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Analisa Kemampuan Perawat dalam Mengklasifikasi Pasien Cedera Kepala Berdasarkan Nilai Glasgow Coma Scale (GCS) Rizky Meilando
Citra Delima : Jurnal Ilmiah STIKES Citra Delima Bangka Belitung Vol 4 No 1 (2020): Citra Delima: Jurnal Ilmiah STIKES Citra Delima Bangka Belitung
Publisher : STIKES Citra Delima Bangka Belitung

Head injury is the leading cause of death, mortality and morbidity figures a head injury was nearly a third cause of death in patients with multitrauma in different countries especially Indonesia. Data on Hospitals Depati Hamzah City Pangkalpinang, in 2015 the total number events head injury by as much as 200 cases in the year 2016 total number events head injury as much as 262 cases, and in 2017 the amount of the total figures for the incidence of head injury as many as 197 cases. The purpose of this research is to analyze the ability of nurses in classifying patients of head injury based on the value of the GCS in IGD Hospitals Depati Hamzah City Pangkalpinang year 2018. Type of this research is descriptive research with qualitative approach. . The collection of data through in-depth interviews. Results of the study showed that nurses in hospitals IGD Depati Hamzah has quite a good knowledge, nurses take action in accordance with SOP (Standard Operational procedures), the nurse must be at least certified training BTCLS, and not There is supervision at IGD Hospitals Depati Hamzah City Pangkalpinang.This research is need for advice of delivery of dissemination of SOP to the clerk in the IGD so that all employees in the good doctor's or nurse's IGD know about it and the need for reactivation of the existing supervision systems at home sick, and need an increase in knowledge and Human resource through the addition quota BTCLS training.

Pengetahuan Dan Kecemasan Masyarakat Tentang Covid -19 Kgs Muhammad Faizal; Kristianus triaspodo; Rizky Meilando
Citra Delima : Jurnal Ilmiah STIKES Citra Delima Bangka Belitung Vol 5 No 1 (2021): Citra Delima : Jurnal Ilmiah STIKES Citra Delima Bangka Belitung
Publisher : STIKES Citra Delima Bangka Belitung

The continuous increase in COVID-19 data can cause public anxiety to increase. News circulating in society today, Covid-19 greatly affects their lives, this is what makes people anxious. This study finds out about people's knowledge and anxiety about COVID-19. This study uses an analytical survey method with a cross-sectional approach, the sample is taken from representatives of the people of Bangka Belitung who fill in the link totaling 275 people and the data is analyzed using the chi-square statistical test. The results of this study were 31.3% experienced anxiety, and there was a relationship between knowledge and anxiety as evidenced by the p-value of 0.00. In conclusion, there are many factors that cause anxiety, one of which is the news that is heard and seen by the public. Suggestions to be able to filter the news again with the knowledge possessed so that anxiety can be minimized.

Barriers and Challenges of End-of-Life Care Implementation in the Intensive Care Unit: Literature Review Rizky Meilando; Cecep Eli Kosasih; Etika Emaliyawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 1 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Aims: End-of-life care in ICU involves a wide range of staff from every discipline including nurses, who have a lot of interaction time with patients. Most of the patients in the intensive care room have unconscious characteristics and family acts as the holder of autonomy in decision making, so nurses must have competence and experience in caring for patients in the end-of-life phase. However, nurses feel many barriers and challenges in facing the end-of- life in the intensive care environment. This study aimed to identify barriers and challenges of end-of-life care implementation in the ICU Designs: This study used literature review that analyzes articles from five reputable databases such as Pubmed, Proquest, CINAHL, Science Direct, and Google Scholar with the publication year between 2010 - 2021. The keywords used are 'critical care', 'critical care nursing', 'intensive care unit', 'end-of-life care', 'barriers', and 'challenges' with the help of bolean operators 'OR' and 'AND', articles were selected in stages using PRISMA. From the results of 2,186 articles, only 11 articles were identified that met the inclusion and exclusion criteria. Results: The results of the review showed that some barriers of end-of-life care implementation in the ICU are lack of communication, lack of knowledge and training about end of life care, differences in religious and cultural backgrounds, medical team work in the ICU, patient and family factors, and environmental factors. Meanwhile, the challenges of end-of-life care in ICU are communication and decision making in end-of-life care and unrealistic family expectations. Conclusions: There are still many barriers and challenges identified on implementation of end-of-life care in intensive care units, mostly due to lack of knowledge and communication during end-of-life care. As a recommendation in improving end-of-life care services in the ICU, health service agencies need to increase knowledge and training of health workers about communication and end-of-life care in critical patients.

