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<![CDATA[An Application Pre-Conference and Post-Conference in Hospital: a Case Study ]]>
<![CDATA[Alfid Tri Afandi]]>;
<![CDATA[Nur Hasanatil Fauziah]]>;
<![CDATA[Nurfika Asmaningrum]]>;
<![CDATA[Sujarwanto]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.4
<![CDATA[Pre-conference and post-conference are part of implementing the Professional Nursing Care Model (MAKP) to improve the quality of nursing services in hospitals and minimize negligence or errors in nursing practice. Pre-conference and post-conference is the activity of the team leader and members of the nursing team in communicating related to nursing care given to patients during shift changes. In pre-conference and post-conference, the nurse in charge of care must plan daily activities for patients from admission to discharge from the hospital. However, implementation pre-conference and post-conference still need to be improved. This can affect the nursing care provided by nurses. This writing aims to describe pre-and post-conference activities during the COVID-19 pandemic, which students in the inpatient room carried out. This research uses the case study method. Implementation research results in pre-conference are in a suitable category, while post-conference results could be better. Therefore to optimize the implementation of pre-conference and post-conference, nurses need to improve their quality as Nurses in Charge of Caring (PPJA).]]>
<![CDATA[The Relationship Of Self-Esteem With Diabetes Distress In Type 2 Diabetes Mellitus Patients ]]>
<![CDATA[Enggal Hadi Kurniyawan]]>;
<![CDATA[Intan Faradela Ahmad]]>;
<![CDATA[Nur Widayati]]>;
<![CDATA[Emi Wuri Wuryaningsih]]>;
<![CDATA[Erti Ikhtiarini Dewi]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.13
<![CDATA[Living with diabetes can lead to various psychosocial problems that affect health and the ability to manage diabetes. Diabetes is a disease that must be managed every day by patients, causing increased stress. This study aimed to analyze the relationship between self-esteem and diabetes distress in patients with type 2 diabetes mellitus. This study used an analytical observational design with a cross-sectional method. The sample in this study was 84 type 2 DM patients. Sampling was carried out in this study using a non-probability sampling technique using consecutive sampling. Self-esteem is measured using the Rosenberg Self-Esteem Scale (RSES), while diabetes distress is measured using the Diabetes Distress Scale (DDS). Data analysis in this study used the Spearman rank (rs) statistical test. Respondents in this study had low self-esteem, as many as 51 people (60.7%). The diabetes distress respondents were in the moderate distress category, as many as 43 people (51%). Based on the results of the study, it was found that there was a significant relationship between self-esteem and diabetes distress in type 2 DM patients with a correlation value of -0.548, which means that the direction of the correlation is negative with moderate strength. This shows that the higher the self-esteem of type 2 DM patients, the lower the diabetes distress experienced. Nurses are expected to think about psychological aspects by providing counseling interventions to patients to increase self-esteem to reduce diabetes distress experienced by patients.]]>
<![CDATA[The Effectiveness of Audiovisual Media Health Education on Flood Disaster Preparedness in Elementary School Children ]]>
<![CDATA[Dinda Siswi]]>;
<![CDATA[Baskoro Setioputro]]>;
<![CDATA[Wantiyah]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.41
<![CDATA[Flood disaster preparedness is necessary to provide information to reduce the impact of the disaster on human life and surroundings. This research aims to analyze the effectiveness of health education about flood disaster preparedness students at elementary school students. This research used pre-experimental designs with one group pretest-postest design type. The Sample in this study involved 20 students in 5th grade obtained with total sampling. The research instrument utilized a flood disaster preparedness questionnaire. Before being given health education, most students' knowledge was in ready and almost ready categories, with seven students for each level (35%). The result of the post-test showed that students' knowledge levels were at a very ready category of as many as five people (25%), ready level of as many as five people (25%), and almost ready as many as eight people (40%). This study concludes that there were differences in students' knowledge before and after being given health education (p: 0.032, α: 0.05). This show that health education on flood disaster preparedness through audiovisual media effectively increases the knowledge students of in elementary school. Therefore, audiovisual-based education can be used as an alternative medium to provide health education for students.]]>
<![CDATA[Therapeutic Communication With Patients In The Emergency Room Hospital ]]>
<![CDATA[Nurul Mawaddah]]>;
<![CDATA[Wahyu Handrianto]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.43
<![CDATA[Emergency care causes patients fear and anxiety in the face of treatment, so it requires the nurse's therapeutic communication to manage anxiety. This study aims to determine the effectiveness of therapeutic communication in emergency patients who experience anxiety. The research design uses a pre-experimental research design with a one-group pre-test post-test design approach, and a total of 32 respondents with a simple random sampling technique. The results showed that all respondents experienced a decrease in anxiety after therapeutic communication. Therapeutic communication techniques often used are listening, giving open-ended questions, repeating, indicating acceptance, and providing information. Therapeutic communication with patients experiencing emergency conditions is necessary to provide the support patients need. Nurses' understanding of therapeutic communication techniques according to the patient's condition can improve the achievement of nursing care goals and increase the satisfaction of professional nursing services.]]>
