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All Journal Jendela Nursing Journal (JNJ) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Owner : Riset dan Jurnal Akuntansi Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Literasiologi Jurnal Keperawatan Raflesia COMMENT: Journal of Community Empowerment JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mother and Child Health Concerns Jurnal Akademik Pengabdian Masyarakat Journal Healthcare Education Strength : Jurnal Penelitian Teknik Mesin The International Journal of Studies in Social Sciences and Humanities (IJOSSH)
Ardiansyah, Diki
Universitas Jenderal Achmad Yani
Arts Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Analysis of Factors Influencing the Performance of Tax Center Volunteers: A Case Study at Jember State Polytechnic Wijayanti, Rahma Rina; Ardhiarisca, Oryza; Sutantio, R. Alamsyah; Harkat, Avisenna; Ghozali, Nur Azizah Wandinia; Ardiansyah, Diki; Pratiwi, Arti Febriani
International Journal of Studies in Social Sciences and Humanities (IJOSSH) Vol. 2 No. 1 (2025): July
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijossh.v2i1.5569

Abstract

Performance is the output of activities carried out by tax volunteers. In this case, tax volunteers are tasked with filling out annual tax returns for taxpayers. These activities have an impact on increasing state revenues. This study is to determine the factors that need to be improved in the performance of tax volunteers. This research method is quantitative research and regression analysis. The research results show that the self-assessment system, motivation, and work discipline variables significantly influenced the performance of tax volunteers. Meanwhile, the variables of training materials and training methods do not significantly influence the performance of tax volunteers. These findings can be applied to analyze the factors that affect the performance of Tax Center volunteers at Jember State Polytechnic. Their significance factors contribute to achieving a sustainable program at Tax Center Jember State Polytechnic.
Implementasi modifikasi emergency severity index (ESI) terhadap outcome tatalaksana pasien dengan hipertensi emergensi Ardiansyah, Diki; Badrujamaludin, Asep; Fadhilah, Najwa Hilmia; Ardianto, M. Dwi
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 5 (2025): October Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i5.1602

Abstract

Background: Hypertensive crises account for 27.5% of all emergency cases, with 1-2 cases per 100,000 patients considered a hypertensive emergency. Blood pressure >180/120 mmHg requires a gradual reduction of >10-15% within the first hour, reaching 160/100 mmHg within 2-6 hours to prevent breathless hyperfusion in target organs. Therefore, a rapid response time is required to prevent target organ damage. Implementing the modified Emergency Severity Index (ESI) accelerates the response time through assessment and categorization of emergency room patients. Purpose: To understand the impact of the implementation of the modified Emergency Severity Index (ESI) on the outcomes of nursing care for hypertensive emergency patients. Method: This case report study included patients with blood pressure >180/120 mmHg and evidence of target organ damage. The ESI Emergency Department triage assessment form from Cibabat Regional Hospital was used as a research instrument to assess the implementation of ESI on the outcomes of hypertensive emergency patient management. Nursing care began upon patient arrival in the Emergency Department and lasted for 6 hours. Results: Conclusion: Accurate response time supports the success of nursing care for hypertensive emergency patients. Understanding the ESI triage process, and teamwork are essential to achieving the stated objectives.   Keywords: Nursing Care; Emergency Severity Index (ESI); Hypertensive Emergency; Implementation; Response Time.   Pendahuluan: Krisis hipertensi mengambil 27.5% keseluruhan kasus emergensi 1-2 kasus per 100.000 pasien. Kondisi tekanan darah >180/120 mmHg memerlukan penurunan tekanan darah bertahap >10-15% dalam 1 jam pertama dan 160/100 mmHg dalam 2-6 jam untuk mencegah breakthrough hyperfusion pada organ target. Sehingga diperlukan response time yang cepat untuk mencegah kerusakan organ. Target implementasi modifikasi Emergency Severity Index (ESI) memberikan percepatan response time melalui pengkajian kondisi dan pengkategorian pasien IGD. Tujuan: Untuk memahami gambaran implementasi modifikasi Emergency Severity Index (ESI) terhadap outcome tatalaksana asuhan keperawatan pasien hipertensi emergensi. Metode: Penelitian case report atau studi kasus dengan kriteria inklusi pasien tekanan >180/120 mmHg disertai dengan adanya bukti kerusakan organ target. Form asesmen triase UGD ESI RSUD Cibabat digunakan sebagai instrumen penelitian. Hasil: Asuhan keperawatan yang diberikan memperoleh hasil bahwa kesadaran meningkat delirium GCS 10 (E3 V2 M5), tekanan darah membaik 152/107 mmHg, pola nafas regular, RR 24x/menit, penggunaan otot bantu nafas menurun, dan kedalaman nafas membaik. Masalah ketidakseimbangan kadar glukosa darah tidak teratasi dikarenakan pasien tidak melakukan implementasi dan dirujuk ke rumah sakit lain untuk menerima perawatan intensif. Simpulan: Adanya ketepatan respon time yang menunjang keberhasilan asuhan keperawatan pasien hipertensi emergensi dalam proses pemahaman proses triase ESI dan kerjasama tim.   Kata Kunci: Asuhan Keperawatan; Emergency Severity Index (ESI); Hipertensi Emergensi; Implementasi; Response Time.
Efikasi diri dan Implementasi Early Warning Scoring System (EWSS) pada Pasien Henti Jantung oleh Perawat Ruang Rawat Inap Ardiansyah, Diki; Aeni, Linda Nur; Kurnia, Theresia Avila; Jauhar, Muhamad
JURNAL KEPERAWATAN RAFLESIA Vol. 6 No. 1 (2024): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengku
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jkr.v6i1.940

