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Community Compliance with Health Regulations during the COVID-19 Pandemic Yulianita, Henny; Priladani , Dhea Shobriana; Setyorini, Dyah; Sugiharto, Firman; Somantri, Irman; Eriyani, Theresia; Komariah, Maria
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 4 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i4.500

Abstract

Aim: This study aimed to describe of community compliance in implementing health regulations during the COVID-19 pandemic in the Panyileukan subdistrict, Bandung, West Java, Indonesia. Method: The study was quantitative descriptive research.  The study population was residents who live Panyileukan District (N=242). The sampling technique used was purposive sampling (n=77). Data were collected using the modified self-report questionnaire regarding adherence in implementing health protocol which were valid and reliable. Data were analyzed using descriptive statistics and presented in frequency distribution tables and diagrams. Results: The results show that more than half of the respondents (56%) complied with the health regulations. The indicators show that 55.8% wore masks, 53.2% washed hands, 62.3% maintained social distance, and 54.5% increased their immune systems. Regarding the response dimensions, 63.6 % of respondents believed in the regulations, 55.8% accepted the regulation, and 51.9% applied the regulations. Conclusions: Most people in the Panyileukan subdistrict adhered to the health protocols. Local governments and health workers could continue facilitating, motivating, and monitoring compliance.
Intervensi Non Farmakologi untuk Mencegah Hipotermi pada Pasien Post Operasi Yulianita, Henny; Yudianto, Kurniawan; Sugiharto, Firman; Rahmawati, Novia; Hidayat, Nabila Nur Fadilah
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7481

Abstract

This study aims to determine non-pharmacological interventions to prevent hypothermia in post-operative patients. The method used is a narrative review with the keywords nonpharmacologic hypothermia management, post-operative patients, non-pharmacologic hypothermia management, and post-operative patients. The databases used include PubMed, EBSCO, Taylor & Francis, and Garuda Portal. The research results showed that there were 14 articles comprising various non-pharmacological interventions to prevent hypothermia in post-operative patients, including forced-air warmers, warm intravenous fluids, electric blankets, and hot packs. In conclusion, several interventions, such as administering warm intravenous fluids using forced-air warmers, electric blankets, and hot bags, can help prevent hypothermia in post-operative patients in central surgical installation rooms. Keywords: Hypothermia, Intervention, Non-Pharmacological, Post-Operation
Nursing Care for Septic Shock Patients Using Indonesian Nursing Standards: A Case Reports Sugiharto, Firman; Rahmi Harlasgunawan , Alia; Sesilia , Fitri; Heriyansyah, Heriyansyah; Dos Reis , Silvestre; Anna , Anastasia
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.708

Abstract

Aims: This case report aimed to identify gaps in applying the Nursing Standard Guidelines of the Indonesian Association in critical care, specifically focusing on patients with septic shock. Methods: This study used a case report with a nursing care approach that includes an assessment to evaluation. Nursing care was provided to a patient who was experiencing septic shock, was on a ventilator, and had experienced organ failure. Results: A 63-year-old man on mechanical ventilator was diagnosed with septic shock caused by community-acquired pneumonia. The nursing diagnoses for this case included impaired spontaneous ventilation related to respiratory muscle weakness, ineffective airway clearance related to the accumulation of secretions, peripheral tissue perfusion disorders related to changes in fluid regulation, and risk of infection. The study identified inappropriate nursing diagnoses, such as 'impaired spontaneous ventilation for patients on mechanical ventilation. Conclusion: This study concludes that there are still several gaps in diagnosing and managing clinical conditions in critical cases. The nursing problem of impaired spontaneous ventilation should not have been identified as the patient was already on a ventilator. Additionally, there was no actual diagnosis for impaired organ perfusion or infection. This case report recommends further developing the Nursing Standard Guidelines of the Indonesian Nursing Association to optimize coverage of critical care. Recommendations include revising the Indonesian Nursing Diagnosis Standards to align with critical care needs. This enhancement will help nurses and clinicians in critical care not experience confusion when applying the current guidelines.
Empowering Communities: The Impact of Emergency First Aid Training on Knowledge and Readiness among Health Cadres Trisyani, Yanny; Sugiharto, Firman; Emaliyawati, Etika; Nuraeni, Aan; Anna, Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.59965

