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Penggunaan Metode Penilaian Trauma Dalam Memprediksi Luaran Pasien : Literatur Review Ristina Fauzia Hernaningrum; Masfuri Masfuri; Liya Arista; Riri Maria
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44653

Abstract

Latar Belakang : Trauma menjadi salah satu penyebab morbiditas dan mortalitas di dunia. Kematian akibat trauma di Indonesia sebagian besar korban terjadi pada usia produktif sehingga dapat mempengaruhi kestabilan keluarga. Penilaian awal di Unit Gawat Darurat menjadi proses penting yang dapat berpengaruh pada hasil perawatan jangka panjang pasien. Membutuhkan kecepatan dan ketepatan mengidentifikasi keparahan trauma untuk dapat segera menentukan prioritas penanganan dan kesesuaian sumber daya. Tujuan : Mengetahui metode penilaian keparahan trauma yang dapat digunakan untuk memprediksi luaran pada pasien trauma. Metode : Telaah sistematis dilakukan dengan pencarian artikel pada basis data dengan kata kunci yang telah ditentukan, yang kemudian dilanjutkan dengan pengecekan, penghilangan duplikasi, dan penyaringan isi sehingga didapatkan 6 artikel untuk ditelaah. Hasil : Dari berbagai penilaian trauma yang digunakan, diketahui TRISS menjadi model terbaik yang dapat memprediksi luaran berupa mortalitas pada pasien trauma. Kesimpulan : TRISS menjadi metode penilaian trauma yang paling sensitif dalam memprediksi potensi mortalitas pada pasien trauma.
Penggunaan Metode Penilaian Trauma Dalam Memprediksi Luaran Pasien : Literatur Review Ristina Fauzia Hernaningrum; Masfuri Masfuri; Liya Arista; Riri Maria
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45052

Abstract

Background: Trauma is one of the causes of morbidity and mortality in the world. Deaths due to trauma in Indonesia are primarily victims of productive age, so it can affect family stability. Initial assessment in the Emergency Unit is an important process that can affect the patient's long-term care outcomes. It requires speed and accuracy in identifying the severity of trauma to be able to immediately determine the priority of treatment and the appropriateness of resources. Objective: To determine the method of assessing the severity of trauma that can be used to predict outcomes in trauma patients. Method: A systematic review was conducted by searching for articles in the database with predetermined keywords, which was then continued with checking, removing duplications, and filtering the content so that six articles were obtained for review. Results: From the various trauma assessments used, it is known that TRISS is the best model that can predict outcomes in the form of mortality in trauma patients. Conclusion: TRISS is the most sensitive trauma assessment method in predicting potential mortality in trauma patients.
Pengaruh Terapi Berbasis Aplikasi Seluler Dalam Menurunkan Nyeri Pada Pasien Osteoartritis Lutut : Systematic Review Ellen Muthia; Masfuri Masfuri; Liya Arista; Riri Maria
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45433

Abstract

Knee osteoarthritis is a degenerative condition that often causes significant pain and thus affects the patient's quality of life. Mobile application-based therapy is a non pharmacological physical rehabilitation method that has emerged as an innovative approach in reducing pain and providing self-management benefits to increase adherence with therapy programs. This systematic review aims to determine the effect of mobile application-based therapy in reducing pain in knee osteoarthritis patients. A literature search was conducted using the EBSCO, Pubmed, ScienceDirect, and Scopus databases from 2020 to 2024 to identify randomized controlled trials (RCT) articles on mobile application-based therapy in knee osteoarthritis patients in the context of knee osteoarthritis pain therapy. Data regarding pain reduction, patient adherence, and functional outcomes were extracted and analyzed. Results obtained from 7 RCT articles showed that mobile application-based therapy significantly reduced pain in knee osteoarthritis patients compared with the control group. Apps that provide exercise programs, education, and self-monitoring have shown that increased patient adherence to therapy has been found to be positively associated with better pain outcomes. The conclusion is that mobile application-based therapy provides benefits in pain management in knee osteoarthritis patients. Further research is needed to explore factors that influence the success of therapy.
Efektivitas Intervensi Keperawatan Ergonomis dalam Mencegah Cedera Muskuloskeletal pada Perawat: Suatu Literature Review Muhammad Irvan Firdausy; Masfuri Masfuri; Liya Arista
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53665

