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Critical Medical and Surgical Nursing Journal
Published by Universitas Airlangga
ISSN : 23551992     EISSN : 2656470X     DOI : 10.20473/cmsnj
Core Subject : Health,
Health Professions Nursing
Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of sustainable quality nursing/health resources. CMSNJ is published two times per year every April and October. Articles published in CMSNJ is written in English since Vol. 10 No. 1 April 2021. Contributors for CMSNJ are researchers, lecturers, students, nurse, registered nurse in Indonesia and worldwide.
Arjuna Subject : Keperawatan - Critical Care
Articles 123 Documents
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New Normal Adaptation (NNA) Relationship with The Quality Of Life Hemodialysis Patients During The Covid-19 Pandemic At Lamongan Muhammadiyah Hospital Rusulustin Mustikaria; Ika Yuni Widyawati; Harmayetty Harmayetty
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v11i2.32266

Abstract

Introduction: The quality of life of patients with Chronic Kidney Disease (CKD) who got hemodialysis had decreased along with the increasing level of the disease, which caused problems of patient productivity. During the pandemic, hemodialysis patients were at very high risk of exposure to covid-19, it was very important to implement New Normal Adaptation to reduce morbidity and mortality. The purpose of this study was to explain the relationship between New Normal Adaptation and the life quality of hemodialysis patients during the pandemic of COVID-19 at Lamongan Muhammadiyah Hospital. Methods: This study used a correlation design, by simple random sampling technique, the population was 85 respondents. The samples were 70 respondents in the Hemodialysis room at Lamongan Muhammadiyah Hospital which was in the inclusion criteria. The data that was collected included respondent characteristics, New Normal Adaptation, and quality of life, the data collection used the Google questionnaire form, then it was analyzed using the Spearman test.  Results: Some of the respondents were treated as new normal in the moderate category, most of the respondents had life quality in the bad category and there was a relationship between New Normal Adaptation with the life quality of hemodialysis patients, the significant value was = 0.303 and p = 0.011. Conclusion: During the pandemic, health education activities for hemodialysis patients could use social media (Facebook, Instagram, Twitter, Whatsapp) that would increase New Normal Adaptation at home and in the hospital. So that, the quality of the patient's life would be good.
The Relationship Between Family Support And Quality of Life of Cervical Cancer Patients in Rumah Singgah Sasana Marsudi Husada Indonesia Yumni, Fathiya Luthfil
Critical Medical and Surgical Nursing Journal Vol. 12 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i1.46826

Abstract

Introduction: Patients with cervical cancer are in need of support from people around them, especially families, sometimes they need hospital treatment also required encouragement and motivation of family members to reduce psychological burden and quality of life of patients with cancer increases. The purpose of this research is to determine the relationship between family support and quality of life of cervical cancer patient at Rumah Singgah Sasana Marsudi Husada Yayasan Kanker Indonesia (YKI), East Java, Indonesia. Methods: The research design used correlation analysis with cross sectional study design. Thirty patients with cervical cancer were involved through purposive sampling technique. The independent variable was family support and dependent variable was quality of life. The instrument used in this research was the WHOQOL-BREF questionnaire. The data were analyzed by Spearman Rank (Rho) test with α < 0.05. Results: Statistical result showed that family support significantly relate to quality of life of cervical cancer patient with a value of p = 0,000 and correlation coefficient (r)  = 0,994 which means it has a strong relationship. Conclusion: There is a positive and strong relationship between family support and the quality of life of cervical cancer patients. The higher the family support, the better the quality of life felt by cervical cancer patient. All staffs of the institution or foundation is expected to encourage families to support and care for sick family members (cervical cancer patient). Thus, health workers must also enhance their knowledge and skills to detect any changes in the life situation (especially family support) experienced by cancer patients, because this will affect their quality of life.
The Effect of Buerger Allen Exercise Towards Physical Health Performance of Peripheral Neuropathy Patients Qomariah, Siti Nur; Lin, Chueh-Ho
Critical Medical and Surgical Nursing Journal Vol. 12 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i1.46845

