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Penerapan Upaya Pencegahan dan Penanganan Awal Aspirasi terhadap Kejang Demam pada Anak Pre Hospital di Rs Ibnu Sina YW UMI Taqiyah, Yusrah; Jama, Fatma; Emin, Wan Sulastri
Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat Vol 4 No 1 (2024): Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat: April
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal Bekerjasama dengan CV Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/psnpkm.v4i1.3808

Proses terjadinya kejang dimulai dengan suhu yang tinggi sehingga timbulnya bangkitan kejang. Terjadinya bangkitan kejang demam bergantung pada umur, serta cepatnya suhu meningkat. Salah satu komplikasi pada kejang demam adalah masalah kegawatan aspirasi benda asing atau tersedak yang paling sering terjadi pada anak usia Toddler dan merupakan kondisi kegawatan serius serta mengancam nyawa bila tidak ditangani segera. Observasi oleh pengasuh khususnya pada orangtua sangat penting dilakukan pada periode ini. Penanganan aspirasi benda asing dan kejang demam pada anak pre hospital dengan cepat dan tepat dapat mencegah peningkatan insiden morbiditas dan mortalitas anak. Tujuan dalam PkM ini adalah memberikan pengetahuan dan keterampilan pada orang tua anak tentang penanganan awal saat di rumah pada anak dengan kejang demam untuk menghindari terjadinya aspirasi. Metode yang dilakukan berupa ceramah, diskusi dan demonstrasi, sebelum dilakukan penyuluhan terlebih dahulu menilai tingkat pengetahuan dengan pre test dan post test, dan hasil yang didapatkan setelah dilakukan edukasi. Saran mendorong seluruh terjadi peningkatan pengetahuan sebesar 86,5%, begitupun dengan keterampilan ibu hamil meningkat menjadi 78%. orang tua agar menangani anak dengan kejang demam sesuai dengan SOP sehingga mengurangi terjadi nya angka morbiditas dan mortalitas pada anak.

Husband's Support for the Childbirth Process: Concept Analysis K, Heidi; Emin, Wan Sulastri; Taqiyah, Yusrah; Asnaniar, Waode Sri
An Idea Nursing Journal Vol. 2 No. 02 (2023)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v2i02.189

It is hoped that the husband's support will make the mother feel calm so that the mother can face the delivery process smoothly. Lack of social support from the husband is a significant determinant of depression in childbirth. The purpose of conducting a conceptual analysis of a husband's help, in the beginning, is to find out how much the benefits or effects of a husband's support during childbirth are. The method used in this concept analysis refers to the technique developed by Walker & Avant using the PubMed and Scopus databases both domestically and abroad. The process of conceptual analysis goes through the stages of choosing a concept, determining goals, identifying the use of the idea, determining attributes, creating a case model, making borderline and contrary cases, identifying antecedents and consequences and determining empirical references. Husband's physical and psychological support, as well as support in undergoing childbirth, has a positive impact in reducing anxiety and labour pain to complications of labour and postpart

Optimalisasi Kader Kesehatan melalui Metode Cepat (Cek, Pantau dan Antisipasi) dalam Menurunkan Kejadian Hipertensi Asfar, Akbar; Sudarman, Sudarman; Asnaniar, Wa Ode Sri; Emin, Wan Sulastri; Selpin, Selpin
Jurnal Peduli Masyarakat Vol 6 No 4 (2024): Jurnal Peduli Masyarakat: Desember 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i4.5333

Hipertensi merupakan penyakit akibat meningkatnya tekanan darah diatas 120/80 mmHg. Penyakit hipertensi merupakan penyakit tidak menular yang dikenal dengan istilah silent killer. Kurangnya pengetahuan masyarakat menjadi masalah utama dalam menekan angka kejadian hipertensi. Tujuan dari kegiatan ini adalah memberikan pengetahuan dan keterampilan kepada kader. Metode yang akan digunakan dalam program PkM Unggulan ini untuk mencapai target luaran tersebut adalah dengan ceramah, diskusi, praktik dan demonstrasi. Persiapan alat dan bahan meliputi leaflet, materi metode CEPAT (Cek, Pantau dan Antisipasi) dan spygmomanometer. Ceramah dan diskusi dilakukan saat kegiatan pembelajaran dan edukasi tentang metode CEPAT (Cek, Pantau dan Antisipasi) menurunkan kejadian hipertensi. Peserta pada kegiatan ini adalah kader kesehatan sebanyak 30 orang. Selanjutnya, dilakukan pelatihan kepada kader kesehatan guna memberikan keterampilan dasar dalam melakukan metode CEPAT. Hasil pelatihan kader kesehatan meningkatkan pengetahuan tentang hipertensi serta keterampilan dalam melakukan pengukuran tekanan darah menggunakan tensi meter digital degan menerapkan metode CEPAT.

Peningkatan Adaptasi Fisiologis dan Psikologis Ibu Hamil melalui Edukasi Manajemen Nyeri Persalinan Non-Farmakologis Taqiyah, Yusrah; Jama, Fatma; Emin, Wan Sulastri; Suhermi, Suhermi
Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat Vol 5 No 1 (2025): Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat: Janua
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal Bekerjasama dengan CV Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/psnpkm.v5i1.7071

Nyeri persalinan merupakan tantangan besar bagi ibu melahirkan, yang berdampak pada kondisi fisiologis seperti peningkatan nadi dan tekanan darah serta psikologis seperti kecemasan dan ketakutan. Banyak ibu hamil belum mendapatkan edukasi yang cukup mengenai metode non-farmakologis untuk mengelola nyeri secara mandiri dan efektif. Melalui Program Pengabdian kepada Masyarakat (PKM) ini, dilakukan edukasi dan pelatihan kepada ibu hamil trimester III, mengenai berbagai teknik manajemen nyeri non-farmakologis seperti breathing exercise dan counterpressure. Kegiatan dilaksanakan melalui penyuluhan, simulasi praktik, pembuatan media edukasi, dan evaluasi pre-post test. Hasil yang diharapkan adalah meningkatnya pengetahuan, keterampilan, dan kesiapan ibu hamil secara fisiologis dan psikologis menghadapi proses persalinan. PKM ini mendorong kemandirian ibu dalam mengelola nyeri dan memperkuat dukungan dari lingkungan terdekat, sehingga berpotensi menurunkan risiko intervensi medis dan meningkatkan pengalaman melahirkan yang positif.

Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar Sari Askar, Nurlaela; Sudarman, Sudarman; Emin, Wan Sulastri; Maliga, Muhajirin
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/v0t25860

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.

Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Haeni, Nur; Sudarman, Sudarman; Emin, Wan Sulastri; Asfar, Akbar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.

Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Hayati, Nur Ummi; Asfar, Akbar; Emin, Wan Sulastri; Sudarman, Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.

Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar Sari Askar, Nurlaela; Sudarman, Sudarman; Emin, Wan Sulastri; Maliga, Muhajirin
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/v0t25860

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.

Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Haeni, Nur; Sudarman, Sudarman; Emin, Wan Sulastri; Asfar, Akbar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.

Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Hayati, Nur Ummi; Asfar, Akbar; Emin, Wan Sulastri; Sudarman, Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.

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