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DEVELOPMENT OF A SCORING SYSTEM FOR PREDICTING ACUTE CORONARY SYNDROME EVENTS: A SCOPING REVIEW Ihsan Angga Anjarwadi; Azizah Khoiriyati; Erna Rochmawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.28693

Abstract

Clinical scoring systems are widely used to support early risk stratification and clinical decision-making in patients with acute coronary syndrome (ACS). However, the characteristics, development processes, and clinical applications of these scoring systems remain dispersed across the literature. This scoping review aims to map and synthesize the available evidence on scoring systems used to assess or predict ACS events in hospital settings. A scoping review methodology was conducted using electronic databases, including PubMed, Scopus, and Emerald. The search terms included “acute coronary syndrome,” “scoring system,” OR “score predictor,” and “in hospital.” Of 1,961 identified records, 18 studies met the inclusion criteria after screening. Data were extracted using a charting approach to summarize study characteristics, scoring system variables, and reported outcomes. The review identified eleven ACS scoring systems, including widely used models such as GRACE, TIMI, and HEART. These scoring tools primarily incorporate clinical indicators such as age, systolic blood pressure, electrocardiogram findings, cardiac biomarkers, and cardiovascular risk factors. The results indicate that ACS scoring systems can be broadly categorized according to their clinical objectives, including diagnostic risk assessment, prognostic prediction, and early risk stratification in emergency settings. This review highlights the variability of predictive models across different clinical contexts and emphasizes the importance of selecting practical scoring systems that rely on readily available clinical indicators. The findings provide a comprehensive overview of existing ACS scoring systems and offer a conceptual framework that may help clinicians select appropriate risk assessment tools and guide future research on the development of simplified prediction models.  Keywords: Acute Coronary Syndrome, Risk Score, Clinical Prediction Model, Risk Stratification
Assessing Changes in Knowledge and Practical Skills of Community Ambulance Volunteers Following Emergency Medical Training Nur Chayati; Nur Hidayati; Azizah Khoiriyati; Esa Pradita Dazza; Toriqul Albab Firdaus
Carmin: Journal of Community Service Vol. 6 No. 1 (2026)
Publisher : Borneo Research and Education Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59329/carmin.v6i1.278

Abstract

The effectiveness of community-based ambulance services depends not only on ambulance availability but also on volunteers' capacity to recognize emergencies and ensure safe patient transport. This study examined the effect of emergency medical training on the knowledge and practical skills of community ambulance volunteers. A pre-experimental, one-group pretest-posttest design was employed involving 25 volunteers. The intervention comprised interactive lectures, demonstrations, simulation-based training, and hands-on practice addressing initial patient assessment, basic life support, first aid, and patient transfer techniques. Knowledge was measured before and after training using a validated questionnaire, while practical skills were assessed through direct observation using a standardized checklist derived from current resuscitation guidelines. Data were analyzed with a paired t-test. All participants were male, with a mean age of 43 years; most had completed senior high school, while the remainder held a bachelor's degree. Half had previously received emergency care training. Mean knowledge scores increased from 84.29 to 90.71 following the intervention, reflecting a 6.42-point (7.6%) improvement, though this change did not reach statistical significance (p = 0.082). Observational assessment indicated that most participants correctly performed the sequence of first aid interventions and patient transfer procedures. However, deficiencies persisted in specific psychomotor skills, including carotid pulse assessment, chest compression quality, and effective stretcher use, highlighting the need for continued practical training. Overall, emergency medical training demonstrated a favorable trend toward enhancing volunteers' knowledge and practical competencies in basic emergency care and safe patient transport. These findings suggest that simulation-enhanced training combined with interactive instruction can strengthen the capacity of community ambulance volunteers in prehospital emergency response. Regular refresher training and ongoing competency evaluation are recommended to sustain long-term knowledge retention and skill proficiency.
Efektifi tas Ekstrak Daun Sirih Merah (Piper Crocatum) Terhadap Kadar Hambat Minimum Dan Kadar Bunuh Minimum Bakteri Salmonella typhi Achwandi, Moch; Khoiriyati, Azizah; Soewito, Soewito
IJNP (Indonesian Journal of Nursing Practices) Vol. 2 No. 1 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v2i1.664

