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DESKRIPSI KEMAMPUAN HIGH QUALITY CARDIOPULMONARY RESUSCITATION (HQ-CPR) PADA MAHASISWA KEPERAWATAN Murtadho, Maulana Arif; Ristanto, Riki
Jurnal Penelitian Keperawatan Kontemporer Vol 5 No 4 (2025): Juli 2025
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v5i4.1000

Abstract

Latar belakang: Henti jantung di luar rumah sakit (Out-of-Hospital Cardiac Arrest/OHCA) merupakan salah satu penyebab utama kematian global. High-Quality Cardiopulmonary Resuscitation terbukti dapat meningkatkan angka kelangsungan hidup pasien. Namun, kemampuan mahasiswa keperawatan dalam melaksanakan HQ-CPR masih perlu dievaluasi untuk memastikan kesiapan mereka menghadapi situasi kegawatdaruratan. Tujuan: Mengetahui kemampuan HQ-CPR pada mahasiswa keperawatan. Metode: Penelitian ini merupakan studi deskriptif dengan pendekatan kuantitatif yang bertujuan untuk menggambarkan kemampuan mahasiswa keperawatan dalam melakukan HQ-CPR. Penelitian dilaksanakan pada 25–26 September 2021 di Laboratorium Keperawatan Gawat Darurat ITSK RS dr. Soepraoen Malang. Sampel sebanyak 91 mahasiswa semester enam dipilih melalui teknik purposive sampling dari total 101 peserta pelatihan BTCLS tahun 2021. Variabel penelitian terdiri dari: usia, jenis kelamin, tinggi badan, berat badan, skor IMT, kecepatan kompresi dada, kedalaman kompresi, chest recoil, interupsi minimal, dan rasio kompresi–ventilasi. Data dikumpulkan melalui lembar observasi yang divalidasi oleh instruktur BTCLS dan didukung rekaman video, serta dianalisis secara univariat menggunakan Stata versi 17. Penelitian ini telah mendapat persetujuan etik dari Komite Etik Poltekkes Kemenkes Malang (No. 041/KEPK-POLKESMA/2021). Hasil: Dalam pelaksanaan HQ-CPR, 82.4% responden melakukan kompresi dada sesuai standar, 64.8% menunjukkan recoil dada yang baik, dan 65.9% memiliki kedalaman kompresi yang sesuai. Sebanyak 81.3% mampu meminimalkan interupsi, serta 85.7% memenuhi rasio kompresi dan ventilasi 30:2. Secara keseluruhan, 53.8% responden dinyatakan mampu melakukan HQ-CPR sesuai kriteria. Kesimpulan: Lebih dari separuh mahasiswa keperawatan mampu melakukan HQ-CPR secara tepat, namun beberapa aspek teknis seperti kedalaman kompresi dan recoil dada masih perlu ditingkatkan melalui pelatihan yang berkelanjutan dan berbasis umpan balik. Hasil ini menjadi bahan evaluasi bagi institusi pendidikan untuk memperkuat kompetensi kegawatdaruratan sejak dini.
Decreased Body Mass Index (BMI) in COVID-19 Patients with Anosmia Symptoms Ristanto, Riki; Murtadho, Maulana Arif
Babali Nursing Research Vol. 5 No. 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51344

Abstract

Introduction: COVID-19 is a respiratory infection caused by the SARS-CoV-19 virus and impacts the appearance of anosmia symptoms. Anosmia impacts reducing appetite, so it impacts fulfilling the nutritional needs of COVID-19 patients. This study aims to determine the effect of anosmia on the nutritional status of COVID-19 patients. Methods: This study is an observational study with a retrospective cohort design. The samples of this study were 48 health record data of COVID-19 patients who experienced anosmia in Karangploso View Housing, Malang Regency, from July to December 2021, selected according to the inclusion and exclusion criteria. The independent variable in this study is the incidence of anosmia felt by residents. The dependent variable is residents' Body Mass Index (BMI) before and after recovering from COVID-19 infection. This study was conducted from July 15 to August 11, 2023. Research data analysis using the SPSS version 22 program using the paired T-test and Wilcoxon test with α = 5%. Results: The paired T-test results on the weight variable showed a significant difference in the patient's weight between before and after COVID-19 illness with symptoms of anosmia (p-value = 0.000). The results of the Wilcoxon Test on the BMI variable showed a significant difference in the nutritional status (BMI) of respondents between before and after COVID-19 illness with symptoms of anosmia (p-value = 0.000). Conclusion: The condition of anosmia alters a person's food preferences, resulting in the perception of certain foods as less pleasant, bland, and unappealing. This condition results in loss of appetite, inadequate nutrient intake, and potential malnutrition. Self-efforts to prevent malnutrition due to anosmia in COVID-19 patients: using aromatic herbs and spices, eating small and frequent meals, modifying food texture and color seasoning, and consulting a dietician to develop a balanced and nutrient-rich meal plan.
Oxygen Saturation Sebagai Prediktor Mortality Klien Cedera Kepala Yang Lebih Baik Dari Respiratory Rate Ristanto, Riki; Zakaria, Amin
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 7, No 1 (2019): EDITION MARCH 2019
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.867 KB) | DOI: 10.33366/jc.v7i1.1086