Abstract

Gangguan muskuloskeletal terkait kerja (work-related musculoskeletal disorders/WMSDs) merupakan masalah kesehatan kerja yang signifikan pada perawat dan berdampak pada keselamatan, produktivitas, serta keberlanjutan sistem layanan kesehatan. Berbagai intervensi keperawatan ergonomis telah dikembangkan, namun bukti mengenai efektivitasnya masih menunjukkan variasi hasil dan kualitas metodologis. Penelitian ini bertujuan untuk menilai secara sistematis efektivitas intervensi keperawatan ergonomis dalam mencegah atau menurunkan risiko gangguan muskuloskeletal pada perawat berdasarkan bukti kuantitatif terkini. Penelitian ini merupakan literature review yang disusun mengikuti panduan PRISMA. Pencarian literatur dilakukan pada lima basis data elektronik (PubMed, Scopus, ProQuest, ScienceDirect, dan SpringerLink) untuk artikel berbahasa Inggris yang dipublikasikan pada periode 2015–2025. Seleksi studi didasarkan pada kerangka PICO dengan kriteria inklusi penelitian randomized controlled trial (RCT) yang melibatkan perawat dan mengevaluasi intervensi ergonomi di tempat kerja. Kualitas metodologis studi dinilai menggunakan PEDro Scale, dan sintesis data dilakukan secara naratif. Dari total 2.263 artikel yang teridentifikasi, lima studi RCT memenuhi seluruh kriteria inklusi. Intervensi ergonomi yang ditelaah meliputi edukasi ergonomi, intervensi ergonomi personal, penggunaan alat bantu pemindahan pasien, serta pendekatan participatory ergonomics. Seluruh studi menunjukkan arah efek positif terhadap penurunan risiko atau keluhan gangguan muskuloskeletal, perbaikan postur kerja, dan/atau peningkatan fungsi kerja. Namun, kualitas metodologis studi bervariasi pada kategori rendah hingga sedang, terutama terkait keterbatasan blinding, allocation concealment, dan durasi follow-up. Intervensi keperawatan ergonomis berpotensi efektif dalam mencegah dan menurunkan risiko gangguan muskuloskeletal pada perawat, khususnya bila diterapkan secara multi-komponen dan didukung oleh sistem organisasi. Diperlukan penelitian RCT dengan kualitas metodologis lebih kuat dan evaluasi jangka panjang untuk memperkuat bukti dan mendukung implementasi berkelanjutan dalam praktik keperawatan.
Ejection Fraction and Age as Predictors of Sleep Quality after CABG Surgery Nadeak, Sari Eprina; Adam, Muhamad; Arista, Liya
JKG (JURNAL KEPERAWATAN GLOBAL) Artikel in Press (JKG) Jurnal Keperawatan Global
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i1.775

Abstract

Background: Coronary Artery Bypass Graft (CABG) requires a longer recovery and high risk of complication including sleep quality. This study aims to identify factors associated with sleep quality in patient post-CABG surgery. Methods: This research used cross-sectional method and consecutive sampling with 100 respondents. The questionnaires used in this study were Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQ), and Depression Anxiety Stress Scale (DASS).  Results: Prevalence of poor sleep quality (51%) was quite high compared to good sleep quality (49%). There was a significant correlation between ejection fraction (p 0,031 OR 4,718), age (p 0,039; OR 3,309), and sleep quality of post-CABG surgery. Results of logistic regression contained 4 variables related to sleep quality: ejection fraction (p 0,017 OR 5,520), age (p 0,026 OR 3,659), beta blockers (p 0,067 OR 8,544) and diabetes mellitus (p 0,145 OR 1,918).  Conclusion: Ejection fraction and age as a predictor of sleep quality. Implication: nurses should assess the sleep quality of post-CABG surgery by considering these four variables: ejection fraction ≤ 40%, middle age, moderate-risk beta blockers and type 2 diabetes mellitus.
Determinan Perilaku SADARI pada Wanita Pekerja Industri Liya Arista; Mahmudah Dwi Insani
Faletehan Health Journal Vol 11 No 02 (2024): Faletehan Health Journal, Juli 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i02.721

