Jurnal Kegawatdaruratan Medis Indonesia
Jurnal Kegawatdaruratan Medis Indonesia (JKMI) is a national scientific journals are open to seeking innovation, creativity and novelty. Either letters, research notes, articles, supplemental articles, or review articles. The JKMI aims to achieve state-of-the-art in theory and application of this field. JKMI provides a platform for scientists and academics across Indonesia to promote, share, and discuss new issues and the development critical & clinical care and disaster management. Emergency topics include clinical emergencies, disease emergencies, psychiatric emergencies, maternal emergencies, neonatal emergencies and other emergencies, as well as disaster topics related to disaster management and management in both clinical and community settings.
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Application of Rheumatic Gymnastics Therapy to Address Acute Rheumatic Pain Nursing Problems in the Elderly at Nursing Home: A Case Study
Zakiyah, Efadatus;
Kurdi, Fahruddin;
Rasni, Hanny;
Bahtiar, Syahroni
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.45
Rheumatism in the elderly occurs due to swollen joints, inflammation or damage caused by damaged joints and tense muscles. These changes include the presence of disease that causes damage to cartilage, degenerative joints and nearby bones, and can cause inflammation of the inner lining of the joint. Complaints that are often felt by someone who has arthritis are pain in the limbs, inflammation of the joints, joint stiffness, joint sounds. The purpose of this scientific work is to overcome the application of rheumatic gymnastic therapy in dealing with acute pain in rheumatic clients. The research method used was a case study through a process of assessment to evaluation of nursing related to acute pain experienced by rheumatism sufferers and given therapeutic interventions by rheumatic gymnastics. Rheumatic gymnastics is an alternative treatment for the health of the elderly body and trains the ability of joint muscles so that they do not experience joint stiffness, rheumatic gymnastics also prevents degenerative growth in aging, facilitates adjustments in health. Therapy was given for 3 days with a duration of 15 minutes, analyzed to find a reduced time in 30 minutes which was carried out at least 2 times in 1 week. And these exercises are very effective and in accordance with the energy released by the elderly. Physical exercise time that is carried out for more than 30 minutes can cause fatigue in the elderly which can cause discomfort. The results of the evaluation of the use of rheumatic gymnastics in reducing the client's acute pain were that after 3 days the evaluation of the client said it was better and in accordance with the outcome criteria where there were complaints of decreased pain. Suggestions for future researchers are expected to be able to develop the theory used and other therapies to reduce client fatigue levels.
Self-Empowerment And Coping Strategies In Type 2 Diabetes Mellitus Patients
Kurniyawan, Enggal Hadi;
Santoso, Sofi Fitriyah;
Widayati, Nur;
Dewi, Erti Ikhtiarini;
Hakam, Mulia;
Deviantony, Fitrio;
Fitria, Yeni
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.49
Diabetes Mellitus is a chronic disease that can harm the body, both physically and psychologically (stress). DM patients will carry out adaptive coping strategies to properly manage treatment or therapy. The process of self-empowerment in people with type 2 diabetes mellitus will appear when they have information or knowledge about the disease so that it can influence the patient's self-skills for further treatment. This study aimed to analyze the relationship between self-empowerment and coping strategies in patients with type 2 diabetes mellitus. The design of this study was an analytical observational study using a cross-sectional method. The sampling technique used is consecutive sampling. The sample of this study was type 2 DM patients with 84 respondents. The instrument used in this study is the Diabetes Empowerment Scale-Long (DES-LF) questionnaire and the Cope Inventory questionnaire. Data were analyzed using the Spearman test. Self-empowerment and coping strategies in type 2 diabetes mellitus patients showed close to maximum results. In the results of the study, it was found that there was no significant relationship between self-empowerment and coping strategies in type 2 DM patients with p = 0.086. It means that other factors can influence coping strategies. Health services can educate patients about the importance of coping strategies for DM clients so that they can reduce the impact of DM disease
The Relationship Between Workload and Nurse Satisfaction During Pandemic in the Pendalungan Jember Area
Afandi, Alfid Tri;
Putri, Prestasianita
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.52
Workload is an analysis process of the time used by someone in completing a job task, a disproportionate workload will have an impact on stress and can have a negative impact, namely job dissatisfaction. Objectives in this study is to see how workload related to nursing satisfaction during a pandemic in the Pendaluangan Jember area. The research design is a cross-sectional correlation description, Spearman Rho data analysis, the total population of all practicing nurses is 115 nurses with the sampling technique using the Slovin formula with a margin of error of 5% so that 112 nurses are taken as a sample (simple random sampling). The results showed that there was no relationship between workload and nurse satisfaction at the Pendalungan Jember Hospital (p=0.067). The majority's workload assessment was moderate (50%) where out of 112 nurse respondents, the majority of 84 nurses had worked > 5 years (75%), while in terms of education, the majority of Vocational Nursing graduates were 82 nurses (73.2%). Hospitals can increase nurse satisfaction by providing workloads for nurses according to the clinical authority and competence of each nurse so that the nurse's workload becomes lighter and nurse satisfaction can increase.
