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All Journal Jendela Nursing Journal (JNJ) Jurnal Keperawatan Silampari Journal of Nursing Care Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Journal of Telenursing (JOTING) Padjadjaran Acute Care Nursing Journal (PACNJ) Bagimu Negeri : Jurnal Pengabdian Kepada Masyarakat

Ristina Mirwanti

Universitas Padjadjaran

Author-ID : 3358698

Computer Science & IT Education Environmental Science Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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ANALISIS FAKTOR RISIKO KEMATIAN AKIBAT INFEKSI COVID-19: SCOPING REVIEW Moch. Didik Nugraha; Yanny Trisyani; Ristina Mirwanti
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 12 No. 2 (2021): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v12i2.343

COVID-19 memberikan dampak pada berbagai aspek khususnya kesehatan, hingga menyebabkan kematian. Kasus terkonfirmasi positif dan kematian akibat COVID-19 cukup tinggi termasuk di Indonesia. Identifikasi faktor risiko kematian akibat penyakit ini menjadi penting untuk membuat keputusan yang tepat sehingga dapat mengendalikan dan meminimalkan kematian akibat pandemi ini. Tujuan dari tinjauan ini adalah untuk menganalisis penyebab kematian akibat COVID-19. Penelitian ini dilakukan menggunakan scoping review. Pencarian dilakukan pada database online Proquest, SCOPUS, dan Science Direct dengan 3 kata kunci berikut "faktor risiko" dan "mortalitas" dan "COVID-19" kemudian disaring berdasarkan publikasi khusus pada tahun 2020, dalam bahasa Inggris, teks lengkap, dan jurnal pilihan berdasarkan judul dan abstrak. Terdapat beberapa faktor risiko kematian pada pasien terinfeksi COVID-19 diantaranya adalah faktor karakteristik (usia dan jenis kelamin), faktor penyakit kronis (komorbiditas), faktor gizi (obesitas) dan faktor hasil laboratorium darah. Faktor yang dapat dikendalikan oleh perawat adalah pengendalian faktor IMT (Indeks Masa Tubuh) memperhatikan kebutuhan nutrisi pasien. Faktor risiko kematian pada pasien COVID-19 tersebut perlu dikaji saat awal dalam penanganan pasien COVID-19, sehingga dapat dilakukan tindakan untuk meminimalisir risiko kematian akibat COVID-19

HUBUNGAN ANTARA PENGETAHUAN DENGAN TINGKAT KECEMASAN PERAWAT CRITICAL CARE (IGD DAN ICU) TENTANG COVID-19 DI RS KABUPATEN KUNINGAN Moch Didik Nugraha; Yanny Trisyanni Wahyuni; Ristina Mirwanti
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 13 No. 01 (2022): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v13i1.406

COVID-19 menjadi pandemi global yang memicu kecemasan terutama pada perawat kritis (IGD dan ICU). Perawat IGD berisiko memiliki kecemasan karena menjadi lini pertama penanganan, sedangkan perawat ICU merawat pasien COVID yang berada di bawah ventilasi mekanis dan memerlukan prosedur invasif seperti suction yang meningkatkan risiko penularan COVID-19. Pengetahuan menjadi dasar perawat melakukan tindakan yang aman dan tepat bagi pasien dan perawat. Tujuan penelitian ini adalah untuk menganalisis hubungan antara pengetahuan dengan tingkat kecemasan yang terjadi pada perawat kritis. Metode yang digunakan analitik korelasional dengan rancangan cross sectional. Sampel pada penelitian adalah perawat di ruang ICU dan IGD di Rumah Sakit Kabupaten Kuningan Sebanyak 103 perawat yang diambil secara total sampling. Kuesioner tentang pengetahuan COVID-19 dan Hamilton Anxiety Rating Scale menjadi instrumen dalam penelitian ini. Data dianalisis dengan somer’s d gamma. Hasil analisis univariat menunjukkan sebagian besar pengetahuan perawat tentang COVID-19 dalam kategori baik sebanyak 97 orang (94,2%) dengan catatan perlu adanya peningkatan pengetahuan tentang etiologi dan proses transmisi COVID-19, dan memiliki tingkat kecemasan pada kategori tidak ada kecemasan yaitu sebanyak 78 orang (75,7%). Hasil uji statistik didapatkan nilai ρ-value 0,026 dan nilai r = -0,665. Terdapat hubungan antara pengetahuan dengan tingkat kecemasan yang dialami oleh perawat kritis yang ada di Rumah Sakit Kabupaten Kuningan. Perawat diharapkan dapat meningkatkan pengetahuan tentang COVID-19 guna memiliki mekanisme koping adaptif selama pandemi.

