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WAL'AFIAT HOSPITAL JOURNAL
Published by Rumah Sakit Ibnu Sina Makassar
ISSN : -     EISSN : 27229017     DOI : https://doi.org/10.33096
Core Subject : Health,
Dentistry Medicine & Pharmacology Nursing Public Health Veterinary
Walafiat Hospital Journal is a scientific publication published every 6 months (2 times in 1 year June and December) that uses a peer-review system for article selection. Walafiat Hospital Journal accepts original research, Literature Reviews, Case Reports, Scientific Lectures, Book Reviews, and Letter of Editor in English, with the term and condition that they have not been published in another journal/website.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 125 Documents
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Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Nur Haeni; Sudarman Sudarman; Wan Sulastri Emin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Abstract

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Penerapan Balut Tekan sebagai Strategi Penanganan Awal Perdarahan Vulnus Laceratum di IGD Puskesmas Liwuto Kota Baubau Achmad Rinaldi Erman; Yusrah Taqiyah; Muhajirin Muhajirin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/t3q8k068

Abstract

Laceration wounds (vulnus laceratum) may cause pain and external bleeding, requiring prompt initial management to prevent excessive blood loss. One simple early bleeding control strategy is direct pressure maintained with a pressure dressing. This case report describes the use of a sterile pressure dressing in a male patient (Mr. L) with a left plantar foot wound due to glass injury, accompanied by pain and active bleeding, presenting to the emergency unit of Liwuto Primary Health Center, Baubau. Data were obtained through clinical observation, brief interview, and review of available medical records/procedure sheets. Pain was assessed using the Numeric Rating Scale (NRS), while bleeding outcome was operationalized using bleeding status (active/controlled), dressing status (wet/dry), and time to hemostasis. After sterile pressure dressing application and 4-hour monitoring, pain decreased from NRS 8 to 3, and active bleeding was no longer observed at the 4-hour evaluation. These findings indicate clinical improvement in this case, but interpretation is limited by single-case design (n=1) without controls, incomplete quantitative serial bleeding documentation, and potential confounding from concomitant interventions (e.g., analgesics).
Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Nur Ummi Hayati; Akbar Asfar; Wan Sulastri Emin; Sudarman Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Manajemen Airway Dikombinasi dengan Hand Held Fan dan Deep Breathing Exercise terhadap Penurunan Sesak Nafas pada Pasien Efusi Pleura Bilateral Asilah Afnani Bisri; Haeril Amir; Rahmat Hidayat
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gebhy528

Abstract

Pneumonia with bilateral pleural effusion may cause dyspnea due to reduced lung expansion and increased work of breathing. This case report describes clinical changes following an adjunct intervention package consisting of Airway management combined with a hand-held fan (HHF) and Deep breathing exercise (DBE) in the emergency department. A 35-year-old male presented with worsening dyspnea accompanied by chest pain and productive cough; baseline assessment showed a respiratory rate of 28 breaths/min and SpO₂ of 91%, and supplemental oxygen was administered as prescribed. The sequential intervention package (total ~5 minutes) included Airway management (semi-Fowler positioning, breathing-control education, and effective coughing/huff cough), HHF directed to the face at a distance of approximately 15–20 cm for ~2 minutes, and DBE for 5–10 repetitions (inhalation 2–3 s, hold 1–2 s, slow exhalation 4–6 s). Outcomes were assessed by comparing respiratory rate and SpO₂ at baseline and immediately after completing the package (~1 minute after DBE), along with the patient’s subjective dyspnea report. The patient reported reduced dyspnea, with respiratory rate decreasing to 22 breaths/min and SpO₂ increasing to 96%. Conclusion: the Airway-management plus HHF and DBE package was followed by clinical improvement in this case; however, generalizability is limited by the single-case design without control, lack of stage-by-stage measurements, absence of a standardized dyspnea scale, and potential confounding from concurrent medical therapies.
Manajemen Jalan Nafas dengan Kombinasi Chest Physiotherapy dan Terapi Oksienasi pada Pasien Pneumonia Nur Afika Syam; Haeril Amir; Fitria Fitria
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/e4gk9b06

