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Tony Suharsono
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DAMPAK HOME BASED EXERCISE TRAINING TERHADAP KAPASITAS FUNGSIONAL PASIEN GAGAL JANTUNG Tony Suharsono
Jurnal Keperawatan Vol. 4 No. 1 (2013): Januari
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (61.534 KB) | DOI: 10.22219/jk.v4i1.2382

Abstract

DAMPAK HOME BASED EXERCISE TRAINING TERHADAP KAPASITAS FUNGSIONAL PASIEN GAGAL JANTUNG The Impact Of The Home Based Exercise Training To Functional Capacity Of Heart Failure PatientTony SuharsonoPSIK-FK Universitas Brawijaya MalangJl. Veteran, Malang 65145E-mail : suharsono_t@yahoo.comABSTRAKKanker serviks adalah kanker yang menyerang uterus yaitu bagian serviks uterus atau leher rahim, merupakan Penurunan toleransi latihan dan sesak nafas merupakan manifestasi klinis utama gagal jantung. Kondisi ini menyebabkan pasien tidak dapat melakukan aktivitas sehari-hari yang berakibat pada penurunan kapasitas fungsional. Tujuan dari penelitian ini adalah mengidentifikasi dampak HBET terhadap kapasitas fungsional pasien gagal jantung. Desain penelitian ini adalah quasi experiment, pre-post with control group. Teknik sampling yang digunakan purposive sampling, didapatkan 23 responden yang terbagi menjadi 11 responden kelompok kontrol dan 12 responden kelompok intervensi. Pengumpulan data kapasitas fungsional dilakukan dengan 6MWT. Hasil pengukuran didapatkan perbedaan yang signifikan kapasitas fungsional sebelum dan setelah perlakuan pada kedua kelompok. Hasil analisis kapasitas fungsional setelah perlakuan antara kelompok kontrol dan intervensi tidak didapatkan perbedaan yang signifikan, walaupun kelompok intervensi mempunyai mean kapasitas fungsional. Berdasarkan hasil penelitian tersebut, HBET dapat digunakan sebagai modalitas keperawatan bagi pasien gagal jantung. HBET hendaknya dijadikan bagian integral dari management gagal jantung setelah keluar dari rumah sakit. Kata Kunci : Home based exercise training, kapasitas fungsional, dan gagal jantungABSTRACTA reduced exercise tolerance and shortness of breathing are the main clinical manifestations in patient with heart failure. These conditions cause patient’s inability to do their daily activities and lead to reduce functional capacity. The aim of this study was to identify the impact of the home based exercise training to functional capacity of heart failure patient. It used quasy experimental study design pre-post with control group, recruited 23 respondents with purposive sampling technique. They were divided into two groups, 11 respondents as control group and 12 respondents as experimental group. Functional capacity was obtain through observation of six minute walk test. The result showed that there was a significant difference of functional capacity before and after intervention in both groups. Statistically, the result of functional capacity data analysis after intervention showed that there wasn’t significant difference in both groups, although the experimental group has a higher mean data of functional capacity. Based on this study, HBET could be used as nursing modality for patient with heart failure. HBET should be integrated with heart failure management after discharging from hospital. Keyword : Home based exercise training, functional capacity, and heart failure
HUBUNGAN TIM DINAMIS DENGAN KEMAMPUAN PERAWAT IGD MELAKUKAN CPR DI RUMAH SAKIT RUJUKAN PERTAMA NUSA TENGGARA BARAT Tony Suharsono; Lalu Aries Fahrozi; Djanggan Sargowo
Jurnal Keperawatan Vol. 6 No. 2 (2015): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.065 KB) | DOI: 10.22219/jk.v6i2.2870

Abstract

Latar Belakang Peran penting perawat dalam penanganan cardiac arrest dan kemampuan kemampuan melakukan high quality CPR adalah kemampuan yang wajib dimiliki oleh perawat.Tujuan penelitian ini adalah untuk mengetahui hubungan antara tim dinamis dengan kemampuan perawat IGD dalam melakukan CPR. Metode observasional analitik dengan pendekatan cross sectional menggunakan purposive sampling. Jumlah sampel 52 perawat IGD dari tiga rumah sakit rujukan pertama di NTB. Alat ukur lembar observasi dan manequin GD/CPR180S, untuk mengetahui kemampuan CPR dan parameter tim dinamis. Hasil penelitian menunjukkan bahwa rata-rata responden hanya melakukan 4 hal dari indikator CPR yang berkualitas dan 5 dari 6 indikator tim dinamis dalam proses CPR. Hasil analisa bivariat dengan menggunakan korelasi pearson menunjukkan Pv 0,000 dan r 0,637. Tim dinamis mempunyai hubungan yang erat dengan kemampuan perawat melakukan CPR. Berdasar dari penelitian ini, sebaiknya pelatihan CPR dilakukan dengan pendekatan tim.
Effect of Tutorial Teaching Method for Knowledge and Skill of CPR Tony Suharsono
Jurnal Keperawatan Vol. 7 No. 2 (2016): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1543.018 KB) | DOI: 10.22219/jk.v7i2.3945

Abstract

It is necessary nowadays to increase the importance and the skill of CPR in general public. One way is to introduce CPR training using traditional teaching method, tutorial. The aim of this experiment was to identify the increased knowledge and skill of CPR using 3 hours tutorial teacing method. This experiment was a quasy-experimental with pretest-posttest without control group design using 48 high school students as the samples, which were obtained using purposive sampling technique. Data from a pretest and a posttest were collected to measure the difference in knowledge and skill before and after the training. Results showed that the mean of knowledge was 6.94 (1.8) before training and 9.13 (1.2) after training, with p value 0.001. The respondents could not perform the complete procedure of the CPR. After training, the respondents showed the average results of 35.7 mm chest compression depth, 117.6 chest compression speed, 0.3 times ventilation, and 142.8 second of 5 CPR cycles duration. The respondents were unable to perform chest compression adequately for both depth and ventilation to the victim of cardiac arrest. It is suggested that CPR training is necessary for general public and that is should focus more on chest.
PERBEDAAN NILAI KOMPRESI DADA DAN VENTILASI PADA PELATIHAN RESUSITASI JANTUNG PARU MAHASISWA S1 KEPERAWATAN DENGAN UMPAN BALIK INSTRUKTUR, AUDIOVISUAL DAN KOMBINASI DI YOGYAKARTA Sutono Sutono; Retty Ratnawati; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 3 No. 2 (2015)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (843.707 KB)

Abstract

Nilai keterampilan RJP pada mahasiswa Si Keperawatan di Yogyakarta secara umum masih dibawah dari standar yang diharapkan, hal ini mengakibatkan kepercayaan diri mereka rendah ketika harus melakukan tindakan RJP baik di rumah sakit maupun di luar rumah sakit. Penelitian ini bertujuan untuk menganalisa perbedaan nilai kompresi dada dan ventilasi pada pelatihan RJP dengan 3 metode umpan balik yang berbeda.Penelitian Experimental, randomized pretest-posttest design, dengan membandingkan hasil nilai kompresi dan ventilasi dari tiga kelompok yang mendapatkan intervensi. Sampel diambil secara random, dibagi dalam tiga kelompok. Kelompok 1 adalah kelompok mahasiswa yang mengikuti pelatihan RJP yang mendapatkan demonstrasi skill dengan umpan balik instruktur. Kelompok 2 dengan umpan balik audiovisual.Kelompok ke 3 dengan kombinasi keduanya.Hasil penelitian menunjukkan bahwa semua nilai  baik kompresi dada maupun volume ventilasi tidak ada perbedaan yang signifikan. Rerata kedalaman kompresi dada dengan α 0,097, Rerata kecepatan dengan α0,064, Untuk komponen ventilasi (rerata volume ventilasi) dengan capaian nilai α 0,106.Kesimpulan penelitian ini adalah tidak terdapat perbedaan nilai kompresi dan ventilasi  RJP pada ketiga metode pembelajaran. Yang berarti ketiga metode sama-sama bisa dipakai sebagai metode pembelajaran keterampilan RJP khususnya pada pendidikan S1 Keperawatan di Yogyakarta. Kata Kunci : Kompresi dada, Ventilasi, Resusitasi Jantung Paru, Umpan balik.
NURSES EXPERIENCE IN IMPLEMENTING A TRIAGE ON MASS VISITATION IN THE EMERGENCY DEPARTMENT OF NGANJUK DISTRICT HOSPITAL TYPE B Agus Khoirul Fuadi; Retty Ratnawati; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.522 KB) | DOI: 10.21776/ub.jik.2018.006.01.2

Abstract

Nganjuk district hospital is the referral hospital in Nganjuk, so the consequences that must be accepted is the potential of a patient mass visitation. Mass visitation is a condition where there are lot of patients arrived at the same time, it can be caused by various causes or diseases that came from a single factor or more. These factors include the increase number of referral patient’s arrival, the increase number of patient's arrival at its own initiative, some disaster/accident/plague victims, where they came to the emergency department with different criticalness. There is one question that is very important, which is how one nurse in that is placed in an emergency department of a hospital could perform a triage to handle a number of patients that are coming together. Of course, these conditions will bring an interesting experience to be explored by researchers. This study is a qualitative research that used an interpretative phenomenological approach. A deep interview was involving 4 triage nurses. The data were collected and analyzed by using a thematic analysis approach. The transcript of the interview results was analyzed by using a qualitative analysis, such initial codes were made in each participant's statement and it was interpreted in the form of a theme. The study resulted in four themes, namely Changed Triage Mechanism, Triage System Inadequate-yet, The Expectation of Emergency Room Policy Changing, KIE Advance Strategies. Where finally, these themes are narrowed down to one major theme namely The Spirit of Change in the Middle of Inadequate Triage System in Mass visitation. These description indicates the dynamics of triage nurses in the emergency department of Nganjuk district hospital in the form of a spirit of change in the middle of inadequate triage system that is used to handle a mass visitation.The researchers recommend further research that is directed to influence a triage system on a mass visitation towards the waiting time and mortality number in the emergency department of Nganjuk district hospital. The researchers also suggest that Nganjuk district hospital should create a Standard Operating Procedure (SOP) for the triage system to handle a mass visitation. Keyword : Triage, mass visitation
PERBEDAAN KEBERHASILAN TERAPI FIBRINOLITIK PADA PENDERITA ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) DENGAN DIABETES DAN TIDAK DIABETES BERDASARKAN PENURUNAN ST-ELEVASI Ni Made Dewi Wahyunadi; Djanggan Sargowo; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 5 No. 1 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1527.591 KB)

Abstract

ST-elevation myocardial infarction (STEMI) adalah kondisi yang terjadi akibat rupturnya plak aterosklerosis yang menyebabkan oklusi total pada arteri koroner. Salah satu tindakan reperfusi yang dapat dilakukan pada pasien STEMI adalah pmberian fibrinolitik yang sebaiknya diberikan dalam waktu <12 jam setelah munculnya nyeri dada. Keberhasilan terapi fibrinolitik dapat dipengaruhi oleh beberapa hal salah satunya adalah pasien menderita diabetes atau tidak. Tujuan penelitian ini adalah membedakan keberhasilan terapi fibrinolitik pada penderita STEMI dengan diabetes dan tidak diabetes berdasarkan penurunan ST-elevasi. Metode dalam penelitian ini analitik observasional dengan pendekatan cross sectional prospective. Jumlah sampel 34 responden diambil dengan pendekatan consecutive sampling. Pengukuran dilakukan dengan cara observasi langsung ke pasien dan mengobservasi catatan rekam medis pasien STEMI dengan diabetes dan tidak diabetes diemergensi jantung PJT RSUP Sanglah Denpasar, ICCU RSUD Badung dan ICU BRSU Tabanan. Uji analisis yang digunakan untuk membedakan keberhasilan terapi fibrinolitik pada penderita STEMI dengan diabetes dan tidak diabetes adalah uji Fisher. Hasil analisis uji Fisher menunjukkan bahwa terdapat perbedaan keberhasilan terapi fibrinolitik yang signifikan pada pasien diabetes dan tidak diabetes (p<0.000), dimana keberhasilan terapi fibrinolitik pada pasien diabetes (10%) lebih sedikit dibandingkan pada pasien yang tidak diabetes (79%). Dapat disimpulkan bahwa terdapat perbedaan keberhasilan terapi fibrinolitik yang signifikan pada pasien diabetes dan tidak diabetes, dimana dalam penelitian ini keberhasilan terapi fibrinolitik ini kemungkinan juga dipengaruhi oleh waktu pemberian fibrinolitik dan faktor resiko STEMI lain yang dialami oleh pasien seperti hipertensi, obesitas, hiperlipidemia dan merokok.Kata kunci: STEMI, terapi fibrinolitik, diabetes dan tidak diabetes, penurunan ST-elevasi
FACTOR ANALYSIS OF HYPOGLICEMIA LEVEL IN EMERGENCY DEPARTMENT OF BLAMBANGAN AND GENTENG GENERAL HOSPITAL BANYUWANGI Yusron Amin; Ahsan Ahsan; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5408.203 KB) | DOI: 10.21776/ub.jik.2017.005.02.12

Abstract

Hipoglycemia was a kind of acute complication of diabetes mellitus. Some factors was assumed associated with degree of hypoglycemia were infection, antidiabetic therapy, and leak of meal intake. This study was to analyse factors associated with degree of hypoglycemia in emergency department. Design was descriptive explorative with retrospective approach. Sum of respondents was 118 medical records. This study was conducted in medical record room in Blambangan hospital and Genteng Hospital from 5 June 2017 to 16 June 2017. Methods of data collection was purposive sampling. The results showed hypoglycemia was happened in majority of infection, using of unappropriate antidiabetic therapy and leak of meal intake. Infection factors  (p=0,000; r=0,494), using of antidiabetic therapy (p=0,000; r=0,411), and leak of meal intake (p=0,000; r=0,619) had correlation with degree of hypoglycemia. Leak of meal intake factors (p=0,000; wald=27.897) had strongly correlation with degree of hypoglycemia. Health workers especially nurses was encouraged to conduct the intervention due to patient’s self control, so that regulation of meal and antidiabetic therapy could work effectively.
PATIENT'S CHEST DISCOMFORT ASSOCIATED WITH DELAY IN REPERFUSION THERAPY ACUTE CORONARY SYNDROME Elizabeth Yun Yun Vinsur; Djanggan Sargowo; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.088 KB) | DOI: 10.21776/ub.jik.2018.006.01.13

Abstract

 Acute Coronary Syndrome (ACS) is a group of symptoms that are classify as unstable angina (ATS), ST-Segment Elevation Myocardial Infarction (STEMI) and non ST-Segment Elevation Myocardial Infarction (NSTEMI). Main objective to provide timely reperfusion therapy is essential to improve survival. Initial and rapid intervention after the occurrence of coronary artery disease is associated with better clinical outcomes, but it is hampered by the nature of the patient's seeking decisions Patients expect the type of heart attack they often see in medical movies and television: like chest pain that grips and causes it to fall to the floor. This study aims to analyze the chest discomfort experienced by patients associated with delay in reperfusion therapy of Acute Coronary Syndrome. The method used is observational analytic with cross sectional approach. Nonprobability sampling with time quota technique obtained sample of 60 respondents. The results obtained as many as 55% of patients come more than 120 minutes after the onset of discomfort in the chest. The patient's delay in coming to the associated hospital is an accompanying symptom factor at onset with p = 0.048, and OR = 4.596 (1.014-20.828). There were no significant differences in the scores of knowledge, behavior, and beliefs based on the ACS response index between patients who came <120 minutes and> 120 minutes. The conclusions of this study present the accompanying symptom presentations at onset with the time interval between the appearances of the SKA symptoms until arriving at the IGD door. Seeing the results of this study suggests the need for efforts from medical staff to optimize the interpretation of "chest pain characteristics" to patients and families or who are susceptible about specific and non-specific cardiac signs. Keywords: acute coronary syndrome, prehospital delay, onset to door, reperfusion
WORKLOAD RELATION BASED ON WORKLOAD ASSESSMENT WITH THE COMPLETENESS OF NURSING CARE DOCUMENTATION BY IMPLEMENTING NURSES IN THE EMERGENCY DEPARTMENT OF RSU. ANUTAPURA PALU AND RSU. UNDATA PALU Sasnita Salam; Titin Andri Wihastuti; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.439 KB) | DOI: 10.21776/ub.jik.2018.006.01.9

