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"Ketepatan aktivasi kode trauma dan tindakan keperawatan emergensi yang terstruktur merupakan salah satu faktor dalam keberhasilan penanganan pasien politrauma. Penanganan pasien politrauma yang segera dan terstruktur dapat menurunkan risiko perburukan kondisi pasien, menurunkan angka kecacatan dan menyelamatkan nyawa pasien. Ketidaktepatan penapisan pasien politrauma di triage disebabkan karena belum adanya instrumen penapisan dengan indikator yang sensitif dan spesifik. Selain itu, kompleksitas kondisi pasien politrauma menuntut adanya penanganan yang cepat, tepat, komprehensif, dan terstruktur. Oleh karena itu, penelitian ini bertujuan untuk mengembangkan instrumen skrining politrauma di triage yang sensitif dan spesifik serta melakukan restrukturisasi intervensi keperawatan emergensi untuk pasien trauma yang disebut ELLASI. Penelitian ini menggunakan metode sequential exploratory mixed method yang meliputi 3 tahap. Tahap I: pengembangan instrumen Skrining Politrauma Universitas Indonesia – Cipto Mangunkusumo (SPIC) melalui literature review, studi kualitatif, diskusi pakar (pannel expert), dan studi kuantitatif (pembuatan model skoring). Tahap II: uji nilai diagnostik instrumen SPIC dalam menapis politrauma dengan uji formulasi model skoring. Tahap III: uji efektivitas kombinasi instrumen SPIC+ELLASI dibandingkan SPIC+non ELLASI menggunakan randomized control trial (RCT) single blind. Penelitian ini menghasilkan instrumen SPIC yang sensitif (91%) dan telah mendapatkan HKI. Kombinasi instrumen SPIC dan ELLASI terbukti lebih efektif dalam meningkatkan waktu respons (p = 0,000), mencegah kondisi perburukan pasien (skor EWS p = 0,000), dan menjaga status metabolik pasien (pH p = 0,04; HCO3 p = 0,03) dibandingkan dengan kombinasi instrumen SPIC dan non ELLASI. SPIC dapat digunakan sebagai instrumen penapisan pasien politrauma di triage. Kombinasi SPIC dan ELLASI dapat meningkatkan luaran pasien.

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Code trauma activation and emergency nursing intervention are factors affecting the success of polytrauma patient management. These factors can help prevent deterioration and death. There is no instrument to screen polytrauma patients in triage. The complexity of polytrauma patients’ condition requires fast, correct, comprehensive and structured intervention. This study aims to develop a polytrauma screening instrument and standardized emergency nursing intervention called ELLASI. This study used a sequential exploratory mixed method, which consisted of 3 phases. Phase 1: To develop an instrument of Skrining Politrauma Universitas Indonesia – Cipto Mangunkusumo (SPIC) by using literature review, qualitative study, pannel expert, and quantitative. Phase 2: To test the diagnostic value of SPIC to screen polytrauma patients. Phase 3: To examine the effectiveness of SPIC and ELLASI in preventing deterioration, increasing response time, and maintaining the metabolic status of polytrauma patients using randomized control trials (RCT) single blind. This study produced SPIC with high sensitivity (91%). SPIC and ELLASI are effective in increasing response time (p = 0,000), preventing deterioration (EWS score p = 0,000), and maintaining metabolic status (pH p = 0,04; HCO3 p = 0,03) of polytrauma patients compare to SPIC and non ELLASI. SPIC can be used as a screening tool for polytrauma patients in Triage. SPIC and ELLASI can increase patients outcome."

"Treadmill merupakan salah satu tindakan untuk mengevaluasi kemampuan kapasitas fungsional jantung pada pasien Penyakit jantung koroner. Penelitian ini bertujuan mengetahui pengaruh terapi musik instrumentalia terhadap tekanan darah dan nadi pada pasien Penyakit Jantung Koroner saat fase recove1y pasca tindakan treadmill. Desain yang digunakan adalah quasi eksperimen dengan pre and post test with control group desaign dan pendekatan analitik komparatif numerik. Jumlah sampel 30 pasien (15 kelompok kontrol dan 15 kelompok intervensi). Analisis data menggunakan independent test, paired t test, chi square, ANOVA. Hasil penelitian pada uji independent test menunjukkan bahwa ada perbedaan yang bermakna pada tekanan darah sebelum dan setelah fase recove1y (nilai p= 0,0001). Faktor konfounding yang berpengaruh terhadap tekanan darah dan nadi adalah Diabetes melitus (p value < 0,05) menunjukkan bahwa variabel tersebut secara signifikan mempengaruhi waktu pengembalian tekanan darah dan nadi. Rekomendasi penelitian ini digunakan untuk intervensi keperawatan dalam membantu mengembalikan tekanan darah dan nadi seperti sebelum latihan setelah fase recovery.

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Treadmill is one of the treatment to evaluate the ability of the heart functional capacity in patients with coroner heart disease. This study aims to determine the effect of instrumental music therapy to blood pressure and pulse in coronmy heart disease patients during the recovery phase after treadmill. The design that used to is a quasi-experiment vvith pre and post test with control group desaign comparative numerical and analytical approaches. Total of sample are 30 patients (I 5 control group and 15 intervention group). Analysis of the data using independent test, paired t test, chi square, ANOVA.

The results of the research on independent test showed that there were significant differences in blood pressure, pulse, before and after the recovery phase in both groups (p value = 0.0001). Confounding factors influential to blood pressure and pulse are Diabetes mellitus (value p < 0, 05) indicates that the variables significantly influence the time of return of the time blood pressure and pulse. The recomendations of this study are used for nursing inten, entions un the formating decrease blood pressure and pulse before exercise after recovery phase."

"[ABSTRAKGangguan pada sistem endokrin merupakan masalah kesehatan yang cukup tinggi di Indonesia, khususnya Diabetes Melitus (DM) tipe 2 dengan prevalensinya mencapai 2,1% dari total penduduk, dengan 60% dari total prevalensi adalah kasus neuropati. Kadar glukosa darah yang tidak terkontrol menyebabkan tingginya kejadian komplikasi DM baik akut maupun kronis. Pencegahan komplikasi tersebut memerlukan penanganan yang tepat dari berbagai multidisiplin ilmu, salahsatunya adalah peran perawat ners spesialis medikal bedah kekhususan endokrin sebagai praktisi keperawaan untuk ikut memberikan asuhan melalui berbagai pendekatan teori keperawatan seperti penerapan model adaptasi Roy secara holistik menggunakan pengkajian perilaku dan stimulus sehingga tercapai perilaku adaptif. Selain itu penerapan praktek keperawatan berbasis pembuktian ilmiah (evidence based nursing) seperti senam kaki diabetes dapat menjadi acuan intervensi dalam mencegah terjadinya polineuropati dan komplikasi lanjut seperti ulkus diabetik. Sebagai agen pembaharu/inovator, perawat spesialis juga membuat inovasi tentang self health assesment dan booklet sahabat diabetes bagi para diabetesi untuk meningkatkan promosi kesehatan terhadap pengelolaan dan penatalaksanaan DM.

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ABSTRACTDisorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes., Disorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes.]"