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Firdaus, Rivan
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Effect of Theory of Planned Behaviour-Based Structured Education on Knowledge and Interdialytic Weight Gain Among Patients with Chronic Kidney Disease Diah Setiani; Rosdiana Rosdiana; Rivan Firdaus; Indah Nur Imamah; Hesti Prawita Widiastuti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1005

Abstract

Globally, CKD and ESRD continue to increase substantially with the majority receiving dialysis treatment, involves an irreversible decline in kidney function so that continuous dialysis is carried out for survival. The success of haemodialysis therapy is highly dependent on patient adherence, especially in controlling interdialytic weight gain (IDWG). Knowledge and behavior patient are required in the control of IDWG. One of the health education models is used to increase knowledge so that it has an impact on health-related behaviour change, namely Planned Behaviour Theory (TPB). This study aimed to determine the effect of Theory Planned Behaviour-based structured education on knowledge of fluid restriction and IDWG reduction in CKD patients on haemodialysis. The research employed a quantitative method design using an quasi-experimental pretest-posttest with a control group design. The population of all patients analyzed at the Inche Abdoel Moeis Regional General Hospital, Samarinda, amounted to 60 respondents, sample technique used purposive sampling (according to the inclusion criteria), each group amounted to 30 respondents (with intervention and control groups) The intervention group received structured education based on the TPB and fluid evaluation monitoring with discussion forums. Intervention groups are given with a frequency of education 2x a week, the duration education was 30 minutes and then total implementation was 4 weeks, used instruments consisting of the SOP for Providing TPB-Based Education, IDWG observation sheets, and questionnaires (the questionnaire validity and reliability Cronbach’s Alpha is 0.760). And statistical tests using paired t-tests and independent t-tests. The results of the hypothesis test in the intervention group with the Paired T-test obtained a p value of 0.000<0.05. Meanwhile, in the control group, the p-value was 0.053>0.05. There were significant differences between the intervention and control groups, so it was concluded that there was an effect of TPB-based structured education on knowledge of fluid restriction and IDWG reduction in CKD patients on haemodialysis.
Effectiveness of Foot Exercise and Kersen Leaf Infusion on Blood Glucose in Type 2 Diabetes Mellitus Hesti Prawita Widiastuti; Eka Putri Kumala Dewi; Rivan Firdaus; Ismansyah Ismansyah
MEDICA (International Medical Scientific Journal) Vol. 8 No. 8 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i8.1106

Abstract

Type 2 diabetes mellitus (T2DM) requires accessible complementary strategies to support glycemic control. This study aimed to evaluate the effects of foot exercise, kersen (Muntingia calabura L.) leaf infusion, and their combination on random blood glucose levels. A quasi-experimental pretest-posttest study with four parallel groups involved 60 adults with T2DM, allocated equally to diabetic foot exercise, kersen leaf infusion, combined intervention, or control groups (n = 15 each). Interventions were delivered for two weeks. Foot exercise consisted of seven movements for approximately 30 minutes, three times weekly, while the infusion group received 100 mL of warm kersen leaf infusion once daily before bedtime. Random blood glucose was measured before and after the intervention using a glucometer. Within-group changes were examined using paired t-tests, and post-intervention differences among the four groups were evaluated using one-way analysis of variance followed by Bonferroni-adjusted post hoc comparisons. The results of this study showed that blood glucose decreased significantly in the diabetic foot exercise group (mean change 16.67 mg/dL; 95% CI 3.08-30.26; p=0.020), kersen infusion group (12.53 mg/dL; 95% CI 6.24-18.83; p=0.001), and combination group (39.07 mg/dL; 95% CI 19.48-58.65; p=0.001), but not in the control group (9.87 mg/dL; 95% CI -5.50 to 25.23; p=0.190). Bonferroni analysis showed lower posttest glucose in the combination group than in the foot-exercise group (mean difference -64.80 mg/dL; 95% CI -119.94 to -9.66; p=0.013). In conclusion, the combined intervention produced the largest reduction and significantly lower posttest glucose than foot exercise alone and control.
Asuhan Keperawatan Bersihan Jalan Napas Tidak Efektif pada Pasien Pneumonia di RSUD Inche Abdoel Moeis Viola ola; Rivan Firdaus; Rahmawati Shoufiah
Afiyatun Journal of Health Sciences Vol. 1 No. 4 (2026): September
Publisher : PT. Edukasi Ahmad Kirang

