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All Journal Jurnal Ners Indonesia Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Nursing News : Jurnal Ilmiah Keperawatan Jurnal SOLMA JMM (Jurnal Masyarakat Mandiri) Jurnal Kreativitas PKM Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Keperawatan Widya Gantari Indonesia Jurnal Keperawatan (JKEP) Jurnal Keperawatan Cikini Jurnal Keperawatan Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Jurnal Kesehatan An-Nuur
Rycco Darmareja
Universitas Pembangunan Nasional "Veteran" Jakarta
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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Detection and Management of Diabetes Mellitus as Prevention of Diabetic Ketoacidosis Darmareja, Rycco; Pangestu, Siti Yaasinta Dwi; Ningtiyas, Astuti; Nabila , Putri Rahma; Rachmat , Syafa Salsabila Meisya; Anandita, Laura
Jurnal SOLMA Vol. 14 No. 1 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i1.16759

Abstract

Background: Diabetes mellitus (DM) merupakan masalah serius dengan peningkatan prevalensi setiap tahunnya. Komplikasi berupa ketoasidosis diabetikum dapat terjadi sebagai manifestasi kondisi kritis akibat defisiensi insulin, ketidakpatuhan pengobatan dan infeksi. Program dilakukan untuk meningkatkan pengetahuan dan kemampuan deteksi dini ketoasidosis diabetikum sebagai kondisi kritis yang dapat terjadi pada penderita diabetes melitus. Metode: Edukasi kesehatan tentang KAD dan pelatihan pengukuran kadar gula darah diberikan kepada 50 orang usia ≥ 30 tahun di RT01 RW03, Limo, Depok, selama satu hari, dengan evaluasi pengetahuan melalui pengisian kuesioner dua kali dan analisis uji Wilcoxon. Hasil: Program pengabdian berjalan lancar sesuai perencanaan yang ditetapkan. Tujuan program tercapai dibuktikan dengan adanya peningkatan kategori pengetahuan dari 62.19 menjadi 85.46. Selanjutnya, partisipan telah mampu memahami bagaimana langkah-langkah pengukuran kadar gula darah menggunakan metode sederhana dengan hasil sebanyak 12 partisipan terdeteksi mengalami peningkatan kadar gula darah sewaktu. Kesimpulan: Terdapat peningkatan pengetahuan dan keterampilan partisipan dalam deteksi dan manajemen diabetes mellitus. Tim berharap masyarakat mampu melanjutkan pola hidup sehat, kontrol gula darah serta kolaborasi dengan ahli kesehatan untuk pencegahan komplikasi.
Health Education on Hypertension Crisis Recognition and Management for Hypertension Patients in RT 03 RW 05 Limo Village, Depok City Darmareja, Rycco; Mauliya, Nadiyyah; Maulida, Mutia; Alettha, Keyza Zie; Lestari, Arlynqa Siva; Priwardani, Khaerunisa; Almira, Dinda Marsha
Jurnal SOLMA Vol. 14 No. 1 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i1.16767

Abstract

Background: Hipertensi menjadi salah satu kondisi kesehatan serius yang terjadi di masyarakat dan berpotensi mengalami fase lanjut menjadi krisis hipertensi. Krisis hipertensi merupakan masalah klinis yang dicirikan dengan tekanan darah yang meningkat drastis dan berpotensi menyebabkan masalah pada organ lainnya. Meningkatkan pemahaman masyarakat RT. 03 RW. 05 Kecamatan Limo mengenai krisis hipertensi menggunakan pendekatan KENANG (KENali-cegAh dan taNGani).  Metode: Metode yang digunakan yaitu pemberian edukasi kesehatan terkait krisis hipertensi. Partisipan kegiatan adalah warga RT. 03 RW.05 Kecamatan Limo dengan jumlah 16 orang. Data dikumpulkan menggunakan kuesioner melalui metode pre-test dan post-test yang kemudian dianalisis. Hasil: Analisis data menunjukkan adanya peningkatan dalam aspek pengetahuan pada warga RT. 03 RW. 05 Kecamatan Limo sebesar 19% dengan nilai signifikansi p 0,035. Kesimpulan: Kegiatan penyuluhan kesehatan mengenai krisis hipertensi memiliki pengaruh yang signifikan dalam meningkatkan pengetahuan partisipan.
ANALYSIS OF MODIFIABLE FACTORS ASSOCIATED WITH VENTILATOR-ASSOCIATED PNEUMONIA IN MECHANICALLY VENTILATED PATIENTS IN ICU Puspitasari, Nabiila; Darmareja, Rycco
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1960

