Julianto Julianto
Universitas Muhammadiyah Banjarmasin

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HUBUNGAN ACCESS BLOCK DENGAN PERBURUKAN KONDISI PASIEN DI INSTALASI GAWAT DARURAT RSUD ULIN BANJARMASIN Julianto Julianto; Izma Daud; Sari Milyati
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 1 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.207 KB) | DOI: 10.33859/dksm.v11i1.528

Abstract

Abstrak  Latar Belakang :Access block adalah situasi dimana pasien yang mengalami lama rawat di IGD 6 karena kurangnya akses ke ruang rawat inap dan kepadatan jumlah pasien yang tidak terkendali, dampaknya ditemukan bahwa semakin lama access block  semakin tinggi pula perburukan pasien dalam 24 jam.Tujuan : ini bertujuan untuk mengetahui hubungan access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin.Metode :Penelitian menggunakan desain analitik dengan pendekatan cross sectional. Jumlah sampel yang diambil berjumlah 40 orang dengan teknik pengambilan accidental sampling. Analisis data melalui uji spearman rank.Hasil : Hasil uji dipapatkan nilai p hitung 0,000 (0,05) ada hubungan antara access block dengan perburukan kondisi pasien di instalasi gawat darurat RSUD Ulin Banjarmasi.Simpulan: Berdasarka hasil penelitian Ada hubungan antara access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin dengan nilai P= 0,000 nilai α = 0,05 dengan nilai koefisien korelasi 0,588 Kata kunci: Access Block, Perburukan Pasien. Abstract Background :Access block is a situation where patients who experience length of stay in the ED 6 due to lack of access to the inpatient room and uncontrolled density of patients, it is found that the longer the access block the higher the deterioration of patients in 24 hours.Purpose: This study aims to determine the relationship of access block with deteriorating condition of patients in Emergency Installation Ulin Hospital Banjarmasin.Method : The research method uses an analytical design with a cross sectional approach. The number of samples taken is 40 people using the accidental sampling technique. Data analysis through spearman rank test.Result: The test results obtained p value calculated 0,000 (0.05) there is a relationship between the access block and deterioration of the patient's condition at the Ulin Banjarmasin Hospital emergency department.Conclusion: Based on the results of the study, there is a relationship between the access block and the worsening of the patient's condition at the Emergency Department of RSUD Ulin Banjarmasin with a value of P = 0.000 value α = 0.05 with a correlation coefficient value of 0.588. Keywords: Access Block, Patient worsening 
HUBUNGAN KEHADIRAN KELUARGA DENGAN TINGKAT KECEMASAN PERAWAT SAAT RESUSITASI DI RUMAH SAKIT BANJARMASIN Atika Luqyana; Julianto Julianto
Journal of Nursing Invention Vol 1 No 1 (2020): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.94 KB)

Abstract

A life-saving medical action can bring anxiety, because there is a threat of bodily integrity, emergency response measures always prioritize patient safety, where the presence of a patient's family who sees a nurse's actions while taking a nurse's resuscitation must act quickly and eventually feel anxious caused by anticipation of misconduct. This study aimed to determine the relationship of nurse anxiety levels when resuscitation with the presence of the family beside the patient. This study used a cross sectional design. The population is all nurses who are in the ICU with a sample taken with a total sampling technique of 30 people. Data analysis using Spearman rank. The results of the study found that most nurses experienced mild anxiety, there was a family relationship with the anxiety level of nurses when resuscitation in the ICU Hospital Dr. H. Moch Ansari Saleh Banjarmasin with the strength of a moderate relationship. It is expected that as nurses who will carry out nursing actions can overcome and reduce the sense of anxiety of nurses. Suatu tindakan medis menyelamatkan jiwa dapat mendatangkan kecemasan, karena terdapat ancaman integritas tubuh, tindakan penanggulangan kegawatdaruratan selalu mengutamakan keselamat pasien, dimana kehadiran keluarga pasien yang melihat tindakan perawat saat melakukan tindakan resusitasi perawat harus bertindak cepat dan akhirnya cenderung merasa cemas yang disebabkan oleh antisipasi terhadap kesalahan tindakan. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasan perawat saat tindakan resusitasi dengan kehadiran keluarga di samping pasien. Penelitian ini menggunakan desain cross sectional. Populasi adalah semua perawat yang berada di Ruang ICU dengan sampel diambil dengan tehnik total sampling berjumlah 30 orang. Analisis data menggunakan spearman rank. Hasil didapatkan bahwa sebagian besar perawat mengalami kecemasan ringan, ada hubungan kehadiran keluarga dengan tingkat kecemasan perawat saat tindakan resusitasi di Ruang ICU RSUD Dr. H. Moch Ansari Saleh Banjarmasin dengan kekuatan hubungan yang sedang. Diharapkan Sebagai perawat yang akan melakukan tindakan keperawatan dapat mengatasi serta mengurangi rasa kecemasan perawat.
HUBUNGAN KEHADIRAN KELUARGA DENGAN TINGKAT KECEMASAN PERAWAT SAAT RESUSITASI DI RUMAH SAKIT BANJARMASIN Atika Luqyana; Julianto Julianto
Journal of Nursing Invention Vol. 1 No. 1 (2020): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v1i1.10

