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The Correlation Between Post-Procedural Complications and Length of Stay Among Post Primary PCI Patients: A Retrospective Study Sugiharto, Firman; Trisyani, Yanny; Nuraeni, Aan; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64834

Abstract

Background: Coronary heart disease (CHD) is a leading cause of morbidity and mortality globally. Primary PCI is an effective intervention, it is not without risks, and complications arising post-procedure can significantly affect both patient outcomes and the length of hospital stay (LOS).Aim: To describe the types and frequency of complications that occur in patients after Primary PCI and to analyze their relationship with the length of stay in the hospital.Design: This study employed a retrospective design, utilizing medical records of patients who underwent Primary PCI at a referral hospital in West Java, Indonesia, from December 2019 to April 2024. The study sample was selected using a convenience sampling method, focusing on patients who had complete medical records. Data analysis was conducted using univariate and bivariate analyses, including Fisher's exact test to assess the relationship between complications and LOS. The dependent variable, LOS, was categorized into three groups: ≤ 3 days, 4-5 days, and ≥ 6 days.Results: The findings showed that 81.8% of patients did not experience any complications post-procedure, while 14.5% experienced hematomas and 3.6% experienced bleeding. The median LOS was 4.00 ± 2.28 days, with 60.9% of patients having an LOS of more than 3 days. Patients who experienced complications, especially hematomas or bleeding, were more likely to have prolonged hospital stays, with 11.8% of them staying for ≥ 6 days.Conclusion: Complications following Primary PCI significantly affect the length of stay in the hospital. The study highlights that patients who experience complications such as hematomas or bleeding tend to have longer hospitalizations. These findings underscore the importance of early detection and timely management of post-procedural complications to reduce LOS and enhance patient outcomes.
The Information Needs of Breast Cancer Patients at All Stages of Their Journey: A Protocol of Scoping Review Priambodo, Ayu Prawesti; Trisyani, Yanny; Anna, Anastasia; Nuraeni, Aan; Oktafianti, Mutiara Annisa; Sugiharto, Firman; Pebianti, Ranti; Andrianthi, Salsyah
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.65055

Abstract

Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death in women, therefore breast cancer is the most common cancer in women in most countries. Providing adequate information needed by patients can reduce anxiety and feelings of insecurity. Most of women with breast cancer stated that the information obtained was unsatisfactory. However, few studies have comprehensively addressed the information needs of women with breast cancer across all stages of the disease. This scoping review aimed to fully understand the unique information needs of breast cancer patients at various stages of the cancer continuum. A scoping review will be conducted following PRISMA guidelines. Relevant studies will be identified from databases such as PubMed, Scopus, and Taylor & Francis, EBSCOhost, and ScienceDirect. In addition, searches via Google Scholar, interpersonal network recommendations, and reference chains will also be conducted. Studies will be selected based on PCC criteria, focusing on breast cancer patients as the population, information needs as content, and at various stages of the cancer continuum as the context. Data extraction and risk of bias assessment will be performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. This review is expected to provide comprehensive information needs of breast cancer patients at various stages of the cancer continuum. The findings will be valuable for educational institutions, healthcare facilities, in designing innovative, technology-based educating programs that enhance knowledge retention, practical skills, and psychological preparedness.
The Influence of Health Education on Public Knowledge about Sports Accidents Sugiharto, Firman; Asmara, A Danang; Sari, Wulan Puspita; Freitas, Lurdes A; Ramdani, Dadan; Anna, Anastasia; Nuraeni, Aan
Media Karya Kesehatan Vol 8, No 2 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i2.59059

Abstract

Sports accidents can have a very significant impact on various aspects of life. However, public knowledge regarding this still needs to be improved and uneven, so it is essential to disseminate information related to preventing and handling sports accidents. This study aimed to determine the effect of health education on public knowledge in the prevention and early handling of sports accidents. This study was a pre-experimental study with a one-group pre-post-test approach. The research sample consisted of 230 respondents and was conducted using an accidental sampling technique. Data analysis was done by looking at the difference in pre-test and post-test values using the Wilcoxon difference test. The results of the study showed that before health education was given, the average value of respondents' knowledge was 59.30 ± 26.21.Meanwhile, after being given health education, the average score increased to 84.87 ± 20.27. Bivariate analysis showed a statistically significant difference with a p-value <0.001. This shows a difference in public knowledge about sports accidents before and after being given health education. There is a need for activities like this to be carried out in other communities and society in general so that the dissemination of information and public understanding related to sports accidents will improve and the impact of delays in handling injuries can be minimized. Keywords: Health education; knowledge; sports accidents. 
Intervensi keperawatan untuk mengatasi kecemasan anak pada fase pemulihan pascabencana Gustiani, Ajeng; Ariestanti, Nurrachma; Izzany, Raden Maghfira; Nurani, Rai; Safitri, Helni Yusriya; Situmorang, Gantiar Marsaulina; Nuraeni, Aan; Trisyani, Yanny
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1034

