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All Journal Jurnal Kesehatan Hesti Wira Sakti Journal of Innovation and Applied Technology Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Medica Hospitalia Jurnal Karinov Caring : Jurnal Pengabdian Masyarakat Journal of Nursing Science Update
Ika Setyo Rini
Universitas Brawijaya
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Komponen Glasgow Coma Scale (GCS) Dan Saturasi Oksigen Sebagai Prediktor Kematian Pada Pasien Cedera Kepala Di RSUP Dr. Kariadi Semarang Sumarno Sumarno; Moch Hidajat; Ika Setyo Rini
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 1 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.765 KB) | DOI: 10.36408/mhjcm.v6i1.370

Abstract

Abstrak Latar belakang : Angka kejadian dan kematian pasien cedera kepala cukup tinggi, sehingga menuntut pelayanan yang lebih baik, disisi lain fasilitas perawatan, terutama perawatan intensif (ICU) terbatas. Hal ini mengakibatkan rumah sakit harus melakukan seleksi terhadap pasien yang akan masuk ke ruang perawatan intensif. Prediktor kematian dapat digunakan sebagai salah satu alat untuk melakukan seleksi tersebut. Penelitian ini bertujuan untuk mendapatkan sebuah model prediksi kematian pada pasien murni cedera kepala dengan menggunakan pemeriksaan standar yang ada di Instalasi Gawat Darurat, terutama pada saat sebagian komponen GCS tidak dapat dinilai. Metode : Penelitian ini menggunakan desain observasional dengan pendekatan prospektif. Responden ditentukan berjumlah 49 pasien. Analisis data dengan uji spearman, uji lambda, multivariat regresi logistik. Hasil : Didapatkan korelasi yang bermakna antara semua variabel bebas dengan kematian pasien, GCS-E (p=0,011, r=0,647); GCS-V (p=0,002, r=0,647); GCS-M (p=0,008, r=0,529); SaO2 (p=0,022, r=0,429). Semua komponen GCS dapat digunakan untuk memprediksi probabilitas kematian pasien cedera kepala bersama dengan SaO2. Simpulan : Semua komponen GCS dan saturasi oksigen dapat digunakan sebagai prediktor kematian pasien cedera kepala. Kata Kunci: cedera kepala, prediktor kematian, komponen GCS. Background : The number of incidence and mortality of patients with traumatic brain injury (TBI) is high, so it is called for better service, on the other hand healthcare care facilities, particularly bed of intensive care unit (ICU) limited. So often the hospital should perform a selection against patients. Mortality predictors can be used as tool for selection. The aims of this research is to gain a predictive model of mortality in isolative TBI patients using a standardized examination in Emergency Department, especially when part of GCS can’t be assesed. Methods : Design of this study is a observational study with prospective approach. Respondents totaled 49 person. Data analysis being performed with spearman test, lambda test, Multivariate logistic regression. Results : Correlation between all the independence variables with mortality of the patient, GCS-E (p=0,011, r=0,647); GCS-V (p=0,002, r=0,647); GCS-M (p=0,008, r=0,529); SaO2 (p=0,022, r=0,429). The all components of the GCS, SaO2 can be used to predict the probability of death of the patient injury head. Conclusion : GCS components and oxygen saturation can be used as mortality predictor on patients with traumatic brain injury. Keywords : Traumatic brain injury, mortality predictor, components of GCS
Pendampingan Perawat Dalam Optimalisasi Keberlanjutan Perawatan Ibu Nifas Dan Bayi Berat Badan Lahir Rendah (Bblr) Di Rumah Asti Melani Astari; Muladefi Choiriyah; Nurul Evi; Ayut Merdikawati; Laily Yuliatun; Sholihatul Amaliya; Ika Setyo Rini; Azizha Adila Fitri; Niken Ummu Raehana
Journal of Innovation and Applied Technology Vol 7, No 2 (2021)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jiat.2021.006.02.6

