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All Journal Journal Of Nursing Practice Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Maternity Care and Reproductive Health Media Karya Kesehatan Journal of Telenursing (JOTING) MAHESA : Malahayati Health Student Journal Journal of Health and Nutrition Research Padjadjaran Acute Care Nursing Journal (PACNJ) JOURNAL OF Qualitative Health Research & Case Studies Reports
Sugiharto, Firman
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Dentistry Health Professions Medicine & Pharmacology Nursing Physics Public Health

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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.
Acute Decompensated Heart Failure Pasca Kardioversi pada Pasien Lansia dengan Diabetes Mellitus dan Chronic Kidney Disease : Sebuah Laporan Kasus Sugiharto, Firman; Larashati, Defa; Sari, Wulan Puspita; Prawesti, Ayu; Mirwanti, Ristina; Nuraeni, Aan
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15108

Abstract

ABSTRACT Acute decompensated heart failure (ADHF) is one of the spectrum of heart failure (HF). ADHF is defined as a clinical syndrome characterized by worsening HF symptoms, in which decreased cardiac output is the main characteristic leading to inadequate tissue perfusion and systemic venous congestion. ADHF is a strong predictor of readmission and post-hospitalization death, with a mortality rate of 20% after discharge from the hospital. Nurses have an essential role in comprehensive nursing care. A 73-year-old man came to the emergency room with complaints of palpitations without chest pain; the patient denied orthopnea and complained of swelling in both legs. The patient had a history of coronary heart disease (CHD), having been treated in 1998 for cardiac stent installation. The patient was treated in the ICU due to ventricular arrhythmia and hypotension. What is interesting about this case is that apart from the patient experiencing recurrent Ventricular Tachycardia (VT), the patient also had no complaints of shortness of breath, and a Blood Gas Analysis (BGA) examination found the patient to have hyperoxemia and the results of a diagnostic thorax examination showed no pulmonary oedema. Patients receive diuresis, inotropic, anti-arrhythmic and electrolyte fluid therapy. The patient was treated in the ICU for ten days and then moved to the inpatient room. This case report emphasizes the importance of accurate initial assessment of ADHF patients and the role of nurses in intensive care for ADHF patients. Nurses must be able to recognize signs and symptoms of ADHF emergencies early so that the goals of ADHF therapy to increase organ perfusion and limit the increase in severity of heart injury can be carried out quickly and precisely. Treatment of ADHF patients requires appropriate nursing interventions so that the quality of life of patients with HF can be improved. The nurse's role in preparing discharge planning as an essential preventive measure is to reduce the risk of readmission. Keyword: Acute Decompensated Heart Failure, Elderly, Intensive Care Unit, Nursing Care.  ABSTRAK Acute decompensated heart failure (ADHF) merupakan salah satu spektrum dari Heart failure (HF). ADHF didefinisikan sebagai sindrom klinis yang ditandai oleh gejala HF yang memburuk, di mana penurunan curah jantung menjadi karakteristik utama yang mengarah pada perfusi jaringan yang tidak adekuat dan kongesti vena sistemik. ADHF merupakan prediktor kuat terjadinya rawat inap kembali dan kematian pasca rawat inap dengan angka kematian sebesar 20% setelah keluar dari rumah sakit. Perawat memiliki peran penting dalam menilai secara komprehensif dalam asuhan keperawatan. Pria berumur 73 tahun datang ke IGD  dengan keluhan jantung berdebar tanpa ada nyeri dada, ortopnea disangkal oleh pasien, dan mengeluh bengkak pada kedua kaki. Pasien memiliki riwayat penyakit jantung coroner (CHD), pernah dirawat pada tahun 1998 untuk pemasangan stent jantung. Pasien dirawat di ICU dikarenakan kondisi Ventrikel aritmia dan hipotensi. Hal menarik dari kasus ini, selain pasien mengalami Ventrikel Takikardia (VT) berulang, pasien juga tidak memiliki keluhan sesak nafas dan pemeriksaan Analisa Gas Darah (AGD) ditemukan pasien mengalami hiperoxemia serta hasil pemeriksaan diagnostik thorax foto menunjukan tidak adanya pulmonary edema. Pasien mendapatkan terapi diuresis, inotropik, anti-aritmia dan cairan elektrolit. Pasien dirawat di ICU selama 10 hari lalu pindah ke ruang rawat inap. Pada case report ini menekankan pada pentingnya ketepatan pengkajian awal pasien ADHF dan peran perawat dalam perawatan intensif pasien ADHF. Perawat harus mampu mengenali tanda dan gejala kegawatan ADHF secara dini sehingga tujuan terapi ADHF untuk meningkatkan perfusi organ dan membatasi peningkatan keparahan cedera jantung dapat dilakukan secara cepat dan tepat. Perawatan pasien ADHF memerlukan interevensi keperawatan yang tepat sehingga kualitas hidup pasien dengan HF dapat ditingkatkan. Peran perawat dalam mempersiapkan discharge planning sebagai tindakan preventif penting dilakukan untuk mengurangi resiko readmisi. Kata Kunci:  Acute Decompensated Heart Failure, Asuhan Keperawatan, Intensive Care Unit, Lansia.
Construct Validity of Perceived Behavioral Control Instrument Among Patients with Coronary Artery Disease Nuraeni, Aan; Sulistiani, Eka; Sutini, Titin; Mirwanti, Ristina; Prawesti Priambodo, Ayu; Sugiharto, Firman
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.503

