cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Tika Ferdian, S.Pd
Contact Email
tikaferdian58@gmail.com
Phone
-
Journal Mail Official
jurnalnmi@gmail.com
Editorial Address
Jl. Raden Imba Kusuma Ratu Gang Durian No.40, Sukadana Ham, 3 Kota Bandar Lampung 5247
Location
Kota bandar lampung,
Lampung
INDONESIA
NMI THE JOURNAL OF Nursing Management Issues
Published by Indonesian Public Health-Observer Information Forum
ISSN : 29633826     EISSN : 2963282X     DOI : 10.56922
Core Subject : Health,
Health Professions Public Health
Jurnal penelitian dibidang kesehatan meliputi kegiatan manajemen pelayanan kesehatan dibidang: promotif, preventif, kuratif dan rehabilitatif pada semua tingkat usia baik secara individu, kelompok. Manajemen pelayanan kesehatan di Rumah Sakit, Puskesmas, dan lembaga pelayanan kesehatan. Terbit 2 kali dalam satu tahun bulan April dan Desember.
Arjuna Subject : Keperawatan - Kepemimpinan dan Menejemen
Articles 25 Documents
 1   2   3 
Edukasi pencegahan mual muntah pada pasien p reoperatif Sectio Caesarea Jonatan Aris Maraya; Rahmaya Nova Handayani; Magenda Bisma Yudha
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3370

Abstract

Background: Postoperative nausea and vomiting (PONV) in Sectio Caesarea patients is a significant clinical problem that is often overlooked. The high incidence of PONV in Sectio Caesarea patients, based on the pre-survey, reached 42.8%–45.6%. PONV is the most common side effect after postoperative pain, depending on patient risk factors and the preventive strategies implemented. This condition may lead to serious complications such as wound dehiscence, aspiration, dehydration, prolonged hospitalization, and increased healthcare costs. Purpose: To measure changes in knowledge after education on nausea and vomiting prevention among preoperative Sectio Caesarea patients. Method: This community service activity used a participatory and educational approach with a preoperative educational intervention design. The study was conducted at the Central Surgical Installation of RSUD Merauke from May to June 2026, involving 30 preoperative Sectio Caesarea patients. Results: The majority of respondents were aged 20–35 years (76.7%) and multigravida (76.7%). The pre-test results showed that 70.0% of respondents were in the moderate category and 30.0% in the poor category. After the educational intervention, 83.3% were in the good category and 16.7% in the moderate category, with no respondents remaining in the poor category. Conclusion: Structured, communicative, and easy-to-understand preoperative education effectively improved patients’ understanding of nausea and vomiting prevention, supported patient preparedness for Sectio Caesarea, and has the potential to become an educational intervention model in preoperative services at RSUD Merauke.   Keywords: Cesarean Section; Education; Nausea and Vomiting.   Pendahuluan: Post operative nausea vomiting (PONV) pada pasien Sectio Caesarea merupakan masalah klinis yang signifikan dan sering kali diabaikan. Tingginya kejadian PONV pada pasien Sectio Caesarea, yang berdasarkan pra-survei mencapai 42.8%–45.6%. PONV menjadi efek samping yang paling umum setelah nyeri pascaoperasi, tergantung faktor risiko pasien serta strategi pencegahan yang diterapkan. Keadaan ini berpotensi menyebabkan komplikasi serius seperti dehiscence luka operasi, aspirasi, gangguan hidrasi, serta memperpanjang masa rawat dan biaya perawatan. Tujuan: Untuk mengukur perubahan pengetahuan setelah edukasi pencegahan mual muntah pada pasien p reoperatif sectio caesarea. Metode:  Kegiatan Pengabdian Masyarakat dengan pendekatan partisipatif dan edukatif dan desain intervensi edukasi preoperatif. Dilaksanakan di Instalasi Bedah Sentral Rumah Sakit Umum Daerah (RSUD) Merauke pada Mei–Juni 2026 dengan melibatkan 30 pasien preoperatif Sectio Caesarea. Hasil: Mayoritas responden berusia 20–35 tahun (76.7%) dan multigravida (76.7%). Pre-test menunjukkan 70.0% responden dalam kategori cukup dan 30.0% kurang. Setelah edukasi, 83.3% berada pada kategori baik dan 16.7% cukup, tanpa responden kategori kurang. Simpulan: Edukasi preoperatif yang terstruktur, komunikatif, dan mudah dipahami efektif meningkatkan pemahaman pasien mengenai pencegahan mual muntah, mendukung kesiapan pasien menghadapi sectio caesarea, dan berpotensi menjadi model intervensi edukatif dalam pelayanan preoperatif di RSUD Merauke.   Kata Kunci: Edukasi, Mual Muntah, Sectio Caesarea.
Analisis faktor - faktor yang berhubungan dengan kejadian hipotensi pasca spinal anestesi pada pasien Sectio Caesarea Sumarno; Septian Mixrova Sebayang; Made Suandika
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3371

