Claim Missing Document
Check
Articles

Found 24 Documents
Search

COMPARATIVE ANALYSIS OF ACCURACY AMONG GLASGOW COMA SCALE, TRAUMA SCORE, AND REVISED TRAUMA SCORE AS PREDICTORS OF MORTALITY HEAD INJURY PATIENTS Riki Ristanto; Amin Zakaria; Heny Nurmayunita
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4553.679 KB) | DOI: 10.21776/ub.jik.2017.005.02.10

Abstract

Measurement of severity and mortality predictions in cases of head injury is an important step to support appropriate, effective and efficient clinical decision-making. Glasgow Coma Score, Trauma Score, and Revised Trauma Score are physiologycal scoring systems that can be used as predictors of mortality of head injury patients. The objective of the study was to know which scoring systems had the best accuracy as a predictor of mortality of head injured patients. The observational analytic study with this retrospective cohort design approach was carried out at dr. Iskak Tulungagung on Medical Record. Data taken from all patient medical records from January 2016 to July 2017 amounted to 150 medical records. Variables used were GCS, RTS, and TS scores when patients were admitted to hospital IGD as well as patient mortality data within 7 days of treatment. The data obtained is then processed with SPSS 20 using Mann Whitney Test, logistic regression and ROC curve comparison. Based on the results of multivariate logistic regression analysis, GCS accuracy results: sensitivity= 0.7586, specificity= 0.7934, PPV= 0.468, NPV= 0.932; RTS accuracy: sensitivity= 0.766, specificity= 0.8, PPV= 0.489, and NPV= 0.932; TS accuracy: sensitivity= 0.7, specificity= 0.783, PPV= 0.4468, NPV= 0.9126. The comparison graph analysis of ROC curve showed no significant difference of AUC between GCS, RTS, and TS because the difference was too low (<15%). There was no significant difference of accuracy between RTS, GCS, and TS use in predicting head injury mortality
Correlation of Body Mass Index and The Ability to Perform High Quality Cardiopulmonary Resuscitation: Manikin Study Riki Ristanto
Babali Nursing Research Vol 4 No 2 (2023): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.42230

Abstract

Abstract. When assisting unconscious victims, the ability to perform High Quality Cardiopulmonary Resuscitation (HQ-CPR) is critical for optimizing rescue efforts. However, many factors contribute to achieving HQ-CPR, including the helper's BMI (body mass index). The aim of this study was to investigate the relationship between BMI and HQ-CPR proficiency. This study uses a correlational methodology. 101 nursing students from the Institut Teknologi, Sains, Dan Kesehatan (ITSK) RS Dr. Soepraoen who took part in Basic Trauma Cardiac Life Support (BTCLS) training in 2021 made up the population of this study. Purposive sampling was the sampling technique utilized, and 91 people were included in the sample. The BMI score of each CPR assistant serves as the independent variable in this study. The capacity for HQ-CPR is the dependent variable. On September 25 and 26, 2021, this study was conducted at ITSK RS Dr. Soepraoen. Given that the Kolmogorov-Smirnov correlation test analysis yielded a p-value of 0.000, it is possible to draw the conclusion that a person's BMI and their capacity to conduct HQ-CPR are related. The study's findings support the notion that a person's BMI has an impact on their capacity to execute HQ-CPR. A respondent who has a BMI in the mild to severe obesity range or a respondent with a BMI of extreme thinness is less likely to be able to conduct HQ-CPR than a respondent with a normal or mildly obese BMI. HQ-CPR is often maintained for the first two minutes of CPR by CPR providers with normal BMI. The fitness and weariness of a person are influenced by their BMI. A person with a healthy BMI usually has superior endurance because their heart and breathing processes, among other organ functions, are stronger.
ACCURACY OF GLASGOW COMA SCALE (GCS) COMPONENTS AS PREDICTORS OF MORTALITY OF MODERATE AND SEVERE HEAD INJURY CLIENTS Riki Ristanto
UNEJ e-Proceeding 2023: 5th International Agronursing Conference (5th IANC) In Conjunction with 1st International Post
Publisher : UPT Penerbitan Universitas Jember

