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All Journal Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) 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 JOURNAL OF Mother and Child Health Concerns
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.
Literature Review: Intervensi Prone Positioning Dalam Pengelolaan Pasien dengan Acute Respiratory Distress Syndrome Emaliyawati, Etika; Sutini, Titin; Ermiati, Ermiati; Solehudin, Asep; Sugiharto, Firman; Widiasih, Restuning
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.15090

Abstract

ABSTRACT Acute Respiratory Distress Syndrome (ARDS) is one of the causes of most patients being admitted to the Intensive Care Unit (ICU) and has the potential to cause death due to inadequate gas exchange due to fluid in the alveoli. One of the interventions given is prone positioning to increase lung expansion. This study examines the benefits and impact of prone positioning intervention in ARDS patients. This literature review uses the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines with the keywords "ARDS, effectiveness, and prone positioning" using the Science Direct, PubMed, and Google Scholar databases. The inclusion criteria were full text in English or Indonesian with no restriction a publication year. 4,164 articles were collected according to keywords, and five articles that had gone through elimination and met the inclusion criteria were selected. Prone positioning in ARDS patients can reduce mortality and increase PaO2/FiO2. However, there are drawbacks, such as causing pressure ulcers in certain areas and does not reduce the potential complications of VAP. Prone positioning benefits patients by reducing mortality and increasing PaO2/FIO2. In practice, prone positioning must be supported by the presence of trained medical personnel, and possible complications must be reduced. Keywords: ARDS, Effectiveness, Prone Positioning  ABSTRAK ARDS atau Acute Respiratory Disstress Syndrom merupakan salah satu penyebab kebanyakan pasien masuk Intensive Care Unit (ICU) dan berpotensi menyebabkan kematian sebab pertukaran gas inadekuat akibat cairan di alveolus, salah satu intervensi yang diberikan adalah prone positioning untuk meningkatkan ekspansi paru. Penelitian ini bertujuan untuk melihat manfaat dan dampak dari intervensi prone positioning pada pasien ARDS. Literature review ini menggunakan panduaan Preferred Reporting Items for Systematic Reviews (PRISMA) dengan kata kunci “ARDS, efektivitas, dan prone positioning”dengan menggunakan database Science Direct, PubMed, dan GoogleSchollar. Kriteria inkluasi yaitu fulltext berbahasa Inggris atau Indonesia dan tidak ada retrisksi tahun publikasi. Terkumpul 4.164 artikel sesuai dengan kata kunci dan terpilih 5 artikel yang telah melalui eliminasi dan sesuai dengan kriteria inklusi. Prone posisitioning pada pasien ARDS dapat mengurangi angka kematian dan meningkatkan PaO2/FiO2, meskipun terdapat kekurangan seperti mengakibatkan pressure ulcer di bagian tertentu dan tidak mengurangi potensikomplikasi VAP. Prone positioning bermanfaat untukpasien sebab mengurangi angka kematian dan meningkatkan PaO2/FIO2. Dalam praktiknya, prone positioning harus ditunjang dengan kehadiran tenaga medis terlatih, dan mengurangi komplikasi yang mungkin terjadi. Kata Kunci: ARDS, Efektivitas, Prone Positioning
Gambaran Tingkat Pengetahuan Mahasiswa Universitas Padjadjaran tentang Resusitasi Jantung Paru Orang Dewasa Istiazahra, Dylla; Kosasih, Cecep Eli; Mirwanti, Ristina; Sugiharto, Firman
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.10207

