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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Medistra Medical Journal (MMJ)
El Hasanah, Nisa
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Other

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Implementation of Early Warning Score in Early Detection of Emergencies in Patients with Catastrophic Diseases El Hasanah, Nisa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2487

Abstract

Background: Emergency management in primary healthcare centers (Puskesmas) requires effective collaboration between doctors and nurses. High workloads and inefficient collaboration can impact the quality of care. The implementation of the Early Warning Score (EWS) potentially enhances early detection in patients with catastrophic diseases, but its effect on workload and teamwork has not been fully explored. Objective: This study aims to analyze the workload and the effectiveness of doctor-nurse collaboration in managing emergency patients at Puskesmas and to evaluate the application of EWS in early detection of emergencies in patients with catastrophic diseases. Methodology: This quantitative study uses a cross-sectional approach. Data were collected through questionnaires distributed to 30 doctors and 30 nurses at Puskesmas. Univariate analysis was used to describe workload and collaboration effectiveness, while bivariate analysis with chi-square tests was used to explore relationships between variables. Results: The majority of respondents reported high workloads (67%) and ineffective collaboration (53%). Bivariate analysis showed a significant relationship between workload and collaboration effectiveness (p = 0.02) and between collaboration effectiveness and quality of patient management (p = 0.01). The application of EWS showed effective early detection, with 60% of patients identified as high-risk. Discussion: High workload reduces collaboration effectiveness, which impacts emergency management. The implementation of EWS can improve early detection, but requires adequate training and resources. Conclusion: High workload impacts doctor-nurse collaboration, while EWS can improve emergency management when implemented properly.
The Optimization of Acute Myocardial Infarction Emergency Management: Evaluation of Response Time and Patient Outcomes: Optimization of Acute Myocardial Infarction Emergency Management: Evaluation of Response Time and Patient Outcomes el hasanah, nisa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i2.2540

Abstract

Background: Acute Myocardial Infarction (AMI) is an emergency condition that requires rapid intervention to improve patient outcomes. Quick response times in managing AMI can significantly affect mortality and morbidity rates. However, evaluations of response times and outcomes across various hospitals show significant variability. This study aims to assess the factors influencing AMI management, particularly in terms of response time and clinical outcomes.Objective: This study aims to optimize the management of acute myocardial infarction emergencies by analyzing response times and patient outcomes across different healthcare facilities.Methodology: A retrospective study design was employed, utilizing univariate and bivariate analyses of patient data from medical records of AMI patients at Hospital X in 2023. Variables analyzed included response time, treatment type (medical and interventional), and clinical outcomes (mortality, symptom improvement, and complications). Univariate analysis was performed to describe data distribution, while bivariate analysis, including chi-square and logistic regression tests, evaluated the relationship between response time and patient outcomes.Results and Discussion: Univariate results indicated that most patients received treatment within 60 minutes. The outcomes showed that faster response times correlated with better prognosis, including lower mortality rates for those treated more quickly. Bivariate analysis revealed a significant relationship (p < 0.05) between quick response times and faster symptom resolution, as well as reduced mortality. Additional factors such as age and comorbidities were also analyzed, but response time remained the most significant predictor.Conclusion: Faster management of acute myocardial infarction can reduce mortality and improve patient outcomes. Therefore, optimizing response times in healthcare facilities should be a priority in AMI emergency management.
Relationship Between Family Support And Active Participation Of The Elderly Attending Elderly Health Posts In Tanjung Raja Village Deli Serdang District, 2025 El Hasanah, Nisa; Andhika Budi Sentoso; Lilla Sarissa Br Ginting
Medistra Medical Journal (MMJ) Vol 3 No 1 (2025): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/yk326a41

Abstract

The elderly are a group that is vulnerable to health problems, thus requiring extra attention to maintain their quality of life. One measure taken is to increase active participation in the Elderly Posyandu programs. This study aims to identify the relationship between family support and the level of participation og the elderly in Posyandu activities in Tanjung Raja Village, Deli Serdang Regency, in 2025. The study applied a quantitative approach with a cross-sectional design. The research subjects were 42 elderly  individuals selected using a total sampling technique. Data collection was conducted using questionnaires and attendance lists, and then analyzed using the Chi-square test. The study findings revealed that most respondents received family support (59,5%), but the majority of elderly were classified as less actively involved in Posyandu activities (69,0%). Statistical analysis resulted in a p-value of 0.060. Statistical analysis yielded a p-value of 0.060, indicating no significant relationship between family assistance and elderly participation. It is recommended that families continue to provide full support, while posyandu cadres reinforce education to families about the importance of elderly involvement in posyandu programs.
Co-Authors Andhika Budi Sentoso Lilla Sarissa Br Ginting