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Kejadian Post Traumatic Stress Disorder Pada Pasien Survivor Jantung Pasca Perawatan Di Ruang Intenssive Cardiac Care Unit Wibowo, Nugroho Ari; Priyantini, Diah; Putri, Dwi Whisnu Artanti Eka; Sumara, Retno; Ayatulloh, Daviq
Indonesian Academia Health Sciences Journal Vol 5 No 2 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.25501

Abstract

Post Traumatic Strees Disorder (PTSD) tidak hanya terjadi karena dampak dari bencana alam, namun dapat terjadi karena kejadian seperti peperangan, bencana alam, penyerangan, pemerkosaan, dan kondisi suatu penyakit. Fenomena yang ditemukan ternyata PTSD juga bisa timbul pada pasien yang pernah dirawat di ruang perawatan intensif khusus penyakit jantung. Tujuan: Penelitian bertujuan untuk mengidentifikasi angka kejadian, faktor penyebab, tanda dan gejala PTSD pada pasien di ruang ICCU. Desain penelitian yang digunakan adalah kuantitatif dengan pendekatan studi kasus dengan jumlah sampel 30 pasien yang direkrut menggunakan teknik purposive sampling. Variabel penelitian ini adalah kejadian PTSD yang diukur dengan menggunakan kuisioner UK-PTSS-14. Analisis data yang digunakan adalah analisis deskriptif dengan menggunakan tabel distribusi frekuensi. Faktor pencetus kejadian trauma serta berat dan dekatnya dengan trauma menunjukkan hasil paling banyak yakni <5 tahun sebanyak (77%), faktor jenis kelamin menunjukkan hasil paling banyak berjenis kelamin perempuan sebanyak (57%), faktor status pekerjaan dan penghasilan menunjukkan hasil paling banyak memiliki pekerjaan sebanyak (63%) dan paling banyak responden memiliki penghasilan dibawah UMR Surabaya berjumlah (50%), faktor usia menunjukkan hasil paling banyak memiliki usia pada rentan 59-73 tahun sebanyak (70%), faktor tingkat Pendidikan menunjukkan hasil paling banyak berada pada tingkat pendidikan SMP sebanyak (50%), faktor riwayat gangguan psikiatri menunjukkan hasil paling banyak tidak memiliki riwayat gangguan psikiatri atau kejiwaan sebanyak (93%), dan faktor sumber pendukung menunjukkan hasil paling banyak memiliki sumber pendukung sebanyak (67%). Sebagian besar pasien yang pernah menjalani rawat inap di ruang ICCU mengalami kejadian PTSD ringan hingga sedang.
Excellent Service and Patient Satisfaction in Health Clinic Services Priyantini, Diah; Marini, Gita; Ulfa, Ariana; Uliyah, Musrifatul
Fundamental and Management Nursing Journal Vol. 6 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i1.45670

Abstract

Introduction: The application of excellent service has been widely implemented in the clinical setting. Excellent service consists of attitude, appearance, attention, action and accountability that should behave by health professionals including nurse. This study aims to analyze the relationship between excellence service and patient satisfaction at the health clinics in Indonesia. Method:This research is a correlational study with a cross sectional approach. The population of this study was 500 respondents at the Health Clinic. The sampling technique used simple random sampling and obtained a sample of 372 respondents. The independent variable in this study is service excellent and the dependent variable is patient satisfaction. Data analysis used in this study used Spearman's rho with a significant value <0.05. Results: A total of 209 respondents stated excellent with 25 stating very satisfied, 179 satisfied and 5 less satisfied. A total of 64 patients stated that they were not excellent with 5 satisfied respondents and 59 unsatisfied respondents. Based on the Spearman rho test (p = 0.000) it shows that there is a relationship. Conclusion: This study revealed a significant relationship between service excellence and patient satisfaction. Implementing excellent service at the Health Clinic by numbering form, implementing online queues and increasing quality human resources is promising. This practice not only benefited patients as the customer but also health clinics as health provider.
Artificial intelligence for improving the monitoring of hemodynamic changes in the ICU: a systematic review of predictive algorithms and clinical outcomes Nugroho Ari Wibowo; Siswanto Agung Wijaya; Diah Priyantini; Daviq Ayatulloh; Ade Faiz Ahmadi
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

