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Development of 3S-Based Nursing Care Instruments (SDKI, SLKI, SIKI) in Patients with Ventilators Ambarwati, Diah Retno; Kurniawati, Ninuk Dian; Airlangga, Prananda Surya; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2629

Abstract

Documentation instrument for quality nursing care according to standards. However, there is no instrument for nursing care for patients installing ventilators according to Indonesian nursing standards. This research aims to develop a 3S-based nursing care instrument (SDKI, SLKI, SIKI) for ventilator patients. The research design is Research and Development carried out in 2 stages. The first phase population is 100 nursing care. The first stage was FGD 1, divided into 3 groups, namely 10 executive nurses, 6 nursing management staff, and 1 expert. The second stage population was 5 nurses. The second stage was carried out FGD 2 with participants from 6 levels of nursing management. The sample used in this research was purposive sampling. The design developed is an instrument for documenting nursing care for ventilator patients. The analysis uses the CVI and KR20 tests. Results: Evaluation of nursing care instruments shows that aspects of nursing outcomes, implementation, and evaluation are not by standards. Instrument development consists of 5 main problems that often arise in ventilator patients. The I-CVI result is ≥ 0.78, which is interpreted as valid. The KR result is > 0.6, which means it is reliable. The recommendation from the research results is that the development of nursing care instruments can be applied in treating patients with ventilators. Conclusion: The development of a nursing care instrument was declared to be valid and reliable in categories in terms of functionality, efficiency, and usability, so it is recommended that nurses use it to improve the quality of hospital services.
Development of Standard Operating Procedures (SPO) for Management of "Danger" in Emergency Patients with Anxiety Disorder Muftikhar, Zulfian Kurniadi; Yusuf, Ah.; Rusdi, Ainur; Kurniawati, Ninuk Dian; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

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

Abstract

The Emergency Unit is the first department to provide action to patients in emergencies to save lives, however patients with psychiatric anxiety disorder still receive general treatment. The Emergency Unit is the first department to provide action to patients in an emergency to save lives, however, patients with psychiatric anxiety disorders still receive general care. Therefore, this research aims to develop SOPs for handling emergency patients with anxiety disorders. Method: The research design was Research and Development carried out in 2 stages. The first phase population was 5 SOPs for emergency management. The first stage was FGD 1, divided into 3 groups, namely 17 executive nurses, 6 nursing management staff, and 2 experts (academics and practitioners). The population for the second stage of SPO development was filled by 5 nurses. The second stage was carried out FGD 2 with participants from 6 levels of nursing management. The sample used in this research was purposive sampling. The design developed is an SOP for the management of emergency patients with anxiety disorder. The analysis uses the CVI and KR20 tests. Results: There ware no SOPs for handling emergency patients with anxiety disorders. The development of SPO combines psychiatric emergency management in the form of environmental manipulation, verbal de-escalation, mechanical fixation, and pharmacological intervention with medical emergency management procedures including primary survey (airway, breathing, circulation, disability). The validity results show the CVI test is 0.8-1 and the KR20 is 0.83. Research recommendations that the development of SPO can be applied in the treatment of emergency patients with anxiety disorder. Conclusion: The development of SPO is declared to be valid and reliable in categories both in terms of functionality, efficiency, and usability, so it is recommended that nurses use it to improve the quality of hospital services.
Dilemma of Identification Patients Palliative Care Needs in Critical Care Unit Astuti, Nining Puji; Sriyono, Sriyono; Yunitasari, Esti; Kurniawati, Ninuk Dian; Baidhowy, Arief Shofyan
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2664

