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Journal : Journal Of Nursing Practice

Physical Status Relationship American Society of Anesthesia (ASA) with Time to Achieve Bromage Score 2 in Spinal Anesthesia Patients in the IBS Recovery Room of Dr Iskak Tulungagung Hospital Novita Ana Anggraini; Annisa Ary Saifutri; Nurma Afiani; Rahmania Ambarika
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.871

Abstract

Background: The American Society of Anesthesiologists (ASA) Physical Status classification is used to assess a patient’s overall health and predict potential complications related to spinal anesthesia. The Bromage score is commonly used to evaluate motor block recovery following spinal anesthesia, with the achievement of Bromage score 2 indicating partial motor function return. Purpose: This study aimed to analyze the relationship between ASA physical status and the time required to achieve Bromage score 2 in patients undergoing spinal anesthesia in the recovery room of Dr. Iskak Tulungagung Hospital. Methods: This research employed a cross-sectional design. The study population included all spinal anesthesia patients in the hospital’s recovery room, totaling 250 individuals. A sample of 38 respondents was selected using simple random sampling. Data were collected using observation sheets and analyzed with the Spearman Rho test at a 95% confidence level (α = 0.05). Results: The results showed that the majority of respondents (57.9%) had an ASA status of 2, and most (60.5%) achieved Bromage score 2 within 120–149 minutes. Statistical analysis revealed a p-value of 0.017 (<0.05), indicating a significant relationship between ASA physical status and time to achieve Bromage score 2. Conclusion: Higher ASA classifications are associated with more severe systemic conditions, which may slow the body's response to anesthetic drugs, resulting in a longer time to reach motor recovery.
The Analysis of factors influencing community's role in efforts to prevent DHF in Tinalan Village Kediri city: Analysis of factors influencing community's role in efforts to prevent DHF in Tinalan Village Kediri city Indasah; Maria Nubatonis; Rahmania Ambarika
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.408

Abstract

Latar Belakang : Minimnya partisipasi masyarakat dalam upaya pencegahan penyakit DBD dikarenakan kurangnya dukungan dari petugas kesehatan, tokoh masyarakat dan motivasi masyarakat dalam memutus mata rantai penularan DBD. masyarakat dalam upaya pencegahan penyakit DBD di Kelurahan Tinalan Kota Kediri. Metode : Desain penelitian observasional analitik dengan pendekatan cross sectional. Responden diambil dengan teknik purposive sampling yang memenuhi kriteria inklusi dan eksklusi. Jumlah populasi 2.164 dengan sampel 120 orang. Variabel bebasnya adalah dukungan petugas kesehatan, dukungan tokoh masyarakat, motivasi masyarakat dan variabel terikatnya adalah peran masyarakat dalam upaya pencegahan DBD. Hasil uji statistik menggunakan regresi ordinal. Hasil : Hasil penelitian menunjukkan bahwa dukungan tenaga kesehatan diketahui sebanyak 99 (82%) dalam kategori baik. Dukungan dari tokoh masyarakat diketahui sebanyak 90 (75%) dalam kategori baik. Motivasi masyarakat diketahui sebanyak 85 (71%) dalam kategori tinggi. Peran masyarakat dalam upaya pencegahan DBD diketahui sebanyak 92 (77%) dalam kategori baik. Analisis : Hasil analisis data menunjukkan bahwa variabel dukungan tenaga kesehatan memiliki tingkat signifikansi 0,000 < ? = 0,05 sehingga H0 ditolak dan H1 diterima, variabel dukungan tokoh masyarakat memiliki tingkat signifikansi 0,000 < ? = 0,05 sehingga H0 ditolak dan H1 diterima, variabel motivasi masyarakat memiliki tingkat signifikansi 0,000 < ? = 0,05 sehingga H0 ditolak dan H1 diterima. Kesimpulan : Berdasarkan hasil penelitian disimpulkan bahwa faktor dukungan petugas kesehatan, dukungan tokoh masyarakat, motivasi masyarakat berpengaruh terhadap peran masyarakat dalam upaya pencegahan DBD. Disarankan agar masyarakat selalu menjaga kebersihan di dalam dan di luar rumah serta melakukan gerakan 3M sebagai upaya pencegahan penyakit demam berdarah.
Risk Factors of Stroke in Indonesian Population: Literature Review Rahmania Ambarika; Mohammad Saifulaman; Apriyani Puji Hastuti; Anggraini, Novita Ana
Journal Of Nursing Practice Vol. 7 No. 1 (2023): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i1.439

