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Nanang Khosim Azhari
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Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan
Published by Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro
ISSN : 2986786X     EISSN : 29867088     DOI : 10.59680
Core Subject : Health,
Health Professions Nursing Public Health
Bidang kesehatan dan keperawatan termasuk penelitian dasar dalamkesehatan dan keperawatan, keperawatan manajemen, keadaan darurat, dan keperawatan kritis, keperawatan medis-bedah, keperawatan kesehatan mental, keperawatan maternitas, keperawatan Anak, gerontologis keperawatan, keperawatan komunitas, keperawatan pendidikan keperawatan keluarga, pengobatan komplementer dan alternatif (CAMs, Complementary and alternative medicines) dalam keperawatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 426 Documents
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Hubungan Antara Umur dengan Status Kesehatan Jemaah Haji Diy Tahun 1444h/2023m Dian Damayanti; Sri Herwiyanti; Muryani Muryani
Jurnal Ventilator Vol. 4 No. 2 (2026): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i2.2558

Abstract

The Hajj pilgrimage is a mandatory religious obligation for Muslims who are physically, mentally, and financially capable. As one of the world's largest annual mass gatherings, it presents significant public health challenges. In Indonesia, the waiting period for regular Hajj pilgrims ranges from 11 to 48 years, while in the Special Region of Yogyakarta reaches approximately 33 years, resulting in many pilgrims departing at an older age. This study aimed to examine the relationship between age and the health status of Hajj pilgrims in the Special Region of Yogyakarta during the 1444 H/2023 M pilgrimage season. An analytical descriptive study with a cross-sectional design was conducted using secondary data from 387 pilgrims selected through proportionate stratified random sampling from a population of 3,267 pilgrims. Data were analyzed using cross-tabulation and the chi-square test. The findings showed that 71.1% of respondents were aged 60 years or older, while 50.9% were female. Stage I health examination identified 74.7% of pilgrims as high risk. In Stage II, 60.2% met the health requirements (istithaah), 39.5% met the requirements with assistance, and 0.3% did not meet the requirements. Stage III examination showed that 97.2% of pilgrims were declared fit to fly. Statistical analysis indicated a significant relationship between age and health status in Stage I and Stage II examinations, whereas no significant relationship was found between age and Stage III health status.
Strategi Menuju Green Hospital melalui Pengelolaan Sampah Domestik, Limbah Air dan Kantong Plastik di Rsud Grati Kabupaten Pasuruan Ikka Deby Kardhian; M. Hasinuddin; Zakkiyatus Zainiyah; Novi Anggraeni; Rohilatul Jannah
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2561

Abstract

RSUD Grati Pasuruan is a district-level referral healthcare facility with a very high service intensity, resulting in an increasing volume of non-medical waste each year. However, its waste management system has not yet fully implemented the principles of 3R (Reduce, Reuse, Recycle) and the circular economy approach. This study aims to determine the effectiveness of strategies for managing domestic waste, wastewater, and plastic bags at RSUD Grati Pasuruan. The research used a descriptive method through observation of data before and after the implementation of waste management strategy interventions. The observation results indicate that domestic waste production decreased because the hospital processes waste into compost and fish feed, reducing the amount of waste disposed of as residue. The use of plastic bags also declined due to the adoption of reusable plastic bags. In addition, water usage became more efficient as plant watering activities were replaced by the use of treated wastewater from the wastewater treatment plant (IPAL). These three interventions collectively contributed to cost efficiency. Overall, the findings show that the strategies implemented by RSUD Grati Pasuruan are effective in supporting the implementation of 3R principles (Reduce, Reuse, Recycle) and the circular economy, as well as in promoting the development of a green hospital environment.
Optimasi Konsentrasi Poloxamer 188 dalam Formulasi Gel Minyak Atsiri Daun Jeruk Purut (Citrus Hystrix Folium) serta Uji Efek Analgesik Secara In Vivo Pada Mencit (Mus Muculus) Cut Suraiya Wahyuni Utami; Santi Santi; Erda Marniza
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2570

Abstract

Pain is the body's response to tissue damage that requires proper management. The use of synthetic analgesics often causes side effects, so safer natural alternatives are needed. Kaffir lime leaves (Citrus hystrix Folium) contain active compounds such as flavonoids, saponins, and tannins that have potential as analgesics. Topical gel preparations were chosen because they provide local effects and minimize systemic side effects. This study aimed to determine the effect of poloxamer 188 concentration variations on the physical characteristics and analgesic effects of kaffir lime leaf essential oil gel in mice using the hot plate test method.
Pengaruh Pengaturan Posisi Tidur Ergonomis Terhadap Skala Nyeri Pasien Pasca Operasi Anis Suryaningsih; Ika Hari Astuti
Jurnal Ventilator Vol. 4 No. 2 (2026): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i2.2581

