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Gambaran Saturasi Oksigen dan Respiratory Rate pada Pasien Penyakit Paru Obstruktif Kronis: Descriptive Oxygen Saturation and Respiratory Rate in Chronic Obstructive Pulmonary Disease Sofiana, Zulia sofiana; Melastuti, Erna
Jurnal Keperawatan Berbudaya Sehat Vol. 3 No. 2 (2025): Juli 2025
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jkbs.v3i2.3873

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a condition that involves structural changes or scarring in the airways, leading to persistent inflammation that can hinder oxygen delivery through alveolar damage and respiratory physiological changes. These damages and changes result in symptoms such as shortness of breath, increased respiratory rate, limited lung movement, and excessive sputum production, as well as hindering the ciliary clearance process, causing sputum accumulation, and preventing effective airway clearance. The study aims to determine the oxygen levels and respiratory rate in COPD patients. The research approach is descriptive quantitative with a sample of 87 COPD patients treated at RS Awal Bros Bagan Batu. The research was conducted from November to December 2024, taking into account the results of blood gas analysis and calculating the respiratory rate using laboratory methods. The analysis used is univariate analysis. The survey results indicate that the majority of respondents (90-95%) experienced mild hypoxia, with 64 (73.6%) out of a total of 87 respondents (100%) experiencing mild hypoxia. The respiratory rate (RR) results show that 87 out of 87 subjects (100%) experienced tachypnea with a respiratory rate >20 times/minute.
Workplace violence against nurses and the challenge of underreporting: A literature review Serlina, Serlina; Melastuti, Erna; Wahyuningsih, Indah Sri
The Journal of Palembang Nursing Studies Vol. 4 No. 2 (2025): May 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns162

Abstract

Background: Workplace violence (WPV) against nurses is a critical global concern that negatively affects nurse well-being, professional performance, and patient safety. Despite its widespread occurrence, WPV is consistently underreported. This persistent gap between high incidence and low reporting limits accurate surveillance, weakens institutional responses, and delays the development of effective prevention strategies. Objective: To identify the reasons behind the low reporting rate of WPV among health workers, especially nurses Design: Literature review. Data Sources: Scopus, Google Scholar, and Taylor & Francis databases were searched using the keywords “Workplace Violence,” “Healthcare Workers,” and “Nurses.” Review Process: Inclusion criteria comprised articles that discussed WPV prevalence and reporting behaviors and dated from 2020 onward. Screening of titles, abstracts, and full texts was performed, followed by detailed analysis of eligible studies. Results: Eleven studies from 10 Asian countries were included, with sample sizes ranging from 11 participants in a qualitative study to more than 20,000 registered nurses. Across settings, workplace violence was widespread, with prevalence rates ranging from 13.6% to nearly 90%. Despite this high occurrence, reporting remained limited. Personal barriers to reporting included fear of negative consequences, shame, guilt, and the perception that violence is an unavoidable part of nursing practice. Organizational barriers included unclear or inconvenient reporting procedures, lack of training, absence of system privacy, limited managerial support, and mistrust in reporting mechanisms. Collectively, these factors reinforced underreporting and contributed to unsafe work environments for nurses. Conclusion: Underreporting of WPV among nurses persists due to both individual and organizational barriers. Addressing this issue requires supportive reporting systems, training on WPV management, and fostering a non-punitive safety culture. Without targeted interventions, unsafe work environments will persist, compromising both nurse well-being and quality of patient care.
Analisis teknik edukasi untuk meningkatkan keterampilan bantuan hidup dasar pada orang awam: A literature review Mulyati, Pipit Sri; Melastuti, Erna; Wahyuningsih, Indah Sri; Rochmati, Dwi Heppy
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1127