Abstract

Breast cancer was a serious health problem in women throughout the world. Although much research had been conducted regarding breast self-exam (BSE) behavior, there was still little research on female industrial workers. Female industrial workers had great potential for exposure to carcinogenic substances, besides their busy working hours and activities potentially became obstacles in carrying out routine checks at home. The research aimed to identify the determinants of BSE behavior among female industrial workers in the Karawang area. The study used a cross-sectional approach on 112 female workers aged > 18 years and married. The sampling technique used purposive sampling. The research instrument was a questionnaire measuring the level of knowledge, attitudes and behavior of BSE. The results showed that the majority of respondents had a high level of knowledge (60.7%), sufficient attitude (61.6%), and moderate level of BSE behavior (46.4%). The most influencing determinants of BSE behavior were family history of cancer (OR=13.490), level of knowledge (OR=11.904), attitude (OR=7.873) and education (OR=0.217) respectively. Family history of cancer gave the most significant influence because women with a family history of breast cancer can obtain information easily from the family. Individual internal factors such as knowledge and attitudes also influenced BSE behavior. Therefore, an active role from health workers and workers in industrial work areas was needed to raise awareness about breast cancer and the need for regular BSE.
Meningkatkan Self-Management Pasien Hipertensi melalui edukasi berbasis digital : A Systematic Review Sri Wahyuni Kamahi; I Made Kariasa; Liya Arista
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56349

Abstract

Latar Belakang : Masalah hipertensi masih menjadi persoalan kesehatan global dengan tingkat kontrol tekanan darah yang masih rendah. Edukasi berbasis digital dinilai memiliki potensi dalam meningkatkan self-management pasien hipertensi, termasuk mengontrol tekanan darah, perubahan gaya hidup dan memberikan pencegahan faktor risiko komplikasi. Metode : Penelusuran literatur dilakukan melalui database ScienceDirect, Sage Journal, Pubmed, Scopus, dan Taylor & Francis. Terdapat total 10.825 artikel yang teridentifikasi, terdapat 8 artikel yang memenuhi kriteria inklusi dengan mempertimbangkan uji coba terkendali acak (RCT), waktu publikasi, teks lengkap berbahasa inggris, akses terbuka dan hasilnya disajikan. Hasil : Hasil telaah didapatkan 4 artikel mengidentifikasi bahwa edukasi berbasis digital,pengukuran tekanan darah, dan pengingat berpengaruh terhadap pengelolaan hipertensi, kepatuhan pengobatan, penurunan tekanan darah sistolik, pengetahuan, gaya hidup, kualitas hidup, fungsi sosial (peningkatan kemampuan care giver) dengan nilai p-value < 0,05. Terdapat 2 artikel mengidentifikasi bahwa edukasi berbasis digital dan pengukuran tekanan darah berpengaruh terhadap pengelolaan hipertensi, kualitas hidup, pengetahuan, penurunan tekanan darah sistolik dengan nilai p-value < 0,05 dan penurunan faktor risiko kardiovaskuler namun tidak signifikan dengan p-value >0,05. Sedangkan 2 artikel lainnya mengidentifikasi bahwa edukasi berbasis digital dan pengingat pesan berpengaruh terhadap pengelolaan hipertensi, kepatuhan pengobatan, peningkatan faktor sosial (care giver) dengan nilai p-value < 0,05. Secara keseluruhan edukasi berbasis digital memiliki dampak positif dalam meningkatkan self-management. Kesimpulan : Edukasi berbasis digital dapat menjadi pengelolaan hipertensi yang efektif dalam mendukung self-management, penggabungan beberapa intervensi dapat menghasilkan dampak yang lebih optimal. Penelitian lebih lanjut dengan sampel yang lebih besar dan durasi yang lebih lama diperlukan untuk mengkonfirmasi efek jangka panjang pada pengontrolan tekanan darah dan pencegahan komplikasi faktor risiko kardiovaskuler. Kata Kunci : Edukasi Digital, Edukasi tatap muka, Self management
Penerapan Program Pemberdayaan Keluarga Sebagai Upaya Meningkatkan Status Fungsional Klien dan Kesiapan Keluarga Merawat Klien Stroke Liya Arista; Elly Nurachmah; Tuti Herawati
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 10 No 04 (2020): Jurnal Ilmiah Ilmu Keperawatan Volume 10 Nomer 04 Tahun 2020 : Keperawatan Kelu
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.661 KB) | DOI: 10.33221/jiiki.v10i04.811