Abstract

Palliative care is start from diagnosis of serious illness until death and bereavement care. But, the term “Palliative Care” often mistakenly regarded identical to “End of Life Care” without any treatments. It’s caused dilemma among nurses to give maximum care of palliative care needs or let the patients get minimum of care. Methods: The aim of this article is to evaluate the dilemma palliative care needs in Intensive Care Unit. This is a case study report used a qualitative approach of 3 palliative patients in ICU used descriptive case study as well as in depth-interviews with patient’s family, nurses and internist. Results and Discussion: We present a case report of 3 patient who had been admitted to hospital with cancer and need palliative care in ICU. Patients subsequently suffered a pulmonary metastase with multiple organ failure. However the goal of end of life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patient’s desires. But it is still a dilemma in Indonesia, especially palliative patients in ICU. According to medical decision, patients in ICU should receive maximum treatment, but if patient is facing multiple organ failure nurse should consider to providing palliative care. Conclusions: Palliative care approaches and provision within intensive care units can significantly impact care outcomes and increase the quality-of life people with end-of life period. Palliative care not to reduce the dose of drugs and patient care.
Effects of Digital Intervention on Improving Self-Management Patients with Peritoneal Dialysis: A Systematic Review Efendi, Cahyaningsih; Kurniawati, Ninuk Dian; Mariyanti, Herdina
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4911

Abstract

Continuous Ambulatory Peritoneal Dialysis (CAPD) is an effective alternative for renal failure patients to undergo treatment with more independence and flexibility. However, the success of CAPD is highly dependent on the patient's skills and knowledge. Many patients lack sufficient information, which may hinder the effectiveness of the dialysis process. The Objectives of this study is to determine the best way to use digital interventions to enhance self-management capabilities in peritoneal dialysis patients. A systematic review following the PRISMA 2020 guidelines was conducted. Article selection used PICO. The research focused on peritoneal dialysis patients and how the use of applications to improve self-management skills. article searches in 2015-2024 in 4 databases, namely EBSCO, Proquest, Scopus, and Pubmed databases. MeSH was used in the medical domain for keyword search. Papers were evaluated for quality using the Jonna Briggs Institute (JBI) framework. There were 7 relevant papers found in the literature search. Implementing digital interventions in healthcare in peritoneal dialysis patients has been used worldwide. Digital interventions used include the use of mobile health text messages, websites and apps. Significant improvements in peritoneal dialysis-related knowledge as well as patient satisfaction are characteristic of most therapies. The resulting impact of digital interventions varies widely with the attitudes and decision-making of individuals undergoing peritoneal dialysis. Digital interventions present a new approach to enhancing self-management capabilities in patients with chronic kidney disease who use peritoneal dialysis. The use of technology can provide the necessary support to manage their condition effectively.
Effect of Digital Health on Mobilization in Post-Operative Fracture Patients: A Systematic Review Pratiwi, Baiq Rista Ananta; Kurniawati, Ninuk Dian; Pratiwi, Ika Nur
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5057

Abstract

Post-operative rehabilitation for fracture patients is crucial in restoring mobility and preventing complications such as muscle atrophy, joint stiffness, and deep vein thrombosis. However, traditional rehabilitation methods often face significant barriers, including limited accessibility, high costs, and low patient adherence. These challenges highlight the need for innovative approaches to enhance rehabilitation outcomes. Digital health interventions (DHIs), such as mobile applications, telerehabilitation, and IoT (Internet of Things) devices, have emerged as promising solutions. By providing remote monitoring, real-time feedback, and personalized care, DHIs address many of the limitations of traditional rehabilitation methods and offer opportunities to improve recovery outcomes. Objective: This systematic review aims to evaluate the effectiveness of digital health interventions (DHIs) in improving mobilization and overall recovery for post-operative fracture patients. Methods: A comprehensive search was conducted across PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest for studies published between 2019 and 2024. Keywords included "digital health," "mobilization," "post-operative fractures," and "telerehabilitation." The review included randomized controlled trials (RCTs), cohort studies, and systematic reviews that evaluated DHIs for post-operative fracture rehabilitation. The inclusion criteria were studies involving post-operative fracture patients, DHIs (e.g., mobile apps, telerehabilitation, IoT devices), and outcomes related to mobility, pain management, and patient satisfaction. The quality of studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. Results: A total of 10 studies were included, involving 1,200 post-operative fracture patients. These studies assessed various digital health interventions, including mobile applications, IoT-based devices, and telerehabilitation. The results indicated significant improvements in mobilization, pain reduction, and patient satisfaction. Patients in the DHI groups demonstrated faster recovery times, better adherence to rehabilitation programs, and improved overall functional outcomes compared to traditional rehabilitation methods. Conclusions: Digital health interventions significantly improve mobilization and recovery outcomes for post-operative fracture patients. These interventions provide accessible, cost-effective, and personalized rehabilitation solutions. DHIs offer a valuable complement to traditional rehabilitation methods and have the potential to enhance patient care and satisfaction. Future research should focus on optimizing the implementation of these technologies and assessing long-term outcomes.
The Effectiveness of Education Programs on the Management of Acute Coronary Syndrome Patients: A Scoping Review Dewi, Yulis Setiya; Fauzi, Achmad; Tabik, Albertina Dete; Abidah, Aqmarina; Dorman, Johanes Eban B.; Tisel, Yulmira Maria; Kurniawati, Ninuk Dian
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5662

