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EFEKTIVITAS PEMBERIAN ORAL HYGIENE + CLOSE SUCTION + HEAD UP 30-45? SEBAGAI BUNDLE PENCEGAHAN VAP (VENTILATOR ASSOCIATED PNEUMONIA) PADA RESPONDEN TN. S DENGAN PENGGUNAAN VENTILATOR MEKANIK DI RUANG ICU RSUP PROF dr. I. G. N. G. NGOERAH BALI Karina Puspa Wulandari Puspa; Ruris Haristiani; Baskoro Setioputro; Heri Siswanto
JURNAL ILMIAH KEPERAWATAN ALTRUISTIK Vol 7 No 1 (2024): April 2024
Publisher : Institut Kesehatan Hermina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48079/jika.v7i1.107

Abstract

Ventilator Associated Pneumonia or VAP is the occurrence of pneumonia in patients who are mechanically ventilated using an endotracheal tube (ETT) with a minimum duration of use of 48 hours. The incidence of VAP in hospitals can be minimized with a procedure, namely the VAP Bundle. Procedures in VAP Bundle include raising the head of the bed, suctioning tracheal mucus, and oral care with 0.2% chlorhexidine. The purpose of writing Scientific Research is to evaluate the VAP Bundle procedure which nurses can carry out independently as a preventive measure for VAP in the ICU. The technique for collecting respondents in this research is purposive sampling. The materials and instruments used in this research used standard operating procedures (SOP) Oral Hygiene + Close Suction + Head Up 30-45?. Meanwhile, the data collection instrument in the VAP Prevention Bundle is an observation sheet in the form of Clinical Infection Scroe Monitoring (CPIS) to assess the incidence of pneumonia in patients on ventilators. The results of this study showed that the Clinical Pulmonary Infection Score (CPIS) value on the 3rd day and 6th day of using the ventilator showed that the patient's CPIS score was ?6 so that the patient was declared not diagnosed with VAP. VAP Bundle is an appropriate procedure to prevent the occurrence of VAP in the ICU in patients who are installed on a mechanical ventilator. Implementing VAP Bundle can speed up the duration of use of a mechanical ventilator so as to minimize exposure to germs or the emergence of other diseases that can worsen the patient's condition.
FACTORS RELATED TO FARMERS' HEALTH SEEKING BEHAVIOURS FOLLOWING SNAKE BITE Ruris Haristiani; Rismawan Adi Yunanto; Baskoro Setioputro; Deskita Prastiwi
Journal of Islamic Nursing Vol 10 No 1 (2025): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v10i1.56299

Abstract

A huge number of mortalities and morbidities of snake-bite is mostly reported from tropical countries in agriculture occupants. The purpose of this study was to determine the factors related of farmers' health seeking behavior following snakebite. The research design used quantitative method with correlational descriptive research with a cross-sectional approach. The type of sampling technique used probability sampling using the cluster sampling method with a total sample of 100 respondents. Data were collected using 6 questionnaires to measure factors related to the behavior of seeking health assistance due to snakebites including knowledge level, perception of illness, attitude, income level, and accessibility of health services. We used Chi square test and Fisher exact test to analyze the data. The result showed that there was a relationship between the level of knowledge (p 0.000), perception of sickness (p 0.003), health service accessibility (p 0.005), income levels (p 0.001), and attitudes (p 0.021) to farmers' health seeking behaviors of snakebite. Based on these findings, it is urgently needed to give health education to farmers related to appropriate health seeking behaviours of snakebite. Keywords: farmers, health-seeking behaviours, snakebite.
Enhancing Students' Earthquake and Tsunami Preparedness Through Comic Media Health Education: A Quasi-Experimental Study Rahayu, Putri Puji; Syaharani, Ghifara Alita; Setioputro, Baskoro; Yunanto, Rismawan Adi; Haristiani, Ruris
Jurnal Kegawatdaruratan Medis Indonesia Vol. 4 No. 1: February 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v4i1.331

