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All Journal Interest : Jurnal Ilmu Kesehatan JPK : Jurnal Penelitian Kesehatan
Akbar, Bayu
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Health Professions Medicine & Pharmacology Nursing

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STUDI FENOMENOLOGI : PENGALAMAN MEKANISME KOPING PADA PASIEN DENGAN LUKA DIABETES MELLITUS DI ICSADA WOUNDCARE (ICW) KABUPATEN BOJONEGORO Akbar, Bayu; Zainal Abidin, Ahmad; Debora, Veronica
JPK : Jurnal Penelitian Kesehatan Vol. 12 No. 1 (2022): Juni
Publisher : Sekolah Tinggi Ilmu Kesehatan Katolik St. Vincentius a Paulo Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54040/jpk.v12i1.228

Abstract

Jumlah penderita Diabetes Mellitus semakin meningkat setiap tahunnya, salah satu komplikasi akibat penyakit ini adalah luka diabetes, hal ini disebabkan oleh neuropati, iskemik, dan infeksi. Kombinasi ketiganya berdampak besar terhadap terjadinya amputasi, maka sangat perlu bagi penderita Diabetes Mellitus untuk melakukan mekanisme koping yang tepat untuk masalah yang dialami. Tujuan dari penelitian ini adalah untuk mengetahui pengalaman mekanisme koping pada pasien dengan luka DM. Penelitian ini dilakukan selama 3 minggu, mulai dari bulan mei-juni 2020. Desain Penelitian Kualitatif dengan pendekatan fenomenologi. Pengumpulan data menggunakan metode wawancara mendalam secara daring yang melibatkan 4 partisipan. Hasil penelitian ini mendapatkan 16 tema. Kesimpulan dari penelitian ini adalah penderita memiliki mekanisme koping yang baik untuk masalah yang dialaminya, yakni Problem Focus Coping dan Emoticon Focus Coping. Dimana Problem Focus Coping ini adalah penderita berusaha langsung dalam menghadapi masalah yang dialami yaitu dengan melakukan pengobatan atau perawatan luka dan berkonsultasi kepada tenaga kesehatan, sedangkan Emoticon Fokus Coping adalah penderita dapat melakukan penyesuaian terhadap distress emosional secara tidak berlebihan, yaitu bersikap sabar dan pasrah kepada Allah SWT
Comparison of ESI and START Triage in Emergency Patient Prioritization: A Literature Review Akbar, Bayu; Kanita, Maria Wisnu
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 15 Issue 1 May 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v15i1.786

Abstract

Background: Emergency departments require effective triage systems to prioritize patients based on clinical urgency and resource needs. The Emergency Severity Index (ESI) and Simple Triage and Rapid Treatment (START) are widely used methods with distinct approaches and applications; however, comprehensive comparisons between them remain limited. This study aimed to analyze and compare the effectiveness of ESI and START in prioritizing emergency patients. Methods: This study employed a systematic literature review of articles published between 2020 and 2026. Data were obtained from Google Scholar and ScienceDirect using keywords related to ESI, START, and emergency triage. Articles were selected based on predefined inclusion and exclusion criteria, focusing on relevance, study design, and population. A total of 10 articles met the criteria and were included in the analysis. Data were analyzed using critical appraisal to synthesize findings. Results: START demonstrated significantly faster triage time (11 seconds) than ESI (18 seconds) (p < 0.001). ESI showed higher accuracy and predictive validity for clinical outcomes, including mortality, ICU admission, and resource utilization. Patients categorized as ESI level 1 had higher mortality (17%), with predictive performance (sensitivity 82.1% and negative predictive value 99.9%). In contrast, START showed acceptable sensitivity but carried risks of over-triage and under-triage. Some studies found no significant relationship between ESI and response time (p > 0.05). Conclusion: ESI provides more accurate patient classification in routine emergency settings, whereas START enables faster decision-making and is suited for mass casualty incidents. The selection of triage systems should consider clinical context and resource availability.  
Co-Authors Debora, Veronica Maria Wisnu Kanita Rery Novio Zainal Abidin, Ahmad