Abstract

The incidence of cardiac arrest patients in the world is increasing. Early detection is an important factor in the management of cardiac arrest patients and the parameters used to monitor the patient's condition intensively are called EWSS (Early Warning Scoring System). Success in carrying out these EWSS parameters can be influenced by the role of nurses and nurses' beliefs or self-efficacy. This study analyses the relationship between nurses' self-efficacy in implementing the EWSS in the Cibabat Hospital Inpatient Room. This study used a cross-sectional study with purposive sampling of all nurses in the inpatient room as many as 100 people. The data collection instruments used were self-efficacy questionnaires and observations of completing the EWSS sheet. As many as 51% of respondents have high self-efficacy, and 64% of respondents implement EWSS completely. Based on the chi-square statistical test obtained (? value = 0.001 < = 0.05) it shows that there is a relationship between nurses' self-efficacy in the implementation of EWSS in the Inpatient Room of Cibabat Hospital. There is a relationship between nurses' self-efficacy in implementing EWSS. Researchers recommend the hospital policy to provide training to nurses regarding the implementation of EWSS and update the EWSS parameters into 7 EWSS indicators according to the applicable national theory.
ANALISIS FEA PADA TUBE BOILER UNTUK MINYAK DAN GAS Syaiful Arif; Adin; Alfian Adi Saputra; Diki Ardiansyah; Gilang Maulana
Strength : Jurnal Penelitian Teknik Mesin Vol. 1 No. 2 (2024): Agustus 2024
Publisher : Universitas Pamulang Serang

