Jurnal Kegawatdaruratan Medis Indonesia

Impact of Occupational Stress and Fatigue on Menstrual Cycle Characteristics among Female Biddokkes Workers

2026-08-13T08:08:46+00:00

Background: Menstrual cycle irregularity is a reproductive health problem that may be influenced by occupational stress and work fatigue. Objective: This study examined the relationship between stress level and work fatigue with menstrual cycle regularity among female formal workers at Biddokkes Polda Jawa Timur. Methods: An analytical observational study with a cross-sectional design was conducted among 88 female former workers selected from a population of 100 workers. Stress, work fatigue, and menstrual cycle data were collected using structured questionnaires, including the Unimma Work Fatigue Instrument for fatigue assessment and PSS-10 for occupational stress. Data were analyzed using Spearman correlation. Results: Most respondents reported very severe stress (39.8%), severe work fatigue (44.3%), and irregular menstrual cycles (65.9%). Spearman's correlation analysis revealed strong, significant negative correlations between stress level (p < 0.001; r = -0.850) and work fatigue (p < 0.001; r = -0.870) and the menstrual cycle. Conclusion: Higher stress levels and work fatigue were significantly associated with menstrual cycle irregularity among female formal workers. Workplace stress management, fatigue control, and reproductive health monitoring are needed to protect female workers' health.

The Relationship Between Self Efficacy and Triage Response Time Attitudes of Anestesiology Students During Clinical Practice in The Emergency Department

2026-08-13T08:08:45+00:00

Background: Self-efficacy plays a crucial role in shaping students' attitudes and response speed during clinical practice in the Emergency Department (ED). Low self-efficacy can lead to suboptimal triage response-time attitudes, potentially compromising patient safety. Objective: This study aimed to examine the relationship between self-efficacy and triage response-time attitudes among Anesthesiology students at UNISA during clinical practice in the ED. Methods: A quantitative cross-sectional study was conducted involving 62 Anesthesiology students from the class of 2023 at UNISA who were undergoing clinical practice in the ED. Data were collected using a self-efficacy questionnaire (20 items) and a response time attitude questionnaire (15 items). Data analysis employed the Spearman Rank correlation test. Results: The majority of respondents demonstrated high (54.8%) and very high (45.2%) levels of self-efficacy. Response time attitudes were predominantly in the very good (58.1%) and good (41.9%) categories. Correlation analysis revealed a significant positive relationship (r = 0.795; p = 0.000). Conclusion: A strong relationship exists between self-efficacy and attitudes toward triage response time among Anesthesiology students during clinical practice in the ED. Higher self-efficacy is associated with better attitudes toward triage response time.

A Comparison of Motor Recovery After Spinal Anesthesia with and Without Fentanyl-Morphine Adjuvants

2026-08-13T08:08:43+00:00

Spinal anesthesia is a commonly used regional anesthesia technique in various surgical procedures. One important parameter following spinal anesthesia is motor block recovery. Shorter motor recovery duration may benefit patients by reducing side effects and enabling earlier mobilization. This study aimed to compare motor recovery time between spinal anesthesia without adjuvant and spinal anesthesia combined with fentanyl 25 μg and morphine 100 μg. This comparative analytic study used an observational approach with purposive sampling. A total of 84 respondents were divided into two groups: 42 patients received 0.5% bupivacaine 12.5 mg without adjuvant, and 42 patients received 0.5% bupivacaine 10 mg combined with fentanyl 25 μg and morphine 100 μg. Motor recovery time was measured from intrathecal injection to the achievement of a Bromage Score of 0. The mean motor recovery time in the non-adjuvant group was 164.95 ± 24.685 minutes, while the adjuvant group showed a shorter recovery time of 116.90 ± 17.177 minutes. Mann–Whitney analysis demonstrated a statistically significant difference between the two groups (p < 0.001). Spinal anesthesia combined with fentanyl and morphine was associated with faster motor recovery compared with spinal anesthesia without adjuvant.

Effectiveness of Chamomile Aromatherapy on Sleep Pattern Disturbances in Hypertensive Patients: A Case Study

2026-08-13T08:08:42+00:00

Background: Hypertension, or persistently high blood pressure, generally leads to a decline in sleep quality due to dizziness and reduced physical comfort. The sedative and anxiolytic properties of apigenin and the flavonoids found in chamomile aromatherapy help relax the body, making it a potential complementary therapy for addressing sleep disturbances in patients with hypertension. Objective: To describe the application of nursing care using chamomile aromatherapy for a patient with hypertension experiencing sleep disturbances. Methods: This study used a descriptive case study design on a patient with hypertension at Dr. R. Soedarsono Regional General Hospital for 3 days. The intervention was performed using a humidifier with 5-8 drops of chamomile essential oil diluted in 70-100 mL of water for 10-15 minutes. Daily sleep quality was assessed using the Pittsburgh Sleep Quality. Results: A significant improvement was observed as indicated by a decrease in the PSQI score from 12 to 5. The patient also appeared much more physically relaxed and to awaken less often at night. Conclusion: The study showed that chamomile aromatherapy effectively improved sleep quality in hypertensive patients. This method is worthy of recommendation as a safe complementary intervention to accompany conventional medical therapy.

