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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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The Effect of Benson Relaxation on Decreasing the Degree of Blood Pressure in Older Adults with Hypertension Ayatulloh, Daviq; Basri, Ahmad Hasan; Prayoga, Dimas Hadi; Priyantini, Diah
Critical Medical and Surgical Nursing Journal Vol. 13 No. 2 (2024): SEPTEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i2.55488

Abstract

Hypertension in the elderly is still a health concern to improve the quality of life of the elderly and prevent sudden death. The aim of this research is to explain how to reduce blood pressure in hypertensive patients using non-pharmacological techniques, namely Benson relaxation. This research uses a quasy-experiment research design with a pre-post test control group design. The research population was 63 elderly people with hypertension and 40 respondents were recruited as samples using purposive sampling. This research was divided into 2 groups, namely the treatment group and the control group, each with 20 respondents. The independent variable Benson's relaxation was carried out using standard operational procedures and blood pressure was measured using a spigmomanometer, stethoscope, observation sheet. Data analysis used the Wilcoxon signed rank test with a significance level of p < 0.05. The results of the study showed that giving Benson relaxation therapy to the treatment group showed a p value = 0.003, this means that there was an effect of giving Benson relaxation therapy on reducing blood pressure in the elderly. It can be concluded that Benson relaxation therapy shows a positive effect in reducing blood pressure in elderly people with hypertension. So that therapy can be applied by nurses in providing nursing interventions to the elderly to increase the use of non-pharmacological therapy
Knowledge about Type Diabetes Mellitus : A Descriptive Study in Mujahidin High School Pontianak Oktaviani, Cindy; Rahmah, Gabby Novikadarti; Fradianto, Ikbal
Critical Medical and Surgical Nursing Journal Vol. 14 No. 1 (2025): MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i1.59280

Abstract

Introduction: Technological developments and exposure to social media content that promote unhealthy foods have contributed to an increase in cases of type 2 diabetes mellitus,especially among children and adolescents. Although no specific data is currently available regarding the incidence of type 2 diabetes mellitus in adolescents in Indonesia, there has been a significant rise in the prevalence of overweight adolescents. This study aims to describe the level of knowledge about type 2 diabetes mellitus among adolescents at SMA Mujahidin Pontianak. Methods: This research employs a quantitative approach with descriptive research methods. The sampling technique used is stratified random sampling, involving a total of 245 students from grades X and XI at SMA Mujahidin Pontianak. The instrument used in this research was the DKQ-24 questionnaire, which was administered to the respondents. Data were analyzed using univariate analysis. Results: The findings indicated that 76.7% (188 respondents) had a moderate level of knowledge about type 2 diabetes mellitus, 17.6% (46 respondents) had a low level of knowledge, and 15.7% (11 respondents) demonstrated a high level of knowledge. Conclusion: The majority of students at SMA Mujahidin Pontianak possess a moderate level of knowledge about type 2 diabetes mellitus. The study recommends that schools collaborate with healthcare professionals or health organizations to create informative materials,such as posters about type 2 diabetes mellitus, and to strengthen the school health program (UKS) to enhance students' knowledge and awareness.
Effectiveness of Turmeric Rhizome Extract and Egg Shell Waste Ointment in Healing Diabetic Wounds in Mice With DDY Strain Firmansyah, Aryan; Yashuda, Syifana; Hening Hasyyati Husna Pekerti; Jasmine Aprilia Nur Zharifah; Eva Agustin Nurhadiyanti; Fauziningtyas, Rista
Critical Medical and Surgical Nursing Journal Vol. 14 No. 1 (2025): MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i1.61095