Abstract

Background: A life-saving medical action can cause anxiety, due to threats to body integrity, emergency response actions always prioritize patient safety, where the presence of the patient's family who sees the nurse's actions when resuscitating the nurse must act quickly and eventually feel anxious due to the anticipation of errors. Objective: This study aims to determine the relationship between the level of anxiety of nurses when performing resuscitation with the presence of family next to the patient. Methods: This study used a cross sectional design. The population was all nurses in the ICU with a sample taken with a total sampling technique of 30 people. Data analysis using rank spearman. Results: The results showed that most nurses experienced mild anxiety. Conclusion: There is a family relationship with the anxiety level of nurses during resuscitation in the ICU room at RSUD Dr. H. Moch Ansari Saleh Banjarmasin with moderate relationship strength.
P PENGARUH PEMBERIAN PIJATAN PADA TUNGKAI KAKI TERHADAP PENURUNAN SKALA KELELAHAN PADA PASIEN GAGAL JANTUNG DI RUMAH SAKIT X Julianto Julianto; Yuniarti Yuniarti; Mariana Mariana
Journal of Nursing Invention Vol. 2 No. 2 (2021): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v2i2.144

Abstract

Heart failure is where the heart as a pump that is incapable of meeting the blood requirement for tissue metabolism is due to an increase in age. Heart failure sufferers experience fatigue. Pharmacological and non-pharmacological therapy with complementarytherapies such as leg massage. This study aims to determine the influence of leg massage to decrease the allergic scale in heart failure patients. An expression method that uses a one-group pre-post design approach or draft test. The number of research samples is 20 patients fatigue in heart failure that is experiencing fatigue. The results of this research before massage limbs obtained the value of 0,370, after massage limbs can be a significant value of 0,558. Results of the p-value (0.000) < α (0,05) have seen the decline of massage limbs in patients with heart failure.
H Hubungan Prehospital Delay Dengan Tingkat Keparahan Pada Pasien Stroke Di Rumah Sakit Banjarmasin Julianto Julianto; Solikin; Muhammad Firdaus
Journal of Nursing Invention Vol. 3 No. 2 (2022): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v3i2.274

Abstract

Background: Stroke patients need golden time in treatment ±3 hours which means that in the first 3 hours after having a stroke the patient must get complete and optimal care. Objective: To determine the relationship between prehospital delay and severity in stroke patients in Banjarmasin city hospitals. Method: This research is a quantitative study using a correlational descriptive research design with a retrospective approach. Sampling was carried out using purposive sampling techniques, the sample in this study was 124 respondents. Data collection using prehospital observation of stroke patients with Spearman Rank statistical test. Results: The results of statistical tests in this study obtained a p-value of 0.000 < 0.05 and it can be stated that there is a significant relationship between prehospital delay and the severity of stroke patients at Banjarmasin City Hospital. The relationship between these two variables indicates in the direction of a negative correlation with the Spearman Rank value - 0.948 which means that the relationship between the two variables has perfect relationship. Conclusion: There is a significant relationship between prehospital delay and the severity of stroke patients at Banjarmasin City Hospital.