Abstract

Acute Coronary Syndrome (ACS) is a serious condition that requires quick treatment to prevent complications and death. The education program is one of the effective interventions in improving the understanding, compliance, and quality of life of ACS patients. Objective: This study aims to evaluate the effectiveness of educational programs in ACS patient management through a scoping review. Method: This study uses the scoping review method with the PRISMA-Scr protocol. Data was obtained from Scopus, ProQuest, PubMed, and EBSCO databases with relevant keywords and publication of articles in the last 5 years (2019–2024). Articles that met the inclusion criteria were analyzed using a descriptive approach. Quality assessment is carried out using the Joanna Briggs Institute (JBI) Critical Appraisal tool. Results: Of the initial 34,668 articles, 12 articles with good and medium quality were selected. Effective educational programs include behavioral, media, distance, and group-based methods. These interventions have been shown to improve patient understanding, medication adherence, and quality of life as well as reduce anxiety and depression. The instruments used included PPE-15, HADS-A, HADS-D, SF-12, HeartQoL and GENEActiv accelerometer questionnaires. Conclusions: Educational programs based on a patient-centered care approach (PCC), technology, and physical exercise have proven to be effective in improving ACS patient management. Behavioural and media-based education, such as traffic light labels for nutrition understanding, is able to support lifestyle changes and patient rehabilitation. Intensive education also has a positive impact in reducing the risk of long-term complications.
Pengkajian Kebutuhan Dasar Perawatan Paliatif Pasien Paska CABG (Coronary Artery Bypass Graft) di Ruang Perawatan Intensif Astuti, Nining Puji; Sriyono; Kurniawati, Ninuk Dian; Saktiana, Henry
ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 4 No 2 (2023): DESEMBER
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/asjn.v4i2.1339

