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Donny Nurhamsyah
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Padjadjaran Acute Care Nursing Journal (PACNJ)
Published by Universitas Padjadjaran
ISSN : -     EISSN : 27156060     DOI : https://doi.org/10.24198/pacnj.v1i1
Core Subject : Health,
Health Professions Nursing
Description: Padjadjaran Acute Care Nursing Journal (PACNJ) is a scientific nursing journal that publishes by the Faculty of Nursing, Universitas Padjadjaran. The PACNJ is published as a means for sharing research findings and development in nursing knowledge. The scope of the PACNJ is nursing and health areas, which focuses on nursing care or health care services in the context of an emergency, acute care conditions, and critical care in all fields and disaster nursing. The PACNJ is published every four months using a peer review system for selected articles. This journal provides an open access for readers to read abstracts and full papers. The PACNJ covers original research papers and reviews literature articles that have not been published previously. Articles submitted to the PACNJ will be filtered through an editorial board meeting to further make a decision. Articles that are decided to be accepted for review will be sent to the reviewer. The peer review process will take around 1-2 months. The accepted article will be returned to the author for revision, and resubmission would be required for the revised article. The publication process of articles in this journal would take about two to three months. The PACNJ reviewer’s team are people who have expertise in nursing and health in the relevant areas. Focus and scope: Launched in November 2019, Padjadjaran Acute Care Nursing Journal (PACNJ) is a newcomer publication place in the field of nursing carried out by the Faculty of Nursing at Universitas Padjadjaran. PACNJ aims to become an international journal to protect researchers around the world. PACNJ continues to improve quality by involving many experts in the field of nursing. PACNJ is an open-access journal. PACNJ focuses on receiving articles in various fields of nursing including; emergency nursing, critical nursing, emergency nursing in children, emergency nursing in maternity, emergency nursing in mental health, nursing emergency in medical surgery, emergency nursing in the community, and miscellaneous. Articles published in PACNJ have been selected by a team of editors and a peer review process from reviewers who are experts in the field of nursing. Articles published on PACNJ have also been completed by Digital Object Identifier (DOI) and indexed by Google Scholar, ISJD, and Kandaga.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 50 Documents
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Case Study: Application Of Dhikr And Audio Murottal On Changes Hemodynamic Status In Patient With Post-Thoracotomy Pectus Bar Azzah Dinah Rachmah; Aan Nur'aeni; Etika Emaliyawati
Padjadjaran Acute Care Nursing Journal Vol 4, No 1 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.271 KB) | DOI: 10.24198/pacnj.v3i3.46196

Abstract

Hemodynamic instability is a problem that often occurs in postoperative patients in the ICU, one of which is thoracotomy surgery. Signs of hemodynamic instability are an increase in Mean Arterial Pressure (MAP), heart rate and respiratory rate, changes  in  decreased oxygen saturation, increased pain scale and even decreased consciousness. Maintaining hemodynamic stability in post-operative patients can be done by administering pharmacological and non-pharmacological interventions. Nursing care that can be done to maintain the patient's hemodynamic stability includes oxygenation, head position adjustment, stimulation with both verbal and non-verbal communication approaches, gentle massage relaxation and music therapy. Music therapy that can make patients relax and calm, one of which is by dhikr therapy and listening murottal Al-Quran. Purpose: to analyze dhikr therapy and listening murottal Al-Quran on changes in hemodynamic status in postoperative (thoracotomy) patients. Methods: This study used the case study method to explore  the  problem  of  nursing  care.  The  approach  used  is  the  nursing   care  approach which includes: assessment, diagnoses, interventions, implementation and evaluation. Hemodynamic recording is recorded on a flipchart and pain measurement is carried out using the Critical Pain Observational Tool (CPOT) instrument. Results: The results showed that after 3 days of intervention, there was a decrease in heart rate, respiratory rate, pain scale, increase in GCS values and other hemodynamic component values within normal limits. Conclusion: Therapeutic intervention of dhikr and listening murottal Al-Quran can maintain hemodynamic stability in postoperative patients in the ICU.
Quality Of Life Patients With CAD After Percutaneous Coronary Intervention At Cardiac Center Rsup Dr. Hasan Sadikin Bandung Syifa Aulia; Aan Nuraeni; Hasniatisari Harun
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (553.333 KB) | DOI: 10.24198/pacnj.v1i2.28659