Abstract

Background: Basic Life Support (BLS) skills play a crucial role in emergency situations, such as sudden cardiac arrest and accidents, where timely and appropriate first aid can save lives. Although public awareness of the importance of BLS has increased, many laypeople still lack adequate knowledge and practical skills to perform BLS effectively. Purpose: To formulate effective educational techniques to improve basic life support skills in the general public. Method: A literature review was conducted by searching articles from Scopus, PubMed, and Google Scholar databases using a combination of keywords such as "Basic Life Support education," "CPR training for the general public," "Basic Life Support," "BLS education for the general public," and "non-medical first aid training." The articles analyzed were full-text articles in Indonesian and English, published between 2014 and 2024, specifically addressing BLS educational methods for the non-medical population. Twenty-five articles meeting the inclusion criteria were analyzed using a thematic analysis approach. Results: Educational methods such as lectures, simulations, educational videos, and comic-based media were proven effective in improving BLS skills in the general public. These findings were consistent across various groups, including students, teachers, parents, and the general public, indicating that a structured educational approach can improve community preparedness. Conclusion: Education on basic life support (BLS) skills plays a very important role in increasing community preparedness in dealing with emergency situations, especially cardiac arrest and accidents.   Keywords: Basic Life Support; Education; Lay People.   Pendahuluan: Keterampilan bantuan hidup dasar (BHD) memiliki peran penting dalam situasi darurat, seperti henti jantung mendadak dan kecelakaan, di mana tindakan pertolongan pertama yang cepat dan tepat dapat menyelamatkan nyawa. Meskipun kesadaran masyarakat terhadap pentingnya BHD terus meningkat, banyak orang awam masih belum memiliki pengetahuan dan keterampilan yang memadai untuk melakukan tindakan BHD secara efektif. Tujuan: Untuk merumuskan teknik edukasi yang efektif dalam meningkatkan keterampilan bantuan hidup dasar pada orang awam. Metode: Penelitian literature review dengan penelusuran artikel dari basis data Scopus, PubMed, dan Google Scholar menggunakan kombinasi kata kunci seperti “Basic Life Support education”, “CPR training for lay people”, “Bantuan Hidup Dasar”, “edukasi BHD untuk masyarakat awam”, dan “pelatihan pertolongan pertama non-medis”. Artikel yang dianalisis adalah artikel full-text berbahasa Indonesia dan english, diterbitkan dalam rentang waktu 2014–2024, dan secara khusus membahas metode edukasi BHD pada populasi non-medis. Sebanyak 25 artikel yang memenuhi kriteria inklusi dianalisis menggunakan pendekatan thematic analysis. Hasil: Edukasi seperti ceramah, simulasi, video edukasi, dan media berbasis komik telah terbukti efektif dalam meningkatkan keterampilan BHD pada masyarakat umum. Temuan ini konsisten di berbagai kelompok, termasuk siswa, guru, orang tua, dan masyarakat umum yang menunjukkan bahwa pendekatan edukasi yang terstruktur dapat meningkatkan kesiapsiagaan masyarakat. Simpulan: Edukasi tentang keterampilan bantuan hidup dasar (BHD) memiliki peranan yang sangat penting dalam meningkatkan kesiapsiagaan masyarakat dalam menghadapi situasi darurat, khususnya henti jantung dan kecelakaan.   Kata Kunci: Bantuan Hidup Dasar; Edukasi; Orang Awam.
HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN PRILAKU PENCEGAHAN PENYAKIT MALARIA Muhadi, Rismawati; Melastuti, Erna; Wahyuningsih, Indah Sri
Jurnal Ilmiah Penelitian Mahasiswa Vol 4, No 3 (2025): SEPTEMBER 2025
Publisher : Jurnal Ilmiah Sultan Agung