Abstract

Introduction: Peripheral neuropathy is a common microvascular complication in Diabetes Mellitus patients, with symptoms of tingling, numbness, pain in the feet, and disabilities in daily activities. Buerger Allen Exercise to stimulate the development of collateral circulation in the feet. The purpose of the study was to explain the effect of Buerger Allen's Exercise on the physical health performance of diabetic neuropathy patients. Methods: The research design used an experimental one-group pre-test post-test design. Purposive sampling technique with inclusion criteria: male and female DM patients, with a long history of diabetes> 5 years, undergoing treatment at the health center / other health services. Samples were taken in Krembangan Surabaya City with as many as 24 respondents. The independent variable was the Buerger Allen Exercise. The dependent variables were the physical health performance of diabetic neuropathy patients (peripheral oxygen saturation (StO2), Ankle-Brachial Index (ABI on the foot), and physical activity ability). The instruments used were an observation sheet for measurements of StO2, ABI, and physical ability. The research data were analyzed using the Paired t-test statistical test with a significance level of p <0.05. Results: There are significant results Buerger Allen Exercise of Ankle-Brachial Index (p=0.0085) and physical activity ability (p=0.031), and no significant result of peripheral oxygen saturation (p=0.075). Conclusion: There is an effect of the Buerger Allen Exercise on the Ankle-Brachial Index and physical activity ability of diabetic neuropathy patients. Further research needs to examine Buerger's exercise toward blood glucose levels and control factors that are related.
Analysis of Health-Seeking Behavior Factors in Coronary Heart Disease Patients Bakar, Abu; Widiyanti, Risma Listya; Harmayetty, Harmayetty
Critical Medical and Surgical Nursing Journal Vol. 12 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i1.46874

Abstract

Introduction: Indonesian Research of Basic Health 2019 show that 1.5% of Indonesia's population suffers from coronary heart disease (CHD). Coronary heart disease has an impact on all aspects of the patient's life. Good health-seeking behavior is expected to prevent the severity from getting worse, and the risk of complications, up to death. This study aims to analyze the relationship between knowledge, attitudes, perceptions about health-illness and the ease of access to health service providers with health-seeking behavior in CHD patients. Methods: This study used a correlational descriptive design with a cross sectional approach. The population is CHD patients who are registered in the 3 work areas of the Gresik District Health Center. A large sample of 80 patients, using a purposive sampling technique. This study used questionnaires of health-seeking behavior in CHD patients, knowledge, attitude, perception about health-illness, and a questionnaire to measure the the ease of access to health service providers. Data analysis used the Spearman Rho test. Results: Major partial CHD affects patients aged 46-55 years and of good sex. There is a relationship between knowledge and health-seeking behavior in CHD patients (p = 0.001 and r = 0.367), there is a relationship between attitudes and health-seeking behavior in CHD patients (p = 0.000 and r = 0.737) and there is a relationship between perceptions of illness and health-seeking behavior in CHD patients (p = 0.001 and r = 0.361). Conclusion: The higher the knowledge and perceptions about illness and health, the more supportive the patient's attitude will be, and the better the health-seeking behavior in CHD patients. It is hoped that education and assistance can be given to CHD patients so they are more aware of the importance of appropriate treatment behavior.
The Relationship Between The Implementation of Triage and The Incidence of Overcrowded in the Emergency Department of Adi Husada Kapasari Hospital, Surabaya, Indonesia Suroso, Heri; Apriliana, Bela; Fauziyah, Febrike Inggit; Hartanto, Mey Vina Wirianti; Paraswati, Mareta Deka
Critical Medical and Surgical Nursing Journal Vol. 12 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i1.48786

Abstract

Introduction: The emergency department (ED) is at the forefront of hospital healthcare and is expected to provide timely and effective care. The imbalance of the need for emergency care and the availability of hospitals to provide health services has an impact on the occurrence of overcrowded situations. This study aims to determine the relationship between the implementation of triage and the incidence of overcrowded in the ED of Adi Husada Kapasari Hospital. Methods: This study uses a correlation study design with a cross sectional approach. The population in the study were all nurses in the ED of Adi Husada Kapasari Hospital, Surabaya, Indonesia, and 14 nurses were involved as respondents through a total sampling technique. The independent variable is the implementation of triage, the dependent variable is the incidence of overcrowded. Data collection using a questionnaire sheet to measure the implementation of triage, and the NEDOCS scale (National Emergency Department Overcrowding Scale) to measure the incidence of overcrowded. Data was analyzed using Spearman rank correlation test with α = 0.05. Results: The results showed that more than half respondents (64.3%) practice triage in moderate level, and the overcrowded assessment showed all respondents (100%) in the level 1, which means it was in category not busy. Spearman rank correlation test showed that there was no relationship between the implementation of triage and the incidence of overcrowded in the ED of Adi Husada Kapasari Hospital (p-value 0.898 and r=0.038). Conclusion: For non-large-scale emergency departments like the ED of Adi Husada Kapasari Hospital, the implementation of triage is not significantly related to the overcrowded incidence, although some studies and theories state otherwise, that the accuracy of emergency room nurses in triaging can help reduce patients overcrowding and treat patients immediately. Further research could explore this gap through a larger sample or by involving or comparing more populations of various type of EDs.
The Effectiveness of Progressive Muscle Relaxation and Neuromuscular Taping on Ankle Brachial Index Values and Quality of Life in People With Type 2 Diabetes Mellitus Novita Fajriyah; Shinta Trisnawuri
Critical Medical and Surgical Nursing Journal Vol. 12 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i1.48840