The Effectiveness of NPWT on Burns in Children: A Literature Review Ristina Mirwanti; Asti Oktavianti; Alex Setiawan; Nada Shofi; Nidya Fildza; Rahmi Fitriyani; Aldiano Alham; Silvia Azkhari
Padjadjaran Acute Care Nursing Journal Vol 2, No 2 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Burns is a global public health problem, and it is estimated that burns cause 180,000 deaths every year. There are many known wound care techniques, especially in the world of health, which are now constantly developing better by technological developments, consumer demands, and the development of related diseases. Negative Pressure Wound Therapy (NPWT) is a non-invasive therapy that promotes granulation and wound closure. This study aimed to prove the effectiveness of NPWT against burns in children. This study used a literature study approach with a descriptive review type. Based on the search results, seven articles were obtained using keywords, and papers were received from science direct, PubMed, and google scholar. The seven articles were published between 2014-2020, with the research method of each article being a randomized controlled trial and a retrospective study. Based on the results of several research articles, it was found that NPWT (Negative Pressure Wound Therapy) has been proven to be effective in treating burns in children.

The Effect of Blended Learning Approach on Student Satisfaction in the Learning Process at Master Degree Nursing Program in Indonesian Context Yanny Trisyani; Etika Emaliyawati; Ayu Prawesti Priambodo; Ristina Mirwanti; Donny Nurhamsyah
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Nursing education at post graduate degree aims to produce graduates with the essential competencies as researchers which are closely related to the capability of implementing information technology which are in the global health era. However, the implementation of blended learning which combines e-learning approach into the learning process has characterised with various challenges for students and lecturers. These study aims are to identify the effect of the blended learning approach to student satisfaction on the learning process in the master's degree nursing program in Indonesian context.Method: The study was conducted in 2018, the quantitative approach has been utilized. Participants in this study are 88 post graduate nursing students who were selected with purposive sampling. Data collection was conducted through survey and analysis correlational with Pearson test.Finding of the study has indicated that the Blended learning approach as indicated in: Quality of Learning Process (QLP) in terms of Student Engagement and Accessibility & interactivity on average is 83% favourable and 17% unfavourable; and QLP from students’ perspective is 58, 96% favourable and 41.04 % unfavourable. Student satisfaction with blended learning process on average is 54.75% favourable and 45.25% unfavourable. The results of the Pearson analysis have shown that there is a very weak correlation between the Blended Learning approach and Student Satisfaction with correlation value of 0.180 and Significance value of 0.864. In this case, almost all participants stated that blended learning is essential as it makes the learning process more innovative and it motivates independent learning.

The Impact of CPR Position (Kneeling, Footstool and Standing Beside Bed) on Cardiopulmonary Resuscitation Quality: A Literature Review Ristina Mirwanti; M Reza Saputra; Wina Supriatna; Raissa Fatimah; Yupira Dera Sopyanti; Risma Dwiriyanti; Nancy Veronica; Jemi Rahmani Abdullah; Irma Mawarni Putri; Iduliah Fitriani
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Background: Cardiopulmonary Resuscitation (CPR) is one of the measures to deal with emergency cardiac arrest (cardiac arrest) where the heart organ loses its function suddenly. Hence it is unable to pump blood throughout the body. CPR consists of aid in circulation (compression) and breathing (ventilation). AHA has determined guidelines for implementing CPR, especially an essential point in CPR, namely chest compression. The standing position is fundamental in the implementation of CPR, but kneeling and footstool positions can be carried out during CPR implementation. This paper aims to show the impact of standing, kneeling, and footstool positions on CPR quality.Method: The method used is by searching journals in Science Direct, PubMed, and Google Scholar. The keywords used are CPR, Kneeling Position, Footstool, standing beside the bed Obtained eight selected journals according to the topic, then analyzed.Results: Based on the search result, eight articles meet the criteria. The literature review results showed three positions that can be chosen when conducting CPR: standing, kneeling, and footstool. Those positions could give impact toward helper: pain level and exhaustion degree, and quality of CPR: compression strength, depth of compression, amount of compression, chest recoil, elbow movement, and movement in the lower back.Conclusion: Three CPR positions can be done, including standing beside the bed, kneeling, and standing on stepstool footing. Each position gives impacts both to helper condition and CPR quality. Researchers recommend standing on stepstool footing due to it provides the best effect on CPR quality.