The Description Of Knowledge And Attitude Of Flood Disaster Preparedness Of Residents In Kwarasan Sub-District
Rahmawati, Diah Nur;
Prajayanti, Eska Dwi
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.125
Flood is a natural phenomenon triggered by natural processes and uncontrolled human activity. In early 2023, flooding in Kwarasan Sub-District occurred twice in January and February which were the worst floods after 2007. Knowledge and attitude of preparedness are important things to have because knowledge of disaster preparedness will affect a person's attitude when a disaster occurs, which be used in the long term to minimize the impact of the disaster. This research aims to know the description of the knowledge and attitude of flood disaster preparedness of residents in Kwarasan, Grogol, Sukoharjo. The type of research used is a quantitative description with survey methods. The sample in this research was 78 heads of families in the Kwarasan sub-district using purposive sampling and stratified random sampling techniques. The results of the research on preparedness knowledge were in the good category with 76 (97.4%) respondents and 2 (2.6%) respondents in the sufficient category. Then the results of the research on preparedness attitudes were in the good category with 61 (78.2%) respondents and 17 (21.8%) respondents in the sufficient category. The Conclusion is the description of the knowledge and attitude of flood disaster preparedness is mostly in the good category.
Warm Compress Therapy to Resolved Acute Pain Nursing Problems: A Case Study
Kushariyadi;
Maulida, Rifa Refina Ria;
Ridla, Akhmad Zainur;
Candra, Eka Yufi Septriana
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.130
Background: the application of complementary therapies in hospitals is still not optimal. The limitations of the application of nursing interventions are caused by the factor of applying therapy by nurses to patients and education related to therapy to patients is still rarely done. Nurses are still focusing on conventional treatment with pharmacological therapies such as analgesic drugs to relieve pain, while warm compress therapy is still not prioritized. The application of warm compress therapy in the inpatient room of Gardena dr. Soebandi General Hospital Jember to overcome acute pain nursing problems in patients is still rare. Aims: evaluate warm compress interventions in patients with acute pain nursing problems. Method: type of research case study using nursing care method. The sample was a patient treated in the Gardena room of dr. Soebandi General Hospital Jember with acute pain nursing problems. Patients are given nursing intervention in the form of warm compress therapy for 15-20 minutes for 3 days, from January 16 to 18, 2023. Nursing intervention is given through the nursing process, which is teaching directly to patients and families with the right and appropriate techniques to adjust the patient's condition. Results: the provision of nursing interventions in the form of warm compresses can overcome acute pain nursing problems. This is shown by the improvement of the patient's condition that complaints of pain, grimacing and restlessness decrease and sleep patterns improve. Patients can do the therapy independently properly and correctly. Conclusion: warm compress therapy is effective in overcoming acute pain nursing problems.
Application of Swedish Massage for Blood Pressure in Elderly Hypertension at Karanganyar Regional Hospital
Nuraini, Oky Intan Ayu;
Prajayanti, Eska Dwi;
Sutarwi
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.174
The aging process in the elderly affects physical changes with the emergence of degenerative diseases, namely hypertension, often found in old-age complaints. Swedish massage is a complementary therapy that can be used to reduce blood pressure in elderly hypertensives. Objectives in this study is to find out the application of Swedish massage to blood pressure in elderly hypertensives in the Mawar Room 2 Karanganyar Hospital. The research design is observational methods with research instruments using blood pressure observation sheets, SOP for Swedish Massage Techniques and digital sphygmomanometers. Respondents taken in this study were 2 elderly hypertensive patients in the Mawar Room 2 Karanganyar Hospital. The results showed that after doing Swedish Massage 3 times a day in the morning, afternoon and evening with a duration of 60 minutes, blood pressure in both respondents decreased The results of Mrs. S's blood pressure before Swedish massage therapy was 191/118 mmHg after Swedish massage therapy 3 times a day became 163/99 mmHg and for Mrs. K before Swedish massage therapy was 188/99 mmHg after Swedish massage therapy 3 times a day to 149/90 mmHg. Swedish massage is proven to help lower blood pressure in hypertensive elderly and can be recommended as complementary therapy management in improving blood pressure in hypertensive elderly in hospitals and the community.