Abstract

Background: Stroke is a major cause of death and disability in Indonesia. Stroke requires high-quality, fast, and precise management to prevent and avoid disability and death. Stroke can be prevented by adequately controlling the risk factors and encouraging healthy lifestyles. Efforts are needed to organize health promotion programs at the community level. More and a better distribution of neurologists and neuro interventionalists is needed. Purpose: The purpose of this research is to review risk factors of stroke patient. Methods:  We included English materials published between Science Direct, PubMed, Research Gate, and Google Scholar that were used to find studies related to stroke dan risk- factor between 2016- 2022. Results: In general, risk factor of stroke are sosiodemographic factor, biological factor, lifestyle factor, other condition and other factor can cause stroke. Stroke divide into stroke infark and stroke hemoragic. Risk factor of stroke infark are non- modifiable factor (age, sex, ethnicity, genetic) and modifiable risk factors (hypertension, current smoking, waist to hip ratio, diet, alcohol consumption). Risk factor of stroke hemoragic are non- modifiable factor (age, sex, ethnicity, genetic) and modifiable risk factors (hypertension, current smoking, waist to hip ratio, diet, alcohol consumption, physical inactivity, hyperlipidemia, diabetes, cardiac causes, apolipoprotein B to A1). Conclusion: Review of discharge planning can be influenced by several factors: individual characteristics (clients' potential with special needs early, motivation), family factors (social resources, home environment), health care system (teaching home care skills with community/ hospital professionals. These factors will affect the implementation of discharge planning in health services which is hospital accreditation.
Smart Health Village in Improving Disaster Preparedness Ardhiles Wahyu Kurniawan; Ratna Roesardhyati; Apriyani Puji Hastuti; Risky Siwi Pradini; Ambarika, Rahmania
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.491

Abstract

Background: Disaster-prone areas are areas that have the potential for natural disasters such as earthquakes, mountain eruptions, landslides caused by activity or movement from the base of the earth. Understanding the potential for natural disasters in each region as one of the anticipatory steps to minimize the number of victims of natural disasters. Precise and accurate information is needed for disaster management. The slope of the area is quite steep, and road access to villages and tourist attractions is vulnerable to landslides. The current disaster incident information reporting system still applies the conventional model. The community also experiences difficulties in receiving information and submitting reports regarding village conditions. Purpose: This research aims to analyze the effectiveness of smart health villages in improving disaster preparedness. Method: The research design used a pre-experiment with a pre-test and post-test design approach with a sample size of 64 volunteers who were taken using purposive sampling. The independent variable in this study is Smart Health Village and the dependent variable is the voluntary task force's ability to preparedness disaster. The research instrument used a questionnaire for each variable. Data analysis in this study is the Wilcoxon Signed Rank Test. The implementation of this activity consists of the design stage, application creation, system design, socialization and training, and trial. Results: The research results showed that the voluntary task force's preparedness was in a good category as much as 88% and as enough as 12% with p value = 0.000. This application system smart health village based on the web allows both the community (users), admin (task force), and verifiers (village officials) to access anywhere and at any time, thus increasing the capability and quality of human resources in disaster preparedness and disaster-prone areas. Conclusion: Based on the results it can be concluded that smart health village can improve ability in preparedness of disaster in disaster- prone areas thus reducing impact of anxiety and and panic due to disaster.
Analysis of Nurses Knowledge and Motivation for the Implementation of Cardiopulmonary Resuscitation at Kaimana Hospital Rahmania Ambarika; Nency Natalia Tho; Novita Ana Anggraini
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.606

