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The Relationship Between The Implementation of Triage and The Incidence of Overcrowded in the Emergency Department of Adi Husada Kapasari Hospital, Surabaya, Indonesia Suroso, Heri; Apriliana, Bela; Fauziyah, Febrike Inggit; Hartanto, Mey Vina Wirianti; Paraswati, Mareta Deka
Critical Medical and Surgical Nursing Journal Vol. 12 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i1.48786

Abstract

Introduction: The emergency department (ED) is at the forefront of hospital healthcare and is expected to provide timely and effective care. The imbalance of the need for emergency care and the availability of hospitals to provide health services has an impact on the occurrence of overcrowded situations. This study aims to determine the relationship between the implementation of triage and the incidence of overcrowded in the ED of Adi Husada Kapasari Hospital. Methods: This study uses a correlation study design with a cross sectional approach. The population in the study were all nurses in the ED of Adi Husada Kapasari Hospital, Surabaya, Indonesia, and 14 nurses were involved as respondents through a total sampling technique. The independent variable is the implementation of triage, the dependent variable is the incidence of overcrowded. Data collection using a questionnaire sheet to measure the implementation of triage, and the NEDOCS scale (National Emergency Department Overcrowding Scale) to measure the incidence of overcrowded. Data was analyzed using Spearman rank correlation test with α = 0.05. Results: The results showed that more than half respondents (64.3%) practice triage in moderate level, and the overcrowded assessment showed all respondents (100%) in the level 1, which means it was in category not busy. Spearman rank correlation test showed that there was no relationship between the implementation of triage and the incidence of overcrowded in the ED of Adi Husada Kapasari Hospital (p-value 0.898 and r=0.038). Conclusion: For non-large-scale emergency departments like the ED of Adi Husada Kapasari Hospital, the implementation of triage is not significantly related to the overcrowded incidence, although some studies and theories state otherwise, that the accuracy of emergency room nurses in triaging can help reduce patients overcrowding and treat patients immediately. Further research could explore this gap through a larger sample or by involving or comparing more populations of various type of EDs.
EDUKASI PEMBERDAYAAN MASYARAKAT PEMENUHAH KEBUTUHAN CAIRAN DAN ELEKTROLIT GUNA MENCEGAH DEHIDRASI Suroso, Heri; Qomariah, Siti Nur; Bakar, Abu; Paraswati, Mareta Deka
Community Development in Health Journal Volume 3, Nomor 1, April 2025
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v3i1.610

Abstract

Introduction & Aim: Fluid balance in the body is one of the important aspects of the physiology of the human body related to homeostasis, if the human body does not have a fluid balance, it will experience dehydration, which will affect its health. Dehydration is a condition when there is an imbalance of fluids in the body, usually caused by fluid loss due to exposure to high temperatures for a long period of time. The purpose of this community service is to provide fulfilment of fluid and electrolyte needs to prevent dehydration. Method of Activity: Fluid balance in the body is one of the important aspects of the physiology of the human body related to homeostasis, if the human body does not have a fluid balance, it will experience dehydration so that there is a community service activity in the form of community empowerment. The activity begins with providing information to increase community understanding about fulfilling fluid and electrolyte needs to prevent dehydration. Indirect assistance, by utilising whatsapp group facilities. The level of success of community service is carried out by observing initial knowledge and preparedness and comparing knowledge and preparedness after community service activities. Data were analysed with the Wilcoxon Signed Rank Test.mpak on their health. Dehydration is a condition when there is an imbalance of fluids in the body, usually caused by fluid loss due to exposure to high temperatures for a long period of time. The purpose of this community service is to provide fulfilment of fluid and electrolyte needs to prevent dehydration. Results: The preparedness of community members before education with 15 participants was 20% (3 people) had a high level of preparedness, 53.3% (8 people) had a medium level of preparedness, and 26.7% (4 people) had a low level of preparedness. While preparedness after education as many as 80% (12 people) have a moderate level of preparedness and 20% (3 people) have a high level of preparedness. there are 6 people have an increase in preparedness after education and 9 people have the same level of preparedness so that there is an effect of education with changes in community preparedness (p = 0.027). Discussion: Community service highlights the importance of the role of health workers in improving patient preparedness through counselling and providing appropriate information.
Upaya Perubahan Perilaku Merokok Melalui Pemberian TEKO (Tabungan & Edukasi Rokok) pada Remaja Kurniawan, Afif; Suroso, Heri; Sari, Etika Purnama; Tjokro, Silvia Haniwijaya
Journal of Dedicators Community Vol 7, No 3 (2023)
Publisher : Universitas Islam Nahdlatul Ulama Jepara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34001/jdc.v7i3.3870