Abstract

The Revised Trauma Score (RTS) is a predictor of moderate mortality in head injury clients. To increase it by changing the respiratory rate (RR) component in RTS with other respiration components that have the potential to have a higher correlation to the mortality of head injury clients. The aim of this study was to analyze differences in RR accuracy and oxygen saturation (SpO2) as predictors of mortality in head injury clients. This study is an observational analytic study with a cohort retrospective study approach, conducted at the hospital. Dr. Iskak Tulungagung. The population is a head injury client medical record for the period January to December 2017, with a purposive sampling technique which obtained a sample of 150 respondents. Data analysis using the Mann-Whitney test, logistic regression, and ROC Curve comparison. The results, the variables RR and SpO2 have a significant relationship with the mortality of head injury clients(p value = 0.000). Logistic regression test results, RR equation has sensitivity = 0.792 (79.2%), specificity= 0.7333 (73.33%), Positive Predictive Value (PPV) = 0.922 (92.2%), and Negative Predictive Value (NPV) = 0.468 (46.8 %). The SpO2 equation has sensitivity = 0.907 (90.7%), specificity = 0.881 (88.1%), PPV= 0.951 (95.1%), and NPV = 0.787 (78.7%). The results of a comparison analysis of the ROC curve, concluded that ROC SpO2 (AUC = 0.930) was better than ROC RR (AUC = 0.729). Oxygen saturation is a better predictor of mortality of head injury clients than RR.
Basic Life Support Training On Ability And Self- Confidence Student In Handling Cardiac Arrest Cahyadi, Faisal Ahmad; Hastuti, Apriyani; Indari, Indari; Kurniawan, Ardhiles Wahyu; Laksono, Bayu Budi; Jamil, Mokhtar; ristanto, riki; Fani, Rif'atul; Roesardhyati, Ratna; Soares, Domingos
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.27738

Abstract

Background: Basic life support or BLS is a series of first aid measures in emergency situations to save the life of someone experiencing cardiac arrest or respiratory problems. Objective This research aims to determine the effect of BLS (basic life support) training on students' knowledge and self-confidence in handling cardiac arrest in students Bachelor of Nursing Study Program ITSK RS Dr Soepraoen Malang. Method In this study, a pre-experimental research design was used, namely research in which before the research was carried out, the sample was given first in the form of a pre-test on December 18th 2024 and at the end of the study the sample was given a post-test on December 22 2024. The population in this study were college study in Department of Nursing with 160 students involving 160 students as samples using the Cluster sampling method. The independent variable in this research is Basic Life Support (BLS) training and the dependent is knowledge and self-confidence, the data from the examination results are analyzed using univariate and bivariate analysis. Results The research results showed that students' knowledge in handling cardiac arrest was mostly poor, as many as 128 students (80%). and after students took part in the training, there was an increase in students, namely to 44 people (27.50%) who answered correctly and those who answered with less marks decreased to 66 students (41.25%). Meanwhile, the level of self-confidence of students in handling cardiac arrest was found to be mostly good, 112 people (70%). Students' self-confidence also increased for the better, to 138 people (86.25%) who answered good and the remaining 22 people (13.75%) answered enough. Conclusion There is an influence of basic life support training on students' level of knowledge and self-confidence in handling cardiac arrest. It is hoped that students can apply the knowledge they have gained from BLS training and continue to increase their knowledge and self-confidence to help victims with cardiac arrest.
Pengaruh Pelatihan Rawat Luka Terbuka Metode Drill And Practice Terhadap Keterampilan Anggota Palang Merah Remaja (PMR) MTs Terpadu Ar-Roihan Lawang Damasa Luthfiya Laili; Musthika Wida Mashitah; Riki Ristanto
Borneo Nursing Journal (BNJ) Vol. 8 No. 1
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.497

