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All Journal JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Window of Health : Jurnal Kesehatan Martabe : Jurnal Pengabdian Kepada Masyarakat CARADDE: Jurnal Pengabdian Kepada Masyarakat Journal of Islamic Nursing Celebes Health Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Jurnal Pengabdian Kesehatan Jurnal Kesehatan Tambusai Journal of Community Development Wal'afiat Hospital Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Window of Nursing Journal pendidikan, science, teknologi, dan ekonomi WAL'AFIAT HOSPITAL JOURNAL Jurnal Intelek Dan Cendikiawan Nusantara Jurnal Intelek Insan Cendikia Celebes Journal of Community Services Strada Jurnal Ilmiah Kesehatan (SJIK) As-Syirkah: Islamic Economic & Financial Journal Paradigma: Jurnal Filsafat, Sains, Teknologi, dan Sosial Budaya
Asfar, Akbar
Universitas Muslim Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Hayati, Nur Ummi; Asfar, Akbar; Emin, Wan Sulastri; Sudarman, Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
The Impact of Smartphone Usage On Adolescent Social Interaction in Borongloe Village Siokal, Brajakson; Wahyuningsih; Akbar Asfar; Sudarman
Window of Health : Jurnal Kesehatan Vol 8 No 1 (January 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v8i1.1732

Abstract

Excessive smartphone use can negatively impact the social behavior of adolescents, including emotional instability. Objective: This study aims to analyze the relationship between smartphone use and the social interaction of adolescents in Borongloe Village. The method used in this study is quantitative with a cross-sectional study design. The sampling technique used is proportional stratified random sampling with a total sample size of 91 respondents, using a questionnaire as the instrument. The relationship test was conducted using the chi-square statistical test with a significance level of <0.05. Results: The results of the study indicate that active smartphone use is more dominant than passive use, the social behavior of adolescents tends to be poorer rather than better, and there is a significant relationship between smartphone use and the social behavior of adolescents in Borongloe Village, Gowa Regency, with a p-value of 0.00 (p < 0.05). This study concludes that there is a significant relationship between smartphone use and the social interaction of adolescents in Borongloe Village, Gowa Regency. Therefore, it is expected that adolescents will become more aware of the negative impacts of excessive smartphone use and that parents and teachers will supervise the use of smartphones by adolescents
Penerapan Manajemen Nyeri pada Pasien Perioperative dengan Hidronefrosis di RSUD Labuang Baji Kota Makassar Baso, Mohamad Fauzan; Asfar, Akbar; Alam, Rizky Iftitah; Tjahjaningrum, Sajekti
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/7ps68p64

Abstract

Hydronephrosis is a dilation of the renal pelvicalyceal system caused by urinary outflow obstruction, which may increase intrarenal pressure and trigger pain. This case report describes non-pharmacological pain management in a Perioperative hydronephrosis patient using deep breathing relaxation in the pre-operative phase and benson relaxation in the post-operative phase. The report followed the nursing process (assessment–diagnosis–intervention–implementation–evaluation). The primary Outcome was pain intensity using a 0–10 Numeric Rating Scale (NRS), complemented by physiological indicators (blood pressure, pulse, respiratory rate, temperature, oxygen saturation) and behavioral responses. In the pre-operative phase, pain decreased from NRS 4 to NRS 2 after deep breathing relaxation, along with improved vital signs. In the post-operative phase, pain decreased from baseline NRS 5 to NRS 3 after a 15-minute benson relaxation session and further to NRS 2 at the next follow-up (≈30 minutes), with a trend toward stabilized vital signs. Given the Perioperative setting, analgesics/anesthesia and the surgical procedure may confound pain Outcomes; therefore, findings are reported descriptively without attributing the changes solely to relaxation techniques. This case suggests that standardized relaxation techniques can be integrated into Perioperative nursing care to support comfort in hydronephrosis patients.
Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Haeni, Nur; Sudarman, Sudarman; Emin, Wan Sulastri; Asfar, Akbar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Abstract