Abstract

Many emergency situations require immediate first aid. The community plays a crucial role in saving victims of cardiac arrest or traffic accidents, which are among the leading causes of premature death in Indonesia. Unfortunately, the level of public knowledge and preparedness in providing first aid remains low, highlighting the need for improvement through education and training. Community health cadres were chosen as the target group because they are closely connected to the community, easily accessible, and can act as first responders before professional medical personnel arrive. This study aimed to enhance the knowledge and readiness of community cadres in recognizing and providing effective first aid through CPR and first aid training in Pangandaran Village. A pre-experimental one-group pre-test and post-test design was used, involving 33 participants selected through accidental sampling. Data analysis was conducted using a paired sample t-test. The results showed a significant improvement (p<0.05) in the cadres’ knowledge and preparedness after the training. Based on these findings, it is recommended that similar training programs be conducted regularly by health institutions and community organizations to strengthen the capacity of cadres in providing first aid, thereby increasing the survival rate of victims of accidents and cardiac arrest within the community.Keywords: Accident, cardiac aArrest, knowledge, preparedness. 
Nursing Skills in Handling Earthquakes and the Implications for Nursing Education: A Narrative Review Setiawan, Deris Riandi; Emaliyawati, Etika; Trisyani, Yanny; Nuraeni, Aan; Noya, Fricilia; Harlasgunawan, Alia Rahmi; Rahman, Luthfi; Sugiharto, Firman
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.59062

Abstract

Many countries have high earthquake activities. As an integral part of the emergency response team, nurses play a critical role in disaster management. This review aimed to identify nurses' skills in dealing with earthquakes and their implications for the importance of nurse education in this area. This study used a narrative review. The literature was searched using three databases: CINAHL, PubMed, and Scopus, using the keywords "Nurses OR Nurse OR Personnel Nurses OR Registered Nurses AND Clinical Competence OR Competency, Clinical OR Clinical Skill AND Earthquakes." The analysis was carried out descriptively and qualitatively using a thematic analysis approach. The resultsshows that eight studies were analyzed in this review. Nursing competency in earthquake disasters includes skills and knowledge important for preparing, responding to, and recovering from pre- and post-disaster conditions. The results of this research classify nurses' skills into five categories: knowledge of disaster management, clinical skills and patient care, protective measures and safety leadership, communication and coordination, and psychological and social support. Conclusion: The review results highlight the importance of increasing nurses' skills through training and knowledge in disaster preparedness for nurses, emphasizing a deep understanding of emergency medical management and post-disaster recovery. The importance of adapting nursing education curricula and using effective teaching strategies to ensure that nurses have sufficient skills and knowledge to face complex disaster challenges. Keywords: Clinical competence, disaster management, nursing skills.
The Correlation Between Post-Procedural Complications and Length of Stay Among Post Primary PCI Patients: A Retrospective Study Sugiharto, Firman; Trisyani, Yanny; Nuraeni, Aan; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64834

