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Efektifitas Penggunaan ATS (Australasian Triage Scale) Modifikasi Terhadap Response Time Perawat Di Instalasi Gawat Darurat Sofiyanti Normalinda Banoet; Harmayetty Harmayetty; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.324 KB) | DOI: 10.20473/cmsnj.v8i1.12618

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Introduction: Triage is the process of sorting patients according to their severity. However, the phenomena that occur in the emergency room of some hospitals are different, triage is not carried out according to the standards. This is due to many factors, one of which is the triage model used. The purpose of this study was to look at the relationship between the use of Standard Operations Procedure for admitting new patients using ATS triage which was modified with the speed of response of nurses in the Emergency Installation. Method: This study used a correlative analytical design with a case study approach. The total population is 31 people and a sample of 28 people was obtained through inclusion and exclusion criteria. The independent variable in this study was the use of ATS (Australasian Triage Scale) and the dependent variable in this study is the nurse's Response Time. Data obtained by means of sample observation and analyzed using the Spearman correlation test rho. Results: There was no association between the use of ATS (Australasian Triage Scale) modification and the response time of nurses in the morning shift (p = 0.720), day shift (p = 0.866) and night shift (p = 0.173).Discussion: From the results of the study there was no relationship between the use of ATS (Australasian Triage Scale) and the response time of nurses in the morning, afternoon and night shift. The use of ATS modification and the response time of nurses that are appropriate and fast are found in morning service. This is caused by several factors both from the nurses themselves and from the hospital. Most nurses do not get training in Triage and this affects nurses' skills in sorting patients.
EKSTRAK LIDAH BUAYA TOPIKAL MEMBERIKAN PENGARUH PADA KONSISTENSI SKAR HIPERTROFIK PASKA LUKA BAKAR Laila Mainur; Harmayetty Harmayetty; Deni Yasmara
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v6i2.12829

Abstract

Introduction: Post-traumatic burns that already heal, very often happens that an ugly scar in the form of hypertrophic scarring, keloids and are often accompanied by the presence of contractures. Hypertrophic and keloid scar is fibroproliferation abnormalities in the dermis that is unique to humans that may arise as a result of burns. While contractures occur because of the shortening of the pathological scarring that causes deformities and movement disorders such as the limited movement of a body part. cases of burns caused 195,000 deaths/year worldwide, especially in poor and developing countries. This aim of this study was to analyze the effect of topical aloe extract against consistency, height, and pigmentation scarring after burns hypertrophic Poly Plastic Surgeon Dr. Soetomo.Methods: This research was used in the pre-experimental design. The population was all patients with burns and 10 patient samples. It used consecutive sampling. The independent variable was aloe vera topical and the dependent variable was the quality of the hypertrophic scar. Data were collected using the Vancouver Scar Scale and then analyzed using Wilcoxon Signed Ranks and Paired T-Test.Result: The results showed that there was significant effect before and after basting of topical aloe vera on the value of consistency (p=0.005). No significant effect before and after the aloe vera in the pigmentation scores (p=0.317) and height. There was a difference significant hypertrophic scar consistency before and after aloe vera extract. No differences in height and pigmentation significant hypertrophic scars before and after extract of aloe vera extract topical effect on the consistency, but not in height and pigmentation in hypertrophic scarring after burns.Conclusions: Further studies with more samples to determine the substances contained in aloe vera that can accelerate changes in consistency, pigmentation, and height.
HUBUNGAN DUKUNGAN KELUARGA DAN KEPATUHAN REHABILITASI DENGAN KEMANDIRIAN PASIEN PASCA STROKE Abyan Shafly Nur Firdaus; Harmayetty Harmayetty; Lailatun Ni’mah
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 9 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.076 KB) | DOI: 10.20473/cmsnj.v9i1.19068

