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Fahruddin Kurdi
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INDONESIA
Jurnal Kegawatdaruratan Medis Indonesia
Published by Al-Hijrah Indonesia
ISSN : -     EISSN : 25022717     DOI : https://doi.org/10.58545/jkmi
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
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.
Arjuna Subject : Profesi Kesehatan - Pelayanan Medis Emergensi
Articles 60 Documents
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Progressive Muscle Relaxation for Anxiety and Hyperglycemia in Diabetes Mellitus Type 2 Patient: A Case-Study Himmah, Faiqotul; Nistiandani, Ana; Hakam, Mulia; Setyowati, Sulis
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.129

Abstract

Hyperglycemia is the main symptom in patients with diabetes mellitus. One of the risk factors that can increase blood sugar levels in diabetes mellitus (DM) patients is anxiety and stress, as a result of diabetes mellitus sufferers who experience anxiety, their physical condition does not improve, and their blood sugar levels are always high. Progressive muscle relaxation therapy (PMR) is a therapy that aims to focus the patient's attention so that they can differentiate the feelings that occur when the muscles are relaxed or relaxed from when they are contracting so that the patient can manage their body condition against their anxiety. This study aims to analyze the provision of progressive muscle relaxation therapy to control anxiety levels and blood sugar levels in patients with type 2 diabetes mellitus in the Gardena medical ward of Dr. Soebandi Hospital Jember. This research uses descriptive methods in the form of case studies on a patient with Type 2 DM. Therapy was given once a day for 20-30 minutes. Anxiety levels were measured using the DASS questionnaire, and blood sugar measurements were made using a blood sugar stick. After being given PMR therapy for 3 x 24 hours, the patients experienced a decrease in anxiety levels and blood sugar levels. Providing PMR therapy is effective in treating unstable blood glucose levels and anxiety for patient with Type 2 DM.
Analysis Of Nursing Care in Post Laparotomy TAH-BSO Patient Using Finger Grip Relaxation Therapy Septiyono, Eka Afdi; Seniwati, Yuliana Eka Galuh Seniwati; Sulistyorini, Lantin; Kisnawati, Eni
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.135

Abstract

Handling of chocolate cysts can be done by laparotomy surgery. The surgical procedure has an effect or problem that often arises, namely acute pain in the area of the former operation. One of the therapies that can be given to patient with post-laparotomy surgery is finger grip relaxation techniques. This technique is considered capable of reducing the intensity of pain in postoperative patient, in addition to that finger-held relaxation therapy is an effective, comfortable, easy to use, and inexpensive therapy so that all patient can obtain and perform this therapy.This work aims to determine the effectiveness of applying finger-hold relaxation techniques to patient with post-laparotomy surgery for indications of chocolate cysts.The method used in this research is a case study on patient in the Dahlia room, dr. Soebandi General Hospital with a diagnosis of acute pain.The results after being given the intervention of finger-held relaxation techniques for 3 consecutive days with 2 sessions per day for 15 minutes with 3-minute intervals changing the fingers held were a decrease in pain intensity from sharp pain that was felt continuously with a scale of 6 NRS to a recurring, intermittent pain with a pain scale of 3 NRS.
Nursing Care of Acute Pain in Multiple Fractures with Spiritual Therapy Quantum Touch and Finger Holding: A Case Study Dewi, Risma Eka Putri Arlyani Kusuma; Hakam, Mulia; Sutawardana, Jon Hafan; Shodikin, Mohammad
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.140

Abstract

Background: Multiple Fractures or broken bones are a condition where the continuity of the bones is broken in a complex manner, this is caused by trauma caused by frequent traffic accidents. Objective: To analyze the effect of a combination of non-pharmacological therapies Quantum Spiritual Touch Therapy" (QST) and Finger Holding in multiple fraktur patients with acute pain at RSD dr. Soebandi Jember. Method: This research is an observational study with a case study design. Primary data obtained through anamnesis and physical assessment. Assessment of the effect of QST therapy and finger holding was carried out a total period of 35 minutes, 20 minutes for QST therapy and 15 minutes for finger holding therapy, based on initial, process, and final data. Results: The results showed a reduction in pain levels with a Numerical Rating Scale (NRS) was carried out for 6 meetings with the implementation of therapy once a day. Pain levels decreased in the pre-implantation measurements with an average of 5,4 to 4,7 at the time of post-implementation. Discussion: The combination of pharmacological therapy from QST therapy and finger holding aims to help the effectiveness of analgesic drugs by improving the psychological structure with implementations that contain spiritual elements.
Acupressure Therapy for Chronic Pain in Elderly Patient with Hypertension Stage II: A Case Study Mukaromah, Afifatul; Kurdi, Fahruddin
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.147