Abstract

Introduction: One of the complications of diabetes is wounds on the feet. The use of curcumin as a natural ingredient can accelerate the healing of diabetic wounds with its anti-inflammatory and antioxidant properties. However, curcumin has low solubility so it requires a conductor such as hyaluronic acid in egg shells to increase hydration and bioavailability. The aim of this research was to determine the effectiveness of turmeric rhizome and egg shell extract ointment in healing diabetic wounds. Methods: True experimental research was carried out using a pre-post test control group design. This research was carried out using 36 mice which were divided equally into 6 control and treatment groups. This study used Kruskal Wallis analysis to determine differences between groups with a significance level used of p<0.05. Macroscopic monitoring by measuring the diameter of the wound and microscopically monitoring the wound using histopathological tests was carried out in this study. Results: The results of macroscopic and histopathological observations showed that the F3 ointment dose group had the best speed of healing diabetic wounds in mice when compared with the other groups. The statistical results significantly show the effect of administering turmeric rhizome and egg shell extract ointment at a p-value of 0.035. Conclusion: Using a combination of turmeric rhizome and egg shell ointment at a dose of 9:15 was proven to be effective in helping speed healing of diabetic wounds in DDY strain mice. This study has the potential to be continued in the next stage by comparing different doses of egg shells so as to create a more effective formulation in healing diabetic wounds.
The Use of Date Juice and Sugarcane Juice for Hypoglycemia Therapy in Young Adult Hidayati, Nur; Larasati, Fieka Phedy; Rokhman, Abdul
Critical Medical and Surgical Nursing Journal Vol. 14 No. 1 (2025): MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i1.61233

Abstract

Introduction: Hypoglycemia is a medical emergency requiring immediate intervention as it can lead to fatalities. One of the initial treatments for hypoglycemia out of hospital settings is the administration of sweet food and drinks. This research aims to analyze the difference in blood glucose level increase between respondents given date juice and those given sugarcane juice.  Methods: A quasi-experimental two-group pretest-posttest design was conducted in March 2024, involving 92 students divided into 2 groups (Intervention Group: 46; Control Group: 46) recruited through purposive sampling. Both groups were asked to fast for 14 hours, followed by blood glucose measurement (pretest), and then given date juice (intervention group) and sugarcane juice (control group). Blood glucose post-test was conducted at 15 and 30 minutes after intervention with a glucometer, and data were analyzed using ANOVA (α≤0.05).  Results: The study indicated an increase in blood glucose levels after date juice intake at 15 minutes with a mean of 129.83 mg/dl (p=0.000), followed by a decrease in mean blood glucose from 15 to 30 minutes by 21.7. There was an increase in blood glucose levels after sugarcane juice intake at 15 minutes with a mean of 131.17 mg/dl, followed by a decrease in mean blood glucose from 15 to 30 minutes by 19.8. Statistically, there was no difference in blood glucose increase between the two groups at both 15 minutes (p=0.633) and 30 minutes (p=0.347). Conclusion: Date juice and sugarcane juice similarly increase blood glucose levels and can be used as out-of-hospital therapies for conscious hypoglycemic patients.
Impact of Semi-Fowler Position and Clapping in Oxygen Saturation in COPD Patients Dinaryanti, Ratna Sari; Yulefsi, Besmina; Wasijati, Wasijati; Malkis, Yenni; Fitriani, Rina
Critical Medical and Surgical Nursing Journal Vol. 14 No. 1 (2025): MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i1.62425

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a non-communicable disease that often causes low oxygen levels and shortness of breath. The semi-Fowler position and clapping are non-pharmacological techniques that help improve lung function and clear mucus. This study aims to determine their effect on increasing oxygen saturation in COPD patients.  Methods: This experimental study included 18 COPD patients in the Hospital Care Unit (HCU), selected through consecutive sampling. Inclusion criteria were diagnosed COPD, conscious patients willing to participate, and oxygen saturation below 90%. Exclusion criteria included hemodynamic instability. The intervention involved placing patients in a semi-Fowler position (45° incline) to enhance lung expansion and performing clapping (gently tapping the chest with cupped hands) to aid mucus clearance. Oxygen saturation was measured before and after using a pulse oximeter. The Wilcoxon Signed-Rank Test was used to analyze non-normally distributed data.  Results: The mean oxygen saturation before intervention was 85.94%, increasing to 98.56% post-intervention, with a significant improvement of 12.62% (p=0.00, p < 0.05). Demographic data, including age, gender, and COPD severity, were collected. Conclusion: The semi-Fowler position and clapping significantly improve oxygen saturation in COPD patients, highlighting their clinical usefulness. Future research should explore long-term effects, different COPD severities, and combinations with other respiratory therapies for better disease management.
Utilization of Mobile Health Technologies in Chronic Kidney Disease Management: A Scoping Review Sulistyo, Angger Anugerah Hadi; Ardianti, Ikha; Julianto, Errix Kristian; Ferawati, Ferawati; Suhamdani, Haris
Critical Medical and Surgical Nursing Journal Vol. 14 No. 1 (2025): MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i1.63526

