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Manajemen Airway, Breathing, Circulation (ABC) dan Dampaknya terhadap Early Warning Score (EWS) dalam Layanan Gawat Darurat: Mengevaluasi Efektivitas Intervensi Fundamental dalam Meningkatkan Hasil Pasien dan Pengambilan Keputusan Klinis Sumara, Retno
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Abstract

Objective: to determine the implementation of Airway, Breathing, and Circulation (ABC) management interventions and their impact on the Early Warning Score (EWS) in the Emergency Installation of the Haji Hospital, East Java Province. Methods: Quantitative research design: pretest experimental one group pretest and posttest design. The population was patients aged ≥13 years with ABC disorders. The sample size was 80 people, according to the inclusion and exclusion criteria, by taking non-probability sampling with the consecutive sampling technique. Statistical tests using the Wilcoxon test. Results: The results of the study using the Wilcoxon test obtained an Asymp.sig value (2-tailed) = 0.000 or ρ value ≤ 0.05, indicating that airway, breathing, and circulation (ABC) management has an impact on better changes in early warning score (EWS) Conclusion: EWS is a systematic process to evaluate and measure early risk used to take preventive measures in emergencies that aim to minimize poor prognosis in the body system. The Airways, Breathing, and Circulation (ABC) method can be done for handling emergency conditions Keywords: Early warning Score(EWS), Manajemen Airway, Breathing dan Circulation(ABC)
Community Perspectives On Employing Herbal Plants Betel Leaves, in Hypertension Sumara, Retno; Sumarliyah, Eni; Puspa Miralda, Rindiani
Indonesian Academia Health Sciences Journal Vol 5 No 1 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v4i2.23557

Abstract

Background : Treatment for hypertension sufferers is not only medical but can also use natural ingredients in the form of standardized herbs and herbal therapy. This encourages hypertension sufferers to try traditional treatment. In fact, there are still many people who do not know about existing herbal treatments. This is because people are not exposed to information. It was found that this wrong perception arose due to a lack of good communication from authorities such as health workers to convince the public about the effectiveness of herbal plant management. Objective: This study aims to determine the people’s perception of the use of betel leaf plants in hypertensive patients in East Kalianget Village. Method: This research uses a descriptive method. The total population was 196 respondents. The sampling technique used was purposive sampling. With a sample of 131 respondents suffering from hypertension. The data collection technique is in the form of a questionnaire. Data processing uses the SPSS program with Descriptive Analysis. Results: This research shows that as many as 107 people (81.7) have positive perceptions about the use of betel leaf plants in East Kalianget Village, Sumenep. In conclusion, there is a positive public perception that supports the application of betel leaf plants by individuals suffering from hypertension. Both medical and non-medical approaches can be used to treat and prevent hypertension. It is said that using traditional medicine—especially using betel leaves—is safer than using modern treatment.
Pemanfaatan Ubi Jalar Ungu Sebagai Makanan Alternatif Bagi Pasien Diabetes Mellitus di RS Siti Khadijah Sepanjang Eni Sumarliyah; Retno Sumara; Firman Firman; Nugroho Ari Wibowo
PROCEEDING UMSURABAYA 2023: Prosiding Conference of Elementary Studies (CES) 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/pc.v1i1.25336

Abstract

Diabetes mellitus (DM) merupakan penyakit kronis yang membutuhkan pengelolaan pola makan yang tepat untuk mengontrol kadar gula darah. Ubi jalar ungu (Ipomoea batatas L.) diketahui memiliki kandungan gizi yang baik dan berpotensi sebagai makanan alternatif untuk pasien DM. Penelitian ini bertujuan untuk mengevaluasi efektivitas penyuluhan mengenai manfaat ubi jalar ungu dalam meningkatkan pengetahuan dan sikap masyarakat tentang pengelolaan DM. Metode yang digunakan adalah desain pre-test dan post-test dengan melibatkan 35 responden di Mulyorejo, Surabaya. Data dikumpulkan melalui kuesioner mengenai pengetahuan dan sikap terhadap pemanfaatan ubi jalar ungu sebelum dan sesudah penyuluhan. Hasil penelitian menunjukkan bahwa sebelum penyuluhan, 80% responden memiliki tingkat pengetahuan rendah, dan 91,4% memiliki sikap buruk terhadap pemanfaatan ubi jalar ungu. Setelah penyuluhan, terdapat peningkatan signifikan, dengan 94,3% responden menunjukkan tingkat pengetahuan tinggi, dan 100% responden menunjukkan sikap positif terhadap pemanfaatan ubi jalar ungu. Penelitian ini menunjukkan bahwa penyuluhan dapat meningkatkan pengetahuan dan mengubah sikap masyarakat, menjadikannya strategi yang efektif dalam pengelolaan DM. Edukasi berbasis makanan lokal seperti ubi jalar ungu dapat menjadi alternatif yang bermanfaat dalam meningkatkan kualitas hidup pasien DM.
Pentingnya Peran Keluarga Pada Anggota Keluarga Mengalami Stroke Di Posyandu Lansia Kalijudan Pipit Festi Wiliyanarti; Siti Aisyah; Retno Sumara
PROCEEDING UMSURABAYA Vol 1 No 1 (2024): Proceeding Fakultas Keguruan Ilmu Pendidikan
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/pc.v1i1.25338

