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All Journal Jurnal Kesehatan Hesti Wira Sakti Journal of Innovation and Applied Technology Research Journal of Life Science Jurnal NERS Jurnal Kesehatan Mesencephalon Jurnal Pengabdian Masyarakat dalam Kesehatan Journal of Nursing Science Update Jurnal Ilmiah Kesehatan Keperawatan
Mukhamad Fathoni
Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health

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EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Zaky Soewandi Ahmad; Setyowati Soeharto; Mukhamad Fathoni
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.805 KB) | DOI: 10.36053/mesencephalon.v3i2.50

Abstract

Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
NILAI SKOR GLASGOW COMA SCALE, AGE, SYSTOLIC BLOOD PRESSURE (GAP SCORE) DAN SATURASI OKSIGEN SEBAGAI PREDIKTOR MORTALITAS PASIEN CIDERA KEPALA DI RUMAH SAKIT SAIFUL ANWAR MALANG Dadang Surpiady Eka Putra; M Rasjad Indra; Djanggan Sargowo; Mukhamad Fathoni
Jurnal Kesehatan Hesti Wira Sakti Vol. 4 No. 2 (2016)
Publisher : Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Pendahuluaan: Cidera kepala menjadi masalah bagi kesehatan masyarakat karena dapat menyebabkan kematian, kecacatan, dan mengurangi waktu produktif. Cidera kepala memiliki tingkat mortalitas yang tinggi, sehingga dibutuhkan metode prognosis cidera kepala dengan penilaian awal yang akurat dengan harapan dapat memprediksi keluaran dan tata laksana yang sesuai dengan kondisi pasien. GAP Score adalah salah satu skoring sistem fisiologis yang dapat digunakan sebagai prediktor mortalitas pasien cedera kepala. Sistem ini lebih mudah digunakan dan memberikan informasi prediktif yang berharga dari kondisi pasien. Tujuan penelitian ini untuk mengetahui apakah nilai GAP score dan saturasi oksigen dapat menjadi prediktor dalam memprediksi mortalitas pasien cidera kepala di Rumah Sakit Saiful Anwar Malang. Metode: Jenis penelitian ini adalah observasional analitik dengan pendekatan studi retrospektif. Sampel dalam penelitian ini berjumlah 96 orang yang didapatkan dari data rekam medis pasien cedera kepala yang masuk pada periode Januari hingga Desember 2015 di RSSA Malang. Sampel yang digunakan sebanyak 96 sampel sesuai dengan kriteria inklusi dan eksklusi. Hasil dan analisis : Uji Mann-Whitney pada penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai GAP Score, dan saturasi oksigen dengan mortalitas pasien cidera kepala dalam 7 hari perawatan dengan p value dari semua variabel independen < 0,05. Hasil Uji regresi logistik menunjukkan bahwa persamaan GAP Score memiliki nilai p value Uji Hosmer and Lemeshow = 0,938 dengan AUC = 0,921 yang dapat memprediksi mortalitas 92,1% pasien cidera kepala. Persamaan saturasi Oksigen memiliki nilai p value Uji Hosmer and Lemeshow = 0,870 dengan AUC = 0.880 dapat memprediksi mortalitas sebesar 88%, dan persamaan GAP score dan saturasi Oksigen memiliki nilai p value Uji Hosmer and Lemeshow = 0,967 dengan AUC = 0.965 dapat memprediksi mortalitas sebesar 96,5%. Diskusi dan kesimpulan: Secara statistik terdapat perbedaan AUC antara persamaan tersebut, dengan kesimpulan bahwa gabungan antara akurasi skoring GAP dan akurasi saturasi oksigen secara statistik dapat meningkatkan akurasi dalam memprediksi kematian. Gabungan antara akurasi skoring GAP dan akurasi saturasi oksigen secara statistik dapat meningkatkan akurasi dalam memprediksi mortalitas pada pasien cidera kepala. Kata kunci : GAP Score, Saturasi Oksigen, Mortalitas, Cedera Kepala. ABSTRACT Background: Head injury is a problem for public health because it can cause death, disability, and reduce a person's productive time. Head injuries have high mortality, requiring a method of head injury prognosis with early and accurate assessment in the hope of predicting outcomes and governance in accordance with the patient's condition. GAP Score is one of physiological scoring system that can be used as predictors of mortality of patients with head injury. This system is easier to use and provide valuable predictive information of the patient's condition. Patients who suffered a head injury requiring adequate oxygen supply to meet the needs of brain metabolism that required ongoing monitoring of the oxygen saturation in order to prevent the occurrence of secondary trauma that can worsen the condition of patients with head injury. The purpose of this study to determine whether the value GAP scores and oxygen saturation can be a predictor for predicting mortality in patients with head injury Saiful Anwar Hospital in Malang. Method: This type of research is observational analytic retrospective study. The sample in this study amounted to 96 people were obtained from medical records head injury patients who entered the period January to December 2015 in RSSA Malang. The samples used were 96 samples in accordance with the inclusion and exclusion criteria. Result and Analysis : The results of the Mann-Whitney test analysis showed that there was significant relationship between the value of GAP Score, and oxygen saturation of patients with head injury mortality within 7 days of treatment with p value of all the independent variables
Mount Bromo Eruption Disaster Preparedness With Android Mobile Based Application Fadly - Usman; Septiana - Hariyani; Eddi Basuki Kurniawan; Mukhamad - Fathoni; Fadhilatus - Shoimah
Journal of Innovation and Applied Technology Vol 6, No 2 (2020)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jiat.2020.006.02.7