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Penerapan Balut Tekan sebagai Strategi Penanganan Awal Perdarahan Vulnus Laceratum di IGD Puskesmas Liwuto Kota Baubau Erman, Achmad Rinaldi; Taqiyah, Yusrah; Muhajirin, Muhajirin; Asfar, Akbar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/t3q8k068

Abstract

Laceration wounds (vulnus laceratum) may cause pain and external bleeding, requiring prompt initial management to prevent excessive blood loss. One simple early bleeding control strategy is direct pressure maintained with a pressure dressing. This case report describes the use of a sterile pressure dressing in a male patient (Mr. L) with a left plantar foot wound due to glass injury, accompanied by pain and active bleeding, presenting to the emergency unit of Liwuto Primary Health Center, Baubau. Data were obtained through clinical observation, brief interview, and review of available medical records/procedure sheets. Pain was assessed using the Numeric Rating Scale (NRS), while bleeding outcome was operationalized using bleeding status (active/controlled), dressing status (wet/dry), and time to hemostasis. After sterile pressure dressing application and 4-hour monitoring, pain decreased from NRS 8 to 3, and active bleeding was no longer observed at the 4-hour evaluation. These findings indicate clinical improvement in this case, but interpretation is limited by single-case design (n=1) without controls, incomplete quantitative serial bleeding documentation, and potential confounding from concomitant interventions (e.g., analgesics).
Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Hayati, Nur Ummi; Asfar, Akbar; Emin, Wan Sulastri; Sudarman, Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Identifikasi Gen ICSA pada Feses Anak Penderita Diare dengan Metode Polymerase Chain Reaction Rusdianto, Rusdianto; Asfar, Akbar; Akbar, Hairil
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 3 No. 3 (2020): September 2020
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (719.777 KB) | DOI: 10.56338/mppki.v3i3.1135

Abstract

Gen IcsA merupakan salah satu gen yang berperan dalam virulensi pada bakteri Shigella sp yang dapat menyebabkan diare pada manusia. Penelitian ini bertujuan untuk mendeteksi gen IcsA  pada feses anak penderita diare dengan metode PCR.  Sebanyak 50 sampel klinis yang   diperoleh dari 4 puskesmas di Kota Makassar, yaitu Barabaraya, Pampang, Antang Perumnas dan Tamangapa dari bulan Mei 2016 - Juli  2016. Pengambilan sampel dilakukan dengan teknik rektal swab dan dilanjutkan pemeriksaan dengan  PCR menggunakan primer icsA. Hasil penelitian menunjukkan dari 50 sampel yang diuji diperoleh 6 sampel (24%) positif mengandung gen IcsA. Kesimpulan penelitian ini yaitu gen icsA efektif digunakan sebagai target gen (primer) untuk mendeteksi bakteri Shigella sp dengan metode PCR.
TERAPI RELAKSASI GENGGAM JARI UNTUK MENURUNKAN NYERI POST OPERASI Wa Ode Sri Asnaniar; Wan Sulastri Emin; Akbar Asfar; Samsualam Samsualam; Sudarman Sudarman; Yusrah Taqiyah; Novitri Cahyani Marinda; Muslimah Kurniawati; Tisna HS Sianu; Armelia Sri Diah Safitri
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 8 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i8.2816-2822

