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Passive Range of Motion Therapy for Increasing Muscle Strength with non-Hemorrhagic Stroke in RSUD dr. R. Goeteng Taroenadibrata: Case Study Fauziah, Fika; Kamaluddin, Ridlwan; Purnawan, Iwan; Rahayu, Eva
International Journal of Biomedical Nursing Review Vol 2 No 1 (2023): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Poertorico publisher Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2022.1.2.8105

Abstract

Background: Stroke is a life-threatening thing, so it is a serious thing to be handled in society. The number of stroke cases in Central Java is 2.1% or around 31,871 cases. Stroke is a functional disorder that occurs suddenly with clinical signs both focal and global lasting more than 24 hours. Non-pharmacological techniques that can overcome the disturbance of this stroke are passive range of motion (ROM) therapy. Purpose: to report the results of implementing passive ROM therapy to increase muscle strength in stroke patients who experience weakness in the extremities Results: After being given therapy for 3 consecutive days, the strength of the extremity muscles increased by 1 level or by 25 %. Conclusion: ROM intervention for 3x24 hours is effective for increasing extremity muscle strength in SNH patients Conclusion: ROM intervention for 3 days with a frequency of 2 times in a day is effective for increasing limb muscle strength in SNH patients.
Efektivitas penggunaan asuhan keperawatan digital terhadap kualitas dokumentasi keperawatan: A systematic review Firmansyah, Dedy; Kamaluddin, Ridlwan; Purnawan, Iwan
Holistik Jurnal Kesehatan Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.808

Abstract

Background: Nursing care documentation plays an important role in improving the quality of care, ensuring the accuracy of patient data, and supporting clinical decision making. However, manual documentation methods often face challenges such as time constraints, high workload, and the risk of data loss. Digitization of nursing documentation is expected to overcome these obstacles by increasing efficiency, accuracy, and data security. Purpose: To evaluate the effectiveness of the use of digital nursing care on the quality of nursing documentation. Method: A systematic review study following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Data sources were obtained from databases including; PubMed, Scopus, Google Scholar, and Science Direct with a publication period of 2019–2024. The keywords used were the effectiveness of digital nursing documentation, electronic medical records, and its impact on service quality. Results: The use of a digital documentation system can increase recording accuracy by up to 40%, save documentation time by up to 30%, and reduce the risk of losing patient data. In addition, this system also allows real-time access to information, thereby improving coordination between health workers. Conclusion: Digitization of nursing documentation has proven effective in improving the efficiency, accuracy, and security of patient data. However, its implementation still faces challenges, such as resistance from nursing staff, limited infrastructure, and the need for ongoing training. Therefore, a comprehensive implementation strategy is needed to ensure that the benefits of this system can be optimized.   Keywords: Documentation; Digitization; Electronic Medical Records; Health Information System; Nursing Care.   Pendahuluan: Dokumentasi asuhan keperawatan berperan penting dalam meningkatkan kualitas pelayanan, memastikan akurasi data pasien, dan mendukung pengambilan keputusan klinis. Namun, metode dokumentasi manual sering kali menghadapi tantangan, seperti keterbatasan waktu, beban kerja tinggi, dan risiko kehilangan data. Digitalisasi dokumentasi keperawatan diharapkan dapat mengatasi kendala tersebut dengan meningkatkan efisiensi, akurasi, dan keamanan data. Tujuan: Untuk mengevaluasi efektivitas penggunaan asuhan keperawatan digital terhadap kualitas dokumentasi keperawatan. Metode: Penelitian systematic review yang mengikuti protokol Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Sumber data diperoleh dari database meliputi; PubMed, Scopus, Google Scholar, dan Science Direct dengan rentang waktu publikasi 2019–2024. Kata kunci yang digunakan yakni efektivitas dokumentasi keperawatan digital, rekam medis elektronik, dan dampaknya terhadap kualitas layanan. Hasil: Penggunaan sistem dokumentasi digital dapat meningkatkan akurasi pencatatan hingga 40%, menghemat waktu dokumentasi sebesar 30%, dan mengurangi risiko kehilangan data pasien. Selain itu, sistem ini juga memungkinkan akses informasi secara real-time, sehingga meningkatkan koordinasi antar tenaga kesehatan. Simpulan: Digitalisasi dokumentasi keperawatan terbukti efektif dalam meningkatkan efisiensi, akurasi, dan keamanan data pasien. Namun, implementasinya masih menghadapi tantangan, seperti resistensi tenaga keperawatan, keterbatasan infrastruktur, dan kebutuhan pelatihan berkelanjutan. Oleh karena itu, diperlukan strategi implementasi yang komprehensif untuk memastikan manfaat sistem ini dapat dioptimalkan.   Kata Kunci: Asuhan Keperawatan; Digitalisasi; Dokumentasi; Rekam Medis Elektronik; Sistem Informasi Kesehatan.
The Efficacy of Murottal and Prayer as Therapy for The Management of Anxiety and Sleep Disturbances in The Elderly Alivian, Galih Noor; Awaludin, Sidik; Hidayat, Arif Imam; Purnawan, Iwan; Kamaluddin, Ridlwan
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 1 (2022): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i1.17036

