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Faktor Risiko Mortalitas Pasien Sepsis di Instalasi Gawat Darurat: Tinjauan Sistematis Hardianti, Anugerah; Ahsan, Ahsan; Kristianto, Heri
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 1 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i1.1445

Abstract

Sepsis is a medical emergency with a high mortality rate worldwide. Identifying risk factors for sepsis is crucial to optimizing outcomes for sepsis patients in the emergency department (ED). This systematic review aims to identify risk factors for mortality in sepsis patients in the ED. Literature search strategies were conducted using the PubMed, ProQuest, and ScienceDirect databases with a combination of keywords including “Risk factor,” “Sepsis,” “Mortality,” and “Emergency Department,” utilizing Boolean operators. This review follows the PRISMA protocol and includes English-language articles published between 2019 and 2024. Inclusion criteria include quantitative research articles (cohort studies, case-control studies, or cross-sectional studies), studies evaluating mortality risk factors in sepsis patients in the ED, and a minimum sample size of 50 patients. Exclusion criteria included qualitative studies, systematic reviews, narrative reviews, meta-analyses, articles without complete data, settings outside the ED, and studies that did not analyze mortality risk factors. Of the 23,917 articles identified, nine met the criteria and were assessed for eligibility using the JBI and analyzed narratively. The review of nine studies (seven cohort studies, one case-control study, and one cross-sectional study) found that most studies indicated that lactate levels ≥2 mmol/L (67%) and SOFA scores ≥2 (56%) were strong predictors of mortality. Other contributing factors included advanced age, gender, and comorbidities. These findings suggest that measuring lactate and SOFA biomarkers during triage in the ED has the potential to improve early detection and prompt intervention, such as fluid resuscitation and antibiotic administration within the golden hour, for high-risk sepsis patients. Keywords: Risk factors; Emergency Department; Mortality; Sepsis
Healthy Status in the Gymnastic Community in West Bandulan, Sukun, Malang Ratih Paramita Suprapto; Nia Kurnianingsih; Ardani Galih Prakosa; Heri Kristianto; Novita Titis Harbiyanti; Agwin Fahmi Fahanani
Journal of Community Engagement in Health Vol. 7 No. 2 (2024): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v7i2.553

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Obesity is a risk factor for various degenerative diseases such as diabetes mellitus and coronary heart disease. Obesity and all degenerative diseases could be prevented by implementing a healthy lifestyle, early detection of risk factors for degenerative diseases, and increasing knowledge about degenerative diseases. Therefore, this service activity aimed to form a healthy community with a program for three consecutive months. Activities included healthy exercise once a week, degenerative disease risk factors screening, and health education. Activities were carried out every Sunday morning for three months located in Bandulan Barat, Sukun District, Malang City. This activity was attended by 40 non-menopausal women. Health screening included waist circumference, random blood glucose, uric acid, cholesterol, and blood pressure. Of the 40 women examined, 39 suffered from central obesity, 6 suffered from hypertension, 4 suspected diabetes mellitus, 5 suffered from hyperlipidemia, and 4 of them suffered from hyperuricemia. As an intervention, participants received education about healthy lifestyles and degenerative diseases, the treatment of hypertension, hyperlipidemia, hyperuricemia, and diabetes mellitus. From healthy screening, central obesity was the most prevalent in this women's community. Healthy exercise community activities with health screening, and health education could be effective strategies for promotive and preventive activities to prevent degenerative obesity.
PENGARUH TELEREHABILITASI SELF CARE OREM TERHADAP MOBILISASI PASIEN PASCA STROKE: The Effect of Orem’s Self Care Telerehabilitation on Mobilization of Post Stroke Patients Mohammad Fahrul Arifin; Heri Kristianto; Loeki Enggar Fitri; Ahmad Fauziansyah; Arifin, Mohammad Fahrul Arifin
Jurnal Penelitian Vol 6 No 1 (2024): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v6i1.358