Abstract

Rasa nyeri pasca operasi paling sering dialami oleh sebagian besar pasien yang menjalani prosedur pembedahan. Kontrol nyeri pasca operasi memainkan peran penting dalam memfasilitasi pemulihan pasien ke fungsi normal dan mengurangi kejadian efek fisiologis dan psikologis yang merugikan terkait dengan nyeri akut yang tidak terkontrol. Manajemen nyeri yang tidak ditangani dengan baik dapat meningkatkan risiko menjadi nyeri lanjut atau nyeri kronis. Penatalaksanaan nyeri meliputi dua metode yaitu secara farmakologis dan nonfarmakologis. Salah satu terapi non farmakologis yaitu Teknik relaksasi genggam jari atau finger hold dimana merupakan salah satu terapi non farmakologis yaitu relaksasi dengan menggenggam jari. Target utama dari pemberian Pendidikan Kesehatan ini berupa pasien di ruang bedah anyelir RS TK II Pelamonia Makassar terdapat banyak pasien pre op maupun pasien post op, yang tentunya harus dilakukan tindakan maupun edukasi mengenai nyeri pasca operasi dimana pada tahap ini Perawat memiliki peran penting dalam pengelolaan pasien yang menghadapi nyeri pasca operasi. Berdasarkan ini kami melakukan salah satu kegiatan Pendidikan Kesehatan berupa penyuluhan tentang terapi relaksasi genggam jari untuk meredakan nyeri post op. Hasil pelaksanaan tersampaikannya tujuan dari penyuluhan, Tersampaikan materi dengan baik dan sesuai dengan perencanaan, sehingga dapat disimpulkan bahwa kegiatan ini berhasil dilaksanakan.
Interactive Multimedia Modules to Enhance Family Support in Hypertension Management: A Digital Health Approach Sudarman, Sudarman; Dioso, Regidor III; Hassan, Hafizah Che; Asfar, Akbar; Matdoan, Riska Amelia
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.89827

Abstract

Background: Hypertension remains a leading global risk factor for morbidity and mortality, with family support playing a critical role in adherence to lifestyle modifications and treatment. Digital health interventions offer scalable solutions to improve disease management, yet limited studies have explicitly integrated and evaluated family engagement as a core component.Objective: This study aimed to evaluate the effectiveness of interactive multimedia modules in enhancing family support, blood pressure control, and health-related quality of life among hypertensive adults compared with usual care.Methods: A quasi-experimental study with repeated measures was conducted among 200 adults with hypertension and their primary family caregivers recruited from outpatient clinics. Participants were assigned to either the intervention group (n = 100), which received interactive multimedia modules delivered via a mobile platform, or the control group (n = 100), which received standard clinic-based education. Outcomes included family support (Hypertension Self-Care Activity Level Effects–adapted questionnaire), blood pressure (validated digital sphygmomanometer), and quality of life (WHOQOL-BREF). Measurements were obtained at baseline, immediately post-intervention, and 12-week follow-up. Data were analyzed using two-way repeated measures ANOVA.Results: At baseline, no significant differences were observed between groups in sociodemographic or clinical characteristics (p .05). Over time, significant time × group interaction effects were observed for family support (F[2, 396] = 48.72, p .001, partial η² = 0.20), systolic blood pressure (F[2, 396] = 61.45, p .001, partial η² = 0.24), diastolic blood pressure (F[2, 396] = 52.13, p .001, partial η² = 0.21), and overall quality of life (F[2, 396] = 39.74, p .001, partial η² = 0.17). Participants in the intervention group demonstrated greater improvements in family support, clinically meaningful reductions in blood pressure, and significant increases in quality of life scores compared with the control group. Qualitative feedback confirmed high acceptability and usability of the modules.Conclusion: Interactive multimedia modules delivered via digital health platforms significantly improved family support, blood pressure control, and quality of life among hypertensive adults. Incorporating family caregivers into digital self-management interventions provides a scalable and sustainable strategy for enhancing hypertension outcomes. Further studies should evaluate long-term impacts, cost-effectiveness, and integration into primary care systems.
Peningkatan Pengetahuan Masyarakat terhadap Penggunaan Obat Batuk Tradisional Imran, Putri Ayu Trininda; Asfar, Akbar; Amir, Haeril
Window of Nursing Journal Vol. 6 No. 2 (Desember, 2025)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/won.v6i2.2772