Abstract

Aging is a natural process characterised by predictable physical and behavioral alterations that all people experience as they progress through their lives. Anxiety and sleep disorders are two issues that plague the elderly. The elderly typically complain about sleeping issues as a result of various chronic diseases. Frequent night awakenings might lead to an increase in the amount of time spent sleeping during the day. The aim of this study was to see how efficient murottal and prayer are at reducing anxiety and sleep problems in the elderly. This study employs an experimental design with a before and post approach, as well as a control group. This study collect 60 samples from elderly people in Pamijen Village. They were split into two groups: 30 elderly in the murottal group and 30 elderly in the prayer group. A questionnaire was used to assess anxiety and sleep pattern disturbances before and after treatment. Simple random sampling was used as the sampling technique. The paired t-test was used to analyse the dataStatistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00, statistical tests of anxiety scores before and after listening to prayer were p = 0.869, and statistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00. Murottal therapy has been shown to be effective in reducing anxiety and sleep disturbances.
Use of technology in efforts to improve cardiac arrest management: A systematic review Andini, Erna Tri; Kamaluddin, Ridlwan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.503

Abstract

Background: Cardiac arrest is a critical medical condition that occurs when the heart suddenly stops beating, causing the blood circulation to the entire body, including the brain, to stop. This can lead to brain damage or death. Basic Life Support (BLS) training is an essential element in creating a community that is responsive to medical emergencies. The implementation of BLS has been shown to increase the chance of Return of Spontaneous Circulation (ROSC) in patients experiencing Out-of-Hospital Cardiac Arrest (OHCA) by 40% each year. Purpose: To review and evaluate studies on the use of technology in efforts to improve cardiac arrest management. Method: A systematic literature review study to review and evaluate previous studies on the use of technology to improve cardiac arrest management skills, especially in Basic Life Support (BLS) training. The analysis focused on improving knowledge and skills among health workers and health students. The search for scientific articles was conducted from October-November 2024 using the PICO framework as a guide for article selection. Results: Based on the 6 articles reviewed, the technologies used in BLS training include applications/software, virtual reality (VR), educational games, and video-based learning. Virtual reality with realistic simulations was identified as the most effective medium for improving participants' cognitive and psychomotor skills. Conclusion: Technology plays a significant role in supporting the BLS learning process and improving the quality of medical actions, especially in cardiac arrest management.
Pengaruh pemberian pelatihan terstruktur terhadap peningkatan pengetahuan dan keterampilan medis dasar bagi sopir ambulans desa: A systematic review Supriadi, Ucup; Kamaluddin, Ridlwan
Holistik Jurnal Kesehatan Vol. 19 No. 3 (2025): Volume 19 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i3.901

