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All Journal Jurnal Perawat Indonesia Edu Dharma Journal: Jurnal penelitian dan pengabdian masyarakat Jurnal Kegawatdaruratan Medis Indonesia JI-KES (Jurnal Ilmu Kesehatan)
Gunarto, Sugito Tri
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Health Professions Medicine & Pharmacology Nursing Public Health

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CASE STUDY : ASUHAN KEPERAWATAN PADA PASIEN STROKE NON HEMORAGIK DENGAN VENTILATOR TERHADAP RISIKO DEKUBITUS DI RUANG ICU (INTENSIVE CARE UNIT) Kurniasari, Reni Hesti; A'la, Muhamad Zulfatul; Murtaqib, Murtaqib; Gunarto, Sugito Tri
Edu Dharma Journal :Jurnal penelitian dan pengabdian masyarakat Vol 8, No 1 (2024): Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52031/edj.v8i1.737

Abstract

ABSTRACTBackground: Non-Hemorrhagic Stroke causes dysphagia, physical weakness, impaired physical mobility, and lack of self-care. Physical weakness in stroke patients occurs due to prolonged bed rest or immobilization, which can increase the risk of decubitus ulcers. Management of right and left oblique mobilization is one of the treatment measures that can prevent the development of decubitus ulcers. The aim of this study was to analyze the effectiveness of changing the right and left tilt position in non-hemorrhagic stroke patients with a ventilator on the risk of decubitus in the ICU. Method: This research utilized a case study method. The samples in this case study were one adult patients in the ICU with ventilators, according to the inclusion and exclusion criteria. This research was carried out for 5 days started from 2 October to 6 October 2023 in one of hospital in Bali Island  Results: Evaluation of the implementation criteria showed that on day 1 to day 5 the patient did not show signs and symptoms of pressure ulcers. Implementation of changes in right and left tilt positions can reduce the incidence of pressure ulcers in non-hemorrhagic stroke patients in the intensive care unit (ICU). Conclusion: Based on the results of the study, after changing the position of the right tilt and left tilt on the first to the last day, there was redness at the location of the body that was under pressure but it did not get worse after applying the right tilt and left tilt. Further studies related factor influence in pressure ulcer can be developed.ABSTRAKABSTRAKLatar Belakang : Stroke Non Hemoragik mengakibatkan disfagia, kelemahan fisik, gangguan mobilitas fisik, Kurangnya perawatan diri. Kelemahan fisik pada pasien stroke terjadi akibat tirah baring dalam waktu lama atau imobilisasi sehingga dapat meningkatkan risiko terjadinya ulkus dekubitus. Penatalaksanaan mobilisasi miring kanan dan kiri merupakan salah satu tindakan pengobatan yang dapat mencegah berkembangnya ulkus dekubitus. Tujuan studi kasus ini untuk menganalisis keefektifan perubahan posisi miring kanan dan kiri pada pasien stroke non hemoragik dengan ventilator terhadap risiko dekubitus di ruang ICU. Metode : Penelitian ini menggunakan rancangan penelitian studi kasus. Sampel pada studi kasus ini adalah satu pasien dewasa di ruang ICU dengan ventilator, sesuai dengan kriteria inklusi dan eksklusi. Studi kasus ini dilakukan selama 5 hari pada tanggal 2-6 Oktober 2023 di salah satu rumah sakit di Bali. Hasil : Evaluasi kriteria hasil pelaksanaan implementasi didapatkan bahwa pada hari ke-1 hingga hari ke- 5 pasien tidak menunjukkan tanda dan gejala mengalami dekubitus. Implementasi perubahan posisi miring kanan dan kiri dapat memberikan dapat penurunan kejadian dekubitus pada pasien stroke non hemoragik di ruang instalasi pelayanan intensif (ICU). Kesimpulan : Berdasarkan hasil studi kasus, setelah dilakukan pemberian perubahan posisi miring kanan dan miring kiri pada hari pertama hingga hari terakhir didapatkan data bahwa terdapat kemerahan pada lokasi tubuh yang mendapatkan tekanan namun tidak semakin parah setelah dilakukannya implementasi miring kanan dan miring kiri. Penelitian selanjutnya terkait faktor yang mempengaruhi risiko luka tekan dapat dilakukan.
Penggunaan Familiar Auditory Sensory Training (FAST) Terhadap Tingkat Kesadaran dan Skala Nyeri Pada Pasien Post Op Kraniotomi Dekompresi : Studi Kasus Chandra, Ilany Nandia; Ridla, Akhmad Zainur; Yunanto, Rismawan Adi; Gunarto, Sugito Tri
Jurnal Perawat Indonesia Vol. 9 No. 1 (2025): May 2025
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

