Nuzula Firdaus
Universitas Muhammadiyah Jakarta

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The Effect of Smoking on Oxygen Saturation Level of Patients Covid-19 Yusuf Dwiyanto; Muhammad Didin Wahyudin; Ria Mariatul Isnaani; Dedeh Ernawati; Doddy Firmansyah; Noviana Haryanti; Rita Erlina; Nuzula Firdaus; Ali Asman Harahap; Agus Purnama; Satriani H Gultom
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 11 No 02 (2021): Jurnal Ilmiah Ilmu Keperawatan Indonesia Volume 22 June 2021: Covid-19 disease,
Publisher : STIKIM Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.913 KB) | DOI: 10.33221/jiiki.v11i02.1094

Abstract

Background: The Novel Coronavirus (Covid-19) disease caused by SARS-COV2 was first discovered in Wuhan, China, December 2019. WHO has set Covid 19 to be a pandemic which has resulted in an increase in death rates worldwide. Covid-19 attacks the respiratory system which resembles pneumonia but has signs of a decrease in oxygen saturation. In Indonesia, many people, especially men, practice smoking, where smoking can cause respiratory system problems, but there is no sign of a decrease in oxygen saturation. Objectives: This study aims to determine the effect of smoking on oxygen saturation levels in Covid-19 patients. Methods: This type of research is an analytic study with a cross sectional design. Total population of 52 people, with inclusion and exclusion criteria. Results: This study shows that 21.2% of patients who smoke 6-12 cigarettes / day have oxygen saturation <75%, with the result p-value = 0.000, which means that there is an effect between smoking on decreasing oxygen saturation, with a 53-fold chance of covid patients. People who smoke can cause a decrease in oxygen saturation. Conclusion: Decrease in oxygen saturation in covid-19 patients, can be caused due to the toxicity of cigarettes smoked. In smokers who are confirmed Covid-19, there will be an worsening of oxygen supply in the blood, which is indicated by a decrease in oxygen saturation <75%.
Phase I Cardiac Rehabilitation In Patients With Coronary Heart Disease Yusup Dwiyanto; Kemala Desy; Muhammad Khalid Fredy; Nuzula Firdaus; Desi Luanda; Lusiana Lusiana; Agus Purnama
STRADA Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.793

Abstract

This literature study was made by analyzing retrospective minimal scientific articles published in 2010 to 2020 in Indonesian and English. Data obtained from the database includes pubmed, DOAJ, proquest and google scholar with the keywords cardiac rehabilitation, acute coronary syndrome, arrhythmia, acute myocardial infarction, mobilization, six minute walk test and physical exercise. The study results obtained were 8 articles that match the inclusion and exclusion criteria. The results of the study found that implementation of phase I cardiac rehabilitation in patients with CHD accompanied by dysrhythmias/arrhythmias can be recommended for rehabilitation after 12 hours post attack. Phase I cardiac rehabilitation measures begin with education and counseling, exercise or physical activity, breathing exercises, breathing muscle exercises, chest physiotherapy, breathing muscle stretching exercises, and gradual mobilization using the six minute walk test technique
E-Learning Post Stroke Rehabilitation: Systematic Review Yusup Dwiyanto; Desi Luanda; Muhammad Khalid Fredy; Nuzula Firdaus; Lusiana Lusiana; Kemala Desy; Yani sofiani
Journal of Global Research in Public Health Vol. 6 No. 1 (2021): June
Publisher : Program Studi Ilmu Kesehatan Masyarakat IIK Strada Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.864 KB) | DOI: 10.30994/jgrph.v6i1.298