The Effect of Workbook on Illness Cognition in Coronary Heart Disease Patients Aan Nur'aeni; Ristina Mirwanti; Anastasia Anna
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Introduction: Recurrence of coronary heart disease (CHD) occurs due to non-compliance patients in managing CHD. One predictor of compliance with CHD management is illness cognition (IC), and IC can be improved through illness stimuli that can be done through health education in this study through workbooks. Purpose: This study aimed to identify the effect of the workbook on illness cognition in CHD patients. Methods. This research was a quasi-experimental with pretest-posttest control design. A pretest was done to the patient who was treated in the Cardiac Intensive Unit; posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospital in West Java, Indonesia. Purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The instrument used was the illness cognition questionnaire (ICQ). Data were analyzed using the mean, median, percentage, and to estimate the effect of the workbook to the patients' IC used Wilcoxon and Friedman test. Results: The results showed an increase in acceptance and perceived benefits for both groups while in the helplessness showed the decrease scores. The p-value of IC comparison in the pre-test, post-test I, and II between groups for helplessness, acceptance, and perceived benefits were 0.118; 0.376; and 0.424, respectively. Besides, the p-value for differences of IC within control and intervention groups was less than 0.05. Conclusions: The workbook in this study generally did not provide significant IC changes to respondents.

Gambaran Tingkat Kesiapsiagaan dalam Menghadapi Bencana Gempa Bumi pada Mahasiswa Fakultas Keperawatan Universitas Padjadjaran Kampus Garut Rahmi Fitriyani; Etika Emaliyawati; Ristina Mirwanti
Padjadjaran Acute Care Nursing Journal Vol 3, No 1 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Kabupaten Garut has a baribis fault, especially in the South Garut region and Mount Guntur which can cause earthquakes. Preparedness needs to be had to minimize the impact that might be caused by disaster, one of them is by students because students will be involved in all phases of the disaster. This study aims to determine the level of preparedness possessed by students of the Faculty of Nursing, Universitas Padjadjaran, Garut Campus. This research used a descriptive quantitative research design with cross sectional approach. Sampling using a total sampling technique on 356 respondents. Data collection uses a preparedness questionnaire consisting of 20 questions consisting of knowledge indicators, activity plans, disaster warning systems and resource mobilization. The data obtained were analyzed using a frequency distribution then presented in the form of a percentage. The results showed 29.8% of students were at the high level, 66.9% of students included at the moderate level, and 3.4% of students were at the low level. This study shows there are indicators of preparedness that are still lacking. Therefore, it is very important for the Garut campus to make efforts to improve student preparedness in dealing with earthquakes in the indicator of disaster warning systems

Acceptance, Perceived Benefits, and Helplessness among Coronary Heart Disease Patients Undergoing Treatment in A Different Ward Aan Nur'aeni; Ristina Mirwanti
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Background. One of the factors determining CHD patients' adherence to treatment is Illness Cognition (IC). IC is described as acceptance, perceived-benefits, and helplessness. This study aims to identify and compared IC in CHD patients treated in different wards. Method: This research used a descriptive quantitative method with a cross-sectional approach. The study population was CHD patients who were undergoing treatment at a referral hospital in West Java. Selection of respondents using consecutive sampling, and data collected within three months, using the Illness Cognition Questionnaire on 106 respondents. Data were analyzed using mean and frequency distribution. Furthermore, ICs were compared using the Kruskal Wallis Test. Results: The following are an average IC respondent based on different IC dimensions and ward. Dimensions of helplessness: High Care Cardiac Unit (HCCU) 16.1 (SD = 4.06); Regular ward 12.86 (SD = 4.95); Outpatient 14.05 (SD = 5); Cardiac-Rehabilitation (CR) 11.04 (SD = 3.52) with p = 0.013. Dimensions of acceptance: HCCU 14.00 (SD = 2.7); Regular-ward 18.26 (SD = 2.7); outpatient 19.34 (SD = 2.88); RJ 18.20 (SD = 3.47) p = 0.005. Dimensions of perceived-benefits of HCCU 18.00 (SD = 3.6); Regular-ward 19.96 (SD = 2.76); outpatient 20.95 (SD = 3.01); RJ 20.08 (SD = 3.46) p = 0.043. Conclusion: The worst ICs of all dimensions were owned by respondents who were undergoing treatment at HCCU. ICs with relatively better are seen in respondents who were undergoing treatment in outpatient and cardiac-rehabilitation. ICs in CHD patients differ in all dimensions and categories of the ward. Thus, patient acceptance at HCCU need to be increased and as well as participation in cardiac rehabilitation so that patient perceived-benefits increase.

