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All Journal Community Development Journal: Jurnal Pengabdian Masyarakat International Journal of Public Health Excellence (IJPHE)
Komariah, Elis
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Humanities Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : International Journal of Public Health Excellence (IJPHE)

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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.
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.
Co-Authors Aljufri, Salim Arifani, Nisa Deviana, Elina Endah Wahyuni Gayatri, Sri Wahyuni Kadewi, Ami Lestari, Popy Lumbatoruan, Astuti Maimunah, Ai Maya Sari Mulyati, Leli Munaya Fauziah Nurohmah, Endah Purwati, Nyimas Heny Rasmita, Dina Renhoran, Farida Sahureka, Marthine Sari, Denny Novita Mayang Sasmito, Priyo Setiawati, Dewi Nur Sri Sumartini Sulistiawati, Reni Syafridawita, Yetti Titin Sutini, Titin Zein, Jus Yuly Evi Zein