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Jurnal Keperawatan dan Fisioterapi (JKF)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550830     DOI : -
Core Subject : Education,
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Jurnal Keperawatan & Fisioterapi (JKF) terbit dua kali setahun, yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan dibidang keperawatan dan fisioterapi yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah dibidang keperawatan dan fisioterapi. Artikel penelitian dan pengabdian masyarakat yang dimuat dalam jurnal ini merupakan topik penting dalam pengembangan ilmu pengetahuan di bidang keperawatan dan fisioterapi serta membantu pemecahan masalah seputar keperawatan dan fisioterapi.
Arjuna Subject : -
Articles 332 Documents
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The Effect of Giving Hot-Packs on The Grade of Shivering in Post-Surgery Caesarean Section Patients at Grandmed Hospital Lubuk Pakam Syara, Arfah May; Syatriawati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2339

Abstract

Shivering after anesthesia is a recovery mechanism in the body due to negative side effects such as discomfort and pain due to stretching of the surgical scar, and increased muscle activity following increased oxygen demand. When a client experiences shivering, it is necessary to warm the body with heat therapy given to clients whose temperature is ? 36?C. A hot-pack is a closed package containing gel with a temperature of 40?C. The hot-pack will be given on the right and left inner arms for about 15 minutes. The type of research used is pre-experimental with one group Pre-test and Post-test design. The technique used in sampling in this study is non-probability sampling, in the form of Accidental sampling with a sample size of 20 respondents, while the instrument used in this study is an observation sheet. This study uses univariate and bivariate analysis. In this study, bivariate analysis was carried out using the Paired T-Test. Based on the Statistical Test conducted using the Paired Sample T-test method, the value obtained was p value 0.000 (? <0.05) which means Ho is rejected and Ha is accepted. This means that there is an Effect of Giving Hot-Packs on the Degree of Shivering in Post-Caesarean Section Patients at Grandmed Hospital Lubuk Pakam. This study concludes that giving hot-packs reacts to skin receptors and channels the temperature effect on body heat so that it can reduce shivering.
Description of Ischemic Stroke Incident in the Intensive Care Room of Hospitals in Tanjungpinang City Deliana, Muthia; Dewi Pusparianda; Rima Novia Putri
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2354

Abstract

Stroke is a non-communicable disease with the second highest incidence worldwide and the third leading cause of death. Globally, more than half are ischemic strokes. In Indonesia, especially Tanjungpinang City, the incidence of stroke is also increasing. Appropriate treatment needs to be carried out to prevent death and get a good prognosis. Results of field studies that have been carried out. A small number of ischemic strokes occur, but this number still results in quite high mortality and morbidity for patients. The aim of this study was to describe the incidence of stroke that occurred in the ICU Room at SE Hospital, Tanjungpinang City, Riau Islands. The method used is a retrospective study. Data collection was carried out using a Medical Record Study. The subjects of this research were all medical records of patients who had been treated in the ICU rooms of hospitals throughout Tanjungpinang City using purposive sampling. Research data processing was carried out using a simple approach. The results of this research showed that the majority were >50 years old, 39 samples (65%), 36 samples (60%) were male., length of stay less than 3 days as much as 55%, GCS entered the ICU at number 3-6 as much as 35%, had pressure 36 samples (60%) had high blood pressure, and all subjects had SpO2 in the range of 96-100 when they entered the hospital, 50 samples (83.3%) and the prognosis for leaving the ICU was death for 36 samples (60%). From this study it can be concluded that the patient's hemodynamic condition when first admitted to the ICU was unstable with a poor prognosis. It is hoped that after this research further research can be carried out in the form of surgical interventions that can stabilize the hemodynamics of ischemic stroke patients being treated in the ICU.
The Effectiveness of Pregnancy Exercise on Anxiety of Primigravida Mothers at The Galang Mother's Love Clinic Wulan, Sri
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2367

