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GAMBARAN TINGKAT STRESS PADA PASIEN COVID-19 DI RUANG ISOLASI AL-AQSA LT.6 RSU HAJI SURABAYA Wibowo, Nugroho Ari; Setyiawan, Bayu; Agustin, Ratna; Ananditha, Aries Chandra; Rofiqi, Erfan
Indonesian Academia Health Sciences Journal Vol 4 No 1 (2023): Indonesian Academia Health Sciences Journal
Publisher : Universitas Muhammadiyah Surabaya

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Abstract

 Anxiety is a normal reaction to threatening and unexpected situations such as the Covid-19 pandemic. Possible stress-related reactions in response to the Covid-19 pandemic can include changes in concentration, irritability, anxiety, insomnia, reduced productivity, and interpersonal conflict, but are particularly true for directly affected groups (e.g. patients admitted to hospital isolation). The aim thid research to identify  the level of stress experienced by covid-19 patients in the Al-Aqsa isolation room . This article  This study used a descriptive method that was carried out on patients who were confirmed positive COVID-19 in the Al-Aqsa isolation room on the 6th floor of the Haji General Hospital Surabaya with the Accidental Sampling . The samples obtained were 30 respondents. The research instrument used in this research aiming at describing the stress experienced by respondents was DASS 42 questionnaireThe results showed that 23.3% of respondents experienced normal stress conditions, 53.3% experienced mild stress, 20.0% of respondents experienced moderate stress, and 3.3% of respondents experienced severe stress 7 (23.3%) respondents experienced moderate stress, 16 (53.3%) respondents experienced mild stress, 6 (20.0%) respondents experienced moderate stress, and 1 (3.3%) respondent experienced severe stress. Which is suspected to be influenced by age and gender factors
Artificial intelligence for improving the monitoring of hemodynamic changes in the ICU: a systematic review of predictive algorithms and clinical outcomes Nugroho Ari Wibowo; Siswanto Agung Wijaya; Diah Priyantini; Daviq Ayatulloh; Ade Faiz Ahmadi
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i1.31162

Abstract

Background: Hemodynamic instability is a major predictor of organ failure and mortality in ICU patients. Conventional monitoring often fails to detect early deterioration, which has encouraged the use of artificial intelligence (AI) to improve the detection and prediction of hemodynamic instability. Methods: This systematic review followed the PRISMA 2020 guidelines and analyzed studies using machine learning or deep learning to predict hypotension, vasopressor requirements, or hemodynamic instability in adult ICU patients. Six major databases were screened, and 16 studies met the inclusion criteria. Due to heterogeneity in model design and outcomes, the findings were synthesized narratively. Results: The included studies comprised retrospective model development, multicenter validation, prospective evaluation, and two randomized clinical trials. Multivariable models such as the hemodynamic stability index (HSI) demonstrated strong predictive performance (AUROC 0.76–0.90). Dynamic models such as TvHEWS consistently provided stable predictions with reduced false alarms. Waveform-based predictors, including the hypotension prediction index (HPI), were able to anticipate hypotension 5–15 minutes before onset, even in patients with sepsis. Personalized approaches, such as DynaCEL and HM-TARGET, generated patient-specific hemodynamic targets. Prospective studies showed a reduction in the duration of hypotension, although evidence regarding effects on mortality and organ failure remains limited. Conclusion: Artificial intelligence has the potential to improve the accuracy of hemodynamic monitoring and enable earlier intervention in the ICU. However, large-scale clinical trials are still needed to confirm its benefits on meaningful clinical outcomes.
Pemanfaatan Ubi Jalar Ungu Sebagai Makanan Alternatif Bagi Pasien Diabetes Mellitus di RS Siti Khadijah Sepanjang Eni Sumarliyah; Retno Sumara; Firman Firman; Nugroho Ari Wibowo
PROCEEDING UMSURABAYA 2023: Prosiding Conference of Elementary Studies (CES) 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/pc.v1i1.25336

Abstract

Diabetes mellitus (DM) merupakan penyakit kronis yang membutuhkan pengelolaan pola makan yang tepat untuk mengontrol kadar gula darah. Ubi jalar ungu (Ipomoea batatas L.) diketahui memiliki kandungan gizi yang baik dan berpotensi sebagai makanan alternatif untuk pasien DM. Penelitian ini bertujuan untuk mengevaluasi efektivitas penyuluhan mengenai manfaat ubi jalar ungu dalam meningkatkan pengetahuan dan sikap masyarakat tentang pengelolaan DM. Metode yang digunakan adalah desain pre-test dan post-test dengan melibatkan 35 responden di Mulyorejo, Surabaya. Data dikumpulkan melalui kuesioner mengenai pengetahuan dan sikap terhadap pemanfaatan ubi jalar ungu sebelum dan sesudah penyuluhan. Hasil penelitian menunjukkan bahwa sebelum penyuluhan, 80% responden memiliki tingkat pengetahuan rendah, dan 91,4% memiliki sikap buruk terhadap pemanfaatan ubi jalar ungu. Setelah penyuluhan, terdapat peningkatan signifikan, dengan 94,3% responden menunjukkan tingkat pengetahuan tinggi, dan 100% responden menunjukkan sikap positif terhadap pemanfaatan ubi jalar ungu. Penelitian ini menunjukkan bahwa penyuluhan dapat meningkatkan pengetahuan dan mengubah sikap masyarakat, menjadikannya strategi yang efektif dalam pengelolaan DM. Edukasi berbasis makanan lokal seperti ubi jalar ungu dapat menjadi alternatif yang bermanfaat dalam meningkatkan kualitas hidup pasien DM.
SIMA-DIGI Virtual Reality-Based Disaster Mitigation Aries Chandra Anandhita; Nugroho Ari Wibowo; Miranda Meifa; Gangga Kristin Nurfiyatul Jannah; Muhammad Adam Yulloh
Devote: Jurnal Pengabdian Masyarakat Global Vol. 4 No. 4 (2025): Devote: Jurnal Pengabdian Masyarakat Global, 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/devote.v4i4.4793

Abstract

The partner targeted by this Community Partnership Program is SD Kreatif Muhammadiyah 01 Lumajang, located in a disaster-prone area that requires further intervention. This has become a crisis situation for SD Kreatif Muhammadiyah 01 Lumajang, which can disrupt the welfare of teachers and students, resulting in anxiety and fear of natural disasters. This service aims to provide a new atmosphere and spirit in disaster mitigation learning, which will be implemented with SIMA-DIGI based on Virtual Reality in accordance with the needs of digital-based education by creating a SIMA-DIGI application based on Virtual Reality for disaster mitigation. The methods used to carry out the activities are in the form of discussions, mentoring, and training. The training, which was conducted over one week, effectively increased participants' knowledge and changed their attitudes. This was evidenced by the pre-test results, which showed that 25 students had a low level of knowledge (62.5%), 10 students had a moderate level of knowledge (25%), and 5 students had a high level of knowledge (12.5%). However, after receiving counseling and training using the SIMA DIGI Design Application, the post-test results showed a significant increase, including a drastic rise in the level of knowledge related to disaster mitigation to 87.5%. Thus, it is hoped that with the level of knowledge possessed by the students, awareness and preparedness for disasters that may occur at SD Kreatif Muhammadiyah 01 Lumajang can be improved..
EDUBIMA BASED ON AUGMENTED REALITY: DEVELOPMENT OF DISASTER MITIGATION AND ENVIRONMENTAL MANAGEMENT LEARNING Ratna Agustin; Nugroho Ari Wibowo; Gangga Kristin Nurfiyatul Jannah; Miranda Meifa; Muhammad Adam Yulloh
Devote: Jurnal Pengabdian Masyarakat Global Vol. 4 No. 4 (2025): Devote: Jurnal Pengabdian Masyarakat Global, 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/devote.v4i4.4990

Abstract

This community service program aims to improve disaster preparedness and environmental management skills among students and educators at Muhammadiyah Boarding School (MBS) An-Nur Sidoarjo through the development of EDUBIMA learning media based on Augmented Reality (AR). The background for this activity is the high vulnerability of the Sidoarjo region to disasters and the low level of disaster knowledge and preparedness in the pesantren environment. The implementation methods include the development of AR learning media, interactive education, disaster response simulations, and evaluation using pre-tests and post-tests. The results showed a significant increase in disaster mitigation knowledge, from a low category of 56% to a high category of 70% after the intervention. This activity concludes that the use of AR-based EDUBIMA is effective in increasing disaster literacy and encouraging better environmental management behavior in the pesantren environment.
CORRELATION BETWEEN MORTALITY PREDICTION AND LENGTH OF STAY IN THE INTENSIVE CARE UNIT Retno Sumara; Nugroho Ari Wibowo; Andre Arianto; Diah Priyantini
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.90206

Abstract

Introduction: Length of stay (LOS) is one of the indicators of the success of care services in the Intensive Care Unit (ICU). Several factors influence how long patients remain in the ICU, including a high mortality prediction score, which may affect the recovery process. The Aim of this study is o analyze the correlation between mortality prediction and LOS among ICU patients. Methods: A correlational analytic study with a retrospective approach was conducted among adult patients aged ≥18 years who had been treated in the ICU, had complete electronic medical record data, and had an APACHE II score recorded during the previous 11 months (March 2023–January 2024). A total of 142 respondents were recruited using purposive sampling. The instrument used in this study was the APACHE II score, and the data were analyzed using Spearman’s rho. Results: LOS of ≥5 days was observed in 63.4% of patients and was distributed across APACHE II score ranges of 15–19 (0.7%), 20–24 (0.7%), 25–29 (2.8%), 30–34 (4.9%), and ≥35 (54.2%). A significant correlation was found between mortality prediction and LOS (p < 0.001). Conclusions: Mortality prediction in ICU patients is correlated with LOS. This indicates that the higher the predicted mortality score, the longer the patient’s length of stay in the ICU
The Relationship Between Patient Nutritional Status and Mortality Rates in The Intensive Care Unit Nugroho Ari Wibowo; Arif Zahid Sugiarto; Diah Priyantini; Aries Chandra Ananditha
Critical Medical and Surgical Nursing Journal Vol. 15 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v15i1.85051

Abstract

Introduction: Mortality among ICU patients remains high and is influenced by multiple factors, including nutritional status. Malnutrition may worsen clinical outcomes and increase the risk of death. This study aimed to examine the relationship between nutritional status and mortality in ICU patients. Method: A retrospective correlational study was conducted among adult patients (≥18 years) admitted to the ICU of a hospital in Surabaya between May and December 2023. A total of 185 patients were selected using a total sampling technique. Nutritional status was assessed using Malnutrition Universal Screening Tool (MUST) scores and disease severity was measured using APACHE II. Mortality outcomes were determined based on patient status at ICU discharge and categorized into predefined mortality risk levels. Data were analyzed using the Spearman rank correlation test. Results: Increasing age was significantly associated with higher mortality, with patients aged >65 years showing the highest proportion of high mortality (55.2%; r = 0.62; p < 0.001). Gender was also significantly associated with mortality (r = 0.21; p = 0.041), with males demonstrating a higher proportion of high mortality than females (40.4% vs 29.6%). Nutritional status showed a moderate positive correlation with mortality (r = 0.55; p < 0.001), with higher malnutrition risk associated with increased mortality. Conclusion: Nutritional status is significantly associated with mortality among ICU patients. Early nutritional assessment and appropriate management are essential to improve clinical outcomes and support evidence-based critical care practice.
The Effect of Spiritual Care Development to Reduce the Level of Depression in the Families of Intensive Care Patients Nugroho Ari Wibowo; Diah Priyantini; Siswanto Agung Wijaya; Kristin Widiyowati; Nanik Dwi Lestari
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.3854