Abstract

Background: The inability of village ambulance drivers to manage emergency patients is due to several factors such as ignorance of initial medical actions, delays in referral, inadequate ambulance equipment and lack of knowledge and skills of ambulance drivers in recognizing high-risk conditions early which must be done as efficiently as possible. Purpose: To analyze the effect of structured training on improving the knowledge and skills of basic medical care for village ambulance drivers. Method: A systematic review that refers to the Preferred Reporting Items for Literature Review and Meta-Analysis (PRISMA) using the PICOS framework. Journal article searches were sourced from Google Scholar, PubMed/NCBI, BioMed Central (BMC) and Sciencedirect databases published in 2017-2024 in English and Indonesian. The keywords used were “Village ambulance drivers, Knowledge, basic medical skills, training”. Researchers found 6318 articles, after selection, 5 articles were obtained to be reviewed using JBI Quality Appraisal. Results: The 5 selected articles illustrate that ambulances play a very important role in the health care system. Ambulance drivers are required to be able to deal with various emergency situations that occur in the field ranging from traffic accidents, patients with certain diseases to natural disasters. Structured training is needed using various methods such as the use of training modules to improve basic medical knowledge and skills for village ambulance drivers. Conclusion: Providing structured training is considered effective in improving basic medical knowledge and skills in ambulance drivers.   Keywords: Basic Medical Skills; Knowledge; Training; Village Ambulance Driver.   Pendahuluan: Ketidakmampuan sopir ambulans desa dalam menangani pasien gawat darurat disebabkan oleh beberapa faktor seperti ketidaktahuan terhadap tindakan medis awal, keterlambatan rujukan, peralatan ambulans yang kurang memadai dan kurangnya pengetahuan serta keterampilan sopir ambulans dalam mengenal keadaan risiko tinggi secara dini yang mana harus dilakukan seefisien mungkin. Tujuan: Untuk menganalisis pengaruh pemberian pelatihan terstruktur terhadap peningkatan pengetahuan dan keterampilan medis dasar bagi sopir ambulans desa. Metode: Systematic review yang mengacu kepada Preferred Reporting Items for Literature Review and Meta-Analysis (PRISMA) menggunakan framework PICOS. Pencarian artikel jurnal bersumber dari database Google Scholar, PubMed/NCBI, BioMed Central (BMC), dan Sciencedirect yang diterbitkan pada tahun 2017-2024, berbahasa Inggris, dan Indonesia. Kata kunci yang digunakan adalah “Sopir ambulans desa, Pengetahuan, keterampilan medis dasar, pelatihan”. Peneliti menemukan 6,318 artikel, setelah dilakukan seleksi didapatkan sebanyak 5 artikel untuk ditinjau menggunakan quality appraisal JBI. Hasil: Dari 5 artikel yang terpilih memiliki gambaran bahwa, ambulans memegang peranan yang sangat penting dalam sistem pelayanan kesehatan. Sopir ambulans dituntut untuk bisa menghadapi berbagai situasi gawat darurat yang terjadi di lapangan, mulai dari kecelakaan lalu lintas, pasien dengan penyakit tertentu, sampai bencana alam. Diperlukan pelatihan yang terstruktur dengan menggunakan berbagai metode, seperti penggunaan modul pelatihan untuk meningkatkan pengetahuan dan keterampilan medis dasar bagi sopir ambulans desa. Simpulan: Pemberian pelatihan yang terstruktur dinilai efektif dalam meningkatkan pengetahuan dan keterampilan medis dasar pada sopir ambulans.   Kata Kunci: Keterampilan Medis Dasar; Pelatihan; Pengetahuan; Sopir Ambulans Desa.
IMPLEMENTATION OF HEALTH EDUCATION ON DIABETES FOOT EXERCISES USING BOOKLET MEDIA FOR A DIABETES MELLITUS SUFFERER IN KARANGTURI VILLAGE BANYUMAS REGENCY: CASE REPORT Setiawati, Lusi; Nuriya, Nuriya; Kamaluddin, Ridlwan; Taufik, Agis
International Journal of Biomedical Nursing Review Vol 4 No 2 (2025): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2025.4.2.17397

