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Hubungan Faktor Kecepatan Door-To-ECG terhadap Keterlambatan Waktu Terapi Fibrinolitik pada Pasien ST-Elevation Myocardial Infarction (STEMI) di RSUD Prof.R.D. Kandou Manado Johanis Kerangan; M. Rasjad Indra; Tony Suharsono
Journal of Ners and Midwifery Vol 2 No 3 (2015)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v2i3.ART.p212-215

Abstract

Reperfusion therapy is the main strategy in the treatment of patients with STEMI and when the reperfusion time faster, closely linked to the decrease rate of mortality. One of the deciding factors in intrahospital care system is the the speed of door-to-ECG are measured when the patient arrives at the emergency unit until being recorded ECG examination and the results can be interpreted by health personnel. This study aimed to analyze the correlation between the speed of door-to-ECG with the delay time of fibrinolytic therapy at the Emergency Department of Prof. R.D. Kandou general hospital in Manado.The method of this study was Prospective Cohort with analytic observational design. Sampling technique was consecutive sampling with 22 participant on June-July 2015 on emergency department of Prof. R.D. Kandou general hospital in Manado. Observation sheet was used as instrument. Bivariate analysis showed that there was a significant correlation between the speed of door-to-ECG with fibrinolitic therapy delay ( p value = 0.028) With rate of speed door-to-ECG is 28,59 minutes. The longer time door-to-ECG cause the longer fibrinolytic therapy that cause increasing mortality rate of STEMI patient.
Kebutuhan Lansia dalam Menghadapi Bencana: Studi Fenomenologi Lucky Albertus Palenewen; Sada, Fidy Randy; Sandehang, Cornelia Fransiska; Kerangan, Johanis
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7174

Abstract

Older adults are among the most vulnerable populations in disaster situations due to physical, psychological, social, and economic limitations that may exacerbate disaster impacts, including injury, psychological distress, and death. Disasters affect not only the physical safety of older adults but also their emotional and psychological well-being, highlighting the need for disaster management approaches that are sensitive and specialized. This study aimed to explore the needs of older adults in disaster situations. A qualitative study with a phenomenological approach was conducted. Data were collected through in-depth interviews with eight participants who were directly involved in the management and care of older adults during disasters. Data analysis was performed using Colaizzi’s method. The findings revealed four main themes: (1) the need for age-friendly evacuation facilities and infrastructure; (2) limitations in human resources during the evacuation process; (3) the need for health and psychosocial support services, particularly for older adults with cognitive impairments; and (4) the need for institutional and policy support. These findings indicate that the needs of older adults in disaster contexts are multidimensional and interrelated. Therefore, inclusive and integrated disaster management strategies that are oriented toward the specific needs of older adults are essential to enhance their safety, preparedness, and overall well-being during disaster situations.