Abstract

Ventilator-associated pneumonia (VAP) is reported as one of the highest nosocomial infection conditions in several countries. Risk factors can be classified into modifiable and non-modifiable factor. This study aims to analyze modifiable factors related to the incidence of VAP in patients using mechanical ventilation. This study used a prospective cohort observational analytic design with a quantitative involving 40 patients with mechanical ventilation in the ICU and selected using purposive sampling. Observation sheets and Clinical Pulmonary Infection Score (CPIS) were used as data collection tools. Hypothesis testing in this study utilized Somers’s d, contingency coefficient, and Kendall’s tau. The analysis revealed significant associations between the duration of mechanical ventilation (p=0.009), and level of consciousness (p=0.021) with the incidence of VAP. However, no significant associations were found between antibiotic use (p=0.075), ICU length of stay (p=0.135), and reintubation (p=0.253) with the incidence of VAP. The study showed that the length of time mechanical ventilation was used and the patient's level of consciousness were factors associated with the incidence of VAP in the ICU. Thus, special attention to modifiable factors can be one of the effective strategies in reducing the incidence of VAP in the ICU.
IMPLEMENTASI DIGITALISASI EWS DAN MEWS: KELENGKAPAN DATA DAN KESESUAIAN ESKALASI DI RUANG ALAMANDA RSUP DR. HASAN SADIKIN TAHUN 2022 Widianti Kuswara, Sani; Darmareja, Rycco
Jurnal Kesehatan An-Nuur Vol 2 No 2 (2025): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v2i2.29

Abstract

Maternal mortality and morbidity in hospitals mostly occur in preventable cases. The early warning system, as one of the prevention efforts based on clinical findings, has not been implemented comprehensively. The large number of incomplete data and the inconsistency of the early warning system escalation are the basis for the development of electronic technology solutions. With an electronic system, it is expected that management can be carried out earlier, preventing life-threatening conditions because patients will be treated faster so that the expected output is better. Objective: This study aims to analyze the differences in the completeness of data entry and the appropriateness of the early warning system escalation before and after the digitalization of EWS and MEWS in the Alamanda Room of Dr. Hasan Sadikin Hospital, Bandung. Method: This study is a quantitative study using a pre-experimental design with a one-group pre-post test approach. The sampling technique with a total sampling of 648 datas, both before and after digitalization. Secondary data was taken from all data from the results of the filling responses that had been collected. Data analysis used univariate frequency distribution analysis and bivariate analysis using the Chi-Square and Fisher's Exact tests. Results: Based on the results of the study, it was found that according to the hospital's Standard Operating Procedure, the completeness of EWS data filling after the intervention increased to 97.2%, the appropriate EWS data escalation after the intervention became 56.61%. MEWS data also increased after the intervention to 91.2%, the appropriate MEWS data escalation after the intervention became 63.6%. The results of the bivariate data analysis showed a significant difference in the completeness of data filling and the appropriateness of escalation before and after digitalization with a p-value of 0.000. Conclusion: Digitalization can improve the completeness of data filling based on SOP and the appropriateness of the hospital's early warning system escalation. The appropriateness of escalation and rapid clinical response has an impact on the quality of maternal care, patient safety, and the quality of hospital services.
Penguatan Pengetahuan dan Sikap Masyarakat Melalui Deteksi Dini dan Penyuluhan Kesehatan Mengenai Hipertensi Emergensi sebagai Upaya Pencegahan Kondisi Kegawatdaruratan Darmareja, Rycco; Utami, Gamya Tri; Anggraeni, Diah Tika; Zahra, Nabila Tsamara; Isnainyah, Mar'atul; Mawaddah, Fauziah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13105

