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Journal : Journal Of Nursing Practice

The Severity of Head Injuries Based on Injury Location: a Cross-Sectional Study Erik Irham Lutfi; Meirna Eka Fitriasnani; Hengky Irawan; Achmad Wahdi; Ely Isnaeni
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.821

Abstract

Background: The mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding. Intracerebral hemorrhage is a common complication of traumatic brain injury. The severity of head injury patients is a predisposing factor that causes high mortality and morbidity rates. The presence of bleeding in the head affects the severity of the patient's injury, bleeding in the head will reduce blood flow to the head, which will cause decreased blood perfusion to the brain. In severe head injury, a hematoma of more than 50 mL is associated with higher mortality. Acute ICH (Intra Cerebral Haemoraghea) can be a catastrophic event with the mortality largely predicted by the hematoma size, location, and the patients' GCS  (Glasgow Coma Scale) on admission. Objective: This study aims to determine the relationship between the location of intracerebral hemorrhage and the severity of head injury. Methods: This study uses a correlational analytical approach with a cross-sectional design, utilizing secondary data from medical records of patients with traumatic head injuries from January to December 2022. The calculation of severity using RTS (Revised Trauma Score). These three scores (Glasgow Coma Scale, Systolic Blood Pressure, Respiratory Rate) are then used to take the weighted sum by RTS = 0.9368 GCSP + 0.7326 SBPP + 0.2908 RRP Values for the RTS are in the range 0 to 7.8408. Scores range from 0-4. The study population was patients with moderate to severe traumatic head injuries. Data were analyzed using a correlation test based on Spearman's rank correlation. Results: The results showed a significant relationship between the location of head trauma lesions and the severity of head injury patients (p value = 0.008, correlation coefficient 0.378). Conclusion: Mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding.  The majority of patient with Trauma brain Injury is male and were in the productive age range ranging from 12-35 years. Epidural hematoma (EDH) is one of the most life-threatening lesions in patients with craniocerebral disease.
Prevalence of Mental Health Stress among Indonesian Islamic Boarding Schools Students in the Early Post-COVID-19: A Cross-Sectional Study Hengky Irawan; Yuni Asri; Dian Pitaloka Priasmoro; Erik Irham Lutfi
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.854

Abstract

Background: The COVID-19 pandemic has had a significant impact on students' mental health. However, little is known about its psychological effects on students in Indonesian Islamic boarding schools. Purpose: This study aimed to determine the prevalence of stress among students in Islamic boarding schools and identify the associated contributing factors in the early post-pandemic period. Methods: We conducted a cross-sectional study from March to April 2023 involving 425 students from four Islamic boarding schools in East Java, Indonesia. Participants were selected using a convenience sampling method. Data were collected using a structured questionnaire that included sociodemographic information and the Depression Anxiety Stress Scale-21 (DASS-21) to measure stress levels. Descriptive statistics and multivariate logistic regression analyses were performed to examine the association between stress and various factors. Results: The findings showed that 30.64% of students experienced stress. Factors significantly associated with stress included female gender (OR: 2.17; 95% CI: 1.130–4.190; p < 0.020), length of stay of less than one year (OR: 0.43; 95% CI: 0.204–0.925; p < 0.031), dissatisfaction with allowance (OR, 2.81; 95% CI, 1.238–6.424; p < 0.014), poor communication with friends (OR: 3.60; 95% CI: 1.947–6.659; p < 0.000), and lack of social activities with peers (OR, 4.80; 95% CI, 1.415–16.28; p < 0.012). Conclusion: This study highlights the need for targeted mental health interventions in Islamic boarding schools, particularly those that address financial satisfaction and social relationships. Strengthening peer communication and providing emotional support may help to reduce stress among students in post-pandemic settings.