Abstract

Banyak efek samping Kesehatan kronis akibat perilaku merokok. Tembakau dapat membunuh 1 dari 2 penggunanya. Remaja usia 13-17 tahun di Indonesia, sudah mulai merokok. Pengabdian masyarakat bertujuan untuk menyadarkan remaja bahwa merokok merugikan Kesehatan mereka. Pengabdian masyarakat memberikan edukasi tentang cara menabung karena berhenti merokok. Pengabdian masyarakat dilakukan kepada remaja di Jl. Kalilom Lor Indah RT 10 RW 10. Pemilihan remaja karena daerah tersebut merupakan daerah menengah ke bawah dan banyak remaja yang sudah merokok. Pengabdian masyarakat dilakukan dengan memberikan penyuluhan dan berdiskusi dengan para remaja. Tingkat pengetahuan dan tindakan baik para remaja meningkat 23,12%. Sikap responden mengalami peningkatan sebesar 15,43%. Pengetahuan responden meningkat setelah pemberian penyuluhan terkait konsep penyuluhan terhadap upaya mengubah keyakinan Perilaku, keyakinan normatif, dan keyakinan kontrol. Pemberian pelatihan bermanfaat bagi para remaja yang berasal dari keluarga menengah ke bawah. Hal ini terbukti dari pemberian penyuluhan dan pemberian pengalaman perokok sebelumnya, tingkat pengetahuan dan sikap mereka terhadap rokok sudah mulai berubah. Penyuluhan ini tidak hanya bermanfaat bagi mereka yang sudah kecanduan merokok, tetapi juga bermanfaat bagi remaja yang tidak merokok. Remaja yang tidak merokok diharapkan dapat menjadi agen perubahan bagi orang-orang di sekitar mereka. Hal ini terbukti dari pemberian penyuluhan dan pemberian pengalaman perokok sebelumnya, tingkat pengetahuan dan sikap mereka terhadap rokok sudah mulai berubah. Penyuluhan ini tidak hanya bermanfaat bagi mereka yang sudah kecanduan merokok, tetapi juga bermanfaat bagi remaja yang tidak merokok. Remaja yang tidak merokok diharapkan dapat menjadi agen perubahan bagi orang-orang di sekitar mereka. Hal ini terbukti dari pemberian penyuluhan dan pemberian pengalaman perokok sebelumnya, tingkat pengetahuan dan sikap mereka terhadap rokok sudah mulai berubah. Penyuluhan ini tidak hanya bermanfaat bagi mereka yang sudah kecanduan merokok, tetapi juga bermanfaat bagi remaja yang tidak merokok. Remaja yang tidak merokok diharapkan dapat menjadi agen perubahan bagi orang-orang di sekitar mereka.
Relationship Between Rate of Smartphone Addiction and Incidence of Digital Eye Strain in Adolescents Meilyana, Berna Detha; B, Nofriadi; Setyawan, Arif; Suroso, Heri; S, Hanifuddin Dwi; Ekwantoro, Ekwantoro
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.624

