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Zulkifli B Pomalango
Gorontalo State University

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Shock Index (SI) dan Modified Shock Index (MSI) sebagai Prediktor Outcome pada Pasien Gawat Darurat: Systematic Review Zulkifli B Pomalango
Jambura Nursing Journal Vol 2, No 2: July 2020
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v2i2.8463

Abstract

Shock Index dan Modified Shock Index merupakan parameter non invasif dapat digunakan dalam pemantauan status hemodinamika pasien untuk menilai hasil klinis dan memprediksi mortalitas pasien gawat darurat, sehingga dapat membantu penatalaksanaan pada waktu yang tepat terutama dalam pelaksanaan triase di departemen darurat. Penelitian ini bertujuan untuk mengetahui penggunaan parameter Shock Index dan Modified Shock Indeks dalam memprediksi hasil klinis pasien gawat darurat, mengetahui perbandingan penggunaan parameter Shock Index, Modified Shock Indeks dengan Tekanan Darah, Nadi untuk memprediksi hasil klinis pasien gawat darurat dan mengetahui hasil statistik penelitian tentang Shock Index dan Modified Shock Indeks sebagai parameter yang efektif untuk memprediksi hasil klinis pasien gawat darurat. Pencarian artikel jurnal menggunakan kerangka PICO (Population: Pasien gawat darurat, Intervention: parameter Shock Index dan Modified Shock Indeks, Comparison Intervention: Nadi, Tekanan Darah, Outcome: Parameter sederhana untuk mengidentifikasi kondisi pasien gawat darurat. Delapan artikel yang dianalisis dengan rentang waktu antara 2007-2017 (10 tahun), jumlah sampel ± 74.512. Hasilnya menunjukkan secara keseluruhan artikel menyebutkan bahwa Shock Index dan Modified Shock Indeks dapat dan mudah digunakan dalam memprediksi hasil klinis pasien gawat darurat. Shock Index dan Modified Shock Indeks signifikan berkorelasi dengan penanda resiko yang akurat, berupa kematian klinis pada pasien dengan kondisi darurat dan lebih baik dari pada tekanan darah dan detak jantung. Sehingga SI dan MSI dapat direkomendasikan sebagai paramater non invasif guna mendeteksi lebih awal status hemodinamik pasien dan dapat digunakan dalam triase pasien di ruang gawat darurat.
Factors Associated with Family Delays in Bringing Stroke Patients to Aloei Saboe Hospital, Gorontalo City Muhammad Isman Jusuf; Zulkifli B Pomalango; Ibrahim Suleman
Jambura Nursing Journal Vol 5, No 1: January 2023
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v5i1.17429

Abstract

Objective : Early arrival at the hospital for stroke patients provides the opportunity for fast and appropriate treatment, which is related to the success of treatment and improving patient clinical outcomes, while the clinical outcomes of stroke patients will get worse, if they do not get medical treatment quickly and precisely. Delay in handling the incidence of stroke, namely 83.9%, this was caused by delays in treatment at the prehospital stage. Purpose: To find out the factors associated with family delays in bringing stroke patients at Prof. Hospital. Dr. H. Aloei Saboe City of Gorontalo. Methods : Correlational analysis with cross sectional approach. The population in this study were the families of patients who cared for stroke patients at Prof. Hospital. Dr. H. Aloei Saboe Gorontalo City totaling 35 respondents, the sampling technique used purposive sampling technique. Results : There is a family empowerment system in optimizing prehospital management of stroke patients, which starts with identifying the factors that delay families bringing patients to health facilities, so that early treatment of patients can be carried out and can prevent disability and death. Conclusion : The three variables consisting of family knowledge, family attitudes and family support, are significantly positively related to delays in the patient's family bringing stroke patients to the Prof. Hospital Hospital. Dr. H. Aloei Saboe City of Gorontalo.
Relationship between Knowledge Level about Drug-Resistant TB (TB-RO) and Medication Compliance in Pulmonary TB Patients Zulkifli B Pomalango; Sitti Fatimah Meylandri Arsad; Nur Ayun R. Yusuf; Mihrawaty S Antu
Jambura Nursing Journal Vol 6, No 1: January 2024
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v6i1.23867

Abstract

Introduction: Drug-resistant tuberculosis (TB RO) is still a threat in TB control and is one of the main public health problems in many countries in the world. Globally in 2019, it is estimated that 3.3% of new TB patients and 17.7% of previously treated TB patients will be drug-resistant TB patients. Objective: To determine the relationship between the level of knowledge about Drug-Resistant TB (TB-RO) and the level of medication adherence in pulmonary TB patients. Method: This type of research is quantitative research with analytical observational methods using a cross sectional approach. The population in this study was TB sufferers who were undergoing treatment at the Limboto Community Health Center, totaling 70 respondents. The research technique used accidental sampling to obtain a sample of 35 respondents. Data analysis used the Fishers exact test with the knowledge level questionnaire instrument and MMS-8. Results: The results showed that 29 respondents had good knowledge and were compliant with taking medication, 4 respondents had poor knowledge and were compliant with taking medication, and 2 respondents had poor knowledge and were not compliant with taking medication. The statistical test results showed that p-Value = 0.025, which means less than (α = 0.05), indicating that there is a relationship between the level of knowledge about TB-RO and adherence to taking medication. Conclusion: The patient's lack of knowledge about the disease and the use of drugs for therapy results in the patient's lack of understanding of the therapy being undertaken, which causes patient non-compliance in using the medication.
Co-Authors Ibrahim Suleman Mihrawaty S Antu Muhammad Isman Jusuf Nur Ayun R. Yusuf Sitti Fatimah Meylandri Arsad