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All Journal MEDISAINS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan BSI Belitung Nursing Journal Journal Of Nursing Practice Jurnal Keperawatan Muhammadiyah The Indonesian Journal of Infectious Diseases Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Journal of Nursing Care Jurnal Perawat Indonesia Media Karya Kesehatan JPP Jurnal Kesehatan Poltekkes Palembang Malahayati International Journal of Nursing and Health Science Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Majalah Kesehatan Indonesia MAHESA : Malahayati Health Student Journal Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Holistik Jurnal Kesehatan Medical-Surgical Journal of Nursing Research Journal of Multidisciplinary Research Holistik Jurnal Kesehatan Jurnal Info Kesehatan
Ristina Mirwanti, Ristina
Universitas Padjadjaran
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The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community Trisyani , Yanny; Emaliyawati, Etika; Nuraeni, Aan; Anna , Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu; Sugiharto, Firman
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.740

Abstract

Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.
Penanganan pada Pasien IDCM yang Mengalami Hiperkalemia Berat: Case Report Putri, Saparingga Dasti; Tambunan, Natalia; Pen, Inggried Angelica Valentina Wiliyams; Pamungkas, Sultan Muhammad Wahyu; Priambodo, Ayu Prawesti; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21125

Abstract

ABSTRACT Idiopathic Dilated Cardiomyopathy (IDCM) is a condition that can trigger malignant arrhythmias such as Ventricular Tachycardia (VT) and Ventricular Fibrillation (VF), especially if accompanied by severe hyperkalemia. The combination of myocardial dysfunction, impaired renal function, and electrolyte imbalance increases the risk of fatal complications such as cardiac arrest. Objective: To report the case management of an IDCM patient with severe hyperkalemia causing malignant arrhythmias, and to highlight the importance of a multidisciplinary approach in its clinical management. This case study uses a single case approach to a 52-year-old patient treated in the Intensive Care Unit. Data were collected through direct assessment, observation, and supporting examinations during five days of intensive care. The patient experienced severe hyperkalemia (K+ 7.05 mmol/L) which triggered VT and progressed to VF. Emergency management was carried out with ACLS, administration of calcium gluconate, insulin-dextrose, Kalitake, sodium bicarbonate, and inotropic support. Hemodialysis was performed to treat persistent electrolyte disturbances. The patient showed significant clinical improvement after comprehensive intervention. Management of severe hyperkalemia in IDCM patients requires coordination between cardiology, nephrology, and intensive care specialists. Rapid intervention, aggressive medical therapy, and hemodialysis can save lives and restore patient stability. Keywords: Nursing Care, Idiopathic Dilated Cardiomyopathy (IDCM), Hyperkalemia.  ABSTRAK Idiopathic Dilated Cardiomyopathy (IDCM) merupakan kondisi yang dapat memicu aritmia maligna seperti Ventricular Tachycardia (VT) dan Ventricular Fibrillation (VF), terutama jika disertai dengan hiperkalemia berat. Kombinasi antara disfungsi miokard, gangguan fungsi ginjal, dan ketidakseimbangan elektrolit memperbesar risiko komplikasi fatal seperti cardiac arrest.Tujuan: Melaporkan penanganan kasus pasien IDCM dengan hiperkalemia berat yang menyebabkan aritmia maligna, serta menyoroti pentingnya pendekatan multidisiplin dalam manajemen klinisnya.Studi kasus ini menggunakan pendekatan single case terhadap pasien berusia 52 tahun yang dirawat di ICU. Data dikumpulkan melalui pengkajian langsung, observasi, dan pemeriksaan penunjang selama lima hari perawatan intensif. Hasil: Pasien mengalami hiperkalemia berat (K+ 7.05 mmol/L) yang memicu VT dan berkembang menjadi VF. Penanganan darurat dilakukan dengan ACLS, pemberian kalsium glukonat, insulin-dextrose, Kalitake, natrium bikarbonat, dan dukungan inotropik. Hemodialisis dilakukan untuk mengatasi gangguan elektrolit yang persisten. Pasien menunjukkan perbaikan klinis signifikan setelah intervensi komprehensif. Penanganan hiperkalemia berat pada pasien IDCM membutuhkan koordinasi antara spesialis kardiologi, nefrologi, dan perawatan intensif. Intervensi cepat, terapi medis agresif, serta hemodialisis dapat menyelamatkan nyawa dan memulihkan stabilitas pasien. Kata Kunci: Asuhan Keperawatan, Idiopathic Dilated Cardiomyopathy (IDCM), Hiperkalemia.
Tamponade Jantung sebagai Komplikasi Efusi Pleura pada Pasien Chronic Kidney Disease (CKD): Laporan Kasus Pratitis, Izzati Adha; Kurhayati, Kurhayati; Nasrullah, Kurnia; Priambodo, Ayu Prawesti; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21316