Abstract

keluarga memiliki peran yang sangat krusial dalam proses rehabilitasi pasien stroke. Penelitian menunjukkan bahwa dukungan keluarga dapat mempengaruhi hasil rehabilitasi secara signifikan. Namun faktanya masih banyak dari keluarga pasien yang belum mampu memberikan perawatan secara optimal dikarenakan kurangnya pengetahuan terkait teknik perawatan pada pasien stroke. Oleh karena itu, pemberian edukasi dan pendampingan kepada keluarga pasien stroke penting. Tujuan: meningkatkan pengetahuan dan keterampilan keluarga dalam merawat pasien stroke di Posyandu Lansia Kalijudan, Surabaya. Metode: metode pendekatan yang digunakan pada pengabdian ini yaitu metode partisipatif dengan sasaran keluarga dari pasien stroke dan masyarakat setempat di Posyandu Lansia Kalijudan sebanyak 27 orang. Kesimpulan: pemberian edukasi pada keluarga pasien stroke di Posyandu Lansia Kalijudan, Surabaya, memberikan dampak yang signifikan terhadap peningkatan pengetahuan, sikap dukungan emosional, dan kemampuan memberikan motivasi kepada pasien. Pengetahuan, sikap, dan keterampilan yang meningkat menunjukkan bahwa intervensi berbasis edukasi mampu menjembatani kesenjangan pemahaman dan keterampilan keluarga dalam mendukung pasien stroke.
CORRELATION BETWEEN MORTALITY PREDICTION AND LENGTH OF STAY IN THE INTENSIVE CARE UNIT Retno Sumara; Nugroho Ari Wibowo; Andre Arianto; Diah Priyantini
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.90206

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Introduction: Length of stay (LOS) is one of the indicators of the success of care services in the Intensive Care Unit (ICU). Several factors influence how long patients remain in the ICU, including a high mortality prediction score, which may affect the recovery process. The Aim of this study is o analyze the correlation between mortality prediction and LOS among ICU patients. Methods: A correlational analytic study with a retrospective approach was conducted among adult patients aged ≥18 years who had been treated in the ICU, had complete electronic medical record data, and had an APACHE II score recorded during the previous 11 months (March 2023–January 2024). A total of 142 respondents were recruited using purposive sampling. The instrument used in this study was the APACHE II score, and the data were analyzed using Spearman’s rho. Results: LOS of ≥5 days was observed in 63.4% of patients and was distributed across APACHE II score ranges of 15–19 (0.7%), 20–24 (0.7%), 25–29 (2.8%), 30–34 (4.9%), and ≥35 (54.2%). A significant correlation was found between mortality prediction and LOS (p < 0.001). Conclusions: Mortality prediction in ICU patients is correlated with LOS. This indicates that the higher the predicted mortality score, the longer the patient’s length of stay in the ICU
Autogenic Relaxation as a Form of Non-Pharmacological Supportive Intervention for Headaches in Hypertensive Patients Diah Priyantini; Noryani Noryani; Suyatno Hadi Saputro; Retno Sumara; Daviq Ayatulloh
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