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

Abstract

Analisa Tube Untuk Penggunaan Minyak Dan Gas Terdapat Boiler Type AL-LSB-6000, didapatkan Suatu Kasus Yaitu Besarnya Tegangan Yang Terjadi Pada Tube Boiler Dikarenakan Material Yang Dipakai Mempunyai Spesifikasi Nilai Tegangan Yang Tinggi. Metode Yang Digunakan Pada Perencanaan Ini Diawali Dengan Observasi Lapangan Migas Cepu, Melakukan Proses Perencanaan Perhitungan Kekuatan Material Sebelumnya Sesuai ASME. Analisa perencanaan berupa perbandingan perhitungan manual maupun perhitungan simulasi pada software material SA 192 dengan material SA 53. Hasil yang didapat berupa rancangan hitung, desain tube boiler, analisa perhitungan pada SA 192 nilai tegangan 11,67 Mpa, pada simulasi software nilai tegangan 11,63 Mpa, sedangkan pada SA 53 nilai tegangan 9,09 Mpa, pada CAE nilai tegangan 9,14 Mpa. Material SA192 memiliki nilai tegangan lebih besar dibanding SA 53 Kata Kunci : Tube Boiler, Tegangan, Numerik, FEA
Analisis Kepuasan Pengguna Layanan Tax Center Politeknik Negeri Jember Sutantio, R. Alamsyah; Ardhiarisca, Oryza; Wijayanti, Rahma Rina; Harkat, Avisenna; Ghozali, Nur Azizah Wandinia; Ardiansyah, Diki; Pratiwi, Arti Febriani
Owner : Riset dan Jurnal Akuntansi Vol. 8 No. 4 (2024): Artikel Research Oktober 2024
Publisher : Politeknik Ganesha Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33395/owner.v8i4.2501

Abstract

This research activity aims to conduct an analysis of service user satisfaction for Jember State Polytechnic Tax Center service users. It is hoped that the results of this research can provide suggestions for improving Tax Center services in the future. Respondents in this research were users of the Jember State Polytechnic Tax Center service. The number of respondents was determined using the Slovin equation so that the respondents in this study were 56 respondents. This research data was obtained by distributing questionnaires. The data obtained was analyzed for data quality through testing the validity and reliability of the data. Next, it will be analyzed further using Importance Performance Analysis (IPA) and Customer Satisfaction Index (CSI). The research provides results showing that the level of satisfaction with using Tax Center services is within satisfaction with an index of 80.42%. To be able to improve services, several priority improvements are needed, namely attributes in Quadrant I. These attributes include access to position information about service procedures, technology systems, information containing all service procedures as well as instructions for filling out service documents, accessibility of Tax Center locations, schedules. definite service, as well as the discipline of tax volunteers in providing services
Pelatihan Tanda Tanda Vital (TTV), Bantuan Hidup Dasar (BHD) Awam dan Pencatatan Pengkajian Berbasis Digital untuk Peningkatan Pengetahuan dan Skill Kader Kesehatan Badrujamaludin, Asep; Jatnika, Galih; Ardiansyah, Diki; Hastuti, Dwi; Yulita, Rita Fitri; Ropei, Oop; Kumala, Tria Firza
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.16446