Abstract

ABSTRACT Chronic Kidney Disease (CKD) frequently presents multisystem complications, including pleural effusion and severe cardiovascular manifestations such as cardiac tamponade. Cardiac tamponade induced by massive pleural effusion is rare but life-threatening if not promptly managed.  A 17-year-old male patient presented to the emergency department with complaints of shortness of breath, bilateral lower extremity edema for four months, high-grade fever, and foamy urine. History revealed poorly controlled post-infectious glomerulonephritis complicated by heart failure. Physical examination demonstrated fluid overload, gallop rhythm, muffled heart sounds, subcostal retractions, and pulmonary edema. The patient's condition rapidly deteriorated, leading to cardiogenic shock due to cardiac tamponade and bilateral pleural effusions. Bilateral chest tube placement, furosemide therapy, and vasopressor support led to significant clinical improvement.  This case illustrates the complex interplay between chronic kidney disease, pleural effusion, and severe cardiac complications. Although pleural effusions in CKD patients are commonly transudative, massive bilateral effusions can cause extrinsic pressure sufficient to induce cardiac tamponade. Prompt and comprehensive management, patient education, and adherence to long-term treatment are crucial. This case highlights the importance of a multidisciplinary approach in managing multisystem complications of CKD, particularly acute situations such as cardiogenic shock resulting from cardiac tamponade induced by bilateral pleural effusion. Aggressive management, including pleural and pericardial drainage, supportive therapy, and adherence to regular follow-up, are essential for favorable long-term outcomes. Keywords: CKD, Pleural Effusion, Cardiac Tamponade, Cardiogenic Shock, Nephrotic Syndrome.  ABSTRAK Penyakit Ginjal Kronis (Chronic Kidney Disease/CKD) dapat menimbulkan komplikasi multisistem, termasuk efusi pleura dan gangguan kardiovaskular berat seperti tamponade jantung. Tamponade jantung akibat efusi pleura masif merupakan kasus yang jarang terjadi tetapi dapat mengancam jiwa apabila terlambat ditangani. Pasien remaja laki-laki berusia 17 tahun datang ke IGD dengan keluhan sesak napas, edema ekstremitas bawah selama empat bulan, demam tinggi, dan urin berbusa. Riwayat menunjukkan glomerulonefritis pasca infeksi disertai gagal jantung yang tidak terkontrol secara teratur. Pemeriksaan fisik menunjukkan tanda overload cairan, gallop, suara jantung teredam, retraksi subkostal, dan edema paru. Pasien mengalami perburukan kondisi dengan syok kardiogenik akibat tamponade jantung serta efusi pleura bilateral. Intervensi berupa pemasangan chest tube bilateral, pemberian furosemid, dan terapi vasopresor menghasilkan perbaikan signifikan.  Kasus ini menegaskan hubungan kompleks antara gangguan ginjal kronis, efusi pleura, dan komplikasi jantung yang serius. Efusi pleura pada CKD sebagian besar bersifat transudatif, namun kondisi ini dapat berkembang menjadi eksaserbasi akut berupa tamponade jantung akibat tekanan eksternal dari efusi pleura masif. Penanganan harus cepat, komprehensif, serta didukung edukasi keluarga dan kepatuhan pasien terhadap pengobatan jangka panjang. Kasus ini memperlihatkan pentingnya pendekatan multidisiplin dalam pengelolaan komplikasi multisistem CKD, terutama dalam situasi klinis akut seperti syok kardiogenik akibat tamponade jantung yang dipicu efusi pleura bilateral. Penatalaksanaan agresif yang mencakup drainase cairan pleura dan perikardial, terapi suportif, serta kepatuhan kontrol rutin adalah kunci utama keberhasilan terapi jangka panjang. Kata Kunci: CKD, Efusi Pleura, Tamponade Jantung, Syok Kardiogenik, Sindrom Nefrotik.
Manajemen Oral Care pada Pasien Dengan Mechanical Ventilation di Intensive Care Unit: a Scoping Review Palo, Daud; Prawesti, Ayu; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21469

