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KNOWLEDGE AND SKILL OF BASIC TRAUMA AND CARDIO LIFE SUPPORT AMONG UNDERGRADUATE NURSING STUDENTS Ira Suarilah; Sriyono Sriyono; Hanik Endang Nihayati; Makhfudli Makhfudli; Andri Setiya Wahyudi
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 5 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v5i2.48577

Abstract

Introduction: Basic trauma and cardio life support (BTCLS) is primarily focused on ensuring widespread and uniform implementation of life saving. Classical face to face teaching method and practices have been widely applied in higher nursing education to increase cognitive and psychomotor.  The Aim of this community service was to increase knowledge and skills of BTCLS among undergraduate nursing students. Methods: BTCLS program was delivered through lecture, demonstration, and simulation. The instrument used was developed by the Indonesia emergency and disaster nurse association (HIPGABI). A self-report paper-based questionnaire was applied to measure the level of knowledge and skills.  Data was analysed by descriptive statistics. Results: The demographic characteristic of participants were dominated by group of age 18 to 30 year-old (85.56%), female (73.33%), and those who have no clinical working experience (68.89%).  The lowest education and skill scored was management of trauma whom were 55.56% passed and 70% was high skill. The pre-test showed around 60% participants was passed. The post-test, 100% participants met the pass level of each category with the highest knowledge and skill’s score was basic life support. After the whole program delivered, all participants convened the knowledge and more than 80% categorised as high skill. Conclusion: The given training program showed face to face teaching, simulation, and demonstration improved knowledge and skills related to BTCLS benefited participants. The BTCLS education and training highlighted knowledge should be periodically updated, technical skills should be consolidated, and sufficient equipment’s should be established in accordance with training and certified trainer.
Meningkatkan Suhu Ekstremitas untuk Menjaga Kontunuitas Pemantauan SpO2 Abit Mawan Dayoko; Sriyono Sriyono; Erna Dwi Wahyuni
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1354

Abstract

Ekstremitas dingin merupakan gejala perfusi perifer tidak efektif yang dapat menyebabkan SpO2 tidak terdeteksi. Studi dokumentasi tahun 2021 menunjukkan 11,93% dari 2245 pasien ICU RSUP dr. Kariadi mengalami ekstremitas dingin dan SpO2 tidak terdeteksi. Upaya menghangatkan ekstremitas untuk tetap dapat memantau SpO2 masih dilakukan dengan peralatan sederhana. Tujuan penelitian mendeskripsikan alat dan bahan yang digunakan serta cara menghangatkan ekstremitas. Penelitian dilakukan dengan desain penelitian kualitatif fenomenologi. Wawancara 15 perawat pelaksana ruang ICU dengan masa kerja ≥5 tahun dan minimal PK 2. Observasi 10 pasien dengan kondisi ekstremitas dingin dan SpO2 tidak terdeteksi. Pengambilan sampel menggunakan teknik Consecutive Sampling. Analisa data dengan thematic analisis. Alat dan bahan yang digunakan antaralain convective warmer 65%, dobel selimut 45%, handscoon berisi air panas 20%, kompres hangat 15% dan memijat jari 10%. Penggunaan convecrive warmer harus dikombinasikan dengan dobel selimut walau demikian fokus peningkatan suhu keseluruh tubuh pasien. penggunaan handscoon berisi air panas cukup efektif meningkatkan suhu ekstremitas 1-3oC dan saturasi dapat terdeteksi. Pemijatan area ekstremitas tidak menunjukkan peningkatan suhu namun SpO2 segera terdeteksi, setelah intervensi berhenti saturasi tidak terdeteksi lagi. Alat dan bahan yang digunakan sudah cukup efektif meningkatkan suhu ekstremitas namun masih memiliki banyak kelemahan sehingga perlu dikembangkan sebuah alat penghangat khusus untuk ekstremitas.  
Pengkajian Kebutuhan Dasar Perawatan Paliatif Pasien Paska CABG (Coronary Artery Bypass Graft) di Ruang Perawatan Intensif Nining Puji Astuti; Sriyono; Ninuk Dian Kurniawati; Henry Saktiana
ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 4 No 2 (2023): DESEMBER
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/asjn.v4i2.1339