<![CDATA[Application of Rheumatic Gymnastics Therapy to Address Acute Rheumatic Pain Nursing Problems in the Elderly at Nursing Home: A Case Study ]]>
<![CDATA[Efadatus Zakiyah]]>;
<![CDATA[Fahruddin Kurdi]]>;
<![CDATA[Hanny Rasni]]>;
<![CDATA[Syahroni Bahtiar]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.45
<![CDATA[Rheumatism in the elderly occurs due to swollen joints, inflammation or damage caused by damaged joints and tense muscles. These changes include the presence of disease that causes damage to cartilage, degenerative joints and nearby bones, and can cause inflammation of the inner lining of the joint. Complaints that are often felt by someone who has arthritis are pain in the limbs, inflammation of the joints, joint stiffness, joint sounds. The purpose of this scientific work is to overcome the application of rheumatic gymnastic therapy in dealing with acute pain in rheumatic clients. The research method used was a case study through a process of assessment to evaluation of nursing related to acute pain experienced by rheumatism sufferers and given therapeutic interventions by rheumatic gymnastics. Rheumatic gymnastics is an alternative treatment for the health of the elderly body and trains the ability of joint muscles so that they do not experience joint stiffness, rheumatic gymnastics also prevents degenerative growth in aging, facilitates adjustments in health. Therapy was given for 3 days with a duration of 15 minutes, analyzed to find a reduced time in 30 minutes which was carried out at least 2 times in 1 week. And these exercises are very effective and in accordance with the energy released by the elderly. Physical exercise time that is carried out for more than 30 minutes can cause fatigue in the elderly which can cause discomfort. The results of the evaluation of the use of rheumatic gymnastics in reducing the client's acute pain were that after 3 days the evaluation of the client said it was better and in accordance with the outcome criteria where there were complaints of decreased pain. Suggestions for future researchers are expected to be able to develop the theory used and other therapies to reduce client fatigue levels.]]>
<![CDATA[The Relationship Between Family Support And Rehospitality in Heart Failure Patients in Kemuning Room, Jombang Hospital ]]>
<![CDATA[Agus Subianto]]>;
<![CDATA[Fahruddin Kurdi]]>;
<![CDATA[Ahmad Nur Khoiri]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.47
<![CDATA[Congestive heart failure is a clinical problem that occurs in patients who have abnormalities, either hereditary or acquired in the structure and function of the heart, causing the development of a series of clinical symptoms of weakness and tightness as well as clinical signs of edema and crackles which result in hospitalization, poor quality of life, and shortened life expectancy. This study aims to determine the relationship between family support and re-hospitalization incidence in heart failure patients in the Kemuning room at Jombang Hospital. The research design used in this study is cross-sectional analytic. The population in this study were all heart failure patients in the Kemuning Room of the Jombang Hospital, with a total of 37 people. A sample of 33 respondents. The sampling technique used is purposive sampling. The research variable is family support and the dependent variable is the incidence of re-hospitalization in heart failure patients. which were analyzed using chi-square with α = 0.05. The results of this study indicated that the majority (60.6%) of respondents had good family support, numbering 20 people, and the majority (69.7%) of respondents who were re-hospitalized in patients with heart failure were up to six months, totaling 23 people. The analysis results obtained 0.000 <0.005, meaning there is a relationship between family support and the incidence of re-hospitalization in heart failure patients in the Kemuning room at Jombang Hospital. From this research, it is hoped that nurses can maximize the role of the family as one of the support systems in caring for congestive heart failure patients undergoing re-hospitalization.]]>
<![CDATA[Self-Empowerment And Coping Strategies In Type 2 Diabetes Mellitus Patients ]]>
<![CDATA[Enggal Hadi Kurniyawan]]>;
<![CDATA[Sofi Fitriyah Santoso]]>;
<![CDATA[Nur Widayati]]>;
<![CDATA[Erti Ikhtiarini Dewi]]>;
<![CDATA[Mulia Hakam]]>;
<![CDATA[Fitrio Deviantony]]>;
<![CDATA[Yeni Fitria]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.49
<![CDATA[Diabetes Mellitus is a chronic disease that can harm the body, both physically and psychologically (stress). DM patients will carry out adaptive coping strategies to properly manage treatment or therapy. The process of self-empowerment in people with type 2 diabetes mellitus will appear when they have information or knowledge about the disease so that it can influence the patient's self-skills for further treatment. This study aimed to analyze the relationship between self-empowerment and coping strategies in patients with type 2 diabetes mellitus. The design of this study was an analytical observational study using a cross-sectional method. The sampling technique used is consecutive sampling. The sample of this study was type 2 DM patients with 84 respondents. The instrument used in this study is the Diabetes Empowerment Scale-Long (DES-LF) questionnaire and the Cope Inventory questionnaire. Data were analyzed using the Spearman test. Self-empowerment and coping strategies in type 2 diabetes mellitus patients showed close to maximum results. In the results of the study, it was found that there was no significant relationship between self-empowerment and coping strategies in type 2 DM patients with p = 0.086. It means that other factors can influence coping strategies. Health services can educate patients about the importance of coping strategies for DM clients so that they can reduce the impact of DM disease]]>