Comparison of Animated Videos and E-Pocket Books Regarding Occupational Health and Safety Knowledge Among Anesthesia Nursing Students

2026-08-13T08:08:40+00:00

Background: Occupational Safety and Health (OSH) is a crucial aspect of anesthesiology practice. Anesthesia students need to understand OSH principles early, given their exposure to physical, chemical, biological, and ergonomic hazards in the workplace. The high number of workplace accidents in Indonesia (462,241 cases in 2024) highlights the need for effective learning media. Animated videos and e-pocket books are important because they provide engaging, flexible, and repeatable learning experiences that can improve students’ understanding of OSH. Objective: To determine the comparison of the effectiveness of creative video media and OHS e-pocket books on the level of knowledge among Anesthesiology Nursing students at Universitas Aisyiyah Yogyakarta. Methods: This quantitative study used a pre-experimental two-group pretest-posttest design involving 60 students divided into animation video and e-pocket book groups (30 respondents each). The instrument was a valid and reliable questionnaire, with 21 of 25 items declared valid (r > 0.361) and a Cronbach’s Alpha value of 0.883. Data were analyzed using the Wilcoxon Signed Rank Test and Mann-Whitney U Test. Results: The Mann-Whitney test result showed a p-value of 0.018, indicating a difference in effectiveness between the two media, with the e-pocket book being more effective than animated video in improving students’ OSH knowledge. Conclusion: There was a difference in effectiveness between animated video media and e-pocket books in improving OHS knowledge among Anesthesiology Nursing students at Universitas Aisyiyah Yogyakarta.

Fast Food Consumption and Menstrual Disorders among Adolescent Girls at SMAN 1 Godean, Sleman: A Cross-Sectional Study

2026-05-24T23:11:48+00:00

Background: Menstrual disorders represent a significant reproductive health issue among female adolescents and can be influenced by various factors, one of which is suspected to be unhealthy dietary habits, such as fast food consumption. Objective: This study aims to analyze the correlation between fast food consumption behavior and menstrual disorders among female adolescents at SMAN 1 Godean, Sleman Regency, Yogyakarta. Methods: This quantitative study employed an analytical observational design with a cross-sectional approach. The research population comprised 140 eleventh-grade female students, with a sample of 58 respondents (n = 58) selected using proportional stratified random sampling. Data were collected via questionnaires and analyzed using the Spearman Rank correlation test. Results: The majority of respondents exhibited a moderate level of fast-food consumption (63.8%) and experienced moderate menstrual disorders (65.5%). Statistical test results indicated no significant correlation between fast-food consumption behavior and menstrual disorders (p=0.539; r=−0.082). Conclusion: There is no significant correlation between fast food consumption behavior and menstrual disorders among female adolescents at SMAN 1 Godean. Nevertheless, as a preventive measure for reproductive health, students are advised to transition to a balanced nutritional diet by optimizing the Free Nutritious Meal (MBG) program at school. Implementing an MBG menu rich in iron and fiber could be a practical way to provide healthy food alternatives while also educating students to limit fast-food intake to support long-term health.

The Effect of 3D Animated Video Education on Knowledge of Postoperative Pain Management Among Anesthesiology Nursing Students at Universitas 'Aisyiyah Yogyakarta

2026-08-13T13:34:43+00:00

Postoperative pain is a common problem experienced by surgical patients and requires appropriate management to improve recovery and patient comfort. Therefore, anesthesiology nursing students need adequate knowledge regarding postoperative pain management before entering clinical practice. The use of innovative educational media, such as 3D animated videos, is expected to improve students’ understanding more effectively than conventional learning methods. This study aimed to determine the effect of 3D animated video education on the knowledge level of anesthesiology nursing students regarding postoperative pain management. This study employed a quantitative approach with a quasi–experimental pretest–posttest control group design. A total of 60 anesthesiology nursing students at Universitas Aisyiyah Yogyakarta participated in this study and were divided into an intervention group and a control group, with 30 respondents in each. Data were collected using a knowledge questionnaire and analyzed using the Wilcoxon Signed-Rank Test and the Mann–Whitney U Test. The results showed a significant increase in knowledge scores before and after the intervention in both groups (p = 0.000). Furthermore, the intervention group demonstrated significantly greater knowledge improvement than the control group (p = 0.000). It can be concluded that 3D animated video education is effective in improving students’ knowledge of postoperative pain management.

Effect of an Emergency Severity Index-Based Triage Video on Preparedness for Traffic Accident Emergencies

2026-08-13T16:02:04+00:00

Background: Traffic-related emergencies remain a major global public health concern, requiring healthcare professionals to perform rapid and accurate triage to optimize patient outcomes. Educational videos incorporating the Emergency Severity Index (ESI) have emerged as a promising instructional approach for improving disaster preparedness and triage competence among anesthesiology nursing students. Objective: This study aimed to evaluate the effectiveness of an ESI-based triage educational video in improving the preparedness of undergraduate anesthesiology nursing students to respond to traffic-related emergencies. Methods: A quasi-experimental study using a nonequivalent control group design was conducted with 68 undergraduate anesthesiology nursing students. Participants were allocated to either the intervention group (n = 34) or the control group (n = 34). Preparedness was assessed before and after the intervention using a questionnaire adapted from the LIPI–UNESCO/ISDR preparedness framework. Results: Before the intervention, 47.1% of participants demonstrated a moderate level of preparedness. Following the intervention, 97.1% achieved a high level of preparedness. The Wilcoxon signed-rank test demonstrated a significant improvement in preparedness scores after exposure to the ESI-based educational video (p < 0.001). In addition, the Mann–Whitney U test revealed significantly higher post-intervention preparedness scores in the intervention group than in the control group (p < 0.001). Conclusion: ESI-based triage educational videos significantly enhanced anesthesiology nursing students' preparedness to respond to traffic-related emergencies. These findings support integrating video-assisted learning into emergency nursing education as an effective strategy to strengthen preparedness and triage competencies.