Walafiat Hospital Journal is an open-access, scientific and peer-reviewed journal published by Ibnu Sina Hospital YW-UMI twice a year in June and December (E-ISSN: 2722-9017). Walafiat Hospital Journal accepts original research, Literature Reviews, Case Reports, Scientific Lectures, Book Reviews, and Letters of Editor in English, with the term and condition that they have not been published in another journal/website. Wal'afiat Hospital Journal, is a scientific platform dedicated to advancing understanding and knowledge in the field of health and medical care. The journal provides a platform for researchers, medical practitioners, and healthcare professionals to share the latest research results, clinical findings, and insightful views that contribute to the development of medical science. Wal'afiat Hospital Journal is committed to being a pioneer in providing access to relevant and high-quality cutting-edge medical information. In our endeavor to achieve this goal, we welcome scientific articles in a wide range of health disciplines, including, but not limited to, general medicine, surgery, cardiology, oncology, gynecology, and more. We also invite interdisciplinary research covering different aspects of health. Our commitment to quality is high, and every article we publish goes through a rigorous peer review process to ensure its scientific accuracy, reliability and relevance. We believe that by supporting collaboration between healthcare professionals, we can help drive positive change in the ever-changing healthcare sector. This journal has also become a member of CrossRef. Therefore, all articles published by this journal will have a unique DOI number. Informasi Jurnal Journal title : Walafiat Hospital Journal Initials : WHJ Abbreviation : WHJ Frequency : 2 issues per year (June and December) DOI : http://dx.doi.org/10.33096/whj Online ISSN : 2722-9017 Editor-in-chief : dr. Sidrah Darma, Sp.A Publisher : Rumah Sakit Ibnu Sina, Makassar Citation Analysis : Scopus | Sinta | Google Scholar Call for Papers We invite you to submit your manuscript to the Walafiat Hospital Journal. The manuscript is published in the six-monthly journal (April and October). Manuscripts submission deadlines: Vol. 4 No.2, December 2023, submission deadline: 1 November 2023 Vol. 5 No.1, June 2024, submission deadline: 1 May 2024 Vol. 5 No.2, December 2024, submission deadline: 1 November 2024 Vol. 6 No.1, June 2025, submission deadline: 1 May 2025 Walafiat Hospital Journal received articles in a high-impact original research paper, review paper, and case study, from both the result of research and theoretical study of Ethnomathematics that have never been published anywhere.
Manajemen Jalan Nafas dengan Kombinasi Chest Physiotherapy dan Terapi Oksienasi pada Pasien Pneumonia
Pneumonia is a lower respiratory tract infection that may cause secretion retention, crackles, tachypnea, and reduced oxygenation, requiring measurable airway clearance and oxygen support in the emergency department. This case report describes clinical improvement in a single case following a combination of Chest Physiotherapy (CPT) and oxygen therapy. The patient presented with dyspnea, productive cough, and fever. Baseline assessment showed crackles, thick sputum difficult to expectorate, RR 27–28 breaths/min, SpO₂ 93%, temperature 38°C, and chest X-ray infiltrates consistent with pneumonia. The primary nursing diagnosis supported ineffective airway clearance with the need for oxygenation support. Interventions included structured CPT (postural drainage, percussion/vibration, deep-breathing, and effective coughing) and oxygen via nasal cannula titrated to target saturation. Outcomes were assessed quantitatively at T0 (baseline), T1 (after one session, ~1–2 h), and T2 (~24 h): RR, SpO₂, lung sounds, sputum characteristics, dyspnea (Borg 0–10), accessory muscle use, and temperature. Gradual clinical improvement was observed (RR 27–28 to 22 breaths/min; SpO₂ 93% to 96%), with reduced crackles, easier sputum expectoration, decreased dyspnea, and lower temperature. Generalization is limited due to the single-case design and concurrent medical therapies.