Abstract

Post-stroke patients need to receive telerehabilitation to increase mobility, telerehabilitation approaches Orem's Self Care Theory to increase mobility so that recurrent strokes will be greatly minimized. The research method for this research is Quasi Experimental with a pre-post test design approach and purposive sampling technique. The population is post-stroke patients in the Neurology Polyclinic and Orchid Room at RSUD Dr. R Koesma Tuban numbered 50 patients. 25 people in the control group were given education and 25 people in the intervention group were given a rehabilitation video. The chi square test and normality test were carried out and data analysis used the Mann Whitney test. Mobilization during the pre test with the average score in the control group was 23.72 and the intervention group was 27.28. The Std value. Deviation 10.016 with p value = 0.381. Mobilization during the post test with the average score in the control group was 31.8 and the intervention group was 19.2. The Std value. Deviation 16.427 with p value = 0.002. Based on the results of this study, it was found that there was a significant increase in mobilization scores after being given telerehabilitation in the intervention group.   Keywords:  Mobilization; Orem's Self Care; Telerehabilitation
Screening Diabetic Foot Ulcer using Artificial Intelligence Modelling based on Digital Image Analysis: A Systematic Review Purnama, Avief Destian; Yueniwati, Yuyun; Dina Dewi SLI; Kristianto, Heri; Irawan, Paulus Lucky Tirma; Rosandi, Rulli; Kapti, Rinik Eko; Ni Kadek Indah Sunar A
Indonesian Contemporary Nursing Journal (indones.contemp.nurs.j.) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43631

Abstract

Aims: This study conducted a systematic review with the aim of identifying the predictive models used in the development of AI-based digital image analysis in Diabetic Foot Ulcer cases and determining the features and segmentation used in the construction of Diabetic Foot Ulcer screening algorithm models. Methods: A systematic review was conducted by searching articles from ScienceDirect, PubMed, ProQuest, and CINAHL databases using a combination of relevant keywords. The selection process followed the PRISMA guidelines and article quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: A search of the electronic databases produced 374 research articles within the time range of 2019–2024, with an average article quality of 93% (strong). The results of this systematic review show that out of the eight articles, all were involved in developing an AI model, with seven articles developing convolutional neural network models and one article developing an artificial neural network model. Digital image analysis involved colour segmentation of tissues and areas of Diabetic Foot Ulcer, which can be used for screening. Conclusion: The convolutional neural network AI model was used in two-dimensional digital imaging modalities for patients with diabetic foot ulcers. The development of an accurate prediction model can provide an automated system for assessing and monitoring Diabetic Foot Ulcer.
Edukasi Manajemen Bank Sampah Dalam Mendukung Asuransi Kesehatan Penyakit Kronik Cahyani, Dewi Fadlilah; Kristianto, Heri; Nova, Renny; Widyanto, Rahma Micho; Ningsih, Devi Nur Cahaya; Elvida, Anisya Efa; Bursriansyah, Amanda Putri
Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Vol 9, No 1 (2025): Jurnal Pelayanan dan Pengabdian Masyarakat (PAMAS)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/pamas.v9i1.3500