Abstract

Pneumonia is a lower respiratory tract infection that may cause secretion retention, crackles, tachypnea, and reduced oxygenation, requiring measurable airway clearance and oxygen support in the emergency department. This case report describes clinical improvement in a single case following a combination of Chest Physiotherapy (CPT) and oxygen therapy. The patient presented with dyspnea, productive cough, and fever. Baseline assessment showed crackles, thick sputum difficult to expectorate, RR 27–28 breaths/min, SpO₂ 93%, temperature 38°C, and chest X-ray infiltrates consistent with pneumonia. The primary nursing diagnosis supported ineffective airway clearance with the need for oxygenation support. Interventions included structured CPT (postural drainage, percussion/vibration, deep-breathing, and effective coughing) and oxygen via nasal cannula titrated to target saturation. Outcomes were assessed quantitatively at T0 (baseline), T1 (after one session, ~1–2 h), and T2 (~24 h): RR, SpO₂, lung sounds, sputum characteristics, dyspnea (Borg 0–10), accessory muscle use, and temperature. Gradual clinical improvement was observed (RR 27–28 to 22 breaths/min; SpO₂ 93% to 96%), with reduced crackles, easier sputum expectoration, decreased dyspnea, and lower temperature. Generalization is limited due to the single-case design and concurrent medical therapies.
Perbandingan Antara Pregabalin Dengan Ibuprofen terhadap Kadar Neutrofil Pascabedah Laparotomi Ginekologi Muh. Wirawan Harahap; Nasrudin Andi Mappaware; Faisal Sommeng; Noer Fitri Zhachrani; Sobria Munawara
Wal'afiat Hospital Journal Vol. 7 No. 1 (2026): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/a7r5ac07

Abstract

Postoperative pain is an important problem frequently encountered in postoperative patients. Although understanding of the mechanisms of postoperative pain has advanced considerably, postoperative pain management remains suboptimal and is often neglected. Preemptive analgesia refers to the administration of analgesic interventions before nociceptive stimulation occurs, with the aim of preventing pain, suppressing sensory afferent input, reducing central nervous system sensitization, and minimizing postoperative pain effects. This study aimed to compare pregabalin and ibuprofen as preemptive analgesia on neutrophil levels after gynecological laparotomy. This was an experimental clinical trial using a pre-post test control design, in which variables were measured before and after the intervention. The collected data were analyzed using paired t-test and independent t-test. The results showed no significant difference in the increase of neutrophil levels between ibuprofen and pregabalin administration, with a p-value of 0.237. However, the increase in neutrophil levels was higher in the pregabalin group than in the ibuprofen group, namely 683.60 ± 1501.13 compared with 532.82 ± 527.67. Therefore, it can be concluded that there was no significant difference in the increase of neutrophil levels between pregabalin and ibuprofen administration in patients undergoing gynecological laparotomy, although the increase in neutrophil levels was higher in the pregabalin group than in the ibuprofen group.
Penerapan Posisi Lateral Dalam Menjaga Kepatenan Jalan Nafas Pada Pasien Anak Dengan Kejang Demam Di IGD Rs. Ibnu Sina Makassar Reski Indahyani; Sudarman Sudarman; Yusrah Taqiah; Muhajirin Muhajirin
Wal'afiat Hospital Journal Vol. 7 No. 1 (2026): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3jmm4d22

Abstract

Latar Belakang: Keadaan darurat medis yang umum terjadi pada anak-anak dapat menyebabkan kesulitan bernapas dan kehilangan kesadaran, yang merupakan masalah kejang demam. Posisi menyamping dianggap sebagai tindakan pertama yang efektif untuk mengendalikan kejang demam pada anak. Tujuan: Studi kasus ini bertujuan untuk untuk mengetahui kepatenan jalan napas pada posisi lateral dalam mencegah terjadinya aspirasi pada anak serta untuk mengetahui efektifitas penerapan posisi lateral dalam menjaga kepatenan jalan nafas pada pasien anak dengan kejang demam di ruang IGD Rs. Ibnu Sina YW-UMI. Metode: Metode penelitian dengan pendekatan deskriptif, dimana data dikumpulkan melalui observasional terhadap anak yang mengalami kejang demam dan mendapatkan intervensi posisi lateral. Hasil: Hasil studi menunjukkan bahwa penerapan posisi lateral efektif dalam menjaga kepatenan jalan nafas pada pasien anak dengan kejang demam. Kesimpulan: Dari hasil studi yang didapatkan yaitu nampak jalan napas pasien tetap terbuka dan tidak terhalang oleh lidah atau bahan lain yang mungkin masuk ke dalam rongga mulutnya sehingga mencegah terjadinya aspirasi jalan nafas. Temuan ini menekankan pentingnya pendekatan sederhana seperti posisi lateral dalam manajemen kejang demam pada anak di fasilitas kesehatan. Penelitian lebih lanjut diperlukan untuk validasi temuan ini dengan metode yang berbeda serta untuk meningkatkan pemahaman dan kesadaran masyarakat tentang tindakan pertolongan pertama yang tepat dalam situasi kejang demam pada anak.
Pendekatan Fitoterapi pada Kejang Demam: Efektivitas Kompres Aloe vera terhadap Penurunan Suhu Tubuh Rahmat Yusran; Nur Ilah Padhila; Nurwahidah Nurwahidah; Idelriani Idelriani
Wal'afiat Hospital Journal Vol. 7 No. 1 (2026): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/zyqna892