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Introduction: Families who do not support patients can influence the level of rehabilitation adherence, which in turn will reduce the level of independence of patients after stroke. The purpose of the study was to explain the relationship between family support and rehabilitation adherence with the independence of stroke patients. Methods: This study used a cross-sectional type with a sample size of 73 post-stroke patients out of a total of 126 people. Samples were taken by consecutive sampling technique. The independent variable is the level of family support and the level of rehabilitation compliance. The dependent variable is the level of independence of patients after stroke. The research data obtained were analyzed with Spearman's Rho α ≤0.05. Results and Analysis: There was a relationship between family support and the independence of post-stroke patients with a value of α≤0.05, p = 0.001 and r = 0.384. There is a relationship between rehabilitation adherence with the independence of post-stroke patients with a value of α≤0.05, p = 0.000 and r = 0.473. Conclusion: Family support and good rehabilitation adherence do not affect post-stroke patients with severe degrees of disability and cognitive changes.
RELATIONSHIP SOCIAL SUPPORT AND RESILIENCE WITH STRESS LEVELS OF FAMILY CAREGIVERS HEMODIALYSIS PATIENTS SURABAYA A Fahmil Haq Aplizuddin; Harmayetty Harmayetty; Elida Ulfiana
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 9 No. 2 (2020): OCTOBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.567 KB) | DOI: 10.20473/cmsnj.v9i2.23350

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Introduction: Hemodialysis is a life-long treatment for end-stage renal disease (ESRD). ESRD has physical and psychosocial challenges to experience stress which not only affects but patients but also family members who care for them or also called family caregivers. Analyzing the relationship of social support and resilience to the level of stress in the family caregiver of hemodialysis patients at Haji Hospital Surabaya.Methods: A cross-sectional study with a population of family caregiver members of hemodialysis patients at RSU Haji Surabaya. The sample size was 92 respondents with criteria, namely families who treat hemodialysis patients at RSU Haji Surabaya, live in one house with patients, aged > 18 years, and can read and write. The variables of this study are social support, resilience, and stress levels. Data collection was performed using a questionnaire and analyzed using Spearman’s Rho test. Results : There was a significant negative relationship between social support and stress levels (p = 0.004 and r = -0.296) and resiliency with stress levels (p = 0.003 and r = -0.311).Discussion: The level of stress in a family caregiver hemodialysis patient can be influenced by the social support received and the level of resilience they have. The social support has an important role for family caregivers obtained from the family and significant other.
EFEKTIVITAS ANTARA PENGGUNAAN EEA ( EXPLICIT EKSTERNAL AIDS ) DENGAN IIA (IMPLICIT INTERNAL AIDS) SEBAGAI MNEMONIC STRATEGY DALAM MENINGKATKAN MEMORI PADA LANSIA Khumidatun Niswah; Ketut Sudiana; Harmayetty Harmayetty
Journal of Nursing Science Update (JNSU) Vol. 1 No. 1 (2013)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1293.429 KB)

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Proses penuaan menyebabkan terjadinya alterasi struktur dan fungsi serebral. Hal ini menyebabkan lansia mengalami penurunan daya ingat. Terdapat beberapa cara untuk meningkatkan kemampuan mengingat pada lansia diantaranya adalah EEA (Explicit External Aids) and IIA (Implicit Internal Aids), namun perbedaan efektivitas keduanya belum diketahui. Penelitian pre-eksperimental ini menggunakan tehnik two group pre-post test design. Total sampel yang digunakan adalah 18 responden. Data yang terkumpul merupakan data rasio, dianalisis menggunakan paired t-test dan independent t-test dengan α ≤ 0.05. Hasil dari uji t-berpasangan menunjukkan adanya perbedaan antara tes recall dan recognisi sebelum dan sesudah intervensi (menggunakan EEA method: p=0.000 of IFR, p=0.000 of DFR and p=0.012 of recognition, IIA method: p=0.000 of IFR, p=0.000 of DFR and 0.021 of Recognition). Hasil dari uji t-bebas menunjukkan adanya perbedaan hasil tes recall antara 2 kelompok (p=0.021 of IFR test and p=0.012 of DFR test), namun tidak ada perbedaan hasil tes recognisi antara 2 kelompok (p=0.185). Hasil test 2 kelompok menunjukkan bahwa kelompok EEA memperoleh hasil yang lebih tinggi daripada kelompok IIA. Sehingga dapat disimpulkan bahwa EEA lebih efektif daripada IIA. Kata kunci: Explicit Memory Aids, Implicit Memory Aids, mnemonic strategy, memori, lansia.
Penggunaan Model Keyakinan Kesehatan untuk Menilai Niat dan Penerimaan Masyarakat dalam Melakukan Vaksinasi Booster Covid-19: A Literature Review Nurul Imam; Ninuk Dian Kurniawati; Harmayetty Harmayetty
Jurnal Keperawatan Vol 14 No 4 (2022): Jurnal Keperawatan: Supp Desember 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.777 KB)

