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Faktor-Faktor yang Berhubungan dengan Implementasi Triase Model Emergency Severity Indexs (ESI) di Ruang IGD Nugroho, Haryono; Wahyuningsih, Indah Sri; Suyanto, Suyanto
Jurnal sosial dan sains Vol. 6 No. 2 (2026): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v6i2.32698

Abstract

Instalasi Gawat Darurat (IGD) memerlukan sistem triase yang akurat untuk menjamin keselamatan pasien dan mempercepat response time. Penerapan Emergency Severity Index (ESI) sebagai sistem triase lima level diharapkan mampu meningkatkan ketepatan prioritas pelayanan, namun implementasinya belum optimal. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan ketepatan implementasi triase model ESI di ruang IGD. Penelitian ini bersifat retrospektif, dengan desain penelitian cross sectional. Penelitian ini dilakukan di Ruang IGD pada Bulan September-Desember 2025. Jumlah populasi 40 orang perawat IGD, dengan pengambilan sampel menggunakan teknik total sampling. Alat pengumpulan data menggunakan kuesioner dan lembar observasi. Analisis yang digunakan adalah distribusi frekuensi dan uji statistik chi square untuk menganalisis hubungan antara variabel terikat dengan variabel bebas. Hasil penelitian ini menyimpulkan bahwa: Ada hubungan yang signifikan antara tingkat pengetahuan perawat dengan ketepatan pelaksanaan Triase Model sistem ESI (p value 0,002<0,05); Ada hubungan yang signifikan antara lamanya bekerja perawat dengan ketepatan pelaksanaan Triase Model sistem ESI (p value 0,003<0,05);  Ada hubungan yang signifikan antara keterampilan perawat dengan ketepatan pelaksanaan Triase Model sistem ESI (p value 0,011<0,05); Ada hubungan yang signifikan antara pelatihan perawat dengan ketepatan pelaksanaan Triase Model sistem ESI (p value 0,033<0,05); Ada hubungan yang signifikan antara persepsi beban kerja perawat dengan ketepatan pelaksanaan Triase Model sistem ESI (p value 0,000<0,05); Penelitian ini merekomendasikan agar meningkatkan kompetensi seluruh perawat IGD, khususnya melalui pelatihan BTCLS dan Triase Model sistem ESI.
The effect of digital-based wound care education on the knowledge level of patients after percutaneous coronary intervention (pci) Dewi, Mila Cahyasari; Wahyuningsih, Indah Sri; Suyanto, Suyanto
JOURNAL OF Mental Health Concerns Vol. 4 No. 7 (2026): March Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i7.2482

Abstract

Background: Percutaneous Coronary Intervention (PCI) procedures may cause both physical and psychological effects, one of which is anxiety, often influenced by patients’ lack of knowledge regarding post-procedural wound care. Conventional education is considered suboptimal; therefore, innovation in digital-based educational approaches is needed. Purpose: To analyze the effect of digital-based wound care education on the level of knowledge among patients after Percutaneous Coronary Intervention (PCI). Method: A quasi-experimental pre-test–post-test nonequivalent control group design. A total of 44 respondents were recruited and divided into an intervention group and a control group. The intervention group received digital-based wound care education using video media, while the control group received education according to the hospital’s standard procedure. Knowledge level was measured using a knowledge questionnaire. Data were analyzed using the Wilcoxon test and Mann–Whitney test. Results: There was a significant increase in knowledge scores in both the intervention group and the control group after receiving post-PCI wound care education (p < 0.05). Between-group comparison analysis showed that post-intervention knowledge scores were significantly higher in the group that received digital-based education using animated video compared to the group that received the hospital’s standard education (p < 0.001). Conclusion: Digital-based education using animated video is more effective than the hospital’s standard education in improving knowledge among post-PCI patients. Keywords: Digital Education; Knowledge; PCI; Wound Care.
Investigating the Correlation among Variables in the Islamic Spirituality Model for Comfort in Patients with Coronary Heart Disease Wahyuningsih, Indah Sri; Sukartini, Tintin; Dewi, Yulis Setiya Dewi; Luthfa, Iskim
MEDICA (International Medical Scientific Journal) Vol. 8 No. 4 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i4.898