Abstract

Keberlanjutan perawatan ibu nifas dan bayi BBLR di rumah sangat penting dilakukan melalui pendampingan perawat. Tujuan pengabdian masyarakat ini untuk meningkatkan pengetahuan dan keterampilan ibu dalam perawatan nifas dan bayi prematur di rumah. Kegiatan ini dilakukan pada Januari-Maret 2020 dengan metode konseling secara homevisit. Ibu yang berpartisipasi dalam kegiatan ini adalah yang melahirkan bayi BBLR hidup dan bertempat tinggal di wilayah Malang & Batu. Pengumpulan data melalui kuesioner. Dua puluh lima responden ikut berpartisipasi memiliki tingkat pengetahuan baik (88%), parenting self-efficacy dalam kategori tinggi (84%), dan tingkat stress ringan (84 %). Hasil uji korelasi antara tingkat pengetahuan dengan parenting self-efficacy signifikan dan berkorelasi sedang (p-value =0.009; r =0.510). Sedangkan antara pengetahuan dan stress ibu tidak terdapat hubungan yang signifikan dalam merawat bayi BBLR di rumah (p-value =0,404; r =0,175). Kesimpulannya, pentingnya peningkatan pendampingan oleh tenaga kesehatan pada ibu nifas yang memiliki bayi BBLR di rumah.
ANALISIS FAKTOR YANG MEMPENGARUHI KETERLAMBATAN DALAM MENGATASI PASIEN STROKE SAAT MERUJUK KE RSUD JOMBANG Didik Saudin; Achdiat Agoes; Ika Setyo Rini
Jurnal Kesehatan Hesti Wira Sakti Vol. 4 No. 2 (2016)
Publisher : Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen Malang

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Abstract

ABSTRAK Pendahuluan: Stroke adalah serangan otak yang timbul secara mendadak ditandai adanya gangguan aliran darah karena adanya sumbatan atau pecahnya pembuluh darah tertentu di otak. Keberhasilan penanganan stroke sangat tergantung dari kecepatan, kecermatan dan ketepatan terhadap penanganan awal atau waktu emas dalam penanganan stroke adalah ± 3 jam. Penelitian ini bertujuan untuk mengetahui beberapa faktor yang memepengaruhi keterlambatan dalam penanganan rujukan pasien stroke ke RSUD Jombang. Metode : Penelitian ini menggunakan methode Survey Cross Sectional merupakan suatu penelitian untuk mempelajari dinamika korelasi antara faktor-faktor resiko atau efek melalui observasi. Responden berjumlah 60 orang yang didapatkan dengan metode rule of thumb. Hasil dan Analisa : Hasil penelitian ini menunjukkan bahwa terdapat korelasi keterlambatan pasien stroke saat merujuk ke RSUD Jombang diantaranya jarak rujukan didapatkan signifikasi p value 0.021 dan pendampingan rujukan didapatkan p value 0.026. Berdasarkan uji regresi logistik disimpulkan bahwa ke 2 faktor mempunyai korelasi yang sama dengan keterlambatan pasien stroke dengan OR jarak rujukan sebesar 2.42 dan OR Pendampingan sebesar 2.27 serta diperkirakan keterlambatan pasien stroke sebesar 23.4%. Diskusi dan kesimpulan: Diantara variabel independen 6 faktor yang berpengaruh terhadap variabel dependen hanya ada dua variabel yang memiliki korelasi yaitu jarak rujukan dan pendampingan petugas saat melakukan rujukan ke RSUD Jombang. Kedua fakor memiliki kekuatan dan pengaruh yang sama saat melakukan rujukan pada kasus stroke ke RSUD Jombang. Kata Kunci: Stroke, Keterlambatan, Rujukan, Faktor yang mempengaruhi ABSTRACT Background: Stroke is a brain attack which occur suddenly marked by the interruption of blood flow due to blockage or rupture of blood vessels of the brain. The success of stroke treatment is highly dependent on the speed, accuracy and precision of the handling of the initial or the golden time in the treatment of stroke is ± 3 hours. This study aims to determine some of the factors that affect delays in the handling of a stroke patient referrals to hospitals Jombang. Method: This study uses a method Cross Sectional Survey is a research study to study the dynamics of the correlation between risk factors or the effects through observation. Respondents were 60 people who obtained the rule of thumb method. Result and Anlisys : The results of this study indicate that there is a correlation delay time stroke patients referred to hospitals Jombang include a reference distance obtained significance p value of 0.021 and referral assistance obtained p value 0.026. Based on logistic regression test concluded that to two factors have the same correlation with the delay of stroke patients with a referral by the distance OR OR 2:42 and 2:27 as well as the assistance of an estimated delay of 23.4% of stroke patients. Discussion and summary: Among the independent variables six factors that only two variables affect the dependent variable they are referral time and advocacy officer when making referrals to Jombang General Hospital. Both factor have the same power and influence when making reference to the Stroke case at Jombang General Hospital. Keywords : Stroke, Delay, Referral, Factors affecting
Edukasi Perilaku Hidup Bersih Dan Sehat Dalam Pencegahan Penyebaran Covid 19 Di Masyarakat Kota Malang Bintari Ratih Kusumaningrum; Ayunda Dewi Jayanti Jilan Putri; Aurick Yudha Nagara; Akhiyan Hadi Susanto; Ika Setyo Rini; Ikhda Ulya; Eriko Prawestiningtyas; Muhammad Satria Herdiyono; Agustinus Lorensa Krisyanto; Mutiaranti Nainggolan
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2021): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (567.088 KB) | DOI: 10.35568/abdimas.v4i1.1157

