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All Journal International Journal of Public Health Excellence (IJPHE) Malahayati International Journal of Nursing and Health Science
Sasmito, Priyo
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Health Professions Medicine & Pharmacology Nursing Public Health

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The Effect of Sports Massage and Acupressure on Lactic Acid Levels, Physical and Psychological Fatigue, and the Effect on Nurse Performance Prasetya, Fika Indah; Hartono, Soetanto; Wahyuni, Endang Sri; Muhammad, Heryanto Nur; Tyas, Eka Suryaning; Sasmito, Priyo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.732

Abstract

Background: The increasing number of elderly service users in nursing homes and the small number of geriatric specialist nurses have made nurses who work in nursing homes vulnerable to burnout. Therefore, it's crucial to develop methods to anticipate and overcome burnout in geriatric nurses, particularly through non-pharmacological approaches. Purpose: The purpose of this study is to analyze the effect of sports massage and acupressure on lactic acid levels, physical and psychological fatigue, and nurse performance. Method: A quantitative research was carried out with a quasi-experimental approach. The study population comprised nurses working at the Tresna Wredha Social Institution (TWSI). The sample included 30 participants, selected through a total sampling technique, and divided into three groups. The collected data was analyzed using ANOVA. Results: A total of 30 nurses participated in the study. After receiving the intervention, the sports massage group showed the lowest lactic acid levels at 2.7 mmol/L, the lowest physical fatigue with an average value of 25.0, and the highest performance score with an average value of 135.0. The results of statistical calculations indicate a relationship between sports massage and acupressure with outcomes (lactic acid levels, physical and psychological fatigue, and nurse performance) with a p-value of less than 0.05. Additionally, the Pairwise Comparison test found that sports massage is more effective than acupressure in reducing lactic acid levels and physical and psychological fatigue. Conclusion: The study shows that sports massage and acupressure significantly decrease lactic acid levels and physical/psychological fatigue, and can improve the performance of nurses. Furthermore, sports massage is more effective than acupressure in achieving these outcomes.
The Effect of Abdominal Stretching, Yoga, and Dysmenorrhea Exercises on Prostaglandin Levels and Pain Tyas, Eka Suryaning; Hartono, Soetanto; Wahyuni, Endang Sri; Muhammad, Heryanto Nur; Prasetya, Fika Indah; Sasmito, Priyo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.734

Abstract

Introduction: Dysmenorrhea, or pain during menstruation, affects a high percentage of women of reproductive age. It can disrupt learning activities at school, cause a lack of concentration, and lead to frequent absences, ultimately decreasing the quality of life for young women. The purpose of this study was to analyze the effect of abdominal stretching, yoga, and dysmenorrhea exercises on prostaglandin levels and pain in school-age adolescents. Method: A quasi-experimental study with an experimental laboratory design was used, with pretest and posttest control groups. The sampling technique used was probability sampling with simple random sampling of 32 female students divided into four groups, with three groups receiving abdominal stretching, yoga therapy, and dysmenorrhea exercises, respectively, and one group serving as the control group. Data was analyzed using one-way ANOVA and the Kruskal-Wallis test. Results: The average prostaglandin levels after treatment were highest in the abdominal stretching group at 31.7 pg/mL and lowest in the dysmenorrhea group at 19.0 pg/mL. The difference in prostaglandin levels was highest in the dysmenorrhea exercise group at 42.5 pg/mL and lowest in the control group at 14.4 pg/mL. Most participants who experienced moderate pain before and after the intervention generally complained of mild pain. Conclusion: The study found a significant effect of abdominal stretching therapy, yoga therapy, and dysmenorrhea exercises on prostaglandin levels and pain. Dysmenorrhea exercises were found to be the most effective therapy in reducing prostaglandin levels and dysmenorrhea pain, compared to abdominal stretching and yoga therapy.
Public Health Center Emergency Referral Quality Analysis: Based on National Standard Sasmito, Priyo; Prasetya, Fika Indah; Yektiningtyastuti, Yektiningtyastuti; Rasmita, Dina; Amsyah, Ummul Khairi; Ahmadi, Ahmadi; Aljufri, Salim; Librianty, Nurfanida
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.757