Abstract

ABSTRAK Tingginya prevalensi hipertensi sebagai silent killer disease setiap tahunnya perlu disertai dengan kewaspadaan akan kegawatdaruratan yang dapat terjadi, salah satunya adalah hipertensi emergensi. Kondisi ini dapat meningkatkan prevalensi kematian penderitanya, sehingga diperlukan program/ tatalaksana yang tepat untuk mengatasinya. Tujuan kegiatan ini yaitu meningkatkan pengetahuan dan sikap penderita mengenai hipertensi emergensi sebagai upaya pencegahan kegawatdaruratan melalui program deteksi dini dan penyuluhan kesehatan. Kegiatan pengabdian dilakukan menggunakan metode penyuluhan kesehatan secara langsung kepada 48 penderita hipertensi. Metode evaluasi dilakukan dengan pengisian kuesioner pre- and post- test design. Kegiatan berhasil dilaksanakan dengan antusiasme partisipan yang dibuktikan dengan kehadiran tepat waktu dan beragamnya pertanyaan serta aktivitas sharing session yang sangat positif. Hasil kegiatan pengabdian menujukan adanya peningkatan pengetahuan mengenai hipertensi dan sikap partisipan dalam manajemen hipertensi guna mencegah terjadinya hipertensi emergensi. Masyarakat diharapkan dapat terus berupaya mengoptimalkan status kesehatannya melalui kegiatan serupa guna menekan prevalensi terjadinya hipertensi emergensi. Hasil kegiatan ini juga mendasari perlu diselenggarakannya program lanjutan berupa pemberdayaan Masyarakat khususnya kader dalam mendeteksi hipertensi emergensi pada penderita di lingkungan tempat tinggalnya. Kata Kunci: Deteksi Dini, Hipertensi Emergensi, Kegawatdaruratan, Penyuluhan Kesehatan  ABSTRACT The high prevalence of hypertension as a silent killer disease every year needs to be accompanied by awareness of emergencies that can occur, one of which is hypertensive emergencies. This condition can increase the prevalence of death among sufferers, so appropriate management are needed to overcome it. This activity aims to increase sufferers' knowledge and attitudes regarding hypertension emergencies as an effort to prevent emergencies through early detection and health education programs. Community service activities were carried out using direct health education methods for 48 hypertension sufferers. The evaluation method is carried out by filling out a pre-and post-test design questionnaire. The activity was successfully carried out with the enthusiasm of the participants as evidenced by their timely attendance and a variety of questions as well as very positive sharing session activities. The results of service activities show an increase in knowledge about hypertension and participants' attitudes toward hypertension management to prevent hypertensive emergencies. It is hoped that the community will continue to strive to optimize their health status through similar activities to reduce the prevalence of hypertensive emergencies. The results of this activity also underlie the need to hold a follow-up program in the form of community empowerment, especially cadres, in detecting hypertensive emergenices in sufferers around where they live.  Keywords: Early Detection, Emergencies, Health Education, Hypertensive Emergency
Literature Review Protokol Pemberian VCO pada Anak dengan Ruam Popok Darmareja, Rycco; Jansen, Susiana
Jurnal Keperawatan Widya Gantari Indonesia Vol 7 No 2 (2023): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA (JKWGI)
Publisher : Nursing Department, Faculty of Health, Universitas Pembangunan Nasional "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v7i2.5241

Abstract

Anak sangat rentan mengalami kerusakan integritas kulit karena kondisi kulit yang lebih sensitif dan tipis dibandingkan orang dewasa. Pemakaian popok sekali pakai yang menjadi tren dikalangan ibu pada balita dan anak semakin meningkatkan risiko dan kejadian kerusakan integritas kulit berupa ruam popok. Tujuan penulisan ini adalah memberikan gambaran protokol yang tepat dalam pemberian VCO pada anak dengan ruam popok sebagai Langkah pencegahan dan penanganan. Metode yang digunakan adalah literature review dengan pendekatan PICO. Hasil yang didapatkan bahwa protokol yang tepat dalam pemberian VCO pada anak dengan ruam popok terdiri dari 17 langkah. VCO terbukti mampu mencegah, mengurangi dan mengobati ruam popok pada anak.
Penerapan Diaphragm Breathing Exercise Terhadap Status Pernapasan Pasien Dengan Penyakit Paru Obstruksi Kronis: Studi Kasus Anugrah, Rafli Rizqi; Darmareja, Rycco
Nursing News : Jurnal Ilmiah Keperawatan Vol 9, No 3 (2025): EDISI DESEMBER 2025
Publisher : Tribhuwana Tunggadewi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/nn.v9i3.3221