Abstract

Quality of life of patients CAD after PCI needs to be seen as an evaluation of the interventions carried out, which need to be studied continuously by looking at health status, socioeconomic, and differences in the measurement tools used can be found differences from each item measured. This study aims to look at the quality of life of patients with CAD after PCI at the cardiac center of RSUP Dr. Hasan Sadikin Bandung. This study uses a quantitative descriptive method with a cross-sectional approach. The samples in this study were all patients CAD after PCI who were outpatient at RSHS Bandung. Samples were taken using purposive sampling technique and obtained 100 respondents. Data is collected using Macnew instruments by analyzing data using frequency distribution.The results showed that 95 respondents (95%) had a high quality of life. The quality of life results based on subvariables from highest to lowest are obtained as follows; emotional subvariable (94%) with a mean of 5.90, social subvariable (94%) with a mean of 5.84 and physical subvariable (93%) with a mean of 5.60.In conclusion, almost all respondents have a high quality of life which is reinforced by the results of high social and emotional aspects, but the physical aspects still need to be improved by providing adequate information regarding the patient's disease and the benefits of attending cardiac rehabilitation to improve the quality of life. In addition, physical, emotional and social management plays an important role in improving the quality of life of patients.Keywords: After Percutaneous Coronary Intervention, Coronary Heart Disease, Quality of Life
The Correlation Between Post-Procedural Complications and Length of Stay Among Post Primary PCI Patients: A Retrospective Study Sugiharto, Firman; Trisyani, Yanny; Nuraeni, Aan; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64834

Abstract

Background: Coronary heart disease (CHD) is a leading cause of morbidity and mortality globally. Primary PCI is an effective intervention, it is not without risks, and complications arising post-procedure can significantly affect both patient outcomes and the length of hospital stay (LOS).Aim: To describe the types and frequency of complications that occur in patients after Primary PCI and to analyze their relationship with the length of stay in the hospital.Design: This study employed a retrospective design, utilizing medical records of patients who underwent Primary PCI at a referral hospital in West Java, Indonesia, from December 2019 to April 2024. The study sample was selected using a convenience sampling method, focusing on patients who had complete medical records. Data analysis was conducted using univariate and bivariate analyses, including Fisher's exact test to assess the relationship between complications and LOS. The dependent variable, LOS, was categorized into three groups: ≤ 3 days, 4-5 days, and ≥ 6 days.Results: The findings showed that 81.8% of patients did not experience any complications post-procedure, while 14.5% experienced hematomas and 3.6% experienced bleeding. The median LOS was 4.00 ± 2.28 days, with 60.9% of patients having an LOS of more than 3 days. Patients who experienced complications, especially hematomas or bleeding, were more likely to have prolonged hospital stays, with 11.8% of them staying for ≥ 6 days.Conclusion: Complications following Primary PCI significantly affect the length of stay in the hospital. The study highlights that patients who experience complications such as hematomas or bleeding tend to have longer hospitalizations. These findings underscore the importance of early detection and timely management of post-procedural complications to reduce LOS and enhance patient outcomes.
Telehealth dan Teknologi Artificial Intelegence untuk Meningkatkan Dukungan Psikologis dan Kepatuhan terhadap Terapi dalam Perawatan Kanker Payudara: Sebuah Protokol Scoping Review Nur'aeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman; Andrianthi, Salsyah; Febianti, Ranti; Oktafianti, Mutiara Annisa
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.64809

Abstract

  Kanker payudara merupakan jenis kanker dengan kasus terbanyak secara global dan memberikan dampak serius terhadap kesehatan mental serta kepatuhan pasien terhadap terapi. Pasien sering menghadapi kecemasan, depresi, dan gangguan psikologis lain yang dapat menghambat proses pengobatan. Telehealth menawarkan solusi dukungan jarak jauh, namun masih memiliki keterbatasan dalam hal personalisasi dan keberlanjutan layanan. Integrasi kecerdasan buatan (Artificial Intelligence/AI) ke dalam sistem telehealth dinilai memiliki potensi besar untuk meningkatkan efektivitas intervensi melalui deteksi dini, pemantauan real-time, serta pemberian dukungan yang lebih responsif dan individual. Manuskrip ini merupakan protokol dari scoping review yang bertujuan untuk memetakan jenis, konten, dan pendekatan intervensi telehealth, baik yang berbasis AI maupun tidak, dalam mendukung kesehatan mental dan kepatuhan terapi pada pasien kanker payudara. Kajian disusun berdasarkan pedoman PRISMA-ScR dan menggunakan kerangka PCC (Population: pasien perempuan dengan kanker payudara; Concept: intervensi telehealth dan/atau AI; Context: dukungan psikologis dan kepatuhan terapi). Pencarian literatur dilakukan pada delapan basis data utama: PubMed, Scopus, Web of Science, ProQuest, CINAHL, EBSCO, ScienceDirect, dan Google Scholar, dengan rentang publikasi 2015–2025. Temuan dari review ini diharapkan dapat menjadi dasar pengembangan intervensi digital yang lebih efektif, personal, dan berkelanjutan, khususnya di wilayah dengan keterbatasan layanan kesehatan.  
Comprehensive Nursing Care in a Neonatal Asphyxia with Hypoxic Ischemic Encephalopathy and Sepsis Complications: A Case Report Sugiharto, Firman; Khoirunnisa, Khoirunnisa; Hendrawati, Sri; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64835