Abstract

ABSTRAK  Kader kesehatan merupakan hal penting dalam peningkatan derajat Kesehatan di desa. Desa wangunjaya merupakan desa yang berada di garut Selatan yang telah memiliki 12 posyandu. Hanya ada 1 posko Kesehatan di desa yang masih belum optimal dalam penggunaannya. Para kader Kesehatan desa belum pernah di lakukan pelatihan terkait pengukuran tanda tanda vital dan BHD pada awam. Pemberian pelatihan kepada kader Kesehatan desa cara pengukuran tanda tanda vital, Bantuan hidup dasar dan juga infut data hasil pengkajian secara online melalui Gform. Setelah di lakukan pre test dan post test terkait aspek pengetahuan terkait TTV dan BHD di dapat rata rata pre test 47 dan rata rata post test 87. Selain itu hasil pelatihan dan pendampingan langsung terkait Observasi pelatihan TTV dan BHD dari 5 meningkat tajam ke 85. Hasil dari pengabdian masyarakat terkait dengan pelatihan dan workshop Pengukuran TTV, BHD dan infut data Kesehatan Masyarakat secara online menggunakan Gform efektif dalam peningkatan pengetahuan dan skill kader Kesehatan di Desa Wangunjaya Bungbulang. Di harapakan peran serta dari Stakeholders di Desa terutama Bidan desa dan pengurus Desa untuk melanjutkan kegiatan TTV, BHD dan infut data dengan monitoring dan evaluasi pada kegiatan kader Kesehatan desa. Selain itu perlunya di sediakan alat alat TTV untuk setiap Posyandu yang di Desa Wangunjaya. Kata Kunci: TTV, BHD, Pengkajian, Digital  ABSTRACT  Health cadres are important in improving the level of health in the village. Wangunjaya Village is a village in South Garut which has 12 posyandu. There is only 1 health post in the village whose use is still not optimal. Village Health cadres have never received training related to measuring vital signs and BHD among laypeople. providing training to village Health cadres on how to measure vital signs, basic life support and also inputting assessment results data online via Gform. After After conducting a pre-test and post-test related to knowledge aspects related to TTV and BHD, the average pre-test was 47 and the average post-test was 87. Apart from that, the results of direct training and mentoring related to TTV and BHD training observations increased sharply from 5 to 85. The results of community service related to training and workshops on measuring TTV, BHD and online input of Public Health data using Gform were effective in increasing the knowledge and skills of Health cadres in Wangunjaya Bungbulang Village. It is hoped that the participation of stakeholders in the village, especially the village midwife and village administrators, will continue TTV, BHD and data input activities by monitoring and evaluating the activities of village health cadres. Apart from that, it is necessary to provide TTV equipment for each Posyandu in Wangunjaya Village. Keywords: TTV, BHD, Study, Digital
Pelatihan Pendampingan Code Blue Team Desa pada Kader Kesehatan dan Pembuatan Web Kesehatan Berbasis Digital Kesehatan di Desa Wangunjaya, Bungbulang- Garut Badrujamaludin, Asep; Hadiana, Asep Id; Jatnika, Galih; Ardiansyah, Diki; Alawiah, Siti Nurbayanti; Yulita, Rita Fitri
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22796

Abstract

ABSTRAK  Kader kesehatan merupakan bagian penting dalam peningkatan derajat Kesehatan di desa, dan juga dalam rujukan diperlukan tim yang bisa dalam evakuasi dan keterampilan dalam merujuk pasien ke Puskesmas. Desa wangunjaya merupakan desa yang berada di garut Selatan dan  belum memiliki tim code blue Desa yang fokus ke rujukan pasien dan belum ada format rujukan digital. Para kader kesehatan belum memiliki pengetahuan atau keterampilan dalam Bantuan Hidup Dasar, Evakuasi dan sistem rujukan. pemberian pelatihan kepada kader Kesehatan dengan cara pengukuran tanda tanda vital (TTV), Bantuan hidup dasar (BHD), evakuasi Tandu dan juga sistem rujukan secara digital kesehatan dalam web desa. Setelah di lakukan pre test dan post test terkait aspek pengetahuan terkait TTV, BHD dan Evakuasi di dapat rata rata pre test 40 dan rata rata post test 80. Selain itu hasil pelatihan dan pendampingan langsung terkait Observasi pelatihan BHD meningkat tajam dari 30 ke 80, Evakuasi  tandu pasien menigkat dari 0 ke 80. Hasil dari pengabdian masyarakat terkait dengan pelatihan, workshop dan pendampingan Pengukuran TTV, BHD, evakuasi pasien tandu dan infut data Kesehatan rujukan digital efektif dalam peningkatan pengetahuan dan skill kader Kesehatan dan sistem rujukan digital di Desa Wangunjaya Bungbulang. Di harapakan peran serta dari Stakeholders di Desa terutama Bidan desa dan pengurus Desa untuk melanjutkan kegiatan team code blue kesehatan desa dalam pengkajian pasien, evakuasi dan rujukan dengan monitoring dan evaluasi pada kegiatan ini. Selain itu alat alat TTV dan alat evakuasi, dan juga web desa, rujukan kesehatan digital dimanfaatkan dan juga di tambahkan sehingga bermanfaat secara berkesinambungan. Kata Kunci: BHD, Code Blue, Evakuasi, Kader Kesehatan, Rujukan Digital, TTV  ABSTRACT Health cadres are an important part of improving the level of health in the village, and in referrals, a team is needed that can be in evacuation and skills in referring patients to the Puskesmas. Wangunjaya village is a village located in South Garut and does not yet have a village code blue team that focuses on patient referrals and there is no digital referral format. The health cadres do not yet have the knowledge or skills in Basic Life Support, Evacuation and the referral system. Providing training to health cadres by measuring vital signs (TTV), Basic Life Support (BLS), stretcher evacuation and also a digital health referral system in the village website. After the pre-test and post-test related to the aspects of knowledge related to TTV, BLS and Evacuation, the average pre-test was 40 and the average post-test was 80. In addition, the results of direct training and mentoring related to BLS training observations increased sharply from 30 to 80, patient stretcher evacuation increased from 0 to 80. the results of community service related to training, workshops and mentoring of TTV Measurement, BLS, patient stretcher evacuation and digital health referral data input are effective in increasing the knowledge and skills of health cadres and the digital referral system in Wangunjaya Village, Bungbulang. It is hoped that the participation of Stakeholders in the Village, especially the village midwife and village officials, will continue the activities of the village health code blue team in patient assessment, evacuation and referral with monitoring and evaluation of these activities. In addition, TTV tools and evacuation tools, as well as village websites, digital health referrals are utilized and also added so that they are useful on an ongoing basis. Keywords: BLS, Code Blue, Digital Referral, Evacuation, Health Cadres
Pengaruh kombinasi posisi tripod dan latihan pernapasan diafragma terhadap status pernapasan pada pasien asma bronkial akut di unit gawat darurat Diki Ardiansyah; Fadilah Anggelia Shafira; Yuswandi Yuswandi; Asep Badrujamaludin; Rita Fitri Yulita; Siti Nurbayanti Awaliyah
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 3 (2026): March Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i3.2449