Abstract

Introduction: The increasing prevalence of Chronic Kidney Disease (CKD) necessitates innovative approaches to enhance patient care and management. Mobile health (mHealth) technologies have emerged as promising tools for improving health outcomes through remote monitoring, patient engagement, and data-driven decision-making. This scoping review aims to explore the utilization of mHealth technologies in the management of CKD. Methods: A comprehensive literature search was conducted across multiple databases including PubMed/Medline, ProQuest, and DOAJ focusing on studies published in the last decade. The inclusion criteria encompassed articles that evaluated mHealth interventions specifically designed for CKD management. Key outcomes were categorized into patient adherence, clinical outcomes, patient satisfaction, and cost-effectiveness. Results: The review identified diverse mHealth applications, including mobile apps, wearable devices, and telehealth platforms, demonstrating potential benefits in improving medication adherence, monitoring disease progression, and enhancing patient-provider communication. Despite promising results, challenges such as data privacy, technological literacy, and integration with existing healthcare systems were noted. Conclusion: This review underscores the need for further research to optimize mHealth interventions and address barriers to widespread implementation in CKD management.
A Cross-Sectional Study on the Relationship Between Health Literacy and Family Involvement in the Care of Stroke Patients at Regional Hospital Hartono, Hartono; Pranata, Shafaat; Vivin Sulistiani
Critical Medical and Surgical Nursing Journal Vol. 14 No. 1 (2025): MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i1.66261

Abstract

Introduction: Stroke was a leading cause of mortality and disability globally, with a significant prevalence in Indonesia. Health literacy and family involvement played critical roles in stroke management. This study examined the relationship between health literacy and family involvement in the care of stroke patients at Regional Hospital.  Methods: A cross-sectional descriptive analysis was conducted with 35 family members of stroke patients, selected using consecutive sampling. The sample size was calculated with a formula where the margin of error is 17%. Data were collected using the Health Literacy Survey-Short Form (HLS SF Q12) and the Family Engagement Measure (FAME) questionnaire, both validated and reliable. Statistical analysis using Chi-square tests evaluated the relationship between health literacy and family involvement, with a significance threshold of p<0.05.  Results: The majority of respondents demonstrated high health literacy (57.14%) and high family involvement (77.14%). Research results also revealed that respondents with high health literacy also exhibited high family involvement (54.29%), whereas those with low health literacy had lower involvement (14.29%). Chi-square analysis indicated a significant positive relationship between health literacy and family involvement (p=0.000). Conclusion: The study demonstrated that improving family health literacy positively influenced their involvement in stroke care. Educational interventions to enhance health literacy are essential to promote effective, family-centered care strategies.
Application of Deep Diaphragmatic Breathing in Cases of Acute Decompensated Heart Failure with Ineffective Breathing Patterns in Surabaya Hospitals Diansya, Mohammad Rizal; Hidayati, Laily; Widyawati, Ika Yuni; Nurviana, Destya Eka
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.60079