Abstract

Background: Children are the most vulnerable group to the impacts of disasters, including disruptions to their physical and mental health. A common psychological effect is anxiety, which can develop into post-traumatic stress disorder (PTSD), depression, and prolonged trauma. Nurses play a crucial role in providing interventions to help reduce post-disaster anxiety in children. Purpose: Identify and explore nursing interventions that have been proven effective in reducing anxiety among children in post-disaster situations. Method: A scoping review method following the PCC (Population, Concept, Context) framework. Literature searches were conducted in the PubMed, Scopus, EBSCOhost, and Science Direct databases, covering publications from 2015 to 2025. Only experimental study designs (Randomized Controlled Trials and quasi-experimental studies) focusing on nursing interventions for post-disaster anxiety in children were included. Articles were selected using PRISMA guidelines and assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Results: 8,114 identified articles, seven met the inclusion criteria and were further analyzed. The findings indicate that various nursing interventions effectively reduce post-disaster anxiety in children, including Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT (TF-CBT), thought-stopping therapy, Eye Movement Desensitization and Reprocessing (EMDR), technology-based interventions (Bounce Back Now), and micronutrient supplementation. Studies suggest that technology-based and brief interventions can reach a wider population at a lower cost, while nutrition-based interventions provide additional benefits in reducing anxiety and improving psychosocial functioning. Conclusion: Nursing interventions such as CBT, technology-based approaches, and micronutrient supplementation are effective in managing post-disaster anxiety in children. Additionally, micronutrient supplementation can serve as a complementary intervention to support children's recovery.   Keywords: Anxiety; Children; Nursing Interventions; Post-Disaster.   Pendahuluan: Anak merupakan kelompok paling rentan terhadap dampak bencana, termasuk gangguan kesehatan fisik dan mental. Dampak psikologis yang sering terjadi adalah kecemasan, yang dapat berkembang menjadi gangguan stres pasca trauma (PTSD), depresi, dan trauma berkepanjangan. Perawat memiliki peran penting dalam memberikan intervensi yang dapat membantu mengurangi kecemasan anak pascabencana. Tujuan: Untuk mengidentifikasi dan mengeksplorasi intervensi keperawatan yang telah terbukti efektif dalam mengurangi kecemasan pada anak-anak pascabencana. Metode: Scoping review dengan mengikuti kerangka kerja PCC (Population, Concept, Context). Pencarian literatur dilakukan di database PubMed, Scopus, EBSCOhost, dan Science Direct dengan rentang tahun 2015–2025. Hanya artikel dengan desain penelitian eksperimental (Randomized Controlled Trial dan quasi-eksperimental) yang berfokus pada intervensi keperawatan dalam mengatasi kecemasan anak pascabencana. Artikel diseleksi menggunakan pedoman PRISMA dan dinilai menggunakan Joanna Briggs Institute (JBI) Critical Appraisal Tools. Hasil: Sebanyak 8,114 artikel yang diidentifikasi, 7 artikel memenuhi kriteria inklusi dan dianalisis lebih lanjut. Berbagai intervensi keperawatan efektif dalam mengurangi kecemasan anak pascabencana, termasuk terapi kognitif perilaku (CBT), trauma-focused CBT (TF-CBT), terapi penghenti pikiran, desensitisasi gerakan mata dan pemrosesan ulang (EMDR), intervensi berbasis teknologi (Bounce Back Now), serta suplementasi mikronutrien. Studi menunjukkan intervensi berbasis teknologi dan terapi singkat dapat menjangkau populasi yang lebih luas dengan biaya lebih rendah, sementara intervensi berbasis nutrisi memberikan manfaat tambahan dalam mengurangi kecemasan dan meningkatkan fungsi psikososial. Simpulan: Intervensi keperawatan seperti CBT, teknologi, dan suplementasi mikronutrien efektif mengatasi kecemasan anak pascabencana. Selain itu, suplementasi mikronutrien dapat digunakan sebagai intervensi tambahan untuk mendukung pemulihan anak.   Kata Kunci: Anak-anak; Intervensi Keperawatan; Kecemasan; Pascabencana.
MUSIC THERAPY AND SPIRITUAL TREATMENT TO REDUCE PAIN IN PATIENTS WITH SEVERE BURNS Budiman, Ganjar Wisnu; Kosasih, Cecep Eli; Nuraeni, Aan
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2178