Abstract

The referral quality will affect the outcome of referred patients. The quality of emergency referrals from the Public Health Center (PHC) in Banten Province has not been examined. This study aims to analyze the quality of emergency referrals from PHC and the factors that influence it. Observational analytics with a retrospective approach to a PHC in Banten Province, Indonesia. The reference data for March-May 2023 is taken consecutively. Data on the demographics of referrers and referral cases are recorded. The quality of referrals is analyzed using national personal referral standards. A total of 52 referral cases were involved in the study. Referrals were made by nurses with an average age of 28.2 years with a range of 23-43 years, men (38/73.1%), and with diploma education (30/57.7%). Most of the referring nurses have a valid Basic Life Support (BLS) certificate (46/88.5), are non-civil servants, and work for an average of 3.3 years. Most of the referred cases are surgical (28/53.8) and urgency cases (32/61.5). Forty-four referral cases (84.6%) did not meet national referral standards. The referring nurse's educational background and the urgency of the case had a significant relationship with the quality of referrals with p values < α values of 0.05 (0.000 and 0.000 respectively). There was no significant relationship between referral quality and patient/family satisfaction. Conclusion: Most PHC's emergency referrals to hospital emergency departments (ED) have not complied with national standards. There was a significant relationship between the education of the referring nurse and the level of urgency of the case with the quality of PHC referrals. There is no relationship between referral quality and patient/family satisfaction. National technical guidelines for individual referrals for emergency cases are needed.
A Systematic Review: Early Warning System for Hospital Wards Sasmito, Priyo; Aljufri, Salim; Mulyati, Leli; Rasmita, Dina; Syafridawita, Yetti; Deviana, Elina; Komariah, Elis; Gayatri, Sri Wahyuni; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.782

Abstract

Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant articles on Pub Med and Science Direct using the keyword "Early Warning Systems" in the 2018-2023 period. Out of 269 articles, only 12 articles that met the criteria. The selected articles are then systematically reviewed and analyzed. Based on the extraction results of 12 articles, 9 EWS were grouped into National Early Warning Score (NEWS) and its variants, Modified Early Warning Score (MEWS) and its variants, and EWS integrated with Electronic Medical Record (EMR). In choosing an EWS, hospitals must consider the complexity of the cases being managed and the capabilities of existing resources. The recommended EWS in hospital wards with limited resources is weighted EWS or EWS with combinations, such as NEWS and MEWS with variants. Meanwhile, hospitals that have used EMR can choose EWS integrated with EMR to increase their predictive value for SAE, as well as improve protocol compliance.
Introducing Jaga-rasa Jaga-tangga: A Community Program that Can Reduce Tuberculosis Stigma in Sleman, Indonesia Purwanti, Nunuk Sri; Ghofur, Abdul; Khairani, Wittin; Sasmito, Priyo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.829

Abstract

The low number of cases found compared to the incidence of Tuberculosis (TB) shows that the control of this disease becomes a serious problem. The stigma is suspected to be one of the obstacles to solving the TB problem in Indonesia. This study aims to analyze the ability of the Jaga-rasa Jaga-tangga program to decrease TB stigma in two Public Health Centers (PHCs) in Sleman Regency, Indonesia. This is a quasi-experimental study design with a control method. Both intervention and control groups get health education about TB stigma. The intervention group also gets an education about the Jaga rasa Jaga tangga (take care of your neighbors as well as take care of their feelings) program. The outcome measure was the TB stigma scale that measure before and after the intervention. Data were analyzed using paired t-tests and independent t-tests. 106 respondents were involved in this study divided into intervention and control groups. Age (p=0.006) and social status (p=0.015) are associated with TB stigma in the community. There were significant changes in the TB stigma scale after the intervention (paired =0.305; p=0.001). The Jaga-rasa Jaga-tangga program along with health education reduces TB stigma more effectively than health education only. Further studies are needed to confirm this result.
Influencing Factors on Nurses' Hand Washing Compliance Amalia, Linda; Sumartini, Sri; Sasmito, Priyo; Yulianingsih, Nengsih; Sutresna, Nina
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1002

Abstract

Poor hand washing of nurses and unhealthy hospital environments contribute to the occurrence of nosocomial infections. Nurses who do not wash their hands before and after the procedure can become an intermediary for infection in patients at the service site or hospital and spread various multi-resistant organisms. This research aims to identify nurses' hand washing compliance and related factors. A descriptive correlation design was conducted in a hospital in West Java. Data on nurse characteristics and hand washing compliance were taken using a five moments test questionnaire cross-sectionally among nurses using the total sampling method and analyzed univariately and bivariately using descriptive analysis and the chi square test. A total of 67 nurses were involved in this research, the majority of respondents were aged 25-35 years (43/64.2%), women (42/62.7%), had a bachelor's degree (36/53.8%), had worked less than 5 years (42/62.7%) , lack of knowledge (35/52.2%), and have a positive attitude (38/56.7%), generally do not comply with hand washing protocols (34/50.7%). The nurse's age is related to hand washing compliance (p 0.002 < α 0.05), while gender (p 0.242), education (p 0.534), length of work (p 0.874), knowledge (p 0.907), and attitude (p 0.397) have α value > 0.05. Nurses' hand washing compliance is still less than the target. Age is related to nurses' compliance in implementing hand hygiene. Meanwhile, gender, education, length of work, knowledge and attitudes are not related to nurse compliance. Efforts are needed to increase nurses' knowledge to increase nurses' compliance in washing hands.
Family and Peer Group Support Related to The Quality of Life of Thalassemic Adolescents in Outpatient Settings Komariah, Elis; Sutini, Titin; Fauziah, Munaya; Sasmito, Priyo; Sumartini, Sri
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1037