Abstract

Latar Belakang: Perawatan paliatif merupakan layanan keperawatan yang seharusnya diberikan sejak pasien didiagnosis sakit kronis, masa perawatan hingga meninggal dunia dan berduka. Namun kondisi ini dimaknai berbeda oleh Indonesia dimana perawatan paliatif didefinisikan sebagai perawatan menjelang ajal kematian sehingga dalam perawatan pasien paska bedah jantung tim medis tidak berkenan melakukan kolaborasi dalam tindakan paliatif sedangkan kebutuhan dasar perawatan harus tetap dijalankan untuk memaksimalkan kualitas hidup pasien. Tujuan: Studi kasus ini bertujuan untuk membahas peran tindakan perawatan paliatif dalam perawatan pasien paska bedah jantung pada pasien paska CABG di Ruang ICCU RSUP Dr. Kariadi Semarang pada bulan Juli 2023. Metode: Penelitian dilakukan dengan pendekatan deskriptif kualitatif studi kasus melalui wawancara pasien, keluarga dan analisa kasus hasil pemeriksaan medis pasien. Hasil: Program perawatan paliatif pasien paska tindakan CABG belum terintegrasi dengan tim perawatan paliatif. Hasil pengkajian kebutuhan dasar pasien paliatif di dapatkan data bahwa pasien dan keluarga membutuhkan perawatan paliatif untuk mengurangi gejala nyeri, kelelahan, insomnia, kehilangan nafsu makan dan dampak finansial akibat kondisi sakit pasien. Kesimpulan: Hasil penelitian ini dapat digunakan sebagai pengembangan ilmu pengetahuan terkait pentingnya pengkajian kebutuhan dasar untuk memaksimalkan kualitas hidup pasien paska CABG. Diperlukan alat ukur pengkajian kebutuhan dasar perawatan paliatif guna mengukur kebutuhan dasar perawatan paliatif.
Efektifitas Terapi Musik Terhadap Penurunan Kecemasan Dan Kelelahan Pada Pasien Dengan Penyakit Kanker Payudara Dimasa Pandemi Covid-19: A Systematic Review Martini, Made Yuni; Triana, Wiwin Yuli; Ilmiatun, Nur Annisa; Damayanti, Yuni; Pella, Yosin Herloheti; Lema, Elizabeth Risha Murlina; Mairo, Ratu Izza Auwah; Zaki, Muhammad; Kurniawati, Ninuk Dian
BRILIANT: Jurnal Riset dan Konseptual Vol 7 No 2 (2022): Volume 7 Nomor 2, Mei 2022
Publisher : Universitas Nahdlatul Ulama Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.284 KB) | DOI: 10.28926/briliant.v7i2.952