Abstract

Kejang demam merupakan kejang yang terjadi pada anak usia 6 bulan - 5 tahun akibat peningkatan suhu tubuh diatas 38°C yang berlangsung lebih dari 15 menit. Kejang demam yang terjadi lebih dari 15 menit tanpa pengobatan awal yang cepat dan tepat dapat terjadi apnea yang menyebabkan hipoksia dan peningkatan kapiler yang menyebabkan kerusakan pada sel-sel otak sehingga berisiko mengalami keterlambatan tumbuh kembang, keterbelakangan mental dan kelumpuhan. Tujuan dari penelitian ini adalah untuk memberikan gambaran penerapan kompres Aloe vera terhadap penurunan suhu tubuh pada pasien kejang demam, Penelitian ini menggunakan metode studi kasus dengan pendekatan deskriptif. Subjek penelitian adalah An.F usia 10 bulan yang mengalami kejang demam. Setiap pasien diberikan kompres Aloe vera yang diterapkan pada dahi, ketiak, dan leher selama 30 menit. Diagnosa keperawatan yang ditegakkan antara lain hipertermia berhubungan dengan proses penyakit, defisit pengetahuan berhubungan dengan kurangnya paparan informasi, dan risiko aspirasi ditandai dengan peningkatan tekanan intragastrik. Asuhan keperawatan dilakukan secara menyeluruh mulai dari pengkajian hingga evaluasi. Hasil menunjukkan adanya penurunan suhu tubuh setelah pemberian kompres Aloe vera. Temuan ini mengindikasikan bahwa kompres Aloe vera berpotensi menjadi terapi tambahan yang efektif dalam penanganan kejang demam pada anak.
Factors Affecting the Stress Level of Students of the Faculty of Medicine, Muslim University of Indonesia in the Cardiovascular Block Practical Exam, Class of 2024 Nur Qadri Wahid; Nurfachanti Fattah; Ilma Khaerina Amaliyah Bakhtiar; Muhammad Alim Jaya; Muhammad Wirasto Ismail
Wal'afiat Hospital Journal Vol. 7 No. 1 (2026): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/kw74z633

Abstract

Academic stress is often experienced by medical students due to the high demands of education, including practicum exams that assess psychomotor competence. This study aims to analyze the factors that affect the stress level of students of the Faculty of Medicine, Muslim University of Indonesia class of 2024 in facing the cardiovascular block practicum exam. This observational quantitative analytical research with a cross-sectional design involves all students of the class of 2024 as many as 230 respondents through a total sampling technique. Data collection was conducted using questionnaires of respondent characteristics and DASS 42, analyzed by Chi-Square test (p<0.05). The results showed that the majority of respondents were 19 years old (66.1%) and female (76.5%). Most students experienced moderate stress (40.4%). Bivariate analysis found that length of learning (p=0.001) and hours of sleep (p=0.001) were significantly related to the degree of stress, while age and gender were not related. It was concluded that academic and environmental factors play a role in student stress, so intervention is needed to balance study time and rest.
Hubungan Status Gizi dengan Kejadian Pneumonia Pada Balita di RSUD Syekh Yusuf Tahun 2022 Resky Liyani Syam; Utami Murti Pratiwi; Asrul Abdul Azis; Najamuddin; Galib
Wal'afiat Hospital Journal Vol. 7 No. 1 (2026): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/vdkn3e36

Abstract

This Acute infection known as pneumonia is one of the leading causes of death in children under five. One of the influential factors that can determine the susceptibility of toddlers to a disease is pneumonia. This study aims to determine the relationship between nutritional status and the incidence of pneumonia in children under five years of age at RSUD Syekh Yusuf Gowa Regency in 2022. This type of research is an observational analytic with a cross-sectional approach . The population of this study were all toddlers diagnosed with pneumonia at RSUD Syekh Yusuf Gowa Regency in 2022, totaling 259 toddlers. The study sample was 108 toddlers using purposive sampling technique . The data used were secondary data in the form of medical records. Statistical calculations used chi-square test analysis . The number of toddlers diagnosed with pneumonia with very poor nutritional status was 15 (17.4%), undernutrition was 28 (32.6%), good nutrition was 37 (43%) and the risk of overweight was 6 (7%). In this study, there was a significant relationship between nutritional status and the incidence of pneumonia in toddlers as evidenced by the chi-square hypothesis test and the p-value = 0.022. The conclusion from the results of the study is that there is a significant relationship between nutritional status and the incidence of pneumonia in toddlers at RSUD Syekh Yusuf Gowa Regency in 2022

Page 12 of 13 | Total Record : 125

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