Abstract

Background: Hypotension is a common complication following spinal anesthesia in patients undergoing cesarean section and can affect both the mother and the fetus. Purpose: To identify the factors associated with the incidence of hypotension following spinal anesthesia at Hajjah Andi Depu General Hospital in Polewali Mandar. Method: Observational analytical design with a cross-sectional approach. The study sample consisted of 129 patients undergoing cesarean section under spinal anesthesia, selected using purposive sampling. Data were collected through observation and documentation, including age, preload fluid volume, intraoperative bleeding, and incidence of hypotension. Data analysis used the Chi-Square test and Fisher’s Exact Test with a significance level of p<0.05. Results: Hypotension occurred in 67 respondents (51.9%). There was a significant association between age (p<0.001), preload volume (p=0.038), and intraoperative blood loss (p<0.001) and the incidence of hypotension following spinal anesthesia. The risk of hypotension was higher in patients with a preload of <500 ml and intraoperative blood loss of ≥500 ml. Conclusion: Age, preload volume, and intraoperative blood loss were associated with the incidence of post-spinal anesthesia hypotension in patients undergoing cesarean section.   Keywords: Cesarean Section; Fluid Preload; Hypotension; Spinal Anesthesia.   Pendahuluan: Hipotensi merupakan komplikasi yang sering terjadi setelah spinal anestesi pada pasien Sectio Caesarea dan dapat memengaruhi kondisi ibu maupun janin. Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan kejadian hipotensi pasca spinal anestesi di RSUD Hajjah Andi Depu Polewali Mandar. Metode: Desain analitik observasional dengan pendekatan cross sectional. Sampel penelitian berjumlah 129 pasien Sectio Caesarea dengan spinal anestesi yang dipilih menggunakan purposive sampling. Data dikumpulkan melalui observasi dan dokumentasi meliputi usia, jumlah cairan preload, perdarahan intraoperatif, dan kejadian hipotensi. Analisis data menggunakan uji Chi-Square dan Fisher Exact Test dengan tingkat kemaknaan p<0.05. Hasil: Kejadian hipotensi terjadi pada 67 responden (51.9%). Terdapat hubungan bermakna antara usia (p<0.001), jumlah cairan preload (p=0.038), dan perdarahan intraoperatif (p<0.001) dengan kejadian hipotensi pasca spinal anestesi. Risiko hipotensi lebih tinggi pada pasien dengan preload <500 ml dan perdarahan ≥500 ml. Simpulan: Usia, jumlah cairan preload, dan perdarahan intraoperatif berhubungan dengan kejadian hipotensi pasca spinal anestesi pada pasien Sectio Caesarea.   Kata kunci: HipotensI; Preload Cairan; Sectio Caesarea; Spinal Anestesi.
Efektivitas penerapan check list pemantauan post-anesthesia care unit (PACU) dalam menurunkan insiden komplikasi pasca anestesi Mukhamad Ikhsan; Made Suandika; Martyarini Budi
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3372