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

Abstract

In moderate and severe head injury clients with multiple traumas, there may be difficulty calculating GCS scores due to facial trauma to the eyes and mouth. This condition makes it difficult for nurses and emergency room doctors to calculate client prognosis using GCS. This study aims to analyze the ability of GCS components as a predictor of mortality for moderate and severe head injury clients. This study is an observational study with a retrospective cohort design. The population is the medical record data of head injury patients admitted in the period January to December 2020 at Dr. Iskak Tulungagung Hospital. A sample of 115 medical records was obtained through purposive sampling method. The variables were GCS score in emergency department triage data and mortality data of head injury clients within seven days of treatment. The results were analyzed by Mann Whitney Test, logistic regression and ROC Curve comparison. The logistic regression result of GCS score has sensitivity = 0.904, specificity = 0.809, PPV = 0.955, NPV = 0.654; GCS-Eyes has sensitivity = 0.938, specificity = 0.617, PPV = 0.854, NPV = 0.807; GCS-Verbal has a sensitivity = 0.929, specificity = 0.667, PPV = 0.887, NPV = 0.769; GCS-Motor has a sensitivity = 0.833, specificity = 0.692, PPV = 0.955, NPV = 0.346. ROC Curve comparison results show ROC GCS = 0.952, GCS-Eyes = 0.870, GCS-Verbal = 0.885, GCS-Motor = 0.903. The conclusion is that the GCS-Motoric component is the GCS component that has the best accuracy after GCS. Keywords: Head Injury, GCS Components, Mortality Prognosis.
THE EFFECT OF JINS THREE NEEDLE ACUPUNCTURE ON COMPLAINTS OF STIFT NECK TEACHERS OF SDN 01 KETINDAN LAWANG EAST JAVA Mayang Wulandari; Chantika Mahadini; Riki Ristanto
UNEJ e-Proceeding 2023: 5th International Agronursing Conference (5th IANC) In Conjunction with 1st International Post
Publisher : UPT Penerbitan Universitas Jember

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

Abstract

Background: Neck stiffness is a condition that usually arises as a result of a number of disorders and diseases that affect the tissues around the neck such as degenerative disc disease, neck tension, and neck injuries including disc herniation which can cause pinched nerves (Stöppler, 2011). This complaint is experienced by everyone, including teachers, teachers are currently required to carry out distance learning (PJJ) which causes a lot of silence in one position, namely facing a laptop or looking down a lot at a cell phone which makes the neck and shoulders stiff. Methods: The research design used in this study is a pre-experimental design with a pretest-posttest design. Before and after treatment, the patient's neck stiffness was measured using the Nordic body map (NBM), then the results were compared. Results: It was found that respondents who experienced neck stiffness before acupuncture therapy had an average score of 2.10 with a standard deviation of 0.316, and an average of 1.20 who had been treated with acupuncture with a standard deviation of 0.422. Before Jins three needle acupuncture therapy, the average neck stiffness of SDN 01 Ketindan teachers was 2.10. After three-needle jeans acupuncture therapy, the average neck stiffness of SDN 01 Ketindan teachers was 1.20. There is a decrease in the level of neck stiffness after acupuncture therapy. Conclusions: The results obtained are the effect of Jins 3 needle acupuncture in cases of neck stiffness.
TINGKAT PENGETAHUAN MAHASISWA KEPERAWATAN TINGKAT 2 TENTANG AKTIVITAS FISIK DI ITSK RS DR SOEPRAOEN MALANG Maulana Arif Murtadho; Dion Kunto; Riki Ristanto
Jurnal Kesehatan Vol. 1 No. 2 (2023): Agustus
Publisher : CV. ADIBA AISHA AMIRA

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

Abstract

Introduction: In the world of health, it is considered lazy to move, or what is commonly called a sedentary lifestyle. This condition will definitely cause problems if it lasts for a long time due to reduced or even decreased physical activity or movement. Method: This type of research uses quantitative descriptive methods. The population in this study were all level 2 students of the D3 Nursing study program, and the sample was taken using the N / 1 + N(e²) formula, namely 60 respondents and the sample collection technique used was simple random sampling by taking respondents randomly/drawn based on class A, B, and C. The instrument used as a measuring tool is a questionnaire. Results: The results showed that 28 respondents (46.67%) had good knowledge, 12 respondents (20%) had sufficient knowledge, and 20 respondents (33.33%) had less knowledge. Conclusion: most of the knowledge of level 2 nursing students about physical activity is good 46.67% at ITSK dr Soepraoen Hospital Malang.
SELF- MANAGEMENT IN HYPERTENSION PATIENT Dinda Ebti Safitri; Tien Aminah; Riki Ristanto; Alfunnafi Fahrul Rizzal; Bayu Budi Laksono
Indonesian Journal Of Empirical Nursing Sciences Vol 1 No 1 (2024): IJENS Maret (2024)
Publisher : Program Studi Keperawatan, Fakultas Ilmu Kesehatan, ITSK RS dr Soepraoen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/ijens.v1i1.10

