Jurnal Kegawatdaruratan Medis Indonesia

Effectiveness of Implementing Nursing Intervention Health Education About Triage on Patients' Families in The Emergency Room Hospital

2025-08-27T10:33:03+00:00

The Emergency Department is the leading health service in a hospital institution, providing initial assistance to patients based on the triage concept. A lack of understanding of the concept of triage is one of the factors that cause dissatisfaction with services in the Emergency Department. The research aims to determine the effect of health education about triage on the level of satisfaction of families who come to the Reksa Waluya Hospital Emergency Room. The research design used a quasi-experimental with a post-test only with a control group research design, which involved randomly dividing subjects into control and experimental groups. The total research sample was 50 respondents, with purposive sampling used. The instrument for this research is an educational satisfaction questionnaire sheet regarding triage. The study results showed that families' satisfaction in the ER at Reksa Waluya Hospital regarding triage in the control group was mainly quite satisfied (52%). In the experimental group, the majority were satisfied after being given health education about triage (56%). The results of the Mann-Whitney analysis obtained a significance value of 0.000 (p < 0.05), which shows that there is an influence of health education about triage on the level of satisfaction of patient families in the ER at Reksa Waluya Hospital, Mojokerto. The importance of providing health education for families and patients regarding the triage process can provide an overview and understanding, so that satisfaction with services can increase, avoid excessive complaints, and ensure that services in the emergency room will not be disrupted.

Communication, Information and Education (CIE) using Five Finger Labels to Reduce Anxiety of the Patient’s Family

2025-08-27T10:33:04+00:00

During the treatment process, anxiety could've been felt by the family that had their member treated in the hospital. This research is purposed for knowing the effect of Communication, Information, and Education (CIE) using five-finger labels on the level of anxiety of the patient's family in the emergency department. This research used quasi-experimental with pre-post test with a control group design. The sample in the research is the patient's family which is in the yellow zone of the emergency department counted 60 respondents, selected with purposive sampling. Instruments that were selected are the Anxiety questionnaire State Anxiety Inventory (S-AI) form Y. The results showed that in the experimental group, there was an increase in the number of mild anxiety levels from 53.3% to 80%, a decrease in the number of moderate anxiety levels from 43.3% to 20%, a decrease in the level of severe anxiety from 3.3% to 0%. In the control group, there was an increase in the number of mild anxiety levels from 53.3% to 60% and a decrease in moderate anxiety levels from 46.7% to 40%. The results of the Mann-Whitney statistical test obtained a significance value (p) of 0.010, which means that there was an effect of CIE using five-finger labels on the anxiety level of the patient's family in the emergency room. The results of this study are expected to be applied as an intervention in reducing the anxiety of the patient's family in the emergency room.

Application of Guided Imagery Therapy in Hypertension Patients at Kartini General Hospital Karanganyar

2025-08-27T10:33:06+00:00

Background: Guided imagery therapy is a technique that uses an individual's imagination with the specific aim of achieving control and relaxation. Relaxation can have a direct effect on bodily functions. The effects of relaxation include reducing muscle tension, improving concentration, lowering respiratory rate and pulse, as well as decreasing blood pressure. Objective: To determine the effectiveness of Guided Imagery therapy in reducing blood pressure among hypertensive patients at Kartini General Hospital Karanganyar. Methods: This study employed a descriptive case study approach, involving two hypertensive patients at Kartini General Hospital Karanganyar who had high blood pressure. The therapy was administered once daily for 20 minutes over a period of one day. Results: After undergoing Guided Imagery therapy for one day (one session of 20 minutes conducted in the afternoon), both respondents showed a reduction in blood pressure. Conclusion: Guided Imagery therapy has proven effective in helping to lower blood pressure among hypertensive patients and can be recommended as a management strategy for reducing blood pressure in hospital settings and the broader community.

