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All Journal Jurnal Medika Nusantara Jurnal Medicare Journal of Community Engagement in Health
Lentera Afrida Kusumawardani
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Perbedaan Kejadian Hemolisis antara Lama Penyimpanan Komponen Darah Packed Red Cell (PRC) dengan Whole Blood (WB) di UTD PMI Surabaya Lentera Afrida Kusumawardani; Reinaldi Angga Ardhana
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1623

Abstract

Packed Red Cell (PRC) is a commonly used blood component for transfusion, obtained through centrifugation or sedimentation of Whole Blood (WB), with most of the plasma removed. During in vitro storage, changes such as reduced red blood cell viability and hemolysis can occur. At UTD PMI Surabaya, hemolysis in PRC and WB was detected on the 20th day of storage, with 10% of blood production approaching hemolysis. This study aims to determine the differences in hemolysis events based on storage duration between PRC and WB. The research used a total sampling method with 60 combined samples of PRC and WB and was conducted at UTD PMI Surabaya. Statistical analysis using a paired samples t-test showed a significant value of p = 0.000 (p < 0.05), indicating a significant difference in hemolysis events between PRC and WB. The study concludes that there is a significant difference in hemolysis events based on storage duration between PRC and WB at UTD PMI Surabaya.
Enhancing Postpartum Maternal Health through Educational Interventions and Non-Invasive Biomedical Immunology-Based Monitoring in Pagesangan, Kebonsari, Surabaya Kholifatul Ummah; Arkha Rosyaria Badrus; Miftahul Khairoh; Yustisia Amalia; Cityta Putri Kwarta; Lentera Afrida Kusumawardani
Journal of Community Engagement in Health Vol. 8 No. 1 (2025): March
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i1.701

Abstract

The maternal mortality rate (MMR) in Indonesia remains relatively high, with postpartum infection being one of the leading causes. The postpartum period is a critical phase during which physiological changes occur, increasing the risk of infection. However, the lack of adequate maternal health monitoring remains a challenge in the early detection of complications. This study aims to implement health technology-based monitoring using wearable sensors (HRV sensor/smartwatch) and axillary thermometers to detect changes in maternal body temperature and heart rate variability during the postpartum period. A total of 20 postpartum mothers, aged 2-14 days, from Pagesangan Subdistrict, were monitored for seven days. The results showed that the majority of participants (90%) were in good health; however, two participants (10%) experienced an increase in body temperature above 38°C and unstable HRV, which are early indicators of postpartum infection. These participants were immediately provided with additional health education and referred to healthcare professionals for further examination. Meanwhile, the remaining participants continued to receive routine monitoring and education regarding postpartum infection prevention. The implementation of this community service program demonstrated that health technology-based monitoring is effective in detecting real-time health condition changes, allowing for faster medical interventions and increasing maternal awareness of postpartum health. The findings suggest that this method can serve as an innovative approach to reducing postpartum infection risks and improving maternal health quality. Further development and wider application of this approach in other regions are recommended to enhance postpartum care and maternal well-being.
Perbedaan Kadar Hemoglobin pada Pasien Pasca Histerektomi Sebelum dan Sesudah Transfusi Darah PRC di Rumah Sakit Bunda Surabaya Lentera Afrida Kusumawardani; Alief Ayu Purwitasari; Yustisia Amalia; Sasi Widuri
Jurnal Medicare Vol. 4 No. 2: APRIL 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i2.177

Abstract

Transfusi darah merupakan prosedur klinis penting dalam penanganan anemia akibat kehilangan darah, termasuk pada pasien pasca histerektomi. Salah satu komponen darah yang sering ditransfusikan adalah packed red cell (PRC) yang berfungsi meningkatkan kadar hemoglobin. Penelitian ini bertujuan untuk mengetahui perbedaan kadar hemoglobin pada pasien pasca operasi histerektomi sebelum dan sesudah transfusi PRC di Rumah Sakit Bunda Surabaya. Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross-sectional. Data diperoleh dari 30 pasien yang menjalani histerektomi dan menerima transfusi PRC selama periode Januari–Maret 2025. Analisis menggunakan uji paired t-test menunjukkan adanya perbedaan bermakna antara kadar hemoglobin sebelum dan sesudah transfusi (p < 0,05), dengan peningkatan rata-rata sebesar 1,8 g/dL. Hasil ini menunjukkan bahwa transfusi PRC efektif dalam meningkatkan kadar hemoglobin pasien pasca histerektomi.
ANALISIS KADAR HEMOGLOBIN WHOLE BLOOD BERDASARKAN DURASI PENYIMPANAN DI UTD RSUD BAHTERAMAS Widuri, Sasi; Lentera Afrida Kusumawardani; Kwarta, Cityta Putri; Amalia, Yustisia; Samsulhadi, Wiwid
Jurnal Medicare Vol. 5 No. 1 (2026): JANUARY 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i1.376

