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Muhamat Nofiyanto
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PERBEDAAN PARAMETER KARDIO PULMONAL SETELAH TINDAKAN OPEN SUCTION Muhamat Nofiyanto
MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Abstract

Background: Endotracheal suctioning is often performed by nurses and beneficial for critically ill patients. Suctioning is essential for removing secretions, maintaining airway patency and prevent unexpected complications. Open suctioning is performed by disconnecting patients with the ventilator. Suctioning not only removed secretions in the airway but also oxygen. Suctioning must be done correctly, safely, effectively and efficiently to prevent unexpected events in critically ill patients. Objective: This study aimed to determine differences on cardiopulmonary parameters after open suction in critically ill patients Methods: The study design was comparatif cross sectional analytic approach, using one group pre test and post test. The sample of the research amounted to 34 people, using purposive sampling technique. Catheter size 14 Fr on ETT number 7 mm used in this research to performed endotracheal suctioning. Cardiopulmonary parameters (Heart rate/ HR, respiratory rate/RR, oxygen saturation/SpO2, systolic blood pressure/ SBP and diastolic blood pressure/DBP) measured by pulse oxymeter and bedside monitor before suction and immediately thereafter. Results: The results showed increase average heart rate 6.412 (from 106.62 into 113.03), Respiratory rate has increased 4.971 (from 20.62 into 25.59), SpO2 decreased 1.68 (from 99.09 into 97.41), and systolic blood pressure increased 5.71 (from 118.29 into 124.00) after performed open suction. The results of paired t-test statistical analysis (for RR, HR) obtained a < 0.05 (0.000), whereas Wilcoxon statistical analysis (for SpO2, SBP) obtained a < 0.05 (0.000 and 0.001). So it can be said that the difference cardiopulmonary parameters was statistically significant after perfomed open suction in critically ill patients. Keywords: Endotracheal suctioning, cardiopulmonary parameters, critically ill patients.
TIDAK ADA HUBUNGAN ANTARA DURASI PEMBERIAN OKSIGEN MELALUI NASAL KANUL NON HUMIDIFIER DENGAN INSIDEN IRITASI MUKOSA HIDUNG PADA PASIEN DI ICU Nuryanti Sindif; Muhamat Nofiyanto; R Anggono Joko Prasojo
MEDIA ILMU KESEHATAN Vol 3 No 3 (2014): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: Oxygen administration is given to patients have oxygen supply deficit during observation due to trauma or respiratory disorder. Oxygen may be administered through a low flow method, i.e. nasal cannula. The use of non humidifier nasal cannula may cause the incidence of nasal mucosa irritation. Administering oxygen through non humidifier nasal cannula should be stopped when the oxygen therapy is more than 5 litre per minute. Objective: To investigate the correlation between the duration of non humidifier nasal cannula oxygen use and the incidence of nasal mucosal irritation at ICU in Panembahan Senopati Hospital Bantul. Method: This was an observational study which used a quantitative method, with correlational design and cross sectional approach. Samples were purposively selected comprising as many as 31 people. Data were obtained from observation sheet and analyzed with Fisher’s Exact test. Result: The use of non humidifier nasal cannula oxygen was mostly in short duration (58.1%). The majority of patients did not encounter the incidence of nasal mucosal irritation (96.8%). The result of Fisher’s Exact test showed p=0.419 >0.05. Conclusion: There was no significant correlation between the duration of non humidifier nasal cannula use and the incidence of nasal mucosal irritation in the ICU patients at PanembahanSenopatiHospital Bantul. Keywords: Duration of use, oxygen, non humidifier nasal cannula, nasal mucosal irritation
HUBUNGAN TINGKAT PENGETAHUAN DENGAN KETERAMPILAN PETUGAS DALAM PELAKSANAAN TRIAGE DI INSTALASI GAWAT DARURAT RSUD WATES Renny Martanti; Muhamat Nofiyanto; R.Anggono Joko Prasojo
MEDIA ILMU KESEHATAN Vol 4 No 2 (2015): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: Triage is the process of determining the priority of patients’ treatment based on these verity of their condition. Triage at the Emergency Room is needed to manage the flow of patients coming to the Emergency Room through the sorting of patients according to their critical condition. Staff doing triage are those who have got certificate of training on the management of emergency patients or Basic Trauma Cardiac Life Support (BTCLS). Staff must have good knowledge in implementing triage. Objectives: To identify knowledge and skills of staff in implementing triage and strength of correlation between level of knowledge with skills of staff in implementing triage. Methods: The studi was descriptive analytic with crossectional approach. Samples were purposively selected, consisting of 20 respondents. Data were obtained through questionnaire and observation sheet and analyzed using Kendall Tau. Results: The result of the studi showed the majority of staff had good knowledge (70%) and skills (85%). The result of Kendall Tau test showed score of significance was 0.025 (sig<0.05) with correlation coefficient 0.450 which meant that strength of correlation between level of knowledge with skills in the implementation of triage was average. Conclusion: There was significant correlation between level of knowledge with skills of staff at the Emergency Room of Wates Hospital with average strength of correlation. Keywords: Knowledge, skills, triage
PENGARUH AROMATERAPI MAWAR TERHADAP KUALITAS TIDUR LANSIA DI PANTI SOSIAL TRESNA WERDHA UNIT BUDI LUHUR KASONGAN BANTUL YOGYAKARTA Foerwanto; Muhamat Nofiyanto; Tri Prabowo
MEDIA ILMU KESEHATAN Vol 5 No 1 (2016): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v5i1.140

