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Self-Cancer Care Management in Adults During COVID-19 Pandemic: A Literature Review Rischar Beny Riswanto; Nikma Alfi Rosida; Angga Miftakhul Nizar
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: The coronavirus disease of 2019 (COVID-19) is a particularly hazardous virus due to its rapid transmission. The spread of COVID-19 is so rapid that the WHO has labeled it a pandemic, and Indonesia has declared it a national catastrophe. The purpose of this essay was to summarize the management of cancer patient care during the COVID-19 epidemic. Methods: In this review, we used the PRISMA method and article sources from databases, including Scopus, Science Direct, SAGE, and CINAHL/EBSCO, from the years 2019 to 2020.. Inclusion criteria include research conducted in human, using nursing management strategies in cancer patients, and article written inEnglish and have been published in 2020. Exclusion criteria include research on non-human, articles that did not mention cancer care management during the COVID-19 epidemic, review and survey studies. Result: This review looked at 14 articles from different nations. Two studies used phone massage as an intervention, three studies used a combination of phone massage and phone call with smartphone technology, five studies used a video call to monitor cancer care management, one study used email or social media to monitor cancer care management, and three studies used web applications that are connected to the internet. Conclusion: In conclusion, our findings suggest that continuing anticancer treatment during the COVID-19 pandemic is safe and possible if appropriate and stringent infection control measures are implemented. In the future, more extensive research of COVID-19 infection in cancer patients may aid in the care of oncology patients

Effectiveness of Physical Exercise and Diet in Heart Failure Patients: A Literature Review Berna Detha Meilyana; Nikma Alfi Rosida; Ekwantoro Ekwantoro; Sutiyo Dani Saputro; Ratih Ayu Puspasari
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: Heart failure is a pathological condition in which the heart's organs no longer have the ability to pump blood to the ventricles and throughout the body. One of the leading causes of morbidity and mortality is heart failure. Functional capacity and patient quality of life are correlated in patients with heart failure. Exercise and diet can be used to increase functional capacity. This study aimed to identify the effectiveness of exercise and diet as treatment modalities to improve patient well-being and quality of life outcomes. Methods: This article employs the evidence-based practice of physical exercise (exercise) and a comprehensive diet for heart failure as part of a literature review methodology. Journal articles that meet the requirement of 12 were included in this article. While articles that are inappropriate or only abstract did not include in this study. Result: Twelve articles were included in the study. The suggested physical activity, such as walking, can be completed in 6 minutes or 30 minutes over a week, three times. And a 30-minute riding session is possible. The DASH diet is advised, and patients should receive the recommended amount of sodium (1500 mg/day). Conclusion: Physical exercise and a comprehensive diet that can be done well in heart failure patients can help patients reduce the risk of developing symptoms that can trigger the severity of heart failure. Moreover, patients can carry out daily activities and do their jobs well, and improve their quality of life.

Predictor Prognosis of Pediatric Septic Shock : Literature review Nikma Alfi Rosida; Suhendra Suhendra; Berna Detha Meilyana; Rischar Beny Riswanto
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: The unpredictability of body response to organ dysfunction needs an effective tool to predict the prognosis of shock septic. Early recognition and treatment of septic shock improved prognosis and reduced mortality, especially in pediatrics. This review aimed to identify the predictor of mortality in pediatric septic shock. Methods: We performed a literature review of the predictor of mortality in pediatric septic shock conducted between 2015 and 2020 in ProQuest, Google Scholar, PubMed, and Science Direct. We used keywords (predictor or predictive) and (septic shock or septic), and (prognostic or prognosis) and (pediatric or children). The study selection was using the Preferred Reporting Items for Systematic Review and Meta-Analysis PRISMA framework. Results: 944 articles identified in ProQuest, 720 articles in Science Direct, 339 articles in Google Scholar, and 67 in Pubmed. Equally, the total articles were 2,070 articles, and there were 414 duplicates. After review of the complete texts was performed for 35 potential studies. In the full-text review, we excluded review articles (n = 3), different populations (n=8), and of poor quality (n = 20). Eventually, four papers were reviewed in this study. We found PELOD, PELOD-2, PIM, PIM 2, PIM 3, PMODS, PRISM, PRISM-III, PRISM-IV, and pSOFA as a predictor of sepsis in pediatrics. Conclusion: In conclusion, pSOFA is a more accurate screening result for estimating the risk of death by being 10 times more sensitive and specific. However, adding biomarkers to pSOFA will improve the accuracy of the predictor prognosis of pediatric sepsis.