Abstract

Pencegahan penyebaran Covid-19 ini tidak bisa hanya dengan tenaga kesehatan saja yang berperan, namun dibutuhkan kerjasama lintas sector. Unsur yang terlibat adalah pemerintah, masyarakat, dunia usaha, akademisi, dan media. Agar pencegahan di masyarakat dapat berjalan dengan baik maka harus ada tokoh atau kader kesehatan yang aktif melakukan promosi kesehatan pencegahan Covid-19. Program pengabdian masyarakat kampong tangguh ini bertujuan untuk memberikan edukasi perilaku hidup bersih dan sehat untuk mencegah penularan COVID-19 kepada kader kesehatan di masyarakat. Metode yang digunakan dalam program pengabdian masyarakat ini adalah pemberian intervensi pada masyarakat dengan pendekatan post tes only terhadap 76 partisipan kader kesehatan di 8 kelurahan di Kota Malang. Media yang digunakan untuk edukasi adalah poster PHBS dan praktik langsung. Hasil yang didapatkan yaitu skor pengetahuan PHBS 74,21 dari skor maksimal 100dan skor observasi perilaku 26,53 dari skor maksimal 30. Sebagian besar sudah ada sarana untuk PHBS namun dalam pelaksanaan protocol kesehatan masih kurang. Dapat disimpulkan bahwa kegiatan ini membawa dampak positif bagi kader dan masyarakat luas karena akademisi turun langsung memberikan contoh PHBS.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERSEPSI GEJALA NYERI DADA KARDIAKISKEMIK PADA PASIEN INFARK MIOKARD AKUT DI RSUD dr. SAIFUL ANWAR MALANG Ika Setyo Rini; Dini Widya Ayuningtyas; Retty Ratnawati
Journal of Nursing Science Update (JNSU) Vol. 5 No. 1 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1516.06 KB)

Abstract

Penyakit jantung merupakan penyebab kematian dan kecacatan nomor satu pada laki-laki dan perempuan di negara maju. Terdapat beberapa faktor yang mempengaruhi keterlambatan dalam penanganan. Salah satu faktor tersebut yaitu ketidaktepatan pasien dalam mempersepsikan gejala nyeri dada yang dialami. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan persepsi gejala nyeri dada kardiak iskemik pada pasien infark miokard akut di RSUD Dr. Saiful Anwar Malang. Penelitian ini menggunakan teknik consecutive sampling sebanyak 60 pasien (53,97+10,75 tahun) selama 2 bulan di ruang Instalasi Rawat Inap I (IRNA I). Setelah dilakukan uji Chi-square, didapatkan hasil bahwa tidak ditemukan hubungan yang signifikan antara faktor demografi. Hubungan yang signifikan ditunjukkan dari faktor risiko dislipidemia (p<0,012) dan faktor risiko riwayat keluarga (p<0,009). Berdasarkan riwayat penyakit sebelumnya didapatkan hubungan yang signifikan yaitu nyeri dada sebelumnya (p<0,007) dan penyakit infark miokard sebelumnya (0,000). Faktor-faktor yang berhubungan dengan persepsi gejala nyeri dada kardiak iskemik pada pasien infark miokard akut ditentukan secara signifikan oleh faktor risiko dilipidemia, riwayat keluarga, nyeri dada sebelumnya dan infark miokard sebelumnya.Kata kunci: demografi, faktor risiko, riwayat penyakit sebelumnya, persepsi pasien
GETTING READY FOR EARTHQUAKE DISASTER WITH TABLETOP EXERCISE FOR DISASTER MANAGEMENT Ikhda Ulya; Bintari Ratih Kusumaningrum; Ika Setyo Rini
Journal of Nursing Science Update (JNSU) Vol. 8 No. 1 (2020)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.544 KB) | DOI: 10.21776/ub.jik.2020.008.01.4

