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All Journal Jendela Nursing Journal (JNJ) International Journal of Health and Pharmaceutical (IJHP)
Widyadhari, Elysia
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Health Professions Nursing Public Health

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Nurses-led Intervention of Secondary Prevention in Patients with Acute Coronary Syndrome (ACS): A Scoping Review Putri, Azalia Melati; Trisyani, Yanny; Megatami, Noviani; Armansyah, Nuraulia Aghnia; Ratnasari, Nia; Rahayu, Fitriani; Nurilhami, Ilham Taufik; Azizah, Neng Zihan Nurul; Nurinsani, Dwi Murti; Rahmah, Tsabitah; Widyadhari, Elysia
JENDELA NURSING JOURNAL Vol 8, No 2 (2024): DECEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i2.9824

Abstract

Background: acute Coronary Syndrome patients often return to the hospital due to relapses that occur after they are declared cured. Secondary prevention programs are an important part for ACS patients to treat and stop the disease process and prevent them from complications and disability. Nurses have an important role in carrying out secondary prevention, especially for ACS patients to train patients to live a healthy lifestyle.Purpose: the purpose of this review study was to map and explore the implementation of secondary prevention in acute coronary syndrome patients initiated or coordinated by nurses.Methods: this study used scoping review design by including all full-text primary studies written in English and published in the last 10 years from 7 sources including EBSCO-hosted Academic Search Complete, PubMed, ScienceDirect, Sage Journals, Taylor and Francis, ProQuest, and Google Scholar. All study results were extracted manually using the tabulation method and analyzed thematically.Results: nurses can support secondary prevention through LDL reduction and lifestyle modifications. LDL reduction involves lipid-lowering medications, the NAILED-ACS approach, and Nursing Coordinated Care (NCC). Lifestyle modifications include promoting healthy habits, ensuring medication adherence, counseling for smoking cessation, and implementing programs for weight loss and physical activity.Conclusion: secondary prevention initiated or coordinated by nurses in the form of LDL reduction intervention and lifestyle modification program have been shown to be effective in reducing the risk of recurrent ischemia in patients with acute coronary syndrome.
Analysis of Managed Care In Primary Health Care Services In Indonesian Health Insurance Management Widyadhari, Elysia; Nurlestari, Astri; Dwi Muthashani, Femy; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 3 (2025): August 2025 (Indonesia - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i3.378

Abstract

This study aims analyzes and to evaluate the implementation of the National Health Insurance Program (JKN) in Indonesia, through the perspective of the managed care model. Managed care itself is an approach that combines financing mechanisms and health services in a single integrated system, with a focus on cost efficiency and improving service quality, as implemented by BPJS Kesehatan in Indonesia. This study used a systematic literature review method of 30 scientific articles published between 2016 and 2025. The results of the study indicate that the capitation payment system and INA-CBGs play a role in increasing spending efficiency and expanding access to health services. However, several challenges remain, such as infrastructure gaps, unequal distribution of health workers, and barriers in the referral system. This study also discusses various managed care models such as EPO, IDS, HMO, PPO, and POS, and the relevance of their implementation in the Indonesian context. The findings of the proposed improvement strategies include the use of digital health service technology, strengthening community-based public education, revising more adaptive capitation rates, and improving the monitoring system for service quality and costs. These steps are necessary to support the sustainability and equity of health services throughout Indonesia going forward, along with concrete solutions.
Nurses-led Intervention of Secondary Prevention in Patients with Acute Coronary Syndrome (ACS): A Scoping Review Putri, Azalia Melati; Trisyani, Yanny; Megatami, Noviani; Armansyah, Nuraulia Aghnia; Ratnasari, Nia; Rahayu, Fitriani; Nurilhami, Ilham Taufik; Azizah, Neng Zihan Nurul; Nurinsani, Dwi Murti; Rahmah, Tsabitah; Widyadhari, Elysia
JENDELA NURSING JOURNAL Vol. 8 No. 2 (2024): DECEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i2.9824

Abstract

Background: acute Coronary Syndrome patients often return to the hospital due to relapses that occur after they are declared cured. Secondary prevention programs are an important part for ACS patients to treat and stop the disease process and prevent them from complications and disability. Nurses have an important role in carrying out secondary prevention, especially for ACS patients to train patients to live a healthy lifestyle.Purpose: the purpose of this review study was to map and explore the implementation of secondary prevention in acute coronary syndrome patients initiated or coordinated by nurses.Methods: this study used scoping review design by including all full-text primary studies written in English and published in the last 10 years from 7 sources including EBSCO-hosted Academic Search Complete, PubMed, ScienceDirect, Sage Journals, Taylor and Francis, ProQuest, and Google Scholar. All study results were extracted manually using the tabulation method and analyzed thematically.Results: nurses can support secondary prevention through LDL reduction and lifestyle modifications. LDL reduction involves lipid-lowering medications, the NAILED-ACS approach, and Nursing Coordinated Care (NCC). Lifestyle modifications include promoting healthy habits, ensuring medication adherence, counseling for smoking cessation, and implementing programs for weight loss and physical activity.Conclusion: secondary prevention initiated or coordinated by nurses in the form of LDL reduction intervention and lifestyle modification program have been shown to be effective in reducing the risk of recurrent ischemia in patients with acute coronary syndrome.
Co-Authors Armansyah, Nuraulia Aghnia Azizah, Neng Zihan Nurul Dwi Muthashani, Femy Megatami, Noviani Nurilhami, Ilham Taufik Nurinsani, Dwi Murti Nurlestari, Astri Puspitaloka Mahadewi, Erlina Putri, Azalia Melati Rahayu, Fitriani Rahmah, Tsabitah Ratnasari, Nia Yanny Trisyani