Abstract

Introduction: Stroke is a condition of brain function loss due to disturbance in cerebral blood flow that occurs more than 24 hours. The difficulties and dysfunction are caused by brain damage entail long-term disorders of physical and mental balance, so that the patients depend on their families. Objective: The aim of this study was to assess the impact of the family empowerment program on the functional status of patients after stroke and also family preparedness to taking care the patients at home. Method: The study design was a quasi-experiment design with pretest-posttest control group approach using 25 respondents. Groups were divided into a control group (n=12) and intervention group (n=13). Results: The results showed that is no significant difference between functional status in both groups after the intervention, but there is a significant difference in family preparedness to taking care for stroke survivors between the control and intervention groups (p = 0.004 at α = 0.05). Conculsion: Based on the results, the provision of family empowerment program as a preparation for discharge planning could be one of the nursing interventions for families to giving a care for stroke survivors at home
Improving Sleep Quality in Stroke and Chronic Kidney Disease Patients: A Systematic Review of Non-Pharmacological Interventions Yudia Eriza; I Made Kariasa; Liya Arista; Sri Yona
Nursing Information Journal Vol. 5 No. 2 (2026): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

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

Abstract

Sleep disturbances are common in patients with stroke and chronic kidney disease, potentially worsening health conditions and reducing quality of life. Non-pharmacological interventions have received less research attention, despite the potential for non-pharmacological approaches to improve sleep quality without causing side effects. This systematic review aimed to evaluate the effectiveness of non-pharmacological interventions in this population. Randomized controlled trials involving patients with stroke and chronic kidney disease aged >18 years were searched in seven English-language databases. Methodological quality was assessed using the JBI critical appraisal tool, and data were synthesized. 9 RCTs met inclusion criteria and demonstrated significant benefits. Cognitive Behavioral Therapy (4 studies) consistently improved sleep quality and reduced fatigue, anxiety, and depression (p < 0.001). Reflexology (2 studies) decreased anxiety and improved sleep quality (p < 0.001). Acupuncture significantly improved ISI, PSQI, and HADS scores (p < 0.001–0.003). Lavender aromatherapy reduced depression and improved sleep quality (p < 0.001), while spiritual care improved sleep quality and spiritual well-being (p < 0.001). These findings highlight the role of nurses in implementing non-pharmacological interventions to address sleep disturbances and related psychological symptoms in patients with stroke and chronic kidney disease. Cognitive Behavioral Therapy is recommended for patients with insomnia and psychological comorbidities, reflexology and massage may be beneficial for those undergoing hemodialysis, while acupuncture, aromatherapy, and spiritual care can be tailored to individual needs. Further research is needed to assess their long-term effectiveness and their integration into broader clinical practice.