Abstract

The impact of the COVID-19 pandemic has had a big impact on the world of education. Because of online learning, smartphones have a very important role in meeting these needs. Smartphones have a negative impact that can be felt by students when used in their continuous learning is Digital Eye Strain (DES) or often referred to as eye fatigue. This study aims to determine the relationship between the rate of smartphone addiction and the incidence of digital eye strain in adolescents aged 13 – 15 years at Yohanes Gabriel Pare Junior High School. This study used a cross-sectional design. The sample selection used purposive sampling with a total of 115 respondents. The research was conducted using DES questionnaires. The results of the Kendall's Tau test showed that the correlation test results were known to have a significance value, or Sig. (2-tailed), between the variable level of smartphone addiction and the incidence of DES was 0.001. While the correlation is significant at 0.05, the value is 0.001 < 0.05. There is a significant relationship between the level of smartphone addiction and the incidence of digital eye strain in adolescents aged 13-15 years at Yohanes Gabriel Pare Junior High School. Smartphone addiction can affect eye function. The duration and frequency of prolonged smartphone use can affect dry eyes, redness, and the onset of DES symptoms.
Asuhan Keperawatan Pada Pasien Diabetes Mellitus Dengan Masalah Keperawatan Defisit Pengetahuan Bahaya Hipoglikemia Suroso, Heri; Iswati, Iswati; Luthfia, Renza
PROSIDING KONFERENSI NASIONAL ILMU KESEHATAN STIKES ADI HUSADA 2023 Vol 2 No 1 (2024): Prosiding Konferensi Ilmu Kesehatan STIKES Adi Husada
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/prosiding.v2i1.596

Abstract

Latar Belakang: Masalah kesehatan yang dikenal dengan Diabetes Melitus termasuk dalam kelompok penyakit tidak menular, penyakit yang memiliki angka kematian tertinggi secara global. Diabetes melitus merupakan sekelompok penyakit metabolik yang ditandai dengan peningkatan kadar glukosa darah yang disebabkan oleh kekurangan kerja insulin, sekresi, atau keduanya. Tujuan penelitian ini untuk menjelaskan asuhan keperawatan medikal bedah pada pasien diabetes mellitus dengan masalah keperawatan defisit pengetahuan bahaya hipoglikemia. Metode. Metode deskriptif dengan menggambarkan kasus yang ditangani secara sistematis pendekatan proses keperawatan. Hasil: Evaluasi hasil asuhan keperawatan yang dilakukan selama 3 hari pada kedua pasien menunjukkan hasil sebagai berikut: memahami bahaya hipoglikemia, kadar glukosa menurun, tidak ada keluhan pusing, sensasi kesemutan membaik, kelelahan dan lemas berkurang, pola tidur membaik. Dari 4 kriteria luaran yang telah ditetapkan, semuanya dapat tercapai sehingga kedua pasien dapat memahami bahaya hipoglikemia sehingga masalah pasien dapat teratasi, namun tetap diperlukan upaya pengendalian kadar glukosa darah agar tetap dalam batas normal. Saran: Diharapkan kedua pasien menjaga pola makan, diet, pengobatan dan olahraga teratur serta pada kedua pasien harus dilakukan pemeriksaan GDP dan GDA sesekali. Diharapkan kepada keluarga untuk memperhatikan kesehatan pasien lansia, tetap memberikan dukungan finansial dan moral serta fasilitas agar patuh terhadap diet dan minum obat secara teratur.
COMPREHENSIVE CARE ACCEPTANCE COMMITMENT THERAPY (ACT) IN CLIENTS WITH TYPE 2 DIABETES MELLITUS TOWARD COMPLIANCE AND HELPLESSNESS Susila, Wahyu Dini Candra; Suroso, Heri; Fajriyah, Novita; Nurwahidah, Nurwahidah
SYNTHESIS Global Health Journal Volume 1, Issue 2, 2023
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.394 KB) | DOI: 10.61543/syn.v1i2.13