Abstract

Introduction: Diabetes mellitus is also known as a "lifelong disease," but it can be managed. Indonesia ranks fifth in the world for the highest number of sufferers, with 19.5 million sufferers in 2021, and this number is predicted to increase by 2045. Management is needed to improve the quality of life and prevent complications in diabetes mellitus sufferers. Foot exercises are considered a simple treatment option, but many people are unfamiliar with it. Therefore, health education is needed using media that can increase knowledge, such as booklets. Objective: This study aims to determine the effect of implementing health education in the form of diabetic foot exercises using booklets as media on diabetes mellitus sufferers. Methods: This research method used a case report and the DKQ-24 (Diabetes Knowledge Questionnaire), a questionnaire assessing knowledge about diabetic foot exercises. Descriptive data analysis was then conducted by comparing pretest and posttest scores. Discussion: After health education using a booklet during one meeting and demonstration of diabetic foot exercises during three meetings, there was an increase in respondents' knowledge as evidenced by an increase in posttest results. Conclusion: Implementation of health education on diabetic foot exercises using booklets for Mrs. TM can increase the knowledge of diabetes mellitus sufferers.
Manajemen agresi pasien di unit perawatan jiwa: A literature review Daisiu, Casey Petry; Kamaluddin, Ridlwan
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1434

Abstract

Background: Violent incidents in hospital settings, particularly in psychiatric units, create complex challenges for healthcare workers, patients, and hospital management. Aggression can range from verbal abuse to potentially harmful physical actions, and this phenomenon negatively impacts the well-being of healthcare workers and creates a care environment less conducive to recovery. Purpose: To analyze the most effective nursing management strategies for managing patients with aggressive behavior and provide evidence-based recommendations. Method: A systematic review was conducted using PRISMA, with a literature search conducted through PubMed, Science Direct, and Google Scholar. Seven relevant original research articles were analyzed during the selection process. Results: The most effective strategy was a holistic and integrated approach that did not rely on a single method. This included enhancing nurse competency through de-escalation and communication training, establishing strong organizational and system support, implementing structured risk assessments, and adopting a patient-centered care model. Conclusion: Comprehensive and adaptive aggression management is key to creating a safe and supportive care environment. Suggestion: Further research could quantitatively compare the effectiveness of different combinations of strategies and conduct more longitudinal studies to evaluate the long-term impact of organizational policy changes.   Keywords: Aggression Management; Patients; Psychiatric Nursing.   Pendahuluan: Insiden kekerasan di lingkungan rumah sakit terutama di unit psikiatri menciptakan tantangan yang kompleks bagi tenaga kesehatan, pasien, dan manajemen rumah sakit. Agresi dapat berupa kekerasan verbal hingga tindakan fisik yang membahayakan dan fenomena ini berdampak negatif pada kesejahteraan tenaga medis serta menciptakan lingkungan perawatan yang kurang kondusif bagi pemulihan. Tujuan: Untuk menganalisis strategi manajemen agresi pasien di unit perawatan jiwa.  Metode: Tinjauan sistematis mengacu pada PRISMA, dengan pencarian literatur melalui database PubMed, Science Direct, dan Google Scholar. Dari proses seleksi, tujuh artikel penelitian orisinal yang relevan dianalisis. Hasil: Strategi yang paling efektif adalah pendekatan holistik dan terintegrasi yang tidak bergantung pada metode tunggal. Peningkatan kompetensi perawat melalui pelatihan de-eskalasi dan komunikasi, adanya dukungan sistem dan organisasi yang kuat, implementasi penilaian risiko yang terstruktur, serta adopsi model perawatan yang berpusat pada pasien (patient-centered care). Simpulan: bahwa manajemen agresi yang komprehensif dan adaptif merupakan kunci untuk menciptakan lingkungan perawatan yang aman dan mendukung pemulihan. Saran: Penelitian selanjutnya disarankan untuk membandingkan efektivitas kombinasi strategi yang berbeda secara kuantitatif dan melakukan lebih banyak studi longitudinal untuk mengevaluasi dampak jangka panjang dari perubahan kebijakan organisasi.   Kata Kunci: Keperawatan Jiwa; Manajemen Agresi; Pasien.
Penggunaan inovasi teknologi dalam perawatan di ruang intensif care unit: A literatur review Mufimah, Mufimah; Monica, Rica; Firmansyah, Dedy; Kamaluddin, Ridlwan
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.v19i7.1047