Abstract

Background: Coronary heart disease (CHD) is a leading cause of morbidity and mortality globally. Primary PCI is an effective intervention, it is not without risks, and complications arising post-procedure can significantly affect both patient outcomes and the length of hospital stay (LOS).Aim: To describe the types and frequency of complications that occur in patients after Primary PCI and to analyze their relationship with the length of stay in the hospital.Design: This study employed a retrospective design, utilizing medical records of patients who underwent Primary PCI at a referral hospital in West Java, Indonesia, from December 2019 to April 2024. The study sample was selected using a convenience sampling method, focusing on patients who had complete medical records. Data analysis was conducted using univariate and bivariate analyses, including Fisher's exact test to assess the relationship between complications and LOS. The dependent variable, LOS, was categorized into three groups: ≤ 3 days, 4-5 days, and ≥ 6 days.Results: The findings showed that 81.8% of patients did not experience any complications post-procedure, while 14.5% experienced hematomas and 3.6% experienced bleeding. The median LOS was 4.00 ± 2.28 days, with 60.9% of patients having an LOS of more than 3 days. Patients who experienced complications, especially hematomas or bleeding, were more likely to have prolonged hospital stays, with 11.8% of them staying for ≥ 6 days.Conclusion: Complications following Primary PCI significantly affect the length of stay in the hospital. The study highlights that patients who experience complications such as hematomas or bleeding tend to have longer hospitalizations. These findings underscore the importance of early detection and timely management of post-procedural complications to reduce LOS and enhance patient outcomes.
Telehealth dan Teknologi Artificial Intelegence untuk Meningkatkan Dukungan Psikologis dan Kepatuhan terhadap Terapi dalam Perawatan Kanker Payudara: Sebuah Protokol Scoping Review Nur'aeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman; Andrianthi, Salsyah; Febianti, Ranti; Oktafianti, Mutiara Annisa
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.64809

Abstract

  Kanker payudara merupakan jenis kanker dengan kasus terbanyak secara global dan memberikan dampak serius terhadap kesehatan mental serta kepatuhan pasien terhadap terapi. Pasien sering menghadapi kecemasan, depresi, dan gangguan psikologis lain yang dapat menghambat proses pengobatan. Telehealth menawarkan solusi dukungan jarak jauh, namun masih memiliki keterbatasan dalam hal personalisasi dan keberlanjutan layanan. Integrasi kecerdasan buatan (Artificial Intelligence/AI) ke dalam sistem telehealth dinilai memiliki potensi besar untuk meningkatkan efektivitas intervensi melalui deteksi dini, pemantauan real-time, serta pemberian dukungan yang lebih responsif dan individual. Manuskrip ini merupakan protokol dari scoping review yang bertujuan untuk memetakan jenis, konten, dan pendekatan intervensi telehealth, baik yang berbasis AI maupun tidak, dalam mendukung kesehatan mental dan kepatuhan terapi pada pasien kanker payudara. Kajian disusun berdasarkan pedoman PRISMA-ScR dan menggunakan kerangka PCC (Population: pasien perempuan dengan kanker payudara; Concept: intervensi telehealth dan/atau AI; Context: dukungan psikologis dan kepatuhan terapi). Pencarian literatur dilakukan pada delapan basis data utama: PubMed, Scopus, Web of Science, ProQuest, CINAHL, EBSCO, ScienceDirect, dan Google Scholar, dengan rentang publikasi 2015–2025. Temuan dari review ini diharapkan dapat menjadi dasar pengembangan intervensi digital yang lebih efektif, personal, dan berkelanjutan, khususnya di wilayah dengan keterbatasan layanan kesehatan.  
Comprehensive Nursing Care in a Neonatal Asphyxia with Hypoxic Ischemic Encephalopathy and Sepsis Complications: A Case Report Sugiharto, Firman; Khoirunnisa, Khoirunnisa; Hendrawati, Sri; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64835