Abstract

Background: Bronchial asthma is a chronic inflammatory airway disease characterized by bronchial narrowing and hyperresponsiveness, leading to episodic dyspnea, wheezing, chest tightness, and coughing. In addition to pharmacological therapy, non-pharmacological interventions such as the Tripod Position and Diaphragmatic Breathing Exercise may improve respiratory status in acute exacerbations. Purpose: To evaluate the effect of combining Tripod Position and Diaphragmatic Breathing Exercise on respiratory status in a patient with acute bronchial asthma. Method: A descriptive case study using a nursing approach was conducted. Data collection included interviews, observation, physical examination, literature review, and documentation analysis. Results: The patient presented with dyspnea, respiratory rate of 28 breaths/min, SpO₂ 88%, tachypnea, nasal flaring, and wheezing. The primary nursing diagnosis was ineffective airway clearance. After 15 minutes of combined Tripod Position and Diaphragmatic Breathing Exercise, respiratory rate decreased to 26 breaths/min, SpO₂ improved to 92%, and dyspnea severity reduced to a score of 3. Conclusion: The combination of Tripod Position and Diaphragmatic Breathing Exercise improved respiratory parameters in acute bronchial asthma. This non-pharmacological intervention may serve as an adjunct to pharmacological therapy in nursing practice. Keywords: Acute Bronchial Asthma; Diaphragmatic Breathing Exercis; Respiratory status; Tripod position. Pendahuluan: Asma bronkial merupakan penyakit inflamasi kronis pada saluran napas yang ditandai dengan penyempitan dan hiperresponsivitas bronkus, sehingga menimbulkan gejala episodik berupa sesak napas, mengi, rasa berat di dada, dan batuk. Selain terapi farmakologis, intervensi non-farmakologis seperti Posisi Tripod dan Latihan Pernapasan Diafragma dapat membantu memperbaiki status respirasi pada kondisi eksaserbasi akut. Tujuan: Untuk Mengevaluasi efek kombinasi posisi tripod dan latihan pernapasan diafragma terhadap status respirasi pada pasien dengan asma bronkial akut. Metode: Penelitian menggunakan desain studi kasus deskriptif dengan pendekatan keperawatan. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, kajian literatur, dan studi dokumentasi. Hasil: Pasien dengan asma bronkial akut menunjukkan sesak napas, frekuensi napas 28 kali/menit, SpO₂ 88%, takipnea, napas cuping hidung, serta bunyi tambahan berupa mengi. Diagnosis keperawatan utama adalah bersihan jalan napas tidak efektif. Setelah intervensi kombinasi Posisi Tripod dan Latihan Pernapasan Diafragma selama 15 menit, frekuensi napas menurun menjadi 26 kali/menit, SpO₂ meningkat menjadi 92%, dan tingkat sesak napas menurun menjadi skor 3 (sedang). Simpulan: Kombinasi Posisi Tripod dan Latihan Pernapasan Diafragma terbukti memperbaiki parameter respirasi pada pasien dengan asma bronkial akut. Intervensi non-farmakologis ini dapat dijadikan terapi tambahan yang mendukung manajemen farmakologis dalam praktik keperawatan Kata Kunci: Asma Bronkial Akut; Diaphragmatic Breathing Exercise; Tripod Position Status pernafasan.      
Studi Kasus: Penerapan General Initial Management Terhadap Kriteria Hasil Masalah Nyeri Akut Pada Pasien Acute Coronary Syndrome di Instalasi Gawat Darurat RSUD Cibabat Kota Cimahi Diki Ardiansyah; Alya Fariida Yasmin; Andria Pragholapati
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16677