Abstract

In the aging process, various changes occur regarding biology, cognition, and psychosocial life. The elderly are easily affected by diseases such as non-communicable (degenerative) diseases such as hypertension. As a result of aging, it can reduce the elasticity of the blood vessel walls and cause stiffness in the blood vessels; as a result, blood pressure in the elderly tends to increase. This study aims to determine the impact of applying acupressure therapy to chronic pain problems in the elderly. The research method used in this study was a descriptive case study. The research was conducted for five days on one patient with hypertension and chronic pain at an Elderly Residential Home. Acupressure therapy was carried out once a day for 20 minutes. Evaluation of the implementation is given using the NRS pain scale. The result of Acupressure therapy showed that the level of chronic pain was decreased from the NRS scale 5 to the NRS scale 2, blood pressure 140/80 mmHg, pulse rate 85 x/minutes, respiration rate 18 times per minute, and SpO2 96. This study recommends that acupressure therapy can be applied to treat chronic pain in hypertension patients as a complementary therapy.
The Implementation of Guided Dhikr Therapy to Reduce Anxiety in Close Fractures Patients Khoirunisak, Naretta; Hakam, Mulia; Kushariyadi; Setyowati, Sulis
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.152

Abstract

Patients with fracture conditions often experience complaints of excessive anxiety, where anxiety is felt due to the pain that is felt and the provision of invasive or surgical action plans. Preoperative patients will certainly feel excessive anxiety. Feelings of anxiety will cause stress and cause nursing problems, namely anxiety. Dhikr therapy is a non-pharmacological therapy and includes complementary therapy, where this therapy can reduce the level of anxiety felt by preoperative patients. The purpose of this study was to analyze the administration of dhikr therapy in patients with preoperative close fractures of the left distal radius. This research uses the case study method. This research was conducted in the Seruni room at dr. Soebandi Regional Public Hospital of Jember. Dhikr therapy is carried out for four consecutive days with a time of approximately 20 minutes. The results obtained from this study after administration of anxiety reduction combined with dhikr therapy obtained the patient's anxiety scale level from VAS-A4 to the VAS-A0 scale, visualization of anxiety complaints decreased, restless behavior decreased, and eye contact increased, respiratory rate 16 x/minute, SpO2 98%, pulse 90 x/minute, and blood pressure 130/80 mmHg. Reducing anxiety with dhikr therapy can be given to pre-surgery patients, this can improve health quality, sleep quality, and physical condition.
The Effectiveness of Chest Physiotherapy for Pneumonia Patients with Ineffective Airway Clearance Problems in Intensive Care Unit Arifin, Nadilla Ayu; Yunanto, Rismawan Adi; Ridla, Akhmad Zainur; Siswanto, Heri
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.153

Abstract

In patients with decreased consciousness and a respirator installed in intensive care unit room, it causes obstruction to discharge of secretions. Excessive accumulation of secretions in the airways can obstruct the airways and cause the patient to experience dyspnea. These conditions can cause ineffective airway hygiene problems. Ineffective airway clearance problems may occur in patients with pneumonia caused by excessive accumulation of secretions. The purpose of this studi was to determine the effectiveness of implementing chest physiotherapy interventions in overcoming the problem of ineffective airway clearance nursing in patients in the ICU. Case study with a nursing care approach to patients in the intensive care unit. The sample used was 1 patient with chest physiotherapy nursing intervention for 3x24 hours in the form of chest physiotherapy. The results showed that effectiveness of implementing chest physiotherapy interventions in overcoming the problem of ineffective airway clearance nursing in patients in the ICU which is carried out in two sessions each shift is effective for reducing additional rhonchi breath sounds, reducing respiratory frequency, and helping to remove secretions. Based on the results, researcher conclude that nursing care for patients with ineffective airway clearance problems can be resolved with chest physiotherapy.
The Impact of 30-Degree Head-Up Position on Cerebral Perfusion in Moderate Brain Injury Patients Basuki, Pinky Issabella Nanda; Siswoyo; Rondhianto; Mustakim
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.168