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Manajemen Airway Dikombinasi dengan Hand Held Fan dan Deep Breathing Exercise terhadap Penurunan Sesak Nafas pada Pasien Efusi Pleura Bilateral
Pneumonia with bilateral pleural effusion may cause dyspnea due to reduced lung expansion and increased work of breathing. This case report describes clinical changes following an adjunct intervention package consisting of Airway management combined with a hand-held fan (HHF) and Deep breathing exercise (DBE) in the emergency department. A 35-year-old male presented with worsening dyspnea accompanied by chest pain and productive cough; baseline assessment showed a respiratory rate of 28 breaths/min and SpO₂ of 91%, and supplemental oxygen was administered as prescribed. The sequential intervention package (total ~5 minutes) included Airway management (semi-Fowler positioning, breathing-control education, and effective coughing/huff cough), HHF directed to the face at a distance of approximately 15–20 cm for ~2 minutes, and DBE for 5–10 repetitions (inhalation 2–3 s, hold 1–2 s, slow exhalation 4–6 s). Outcomes were assessed by comparing respiratory rate and SpO₂ at baseline and immediately after completing the package (~1 minute after DBE), along with the patient’s subjective dyspnea report. The patient reported reduced dyspnea, with respiratory rate decreasing to 22 breaths/min and SpO₂ increasing to 96%. Conclusion: the Airway-management plus HHF and DBE package was followed by clinical improvement in this case; however, generalizability is limited by the single-case design without control, lack of stage-by-stage measurements, absence of a standardized dyspnea scale, and potential confounding from concurrent medical therapies.
Analisis Interaksi Obat pada Pasien Hipertensi di Posyandu Lansia Lembaga Kartini Surya Khatulistiwa Tanjung Hilir
Polypharmacy of drugs in elderly hypertensive patients cannot be avoided because the elderly have several diseases other than hypertension. Polypharmacy administration of drugs can increase the potential for drug interactions to occur at a major, moderate or minor level, as well as occur in the pharmacodynamic or pharmacokinetic phase. One way that can be done to reduce these risks is by administering the right medication and minimizing the administration of polypharmacy for hypertensive patients. The research to analyze interactions between drugs, classify antihypertensive drugs, describe the percentage of drug interactions, and the severity of drug interactions given to elderly hypertensive posyandu patients at the Kartini Surya Khatulistiwa Tanjung Hilir Society. Observational with a descriptive model of the cross-sectional study. The sample used in this study is 36 hypertensive patients at the Posyandu Lansia Lembaga Kartini Surya Khatulistiwa Tanjung 2019. This research was conducted from March-April 2021. Samples are selected using Consecutive Sampling (nonprobability sampling). 79 cases interaction drug of hypertension patients in Posyandu Lansia Lembaga Kartini Surya Khatulistiwa Tanjung Hilir Drug interactions that occurred moderate level were 47 cases (59%) and pharmacodynamic stage in 71 cases (90%).
Analisis Metrik Sigma Serum Kontrol Komersial Glukosa dan Trigliserida Berdasarkan Variasi Lama Waktu Penyimpanan
Pengendalian mutu laboratorium dilakukan untuk evaluasi suatu proses pengujian untuk meminimalisir serta mencegah kesalahan dan penyimpangan sebelum hasil laboratorium diberikan kepada dokter atau pasien. Kendali mutu membutuhkan bahan kontrol untuk memonitor akurasi suatu metode pemeriksaan yang disebut bahan kontrol. Penyimpanan bahan kontrol haruslah sesuai panduan penyimpanan jika tidak maka akan mempengaruhi stabilitas bahan kontrol. Tujuan penelitian ini yaitu untuk mengetahui kinerja dari bahan kontrol jika dilakukan penyimpanan serum kontrol berdasarkan variasi lama penyimpanan. Metode penelitian yang digunakan yaitu kuantitatif menggunakan desain non randomized group pretest and postest design dengan jumlah kelompok kontrol 30 dan kelompok perlakuan 60 satuan percobaan yang kemudian dianalisis menggunakan rumus persamaan SD, Bias, dan Tea untuk mendapatkan nilai metrik sigma dan DPMO. Hasil metrik sigma pada parameter glukosa kelompok 0, 6, dan 8.5 jam berturut-turut (3,43; 4,64; 2,56) dengan DPMO pemeriksaan (32.263,7; 4.089,6; 201.872) dan parameter trigliserida kelompok 0, 6, dan 8.5 jam berturut-turut (3,06; 3,26; 2,67) dengan DPMO pemeriksaan (9.845,4; 21.963; 228.404).