Abstract

Perceived Behavioral Control (PBC) is a key construct in the Theory of Planned Behavior (TPB) that plays an important role in predicting adherence to lifestyle changes among patients with coronary artery disease (CAD). Although the role of PBC has been widely discussed in health behavior research, no instrument has been specifically developed and validated to measure PBC in patients with cardiovascular disease (CVD), particularly CAD. This study used the Rasch analysis approach to evaluate the construct validity and reliability of the Perceived Behavioral Control Scale Related to Cardiovascular Disease (PBCCVD). This was a cross-sectional study involving 92 post-hospitalization CAD patients selected through convenience sampling. The PBCCVD instrument consists of 22 items using a 4-point Likert scale, developed based on TPB theory and previous studies and validated by experts. Data analysis was conducted using Winsteps software, covering reliability, separation, fit statistics, and unidimensionality. The instrument demonstrated high reliability (Cronbach's alpha = 0.86; item reliability = 0.94; person reliability = 0.86). The item and person separation indices were 4.18 and 2.74, respectively. All items met the fit criteria. The explained variance was 34.9%, and the eigenvalue of the first contrast was 2.6054, indicating a possible additional subdimension. The PBCCVD is a reliable and reasonably valid instrument for measuring perceived behavioral control in CAD patients. Although there is an indication of another underlying dimension, the instrument can still be effectively used in both clinical and research settings.
Kualitas hidup pasien diabetes melitus dengan tuberkulosis: Literatur review Rissaadah, Siti; Sulastini, Sulastini; Widadi, Sri Yekti; Setiowati, Rahayu; Sriwahyuni, Sriwahyuni; Sugiharto, Firman; Alia, Fania Putri
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1936

Abstract

Abstract   Background: Diabetes mellitus (DM) is a chronic disease with a steadily increasing prevalence globally. DM is often associated with a decreased quality of life, especially if comorbidities such as tuberculosis (TB) occur. Uncontrolled hyperglycemia in diabetes can suppress the immune system, increasing the risk of TB infection. Purpose: To evaluate the quality of life of DM patients with TB based on physical, psychological, and social domains through a narrative review approach. Method: Articles used in this study were identified through the PubMed, Scopus, and EBSCHO databases. The literature search used the keywords "Diabetes Mellitus," "Type 2 Diabetes Mellitus," "Tuberculosis," and "Quality of Life." A total of 367 articles were found, of which 7 met the inclusion criteria and eligibility criteria using the Joanna Briggs Institute (JBI). Data analysis was conducted thematically based on quality of life domains. Results: Patients with DM with TB (DM-TB) have a poorer quality of life, with significant declines in the physical domain due to poor diabetes management. Depression is a major factor in the decline in psychological quality of life. While social aspects tend not to be directly affected but can be influenced by socioeconomic status. Conclusion: A holistic and multidisciplinary approach in the management of DM-TB patients is crucial for improving their quality of life.   Keywords: Diabetes Mellitus; Quality of Life; Tuberculosis.   Pendahuluan: Diabetes melitus (DM) merupakan penyakit kronis dengan angka prevalensinya terus meningkat secara global. DM seringkali dikaitkan dengan penurunan kualitas hidup, terutama jika terjadi komorbiditas seperti tuberkulosis (TB). Hiperglikemia yang tidak terkontrol pada penderita diabetes dapat menekan imunitas tubuh, sehingga meningkatkan resiko infeksi TB. Tujuan: Untuk mengevaluasi kualitas hidup pasien DM dengan TB berdasarkan domain fisik, psikologis, dan sosial melalui pendekatan narrative review. Metode: Artikel yang digunakan dalam penelitian ini diidentifikasi melalui database PubMed, Scopus, dan EBSCHO. Pencarian literatur menggunakan kata kunci “Diabetes Mellitus”, “Type 2 Diabetes Mellitus”, “Tuberculosis”, dan “Quality of Life”. Sebanyak 367 artikel yang ditemukan, 7 artikel diantaranya memenuhi kriteria inklusi dan memenuhi kriteria eligibility menggunakan Joanna Briggs Institute (JBI). Analisis data dilakukan secara tematik berdasarkan domain kualitas hidup. Hasil: Pasien DM dengan TB (DM-TB) memiliki kualitas hidup yang lebih buruk dengan penurunan yang signifikan pada domain fisik yang diakibatkan pengelolaan diabetes yang buruk serta depresi yang menjadi faktor utama dalam penurunan kualitas hidup pada domain psikologis, sementara aspek sosial cenderung tidak terpengaruh secara langsung tetapi dapat dipengaruhi oleh status sosial sosial. Simpulan: Pentingnya pendekatan holistik dan multidisipliner dalam pengelolaan pasien DM-TB untuk meningkatkan kualitas hidup pasien.   Kata Kunci: Diabetes Melitus; Kualitas Hidup; Tuberkulosis.
TELEHEALTH-BASED PSYCHOSOCIAL SUPPORT FOR WOMEN WITH BREAST CANCER: A NARRATIVE REVIEW Nuraeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12366

