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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.
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Articles 332 Documents
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The Effect of Oxygen Intake on Patient Outcomes in Acute Respiratory Emergencies: The Effect of Oxygen Intake on Patient Outcomes in Acute Respiratory Emergencies REZA SYAHPUTRA, TENGKU MUHAMMAD
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.v6i1.2536

Abstract

Barclay, W. H., et al. (2019). Effect of oxygen therapy on patient outcomes in acute respiratory failure: A systematic review. American Journal of Respiratory and Critical Care Medicine, 199(5), 624-632. Bates, S. W., et al. (2021). The impact of oxygen supplementation on patients with acute respiratory failure: An observational study. Journal of Intensive Care Medicine, 36(9), 1150-1156. Hodgson, C. L., et al. (2020). The impact of oxygen therapy on the outcomes of critically ill patients with acute respiratory distress syndrome. Journal of Critical Care, 58, 23-29. Jelinek, G. A., et al. (2020). Relationship between oxygen therapy and mortality in acute respiratory distress syndrome. Critical Care Medicine, 48(8), 1234-1240. Kallapur, S. G., et al. (2020). Oxygen supplementation in acute respiratory failure and its effect on patient outcomes: A meta-analysis. Critical Care Medicine, 48(5), 706-714. Liu, F., et al. (2020). Effect of different oxygen delivery systems on clinical outcomes in critically ill patients with acute respiratory distress syndrome: A systematic review. Journal of Intensive Care, 8(1), 39-45. McAuley, D. F., et al. (2022). Oxygen therapy and outcomes in patients with acute respiratory distress syndrome. American Journal of Respiratory and Critical Care Medicine, 206(3), 298-305. Nolan, J. P., et al. (2021). Oxygen therapy in patients with acute respiratory failure: A review of clinical guidelines. Lancet Respiratory Medicine, 9(7), 737-746. Schmidt, G. A., et al. (2021). Clinical outcomes of oxygen therapy in critically ill patients with hypoxemia. Critical Care Medicine, 49(12), 2012-2020. Soni, N., et al. (2022). Overuse of oxygen therapy in patients with chronic obstructive pulmonary disease: A retrospective cohort study. Thorax, 77(6), 459-465. Tiruvoipati, R., et al. (2022). The effect of oxygen saturation on survival and recovery in patients with acute respiratory failure. Chest Journal, 160(2), 478-486. Tobin, M. J., et al. (2021). Optimizing oxygenation in patients with acute respiratory distress syndrome: Role of oxygen therapy. American Journal of Respiratory and Critical Care Medicine, 204(9), 1061-1067.
The Analysis of Workload and the Effectiveness of Doctor-Nurse Collaboration in Emergency Patient Management at Primary Health Centers: Analysis of Workload and the Effectiveness of Doctor-Nurse Collaboration in Emergency Patient Management at Primary Health Centers Harefa, Karnirius
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2539

Abstract

Abstract The collaboration between doctors and nurses plays a crucial role in managing emergency patients at community health centers (Puskesmas). However, a high workload can hinder the effectiveness of teamwork and impact service quality. This study aims to analyze the relationship between workload and the efficacy of doctor-nurse collaboration in Puskesmas. This cross-sectional study involved 120 respondents (50 doctors, and 70 nurses) selected through purposive sampling. Data were collected using the WISN questionnaire (workload) and CPAT questionnaire (collaboration), and then analyzed using chi-square tests, t-tests, and logistic regression. The results showed that the average workload score for doctors was 75.3 ± 12.5 and for nurses was 82.1 ± 10.8, with a collaboration effectiveness score of 68.4 ± 9.7. A high workload was correlated with lower collaboration effectiveness (p = 0.012; OR = 2.45) and was identified as the main factor reducing collaboration effectiveness (AOR = 3.12; p < 0.001). Another influencing factor was work experience (AOR = 2.08; p = 0.045). Excessive workload poses risks of fatigue, stress, and communication breakdowns within the medical team, ultimately hindering coordination in patient management. The study concludes that a high workload negatively affects the effectiveness of doctor-nurse collaboration in handling emergency patients. To improve service quality in Puskesmas, additional healthcare personnel, optimization of the triage system, and training in communication and teamwork are necessary.
The Optimization of Acute Myocardial Infarction Emergency Management: Evaluation of Response Time and Patient Outcomes: Optimization of Acute Myocardial Infarction Emergency Management: Evaluation of Response Time and Patient Outcomes el hasanah, nisa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2540