Factors Related to the Incidence of Hypertension in the Elderly Firman Prastiwi; Amin Aji Budiman; Nikma Alfi Rosida
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

The elderly will experience many physical and mental changes that can affect the incidence of hypertension. However, the results of several studies were different regarding what factors can affect elderly hypertension, so this can be used as a reference for further research. This study aims to determine what factors can influence the incidence of hypertension in the elderly at Panti Jompo Sabar Hati Banyuanyar. This study used a cross-sectional design with a sample of 84 elderly people at the Panti Jompo Sabar Hati Banyuanyar, Indonesia. The samples were collected using a total sampling technique. The tools used in this study were characteristic distribution instruments consisting of age, gender, family history, and lifestyle questionnaires consisting of histories of smoking and physical activity. The data analysis used was the chi-square test and multiple logistic regression tests. The results of the Chi Square test showed that there was no relationship between physical activity (p 0.418 and OR 1.600) and age (p 0.772 and OR 1.292) with the incidence of hypertension in the elderly. The results of the Chi Square test also showed that there was a significant relationship between gender (p 0.028 and OR 0.309), family history of hypertension (p 0.018 and OR 3.316), and history of smoking (p 0.045 and OR 3.061) with the incidence of elderly hypertension. In conclusion, there is a relationship between gender, family history, and smoking history with the incidence of hypertension in the elderly. However, there is no relationship between age and physical activity with the incidence of hypertension in the elderly. Abstrak: Lansia akan banyak mengalami berbagai perubahan pada fisik dan mental yang dapat berpengaruh terhadap kejadian hipertensi. Namun, hasil beberapa penelitian didapatkan berbeda terkait faktor apa saja yang dapat mempengaruhi hipertensi lansia sehingga hal ini dapat dijadikan acuan untuk penelitian lebih lanjut. Penelitian ini bertujuan untuk mengetahui factor apa saja yang dapat mempengaruhi kejadian hipertensi pada lansia di Panti Jompo Sabar Hati Banyuanyar. Penelitian ini menggunakan studi potong lintang dengan jumlah sampel 84 lansia di Panti Jompo Sabar Hati Banyuanyar, Indonesia. Sampel diambil dengan pendekatan teknik total sampling. Alat yang digunakan pada penelitian yaitu instrumen distribusi karakteristik terdiri dari usia,jenis kelamin, riwayat keluarga dan kuisioner gaya hidup yang terdiri dari riwayat merokok dan aktivitas fisik. Analisis data yang digunakan menggunakan uji chi-square dan uji regresi logistik berganda. Hasil uji Chi Square diperoleh tidak terdapat hubungan aktivitas fisik (p 0,418 dan OR 1,600) dan usia (p 0,772 dan OR 1,292) dengan kejadian hipertensi pada lansia. Hasil uji Chi Square juga menunjukan terdapat hubungan yang signifikan jenis kelamin (p 0,028 dan OR 0,309), riwayat keluarga hipertensi (p 0,018 dan OR 3,316), dan riwayat merokok (p 0,045 dan OR 3,061) dengan kejadian hipertensi lansia. Kesimpulannya terdapat hubungan jenis kelamin, riwayat keluaga dan riwayat merokok pada kejadian hipertensi lansia. Namun, tidak terdapat hubungan usia dan aktivitas fisik dengan kejadian hipertensi lansia.