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

Abstract

Latar Belakang: Malaria merupakan penyakit menular yang disebabkan Plasmodium yang terdiri dari banyak spesies, namun yang pada umumnya menyebabkan malaria adalah Plasmodium vivas, Plasmodium Falcifarum, Plasmodium Malariae, Plasmodium ovale. Penyakit malaria dituarkan oleh nyamuk Anopheles yang di dalam tubuhnya mengandung Plasmodium. Penyebaran dan endemitas Malaria anagt dipengaruhi oleh keberadaan tempat perindukan nyamuk Anopheles sebagai vektor penular Metode : Desain penelitian ini adalah penelitian deskriptif analitik dengan pendekatan cross sectional study, dimana penelitian deskriptif hanya memberikan gambaran, sedangkan analitik digunakan untuk mencari hubungan antara pengetahuan dan sikap pasien rawat jalan tentang pencegahan penyait malaria di klinik ASA Enterop Kota Jayapura. . Instrumen penelitian ini adalah dengan menggunakan kuesioner, analisis data menggunakan Anlisis Univariat dan Analisis Bivariat dengan Uji statistik Chi-squere Hasil: pengetahuan baik terhadap prilaku pencegahan penyakit malaria dengan kategori baik sebanyak 57 responden (54,0%) dan responden yang memiliki pengetahuan sedang terhadap prilaku pencegahan penyakit malaria dengan kategori baik sebanyak 5 responden (8,0%). Sedangkan responden yang memiliki pengetahuan baik terhadap pencegahan penyakit malaria dengan kategori kurang sebanyak 1 responden (4,4%) dan responden yang memiliki pengetahuan sedang terhadap pencegahan penyakit malaria sebanyak 5 orang (5,0%). Simpulan: Terdapat hubungan antara pengetahuan masyarakat terhadap prilaku pencegahan penyakit malaria.Terdapat hubungan antara sikap masyarakat terhadap prilaku pencegahan penyakit malaria. Kata Kunci: pengetahuan, sikap, pencegahan penyakit malaria
Improving Verbal Communication in Stroke Patients After Lip Exercise and Blowing Pipe Intervention Suyanto, Suyanto; Kurniawan, Eko; Melastuti, Erna
Media Keperawatan Indonesia Vol 8, No 3 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.3.2025.187-192

Abstract

Stroke patients frequently experience verbal communication impairments due to orofacial muscle weakness and reduced respiratory control. These conditions significantly affect their quality of life and social interactions. This study aimed to evaluate the effectiveness of lip exercise and blowing pipe interventions in improving verbal communication among stroke patients. A pre-experimental study with a pre-test and post-test design was conducted at a public hospital's inpatient ward. A total of 21 stroke patients were selected using purposive sampling. The intervention group received a structured program of lip exercise and blowing pipe therapy twice daily for 5 days. Verbal communication ability was measured using the Frenchay Dysarthria Assessment (FDA) scale. Data were analyzed using a paired t-test. There was a significant improvement in verbal communication scores in the intervention group (p < 0.05), while no significant changes were observed in the control group. The combined therapy demonstrated effectiveness in enhancing articulation, breath control, and overall verbal expression. Lip exercise and blowing pipe interventions are effective, simple, and low-cost therapies that significantly improve verbal communication in stroke patients.
PENGARUH KOMPRES DINGIN TERHADAP NYERI KANULASI ARTERIOVENA FISTULA (AVF) PADA PASIEN YANG MENJALANI HEMODIALISIS Wahda, Azza Husnu; Sulistyaningsih, Dwi Retno; Melastuti, Erna
Jurnal Ilmiah Penelitian Mahasiswa Vol 4, No 3 (2025): SEPTEMBER 2025
Publisher : Jurnal Ilmiah Sultan Agung