Abstract

Background: Acute Myocardial Infarction (AMI) is an emergency condition that requires rapid intervention to improve patient outcomes. Quick response times in managing AMI can significantly affect mortality and morbidity rates. However, evaluations of response times and outcomes across various hospitals show significant variability. This study aims to assess the factors influencing AMI management, particularly in terms of response time and clinical outcomes.Objective: This study aims to optimize the management of acute myocardial infarction emergencies by analyzing response times and patient outcomes across different healthcare facilities.Methodology: A retrospective study design was employed, utilizing univariate and bivariate analyses of patient data from medical records of AMI patients at Hospital X in 2023. Variables analyzed included response time, treatment type (medical and interventional), and clinical outcomes (mortality, symptom improvement, and complications). Univariate analysis was performed to describe data distribution, while bivariate analysis, including chi-square and logistic regression tests, evaluated the relationship between response time and patient outcomes.Results and Discussion: Univariate results indicated that most patients received treatment within 60 minutes. The outcomes showed that faster response times correlated with better prognosis, including lower mortality rates for those treated more quickly. Bivariate analysis revealed a significant relationship (p < 0.05) between quick response times and faster symptom resolution, as well as reduced mortality. Additional factors such as age and comorbidities were also analyzed, but response time remained the most significant predictor.Conclusion: Faster management of acute myocardial infarction can reduce mortality and improve patient outcomes. Therefore, optimizing response times in healthcare facilities should be a priority in AMI emergency management.
The The Relationship Between Genetic Factors and Therapeutic Response in Catastrophic Disease Emergencies: The Relationship Between Genetic Factors and Therapeutic Response in Catastrophic Disease Emergencies Sari, Sofiani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2541

Abstract

Genetic factors significantly influence therapeutic responses in catastrophic diseases, including myocardial infarction, stroke, and sepsis. Individual genetic variations affect drug metabolism, efficacy, and potential adverse reactions, impacting treatment outcomes. This study aims to analyze the relationship between genetic predisposition and therapeutic response in emergency cases, emphasizing the role of pharmacogenomics in personalized medicine. Data were collected using a retrospective correlational design with 50 patients diagnosed with catastrophic diseases. Pearson's correlation test showed a significant relationship between CYP2C19 polymorphism and antiplatelet therapy effectiveness (r = 0.45, p<0.05), ABCB1 polymorphism and anticoagulant therapy effectiveness (r = 0.38, p<0.05), and TNF-? and IL-6 variations with antibiotic response in sepsis patients (r = 0.32, p<0.05). The integration of pharmacogenomics in emergency treatment can enhance therapeutic effectiveness and reduce adverse effects. However, challenges such as high costs and limited access to genetic testing remain significant barriers. Further research and supportive healthcare policies are essential to optimize the implementation of personalized genetic-based therapy.
The Analysis of the Speed and Effectiveness of Resuscitation Actions in Patients with Cardiac Arrest in the Emergency Department: Analysis of the Speed and Effectiveness of Resuscitation Actions in Patients with Cardiac Arrest in the Emergency Department Suryani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2545