Hubungan Lama Hemodialisis Dengan Kejadian Pruritus Pada Pasien Yang Mengalami Gagal Ginjal Kronik Di RS. Ibnu Sina Makassar Periode 2024
Chronic Kidney Disease (CKD) has become a global health problem and hemodialysis is one of the most widely used treatment therapies. Pruritus is one of the complications in hemodialysis patients. to determine the relationship between the duration of hemodialysis with the incidence of Pruritus in patients with chronic renal failure at Ibnu Sina Hospital Makassar period 2024. This study used an analytic observational method with cross sectional approach design. The population of all patients undergoing CKD who underwent hemodialysis amounted to 20 people. Data were analyzed by Kruskal-Wallis test. There is a significant relationship between the duration of hemodialysis with the incidence of Pruritus in CKD patients with a p value of 0.033. This value means p less than 0.05, which is then H1 is accepted. There is a significant relationship between duration of hemodialysis with the incidence of Pruritus in CKD patients at Ibnu Sina Hospital Makassar Period 2024.
Faktor yang Berhubungan dengan Lokasi Osteoarthritis Genue pada Pasien Usia Lanjut di RS Ibnu Sina Tahun 2021-2024
Factors Associated with the Location of Osteoarthritis Genue in Elderly Patients at Ibnu Sina Hospital in 2021-2024. Osteoarthritis is a common form of arthritis in geriatric populations that can cause damage to the bones and their surroundings. There are several things that are risk factors for Osteoarthritis. This study aims to make observations related to factors that can affect the occurrence of Osteoarthritis in the elderly, the data used is the patient's medical records recorded in the hospital. This study uses the cross-sectional study method. Univariate or characteristic analysis uses frequency distribution analysis and bivariate analysis or analysis of relationships between variables using the chi-square test. The results of the study showed that there was an effect of disease history on the risk of osteoarthritis in the elderly. Hypertension is one of the risk factors that can increase the incidence of osteoarthritis, especially in men, this is related to the activity of endogenous receptors (AR) in the Renin-angiotensin-aldosterone system.
Penerapan Slow Deep Breathing Terhadap Penurunan Tingkat Nyeri Pada Pasien Hipertensi Di IGD Rs Ibnu Sina YW.UMI Makassar
Hypertension is a chronic condition characterized by increased blood pressure in the arteries, which can disrupt the supply of oxygen and nutrients to body tissues. One nursing intervention for pain management in hypertensive patients is the slow deep breathing (SDB) technique. This technique can reduce pain intensity, stabilize heart rate and blood pressure, alleviate muscle tension, and improve patient well-being. This study aims to evaluate the effectiveness of SDB in reducing pain levels among hypertensive patients in the Emergency Department of RS Ibnu Sina YW.UMI Makassar. The implementation of this nursing intervention showed significant results, with a reduction in patients' pain levels from moderate (NRS 6) to mild (NRS 4), leading to a decrease in headache complaints. These findings indicate that SDB is an effective and efficient method for alleviating pain in hypertensive patients, making it a practical and applicable non-pharmacological intervention in healthcare settings.