Abstract

Disaster is an event that can destruct the community living. Malang is a city which have an active seismic, that have high potential of earthquake. To reduce the risk or effect of disaster we need tabletop exercise for disaster management as a mitigation activity. The purpose of this study was to knowing the effect of tabletop exercise on staff readiness once deal with earthquake disaster. This study was quasy experimental with purposivesampling technique. We obtained 24 respondents from administrative staff of medical Faculty Universitas Brawijaya. They were devided into intervention group (n=12) dan control group (n=12). The readiness was measured with knowledge and attitude score pre and post table top exercise. Wilcoxon signed rank test showed that there were significant differences between score pre and post test of knowledge about disaster management in control group (p value= 0.033) and in intervention group (p value=0.005). Dependent Ttest showed that there were significant effect on attitude pre and post table top exercise for disaster management simulation (p value =0,001), but no significant effect in control group (p value =0.376). Independent T-test for attitude and mann whitney test showed that there is no difference between intervention and control group in attitude (p value= 0.318) and knowledge (p value =0.680). In conclusion there is significant effect of tabletop exercise to readiness of the staff medical faculty Universitas Brawijaya once deal withearthquake disaster. But there is no difference in both method of education
RELATIONSHIP BETWEEN LEVEL OF DISASTER KNOWLEDGE AND ATTITUDE OF LANDSLIDE DISASTER PREPAREDNESS IN VOLUNTEERS "KELURAHAN TANGGUH” IN MALANG CITY Ika Setyo Rini; Niko Dima Kristianingrum; Rizka Widyastikasari
Journal of Nursing Science Update (JNSU) Vol. 7 No. 2 (2019)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1364.171 KB) | DOI: 10.21776/ub.jik.2019.007.02.3

Abstract

Indonesia is located between the Eurasian Continent Plate, the Indian-Australian Plate and the Pacific Ocean Plate. It is passed through a series of Mediterranean Circuits and the Pacific Circum. The process of plate and volcanic activity results in natural disasters including landslides. Indonesia has 918 vulnerable location points that are spread in various parts of Indonesia which cause natural disasters in Indonesia to increase every year. BPBD of Malang Citymade a program “Kelurahan Tangguh” to improve community preparedness against disasters. The purpose of this study was to explore the relationship between landslide disaster preparedness knowledge andattitude on volunteers of “Kelurahan Tangguh” in KotaLama, Bandungrejosari and Polehan because these three villages experienced the most landslides during 2018. The design of this research is observational correlational analytic with cross sectional research. The research respondents were 39 volunteers in Kotalama, Bandungrejosari and Polehan with a total sampling method. Data were collected using a questionnaire to determine the level of knowledge and attitudes of preparedness. Data analysis used Spearman’s rank correlation test. The results of the study state that there is a relationship between the level of knowledge and attitudes of preparedness. There is a positive relationship between the level of knowledge with landslide preparedness attitudes (p = 0.000, α = 0.05), r = 0.610. There is a undirectional relationship between the level of knowledge and attitudes of preparedness for landslides. Health workers, especially nurses and other professionals can partner with BPBD to actively conduct education, motivation and various training for volunteer empowerment in disaster preparedness in Malang City
Design and Build Educational Vest for Cardiopulmonary Resucitation as an Emergency Treatment for Cardiac Arrest Agwin Fahmi Fahanani; Nabila Nur Fitriani; Ika Setyo Rini; Aurick Yudha Nagara; Sevito Fernanda Pambudi; Monifa Arini; Mohammad Fahri Ferdiansyah
Jurnal KARINOV Vol 5, No 2 (2022): Mei
Publisher : Institute for Research and Community Service (LP2M), Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um045v5i2p75-79

