Article Per Year (5 Year)
p-Index From 2020 - 2025
0.947
P-Index
This Author published in this journals
All Journal IJNP (Indonesian Journal of Nursing Practices) CARING (Center of Publication in Midwifery and Nursing) : Jurnal Publikasi Penelitian Kebidanan dan Keperawatan Medica Hospitalia
Hery Djagat Purnomo
Staff SMF/Bagian Ilmu Penyakit Dalam RSUP dr. Kariadi - Fakultas Kedokteran Universitas Diponegoro Semarang
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Published : 7 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 7 Documents
Search

 1 
Perspektif Keluarga dan Perawat tentang Kemitraan Keluarga Dalam Merawat Pasien di Intensive Care Unit Ekowati, Sri Indah; Purnomo, Hery Djagat; Utami, Reni Sulung
Journal Center of Research Publication in Midwifery and Nursing Vol 2 No 2 (2018): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v2i2.44

Abstract

Perawatan pasien di Intensive Care Unit (ICU) tidak hanya melibatkan petugas kesehatan, tetapi juga memerlukan peran keluarga. Keluarga juga mengalami stres dan kecemasan selama menunggu pasien di ICU. Patient-Family Centered Care (PFCC) merupakan paradigma baru dalam pelayanan kesehatan yang menempatkan pasien dan keluarga sebagai fokus pemberian asuhan keperawatan. Kemiraan keluarga sangat berperan dalam merawat pasien di ICU. Penelitian ini bertujuan untuk mengeksplorasi perspektif keluarga dan perawat tentang kemitraan keluarga dalam merawat pasien di ICU. Desain penelitian adalah kualitatif dengan pendekatan fenomenologi intepretatif. Informan adalah 10 perawat ICU dan 10 keluarga pasien sesuai dengan kriteria inklusi dan ekslusi yang diambil dengan metode purposive sampling. Penelitian dilakukan di Rumah Sakit Umum Pusat di Kota Semarang pada bulan April sampai Mei 2018. Analisis data dengan teknik intepretative phenomenological analysis (IPA). Hasil penelitian menunjukkan 4 tema utama tentang makna kemitraan keluarga, bentuk kemitraan keluarga, pengaruh kemitraan keluarga, dan tantangan penerapan kemitraan keluarga di ICU. Kemitraan antara perawat dan keluarga diartikan sebagai keadaan dimana perawat sebagai sumber informasi tentang kondisi pasien, perawat memberikan dukungan dan menghargai keluarga, kolaborasi antara pasien dan perawat, partisipasi keluarga dalam memberi dukungan bagi pasien, keluarga bisa mengungkapkan perasaanya pada perawat. Kemitraan keluarga meningkatkan kenyamanan pasien, tetapi mempengaruhi pemberian asuhan keperawatan dan menambah beban kerja perawat. Perspektif keluarga tentang perawatan ICU dan ketidaksiapan perawat menjadi tantangan penerapan kemitraan keluarga di ICU. Kesimpulan dari peneliian ini adalah keluarga dan perawat memahami makna dan pengaruh kemitraan dalam merawat pasien di ICU, tetapi masih terdapat tantangan dan hambatan dalam penerapannya.
The Influence of Use Artery-Femoral Band (ARFEBAND) to Haematom Incident in Patients After Percutaneus Coronary Intervention (PCI) Junait, Junait; Purnomo, Hery Djagat; Ropyanto, Chandra Bagus
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.2173

Abstract

AbstractBackground: Haematoma is the main vascular complication in the patients after percutaneous coronary intervention (PCI). This incidents is important to be prevented and be overcome because the internal bleeding is not easy to be control and it can be make extend the mass of patients to inpatient in the hospital. Artery-femoral Band (arfeband) is a device designed that worthy and safe to keep the stability of haemostasis after PCI. Aim: it is to know the influence of use arfeband to haematoma incidents in patients after PCI. Methods: this research used the quasy - experiment pre-post control trial design, it involves 121 patients after the elective of PCI that receives the intervention group (IG) and control group (CG) that is done for 6 hours after the removal of the sheath femoral artery, 60 IG used arfeband and 61 CG with the sand bag. The measurement of diameter haematoma is done when before and after intervention. Results: this research shows that before the intervention, there are no differences that significant between IG and CG p=0,909. There are the significant differences to haem atom incidents after the use of IG with P0,05, OR 0,398 with CI 95%  0,172 – 0,919. It means that arfeband is reducing the haematoma incidents for 60,2 %. The size of the diameter of pre and post procedure, it is decrease in average of 30,4(±13,6)mm to be 10,9 (±15,9) p0,05. Conclusion: The intervention of use arfeband influences to decrease the haematoma incidents significantly after percutaneous coronary intervention (PCI). 
Berbagai Faktor Risiko Retinopati Diabetik pada Penderita Diabetes Melitus Tipe 2 Nafia, Nisa Khoirun; Nugroho, Trilaksana; Wildan, Arief; Julianti, Hari Peni; Purnomo, Hery Djagat
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.313 KB) | DOI: 10.36408/mhjcm.v8i3.596