Abstract

Background: In carrying out cardiopulmonary resuscitation actions, compression accuracy and compression speed are required to be correct and appropriate in order to create a quality cardiopulmonary resuscitation series. Therefore, nurses' knowledge and motivation are needed in carrying out cardiopulmonary resuscitation. Purpose: This research aims to determine the relationship between knowledge, motivation and accuracy in carrying out cardiopulmonary resuscitation. Method: This research uses a descriptive correlation research design with a cross sectional approach. With a purposive sampling technique, a sample of 49 respondents was obtained, the independent variables were knowledge and motivation, the dependent variable was cardiopulmonary resuscitation, using a questionnaire and observation sheet. The chi-square test was used to determine the relationship between the two variables. Results: The results of research from 49 respondents showed that the majority of respondents had moderate knowledge of 73.5%, moderate motivation of 59.2% and inappropriate RJP actions of 85.7%. Analysis using the chi-square statistical test on knowledge and motivation towards the implementation of cardiopulmonary resuscitation resulted in p = 0.000 ˂ 0.05, which means there is a relationship between knowledge and motivation towards the implementation of cardiopulmonary resuscitation measures. Conclusion: Knowledge has more influence on the implementation of RJP when compared to motivation, but in reality the level of knowledge is mostly in the medium category so it has an impact on the quality of RJP actions. The results will greatly influence health services to patients. Therefore, it must be supported by continuous learning or training in RJP techniques.
Factors Influencing the Incident of Acute Respiratory Tract Infections in Children Aged 12-59 Months in Wallandimu East Nusa Tenggara Novita Ana Anggraini; Rahmania Ambarika; Natalia Ningsi Katupu
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.656

Abstract

Background: Acute Respiratory Infection Disease is one of the highest causes of morbidity and mortality in children under five in Indonesia, especially in East Nusa Tenggara. The implementation of the ISPA disease control program focuses on finding and treating sufferers as early as possible by involving the active role of cadres, integrated health service support and referrals to related health facilities, however, these control efforts have not shown significant results. Purpose: The aim of this study was to determine the factors that influence the incidence of Acute Respiratory Infection Disease  in children aged 12-59 months in the Wallandimu Community Health Center working area. Method: This research uses an analytical research design with a cross sectional approach. The population in this study were toddlers aged 12-59 months in the Wallandimu health center working area and the sample in this study was 30 toddlers. The sampling technique in this research was simple random sampling. The Chi-Square statistical test was used to determine the relationship between variables. Results: The results of the research from 18 respondents showed complete immunization status (76.7%), poor nutritional status (60.0%), and insufficient knowledge (56,7%) regarding the incidence of ISPA in the Wallandimu Health Center working area. The results of bivariate analysis showed no influence between immunization status and the incidence of ISPA (p= 0.896 > 0.05), there was an influence between nutritional status and the incidence of ISPA (p= 0.007 < 0.05), there was an influence between maternal knowledge and the incidence of ISPA (p = 0.010 < 0.05). Conclusion: It is hoped that the Wallandimu Community Health Center will further improve its health programs, especially the Acute Respiratory Infection Disease control program for toddlers and provide education regarding maternal knowledge and the dangers of malnutrition for toddlers, so that the incidence of Acute Respiratory Infection Disease in children aged 12-59 months will decrease.
The Effect of Basic Life Support Health Education on Increasing Knowledge and Skills in Cardiac Arrest Rahmania Ambarika; Novita Ana Anggraini; Ans Syafrie Amroyan
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.685

Abstract

Background: Cardiac arrest is an emergency in which blood circulation suddenly stops, characterized by loss of arterial blood pressure. Cardiac arrest can be sudden and cause death. Cardiac arrest is a cause of high mortality. High mortality in Cardiac Arrest cases is due to slow help due to lack of knowledge and skills regarding Basic life Support. Purpose: The purpose of this study was to analyze the effect of Basic Life Support Health Education on increasing knowledge and skills in cardiac arrest in students. Method: This research design is Pra experimental with one group pre-post test conducted on 41 samples with simple random sampling. The instrument of thr research are used questionare for knowledge and observed for measured of the skil. Results:The results before being given health education the level of knowledge was less than 80.5% and the level of skills was less than 85.4%, while after being given health education the level of knowledge was good 53.7% and the level of skills was good 53.7%. From the analysis using the Wilcoxon Sign Rank Test, the p-value is 0.000 <0.05, there is an effect of increasing knowledge and skills before and after Basic Life Support health education for students. Conclusion: Health education with a short period of time can improve knowledge and skills but to improve high quality, training is needed for a long period. 
The Influence of Health Education on Increasing Self Awareness of Coronary Heart Disease Prevention in High Risk Population Rahmania Ambarika; Indah Aprilia Angelina
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.726