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

Abstract

Background: Hemodynamic instability is a major predictor of organ failure and mortality in ICU patients. Conventional monitoring often fails to detect early deterioration, which has encouraged the use of artificial intelligence (AI) to improve the detection and prediction of hemodynamic instability. Methods: This systematic review followed the PRISMA 2020 guidelines and analyzed studies using machine learning or deep learning to predict hypotension, vasopressor requirements, or hemodynamic instability in adult ICU patients. Six major databases were screened, and 16 studies met the inclusion criteria. Due to heterogeneity in model design and outcomes, the findings were synthesized narratively. Results: The included studies comprised retrospective model development, multicenter validation, prospective evaluation, and two randomized clinical trials. Multivariable models such as the hemodynamic stability index (HSI) demonstrated strong predictive performance (AUROC 0.76–0.90). Dynamic models such as TvHEWS consistently provided stable predictions with reduced false alarms. Waveform-based predictors, including the hypotension prediction index (HPI), were able to anticipate hypotension 5–15 minutes before onset, even in patients with sepsis. Personalized approaches, such as DynaCEL and HM-TARGET, generated patient-specific hemodynamic targets. Prospective studies showed a reduction in the duration of hypotension, although evidence regarding effects on mortality and organ failure remains limited. Conclusion: Artificial intelligence has the potential to improve the accuracy of hemodynamic monitoring and enable earlier intervention in the ICU. However, large-scale clinical trials are still needed to confirm its benefits on meaningful clinical outcomes.
Enhancing Nursing Care through Electronic-Based Handover in Hospital Settings: A Systematic Review Enniq Mazayudha; Daviq Ayatulloh; Diah Priyantini; Nursalam Nursalam
Fundamental and Management Nursing Journal Vol. 9 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v9i1.56501

Abstract

Introduction: Handover is a critical nursing responsibility involving the structured transfer of essential patient information, accountability, and continuity of care between healthcare providers. In nursing practice, ineffective or unstructured handover communication has been consistently associated with sentinel events, adverse outcomes, and preventable medical errors, thereby compromising patient safety. Methods: The systematic review approach uses the Cochrane approach and journal sources from several databases including Scopus, Pubmed, BMJ, BMC, NCBI, ProQuest, Science Direct in the last 5 years. This article searched using keyword handover, electronis, SBAR and nursing care. Boolean operators in the search process using AND and OR. Data analysis of review using narrative analysis based on The Joanna Briggs Instritute for Critical Appraisal Tools. Results: Overall, the reviews consist of 15 articles. In this review, this electronic-based handover makes the delivery of information more structured, efficient and effective so that it can reduce ME (Medication Error), improve patient safety. Conclusions: The application of this electronic-based handover makes the delivery of information more effective, efficient and structured, to reduce sentinel events, medical errors, improve patient safety and improve the quality of nursing care.
Democratic Head Nurse Leadership and Interprofessional Collaboration in Hospital Settings: A Cross-Sectional Study Nur Mukarromah; Berliana Hanifah Alisya; Abdul Aziz Alimul Hidayat; Puji Rahayu; Diah Priyantini
Fundamental and Management Nursing Journal Vol. 9 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v9i1.65758

Abstract

Introduction: Effective nurse–doctor collaboration is fundamental to delivering high-quality hospital care. However, interprofessional collaboration often remains suboptimal due to hierarchical dynamics and limited managerial competence among nurse leaders. This study examined the influence of head nurses’ leadership style, particularly democratic leadership, on nurse–doctor collaboration in hospital settings. Methods: a cross-sectional correlational study was conducted at a regional general hospital in Indonesia, with data collected in April 2023. A total of 49 respondents were recruited using purposive sampling. Leadership style was assessed using the Multifactor Leadership Questionnaire (MLQ–5X Rater Form, 45 items), while nurse–doctor collaboration was measured with the Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC, 15 items). Content validity was established through expert judgment (CVI = 0.87), and reliability testing demonstrated good internal consistency (Cronbach’s α = 0.82 for MLQ; α = 0.85 for JSAPNC). Data were analyzed using the Chi-square test with a significance level of p < 0.05. Results: In major (69.4%) respondents perceived their head nurse’s leadership style as democratic. Additionally, 61.2% reported good nurse–doctor collaboration. Statistical analysis revealed a significant association between democratic leadership style and nurse–doctor collaboration (p < 0.001). Conclusions: Democratic leadership among head nurses is significantly associated with stronger nurse–doctor collaboration. Enhancing democratic leadership competencies may promote more effective interprofessional teamwork and contribute to improved quality of care in hospital settings.
CASE STUDY OF ACUTE PAIN WITH ANTERIOR COMMUNICATING ANEURYSM IN ELDERLY PATIENTS IN THAILAND Septian Galuh Winata; Chlara Yunita Prabawati; Mariyatul Kiptiyah; Diah Priyantini
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.88920