Accuracy of ESI triage, qSOFA Score And Their Combinations As Predictor of Sepsis Prognosis Rosida, Nikma Alfi; Sardjono, Teguh Wahdju; Yuliatun, Laily
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

This study is to identify the combination of ESI, qSOFA and their combination as a predictor of sepsis prognosis. The research method was a retrospective study design. Out of a total of 2394 MRs of patients during that period, there were only 112 MRs met the inclusion criteria and then included in this study, consisting of 42 survival and 70 un-survival outcomes respectively. Among the un-survival group, there were 41 (58,6%) have ESI 1-2, and 29 (41.4%) ESI 3-5; also 21 (30%) qSOFA more than 2, and 49 (70%) qSOFA less than 2. The sensitivity of ESI to predict the unsurvive outcome was 71.4% and its specificity was 28.6%. Meanwhile, the sensitivity of qSOFA to predict the unsurvive outcome was 30% and its specificity was 85.7%. The use of a combination of both to predict the prognosis was not significantly increased (p more than 0.05). The sensitivity of the combination of ESI and qSOFA to predict the unsurvive outcome was 61.9% and its specificity was 52.9%. So, a low ESI-score seemed to be more relevant to predicting the risk of unsurvival outcome than a high qSOFA, but a low qSOFA is more relevant to predicting the risk of survival outcome than a high ESI-score. The combination of both does not significantly increase the accuracy of the prognosis-predictor. Abstrak: Penelitian ini bertujuan untuk mengidentifikasi kombinasi ESI, qSOFA dan kombinasinya sebagai prediktor prognosis sepsis. Metode penelitian yang digunakan adalah desain penelitian retrospektif untuk membandingkan akurasi ESI dengan qSOFA. Data yang digunakan adalah seluruh rekam medis pasien di RS Sumberglagah Mojokerto, Jawa Timur, Indonesia. Kriteria inklusi adalah rekam medis pasien berusia lebih dari 18 tahun, data lengkap meliputi tekanan darah, HR, RR, SaO2 dan kadar ESI pasien. Dari total 2394 MR pasien selama periode tersebut, hanya 112 MR yang memenuhi kriteria inklusi dan kemudian dimasukkan dalam penelitian ini, terdiri dari 42 hasil survival dan 70 unsurvival. Diantara kelompok unsurvival, ada 41 (58,6%) memiliki ESI 1-2, dan 29 (41,4%) ESI 3-5; juga 21 (30%) qSOFA 2, dan 49 (70%) qSOFA kurang dari 2. Sensitivitas ESI adalah 71,4% dan spesifisitasnya adalah 28,6% untuk memprediksi unsurvive outcome, sedangkan sensitivitas qSOFA adalah 30% dan spesifisitasnya 85,7%. Kombinasi keduanya untuk memprediksi prognosis tidak meningkat secara signifikan (p lebih dari 0,05). Sensitivitas kombinasi ESI dan qSOFA adalah 61,9% dan spesifisitasnya adalah 52,9%. Skor ESI rendah tampaknya lebih relevan untuk memprediksi risiko hasil yang tidak bertahan hidup daripada skor qSOFA tinggi, tetapi skor qSOFA rendah lebih relevan untuk memprediksi risiko hasil kelangsungan hidup daripada skor ESI tinggi. Kombinasi keduanya tidak secara signifikan meningkatkan akurasi prediktor prognosis.

