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PENGARUH THERAPY BEKAM BASAH TERHADAP TEKANAN DARAH PASIEN HIPERTENSI Mulyati, Leli
JURNAL MEDIA KESEHATAN Vol 6 No 2 (2013): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 6 Nomor 2 Desember Tahu
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

This study aims to determined the effected of wet cupping therapy on blood pressure in hypertensive patients. The study used a quasi-experimental method with one group pre-test and post-test without a control group. The study subjects total 30 respondents consisting of patients with hypertension. All subjects are given wet cupping treatment twice with an interval of 2 weeks. Blood pressure measurements made before and after wet cupping. The results of analysis used a t-dependent, decrease in average systolic blood pressure was 13 333 ± 12 042 wet cupping mmHg and diastolic 4667 ± 3294 mmHg. At week 2 a decrease in average systolic blood pressure mmHg while the 8667 ± 8308 6667 ± 5525 mmHg diastolic. Decrease in average systolic and diastolic blood pressure there were significant differences (p <0.05) in the first wet cupping and second wet cupping. This shows that wet cupping therapy affects blood pressure in hypertension patients.

EVALUASI PELAYANAN PROGRAM JAMPERSAL : TINJAUAN DIMENSI MUTU PELAYANAN JAMPERSAL Mulyati, Leli
JURNAL MEDIA KESEHATAN Vol 6 No 2 (2013): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 6 Nomor 2 Desember Tahu
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Knowing the factor fo pregnant women to choose jampersal service health center in the region of Curup Year 1012. The research is using descriptive design. The sampling using purposive sampling. With 67 people and count using univariant. From this study it can be seen from the technical competence almost half of respondents (48.2%) responded strongly agree, Access to almost all respondents (52.23%) responded agree. The effectiveness of almost all respondents (51.23%) responded agree. Continuity of care almost all respondents (51.73%) responded agree, security is almost all respondents (51.23%) responded agree. Human interpersonal almost all respondents (52.76%) responded agree, and the comfort of pleasure almost all respondents (50.23%) responded agree. Based the conclusion, of the 67 respondents can be concluded the vast majority of respondents (52.23%) said quality of care at health centers is good and almost Curup majority of respondents (47.76%) stated quality of care at health centers Curup not good.

PENGARUH PAKET MOBILISASI TERHADAP STATUS FUNGSIONAL PASIEN STROKE Mulyati, Leli
JURNAL MEDIA KESEHATAN Vol 8 No 1 (2015): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 8 Nomor 1 April Tahun 2
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Patients who got stroke should be took rehabilitation program. Furthermore, theability for life reorganization to reach optimal health level. Especially for neurologic function afterstroke attacked, for preventing disability and gain quality of their life. Nursing intervention atacute phase is important to establish for supporting reorganization of patient functions. One ofthat interventions is training the patient to do structured early mobilization. Aims of this study isto identified influenced of early mobilization against functional state of patient who got stroke.This was a descriptive study, a quasi experimental study. There were two group of study, dividedto intervention group and control group. The samples of this study were stroke patient at StrokeUnit in M.Yunus Hospital of Bengkulu with total amount 64 respondents, wich picked by consecutivesampling. Measurement of functional status using the NIHSS score, which was measuredon admission to hospital and the time the patientat discharge. The results showed an averageNIHSS scores of stroke patients on admission is 11.56, SD 5.58 (moderate stroke). Meanwhile,the average NIHSS score when out of the hospital was 8.89, SD 7.6 (moderatestroke).Mean score for improved NIHSS patient who done structured training of mobilization is4.87, SD 4.42 and score for patient who didn’t do training is 0.313, SD 4.46. After statistic testshowed that p value = 0.000 < alpha. It’s mean that there were significantly differences betweenNIHSS score for the patient who got structured early mobilization and who didn’t. Structuredearly mobilization must be establish, and it’s need collaboration from patient and family.

KOMPRES JAHE MERAH BERPENGARUH TERHADAP PENURUNAN SKALA NYERI OSTEOARTRITIS PADA LANJUT USIA DI WILAYAH KERJA PUSKESMAS KAMPUNG DELIMA TAHUN 2016 Jon Farizal; Leli Mulyati; Susiwati Susiwati
Jurnal Ilmu dan Teknologi Kesehatan Vol 5 No 2 (2018): Maret
Publisher : Poltekkes Kemenkes Jakarta III

Background: Osteoarthritis is a chronic, slowly progressive walking, not inflamed, and ischaracterized by deterioration and abrasion of articular cartilage and the formation of newbone at the joint surface. Osteoarthritis cause various health problems that decrease theability of physiological, psychological change, economic and social. Physiological problemsin elderly with osteoarthritis is pain. One of the plants used as herbal medicine to reduce thepain of osteoarthritis is the rhizome of the plant red ginger (Zingiber officinale Roscoe).Objective: This study aimed to determine the effect of ginger compress to decreaseosteoarthritis pain scale in the elderly at District Puskesmas Kampung Delima 2016.Methods: This study used a pre-experimental design with one-group pre-posttest design, thestudy samples study is 36 respondents by purposive sampling technique. All respondents weregiven ginger compress one time for ± 20 minutes. Pain scale measurements carried outbefore and after ginger compress. Test used is dependent t-test. Results: The result of analysisused a dependent t-test showed that a mean difference of osteoarthritis pain scale before andafter ginger compress 1,72 + 0,741 with ρ=0.000 (ρ<0.05). This show that ginger compressaffects scale of osteoarthritis pain in elderly. Conclusions : For health workers to providehealth education on therapeutic use of herbal compress of ginger in relieving osteoarthritispain.