Abstract

Background: Indonesia is located in the Ring of Fire area at the meeting point between the Eurasian Plate, the Indonesia-Australian Plate, and the Pacific Plate. This meeting was the source of the megathrust earthquake in the East Java region. This makes Indonesia vulnerable to earthquakes and tsunamis along the southern coast of Java. As a vulnerable group to facing potential earthquakes and tsunamis, the level of preparedness of children in Indonesia needs to be increased. Aim: To determine the effect of comic media health education on the Earthquake and Tsunami Preparedness level of students at SDN Sumberejo 09 Ambulu Jember. Method: The sample of this study was students in SDN Sumberejo 09 Ambulu Jember. The research design used a quasi-experiment using the non-equivalent control group design and probability sampling with the proportionate stratified random sampling approach. Data collection used a characteristic questionnaire and an earthquake and tsunami preparedness questionnaire by LIPI-UNESCO 2006. Result: The result of the study shows differences in the level of preparedness before and after the intervention in the intervention group with a p-value of 0.000 (<0.05). At the same time, there was no difference in preparedness between the data before and after in the control group, with a p-value of 0.101 (>0.005). Conclusion: Comic media has been proven to increase elementary school students’ preparedness.
PENGUATAN KETERAMPILAN GABUNGAN KELOMPOK TANI (GAPOKTAN) DALAM PENANGANAN KORBAN GIGITAN ULAR DI WILAYAH PERTANIAN KECAMATAN PANTI, KABUPATEN JEMBER Haristiani, Ruris; Yunanto, Rismawan Adi; Setioputro, Baskoro; Rokhani; Al Muvidah, Nadira Rifqi; Ni'mah, Afa Faiqotun
Jurnal Abdi Insani Vol 11 No 1 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i1.1258

Abstract

Indonesia, as one of the world's largest tropical countries, has a very high incidence of snake bites. Among agricultural workers, the high risk of snake bites is attributed to the lack of necessary preventive measures, such as wearing gloves, boots, and other personal protective equipment to avoid snake bites. Open living spaces in rural areas and the habit of sleeping on the floor also pose a potential risk of bites from nocturnal snakes. Therefore, this community service aims to innovate interventions and explore the outcomes of intervention innovations regarding the management of first aid for snake bites in the community. The applied method involves providing education on first aid for snake bites to the community through lectures and demonstrations. There was an improvement in the knowledge level, with the category of "sufficient" increasing from 9 individuals (39.1%) to 15 individuals (65.2%). The Wilcoxon statistical test results indicated a significant impact of the program, with a P-value of 0.001 (<0.005). Providing education to a combined farmers' group through lectures and demonstrations effectively enhances knowledge and skills related to first aid for snake bites.
Efektivitas Aromaterapi pada Pasien Chronic Kidney Disease dengan Keluhan Mual saat Melakukan Hemodialisa di Ruang Hemodialisa RSD dr. Soebandi Jember Shastika, Yuniawati; Ridla, Akhmad Zainur; Haristiani, Ruris; Sujarwanto, Sujarwanto
Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Vol 10, No 1 (2024): JOURNAL NURSING CARE
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jnc.v10i1.1009

Abstract

Latar Belakang: Hemodialisa atau cuci darah adalah intervensi yang biasa digunakan untuk terapi bagi pasien dengan gagal ginjal kronis. Walaupun, hemodialisa merupakan prosedur yang aman, tetapi prosedur ini memiliki beberapa efek samping salah satunya adalah muncul rasa mual. Mual yang muncul akibat mengikuti prosedur hemodialisa berdampak pada penurunan nafsu makan, penurunan berat badan, dan menyebabkan muntah yang akan menyebabkan dehidrasi serta ketidakseimbangan cairan dan elektrolit. Aromaterapi sebagai terapi non-farmakologis memiliki efek menenangkan sehingga dipercaya dapat menurunkan mual.Tujuan: Penelitian ini bertujuan untuk mengetahui efek dari pemberian aromaterapi pada pasien CKD dengan keluhan mual saat melakukan hemodialisaMethods: Penelitian ini menggunakan metode studi kasus pada satu pasien gagal ginjal kronis yang sedang menjalani prosedur hemodialisa yang memiliki keluhan mual, kemudian dilakukan pemberian intervensi mengikuti jadwal hemodialisa pasien. Skala intensitas mual diukur menggunakan Nausea Severity Scale (NSS).Results: Penelitian ini menunjukkan bahwa terdapat penurunan skala intensitas mual setiap setelah dilakukan pemberian aromaterapi.Conclusion: Maka peneliti menyarankan penggunaan aromaterapi lavender sebagai terapi non-farmakologis pada pasien dengan keluhan mual yang sedang menjalani prosedur hemodialisa di praktik klinis, baik diberikan oleh petugas kesehatan terutama perawat atau sebagai terapi mandiri bagi pasien karena aromaterapi termasuk terapi yang murah dan mudah dicari di Indonesia.
The Relationship between Demographic Characteristics and Disaster Preparedness for Facing Landslides in Rural Areas of Indonesia Ramadhani, Nurhafidin; Yunanto, Rismawan Adi; Setioputro, Baskoro; Haristiani, Ruris
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 2 (2024): June 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i2.369