Influence of Dhikr Therapy on Reducing Signs and Symptoms of Halucinations in Hallucination Patients in Regional Psychiatric Hospital Dr. Arif Zainudin Surakarta
Lestari, Miki;
Gati, Norman Wijaya;
Purnomo, Luluk
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.179
The increasing prevalence of schizophrenic patients is as much as 7% of the Indonesian population and around 70% of schizophrenic patients experience hallucinations. hallucinations are false perceptions, clients with hallucinations often feel a state that can only be felt by them but cannot be felt by other people. in minimizing the impact caused by hallucinations, proper treatment is needed, one of which is dhikr therapy, where dhikr therapy can relieve anxiety, anxiety and calm the heart. This research aim to dhikr therapy for reducing signs and symptoms in halucinations patient. The research design used in this research is a descriptive research design in the form of a case study by providing AHRS observation sheets. The level of hallucinations before the dhikr therapy was carried out, the patient was in the category of signs and symptoms of severe hallucinations. after dhikr therapy the patient experienced mild hallucinations. there are differences in the development of signs and symptoms of hallucinations before and after the application of dhikr therapy. There is a comparison of development between patients who experience signs and symptoms of hallucinations before and after being given dhikr therapy.
The Effect of Passive Range of Motion on Recovery Time in Post-Operative Patients in the Recovery Room of Brawijaya University Hospital Malang
Mujiadi;
Fatmawati, Atikah
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.186
Recovering from general anesthesia is a risk factor for morbidity and mortality in any operation. One of the main complications after anesthesia is delayed recovery. This study aims to determine the effect of passive ROM mobilization on the recovery time of post-operative patients with general. This type of research is quantitative with a research design quasy experienceuse Post-test Only non-equivalent Control Group Design. The population is patients who underwent surgery with general anesthesia, amounting to 40 people. Sampling using consecutive sampling with a total sample of 40 people divided into 2 groups, the control group of 20 people and the experimental group of 20. Measuring tool using observation score Aldred and patient recovery time. The data was analyzed using Paired T-test. The results of the study showed that most of the control group respondents experienced recovery time of >15 minutes (65%) and most of the experimental group respondents experienced <15 minutes of recovery time (70%). The nurse immediately did Range Of Motion Passive after the patient finished surgery with general anesthesia in order to help expel secretions in the respiratory tract, accelerate peripheral circulation to support optimal respiratory function, and improve the body's metabolism and physiology of vital organs that affect recovery.
The Description of Nurses Knowledge Level About Healthcare Associated Infections (HAIs) at dr. Soehadi Regional Hospital Prijonegoro Sragen
Mabrurah, Farida;
Hermawati
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.190
The incidence of Healthcare Associated Infections (HAIs) in Indonesia is higher than in developed countries, in Indonesia it is 15.74% while in developed countries it is only 4.8-15.5%. In the Sragen district, the highest HAIs were in dr. Soehadi Regional Hospital Prijonegoro Sragen with 9.1%. The most common cause of HAIs is because nurses do not comply with hand hygiene. Nurses knowledge level about HAIs must be increased to reduce the incidence rate. to determine the characteristics and description of nurses’ knowledge level about Healthcare Associated Infections (HAIs) at dr. Soehadi Regional Hospital Prijonegoro Sragen. This study used a questionnaire measuring instrument, this research method is descriptive analysis with sampling using a random sampling technique with a total sample of 73 respondents. The results showed the characteristics of the majority of nurses aged 41-55 years, female, Bachelor of Nursing education, and description of the nurses’ knowledge level about Healthcare Associated Infections (HAIs) at dr. Soehadi Regional Hospital Prijonegoro Sragen is in the high category (87.7%). Nurses’ knowledge level about Healthcare Associated Infections (HAIs) at dr. Soehadi Regional Hospital Prijonegoro Sragen in the high category.
The Overview of Adolescents Knowledge Level About The Dangers of Electronic Cigarettes for Healthy at Bhinneka Karya Surakarta Vocational High School
Fihudha, Ganis Dina;
Sari, Irma Mustika
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia
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DOI: 10.58545/jkmi.v2i2.196
Smoking has become a familiar habit, especially among teenagers. Youths are more likely to use cigarettes at a young age without regard for the potential consequences and their lack of self-awareness and therefore pay no attention to the dangers of their use. Early on in an attempt to reduce the tobacco epidemic. Knowledge of the dangers of electronic cigarettes is little known to young people, and the lack of exposure to teenagers on electronic cigarettes can cause it. This research aims to get an overview of the level of adolescent knowledge about the dangers of electronic cigarettes in health in Bhinneka Karya Surakarta Vocational High School. In the study, the method used is quantitative descriptive with a total of 75 respondents and stratified random sampling sampling taken. The instruments used were questionnaires. The results of 75 teenagers fall largely in the adequately known category of the dangers of electronic cigarettes: 42 (56.0%), 30 (40.0%) fall in the less category, and only 3 (4.0%) in the good category. It could be concluded that the level of teen knowledge about the dangers of electronic cigarettes in Bhinneka Karya Surakarta Vocational High School is adequate.