Effect of back blow health education with demonstration method on mother's knowledge in first aid for choking children Muhamad Nur Rahmad; Sigit Yulianto; Nikma Alfi Rosida
Science Midwifery Vol 11 No 2 (2023): June: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i2.1253

Choking is an emergency condition that can occur at any age, especially in children and infants. This condition can make a person experience a blockage in the respiratory tract so that immediate help is needed because it can make the body experience hypoxia which can lead to death. One of the basic life support measures in first aid for choking patients in children and infants is the backblow method. The sooner victims are found and help is carried out, the survival will increase so that they avoid disability or death. The purpose of this study was to determine the effect of giving backblow education using the demonstration method on mothers' knowledge in first aid for choking children. The research method uses a quantitative method with a quasi-experimental research design - nonequivalent without control group design involving 34 respondents with consecutive sampling. Data were analyzed using SPSS with paired t test or t dependent. The results showed that the average knowledge score before the intervention was 12.68 with a standard deviation of 2.212 while the knowledge score after the intervention was 17.00 with a standard deviation of 1.891. The conclusion is that there is an effect of backblow education with the demonstration method on mother's knowledge in first aid for choking children.

Upaya Peningkatan Pengetahuan Lansia dengan Hipertensi dalam Menangani Kecemasan dengan Relaksasi Nafas Dalam Amin Aji Budiman; Firman Prastiwi; Nikma Alfi Rosida; Muhamad Nur Rahmad
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 8 (2023): Volume 6 No 8 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i8.10581

ABSTRAK Kemunduran fungsi fisik dan psikologis serta sosial terjadi secara bertahap pada lansia. Hipertensi merupakan penyakit kardiovaskuler yang banyak diderita lansia dan berangsur lama, sehingga menyebabkan kecemasan, terapi relaksasi nafas dalam secara tidak langsung akan mempengaruhi kecemasan yang dirasakan lansia. Pengabdian masyarakat ini bertujuan agar pengetahuan lansia meningkat dan mampu menangani kecemasan dengan menggunakan relaksasai nafas dalam. Pengadbian masyarakat ini menggunakan metode penyuluhan, latihan dan demonstrasi. Hasil pengukuran kepada 15 lansia yang diberikan edukasi relaksasi nafas dalam menunjukan pre test sebanyak 10 lansia (66%) mempunyai tingkat pengetahuan kurang dalam mengenai penanganan hipertensi. Setelah post test sebanyak 15 orang (100%) mempunyai tingkat pengetahuan baik. Relaksasi nafas dalam mampu menurunkan kecemasan pada lansia penderita hipertensi, dan latihan ini dapat dilaksanakan setiap hari untuk mengatasi kecemasan. Kata Kunci: Lansia, Hipertensi, Relaksasai Nafas Dalam, Kecemasan ABSTRACT Deterioration of physical and psychological and social functions occurs gradually in the elderly. Hypertension is a cardiovascular disease that many elderly suffer from and gradually take a long time, causing anxiety, deep breath relaxation therapy will indirectly affect the anxiety felt by the elderly. This community service aims to make the elderly able to handle anxiety by using deep breath relaxation. This community service uses counseling, training and demonstration methods. The measurement results of 15 elderly people who were given breath relaxation education showed that pre-test as many as 10 elderly (66%) had a level of knowledge less in handling hypertension. After the post test, 15 people (100%) had a good level of knowledge. deep breath relaxation can reduce anxiety in elderly people with hypertension, and this exercise can be done every day to overcome anxiety. Keywords: Elderly, Hypertension, Deep Breathing, Anxiety

Simulation of Basic Life Support (BLS) Training in Improving Self-Efficacy of Cardiac Arrest First Aid in Adolescents Home Mental Revolution WCS Nikma Alfi Rosida; Sutiyo Dani Saputro; Muhammad Nur Rahmad
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 11 (2023): Volume 6 No 11 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i11.11939