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Anggota Palang Merah Remaja (PMR) merupakan kader kesehatan di lingkungan sekolah yang diharapkan mampu memberikan pertolongan pertama, termasuk keterampilan perawatan luka terbuka. Namun kemampuan anggota PMR masih rendah akibat minimnya pelatihan dan praktik. Salah satu metode pelatihan yang dinilai efektif untuk meningkatkan kemampuan psikomotor adalah Drill and Practice. Penelitian ini bertujuan untuk menganalisis pengaruh pelatihan perawatan luka terbuka menggunakan metode Drill and Practice terhadap keterampilan anggota PMR di MTs Terpadu Ar-Roihan Lawang. Jenis penelitian ini adalah quasi-experimental dengan desain pre-test and post-test without control. Sampel berjumlah 30 responden dengan teknik total sampling. Pengukuran keterampilan dilakukan menggunakan lembar observasi SOP perawatan luka terbuka. Analisis data menggunakan uji Wilcoxon. Hasil penelitian menunjukkan nilai rata-rata keterampilan responden sebelum pelatihan adalah 28,00 dan meningkat menjadi 96,67 setelah pelatihan. Hasil uji Wilcoxon menunjukkan nilai p < 0,001 yang berarti terdapat perbedaan signifikan sebelum dan sesudah pelatihan. Pelatihan menggunakan metode Drill and Practice efektif meningkatkan keterampilan perawatan luka terbuka pada anggota PMR dan dapat dijadikan metode pembelajaran dalam pelatihan berbasis keterampilan.
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. 7 (2023): Jurnal Kesehatan (JK)
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.
THE EFFECT OF NASAL CANNULA USE ON BLOATING INCIDENTS AT KARSA HUSADA HOSPITAL, BATU CITY Dion Kunto Adi Patria; Riki Ristanto; Yuni Asri
Jurnal Bioteknologi & Biosains Indonesia (JBBI) Vol. 13 No. 1 (2026)
Publisher : BRIN - Badan Riset dan Inovasi Nasional

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

Abstract

Oxygen administration via nasal cannula at a dose of 3-4 liters/minute is standard therapy for hypoxemic patients, but it has the potential to cause bloating due to air insufflation into the gastrointestinal tract. This study analyzed the relationship between nasal cannula use at a dose of 3-4 liters/minute for >8 hours and the incidence of bloating. The study used an observational analytical study with a cross-sectional design in 30 patients who received oxygen therapy via nasal cannula at a dose of 3-4 liters/minute for >8 hours at Karsa Husada Batu Hospital. Data were analyzed using a Chi-Square Test comparing the proportion of bloating before and after the intervention. Before the intervention, no patients reported bloating. After administration of 3-4 liters/minute for >8 hours, 26 respondents (86.7%) experienced bloating. The Chi-Square test showed a significant difference (χ²=24.04; df=1; p<0.05). Conclusion: Use of a nasal cannula at a dose of 3-4 liters/minute for >8 hours significantly increases the risk of bloating.
Peningkatan Kemampuan Kognitif Anggota PMR MTS Terpadu Ar-Roihan Lawang Melalui Pelatihan Rawat Luka Terbuka Metode Drill And Practice Ulil Absar Ramadhan; Bayu Budi Laksono; Riki Ristanto
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.505

Abstract

Latar belakang: Kemampuan kognitif remaja dalam memberikan pertolongan pertama, khususnya perawatan luka terbuka, masih tergolong rendah dan memerlukan metode pelatihan yang efektif. Metode Drill and Practice merupakan pendekatan pembelajaran berbasis latihan berulang yang dapat meningkatkan pemahaman dan ketepatan dalam tindakan klinis. Tujuan: Mengetahui pengaruh pelatihan perawatan luka terbuka dengan Metode Drill and Practice terhadap kemampuan kognitif anggota Palang Merah Remaja. Metode: Penelitian ini menggunakan desain One Group Pretest–Posttest, melibatkan 30 responden anggota PMR yang dipilih dengan teknik total sampling. Instrumen berupa tes tulis 25 soal pilihan ganda. Analisis yang digunakan meliputi uji normalitas menggunakan Shapiro-Wilk dan uji Paired Sample t-Test. Hasil: Nilai rata-rata pre-test 13,53 meningkat menjadi 17,00 pada post-test. Sebelum pelatihan, sebagian besar responden berada pada kategori cukup (50,0%) dan kurang (46,7%). Setelah pelatihan, kemampuan kognitif meningkat menjadi cukup (53,3%) dan baik (43,3%). Uji Paired Sample t-Test menunjukkan t = –4,089, df = 29, p < 0,001, yang berarti terdapat peningkatan signifikan setelah pelatihan. Simpulan: Pelatihan rawat luka terbuka dengan metode Drill and Practice berpengaruh signifikan dalam meningkatkan kemampuan kognitif anggota PMR.
Peningkatan Sikap Anggota PMR MTs Terpadu Ar-Roihan Lawang Melalui Pelatihan Rawat Luka Terbuka Metode Drill And Practice Enjelica Cindy Flora; Aloysia Ispriantari; Riki Ristanto
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.535

