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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.