Penerapan Terapi Guided Imagery Pada Tn. A Terhadap Penurunan Skala Nyeri Pada Pasien Gastritis Di Rs Ibnu Sina Makassar
Gastritis is one of the most common digestive disorders, often referred to as heartburn. This condition is characterized by inflammation of the gastric mucosa due to irritation or infection, which can lead to stomach damage if it persists. Gastritis is typically diagnosed based on clinical symptoms without histopathological examination. One non-pharmacological approach to alleviating pain caused by gastritis is Guided Imagery, a relaxation technique involving guided imagination to create positive mental images perceived by various senses. This technique aims to provide a calming effect and help reduce pain perception. This study aimed to evaluate the effectiveness of Guided Imagery in reducing pain intensity among patients with gastritis. The implementation of Guided Imagery was carried out as part of nursing interventions for patients with gastritis. The results showed that this technique effectively reduced pain levels, as indicated by a decrease in pain intensity and a reduction in expressions of discomfort, such as the absence of grimacing. Additionally, patients reported feeling more relaxed and comfortable after the therapy. In conclusion, Guided Imagery has proven to be an effective non-pharmacological method for reducing pain in gastritis patients. Given its benefits, this therapy can be recommended as part of a holistic approach to pain management for gastritis patients, particularly for those seeking to avoid or complement pharmacological treatments.
Analisis Biaya Berdasarkan Unit Cost pada Instalasi Rawat Inap
Cost analysis serves as a critical tool for hospital management in evaluating the efficiency of resource utilization. One commonly employed method is unit cost analysis, which supports the assessment of service production processes, determination of break-even points, and formulation of strategic decisions related to service volume and cost control. This study aimed to analyze fixed costs, fixed operational (semi-variable) costs, variable operational costs, total costs, and unit costs in the Inpatient Unit of a Private Hospital in Makassar in 2023. This research adopted an operational research design with a descriptive quantitative approach. The population comprised all financial transactions at the hospital in 2023, with the sample including all transactions associated with inpatient services. The findings showed that the fixed cost amounted to IDR 5,216,229,922, fixed operational cost to IDR 2,811,580,099, and variable operational cost to IDR 3,727,281,560. Total costs, calculated using three different approaches, were IDR 2,915,361,139 (Total Cost I), IDR 1,136,844,781 (Total Cost II), and IDR 650,882,586 (Total Cost III). Unit costs based on the double distribution method were identified as follows: Super VIP – IDR 1,087,677; VIP – IDR 870,775; Class 1 – IDR 654,674; Class 2 – IDR 532,583; and Class 3 – IDR 330,577. The results indicated that unit costs exceeding service tariffs posed a risk of financial loss. Therefore, the study recommends the application of the Activity-Based Costing (ABC) method, the implementation of clinical pathways, and the development of superior service units. Hospitals are encouraged to conduct periodic unit cost analyses and to establish service tariffs rationally, grounded in the outcomes of cost calculations.
Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat
Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Penerapan Balut Tekan sebagai Strategi Penanganan Awal Perdarahan Vulnus Laceratum di IGD Puskesmas Liwuto Kota Baubau
Laceration wounds (vulnus laceratum) may cause pain and external bleeding, requiring prompt initial management to prevent excessive blood loss. One simple early bleeding control strategy is direct pressure maintained with a pressure dressing. This case report describes the use of a sterile pressure dressing in a male patient (Mr. L) with a left plantar foot wound due to glass injury, accompanied by pain and active bleeding, presenting to the emergency unit of Liwuto Primary Health Center, Baubau. Data were obtained through clinical observation, brief interview, and review of available medical records/procedure sheets. Pain was assessed using the Numeric Rating Scale (NRS), while bleeding outcome was operationalized using bleeding status (active/controlled), dressing status (wet/dry), and time to hemostasis. After sterile pressure dressing application and 4-hour monitoring, pain decreased from NRS 8 to 3, and active bleeding was no longer observed at the 4-hour evaluation. These findings indicate clinical improvement in this case, but interpretation is limited by single-case design (n=1) without controls, incomplete quantitative serial bleeding documentation, and potential confounding from concomitant interventions (e.g., analgesics).
Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar
Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Hubungan Sikap Ibu Hamil Terkait Perilaku Hidup Bersih dan Sehat dengan Kejadian Bakteriuria Asimptomatik
Asymptomatic bacteriuria (ASB) during pregnancy may progress to urinary tract infection (UTI) and complications if undetected. Attitudes toward clean and healthy living behavior (PHBS) may be associated with ASB risk through genital hygiene, voiding habits, and hydration. To examine the association between PHBS attitudes and ASB among pregnant women at Jongaya Primary Health Center, Makassar. An analytical cross-sectional study (December 2023–January 2024) involving 56 pregnant women (accidental sampling). The independent variable was PHBS attitude (poor/moderate/good) measured using a PHBS attitude questionnaire. The dependent variable was operational ASB, determined by urine testing (dipstick leukocyte esterase/nitrite and/or urine sediment analysis) among participants without UTI symptoms based on a symptom-screening checklist interview. Chi-Square was used for association testing; due to small cell counts, a sensitivity analysis using category collapsing and exact testing was performed, with effect sizes (PR/OR) and 95% CIs reported. Poor PHBS attitude was found in 27 (48.2%), moderate in 11 (19.6%), and good in 18 (32.1%). Operational ASB was identified in 44 participants (78.6%). Chi-Square indicated a significant association (p=0.01). After collapsing categories (poor vs moderate/good), poor attitude showed higher ASB prevalence (PR=1.55; 95% CI: 1.16–2.08) and higher odds (OR=15.89; 95% CI: 1.88–134.18) with exact p=0.002. PHBS attitude was statistically associated with operational ASB in this setting. Causal inference cannot be made due to the cross-sectional design and potential confounding.
Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar
Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.
Hubungan Paparan Rokok, Riwayat BCG, dan Riwayat Kontak TB dengan Insidens TB Paru pada Wanita Usia Subur
Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (Mtb), affecting people of all ages globally. In Indonesia, the TB incidence in 2021 was 354 per 100,000 population, with an estimated mortality rate of 52 per 100,000. In South Sulawesi, TB cases rose to 68.8% in 2022 from a 48.3% case detection rate in 2021. This study aimed to assess the association between smoking exposure, BCG vaccination history, and TB contact history with pulmonary TB incidence among women of reproductive age at BBKPM Makassar in 2023. Using a cross-sectional quantitative approach, 354 samples were selected from 3,063 TB cases through purposive sampling. Data were collected from medical records of women aged 15–45 years with new pulmonary TB diagnoses and complete documentation. Chi-square analysis showed significant associations for smoking (p = 0.037), BCG history (p = 0.034), and TB contact (p = 0.004). The study concludes that these factors are significantly related to pulmonary TB in reproductive-age women.
Faktor Yang Mempengaruhi Timbulnya Tuberculosis Limfadenitis di Rumah Sakit Umum Pusat Wahidin Sudirohusodo Pada Tahun 2021-2023
Tuberculosis is a contagious disease caused by the bacterium Mycobacterium tuberculosis. This bacterium primarily affects the lungs, but it can also spread to other organs. One of the most commonly found forms of extrapulmonary tuberculosis is Tuberculous Lymphadenitis, which is a TB infection that affects the lymph nodes, especially in the cervical (neck) region. There are many factors that can contribute to the development of this disease. This study aims to identify the factors that influence the occurrence of Tuberculous Lymphadenitis at Wahidin Sudirohusodo Central General Hospital in Makassar during the period of 2021 to 2023. This quantitative research uses a cross-sectional approach to determine the risk factors—age, gender, nutritional status, history of tuberculosis, history of contact, diabetes mellitus, HIV status, immunization status, and hypertension—associated with the occurrence of Tuberculous Lymphadenitis. Data collection began with identifying TB cases, followed by tracing the associated risk factors that may lead to Tuberculous Lymphadenitis. The study population included all patients diagnosed with Tuberculous Lymphadenitis at Wahidin Sudirohusodo Central General Hospital from January to December in the years 2021–2023. The sampling technique used was quota sampling, a non-probability method based on non-random selection of a specific number or proportion of participants. A total of 422 samples that met the inclusion criteria were included in the study.The results showed that age, gender, nutritional status, diabetes mellitus, hypertension, and BCG immunization had a significant relationship with the incidence of Tuberculous Lymphadenitis. In contrast, history of tuberculosis, HIV status, and history of contact did not show a significant association with the disease.
