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Jurnal Health Sains
Published by Syntax Corporation Indonesia
ISSN : 27236927     EISSN : 27234339     DOI : http://doi.org/10.36418
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Jurnal Health Sains adalah jurnal yang diterbitkan sebulan sekali oleh Ridwan Institute. Jurnal Health Sains akan menerbitkan artikel ilmiah dalam lingkup ilmu kesehatan. Artikel yang diterbitkan adalah artikel dari penelitian, studi atau studi ilmiah kritis dan komprehensif tentang isu-isu penting dan terkini atau ulasan buku-buku ilmiah.
Arjuna Subject : Profesi Kesehatan - Bimbingan Kesehatan dan Transkripsi
Articles 764 Documents
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Application of Logistics Management in Disaster Management at Cianjur Regional General Hospital in 2023 Ayu Laili Rahmiyati; Elda Permatasari; Suhat Suhat; Asep Dian Abdilah
Jurnal Health Sains Vol. 5 No. 5 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i5.1265

Abstract

Disaster logistics management is an effort to arrange logistics raw materials in the implementation of disaster management, which consists of planning, procurement, storage, distribution, transportation, and receiving. Cianjur Hospital is one of the health facilities affected by the Cianjur earthquake; due to the earthquake, almost all parts of the hospital were damaged, so some health services were carried out in emergency tents. The purpose of this study was to obtain an analysis of the disaster logistics management system at RSUD Cianjur. The design used is qualitative with a descriptive approach. The informants in this study were 5 employees of Cianjur Hospital. Data collection is carried out through in-depth interviews, document studies, and observations. Analysis data processing uses data reduction analysis, data presentation, and conclusions. The results showed that the disaster logistics management system at Cianjur Hospital had appropriate planning, but there was little difficulty meeting needs. At the time of procurement and/or receipt, there is a discrepancy in needs and an unclear identity of the sender. There are two logistics warehouses, namely inside the building and in the emergency tent, but the warehouse security in the emergency tent is less safe and the place is inadequate. In distribution, there is speed, accuracy, and the amount of distribution that is sometimes not right. It is recommended that hospitals optimize the performance of each human resource as well as write SOPs regarding disaster logistics management systems.
Comparison of Sand Pillows and Cold Compresses in Reducing The Incidence of Hematoma in Post Percutaneous Coronary Intervention (PCI) Patients: A Scoping Review Qomaruddin Asy’ary; Titin Andri Wihastuti; Dina Dewi Sartika Lestari Ismail
Jurnal Health Sains Vol. 5 No. 5 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i5.1266

Abstract

Coronary heart disease is the most common cause of morbidity and death in the world. Cardiac catheterization is applied to diagnose and treat coronary heart disease. Non-invasive Percutaneous Coronary Intervention (PCI) aims to open narrowed coronary blood vessels. The most frequently used vascular installation site is the femoral artery. The PCI procedure has several vascular complications, such as hematoma, which often occur in post-PCI patients. Using sand pillows and cold compresses is one measure to reduce the incidence of hematomas. This study aims to compare the effectiveness of sand pillows and cold compresses in reducing hematomas in post-PCI patients. This study was designed as a scoping review. Article searches were limited to 2019-2024. Search using the Google Scholar, ScienceDirect, and Proquest databases and using advanced search with the keywords "sandbag," "cold pack," "hematoma," and "percutaneous coronary intervention." A total of 45 articles were found, and then by applying the specified inclusion criteria, we found 6 articles. The 6 articles obtained show that using a sand pillow can reduce the duration of compression and speed up the achievement of hemostasis by pressing on the arteries. Meanwhile, using cold compresses and cold packs can cause vasoconstriction of blood vessels, speed up blood clotting time, and form blood clots. It can be concluded that cold compresses are more effective in reducing the incidence of hematomas in post-PCI patients compared to using sand pillows.
Differences Between Discovery Learning And Case-Based Learning Using Animated Videos On Critical Thinking Skills In Start Triage Among Undergraduate Nursing Students Rystika Angga Sari; Retno Larasati; Yati Sari Hayati
Jurnal Health Sains Vol. 5 No. 5 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i5.1269