Manajemen Syok Kardiogenik pada Pasien Valvular Heart Disease dengan Masalah Keperawatan Penurunan Curah Jantung: A Case Report RAHAYU MERDEKAWATI; RISTINA MIRWANTI
Padjadjaran Acute Care Nursing Journal Vol 3, No 2 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Valvular heart disease (VHD) adalah keadaan di mana salah satu katup di jantung mengalami kerusakan atau mati. Jika katup mengalami kerusakan, jantung tidak dapat memompa darah secara efektif ke seluruh tubuh dan harus bekerja lebih keras untuk memompa. Hal ini dapat menyebabkan gagal jantung, henti jantung, dan kematian. Penelitian ini menggunakan metode desain case report atau laporan kasus. Perawat melakukan manajemen syok kardiogenik yang meliputi pemberian oksigen, pemasangan IV line, pemasangan folley catether, kolaborasi pemasangan ventilator dan tindakan kardioversi dengan Dokter. Manajemen syok kardiogenik merupakan intervensi keperawatan yang tepat dilakukan pada pasien VHD dengan masalah keperawatan penurunan curah jantung.

Virtual Reality Effectivity to Increase Self-Efficacy in Suction Skill among Nursing Student: Quasi Experiment Study Ashamar Puri Apsari; Restuning Widiasih; Ristina Mirwanti
Journal of Nursing Care Vol 6, No 2 (2023): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v6i2.44333

Virtual reality is a technology-based learning media designed to increase student self-efficacy in performing nursing skills, one of which is suctioning. However, virtual reality has yet to be tested for its effectiveness. This study aims to determine virtual reality learning media's effectiveness in increasing student self-efficacy in performing suction nursing actions. This study used a quasi-experiment method with a one-group pre-test post-test design approach. The population in this study were 191 active students of the Faculty of Nursing, Universitas Padjadjaran. The sampling technique used was purposive sampling and obtained a sample of 68 people by the inclusion and exclusion criteria. The instrument used was a self-efficacy questionnaire developed from Bandura's theory and consisted of 35 statement items. Selected respondents filled out the pre-test and were then given an intervention by performing suction nursing actions using virtual reality after completing the post-test. Data were analyzed using the non-parametric Wilcoxon signed rank test because the data were not normally distributed. After being given the intervention, there was an increase in student self-efficacy in performing suction nursing actions, as evidenced by an increase in the median in the post-test results (113.5) compared to the pre-test results (102). The test results on the Wilcoxon signed rank test showed that the p-value showed a significant difference in self-efficacy after using virtual reality learning media (p = 0.00). Virtual reality learning media can increase student self-efficacy in performing suction nursing actions.

Co-Authors Aan Nur'aeni Aan Nuraeni Agustini Muzalifah Aldiano Alham Alex Setiawan Anastasia Anna Anastasia Yovita Ashamar Puri Apsari Asti Oktavianti Ayu Prawesti Priambodo Cecep Eli Kosasih Donny Nurhamsyah Etika Emaliyawati Farah Nibras Firman Dwi Cahyo Hartiah Haroen Iduliah Fitriani Intan Nurbaiduri Irma Mawarni Putri Jemi Rahmani Abdullah Lia Puji Astuti M Reza Saputra Moch. Didik Nugraha Muhamad Gustaf Al Fajar Nada Shofi Nancy Veronica Nidya Fildza Putri Karisa Rahayu Merdekawati Rahmi Fitriyani Rahmi Fitriyani Raissa Fatimah Restuning Widiasih Risma Dwiriyanti Ryan Hara Permana Sandra Pebrianti Selly Nurhasanah Amalia Silvia Azkhari Sinta Dwi Ananda Syahida Ayu Wina Supriatna Yanny Trisyani Yanny Trisyani Yanny Trisyanni Wahyuni Yupira Dera Sopyanti

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