Abstract

Latar Belakang: Luka terbuka merupakan jenis cedera yang sering dialami oleh remaja, khususnya di lingkungan sekolah. Kondisi ini menuntut kemampuan pertolongan pertama yang memadai agar komplikasi dapat dicegah. Namun, sikap positif dalam memberikan pertolongan pertama tidak selalu sejalan dengan tingkat pengetahuan yang dimiliki, sehingga diperlukan metode pelatihan yang mampu meningkatkan kesiapan dan sikap bertindak. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh pelatihan perawatan luka terbuka menggunakan metode drill and practice terhadap sikap anggota Palang Merah Remaja (PMR) MTs Ar-Roihan Lawang. Metode: Penelitian menggunakan desain One Group Pretest–Posttest. Sampel penelitian berjumlah 30 responden yang dipilih menggunakan teknik total sampling. Instrumen yang digunakan berupa kuesioner sikap dengan skala Likert yang terdiri dari 25 pernyataan. Hasil: Hasil penelitian menunjukkan adanya peningkatan sikap anggota PMR setelah diberikan pelatihan. Nilai rata-rata sikap meningkat dari 67,67 pada pretest menjadi 82,27 pada posttest. Uji statistik menunjukkan nilai t = -11,724 dengan derajat kebebasan (df) = 29 dan nilai p < 0,001, yang menandakan adanya perbedaan yang signifikan antara sebelum dan sesudah pelatihan. Kesimpulan: Pelatihan perawatan luka terbuka dengan metode drill and practice terbukti efektif dalam meningkatkan sikap positif anggota PMR dalam memberikan pertolongan pertama pada luka terbuka.
KOLESTEROL TOTAL DAN TEKANAN DARAH SISTOLIK: ANALISIS HUBUNGAN PADA POPULASI DEWASA Megawati; Riki Ristanto
Jurnal Keperawatan Malang Vol 11 No 1 (2026): Jurnal Keperawatan Malang (JKM) As You go
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v11i1.460

Abstract

that frequently coexist in adult populations. However, most previous studies have been largely associative and have relied on categorical classifications of hypertension, resulting in limited quantitative evidence regarding the effects of total cholesterol on systolic and diastolic blood pressure components Purpose: This study aimed to assess the predictive value of total cholesterol on changes in blood pressure among adults Methods: This study employed a cross-sectional design. The study population included all patients attending the Internal Medicine Outpatient Clinic at Jailolo Regional Hospital, with 50 respondents recruited through consecutive sampling according to the inclusion criteria. Total cholesterol level was defined as the independent variable, while blood pressure was the dependent variable. Total cholesterol was measured using a digital cholesterol meter (Nesco), and blood pressure was assessed using a digital sphygmomanometer (Omron). Data were analyzed using simple linear regression with SPSS version 22, with a significance level set at p < 0.05. Result: The majority of respondents were female (58%), with a mean age of 58.1 years. The mean total cholesterol level was within the hypercholesterolemia range (>200 mg/dL), while the mean systolic and diastolic blood pressures were 168 mmHg and 94 mmHg, respectively. Regression analysis demonstrated that total cholesterol had a significant effect on systolic blood pressure (R = 0.394; R² = 0.156; p = 0.005), with each 1 mg/dL increase in total cholesterol associated with a 0.439 mmHg increase in systolic blood pressure. In contrast, no significant association was observed between total cholesterol and diastolic blood pressure (p = 0.196). Implication: These findings underscore the importance of lipid profile screening as part of comprehensive cardiovascular risk assessment. Future studies are recommended to employ longitudinal designs with larger sample sizes and multivariable analyses to control for major confounding factors