Abstract

Background. Diabetes Mellitus (DM) is a health problem with an increasing prevalence and a high risk of serious and often fatal complications. DM is included in the group of metabolic disorders characterized by hyperglycemia due to abnormalities in insulin secretion, insulin action, or both, one of which is a concern because it occurs due to dietary failure. Clients who have had diabetes for more than a year are almost entirely helpless. This study aim was to determine the benefits of acceptance and commitment therapy (hereinafter abbreviated as ACT) in resolving problems in clients with type 2 diabetes mellitus. Research Method. Case report on the implementation of ACT to reduce helplessness and increase dietary adherence. The subjects used were three clients with type 2 diabetes mellitus who experienced helplessness. In this case, implementation studies of three to four weeks with comprehensive care. Findings. The results of the study show that giving acceptance commitment therapy (ACT) can reduce helplessness and improve dietary compliance. Conclusion. ACT is recommended to improve dietary compliance and reduce the helplessness of DM clients.
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND SELF-CARE MANAGEMENT IN ELDERLY PATIENTS WITH HYPERTENSION AT THE ELDERLY Wilda, Lexy Oktora; Ekwantoro, Ekwantoro; Suroso, Heri; Falentinno , Virgo; Paraswati, Mareta Deka
SYNTHESIS Global Health Journal Volume 1, Issue 2, 2023
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v1i2.32

Abstract

Background. One of the main strategies that can be done to improve self-care management is in terms of the patient himself increasing self-efficacy. Through self-confidence and self-motivation in their ability to implement healthy behaviors to control hypertension. This study aims to determine the relationship between Self-Efficacy and Self-Care Management in Elderly People with Hypertension at the Mangundikaran Nganjuk Elderly Posyandu. Research Method. The research design uses a correlational study with a cross-sectional approach. The population of elderly people with hypertension was 51 people, the sampling technique was total sampling. The sample of this study was 51 respondents. The independent variable is Self-Efficacy measured using the GSE questionnaire, the dependent variable is Self-Care Management using the self-care management questionnaire. Statistical tests using Spearman rank. Findings. The results of the study from 51 respondents, most of the respondents 35 (68.6%) had low Self-Efficacy. Almost half of the respondents 21 (41.2%) had good Self-Care Management. The results of the Spearman rank correlation test show p value = 0.001 (a< 0.05) H0 is rejected then, there is a relationship between Self-efficacy with Self-care management. The value of r = 0.624 which means that the direction of the relationship of this study shows a positive direction, the higher the self-efficacy the higher the self-care management. Conclusion. One of the main strategies that can be done to improve self-care management is in terms of the patient himself increasing self-efficacy. Through self-confidence and self-motivation in their ability to implement healthy behaviours to control hypertension.
THE USE OF GADGETS WITH THE PSYCHOSOCIAL DEVELOPMENT OF PRESCHOOL-AGE CHILDREN Utami, Rahayu Budi; Ula, Silvia Nadiyatul; Suroso, Heri; Ekwantoro, Ekwantoro; Paraswati, Mareta Deka
SYNTHESIS Global Health Journal Volume 1, Issue 2, 2023
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v1i2.43