Abstract

Background:Sleep is a very fundamental need for every individual, especially for elderly people in social institutions. Poor quality of sleep in the elderly may lead to several disturbances, such as vulnerability to diseases,forgetfulness, psychomotor disorders, disorientation and difficulty to make decision. Some intervention may include pharmacological and non-pharmacological therapy. One of non-pharmacology therapies that isused to increase sleep qualityis rose aromatherapy. Objective: To determine the effect of rose aromatherapy on the quality of sleep in elderly at PSTW Budi Luhur Kasongan Bantul, Yogyakarta. Method: This study was a quasi-experiment research,with one group pretest-posttest design. Samples were taken with simple random sampling technique, involving 24 respondents. Each respondent was given rose aromatherapy for 5 minutes for 5 consecutive days. Result:Statistical analysis with marginal-homogeneity test showed p-value of 0,000 (p value<0,05).It suggested that there was a significant effect ofrose aromatherapy on the quality of sleep in elderly atSocial Institution of Tresna Werdha Budi Luhur Kasongan Bantul, Yogyakarta. Conclusion:Roses aroma therapy has effect in improving sleep quality in the elderly at Social Institution of TresnaWerdha Budi LuhurKasonganBantul, Yogyakarta. Keywords: Elderly, PSTW, Sleep quality, Aromatherapy, Rose.
PENGARUH TINDAKAN MOBILISASI DINI TERHADAP DENYUT JANTUNG DAN FREKUENSI PERNAPASAN PADA PASIEN KRITIS DI ICU RSUD SLEMAN YOGYAKARTA Muhamat Nofiyanto; Tetra Saktika Adhinugraha
MEDIA ILMU KESEHATAN Vol 5 No 3 (2016): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v5i3.167

Abstract

Background: Patients with critical conditions in the ICU depend on a variety of tools to support their lifes. Patients’ conditions and and their unstable hemodynamic are challenges for nurses to perform mobilization. Less mobilization in critical patients can cause a variety of physical problems, one of them is cardiorespiratory function disorder. Objective: to investigate differences in heart rate (HR) and respiratory rate (RR) before, during, and immediately after early mobilization. Methods: This study employed quasi experiment with one group pre and post test design. Twenty four respondents were selected based on the criteria HR <110 / min at rest, Mean Arterial Blood Pressure between 60 to 110 mmHg, and the fraction of inspired oxygen <0.6. Early mobilization was performed to the respondents, and followed by assessments on the changes of respiratory rate and heart rate before, during, and immediately after the mobilization. Analysis of differences in this study used ANNOVA. Results: Before the early mobilization, mean RR was 22.54 and mean HR was 78.58. Immediately after the mobilization, mean RR was 23.21 and mean HR was 80.75. There was no differences in the value of RR and HR, before and immediately after the early mobilization with the p-value of 0.540 and 0.314, respectively. Conclusions: Early mobilization of critical patients is relatively safe. Nurses are expected to perform early mobilization for critical patients. However, it should be with regard to security standards and rigorous assessment of the patient's conditions. Keywords: Early mobilization, critical patients, ICU
PENGETAHUAN DAN SIKAP PERAWAT TENTANG MOBILISASI DINI PASIEN DI ICU RSUD PANEMBAHAN SENOPATI BANTUL YOGYAKARTA Muhamat Nofiyanto; Muhamad Munif; Miftafu Darussalam
MEDIA ILMU KESEHATAN Vol 6 No 1 (2017): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v6i1.173

