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All Journal Nutrix Journal Journal of Telenursing (JOTING) MAHESA : Malahayati Health Student Journal
Tambunan, Natalia
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Pengalaman Pasien Guillain-Barre Syndrome Selama Fase Hospitalisasi Trisyani, Yanny; Susanti, Vera; Muhaemin, Muhaemin; Winara, Winara; Risnianingsih, Nina; Putri, Saparingga Dasti; Tambunan, Natalia
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.13843

Abstract

Guillain-Barré Syndrome (GBS) is a rare autoimmune condition that can lead to muscle weakness and total paralysis, often occurring following an infection. The hospitalization phase for GBS patients can significantly impact their mental health and recovery process. This study aims to map the literature concerning the subjective experiences of GBS patients during hospitalization, identify the challenges they face, and understand the psychosocial impacts and the support needs required. The methodology employed is a scoping review based on the Arksey and O'Malley framework, with data gathered from three primary databases: PubMed, Scopus, and Medline. Inclusion criteria include studies reporting on subjective experiences during hospitalization, primary studies employing qualitative, quantitative, or mixed-method approaches, and articles published in English within the last ten years (2015-2024). Eight articles met the inclusion criteria, and the analysis showed that GBS patients experience significant physical, psychological, and social challenges, as well as complex interactions with healthcare providers. These findings underscore the importance of clear communication and emotional support during care, while also identifying gaps in the existing research. Recommendations for further research include the development of interventions that are more responsive to the needs of GBS patients, aimed at improving the quality of care and patient experiences during hospitalization. Keywords: Guillain-Barre Syndrome, Experience, Hospital.
Analisis Faktor-Faktor yang Berhubungan dengan Angka Kematian Pasien Intensive Care Unit Oktoria, Vica Sari; Tambunan, Natalia; Siagian, Indah Mentari; Ruku, Denny Maurits
NUTRIX Vol 9 No 1 (2025): Volume 9, Issue 1, 2025
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v9i1.1272

Abstract

Pendeteksi awal pada saat pasien masuk di Intensive Care Unit (ICU) merupakan bagian penting dalam membantu menurunkan angka kematian. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan angka kematian pasien ICU. Cross sectional study design digunakan dalam penelitian ini, dan pengambilan sample menggunakan total sampling dari rekam medis pasien di ICU pada bulan Oktober 2023 sampai September 2024. Analisis statistik yang digunakan adalah Pearson correlation coefficient, t-test, one-way ANOVA, and Hierarchical multiple regression. Sebanyak 73 data pasien meninggal di ICU diambil dalam penelitian ini. Hasinya mendapati bahwa, variable yang berhubungan significant dengan angka kematian pasien di ICU adalah usia (r= 0.24, p= 0.05), komorbiditas (r= -0.87, p= 0.01), kesadaran (r= -0.27, p= 0.01), dan diastolic pasien (r= 0.28, p= 0.05); Sedangkan veriabel ventilator mekanik, admisi, dan diagnostic tidak mempunyai hubungan yang significant dengan angka kematian pasien di ICU. Selain itu, variable predictor dari angka kematian pasien di ICU adalah usia, komorbiditas, systolic, diastolic dan diagnostic akut dari pasien dengan menyumbang 99.5% kematian di ICU. Implikasi penelitian ini adalah untuk memonitor ketat pasien ICU dengan usia lanjut, komorbidity, status kesadaran, dan tekanan darah terhadap angka kematian; Selain itu, tenaga kesehatan perlu memperhatikan secara cermat terhadap predictor dari angka kematian pasien di ICU seperti usia lansia, masuk dengan diagnosa akut, memiliki banyak komorbiditas, serta tidak stabilnya tekanan darah (systolic maupun diastolic) pada saat pasien masuk ke ICU. Early detection upon patient admission to the Intensive Care Unit (ICU) is crucial in reducing mortality rates. This study analyzes the factors associated with ICU patient mortality. A cross-sectional study design was employed, with total sampling conducted using medical records of ICU patients from October 2023 to September 2024. The statistics analysis were used by Pearson correlation coefficient, t-test, one-way ANOVAs, and Hierarchical multiple regression. A total of 73 ICU patient mortality cases were analyzed. The findings indicate that variables significantly associated with ICU mortality included age (r = 0.24, p = 0.05), comorbidities (r= -0.87, p= 0.01), level of consciousness (r= -0.27, p= 0.01), and diastolic blood pressure (r= 0.28, p= 0.05). However, mechanical ventilation, admission type, and primary diagnosis were not significantly associated with ICU mortality. Additionally, the predictive factors for ICU mortality included age, comorbidities, systolic blood pressure, diastolic blood pressure, and acute diagnosis, collectively accounting for 99.5% of ICU deaths. The findings highlight the need for close monitoring of ICU patients, particularly those who are elderly, have multiple comorbidities, exhibit altered consciousness, or have unstable blood pressure. Furthermore, healthcare providers should carefully assess key predictors of ICU mortality, including advanced age, acute admission diagnosis, high comorbidity burden, and blood pressure instability (both systolic and diastolic) upon ICU admission.
Penanganan pada Pasien IDCM yang Mengalami Hiperkalemia Berat: Case Report Putri, Saparingga Dasti; Tambunan, Natalia; Pen, Inggried Angelica Valentina Wiliyams; Pamungkas, Sultan Muhammad Wahyu; Priambodo, Ayu Prawesti; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21125