Abstract

Background: Postoperative pain is a common problem during the recovery period that may limit early mobilization, delay healing, and decrease patient comfort. Besides pharmacological management, ergonomic sleeping position adjustment is a non-pharmacological intervention that may reduce pain by minimizing pressure on the surgical wound, improving circulation, and promoting relaxation. Objective: This study aimed to determine the effect of ergonomic sleeping position adjustment on the pain scale of postoperative patients at Hospital X. Methods: This case study involved two hospitalized postoperative patients. Ergonomic sleeping positions were adjusted according to each patient's condition and surgical wound location for two consecutive days. Pain intensity was assessed before and after the intervention using the Numerical Rating Scale (NRS), with scores ranging from 0 to 10. Data were analyzed descriptively by comparing pain scores before and after the intervention. Results: Both participants experienced reduced pain after the intervention. The first participant's pain score decreased from 3 to 2 on the first day and to 1 on the second day. The second participant's pain score decreased from 4 to 3 on the first day and to 1 on the second day. Both participants also reported a comfort score of 72 (100%), indicating a very comfortable condition. Conclusion: Ergonomic sleeping position adjustment reduced postoperative pain and improved patient comfort. This simple, safe, and practical nursing intervention can support postoperative recovery.
Pengaruh Senam Jantung Sehat terhadap Tekanan Darah pada Lansia dengan Hipertensi di Panti Werdha Nelfa F Takahepis; Faradilla Suranata; Rahmat Djalil
Jurnal Ventilator Vol. 3 No. 3 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i3.2588

Abstract

Hypertension in the elderly is a condition where there is an increase in blood pressure to abnormal, systolic blood pressure of at least 140 mmHg and diastolic blood pressure of at least 90 mmHg. The purpose of this study was to determine the effect of healthy heart exercise on blood pressure in the elderly with hypertension at the Panti Werdha. The research method uses the Pre-Experimental Design method with the One Group Pre Test-Post Test Design approach. The sample in this study was technique of total sampling.  The results of the study showed that the Paired T-Test test on systolic blood pressure before and after doing heart exercise showed that the P value = 0.000 was smaller than the significant level of 0.05, meaning that there was an effect of healthy heart exercise on systolic blood pressure in the elderly. The results of the Paired T-Test Test on diastolic blood pressure before and after doing heart exercise showed that the P value = 0.000 was smaller than the significant level of 0.05, meaning that there was an effect of healthy heart exercise on diastolic blood pressure in the elderly. The conclusion of this study is that there is an effect of healthy heart exercise on blood pressure in the elderly with hypertension at the Panti Werdha. This study is expected to provide information and knowledge about the effect of healthy heart exercise on blood pressure in the elderly with hypertension for nurses.
Pengaruh Massage Effleurage terhadap Tingkat Nyeri pada Ibu Bersalin Kala I Yayu Anggriani Ishak; Cut Mutiya Bunsal
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2591

Abstract

First-stage labor pain is a physiological condition experienced by most women during childbirth and may cause physical and psychological effects if not properly managed, such as anxiety, fatigue, increased blood pressure, and impaired uteroplacental perfusion that may affect fetal well-being. Effleurage massage is a non-pharmacological intervention involving gentle, rhythmic, and repetitive strokes to promote relaxation and reduce pain transmission. This study aimed to determine the effect of effleurage massage on pain intensity among women in the first stage of labor. A case study design with a nursing care process approach was conducted over two days in the delivery room (VK) in February 2026. The participants were two women in the first stage of labor who met the inclusion criteria. Data were collected through interviews, observation, physical examination, and pain assessment using the Visual Analog Scale (VAS). Effleurage massage was given for 10–15 minutes during uterine contractions. The results showed decreased pain intensity in both participants, improved comfort, reduced muscle tension, stable vital signs, and cervical dilation progression without adverse maternal or fetal effects.
Hubungan Neuropati Diabetik dengan Risiko Ulkus Kaki: Tinjauan Literatur Salsabila Afdalya; Maula N Gaharu; Suryo Bantolo
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2599

