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KK, Indra Frana Jaya
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Health Professions Medicine & Pharmacology Nursing Public Health

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Analisis Kesiapan Perawatan dalam Melaksanakan Triase di Unit Intalasi Gawat Darurat Dirumah Sakit Tipe B Kota Palembang Tahun 2024 Jannah, Indah Noer; KK, Indra Frana Jaya; Ambarika, Rahmania; Wardani, Ratna
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43519

Abstract

Instalasi gawat darurat merupakan salah satu unit pelayanan di rumah sakit yang memberikan pertolongan pertama dan sebagai jalan utama masuknya pasien dengan kondisi gawat darurat. Triage merupakan suatu kegiatan memilih dan memilah pasien yang akan masuk ke IGD, dari proses memilih dan memilah pasien yang masuk ke IGD akan dikategorikan kedalam pasien true emergency dan false emergency. Untuk mengetahui analisis kesiapan perawat dalam pelaksanaan Triage di unit Instalasi Gawat Darurat di RSUD Siti Fatimah Palembang tahun 2024 dan RSUD BARI Palembang. Penelitian ini menggunakan jenis kuantitatif dengan deskriptif menggunakan pendekatan cross-sectional. Pengumpulan data dimulai pada bulan November hingga desember 2024 di ruang instalasi unit gawatdarurat dengan sampel sebanyak 69 responden dengan menggunakan teknik total Sampling. Alat pengumpulan data menggunakan kuesioner dan dianalisis menggunakan uji chi-square. Memiliki hubungan antara tingkat pengetahuan dalam melaksanakan triase di instalasi gawat darurat dengan hasil P-Value 0.001 yang berarti kurang dari 0.05. sikap perawat dalam melaksanaka triase di instalasi gawat darurat dengan hasil P-Value 0.048 yang berarti kurang dari 0.05, dan tingkat stres perawat dalam melaksanakan triase di instalasi gawat darurat dengan hasil P-Value 0.000 yang berarti kurang dari 0.05. sehingga dapat disimpulkan bahwa tingkat pengetahuan, sikap, dan tingkat stres perawat memiliki hubungan dengan kesiapan perawat dalam melaksanakan triase di instalasi gawat darurat Rumah Sakit Tipe B di kota Palembang Tahun 2024
Application of Active Cycle Breathing Technique (ACBT) Exercises on Hemodynamic Status in Pulmonary Tuberculosis Patients With Respiratory Problems : A Case Study KK, Indra Frana Jaya; Auliana, Hili; Damayanti, Anggraini Dwika; Putri, Angel; Susanti, Maya; Hidayati, Titi; Mariza, Yuri; Herliza, Santi
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.450

Abstract

Tuberculosis is an disease caused by the bacterium Mycobacterium tuberculosis and is a major public health problem in the world. One of the symptoms that arise from someone suffering from tuberculosis is hemodynamic disorders, especially respiratory pattern disorders. Objective: This study aims to describe the application of Active Cycle Breathing Technique (ACBT) training to hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns at Siti Fatimah Regional Hospital, South Sumatra Province. Method: This study used a descriptive design with a case study approach on three pulmonary tuberculosis patients who experienced respiratory pattern disorders. The data obtained was analyzed by comparing respiratory patterns, hemodynamic status and Modified Medical Research Council (MMRC) scores before and after intervention. Results: The third patient showed a stable hemodynamic status and a decrease in respiratory pattern disturbances from dyspnea to prone to eupnea. This was seen from a decrease in the MMRC score of one grade in each patient after being given ACBT training. Conclusion: ACBT training is an intervention that can be used to improve hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns. Suggestion: Nurses can include ACBT training intervention as a complementary therapy for freezing and it is hoped that further research can add sessions in ACBT training and with a larger sample.
Application of Tepid Sponge Therapy to Treat Hyperthermia in Gestational Age Children at General Hospital : A Pre-Experimental Study KK, Indra Frana Jaya; Suraya, Citra; Patimah, Patimah; Pratiwi, Penti Meka; Kurniasari, Indri; Hasana, Pitri; Asrini, Putri Puji; Adelia, Raden Ayu Dhiyaa
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.453

Abstract

Fever in infants and children is the most common complaint. Fever is a form of defense from the body in dealing with problems in the body. Fever is not a problem, but a high fever can be serious in all children. This study aims to determine the application of Tepid Sponge therapy to treat hyperthermia in preschool-aged children at Siti Fatimah Regional Hospital, South Sumatra Province. This research used a pra-experimental approach with a one group pre-post test design, the number of respondents was 20 patients diagnosed with hyperthermia, then given Tepid Sponge therapy. Sampling used purposive sampling, data was collected by checking the patient's body temperature values in the pre-test and post-test. The results of statistical tests using the paired t-test showed that there was a decrease in temperature in patients before and after Tepid Sponge therapy with a value of p=0.000. The conclusion of this study is that the application of Tepid Sponge can significantly reduce temperature in pediatric patients who experience hyperthermia. Nurses can include the Tepid Sponge intervention as a complementary nursing therapy and it is hoped that future research can compare its effectiveness with other interventions, use a control group or use a larger sample.
Nursing management of ineffective airway clearance through effective cough technique in chronic obstructive pulmonary disease: A case study Marlina, Serli; Epin, Epin; KK, Indra Frana Jaya; Yunianti, Fifi; Jamal, Jamal; Diana, Diana
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.629

Abstract

Background: Ineffective airway clearance is a common complication among patients with Chronic Obstructive Pulmonary Disease (COPD), requiring structured nursing interventions such as the effective cough technique to optimize secretion mobilization. Objective: This case study aimed to describe the nursing management of ineffective airway clearance using the effective cough technique in adult COPD patients. Methods: A descriptive case study was conducted on two adult COPD patients experiencing ineffective airway clearance at RSUD Siti Fatimah. Data were collected through interviews, physical examination, direct observation, and nursing documentation over a three-day intervention period. The effective cough technique was implemented 2–3 sessions per day. Data were analyzed using descriptive analysis, comparing pre- and post-intervention respiratory parameters (RR, SpO₂, sputum characteristics) and narratively reviewing qualitative responses to evaluate clinical improvement. Results: Both patients initially exhibited dyspnea, ineffective coughing, wheezing, and difficulty expectorating thick sputum. Progressive improvements were observed across three days, demonstrated by increased sputum expulsion, decreased respiratory rate, disappearance of wheezing, improved oxygen saturation, and enhanced patient comfort. By day three, both patients were able to perform effective coughing independently and showed normalized respiratory patterns. Conclusion: The effective cough technique is a safe and clinically beneficial non-pharmacological intervention that improves airway clearance and respiratory function in COPD patients. Regular guidance, proper positioning, hydration, and continuous monitoring strengthen intervention outcomes and support patient self-management in airway clearance.
Co-Authors Adelia, Raden Ayu Dhiyaa Asrini, Putri Puji Auliana, Hili Damayanti, Anggraini Dwika Diana Diana Epin, Epin Hasana, Pitri Herliza, Santi Hidayati, Titi Jamal Jamal Jannah, Indah Noer Kurniasari, Indri Mariza, Yuri Patimah Patimah Pratiwi, Penti Meka Putri, Angel Rahmania Ambarika Ratna Wardani Serli Marlina Suraya, Citra Susanti, Maya Yunianti, Fifi