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Abstract

Latar Belakang: Pneumonia merupakan kondisi inflamasi akibat infeksi yang menyerang saluran pernapasan, ditandai dengan gejala seperti batuk dan kesulitan bernapas. Kondisi ini disebabkan oleh agen infeksi, termasuk virus, bakteri, mikoplasma (jamur), serta paparan zat lain yang dapat menyebabkan penumpukan cairan dan sekret di paru-paru. Secara global, sekitar 450 juta orang mengalami pneumonia setiap tahun, termasuk orang dewasa. Pada pasien pneumonia, penumpukan sekret yang berlebihan dapat menyebabkan obstruksi jalan napas dan menimbulkan masalah keperawatan berupa bersihan jalan napas tidak efektif. Karya tulis ilmiah ini bertujuan untuk menggambarkan pelaksanaan asuhan keperawatan pada pasien dengan pneumonia. Metode: Penelitian ini menggunakan metode studi kasus dengan pendekatan asuhan keperawatan pada pasien pneumonia yang mengalami bersihan jalan napas tidak efektif. Metode yang digunakan meliputi pengkajian, penetapan diagnosis keperawatan, intervensi, implementasi, dan evaluasi keperawatan. Hasil: Hasil pengkajian menunjukkan bahwa Ny. J mengalami sesak napas disertai batuk berdahak dan kesulitan mengeluarkan sputum, terdengar suara napas tambahan berupa ronki, frekuensi pernapasan 28 kali/menit, dan SpO₂ 90%. Diagnosis keperawatan yang ditegakkan adalah bersihan jalan napas tidak efektif, pola napas tidak efektif, dan risiko defisit nutrisi. Intervensi keperawatan dilaksanakan sesuai dengan rencana asuhan keperawatan. Pada hari ketiga, pasien menunjukkan peningkatan kemampuan dalam mengeluarkan sputum, suara ronki sudah tidak terdengar, dan sesak napas mengalami penurunan. Kesimpulan: Fisioterapi dada dapat membantu mengurangi penumpukan sekret, mempermudah pengeluaran sputum, dan meningkatkan fungsi pernapasan. Hasil penelitian ini diharapkan dapat menjadi referensi tambahan dalam praktik keperawatan untuk penatalaksanaan pasien dengan pneumonia.  
Asuhan Keperawatan Pada Pasien Penyakit Paru Obstruktif Kronis Dengan Bersihan Jalan Napas Tidak Efektif Shofi Ziana Aisha; Rivan Firdaus; Arifin Hidayat
Afiyatun Journal of Health Sciences Vol. 1 No. 4 (2026): September
Publisher : PT. Edukasi Ahmad Kirang

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Abstract

Latar Belakang: Penyakit Paru Obstruktif Kronis (PPOK) adalah penyakit pernapasan progresif yang ditandai dengan keterbatasan aliran udara yang terus-menerus disebabkan oleh peradangan saluran napas kronis. PPOK tetap menjadi salah satu penyebab utama morbiditas dan mortalitas di seluruh dunia, menyumbang sekitar 3,5 juta kematian setiap tahun. Produksi dahak yang berlebihan biasanya menyebabkan pembersihan saluran napas yang tidak efektif, berkontribusi pada memburuknya gejala pernapasan dan menurunnya kualitas hidup. Studi ini bertujuan untuk menjelaskan implementasi perawatan keperawatan menggunakan Teknik Batuk Efektif (ECT) pada pasien dengan eksaserbasi akut PPOK yang mengalami pembersihan saluran napas yang tidak efektif. Metode: Studi kasus ini menggunakan pendekatan proses keperawatan yang melibatkan satu pasien dengan eksaserbasi akut PPOK yang dirawat di Rumah Sakit Umum Regional Inche Abdoel Moeis, Samarinda, Indonesia. Perawatan keperawatan diberikan selama tiga hari berturut-turut. Data dikumpulkan melalui wawancara, observasi langsung, pemeriksaan fisik, tinjauan rekam medis, dan pemeriksaan diagnostik pendukung. Hasil: Hasil utama adalah peningkatan pembersihan saluran napas setelah ECT. Penilaian awal menunjukkan dispnea, batuk produktif, kesulitan mengira dahak, mengi, dan temuan gas darah arteri sebesar pH 7,45, PaO₂ 73 mmHg, PaCO₂ 39 mmHg, dan HCO₃ 29 mEq/L. Diagnosis keperawatan meliputi pembersihan saluran napas yang tidak efektif, pertukaran gas yang terganggu, dan intoleransi aktivitas. Setelah tiga hari intervensi, dahak lebih mudah diekspetorasi, dispnea berkurang, mengi berkurang, pasien melakukan ECT secara mandiri, dan saturasi oksigen tetap stabil. Perubahan parameter gas darah arteri tidak dapat dievaluasi karena analisis lanjutan tidak dilakukan. Kesimpulan: Studi ini menunjukkan bahwa ECT dapat meningkatkan pembersihan saluran napas dengan memfasilitasi eksekopor dahak dan mengurangi gejala pernapasan pada pasien dengan eksaserbasi akut PPOK. Temuan ini mendukung peran ECT sebagai intervensi keperawatan independen dalam penanganan PPOK. Studi mendatang harus mencakup sampel yang lebih besar, periode tindak lanjut yang lebih lama, dan analisis berulang gas darah arteri atau spirometri untuk memperkuat bukti efektivitas klinisnya.
Pemberdayaan Karyawan Hotel melalui Pelatihan Kesiapsiagaan Bencana dan Bantuan Hidup Dasar di Kota Samarinda Iskandar, Iskandar; Firdaus, Rivan; Hutagalung, Remita; Kristina, Kristina; Damaiyanti, Mukhripah; Ismansyah, Ismansyah; Cahyani, Eliza; Ulan, Subhan; Zainuddin, Muhammad; Solikin, Ahmad; Kurnianto, Rendi; Arsyawina, Arsyawina
ABDIMAS UNIVERSAL Vol 8 No 2 (2026): Oktober (In Press)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Balikpapan (LPPM UNIBA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36277/abdimasuniversal.v8i2.2876

