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"schemic Heart Disease merupakan salah satu penyebab kematian paling umum di dunia dan frekuensinya terus meningkat setiap tahunnya. Hal ini menjadi tantangan yang besar bagi seorang Ners dalam pelayanan kesehatan di Indonesia. Praktik ilmu keperawatan yang berkualitas harus diimbangi dengan pembuktian secara Evidence Base Nursing (EBN) karena EBN bisa menjadi landasan dalam melaksanakan peran pemberi asuhan, pendidik, peneliti, dan innovator yang profesional. Praktik residensi telah memberikan pengalaman dan menambah pengetahuan residensi tentang keperawatan kardiovaskular. Penerapan teori Lydia Hall: Care, Core, dan Cure dilakukan oleh residensi pada 30 kasus resume dan satu kasus kelolaan yaitu pada pasien dengan STEMI. Peran peneliti telah dilakukan dengan menerapkan EBN tentang penerapan Slow Deep Breathing Relaxation Exercise (SDBRE) setelah chest tube removal pada pasien yang menjalani CABG di Ruang Intermediate Ward Bedah. Penerapan SDBRE didapatkan efektif dalam menurunkan nyeri setelah chest tube removal. Peran Inovasi dilakukan dengan menyusun protokol Munro Scale untuk mencegah kejadian Perioperative Related Pressure Injury pada pasien Bedah jantung. Munro Scale didapatkan mampu mendeteksi adanya resiko Pressure Injury, mudah dipahami oleh perawat, dan mudah dilaksanakan oleh perawat kamar bedah dalam perawatan. Namun sebaiknya follow up pengkajian Munro Scale dilakukan di ruangan ICU bedah, IW Bedah, dan Rawat Inap.

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Ischemic Heart Disease is one of the most common causes of death in the world and its frequency continues to increase every year. This is a big challenge for a nurse in health services in Indonesia. Quality nursing practice must be balanced with Evidence Based Nursing (EBN) evidence because EBN can be the basis for carrying out the role of professional caregivers, educators, researchers, and innovators. Residency practice has provided experience and increased residency knowledge about cardiovascular nursing. The application of Lydia Hall's theory: Care, Core, and Cure was carried out by residencies in 30 resume cases and one managed case, namely in patients with STEMI. The role of researchers has been carried out by applying EBN regarding the application of Slow Deep Breathing Relaxation Exercise (SDBRE) after chest tube removal in patients undergoing CABG in the Intermediate Ward of Surgery. The application of SDBRE was found to be effective in reducing pain after chest tube removal. The role of innovation is carried out by compiling the Munro Scale protocol to prevent Perioperative Related Pressure Injury in cardiac surgery patients. The Munro Scale was found to be able to detect the risk of Pressure Injury, easily understood by nurses, and easily implemented by operating room nurses in treatment. However, follow-up studies of the Munro Scale should be carried out in the surgical ICU, IW Surgery, and Inpatient rooms."

"Latihan fisik yang dilakukan secara aktif berdampak positif terhadap tingkat kemandirian dalam memenuhi ADL nya. Penelitian ini bertujuan mengetahui hubungan antara latihan fisik berdasarkan jenis, frekuensi, dan durasi tingkat kemandirian ADL. Jenis penelitian ini adalah deskriptif analitik melalui pendekatan cross sectional dengan jumlah sampel 103 lansia riwayat penyakit jantung. Tingkat kemandirian lansia diukur menggunakan Indeks kemandirian Katz yang sudah dimodifikasi.. Hasil dari penelitian ini, lansia yang melakukan jenis latihan fisik dalam katagori cukup baik ( 69,9%). Tingkat kemandirian melakukan ADL dalam katagori mandiri (96,8%), dengan nilai OR 2.79, α 0,00 dan 95% CI : 1.14-1.57, artinya ada hubungan antara jenis latihan fisik dengan kemandirian melakukan ADL, untuk frekuensi latihan fisik dalam katagori sangat baik (65,1%). Tingkat kemandirian ADL dalam katagori mandiri (89,5%), dengan nilai OR 1,47, α 0,00 dan 95% CI : 1.12-1.93, artinya ada hubungan antara frekuensi latihan fisik dengan kemandirian melakukan ADL pada lansia yang mempunyai riwayat penyakit jantung. Hasil penelitian ini merekomendasikan bagi lansia yang mempunyai penyakit jantung untuk melakukan latihan fisik secara teratur sehingga membantu meningkatkan kemandirian ADL lansia.

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Physical exercise is performed actively positive impact on the level of independence in fulfilling its ADL. This study aims to investigate the relationship between physical exercise based on the type, frequency, and duration of the level of independence of the ADL. This research is a descriptive cross sectional analytical approach with a sample of 103 elderly heart disease history. The level of independence of elderly Katz independence index is measured using a modified. The results of this study, elderly people who do this type of physical exercise in the category quite well (69.9%). Level of independence do ADL in the independent category (96.8%), with OR 2.79, α 0.00 and 95% CI: 1:14 to 1:57, meaning that there was a relationship between the type of physical exercise to perform ADL independence, to the frequency of physical exercise in the category very good (65.1%). ADL independence level in the category of independent (89.5%), with OR 1.47, α 0.00 and 95% CI: 1.12-1.93, which means that there is a relationship between the frequency of physical exercise to perform ADL independence in older people who have a history of disease heart. The results of this study recommend for the elderly who have heart disease to undertake regular physical exercise that helps increase the independence of elderly ADL."

"Practical, didactic format designed to deliver point-of-care information to practitioners of cardiology. Highly illustrated with schematics and useful clinical figures, this will be an essential reference to all outpatient cardiology procedures."