Abstract

Congestion experienced by pregnant women can cause various negative impacts on their mental and physical health. High anxiety often contributes to mental disorders, such as depression, which can disrupt a mother's mood and emotional well-being. In addition, the stress response that arises from anxiety can result in physical problems, such as headaches, sleep disorders, and digestive problems, which ultimately impact the immune system. This study aims to assess the effectiveness of pregnancy exercise in reducing anxiety in primigravida mothers at the Kasih Ibu Galang Clinic. The method used was a quantitative study with a pretest-posttest design, involving 15 respondents who took part in a pregnancy exercise program for six weeks. Anxiety levels were measured before and after the intervention using an anxiety scale. The research results showed that the average anxiety level of respondents before participating in pregnancy exercise was 1.67, while after the intervention it decreased to 1.20. Statistical analysis produced a p-value of 0.029, which indicated a significant reduction in anxiety levels. These findings indicate that pregnancy exercise is effective in reducing anxiety in primigravida mothers, so it is recommended as an intervention to support mental health during pregnancy.
Implementation of Early Warning Score in Early Detection of Emergencies in Patients with Catastrophic Diseases El Hasanah, Nisa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2487

Abstract

Background: Emergency management in primary healthcare centers (Puskesmas) requires effective collaboration between doctors and nurses. High workloads and inefficient collaboration can impact the quality of care. The implementation of the Early Warning Score (EWS) potentially enhances early detection in patients with catastrophic diseases, but its effect on workload and teamwork has not been fully explored. Objective: This study aims to analyze the workload and the effectiveness of doctor-nurse collaboration in managing emergency patients at Puskesmas and to evaluate the application of EWS in early detection of emergencies in patients with catastrophic diseases. Methodology: This quantitative study uses a cross-sectional approach. Data were collected through questionnaires distributed to 30 doctors and 30 nurses at Puskesmas. Univariate analysis was used to describe workload and collaboration effectiveness, while bivariate analysis with chi-square tests was used to explore relationships between variables. Results: The majority of respondents reported high workloads (67%) and ineffective collaboration (53%). Bivariate analysis showed a significant relationship between workload and collaboration effectiveness (p = 0.02) and between collaboration effectiveness and quality of patient management (p = 0.01). The application of EWS showed effective early detection, with 60% of patients identified as high-risk. Discussion: High workload reduces collaboration effectiveness, which impacts emergency management. The implementation of EWS can improve early detection, but requires adequate training and resources. Conclusion: High workload impacts doctor-nurse collaboration, while EWS can improve emergency management when implemented properly.
EFFECTIVENESS OF RAPID RESPONSE TEAM PROTOCOL IN HANDLING EMERGENCIES OF PATIENTS WITH CATASTROPIC DISEASES Octavia, Nur Afni Herynati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2497

Abstract

Catastrophic diseases such as myocardial infarction, stroke, and acute respiratory failure require immediate medical intervention. Delayed response in emergency situations significantly increases patient mortality and morbidity. The Rapid Response Team (RRT) protocol is implemented to ensure prompt and efficient emergency interventions in hospital settings. This study aims to evaluate the effectiveness of the RRT protocol in managing emergency conditions among patients with catastrophic diseases by analyzing response time, intervention success rates, and patient outcomes. This observational study utilized a quantitative approach, collecting retrospective data from medical records over the past year. Univariate analysis was conducted to assess demographic characteristics and clinical profiles, while bivariate analysis was used to compare patient outcomes before and after RRT intervention. Univariate analysis revealed that 65% of the patients were over 60 years old, with cardiovascular diseases being the most common condition. The average RRT response time was 5.2 minutes, a significant reduction from 12.8 minutes prior to protocol implementation. Bivariate analysis showed a statistically significant correlation (p < 0.05) between RRT intervention and patient stabilization rates, with a 40% reduction in mortality compared to non-intervention cases. Further subgroup analysis indicated that patients with multiple comorbidities benefited most from early RRT intervention, with stabilization rates improving by 55%. Despite these positive outcomes, challenges such as personnel shortages and interdepartmental coordination remain obstacles to optimal RRT performance. Addressing these issues through staff training, increased resource allocation, and improved communication strategies could further enhance the effectiveness of RRT. The RRT protocol significantly improves response times and patient stabilization rates, ultimately reducing mortality among patients with catastrophic diseases. Future research should focus on refining intervention strategies, addressing implementation challenges, and analyzing long-term patient outcomes to enhance RRT efficiency.
Prognostic Factor Analysis in Hemorrhagic Stroke Emergency: A Retrospective Study in the Emergency Unit Sitepu, Rahmadani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2501