Abstract

Indonesia, positioned amidst two oceanic continents, experiences varying rainfall intensities due to its tropical rainy climate, significantly impacting soil stability and rendering it prone to landslides. This study investigates community preparedness for landslides, focusing on demographic characteristics' influence. We used cross sectional method with utilizing an observational analytic approach. The data was collected from 89 respondents using the LIPI-UNESCO/ISDR questionnaire. The sampling technique used is simple random sampling using a computer application. Data analysis uses Spearman rho analysis to determine the correlation of each variable. Findings reveal a significant correlation between age and education with disaster preparedness, whereas previous disaster experience showed no correlation. Most respondents displayed inadequate preparedness, indicating a pressing need for enhanced disaster management efforts. The study underscores the imperative for targeted interventions to bolster community resilience, emphasizing education and awareness initiatives to bridge preparedness gaps. Overall, the findings provide valuable insights for policymakers and disaster management authorities in formulating proactive strategies to mitigate landslide risks and enhance community resilience in rural areas.
Gabungan Kelompok Tani (Gapoktan) Tani Mulyo Sebagai Relawan Bantuan Hidup Dasar (BHD) dalam Mewujudkan Daerah Pertanian Ramah Jantung Yunanto, Rismawan Adi; Wantiyah, Wantiyah; Rokhmah, Dewi; Setioputro, Baskoro; Haristiani, Ruris
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 7 No 2 (2023): Volume 7 Nomor 2 Tahun 2023
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v7i2.18615

Abstract

The incidence of heart attack is one of the highest causes of death in the world and Indonesia. East Java ranks second highest for people with heart problems who risk getting a heart attack. The farmers had a high-risk factor for heart disease due to an unhealthy lifestyle (high-fat diet, smoking, caffeine consumption, and exposure to pesticides). Farmers in Suci Village, Panti District, Jember Regency also have the same risk. Farmers in the Sacred Village had a high enough risk of a heart attack. This is the reason for the Mulyo Farmers Group Association (Gapoktan), Suci Village, Panti District, Jember Regency, to be empowered in dealing with this problem. The purpose of implementing this service is to create a heart-friendly agricultural area in Suci Village by downstream the research results of the proposer team, increasing knowledge, attitudes, and skills of Gapoktan about BHD, and forming a group of volunteers for BHD Gapoktan Tani Mulyo. The method used starts with initial identification with partners, formulation of activities, implementation of activities, and final dissemination. The result is that Tani Mulyo's Gapoktan has been empowered to become a BHD volunteer. The results of our program implementation were evaluated by giving pretest and post-test questionnaires, which we analyzed with a dependent t-test. The result showed that there was a significant increase in the variables of knowledge (p=<0.001), attitude (p=0.003), and skills (p=<0.001) from Tani Mulyo's Gapoktan. With the implementation of this service, Tani Mulyo Gapoktan has been empowered to become a BHD volunteer to create a heart-friendly agricultural area.
Application of Foot Massage Therapy to Overcome Ineffective Breathing Patterns in Chronic Kidney Disease (CKD) Patients Redha Aulia Janah; Ruris Haristiani
International Journal of Biomedical Nursing Review Vol 2 No 3 (2023): 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.2023.2.3.9528