Abstract

Introduction:Pain is a problem experienced by patients with burns. Pain reduction is the main focus in the management of burn patients. Non-pharmacological treatment options with music therapy and spiritual care approaches are part of nursing care. Objective: The study was conducted to identify the effectiveness of music therapy and spiritual care in reducing pain during dressing changes for burn patients. Materials and methods:The study used a quasi experiment pre-post test method on 30 burn patients with the music therapy and other with spiritual care intervention. Samples were taken using accidental sampling. Patients were measured for pain level using Numeric rating scale (NRS). Data were analysed using univariate analysis, dependent t-test and an independent t-test to compare between music therapy and spiritual care. Result: Music therapy and spiritual care have a significant effect on the measurement results before and after the intervention resulting in a value of (P=0.000) p a (0.005). While the mean difference between music therapy and spiritual care after after dressing change (P=0.000) and (t=5.875). Conclusion: There is an effect of music therapy intervention and spiritual care on reducing pain in burn patients undergoing dressing change procedures. Spiritual care had a higher average reduction than music therapy. 
Overview of Religiosity of Intensive Care Unit Nurses: A Narrative Review Rahman, Irfandi; Anna, Anastasia; Nuraeni, Aan
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.4525

Abstract

The high demands on intensive care unit (ICU) nurses can be a source of stressors and cause distress for nurses. When nurses lack effective coping skills to deal with problems in the workplace, this can add to the stress levels of ICU nurses. Nurses' religiosity can affect nurses' beliefs in carrying out their duties as ICU nurses. The purpose of this narrative review was to understand and describe the religiosity of nurses in the intensive care unit. The method used was a narrative review with researchers searching for articles from quantitative and qualitative studies collected from electronic databases such as Pubmed, EBSCO, Cinahl, Science Direct, and Google Scholar, with keywords: religiosity, nurse, intensive care unit. We found ten articles and identified four themes related to the topic, namely: 1) the impact of nurses' religiosity, 2) dimensions of nurses' religiosity, 3) factors affecting nurses' religiosity, and 4) instruments to measure religiosity, namely: CRS, DSES, SSCRS, DUREL, PFS, PEMS, DRIS-F, MQS-T, and NSCTS.
Acute Decompensated Heart Failure Pasca Kardioversi pada Pasien Lansia dengan Diabetes Mellitus dan Chronic Kidney Disease : Sebuah Laporan Kasus Sugiharto, Firman; Larashati, Defa; Sari, Wulan Puspita; Prawesti, Ayu; Mirwanti, Ristina; Nuraeni, Aan
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15108