Abstract

Background: Stroke is the biggest cause of death after heart attack and has an impact on disability that can reduce the quality of life. Disability due to stroke is the result of damage to motor, sensory and cognitive functions of the patient. For this reason, there is a need for rehabilitation that can repair the damage to this function. Rehabilitation in stroke patients can be combined with technological advances. This will have a good impact on the rehabilitation program for stroke patients. The purpose of this study was to provide knowledge about post-stroke rehabilitation programs using electronic learning programs. Methods: This research design uses a systematic review approach by collecting several articles from a data base published in 2011-2020. The article search was conducted by entering the keywords stroke rehabilitation audiovisual, stroke rehabilitation video, stroke rehabilitation system, and stroke rehabilitation telecommunications. Article searches have predefined inclusion and exclusion criteria. Inclusion criteria included patients diagnosed with stroke. The research design was a randomized control trial and experimental research. Exclusion criteria included stroke patients who were being hospitalized. Result: The results of a database search obtained 9,409 articles, from Pubmed 379 articles, Proquest 7,640 articles, and Google Scholar 1,390 articles. After sorting with predetermined criteria, 6 articles were found that matched. Conclusion: The conclusion in this study was that the post-stroke rehabilitation e-learning program gave significant results in improving motor, sensory and cognitive functions of patients in living their daily lives.
Penyuluhan Peran Kader dan Remaja dalam Pencegahan Penyakit Katastropik di Ragajaya Bogor Wati Jumaiyah; Rizki Nugraha Agung; Iyar Siswandi; Siti Hanifah; Dewi Purnawati; Abdu Rahim Kamil; Rinawati Rinawati; Nuzula Firdaus; Sulthan Dzahir al Hasbi; Bayu Triantono; Achmad Daffa Fawwaz
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13189

Abstract

ABSTRAK Penyakit tidak menular (PTM) merupakan penyakit katastropik yang dapat menimbulkan terjadinya peningkatan beban sosial ekonomi bagi penderita, keluarga maupun pemerintah, karena penanganannya membutuhkan waktu yang tidak sebentar, beberapa penyakit yang pada tingkat rumah tangga tergolong katastropik adalah Hipertensi, Diabetes Melitus (DM) dan Stroke. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberi pemahaman hingga pencegahan terhadap penyakit Katastropik pada Kader dan Remaja Ragajaya Bojong Gede, Bogor. Kegiatan pengabdian kepada masyarakat ini dilakukan melalui beberapa tahapan yaitu dimulai dengan penyuluhan, pemeriksaan deteksi dini faktor risiko PTM, konseling serta pelatihan Tekanan Darah dan Pengukuran Tinggi Badan. Pasca kegiatan ini diketahui telah terjadi peningkatan pengetahuan peserta terkait Penyakit Katastropik pada kader dan remaja RW 007 Ragajaya Bogor. Kegiatan Pelatihan penting dijalankan untuk dapat meningkatkan kesadaran masyarakat terhadap penyakit tidak menular melalui deteksi dini, early treatment serta mengendalikan faktor risiko sehingga dapat menurunkan tingkat kesakitan dan kematian. Kata Kunci: Pencegahan, Katastropik, Hipertensi, Diabetes, Stroke  ABSTRACT Non-communicable diseases (NCDs) are catastrophic diseases that can cause an increase in the socio-economic burden for sufferers, families and the government, because treatment requires a long time, some diseases that are classified as catastrophic at the household level are hypertension, diabetes mellitus (DM ) and Strokes. This community service activity aims to provide understanding and prevention of catastrophic diseases in Ragajaya Bojong Gede Cadres and Youth, Bogor. This community service activity is carried out through several stages, starting with counseling, early detection of NCD risk factors, counseling and training on Blood Pressure and Height Measurement. After this activity, it was discovered that there had been an increase in participants' knowledge regarding Catastrophic Diseases among cadres and teenagers of RW 007 Ragajaya Bogor. Training activities are important to carry out to increase public awareness of non-communicable diseases through early detection, early treatment and controlling risk factors so as to reduce morbidity and mortality rates. Keywords: Prevention, Catastrophe, Hypertension, Diabetes, Stroke
Penerapan Familiar Auditory Sensory Training (FAST) terhadap Tingkat Kesadaran Pada Pasien Stroke di Rumah Sakit Jakarta Nuzula Firdaus; Wati Jumaiyah; Ninik Yunitri; Rizky Agung Nugraha
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14152