Abstract

Background: Coronary heart disease is one of the leading causes of death in Indonesia. Ideally, people should understand the basic signs, symptoms, and early prevention of coronary heart disease. However, in reality, many people are still unaware, leading to a lack of self-awareness regarding the prevention of coronary heart disease. Purpose: The aim of this study is to analyze the effectof health education on increasing self-awareness for the prevention of coronary heart disease inhigh-riskpatients. Methods: This study uses a pre-experimental approach with a one-group pre-test and post- test design and an accidental sampling technique involving 49 respondents of high risk populations. The research instrument was a questionnaire and giving health education for increasing the self awareness. Results: The results of the study showed that before the health education, most respondents had moderate self-awareness with a prevalence of 69.39%, amounting to 34 respondents. After the health education, self-awareness improved significantly, with almost all respondents exhibiting good self-awareness with a prevalence of 77.52%, totaling 38 respondents. The Wilcoxon sign rank test getting a result p value  0.00, indicating that health education had a significant effect on increasing self-awareness. Conclusion: This health education can enhance self-awareness as it provides knowledge on how to prevent coronary heart disease. With this information, individuals better understand the importance of preventive measures and become more aware of their own condition, thus encouraging better behaviors in maintaining heart health.
Social Demographic Factor on Early Detection Ability of Acute Coronary Syndrome in Blitar Regency Indonesia Anggraini, Novita Ana; Faridah Moh Said; Nur Syazana Umar; Rahmania Ambarika; Reni Nurhidayah
Journal Of Nursing Practice Vol. 6 No. 2 (2023): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v6i2.368

Abstract

Background: The prevalence of ACS in Indonesia is high, at least 2 million people in Indonesia are diagnosed with ACS. It is one of the main causes of death among adults in many countries around the world, including Indonesia with prevalence of heart disease in Indonesia is estimated at 2 million ACS cases. One of the causes of the high ACS mortality rate is a prehospital delay. Decision time delay refers to the length of time the patient takes for early detection or to make a decision to seek help. This study will focus on the influence of social demographic factors on the ability of early detection of ACS. Purpose: This study aims to explain the relationship between treatment-seeking behavior, transportation, and socio-demographic factors (age, gender, socio-economic, educational status, health insurance). Methods: A prospective cross-sectional study was conducted in this study. The samples will be obtained in Blitar regency with 22 public health center sub-districts with sample 126 respondents. The correlation among variables was analyzed using chi-squared (?2), and for determining the dominant factors, multiple logistic regression with the enter method was used. A p value <0.05 was considered significant. Results: The study found that the age, health insurance status, education level, and employment status of the patients were significant factors for early detection. Delay to early detection increased with the increase in age of the patients, although it was not significant by logistic regression. Conclusions:  This study reveals that several sociodemographic factors that can affect early detection abilities are education, employment status, and health insurance.
Health Education for Increasing Knowledge and Skills of Caring Family in Post Stroke at Poncokusumo Community Health Center, Malang Rahmania Ambarika; Novita Ana Anggraini; Agus Santosa; Herman Adhi Wijaya
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.v9i2.1008