Abstract

ABSTRACT Acute decompensated heart failure (ADHF) is one of the spectrum of heart failure (HF). ADHF is defined as a clinical syndrome characterized by worsening HF symptoms, in which decreased cardiac output is the main characteristic leading to inadequate tissue perfusion and systemic venous congestion. ADHF is a strong predictor of readmission and post-hospitalization death, with a mortality rate of 20% after discharge from the hospital. Nurses have an essential role in comprehensive nursing care. A 73-year-old man came to the emergency room with complaints of palpitations without chest pain; the patient denied orthopnea and complained of swelling in both legs. The patient had a history of coronary heart disease (CHD), having been treated in 1998 for cardiac stent installation. The patient was treated in the ICU due to ventricular arrhythmia and hypotension. What is interesting about this case is that apart from the patient experiencing recurrent Ventricular Tachycardia (VT), the patient also had no complaints of shortness of breath, and a Blood Gas Analysis (BGA) examination found the patient to have hyperoxemia and the results of a diagnostic thorax examination showed no pulmonary oedema. Patients receive diuresis, inotropic, anti-arrhythmic and electrolyte fluid therapy. The patient was treated in the ICU for ten days and then moved to the inpatient room. This case report emphasizes the importance of accurate initial assessment of ADHF patients and the role of nurses in intensive care for ADHF patients. Nurses must be able to recognize signs and symptoms of ADHF emergencies early so that the goals of ADHF therapy to increase organ perfusion and limit the increase in severity of heart injury can be carried out quickly and precisely. Treatment of ADHF patients requires appropriate nursing interventions so that the quality of life of patients with HF can be improved. The nurse's role in preparing discharge planning as an essential preventive measure is to reduce the risk of readmission. Keyword: Acute Decompensated Heart Failure, Elderly, Intensive Care Unit, Nursing Care.  ABSTRAK Acute decompensated heart failure (ADHF) merupakan salah satu spektrum dari Heart failure (HF). ADHF didefinisikan sebagai sindrom klinis yang ditandai oleh gejala HF yang memburuk, di mana penurunan curah jantung menjadi karakteristik utama yang mengarah pada perfusi jaringan yang tidak adekuat dan kongesti vena sistemik. ADHF merupakan prediktor kuat terjadinya rawat inap kembali dan kematian pasca rawat inap dengan angka kematian sebesar 20% setelah keluar dari rumah sakit. Perawat memiliki peran penting dalam menilai secara komprehensif dalam asuhan keperawatan. Pria berumur 73 tahun datang ke IGD  dengan keluhan jantung berdebar tanpa ada nyeri dada, ortopnea disangkal oleh pasien, dan mengeluh bengkak pada kedua kaki. Pasien memiliki riwayat penyakit jantung coroner (CHD), pernah dirawat pada tahun 1998 untuk pemasangan stent jantung. Pasien dirawat di ICU dikarenakan kondisi Ventrikel aritmia dan hipotensi. Hal menarik dari kasus ini, selain pasien mengalami Ventrikel Takikardia (VT) berulang, pasien juga tidak memiliki keluhan sesak nafas dan pemeriksaan Analisa Gas Darah (AGD) ditemukan pasien mengalami hiperoxemia serta hasil pemeriksaan diagnostik thorax foto menunjukan tidak adanya pulmonary edema. Pasien mendapatkan terapi diuresis, inotropik, anti-aritmia dan cairan elektrolit. Pasien dirawat di ICU selama 10 hari lalu pindah ke ruang rawat inap. Pada case report ini menekankan pada pentingnya ketepatan pengkajian awal pasien ADHF dan peran perawat dalam perawatan intensif pasien ADHF. Perawat harus mampu mengenali tanda dan gejala kegawatan ADHF secara dini sehingga tujuan terapi ADHF untuk meningkatkan perfusi organ dan membatasi peningkatan keparahan cedera jantung dapat dilakukan secara cepat dan tepat. Perawatan pasien ADHF memerlukan interevensi keperawatan yang tepat sehingga kualitas hidup pasien dengan HF dapat ditingkatkan. Peran perawat dalam mempersiapkan discharge planning sebagai tindakan preventif penting dilakukan untuk mengurangi resiko readmisi. Kata Kunci:  Acute Decompensated Heart Failure, Asuhan Keperawatan, Intensive Care Unit, Lansia.
Effect of Non-Pharmachological Therapies For Pregnant Women with Mental Disorder: A Narrative Review: Effect of Non-Pharmachological Therapies For Pregnant Women with Mental Disorder: A Narrative Review Hidayati, Nur Oktavia; Nuraeni, Aan; Nurhidayah, Ikeu; Rhamelani, Putri; Nurjanah, Lilis Siti; Yani, Pebri; Regita, Yasmina Dwi
Jurnal Surya Medika (JSM) Vol. 10 No. 1 (2024): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v10i1.7239

Abstract

Purpose: To determine the effectiveness of non-pharmacological interventions given to pregnant women with mental disorders. Methodology: The method used was a narrative review. Articles searched using PubMed, Science Direct and EBSCO databases. Eight articles were obtained as the final number of articles suitable for review. Findings: Of the eight articles were obtained, all used RCTs. Based on the eight articles that have been analysed, there are eight interventions, namely Spiritual Integrated Cognitive-Behavioural Educational Intervention, Cognitive Behavioural Therapy, Mindfulness-Based Childbirth and Parenting Program, Mindfulness-Based Cognitive Therapy, Bright Light Therapy, Transcranial Magnetic Stimulation Intervention, Group-Based Multicomponent Treatment, and The Mindful-moms Training. Contribution: Some of the interventions found can be used in the area of maternity nursing, especially for pregnant women and in the area of psychiatric nursing which focuses on mental disorders.
The Adaptation of the Indonesian Version of the Maastricht Vital Exhaustion Questionnaire (MQ) Among Coronary Heart Disease (CHD) Patients: A Rasch Analysis: The Adaptation of the Indonesian Version of the Maastricht Vital Exhaustion Questionnaire (MQ) Among Coronary Heart Disease (CHD) Patients: A Rasch Analysis Nuraeni, Aan; Widianti, Efri; Aziza, Aurelia Karla
Jurnal Surya Medika (JSM) Vol. 10 No. 1 (2024): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v10i1.7242

Abstract

Background – The Indonesian version of the Maastricht Vital Exhaustion Questionnaire (MQ) is an instrument for assessing vital exhaustion in CHD patients. However, the psychometric results of this instrument have yet to be identified in the population of CHD patients in Indonesia. This study aims to evaluate the psychometric properties of the Indonesian version of the MQ instrument using Rasch analysis. Methods – The population of this study was all CHD patients undergoing outpatient treatment at a hospital in West Java. There were 97 respondents using convenience sampling. The instrument used is the Indonesian version of MQ. The reliability and validity of the instrument were analyzed using Rasch analysis and the Winsteps application by considering the Cronbach's Alpha value, Mean square fit statistic (MNSQ), Standardized fit statistics (ZSTD), separation of strata (Separation), and unidimensionality. Findings – α-Cronbach 0.78 with item reliability 0.95 indicates very good reliability; person and item strata separation >2.4 and >5.9, indicating the instrument can identify respondent groups well; MNSQ item infit-outfit 1-0.94 is close to ideal (1) as is ZSTD infit-outfit 0.11 – 0.03 (close to 0); Unidimensionality measurements show a total raw variance of 32.4% with unexplained eigenvalues all <10% indicating good validity. Conclusions - The internal consistency of the instrument is reliable. The data fits the model because the items can measure, have logical predictions, and functionally show unidimensionality. Based on the results, the Indonesian version of the MQ was proven valid and reliable for identifying vital exhaustion in CHD patients in Indonesia.
Construct Validity of Perceived Behavioral Control Instrument Among Patients with Coronary Artery Disease Nuraeni, Aan; Sulistiani, Eka; Sutini, Titin; Mirwanti, Ristina; Prawesti Priambodo, Ayu; Sugiharto, Firman
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.503

Abstract

Perceived Behavioral Control (PBC) is a key construct in the Theory of Planned Behavior (TPB) that plays an important role in predicting adherence to lifestyle changes among patients with coronary artery disease (CAD). Although the role of PBC has been widely discussed in health behavior research, no instrument has been specifically developed and validated to measure PBC in patients with cardiovascular disease (CVD), particularly CAD. This study used the Rasch analysis approach to evaluate the construct validity and reliability of the Perceived Behavioral Control Scale Related to Cardiovascular Disease (PBCCVD). This was a cross-sectional study involving 92 post-hospitalization CAD patients selected through convenience sampling. The PBCCVD instrument consists of 22 items using a 4-point Likert scale, developed based on TPB theory and previous studies and validated by experts. Data analysis was conducted using Winsteps software, covering reliability, separation, fit statistics, and unidimensionality. The instrument demonstrated high reliability (Cronbach's alpha = 0.86; item reliability = 0.94; person reliability = 0.86). The item and person separation indices were 4.18 and 2.74, respectively. All items met the fit criteria. The explained variance was 34.9%, and the eigenvalue of the first contrast was 2.6054, indicating a possible additional subdimension. The PBCCVD is a reliable and reasonably valid instrument for measuring perceived behavioral control in CAD patients. Although there is an indication of another underlying dimension, the instrument can still be effectively used in both clinical and research settings.