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Pengaruh VAP Bundle Intervention Dalam Pencegahan VAP Pada Pasien Terpasang Ventilator Mekanik Di Ruangan ICU RSUD Prof. Dr. H. Aloei Saboe Kota Gorontalo Damasnyah, Haslinda; Yunus, Pipin; Monoarfa, Susanti; Taliki, Verawaty
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.22696

Abstract

Objective: Patients who are on a mechanical ventilator can increase the risk of nosocomial infections because this is a potential complication that can occur, including patients experiencing Ventilator Associated Pneumonia (VAP). The aim of this study was to analyze the effect of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe Gorontalo City. Methods: The research method used is pre-experimental research with one group pre-post test design to carry out CPIS (Clinical Pulmonary Infection Score) measurements to diagnose VAP. Results: The results of this study were obtained before the VAP bundle intervention in patients on mechanical ventilators in the ICU, the average CPIS score was 4.75. After the VAP bundle intervention, the patient was placed on a mechanical ventilator in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe, Gorontalo City, the average CPIS score is 3.42. The results of the Wilcoxon statistical test obtained a p-value of 0.001 (<α 0.05), meaning that there is an influence of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU room at the Regional Hospital Prof. Dr. H. Aloei Saboe Gorontalo City. Conclusion: From this research data, the implementation of VAP prevention measures and the patient's disease condition is supported by the provision of pharmacological therapy according to the dose.Elevation of the head 30-45° can reduce the occurrence of oropharyngeal and gastrointestinal aspiration and increase the patient's lung volume and lung ventilation. Oral hygiene with antiseptic chlorhexidine 0.02% as an inhibitor of dental plaque formation and gingivitis.
Concept Analysis Patient Centred Care In Diabetes Mellitus With Heart Disease Complication Pranata, Satriya; Aisah, Siti; Vranada, Aric; Taliki, Verawaty; Adriani, Sri; Riyanto, Ujang; Fariqoini, Ayul; Harmoko, Tri
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.18495

Abstract

ABSTRACT PCC of patients with diabetes mellitus with heart disease is a patient-focused service with a holistic approach (bio-psychosocial-spiritual) to provide respectful and individualized care, enabling negotiation of care and offering choice through a therapeutic relationship where patients with diabetes mellitus with heart disease complications are empowered to be involved in health decisions at whatever level is desired by the individual receiving care. However, the application of this concept in services has not been comprehensively clarified. The purpose of this analysis is to describe and explain the concept of PCC in patients with diabetes mellitus with heart disease complications. Walker and Avant's concept analysis process was used to analyze the PCC concept. Six main defining attributes were identified: “ autonomy support; shared decision making; cooperation and collaboration; communication and education; emotional support, involvement of family and others. The predecessor analysis included several options with different possible outcomes, substantial patient-focused care conflicts, the need to recognize the health situation of patients with diabetes mellitus complicated by heart disease, and the willingness to participate in care. All of these factors are directly associated with different patient outcames and indirectly associated with outcames through patient activation. Kata Kunci: Patient Centred Care, Diabetes Mellitus, Heart Disease
Intervensi Edukasi Kesehatan Untuk Meningkatkan Pengetahuan, Sikap dan Praktik Pencegahan Penularan Tb : a Systematic Review Taliki, Verawaty; Ernawati, Ernawati; Hartiti , Tri
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49351

Abstract

Penyakit tuberkulosis (TB) masih menjadi masalah kesehatan masyarakat global yang menimbulkan morbiditas dan mortalitas tinggi, termasuk di Indonesia. Penanganan TB tidak cukup hanya melalui intervensi medis, tetapi juga memerlukan strategi edukatif yang dapat meningkatkan pengetahuan, sikap positif, dan praktik hidup sehat di kalangan masyarakat. Intervensi edukasi kesehatan menjadi salah satu strategi yang berperan penting dalam upaya pengendalian TB. Tujuan dari studi ini adalah mengetahui pengaruh intervensi edukasi kesehatan terhadap pengetahuan sikap dan praktik pencegahan penularan TB. Studi ini merupakan systematic review yang diterapkan berdasarkan Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Database yang digunakan adalah Google Scholar, Proquest, Pubmed, Wiley online library, dan Sciene Direct dengan batas publikasi lima tahun terakhir (2020–2025). Kata kunci yang digunakan pada pencarian adalah “Health Education” AND “Knowledge, Attitudes And Practices” AND “Prevention TB Transmission”. 13 artikel yang memenuhi kriteria inklusi dianalisis dalam tinjauan ini. Hasil sintesis menunjukkan bahwa berbagai bentuk intervensi edukasi, baik tatap muka, digital, maupun berbasis komunitas, secara signifikan mampu meningkatkan pemahaman masyarakat tentang TB. Disimpulkan intervensi edukasi kesehatan terbukti efektif dalam meningkatkan KAP terhadap pencegahan penularan TB. Intervensi Edukasi perlu diintegrasikan ke dalam program nasional pengendalian TB secara berkelanjutan, dengan memperhatikan kearifan lokal dan kebutuhan spesifik tiap komunitas.
Pengaruh VAP Bundle Intervention Dalam Pencegahan VAP Pada Pasien Terpasang Ventilator Mekanik Di Ruangan ICU RSUD Prof. Dr. H. Aloei Saboe Kota Gorontalo Damasnyah, Haslinda; Yunus, Pipin; Monoarfa, Susanti; Taliki, Verawaty
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.22696