Abstract

BACKGROUND: More than 75% of people with type 2 DM will anguish diabetic retinopathy 20 years after being diagnosed. However, the current changing of people’s lifestyle contributes to the tendency in type 2 DM that diagnosed at a younger age. This causes diabetic retinopathy can be occurred earlier and blindness will occur more quickly. It is important to prevent diabetic retinopathy by controlling some associated factors. OBJECTIVE: To investigate associated factors of diabetic retinopathy in people with type 2 DM. METHOD: Analytic observational study with cross-sectional design. Subjects were determined by purposive sampling. The subjects were interviewed using a questionnaire meanwhile, funduscopic examination is aimed to assess diabetic retinopathy and followed by deep interview. This study also used the subject’s medical record to complete the required data. The results were analyzed by using statistic software. RESULT: From 43 subjects, there wes no significant relation among age (p=0.965), gender (p=0.437), level of knowledge (p=0.640), accessibility (p=1.000), economic level (p=0.680), duration of DM (p=0.477), history of hypertension (p=0.708), and history of dyslipidemia (p=0.244) with diabetic retinopathy in people with type 2 DM. However, there was significant relation among controlling blood glucose (p=0.014) with diabetic retinopathy in people with type 2 DM. Uncontrolled blood glucose was 13 times more affected in diabetic retinopathy than controlled blood glucose (OR 13.417, 95% CI:1.474-122.117). CONCLUSION: There was a significant relation between controlling blood glucose and diabetic retinopathy in people with type 2 DM. Controlling blood glucose is the most dominant risk factor among the other factors in this study. Keywords: diabetic retinopathy; risk factor; type 2 diabetes mellitus
KORELASI ANTARA DIMENSI VENA PORTA DENGAN KEKAKUAN HEPAR PADA PASIEN SIROSIS HEPATIS DI CHILD PUGH A Santoso, Antonius Gunawan; Mubarok, Nala Khodlil; Widyasari, Maya Nuriya; Purnomo, Hery Djagat
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 1 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i1.899

Abstract

BACKGROUND: Liver cirrhosis is an end-stage liver disease characterized by pathologic fibrosis and regenerative nodules with resultant liver dysfunction. The diagnostic hallmark of portal hypertension is slow flow velocities in addition to the increased caliber of the mean portal vein. That is, the diagnosis of portal hypertension requires the measurement of mean portal velocity and portal diameter, and the correlation between cirrhosis and mean portal velocity and port diameter is the correlation between liver cirrhosis and its complications.OBJECTIVE: To analyze the correlation between portal vein dimensions and liver stiffness in patients of Child-Pugh A cirrhosis.METHOD: This study was a cross-sectional study on 30 subjects with Child-Pugh A liver cirrhosis. The subjects of this research are patients who come to the Radiology Department of the Dr. Kariadi Hospital in Semarang for point shear wave elastography and abdominal ultrasound examination from January to December 2022. Spearman test correlation was used for the analysis.RESULT: Spearman test showed no correlation between liver stiffness and portal vein diameter (p=0.250, r= -0.217), liver stiffness and mean portal vein velocity (p=0.883, r= -0.028), and portal vein diameter with mean venous velocity in Child-Pugh A liver cirrhosis (p = 0.979, r = 0.005)
A 25-year-old Woman with Cholecystolithiasis, Cholecystitis, Choledocholithiasis, and Acute Hepatitis Nathanael, Naldo; Purnomo, Hery Djagat; Permatadewi, Cecilia Oktaria
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 2 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i2.930

Abstract

Introduction: Gallstone disease stands as the foremost gastrointestinal issue leading to hospital admissions, while also emerging as a substantial global public health concern, impacting approximately one-fifth of the population. Case Report: A 25-year-old woman was admitted with abdominal pain with a history of gallstones. She had risk factors such as obesity with a Body Mass Index (BMI) of  35.3 and dyslipidemia. Further examination showed that she had acute hepatitis and choledocholithiasis. The patient underwent Endoscopic Retrograde Cholangiopancreatography (ERCP) with balloon extraction. The patient recovered from her condition then scheduled for cholecystectomy. Conclusion: This case showed a relatively young female with cholecystolithiasis, cholecystitis,  choledocholithiasis, and acute hepatitis presenting with colicky pain. Comprehensive management of gallstone diseases is essential to avert additional complications and the possibility of relapse, especially considering the young age of the patient.
The Relationship between the Duration of Suffering from Diabetes and HbA1c Levels with the Degree of Liver Stiffness in Type 2 Diabetes Mellitus Patients Amna, Faza Khilwan; Widyasari, Maya Nuriya; Purnomo, Hery Djagat; Wahyuni, Frederica Mardiana; Satoto, Bambang; Sukmaningtyas, Hermina
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.1011