Abstract

Diabetic neuropathy is one of the chronic complications resulting from long-term diabetes. Symptoms in the early stages are often asymptomatic, making it difficult to detect the condition early on; this can potentially lead to more severe complications, such as diabetic foot ulcers. This study aims to analyze the relationship between diabetic neuropathy and the incidence of foot ulcers in patients with diabetes mellitus. The method used in this study was a literature review examining various scientific journals from the PubMed, Google Scholar, and ScienceDirect databases over the past five years. The factors discussed include the pathogenesis of the disease and metabolic involvement, clinical manifestations, diagnostic modalities, management, prognosis, and complications. Furthermore, patients with diabetic neuropathy should undergo routine early screening for pre-ulcer lesions to prevent severe complications. It is important to educate patients with diabetic neuropathy on self-foot care, proper hygiene, a healthy lifestyle, and good glycemic control, as well as to explain certain actions that should be avoided.
Hubungan Pengetahuan Perawat dengan Upaya Pencegahan Infeksi Nosokomial di Intensive Care Unit (ICU) Rumah Sakit Shindy Kartikasari
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2616

Abstract

Healthcare-associated infections (HAIs), particularly nosocomial infections, remain one of the most common health problems associated with healthcare services worldwide, affecting both developed and developing countries, especially in Intensive Care Units (ICUs). Patients in ICUs are highly vulnerable to infections due to invasive procedures, weakened immune systems, and prolonged hospitalization. Nurses play a critical role in preventing nosocomial infections because they have the most frequent and direct contact with patients. Therefore, adequate knowledge regarding infection prevention and control is essential to ensure the quality and safety of nursing care. This study aims to examine the relationship between nurses’ knowledge and efforts to prevent nosocomial infections in Intensive Care Units (ICUs). The study employed a literature review method by collecting and analyzing relevant scientific articles obtained through Google Scholar and PubMed databases. The selected articles were screened based on predetermined inclusion and exclusion criteria to ensure the relevance and quality of the reviewed literature. The findings consistently indicate a significant relationship between nurses’ knowledge and the implementation of nosocomial infection prevention measures in ICUs. Nurses with higher levels of knowledge demonstrate better compliance with infection prevention protocols, thereby reducing the risk of healthcare-associated infections. In conclusion, nurses’ knowledge is a key determinant of successful nosocomial infection prevention and should be continuously strengthened through education, training, and evidence-based clinical practice.
Pengaruh Metode FCA (Focused Confidence Affirmation) terhadap Peningkatan Pengetahuan Perawat dalam Interpretasi EKG Egi Mulyadi; Reza Saputra
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2623

Abstract

Nurses’ ability to interpret electrocardiograms (ECG) remains limited, influenced by insufficient theoretical knowledge, lack of formal training, and low self-confidence. This condition highlights the need for innovative learning strategies that not only emphasize cognitive aspects but also strengthen motivation and self-belief. Focused Confidence Affirmation (FCA) is a learning approach that emphasizes positive affirmation, reinforcement of achievements, self-reflection, and constructive feedback to enhance nurses’ self-efficacy. This study employed a quantitative descriptive correlational design with a cross-sectional approach. The sample consisted of all participants of the ECG interpretation webinar held on April 30, 2026, totaling 20 respondents, using a total sampling technique. Research instruments included FCA questionnaires and pretest–posttest assessments of ECG interpretation knowledge. Data analysis was conducted using the paired t-test with SPSS software. Prior to FCA implementation, all respondents (100%) were categorized as having poor knowledge. After the intervention, all respondents (100%) improved to the good knowledge category. Statistical analysis revealed a p-value < 0.05, indicating a significant effect of FCA on improving nurses’ knowledge in ECG interpretation. FCA proved effective in enhancing both knowledge and self-confidence among nurses in basic ECG interpretation. These findings suggest that FCA can serve as a reference for developing innovative learning strategies in nursing education and contribute to improving the quality of healthcare services through strengthened clinical competence.
Hubungan Pola Asuh Helicopter Parenting dengan Tingkat Kecanduan Merokok pada Remaja Muhammad Yusron Afitra; Chamilul Hikam Al Karim
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2627

Abstract

Adolescent smoking is a major public health concern in Indonesia, with an increasing prevalence among individuals aged 10–18 years. One of the factors that may influence smoking behavior is helicopter parenting, a parenting style characterized by excessive parental involvement and control over adolescents' lives. This study aimed to examine the relationship between helicopter parenting and the level of smoking addiction among adolescents. This research employed a quantitative approach with an explanatory correlational design. The participants consisted of 100 male adolescents aged 13–18 years in Palembang City who had experience with cigarette smoking. Data were collected using 4-point Likert-scale questionnaires and analyzed using the Spearman's Rank Correlation test with IBM SPSS. The findings revealed a positive and statistically significant relationship between helicopter parenting and the level of smoking addiction (r = 0.217, p = 0.030 < 0.05). Most respondents reported experiencing a high level of helicopter parenting (75%), while the majority demonstrated a moderate level of smoking addiction (40%). These findings suggest that excessive parental control may hinder adolescents' autonomy and self-regulation, thereby increasing their vulnerability to smoking behavior as a coping mechanism.

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