Abstract

Cardiac arrest is a medical emergency requiring rapid and effective resuscitation to improve patient survival. The speed of resuscitation has been linked to the success of return of spontaneous circulation (ROSC); however, delays are still common in many healthcare facilities. This study employed a quantitative method with a retrospective observational analytic design. Data were collected from medical records of cardiac arrest patients in the Emergency Department (ED) over the past year. Univariate analysis was conducted to describe patient characteristics, while bivariate analysis using the Chi-Square test and multivariate analysis using logistic regression were performed to examine the relationship between resuscitation speed and ROSC outcomes. Among the 60 patients analyzed, 58.3% were over 50 years old, and 66.7% were male. The Chi-Square test showed a significant relationship between resuscitation speed and ROSC success (p = 0.03). Logistic regression analysis indicated that patients who received resuscitation within less than 2 minutes had 2.5 times higher odds of achieving ROSC compared to those who received delayed resuscitation (p = 0.02). This study aligns with the American Heart Association guidelines and previous research, highlighting that the speed of resuscitation significantly influences patient recovery. Therefore, improving medical staff readiness and optimizing emergency response systems in EDs are crucial to enhancing the quality of cardiac arrest management.
The The Role of Inflammatory Biomarkers in Detecting Sepsis Deterioration in the Emergency Department: The Role of Inflammatory Biomarkers in Detecting Sepsis Deterioration in the Emergency Department Herynati Octavia, Nur Afni
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2547

Abstract

Sepsis is a life-threatening medical condition caused by a dysregulated host response to infection, which can lead to septic shock and multiple organ failure. It remains a major cause of morbidity and mortality in critically ill patients, particularly in emergency departments (ED). Early detection of sepsis deterioration is crucial for timely intervention and improved patient outcomes. Inflammatory biomarkers such as Procalcitonin (PCT), C-Reactive Protein (CRP), and Interleukin-6 (IL-6) have been widely utilized as diagnostic and prognostic indicators in sepsis management. However, their role in predicting sepsis progression remains a subject of ongoing research.This study aims to evaluate the significance of inflammatory biomarkers in detecting sepsis deterioration and their correlation with disease severity. A cross-sectional observational design was employed, collecting data from 120 sepsis patients admitted to the ED over a six-month period. Inclusion criteria involved patients diagnosed with sepsis based on Sepsis-3 criteria and undergoing biomarker testing within the first 24 hours of admission. Exclusion criteria included patients with autoimmune diseases, hematologic malignancies, or those receiving immunosuppressive therapy. Blood samples were collected within 24 hours to measure PCT, CRP, and IL-6 levels. Biomarkers were analyzed using electrochemiluminescence immunoassay (ECLIA) for PCT, turbidimetric analysis for CRP, and enzyme-linked immunosorbent assay (ELISA) for IL-6. Sepsis severity was assessed using the Sequential Organ Failure Assessment (SOFA) score. Statistical analysis included univariate analysis for descriptive statistics, Pearson or Spearman correlation for bivariate relationships, and logistic regression to determine the most predictive biomarker for sepsis progression. Results revealed that higher levels of PCT, CRP, and IL-6 were significantly associated with increased sepsis severity. Among them, IL-6 demonstrated the strongest correlation with SOFA scores (r = 0.72, p < 0.01), suggesting its potential as a reliable prognostic marker. The findings emphasize the importance of inflammatory biomarkers in guiding clinical decision-making and improving early sepsis management in emergency settings.
The Optimization of Fluid Management in Septic Shock Emergencies: A Hemodynamic-Based Approach: Optimization of Fluid Management in Septic Shock Emergencies: A Hemodynamic-Based Approach Hutomo, Yugi Tri
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2548