Abstract

Introduction: Diabetes is a chronic disease characterized by abnormal blood sugar levels due to pancreatic disorders.  Quality of life and ankle brachial index values are an area of concern for nurses related to non-pharmacological treatments to prevent complications. Progressive Muscle Relaxation (PMR) can improve relaxation and cellular immunity, as well as Neuromuscular Taping (NMT) is a non-pharmacological intervention to prevent lower extremity peripheral blood circulation decline, so both have a potential positive impact on the patient's quality of life. The aim of this study is to analyze the effectiveness of PMR and NMT on ankle brachial index (ABI) and quality of life in Type 2 Diabetes Mellitus (T2DM). Methods: The study was a quasy-experiment with a pre post test control group design. Consecutive sampling was implemented and resulted a sample of 32 T2DM patients with certain criteria, such as patients who were treated in the internal medicine ward, age 40-70 years, suffering from T2DM for more than5 years, not suffering from diabetic ulcers, and still can do some exercise. Data were analyzed using the Wilcoxon Signed Ranks Test with correlation test with alpha 0.05. Results: There was a significant effect of the PMR-NMT combination intervention on ABI (p= 0.034) and quality of life (p= 0.007) in the intervention group. Conversely, the control group showed no difference in ABI (p= 0.142) and quality of life (p= 0.739) before and after the study. Conclusion: PMR and NMT can improve ABI values and Quality of Life in patients with T2DM. This PMR-NMT combination can be an alternative non-pharmacological therapy in patients T2DM to help improve ankle brachial index and quality of life.
The Correlation Between Motivation and Self-Care Mangement Among Leukemia Patients Based on Orem's Theory Zahra, Naili Raudiatus; Bakar, Abu; Pradanie, Retnayu; Kurniawati, Ninuk Dian
Critical Medical and Surgical Nursing Journal Vol. 12 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i2.47002

Abstract

Introduction: Leukemia is one of the most diagnosed types of cancer and a cause of death worldwide. Patients who experience severe side effects of cancer treatment tend to experience less than optimal self-care management. Leukimia patients in treatment often complain of fatigue, weakness, lack of energy, and nausea which hinder them in self-care management. The purpose of this study was to determine the relationship between motivation and self-care management. Methods: This study used an analytic descriptive research design with a cross sectional approach. Population on this research were members of Chronic Granulocytic Leukemia (it is known as "ELGEKA”), East Java, Indonesia. The sample size was 69 respondents using purposive sampling. The independent variable was motivation and the dependent variable was self-care management. Data was analyzed using Spearman Rho analysis with level of significance 0.05. Results: The results of this study indicated that there was a relationship between motivation and self-care management (p=0.000) and  (r=0,531). Discussion: Motivation has a significant relationship with self-care management in leukemia patients based on Orem's theory. The higher the motivation, the higher self-care management. Good self-care management involves nutrition and fluid management, physical activity, stress management, complementary therapy, information and support seeking, and medication adherence. Conclusion: Nurses have an important role in identifying and increasing patient motivation to carry out self-care management and changing their attitudes to improve health and disease care. The recommendation for future researchers is to develop research with interventions to improve self-care management in leukemia patients.
Emergency Response Time and Its Determinants in the Quick Response Team in Surabaya, Indonesia Wardhana, Fahmy Dhio; Winoto, Priyo Mukti Pribadi; Hidaayah , Nur; Noventi, Iis
Critical Medical and Surgical Nursing Journal Vol. 12 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i2.48693