Breast Care Interventions to Enhance Breast Milk Production in Post-Caesarean Mothers: A Study at Ir. Soekarno Hospital, Sukoharjo

2025-08-27T10:33:01+00:00

Background: Cesarean section is a surgical procedure involving incisions in the abdomen and uterus to deliver a baby. Breastfeeding obstacles that occur in post-section cesarean mothers are caused by surgical pain that affects the mother's comfort and can inhibit the pituitary glandula nerves that produce the hormone oxytocin, which plays a role in the breastfeeding process. Breast care refers to interventions aimed at facilitating breast milk production. These interventions can be beneficial both prenatally and postnatally. Objective: This study aims to describe the impact of breast care on breast milk flow in mothers who have undergone cesarean section at Ir. Soekarno Hospital, Sukoharjo District. Method: A descriptive case study approach was employed, involving two respondents. Pre-test and post-test assessments were conducted using an observation sheet to evaluate breast milk flow based on 10 specific indicators. Results: Both respondents exhibited suboptimal breast milk flow before breast care interventions. Following the interventions, both respondents demonstrated significant improvements, achieving optimal breast milk flow. Conclusion: The findings indicate a notable enhancement in breast milk flow among the respondents after receiving breast care, suggesting the efficacy of such interventions in supporting lactation.

The Implementation of Wound Care Education on Post-Cesarean Anxiety in Mothers at Ir. Soekarno Hospital Sukoharjo

2025-08-27T10:33:00+00:00

Background: Caesarean Section (CS) is an action to cut the continuity or connection of tissue with an incision to remove the baby and leave a scar from the incision. Anxiety experienced by post-cesarean mothers is usually related to new surgical wounds obtained in the patient's abdomen, what to do, and limited body movements due to the surgical wounds felt by the patient; these things can cause anxiety in caesarean patients. The proper management to reduce post-CS maternal anxiety is through education. Health education can increase maternal knowledge so mothers are more confident and ready to heal wounds. Objective: To determine the results of the implementation of wound care education on anxiety in post-cesarean mothers at Ir. Soekarno Hospital, Sukoharjo Regency. Method: An observational descriptive study with a case study method conducted on two post-cesarean maternal respondents who underwent wound care education to reduce anxiety, which was carried out in the first 12-24 hours post-cesarean until the 2nd day, with 10-15 minutes of assistance. Results: The anxiety scores of both respondents on the first day were at moderate anxiety, and on the second day, after the implementation of education, the anxiety score became mild anxiety. Conclusion: There was a decrease in anxiety after the implementation of wound care education.

Application of Distraction Watching Cartoons Animation to Reduce Anxiety Level During Injection in Preschool in The Children's HCU Room, Dr. Moewardi Hospital Surakarta

2025-08-27T01:00:50+00:00

Background: Anxiety experienced by preschoolers during hospitalization is an important problem; if not addressed, it can affect the growth and development process. Hospitalization can be a situation that is considered a crisis by the child. This situation arises because children are trying to adapt to a foreign environment, namely, hospitals, which can cause anxiety in children. One of the efforts to overcome anxiety can be done with distraction techniques, one of which is watching animated cartoon films. Objective: to find out the results before and after applying Distraction Watching Animated Cartoons in Reducing Anxiety Levels During Injection in Preschool in the Children's HCU Room of Dr. Moewardi Hospital, Surakarta. Methods: This study used a descriptive method with purposive random sampling and a HAR-S anxiety level measuring tool. Results: The results of the application of 2 respondents carried out for 1 time in 3 days, with a duration of 10 minutes, showed the effect of reducing anxiety in children. Conclusion: There were differences and changes in anxiety levels in the respondents during the application of distractions, such as watching animated cartoons, in reducing anxiety levels during injection.

The Application of Cold Compression to Reduce Pain Scale in Postoperative Fracture Patients at Kartini Regional General Hospital of Karanganyar

2025-08-27T10:32:58+00:00

Background: Fractures are a primary global health concern, with an estimated incidence of 440 million cases worldwide. The most commonly affected areas are the lower extremities (67%) and upper extremities (32%). Preliminary data from Kartini Karanganyar Regional General Hospital (RSUD) revealed a rising trend in fracture cases over the past three years: 309 patients in 2022, 428 in 2023, and 435 in 2024. Objective: This study aimed to evaluate the effectiveness of cold compression therapy in reducing pain levels among postoperative fracture patients at Kartini Karanganyar Hospital. Method: A case study design was employed for 2 respondent, with pain intensity measured before and after intervention using the Visual Analog Scale (VAS). Cold compresses were applied for 20 minutes over 2 days. Results: Both respondents showed reduced pain scale scores following the cold compress intervention. Conclusion: Applying cold compresses effectively reduces postoperative pain in fracture patients, supporting its use as a non-pharmacological pain management strategy.