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In the last 10 years, Mount Bromo has erupted three times; 2010, 2015, and 2019. Using the smartphone application as the Mount Bromo information facilities are one of an effort so that people and tourists can activate if an eruption occurs. There is important information about features made in the application such as distribution shelters, evacuation routes, health centers, photos, videos, and other important information. Assessment results in the application interface, the information conveyed, and also the features offered show that the application is very useful and gives a new perspective in conveying accurate information to the public and also tourists. The community satisfaction level is also quite good with the services provided by the Bromo preparedness application. Great expectations from the public and also respondents can see Mount Bromo further through CCTV cameras that are directly connected to the Android application.
The Effect of Learning Tabletop Disaster Exercise (TDE) to Improve Knowledge among Nursing Students for Disaster Emergency Response Mukhamad Fathoni; Yuyun Yueniwati Prabowowati Wadjib; Widya Addiarto
Research Journal of Life Science Vol 6, No 1 (2019)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.rjls.2019.006.01.4

Abstract

Today, the high incidence of disasters requires nurses to increase their role as disaster nursing in emergency response. This is in accordance with standards of the international council of nursing (ICN) that the nurse as a front line in providing treatment of disaster victims. One of the way to do in these situations is to improve the early preparedness in nursing students through disaster education, so that this plan needs a new method for effective and innovative disaster learning. One of the recommendation learning method is simulation with Tabletop Disaster Exercise (TDE). The purpose of this study was to analyze the effect of TDE learning for undergraduate nursing student’s knowledge in providing the management of victims in disaster response simulations. This study uses quasy experimental with pre-post test and control group design. The samples are 36 respondents were divided into two groups there are treatment and control groups so that each consisting of 18 respondents. The treatment group were given a TDE simulation, while the control group was given standard simulation and module. The results using paired t-test significantly showed that the differences value of knowledge before and after intervention with difference Pre-test 18 respondents mean 23.89±9.00 and Post test 18 respondents mean 81.67±8.04 Difference  Mean (CI 95%) = 57.78 (53.85-61.71) in each group indicated by the value (p = 0.000). The Effect Simulation Standards Knowledge Nursing Students with difference Pre test 18 respondents mean 26.39±9.04 and Post test 18  respondents mean 70.28±10.07 Difference  Mean (CI 95%) = 43.89 (38.59-49.18). The results from unpaired t-test to identify the difference of knowledge between the two groups after intervention has a significance value (p = 0.000). This means that there is significant difference of knowledge between TDE simulation and simulation.
The Factors Associated with The Triage Implementation in Emergency Department Nur Ainiyah; Ahsan Ahsan; Mukhamad Fathoni
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.919 KB) | DOI: 10.20473/jn.v10i1.2107

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Introduction: Triage is defi ned as a process to sort patients based on the severity and emergency situation. In fact, Emergency Department (ED) in several hospitals in Indonesia do not implement it, so not all patients come to Emergency Department due to a true emergency case but there are also a false emergency. Implementing triage is important in order to decrease false emergency case and also increase ED service quality. The research goal was to analyze factors associated with the triage implementation in Emergency Department in Hospitals (type A and B).  Methods: The research design was a cross sectional with corrrelative analysis. The research population was emergency department nurses and patients. Samples were taken by total sampling for the nurses (54 respondents) and accidental sampling for patients (54 respondents). The research instruments were questionnaire and direct observation. The research datas were analized using multivariat logistic regression by backward LR.Results: The result showed that the dominant factors correlated with the implementation of the triage was the performance factor (p value. 0,002), the patient factor (p value = 0.011), and the staffing factor (p value. 0.017).Conclusion: The hospital management can increase the work motivation,then optimize the nurses by giving a job description clearly and improve nursing service quality through Triage Offi cer Course.
Health Disaster Preparedness Using Android Mobile Based Application Case Mount Bromo Eruption Mukhamad Fathoni; Fadly Usman; Septiana Hariyani; Eddi Basuki Kurniawan; Ah Yusuh; Christrijogo Soemartono Waloejo
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.19005