Abstract

Introduction: The response time in handling prehospital emergencies has not been fully optimal so that people still complain about it. Appropriate response time will reduce mortality and morbidity rates so that patient satisfaction can be met. The aim of this study was to describe the emergency response time and its determinants in the Quick Response Team (it is called "Tim Gerak Cepat”) Surabaya.  Methods: This research was a descriptive research design with a cross sectional approach. The population of the study were all nurses in Tim Gerak Cepat (TGC) at the Integrated Command Post Surabaya totaling 126 nurses and a sample of 96 respondents were taken by purposive sampling. The variables were abilities, skills, education, emergency training, length of service, and motivation of nurses as well as the response time in handling emergencies. Collecting data using a questionnaire and presented in descriptive analytics.  Results: The research results showed that the majority of respondents had high abilities (90.6%) and skills (93.8%). The majority of respondents had achieved a third diploma (D3) in nursing (82.3%) and had undergone basic emergency training (88.5%). Furthermore, more than half of the respondents had worked for more than 3 years (68.7%) and showed moderate motivation (51%). In general, the majority of respondents had a response time of ≤ 8 minutes (79.2%). Conclusion: Nurses at TGC Surabaya actually have a good response time. This is supported by high capacity and skills in emergency situations, as well as educational background, including emergency training. But nurses still need to increase self-motivation. Further research can explore further what are the priority determining factors for emergency response time, especially in Surabaya as the 2nd largest city in Indonesia, in order to assist the government in making the best setting and organization at TGC Surabaya.
Nursing Care For Families With A Deficit Of Hypertension-Related Knowledge At The Surabaya Health Centers Working Area : A Case Study Ardhiyeni Hesti Oktavia; Joni Haryanto; Ferry Efendi
Critical Medical and Surgical Nursing Journal Vol. 12 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i2.49286

Abstract

Introduction: Hypertension is the main cause of death worldwide, this condition continues to increase from year to year related to cardiovascular and kidney disease. The purpose of this case study is to explain how nursing care is given to families with knowledge deficits about hypertension at the Surabaya Health Center. Methods: This case study uses a single case study design with a sample of families with knowledge deficits in hypertension. Data were collected by primary methods, namely interviews with families and secondary methods, namely conducting physical assessments. The intervention carried out was health education in accordance with the Indonesian Nursing Diagnosis Standards which was carried out for 7 days. Results: After the family was given hypertension health education interventions and hypertension exercises, the family experienced an increase in knowledge related to hypertension with a pre-test score of 2 to a post-test score of 10. The family was able to control their diet and was committed to having their health checked regularly, and the family was able to carry out activities. physical exercise with hypertension independently at home. Conclusion: The results of the evaluation are that there is an increase in the level of knowledge in the family and able to carry out healthy lifestyle management by controlling diet, doing hypertension exercises independently at home and committed to carrying out regular health checks. It is expected that health workers will socialize and train the skills of implementing hypertension gymnastics so that they can carry out the management of patients who experience hypertension by means of non-pharmacological management to control blood pressure in hypertensive patients
Assessment of Nutritional Status Using SGA (Subjective Global Assessment) and MIS (Malnutrition Inflammation Score) Tools in Hemodialysis Patients Lestari, Pina; Rustandi, Budi; Istianah, Istianah; Pahlawan, Rizky Gumilang
Critical Medical and Surgical Nursing Journal Vol. 12 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i2.49641

Abstract

Introduction: One of the problems often found in patients undergoing hemodialysis is changes in their nutritional status. Patients with hemodialysis who are malnourished have a higher risk of disease and death. This nutritional disorder can be overcome by assessing nutritional status. Apart from using the SGA (Subjective Global Assessment) method, the MIS (Malnutrition Inflammation Score) method can also be used. The aim of this study was to compare differences in nutritional status of patients on hemodialysis using the SGA and MIS instruments.   Methods: This research was a quantitative research with a cross-sectional design. The research sample consisted of 75 patient with hemodialysis at one of military hospital, who were selected using non-probability techniques with a total sampling approach. The statistical test used is the Mann-Whitney test with level of significance 0.05 to compare differences between variables.   Results: Using the SGA tool, it was found that more than half of respondents (66.7%) were in the moderate nutrition category, while only 9.3% were in the malnutrition category. In contrast, with MIS tools, it was found that 34.7% were in the mild malnutrition and not malnourished category, while 65.3% were in the moderate to severe malnutrition category. Furthermore, statistical analysis shows that there is a significant difference (p = 0.001) between the use of SGA and MIS in assessing nutritional status in patients with hemodialysis.   Conclusion: It can be concluded that there is a difference between the use of SGA and MIS in assessing nutritional status in patients with hemodialysis. Further research, could explore more for the advantages and disadvantages of each instrument, including the level of accuracy and sensitivity.

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