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Sampah menjadi salah satu sumber permasalahan yang memiliki dampak yang signifikan pada lingkungan sehingga diperlukan upaya pengelolaan yang baik. Bank sampah Desa Nglambangan mampu meningkatkan kesejahteraan hidup masyarakat sejak didirikan. Kondisi pandemi covid-19 menyebabkan kegiatan bank sampah berhenti beroperasi dan hal ini berkelanjutan hingga saat ini pasca covid-19 karena kegiatan ini tidak dijadikan prioritas pemerintah desa. Desa Nglambangan merupakan salah satu desa yang berada di Kabupaten Madiun yang memiliki tingkat penderita penyakit kronik cukup tinggi dibandingkan dengan desa lain. Selama ini, penderita penyakit kronik seperti diabetes melitus menggunakan asuransi BPJS untuk mendapatkan layanan kesehatan yang dibutuhkan. Asuransi bank sampah merupakan salah satu pilihan yang dapat dikembangkan dalam upaya mendukung program penanganan penyakit kronik. Edukasi bank sampah meliputi manajemen keuangan bank sampah dan konsep asuransi bank sampah menjadi alternatif atas permasalahan tersebut. Tujuan kegiatan pengabdian masyarakat ini adalah untuk meningkatkan pemahaman dan pengetahuan masyarakat akan pentingnya manajemen dalam bank sampah dan mengenalkan konsep asuransi bank sampah. Hasil dari kegiatan pengabdian masyarakat ini adalah edukasi manajemen bank sampah sebagai sarana asuransi kesehatan di Desa Ngalambangan Kecamatan Wungu Kabupaten Madiun telah berhasil meningkatkan pemahaman dan pengetahuan masyarakat. Hasil pre test dan post test menunjukkan pengetahuan dan pemahaman masyarakat akan pentingnya pengelolaan bank sampah dan asuransi meningkat. Kegiatan edukasi mengenai bank sampah tersebut juga dapat dilaksanakan secara berkelanjutan dengan melibatkan pemangku kepentingan untuk menjamin keberlanjutan bank sampah di masa yang akan datang. Kata Kunci : Bank sampah, asuransi, penyakit kronik
Lactate and SOFA Score as Predictors of Sepsis Mortality: A Retrospective Observational Study Hardianti, Anugerah; Ahsan, Ahsan; Kristianto, Heri; Lande, Hasriadi
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.324

Abstract

Background: Managing sepsis in the emergency room presents a significant challenge, as the condition is often difficult to recognize, leading to a delay in identification and diagnosis, frequently only after the patient has reached a critical state. This study aims to analyze the correlation between lactate levels and Sequential Organ Failure Assessment (SOFA) scores with mortality risk in patients with sepsis: a retrospective study conducted in the emergency room of Dr. Wahidin Sudirohusodo Hospital, Makassar. This study follows the STROBE guidelines for observational research. Methods: This study employs a quantitative, analytical observational design with a retrospective approach. The sample consists of 321 sepsis patients diagnosed with sepsis or presenting comorbidities associated with sepsis in the Emergency Room of Dr. Wahidin Sudirohusodo Hospital, Makassar. The sample size was determined using the Slovin formula. Purposive sampling was employed as the sampling technique, while data analysis included descriptive statistics, chi-square tests, and binary logistic regression. Results: Elevated lactate levels and SOFA scores were significantly associated with increased mortality (p <0.05). Lactate levels demonstrated an odds ratio (OR) of 5.329, indicating that patients with low lactate levels were 5.3 times more likely to survive than those with high lactate levels. The SOFA score produced an OR of 10.058, suggesting that patients with lower SOFA scores had a 10.1 times greater chance of survival compared to those with higher scores. Lactate level was identified as the primary predictor of mortality. Conclusion: The results of this study indicate a significant correlation between blood lactate levels and SOFA scores with sepsis-related mortality in the Emergency Department (ED). Among these two parameters, blood lactate emerged as the most dominant predictor. These results underscore the importance of implementing early detection tools for sepsis, such as lactate testing and simplified SOFA assessments, as part of routine triage workflows, particularly at Dr. Wahidin Sudirohusodo General Hospital in Makassar.
PERAN ORANG TUA DAN GURU DI DALAM MENDISIPLINKAN IBADAH SALAT UNTUK PEMBENTUKAN KARAKTER PESERTA DIDIK (Studi di SMP Negeri 9 Metro) Heri Kristianto; Muhammad Yusuf; Jaenulloh
An Najah (Jurnal Pendidikan Islam dan Sosial Keagamaan) Vol. 3 No. 2: Maret 2024
Publisher : Najah Bestari