Abstract

Background: Asphyxia is one of the highest causes of neonatal mortality in the world. Delayed treatment of asphyxia can have an impact on permanent organ failure and neurological disability in neonates such as cerebral palsy, hyperactivity, and epilepsy.Aim: This study aimed to describe nursing care for neonates with asphyxia neonatorum.Case Description: A boy named H (By. H), 22 day old was transferred from the neonatal intensive care unit (NICU) with a diagnosis of severe asphyxia with complications of HIE and sepsis. At the time of assessment, the level of consciousness compos mentis, general condition was weak, often restless, short of breath, there was lobed breathing, intercostal retractions, stridor, secret in the mouth, rhonchi in both lung fields. Vital signs obtained HR: 150 x/minute, RR: 50 x/minute, body temperature: 36.60C, SpO2: 96%. The neonatus has good nutritional status and adequate hydration status, with positive fluid balance and no signs of fluid overload. Rest and sleep status of the neonatus is enough. The patient had a history of apnea, seizures, and post cooling therapy.Conclusion: The interventions and implementations carried out were monitoring vital signs, monitoring signs and symptoms of hypoxia, monitoring additional breath sounds, positioning the semi-fowler 30-450, changing position to prone position after breastfeeding, and nebulization with 3% NaCl 4 ml. After the intervention, the nursing problems in this case study had only been partially resolved. There is a need for further monitoring related to airway management which includes observation of vital signs and respiratory distress, continued nebulization with 4 ml of 3% NaCl, and monitor for signs of hypoxia.
ODONTOGENIC INFECTION AS A HIDDEN ROUTE OF GENERALIZED TETANUS IN THE INTENSIVE CARE UNIT: CASE REPORT Nintyas, Felantina Restyar; Anna, Anastasia; Kosasih, Cecep Eli
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.64614

Abstract

Tetanus, an infection caused by Clostridium tetani, remains a global health concern due to its high fatality, morbidity, and mortality rates. Although the spores of this bacterium are commonly found in soil and animal waste, contamination of the oral cavity due to poor oral hygiene and inadequate dental care also presents a significant risk. The aim of this study was to describe the role of dental infection in the incidence of tetanus in the intensive care unit. This study used descriptive study design with case report method. A 67-year-old male patient was admitted for 38 days to the intensive care unit of a government hospital in Bandung due to grade III generalized tetanus, with Ablett grade IV classification and Tetanus Severity Score (TSS) of 7. The patient had a history of stab wounds from wood and multiple plaque (+) in the oral cavity due to poor oral hygiene and had a habit of cleaning teeth using sticks that were not clean and not in accordance with recommended dental care tools.. History of tetanus vaccine with incomplete dose. During treatment, the patient required mechanical ventilator assistance with CPAP-PS mode. Conclusion of this research that the route of entry for tetanus-causing bacteria can be through wounds, including wounds in the oral cavity that often go unnoticed. Therefore, it is very important to maintain oral hygiene through the application of proper oral hygiene and eliminate the habit of cleaning teeth with dirty tools.
DISASTER NURSING LEARNING NEEDS FOR UNDERGRADUATE STUDENTS OF FACULTY OF NURSING UNIVERSITAS PADJADJARAN Kartika Saragih, Chintya Ysha; Emaliyawati, Etika; Yani, Desy Indra
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.65024

Abstract

Bencana yang terjadi di Indonesia memiliki beragam jenis penyebab dan membutuhkan penanganan yang tepat. Mahasiswa keperawatan memiliki peranan penting dalam kondisi bencana sehingga mahasiswa perlu dibekali kesiapsiagaan sejak dini. Faktor penghambat kesiapsiagaan adalah pengetahuan. Pengetahuan akan terus berkembang sesuai dengan kebutuhan. Penelitian ini bertujuan untuk mengevaluasi kebutuhan pembelajaran keperawatan bencana pada mahasiswa keperawatan program sarjana Universitas Padjadjaran. Penelitian ini menggunakan deskriptif kuantitatif. Populasi dalam penelitian ini sebanyak 392 mahasiswa. Teknik sampling yang digunakan adalah total sampel. Instrumen dalam penelitian ini dimodifikasi dari The Learning Needs for Disaster Nursing Scale (LNDN Scale). Teknik analisa data menggunakan analisis univariat. Hasil penelitian adalah kebutuhan pembelajaran keperawatan bencana terdiri dari 3 domain yaitu domain kognitif 88.8%, afektif 85.2% dan psikomotrik 77.3%.  Berdasarkan ketiga domain, 3 issue kebutuhan pembelajaran mahasiswa keperawatan yaitu pengetahuan dalam mencegah penularan Covid-19, peran dan tugas perawat dalam bencana serta peralatan penyelamatan dan keterampilan bertahan hidup
The Need For a Healthy Lifestyle in Patients With Multi Drug Resistant (MDR) Pulmonary TB in The Medical Intensive Care Unit (MICU): a Case Report Soleha, Nisa Cahya; Anna, Anastasia; Emaliyawati, Etika
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.65028