Abstract

Prevalensi kejadian henti jantung yang tidak tertangani dengan adekuat terbilang besar. Menurut American Heart Association (AHA), dari 70% kasus henti jantung di luar rumah sakit, sebanyak 50% tidak diketahui oleh masyarakat sekitar sedangkan hanya 10,8% yang dapat bertahan hidup setelah dibawa ke layanan gawat darurat. Hal tersebut diakibatkan kurangnya pengetahuan masyarakat awam terkait tindakan CPR/ resusitasi jantung paru. VECPRI (Vest with CPR Instruction) merupakan sebuah inovasi rompi yang didesain untuk orang awam melakukan CPR. Hasil pengujian yang telah dilakukan menunjukkan bahwa operasional rompi VECPRI telah sesuai dan memenuhi untuk dilakukannya high quality CPR. Selain itu, dari hasil uji subsistem EKG diperoleh akurasi sebesar 86,5% karena dipengaruhi oleh beberapa faktor. Kata kunci— Henti Jantung, Resusitasi, Rompi Edukatif Abstract Prevalence of cardiac arrest cases that is not handled adequately are quite large. According to American Heart Association (AHA), there are 70% cases of out of hospital cardiac arrest where 50% isn’t known by people around the scene and only 10,8% survive after being taken to emergency service. This problem is due to the lack of people knowledge about Cardio Pulmonary Resuscitation (CPR). VECPRI (Vest with CPR Instruction) is an innovative vest designed for non-medical people to perform CPR. The result of tests that have been carried out shows that the operation of VECPRI is appropriate and fulfill for high quality CPR. In addition, the EKG subsystem test obtained an accuracy of 86,5% because it is influenced by several factors. Keywords— Cardiac Arrest, Resuscitation, Educative Vest
INCREASING CLINICAL PRECEPTOR COMPETENCE THROUGH PRECEPTORSHIP METHOD TRAINING IN BANGIL HOSPITAL, PASURUAN REGENCY Sholihatul Amaliya; Rinik Eko Kapti; Muladefi Choiriyah; Efris Kartika Sari; Ikhda Ulya; Ika Setyo Rini
Caring : Jurnal Pengabdian Masyarakat Vol 2, No 2 (2022): CARING Jurnal Pengabdian Masyarakat (Agustus 2022)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2022.002.02.3

Abstract

The Preceptorship method facilitates students to develop their cognitive, affective, and psychomotor abilities. Through Preceptorship, clinical instructors/preceptors become role models as tutors, leaders, supervisors, and mentors for students. Furthermore, nursing staff who meet the qualifications of a preceptor need Preceptorship training. The Pasuruan District Hospital is one of the network hospitals where nursing students practice the nursing profession, and there are only a few preceptors have attended Preceptorship training. Therefore, it is necessary to conduct Preceptorship training for preceptors. This activity aims to achieve preceptor competence with the Preceptorship method. The respondents were health care staff from Bangil Hospital, such as nurses, midwives, nutritionists, radiographers, medical recorders clerks, and physical therapists. The activity included training for three days from 19-21 November 2019 by providing material, demonstrating, and simulating the Preceptorship method in several rooms at Bangil Hospital. The data collection to measure the level of knowledge used pre-test and post-test questionnaires, while for skills using observation in the implementation of simulations directly to students in the hospital room. Forty-seven respondents participating in this training were male (32%) and female (68%). The results of the level of knowledge were pre-test mean 47.74 and post-test 88.85 with p-value paired t-test results 0.001. Observation results show that the preceptor can practice the Preceptorship method well with students. In conclusion, this training activity increases the knowledge and skills of Preceptorship clinical education methods for preceptors.
Co-Authors Achdiat Agoes Agustinus Lorensa Krisyanto Agwin Fahmi Fahanani Akhiyan Hadi Susanto Asti Melani Astari Aurick Yudha Nagara Ayunda Dewi Jayanti Jilan Putri Ayut Merdikawati Azizha Adila Fitri Bintari Ratih Kusumaningrum Didik Saudin Dini Widya Ayuningtyas Efris Kartika Sari Eriko Prawestiningtyas Ikhda Ulya Ikhda Ulya Kristianingrum, Niko Dima Laily Yuliatun Moch Hidajat Mohammad Fahri Ferdiansyah Monifa Arini Muhammad Satria Herdiyono Muladefi Choiriyah Mutiaranti Nainggolan Nabila Nur Fitriani Niken Ummu Raehana Nurul Evi Retty Ratnawati Rinik Eko Kapti Rizka Widyastikasari Sevito Fernanda Pambudi Sholihatul Amaliya Sumarno Sumarno