Abstract

Background: Early mobilization is necessary in critically ill patients in Intensive Care Unit (ICU) to prevent hypovolemia which endangers patient’s life. The role of nurses in early mobilization is important by providing explanations and motivating patients to achieve the purpose of healing. Guidance and intensive intervention from nurses can reduce the recurrence of disease. Objective: To investigate the level of knowledge and attitude of nurses on patients early mobilization in ICU of RSUD Panembahan Senopati Bantul. Method: A descriptive, cross sectional study, was applied on 20 nurses in ICU of RSUD Panembahan Senopati Bantul. Univariate data analysis was administered to characteristics of respondents, knowledge, attitudes, and cross-tabulations. Result: Most of nurses have good level of knowledge (70%), and on attitude domain, most nurses are being supportive (75%) in terms of early mobilization to patients. Nurses whose age are 22-35 years old (10%), male (10%), have been working for 1 month up to 5 years (10%), have background of 3 years diploma in nursing (10%) fall into poor knowledge category. Similar characteristics contribute to attitude domain where nurses whose age are 22-35 years old (25%), male (15%), have been working for 1 month up to 5 years (25%), have background of 3 years diploma in nursing (35%) are placed into unsupportive category. Conclusion: The level of knowledge of nurses on patients early mobilization is in good category where the attitude is in supportive category. Keywords: Knowledge, attitude of nurses, early mobilization.
PROFIL LIPID DENGAN KEJADIAN MORTALITAS PADA PASIEN INFARK MIOKARD AKUT DI RSUD PANEMBAHAN SENOPATI BANTUL TAHUN 2015 Miftafu Darussalam; Muhamat Nofiyanto
MEDIA ILMU KESEHATAN Vol 6 No 2 (2017): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v6i2.183

Abstract

BACKGROUND: Lipid profile is important as supporting data on heart patients. Lipid profile is a state of fat seen in the levels of total cholesterol, LDL, HDL, and triglycerides. Disorders of lipid metabolism characterized by an increase or decrease in blood plasma is called dyslipidemia. Dyslipidemia has a close relationship with the occurrence of atherosclerosis and Acute Myocardial Infarction (AMI) as one of the leading causes of death in industrialized countries and emerging economies. OBJECTIVE: To determine the relationship lipid profile with the incidence of mortality in patients with acute myocardial infarction in hospitals Panembahan Senopati Bantul in 2015. METHODS: This study used a descriptive exploratory design with data retrieval medical record in 2015 with a total of respondents 106 was done in Panembahan Senopati Bantul District Hospital. To analyze the data, the researchers used the Lamda test. RESULT: The results obtained were an association of mortality with total cholesterol by P: 0006 and the level of closeness strong (0647), LDL with P: 0009 and the level of closeness strong (0647), HDL with P: 0017 and the level of closeness is strong enough (0529), triglycerides P: 0003 and the level of closeness strong (0765) CONCLUSION: Mortality of AMI was statistically significant associated with total cholesterol, HDL, LDL, and triglycerides. Keywords: Acute Myocardial Infarction (AMI), lipid profile, mortality of AMI
UPAYA PENINGKATAN KINERJA PERAWAT GAWAT DARURAT MELALUI BERBAGAI GAYA KEPEMIMPINAN DI RSUD DAERAH ISTIMEWA YOGYAKARTA Deby Zulkarnain Rahadian Syah; Muhamat Nofiyanto
MEDIA ILMU KESEHATAN Vol 6 No 3 (2017): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v6i3.195

Abstract

Background: Nurses in charge of the Emergency Room are required to have more ability than nurses serving patients in other units. Emergency Room is an initial service in a hospital. One's leadership style will greatly affect the effectiveness of a leader. The selection of the right leadership style can lead to the achievement of individual or organizational goals. Objective: To know the various leadership style used by the head of room in improving the performance of nurses of Emergency Room RSUD in Special Region of Yogyakarta. Method: This research includes quantitative research type, using cross sectional approach. The population of this study was the head of the treatment room. Secondary data of nurse's performance is taken from nursing care which is written in medical record file of Emergency Room of RSUD in Special Region of Yogyakarta. Results: The performance of nurses at Emergency Room RSUD A in the good category was 100%. The performance of nurses at Emergency Room RSUD B in the enough category was 45%. The performance of nurses at Emergency Room C in good category was 80%. The performance of nurses at Emergency Room RSUD D in good category was 55%. The performance of nurses at RSUD E in the good category was 95%. The result of cross tabulation between leadership style and nurse performance of RSUD in the whole DIY with good performance is leader who use democratic leadership style equal to 35%. Conclusion: Most of the nurse's good performance in Emergency Room is followed by democratic leadership style of head of space. Keyword: Leadership style, head of space, performance of nurses
Co-Authors Darussalam, Miftafu Deby Zulkarnain Rahadian Syah Foerwanto Muhamad Munif Nuryanti Sindif R Anggono Joko Prasojo R.Anggono Joko Prasojo Renny Martanti Tetra Saktika Adhinugraha Tri Prabowo