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All Journal Faletehan Health Journal
Rizky Rachmatullah
Universitas Indonesia
Health Professions Nursing Public Health

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Initial Assessment Pra Hospital pada Pasien Acute Coronary Syndrome: Systematic Review Rizky Rachmatullah; Sriyono Sriyono; Hakim Zulkarnain
Faletehan Health Journal Vol 12 No 02 (2025): Faletehan Health Journal, Juli 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i02.789

Abstract

Some previous acute coronary syndrome (ACS) studies have focused on educational interventions or general management of ACS, without reviewing the key role of systematic early assessment in reducing morbidity and mortality. This study aims to analyze the effectiveness of initial assessment in improving early response and clinical outcomes in ACS patients in pre-hospital care. A systematic review was conducted on 16 articles obtained from five databases: PubMed, ScienceDirect, Google Scholar, Scopus, and ProQuest. Keywords used in the literature search included “initial assessment,” “Pre hospital,” and “Acute coronary syndrome (ACS),” with a publication range between 201 and 2024. The initial search yielded 88 articles. After removing duplicates and screening based on inclusion criteria as well as selection by title, abstract, and full text, 16 articles were included in the final analysis. Article quality was assessed using the Joanna Briggs Institute (JBI) appraisal tool. The analysis showed that a systematic and timely initial assessment significantly improves diagnostic speed, accuracy of early intervention, and reduces mortality and complications in ACS patients. Ongoing training for pre-hospital healthcare providers, standardized treatment protocols, and inter-system emergency care collaboration are essential to improve overall clinical outcomes. This review recommends integrating initial assessment as a key component of pre-hospital services and cardiovascular emergency management strategies.
Pengaruh Brisk Walking Exercise terhadap Penurunan Tekanan Darah: Systematic Review Rizky Rachmatullah; Widyatuti Widyatuti; Sukihananto Sukihananto
Faletehan Health Journal Vol 9 No 01 (2022): Faletehan Health Journal, Maret 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i01.388

Abstract

Brisk walking exercise is an intervention that can lower blood pressure in hypertensive patients. It is very effective to stimulate muscle contraction, increase heart rate and oxygen in the tissues and break down glycogen. This exercise can reduce the process of plaque formation through increased glucose and fat utilization. The research objective was to determine the effectiveness of brisk walking exercise on lowering blood pressure of hypertensive patients. This study was a systematic review. The articles were obtained from online database, namely Science Direct, Scopus, Wiley Online, Oxford Journal, Research Gate, and Google Scholar from 2010 to 2020. The search obtained 10 articles which showed that brisk walking exercise had a significant effect on lowering blood pressure in hypertensive patients. Brisk walking exercise should be developed as a clinical intervention of lowering blood pressure in health services such as hospitals and public health centers.
Co-Authors Hakim Zulkarnain Sriyono Sriyono Sukihananto Sukihananto Widyatuti