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All Journal Abdimas Galuh : Jurnal Pengabdian Kepada Masyarakat Malahayati International Journal of Nursing and Health Science
Tafwidhah, Yuyun
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Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Health Professions Law, Crime, Criminology & Criminal Justice Nursing Public Health

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Skrining Penyakit Tidak Menular (PTM): #GERMAS untuk Hidup Sehat Tafwidhah, Yuyun; Maulana, Muhammad Ali; Purwanti, Nera Umilia; Rahmawati, Nadia; Najini, Robby; Mahyarudin, Mahyarudin; Liana, Delima Fajar; Pramana, Yoga; Mita, Mita
Abdimas Galuh Vol 6, No 2 (2024): September 2024
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v6i2.14963

Abstract

Pemeriksaan kesehatan secara berkala merupakan salah satu pilar Gerakan Masyarakat Hidup Sehat (GERMAS) yang berguna untuk mendeteksi keberadaan faktor risiko Penyakit Tidak Menular (PTM). Tujuan dari pengabdian masyarakat ini yaitu melakukan skrining PTM meliputi pengukuran tekanan darah, pemeriksaan gula darah, kolesterol, dan asam urat. Metode pelaksanaan skrining PTM yaitu pendaftaran dan wawancara faktor risiko PTM, pengukuran antropometri, pemeriksaan penunjang serta konseling dan edukasi. Skrining ini dilakukan pada 2 (dua) tempat dengan sasaran usia lebih dari 15 tahun. 155 peserta berhasil dijaring dengan hasil karakteristik sebagian besar adalah perempuan dan berada pada usia remaja akhir serta dewasa akhir. Analisis selanjutnya menunjukkan sebagian besar berada dalam kategori normal dan optimal untuk pemeriksaan tekanan darah dan sebagian besar berada dalam kategori normal untuk pemeriksaan gula darah. Temuan lain gambaran pemeriksaan kolesterol yang menghasilkan lebih dari separuh peserta dalam kategori buruk serta hampir separuhnya memiliki kadar asam urat tidak normal. Skrining PTM berguna mengetahui faktor risiko PTM lebih awal agar dapat diambil tindakan berikutnya sebagai langkah pencegahan. Upaya yang dapat diambil antara lain melakukan pola hidup sehat dan berkonsultasi lebih lanjut kepada tenaga kesehatan.
National early warning system adherence: Is nurses’ clinical competence involved associated with protocol in a hospital in Indonesia? Sasmito, Priyo; Ahmadi, Ahmadi; Mulyati, Leli; Prasetya , Fika Indah; Maryam, Andi; Sujana, Treesia; Tafwidhah, Yuyun; Elis, Andi
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 2 (2024): Volume 7 Number 2
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i2.180

Abstract

Background: The implementation of the Early Warning System (EWS) in developing countries still faces many obstacles. The National Early Warning Score (NEWS) is one of the most frequently used EWS. The factors affecting its compliance are still being studied. Purpose: To analyze the involvement of nurse clinical competence in adherence to the National Early Warning Score (NEWS) protocol in a hospital in Indonesia. Method: This study is an observational analytic study with a cross-sectional approach to nurses in the medical ward. Nurse characteristics consisting of age, gender, education level, work experience, and knowledge of NEWS were measured and recorded. Nurse clinical competence level is the main independent variable. The outcome measured was nurse adherence to the protocol which was assessed by looking at the records in the NEWS observation sheet. Data was analyzed using Chi-Square, Fisher Exact Test, and Spearman Rho. Results: Thirty-five nurses were involved in the study. Respondent were 38.7 years old on average, had an average work experience of 7.1 years, and had an average knowledge of NEWS of 77.2+7.2 (good). The majority of respondent were females (20/57.1%), had diploma education (20/57.1), and were at clinical competency level I (26/74.3%). In the NEWS score < 5, most respondent adhered to the protocol (21/60.0%), but the majority did not adhere to the protocol at the NEWS score ˃.6 (28/80.0%). A p-value of > 0.05 was obtained in the analysis of the relationship between age, education level, and work experience with protocol adherence on a NEWS score of ˃.6 Conclusion: The majority of respondent have not adhered to the NEWS ˃.6 protocol. There is a significant relationship between age, education level, work experience, and NEWS ˃.6 protocol adherence. There was no relationship between nurses' clinical competence and adherence to the NEWS protocol at either a score of < 5 or ˃.6. Further studies are needed to confirm the results of this study.
Serious adverse events and missed observations impact of limited resources of nurses based on national early warning score (NEWS) Sasmito, Priyo; Mulyati, Leli; Prasetya, Fika Indah; Bernadus, Janno Berty Bradly; Sumartini, Sri; Arifani, Nisa; Tafwidhah, Yuyun; Ulfah, Diana
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 4 (2024): Volume 7 Number 4
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i4.430