Pengaruh Abdominal Massage terhadap Penurunan Volume Residu Lambung Pasien Kritis di Intensive Care Unit Rosi Maryuni; Rizky Meilando; Sirli Agustiani
Jurnal Penelitian Perawat Profesional Vol 5 No 3 (2023): Agustus 2023, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v5i3.1661

Penggunaan ventilasi mekanis pada pasien kritis dapat meningkatkan volume residu lambung karena berkurangnya venus return akibat pemberian tekanan PEEP. Peningkatan volume residu lambung akan berdampak pada penundaan pemberian nutrisi dan harus diberikan secara adekuat untuk mempercepat proses penyembuhan. Terapi mandiri keperawatan adalah abdominal massage. Tujuan penelitian ini adalah untuk mengetahui pengaruh abdominal massage terhadap penurunan volume residu lambung pada pasien kritis. Penelitian ini menggunakan desain quasy eksperimen dengan pendekatan pretest dan posttest with control group. Populasi dalam penelitian ini adalah 131 pasien kritis. Sampel penelitian ini 9 responden pada masing masing kelompok yang dipilih dengan tekhnik purposive sampling. Jenis data yang dikumpulkan pada penelitian ini berdasarkan hasil observasi menggunakan intrumen dan data pasien di rekam medis. Analisa data menggunakan analisis univariat dan bivariat dengan uji paired t-test. Hasil penelitian menunjukan bahwa rata rata volume residu lambung pasien kritis setelah diberikan abdominal massage adalah 33,67 cc sedangkan volume residu lambung posttest kelompok kontrol adalah 39,44 cc. Hasil uji independen sampel-test didapatkan nilai p-value = 0,002 < 0,05, sehingga disimpulkan ada pengaruh abdominal massage terhadap penurunan volume residu lambung pasien kritis di Intensive Care Unit RSUD Dr. (H.C). Ir. Soekarno Provinsi Kepulauan Bangka Belitung Tahun 2022.

Analisa Kemampuan Perawat dalam Mengklasifikasi Pasien Cedera Kepala Berdasarkan Nilai Glasgow Coma Scale (GCS) Rizky Meilando
Citra Delima Scientific journal of Citra Internasional Institute Vol 4 No 1 (2020): Citra Delima: Jurnal Ilmiah STIKES Citra Delima Bangka Belitung
Publisher : Ilmiah Institut Citra Internasional

Head injury is the leading cause of death, mortality and morbidity figures a head injury was nearly a third cause of death in patients with multitrauma in different countries especially Indonesia. Data on Hospitals Depati Hamzah City Pangkalpinang, in 2015 the total number events head injury by as much as 200 cases in the year 2016 total number events head injury as much as 262 cases, and in 2017 the amount of the total figures for the incidence of head injury as many as 197 cases. The purpose of this research is to analyze the ability of nurses in classifying patients of head injury based on the value of the GCS in IGD Hospitals Depati Hamzah City Pangkalpinang year 2018. Type of this research is descriptive research with qualitative approach. . The collection of data through in-depth interviews. Results of the study showed that nurses in hospitals IGD Depati Hamzah has quite a good knowledge, nurses take action in accordance with SOP (Standard Operational procedures), the nurse must be at least certified training BTCLS, and not There is supervision at IGD Hospitals Depati Hamzah City Pangkalpinang.This research is need for advice of delivery of dissemination of SOP to the clerk in the IGD so that all employees in the good doctor's or nurse's IGD know about it and the need for reactivation of the existing supervision systems at home sick, and need an increase in knowledge and Human resource through the addition quota BTCLS training.