Abstract

Proper, readable, and complete documentation will have an impact on the quality of care and defense of potential malpractice suits, may be used as legal evidence in the event of a claim, but much of the nursing documentation is found to be incompatible or does not contain the necessary information in the case of the judiciary, lack of records or documentation in the patient’s medical record often hampers the exercise of the protection of nursing professional rights, both legally and administratively. The purpose of this research is to know the relation of workload factor based on workload assessment with the completeness of nursing care documentation by the nurses in the room IGD RSU. Anutapura Palu and RSU. Undata Palu. This research use correlation analytic design with cross sectional approach with total sampling to 65 samples period from 25 March 2017 until 25 April 2017. in IGD RSU room. Anutapura Palu and RSU. Undata Palu. From result of bivariate analysis known that there is correlation between work load factor with completeness of nursing care documentation with p value = 0,022. The result of regression test showed that the work load factor has regression coefficient value is -15.648 (negative value), which means that the higher workload, the percentage of completeness of the documentation of nursing care will be lower.
Faktor yang Berperan Sebagai Prediktor Kematian pada Pasien Non-ST Elevation Infarction (NSTEMI) pada 48 Jam Pertama Perawatan Linda Widyarani; Muhammad Rasjad Indra; Tony Suharsono
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (486.333 KB)

Abstract

Background: In-hospital mortality rate NSTEMI equally even higher than STEMI. In dr. Soedono Madiun general hospital, in-hospital mortality rate of NSTEMI was 17% in 2012 and had escalated reached 21% in 2013. Among patients NSTEMI with late arrival (>2 hours) and arrhythmias had a higher in-hospital mortality rate. Objective: To determine the factors that had a role as early predictor of in-hospital mortality in NSTEMI patient. Method: This research had been conducted in dr. Soedono Madiun general hospital. This research use quantitative research method, use approach of observational analytic with longitudinal prospective design. This research had been done in April until June, 2014 with the number of samples is 50 people. Analysis of data use multivariate analysis regression logistics. The collecting data obtained by observation and an interview. Result: The mean of delay time was 7,89±6,44 hours. Self-medication (0,000) and health-care seeking pattern (0,002) were factors influencing pre hospital delay among patients NSTEMI >2 hours. Analysis of bivariate showed that pre hospital delay statistically significant predictor of in-hospital mortality (0,001). Among patients NSTEMI with late arrival (>2 hours) had a higher in-hospital mortality rate. The number of patients who arrive at the hospital early was 13 people and at the hospital late only 2 people. After analysis of multivariate, regression logistic showed that systolic blood pressure ?90 mmHg (p=0,023, RR=7,596, ?=0,05) and arrhythmias (p=0,047, RR=6,866, ?=0,05) proven a role as early predictor of in-hospital mortality in NSTEMI patient. Frequently, total AV block proven a role as early predictor of in-hospital mortality of NSTEMI. Conclusion: The strongest factor had a role as early predictor of in-hospital mortality in NSTEMI patient is systolic blood pressure ?90 mmHg.
Co-Authors Agus Khoirul Fuadi Ahsan Ahsan Amin, Yusron Djanggan Sargowo Elizabeth Yun Yun Vinsur Evie, Sova Lalu Aries Fahrozi Linda Widyarani Muhammad Rasjad Indra Ni Made Dewi Wahyunadi Retty Ratnawati Sasnita Salam Sutono Sutono Titin Andri Wihastuti