Abstract

Introduction: Acute pain in older adults requires comprehensive assessment because it may affect physical function, emotional comfort, and recovery, particularly after neurological conditions such as anterior communicating artery aneurysm. This case study aimed to analyze pain assessment, nursing diagnosis, and non-pharmacological nursing interventions in an elderly patient with acute pain after anterior communicating artery aneurysm surgery. Methods: A descriptive case study was conducted at Srinagarind Hospital, Khon Kaen University, Thailand. One elderly postoperative patient was selected using purposive sampling based on the presence of acute pain following anterior communicating artery aneurysm surgery. Pain was assessed using the PQRST assessment, Numeric Rating Scale (NRS), DOLOPLUS, and Short-Form McGill Pain Questionnaire (SF-MPQ). Non-pharmacological pain management was provided through relaxation and guided imagery as complementary nursing interventions. Results: The PQRST assessment showed that the pain was related to the aneurysm condition and was described as pressure and throbbing pain in the frontal head area, occurring after waking and during continuous activity. The NRS score was 8/10 on the first postoperative day, indicating severe pain, and decreased to 5/10 after non-pharmacological intervention, indicating moderate pain. The DOLOPLUS score was 14, suggesting significant pain with potential interference in daily activities and comfort. The SF-MPQ score was 12, indicating moderate pain involving both sensory and affective dimensions. Based on these findings, the nursing diagnosis was acute pain related to physiological injury agents. Conclusions: Comprehensive pain assessment using multiple instruments helped nurses identify the intensity, characteristics, behavioral expression, and sensory-affective aspects of pain in an elderly postoperative patient.
CORRELATION BETWEEN MORTALITY PREDICTION AND LENGTH OF STAY IN THE INTENSIVE CARE UNIT Retno Sumara; Nugroho Ari Wibowo; Andre Arianto; Diah Priyantini
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.90206

Abstract

Introduction: Length of stay (LOS) is one of the indicators of the success of care services in the Intensive Care Unit (ICU). Several factors influence how long patients remain in the ICU, including a high mortality prediction score, which may affect the recovery process. The Aim of this study is o analyze the correlation between mortality prediction and LOS among ICU patients. Methods: A correlational analytic study with a retrospective approach was conducted among adult patients aged ≥18 years who had been treated in the ICU, had complete electronic medical record data, and had an APACHE II score recorded during the previous 11 months (March 2023–January 2024). A total of 142 respondents were recruited using purposive sampling. The instrument used in this study was the APACHE II score, and the data were analyzed using Spearman’s rho. Results: LOS of ≥5 days was observed in 63.4% of patients and was distributed across APACHE II score ranges of 15–19 (0.7%), 20–24 (0.7%), 25–29 (2.8%), 30–34 (4.9%), and ≥35 (54.2%). A significant correlation was found between mortality prediction and LOS (p < 0.001). Conclusions: Mortality prediction in ICU patients is correlated with LOS. This indicates that the higher the predicted mortality score, the longer the patient’s length of stay in the ICU
The Relationship Between Patient Nutritional Status and Mortality Rates in The Intensive Care Unit Nugroho Ari Wibowo; Arif Zahid Sugiarto; Diah Priyantini; Aries Chandra Ananditha
Critical Medical and Surgical Nursing Journal Vol. 15 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v15i1.85051