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

Abstract

Latar Belakang: Operasi yang disebut arteriovenous shunt, atau AV shunt, adalah menyambungkan (anastomosis) arteri dan vena pada lengan atau bagian tubuh lainnya untuk memberikan akses ke hemodialisis. Tujuan hemodialisis adalah untuk memperbaiki kelainan biokimiawi darah yang disebabkan oleh fungsi ginjal yang terganggu. Prosedur ini dilakukan dengan menggunakan mesin hemodialisis. Pada pasien yang menjalani prosedur hemodialisis dengan menggunakan kanulasi Arteriovenosa Fistula (AVF), teknik pernapasan yang benar sangat penting karena dapat membantu menjaga kestabilan fisiologis dan mengurangi rasa cemas yang bisa muncul selama prosedur Selain tari nafas panjang tehnik lain yang bisa dilakukan diantaranya adalah kompres dingin Tujuan Penelitian : Mengetahui pengaruh kompres dingin terhadap nyeri kanulasi Arteriovena Fistula (AVF) pada pasien yang menjalani hemodialisis. Metode Penelitian: Desain yang digunakan adalah Quasi Experimental Design atau eksperimen semu, di mana terdapat kelompok kontrol dengan rancangan menggunakan model Pretest-Posttest Control Group Design. Populasi yang akan di ambil dalam penelitian yang akan penulis lakukan adalah pasien yang menjalani hemodilisis di RSI Sultan Agung Semarang sebanyak 116 Hasil penelitian: Ada Pengaruh pemberian kompres dingin terhadap nyeri saat kanulasi Arteriovena Fistula (AVF) Pada pasien hemodialisis di RSI Sultan Agung Semarang, hasil p-value sebesar 0,000 < 0,05. Ada perbedaan dalam efektivitas pemberian kompres dingin terhadap nyeri saat kanulasi Arteriovena Fistula (AVF). Kata kunci: kompres dingin, nyeri kanulasi Arteriovena Fistula (AVF)
The Relationship Between Knowledge and Belief in Traditional Medicine Among Patients with Diabetes Mellitus Mauliani, Dian Putri; Amal, Ahmad Ikhlasul; Melastuti, Erna; Hendrawan, Gagah Satria
Jurnal Surya Vol 17 No 01 (2025): Volume 17 Issue 01 2025
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v17i01.1150

Abstract

Introduction: A majority of individuals with diabetes mellitus (DM) prefer traditional medicine due to its perceived lack of negative side effects. Patients with good knowledge tend to have high beliefs in treatments that offer minimal side effects and significant benefits. This research aims to determine the relationship between knowledge and the level of belief in traditional medicine. Methods: This quantitative study employed a descriptive analytic method with a cross-sectional approach. The population in this study were 100 DM patients with total of 80 DM patients were recruited using purposive sampling technique. Data collection performed by using valid and reliable knowledge and belief in the use of traditional medicine questionnaires. Data analysis was performed using the Spearman rank test to determine the correlation between knowledge and the level of belief in traditional medicine. Results: A total of 55 patients (68.8%) demonstrated good knowledge, and 59 patients (73.8%) exhibited high belief in the use of traditional medicine.  A significant relationship was found between knowledge of traditional medicine and the level of belief in traditional medicine, with a significance value of 0.0001 and a correlation coefficient of 0.735. Conclusion: There is a significant relationship between knowledge of traditional medicine and the level of belief in traditional medicine.  Hospital can improve healthcare services by providing education, such as increasing the number of posters about DM treatment, both traditional and medical. Keywords: Belief; Diabetes Mellitus; Knowledge; Traditional Medicine
English English Hernugroho, Ananto; Amal, Ahmad Ikhlasul; Melastuti, Erna; Hendrawan, Gagah Satria
Jurnal Surya Vol 17 No 01 (2025): Volume 17 Issue 01 2025
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v17i01.1151