Abstract

BACKGROUND : Type 2 diabetes mellitus (DM) is one of the major problems faced by the health system. Diabetes is a multifactorial, chronic and progressive metabolic disorder characterized by chronic hyperglycemia. Persistent hyperglycemia is associated with long-term damage to the  liver. Ultrasound elastography is one of imaging modality that can assess liver stiffness, thus can assist clinicians in determining therapy, evaluating, and predicting disease progression. AIMS :  Aim of this study was to determine the relationship between liver stiffness degree by using ultrasound elastography with the duration of T2DM and HbA1c levels. METHOD : This study was an observational analytic research with a cross-sectional approach which carried out from May to September 2022 at the radiology department of Dr. Kariadi Hospital Semarang. Fifty subjects were included in this study and Rank-Spearman correlation test was used to analyze the relationship between liver stiffness degree with T2DM duration and HbA1c levels. RESULT :  Using ultrasonography elastography, the liver stiffness average was 7.92 + 6.72 kPa. The average of HbA1c levels was 8.55 + 2.63%. T2DM duration average was 9.10 + 6.50 years.   The rank-spearman test showed a significant correlation between HbA1c levels and the degree of liver stiffness (p = 0.000) with a correlation coefficient (r) of 0.68. There was no significant correlation between the T2DM duration and the degree of liver stiffness (p = 0.052). CONCLUSION : There was a significant correlation between liver stiffness and HbA1c levels, but there is no correlation between liver stiffness and T2DM duration
Oropharyngeal Dysphagia as The Presenting Symptom of Myasthenia Gravis with Diabetes Mellitus Kurnia, Handy; Seno, Heri Nugroho Hario; Bintoro, Aris Catur; Purnomo, Hery Djagat
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1154

Abstract

Background: Oropharyngeal dysphagia may caused by a variety of causes. Myasthenia gravis is a common autoimmune disease affecting the neuromuscular junction. While ocular symptoms are common in myasthenia gravis, bulbar symptoms such as dysarthria and dysphagia are less common. Aim: To present the importance of recognizing atypical presentations of myasthenia gravis and utilizing electromyography in diagnosis when AChR antibody testing is unavailable. Case Presentation: A 57-year-old woman was referred because of progressive dysphagia for both solid and liquid food. She also experienced weight loss, heaviness of the right eyelid, drooling, and chewing difficulty. Medical history revealed diabetes. Vital signs were stable. Physical examination revealed right ptosis without any other neurological deficits. Wartenberg test and dysarthria counting test were positive. Laboratory examination revealed a blood glucose level of 270 mg/dL and an HbA1c level of 9.4%. The barium swallow study revealedno abnormalities. Esophagogastroduodenoscopy revealed esophageal candidiasis. Electromyography showed more than 20% decremental response of the orbicularis oculi muscle. This result is suggestive of neuromuscular junction disorder. Improvement of the condition was achieved after the administration of intravenous steroids and oral pyridostigmine combined with therapeutic plasma exchange. Discussion: Oropharyngeal dysphagia accompanied by ptosis and positive Wartenberg & dysarthria counting test is suggestive of myasthenia gravis. Although an AChR antibody test cannot be performed, significant electromyography alongside relevant clinical presentation is sufficient to diagnose myasthenia gravis. Conclusion: It is crucial to recognize the accompanying signs and symptoms of oropharyngeal dysphagia. EMG may be used to diagnose MG in the appropriate clinical context.
Co-Authors Adjeg Tarius Ari Fahrial Syam Arief Wildan, Arief Aris Catur Bintoro Bambang Satoto, Bambang Chandra Bagus Ropyanto Faza Khilwan Amna, Faza Khilwan Handy Kurnia Hari Peni Julianti Hermina Sukmaningtyas Hirlan Hirlan Junait, Junait K. Heri Nugroho HS, K. Heri Marcellus Simadibrata Mubarok, Nala Khodlil Nafia, Nisa Khoirun Nathanael, Naldo Nugroho, Trilaksana Permatadewi, Cecilia Oktaria Reni Sulung Utami Santoso, Antonius Gunawan Sri Indah Ekowati Suyatmi Awizar Wahyuni, Frederica Mardiana Widyasari, Maya Nuriya