan Perawat tentang Skrining Disfagia Dalam Deteksi Dini Resiko Aspirasi: Kajian Literatur Maria Priliantari Ayu Kusumo Wardhani; Maria Astrid
Malahayati Nursing Journal Vol 8, No 7 (2026): Volume 8 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i7.25367

Abstract

ABSTRAK Disfagia merupakan komplikasi yang sering terjadi pada pasien dengan gangguan neurologis, khususnya stroke, dan menjadi penyebab utama aspirasi serta pneumonia aspirasi yang berdampak pada peningkatan morbiditas, mortalitas, dan lama rawat inap. Deteksi dini disfagia melalui skrining direkomendasikan untuk meningkatkan keselamatan pasien. Perawat memiliki peran penting dalam skrining disfagia, namun variasi tingkat pengetahuan perawat dapat memengaruhi efektivitas deteksi dini risiko aspirasi. Literature review ini bertujuan untuk mengkaji dan mensintesis bukti ilmiah mengenai pengetahuan perawat tentang skrining disfagia dalam deteksi dini risiko aspirasi. Literature review dilakukan terhadap jurnal nasional dan internasional bereputasi yang dipublikasikan pada periode 2020–2025. Penelusuran dilakukan melalui basis data PubMed, Scopus, CINAHL, Science Direct, ProQuest, dan Google Scholar. Artikel diseleksi berdasarkan kriteria inklusi yang berfokus pada pengetahuan perawat, skrining disfagia, dan risiko aspirasi. Data dianalisis menggunakan kerangka PICOT dan disintesis secara naratif. Sebanyak 20 artikel dianalisis. Sebagian besar studi observasional menunjukkan bahwa pengetahuan perawat tentang skrining disfagia berada pada kategori rendah hingga sedang, terutama pada aspek identifikasi risiko aspirasi, prosedur skrining, dan pendokumentasian. Tingkat pengetahuan yang lebih baik berkaitan dengan tingkat pendidikan yang lebih tinggi, pengalaman klinis, bekerja di unit neurologi atau perawatan intensif, serta pengalaman mengikuti pelatihan disfagia. Studi intervensi menunjukkan bahwa edukasi terstruktur, pelatihan berbasis video, program berbasis kompetensi, dan implementasi skrining disfagia berbasis perawat secara signifikan meningkatkan pengetahuan, efikasi diri, dan praktik skrining perawat. Pengetahuan perawat tentang skrining disfagia masih belum optimal di berbagai setting pelayanan kesehatan. Penguatan pendidikan berkelanjutan, standardisasi protokol skrining disfagia, dan dukungan institusional diperlukan untuk meningkatkan deteksi dini risiko aspirasi dan keselamatan pasien. Kata Kunci: Pengetahuan Perawat, Skrining Disfagia, Risiko Aspirasi.   ABSTRACT Dysphagia is a frequent complication among patients with neurological disorders, particularly stroke, and is a major contributor to aspiration and aspiration pneumonia, which significantly increase morbidity, mortality, and length of hospital stay. Early detection of dysphagia through bedside screening is strongly recommended to improve patient safety. Nurses play a critical role in dysphagia screening; however, variations in nurses’ knowledge may hinder optimal early detection of aspiration risk. This literature review aims to synthesize evidence regarding nurses’ knowledge of dysphagia screening in the early detection of aspiration risk. A literature review was conducted using national and international peer-reviewed journals published between 2020 and 2025. Databases searched included PubMed, Scopus, CINAHL, ScienceDirect, ProQuest, and Google Scholar. Studies were selected based on predefined inclusion criteria focusing on nurses’ knowledge, dysphagia screening, and aspiration risk. Data were extracted and analyzed using a structured PICOT framework, and findings were synthesized narratively. A total of 20 studies were included. Most observational studies reported that nurses’ knowledge of dysphagia screening ranged from low to moderate, particularly in identifying aspiration risk, screening procedures, and documentation. Higher knowledge levels were associated with higher educational background, clinical experience, work in neurological or critical care units, and prior dysphagia training. Educational interventions, such as structured training programs, video-based education, competency-based programs, and implementation of nurse-led screening tools, consistently demonstrated significant improvements in nurses’ knowledge, self-efficacy, and screening practices. Nurses’ knowledge of dysphagia screening remains suboptimal in many clinical settings, despite its crucial role in early detection of aspiration risk. Structured and continuous education, standardization of dysphagia screening protocols, and institutional support are essential to enhance nurses’ knowledge, improve screening practices, and promote patient safety. Keyword: Nurses’ Knowledge, Dysphagia Screening, Aspiration Risk.
Implementation Of Two-Hourly Repositioning For The Prevention Of Pressure Injury In Two Patients With Ischemic Stroke And Pneumonia In The Intensive Care Unit (ICU): A Case Study Siti Nurina; Maria Astrid
International Journal of Health Engineering and Technology Vol. 5 No. 2 (2026): Vol 5. No. 2 JULY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i2.1055

Abstract

Pressure injury remains an important patient safety indicator and continues to pose a significant challenge in healthcare, particularly among patients with limited mobility. Patients with ischemic stroke complicated by pneumonia are at high risk of developing pressure injuries due to prolonged immobility, physical weakness, and reduced activity tolerance. In the ICU of Hospital X, five cases of pressure injury were reported between January and December 2025. Furthermore, from January to May 2026, a total of 146 bedridden patients were identified as being at risk for pressure injury based on the COMHON Index. Repositioning every two hours is a recommended nursing intervention for preventing pressure injuries. To analyze the implementation of nursing care through two-hourly repositioning as an intervention to prevent the risk of pressure injury in two patients with ischemic stroke and pneumonia. This study employed a case study design using the nursing care process involving two patients with ischemic stroke complicated by pneumonia who were at risk of developing pressure injury. Patient assessment was conducted using the COMHON Index, followed by the implementation of two-hourly repositioning and regular skin condition monitoring throughout the course of care. Two-hourly repositioning was successfully implemented according to the planned nursing interventions. During the two-day observation period, neither patient developed a pressure injury, and skin integrity was maintained. In the patient classified as high risk, blanchable erythema was observed over the sacral area but improved following regular repositioning and continuous skin assessment. Two-hourly repositioning is an effective nursing intervention that supports the prevention of pressure injury in patients with ischemic stroke and pneumonia. This intervention should be implemented consistently and accompanied by regular skin assessment to maintain skin integrity.
Co-Authors Adolfina Lukas Siamben Agustina Ida Pratiwi Anggraeni, Lina Dewi Dewi Prabawati Dinda Hasianty Nababan Elfrida Jennifer Crystella Justina Purwarini Acihayati Kusumaningsih, Indriati Liza Puspa Dewi Maria Priliantari Ayu Kusumo Wardhani Melfis Daeli Nila Kumala Widjaya Novita, Regina Vidya Trias Nurjanah nurjanah Siti Nurina Sudibyo Supardi Suhaid, Dewi Novitasari Suprapti, Fitriana Sutanto Priyo Sutanto Priyo Hastono Sutanto Priyo Hastono Utami Widya Ningrum Widani Ni Luh Widowati, Lorensia Panselina Yulian Heiwer Matongka Yunita Astriani