Abstract

Background Uncontrolled hypertension can cause complications of hypertension. The codition of increasing complications of hypertension is influenced by the lack of hypertensive self-management behavior. One of them is the lack of healthy living behaviors such as smoking, eating a high meaning of salt and lack of monitoring of blood pressure. The purpose of this study was to determine the picture of self-management of hypertension sufferers in Malang Regency. Method This research is a quantitative research with a descriptive research design. The population of this study was hypertension sufferers in Malang 40 people. The sampling technique used is purposive sampling. This research was conducted on June- July, 2023. Data collection instrument using HSMBQ questionnaire (Hypertension Self- Management Behavior Quetionnaire). Result The results showed that hypertension self-management behavior almost entirely (85%) had sufficient self-management. A small percentage (10%) have less self-management, and (5%) have good self-management. Based on the analysis of the question items, the results of self-management of people with low hypertension were obtained on indicators of self- integration, self-regulation, and blood pressure monitoring. Based on the results of this study, it is hoped that people with hypertension can apply hypertension self-management, it can also be an input and consideration to apply the correct self-management behavior in preventing complications and recurrences of hypertension
Screening Kesehatan (Gigi, Mulut, Mata, Telingga) Pada Anak Sekolah Dasar: Health Screening (Dental, Oral, Eye, Ear) for Elementary School Children Ristanto, Riki; Kunto Adi Patria, Dion
Jurnal Abdi Keperawatan dan Kedokteran Vol 4 No 1 (2025): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v4i1.72

Abstract

Habits such as eating patterns, personal hygiene, and unhealthy snacking can affect students' health at school. To prevent these risks, health screening becomes an important step. ITSK RS Dr. Soepraoen Malang organized a health screening at SDN Dusun Sumber Bendo, Kucur Village, Dau District, Malang Regency, to detect issues with students' teeth, mouth, eyes, and ears. The activity was carried out in several stages. During the preparation phase, the community service team obtained permits from LPPM ITSK Soepraoen and the Head of SDN 9 Dusun Sumber Bendo. The team then divided tasks into two groups: one arranged the activity location, while the other prepared logistics, including borrowing equipment from the DIII Nursing Program laboratory and providing stationery and refreshments. The activity took place on May 11, 2024, and involved three groups: student guidance, administration, and screening. The guidance group managed the activity flow, the administration group recorded students' data, and the screening group conducted examinations at six stations. A total of 55 students from grade 1 of SDN 9 Dusun Sumber Bendo participated, from 08:00 to 11:00 WIB. The health screening results showed that only the tongue examination had a 100% normal result. The majority of students had cavities (51%) and caries (35%), with the highest cases found among female students (56%). For tonsil health, two students in grade 5 (4%) had tonsillitis. The eye examination revealed that 12 students (22%) had myopia, and 2 students (4%) had partial color blindness. Ear examinations often showed the presence of little (38%) or a lot of earwax (35%), with higher numbers in female students. These issues highlight the need for increased attention to dental and ear health, with education and routine examinations that can help prevent health problems that may impact children's learning process.
Pendampingan Pemberdayaan UKS dan Kebersihan Kamar Mandi SDN 01 Ketindan Lawang Jawa Timur Wulandari, Mayang; Khiong, Tjhia Khie; Ristanto, Riki; Mahadini, Chantika
Journal of Health Innovation and Community Services Vol. 2 No. 1 (2023): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v2i1.106

Abstract

SDN 01 Ketindan already has a UKS but it has been abandoned due to the pandemic. The UKS temporarily functions as a storage area only. In addition, SDN 01 Ketindan has several dirty smelling bathrooms with several broken doors so students cannot use them. The purpose of this community service activity is to increase the knowledge and skills of partners (SDN 01 Ketindan students) regarding the function of the UKS for health services and overcoming minor injuries experienced by students or teachers. take a clean bath and cultivate the habit of keeping the bathroom clean to stay healthy. This community service was carried out through counseling methods about bathroom cleanliness and the importance of UKS. Apart from that, infrastructure repairs were carried out in this case the bathrooms by replacing all the doors, cleaning the floors, repairing leaking bathtubs, and repainting the walls. This community service has been carried out by educating school residents about UKS knowledge and bathroom cleanliness as well as products in the form of repairs to all bathrooms as a means of supporting teaching and learning activities. This activity is still ongoing because UKS infrastructure and training for UKS officers have not been carried out due to funds still being allocated for bathroom repairs.
Gerakan Pondok Pesantren Sadar Bahaya Covid-19: Pengabdian Masyarakat Di Pondok Pesantren “Basmalah” Lawang Kabupaten Malang Ristanto, Riki; Wulandari, Mayang; Patria, Dion Kunto Adi; Murtadho, Maulana Arif
Journal of Health Innovation and Community Services Vol. 2 No. 2 (2023): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v2i2.111