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Abstract

AbstrakProsedur kraniektomi dekompresi merupakan salah satu penatalaksanaan cedera kepalauntuk menurunkan tekanan intrakranial. Tindakan ini dapat menimbulkan komplikasisalah satunya berdampak pada penurunan kesadaran dan nyeri. Pemberian intervensiFamilier auditory sensoric training (FAST) dapat dijadikan sebagai salah satu intervensiyang dapat meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post opkraniektomi. Tujuan penelitian ini adalah mengetahui efektivitas pemberian intervensiFAST untuk meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post opkraniektomi dekompresi hari ke 4 di RSUD dr. Soebandi Jember. Metode yang digunakandalam penelitian ini adalah metode case report. Intervensi dilakukan selama enam haripada pasien post op kraniektomi dekompresi hari ke 4. Pengumpulan data tingkatkesadaran menggunakan nilai Glasgow Coma Scale (GCS) dan pengukuran skala nyerimenggunakan Behaviour Pain Scale (BPS). Hasil penelitian menunjukan terdapatperubahan pada tingkat kesadaran dari nilai awal GCS 3 (Coma) menjadi GCS 6 (Supor)dan penurunan skala nyeri dari nilai awal 6 (nyeri) menjadi 5 (tidak nyeri) pada pasienpost op craniotomy dekompresi hari ke 4. Pemberian intervensi FAST pada pasien postop craniotomy hari ke 4 yang dilakukan selama 6 hari dan durasi pemberian selama 10menit terbukti efektif unuk meningkatkan kesadaran dan menurunkan skala nyeri.Keywords: Familiar Auditory Sensory Training, Tingkat Kesadaran, Skala Nyeri AbstractDecompression craniectomy procedure is one of the management of head injuries todecrease intracranial pressure. This procedure can cause complications, one of which has animpact on decreased level of consciousness and pain. Familiar auditory sensory training(FAST) intervention can be used as one intervention that can improvement level ofJurnal Perawat Indonesia, Volume 9 No 1, Hal 1898-1904, Mei 2025e-ISSN 2548-7051Persatuan Perawat Nasional Indonesia Jawa Tengah p-ISSN 2714-65021899consciousness and reduce pain scale in post op craniotomy patients. The purpose of thisstudy was to determine the effectiveness of FAST intervention to improvement level ofconsciousness and reduce pain scale in day 4 post op craniotomy decompression patients atRSUD dr. Soebandi Jember. The method used in this study is case report. The interventionconducted for six days in patients post craniotomy decompression. Level of consciusness wasmeasured using Glasglow Coma Scale (GCS) and pain scale using Behaviour Pain Scale(BPS). The results showed improvement level of consciousness from GCS 3 (Coma) to GCS 6(Suppor) and a decrease in the pain scale from 6 (indicate an unacceptable amount of pain)to 5 (mild pain). Therefore FAST is proven and useful to improvement level of consciousnessand reduce pain post op craniotomy decompression.Keywords: Familiar auditory sensory Training, Level of consciousness, Pain Scale
Implementation of Passive Leg Movement on Blood Pressure in Post-Op Laparatomy Exploration Patient Setiyaningrum, Synthia Dwi; Ridla, Akhmad Zainur; Nistiandani, Ana; Gunarto, Sugito Tri
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.169