Pengaruh Beban Kerja Dan Stres Kerja Terhadap Burnout Pegawai Di Rumah Sakit Bhayangkara Makassar Tahun 2024
Burnout Syndrome refers to a condition in which the body is completely exhausted, both physically and mentally. According to data from the International Labour Organization (ILO) in 2021, nearly 2 million workers die each year due to work-related accidents caused by fatigue. Of these, 71.43% of workers experienced mild fatigue before starting work. After work, 100% of workers experienced fatigue, with 11.43% reporting mild fatigue, 42.86% moderate fatigue, and 45.71% severe fatigue. It is noted that the number of contract employees at Bhayangkara Hospital Makassar is 448, with 7 employees having resigned, which accounts for 1.52%. The aim of this study is to determine the effect of workload and work stress on employee Burnout at Bhayangkara Hospital Makassar in the year 2024. This study used a quantitative research method with a cross-sectional study design. The total population in this study was 448 individuals, with a sample of 211 respondents. Data collection was conducted using questionnaires, and the analysis techniques included univariate, bivariate, and multivariate analysis. The results showed that workload had a significant effect on Burnout (p = 0.000), work stress had a significant effect on Burnout (p = 0.000), and there was a simultaneous effect of workload and work stress on Burnout, where the calculated F-value (7.363) was greater than the F-table value (3.04), with a significance value of 0.000 < 0.05.Conclusion: There is a simultaneous effect of workload and work stress on employee Burnout at Bhayangkara Hospital Makassar.
Perioperative Nursing Care dengan Tindakan Pyelithotomy pada Nefrolithiasis
Nephrolithiasis, commonly known as kidney stones, is a condition in which stones or crystals form in the kidneys, leading to impaired urination and causing pain. One of the surgical l treatments for staghorn kidney stones is open pyelolithotomy, a procedure to remove large kidney stones. This study aims to analyze Nursing Care for patients undergoing Perioperative pyelolithotomy. The research employs a qualitative case study approach, focusing on the preoperative and postoperative Nursing Care for patients diagnosed with nephrolithiasis and undergoing pyelolithotomy. The findings of the study show that based on Nursing assessment, two main diagnoses were identified: anxiety, related to insufficient information about the procedure, as evidenced by the patient appearing anxious and tense. The intervention provided was anxiety reduction, which effectively alleviated the patient's anxiety. The second diagnosis was acute pain, related to the physical trauma of surgery, as evidenced by the patient grimacing, being restless, and experiencing an increased heart rate. The intervention used was pain management, which included medication and Quranic murottal therapy. In conclusion, the study indicates that interventions such as deep breathing relaxation techniques and education about kidney stones to reduce anxiety, along with the use of murottal therapy and medication for pain relief, significantly improved the effectiveness of Nursing Care during the Perioperative period for nephrolithiasis patients.
Penerapan Manajemen Nyeri pada Pasien Perioperative dengan Hidronefrosis di RSUD Labuang Baji Kota Makassar
Hydronephrosis is a dilation of the renal pelvicalyceal system caused by urinary outflow obstruction, which may increase intrarenal pressure and trigger pain. This case report describes non-pharmacological pain management in a Perioperative hydronephrosis patient using deep breathing relaxation in the pre-operative phase and benson relaxation in the post-operative phase. The report followed the nursing process (assessment–diagnosis–intervention–implementation–evaluation). The primary Outcome was pain intensity using a 0–10 Numeric Rating Scale (NRS), complemented by physiological indicators (blood pressure, pulse, respiratory rate, temperature, oxygen saturation) and behavioral responses. In the pre-operative phase, pain decreased from NRS 4 to NRS 2 after deep breathing relaxation, along with improved vital signs. In the post-operative phase, pain decreased from baseline NRS 5 to NRS 3 after a 15-minute benson relaxation session and further to NRS 2 at the next follow-up (≈30 minutes), with a trend toward stabilized vital signs. Given the Perioperative setting, analgesics/anesthesia and the surgical procedure may confound pain Outcomes; therefore, findings are reported descriptively without attributing the changes solely to relaxation techniques. This case suggests that standardized relaxation techniques can be integrated into Perioperative nursing care to support comfort in hydronephrosis patients.
