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.
Articles
60 Documents
<![CDATA[Nursing Care of Acute Pain in Rectal Cancer Patients Using Non-Pharmacological Approach with Benson Therapy: A Case Study ]]>
<![CDATA[Olifia Nafa Jelita]]>;
<![CDATA[Hakam, Mulia]]>;
<![CDATA[Rondhianto]]>;
<![CDATA[Umayanah]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.63
<![CDATA[Pain is the main problem experienced by many postoperative patients. One of the therapies for patients with rectal cancer is surgery, so patients with rectal cancer also feel pain after getting surgery. > 80% of patients experience postoperative pain, but appropriate pain management only occurs in approximately 30-50%. Benson's relaxation therapy reduces pain intensity in postoperative patients without causing side effects. This study aims to analyze benson therapy to reduce pain in postoperative surgery for patients with rectum cancer. The method used in this research is a descriptive case study. The research was conducted for three days on one patient with postoperative surgery in the Seruni Room at RSD dr Soebandi Jember. Benson therapy is carried out twice a day for 10-15 minutes. This study found that Benson therapy can reduce the level of acute pain in postoperative patients from the NRS scale 6 to the NRS scale 3, respiration rate 20 x/minute, SpO2 98%, blood pressure 120/80mmHg, pulse 87x/ minute. The result of reducing the pain scale indicates that Benson therapy can be applied to treat acute pain in postoperative patients to make certain patients' conditions feel better.]]>
<![CDATA[An Application of Semi-Fowler Positioning to Overcome Nursing Problems Ineffective Breath Patterns in Clients with Chronic Kidney Disease: a Case Study ]]>
<![CDATA[Sari, Dina Setia Indah]]>;
<![CDATA[Nistiandani, Ana]]>;
<![CDATA[Siswoyo]]>;
<![CDATA[Umayanah]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.71
<![CDATA[Chronic Kidney Disease (CKD) or chronic kidney failure is a disease due to decreased kidney function that causes the body to fail to maintain fluid and electrolyte balance metabolism, resulting in urea retention and other nitrogen waste accumulation in the body. This research aims to analyze given this position to lower oxygen consumption and increase maximum lung expansion, the ineffectiveness of the client's breath pattern is more optimal in CKD patients in the Adenium Room of DR. Soebandi Jember Hospital. This type of research is descriptive using the case study approach method. The subject in this case study was one patient affected by CKD with the ineffectiveness of breath patterns. Semifowler position intervention is performed where the position of the head and body is raised by 45°. Result: The application of a semi-fowler position (45° sitting position) for 3x24 hours according to the standard of procedure helps reduce shortness of breath and helps optimize RR in the client so that the problem of ineffectiveness of breath patterns can be resolved. Interventions in regulating the angle of sleep position can meaningfully produce good respiration, so it can be considered one of the interventions to optimize the ineffectiveness of breath patterns.]]>
<![CDATA[An Implementation of Head Up Position to Trauma Brain Injury Patients on the Level of Consciousness ]]>
<![CDATA[Nurfajri, Qurrata A’yunnin Fitra]]>;
<![CDATA[Yunanto, Rismawan Adi]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.73
<![CDATA[Traumatic brain injury is a leading cause of death among motorized vehicle users and is caused by a failure to maintain road safety. Traumatic brain injury can result in physical, psychological, and even fatal changes. Patients with head injuries may experience impaired consciousness due to bleeding in the head, which causes an increase in intracranial pressure. Nursing interventions such as head positioning at 30° may be given to patients with traumatic brain injuries. To examine the implementation of giving a 30° head-up position to the level of consciousness in patients with traumatic brain injury. The results obtained from giving the patient a 30° head-up position are that the patient has an increased level of consciousness. The patient's level of consciousness at the initial assessment was GCS E2 VX M5, and nursing intervention was carried out by giving the head-up position 30° for three days, namely E4 VX M5. Giving a head-up position of 30° affects the level of consciousness in patients with traumatic brain injury.]]>
<![CDATA[The Description Of Knowledge And Attitude Of Flood Disaster Preparedness Of Residents In Kwarasan Sub-District ]]>
<![CDATA[Rahmawati, Diah Nur]]>;
<![CDATA[Prajayanti, Eska Dwi]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.125
<![CDATA[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.]]>
<![CDATA[Warm Compress Therapy to Resolved Acute Pain Nursing Problems: A Case Study ]]>
<![CDATA[Kushariyadi]]>;
<![CDATA[Maulida, Rifa Refina Ria]]>;
<![CDATA[Ridla, Akhmad Zainur]]>;
<![CDATA[Candra, Eka Yufi Septriana]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.130
<![CDATA[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.]]>
<![CDATA[Application of Swedish Massage for Blood Pressure in Elderly Hypertension at Karanganyar Regional Hospital ]]>
<![CDATA[Nuraini, Oky Intan Ayu]]>;
<![CDATA[Prajayanti, Eska Dwi]]>;
<![CDATA[Sutarwi]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.174
<![CDATA[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.]]>
<![CDATA[Influence of Dhikr Therapy on Reducing Signs and Symptoms of Halucinations in Hallucination Patients in Regional Psychiatric Hospital Dr. Arif Zainudin Surakarta ]]>
<![CDATA[Lestari, Miki]]>;
<![CDATA[Gati, Norman Wijaya]]>;
<![CDATA[Purnomo, Luluk]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.179
<![CDATA[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.]]>
<![CDATA[The Effect of Passive Range of Motion on Recovery Time in Post-Operative Patients in the Recovery Room of Brawijaya University Hospital Malang ]]>
<![CDATA[Mujiadi]]>;
<![CDATA[Fatmawati, Atikah]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.186
<![CDATA[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.]]>
<![CDATA[The Description of Nurses Knowledge Level About Healthcare Associated Infections (HAIs) at dr. Soehadi Regional Hospital Prijonegoro Sragen ]]>
<![CDATA[Mabrurah, Farida]]>;
<![CDATA[Hermawati]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.190
<![CDATA[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.]]>
<![CDATA[The Overview of Adolescents Knowledge Level About The Dangers of Electronic Cigarettes for Healthy at Bhinneka Karya Surakarta Vocational High School ]]>
<![CDATA[Fihudha, Ganis Dina]]>;
<![CDATA[Sari, Irma Mustika]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.196
<![CDATA[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.]]>