Abstract

Introduction: Mortality among ICU patients remains high and is influenced by multiple factors, including nutritional status. Malnutrition may worsen clinical outcomes and increase the risk of death. This study aimed to examine the relationship between nutritional status and mortality in ICU patients. Method: A retrospective correlational study was conducted among adult patients (≥18 years) admitted to the ICU of a hospital in Surabaya between May and December 2023. A total of 185 patients were selected using a total sampling technique. Nutritional status was assessed using Malnutrition Universal Screening Tool (MUST) scores and disease severity was measured using APACHE II. Mortality outcomes were determined based on patient status at ICU discharge and categorized into predefined mortality risk levels. Data were analyzed using the Spearman rank correlation test. Results: Increasing age was significantly associated with higher mortality, with patients aged >65 years showing the highest proportion of high mortality (55.2%; r = 0.62; p < 0.001). Gender was also significantly associated with mortality (r = 0.21; p = 0.041), with males demonstrating a higher proportion of high mortality than females (40.4% vs 29.6%). Nutritional status showed a moderate positive correlation with mortality (r = 0.55; p < 0.001), with higher malnutrition risk associated with increased mortality. Conclusion: Nutritional status is significantly associated with mortality among ICU patients. Early nutritional assessment and appropriate management are essential to improve clinical outcomes and support evidence-based critical care practice.
Deep breathing relaxation with guided imagery on pain intensity and vital signs of post-caesarean section patients with a Comfort Theory approach Diah Priyantini; Daviq Ayatulloh; Nursalam Nursalam
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.1-8

Abstract

HIGHLIGHTS The combination of deep breathing relaxation therapy with guided imagery is an effective non-pharmacological therapy for post-caesarean section patients. The combined intervention of deep breathing relaxation with guided imagery based on the Comfort Theory approach has an impact on the pain intensity of post-caesarean section patients.   ABSTRACT Objective: This study aimed to evaluate the effect of combining deep breathing relaxation techniques with guided imagery on pain intensity and vital signs in patients following caesarean section. Materials and Methods: A quasi-experimental study was conducted among mothers who had undergone caesarean section. A total of 40 respondents were allocated into an intervention group (n=20) and a control group (n=20) using purposive sampling. The independent variable was deep breathing relaxation combined with guided imagery based on Comfort Theory, whereas the dependent variables were pain intensity, assessed using the Numerical Rating Scale, and vital signs (TTV), including blood pressure, pulse rate, and respiratory frequency, measured using examination and observation sheets. Data were analyzed using paired t-tests and independent t-tests. Results: In the intervention group, the intervention significantly affected systolic blood pressure, diastolic blood pressure, pulse rate, and pain intensity (p<0.05). The greatest improvement was observed in systolic blood pressure (Δ=15.75), followed by diastolic blood pressure (Δ=4.25), pulse rate (Δ=3.80), and pain intensity (Δ=2.40). Between-group analysis after the intervention demonstrated significant differences in systolic blood pressure (p=0.000), pulse rate (p=0.009), respiratory frequency (p=0.004), and pain intensity (p=0.000), whereas diastolic blood pressure did not differ significantly between the groups (p=0.126). Conclusion: Deep breathing relaxation combined with guided imagery based on Comfort Theory effectively reduced pain intensity in patients following caesarean section, as demonstrated by a reduction in pain scores from 5–7 to 1–3. The intervention also improved patients' vital signs by reducing systolic and diastolic blood pressure as well as pulse rate.
The Effect of Spiritual Care Development to Reduce the Level of Depression in the Families of Intensive Care Patients Nugroho Ari Wibowo; Diah Priyantini; Siswanto Agung Wijaya; Kristin Widiyowati; Nanik Dwi Lestari
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.3854