Abstract

Objective: Patients who are on a mechanical ventilator can increase the risk of nosocomial infections because this is a potential complication that can occur, including patients experiencing Ventilator Associated Pneumonia (VAP). The aim of this study was to analyze the effect of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe Gorontalo City. Methods: The research method used is pre-experimental research with one group pre-post test design to carry out CPIS (Clinical Pulmonary Infection Score) measurements to diagnose VAP. Results: The results of this study were obtained before the VAP bundle intervention in patients on mechanical ventilators in the ICU, the average CPIS score was 4.75. After the VAP bundle intervention, the patient was placed on a mechanical ventilator in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe, Gorontalo City, the average CPIS score is 3.42. The results of the Wilcoxon statistical test obtained a p-value of 0.001 (<α 0.05), meaning that there is an influence of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU room at the Regional Hospital Prof. Dr. H. Aloei Saboe Gorontalo City. Conclusion: From this research data, the implementation of VAP prevention measures and the patient's disease condition is supported by the provision of pharmacological therapy according to the dose.Elevation of the head 30-45° can reduce the occurrence of oropharyngeal and gastrointestinal aspiration and increase the patient's lung volume and lung ventilation. Oral hygiene with antiseptic chlorhexidine 0.02% as an inhibitor of dental plaque formation and gingivitis.
Model Penyelesaian Kasus Maqashid Syariah Kasus Fertilisasi Buatan Asmi, Asmi; Muliani, Muliani; Taliki, Verawaty; Iriantono, Galuh; Amelina, Suzanna; Suprapto, Rohmat; Chanif, Chanif
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.23530

Abstract

ABSTRACT Infertility is agrowing health problem that has a major impact on the biological, psychological, and spiritual aspects of married couples, making artificial fertilization(IVF) one of the most widely used medical solutions. However, it stillraises ethical issues and Sharia considerations that must be carefully examined. This study aims to analyze the practice of artificial fertilizationthrough the maqasid asy-Syari'ah approach, identify forms ofIVF that are in line with Islamic law, and formulate a case resolution modelthat can be applied in holistic Islamic nursing services.The research uses a qualitative method with a literature study approachthrough the analysis of various fiqh literature, contemporary literature, fatwas from Islamic institutions, reproductive medicine journals, and nursing practice guidelines related toreproductive bioethics. The results of the study show that artificial fertilization ispermissible according to Sharia law, provided that the entire fertilization processuses sperm and eggs from a legally married couple, is carried outwhile the marriage bond is still valid, and does not involve gamete donors,surrogate wombs, or other processes that could lead to the mixing of masab andviolate the principle of hifz an- nasl. The study also confirms that IVF that complies with Islamic law can support the protection of life, honor, reason, and emotional stability of couples when carried out with comprehensive nursing assistance, both in terms of clinical education, anxiety management, and spiritual guidance. Based on these findings, it is concluded that artificial fertilization can be a medically and sharia-compliant solution if carried out within the limits set by Islam, while nursing staff need to integrate the values of maqasid asy-syariah to ensure a safe, ethical process that provides spiritual peace for patients. Keywords: Artificial Fertilization, IVF, Maqasid Asy-Syariah, Islamic Nursing, Reproductive Bioethics.  ABSTRAK Infertilitas merupakan masalah kesehatan yang semakin meningkat dan berdampak besar terhadap aspek biologis, psikologis, dan spiritual pasangan suami istri, sehingga fertilisasi buatan (IVF) menjadi salah satu solusi medis yang banyak digunakan, namun tetap memunculkan persoalan etilka serta pertimbangan syariah yang harus dikaji dengan seksama. Penelitian ini bertujuan untuk menganalisis praktik fertilisasi buatan melalui pendekatan maqasid asy- Syari’ah, menidentifikasi bentuk bentuk IVF yang sejalan dengan hukum islam, serta merumuskan model penyelesaian kasus yang dapat diterapkan dalam pelayanan keperawatan islam secara holistic. Penelitian menggunakan metode kualitatif dengan pendekatan studi kepustakaan melalui analisis berbagai literature fikih, kontemporer, fatwa lembaga keislaman, jurnal medis reproduksi, dan pedoman praktik keperawatan terkait bioetika reproduksi. Hasil kajian menunjukan bahwa fertilisasi buatan termasuk tindakan yang dibolehkan secara syar’I dengan syarat seluruh proses pembuhan menggunakan sperma dan ovum dari pasangan suami istri yang sah, dilakukan selama ikatan pernikahan masih berlangsung, serta tidak melibatkan donor gamet, rahim pengganti, atau proses lain yang dapat menimbulkan pencampuran masab dan melanggar prinsip hifz an- nasl. Kajian juga menegaskan bahwa IVF yang sesuai syariat dapat mendukung perlindungan jiwa, kehormatan, akal serta stabilitas emosional pasangan apabila dilakukan dengan pendampingan keperawatan yang komperhensif, baik dari aspek edukasi klinis, manajemen kecemasan, maupun bimbingan spiritual. Berdasarkan temuan tersebut, disimpulkan bahwa fertilisasi buatan dapat menjadi solusi yang sah secara medis dan syariah apabila dilaksanakan dalam batas yang diterapkan islam, sementara tenaga keperawatan perlu mengintegrasikan nilai nilai maqasid asy-syari’ah untuk memastikan proses yang aman, etis, dan memberikan ketenangan spiritual bagi pasien.  Kata Kunci: Fertilisasi Buatan, IVF, Maqasid Asy- Syariah, Keperawatan Islam, Bioetika Reproduksi.