ABSTRACT Basic life support (BLS) is an indispensable skill in handling cardiac arrest. However, not everyone has BLS knowledge and skills. BLS skills can be taught to youth through simulations and training. Adolescents have the potential to provide first aid for cardiac arrest but still lack the confidence and skills to do so. This community service is to improve the ability of adolescents to provide first aid for cardiac arrest so that they can have a positive impact in handling emergencies. Community service activities were carried out 2 times. The first meeting was on December 23, 2022, which was attended by 20 teenagers, and the second meeting on December 30, 2022, which was attended by 17 teenagers. Used is pre-experiment with a one-group pretest-posttest design with lecture, demonstration, simulation, discussion and question and answer methods. The results of this study provide significant results regarding the effectiveness of BLS training simulations in increasing first aid self-efficacy for cardiac arrest in adolescents. Youth can learn actively and be involved in hands-on practice used simulation method, which provides real experience in basic life support. Keywords: Basic Life Support (BLS), Self-Efficacy, Cardiac Arrest, Adolescent Age

Pengaruh Media Disc triage assessment Terhadap triage skills pada Australasian Triage Scale (ATS) Nikma Alfi Rosida; Sutiyo Dani Saputro; Muhammad Nur Rahmad
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1196

Triage Australasian Triage Scale is a tool used by triage nurses in emergency departments to assess patient severity and provide priority services based on the severity of the patient's condition. This study aims to evaluate the effect of using learning tools in the form of visual aids in the form of Disc triage assessment as learning media in increasing understanding and accuracy in determining triage by students using ATS triage. The research method used is quasi-experimental. The research sample was 44 students with educational treatment using Disc triage assessment media. Measurements were carried out using a pre-test and post-test 1 month later which included accuracy in determining patient priorities using ATS. Data analysis was performed using the Wilcoxon test. Based on bivariate analysis, the p value is 0.000 (<0.05), which means that there is an influence of the Media Disc triage assessment on the Australasian Triage Scale (ATS) triage skills.

Peningkatan Kesiapan Masyarakat dalam Prehospital Care Kecelakaan Lalu Lintas dengan Menerapkan Basic First Aid Guide Anissa Cindy Nurul Afni; Nikma Alfi Rosida; Sutiyo Dani Saputro
Jurnal Peduli Masyarakat Vol 5 No 3 (2023): Jurnal Peduli Masyarakat: September 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i3.2092

Pre hospital care pada kecelakaan lalu lintas merupakan perawatan kecelakaan pra-rumah sakit untuk memberikan pertolongan pertama di luar rumah sakit. Dimulai dengan memeriksa kesadaran, pernapasan, perdarahan, trauma dan memberikan bantuan untuk mencegah cedera lebi lanjut atau ceder abaru. Rangkaian prehospital care DRCAB (Danger, Response, Compression, Airway, Breathing) dapat menggunakan basic first aid guide (PASTI ABC PAS) dan memastikan bahwa patah tulang dan perdarahan telang idtangani, memperhatikan cedera leher dan tulang belakang, jalur aman bagi penolong dan korban dalam proses evakuasi. Prehospital care dapat diajarkan kepada siapa saja sehingga mereka memiliki pengetahuan dan keterampilan untuk membantu korban kecelakaan lalu lintas secara memadai. Tujuan dari pengabdian ini adalah untuk meningkatkan kesiapan masyarakat dalam Prehospital Care Kecelakaan Lalu Lintas dengan menerapkan Basic Fisrt Aid Guide kepada 24 karang taruna di Desa Blimbing Kecamatan Gatak Sukoharjo melalui penyuluhan dengan metode ceramah. Evaluasi dilakukan melalui monitoring pengetahuan dan keterampilan karang taruna menggunakan kuwesioner dan lembar observasi basic first aid skills. Hasil dari kegiatan tersebut adalah peningkatan derajat kesehatan masyarakat dan kemandirian masyarakat dengan tolak ukur kesiapan pengetahuan dan keterampilan prehospital care kecelakaan lalu lintas. Hasil inisiatif menunjukkan bahwa kesesian karang taruna Desa Blimbing untuk mempersiapkan prehospital care kecelakaan lalu lintas meningkat hingga 100% dan dapat memberikan perawatan pra-rumah sakit dalam kecelakaan lalu lintas dnegan bantuan Basic First Aid Guide.

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