Abstract

Background: Since become an obligation for hospital, Early Warning System (EWS) are widely used. National Early Warning Score (NEWS) is common EWS adopted in Indonesia. There are not many studies evaluating the implementation of the in hospitals with limited resources in Indonesia. Purpose: To analyze the NEWS performance in the medical ward at one regional hospital in Serang District, Banten Province, Indonesia. Method: Observational analytic study with retrospective approach using NEWS observation sheet of 163 medical adult patients. NEWS's performance was assessed by analyzing the amount of observation that was not carried out in the first 24 hours of hospitalization according to hospital safety protocols. The observed outcome was the occurrence of serious adverse events (SAE), unplanned Intensive Care Unit (ICU) admission, and in-hospital mortality.  The data analyzed with Fisher Exact Test and Spearman Rho. Results: Participants' age mean of 48.2 years old (range 17-85). Most were male (87/53.4%) with a NEWS score of 0 in the first 24 hours of hospitalization (91/55.8%). Of 72 (44.2%) missed observation patients, 8 (4.9%) experienced SAE, 5 (3.1%) transferred to the ICU, and 3 (1.8%) died in the ward. There are significant relationship (p-value 0.001) between missed observation and the occurrence of SAE and unplanned ICU admission (p-value 0.015). There is no relationship between missed observation and in-hospital mortality. Conclusion: About forty percent of NEWS observation frequency in medical wards is still not under safety protocols that have been made by the hospital. Missed observation associated with SAE and unplanned ICU admission. Hospital stakeholders need to evaluate the implementation of NEWS in the hospital ward and take strategic action to increase its effectiveness.
Advanced cardiac life support in out-of-hospital cardiac arrest: A case study Sasmito, Priyo; Kosasih, Cecep Eli; Sumartini, Sri; Tafwidhah, Yuyun; Arifani, Nisa; Apparesya, Nabila Afifah; Kusuma, Widya Tresna; Amaliah, Lili
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 7 (2024): Volume 7 Number 7
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i7.619

Abstract

Background: Public Health Center (PHC), especially in rural areas, is one of the primary healthcare facilities that have an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients. Despite of limited facilities, prehospital resuscitation can be performed by optimizing the available emergency facilities and infrastructure. Purpose: To provide a comprehensive overview of the resuscitation management of OHCA patients at a PHC in East Java Province in Indonesia. Method: Case study of a 43-year-old woman who was brought to PHC by residents after suddenly losing consciousness while working. The clinical condition when the patient arrived was unresponsive, no pulse, no respiratory effort, cold extremities, and oxygen saturation of 80%, the patient was medically diagnosed as OHCA. Results: Resuscitation organization was carried out by involving 1 doctor, 2 nurses, and 1 midwife. The patient was given basic life support (BLS) and Advanced Cardiac Life Support (ACLS) by optimizing diagnostic tools, airway, breathing, circulation, and available drugs. The patient successfully Return of Spontaneous Circulation (ROSC) after the third cycle and successfully reached the referral hospital to receive further life support. Conclusion: ACLS in the prehospital setting at PHC in Indonesia has a potential to be performed. Inter-professional collaboration, airway, breathing, and circulation optimization in providing BLS and ACLS on OHCA patients can increase the patient's chance of getting further care in the hospital.
Co-Authors Ahmadi Ahmadi Amaliah, Lili Apparesya, Nabila Afifah Arifani, Nisa Bernadus, Janno Berty Bradly Cecep Eli Kosasih Diana Ulfah Elis, Andi Kusuma, Widya Tresna Liana, Delima Fajar Mahyarudin, Mahyarudin Maryam, Andi Maulana, Muhammad Ali Mita Mita, Mita Mulyati, Leli Najini, Robby Nera Umilia Purwanti, Nera Umilia Pramana, Yoga Prasetya , Fika Indah Prasetya, Fika Indah Rahmawati, Nadia Sasmito, Priyo Sri Sumartini Treesia Sujana