Abstract

Research Background : Typhoid fever is a systemic infectious disease caused by Salmonella typhi. The incidence rate in Indonesia is still high at 600000-1500000 patients annually with a CFR of 10%. The high rates of morbidity and mortality, moving the parties attempt to resolve this issue. The role of the nurse in this case one of them is to provide nursing care to the provision of complementary therapies. One of the medicinal plant commonly used empirically for complementary therapies is red betel (Piper crocatum).Objective: To determine concentration of red betel leaf extract (Piper crocatum) eff ectiveness against Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) bacteria Salmonella typhi.Method: Type of laboratory experimental studies in vitro with posttest only control group design. Red betel leaf extract has been created by default then tested on Salmonella typhi bacteria. The test method has been conducted with serial dilutions of liquid dilution. Repetition 4 times. Statistical test used was the Kruskal-Wallis test.Results : The results showed that the extract of red betel leaf has a MIC which can not be determined because of the turbidity of the suspension and MBC extract at a concentration of 12.5 %.Conclusion : Eff ectiveness of red betel leaf extract against Salmonella typhi bacteria MIC can not be determined. Red betel leaf extract is eff ective against the bacteria Salmonella typhi MBC. Dose of red betel leaf extract is eff ective against the bacteria Salmonella typhi MBC is at a concentration of 12.5%.Keywords: Red betel (Piper crocatum) – Minimum Inhibitory Concentration - Minimum Bactericidal Concentration - Salmonella typhi
EFEKTIFITAS KOMBINASI TERAPI MUSIK DAN SLOW DEEP BREATHING TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI T., Sebastianus K.; K., Tri Wulandari; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol. 2 No. 2 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v2i2.2075

Abstract

Hypertension is an increasing of blood pressure that does not cause symptoms for many years until there is asigniicant organ damage and the cause of the increasing of morbidity and mortality in Indonesia. The combination of music therapy and slow deep breathing help controlling blood pressure gradually. This condition will maintain the patient to not experience complications. The purpose of this research is to determine the efects of music therapy combined with slow deep breathing to decrease blood pressure in patients with hypertension. This research is quasy-experiment with pretest- posttest control group design. Samples in this study are 56 respondents who are the patients with primary hypertension in Alak Public Health Centerwhich are divided into 28 people for treatment group and 28 people for control group by simple random sampling. The irst stage iscarrying out the measurements of blood pressure and giving intervention in the treatment group for 20 minutes, then measuring blood pressure. Meanwhile, the blood pressureof control group is measured. The second stage is 4 times monitoring visits in the group treated for 2 weeks and the post data in the control group at the end of the second week. The dataof average changes in per-post are analyzed using the Wilcoxon test and comparison of two groups using the Mann-Whitney test. The result shows the average change in blood pressure treatment group is higher than the control group. The statistic analysis of p value of systolic and diastolic blood pressure is<0.05. There is a decrease in changes in systolic and diastolic blood pressure (p value = 0.000) of treatment group and the control group. It can be concluded that the combination of music therapy with slow deep breathing is efective in lowering the blood pressure of patients with primary hypertension and there is a change in blood pressure of treatment group and control group.Key words: Blood Pressure, Combination of music therapy and slow deep breathing, Hypertension
Efektivitas Terapi Psikoedukasi dan Terapi Murattal Terhadap Kecemasan Pasien Preoperasi Fraktur di Ruang Perawatan Bedah Rsud Raden Mattaher Jambi Merdekawati, Diah; Sagiran, Sagiran; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol. 3 No. 1 (2016): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v3i1.2217