Abstract

Sepsis is a medical emergency condition that can cause shock and multi-system organ failure. Proper management of fluid management in patients with sepsis shock is essential to prevent death. The purpose of this study is to optimize fluid management in patients with sepsis shock through a hemodynamics-based approach, as well as to evaluate its impact on clinical outcomes, including improvements in hemodynamic parameters and organ function. This study uses an observational study design with a retrospective approach. Univariate analysis showed that the application of hemodynamic-based fluid management successfully improved the hemodynamic parameters of patients, with a significant reduction in mortality rates and an increase in mean blood pressure. In contrast, patients who did not get hemodynamics-based fluid management showed longer symptoms of shock. In bivariate analysis, there was a significant relationship between the volume of fluid administered based on hemodynamic monitoring and improvement of organ function. Hemodynamic-based fluid management optimization in patients with septic shock has been shown to improve hemodynamic parameters, improve prognosis, and reduce mortality rates. This approach is recommended to be integrated in clinical practice in intensive care units to improve the quality of sepsis shock care.
The Effectiveness of Telemedicine in Managing Catastrophic Disease Emergencies in Remote Areas: Effectiveness of Telemedicine in Managing Catastrophic Disease Emergencies in Remote Areas Kurniawan, Rudi Erwin
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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.v6i2.2550

Abstract

Telemedicine has emerged as a promising solution to overcome geographical and logistical barriers in handling emergency cases of catastrophic diseases, especially in remote areas. This study aims to analyze the effectiveness of telemedicine in managing emergencies related to catastrophic diseases by evaluating its impact on response time, patient outcomes, and healthcare accessibility. The methodology employed includes a systematic review of relevant literature, case studies from various remote healthcare centers, and a comparative analysis of conventional emergency responses versus telemedicine-assisted interventions. The findings indicate that telemedicine significantly reduces response times, facilitates early diagnosis, and enhances coordination between primary healthcare providers and specialists. However, challenges such as limited internet connectivity, inadequate infrastructure, and the need for trained personnel remain obstacles to implementation. This study concludes that telemedicine is a viable and effective tool for improving emergency care in remote regions, provided that adequate investment in infrastructure and training is ensured.
The Emergency Management Strategies for Catastrophic Diseases: A Multidisciplinary Approach in Healthcare Facilities: Emergency Management Strategies for Catastrophic Diseases: A Multidisciplinary Approach in Healthcare Facilities Sitepu, Rahmadani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (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

Abstract

Background: Catastrophic diseases, such as stroke, acute myocardial infarction, and respiratory failure, are medical conditions with high mortality and morbidity. Fast and appropriate treatment in emergency situations is crucial to the patient's prognosis. A multidisciplinary approach in healthcare facilities is a key strategy in improving the quality of care and patient safety. Objective: This study aims to explore emergency management strategies in catastrophic diseases with a multidisciplinary approach in health facilities and analyze their effectiveness based on univariate and bivariate data. Methods: This study used a quantitative method with a cross-sectional design in several referral health facilities. Data is collected through patient medical records, direct observation, and interviews with medical personnel. The analysis was carried out with descriptive statistics (univariate) to describe patient characteristics and medical procedures, and chi-square and logistic regression (bivariate) tests to test the association between multidisciplinary involvement and patient clinical outcomes. Conclusion: Emergency management strategies based on a multidisciplinary approach have been proven to improve the effectiveness of handling catastrophic diseases in healthcare facilities. The involvement of various medical professions can speed up decision-making and improve patient safety rates. Therefore, strengthening coordination between professions and increasing the capacity of health facilities are essential steps in mitigating the risk of catastrophic diseases.
The Implementation and Challenges of the Triage System in Managing Catastrophic Disease Emergencies in Hospitals: Implementation and Challenges of the Triage System in Managing Catastrophic Disease Emergencies in Hospitals Ajartha, Ronny
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.v6i1.2555

Abstract

Emergency management of catastrophic illnesses in hospitals requires an effective and efficient triage system to ensure that critically ill patients receive prompt and appropriate care. This article discusses the implementation and challenges faced in implementing a triage system in a hospital environment. This study used a qualitative method with data collection through in-depth interviews, observations, and literature studies. The results showed that, although the triage system has been successful in improving the response to emergencies, there are several challenges that need to be addressed, including limited resources, lack of adequate training for medical personnel, and communication gaps between departments. Recommendations for improvement include increasing staff training, providing additional resources, and developing better communication protocols. This study is expected to provide insights for policy makers and medical practitioners in improving the quality of emergency management of catastrophic illnesses in hospitals.

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