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Saifudin Zukhri
Fakultas Kesehatan dan Teknologi, Universitas Muhammadiyah Klaten

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PENGARUH REEDUKASI TERHADAP PENGETAHUAN DAN SIKAP PERAWAT TERHADAP SISTEM PENILAIAN APACHE II Saifudin Zukhri; Sri Wiyastuti; Puput Risti Kusumaningrum
MOTORIK Jurnal Ilmu Kesehatan Vol 18 No 2 (2023): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v18i2.938

Abstract

The highly dynamic and complex condition of the intensive care unit makes it difficult for nurses to provide the best possible care. The Acute Physiology Chronic Health Evaluation II (APACHE II) score system is a commonly used option in intensive care units. (ICU). The poor knowledge of nurses about APACHE II can be a predictor of mortality and the severity of the patient's condition. This research aims to find out the influence of reeducation on the knowledge and attitude of nurses toward the application o f the APACHE II assessment system in the RSUP ICU room, Dr. Soeradji Tirtonegoro Klaten. The study involved 35 nurses at ICUs, of whom 57.1% were women. The research design used is a one-group pretest-posttest design. The re-education is done by lecture and the question-and-answer method using the APACHE app on the smartphone for 30 minutes. The knowledge and attitude of the nurse are measured using the instrument created by Chen et al. (2004). The results indicate that the majority of nurses at RSUP ICU, Dr. Soradjo Irtonegoro, are in DIV or S1 nursing (57.1%), working more than 3 months (91.4%). The average pre-reeducation knowledge score is 43.4, the average post- reeducation learning score is 58.5 (rating 0-100), and the results of the Wilcoxon test showed a p = 0.00. The average attitude score before reeducation is 64.7; after reeducation, it is 73.2, with a p -value of 0.00. Reeducation improves the knowledge and attitude of ICU nurses when applying APACHE II.
Pengaruh Penggunaan Selimut Hangat terhadap Kejadian Shivering pada Pasien dengan Spinal Anestesi Saifudin Zukhri; Eko Nur Haryanto
TRIAGE Jurnal Ilmu Keperawatan Vol 13 No 1 (2026)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v13i1.2075

Abstract

One of the complications that often occur in postoperative patients is the occurrence of hypothermia and shivering as a mechanism for the body's compensation mechanism against the hypotheremia. The purpose of this study is to determine the effect of the use of warm blankets on the incidence of shevering with spinal anesthesia in the Operating Room of the Klaten Islamic Hospital. Research method, a type of quantitative research with a quasi experiment design. The study involved 22 samples consisting of 11 people from the intervention group and 11 people from the control group. The treatment group was given a warm blanket from a temperature of 40OC before surgery until the end of the surgery. The control group was given a cloth blanket commonly used at RSI Klaten. The occurrence of shivering was observed during surgery until the patient was transferred to a recovering room. Bivariate analysis using chi square test. The results of the study showed that most of the respondents were female (59.1%), aged 26-55 years, and had a normal body mass index (50%). Of the 22 respondents, 14 (64%) experienced shivering, 10 of which occurred in the control group, the results of p value = 0.000 (α = 0.05) can be said to have an effect on the use of warm blankets on the incidence of shevering with spinal anesthesia. In conclusion, the administration of warm blankets has been shown to be effective against shivering recovery time. Warm blanket gynecology can be used for the prevention of shivering during surgery, especially in patients at risk of aging, thinness, and prolonged surgery.