Supadi Supadi
Poltekkes Kemenkes Semarang

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Membangun Ketahanan (Resiliensi) Pada Mahasiswa Ketika Kuliah Di Masa Pandemi Supadi Supadi; Widjijati Widjijati; Esti Dwi Widayanti
JURNAL KEPERAWATAN MERSI Vol 10, No 2: Oktober 2021
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v10i2.8144

Abstract

Background : Based on the joint decree of the ministry of education and culture, ministry of religion, ministry of health and ministry of home affairs number 01 / KB / 2020,516 year 2020, HK.03.01 / menkes / 363 / 2020,440-882 regarding learning guides in the school year and year In the new academic period during the pandemic corona virus disease (covid 19), it was stated that the health and safety of students, educators, staff, families and communities were the main priorities in determining learning policies (Joint Ministry Decree, 2020).Methods : This study used a cross-sectional observational analytic design, namely analyzing the relationship between resilience level (building body resistance) and stress levels in students in the 2020/2021 academic new academic year learning. The statistical analysis test used was descriptive test for univariate variables and Mann Whitney and Wilcoxon tests for bivariate variables.Result : There was a significant difference in student resilience after the Proggesive Muscle Relaxation (PMR) action between before and after giving PMR action with a value of p = 0.000, there was a significant difference in student stress after PMR action between before and after giving PMR action with a value of p = 0.000, and The mean of respondent resilience after PMR action was 72.39 and the respondent's stress was 24.61. The result of statistical analysis test was p = 0.000, which means that there is a significant relationship between student resilience and student stress.Conclusion : Resilience (building resilience) is very high affects the level of stress. The higher a person's resilience level, the lower one's stress level or a person's stress level will be lighter.
Effects of bathing in bed with warm water on vital signs and oxygen saturation in adult patients attached to mechanical ventilators Bayu Firmansyah; Mugi Hartoyo; Supadi Supadi; Budiyati Budiyati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 3 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(3).271-282

Abstract

Background: Illness and hospitalization generally require modifications in personal hygiene practices. During hospitalization and especially in  the Intensive Care Unit (ICU), patients experience situations involving the need for personal hygiene, procedures performed on them due to limitations arising as a result of the ill condition. Bed bathing is an intervention that must be performed in critical patients with the aim of meeting personal hygiene  needs in critical patients, but it is necessary to carry out close monitoring and control to avoid side effects, such as hemodynamic status instability.  Objectives:: To determine the effect of bathing in bed with warm water on vital signs and oxygen saturation in adult patients attached with mechanical ventilators. Methods:: This study is a quasi-experimental study involving 18  samples determined by total sampling technique  based on inclusion criteria: Patients attached to mechanical ventilators, aged 18 years or older, stable in hemodynamics and exclusion criteria: Attached drugs for the heart, patients with head injuries, receiving drug therapy to lower body temperature.Results: The paired t-test results showed an effect between bathing in bed with warm water on systole blood pressure (p = 0.042; p < 0.005), breathing (p = 0.009), and pulse rate (p = 0.025). There was no effect between bathing in bed with warm water on diastole blood pressure (p = 0.063), body temperature (p = 0.862) and oxygen saturation (p = 0.120).  Conclusions : Bed bathing affects systolic blood pressure, breathing, pulse rate and has no effect on diastolic blood pressure, body temperature, and oxygen saturation. However, during bathing in bed should always pay attention to changes that occur in vital signs and oxygen saturation.
Determinan Multifaktorial Readmisi 30 Hari Pada Pasien Gagal Jantung dan Relevansi Temuan Bagi Praktik Keperawatan: Tinjauan Literatur Regyta Marshanda; Rivani Nur Oktavia; Supadi Supadi
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57917

Abstract

Heart failure is a chronic clinical syndrome with increasing global prevalence and remains one of the leading causes of recurrent hospital admissions among adults and older populations. Approximately 20–25% of patients experience readmission within 30 days after hospital discharge. Thirty-day readmission has been widely used as a quality indicator of healthcare services, reflecting the effectiveness of transitional care and continuity of care. Identifying predictors of early readmission is essential to support risk-based nursing interventions. This study aimed to identify and analyze predictors of 30-day readmission in patients with heart failure through a synthesis of recent scientific evidence. This study is a literature review conducted through a systematic article search process. The literature search was performed using Google Scholar via the Publish or Perish application with the keywords “heart failure” AND “30-day readmission” AND (“risk factors” OR predictors), covering publications from 2015 to 2025. Articles that met the inclusion criteria were analyzed qualitatively to identify and compare predictors of 30-day readmission. The 30-day readmission rate ranged from 17% to 28%. Clinical factors and comorbidities were the most dominant predictors, including chronic kidney disease (aOR 1.32), high comorbidity burden (OR 1.45), diabetes mellitus (aOR 1.18), and chronic obstructive pulmonary disease (OR 1.27). Demographic factors such as age <65 years (OR 1.21) and male sex (aOR 1.09) demonstrated more modest associations. Socioeconomic determinants, including low income and public insurance status, increased readmission risk by 10–25%. Risk prediction models showed moderate discriminative ability (AUC 0.60–0.68). Thirty-day readmission in heart failure patients is influenced by multifactorial determinants, with clinical comorbidities playing a dominant role and reinforced by social determinants. Risk-based nursing approaches, including early risk stratification and structured discharge planning, may help reduce readmission rates and improve patient outcomes.
Hubungan Pengetahuan dan Karakteristik Perawat dengan Kepatuhan Pelaksanaan Standar Operasional Prosedur Perawatan Luka Martha Megawati Nitinegari; M. Syamsul Arif Setyo Negoro; Supriyadi Supriyadi; Supadi Supadi; Aris Fitriyani
JURNAL KEPERAWATAN MERSI Vol 14 No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12282

Abstract

Background: Wound care is one of the techniques that nurses must master. The main principle in wound care management is infection control because infection inhibits the wound healing process, causing morbidity and mortality rates to increase. In carrying out wound care, nurses need to maintain the safety of patients and themselves with applicable Standard Operating Procedures (SOPs). Nurse compliance in implementing standard operating procedures is one measure of the success of wound care services. Objective: To know the relationship between the level of knowledge and compliance in the implementation of wound care according to SOP. Methods: The study was a correlational design and was conducted at RSUD K.R.M.T Wongsonegoro Semarang. The samples were 51 subjects collected by purposive sampling technique for surgical ward nurses. The data were analyzed by Spearman rank. Results: The results state that there is a relationship between the level of knowledge and the compliance of wound care SOP (p=0.000), gender and the compliance of wound care SOP (p=0.000), age and the compliance of wound care SOP (p=0.000), education and the compliance of wound care SOP (p=0.000), working length and the compliance of wound care SOP (p=0.000), and training and the compliance of wound care SOP (p=0.000). Conclusion: There is a relationship between the knowledge and characteristics of nurses (gender, age, level of education, length of work, and training) and compliance with the implementation of wound care according to SOPs.Â