Pengetahuan Dan Kecemasan Masyarakat Tentang Covid -19 Kgs Muhammad Faizal; Kristianus triaspodo; Rizky Meilando
Citra Delima Scientific journal of Citra Internasional Institute Vol 5 No 1 (2021): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Ilmiah Institut Citra Internasional

The continuous increase in COVID-19 data can cause public anxiety to increase. News circulating in society today, Covid-19 greatly affects their lives, this is what makes people anxious. This study finds out about people's knowledge and anxiety about COVID-19. This study uses an analytical survey method with a cross-sectional approach, the sample is taken from representatives of the people of Bangka Belitung who fill in the link totaling 275 people and the data is analyzed using the chi-square statistical test. The results of this study were 31.3% experienced anxiety, and there was a relationship between knowledge and anxiety as evidenced by the p-value of 0.00. In conclusion, there are many factors that cause anxiety, one of which is the news that is heard and seen by the public. Suggestions to be able to filter the news again with the knowledge possessed so that anxiety can be minimized.

PERAN PERAWAT DALAM MELAKUKAN WEANING VENTILASI MEKANIK: LITERATURE REVIEW: The Role of Nurses in Weaning Mechanical Ventilation: Literature Review Rizky Meilando; Agustin; Yahya Endra Kristianto; Evi Nurjanah
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 5 (2023): JIKep | Oktober 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i5.1520

Pendahuluan : Perawat sebagai tenaga kesehatan yang paling banyak menghabiskan waktu bersama pasien memiliki peran penting untuk proses weaning pasien dari ventilasi mekanik. Perawat harus mengidentifikasi dengan cepat dan akurat tentang kemampuan pasien untuk dilakukan proses weaning, hal ini tentunya membutuhkan pengetahuan dan pengalaman perawat, sehingga perawat kritis membutuhkan pengetahuan dan pengalaman substansial untuk menangani pasien berventilasi. Tujuan: meningkatkan pengetahuan peneliti tentang peran perawat dalam melakukan weaning ventilasi mekanis. Metode: Tahapan yang dilakukan adalah identifikasi, skrining dan kriteria inklusi. PRISMA flowchart digunakan untuk menampilkan alur pencarian evidence. Hasil: terdapat 7 artikel yang didapatkan dari proses pencarian. Studi literature ini menunjukkan adanya peran yang sangat besar dari perawat kritis dalam hal proses weaning ventilasi mekanik, mulai dari menginisiasi proses weaning ventilasi mekanik dengan melakukan kolaboratif interdisiplin terutama dengan dokter, persiapan pasien dan keluarga (patient centered care) sampai dengan mengobservasi periode pelepasan ventilasi mekanik. Kesimpulan: Peran perawat dalam melakukan weaning ventilasi mekanik sangat besar. Peran utama perawat saat weaning adalah mengobservasi periode pelepasan awal berdasarkan kondisi pasien atau menganjurkan untuk menginisiasi program weaning. Karena pasien merupakan factor yang paling berpengaruh dalam keberhasilan weaning ventilasi mekanis sebanyak 85%.

Pengetahuan Dan Kecemasan Masyarakat Tentang Covid -19 Kgs Muhammad Faizal; Kristianus triaspodo; Rizky Meilando
Citra Delima Scientific journal of Citra Internasional Institute Vol. 5 No. 1 (2021): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v5i1.234

The continuous increase in COVID-19 data can cause public anxiety to increase. News circulating in society today, Covid-19 greatly affects their lives, this is what makes people anxious. This study finds out about people's knowledge and anxiety about COVID-19. This study uses an analytical survey method with a cross-sectional approach, the sample is taken from representatives of the people of Bangka Belitung who fill in the link totaling 275 people and the data is analyzed using the chi-square statistical test. The results of this study were 31.3% experienced anxiety, and there was a relationship between knowledge and anxiety as evidenced by the p-value of 0.00. In conclusion, there are many factors that cause anxiety, one of which is the news that is heard and seen by the public. Suggestions to be able to filter the news again with the knowledge possessed so that anxiety can be minimized.

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