Abstract

Comfort in patients with coronary heart disease (CHD) is crucial to accelerate the healing process during their stay in intensive care units (ICUs). Factors contributing to patient comfort are essential in providing comprehensive nursing care. This study aims to investigate the relationship among variables, including patient characteristics, emotional response, healthcare service, Islamic spirituality, spiritual meaning, and comfort in patients with CHD. A cross-sectional study was conducted, involving 110 respondents in the ICUs of hospitals across Central Java Province, Indonesia, from January to May 2023. The sample was taken using purposive sampling. The data were collected using questionnaires that had been modified under a permission from the authors. SmartPLS 3 with partial least square structural equation modelling (PLS-SEM) was employed to analyze the correlation among the variables. The result showed that patient characteristics showed significant correlations with emotional response (t=2.082, p=0.038) and spiritual meaning (t=3.142, p=0.002). Similarly, support significantly correlated with emotional response (t=4.032, p<0.001) and spiritual meaning (t=2.448, p=0.015). Healthcare service exhibited significant correlations with emotional response (t=9.485, p<0.001) and spiritual meaning (t=5.249, p<0.001). Emotional response was found to correlate with Islamic spirituality and spiritual meaning (t>1.96, p<0.05), while Islamic spirituality showed a significant correlation with spiritual meaning (t=2.727, p=0.007). Finally, spiritual meaning significantly correlated with comfort (t=6.119, p<0.001). In conclusion, this study demonstrated significant correlations among variables such as patient characteristics, support, healthcare service, emotional response, Islamic spirituality and spiritual meaning to enhance patient comfort in ICUs. Policymakers should pay attention to factors affecting patient comfort during their stay in ICUs, including physical, psychospiritual, sociocultural, and environmental comfort based on self-regulation.  
Effectiveness of combined ar-rahman murottal therapy and lavender aromatherapy for family anxiety reduction in intensive care unit waiting rooms: A systematic review Suyanto, Sukran; Amal, Ahmad Ikhlasul; Melastuti, Erna; Wahyuningsih, Indah Sri
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.733

Abstract

Background: Family members who wait for patients in intensive care units frequently experience anxiety due to uncertainty, emotional burden, and fear related to critical illness. Non-pharmacological interventions such as Qur’anic murottal therapy and lavender aromatherapy have been increasingly explored because both approaches may promote relaxation, emotional comfort, and psychological stability in stressful clinical situations. However, evidence regarding their combined effectiveness for reducing anxiety among families in ICU waiting rooms remains limited and scattered across different clinical contexts. Objective: This systematic review aimed to examine the effectiveness of combined Ar-Rahman murottal therapy and lavender aromatherapy for reducing anxiety among family members in intensive care unit waiting rooms. Methods: This study used a systematic review design and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guideline. Literature searches were conducted in ClinicalKey for Nursing, SAGE Journals, ProQuest, and Google Scholar using combinations of keywords related to murottal therapy, lavender aromatherapy, anxiety, ICU, and family health. Studies published in English or Indonesian within the last 10 years were considered. Experimental and quasi-experimental studies were included, while irrelevant studies, methodologically weak articles, grey literature, and studies outside the review focus were excluded. Study selection, quality appraisal, and data extraction were conducted independently by two reviewers. Of 1,942 records initially identified, 12 full-text articles were assessed, 2 were excluded because of high risk of bias, and 10 studies were included in the final synthesis. Results: The included studies showed that the combination of Ar-Rahman murottal therapy and lavender aromatherapy was associated with reduced anxiety across several clinical contexts. The strongest evidence came from studies involving family members in ICU waiting rooms, where the combined intervention significantly reduced anxiety levels. Indirect evidence from preoperative, inpatient, and waiting-room populations supported the anxiolytic potential of both therapies. Overall, the findings suggested a consistent positive direction of effect, although the evidence remained heterogeneous in terms of population, setting, intervention duration, and measurement instruments. Conclusion: Combined Ar-Rahman murottal therapy and lavender aromatherapy appears to be a promising complementary intervention for reducing anxiety among family members in ICU waiting rooms. Nevertheless, further rigorous studies focusing specifically on ICU family populations are needed to strengthen the evidence base and support wider implementation in family-centered critical care nursing.