Abstract

ABSTRACT Cardiac Arrest or cardiac arrest is a factor in the cause of death from heart disease which is the number one cause of death in the world. The incidence of cardiac arrest can be reduced by providing pre-hospital assistance by bystanders, namely Cardio Pulmonary Resuscitation (CPR). Knowledge is very closely related to education where it is expected that someone with higher education will be directly proportional to the wider knowledge. This study aimed to describe the level of knowledge of Adult Cardiac Arrest Resuscitation in Cardiac Arrest victims by Padjadjaran University students. This study used a descriptive quantitative method. The population in this study were active students of Padjadjaran University, Jatinangor campus (N=22.389). The sampling technique used proportional sampling with a total sample of 393 student using the Taro Yamanee calculation. The instrument used was an instrument from previous study with a validity test (a ≤ 0.05), a Cronbach’s alpha reliability test of 0.73%. The data were analyzed using the univariate analysis method. The findings showed that the level of knowledge about CPR by Padjadjaran University students is in a good category (66.4%). The source of information that respondents receive about CPR comes from social media (27%). From the findings of this study, it is expected that health education can be implemented by spreading information evenly on social media. Moreover, health education can also be considered for inclusion in the learning curriculum for all faculties. Keywords: Cardiac Arrest, Cardiopulmonary Resuscitation, Knowledge  ABSTRAK Henti jantung menjadi faktor penyebab kematian dari penyakit jantung yang menjadi penyebab kematian nomor satu di dunia. Kejadian henti jantung dapat diturunkan dengan memberikan pertolongan pra rumah sakit oleh bystander yaitu Resusitasi Jantung Paru (RJP). Pengetahuan sangat erat kaitannya dengan pendidikan di mana diharapkan seseorang dengan pendidikan tinggi, maka akan berbanding lurus dengan pengetahuan yang semakin luas. Penelitian ini bertujuan untuk mendeskripsikan tingkat pengetahuan mahasiswa Universitas Padjadjaran tentang Resusitasi Henti Jantung Dewasa pada korban Henti Jantung. Penelitian ini menggunakan metode deskriptif kuantitatif. Populasi dalam penelitian ini adalah mahasiswa aktif Universitas Padjadjaran Kampus Jatinangor (N=22.389). Teknik pengambilan sampel menggunakan proporsional sampling dengan jumlah sampel sebanyak 393 orang menggunakan perhitungan Taro Yamanee. Instrumen yang digunakan adalah instrumen dari penelitian sebelumnya dengan uji validitas (a ≤ 0,05), uji reliabilitas Cronbach’s alpha sebesar 0,73%. Data dianalisis dengan menggunakan secara analisis univariat. Hasil penelitian menunjukkan bahwa tingkat pengetahuan tentang CPR mahasiswa Universitas Padjadjaran berada pada kategori baik (66,4%). Sumber informasi yang diterima responden tentang CPR berasal dari media sosial (27%). Dari temuan penelitian ini, diharapkan pendidikan kesehatan dapat dilaksanakan dengan menyebarkan informasi secara merata di media sosial. Selain itu, pendidikan kesehatan juga dapat dipertimbangkan untuk dimasukkan dalam kurikulum pembelajaran untuk semua fakultas. Kata Kunci: Henti jantung, Pengetahuan, Resusitasi Jantung Paru
Levels of hope among children under 18 years old with acute lymphoblastic leukemia undergoing chemotherapy: A descriptive study Alya, Fania Putri; Ulfah, Diana; Lusiani, Eli; Deniati, Kiki; Febriyona, Rona; Sugiharto, Firman; Rissaadah, Siti
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 8 (2025): November Edition
Publisher : 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/mchc.v4i8.1812

Abstract

Background: Hope is an essential psychological resource that enables children with cancer to cope with the stress and uncertainty of long-term treatment. However, research focusing on the level of hope among children with Acute Lymphoblastic Leukemia (ALL) in Indonesia or Southeast Asia remains limited, as most studies have centered on adults or on depression and anxiety rather than hope. Understanding hope among pediatric cancer patients is crucial for developing psychosocial interventions that enhance emotional resilience and treatment adherence. Purpose: to describe the levels of hope among children under 18 years old with ALL who were undergoing chemotherapy. Method: This was a quantitative descriptive study involving 66 respondents selected through convenience sampling. Data were collected using the Children’s Hope Scale (CHS), consisting of six items that assess agency and pathway thinking. Ethical approval and parental consent were obtained prior to data collection. Descriptive statistics were applied to analyze respondents’ demographic characteristics and hope scores. Result: The findings showed that most respondents were aged 8–12 years (56.1%), male (59.1%), and diagnosed with high-risk ALL (89.4%). More than half (54.5%) demonstrated a high level of hope, while 45.5% had a low level of hope. Younger children exhibited higher hope levels compared to adolescents. The mean hope score was 22.9 ± 3.95, with a median of 23 and a score range of 16–32, indicating a moderate to high overall level of hope. Conclusion: Most children with ALL in this study maintained a moderate to high level of hope during chemotherapy. These results emphasize the importance of assessing hope as part of psychosocial care. Strengthening hope through supportive communication and family-centered interventions can enhance children’s PWB and promote better adherence throughout the treatment process.
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.
Co-Authors Aan Nuraeni Alia, Fania Putri Alya, Fania Putri Anastasia Anna Andrianthi, Salsyah Anna , Anastasia Asmara, A Danang Ayu Prawesti Priambodo Cecep Eli Kosasih Deniati, Kiki Deris Riandi Setiawan Diana Ulfah Donny Nurhamsyah Dos Reis , Silvestre Dyah Setyorini Ermiati Ermiati Etika Emaliyawati Febianti, Ranti Freitas, Lurdes A Harismayanti, Harismayanti Harlasgunawan, Alia Rahmi Heriyansyah, Heriyansyah Hidayat, Nabila Nur Fadilah Irman Somantri Istiazahra, Dylla Larashati, Defa Lusiani, Eli Luthfi Rahman, Luthfi Maria komariah Mochammad Imron Awalludin Novia Rahmawati Noya, Fricilia Nur'aeni, Aan Oktafianti, Mutiara Annisa Pebianti, Ranti Prawesti Priambodo, Ayu Priladani , Dhea Shobriana Rahmi Harlasgunawan , Alia Restuning Widiasih Rissaadah, Siti Ristina Mirwanti, Ristina Sari, Wulan Puspita Sesilia , Fitri Setiowati, Rahayu Solehudin, Asep Sri Hendrawati sriwahyuni Sriwahyuni Sulastini, Sulastini Sulistiani, Eka Theresia Eriyani Titin Sutini, Titin Widadi, Sri Yekti Yanny Trisyani Yudianto, Kurniawan Yulianita, Henny