Abstract

The 2004 disaster in Aceh underscores the need to strengthen disaster triage preparedness. Triage would be more accurate when considering human resource factors. Students are educated nurse candidates who will serve the community through their ability to think critically. Innovative learning opens opportunities to sharpen critical thinking in students' preparedness for emergency disaster situations. This study analyzes the differences between discovery learning and case-based learning on critical thinking in START Triage among undergraduate nursing students. This quasi-experimental study used a pre-test and post-test design involving 40 undergraduate nursing students selected through purposive sampling and divided into two groups: control and intervention. Data collection utilized the Critical Thinking Disposition Inventory questionnaire. The results of the Paired T-test revealed differences in critical thinking ability in START Triage before and after receiving discovery learning and case-based learning. Furthermore, the independent T-test results indicated a significant influence of case-based and discovery learning on critical thinking ability in START Triage. Case-based learning utilizing animated videos significantly impacted nursing students' critical thinking ability in START Triage. Using animated videos as a basis for case-based learning provides a foundation for educational institutions to integrate into learning activities and disaster simulation exercises to enhance the quality of Triage services.
Experience of Breastfeeding And Exclusive Breastfeeding For Women With Physical Disabilities: Scoping Review Ririn Ririn; Mufdlilah Mufdlilah; Endang Koni Suryaningsih
Jurnal Health Sains Vol. 5 No. 5 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i5.1273

Abstract

The study aims to investigate the scientific evidence concerning breastfeeding and exclusive breastfeeding experiences among women with physical disabilities. Exclusive breastfeeding entails providing only breast milk to infants from birth to 6 months old, excluding any other food or drinks except medications and vitamins. However, breastfeeding is not halted after exclusive breastfeeding; it continues until the child is two years old. Utilising the scoping review method, the research employed the Population, Concept, and Context (PCC) framework. Six articles meeting the inclusion criteria were identified from a pool of 1,553 articles from PubMed, ScienceDirect, Wiley, and Research Rabbit databases. These articles shed light on the challenges, experiences, barriers, and support systems related to breastfeeding and childcare encountered by women with physical disabilities. The research on breastfeeding experiences among women with physical disabilities reveals both facilitators and barriers. Facilitators include adaptations, peer support, and necessary equipment, while barriers encompass insufficient support, health considerations, and milk production and latching challenges. These findings underscore the importance of tailored support and access to information for women with physical disabilities who aim to breastfeed effectively. Implementing such support mechanisms can contribute to improving breastfeeding rates among this demographic, thus promoting the health and well-being of both mothers and infants while addressing societal attitudes toward disability issues.
Comparison of Sensitivity, Specificity, and Accuracy of ISS, RTS, and TRISS Instruments in Predicting Mortality of Trauma Patients Fenny Tianda; Kumboyono Kumboyono; Suryanto Suryanto
Jurnal Health Sains Vol. 5 No. 5 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i5.1274

Abstract

This study aims to compare the effectiveness of three trauma scoring systems—Injury Severity Score (ISS), Revised Trauma Score (RTS), and Trauma and Injury Severity Score (TRISS)—in predicting mortality among trauma patients at Inche Abdoel Moeis Regional General Hospital Samarinda's emergency room. Trauma assessment tools are crucial for reducing mortality rates and enhancing patient outcomes. While ISS focuses on anatomical factors, RTS integrates physiological parameters, and TRISS combines both for a comprehensive evaluation. Previous research suggests their effectiveness in mortality prediction, albeit with variations in performance. The absence of a dedicated trauma assessment system at the hospital underscores the urgency of this research. By evaluating the performance of ISS, RTS, and TRISS, this study aims to inform clinical practice and enhance trauma patient management, ultimately reducing mortality rates and improving outcomes in the emergency room setting. The study's methodology involves retrospective analysis of trauma patient data, including demographics, injury characteristics, and outcomes. Statistical analysis will compare the performance of the three scoring systems in predicting mortality with implications for trauma care protocols and resource allocation. Results will contribute to evidence-based decision-making in emergency room settings, facilitating more accurate triage and treatment strategies for trauma patients.
Comparison of Conventional and Modern Wound Care in Post-Section Wounds at Cut Mutia Hospital, North Aceh Regency in 2023 Yusnidaryani Yusnidaryani; Said Taufiq; M. Jamil Fauzi
Jurnal Health Sains Vol. 5 No. 5 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i5.1284