Abstract

Introduction: In the last 10 years, Mount Bromo has erupted four times; 2004, 2010, 2015 and 2019. However, it is unique that people at Tengger are reluctant to evacuate even though Mount Bromo is erupting and releasing volcanic material such as stones and dust.Methods: This research is a quantitative study, using correlative analytic observational design and cross sectional approach with pourposife sample of 120 taken from online questionare results of bivariate analysis using gamma correlation test obtained the results of knowledge factors (p=0.005; r=0.27) attitude (p=0.000; r=0.45), means of infrastructure (p=0.000; r=0.58), and android application (p=0.000; r=0.59) for health preparedness. Results: Knowledge, attitude, infrastructure and android application factors can influence health preparedness in disaster risk reduction in Bromo area.Using the smartphone application as the Mount Bromo information facilities are one of an effort so that people and tourists can activate if an eruption occurs. There is important health preparedness about features made in the application such as distribution shelters, evacuation routes, health centres, photos, videos, and primary health care information.Conclusion: Assessment results to the application interface, the information conveyed, and the features offered showed that the application was very useful and gives a new perspective in conveying accurate information to the public and also tourists. The health preparedness community level is also quite good with the services provided by the Bromo alert application.
PROGRAM PAGAR BESI (PENDAMPINGAN KELUARGA SADAR DAN SIAGA TUBERKULOSIS PARU) UNTUK MENCAPAI ZERO TB CASE 2020 DI WILAYAH KERJA PUSKESMAS KLAMPIS NGASEM, KOTA SURABAYA Eka Mishbahatul Marah Has; Elida Ulfiana; ilya Krisnana; Yuni Sufyanti Arief; Annisa Mufidah; Mukhamad Fathoni
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 2 No. 2 (2020): OKTOBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v2i2.20798

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Pendahuluan: Indonesia masih menjadi negara dengan angka kejadian Tuberkulosis (TB) Paru tertinggi kedua di dunia. Kurangnya kepatuhan terhadap pengobatan dan perilaku pencegahan penularan diketahui menjadi penyebab utama tingginya kasus TB Paru di wilayah kerja Puskesmas Klampis Ngasem. Keluarga yang tinggal bersama dengan klien TB Paru sangat rentan terinfeksi karena rendahnya pengetahuan terkait pencegahan TB. Oleh karena itu, program pendampingan keluarga sadar dan siaga TB Paru (PAGAR BESI) perlu dilaksanakan. Program PAGAR BESI bertujuan untuk meningkatkan pengetahuan keluarga dan perilaku pencegahan penularan TB Paru di lingkungan keluarga sebagai upaya mencapai zero TB case di wilayah kerja Puskesmas Klampis Ngasem, Kota Surabaya.Metode: Pendekatan metode yang digunakan pada kegiatan pengabdian masyarakat ini adalah pendampingan (health coaching). Pendampingan (health coaching) dilaksanakan dengan pemberian edukasi tentang: 1) konsep TB Paru; 2) penularan TB Paru; 3) perilaku pencegahan penularan TB Paru; dan 4) dukungan keluarga. Edukasi dilakukan dengan metode ceramah dan diskusi, dilengkapi dengan media power point presentation, modul, dan audio visual aids. Program diikuti oleh 50 orang care giver primer dari klien TB Paru.Hasil: Penilaian dilakukan terhadap perubahan pengetahuan melalui kuesioner dichotomous choice (pre-posttest). Skor pre-test menunjukkan 48% peserta memiliki pengetahuan dalam kategori baik, 52% dalam kategori cukup, dan 0% dalam kategori kurang. Hasil post-test didapatkan peningkatan pengetahuan dalam kategori baik 86% dan 14% dalam kategori cukup.Kesimpulan: Program pendampingan keluarga sadar dan siaga TB Paru (PAGAR BESI) terbukti efektif meningkatkan pengetahuan peserta. Selanjutnya, dengan peningkatan pengetahuan ini diharapkan dapat mendorong peningkatan perilaku pencegahan penularan TB Paru di lingkungan keluarga. Tindak lanjut program dapat dilaksanakan secara periodik oleh perawat komunitas untuk meningkatkan retensi perilaku.
FACTORIAL ANALYSIS RELATED TO FAMILY PREPAREDNESS FACING DISASTER IMPACT IN TERNATE CITY OF MALUKU UTARA PROVINCE Syafrudin Lukman Ahmad; Ahsan Ahsan; Mukhamad Fathoni
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.439 KB) | DOI: 10.21776/ub.jik.2018.006.01.11