<![CDATA[The Relationship Between Workload and Nurse Satisfaction During Pandemic in the Pendalungan Jember Area ]]>
<![CDATA[Alfid Tri Afandi]]>;
<![CDATA[Prestasianita Putri]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i2.52
<![CDATA[Workload is an analysis process of the time used by someone in completing a job task, a disproportionate workload will have an impact on stress and can have a negative impact, namely job dissatisfaction. Objectives in this study is to see how workload related to nursing satisfaction during a pandemic in the Pendaluangan Jember area. The research design is a cross-sectional correlation description, Spearman Rho data analysis, the total population of all practicing nurses is 115 nurses with the sampling technique using the Slovin formula with a margin of error of 5% so that 112 nurses are taken as a sample (simple random sampling). The results showed that there was no relationship between workload and nurse satisfaction at the Pendalungan Jember Hospital (p=0.067). The majority's workload assessment was moderate (50%) where out of 112 nurse respondents, the majority of 84 nurses had worked > 5 years (75%), while in terms of education, the majority of Vocational Nursing graduates were 82 nurses (73.2%). Hospitals can increase nurse satisfaction by providing workloads for nurses according to the clinical authority and competence of each nurse so that the nurse's workload becomes lighter and nurse satisfaction can increase.]]>
<![CDATA[The Program of All-Inclusive Care for the Elderly (PACE) in Improving Medical Surgical and Mental Health Care: a Literature Review ]]>
<![CDATA[Kushariyadi]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.53
<![CDATA[Models of care services for the elderly in terms of medical surgical care and mental health need to be improved. Elderly with disabilities are at high risk of adverse health outcomes, and the best model of care has yet to be determined. A good holistic care model to empower every individual in society to improve the quality of care needs to be recommended. For example, comprehensive health care programs such as the Program of All-Inclusive Care for the Elderly (PACE) for adults and the elderly. The research objective was to determine the effectiveness of PACE in improving medical-surgical care and mental health. The search strategy for English-language studies relevant to the topic was carried out using the ScienceDirect database, limited from 2011 to 2021. The keywords used were “PACE”, “Medical Surgical Treatment”, “Mental Health”, “elderly”. Article full text reviewed to select studies that fit the criteria. The inclusion criteria in this review are: the nursing service program model, namely PACE. The search used the keywords above with the ScienceDirect database that matched the inclusion criteria for only 7 articles. The PACE service model improves services in Medical Surgical and Mental Health care, and implement a collaborative care model using a comprehensive interdisciplinary team.]]>
<![CDATA[Guided Imagery Relaxation for Acute Pain in Pre-Operative Paralitic Ileus Patient: A Case Study ]]>
<![CDATA[Siti Nur Rofi'ah]]>;
<![CDATA[Mulia Hakam]]>;
<![CDATA[Murtaqib]]>;
<![CDATA[Mustakim]]>
<![CDATA[ Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023 ]]>
Publisher : <![CDATA[Al-Hijrah Indonesia ]]>
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DOI: 10.58545/jkmi.v2i1.62
<![CDATA[Patients with paralytic ileus generally have complaints of abdominal pain of uncertain duration. The pain that appears can get worse with anxiety about something being experienced, such as a surgical action plan. Feelings of anxiety can be a stressor and cause nursing problems in the form of anxiety. Guided imagery therapy is known to be a non-pharmacological therapy in dealing with pain and feelings of anxiety in preoperative patients. This study aims to analyze the administration of guided imagery relaxation therapy to the problem of acute preoperative pain in patients with paralytic ileus. The research method used in this study was a descriptive case study. The research was conducted for three days on one patient with preoperative paralytic ileus in the Mawar Room at RSD dr. Soebandi Jember. Guided imagery therapy is carried out twice daily for 20-30 minutes. The results obtained from this study were that after pain management was carried out with guided imagery therapy, the patient's pain level decreased from the NRS 6 scale to the NRS 5 scale, respiratory frequency 20x/minute, SpO2 96%, blood pressure 130/100 mm Hg, pulse rate 101x/minute. Reducing the pain scale results indicate that guided imagery therapy can be applied to treat pain and anxiety in preoperative patients to improve their condition. respiratory frequency 20x/minute, SpO2 96%, blood pressure 130/100 mmHg, pulse rate 101x/minute. Reducing the pain scale results indicate that guided imagery therapy can be applied to treat pain and anxiety in preoperative patients to improve their condition. respiratory frequency 20x/minute, SpO2 96%, blood pressure 130/100 mmHg, pulse rate 101x/minute. Reducing the pain scale results indicate that guided imagery therapy can be applied to treat pain and anxiety in preoperative patients to improve their condition.]]>