Abstract

Latar Belakang: Perawatan paliatif merupakan layanan keperawatan yang seharusnya diberikan sejak pasien didiagnosis sakit kronis, masa perawatan hingga meninggal dunia dan berduka. Namun kondisi ini dimaknai berbeda oleh Indonesia dimana perawatan paliatif didefinisikan sebagai perawatan menjelang ajal kematian sehingga dalam perawatan pasien paska bedah jantung tim medis tidak berkenan melakukan kolaborasi dalam tindakan paliatif sedangkan kebutuhan dasar perawatan harus tetap dijalankan untuk memaksimalkan kualitas hidup pasien. Tujuan: Studi kasus ini bertujuan untuk membahas peran tindakan perawatan paliatif dalam perawatan pasien paska bedah jantung pada pasien paska CABG di Ruang ICCU RSUP Dr. Kariadi Semarang pada bulan Juli 2023. Metode: Penelitian dilakukan dengan pendekatan deskriptif kualitatif studi kasus melalui wawancara pasien, keluarga dan analisa kasus hasil pemeriksaan medis pasien. Hasil: Program perawatan paliatif pasien paska tindakan CABG belum terintegrasi dengan tim perawatan paliatif. Hasil pengkajian kebutuhan dasar pasien paliatif di dapatkan data bahwa pasien dan keluarga membutuhkan perawatan paliatif untuk mengurangi gejala nyeri, kelelahan, insomnia, kehilangan nafsu makan dan dampak finansial akibat kondisi sakit pasien. Kesimpulan: Hasil penelitian ini dapat digunakan sebagai pengembangan ilmu pengetahuan terkait pentingnya pengkajian kebutuhan dasar untuk memaksimalkan kualitas hidup pasien paska CABG. Diperlukan alat ukur pengkajian kebutuhan dasar perawatan paliatif guna mengukur kebutuhan dasar perawatan paliatif.
EFFECTIVENESS OF FOOTWEAR AND INSOLE DESIGN TO PREVENT RISK FOOT ULCER IN PEOPLE WITH DIABETES: A SYSTEMATIC REVIEW Fitriatul Jannah; Sriyono Sriyono; Ni Ketut Alit Armini; Andi Safutra Suraya
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 9, No 2 (2024): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v19i2.670

Abstract

EFFECTIVENESS OF FOOTWEAR AND INSOLE DESIGN TO PREVENT RISK FOOT ULCER IN PEOPLE WITH DIABETES: A SYSTEMATIC REVIEW Fitriatul Jannah1*, Sriyono1, Ni Ketut Alit Armini1, Andi Safutra Suraya11Faculty of Nursing, Universitas Airlangga , Surabaya, Indonesia*Coresponding Author: fitriatuljannah1997@gmail.com ABSTRACT Introduction: Hyperglycemia is a sign of diabetes mellitus. Long-term uncontrolled hyperglycemia can trigger damage to the nervous system and blood vessels, which can cause diabetic foot ulcer. One of the ways to prevent diabetic foot ulcer by optimizing the use of footwear and insole. Methods: This systematic review aimed to summarize and evaluate the evidence for footwear and insole for the prevention of diabetic foot ulcer. Literature search was conducted for the last 5 years (2018-2023) in English on four databases, Scopus, Science Direct, PubMed, and Web of Science. Using footwear or insoles as intervention in patient with diabetic to prevent of diabetic foot ulcer were reviewed. Writing search results for articles is compiled using checklist and flow diagrams PRISMA. The analysis was descriptive with a narrative approach. Full-text article leaving 8 research articles for review. Results: The result of the article review analysis found innovation in the prevention of diabetic foot ulcers and the prevention of recurrence of diabetic foot ulcers by using footwear and insoles. 5 articles investigated the prevention of diabetic foot ulcers and 3 articles investigated the prevention of recurrence of diabetic foot ulcers using the innovative use of footwear and insoles, all articles stated that the intervention of using footwear and insoles in diabetic prevent diabetic ulcers from occurring and could prevent recurrence of foot ulcers diabetic. Conclusions: The literature review obtained shows that interventions using footwear and insoles can be implemented in people with diabetes mellitus to prevent diabetic foot ulcer. Keywords: Diabetic foot, Foot ulcer, Footwear, and Insoles
Initial Assessment Pra Hospital pada Pasien Acute Coronary Syndrome: Systematic Review Rizky Rachmatullah; Sriyono Sriyono; Hakim Zulkarnain
Faletehan Health Journal Vol 12 No 02 (2025): Faletehan Health Journal, Juli 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i02.789