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Disasters occur when vulnerable people are faced with threats that they are unable to cope with or have low capacity to overcome them. Preparedness is the most critical phase in the range of disaster management, the inadequacy of disaster preparedness planning has created the suffering of survivors and loss of life. The purpose of this study was to analyze factors related to family preparedness in Ternate city. This research use descriptive analytic design with Cross sectional study approach. Respondents in this study were 113 Head of Family (KK) by using systematic random sampling. Chi-square test shows the related relationship (p = 0,005), attitude (p = 0.000) and social capital (p = 0.000) to risky family preparedness in Ternate city. The result of logistic regression test shows that social capital has the strongest strength of relationship (p = 0,022, OR = 2,725) compared to attitude (p = 0,025, OR = 2,680) and knowledge (p = 0,041, OR = 2,520). His result shows that good knowledge, attitude and social capital will increase the family preparedness in the face of disaster impact in Ternate City.
AN ANALYSIS OF CONTRIBUTING FACTORS IN NURSES’ ACCURACY WHILE CONDUCTING TRIAGE IN EMERGENCY ROOM Ria Ramadhani Dwi Atmaja; Mohammad Hidayat; Mukhamad Fathoni
Journal of Nursing Science Update (JNSU) Vol. 8 No. 2 (2020)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.266 KB) | DOI: 10.21776/ub.jik.2020.008.02.11

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Triage is aimed to arrange treatment priority to patients with different levels of urgency.These nurses who are responsible for triage must conduct standardized procedure. Hence,these nurse must acquire certain competency required to conduct triage. The competencyincludes basic knowledge, skills and attitude. Besides that, there are several contributingfactors playing significant role in triage procedure implementation, which is intrinsicfactors. Regarding to those factors, this study aimed to analyze those contributing factorsaffecting nurses’ accuracy in doing triage procedure in emergency room. This studyemployed correlational analytic design accompanied with cross sectional approach. Thepopulation in this study was all nurses who worked actively in the Emergency Room atRSUD in Malang Regency and Blitar City and thirty two respondents are taken as thesamples using population total method. The data is collected using observation sheetand questionnaire. The data analyzed through Partial Least Squares (PLS). It is showedthat knowledge level (p-value 0.000), skill level (p-value 0.000), attitude (p-value 0.000),intrinsic factors (p-value 0.000) are related to nurses’ accuracy in implementing triageprocedure. Therefore, based on those findings, the hospital’s management is suggested toimprove their nurses’ competency in implementing triage, especially by recommendingthem to participate in advanced emergency training and triage course.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA DI IGD RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO Putra Agina Widyaswara Suwaryo; Titin Andri Wihastuti; Mukhamad Fathoni
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v12i3.164

Abstract

Trauma is one of the biggest causes of death in the world. Thousands of people died from trauma each years. Many trauma occur in developing countries or countries with low incomes. The survey carried out showed 90% of trauma occur in developing countries. Outcome head injury patients determined from the initial condition when the patient entered in the ER (Emergency Room). Analysis of the patient's condition will determine the appropriate nursing actions that affect patient outcome. The purpose of this study was to analyze factors associated with outcome head injury patients in ER Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a prospective with observational analytic design. The sample in this study amounted to 56 people.The results of Spearman and coefficient contingency indicates that there is a relationship between initial GCS score (p = 0.000) and systolic blood pressure (p = 0.000)with a outcomes of head injury patient. There is no correlation between age (p = 0.478)respiratory rate (p = 0.956) and pulse (.318) with a outcomes of head injury patient. Analysis of logistic regression shows that systolic blood pressure (RR = 6.768) is the dominant factor associated with outcomes of head injury patient. Therefore, the need to improve the management hemodynamic of the patient's, especially blood pressure to prevent bad outcomes. Keywords: outcome, head injury, Emergency Room
Co-Authors Ah. Yusuf Ahsan Ahsan Ahsan Ahsan Annisa Mufidah Arief, Yuni Sufyanti Christrijogo Soemartono Waloejo Dadang Surpiady Eka Putra Djanggan Sargowo Eddi Basuki Kurniawan Eddi Basuki Kurniawan Eka Mishbahatul Mar'ah Has Elida Ulfiana Fadhilatus - Shoimah Fadly - Usman Fadly Usman Ilya Krisnana, Ilya M Rasjad Indra Mohammad Hidayat Nur Ainiyah Putra Agina Widyaswara Suwaryo Ria Ramadhani Dwi Atmaja Septiana - Hariyani Septiana Hariyani Setyowati Soeharto Siska Christianingsih Syafrudin Lukman Ahmad Titin Andri Wihastuti Widya Addiarto Yuyun Yueniwati Zaky Soewandi Ahmad