Abstract

Depression is a mental condition that affects a person's physical, psychological and social functioning. Depression occurs when problems in life arise, such as feeling disappointed, lost, depression is also a form of feeling sad, which can cause unhappiness and hopelessness. This study aimed was to analyze the effect of spiritual care development to reduce the level of depression in the families of intensive care patients. This research design uses Quasy experiment pre and posttest. The population is all families of patients in the Intensive Care ward at RSUD Haji Surabaya, totaling 108 respondents. The sample size was 85 respondents who met the inclusion criteria. The independent variable from the research is spiritual care with the intervention medium being a spiritual kit and the dependent variable is the level of depression in the family who keeps the patient in the intensive care room. Data was collected using the Beck's Depression Inventory questionnaire and then analyzed using the Wilcoxon Signed rank test. The Z score value for the pre-post variable for the incidence of depression is -5.940 with a p value of Asymp. Sig. (2-tailed) of .000 &lt; 0.05, it can be seen that there is a significant influence between the results of the level of depression before and after the spiritual therapy kit. Developing spiritual care using the spiritual kit method can reduce the level of depression in the families of intensive care patients.
Co-Authors Abdul Aziz Alimul Hidayat Achmad Zakaria Achmad Zakaria Ade Faiz Ahmadi Ade Faiz Ahmadi Ade Faiz Ahmadi Ahmad Hasan Basri Ahmad Hasan Basri Anandhita, Aries Chandra Andayani, Evi Andre Arianto Anis Fauziah Anis Rosyiatul Husna, Anis Rosyiatul Anita Rahmawati Annisa' Wigati Rozifa Aries Chandra Anandita Aries Chandra Ananditha Aries Chandra Ananditha Aries Chandra Ananditha Aries Chandra Ananditha, Aries Chandra Aries Chandra Anindhita Arif Zahid Sugiarto Asri asri Aviari, Vira Aulia Ayatulloh, Daviq Azahra, Yasmin Badriyah, Fatin Lailatul Basri, Ahmad Hasan Berliana Hanifah Alisya Chlara Yunita Prabawati Daviq Ayatulloh Daviq Ayatulloh Daviq Ayatulloh Daviq Ayatulloh Dessy Era Puspitasari Dewi, Arum Puspita Dian Istanti Dian Puji Wahyuningsih Dianis Wulan Sari Dimas Hadi Prayoga Dluha Maf’ula Dwi Nurcahyono Dwi Prasetyaningati Dzakiyatul Fahmi Mumtaz Elok Faradisa Elsi Dwi Hapsari Enniq Mazayudha Erna Melastuti, Erna Fahmi Rizka Laily, Nurul Fathiya Lutfil Yumni Fathiya Lutfil Yumni Fiani, Putri Ohkta Firdaus, Dhiyah Aini Nissa Fuad, Abdullah Gangga Kristin Nurfiyatul Jannah Ghaliza, Galuh Mutia Hasan Basri, Ahmad Hidayat Arifin Husna Ardiana Ifada Nur Rohmaniah Ilya Krisnana, Ilya Indarti Indarti Indarti Indarti Indarwati , Retno Kartikaratri, Erinda Sari Ken Siwi Khalifatus Zuhriyah Alfianti Khalifatus Zuhriyah Alfianti Khatijah Lim Abdullah Khatijah Lim Lim Abdullah Kiptiyah, Mariyatul Koesoemo, Rizki Fitryasari Patra Kondwani Joseph Banda Kornelis Nama Beni Kristin Kristin Kristin Widiyowati Kristin Widyowati Kun Arifi Abbas Kurniawati, Ninuk Dian Lailatul Chodiriyah M Hasinuddin M Yusuf Marini, Gita Mariyatul Kiptiyah Martini Sri Wulaningsing Masruri Masruri Masruro, Wiwi Septa Hakim Miranda Meifa Misutarno Misutarno Misutarno Misutarno, Misutarno Moch Fachmi Mawardi Moch Masruri Moecharom Moecharom Mohammad Alif Agus Mundakir Musrifatul Uliyah Nanik Dwi Lestari Nanik Dwi Lestari Ni Luh Putu Inca Buntari Agustini Noryani Noryani Novelia, Ranty Dwi Nugroho Ari Wibowo Nur Mukarromah Nurfiyatul Jannah, Gangga Kristin Nursalam Nursalam Nursalam Nursalam Nursalam, Nursalam Nurul Chayatin Nurul Fahmi Rizka Laily Puji Rahayu Putri, Dwi Whisnu Artanti Eka Rachma Wati Reliani Reliani, Reliani Retno Sumara Retno Twistiandayani Rifky Octavia Pradipta Rio Ady Erwansyah Rizki Dwi Prameswari Rochman, Diana Rofiqi, Erfan Rusdi, Ainur Saputro, Suyatno Hadi Septian Galuh Winata Septian Galuh Winata Setiawan Setiawan Setiawan Setiawan Sevia Ofarisma N Sila, Nissa Aruming Silvia Farhanidiah Silviana Damayanti Sindy Dwi Fitria Nilam Sari Sirikanok Klankhajhon Siswanto Agung Siswanto Agung Siswanto Agung Wijaya Siswanto Agung Wijaya Siswanto Agung Wijaya Siswanto Agung Wijaya Siti Aisyah Sulistyorini Sulistyorini Supatmi . Supatmi Supatmi Susanti, Inta Suyatno Hadi Saputro Tanti Dwi Cahyani Tintin Sukartini Sukartini, Tintin Sukartini Triharini, Mira Ulfa, Ariana Vijay Wahyu Handoyo Adi Vira Aulia Aviari Wajihatin Zuhroh Wijaya, Siswanto Agung Wikan Purwihantoro Sudarmaji Wiwin Yuli Triana Yuanita Wulandari Yumni, Fathiya Lutfil