Abstract

ABSTRACT The incidence of ACS in the emergency room of Cibabat Hospital, Cimahi City in 2023 was quite high, reaching 1,056 people. The appropriat handling carried out by nurses in the emergency room is to apply general initial management (MONA) as a measure to help reduce pain and risk of death within the first 2 hours of an attack. The purpose of this study was to determine the description of the application of general initial management in nursing care for ACS patients in the Emergency Room of Cibabat Hospital, Cimahi City. This study used descriptive case report or case study methodology. The research subjects were patients with a diagnosis of ACS STEMI, patients with acute pain nursing problems, patients fully conscious with a compos mentis level of consciousness. The results of the assessment of left chest pain, pain did not decrease, pain like stabbing, pain radiating to the back and left arm, pain scale 6, pain lasted ≥20 minutes, echg picture of sinus bradycardia and ST segment elevation in leads II, III, and aVF, troponin I 40000 ng/L. General initial management was applied, positioning, nasal cannula oxygen 4L/min, aspirin (arixtra 2.5 cc 1x1 sc), and nitrates were not given because the patient did not meet the requirements, namely systolic ≤90 mmHg and pulse ≤60x/min, after being evaluated 1 hours the pain scale was reduced to 3. The author concludes that the application of general initial management (MONA) can reduce pain in ACS in the first 1 hours. Based on this study, it is recommended for nurses to improve the accuracy of the implementation of general initial management to reduce acute pain in ACS patients.. Keywords: General Initial Management, Acute Pain, Acute Coronary Syndrome, Nursing Care  ABSTRAK Angka kejadian ACS di IGD RSUD Cibabat Kota Cimahi pada tahun 2023 cukup tinggi yaitu mencapai 1.056 orang. Penanganan yang tepat dilakukan perawat di IGD dengan melakukan penerapan general initial management (MONA) sebagai tindakan untuk membantu mengurangi rasa sakit dan risiko kematian dalam 2 jam pertama serangan. Tujuan penelitian ini guna memahami gambaran penerapan general initial management dalam asuhan keperawatan pada pasien ACS di IGD RSUD Cibabat Kota Cimahi. Penelitian ini menggunakan metodologi deskriptif case report atau studi kasus. Subjek penelitian adalah pasien dengan diagnosa ACS STEMI, pasien dengan masalah keperawatan nyeri akut, pasien sadar penuh dengan tingkat kesadaran compos mentis. Hasil pengkajian nyeri dada sebelah kiri, nyeri tidak berkurang, nyeri seperti tertusuk-tusuk, nyeri menjalar ke punggung dan lengan kiri, skala nyeri 6, nyeri berlangsung ≥20 menit, gambaran EKG sinus bradikardia dan ST segmen elevasi pada lead II, III, dan aVF, troponin I 40000 ng/L. Dilakukan penerapan general initial management pemberian posisi, pemberian oksigen nasal kanul 4L/menit, aspirin (arixtra 2,5 cc 1x1 sc), dan nitrat tidak diberikan karena pasien tidak memenuhi syarat yaitu sistolik ≤90 mmHg dan nadi ≤60x/menit, setelah dievaluasi 1 jam skala nyeri berkurang menjadi 3. Penulis menarik kesimpulan penerapan general initial management (MONA) dapat menurunkan nyeri pada ACS di 1 jam pertama. Berdasarkan penelitian ini disarankan bagi perawat untuk meningkatkan ketepatan implementasi general initial management untuk mengurangi nyeri akut pada pasien ACS. Kata Kunci: General Initial Management, Nyeri Akut, Acute Coronary Syndrome, Asuhan Keperawatan
Case study of stress ball implementation to reduce pain in children with dhf during blood sampling Diki Ardiansyah; Asep Badrujamaludin; Rizki Endang Juliani; Dedi Supriadi
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.3302