Abstract

Background: Post-general anesthesia complications remain a significant issue in perioperative care and can be prevented through systematic monitoring in the Post-Anesthesia Care Unit (PACU). Purpose: To analyze the effectiveness of implementing a PACU monitoring checklist in reducing the incidence of post-geneal anesthesia complications at Merauke Regional General Hospital. Method: A quantitative research with an analytical observational approach and a cross-sectional study design. The study sample consisted of 128 patients who underwent general anesthesia at Merauke Regional General Hospital, selected using purposive sampling. Data were collected through observation and documentation using the PACU checklist to assess the completeness of monitoring, as well as an observation form for general anesthesia complications. Data analysis used the Chi-Square test with a significance level of p < 0.05. Results: The results showed that the majority of checklist implementation fell into the “complete” category (67.2%). Most patients did not experience post-general anesthesia complications (64.1%); however, complications such as pain, postoperative nausea and vomiting (PONV), hypoxia, hemodynamic disturbances, shivering, and decreased consciousness were still observed. There was a significant association between the implementation of the PACU checklist and the incidence of post-general anesthesia complications (p = 0.000), where the complete implementation of the checklist was proven to be more effective in reducing the incidence of complications. Conclusion: Implementation of the PACU monitoring checklist is associated with and effective in reducing the incidence of post-general anesthesia complications in patients at Merauke Regional General Hospital.   Keywords: General Anesthesia; PACU checklist; Patient Safety; Post-Anesthesia Complications.   Pendahuluan: Komplikasi pasca anestesi umum masih menjadi masalah penting dalam pelayanan perioperatif dan dapat dicegah melalui pemantauan yang sistematis di Post-Anesthesia Care Unit (PACU). Tujuan: Untuk menganalisis efektivitas penerapan check list pemantauan PACU terhadap penurunan insiden komplikasi pasca anestesi umum di Rumah Sakit Umum Daerah (RSUD) Merauke. Metode: Penelitian kuantitatif dengan pendekatan observasional analitik dan rancangan cross sectional study. Sampel penelitian berjumlah 128 pasien yang menjalani anestesi umum di RSUD Merauke yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui observasi dan studi dokumentasi menggunakan lembar check list PACU untuk menilai tingkat kelengkapan pemantauan serta lembar observasi komplikasi pasca anestesi umum. Analisis data menggunakan uji Chi-Square dengan tingkat kemaknaan p < 0,05. Hasil: Sebagian besar penerapan check list berada pada kategori lengkap (67.2%). Sebagian besar pasien tidak mengalami komplikasi pasca anestesi umum (64.1%), namun masih ditemukan komplikasi seperti nyeri, postoperative nausea and vomiting (PONV), hipoksia, gangguan hemodinamik, shivering, dan penurunan kesadaran. Simpulan: Terdapat hubungan yang signifikan antara penerapan check list PACU dengan kejadian komplikasi pasca anestesi umum (p = 0,000), dimana penerapan check list yang lengkap terbukti lebih efektif dalam menurunkan insiden komplikasi. Disimpulkan bahwa penerapan check list pemantauan PACU berhubungan dan efektif dalam menurunkan kejadian komplikasi pasca anestesi umum pada pasien di RSUD Merauke. Kata kunci: Anestesi Umum; Check List PACU; Keselamatan Pasien; Komplikasi Pasca Anestesi.
Multiple case study manajemen nyeri secara farmakologi pada pasien pasca operasi dengan spinal anestesi di ruang pemulihan rumah sakit Syarifuddin; Martyarini Budi; Danang Tri Yudono
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3374

Abstract

Background: Postoperative pain is a common problem experienced by patients after surgery and can lead to delayed recovery and an increased risk of complications. Adequate pain management is crucial for enhancing patient comfort and the success of perioperative care. Purpose: To determine the profile of pharmacological pain management in postoperative patients who underwent spinal anesthesia in the recovery room at Dr. Tadjuddin Chalid Central Hospital, Makassar. Method: Qualitative descriptive approach with a multiple case study design. The participants consisted of 4 patients selected through purposive sampling. Data were collected through observation, pain assessment using the Numeric Rating Scale (NRS), and documentation of analgesic administration. Results: Most patients experienced initial pain with a score of ≥7. After pharmacological therapy was administered, pain decreased in all participants. The combination of ketorolac and paracetamol reduced pain from a score of 7 to 3, fentanyl reduced it from 7 to 4, and metamizole reduced it from 7 to 3. Meanwhile, patients receiving epidural analgesia exhibited minimal pain from the outset (0–1). Conclusion: Pharmacological pain management is effective in reducing pain intensity in postoperative patients who underwent spinal anesthesia.   Keywords: Pharmacological Pain Management; Postoperative Pain; Recovery Room; Spinal Anesthesia.   Pendahuluan: Nyeri pasca operasi merupakan masalah umum yang dialami pasien setelah tindakan pembedahan dan dapat berdampak pada keterlambatan pemulihan serta peningkatan risiko komplikasi. Manajemen nyeri yang adekuat sangat penting untuk meningkatkan kenyamanan dan keberhasilan perawatan perioperatif. Tujuan: Untuk mengetahui gambaran manajemen nyeri secara farmakologi pada pasien pasca operasi dengan spinal anestesi di ruang pemulihan Rumah Sakit Metode: Penelitian deskriptif kualitatif dengan rancangan multiple case study. Partisipan berjumlah 4 pasien yang dipilih secara purposive sampling. Data dikumpulkan melalui observasi, pengkajian nyeri menggunakan Numeric Rating Scale (NRS), serta dokumentasi pemberian analgetik. Hasil: Sebagian besar pasien mengalami nyeri awal dengan skala ≥7. Setelah diberikan terapi farmakologi, terjadi penurunan nyeri pada seluruh partisipan. Kombinasi ketorolac dan paracetamol menurunkan nyeri dari skala 7 menjadi 3, fentanyl menurunkan dari 7 menjadi 4, dan metamizole menurunkan dari 7 menjadi 3. Sementara itu, pasien dengan analgesia epidural menunjukkan nyeri minimal sejak awal (0–1). Simpulan: Manajemen nyeri secara farmakologi efektif dalam menurunkan intensitas nyeri pada pasien pasca operasi dengan spinal anestesi.   Kata Kunci: Manajemen Nyeri Farmakologi; Nyeri Pasca Operasi; Recovery Room; Spinal Anestesi.
Pemanfaatan ramuan daun sirih (piper betle l.) sebagai pengobatan tradisional pada masyarakat suku bugis dan dampaknya terhadap perilaku pencarian layanan kesehatan Muhammad Ridha Afdhal; Zulkifli Walangadi
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3437