Abstract

Introduction: Tuberculosis (TB) is one of the 10 leading causes of death in the world. TB treatment that requires regularity over a long period of time has an impact on decreasing motivation for treatment in TB patients, this decrease in motivation can cause boredom which results in incomplete TB treatment. One of the external factors that can increase motivation for treatment is support from health personnel and family. This study aims to determine relationship between support from health personnel and family with treatment’s motivation in Pulmonary TB patients. Methods: This quantitative study uses a correlation analysis design with a cross-sectional approach. The sample in this study was 70 Pulmonary TB patients who were taken using the total sampling technique. Data collection was carried out using a valid and reliable questionnaire to measuring health personnel’s support and family also treatment’s motivation. Data analysis was carried out using the Spearman Rank test. Results: A total of 44 patients (62.9%) felt good support from health personnel, 51 patients (72.9%) felt good family support, and 44 patients (62.9%) had high treatment’s motivation. There was a significant relationship between health personnel’s support (p = 0.001; r = 0.344) and family’s support (p = 0.0001; r = 0.497) with treatment’s motivation. Conclusion: There is a significant relationship between health personnel’s support and family with treatment’s motivation for pulmonary TB patients. Health personnels can visit families' homes to provide support to increase patient motivation. Keywords: Family, Health Personnel, Motivation, Support, Tuberculosis
Literature Review: The Positive Impact of Murottal Al-Qur'an Therapy on Anxiety in Hemodialysis Patients Martiasih, Zamsiah; Sulistyaningsih, Dwi Retno; Suyanto, Suyanto; Melastuti, Erna
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.v7i1.5485

Abstract

Hemodialysis patients often experience anxiety that impacts quality of life and requires effective intervention. Murottal therapy has the potential to be an alternative to reduce anxiety, can be recommended as part of holistic care that is easy to apply and has minimal side effects for hemodialysis patients. Objectives: This literature review aims to evaluate the positive impact of Qur'anic murottal therapy on anxiety in hemodialysis patients. Methods: This study used a literature study of journal articles. Articles were searched through Google Scholar, PubMed, ResearchGate, and Semantic Scholar with the keywords “Hemodialysis”, “Anxiety”, and “Murottal Al-Qur'an” using the PCC approach. The PRISMA flowchart details the article selection process: initial identification of 462 articles, elimination of 203 duplications, exclusion of 185 articles based on irrelevant titles and abstracts, leaving 18 articles. 8 articles were again excluded after full text assessment as they did not meet the inclusion criteria. The selection process resulted in 10 final articles that met the inclusion criteria: national and international journal articles in Indonesian and English, published in 2019-2024, free full text available, and discussing murottal therapy for hemodialysis patient anxiety. Results: Out of hundreds of articles, ten articles showed consistent results that Qur'anic murottal therapy is effective in reducing the anxiety level of hemodialysis patients. Conclusion: Based on the literature analysis, Qur'anic murottal shows a positive impact as an effective therapy in overcoming anxiety in hemodialysis patients.
Literature Rivew: Effectiveness of Speech Therapy in Improving Verbal Communication Ability of Stroke Patients with Dysarthria” Kurniawan, Eko; Suyanto, Suyanto; Melastuti, Erna; Sulistyaningsih, Dwi Retno
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5604

Abstract

Stroke often results in speech impairment, including dysarthria, which impacts the patient's verbal communication skills, quality of life, social interaction and independence. Therefore, understanding the effectiveness of speech therapy in improving verbal communication skills is necessary to determine the most effective rehabilitation approach. Objective: This study aims to explore the effectiveness of speech therapy in improving verbal communication of stroke patients with dysarthria, particularly in the aspects of articulation, voice clarity, and the ability to speak in daily life. Method: Methods: This study used a literature review of national and international published between 2019-2024 and freely available. A systematic search of the review was conducted using the Google Scholar database, Semantic Scholar, using keywords: Dysarthria Speech Therapy, Stroke, using the PCC (Population, Concept, Context) approach. The article selection process used PRISMA which was then subjected to critical appraisal. Initial searches were conducted through Google Scholar (1,215 articles), Semantic Scholar (485 articles). Initial screening of 1,450, removal of duplicate articles remaining 250 articles, articles were eliminated, so only 15 articles entered the further screening stage. From this process, 5 articles did not meet the criteria and were excluded. Finally, 10 articles that met the inclusion criteria were selected and reviewed.. Result: The results of thousands of articles show ten articles showing consistent results that speech therapy can improve verbal communication skills in patients with diarthric stroke. Conclusion: There is general agreement that speech therapy is effective in improving verbal communication skills in stroke patients with dysarthria.