Abstract

Coughing is caused by smoking, exposure to cigarette smoke, and polluted environments. One cough treatment is non-pharmacological therapy using traditional medicine. According to the World Health Organization (WHO), herbal medicine is used by up to 65% of the population in developed countries and 80% in developing countries. One area in Indonesia that still uses traditional medicine is Central Buton, Southeast Sulawesi. Knowledge is the result of knowing what has happened after someone feels an object. Without knowledge, a person has no basis for making decisions and determining actions to deal with problems. The purpose of this study was to determine the relationship between community knowledge and the use of traditional cough medicine in Mawasangka Village, Central Buton Regency. This study was a quantitative analytical study with a Cross Sectional design. The population of this study was all residents of Mawasangka Village who met the inclusion criteria, namely people who are currently or have consumed traditional cough medicine and are aged ≥17 years - 65 years. The sample determination used the Slovin formula with a Purposive Sampling technique and obtained 98 respondents. Data collection used a research instrument in the form of a questionnaire that has been tested for validity and reliability.  The data analysis used was univariate and bivariate, bivariate using logistic regression test with a significance level of α = 0.05. The results showed that from 98 respondents, 24.5% of the community had good knowledge, 67.3% had sufficient knowledge, and 8.2% had insufficient knowledge. The results of the logistic regression test obtained a knowledge value of p = 0.322 meaning the p value> 0.05. In conclusion, there is no relationship between community knowledge and the use of traditional cough medicine in Mawasangka Village, Central Buton Regency. The use of traditional cough medicine is not always related to a person's level of knowledge because many other factors are more dominant.
Co-Authors Agustini, Tutik Ahmad, Aktsar Roskiana Al Ikhsan Agus Alam, Rizky Iftitah Alam, Rizqy Iftitah Aldri Frinaldi Alwi, Muhammad Khidri Amelia Hartika Rani Amir, Haeril Ana Jurhana Andi Ferdi Febriansa Andi Mappanganro Armelia Sri Diah Safitri Asnaniar, Wa Asnaniar, Wa Ode Sri Baso, Mohamad Fauzan Besse Aulia Rahma Brajakson Siokal Brajokson Siokal Dian Islamiati Tandialo Dioso, Regidor III Djafaar, Nurul Annisa DWI SURYANTO Efendy, Rahmat Eka Lutfiatus Solehah Emin, Wan Sulastri Erman, Achmad Rinaldi Ernasari Evy Damayanti Fatma Jama Fazlin binti syafruddin Febriansa, Andi Ferdi Ferdita, Wiwin Haeril Amir Hairil Akbar Hardiyanti Hardiyanti Hassan, Hafizah Che Hayati, Nur Ummi Idelriani Idelriani Imran, Putri Ayu Trininda Irmiatinarahma Pago Jama, Fatma Joko Prasetyo Laboro, Pratiwinsih Lailan, Nur Lailan, Nur Alfiah M. Rezki Aulia Rahman Marwah Majid Matdoan, Riska Amelia Muhajirin Muhajirin Maliga Muhajirin Muhajirin Murfat, Moh Zulkifli Muslimah Kurniawati Nadia Jesica Aprilia Nadila Hafazi Alkatiri Ndari, Sriwulan Novitri Cahyani Marinda NUR FADILLAH Nur Haeni Nur Wahyuni Munir Nurbaeti nurfitri Nurlia Rahma Arman Nurul Annisa Djafaar Rahmawati Ramli Rais Razak, Rais Ramli, Rahmawati Resky Yani Rezky Nur Inayah Rini Rahmadani Riska Bolio Rusdianto Rusdianto, Rusdianto Sakir, Rahmi Samsualam, Samsualam Samsul, Wawan Adi Saputra Sandi Kurniawan Selpin, Selpin Siti Hadijah Syam Stefani Kasim Sudarman Sudarman Sudarman Sudarman Sudarman Suhermi Suhermi, Suhermi Sumarno Sunarti Sunarti Sunarti Taqiyah, Yusrah Tisna HS Sianu Tjahjaningrum, Sajekti Tutik Agustini Virsa Handayani Wahyuningsih Wan Sulastri Emin Wan Sulastri Emin Yulia Ervianti Yusrah Taqiyah Zaekil, Ahmad