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

Abstract

Peran orang tua dan guru dalam membina ketaatn ibadah sholat peserta didik di SMPN 9 Metro, tentu perlu diketahui bahwasanya peran merupakan sebuah pembelajarn yang dilakuakn oleh orang tua dan guru terhadap murid dan anakanya, supaya anak tersebut mau menunaikan ibadah sholat, selain itu juga banyak siswa yang memiliki itikat yang baik tidak hanya meluakan ibadh sholat namun juga melakanakan kewajibanya sebagai pelajar yakni menuntut ilmu kemudian membantu antar sesama, membantu orang tua dan tentuny selalu menjalakan printah yang diinginkan oleh guru dan juga orang tua. Kemudian penelitian ini dilakukan dengan menggunakan metode penelitian kualitatif lapangan, yang melibatkan pengumpulan data melalui wawancara, observasi, dan analisis dokumen terkait. Responden penelitian meliputi orang tua Peserta didik dan guru PAI di sekolah tersebut, seta dokumen- dokumen tentang hal-hal yang berkaitan dengan sekolahan, kegiatan serta data-data yang dibutuhkan guna sebagai dasar penelitian. Selain itu, hasil menunjukkan bahwa kerjasama antara orang tua dan guru PAI sangat penting dalam membuat lingkungan yang mendukung kebiasaan sholat yang baik pada siswa. Hal-hal seperti komunikasi yang baik, konsistensi, dan dukungan timbal balik antara kedua belah pihak berkontribusi pada peningkatan ketaatan ibadah sholat siswa.Penelitian ini memberikan wawasan penting tentang bagaimana peran orang tua dan guru PAI dapat memengaruhi ketaatan ibadah sholat siswa di SMPN 9 Meteo. Hasil penelitian ini dapat digunakan sebagai dasar untuk mengembangkan program dan kebijakan pendidikan agama yang lebih efektif untuk membina spiritualitas siswa di sekolah menengah.)
Early Detection of Diabetic Foot Peripheral Neuropathy With The Michigan Neuropathy Screening Instrument (Mnsi): A Scoping Review Oper, Nunung Khairun Nissa; Kristianto, Heri; Yuliatun, Laily
Jurnal Health Sains Vol. 4 No. 12 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i12.1166

Abstract

Background: Neuropathy is a major cause of morbidity and mortality in type 1 and 2 diabetes worldwide. The development of neuropathy and its severity increases with increasing duration of DM and poor glycemic control. Early detection of neuropathy is essential to prevent worse disease complications. Objective: to identify a simple instrument MNSI in detecting peripheral neuropathy of diabetic foot. Methods: Scoping review protocol using 5 steps of Aksey and O'Malley Framework. Inclusion criteria were published in 2016-2023, full text, English language and discussed the use of MNSI in detecting peripheral neuropathy. This article used 4 databases (Pubmed, ProQuest, and ScienceDirect) with the keywords "Michigan screening instrument AND diabetic neuropathy AND early detection". Results: There were 10 articles that fit the inclusion criteria that mentioned that MNSI is a simple tool in detecting peripheral neuropathy in diabetic foot. Conclusion: MNSI is a reliable instrument, easy to do and can be used by doctors, nurses, and health workers involved in the treatment of patients with diabetes mellitus
Infrared Thermography in Detecting Peripheral Arterial Disease in Diabetic Foot: A Scoping Review Adiantara, Ken Rangga Galang; Kristianto, Heri; Yueniwati, Yuyun
Jurnal Health Sains Vol. 5 No. 3 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i3.1235