Abstract

ABSTRACT The use of mechanical ventilation causes oral disorders in patients, such as xerostomia, increased dental plaque, mucociliary dysfunction, and changes in oral flora composition. These conditions have the potential to cause colonization of pathogenic bacteria that cause Ventilator-Associated Pneumonia (VAP). Oral care interventions have been implemented as a preventive strategy, but scientific evidence related to oral care management is still limited, requiring further exploration. To explore the available literature on oral care management in patients with mechanical ventilation in intensive care units. The scoping review framework from Arksey and O'Malley was used to guide the review process, and the PRISMA-ScR checklist was used to report this scoping review. The databases used were PubMed, Scopus, CINAHL, ScienceDirect, and Google Scholar, from January 2014 to December 2024. Thematic analysis was applied to identify key findings in the literature. Ten eligible articles were included. Three main themes were identified: oral care protocols (assessment and frequency of oral care, implementation of oral care, use of antiseptics, mechanical cleaning methods, and additional oral care methods), measurement tools used to evaluate oral care, and the implications of oral care on clinical outcomes. Recommended oral care management includes assessing oral health using the Beck Oral Assessment Scale (BOAS) to determine the frequency of oral care, brushing teeth with a soft toothbrush, using 2% chlorhexidine antiseptic, suction, and administering oral moisturizers. Additional interventions include maintaining ETT cuff pressure at 20-25 cmH₂O, positioning the head of the bed at 30°, and subglottic suction to avoid the risk of aspiration. BOAS is the most widely used measurement tool for assessing patients' oral health. Oral care management not only reduces the incidence of VAP, but also reduces the duration of MV, length of ICU stay, mortality rate, and improves physiological parameters.  Keywords: ICU, Oral Care, Mechanical Ventilation, Ventilator-Associated Pneumonia.  ABSTRAK Penggunaan ventilasi mekanik menyebabkan gangguan pada mulut pasien seperti xerotomia, peningkatan plak gigi, disfungsi mukosiliari, dan perubahan komposisi flora mulut. Hal tersebut berpotensi menyebabkan kolonisasi bakteri patogen penyebab Ventilator-Associated Pneumonia (VAP). Intervensi oral care telah diimplementasikan sebagai strategi pencegahan, namun bukti ilmiah terkait manajemen oral care masih terbatas sehingga memerlukan eksplorasi lebih lanjut.  Untuk mengeksplorasi literatur yang tersedia tentang manajemen oral care pada pasien dengan ventilasi mekanik di unit perawatan intensif. Kerangka kerja scoping review dari Arksey dan O'Malley digunakan untuk memandu proses tinjauan dan daftar periksa PRISMA-ScR digunakan untuk melaporkan tinjauan ruang lingkup ini. Basis data yang digunakan adalah PubMed, Scopus, CINAHL, ScienceDirect, dan Google Scholar, dari januari 2014 hingga Desember 2024. Analisis tematik diterapkan untuk mengidentifikasi temuan utama dalam literatur. Sepuluh artikel yang memenuhi syarat disertakan. Tiga tema utama teridentifikasi yaitu protokol oral care (penilaian dan frekuensi oral care, penerapan oral care, penggunaan antiseptik, metode pembersihan mekanis, dan metode tambahan oral care), alat ukur yang digunakan untuk mengevaluasi oral care, dan implikasi oral care terhadap hasil klinis.Manajemen oral care yang direkomendasikan meliputi penilaian kesehatan mulut menggunakan Beck Oral Assessment Scale (BOAS) untuk menentukan frekuensi oral care, penyikatan gigi dengan sikat gigi lembut, menggunakan antiseptik chlorhexidine 2%, suction, dan pemberian pelembab mulut. Intervensi tambahan dengan mempertahankan tekanan cuff ETT 20-25 cmH₂O, posisi Head of Bed 30°, dan suction subglotik untuk menghindari risiko aspirasi. BOAS merupakan alat ukur yang paling banyak digunakan untuk menilai kesehatan mulut pasien. Manajemen oral care tidak hanya menurunkan insiden VAP, tetapi juga mengurangi durasi MV, lama rawat ICU, angka mortalitas, serta memperbaiki parameter fisiologis.  Kata Kunci: ICU, Oral Care, Mechanical Ventilation, Ventilator-Associated Pneumonia.
Nursing Management of Patients with HHD, Cardiac Shock, Pleural Effusion, and Electrolyte Imbalance in the High Care Unit Ambarwati, Niken; Mirwanti, Ristina; Priambodo, Ayu Prawesti
Journal of Multidisciplinary Research Vol. 2 No. 3 (2026): April
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jmr.v2i3.556