Abstract

Introduction: One of the clinical manifestations of Chronic Kidney Disease (CKD) is shortness of breath due to interference with the kidneys which results in disruption of the formation of red blood cells. A decrease in the number of red blood cells will interfere with its function to carry oxygen to peripheral tissues so that it can cause shortness of breath. Shortness of breath alone and can cause problems with ineffective breathing patterns. Nursing actions that can be taken in this case include foot massage therapy which aims to reduce shortness of breath. Research objective: to determine the effectiveness of foot massage therapy on ineffective breathing patterns in Chronic Kidney Disease (CKD) patients. Method: This scientific work uses the case report method which describes the case of Mrs. M with the problem of ineffective breathing pattern nursing in the Adenium Room RSD dr. Soebandi Jember. The intervention was foot massage for 30 minutes in 3 days. Discussion: After the foot massage therapy was carried out within 3 days of treatment, it showed a change in respiratory frequency from scale 2 (severely increased) to scale 4 (simply decreased). Non-pharmacological therapy foot massage can help reduce symptoms of shortness of breath because it can increase the hormone endorphins can affect blood vessels so that blood vessels can widen and will improve blood and lymph circulation which can increase oxygen supply and reduce shortness in patients Conclusion: Actions of foot massage therapy can provide a change in the patient's breathing pattern as seen from the previous respiratory rate from 25 x/minute to 20x/minute, dyspnoea has decreased considerably
ANALYSIS OF NURSING CARE IN DIPSNEA ET CAUSA PATIENTS WITH DEXTRA LUNG TUMORS WITH COMBINATION THERAPY PURSED LIPS BREATHING AND EUCALYPTUS AROMATHERAPY IN THE GARDENA ROOM, RSD DR. SOEBANDI JEMBER Novi Putri Cahyanti; Ruris Haristiani; Murtaqib Murtaqib; Mustakim Mustakim
International Journal of Biomedical Nursing Review Vol 3 No 1 (2024): 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.2024.3.1.9586

Abstract

Introduction: Lung tumor is a pathological disease that attacks the lungs with the appearance of abnormal cells and one of the symptoms is shortness of breath. The emergence of shortness of breath can cause the supply of oxygen throughout the body to be disrupted. Purpose: This study aim to giving combination therapy of Pursed Lips Breathing and Eucalyptus aromatherapy is to reduce the patient's shortness of breath. Methods: This research is a case study to evaluate interventions given to patients with lung tumors packaged in nursing care. Intervention is given 2x every day for 5-15 minutes for 4 days. Success indicator is measured by oxygen saturation. Result: The results showed that the intervention given for 4 days of clients shortness of breath decreased as evidenced by SpO2 86% to 93%. Discussion: Pursed Lips Breathing exercise will increase the movement of the diaphragm which will add volume to the lungs, with the inspiratory phase causing a decrease in muscle workload and a long expiratory phase causing residues to decrease thereby increasing gas exchange. Giving eucalyptus aromatherapy containing essential oils by dropping it in hot water can change eucalyptus essential oil in aerosol form so that it reaches the respiratory organs and is deposited in the lungs and complaints of shortness of breath can be reduced. Conclusion: The decrease in shortness of breath showed that the combination therapy intervention of Pursed Lips Breathing and Eucalyptus aromatherapy was effective in reducing the degree of shortness of breath in lung tumor patients.
NURSING ANALYSIS OF STROKE PATIENTS WITH PHYSICAL MOBILITY DISORDERS PROBLEMS WITH RANGE OF MOTION EXERCISE INTERVENTIONS IN GARDENA ROOM RSD DR. SOEBANDI JEMBER Widya Maulina Cantika Putri; Ruris Haristiani
International Journal of Biomedical Nursing Review Vol 4 No 1 (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.2025.4.1.9635

Abstract

Introduction: Blooding in the brain leads to inadequate supply within the brain, resulting in an infarction of the cerebral tissue, which affects the surrounding nerves, leading to a loss of muscle strength and physical weakness. Purpose: Giving range of motion therapy after stroke provides changes in the sensory and motor cortex by improving motor function in the patient. Methods: This exercise is given once every shift with a duration of 10 to 15 minutes in 3 days, showing an increase in muscle strength and range of joint movement in the upper and lower left extremities. Discussion: Range of motion is one form of rehabilitation that is considered quite effective in preventing permanent disability in stroke patients. This exercise contains a set of movements that focus on the joints so that they can improve muscle flexibility and strength. Conclusion: By administering range of motion exercise therapy to stroke patients with physical mobility impairment, the desired outcome criteria can be achieved, namely an increase in muscle strength and range of extremity movement