Abstract

Background: Management of secretions is one of the main problems faced in the medical condition of respiratory disorders. The use of complementary therapy techniques to treat airway clearance such as the active cycle of breathing technique is still low when compared with other interventions in treating respiratory problems. Aims: The research aims to determine the effectiveness of providing active cycle of breathing technique therapy to overcome nursing problems ineffectiveness airway clearance in nursing care. Method: This type of research is a case study using nursing care methods. The research sample was patients treated in the Catleya room at Dr. Soebandi Jember Hospital. Patients are given nursing intervention in the form of therapy active cycle of breathing technique for 4 consecutive days 2 times a day for 15-20 minutes with 4 cycles. Results: providing active cycle of breathing technique therapy can reduce nursing problems ineffectiveness airway clearance. Providing active cycle of breathing technique therapy effectively shows improvements in conditions such as improved respiratory frequency, reduced shortness of breath, and decreased sputum production. Conclusion: providing active cycle of breathing technique therapy effectively solve nursing problems ineffectiveness airway clearance.
Pengaruh Pelatihan, Penghargaan Terhadap Perilaku Response Time Melalui Self Efficacy Perawat IGD Gunarto, Sugito Tri; Rondhianto; Wijaya, Dodi
JI-KES (Jurnal Ilmu Kesehatan) Vol. 8 No. 1 (2024): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/jikes.v8i1.786

Abstract

Abstrak Salah satu indikator kualitas pelayanan di Unit Gawat Darurat adalah angka kematian. Salah satu penyebab tingginya angka mortalitas adalah perilaku waktu tanggap petugas. Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan dan penghargaan terhadap perilaku waktu tanggap melalui efikasi diri. Metode penelitian yang digunakan adalah cross sectional. Sampel penelitian adalah perawat IGD rumah sakit tipe B di Jawa Timur sebanyak 102 orang dengan teknik pengambilan sampel total sampling. Variabel penelitian terdiri dari pelatihan, penghargaan, perilaku waktu tanggap, dan efikasi diri. Instrumen penelitian menggunakan kuesioner. Analisis data menggunakan analisis deskripsi, dan analisis inferensial menggunakan Structural Equation Model (SEM). Hasil penelitian menunjukkan bahwa mayoritas responden berusia 18-40 tahun dengan persentase 75%, sebagian besar responden berjenis kelamin laki-laki dengan persentase 69,6%, dan pendidikan terakhir yang paling banyak adalah perawat dengan persentase 64,7%. Hasil uji hipotesis menggunakan SmartPLS menunjukkan bahwa pelatihan berpengaruh positif terhadap perilaku waktu tanggap melalui efikasi diri dengan nilai p-values sebesar 0,011. Sementara itu, penghargaan berpengaruh positif terhadap perilaku response time melalui self-efficacy dengan nilai p-values sebesar 0,004. Upaya peningkatan efikasi diri dilakukan untuk meningkatkan perilaku waktu tanggap petugas. Kata Kunci: pelatihan, penghargaan, self efficacy, perilaku response time   Abstract One of the indicators of service quality in the Emergency Department is mortality. One of the causes of the high mortality rate is the response time behavior of officers. This study aimed to identify the effect of training and appreciation on response time behavior through self-efficacy. The research method used was cross-sectional. The research sample was emergency room nurses of type B hospitals in East Java as many as 102 people with total sampling technique. Variables of the study consist of training, awards, response time behavior, and self -efficacy. The research instrument used a questionnaire. Data analysis applied description analysis, and inferential analysis used Structural Equation Model (SEM). The results showed that the majority of respondents aged 18-40 years old with 75%, most of the respondents were male with 69.6%, and the common education was nurse with 64.7%. The results of hypothesis test using SmartPLS showed that training has a positive effect on response time behavior through self-efficacy with p-values of 0.011. Meanwhile, the award has a positive effect on response time behavior through self-efficacy with p-values of 0.004. The efforts to increase self-efficacy were made to improve officers’ response time behavior. Keywords: training, awards, self efficacy, response time behavior
Co-Authors Akhmad Zainur Ridla Chandra, Ilany Nandia Dodi Wijaya Kurniasari, Reni Hesti Muhamad Zulfatul A’la Murtaqib Murtaqib Nistiandani, Ana Rismawan Adi Yunanto Rondhianto Rondhianto Setiyaningrum, Synthia Dwi