Abstract

Thalassemia in Indonesia is dominated by teens. Thalassemic adolescents often experience psychosocial problems. The role of family and peer group support in the quality of life of thalassemic adolescents is still inconclusive. This study aim to determine the association between family and peer group support on the quality of life of thalassemic adolescents in one government hospital in Jakarta, Indonesia. An analytical observational study with a cross-sectional approach on β-thalassemia sufferers aged 12-18 years who came to the Children's Polyclinic and intervention room in November-December 2023. Family and peer group support was measured using the Social Support Scale, while quality of life was measured using the validated Generic Pediatric Quality of Life Inventory Version 4.0 (PedsQL). The data obtained were analyzed using Chi-Square and logistic regression tests. Forty-three patients were involved in this study. The average age of respondents was 14.4 years (range 13.8 – 15.1), the average time of diagnosis was 9.49 years (range 8.0 – 11.0), the average hemoglobin (Hb) level was 9.2 gr/dl (range 8.7 – 9.6 gr/dl). The majority of respondents were male (65.1%), had low education (60.5%), and had a good adherence to iron chelation therapy (100%). The association between family and peer group support on quality of life obtained a p-value of 0.014 and 0.006 with an Odd Ratio (OR) of 4.976 and 7.333 respectively. There is a significant relationship between family and peer group support on the quality of life of thalassemic adolescents. It is recommended for health workers to improve the quality of life of thalassemic adolescents with a family and peer group support approach. Further studies are needed to confirm the results of this study.
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.
Prehospital and in-hospital factors that influence acute stroke management in the emergency department: A literature review Sasmito, Priyo; Sumartini, Sri; Prasetya, Fika Indah; Mulyati, Leli; Haryanti, Eka; Darmawardana, Arif; Amalia, Linda; Munandar, Ihsan Haris
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 6 (2024): Volume 7 Number 6
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i6.509

Abstract

Background: Effective emergency response plays a crucial role in ensuring patient safety, particularly in the management of acute stroke cases in Emergency Department (ED). Timely correct care is essential to mitigate adverse outcomes in stroke patient. Purpose: To investigates pre and in-hospital factors that influence acute stroke management in the ED. Method: A literature review method was employed to gather and analyze information from Scopus, Science Direct, and Google Scholar using the keyword stroke AND "Emergency Department" in the 2019-2024 period. As much as 333 articles are identified. A total of 10 articles that met the criteria were included in the study. The selected articles are then systematically reviewed and analyzed. Results: Factors that can affect prehospital delay consist of the use of Emergency Medical Services (EMS), patient characteristics, and geographical barriers. The factors that affect inhospital delay are communication with ED staff and ED officer knowledge. Conclusion: To improve the management of stroke patients, the participation of various parties is needed, not only within the hospital, but also the role of policy holders in the prehospital.
Co-Authors Abdul Ghofur Ahmadi Ahmadi Aljufri, Salim Amaliah, Lili Amsyah, Ummul Khairi Apparesya, Nabila Afifah Arifani, Nisa Bernadus, Janno Berty Bradly Cecep Eli Kosasih Darmawardana, Arif Deviana, Elina Diana Ulfah Elis, Andi Endang Sri Wahyuni Gayatri, Sri Wahyuni HARTONO, SOETANTO Haryanti, Eka Heryanto Nur Muhammad Hilda, Aril Joko Prasetyo Khairani, Wittin Komariah, Elis Kusuma, Widya Tresna Librianty, Nurfanida Linda Amalia Maryam, Andi Mukhofi, Lutfi Mulyati, Leli Munandar, Ihsan Haris Munaya Fauziah Nina Sutresna Nunuk Sri Purwanti Prasetya , Fika Indah Prasetya, Fika Indah R, Retno Pramudyaningtyas Rasmita, Dina Sri Sumartini Syafridawita, Yetti Tafwidhah, Yuyun Titin Sutini, Titin Treesia Sujana Tyas, Eka Suryaning Yektiningtyastuti Yektiningtyastuti Yulianingsih, Nengsih Yuly Peristiowati