Abstract

Background: The lack of knowledge and skills among family members in caring for post-stroke patients can make prolong recovery time and increase the risk of complications. Health education is essential to enhance understanding and optimize caregiver skills. Purpose: This study aims to examine the effect of health education on family knowledge and skills in post stroke care at Poncokusumo Community health center in Malang regency. Methods: This research employs pra experimental with one group pre-post test design with a total population of 35  family with the post stroke patients in Poncokusumo Community Health Center , from which 32 participants were selected using purposive sampling. The research instrument consists of a questionnaire, and data were analyzed using the Wilcoxon test. Results: The results show that before the health education intervention, half of the participants had a moderate level of knowledge (16 people, 50.0%). After the intervention, nearly all participants demonstrated good knowledge (28 people, 87.5%). In terms of skills, before the intervention, the majority of participants had poor caregiving skills (19 people, 59.4%). After the intervention, most participants improved to a moderate skill level (19 people, 59.4%). There was a significant effect of health education on family knowledge regarding post-stroke care at Poncokusumo Community Health Center, with a p-value of 0.000 (<0.05). Conclusion: Health education is effective in improving family knowledge and skills in caring for post-stroke patients. With structured education, families understand how to care for patients, from mobilization, prevention of complications, to psychosocial support. Direct training and educational media help them apply skills with more confidence. This increased understanding contributes to better quality of care, accelerates patient recovery, and reduces the risk of complications.
Co-Authors Agus Santosa Agusta Dian Ellina Ahmad Syauqi Mubarok Alfi Yudisianto Almaidah, Indah Amalia, Mawaddatul Angga Ladzi Syafroni Annisa Ary Saifutri Ans Syafrie Amroyan Apriyani Puji Hastuti Arif Mustofa Arta Lebrina Nakmofa Arta Lebrina Nakmofa Atik Muji Rahayu Aulia, Hana Agustin Billy Anoraga, Aditya Byba Melda Suhita Byba Melda Suhita Cahya Eka Sudrajad Chusnatayaini, Arina Darmawati Abdul Rachman Dedi Saifulah Diyah Ayu Purnaningtyas Dwiana, Winda Gusya Erick Berto Yahya Eva Agustina Evrin Anggasari Faridah Moh Said Fira Musyawirah Fitriya Fajar Wati Frederikus Haloko Gusti Ayu Agung Mas Mahadewi Hairah, ST Haloko, Frederikus Hargiani, Fransisca Xaveria Harpika, Isa Hary Indah Fibriany Haryani, Mukti Sri Has’ad Rahman Attamimi Heri Hermawati Herman Adhi Wijaya Herwati Herwati Ida Nuryanti Ida Nuryati Indah Aprilia Angelina Indah Noer Jannah Indasah Indasah Indra Frana Jaya KK Irsyad Herminofa Joko Prasetyo Joko Prasetyo Kasri Astuti Kholifatur Rizkiyah, Nur Kurnianti, Nur Rochmah Kurniawan, Ardhiles Wahyu Langit Kresna Janitra Lasito Lauchul Machfudoh Layla, Siti Farida Noor Librata, Pramitha Nayana Lingga Kusuma Wardani Lingga Kusuma Wardani Machfudoh, Lauchul Mardianto, Rudy Maria Nubatonis Marminingsih Mawaddatul Amalia Moh Khoirul Anam Mohammad Saifulaman Muhammad Imam Fakhrudin Natalia Ningsi Katupu Nency Natalia Tho Noor Annisa Susanto Novita Ana Anggraini Nur Azizah Nur Syazana Umar Nurma Afiani Nurwijayanti Nurwijayanti Kusumaningrum Osnawati H. Marsaoly Pramitha Nayana Librata Prima Dewi Kusumawati Purnaningtyas, Diyah Ayu Putri Mayasari R. Anggi Dwi Putra JS Rahmi, Dianita Ratna Roesardhyati Ratna WardanI Ratna Wardani Ratna Wardani Reni Nurhidayah Risky Siwi Pradini Risqy Siwi Pradini Rita Sukmawanti Rodli, Muhammad Roesardhyati, Ratna Salsabila, Unik Hanifah Samrina Samrina Sandu Siyoto Saputri, Priska Delima Sarippy, Jesseline Selviana Timuneno Seno Arif Amrullah Sentot Imam Sentot Imam Suprapto Sentot Imam Suprapto Seran, Adriyani Nahak setiyaningsih, yunnita sintara, sindu Siti Farida Sìti Farida Noor Layla Siti Farida Noor Layla Sri Kardjati Maria SUMIYATI SUMIYATI Sunarto Sunarto SUTRISNO Timuneno, Selviana Titik Isbandiyah Tutik Nushah Wahyu Kresnawati Wahyu Kresnawati Wardah Fauziah Wardhani, Lingga Kusuma Watna, Ida Widigdo Rekso Negoro Wijayanto, Herman Adhi Winda Gusya Dwiana Yalestyarini, Eva Agustina Yanis, Hardi Yeni Yenny Puspitasari Yuli Arnita Pakpahan Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati