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All Journal Journal of Telenursing (JOTING)
Asroful Hulam Zamroni
RSUD Dr. Soetomo Surabaya
Health Professions Nursing

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Pengembangan Clinical Pathway Stroke Hemoragik Berbasis 3S (SDKI, SLKI, SIKI) Adi Sukrisno; Nursalam Nursalam; Ferry Efendi; Asroful Hulam Zamroni
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6695

Abstract

This study aims to develop a clinical pathway for hemorrhagic stroke patients based on the 3S (SDKI, SLKI, SIKI). The method used is Research and Development with stages including literature study, observation evaluation, validity and reliability testing, and Focus Group Discussion (FGD). The research results show that developing a 3S-based hemorrhagic stroke clinical pathway is by clinical practice guidelines and service quality. The results of Pearson's product-moment correlation test are <0.514, and the reliability of the Cronbach alpha test is 0.906. Conclusion: The development of a 3S-based hemorrhagic stroke clinical pathway was prepared with nursing diagnoses, including ineffective airway clearance, decreased intracranial adaptive capacity, acute pain, impaired physical mobility, and risk of fluid imbalance. The development of a 3S-based hemorrhagic stroke clinical pathway is generally in good categories in terms of Functionality, Efficiency, and Usability so that it can be recommended for use by nurses and can improve the quality of hospital services. Keywords: Clinical Pathway, SDKI, SIKI, SLKI, Hemorrhagic Stroke
Pencegahan Penularan Multi-Resisten Organisme (MRO) Melalui Manset Tekanan Darah Leli Ika Hariyati; Asroful Hulam Zamroni
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6878

Abstract

This study aims to explore interventions to prevent the occurrence of multi-resistant organisms (MRO) in patients with blood pressure cuff placement in special care rooms. This research method uses the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines with the Scopus, PubMed, CINAHL, and SAGE databases. The results of the study found five types of interventions namely disinfection and decontamination with alcohol, addition of hydrogen peroxide in the sterilization process, cuff design with a barrier between the skin and the cuff, education and training programs for medical personnel, and development of standard procedure protocols. In conclusion, interventions to prevent the occurrence of multi-organism resistance in patients with blood pressure cuff placement do not only focus on equipment, but the knowledge and standard of cleaning procedures owned by health workers need to be improved and developed. Keywords: Blood Pressure Cuff, Prevention of Transmission, Multi-Organism Resistance (MRO)
Intervensi Kombinasi Deep Breathing Exercise dan Murottal terhadap Perubahan Nyeri dan Tanda-Tanda Vital Pasien Pasca Bedah Jantung Terbuka Didit Supriyanto; Tintin Sukartini; Philia Setiawan; Asroful Hulam Zamroni; Siti Maimuna
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7205

Abstract

This study aims to analyze the effect of a combination of deep breathing exercises and murottal on changes in pain and vital signs in patients after open heart surgery in intensive care. This research method uses a quasi-experimental design pre-post test. The results showed that the difference test between the treatment and control groups, there was a significant difference. value= 0.001, SpO2 with p value=0.000 and MAP with p value=0.000. The statistical tests used are the Independent t-test, Paired t-test, and Manova, with a significance level of α= 0.05. In conclusion, combining deep breathing exercises and murottal is a relaxation technique that can affect changes in pain and vital signs (pulse, RR, SpOâ and MAP) in patients after open heart surgery. Keywords: Deep Breathing, Post-Cardiac Surgery, Vital Signs, Pain Level
Co-Authors Adi Sukrisno Didit Supriyanto Ferry Efendi Leli Ika Hariyati Nursalam, Nursalam Setiawan, Philia Siti Maimuna Tintin Sukartini Sukartini, Tintin Sukartini