Abstract

The Hypertensive Heart Disease (HHD) is a chronic condition that arises from uncontrolled hypertension, resulting in myocardial damage and ventricular dysfunction that can increase the risk of cardiogenic shock. Pleural effusion occurs because of cardiac congestion and causes fluid buildup in the pleural cavity. In patients with this condition, unstable electrolyte levels are often found in the body. The combination of hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances is a complex problem, requiring a multidisciplinary approach to prevent fatal complications such as multisystem failure and risk of death. This case report aims to describe nursing management in patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances, then relate it to scientific evidence through a literature review. The method used in this study was a case report. The subject of this case report was a 65-year-old woman with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances in the High Care Unit. Nursing management of patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances includes comprehensive assessment, collaborative intervention in the administration of inotropics, fluid management, oxygenation management, and collaboration in pleural puncture, as well as evaluation. Patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances present complex problems that can lead to death if not treated quickly and appropriately. Nurses play a major role in nursing management through assessment, problem identification, intervention, and periodic evaluation of hemodynamic status, fluid balance, and patient response to therapy.
Co-Authors Aan Nuraeni Abdullah, Dirman AI MARDHIYAH, AI Aini, Astri Mufti Ali, Samin M. Amalia, Selly Nurhasanah Anastasia Anna Anissa, Lisa Mutiara Anissa, Lisa Mutiara Anita Setyawati Asmara, A Danang Cahyani, Gita Cahyo, Firman Dwi Cecep Eli Kosasih Christina, Mikha Deris Riandi Setiawan Donny Nurhamsyah Efri Widianti Eka Afrima Sari Elsadai, Elsadai Etika Emaliyawati Fikriya, Aeni Freitas, Lurdes Acorta Hana Rizmadewi Agustina Handayani, Audia Harlasgunawan, Alia Rahmi Heriyansyah, Heriyansyah Ihsan, Farly Irman Somantri Istiazahra, Dylla Jabareen, Raifa Khoirunnisa, Fadila Kurhayati, Kurhayati Kusman Ibrahim Laili Rahayuwati Larashati, Defa Lilis Mamuroh Maria komariah Masruroh, Rurin Maulana, Sidik Mulya, Adelse Prima Mulyani, Tita Nasrullah, Kurnia Nenden Nur Asriyani Maryam Niken Ambarwati, Niken Nintyas, Felantina Restyar Nita Fitria Noor, Farisha Noya, Fricilia Nur Azmi, Nur Nuraeni, Aan Nuraeni, Aan Nuraeni Nuraeni, Aan Nuraeni Nurazizah, Auliyaurrahmah Nurdiansyah Nurdiansyah Nurdiansyah Nurhayati, Resti Nur’aeni, Aan Oktaviana, Mariska Palo, Daud Pamungkas, Sultan Muhammad Wahyu Pen, Inggried Angelica Valentina Wiliyams Permana, Septa Pratitis, Izzati Adha Priambodo, Ayu Prawesti Purnama, Anita Putri, Hani Amelia Rachmi, Fitria Rachmi, Fitria Rahman, Lutfi Raini Diah Susanti Ramadani, Regina Cahya Rausanfikra, Syiffa Salsabila Reis, Silvestre Dos Risnandar, Mochammad Wisnu Roulita, Roulita Rukmasari, Ema Ryan Hara Permana Sandra Pebrianti Santi Ariyanti Saparingga Dasti Putri Sari, Wulan Puspita Sesilia, Fitri Siti Ulfah Rifa’atul Fitri Sri Hartati Pratiwi Sri Hendrawati Sugiharto, Firman Sukmawati Sukmawati Sulistiani, Eka Suryani Suryani Tambunan, Natalia Theresia Eriyani Titin Sutini Trisyani , Yanny Verawaty, Rotua Rina Wijayanti, Nunik Wiliastuti, Ulfah Nasti Yanny Trisyani Yanti Hermayanti Yuliandani, Erin Yusanti, Irma Yusshy Kurnia Herliani, Yusshy Kurnia