Abstract

Background: Although the development of technology in health care in Indonesia has progressed, the application of technology in the ICU is still relatively limited. According to the Indonesian Ministry of Health (2024), several large hospitals in Jakarta and other big cities have implemented electronic-based patient data management systems and remote monitoring. However, it cannot be denied that there are still many hospitals in the regions that have not utilized technology optimally. Purpose: To analyze the use of technological innovation in intensive care unit care. Method:This research is a literature study with the PRISMA approach. Systematic review using PICO. The search databases used were PubMed/NCBI, Scopus and Sciencedirect with the keywords Innovation AND Technology AND Intensive Care Unit. Results: The types of technological innovations used in intensive care unit care are educational multimedia tools designed to improve ICU nurses' compliance with infection prevention and control practices, an intensive care telemedicine (tele-ICU) program called ERIC (Enhanced Recovery after Intensive Care), Ultrasonic technique Combination of Out-of-Plane Orientation and In-Plane Guidance for radial artery cannulation especially in shock patients in ICU, Virtual Reality (VR) to support the development of clinical decision-making skills, Remotely Tele-mentored Ultrasound (RTMUS) telemedicine to perform ultrasonography remotely. And each type of innovation technology used is significantly influential or effective according to the dependent variable measured. Conclusion: The use of technological innovation in intensive care unit care has been proven to provide benefits in all aspects, starting from infection prevention, quality indicators, and decision making.   Keywords: Innovation; Intensif Care Unit (ICU); Technology.   Pendahuluan: Perkembangan teknologi dalam perawatan kesehatan di Indonesia telah mengalami kemajuan, namun penerapan teknologi di ICU masih tergolong terbatas. Menurut Kemenkes RI (2024), beberapa rumah sakit besar di Jakarta dan kota-kota besar lainnya telah menerapkan sistem manajemen data pasien berbasis elektronik dan pemantauan jarak jauh. Namun tak dapat dipungkiri masih banyak rumah sakit di daerah yang belum memanfaatkan teknologi dengan optimal. Tujuan: Untuk menganalisis penggunaan  inovasi teknologi dalam perawatan di ruang intensif care unit. Metode: Penelitian literatur review dengan  pendekatan Preferred  Reporting  Items  for  Systematic  Reviews  and Meta-Analyses (PRISMA) dan menggunakan PICO. Database pencarian yang digunakan adalah pubmed/NCBI, Scopus,dan  Sciencedirect dengan  kata  kunci  "(Innovation) AND (Technology) AND (Intensif Care Unit)” Hasil: Jenis inovasi teknologi yang digunakan dalam perawatan di ruang intensif care unit yakni alat multimedia edukatif yang dirancang untuk meningkatkan kepatuhan perawat ICU terhadap praktik pencegahan dan pengendalian infeksi, program telemedis perawatan intensif (tele-ICU) bernama ERIC (Enhanced Recovery after Intensive Care), teknik Ultrasonik Kombinasi Out-of-Plane Orientation dan In-Plane Guidance untuk kanulasi arteri radial khususnya pada pasien syok di ICU, Virtual Reality (VR) untuk mendukung pengembangan kemampuan pengambilan keputusan klinis, Remotely Tele-mentored Ultrasound (RTMUS) telemedicine untuk melakukan ultrasonografi dari jarak jauh. Serta setiap jenis teknologi inovasi yang digunakan memberikan pengaruh atau efektif secara signifikan sesuai dengan variabel dependen yang diukur. Simpulan: Penggunaan inovasi teknologi dalam perawatan di ruang Intemsif care unit terbukti dapat memberikan manfaat pada segala aspek mula dari pencegahan infeksi, indicator mutu, dan pengambilan keputusan.   Kata Kunci: Intensif Care Unit (ICU); Inovasi ;Teknologi.
Efektivitas bahan oral care dalam upaya pencegahan ventilator-associated pneumonia (VAP) pada pasien kritis: A systematic review Utami, Mega; Martanti, Yuniar Dwi; Rukhayati, Yati; Umarmono, Umarmono; Kamaluddin, Ridlwan
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.v19i7.1075