Abstract

Background: Prompt and appropriate treatment in the Emergency Department (ER) is critical to reducing mortality and disability. However, the identification of prognostic factors that can predict patient outcomes is still a challenge. Therefore, it is necessary to analyze the factors that contribute to the prognosis of hemorrhagic stroke patients in order to improve the effectiveness of early management in the ER. Objective: This study aims to analyze the prognostic factors that affect the clinical outcomes of hemorrhagic stroke patients in the ER, based on univariate and bivariate data. Methods: This study is a retrospective study with a cross-sectional design involving hemorrhagic stroke patients who are admitted to the ER for a period of time. Data were collected from the patient's medical records and analyzed using descriptive statistics (univariate) as well as bivariate tests (chi-square and logistic regression) to determine the relationship between independent variables (age, blood pressure, level of consciousness, bleeding volume, and comorbidities) with patient outcomes. Results and discussion: Univariate analysis showed that the majority of patients were over 60 years old (68%), with an average blood pressure of 180/100 mmHg. The average Glasgow Coma Scale (GCS) is 8, indicating a low level of awareness. Bleeding volumes of more than 30 mL were found in 55% of patients. Bivariate analysis showed that advanced age (p=0.01), high blood pressure (p<0.03), low GCS (p0.001), and large bleeding volume (p=0.002) were significantly associated with increased mortality. Logistic regression analysis showed that low GCS and bleeding volume were the main prognostic factors with odds ratio (OR) values of 4.5 and 3.2, respectively. Conclusions: Advanced age, high blood pressure, decreased consciousness (low GCS), and large bleeding volume are significant prognostic factors in hemorrhagic stroke emergencies. Identification of these factors in the ER can help in clinical decision-making and more optimal therapy planning.
MORTALITY PREDICTION MODEL IN SEPSIS EMERGENCIES: COMBINATION OF BIOMARKERS AND CLINICAL PARAMETERS Rahmat, Rosyadi Aziz
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2525

Abstract

Sepsis is a medical emergency characterized by a systemic inflammatory response due to infection and can cause organ dysfunction leading to death. Identification of patients with high risk of mortality is a challenge in clinical practice. Predictive models based on biomarkers and clinical parameters can help in early detection and patient management. This study aims to develop a mortality prediction model in sepsis patients by analyzing a combination of inflammatory biomarkers such as procalcitonin (PCT), C-reactive protein (CRP), and interleukin-6 (IL-6) and clinical parameters such as Sequential Organ Failure Assessment (SOFA) score, serum lactate levels, and blood pressure. Data were obtained from sepsis patients at a referral hospital and analyzed using multivariate logistic regression methods to evaluate the relationship between independent variables and mortality. The results showed that the combination of biomarkers and clinical parameters provided better predictive value than single-based models. The developed prediction model had an accuracy of 87% with an area under the curve (AUC) of 0.91, indicating a high level of reliability in detecting patients at risk of death. Implementation of this model in clinical practice is expected to assist physicians in decision making and improve the prognosis of sepsis patients. Further research is needed for external validation and application of this model in various patient populations.
Evaluation of Referral System Readiness in Handling Cardiovascular Emergencies in Hospitals Kurniawan, Rudi Erwin
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2528

