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PENGARUH TINDAKAN SUCTION PADA PERUBAHAN SATURASI OKSIGEN PADA PASIEN PNEUMONIA Yogasara, Yoseph; Rakhmawati, Arifah; Murtiani, Farida; Widiantari, Aninda Dinar
Jurnal Ilmiah Keperawatan IMELDA Vol. 9 No. 2 (2023): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v9i2.1241

Abstract

ICU patients who use mechanical ventilators need intensive monitoring including blood gas analysis which contains oxygen saturation (SpO2). Suctioning is performed to clear airway, reduce sputum retention and prevent lung infection in advance. We studied effect of suctioning on oxygen saturation in pneumonia patients who used mechanical ventilator. This research was a quasi-experimental research with one group pretest-posttest design. We investigated 30 intensive care unit patients. Intervention was suctioning in semifowler position. Oxygen saturation was measured with pulse oximetry. Results showed that average oxygen saturation before intervention was 94,87% while after intervention was 96,93%. We performed Wilcoxon test and obtained p-value = 0.001. It concluded that suction affects oxygen saturation in pneumonia patients on ventilators in the ICU RSPI Sulianti Saroso with an average increase of 2.067%.
Case Series: Confirmed Diphtheria at Sulianti Saroso Infection Center Hospital in The Post-pandemic Period Nugroho, Anita Puspitasari Dyah; Herlina, Herlina; Hendrawati, Nunung; Aliza, Nur; Hartono, Teguh Sarry; Widiantari, Aninda Dinar; Murtiani, Farida
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 14 No. 1 (2025): MARET 2025
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v14i1.4121

Abstract

Background: Diphtheria vaccine coverage decreased during the Covid-19 pandemic. Diphtheria is caused by Corynebacterium diphtheria, which infects the upper respiratory system and produces toxins circulating in the body. The disease was fatal, with a mortality rate higher in children. This study described a case series of confirmed hospitalised diphtheria patients at Sulianti Saroso Infectious Disease Hospital (SSIDH) eighteen months post-pandemic. Objective: to describe epidemiological characteristics, laboratory examinations and outcomes of hospitalised diphtheria patients at SSIDH from January 1st, 2022, to June 31st,2023. Case Presentation: We reported ten confirmed diphtheria cases based on RT-PCR and clinical and epidemiological diagnosis. Of the ten cases, nine were children (<18 years old), six were male patients, and five lived in Jakarta. Based on Albert staining, 9 of 10 samples were found to be bacilli, positive-gram bacteria with metachromatic granular. Result: According to the RT-PCR examination, eight cases were confirmed positive for toxigenic diphtheria, five were a mitis subtype, one was a gravis subtype, and the other four were undetected. Based on clinical examination, eight cases were classified as severe diphtheria, five cases included myocarditis, and three patients passed away. Pediatric cases dominated diphtheria cases. RT-PCR examinations are more accurate and specific to finding toxigenic subtypes in the Jakarta Metropolitan Area. Conclusion: The detection of diphtheria cases in adult’s highlights concerns about adult immunity and awareness of vaccination. Vaccination campaigns and booster shots are essential, alongside continuous surveillance and accurate testing to prevent a resurgence of the disease.
The Efficacy of Warm and Cold Compresses in Reducing Body Temperature among Hyperthermic Sepsis Patients Lukito, Kurniawan Raharjo; Sahrudi, Sahrudi; Widiantari, Aninda Dinar; Murtiani, Farida
Jurnal Pendidikan Keperawatan Indonesia Vol 10, No 1 (2024): Volume 10, Nomor 1, Juni 2024
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v10i1.67349

Abstract

Introduction: Clinical manifestations in sepsis patients include high fever (hyperthermia). Interventions to reduce fever can be done through non-pharmacological therapy, including cold and warm compresses. Objective: This study was determine the effectiveness of warm and cold compresses on temperature changes in hyperthermic patients in the ICU. Methods: This study was a quantitative study with a quasi-experimental pre-post design with a control group. The study was conducted at Sulianti Saroso Infectious Disease Hospital (SSIDH). The sample consisted of sixty (60) patients diagnosed with sepsis in the ICU, with thirty (30) patients receiving warm compress intervention and thirty (30) patients receiving cold compress intervention. The intervention involved a compressing procedure according to the hospital's SOP. Results: In the warm compress intervention group, the average body temperature before intervention was 38.740C; after intervention, it was 36.760C. In the cold compress intervention group, the body temperature before intervention was 38.590C; after intervention, it was 36.750C. There was a difference in body temperature before and after intervention for both warm and cold compresses (p-value=0.0001) but the changes in the two interventions were not statistically different (p-value=0.437). Conclusion: Both compresses are effective in reducing the body temperature of sepsis patients experiencing hyperthermia. The results of this study can be used as input for nursing interventions in ICU patients with hyperthermia problems with non-pharmacological interventions through warm compresses and cold compresses.