A Systematic Review: Early Warning System for Hospital Wards Sasmito, Priyo; Aljufri, Salim; Mulyati, Leli; Rasmita, Dina; Syafridawita, Yetti; Deviana, Elina; Komariah, Elis; Gayatri, Sri Wahyuni; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.782

Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant articles on Pub Med and Science Direct using the keyword "Early Warning Systems" in the 2018-2023 period. Out of 269 articles, only 12 articles that met the criteria. The selected articles are then systematically reviewed and analyzed. Based on the extraction results of 12 articles, 9 EWS were grouped into National Early Warning Score (NEWS) and its variants, Modified Early Warning Score (MEWS) and its variants, and EWS integrated with Electronic Medical Record (EMR). In choosing an EWS, hospitals must consider the complexity of the cases being managed and the capabilities of existing resources. The recommended EWS in hospital wards with limited resources is weighted EWS or EWS with combinations, such as NEWS and MEWS with variants. Meanwhile, hospitals that have used EMR can choose EWS integrated with EMR to increase their predictive value for SAE, as well as improve protocol compliance.

Sepsis protocol adherence and emergency department overcrowding: An observational study Arifani, Nisa; Mulyati, Leli; Sasmito, Priyo; Sujana, Treesia; Gayatri, Sri Wahyuni; Astuti, Novia Dwi; Librianty, Nurfanida; Lie, Sukirman; Deviana, Elina; Ihsan , Farly
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.870

Background: Emergency Department (ED) overcrowding is a persistent global challenge that affects the quality and timeliness of patient care, particularly for sepsis management. Despite established guidelines such as the hour-1 sepsis bundle and national sepsis guideline, adherence remains inconsistent. Purpose: To analyze the relationship between sepsis protocol compliance and emergency unit crowding. Method: A retrospective observational cohort study was conducted, analyzing adult sepsis and septic shock patients triaged as Priority 1. Data on patient demographics, sepsis severity scores, ED occupancy rates, and adherence to sepsis protocols using the Hour-1 sepsis bundle and the National Sepsis Guideline were collected. Statistical analysis was performed using Fisher’s Exact Test to examine associations between ED overcrowding and compliance with sepsis protocols, with a significance threshold of p<0.05. Results: This study included 38 cases with a mean age of 56.6 years and the majority (52.6%) of patients were female. Most cases were diagnosed with septic shock (55.3%) and the average occupancy rate of the emergency department was 80.8%. Serum lactate measurements were performed in 68.4% of cases, blood culture sampling in 21.1%, and broad-spectrum antibiotics were given in 94.7%. Full compliance with both sepsis protocols was only 5.3%. Compliance with fluid resuscitation was high at 97.4%, while compliance with blood culture sampling was low at 5.3% and 7.9%. No significant association was found between protocol compliance and ED crowding (p > 0.05). Conclusion: There was no significant correlation between ED crowding and adherence to sepsis protocols. Strategic and clinical policy interventions are needed to improve adherence to sepsis management guidelines. Suggestion: Future research should investigate additional barriers to sepsis care, such as financial constraints, physician decision-making processes, and variations in adherence across healthcare settings to develop more comprehensive strategies to improve sepsis outcomes worldwide.

MENINGKATKAN KEMANDIRIAN LULUSAN DAN MAHASISWA MELALUI PELATIHAN PERAWATAN LUKA KRONIS PENDERITA DIABETES Sutriyanti, Yanti; Mulyati, Leli; Haryani, Sri; Buana, Chandra
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 4 No 2 (2025): JPKM PUSTINGKIA JULI 2025
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar

The independence of nurse graduates in working is an important concept to pay attention to so that nurse graduates are ready to work after completing college. Nurse graduates at the Bengkulu Ministry of Health Polytechnic are absorbed as overseas workers or as workers in the capital or other provinces. However, there are still 33% working as honorary workers in their own place. The large number of DM cases in Rejang Lebong district that experience wound complications provides an opportunity for graduates and students to carry out competent chronic wound care so that they can work as diabetes chronic wound nurses. The aim of this community service is to improve chronic wound care skills, especially for graduates and students so they can apply their skills independently in the community. The method of activity carried out was wound care training which was held on September 5 2024. There were 25 training participants consisting of graduates and students. The results of this training were an increase in knowledge and skills in caring for chronic diabetes wounds before and after being given the training with an average increase in knowledge of 4.76. From the results of observations of wound care practices, all participants were able to carry out wound care practices in accordance with standard SOPs for caring for chronic diabetes wounds. Training participants received a wound care certificate from the PPNI organization. Training monitoring was carried out by supervision of the community service team when carrying out home care and as many as 44% of participants had carried out wound care in the community. Key words: Training, Wound Care, Diabetes Mellitus