Abstract

Fracture is a break of continuity of bone and cartilage tissue caused by injury or trauma. Fracture treatments are konservasif and operating based on the severity of fracture and mental attitude of the patient. Fracture patients who underwent surgery at the Raden Mattaher Jambi Hospital in 2012 (January-October) is 157, 36 patients get delay surgery becaused increase in blood pressure, pulse and body temperature is always changing as a result of anxiety. Therapy can be used to reduce the anxiety are psychoeducation and murattal. This research is a quasi-experiment with form nonequivalent control group design that aims to analyzing the effectiveness of psychoeducation and murattal therapy on anxiety of preoperative fracture patient in Ruang Perawatan Bedah Raden Mattaher Jambi Hospital 2013. Sample as many as 35 respondents. The research instrument was Rate Hamilton Anxiety Scale (HARS) and using statistical tests Repeated Anova. This research shows that a decline in the level of anxiety before and after the intervention given that the biggest difference is the respondent given murattal therapy, the difference was found in 3 interventions measures through. Comparison of anxiety of preoperative fracture patients with murattal therapy and interventions to a room have a large difference. Murattal therapy can be used to decline the anxiety of preoperative fracture patient in Raden Mattaher Jambi Hospital. The next research can analyze about physiology symptom and factors that cause anxiety. Keywords: Anxiety, Fracture, Psychoeducation and Murattal
GAMBARAN KARAKTERISTIK PASIEN GAGAL JANTUNG USIA 45 – 65 TAHUN DI RUMAH SAKIT PKU MUHAMMADIYAH GAMPING SLEMAN Harigustian, Yayang; Dewi, Arlina; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol. 1 No. 1 (2016): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v1i1.3419

Abstract

Heart failure is a disease that can caused death. About 5.1 million people in the United States had heart failure. In 2009, one in nine deaths caused by heart failure. In Indonesia, the prevalence of heart failure in 2013 was 0.13%, the estimated number of heart failure patients in Yogyakarta was 6,943 (0.25%). Based on data from 2007 indicated CHF Riskesdas the third cause of death in Indonesia after stroke and hypertension. The purpose of this study to determine the characteristics of heart failure patients in the Poly Heart Gamping Sleman PKU Muhammadiyah Hospital in September-November 2016. The study was conducted using a descriptive design. The sample was 32 respondents. Characteristics of patients with heart failure in Poly Heart PKU Muhammadiyah Hospital Gamping Sleman highest respondent's age range 61-65 years was 59.38%, the highest gender was female  53.12%, the last education was elementary 34.38%, the worst job many are civil servants was 31.25%, stage 2 was  93.75%. The conclusion of this study is that most of the respondents are at the age of 61-65 years old, the sex of the respondents is bigger than the male, the most recent primary school education, the work of most civil servants, and almost all respondents had heart failure stage 2. The results of this study are expected to be a reference to know the description characteristics of patients with heart failure so that prevention or intervention can be done to reduce the recurrence of patients with heart failure.
Earthquake Preparedness Among Nursing Students Rahayu, Rahayu; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol. 3 No. 2 (2019): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.3295

Abstract

Background: Nursing science students are prospective nurses who have an important role in disaster management, including disaster mitigation, disaster response, and post-disaster rehabilitation.Objective: This study aimed to investigate the earthquake disaster preparedness in nursing science students of Universitas Muhammadiyah Yogyakarta.Method: This study was a non-experimental study utilizing the quantitative method and descriptive survey design. The population of this study was active students of Nursing Study Program at Universitas Muhammadiyah Yogyakarta with a sample of 217 respondents. The sample was obtained using a proportional convenience sampling technique. The data were obtained through an instrument in the form of a valid and reliable earthquake preparedness questionnaire. The obtained data were then analyzed by using descriptive statistical analysis.Results: The findings of this study indicated that the level of students' earthquake preparedness was still in the low category. The findings on the parameters supported it. Students' knowledge and attitude towards an earthquake risk were in the high category while the emergency response plan parameter was included in the low category. The disaster warning system parameter was in the good category. At last, the resource mobilization parameter obtained was in a low category.Conclusion: Thus, it was concluded that the level of earthquake preparedness of Nursing Science students of Universitas Muhammadiyah Yogyakarta was in a low category. These findings explained the urge for disaster preparedness for students in the Nursing Science Study Program. Accordingly, routine training in earthquake disaster management is needed to improve students' disaster preparedness.