Abstract

Penyakit Paru Obstruksi Kronis (PPOK) merupakan gangguan sistem pernapasan sebagai penyebab kematian utama di dunia. Beberapa Evidance Based Nursing (EBN) menunjukkan metode Diaphragm Breathing Exercise (DBE) berpotensi meningkatkan gerakan abdomen selama pernapasan alami. Studi ini bertujuan untuk menilai penerapan implementasi DBE terhadap pola nafas tidak efektif selama pemberian asuhan keperawatan komprehensif pasien PPOK. Metode yang digunakan berupa studi kasus pada satu orang pasien yang dipilih berdasarkan kriteria yang ditetapkan (purposive sampling) dan diberikan asuhan keperawatan selama tiga hari berturut-turut pada salah satu ruang perawatan penyakit dalam di Rumah Sakit tipe A di Jakarta. Intervensi DBE dilakukan sehari 2 kali dan minimal tiga hari. Selama pengumpulan data peneliti menggunakan instrumen berupa lembar asuhan keperawatan, lembar observasi dan SOP DBE. Hasil studi menunjukkan terdapat perubahan status pernapasan berupa penurunan frekuensi napas dan skala sesak serta peningkatan saturasi oksigen setelah dilakukan tindakan DBE, sehingga dapat di simpulkan bahwa terdapat pengaruh yang positif dari penerapan DBE terhadap status pernapasan pasien PPOK di ruang rawat inap. Peneliti berharap agar perawat dapat menerapkan DBE sebagai salah satu tindakan terapeutik dalam memberikan asuhan keperawatan pada pasien PPOK untuk meningkatkan kualitas layanan pasien
Self-Efficacy Correlated with Basic Life Support Skills: Cardiopulmonary Resuscitation of Nursing Student Rycco Darmareja; Sani Widianti Kuswara; Winara Winara
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i1.ART.p080-089

Abstract

Success in providing basic life support to cardiac arrest patients is influenced by self-efficacy related to readiness and confidence in giving first aid. Students as prospective health workers are required to be able to provide basic life support in emergencies. Limited training and direct experience in providing basic life support causes students' skills and self-efficacy to be less than optimal. This study aimed to identify the relationship between self-efficacy and the ability of cardiopulmonary resuscitation performed by students. A quantitative cross-sectional study was conducted on 107 diploma III nursing students selected using the proportional stratified random sampling technique. Primary data were collected using the General Self-Efficacy Scale questionnaire and basic cardiopulmonary resuscitation skills observation sheets. Hypothesis testing in the form of Spearman correlation was conducted to identify the general objectives of the study. The results of the study showed a mean value of self-efficacy of 36.06 and a mean value of basic life support skills of 89.00. The results of the Spearman test obtained a p-value of 0.0001 with a relationship strength of 0.813. It is concluded that there is a very strong positive relationship between self-efficacy and basic life support skills, which means that higher self-efficacy in performing cardiopulmonary resuscitation is directly proportional to the higher success of implementing basic life support. Researchers hope that nursing students can improve their self-efficacy related to cardiopulmonary resuscitation through regular knowledge refresher activities and basic life support skills training.
Co-Authors Alettha, Keyza Zie Alifa, Salsa Bila Almira, Dinda Marsha Anandita, Laura Andy Sirada Anggraeni, Diah Tika Anugrah, Rafli Rizqi Ayu Prawesti Priambodo Dwi Suratmini Endah Yuliany Rahmawati Galuh Nurulita Fitriani Gamya Tri Utami Hasan, Melani Meta Hermawati, Risma Indira Cahyani Iqbal Taufik Ismail Iqbal Taufik Ismail Iqbal Taufik Ismail Isnainyah, Mar'atul Izza, Nurul Jansen, Susiana Kiki Rezki Faradillah Kosasih, Cecep Eli Lestari, Arlynqa Siva Lina Berliana Togatorop Maulida, Mutia Mauliya, Nadiyyah Mawaddah, Fauziah Nabila , Putri Rahma Nabilla Asmarany Nadiya Fitriani Tanjung Ningtiyas, Astuti Pamungkas, Wahyu Putri Pangestu, Siti Yaasinta Dwi Priwardani, Khaerunisa Puspitasari, Nabiila Putri, Annisa Rahma Cahya Rachmat , Syafa Salsabila Meisya Sani Widianti Kuswara Sani Widianti Kuswara Susianna Jansen Triana Dewi Safariah Widianti Kuswara, Sani Winara Winara Yefta Primasari Zahra, Nabila Tsamara