Abstract

Background: Asphyxia is one of the highest causes of neonatal mortality in the world. Delayed treatment of asphyxia can have an impact on permanent organ failure and neurological disability in neonates such as cerebral palsy, hyperactivity, and epilepsy.Aim: This study aimed to describe nursing care for neonates with asphyxia neonatorum.Case Description: A boy named H (By. H), 22 day old was transferred from the neonatal intensive care unit (NICU) with a diagnosis of severe asphyxia with complications of HIE and sepsis. At the time of assessment, the level of consciousness compos mentis, general condition was weak, often restless, short of breath, there was lobed breathing, intercostal retractions, stridor, secret in the mouth, rhonchi in both lung fields. Vital signs obtained HR: 150 x/minute, RR: 50 x/minute, body temperature: 36.60C, SpO2: 96%. The neonatus has good nutritional status and adequate hydration status, with positive fluid balance and no signs of fluid overload. Rest and sleep status of the neonatus is enough. The patient had a history of apnea, seizures, and post cooling therapy.Conclusion: The interventions and implementations carried out were monitoring vital signs, monitoring signs and symptoms of hypoxia, monitoring additional breath sounds, positioning the semi-fowler 30-450, changing position to prone position after breastfeeding, and nebulization with 3% NaCl 4 ml. After the intervention, the nursing problems in this case study had only been partially resolved. There is a need for further monitoring related to airway management which includes observation of vital signs and respiratory distress, continued nebulization with 4 ml of 3% NaCl, and monitor for signs of hypoxia.
The Information Needs of Breast Cancer Patients at All Stages of Their Journey: A Protocol of Scoping Review Priambodo, Ayu Prawesti; Trisyani, Yanny; Anna, Anastasia; Nuraeni, Aan; Oktafianti, Mutiara Annisa; Sugiharto, Firman; Pebianti, Ranti; Andrianthi, Salsyah
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.65055

Abstract

Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death in women, therefore breast cancer is the most common cancer in women in most countries. Providing adequate information needed by patients can reduce anxiety and feelings of insecurity. Most of women with breast cancer stated that the information obtained was unsatisfactory. However, few studies have comprehensively addressed the information needs of women with breast cancer across all stages of the disease. This scoping review aimed to fully understand the unique information needs of breast cancer patients at various stages of the cancer continuum. A scoping review will be conducted following PRISMA guidelines. Relevant studies will be identified from databases such as PubMed, Scopus, and Taylor & Francis, EBSCOhost, and ScienceDirect. In addition, searches via Google Scholar, interpersonal network recommendations, and reference chains will also be conducted. Studies will be selected based on PCC criteria, focusing on breast cancer patients as the population, information needs as content, and at various stages of the cancer continuum as the context. Data extraction and risk of bias assessment will be performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. This review is expected to provide comprehensive information needs of breast cancer patients at various stages of the cancer continuum. The findings will be valuable for educational institutions, healthcare facilities, in designing innovative, technology-based educating programs that enhance knowledge retention, practical skills, and psychological preparedness.
The Influence of Health Education on Public Knowledge about Sports Accidents Sugiharto, Firman; Asmara, A Danang; Sari, Wulan Puspita; Freitas, Lurdes A; Ramdani, Dadan; Anna, Anastasia; Nuraeni, Aan
Media Karya Kesehatan Vol 8, No 2 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i2.59059

Abstract

Sports accidents can have a very significant impact on various aspects of life. However, public knowledge regarding this still needs to be improved and uneven, so it is essential to disseminate information related to preventing and handling sports accidents. This study aimed to determine the effect of health education on public knowledge in the prevention and early handling of sports accidents. This study was a pre-experimental study with a one-group pre-post-test approach. The research sample consisted of 230 respondents and was conducted using an accidental sampling technique. Data analysis was done by looking at the difference in pre-test and post-test values using the Wilcoxon difference test. The results of the study showed that before health education was given, the average value of respondents' knowledge was 59.30 ± 26.21.Meanwhile, after being given health education, the average score increased to 84.87 ± 20.27. Bivariate analysis showed a statistically significant difference with a p-value <0.001. This shows a difference in public knowledge about sports accidents before and after being given health education. There is a need for activities like this to be carried out in other communities and society in general so that the dissemination of information and public understanding related to sports accidents will improve and the impact of delays in handling injuries can be minimized. Keywords: Health education; knowledge; sports accidents.