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All Journal Media Keperawatan Indonesia Journal of Borneo Holistic Health MAHESA : Malahayati Health Student Journal
Pratitis, Izzati Adha
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Religion Humanities Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Intensi Resusitasi Jantung Paru dengan Pendekatan Theory Of Planned Behavior Fitri, Eka Yulia; Andhini, Dhona; Effendi, Zulian; Wahyuni, Dian; Pratitis, Izzati Adha
Journal of Borneo Holistic Health Vol 7, No 1 (2024): JOURNAL OF BORNEO HOLISTIC HEALTH
Publisher : Fakultas Ilmu Kesehatan, Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/borticalth.v7i1.4843

Abstract

Tindakan resusitasi jantung paru oleh orang yang berada di sekitar korban henti jantung yang terjadi di luar rumah sakit meningkatkan kemungkinan angka kesempatan hidup korban. Namun, intensi melakukan pertolongan masih rendah pada mahasiswa keperawatan. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi intensi melakukan resusitasi jantung paru pada mahasiswa keperawatan yang mengikuti pembelajaran bantuan hidup dasar melalui web BLS Sriwijaya berdasarkan pendekatan teori perilaku terencana. Penelitian dilakukan dengan desain cross sectional untuk mengetahui intensi melakukan resusitasi jantung paru melalui kuesioner terstruktur yang mengidentifikasi sikap terhadap perilaku, norma subjektif, kontrol perilaku yang dipersepsikan mengenai tindakan resusitasi jantung paru. Sebanyak 51 mahasiswa keperawatan dari beberapa perguruan tinggi di Indonesia dipilih melalui metode sampel kuota. Hasil penelitian menemukan bahwa 70,6% mahasiswa keperawatan mempunyai intensi untuk melakukan resusitasi jantung paru. Faktor sikap terhadap perilaku (p = 0,015), norma subjektif (p = 0,032), dan kontrol perilaku yang dipersepsikan (p = 0,016) berhubungan secara signifikan dengan intensi melakukan resusitasi jantung paru pada mahasiswa keperawatan yang mengikuti pembelajaran bantuan hidup dasar melalui website BLS Sriwijaya. Sikap terhadap perilaku merupakan faktor yang paling berhubungan dengan intensi melakukan resusitasi jantung paru (p = 0,022, koefisien (B) = 4,877). Mahasiswa keperawatan yang mengikuti pembelajaran melalui web memiliki intensi untuk melakukan resusitasi jantung paru. Teori perilaku terencana dapat menjadi landasan teori yang sesuai dalam memprediksi intensi mahasiswa keperawatan untuk melakukan resusitasi pada korban henti jantung di luar rumah sakit.
Tamponade Jantung sebagai Komplikasi Efusi Pleura pada Pasien Chronic Kidney Disease (CKD): Laporan Kasus Pratitis, Izzati Adha; Kurhayati, Kurhayati; Nasrullah, Kurnia; Priambodo, Ayu Prawesti; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21316

Abstract

ABSTRACT Chronic Kidney Disease (CKD) frequently presents multisystem complications, including pleural effusion and severe cardiovascular manifestations such as cardiac tamponade. Cardiac tamponade induced by massive pleural effusion is rare but life-threatening if not promptly managed.  A 17-year-old male patient presented to the emergency department with complaints of shortness of breath, bilateral lower extremity edema for four months, high-grade fever, and foamy urine. History revealed poorly controlled post-infectious glomerulonephritis complicated by heart failure. Physical examination demonstrated fluid overload, gallop rhythm, muffled heart sounds, subcostal retractions, and pulmonary edema. The patient's condition rapidly deteriorated, leading to cardiogenic shock due to cardiac tamponade and bilateral pleural effusions. Bilateral chest tube placement, furosemide therapy, and vasopressor support led to significant clinical improvement.  This case illustrates the complex interplay between chronic kidney disease, pleural effusion, and severe cardiac complications. Although pleural effusions in CKD patients are commonly transudative, massive bilateral effusions can cause extrinsic pressure sufficient to induce cardiac tamponade. Prompt and comprehensive management, patient education, and adherence to long-term treatment are crucial. This case highlights the importance of a multidisciplinary approach in managing multisystem complications of CKD, particularly acute situations such as cardiogenic shock resulting from cardiac tamponade induced by bilateral pleural effusion. Aggressive management, including pleural and pericardial drainage, supportive therapy, and adherence to regular follow-up, are essential for favorable long-term outcomes. Keywords: CKD, Pleural Effusion, Cardiac Tamponade, Cardiogenic Shock, Nephrotic Syndrome.  ABSTRAK Penyakit Ginjal Kronis (Chronic Kidney Disease/CKD) dapat menimbulkan komplikasi multisistem, termasuk efusi pleura dan gangguan kardiovaskular berat seperti tamponade jantung. Tamponade jantung akibat efusi pleura masif merupakan kasus yang jarang terjadi tetapi dapat mengancam jiwa apabila terlambat ditangani. Pasien remaja laki-laki berusia 17 tahun datang ke IGD dengan keluhan sesak napas, edema ekstremitas bawah selama empat bulan, demam tinggi, dan urin berbusa. Riwayat menunjukkan glomerulonefritis pasca infeksi disertai gagal jantung yang tidak terkontrol secara teratur. Pemeriksaan fisik menunjukkan tanda overload cairan, gallop, suara jantung teredam, retraksi subkostal, dan edema paru. Pasien mengalami perburukan kondisi dengan syok kardiogenik akibat tamponade jantung serta efusi pleura bilateral. Intervensi berupa pemasangan chest tube bilateral, pemberian furosemid, dan terapi vasopresor menghasilkan perbaikan signifikan.  Kasus ini menegaskan hubungan kompleks antara gangguan ginjal kronis, efusi pleura, dan komplikasi jantung yang serius. Efusi pleura pada CKD sebagian besar bersifat transudatif, namun kondisi ini dapat berkembang menjadi eksaserbasi akut berupa tamponade jantung akibat tekanan eksternal dari efusi pleura masif. Penanganan harus cepat, komprehensif, serta didukung edukasi keluarga dan kepatuhan pasien terhadap pengobatan jangka panjang. Kasus ini memperlihatkan pentingnya pendekatan multidisiplin dalam pengelolaan komplikasi multisistem CKD, terutama dalam situasi klinis akut seperti syok kardiogenik akibat tamponade jantung yang dipicu efusi pleura bilateral. Penatalaksanaan agresif yang mencakup drainase cairan pleura dan perikardial, terapi suportif, serta kepatuhan kontrol rutin adalah kunci utama keberhasilan terapi jangka panjang. Kata Kunci: CKD, Efusi Pleura, Tamponade Jantung, Syok Kardiogenik, Sindrom Nefrotik.
The Impact of Virtual Reality Simulation Training on Nurses’ Competency in Disaster Management: A Scoping Review Pranata, Yodha; Winara, Winara; Susanti, Vera; Pratitis, Izzati Adha; Peni, Inggried Angelica Valentina Wiliyams; Maryam, Nina; Pamungkas, Sultan Muhammad Wahyu; Trisyani, Yanny
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21312