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Vaksin COVID-19 terus dikembangkan, untuk mempersiapkan ketersediaan publik, penerimaan vaksin COVID-19 terus menurun, khususnya vaksin booster. Keraguan melakukan vaksin merupakan masalah kesehatan yang kompleks. Efektifitas, keamanan dan efek samping menjadi salah satu penyebab perilaku atau niat masyarakat menurun dan semakin ragu dalam melakukan vaksinasi booster COVID-19. Tujuan penulisan tinjauan sistematis ini untuk memprediksi model keyakinan masyarakat untuk menilai niat dan penerimaan dalam melakukan vaksinasi booster COVID-19. Pencarian literature dilakukan pada 5 database yaitu Scopus, PubMed, Web Of Science, Sage dan Pro Quest. Pencarian dilakukan pada Oktober 2022. Kata Kunci yang dilakukan dengan menggunakan “COVID-19 OR Coronavirus Disease AND Vaccine AND Accept AND Booster AND Dose AND Health Belief Model” dengan melakukan restraksi pada tahun 2019-2022 dalam bahasa Inggris dan indonesia artikel full text, sehingga mendapatkan artikel yang relevan. Jumlah artikel yang diidentifikasi adalah Scopus 6 artikel, PubMed 8 artikel , Web Of Science 6 artikel, Sage 232 artikel dan Pro Quest 179 artikel dengan total 431 artikel. Dari 431 artikel yang didapatkan, ada 11 artikel yang sesuai dengan kriteria penulisan tinjauan sistematis ini. Prediktor penting dari niat pasti untuk mengambil vaksinasi booster COVID-19 termasuk manfaat yang dirasakan tinggi dan hambatan yang dirasakan lebih rendah untuk menerima vaksin, dan kerentanan yang dirasakan lebih tinggi terhadap infeksi.
New Normal Adaptation (NNA) Relationship with The Quality Of Life Hemodialysis Patients During The Covid-19 Pandemic At Lamongan Muhammadiyah Hospital Rusulustin Mustikaria; Ika Yuni Widyawati; Harmayetty Harmayetty
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v11i2.32266

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Introduction: The quality of life of patients with Chronic Kidney Disease (CKD) who got hemodialysis had decreased along with the increasing level of the disease, which caused problems of patient productivity. During the pandemic, hemodialysis patients were at very high risk of exposure to covid-19, it was very important to implement New Normal Adaptation to reduce morbidity and mortality. The purpose of this study was to explain the relationship between New Normal Adaptation and the life quality of hemodialysis patients during the pandemic of COVID-19 at Lamongan Muhammadiyah Hospital. Methods: This study used a correlation design, by simple random sampling technique, the population was 85 respondents. The samples were 70 respondents in the Hemodialysis room at Lamongan Muhammadiyah Hospital which was in the inclusion criteria. The data that was collected included respondent characteristics, New Normal Adaptation, and quality of life, the data collection used the Google questionnaire form, then it was analyzed using the Spearman test.  Results: Some of the respondents were treated as new normal in the moderate category, most of the respondents had life quality in the bad category and there was a relationship between New Normal Adaptation with the life quality of hemodialysis patients, the significant value was = 0.303 and p = 0.011. Conclusion: During the pandemic, health education activities for hemodialysis patients could use social media (Facebook, Instagram, Twitter, Whatsapp) that would increase New Normal Adaptation at home and in the hospital. So that, the quality of the patient's life would be good.
Analysis of Health-Seeking Behavior Factors in Coronary Heart Disease Patients Bakar, Abu; Widiyanti, Risma Listya; Harmayetty, Harmayetty
Critical Medical and Surgical Nursing Journal Vol. 12 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i1.46874