Abstract

ABSTRACT Idiopathic Dilated Cardiomyopathy (IDCM) is a condition that can trigger malignant arrhythmias such as Ventricular Tachycardia (VT) and Ventricular Fibrillation (VF), especially if accompanied by severe hyperkalemia. The combination of myocardial dysfunction, impaired renal function, and electrolyte imbalance increases the risk of fatal complications such as cardiac arrest. Objective: To report the case management of an IDCM patient with severe hyperkalemia causing malignant arrhythmias, and to highlight the importance of a multidisciplinary approach in its clinical management. This case study uses a single case approach to a 52-year-old patient treated in the Intensive Care Unit. Data were collected through direct assessment, observation, and supporting examinations during five days of intensive care. The patient experienced severe hyperkalemia (K+ 7.05 mmol/L) which triggered VT and progressed to VF. Emergency management was carried out with ACLS, administration of calcium gluconate, insulin-dextrose, Kalitake, sodium bicarbonate, and inotropic support. Hemodialysis was performed to treat persistent electrolyte disturbances. The patient showed significant clinical improvement after comprehensive intervention. Management of severe hyperkalemia in IDCM patients requires coordination between cardiology, nephrology, and intensive care specialists. Rapid intervention, aggressive medical therapy, and hemodialysis can save lives and restore patient stability. Keywords: Nursing Care, Idiopathic Dilated Cardiomyopathy (IDCM), Hyperkalemia.  ABSTRAK Idiopathic Dilated Cardiomyopathy (IDCM) merupakan kondisi yang dapat memicu aritmia maligna seperti Ventricular Tachycardia (VT) dan Ventricular Fibrillation (VF), terutama jika disertai dengan hiperkalemia berat. Kombinasi antara disfungsi miokard, gangguan fungsi ginjal, dan ketidakseimbangan elektrolit memperbesar risiko komplikasi fatal seperti cardiac arrest.Tujuan: Melaporkan penanganan kasus pasien IDCM dengan hiperkalemia berat yang menyebabkan aritmia maligna, serta menyoroti pentingnya pendekatan multidisiplin dalam manajemen klinisnya.Studi kasus ini menggunakan pendekatan single case terhadap pasien berusia 52 tahun yang dirawat di ICU. Data dikumpulkan melalui pengkajian langsung, observasi, dan pemeriksaan penunjang selama lima hari perawatan intensif. Hasil: Pasien mengalami hiperkalemia berat (K+ 7.05 mmol/L) yang memicu VT dan berkembang menjadi VF. Penanganan darurat dilakukan dengan ACLS, pemberian kalsium glukonat, insulin-dextrose, Kalitake, natrium bikarbonat, dan dukungan inotropik. Hemodialisis dilakukan untuk mengatasi gangguan elektrolit yang persisten. Pasien menunjukkan perbaikan klinis signifikan setelah intervensi komprehensif. Penanganan hiperkalemia berat pada pasien IDCM membutuhkan koordinasi antara spesialis kardiologi, nefrologi, dan perawatan intensif. Intervensi cepat, terapi medis agresif, serta hemodialisis dapat menyelamatkan nyawa dan memulihkan stabilitas pasien. Kata Kunci: Asuhan Keperawatan, Idiopathic Dilated Cardiomyopathy (IDCM), Hiperkalemia.
Co-Authors Denny Maurits Ruku Muhaemin Muhaemin Oktoria, Vica Sari Pamungkas, Sultan Muhammad Wahyu Pen, Inggried Angelica Valentina Wiliyams Priambodo, Ayu Prawesti Risnianingsih, Nina Ristina Mirwanti, Ristina Saparingga Dasti Putri Siagian, Indah Mentari Susanti, Vera Winara, Winara Yanny Trisyani