Abstract

Latar Belakang. Pondok pesantren “Basmalah” merupakan pondok pesantren salafiyah yang memiliki banyak aktivitas pembelajaran. Beragamnya sarana prasarana pembelajaran yang ada sangat berpotensi menjadi tempat berkumpulnya santri, namun sarana dan prasarana tersebut belum difasilitasi sarana pencegahan penyakit menular virus corona (covid-19). Tujuan. Tujuan kegiatan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan dan ketrampilan mitra (pengurus dan santri) tentang menejemen pencegahan dan pengendalian virus corona (covid-19). Metode. Pengabdian masyarakat ini dilaksanakan melalui metode seminar, pendampingan, serta pengadaan alat bagi mitra. Pengabdian masyarakat ini diikuti oleh 25 orang pengurus dan santri senior pondok pesantren. Target luaran pengabdian masyarakat yang telah dicapai berupa jasa dan produk. Jasa dalam hal ini berupa pemberian materi seminar tentang managemen pencegahan penularan virus corona (covid-19) serta pendampingan tentang penggunaan thermogun, 6 langkah cuci tangan, dan penggunaan masker. Hasil. Melalui metode tersebut terbukti dapat meningkatkan pemahaman mitra tentang virus corona (covid-19) dan pencegahan penularannya (100%). Adapun produk yang sudah dihasilkan berupa modul materi “virus corona (covid-19) dan pencegahan penularannya” serta SOP penggunaan thermogun, 6 langkah cuci tangan, dan penggunaan masker. Kesimpulan Selama kegiatan ini dilakukan pengurus dan santri senior tampak antusias mengikuti kegiatan dan menggunakan fasilitas pencegahan penularan virus corona yang sudah diberikan. Diharapkan kegiatan ini dapat berkelanjutan secara mandiri dilaksanakan oleh mitra serta dapat menginspirasi bagi pondok pesantren lainnya, mengingat kegiatan tersebut belum banyak dilakukan.
Kualitas Tidur Ibu Hamil Trimester III Di PMB Watuagung Kabupaten Pasuruan Tohiviatuti, Aida; Priasmoro, Dian Pitaloka; Ristanto, Riki
Journal of Health Innovation and Community Services Vol. 2 No. 2 (2023): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v2i2.180

Abstract

Abtrak: Kualitas tidur adalah kepuasan seseorang terhadap tidur, sehingga seseorang tersebut tidak memperlihatkan perasaan lelah, mudah terangsang dan gelisah, lesu dan apatis, kehitaman di sekitar mata, kelopak mata bengkak, konjungtiva merah, mata perih, perhatian terpecah-pecah, sakit kepala dan sering menguap atau mengantuk, untuk itu diperlukan sebuah pola tidur yang sehat. Penelitian ini bertujuan untuk mengetahui gambaran Kualitas Tidur pada Ibu Hamil Trimester III Di PMB Desa Watuagung Prigen Kabupaten Pasuruan. Penelitian ini menggunakan desain penelitian Deskriptif dengan pendekatan Cross Sectional yang didapatkan 40 Ibu Hamil. Hasil penelitian ini menunjukkan sebagian besar responden (67,5%) memiliki kualitas tidur buruk sebanyak 27 orang dan sebagian kecil memiliki kualitas tidur baik berjumlah 13 orang (32,5%). Pada penelitian ini juga didapatkan hasil pada Ibu hamil trimester III dengan kualitas tidur buruk . Upaya yang dapat ibu hamil trimester III dapat memperbaiki kualitas tidur dengan melakukan olahraga ringan, seperti berjalan santai, berenang, yoga atau senam hamil. sehingga dapat mengoptimalkan pola tidur yang baik. Kata kunci: Kualitas Tidur, Ibu Hamil Trimester III