Abstract

Cardiovascular emergencies are among the leading causes of morbidity and mortality worldwide. An effective referral system is crucial to ensuring patients receive timely and optimal care. This study aims to evaluate the readiness of the referral system in handling cardiovascular emergencies in hospitals using a literature review and descriptive analysis method. The findings indicate that infrastructure readiness, medical personnel capacity, and coordination between healthcare facilities play crucial roles in the effectiveness of the referral system. However, challenges such as limited medical transportation facilities and lack of integration of information technology in referral communication persist. Therefore, efforts to enhance policies and technological innovations in the referral system are required to improve services for cardiovascular emergency patients. Additionally, developing better communication networks and improving the competencies of medical personnel in handling emergency referrals are essential factors. The success of the referral system depends not only on technical preparedness but also on regulatory support and policies that facilitate rapid referral processes. The implementation of telemedicine systems, continuous training, and strengthening cross-sector healthcare coordination will significantly support the effectiveness of the referral system. With a holistic approach, the referral system can become more responsive in managing cardiovascular emergencies, ultimately reducing mortality rates and improving healthcare service quality.
Analysis of Golden Period Delay in Severe Head Trauma Patients at Primary Health Care Facilities Hardianti, Siti
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2530

Abstract

Severe head trauma is a major cause of global morbidity and mortality, especially in productive age. Rapid treatment in the golden period (first 1-2 hours post-trauma) is crucial to prevent serious complications. This study aims to analyze the factors that influence the delay in handling the golden period in severe head trauma patients in primary health facilities in Deli Serdang Regency. The design of this study was descriptive analytic with a cross-sectional approach. A sample of 110 severe head trauma patients was selected by purposive sampling according to the inclusion criteria. Data were collected through structured interviews and medical record analysis, then analyzed using the chi-square test to identify the relationship between independent and dependent variables. The results of univariate analysis showed that 70% of patients experienced delayed treatment beyond the golden period. The distribution of patient characteristics was as follows: 60% had low education, 55% had comorbid diseases, 52% were over 40 years old, and 58% were male. Bivariate analysis indicated a significant association between low education level (p=0.002; OR=5.966; 95% CI=2.02-17.56) and the presence of comorbid diseases (p=0.015) with delayed treatment. Patients with low education had a 5.966 times greater risk of delayed treatment compared to those with higher education. However, no significant association was found between age or gender and delayed treatment. These findings emphasize the importance of public education regarding the urgency of immediate treatment in severe head trauma, especially for individuals with low education. In addition, capacity building of primary healthcare facilities through training of medical personnel and provision of adequate equipment is needed to reduce delayed treatment and improve patient prognosis.
The Application of Artificial Intelligence in Predicting Catastrophic Disease Emergencies: Application of Artificial Intelligence in Predicting Catastrophic Disease Emergencies ., Suryani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2535

Abstract

Catastrophic diseases, such as heart attacks, strokes, and acute organ failure, require rapid and accurate prediction to improve emergency response and patient survival. Artificial Intelligence (AI) has been increasingly utilized to enhance diagnostic accuracy and early warning systems in medical emergencies. However, the effectiveness and challenges of AI implementation in emergency prediction remain a critical area of study. This study employed a quantitative method with a retrospective observational analytic design. Data were collected from electronic medical records of 500 patients with catastrophic diseases at RS Grandmed Lubuk Pakam. Univariate analysis was conducted to describe patient characteristics, while bivariate and multivariate analyses were performed using logistic regression to evaluate the predictive capabilities of AI models in emergency cases. The study analyzed data from 500 patients, where AI-based prediction models demonstrated an accuracy rate of 87% in identifying high-risk patients. The Chi-Square test showed a significant relationship between AI predictions and actual emergency events (p < 0,001). Logistic regression indicated that AI-based models were 3.2 times more effective in predicting emergencies compared to traditional methods (p < 0.001). The findings align with previous studies that highlight AI’s potential in enhancing medical decision-making. However, challenges such as data quality, model interpretability, and integration with clinical workflows must be addressed. The study emphasizes the need for further research to optimize AI algorithms and ensure ethical, safe, and effective implementation in emergency medical settings.

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