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ANALISIS FAKTOR YANG MEMPENGARUHI MORTALITAS PASIEN NON HEMORRHAGIC STROKE (NHS) DI RSUD TORABELO SIGI SULAWESI TENGAH Christina Ruminggih; Reni Yuli Astutik; Prima Dewi K
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2133

Abstract

Non-hemorrhagic stroke is one of the leading causes of mortality and disability that significantly affects patients’ quality of life. Various clinical and comorbid factors are suspected to influence patient mortality, therefore comprehensive analysis is required to identify these determinants. This study aimed to analyze the factors associated with mortality among patients with Non-Hemorrhagic Stroke (NHS) at Tora Belo Regional Hospital, Sigi Regency, Central Sulawesi. This study employed a quantitative design with an analytic observational method using a retrospective approach. The study was conducted from September to October 2025 at Tora Belo Regional Hospital, Sigi Regency, using secondary data obtained from medical records of NHS patients from September 2024 to 2025. The population consisted of 179 patients, and 124 respondents were selected as samples using probability sampling with a simple random sampling technique. Independent variables included systolic blood pressure, diastolic blood pressure, patient treatment time, Glasgow Coma Scale (GCS) score, blood glucose level, cholesterol level, history of diabetes mellitus, and history of heart disease. Confounding variables included age, body mass index (BMI), duration of diabetes mellitus, diabetes complications, and duration of hypertension, while the dependent variable was NHS patient mortality. Data analysis was conducted through univariate analysis, bivariate analysis, and multivariate analysis using linear regression with SPSS version 23.The bivariate analysis showed significant associations between systolic blood pressure (p=0.002), diastolic blood pressure (p<0,001), treatment time (p<0,001), GCS score (p<0,001), blood glucose level (p<0,001), cholesterol level (p=0.003), history of diabetes mellitus (p=0.006), and history of heart disease (p=0.025) with NHS patient mortality. Confounding variables that significantly affected mortality included age (p=0.002), duration of diabetes mellitus (p<0,001), diabetes complications (p=0.047), and duration of hypertension (p<0,001), while BMI showed no significant association (p=0.086). Multivariate analysis indicated that treatment time was the most influential factor associated with NHS patient mortality (p=0.022) with an Adjusted R Square value of 0.331.These findings indicate that clinical and comorbid factors play an important role in the mortality of non-hemorrhagic stroke patients, emphasizing the importance of early detection and prompt management to improve patient survival outcomes.
Upaya Penurunan Kasus Infeksi Saluran Pernapasan Akut (ISPA) pada Prajurit di Polkes Brigif 22/OM Prima Dewi K; ⁠Irma Aryanti
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus (Inprogress)
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/eaz79x76

Abstract

Acute Respiratory Infection (ARI) remains one of the most common infectious diseases and continues to be a public health problem, including among military personnel. High mobility, intense social interaction, and suboptimal implementation of clean and healthy living behaviors increase the risk of ARI transmission among soldiers at Polkes Brigif 22/OM. This study aimed to identify the factors causing the high risk of ARI, determine priority problems, and develop intervention strategies through health education programs. The study used a descriptive approach with Fishbone analysis, USG (Urgency, Seriousness, Growth) analysis, and SWOT analysis. Data were collected through observation, interviews, and documentation studies. The results showed that the main problem was the inconsistent implementation of preventive behaviors such as wearing masks when sick, practicing proper cough etiquette, and maintaining personal hygiene. Based on USG analysis, suboptimal clean and healthy living behavior (PHBS) became the highest priority problem. SWOT analysis indicated that the organization was in Quadrant I (aggressive strategy), meaning that internal strengths and external opportunities could be optimized to support health education interventions. Health education activities involving 30 soldiers demonstrated an increase in the average score from approximately 60 during the pretest to 85 during the posttest. This finding indicates that health education effectively improved participants’ understanding and encouraged preventive behavior toward ARI. In addition, the SIAP ISPA digital education innovation was developed to support sustainable and accessible health promotion activities for soldiers.