Abstract

Pendahuluan: Kanker payudara merupakan penyakit yang dapat menyebabkan gangguan fisik seperti kelelahan, penurunan fungsional, psikologis sampai kematian pada wanita, sehingga dibutuhkan intervensi yang dapat meringankan gejala pada penderita kanker payudara. Tujuan: Terapi pengobatan paliatif ini bertujuan untuk mengetahui pengaruh efektifitas terapi music terhadap penurunan kecemasan dan kelelahan pada penderita kanker payudara. Methods: review ini menggunakan  pendekatan PRISMA dan sumber jurnal dari beberapa database, Science Direct, PubMed, CINAHL, ProQuest, dan Web of Science selama lima tahun terakhir. Kombinasi kata kunci yang digunakan ("‘breast cancer’, ‘anxiety’, ‘fatigue’, dan ‘music therapy’) dengan padanan kata MeSH yang dihubungkan dengan Boolean operator “AND” dan “OR” Hasil: Total 901 artikel yang diidentifikasi tereksklusi sebanyak 659 artikel, dengan metode uji coba secara acak (RCT).Dari uji kelayakan full text article tersisa 48 artikel dan diambil 10 artikel penelitian untuk di review. Kesimpulan: Terapi music merupakan salah satu terapi yang efektif digunakan untuk mengurangi stres psikologis (kecemasan) dan kelelahan pasien paliatif kanker dengan stadium lanjut. Keywords: Anxiety, Breast Cancer, Fatigue, and Music Therapy
Co-Authors -, Ririn Probowati Abdan Syakura Abidah, Aqmarina Abu Bakar Abu Bakar Achmad Fauzi Achmad Tirmidzi Adi Sukma Septiana Adi Sukrisno Aesthetica Islamy Agoesta Pralita Sari Agostinha Soares Agostinha Soares Ah Yusuf, Ah ah. Yusuf Ahmad Mufid Sultoni Ahsan Ahsan Ainul Mufidah Ambarwati, Diah Retno Amin Rahmawati Purwaningrum Aminuddin, Achmad Thobib Andri Setiya Wahyudi Andri Setya Wahyudi Andri Setya Wahyudi Andy Kristiyan Ardi, Ekal Maulana Arief, Yuni Sufyanti Arina Qona'ah Ariningpraja, Rustiana Tasya Ayatulloh, Daviq Azhadin, Rizki Nur Baidhowy, Arief Shofyan Bakhtiar, Arief Budi Utomo Candra Panji Asmoro, Candra Panji Chasanah, Nur Rofiqoh Cucuk Rahmadi Purwanto Dadik Dwi Fata Suparda Damayanti, Elvi Kurnia Dariroh, Khoirotur Rizkia Deni Yasmara Desky, Meutia Azkia M Dessy Era Puspitasari Dewa Kadek Adi Surya Antara Dewi, Fifi Rahmawati Diah Lestari Dian Naelatul Karimah Dorman, Johanes Eban B. Dwi Dina Romantika Dwi Maryuni Dwi Uswatun Sholikhah Dwikora Dwikora Dwikora Novembri Utomo Dyah Sekaringtyas Ciptaningrum Efendi, Cahyaningsih Eka MHas Elida Ulfiana Elok Faradisa Erna Dwi W Erwansyah, Rio Ady Esti Yunitasari Fanni Okviasanti Firman Oswari Fransisco Godinho Pereira Gunawan Gunawan Hakim Zulkarnain hammad, hammad Harianto, Susilo Hariyati, Leli Ika Harmayetti Harmayetti Harmayetty, Harmayetty Hartin I.K Nadi Hasanudin Hasanudin Henry Saktiana Herdina Mariyanti Herminia Maria Ximenes I Ketut Sudiana Ifada Nurrohmaniah Ika Nur Pratiwi Ika Puspita Sari Ika Yuni Widyawati Ike Nesdia Rahmawati Ilmiatun, Nur Annisa Inda Rian Patma Putri Indarwati , Retno Intan Munawaroh Irvana, Titi Roedhotul Iswatun, Iswatun Junait Junait Junait, Junait Karingga, Devangga Darma Khotimatul Husna Kristiawati Kristiawati Kristiyan, Andy Kusnanto Kusnanto Kusnanto Kusnanto Laely Sholihah Lailatun Nikmah Lailatun Ni’mah Laili, Nadia Rohmatul Laily Hidayati Lataima, Nurmawati S Lema, Elizabeth Risha Murlina Lin, Mei-Feng Madiha Mukhtar Mairo, Ratu Izza Auwah Makhfudli Makhfudli Maria Theresia Dhiu Maropi, Anuchit Martani, Hersinta Retno Martini, Made Yuni Melan Apriaty Simbolon Moecharom Moecharom Muftikhar, Zulfian Kurniadi Muhalla, Hafna Ilmy Muhammad Amin Muhammad Iqbal Muhammad Sajidin Muhammad Zaki Nadia Rohmatul Laily Ni Wayan Trisnadewi, Ni Wayan Nihayati, Hanik Endang Nining Puji Astuti Noviani Nastiti Susantiningdyah Novianti Lailiah Nur, Akbar Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nuzul Qur'aniati Pella, Yosin Herloheti Praba Diyan Pradanie, Retnayu Prananda Surya Airlangga Pratiwi, Baiq Rista Ananta Priyantini, Diah Puji Astuti Purwaningsih - Qona'ah, Arina Rahmadani, Nida Harosa Rini Winasih Rini Winasih, Rini Rismayanti, I Dewa Ayu RR Dian Tristiana Rusdi, Ainur Saktiana, Henry Santi Dwi Lestari Sari, Diah Nur Indah Sartika Wulandari Sellyta, Anggraini Yudia Sila, Nissa Aruming Siti Nur Cahyaningsih Sriyono Sriyono Sriyono Sriyono Sriyono Suarilah, Ira Suciari, Ana Suharto Suharto Sukma Randani I Suniyadewi, Ni Wayan Suparda, Dadik Dwi Fata superzeki Zaidatul Fadilah Tabik, Albertina Dete Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Maria Titiek Berniyanti Tri Nurhudi Sasono Triana, Wiwin Yuli Ulin Marliana Wahyudi, Andri Setya Wahyuni, Erna Dwi Wijayanti, Nunik Wilandika, Angga Winnugroho Wiratman, Manfaluthy Hakim, Tiara Aninditha, Aru W. Sudoyo, Joedo Prihartono Yulia Kurniawati Yulis Setiya Dewi Yulita Thadea Retanubun Yuni Damayanti Zahra, Naili Raudiatus Zamroni, Asroful Hulam