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All Journal Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Adi Husada Nursing Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat EDUNursing Avicenna : Journal of Health Research Jurnal Kesehatan Kusuma Husada PENA ABDIMAS : Jurnal Pengabdian Masyarakat Jurnal Medika: Medika Journal of Advanced Nursing and Health Sciences Jurnal Riset Keperawatan dan Kesehatan
Wahyuningsih Safitri, Wahyuningsih
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Bahasa Inggris External Motivation (Work Environment) and Burnout Incidence in ER and ICU Nurses Murharyati, Atiek; Diani, Nova Okta; Sulisetyowati, Dwi; Safitri, Wahyuningsih
Adi Husada Nursing Journal Vol 9 No 1 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i1.389

Abstract

Burnout is exhaustion syndrome both mentally and Burnout is a syndrome of exhaustion both mentally and physically which can lead to boredom. The work environment is something that exists around workers that can affect the results of their performance. The research method adopted quantitative with a cross-sectional approach of 30 people sample. The sampling used a non-probability sampling technique, and the study was conducted at RSUD Surakarta. The results of this study presented a significant relationship between external motivation (work environment) and burnout in nurses in the emergency room and ICU at the Surakarta City Regional General Hospital with an average score of mild burnout of 26 (86.7%), a moderate burnout level of 4 (13.3) and a burnout level of 0 (0%). Meanwhile, the results of the value of external motivation (work environment) indicated a poor work environment with 30 (100%). Even though the work environment is not good, it has a burnout level due to good stress coping in the emergency room and ICU at the Surakarta City General Hospital. The program of joint activities such as gymnastics, picnics, and helping each other can reduce the incidence of burnout in the emergency room and ICU at the Regional Public Hospital of Surakarta City
EFEKTIVITAS KOMBINASI TERAPI HANDGRIP EXERCISE DAN RANGE OF MOTION (ROM) TERHADAP KEKUATAN MUSKULAR EKSTREMITAS ATAS PASIEN PASCA STROKE NON-HEMORAGIK Nurul Izzati, Wavi; Suryandari, Dewi; Safitri, Wahyuningsih
Jurnal Riset Keperawatan dan Kesehatan Vol. 2 No. 6 (2025): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v2i6.67

Abstract

Background: Non-hemorrhagic stroke is a neurological disorder caused by obstruction of blood flow to the brain, resulting in neuronal damage and decreased motor function, particularly upper extremity muscle weakness. This weakness limits patients’ daily activities, necessitating appropriate rehabilitative interventions. The combination of Hand Grip Strength and Range of Motion (ROM) exercises is believed to improve muscle strength through neuromuscular stimulation and increased muscle elasticity. Objective: This study aimed to determine the effect of combined Hand Grip Strength and ROM exercises on upper extremity muscle strength in non-hemorrhagic stroke patients at Dr. Moewardi Hospital, Surakarta. Methods: A pre-experimental design with a pre-test and post-test approach without a control group was used. A total of 44 respondents were selected using accidental sampling. The intervention was administered twice daily for 10–15 minutes over three consecutive days. The Manual Muscle Testing (MMT) scale was used to measure muscle strength. Results: The findings revealed a significant improvement in muscle strength after the intervention, with p < 0.05. These results support that combining Hand Grip Strength and ROM exercises effectively enhances upper extremity muscle strength in non-hemorrhagic stroke patients. Conclusion: There was a significant effect of the combination of ROM and Hand Grip Strength exercises on improving upper extremity muscle strength among non- hemorrhagic stroke patients at Dr. Moewardi Hospital (ρ = 0.000 < 0.05). This study is expected to serve as a reference for rehabilitative nursing interventions and contribute to preventing permanent disability in stroke patients.
Pengaruh Tindakan Clapping terhadap Saturasi Oksigen pada Pasien Terpasang Ventilator di Ruang ICU HCU Anggrek 1 RSUD DR Moewardi Hapsari, Ruth Dwi; Setiyawan, Setiyawan; Safitri, Wahyuningsih
Malahayati Nursing Journal Vol 8, No 2 (2026): Volume 8 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i2.22179