Abstract

Introduction: Acute Decompensated Heart Failure (ADHF) is a sudden worsening of heart failure symptoms. In 2019, WHO reported 17.9 million deaths worldwide from heart disease, with ADHF affecting 1.5% of Indonesia’s population. Shortness of breath is the most common symptom, occurring in 80% of hospitalized ADHF patients. Deep Diaphragmatic Breathing can help improve breathing by strengthening the diaphragm. This case study aimed to evaluate the effectiveness of Deep Diaphragmatic Breathing in improving respiratory status in patients with Acute Decompensated Heart Failure (ADHF).   Objective: This research used a descriptive case study design with a single case study approach 7 days, assessing and evaluating the effects of Deep Diaphragmatic Breathing exercises to reduces ineffective breathing patterns in Acute Decompensated Heart Failure. Data collection through interviews, observation, measurement, physical examination, and medical records.  Case: A 46-year-old patient with Acute Decompensated Heart Failure (ADHF) was admitted with shortness of breath, nausea, vomiting, and loss of appetite for one day. On examination, the patient was conscious (GCS 456), BP 95/66 mmHg, temperature 36.2°C, pulse 68/min, RR 22/min, SpO₂ 98% (with nasal cannula), weight 60 kg, and height 167 cm. The main complaint was dyspnea, especially when lying down, with wheezing and irregular breathing. Blood test (B2) showed weak palpable pulse, warm moist extremities, and transient chest pain. Nursing care included respiratory monitoring, deep diaphragmatic breathing, and positioning in Fowler or semi-Fowler. By day 6, breathing improved (RR 18/min, SpO₂ 99%) without oxygen support. Conclusion: Deep Diaphragmatic Breathing reduced ineffective breathing patterns in ADHF patients. Future research should involve larger sample sizes and explore long-term outcomes to strengthen evidence for its clinical application.
The Superiority of Demonstration Over Video in Improving High School Students’ Skills in Closed Fracture Management Saputri, Mareta Nawang; Afni, Anissa Cindy Nurul; Suparmanto, Gatot
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.61585

Abstract

Introduction: The number of fracture injuries caused by accidents is rising globally, with closed fractures being a common type. The school environment poses a high risk for such injuries, often due to falls, sports activities, or accidents. Prompt and proper treatment is essential. Therefore, it is important for students to be trained in handling closed fractures, particularly in using splint bandages correctly. This study aimed to analyze the difference in students’ skills in handling closed fractures after receiving education via videos versus demonstrations.  Methods: This research used a quasi-experimental design with a posttest-only control group. The independent variable was the instructional method (video or demonstration), while the dependent variable was the students’ skills in handling closed fractures. The study involved first-grade high school students in Boyolali, Indonesia. A total of 88 students were selected through simple random sampling and divided equally into two groups: 44 in the intervention group (demonstration) and 44 in the control group (video). The Mann-Whitney test was used for bivariate analysis.  Results: After the intervention, the demonstration group achieved a maximum score of 98 and a minimum of 64, while the video group scored a maximum of 79 and a minimum of 52. The Mann-Whitney test revealed a significant difference in skill levels between the two groups, with a p-value of 0.000 (p < 0.05). Conclusion: There is a significant difference in the effectiveness of video and demonstration methods on students' skills in handling closed fractures. The demonstration method proved to be more effective, as it provides students with direct, hands-on experience that enhances understanding and skill application. Future research should examine long-term skill retention and include larger, more diverse samples to enhance generalizability.
Effectiveness of Simulation-Based Health Education on Adolescents’ Basic Life Support Knowledge and Skills Andrayani, Lale Wisnu; Irawan, Chandra; Atmaja, Hadi Kusuma; Agustintia, Yellin
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.65534

Abstract

Introduction: Sudden cardiac arrest is a medical emergency that requires immediate intervention in the form of Basic Life Support (BLS). Adolescent knowledge and skills in performing BLS are crucial, especially in areas with limited access to emergency services. This research to assess the effect of simulation-based health education on adolescents' knowledge and skills in performing BLS at Junior High School.  Methods: This study used a pre-experimental design with a One-Group Pretest-Posttest approach. A total of 52 students were randomly selected using simple random sampling. Data were collected through questionnaires and skills checklists, and analyzed using the Wilcoxon Signed Rank Test. In this study, the independent variable is the simulation-based health education provided to adolescents, which serves as the intervention aimed at improving their preparedness in emergency situations. The dependent variables are the adolescents’ knowledge and skills in performing Basic Life Support (BLS).  Results: Prior to the intervention, all participants (100%) had low knowledge and skills in BLS. After the intervention, 83% of participants had good knowledge, and 56% were skilled in performing BLS. Statistical analysis revealed a significant improvement in both knowledge and skills (p=0.000). Conclusion: Simulation-based health education significantly improved adolescents' knowledge and skills in BLS. Future research is recommended to involve larger and more diverse populations, such as students from different educational levels (elementary, high school, or university) or adolescents from rural and urban areas, to compare the effectiveness of simulation-based health education across settings.

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