Application of Head Up 30 Degree Positioning to Improve Oxygen Saturation in Stroke Patients in the Emergency Room of Pandan Arang Regional General Hospital Boyolali

2025-08-27T10:32:57+00:00

Background: Stroke is a brain disease that attacks the brain suddenly and causes impaired nerve function, caused by blockage of blood vessels and lack of oxygen in the blood to the brain. Poor blood flow in stroke patients results in hemodynamic disorders, including decreased oxygen saturation. One of the independent nursing actions to increase oxygen saturation is to give a 30-degree head-up position. Objective: To determine the results of applying a head-up position of 30 degrees in increasing oxygen saturation in stroke patients in the Emergency Room of Pandan Arang Boyolali Hospital. Methods: This research uses a descriptive method (case study). Results: Oxygen saturation before applying the head-up position, 30 degrees in both respondents, was included in the mild hypoxia category. After applying a head-up position of 30 degrees in both respondents, oxygen saturation was included in the normal category. Conclusion: There are differences in oxygen saturation results before and after applying the 30-degree head-up position in stroke patients.

The Application of Breastfeeding Technique Education on Breastfeeding Effectiveness in Post-Cesarean Section Mothers at Ir. Soekarno Regional Hospital, Sukoharjo

2025-08-28T01:38:55+00:00

Background: Cesarean section is a surgical procedure to deliver a baby by opening the maternal abdominal and uterine walls. One common problem following CS is difficulty in breastfeeding, which can interfere with breast milk stimulation. Proper breastfeeding technique, involving correct positioning of the mother and infant, is essential for successful breastfeeding. Objective: To determine the effect of breastfeeding technique education on breastfeeding effectiveness among post-CS mothers at Ir. Soekarno Regional Hospital, Sukoharjo Regency. Methods: The research design used is a descriptive case study. Results: From the results of the application of breastfeeding technique education for 2 days, it was shown that there was an increase in breastfeeding effectiveness. In Mrs. N, the effectiveness of breastfeeding with a value of 4 (effective enough breastfeeding) increased to a value of 8 (effective breastfeeding was good), while in Mrs. S the effectiveness of breastfeeding with a value of 5 (effectiveness of adequate breastfeeding) increased to a value of 9 (effective breastfeeding was good). Conclusion: There was an increase in breastfeeding effectiveness in mothers after applying breastfeeding education techniques for 2 days.

The Combination of Diabetic Foot Exercises and Warm Water Foot Soak for Unstable Blood Glucose Levels Nursing Problems in Elderly

2025-08-28T01:38:57+00:00

Diabetes mellitus is a vital health disease to pay attention to in the elderly population. When compared to individuals without diabetes, the older adult with DM loses muscle mass faster and has more comorbidities such as hypertension. Another common complication of diabetes is diabetic neuropathy, which causes tingling and numbness in the extremities. One method for managing diabetes is to combine diabetes foot exercises with a warm water foot soak. This study aimed to see how diabetic foot exercises and warm water foot soak affected blood glucose levels and foot sensitivity in the older adult with diabetes. This research was a case study, and the research subject was an older adult with diabetes mellitus. Random blood glucose levels and foot sensitivity were measured using a glucometer and monofilament test. Client’s average blood glucose levels decreased from 239.25 mg/dL to 235.75 mg/dL. Foot sensitivity points have increased from 8 points on the right foot and 7 points on the left foot to 9 points on the right foot and 8 points on the left foot. A combination of diabetic foot exercises and warm water foot soak can reduce blood glucose levels and increase the sensitivity of the feet of older adults with diabetes. The combination of these two therapies can be complementary to pharmacological therapy for older adults with diabetes.