Abstract

ABSTRACT Nurses are pivotal in disaster management. Suboptimal preparedness impairs response, communication, and patient safety. Virtual Reality-based training can enhance clinical skills, readiness, and decision-making, yet logistical and cost challenges persist. This scoping review aims to map evidence on the impact of Virtual Reality Simulation (VRS) in enhancing nurses’ competency in disaster management. The methodology framework utilized in this scoping review followed Arksey and O'Malley's approach. Literature was systematically searched across PubMed, Scopus, and EBSCO using keywords: nurses, Virtual Reality Simulation Training, nurses’ competency, and disaster management. Inclusion criteria required English-language publications. All extracted data were systematically tabulated to facilitate comparative analysis and thematic synthesis. A total of 164 articles were identified, nine studies met the inclusion criteria and were selected for this scoping review. VR training consistently improved nurses’ disaster preparedness, response capabilities, knowledge, and satisfaction compared to traditional methods. Immersive VR enhances practical skills, decision-making, and engagement, despite challenges related to resources, infrastructure, and standardization. VR-based training enhances nurses’ disaster preparedness more effectively than conventional methods. Despite its benefits, the widespread adoption of this approach is hindered by infrastructure, resource demands, and technical limitations in developing realistic simulation environments. Keywords: Disaster Management, Disaster Preparedness, Nurse’s Competency, Simulation Training, Virtual Reality.
Valsalva Maneuver For The Early Management Of Supra-Ventricular Tachycardia In Emergency Department Settings: Scoping Review Pratitis, Izzati Adha; Peni, Inggried Angelica Valentina Wiliyams; Kurhayati, Kurhayati; Priambodo, Ayu Prawesti
Media Keperawatan Indonesia Vol 9, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.1.2026.71-80

Abstract

Supraventricular tachycardia (SVT) is a common arrhythmia, and early management is crucial to prevent complications. The Valsalva maneuver, a non-invasive technique, has proven effective as a first-line therapy, with modifications enhancing its success. This scoping review explores evidence on the use of the Valsalva maneuver in managing SVT in emergency and pre-hospital settings, with a search in Scopus and PubMed using relevant keywords. Data were extracted independently from 16 articles that met inclusion criteria. The modified Valsalva maneuver significantly improves the success rate of converting SVT to sinus rhythm, with minimal side effects. Postural modifications were more effective than the standard maneuver and reduced reliance on pharmacological treatments. The modified Valsalva maneuver is effective, safe, and cost-efficient in managing SVT. However, its implementation requires more standardized protocols and better training for healthcare professionals.
Co-Authors Dhona Andhini Dian Wahyuni Eka Yulia Fitri Kurhayati, Kurhayati Maryam, Nina Nasrullah, Kurnia Pamungkas, Sultan Muhammad Wahyu Peni, Inggried Angelica Valentina Wiliyams Pranata, Yodha Priambodo, Ayu Prawesti Ristina Mirwanti, Ristina Susanti, Vera Winara, Winara Yanny Trisyani Zulian Effendi