Abstract

Background: Blood sampling is a common invasive procedure in children with suspected Dengue Hemorrhagic Fever (DHF). This procedure causes pain, non-pharmacological interventions to reduce pain with distraction techniques using stress balls. Purpose: This study aims to describe the effect of stress ball implementation in reducing pain in children aged 3-6 years who undergo blood sampling in the emergency room with a medical diagnosis of suspected DHF. Method: Descriptive method research in the form of a case study on one preschool child with a diagnosis of suspected DHF. Data were collected through interviews, observations, physical examinations, literature studies, and medical documentation. Results: The results of the assessment of breathing frequency 26x/min, SpO2 96%, BP 95/65 mmhg, pulse frequency 78x/min, CRT <2 seconds, complaining of pain on a scale of 5, grimacing, looking restless, with acute pain nursing problems. The results of the study showed that the use of stress balls during the blood sampling process at preschool age was able to reduce the level of pain from a moderate pain scale to mild pain through observation of children's verbal and non-verbal responses. Conclusion: Stress ball is proven to reduce pain during blood collection in preschool age. Suggestion: Therefore, this intervention can be applied more widely in health care facilities as part of standard paediatric nursing services.
Co-Authors Adin Adin Adinda Dwi Permatasari Aeni, Linda Nur Alawiah, Siti Nurbayanti Alfian Adi Saputra Alya Fariida Yasmin Ambarwati, Putri Andria Pragholapati Anggraeni, Diah Tika Ardianto, M. Dwi Asep Setiawan Badrujamaludin, Asep Balqis Fashila Dedi Supriadi Delima, Elga Devtian Putera Perdana Dwi Febriyanti Dwi Hastuti Dwi Hastuti Dwi Hastuti Dyna Apriany Fadhilah, Najwa Hilmia Fadilah Anggelia Shafira Fedi Ameraldo Galih Jatnika Ghozali, Nur Azizah Wandinia Gilang Maulana Hadiana, Asep Id Harkat, Avisenna Maryana, Dela Muhamad Jauhar Muhammad Idris Nur Azizah Wandinia Ghozali Oop Ropei Oryza Ardhiarisca Pratiwi, Arti Febriani Rahma Rina Wijayanti Ramadhani, Diah Rita Fitri Yulita Rizki Endang Juliani Rizki, Marsi Fella Sari, Tri Darma Rosmala Siti Annisa Siti Nurbayanti Awaliyah Sutantio, R. Alamsyah Syaiful Arif Theresia Avila Kurnia Tria Firza Kumala Triayani, Desi Wisdom Rudiyana Yulita, Rita Fitri Yuswandi Yuswandi Zahra, Lulu