Abstract

Depression is a mental condition that affects a person's physical, psychological and social functioning. Depression occurs when problems in life arise, such as feeling disappointed, lost, depression is also a form of feeling sad, which can cause unhappiness and hopelessness. This study aimed was to analyze the effect of spiritual care development to reduce the level of depression in the families of intensive care patients. This research design uses Quasy experiment pre and posttest. The population is all families of patients in the Intensive Care ward at RSUD Haji Surabaya, totaling 108 respondents. The sample size was 85 respondents who met the inclusion criteria. The independent variable from the research is spiritual care with the intervention medium being a spiritual kit and the dependent variable is the level of depression in the family who keeps the patient in the intensive care room. Data was collected using the Beck's Depression Inventory questionnaire and then analyzed using the Wilcoxon Signed rank test. The Z score value for the pre-post variable for the incidence of depression is -5.940 with a p value of Asymp. Sig. (2-tailed) of .000 &lt; 0.05, it can be seen that there is a significant influence between the results of the level of depression before and after the spiritual therapy kit. Developing spiritual care using the spiritual kit method can reduce the level of depression in the families of intensive care patients.
Level of Family Depression as Caregivers of Patients in the Intensive Care Room Nugroho Ari Wibowo; Dian Puji Wahyuningsih; Diah Priyantini; Aries Chandra Ananditha
Indonesian Academia Health Sciences Journal Vol 5 No 2 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.31355

Abstract

Intensive Care Unit (ICU) is a hospital inpatient room for observation, care and therapy of patients who need treatment and who are life threatening and have complex needs, supported by special equipment. When a patient is in the ICU, the risk of death is higher, giving rise to problems with feelings of physical, psychological, social and spiritual stress. The aim of this study was to identify the level of depression in the families of patients undergoing treatment in the Intensive Care Room at Haji Hospital, East Java province. The research used a quantitative design with a descriptive approach to the families of patients treated in the Intensive Care ward of the Haji Hospital, East Java Province. A total of 85 respondents were recruited using purposive sampling. The research instrument used to identify the level of family depression experienced by respondents was the Beck Depression Inventory II (BDI II) questionnaire sheet. The results of the study showed that the level of depression in the families of patients in the Intensive Care room was 37 respondents (43.53%) experienced mild depression, 31 respondents (36.4%) experienced minimal depression, 11 respondents (12.94%) experienced moderate depression and 6 respondents (7.06%) experienced severe depression. Health workers provide comprehensive health services by helping patients and their families meet their biological, psychological and social needs, as well as providing support to always improve their spirituality by praying to God and always thinking positively in all events they experience in the hope of preventing depression during the treatment period. patient.
Family Support for Adherence to Routine Checkups in Patients with Diabetes Mellitus Retno Sumara; Nugroho Ari Wibowo; Sindy Dwi Fitria Nilam Sari; Diah Priyantini
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v7i1.33211

Abstract

Introduction: Diabetes mellitus (DM) is known as the “Mother of Diseases” among various incurable chronic conditions. Adherence to routine check-ups is a crucial component of effective diabetes management and treatment. One factor influencing adherence is family support. Objective: To determine the relationship between family support and adherence to routine check-ups among diabetes mellitus patients. Methods: The study design employed a correlational analytical approach using a cross-sectional design. The sample consisted of 80 respondents selected via simple random sampling. Data were collected through a family support questionnaire and secondary data (medical records) from the community health center. Data analysis used the Spearman rank test with a significance level of α < 0.05. Results: This study found that 90% of participants had good family support, 10% had adequate family support, 88% adhered to routine check-ups, and 12% did not adhere to routine check-ups. Based on the Spearman’s rho correlation test, the significance value (two-tailed) was 0.001 < 0.05, indicating a significant association between family support and adherence to follow-up visits. Discussion: Family involvement in patient care is crucial for the management and control of diabetes mellitus (DM). Families can foster positive behaviors, such as enhancing motivation and improving adherence among DM patients.