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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

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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 nilaiÂ baik kompresi dada maupun volume ventilasi tidak ada perbedaan yang signifikan. Rerata kedalaman kompresi dada dengan Î± 0,097, Rerata kecepatan dengan Î±0,064, Untuk komponen ventilasi (rerata volume ventilasi) dengan capaian nilai Î± 0,106.Kesimpulan penelitian ini adalah tidak terdapat perbedaan nilai kompresi dan ventilasiÂ 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

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 patientâ€™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.Â 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

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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

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 factorsÂ (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 patientâ€™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

Â 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.Â 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

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 patientâ€™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.

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