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Introduction: Indonesian Research of Basic Health 2019 show that 1.5% of Indonesia's population suffers from coronary heart disease (CHD). Coronary heart disease has an impact on all aspects of the patient's life. Good health-seeking behavior is expected to prevent the severity from getting worse, and the risk of complications, up to death. This study aims to analyze the relationship between knowledge, attitudes, perceptions about health-illness and the ease of access to health service providers with health-seeking behavior in CHD patients. Methods: This study used a correlational descriptive design with a cross sectional approach. The population is CHD patients who are registered in the 3 work areas of the Gresik District Health Center. A large sample of 80 patients, using a purposive sampling technique. This study used questionnaires of health-seeking behavior in CHD patients, knowledge, attitude, perception about health-illness, and a questionnaire to measure the the ease of access to health service providers. Data analysis used the Spearman Rho test. Results: Major partial CHD affects patients aged 46-55 years and of good sex. There is a relationship between knowledge and health-seeking behavior in CHD patients (p = 0.001 and r = 0.367), there is a relationship between attitudes and health-seeking behavior in CHD patients (p = 0.000 and r = 0.737) and there is a relationship between perceptions of illness and health-seeking behavior in CHD patients (p = 0.001 and r = 0.361). Conclusion: The higher the knowledge and perceptions about illness and health, the more supportive the patient's attitude will be, and the better the health-seeking behavior in CHD patients. It is hoped that education and assistance can be given to CHD patients so they are more aware of the importance of appropriate treatment behavior.
Pengendalian Kadar Gula Darah Pasien Diabetes Mellitus Tipe 2 Melalui Telehealth Nurwahidah Nurwahidah; Wahyu Dini Candra Susila; Abu Bakar; Harmayetty Harmayetty; Siti Nur Qomariah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 15, No 4 (2024): Oktober-Desember 2024
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf15453

Abstract

 In today's era, telehealth technology is one of the things that continues to develop to support the effectiveness of work, in this case for the treatment process. Telehealth is used to fulfill nursing care for patients who are constrained by distance. Telehealth is also widely used in patients with type 2 diabetes mellitus. This study aimed to determine the effectiveness of telehealth in achieving blood glucose stability in patients with type 2 diabetes mellitus. This systematic review searched for relevant articles using keywords based on MeSH in the Scopus, ScienceDirect, PubMed, and ProQuest databases. The study guidelines used were PRISMA. The literature search was conducted on studies from 2018 to 2023, in English and full text. The keywords used in the article search were "mobile health" OR "telehealth" OR "telemedicine" OR "ehealth" AND "diabetes mellitus" AND "blood glucose". The analysis used was the narrative method. Fourteen articles were included in the final review. The results of the study showed that the characteristics of the respondents consisted of men and women aged over 18 years. The types of telehealth used included web-telemedicine, tele-rehabilitation, mobile text messaging, tele-homecare, tele-care, and smartphone applications. The use of telehealth resulted in better glucose control in patients with type 2 diabetes mellitus. Telehealth used for patients with type 2 diabetes mellitus affected their lifestyle, such as compliance with treatment. The conclusion of this study was that telehealth has good effectiveness in controlling blood glucose in diabetes mellitus 2, namely providing a method to control blood glucose stability.Keywords: blood sugar; telehealth; type 2 diabetes mellitus ABSTRAK Di era saat ini, teknologi telehealth menjadi salah satu hal yang terus berkembang untuk menunjang keefektifan pekerjaan, yang dalam hal ini untuk proses pengobatan. Telehealth digunakan untuk memenuhi asuhan keperawatan bagi pasien yang terkendala jarak. Telehealth juga banyak digunakan pada pasien diabetes mellitus tipe 2. Studi ini bertujuan untuk mengetahui efektivitas telehealth untuk mencapai stabilitas glukosa darah pada penderita diabetes mellitus tipe 2. Tinjauan sistematis ini mencari artikel yang relevan menggunakan kata kunci berdasarkan MeSH di database Scopus, ScienceDirect, PubMed, dan ProQuest. Pedoman studi yang digunakan adalah PRISMA. Pencarian literatur dilakukan pada penelitian selama tahun 2018 hingga 2023, dalam bahasa Inggris dan teks lengkap. Kata kunci yang digunakan dalam pencarian artikel adalah "mobile health" OR "telehealth" OR "telemedicine" OR "ehealth" AND "diabetes mellitus" AND "blood glucose". Analisis yang digunakan adalah metode naratif. Empat belas artikel dimasukkan dalam tinjauan akhir. Hasil studi menunjukkan bahwa karakteristik responden terdiri dari pria dan wanita yang berusia di atas 18 tahun. Jenis telehealth yang digunakan termasuk dalam kategori web-telemedicine, tele-rehabilitasi, pesan teks seluler, tele-homecare, tele-care, dan aplikasi smartphone. Penggunaan telehealth menghasilkan kontrol glukosa yang lebih baik pada pasien dengan diabetes mellitus tipe 2. Telehealth yang digunakan untuk pasien diabetes mellitus tipe 2 mempengaruhi pola hidupnya, seperti kepatuhan dalam pengobatan. Kesimpulan dari studi ini adalah bahwa telehealth memiliki efektivitas yang baik dalam pengendalian glukosa darah pada diabetes mellitus 2, yakni menyediakan metode untuk mengontrol stabilitas glukosa darah.Kata kunci: gula darah; telehealth; diabetes mellitus tipe 2
The Music Therapy Effect on Lowering Blood Pressure In Elderly With Hypertension: A Systematic Review Agnestria Winarto; Kusnanto Kusnanto; Harmayetty Harmayetty
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.768