Abstract

ABSTRACT The use of ventilators in patients often leads to secretion retention and decreased oxygen saturation due to sedation, impaired effective coughing, and disrupted mucociliary clearance. Non-invasive interventions such as chest physiotherapy, particularly clapping techniques, have been proven to significantly improve oxygen saturation. However, this technique remains underutilized in ICU settings, including at Dr. Moewardi General Hospital. This study aimed to determine the effect of clapping intervention on oxygen saturation levels in ventilated patients in the ICU HCU Anggrek 1 at Dr. Moewardi General Hospital. A quantitative method with a quasi-experimental pre-post test control group design was employed. The study involved 38 ventilated patients selected through purposive sampling. Data were collected using a clapping procedure based on a standard operating procedure (SOP) and monitored with a pulse oximeter. A paired t-test was used to analyze the effect of clapping within groups, while an independent t-test was applied to assess significant differences between the intervention and control groups. Most participants were elderly patients diagnosed with post-laparotomy or post-craniotomy, with a balanced gender distribution. After receiving clapping therapy for two consecutive days, the intervention group experienced a significant increase in oxygen saturation levels, in contrast to the control group, which showed stagnation or a slight decline. Clapping is an effective technique for improving oxygen saturation in ventilated patients through enhanced airway clearance and alveolar ventilation. Its effectiveness is independent of age, sex, or medical diagnosis, making it a viable adjunct intervention in ICU ventilator management.  Keywords: Chest Physiotherapy, Clapping, Intensive Care Unit (ICU), Oxygen Saturation, Ventilator Patients.  ABSTRAK Penggunaan alat ventilator pada pasien sering menyebabkan retensi sekret dan penurunan saturasi oksigen akibat penggunaan sedasi, gangguan batuk efektif, serta gangguan fungsi mukosiliar. Salah satu intervensi non-invasif yang dapat digunakan untuk mengatasi kondisi tersebut adalah fisioterapi dada, khususnya teknik clapping, yang terbukti mampu meningkatkan saturasi oksigen namun masih jarang dioptimalkan penggunaannya di ruang ICU, termasuk di RSUD Dr. Moewardi. Penelitian ini bertujuan untuk mengetahui pengaruh tindakan clapping terhadap peningkatan saturasi oksigen pada pasien ventilator di ruang ICU HCU Anggrek 1 RSUD Dr. Moewardi. Penelitian ini menggunakan metode kuantitatif dengan desain quasi experimental pre-post test control group design. Sampel terdiri dari 38 pasien ventilator yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui SOP tindakan clapping dan alat pulse oximeter. Analisis data dilakukan menggunakan uji paired t-test untuk mengukur pengaruh clapping dalam satu kelompok dan uji independent t-test untuk membandingkan perbedaan antara kelompok kontrol dan kelompok perlakuan. Hasil penelitian menunjukkan bahwa sebagian besar pasien adalah lansia dengan diagnosis post-laparotomi dan post-craniotomi, serta sebaran jenis kelamin yang relatif seimbang. Kelompok perlakuan menunjukkan peningkatan signifikan saturasi oksigen setelah diberikan tindakan clapping selama dua hari, sedangkan kelompok kontrol cenderung mengalami stagnasi atau penurunan saturasi oksigen. Tindakan clapping terbukti efektif meningkatkan saturasi oksigen pada pasien ventilator melalui mekanisme pembersihan jalan napas dan peningkatan ventilasi alveolar. Efektivitas ini tidak dipengaruhi oleh faktor usia, jenis kelamin, maupun diagnosis, sehingga teknik clapping layak diterapkan sebagai intervensi pendukung pada pasien yang menggunakan ventilator di ruang ICU. Kata Kunci: Clapping, Fisioterapi Dada, Pasien Ventilator, Saturasi Oksigen, Unit Perawatan Intensif.
Co-Authors Agnes Sri Harti Ani Noor, Frieda Atiek Murharyati Damayanti, Tetania Evi Diani, Nova Okta Ediyono, Suryo Erliawan, Iwan Fredy Chandra Frieda Ani Noor Gita, Anggi Putri Aria Hapsari, Ruth Dwi Hutari Puji Astuti Ika Subekti Wulandari, Ika Subekti Kusumawati, Mira wahyu Maria Wisnu Kanita Meta Meriza, Tiara Nurul Devi Ardiani, Nurul Devi Nurul Izzati, Wavi Oktavianus, O Pinto, Sufina Prastyoningsih, Aris Pratiwi, Ajeng Maharani Puspitaningrum, Mita Rahayu, Retnaning Tyas Ratih Dwilestari Puji Utami, Ratih Dwilestari Puji Rosalina, Sylvia S. Dwi Sulisetyawati Saelan, Saelan Setiyawan Setiyawan Setiyawan Siwi Indra Sari, Siwi Indra Sulisetyowati, Dwi Suryandari, Dewi Utami, Ratih Dwi Lestari Puji Wahyu Rima Agustin Yusup Subagio Sutanto