Tinjauan Literatur Strategis Tentang Isu-Isu Kesehatan Masyarakat di Indonesia
Public health in Indonesia faces a dual burden of disease, persistent Stunting, service inequities, and emerging threats such as climate change, urbanization, and digital health transitions. A transparent literature synthesis is needed to identify critical issues, evidence gaps, and policy priorities. To map strategic public health issues in Indonesia and propose policy and research priorities based on thematic evidence synthesis. This study employed a scoping review of publications from 2019–2025 (with a focus on 2023–2025 while allowing foundational references for conceptual frameworks). Searches were conducted in academic databases and policy sources. Records were screened using predefined inclusion/exclusion criteria. Findings were synthesized thematically using an SDGs and social determinants of health lens. Evidence quality was categorized using a pragmatic appraisal by source type (peer-reviewed vs grey literature). A total of 32 sources were included (as listed in the reference list) and mapped into key themes: social determinants; environment and sanitation; nutrition/Stunting; communicable diseases and NCDs; health policy and systems; health behavior and education; maternal and child health; workforce and community cadres; and cross-cutting challenges (climate change–urbanization–digitalization). Key gaps include limited implementation/evaluation studies and inconsistent cross-region comparative evidence. The literature supports strengthening primary care, adopting evidence-informed policies grounded in social determinants, and prioritizing implementation research to evaluate community-based and system-level interventions.
Efektivitas Teh Celup Daun Bidara Laut Kombinasi Bubuk Kayu Manis sebagai Antidiare pada Mencit
Diarrhea is characterized by increased defecation frequency and altered stool consistency. Castor oil (Oleum ricini) induces diarrhea mainly through ricinoleic acid, which enhances intestinal secretion and motility. Sea bidara leaves (Ziziphus mauritiana) and cinnamon (Cinnamomum burmannii) contain tannins, flavonoids, and aromatic constituents (e.g., cinnamaldehyde) that may contribute to antidiarrheal activity. To evaluate the antidiarrheal effect of a combined sea bidara–cinnamon tea bag preparation in male Swiss Webster mice. An experimental study was conducted using 15 mice (n=3/group): negative control (castor oil + distilled water), positive control (loperamide), and three tea infusion groups—F1 (90%:10%), F2 (25%:75%), and F3 (50%:50%). Mice were fasted for 8 h, induced with castor oil (0.5 mL/20 g BW), and treated by oral gavage 30 min after induction. Observations were recorded at 30, 60, 90, and 120 min post-treatment. The primary Endpoint was total bowel movement (BM) frequency over 0–120 min. The secondary Endpoint was a standardized ordinal stool consistency score (0–3; 0=no BM, 1=formed, 2=soft, 3=watery/mucoid). Data were analyzed using Kruskal–Wallis with appropriate post-hoc testing (α=0.05) and effect size reporting. Significant between-group differences were observed in total BM frequency (H=10.24; p=0.0366; ε²=0.624) and stool consistency scores (H=11.74; p=0.0194; ε²=0.774). Descriptively, F3 showed the lowest total BM frequency, while F2 demonstrated faster cessation of BMs after 60 min. The combined sea bidara–cinnamon tea bag infusion exhibited antidiarrheal activity in the castor oil model; findings should be interpreted as preliminary due to the pilot sample size.