Abstract

Maintenance of hemoglobin (Hb) levels in Whole Blood (WB) is crucial to ensure the quality and efficacy of transfusions, as the storage process can induce biochemical changes. Preliminary observations at RSUD Bahteramas indicated fluctuations in Hb levels during the early storage period. This study aimed to analyze the differences in Hb levels between the 5th and 10th day of WB storage at the Blood Transfusion Unit of RSUD Bahteramas. An analytical study with a cross-sectional approach was conducted on 10 WB samples selected using simple random sampling. Hb levels were measured using the LANDWIND Hematology Analyzer, and data were analyzed descriptively and with an independent t-test. Results showed that on day 5, only 50% of samples met quality specifications, whereas by day 10, compliance increased to 90%. A significant difference in Hb levels was observed between the two storage periods (p<0.05). It is concluded that optimal cold chain management can maintain Hb stability up to the 10th day of storage.
PENGARUH PENGGUNAAN ANTIKOAGULAN DAN TANPA ANTIKOAGULAN TERHADAP HASIL CROSSMATCHING Reswari, Putu Ayu Dhana; Lentera Afrida Kusumawardani; Kwarta, Cityta Putri; Amalia, Yustisia; Widuri, Sasi
Jurnal Medicare Vol. 5 No. 1 (2026): JANUARY 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i1.377

Abstract

Pre-transfusion testing is a mandatory procedure to ensure compatibility between donor and recipient blood; therefore, the selection of sample type is a critical factor in determining the accuracy of test results. The use of blood samples with anticoagulant EDTA or without anticoagulant (serum) is suspected to influence crossmatching outcomes. This study aimed to analyze the effect of sample type on crossmatching results at the Blood Transfusion Unit of PMI Nunukan Regency. A pre-experimental study with a static group comparison design was conducted on 30 patient samples using a total sampling technique. Crossmatching examinations were performed using the gel test method and analyzed with the McNemar test. The results showed that all EDTA samples (100%) were incompatible, while serum samples showed 30% compatible and 70% incompatible results. Statistical analysis indicated a significant difference (p=0.000). It is concluded that the use of serum without anticoagulant is more recommended as it reduces false-positive reactivity and improves the efficiency of blood transfusion services.
PENGARUH OLAHRAGA JOGGING TERHADAP KADAR HEMOGLOBIN PADA PENDONOR RUTIN DI UDD PMI KABUPATEN LOMBOK BARAT Samsulhadi, Wiwid; Lentera Afrida Kusumawardani; Kwarta, Cityta Putri; Amalia, Yustisia; Reswari, Putu Ayu Dhana
Jurnal Medicare Vol. 5 No. 1 (2026): JANUARY 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i1.378

Abstract

Maintenance of hemoglobin (Hb) levels in blood is an essential requirement for regular donors to ensure donor eligibility and recipient safety. Observations at UDD PMI West Lombok indicated a high rate of donor disqualification due to low Hb levels. This study aimed to analyze the relationship between jogging activity and Hb levels among regular donors at UDD PMI West Lombok Regency. An analytical observational study with a cross-sectional design was conducted on 91 respondents selected using the Slovin formula. Physical activity data were collected through a Guttman scale questionnaire, while Hb levels were measured using the Hemo Control device. Data were analyzed using the Chi-Square test. The majority of respondents were male (73%), with the dominant age group being 40–49 years (42%). A total of 53% of respondents regularly performed jogging, and 62% had Hb levels within acceptable specifications. The Chi-Square test showed a p-value of 0.001 (<0.05). There was a significant relationship between jogging activity and hemoglobin levels among regular donors.
Co-Authors Amalia, Yustisia Arkha Rosyaria Badrus Cityta Putri Kwarta Kholifatul Ummah Kwarta, Cityta Putri Miftahul Khairoh Purwitasari, Alief Ayu Reinaldi Angga Ardhana Reswari, Putu Ayu Dhana Samsulhadi, Wiwid Sasi Widuri Widuri, Sasi Yustisia Amalia