Abstract

Background. Preschool-age children experience several developments, one of which is psychosocial development. Uncontrolled use of gadgets as a distraction so that children are not fussy or lonely will cause children not to learn to communicate and socialize naturally with the environment. This study aims to determine the relationship between gadget use and psychosocial development of preschool children in TK Pertiwi 1 Sambirejo, Tanjunganom District, Nganjuk Regency. Research Method. This study used an analytical survey design with a cross sectional study approach. The population are all mothers and children of preschool children was 48 mothers and children. Used Purposive Sampling technique. A sample of 46 respondents according to the inclusion and exclusion criteria. The independent variable was the use of gadget and the dependent variable was psychosocial development. Data collection used questionnaires, observations and interviews. Statistical test using Coefficient Contingency with a significant level of a < 0.05. Findings. From 46 respondents, most had a moderate category of gadget use as many as 24 respondents (52.2%) and most showed psychosocial development of guilt as many as 25 respondents (54.3%). The results of the statistical test obtained p value 0.002 < 0.05 with r = 0.469 which shows the closeness of the relationship so that Ha was accepted which means there was a relationship between the use of gadgets and psychosocial development of preschool children. Conclusion. The use of gadgets can affect the psychosocial development of preschool children. Good stimulation, optimal use of gadgets so that children's psychosocial development develops well.
Dampak Edukasi PHBS terhadap Pencegahan ISPA pada Balita di Komunitas Pertanian Paraswati, Mareta Deka; Kusuma, Erik; Kurnianto, Syaifuddin; Widianto, Eko Prasetya; Wibowo, Suhendra Agung; Suroso, Heri
Journal of Health Management Research Vol 4 No 2 (2025): Journal of Health Management Research
Publisher : Bagian Penelitian & Pengabdian Masyarakat STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/jhmr.v4i2.637

Abstract

Background: Acute Respiratory Infection (ARI) remains a leading cause of morbidity among children under five, particularly in agrarian areas characterized by exposure to kitchen smoke, limited ventilation, and agricultural activities that potentially increase ARI risk. Community health cadres for under-five children, as the front line of community empowerment, often have limited knowledge regarding the relationship between household environment and ARI prevention. Aims: To assess the effect of Clean and Healthy Living Behavior (CHLB/PHBS) education on changes in the knowledge of child health cadres in preventing ARI among under-five children in agrarian areas. Methods: A pre-experimental study with a one-group pretest-posttest design was conducted to evaluate the impact of a 90-minute CHLB education session. The intervention combined interactive lectures, discussions, and visual media. Knowledge was measured using a validated 15-item questionnaire. Data were analyzed using the Wilcoxon Signed-Rank Test. Results: The mean knowledge score significantly increased from 6.20 ± 0.97 (pretest) to 12.97 ± 1.03 (posttest). Statistical analysis showed p = 0.000, indicating a significant difference. Before the intervention, 83.3% of cadres were in the low-knowledge category, whereas after the education, 90% achieved the high-knowledge category. Conclusion: CHLB education significantly improved the knowledge of child health cadres in preventing ARI among under-five children in agrarian areas. This approach proved to be effective and contextually relevant, with potential to serve as a model for cadre empowerment in ARI prevention.
EDUCATION FOR NURSES WORKING IN PRE-HOSPITAL EMERGENCY CARE Suroso, Heri; Fajriyah, Novita; Susila, Wahyu Dini Candra; Qomariah, Siti Nur
SYNTHESIS Global Health Journal Volume 1, Issue 1, 2023
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.112 KB) | DOI: 10.61543/syn.v1i1.9

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Background. Pre-hospital emergency care is the most important part of ambulance services that provide emergency health services in providing an assessment of the patient's condition and providing intervention measures quickly and appropriately to prevent delays in handling patients before arriving at the hospital. A systematic review aims to find out the education for nurses working in ambulances (pre-hospital). Research Method. Systematic review goes through several stages, namely making questions, identification, eligibility, selection of article inclusion, screening, and assessment/appraisal. The Selection Process is listed in the thematic review framework and the results of 9 articles are obtained. Articles are then summarized and assessed JBI on each of the articles Findings. The data showed varying results adapted to the system and the conditions from which the study was conducted. To improve the knowledge, skills, and experience of nurses, nurses who work in ambulances (pre-hospital), are carried out to provide education with 3 methods, such as providing questionnaires, simulations and relationships between nurses and patients through 4-phase identification. Conclusion. An effort to improve the knowledge, skills, and experience of nurses working in the ministry is to apply several special education and training methods for ambulance nurses such as providing questionnaires, simulations and and relationships between nurses and patients through four phases, namely orientation, identification, exploitation and resolution.