Abstract

Background: The most common nosocomial infection in Intensive Care Unit (ICU) patients on mechanical ventilators is ventilator-associated pneumonia (VAP). One recommended prevention strategy is oral care. However, the effectiveness of various oral care materials in preventing VAP remains unclear. Purpose: To assess the effectiveness of oral care materials in preventing ventilator-associated pneumonia (VAP) in critically ill patients. Method: This systematic review followed PRISMA guidelines. Articles were retrieved from PubMed, ScienceDirect, and Google Scholar databases published between 2014 and 2025. Included articles were RCTs or quasi-experimental studies that addressed oral care interventions in ventilator patients. Quality assessment was performed using CASP-JBI. Results: Based on the 10 articles reviewed, oral care materials used included chlorhexidine, hydrogen peroxide, orthodentol, lactoperoxidase, and probiotics. Oral care techniques included brushing and rinsing, performed two to three times daily. Most studies have shown a reduction in the incidence of VAP in the intervention group. Conclusion: Oral care is effective in preventing VAP, especially when performed regularly with appropriate techniques and materials. The combination of toothbrushing and antiseptics such as chlorhexidine has been shown to be optimal in reducing the risk of VAP.   Keywords: Critically Patients; Oral Care; Ventilator-Associated Pneumonia (VAP).   Pendahuluan: Infeksi nosokomial yang paling sering terjadi pada pasien di Intensive Care Unit (ICU) yang menggunakan ventilator mekanik adalah ventilator-associated pneumonia (VAP). Salah satu strategi pencegahan yang direkomendasikan adalah oral care. Namun, efektivitas berbagai bahan yang digunakan dalam oral care terhadap pencegahan VAP masih belum disepakati secara luas. Tujuan: Untuk mengkaji efektivitas bahan oral care dalam upaya pencegahan ventilator-associated pneumonia (VAP) pada pasien kritis. Metode: Penelitian systematic review yang mengikuti pedoman PRISMA. Artikel diperoleh dari database PubMed, ScienceDirect, dan Google Scholar dengan tahun terbit 2014–2025. Artikel yang disertakan adalah penelitian RCT atau quasi eksperimen yang membahas intervensi oral care pada pasien ventilator. Penilaian kualitas menggunakan CASP-JBI. Hasil: Berdasarkan 10 artikel yang dikaji, bahan oral care yang digunakan meliputi chlorhexidine, hydrogen peroxide, orthodentol, lactoperoxidase, dan probiotik. Teknik oral care yang digunakan antara lain brushing dan rinsing dengan frekuensi dua hingga tiga kali per hari. Sebagian besar studi menunjukkan penurunan kejadian VAP pada kelompok intervensi. Simpulan: Oral care efektif mencegah VAP, khususnya jika dilakukan secara teratur dengan teknik dan bahan yang tepat. Kombinasi brushing dan antiseptik seperti chlorhexidine terbukti paling optimal dalam menurunkan risiko VAP.   Kata Kunci: Oral Care; Pasien Kritis; Ventilator-Associated Pneumonia (VAP).