Abstract

Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. A healthy lifestyle, including adherence to Anti-Tuberculosis Drugs, quitting smoking, a balanced diet, and regular physical activity, is essential for eradicating the bacteria. This study used a case report method focusing on a 55-year-old male patient with MDR-TB and type 2 diabetes mellitus who was admitted to the Medical Intensive Care Unit. The patient presented with complaints of productive cough, fever, and fatigue. His condition worsened until death, with a history of unhealthy lifestyle habits such as smoking, poor diet, lack of physical activity, and non-adherence to Anti-Tuberculosis Drugs. The management of Multi Drug Resistant Tuberculosis requires integration between pharmacological therapy and healthy lifestyle habits. Family education and lifestyle interventions are crucial to improve medication adherence, treatment success, and the recovery process in patients with Multi Drug Resistant Tuberculosis. Adopting a healthy lifestyle can strengthen the immune system, prevent disease progression, and support the recovery of patients with Multi Drug Resistant Tuberculosis and Type 2 Diabetes Mellitus.
Management of Hyperkalemia in Patients with Acute Kidney Injury Post Septic Shock: A Case Report Sutisnu, Ajeng Andini; Emaliyawati, Etika; Anna, Anastasia
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.65117

Abstract

Introduction: Hyperkalemia often occurs in patients with acute kidney injury due to decreased ability to excrete potassium. This case report aims to describe treating hyperkalemia in patients with acute kidney injury (AKI) after septic shock. Method: Case reports detailed the management of hyperkalemia correction using a combination of insulin with 40% Dextrose solution, Ca Gluconate, and hemodialysis therapy. Results: A 64-year-old male patient was admitted to the GICU due to septic shock and AKI after undergoing surgery to extract the 36th and 38th teeth accompanied by a retropharyngeal abscess. The physical examination results showed palpitations, tachycardia, hypertension, and grade 1 pitting edema in the upper extremities. The laboratory checks showed hyperkalemia, and an ECG showed sinus tachycardia. The nurse carried out collaborative therapy for potassium correction using a combination of 10-unit insulin and 40% Dextrose, as much as 2 flacons, and Ca Gluconate. Conclusion: Correction of hyperkalemia used a combination of 10-unit insulin and D40%, and Ca Gluconate therapy was the most widely used intervention because it had a rapid onset and hypokalemic effect. Unfortunately, this therapy could not overcome refractory hyperkalemia in these cases, so the patient was advised to undergo hemodialysis therapy.
The Information Needs of Breast Cancer Patients at All Stages of Their Journey: A Protocol of Scoping Review Priambodo, Ayu Prawesti; Trisyani, Yanny; Anna, Anastasia; Nuraeni, Aan; Oktafianti, Mutiara Annisa; Sugiharto, Firman; Pebianti, Ranti; Andrianthi, Salsyah
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.65055

Abstract

Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death in women, therefore breast cancer is the most common cancer in women in most countries. Providing adequate information needed by patients can reduce anxiety and feelings of insecurity. Most of women with breast cancer stated that the information obtained was unsatisfactory. However, few studies have comprehensively addressed the information needs of women with breast cancer across all stages of the disease. This scoping review aimed to fully understand the unique information needs of breast cancer patients at various stages of the cancer continuum. A scoping review will be conducted following PRISMA guidelines. Relevant studies will be identified from databases such as PubMed, Scopus, and Taylor & Francis, EBSCOhost, and ScienceDirect. In addition, searches via Google Scholar, interpersonal network recommendations, and reference chains will also be conducted. Studies will be selected based on PCC criteria, focusing on breast cancer patients as the population, information needs as content, and at various stages of the cancer continuum as the context. Data extraction and risk of bias assessment will be performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. This review is expected to provide comprehensive information needs of breast cancer patients at various stages of the cancer continuum. The findings will be valuable for educational institutions, healthcare facilities, in designing innovative, technology-based educating programs that enhance knowledge retention, practical skills, and psychological preparedness.

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