Abstract

The World Health Organization (WHO) sets the average cesarean sections (CS) standard at 5-15% per 1000 births. However, cesarean section rates in private hospitals exceed 30%, compared to 11% in government hospitals. This study investigates the prevalence and complications of surgical wound infections post-cesarean section and the effectiveness of modern wound dressing techniques in reducing these infections. Data analysis reveals cesarean wound infections occur during hospitalization (27%), re-admission (1%), and post-discharge (71%). Surgical wound infections (SWI) significantly increase morbidity, treatment duration, and healthcare costs, with a direct death rate ranging from 3% to 75% globally. The study evaluated modern wound dressings adhering to "moist wound healing" principles, such as hydrocolloids, alginate, and foam, which maintain a moist environment to enhance epithelial cell proliferation, accelerate wound healing, and reduce scarring. Findings indicate that moist wound dressings significantly improve healing outcomes, promoting epithelialization and collagen synthesis, with techniques showing a 30-50% increase in epithelialization and a 2-5 times faster re-epithelialization rate. These results highlight the need for adopting advanced wound care techniques to reduce surgical wound infections and improve patient recovery post-cesarean section. The study implies that healthcare providers should integrate modern wound care practices to enhance maternal health outcomes globally.
The Effect of Animated Video Learning on ESI Triage Knowledge and Student Satisfaction of Nursing Polytechnic Health Ministry of Health Makassar Andi Aridhasari Sudirman; Kumboyono Kumboyono; Suryanto Suryanto
Jurnal Health Sains Vol. 5 No. 6 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i6.1292

Abstract

Triage at the hospital's Emergency Room (ER) is critical for prioritizing the care of emergency patients. Triage errors can be dangerous and endanger patient safety, so nursing students should have a solid understanding of triage. This study investigates the impact of ESI triage learning media containing PowerPoint and animated films on knowledge, triage decision-making (TDM), and participant satisfaction. The research used a quantitative approach with a Quasi-Experimental pretest-posttest method involving 36 5th semester Diploma Nursing students at the Makassar Ministry of Health Polytechnic. The study was divided into two groups, experimental (animated video learning) and control (PowerPoint learning), to evaluate the effect of treatment on knowledge, triage decision-making, and student satisfaction in ESI triage learning. The results of the data analysis show a significant increase in knowledge about ESI Triage and student satisfaction after the intervention, with significant values ​​of 0.001 and 0.018, respectively (p-value < 0.05). Although there was no significant increase in Triage decision-making abilities between the groups that used animated videos and Microsoft PowerPoint (p = 0.440), the use of animated videos overall increased student responses and satisfaction. MANOVA analysis confirmed that the implementation of animated videos significantly influenced knowledge and satisfaction in students with a p-value <0.05. The use of animated videos increases student knowledge and satisfaction significantly compared to PowerPoint, although it does not affect triage decision-making.
The Relationship Between Nurse Burnout and Patient Safety Culture with The Quality of Nursing Care in Type B Hospitals in Central Sulawesi Fitria Dewi Susanti; Sri Andarini; Kuswantoro Rusca Putra
Jurnal Health Sains Vol. 5 No. 6 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i6.1293

Abstract

The hospital provides health services such as inpatient, outpatient, and emergency departments. The quality of nursing care is crucial as patients rely on nurses to address their complaints. This study aims to determine the relationship between nurse burnout and patient safety culture with the quality of nursing care. An analytical observational design with a cross-sectional study approach was conducted in two Type B Hospitals in Central Sulawesi Province with 235 nurse respondents in the inpatient room, using purposive sampling. Data analysis included the Pearson product-moment test and multivariate modeling. Results indicated a significant relationship between nurse burnout and nursing care quality (p-value <0.05), as well as between patient safety culture and nursing care quality. The dominant variable related to the quality of nursing care was patient safety culture (β = 0.723). The study highlights that nurse burnout negatively impacts the quality of nursing care, whereas a strong patient safety culture improves it. Theoretically, this research expands the understanding of the interplay between nurse burnout, patient safety culture, and nursing care quality, emphasizing the need for organizational support and effective communication. Practically, it suggests that hospital administrators should implement strategies to reduce nurse burnout and foster a positive patient safety culture, such as stress management programs and a supportive work environment, to enhance nursing care quality and improve patient outcomes.
Delayed Hemothorax Due to Thoracic Trauma with Multiple Rib Fracture: A Case Report Amaro Yudho Wibowo; Sofian Palupi; Raden Sri Triyono
Jurnal Health Sains Vol. 5 No. 6 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i6.1298