Abstract

Some previous acute coronary syndrome (ACS) studies have focused on educational interventions or general management of ACS, without reviewing the key role of systematic early assessment in reducing morbidity and mortality. This study aims to analyze the effectiveness of initial assessment in improving early response and clinical outcomes in ACS patients in pre-hospital care. A systematic review was conducted on 16 articles obtained from five databases: PubMed, ScienceDirect, Google Scholar, Scopus, and ProQuest. Keywords used in the literature search included “initial assessment,” “Pre hospital,” and “Acute coronary syndrome (ACS),” with a publication range between 201 and 2024. The initial search yielded 88 articles. After removing duplicates and screening based on inclusion criteria as well as selection by title, abstract, and full text, 16 articles were included in the final analysis. Article quality was assessed using the Joanna Briggs Institute (JBI) appraisal tool. The analysis showed that a systematic and timely initial assessment significantly improves diagnostic speed, accuracy of early intervention, and reduces mortality and complications in ACS patients. Ongoing training for pre-hospital healthcare providers, standardized treatment protocols, and inter-system emergency care collaboration are essential to improve overall clinical outcomes. This review recommends integrating initial assessment as a key component of pre-hospital services and cardiovascular emergency management strategies.
The Effectiveness of Early Interventions in Post-Ischemic Stroke Patients on Neurological Recovery And Quality of Life: A Systematic Review Wisnu Guntur Prakoso; Sriyono Sriyono; Erna Dwi Wahyuni
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52684

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Abstract Introduction: Individuals recovering from ischemic stroke often endure significant neurological impairments, including motor deficits, cognitive challenges, and emotional disturbances. These complications substantially reduce their quality of life and impose a heavy burden on both the healthcare system and caregivers. Objective: This systematic review aims to evaluate the effectiveness of early interventions in improving neurological recovery and quality of life in post-ischemic stroke patients. Method: A structured literature review was conducted following the PRISMA guidelines. Five major databases (Scopus, PubMed, Science Direct, Web of Science, and ProQuest) were systematically searched using defined keywords. Articles were screened and selected based on pre-established eligibility criteria, and quality appraisal was carried out using Joanna Briggs Institute (JBI) tools. Results: A total of 11 studies met the inclusion criteria. Most early interventions were initiated within 24 to 72 hours after stroke onset. The results consistently showed that early rehabilitation, nursing care, occupational therapy, and other multidisciplinary approaches contributed to significant improvements in neurological function, daily living activities, and health-related quality of life. Conclusion: Early interventions administered during the acute phase of ischemic stroke are effective in enhancing recovery and improving quality of life. These findings highlight the importance of timely, structured, and multidisciplinary stroke rehabilitation programs as a standard part of stroke management. Keywords: Early intervention, ischemic stroke, neurological recovery, quality of life, stroke rehabilitation
Chronic Care Model Based Nursing Interventions Improve Hypertension Patient’s Medication Compliance by Preventing Patients Forget and Fear Jujuk Proboningsih; Sriyono Sriyono; Mohammad Najib; Fitriah Fitriah
International Journal of Advanced Health Science and Technology Vol. 3 No. 1 (2023): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i1.156

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The goal of nursing intervention on chronic disease such as Hypertension is to improve the patient self-care, in which the Chronic care model could help to reach the best outcome. Research suggests the community, health workers, and regulations could improve the health. The purpose of this study was to apply nursing intervention based on chronic care model to medication adherence in hypertensive patients. This is quasi-experimental research used pre-post test control group design. 50 respondents of hypertension patients were recruited from Pucang Sewu, Pacar Keling and Tambak Rejo Surabaya Health Centres. The intervention was applicating nursing interventions based on the Chronic Care Model. The Mann Whitney U statistical analysis used to understand the effect of the intervention to the medication adherence in patients with hypertension. A total of 50 respondents who were divided into two groups, control and treatment, with each (n = 25). The distribution of characteristics in the two groups is homogeneous. Different test in the control group, there was no difference. The treatment group shown a significant difference in adherence before and after the intervention with p value 0.000 (p <0.05). This study found the reason of disobedient patient to medication, which is forget and fear to the side effect. The patient and the health care agree frequent reminder could be the solution to this problem. Chronic Care Model based nursing interventions can improve medication adherence in hypertensive patients by encourage the health care system to frequently remind patients.
The Effectiveness of Artificial Intelligence in the Early Detection of STEMI: A Systematic Review Rizki Nur Azhadin; Sriyono Sriyono; Erna Dwi Wahyuni
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.v10i3.57907