A Systematic Review: Early Warning System for Hospital Wards Sasmito, Priyo; Aljufri, Salim; Mulyati, Leli; Rasmita, Dina; Syafridawita, Yetti; Deviana, Elina; Komariah, Elis; Gayatri, Sri Wahyuni; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.782

Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant articles on Pub Med and Science Direct using the keyword "Early Warning Systems" in the 2018-2023 period. Out of 269 articles, only 12 articles that met the criteria. The selected articles are then systematically reviewed and analyzed. Based on the extraction results of 12 articles, 9 EWS were grouped into National Early Warning Score (NEWS) and its variants, Modified Early Warning Score (MEWS) and its variants, and EWS integrated with Electronic Medical Record (EMR). In choosing an EWS, hospitals must consider the complexity of the cases being managed and the capabilities of existing resources. The recommended EWS in hospital wards with limited resources is weighted EWS or EWS with combinations, such as NEWS and MEWS with variants. Meanwhile, hospitals that have used EMR can choose EWS integrated with EMR to increase their predictive value for SAE, as well as improve protocol compliance.

Shallot vs. Dadap Serep leaf compresses: Non-pharmacological approaches to fever management in toddlers with ARIs Mulyati, Leli; Septiansah, Hendra; Haryani, Sri; Camilla, Vhebyta; Sasmito, Priyo
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1908

Background: Fever is one of the most common symptoms of Acute Respiratory Infections (ARIs) in toddlers, and non-pharmacological interventions such as traditional compresses are widely used in community settings. Shallot (Allium cepa L) compresses and dadap serep (Erythrina subumbrans) leaf compresses are two conventional methods believed to have antipyretic effects, yet direct comparative evidence remains limited. Purpose: To compare the effectiveness of shallot compresses and dadap serep leaf compresses in reducing fever among toddlers diagnosed with ARIs. Method: A quasi-experimental design with a pre-test and post-test control group was employed. A total of 34 toddlers aged 12–59 months were selected using purposive sampling and evenly divided into two groups: shallot compress (n = 17) and dadap serep compress (n = 17). Body temperature was measured before and 15 minutes after the intervention. Data were analyzed using paired t-tests, independent t-tests, and N-Gain scores. Results: Both interventions significantly reduced body temperature (p < 0.001). The dadap serep group showed a slightly higher absolute temperature reduction (0.60°C) compared to the shallot group (0.50°C). However, the shallot compress demonstrated a higher N-Gain score, indicating greater proportional effectiveness. Conclusion: Shallot and dadap serep leaf compresses are both effective, low-cost, and accessible non-pharmacological interventions for reducing fever in toddlers with ARIs. Shallot compresses provide more stable proportional effectiveness, while dadap serep compresses offer a slightly greater immediate reduction. Both methods hold value for home-based fever management and primary healthcare settings.

Adolescent Empowerment through Simulation-Based Household Emergency Response in Rimbo Recap Village Leli Mulyati; Fatimah Khoirini; Derison Marsinova
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 5 (2026): Volume 9 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i5.25230

ABSTRACT Adolescents play an important role in assisting in the initial handling of emergencies. However, limited knowledge and skills in emergencies among adolescents remain a problem, especially in Rimbo Recap Village, Rejang Lebong Regency. Many adolescents do not yet have the basic knowledge and skills in handling emergencies such as fires, serious injuries, heart attacks, or other urgent medical situations. As a result, when an emergency occurs, treatment is often slow and inappropriate, which can be fatal for the victim and worsen the situation. Adolescent Knowledge and Skills are increased, at least 50% of adolescents in Rimbo Recap Village are expected to have basic knowledge and skills in handling emergencies at home, and are expected to reduce the rate of fatalities and serious injuries due to delays or errors in handling. The activity was conducted over 2 days (18-19 October 2025), with preparation, implementation, and evaluation stages. The first day focused on theory, and the second on practical activities for handling emergencies. Evaluation was conducted through pretests and posttests, participant skill observation, and follow-up monitoring, involving a total of 25 participants. There was a significant increase in adolescent knowledge after the training, with an average score increasing from 62.80 ± 11.00 in the pretest to 78.80 ± 4.10 in the posttest. The paired t-test showed a significant difference between the pretest and posttest scores (p-value 0.001). Emergency training is effective in improving adolescent knowledge and skills in handling emergencies at home. This activity has the potential to strengthen adolescents’ and village communities’ preparedness to face emergency conditions on an ongoing basis. Keywords: Emergency Nursing, Household Emergency, First Aid, Adolescents.

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