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Abstract

Hypertension is a major public health problem and is frequently associated with headache, which can significantly interfere with daily activities. Pharmacological therapy remains the most common treatment; however, long-term use may lead to side effects and reduced adherence. Therefore, non-pharmacological supportive therapies, such as autogenic relaxation, are increasingly considered as alternative approaches. This study aimed to evaluate the effectiveness of autogenic relaxation therapy in reducing headache intensity among patients with hypertension. This research employed a case intervention approach conducted at a community health center in Surabaya, Indonesia. Four patients diagnosed with hypertension participated in the study. Data collection was carried out through home visits, including interviews, observation, and review of health history over the past six months. Blood pressure was measured using a tensiometer, and headache intensity was assessed using the Numeric Rating Scale (NRS) and PQRST method. Participants were guided to perform autogenic relaxation therapy twice weekly and independently at home for 20 minutes per session. The results demonstrated that all participants initially experienced moderate headache intensity (NRS 4–6). After the intervention, there was a consistent reduction in pain levels, with all participants reporting mild headache intensity (NRS 2–3). The most notable reduction was observed after the second session of therapy, indicating a progressive improvement in pain control. In conclusion, autogenic relaxation therapy is effective in reducing headache intensity among patients with hypertension. This non-pharmacological approach can be considered a simple, safe, and accessible intervention to complement conventional treatment and improve patient well-being.
Family Support for Adherence to Routine Checkups in Patients with Diabetes Mellitus Retno Sumara; Nugroho Ari Wibowo; Sindy Dwi Fitria Nilam Sari; Diah Priyantini
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v7i1.33211

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Introduction: Diabetes mellitus (DM) is known as the “Mother of Diseases” among various incurable chronic conditions. Adherence to routine check-ups is a crucial component of effective diabetes management and treatment. One factor influencing adherence is family support. Objective: To determine the relationship between family support and adherence to routine check-ups among diabetes mellitus patients. Methods: The study design employed a correlational analytical approach using a cross-sectional design. The sample consisted of 80 respondents selected via simple random sampling. Data were collected through a family support questionnaire and secondary data (medical records) from the community health center. Data analysis used the Spearman rank test with a significance level of α < 0.05. Results: This study found that 90% of participants had good family support, 10% had adequate family support, 88% adhered to routine check-ups, and 12% did not adhere to routine check-ups. Based on the Spearman’s rho correlation test, the significance value (two-tailed) was 0.001 < 0.05, indicating a significant association between family support and adherence to follow-up visits. Discussion: Family involvement in patient care is crucial for the management and control of diabetes mellitus (DM). Families can foster positive behaviors, such as enhancing motivation and improving adherence among DM patients.
Kejadian Post Traumatic Stress Disorder Pada Pasien Survivor Jantung Pasca Perawatan Di Ruang Intenssive Cardiac Care Unit Nugroho Ari Wibowo; Diah Priyantini; Dwi Whisnu Artanti Eka Putri; Retno Sumara; Daviq Ayatulloh
Indonesian Academia Health Sciences Journal Vol 6 No 2 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.25501

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Post Traumatic Strees Disorder (PTSD) tidak hanya terjadi karena dampak dari bencana alam, namun dapat terjadi karena kejadian seperti peperangan, bencana alam, penyerangan, pemerkosaan, dan kondisi suatu penyakit. Fenomena yang ditemukan ternyata PTSD juga bisa timbul pada pasien yang pernah dirawat di ruang perawatan intensif khusus penyakit jantung. Tujuan: Penelitian bertujuan untuk mengidentifikasi angka kejadian, faktor penyebab, tanda dan gejala PTSD pada pasien di ruang ICCU. Desain penelitian yang digunakan adalah kuantitatif dengan pendekatan studi kasus dengan jumlah sampel 30 pasien yang direkrut menggunakan teknik purposive sampling. Variabel penelitian ini adalah kejadian PTSD yang diukur dengan menggunakan kuisioner UK-PTSS-14. Analisis data yang digunakan adalah analisis deskriptif dengan menggunakan tabel distribusi frekuensi. Faktor pencetus kejadian trauma serta berat dan dekatnya dengan trauma menunjukkan hasil paling banyak yakni <5 tahun sebanyak (77%), faktor jenis kelamin menunjukkan hasil paling banyak berjenis kelamin perempuan sebanyak (57%), faktor status pekerjaan dan penghasilan menunjukkan hasil paling banyak memiliki pekerjaan sebanyak (63%) dan paling banyak responden memiliki penghasilan dibawah UMR Surabaya berjumlah (50%), faktor usia menunjukkan hasil paling banyak memiliki usia pada rentan 59-73 tahun sebanyak (70%), faktor tingkat Pendidikan menunjukkan hasil paling banyak berada pada tingkat pendidikan SMP sebanyak (50%), faktor riwayat gangguan psikiatri menunjukkan hasil paling banyak tidak memiliki riwayat gangguan psikiatri atau kejiwaan sebanyak (93%), dan faktor sumber pendukung menunjukkan hasil paling banyak memiliki sumber pendukung sebanyak (67%). Sebagian besar pasien yang pernah menjalani rawat inap di ruang ICCU mengalami kejadian PTSD ringan hingga sedang.