Abstract

ABSTRACT Decreased consciousness in stroke patients can be caused by brain hypoxia due to blockage of blood vessels in ischemic strokes, while in hemorrhagic strokes, bleeding occurs in the brain accompanied by cerebral edema, increasing intracranial pressure (ICP) and causing narrowing of blood vessels and herniation of brain tissue. FAST sensory stimulation carried out by the family is more effective in influencing the patient's level of consciousness compared to stimulation carried out by nurses. FAST intervention, compared to other sensory stimulation, is a non-invasive method, with low risk, affordable cost, and simple in application, making it an attractive intervention and can be easily applied in patients with decreased consciousness. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. The characteristics of participants in the implementation of EBNP show that the majority are men (76.9%) with a high school education level (46.2%), Javanese ethnicity dominates (46.2%), and self-employed work dominates (53.8%). Participants' ages varied, with a mean of 53.1 years and a range of 42–67 years. The FAST intervention had a significant impact on patients' level of consciousness, with a mean increase from 10.1 to 11.6. These results show high statistical significance, and the implementation of FAST forms a standard operating procedure that can be adopted at PON hospitals. Keywords: Familiar Auditory Sensory Training (Fast), Level of Consciousness, Stroke Patients.    ABSTRAK Penurunan kesadaran pada pasien stroke dapat disebabkan oleh kondisi hipoksia otak akibat sumbatan pembuluh darah pada stroke iskemik, sedangkan pada stroke hemoragik, terjadi perdarahan di dalam otak yang disertai edema serebri, meningkatkan tekanan intrakranial (TIK) dan menyebabkan penyempitan pembuluh darah serta herniasi jaringan otak. Stimulasi sensori FAST yang dilakukan oleh keluarga lebih efektif dalam mempengaruhi tingkat kesadaran pasien dibandingkan dengan stimulasi yang dilakukan oleh perawat. Intervensi FAST, dibandingkan dengan stimulasi sensorik lainnya, merupakan metode non-invasif, dengan risiko rendah, biaya terjangkau, serta sederhana dalam aplikasinya, menjadikannya sebagai intervensi yang menarik dan dapat diterapkan dengan mudah pada pasien dengan penurunan kesadaran. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) digunakan untuk memahami dampak penerapan FAST terhadap tingkat kesadaran pasien stroke. Analisis data dalam penulisan ini menerapkan analisis data univariat untuk mengamati karakteristik demografi dan perubahan tingkat kesadaran pada setiap responden. Selanjutnya, uji statistik digunakan dengan uji paired t-test untuk mengevaluasi pengaruh tingkat kesadaran sebelum dan setelah penerapan Familiar Auditory Sensory Training, dengan tingkat signifikansi 0,05. Penulis menghitung jumlah responden menggunakan perangkat lunak G*Power Versi 3.1 (Kang, 2021) dengan total 11 responden. Karakteristik peserta dalam implementasi EBNP menunjukkan mayoritas adalah laki-laki (76,9%) dengan tingkat pendidikan SMA (46,2%), suku Jawa mendominasi (46,2%), dan pekerjaan wiraswasta mendominasi (53,8%). Usia peserta bervariasi, dengan rata-rata 53,1 tahun dan rentang 42-67 tahun. Intervensi FAST memberikan dampak signifikan pada tingkat kesadaran pasien, dengan peningkatan rata-rata dari 10,1 menjadi 11,6. Hasil ini menunjukkan signifikansi statistik yang tinggi, dan penerapan FAST membentuk standar operasional prosedur yang dapat diadopsi di RUMAH SAKIT JAKARTA . Kata Kunci: Familiar Auditory Sensory Training (Fast), Tingkat Kesadaran, Pasien Stroke