Abstract

Early and accurate assessment of peripheral arterial disease (PAD) is crucial given its fatal complications such as amputation. Infrared thermography (IRT) offers various advantages in studying PAD. This study aims to map the use of Infrared thermography in detecting Peripheral Arterial Disease in diabetic feet. This review applies the scoping review method to review the literature related to Infrared thermography in detecting vascular disorders in diabetic legs. Article searches are conducted on five databases, namely Google Scholar, PubMed, EBSCO, ScienceDirect, and ProQuest. The Boolean keywords and codes used are "Infrared Thermography" AND "Diabetic foot" AND "Peripheral Arterial Disease". Searches are limited to articles published between 2018 and 2024. The journal selection process follows PRISMA's guidelines. The search process yielded 1,969 article titles relevant to the keywords and Boolean operators used. After being selected based on the research topic, 8 articles were left for analysis. IRT can be a useful tool for detecting PAD in diabetic foot. IRT can help track the progression of PAD and classify the foot as PAD without or prone with high accuracy
Co-Authors Abdul Qodir Adiantara, Ken Rangga Galang Agwin Fahmi Fahanani Ahmad Fauziansyah Ahmad Fauziansyah Zian Ahmad Hasyim Wibisono Ahsan Ahsan Ahsan Ahsan Ahsan Ahsan Aisyah Dzil Kamalah Aisyah Dzil Kamalah Alfrina Hany Alfrina Hany, Alfrina Ardani Galih Prakosa Arinda Nur Yunitasari Artawan, I.K Arum Desi Pratiwi, Arum Desi Bagus Rahmat Santoso Blow, David Bursriansyah, Amanda Putri Cahyani, Dewi Fadlilah Christina, Kezia Devi Nur Cahaya Ningsih Dewi Gayatri Dewi Purnama Sari Dewi, Kadek NP Dian Pitaloka Priasmoro, Dian Pitaloka Didik Saudin Dina Dewi Sartika Lestari Ismail Dina Dewi SLI Djanggan Sargowo Dwi Astika Sari Efris Kartika Sari Elly Nurachmah Elvida, Anisya Efa Erik Irham Lutfi Fajar Ari Nugroho Fatma, Endah Panca Lydia Ferdian Utama Fetreo Negeo Putra Fitriono, Eko Nani Fujianti, Mery Eka Yaya Hardianti, Anugerah I Wayan Gede Saraswasta Ilahude , Imran Indah Winarni Indra, Mochamad R Irawan, Paulus Lucky Tirma Ismail, Dina Dewi Sartika Lestari Jaenulloh Jenal Abidin Kadek NP Dewi Ken Rangga Galang Adiantara Laily Yuliatun Laksmi, Ida Ayu Agung Lande, Hasriadi Lenny Nurhandayani Loeki Enggar Fitri M. Fahrul Arifin Maydinah, Anissa Mifetika Lukitasari Mochamad R Indra Muchamad Supriyadi MUHAMMAD YUSUF Nadie Fatimatuzzahro Nanang Bagus Sasmito Ni Kadek Indah Sunar A Ni Made Candra Yundarini Ni Putu Jeny Mardiati Nia Kurnianingsih Nofita Dewi Kok Mesa Noorhamdani Noorhamdani Novi Khila Firani Novita Titis Harbiyanti Nunung Khairun Nissa Oper Oper, Nunung Khairun Nissa Purnama, Avief Destian Putri, Anyelir Viola Fatika Rahma Micho Widyanto Ratih Paramita Suprapto Renny Nova, Renny Retty Ratnawati Rieski, Wenny Arta Rinik Eko Kapti, Rinik Eko Rosikhah Al-Maris Rulli Rosandi Rustiana Tasya Ariningpraja Saifurrohman Saifurrohman Sandra Novita Yunianto Sartika Lestari Ismail, Dina Dewi Setyawati Soeharto Setyoadi Setyoadi Setyoadi Setyoadi Siti Nur Afifah Siti Roudhotul Jannah, Siti Roudhotul Sri Andarini Sri Andarini Sujud Priono Suryanto Suryanto Susetyo, Agus Suwaryo, Putra Agina Widyaswara Titin Andri Wihastuti Titin Andri Wihastuti Tony Suharsono Wibisono, Ahmad Hasyim Yulian Wiji Utami Yuyun Yueniwati