Abstract

Background: Traditional medicine practices remain heavily prominent across rural Indonesia. Among the Bugis tribe in Kajuara District, Bone Regency, betel leaf (Piper betle L.) preparations are firmly relied upon for initial physical care, which sequentially alters modern healthcare utilization. Purpose: To structurally identify the socio-cultural variables behind the use of betel leaf preparations among the Bugis community in Kajuara District and its multi-level consequences on health seeking behavior. Method: A qualitative descriptive design was employed. Data were gathered through in-depth interviews with 9 key informants, field observations, and documentation in Kajuara District. Results: Culturally, the Bugis community preserves betel leaf use owing to cosmological views of body-nature balance and ancestral pabbura practices. While providing basic antibacterial support, this reliance poses an individual risk of delaying crucial clinical care. Economically, families experience immediate cost efficiency, yet suffer from unstandardized dosage protocols. Structurally, it produces dualistic health behaviors that reduce formal primary health center attendance. Conclusion: Socio-cultural dynamics dictate healthseeking paths in rural Bugis clusters, requiring structured integration between local knowledge systems and objective primary clinical guidelines.   Keywords: Betel Leaf; Bugis Tribe; Health Seeking Behavior; Pabbura.   Pendahuluan: Praktik pengobatan tradisional tetap mendominasi realitas kesehatan masyarakat di wilayah perdesaan Indonesia. Pada masyarakat Suku Bugis, ramuan daun sirih (Piper betle L.) secara konsisten diandalkan sebagai penanganan awal, yang secara sekuensial mengubah utilisasi pelayanan medis modern. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi secara struktural variabel sosial budaya di balik penggunaan ramuan daun sirih pada masyarakat Bugis di Kecamatan Kajuara serta konsekuensi multi-levelnya terhadap perilaku pencarian layanan kesehatan (health seeking behavior). Metode: Desain kualitatif deskriptif. Pengumpulan data dilakukan melalui wawancara mendalam terhadap 9 informan kunci, observasi lapangan, dan studi dokumentasi di Kecamatan Kajuara. Hasil: Secara kultural, masyarakat Bugis melestarikan penggunaan daun sirih akibat pandangan kosmologis mengenai keseimbangan alam-tubuh dan praktik pabbura leluhur. Meskipun menyediakan dukungan antibakteri dasar, ketergantungan ini memicu risiko penundaan (delay) penanganan klinis krusial pada tingkat individu. Secara ekonomi, keluarga merasakan efisiensi biaya langsung, namun lemah dalam protokol standarisasi dosis. Secara struktural, fenomena ini melahirkan perilaku kesehatan dualistik yang mereduksi angka kunjungan Puskesmas formal. Simpulan: Dinamika sosial budaya mendikte jalur pencarian kesehatan di klaster perdesaan Bugis, sehingga memerlukan integrasi terstruktur antara sistem pengetahuan lokal dan panduan klinis primer yang objektif.   Kata kunci: Daun Sirih; Suku Bugis; Perilaku Pencarian Kesehatan; Pabbura.

Page 3 of 3 | Total Record : 25

 1   2   3 

Filter by Year

2023 2025


Reset
Filter By Issues
All Issue Vol. 3 No. 1 (2025): December Edition 2025 Vol. 2 No. 2 (2025): April Edition 2025 Vol. 2 No. 1 (2024): December Edition 2024 Vol. 1 No. 2 (2024): Edition April 2024 Vol. 1 No. 1 (2023): Edition December 2023