Abstract

Background: Nursing problems in brain injury patients include the risk of ineffective perfusion due to reduced oxygen flow to the brain, which, if not treated immediately, will increase intracranial pressure (ICP). One way to increase ICP is with 30-degree head-up position intervention. Objective: This study aimed to analyze the application of 30-degree Head Up Position on Cerebral Perfusion in Moderate Brain Injury Patients. Method: This research is an observational study with a case study design. Primary data was obtained through anamnesis and physical assessment with a sample of a patient being treated in the Hospital by assessing the effect of the 30-degree head-up position carried out for 30 minutes for 3 consecutive days. Results: In this study, the results showed an increase in cerebral perfusion as indicated by cerebral perfusion indicators, namely blood pressure, MAP, pulse, patient breathing improved, and the patient's level of consciousness increased until the final evaluation. Conclusion: From the results of the innovation analysis in this case, providing a 30-degree head-up position in patients with a risk of ineffective cerebral perfusion is one form of effectiveness in increasing the patient's cerebral perfusion so that it can prevent an increase in intracranial pressure.
Implementation of Passive Leg Movement on Blood Pressure in Post-Op Laparatomy Exploration Patient Setiyaningrum, Synthia Dwi; Ridla, Akhmad Zainur; Nistiandani, Ana; Gunarto, Sugito Tri
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.169

Abstract

Background: Management of secretions is one of the main problems faced in the medical condition of respiratory disorders. The use of complementary therapy techniques to treat airway clearance such as the active cycle of breathing technique is still low when compared with other interventions in treating respiratory problems. Aims: The research aims to determine the effectiveness of providing active cycle of breathing technique therapy to overcome nursing problems ineffectiveness airway clearance in nursing care. Method: This type of research is a case study using nursing care methods. The research sample was patients treated in the Catleya room at Dr. Soebandi Jember Hospital. Patients are given nursing intervention in the form of therapy active cycle of breathing technique for 4 consecutive days 2 times a day for 15-20 minutes with 4 cycles. Results: providing active cycle of breathing technique therapy can reduce nursing problems ineffectiveness airway clearance. Providing active cycle of breathing technique therapy effectively shows improvements in conditions such as improved respiratory frequency, reduced shortness of breath, and decreased sputum production. Conclusion: providing active cycle of breathing technique therapy effectively solve nursing problems ineffectiveness airway clearance.
Combination of Chest Physiotherapy and Postural Drainage for Airway Clearance in Bronchopneumonia: A Case Study Alfarizi, Muhammad; Juliningrum, Peni Perdani; Sulistyorini, Lantin; Primirti, Irmarawati Dia
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.222

Abstract

Background: Respiratory diseases such as bronchopneumonia contribute to the highest cause of death in children aged less than two years. Airway clearance becomes a problem due to the accumulation of secretions, resulting in airway obstruction. Independent nursing interventions such as chest physiotherapy can be carried out to free the airway and reduce the burden of breathing. Objective: This study aimed to analyze the application of chest physiotherapy intervention in bronchopneumonia children with airway clearance problems. Method: The research design uses a case study with a nursing process approach. The sample for this study was one child patient aged nine months with bronchopneumonia who was taken using a convenience sampling technique. Data was collected using interviews, observation, and documentation studies using pediatric nursing care format instruments. Chest physiotherapy intervention was carried out three times with a duration of 10-15 minutes with a combination of postural drainage, which was then evaluated before and after the procedure. Results: Chest physiotherapy intervention in patients can improve coughing ability, increase sputum production and respiratory rate 40 times per minute, and decrease rhonchi and oxygen saturation by 96%. Conclusion: Chest physiotherapy can be an effective independent nursing intervention to overcome the problem of ineffective airway clearance nursing in children with bronchopneumonia.
Active Cycle of Breathing Technique: The Right Choice for Ineffective Airway Clearance Nursing Problem Kushariyadi; Sujarwanto; Rosyida, Alisa Qudrunanda
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.229

Abstract

Background: Management of secretions is one of the main problems faced in the medical condition of respiratory disorders. the use of complementary therapy techniques to treat airway clearance such as the active cycle of breathing technique is still low when compared with other interventions in treating respiratory problems. Aims: The research aims to determine the effectiveness of providing active cycle of breathing technique therapy to overcome nursing problems ineffectiveness airway clearance in nursing care. Method: This type of research is a case study using nursing care methods. The research sample was patients treated in the Catleya room at Dr. Soebandi Jember Hospital. Patients are given nursing intervention in the form of therapy active cycle of breathing technique for 4 consecutive days 2 times a day for 15-20 minutes with 3 cycles. Results: providing active cycle of breathing technique therapy can reduce nursing problems ineffectiveness airway clearance. Providing active cycle of breathing technique therapy effectively shows improvements in conditions such as improved respiratory frequency, reduced shortness of breath, and decreased sputum production. Conclusion: providing active cycle of breathing technique therapy effectively solve nursing problems ineffectiveness airway clearance.

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