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Hypertension is a major risk factor for cardiovascular disease, morbidity, and also mortality world wide, especially in the elderly. Music therapy provides many benefits for people with hypertension such as lowering blood pressure, and lowering anxiety, stress, and pain. The study aimed to assess music therapy’s effectiveness to provide beneficial effects for the elderly with hypertension. We systematically searched from six English language databases (Scopus, CINAHL, Science Direct, Google Scholar, Proquest, and PubMed) published from 2011 to 2021. Twelve articles included Randomized control trials (RCTs), quasi-experiment, and case reports were reviewed using PRISMA protocol and methodological quality and result. Seven articles from ten articles showed music therapy’s effectiveness for lowering blood pressure in elderly with hypertension. This review suggests that music therapy could be done as a part of complementary therapy to lower blood pressure
Co-Authors A Fahmil Haq Aplizuddin Abidah, Aqmarina Abu Bakar Abu Bakar Abyan Shafly Nur Firdaus Adi Cahyo Fajarianto Agnestria Winarto Anggun Perwita Sari Asnar STP, Elyana Budi Utomo Deni Yasmara Diah Susmiarti Dwi Astutik Dwi Wulandari, Indriani Eka Misbahatul Mar'ah Has Elida Ulfiana Elyana Asnar STP Eska Dwi Prajayanti Faida Anisa Fawas Murtadho Santoso Fitryasari , Rizki Ganda Ardiansyah Hadiyanti, Sonia Herdina Mariyanti Heriberta Tuto Suban Ika Yuni Widyawati Ilya Krisnana, Ilya Isnaini Via Zuraiyahya Istiroha, Istiroha Joni Haryanto Judi Nurbaeni Khumidatun Niswah Kurniawati, Ninuk Dian Kusnanto Kusnanto Laila Mainur Lailatun Ni'mah Lailatun Ni’mah Laily Hidayati Lely Suryawati Lingga Curnia Dewi Mega Arianti Putri Melan Apriaty Simbolon Nancy M. Rehatta Nimah, Lailatun Nisbah, Novilia Qurotun Nur Arifah NURWAHIDAH NURWAHIDAH Nurwahidah Nurwahidah Oktaffrastya Widhamurti Septafani Puspita Sari, Anna Juwita Putrina, Ade Qothrunnadaa, Azka Rinda Harwidiana Rani Rizal Arifin Rofi Syahrizal Rusulustin Mustikaria S.Pd. M Kes I Ketut Sudiana . Sabilal Alif Samiatin Samiatin Siti Nur Qomariah Siti Zulaihah Slamet Mustofa Sofiyanti Normalinda Banoet Sonia Hadiyanti Sonia Hardiyanti Sriyono Sriyono Sriyono Sriyono Suarilah, Ira Suharto Suharto Susila, Wahyu Dini Candra Syamsul Arifin Tabik, Albertina Dete Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Maria Tiyas Kusumaningrum Ulin Marliana Vivi Armany Dessy Wahananingtyas, Nova Listya Wahyu Dini Candra Susila Wahyu Dini Metrikayanto, Wahyu Dini Widiyanti, Risma Listya Wulandari Wulandari Yazid, Syahrul Abdul Yulis Setiya Dewi Yuly Abdi Zainurridha Zuraiyahya, Isnaini Via