Abstract

Breast cancer is one of the most common malignancies among women worldwide and is associated with multidimensional burdens throughout the disease trajectory, including diagnosis, treatment, and survivorship. Beyond physical symptoms, women with breast cancer frequently experience psychosocial problems such as anxiety, depression, emotional distress, and impaired quality of life, which may persist even after active treatment and influence treatment adherence and long-term outcomes. Conventional psychosocial support is typically delivered through face-to-face interactions; however, access to such services is often limited by geographical, temporal, and resource-related constraints. Telehealth has emerged as a promising approach to support psychosocial care by utilizing information and communication technologies to deliver health services remotely. In the context of breast cancer, telehealth encompasses various modalities, including mobile health applications, web-based platforms, teleconsultations, text messaging, and remote monitoring systems. Recent developments also indicate a growing integration of artificial intelligence, such as chatbots and conversational agents, to enhance information delivery and emotional support. This narrative review aims to critically discuss the role of telehealth in providing psychosocial support for women with breast cancer. Relevant literature was identified through searches of major scientific databases and analyzed descriptively to explore psychosocial challenges, telehealth concepts, and potential benefits for mental health and patient engagement. The findings suggest that telehealth may contribute to improved access to psychosocial support, enhanced coping, and increased patient involvement in care, although evidence remains heterogeneous across intervention types and outcomes. Telehealth should be considered a complementary approach within holistic breast cancer care, with careful attention to individual needs, digital literacy, and implementation context.  
The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community Trisyani , Yanny; Emaliyawati, Etika; Nuraeni, Aan; Anna , Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu; Sugiharto, Firman
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.740

Abstract

Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.
Co-Authors Aan Nuraeni Alia, Fania Putri Alya, Fania Putri Anastasia Anna Andrianthi, Salsyah Asmara, A Danang Cecep Eli Kosasih Deris Riandi Setiawan Donny Nurhamsyah Dos Reis , Silvestre Dyah Setyorini Etika Emaliyawati Febianti, Ranti Freitas, Lurdes A Harlasgunawan, Alia Rahmi Heriyansyah, Heriyansyah Hidayat, Nabila Nur Fadilah Irman Somantri Kurniawan Yudianto Larashati, Defa Luthfi Rahman, Luthfi Maria komariah Mochammad Imron Awalludin Novia Rahmawati Noya, Fricilia Nur’aeni, Aan Oktafianti, Mutiara Annisa Pebianti, Ranti Priambodo, Ayu Prawesti Priladani , Dhea Shobriana Rahmi Harlasgunawan , Alia Rissaadah, Siti Ristina Mirwanti, Ristina Sari, Wulan Puspita Sesilia , Fitri Setiowati, Rahayu Sri Hendrawati sriwahyuni Sriwahyuni Sulastini, Sulastini Sulistiani, Eka Theresia Eriyani Titin Sutini Trisyani , Yanny Widadi, Sri Yekti Yanny Trisyani Yulianita, Henny