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Abstract Introduction: ST-Elevation Myocardial Infarction (STEMI) is one of the most critical manifestations of acute coronary syndrome and requires rapid diagnosis and timely intervention to reduce morbidity and mortality. Recent advances in Artificial Intelligence (AI), particularly in machine learning and deep learning, offer promising solutions for improving the accuracy and speed of early STEMI detection through real-time analysis of electrocardiogram (ECG) and clinical data. Methods: A comprehensive literature search was conducted using five major databases (Scopus, PubMed, ProQuest, ScienceDirect, and Web of Science) for peer-reviewed articles published between 2015 and 2025. Study selection followed the PRISMA guidelines, and methodological quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal checklist. Data synthesis was performed narratively, focusing on diagnostic accuracy, clinical outcomes, and AI application types. Results: Fifteen studies met the inclusion criteria. The majority reported that AI-based models, particularly those using ECG input, achieved diagnostic accuracies exceeding 90%. Several studies demonstrated that AI outperformed traditional risk scoring systems like the TIMI score. Additionally, AI applications were shown to support remote monitoring and facilitate timely interventions in emergency cardiac care settings. Discussion: The findings of this review indicate that artificial intelligence has substantial potential to enhance early STEMI detection through improved diagnostic accuracy and faster clinical decision-making. AI-based ECG interpretation demonstrated superior performance compared to traditional diagnostic methods, which may reduce delays in reperfusion therapy and improve patient outcomes. Furthermore, AI integration in prehospital settings and remote monitoring systems supports early triage and timely intervention, particularly in resource-limited environments. However, challenges such as data heterogeneity, limited external validation, and ethical considerations remain important barriers to widespread implementation. These findings highlight the need for further large-scale multicenter studies to confirm the clinical effectiveness of AI-based diagnostic tools in real-world emergency cardiac care. Conclusion: AI has demonstrated high potential in improving early STEMI diagnosis, accelerating clinical decision-making, and enhancing patient outcomes in acute cardiac emergencies. However, successful implementation requires addressing external validation, data quality, clinician training, and ethical concerns. Integrating AI into emergency cardiac nursing practice may transform the delivery of care in resource-limited and time-sensitive environments.
Triage in Emergency Management in the Emergency Department: A Systematic Review Richal Grace Zefanya Uly; Sriyono Sriyono; Arina Qona'ah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5607

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Triage is a vital process aimed at categorizing patients based on the severity of their conditions, allowing for quicker and more efficient management. This review gathers and analyzes the results of various studies related to triage methods used in the Emergency Department (ED), their impact on wait times, and patient clinical outcomes. The findings suggest that standardized triage systems can significantly enhance workflow efficiency in the ED, reduce mortality, and improve patient satisfaction. A total of 1,440 articles were identified from various databases: 251 from PubMed, 1,090 from ScienceDirect, 83 from Google Scholar, 3 from Scopus, and 13 from ProQuest. After removing duplicates, 1,125 articles remained, title screening reduced this to 114 articles, followed by abstract screening which resulted in 31 articles. Finally, 13 articles were selected for full-text review. In conclusion, there is a need for the integration of evidence-based triage systems to review the importance of developing adaptive triage protocols to improve the effectiveness of emergency case management in the ED. However, challenges in implementation, such as adequate training and resource limitations, need to be addressed to achieve optimal outcomes.
Initial Management Pre Hospital: A Systematic Review Rizky Rachmatullah; Sriyono Sriyono; Hakim Zulkarnain
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6363

Abstract

Early management in the pre-hospital phase plays a crucial role in the emergency medical service system. Quick, accurate, and targeted interventions can prevent patient deterioration, reduce mortality rates, and improve clinical outcomes. This phase begins with the initial assessment, which serves as the foundation for determining the priority of medical interventions. This review aims to identify and analyze various literatures related to the strategies of early management applied to patients in pre-hospital care settings. Method: A systematic review was conducted by searching five major databases: PubMed, ScienceDirect, Scopus, Google Scholar, and ProQuest. The search was limited to publications from 2019 to 2024 using keywords such as “initial management,” “pre-hospital care,” and “emergency patient”. A total of 88 articles were obtained, while 16 articles that met the inclusion criteria were analyzed descriptively. The review indicates that structured and evidence-based early management in the pre-hospital phase can improve handling efficiency, accelerate intervention time, and reduce the risk of complications in emergency patients. Medical personnel skills, clear protocols, and a well-established coordination system are key factors for success. Early management in the pre-hospital phase is a crucial part of the emergency medical system. Optimal implementation based on scientific evidence can improve service quality and have a positive impact on patient safety and prognosis.