Abstract

Recent evidence indicates that elderly who have suffered rib fractures may develop delayed massive hemothorax. Delayed enormous hemothorax after thoracic trauma is uncommon, but it is nevertheless linked to high rates of mortality. This single case report provides an overview of the ordinary and important delayed hemothorax caused by thoracic trauma with multiple rib fractures in limited healthcare facilities. We observe symptoms and chest X-rays before and after the development of delayed hemothorax. A 56-year-old man came to the hospital with complaints of shortness of breath and pain in the chest and right shoulder. The patient said that four days ago, He fell from a height of around 6 meters. After visiting the hospital four days prior, the patient was diagnosed with multiple fractures of the inferior aspect of the right ribs (costa 3-7) as well as a fracture of the right clavicle. However, the patient declined surgery and was made to return home. At that time, the patient did not experience shortness of breath. Currently, the patient is experiencing dyspnea. Blood pressure 138/91 mmHg, heart rate 89 beats per minute, respiration rate 26 times per minute, Spo2 91% room air. The chest x-ray currently shows a right hemothorax. After stabilization, the patient asked to be referred to another hospital for further treatment. Patients with multiple fractured ribs, especially with rib displacement, are at high risk of evolving delayed hemothorax. Close monitoring and observation for several days are necessary.
Adjuvant Therapy Effect of Curcuma Longa Rhizome Extract On TGF-β Serum Levels in Leprosy Ulcer Patients Rizki Alfarizi; Renni Yuniati; Farmaditya Eka Putra Mundhofir; Noor Wijayahadi; Yora Nindita
Jurnal Health Sains Vol. 5 No. 6 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i6.1300

Abstract

Leprosy ulcer is one of the worsening manifestations of leprosy that often causes disability if not appropriately handled. Healing of ulcers requires a long enough duration so that a good immunological response is needed to encourage the wound healing process, one of which is transforming growth factor-  (TGF-), which is necessary of the plants that plays a role in the expression of TGF-  to spur wound healing is Curcuma longa rhizome or turmeric rhizome. This study is expected to prove that administering Curcuma longa rhizome extract can increase serum TGF-β levels in leprosy ulcer patients. This study is an experimental study with a pre and post-randomised single-blind controlled trial design involving 22 subjects with leprosy ulcers. The control group obtained standard therapy for leprosy ulcers, and the treatment group received standard therapy and adjuvant Curcuma longa rhizome extract at a dose of 1 g per day for 30 days. TGF-β levels were measured by the ELISA method. Data analysis used the Wilcoxon test and the Mann-Whitney test. The results showed no significant difference in TGF-β levels after and before the intervention in the control group (p=0.79) and the treatment group (p=0.14). However, there was a significant difference in TGF-β levels after the intervention in the control group and treatment (p=0.01). Curcuma longa rhizome extract did not show an important role in changes in serum TGF-β levels in leprosy ulcer patients. This study showed that administering Curcuma longa rhizome extract for 1 month did not show a potential role as an adjuvant therapy. Leprosy ulcer is one of the worsening manifestations of leprosy that often causes disability if not appropriately handled. Healing of ulcers requires a long enough duration so that a good immunological response is needed to encourage the wound healing process, one of which is transforming growth factor-  (TGF-), which is necessary of the plants that plays a role in the expression of TGF-  to spur wound healing is Curcuma longa rhizome or turmeric rhizome. This study is expected to prove that administering Curcuma longa rhizome extract can increase serum TGF-β levels in leprosy ulcer patients. This study is an experimental study with a pre and post-randomised single-blind controlled trial design involving 22 subjects with leprosy ulcers. The control group obtained standard therapy for leprosy ulcers, and the treatment group received standard therapy and adjuvant Curcuma longa rhizome extract at a dose of 1 g per day for 30 days. TGF-β levels were measured by the ELISA method. Data analysis used the Wilcoxon test and the Mann-Whitney test. The results showed no significant difference in TGF-β levels after and before the intervention in the control group (p=0.79) and the treatment group (p=0.14). However, there was a significant difference in TGF-β levels after the intervention in the control group and treatment (p=0.01). Curcuma longa rhizome extract did not show an important role in changes in serum TGF-β levels in leprosy ulcer patients. This study showed that administering Curcuma longa rhizome extract for 1 month did not show a potential role as an adjuvant therapy.

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