Abstract

Hotel employees constitute a potential group of first responders because they work in public facilities that operate 24 hours a day and interact directly with guests. This community service activity aims to increase the knowledge and preparedness of hotel employees in facing disasters and emergencies through disaster preparedness training and Basic Life Support (BLS). The activity was conducted over one day using interactive lectures, discussions, demonstrations, simulations, and hands-on practice. The training covered risk management and disaster preparedness in hotels, the Integrated Emergency Management System, BLS, cardiopulmonary resuscitation (CPR), and victim evacuation. Knowledge evaluation was conducted using pre- and post-tests. Based on the individual data recap, there were 31 participants with backgrounds in housekeeping, accounting, food and beverage products, human resources, engineering, EAM/GM I-C, sales and marketing, and front office. The average score increased from 75.48 to 95.81, with a mean increase of 20.32 points. The Wilcoxon test showed a significant difference in the scores before and after training (p<0.001). These results indicate that training based on a combination of education, demonstration, simulation, and practice can improve participants’ knowledge of disaster preparedness and BLS. The program should be continued through refresher training and regular emergency response simulations to maintain competence and strengthen the safety culture in the hotel environment.
Co-Authors Ananingtyas, Desita Andi Lis Arming Gandini Andi Lis Garming Apriliya Putri Arnida Arifin Hidayat Arsyawina Arsyawina Artin Irma Wiherlina Ayu Qona’ah Cahyani, Eliza Cicilia Sari Padaruntung Damaiyanti, Mukhripah Diah Setiani Diah Setiani Dwi Hendriani Edi Purwanto Edi Sukamto Edi Sukamto Eka Putri Kumala Dewi Eko Julianto Endah Wahyutri Endang Sri Iryani eny Widayati Fransiska Song Gun Gajali Rahman Hesti Prawita Widiastuti Hilda Hilda Hutagalung, Remita Ully Imamah, Indah Nur Indah Nur Imamah Indah Nur Imamah Iskandar Iskandar Ismansyah Ismansyah Ismansyah Ismansyah Ismansyah Ismansyah Ismansyah Ismansyah Jasmawati Jasmawati Jens Verty Lebang Kristina Kristina Kurnianto, Rendi Lukman Nulhakim Lukman Nulhakim M.Bahriadi Maria Yustina Melika Maskhanah Maskhanah Maskhanah Maskhanah Muhammad Zainuddin Natalia Huring Naumi E.M Noorhidayah Noorhidayah Noorhidayah Noorhidayah noorma, nilam Nur Hidayah NURUL KARTIKASARI Parellangi, Parellangi Purwoko, Agus Putra, Sandi Rahmat Bakhtiar Rahmawati Shoufiah Rahmawati, Rima Reheme Zam Zam Shiera Banu Reheme Zam Zam Shiera Banu Rima Rahmawati Rina Loriana Robbikal Muntaha Meliala Rosa Marya Rosdiana Rosdiana Salsabila, Unik Hanifah Sandi Putra Sanna, Alfrida Sensuwaty Sensuwaty Sensuwaty, Sensuwaty Setiani, Diah Shofi Ziana Aisha Sitti Fatimah Solikin, Ahmad Sonya Yulia Sri Hazanah sri hazanah Supriadi Supriadi Susanto, Teguh Tri Sutrisno Sutrisno Sutrisno Sutrisno Tia Puspita Anjani Tia Puspita Anjani Tilka Asyaratun Kaamilah Tilka Asyaratun Kaamilah Tomi Ihsan Muhaafidhin Tomi Ihsan Muhaafidhin Ulan, Subhan Viola ola Wahyuni, Emmy Putri Widayati, eny Yuliana Zainab