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All Journal Jurnal Ners JOURNAL LA MEDIHEALTICO Kolaborasi Jurnal Pengabdian Masyarakat Jurnal Kesehatan Mahardika
Ali, Abda
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health Veterinary

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Pengaruh Waktu Door-To-Balloon ≤90 Menit Terhadap Perubahan Ejaksi Fraksi Ventrikel Kiri Pasca Tindakan Primary Pci pada Pasien Stemi Ali, Abda; Loebis, Irwan M
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45150

Abstract

Penyakit kardiovaskular menjadi penyebab utama kematian global, termasuk di Indonesia dengan penyakit jantung koroner (PJK) sebagai penyebab utama. ST-Elevation Myocardial Infarction (STEMI) merupakan bentuk PJK paling serius yang memerlukan intervensi cepat untuk mencegah kerusakan miokardium permanen. Waktu door-to-balloon (DTB), yang merepresentasikan durasi antara kedatangan pasien hingga dilakukannya balon angioplasti dalam Primary Percutaneous Coronary Intervention (PPCI), telah direkomendasikan ≤90 menit oleh pedoman internasional. Namun, pengaruh DTB terhadap perbaikan Ejection Fraction (EF) ventrikel kiri pasca PPCI masih menjadi perdebatan. Penelitian ini bertujuan menganalisis pengaruh waktu DTB ≤90 menit terhadap perubahan nilai EF ventrikel kiri pada pasien STEMI melalui pendekatan kohort retrospektif. Data diambil dari pasien STEMI yang menjalani PPCI di Rumah Sakit Jantung Hasna Medika Cirebon antara Januari hingga Juli 2024. DTB dikategorikan menjadi ≤90 menit dan >90 menit, dengan evaluasi EF dilakukan pada 24 jam dan 6 bulan pasca tindakan menggunakan metode Simpson. Hasil analisis menunjukkan bahwa waktu DTB menit tidak memiliki pengaruh signifikan terhadap perbaikan EF berdasarkan uji t tidak berpasangan (p=0.562) dan uji Mann-Whitney (p=0.415). Variabel usia ditemukan lebih berpengaruh signifikan terhadap perubahan EF (p=0.016). Temuan ini menunjukkan bahwa meskipun DTB penting, faktor lain seperti usia dan kondisi klinis awal lebih menentukan pemulihan fungsi ventrikel kiri.
Evidence-Based Nursing: Management of Radial Access Complications Post PCI Ali, Abda; Anshar, Rizadin
Journal La Medihealtico Vol. 6 No. 3 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i3.2118

Abstract

The advancement of interventional cardiology technology has enhanced the effectiveness of patient care for coronary artery disease, particularly through Percutaneous Coronary Intervention (PCI) using radial access. Although this approach is safer than femoral access, post-procedural complications such as hematoma, radial artery occlusion, and neuropathy remain clinical challenges. Evidence-Based Nursing Management plays a crucial role in minimizing the risk of complications through evidence-based interventions, including nurse education, optimization of compression techniques, and rehabilitation strategies. This study aims to analyze research trends related to evidence-based management in addressing post-radial PCI complications using bibliometric analysis with VOSviewer. The methodology includes a systematic literature review following the PRISMA protocol and bibliometric analysis of publications from 2020 to 2025 sourced from Google Scholar, ScienceDirect, and Wiley Online Library. The analysis results highlight emerging research trends in post-radial PCI complication management, identification of research gaps, and evidence-based policy recommendations. This study contributes to strengthening evidence-based nursing practices to enhance patient safety and care efficiency in PCI procedures.
Faktor yang Mempengaruhi Hemostasis PCI Transradial : Systematic Literatur Review ali, abda; Muhammadong; Bakir, Alsilnus; Aleq, Nur
Jurnal Kesehatan Mahardika Vol. 12 No. 2 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i2.252

Abstract

Pendahuluan: Hemostasis pasca intervensi koroner perkutan (PCI) transradial sangat penting untuk mencegah komplikasi seperti hematoma dan oklusi arteri radial (RAO). Meskipun akses transradial (TRA) lebih aman daripada pendekatan transfemoral, faktor yang memengaruhi keberhasilan hemostasis belum sepenuhnya terdefinisi. Tujuan: Mengidentifikasi faktor-faktor yang memengaruhi keberhasilan hemostasis setelah PCI transradial. Metode: Systematic Literature Review dilakukan sesuai pedoman PRISMA dengan pencarian di PubMed, Scopus, dan Google Scholar. Sepuluh artikel yang memenuhi kriteria dianalisis secara kualitatif. Hasil: Faktor yang memengaruhi hemostasis meliputi karakteristik pasien (jenis kelamin, usia, IMT, komorbid), faktor prosedural (ukuran sheath, jumlah tusukan, durasi prosedur), dan teknik hemostasis (metode dan lama kompresi). Penggunaan TR Band dengan teknik patent hemostasis dan waktu kompresi lebih singkat menurunkan risiko RAO. Kesimpulan: keberhasilan hemostasis setelah PCI transradial dipengaruhi oleh faktor klinis dan teknis. Strategi individual berbasis bukti dapat menurunkan komplikasi dan memperbaiki luaran pasien.
Implementasi Aplikasi Perawatan Diri Berbasis Self Care untuk Meningkatkan Pengetahuan Pasien Pasca Intervensi Koroner Perkutan Ali, Abda; Wardani, Ratna
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 1 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i1.737

Abstract

Introduction: Post Percutaneous Coronary Intervention (PCI) patients require continuous education to support self care knowledge, medication adherence, and follow up visits. Conventional education methods in healthcare settings are often limited by time and accessibility, making digital based educational media a relevant alternative to improve health literacy and patient self management. Objective: To implement the PCI Care application based on Self Care Theory as a digital education media to improve self care knowledge among post PCI patients. Method: This activity used a pre–post test design involving 10 post PCI patients who met the inclusion criteria. The intervention was delivered through the PCI Care application featuring educational content, medication reminders, and follow up schedules. Knowledge was assessed using a 15 item questionnaire administered before and after the intervention. Data were analyzed descriptively. Result: The average knowledge score increased from 40.00 ± 8.25 before the intervention to 85.00 ± 6.10 after the implementation of the PCI Care application (p < 0.001). Participants reported that the application was easy to use via smartphone, contained understandable language, and provided clear information regarding post PCI self care. The educational and reminder features were considered very useful in supporting adherence and enhancing patient understanding of post PCI self care. Conclusion: The implementation of the PCI Care application was proven effective in improving self care knowledge among post PCI patients. Digital education through this application helps patients and families better understand health information and supports adherence to medication and follow-up schedules. PCI Care has the potential to be further developed as a supportive tool in discharge planning and cardiovascular nursing services.
Co-Authors Aleq, Nur Anshar, Rizadin Bakir, Alsilnus Loebis, Irwan M Muhammadong Ratna Wardani