Penatalaksanaan Pemasangan Mitela terhadap Penurunan Nyeri pada Pasien Close Fracture Clavicula RS Ibnu Sina
Fraktur adalah hilangnya kontinuitas tulang akibat trauma, seperti kecelakaan lalu lintas. Nyeri merupakan gejala utama yang sering terjadi pada berbagai jenis cedera, termasuk luka bakar, luka robek, luka tusuk, dan fraktur, baik terbuka maupun tertutup. Penanganan fraktur clavicula bertujuan untuk mengembalikan posisi patahan tulang ke posisi semula, mempertahankannya selama masa penyembuhan, serta mencegah gerakan pada area yang stabil untuk mengurangi nyeri dan mencegah kerusakan lebih lanjut. Salah satu metode yang digunakan adalah pemasangan mitela. Studi ini bertujuan untuk mengevaluasi efektivitas pemasangan mitela pada pasien dengan close fraktur clavicula di RS Ibnu Sina YW-UMI. Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus pada asuhan keperawatan gawat darurat pasien dengan fraktur clavicula. Hasil studi menunjukkan bahwa pemasangan mitela efektif dalam menurunkan nyeri, dengan penurunan skala nyeri dari 6 menjadi 5 dan pengurangan ekspresi nyeri seperti meringis. Kesimpulannya, pengkajian difokuskan pada keluhan utama berupa nyeri, dengan intervensi farmakologis berupa pemberian analgesik dan nonfarmakologis berupa pemasangan mitela, yang terbukti efektif dalam mengurangi nyeri pada pasien dengan close fraktur clavicula.
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Penerapan Manajemen Airway terhadap Peningkatan Bersihan Jalan Napas pada Pasien Bronkopneumonia di RS Ibnu Sina YW-UMI Makassar
Penyakit paru-paru merupakan salah satu penyebab utama morbiditas dan mortalitas, dengan bronkopneumonia sebagai salah satu manifestasinya. Bronkopneumonia, jenis pneumonia yang melibatkan peradangan pada dinding bronkiolus dan jaringan paru-paru sekitarnya, menyerang saluran pernapasan bagian bawah. Peradangan ini sering menyebabkan gangguan bersihan jalan napas, yakni ketidakmampuan pasien untuk mempertahankan jalan napas tetap terbuka. Salah satu pendekatan untuk mengatasi kondisi ini adalah melalui penerapan manajemen jalan napas. Penelitian ini bertujuan untuk mengevaluasi efektivitas penerapan manajemen jalan napas dalam meningkatkan bersihan jalan napas pada pasien bronkopneumonia. Hasil implementasi keperawatan menunjukkan adanya peningkatan bersihan jalan napas yang ditandai dengan perbaikan frekuensi napas, peningkatan saturasi oksigen, pengurangan keluhan sesak napas, serta kemampuan pasien untuk mengeluarkan dahak. Temuan ini mengonfirmasi bahwa intervensi manajemen jalan napas efektif dalam meningkatkan bersihan jalan napas pada pasien bronkopneumonia.
Hubungan Paparan AC terhadap Faktor Risiko Kejadian Dry Eye Syndrome pada Mahasiswa FK UMI
Dry Eye Syndrome merupakan kondisi multifaktorial yang ditandai oleh ketidakstabilan lapisan air mata dan gejala ocular lainnya. Penelitian ini bertujuan untuk menganalisis hubungan antara paparan Air Conditioner (AC) di ruang kelas dengan risiko terjadinya Dry Eye Syndrome (DES) pada mahasiswa Fakultas Kedokteran Universitas Muslim Indonesia (UMI). Penelitian ini menggunakan desain cross- sectional dengan total 182 responden, yang terdiri dari 91 mahasiswa yang terpapar AC dan 91 mahasiswa yang tidak terpapar AC. Data dianalisis menggunakan uji Chi-Square. Hasil menunjukkan terdapat hubungan signifikan antara paparan AC dengan prevalensi Dry Eye Syndrome (p=0,001), di mana mahasiswa yang terpapar AC di ruang kelas memiliki prevalensi yang lebih tinggi. Terdapat pula hubungan yang signifikan antara jenis kelamin dengan dry eye syndrome (p=0,001), dimana jenis kelamin perempuan lebih banyak megalami dry eye syndrome karena dipengaruhi oleh perbedaan molekuler pada struktur mata, hormon, metabolisme, gaya hidup, dan aktivitas fisik. Selain itu, terdapat pula hubungan signifikan antara tingkatan angkatan dengan kejadian dry eye syndrome (p=0,014), dimana angkatan 2021 lebih banyak mengalami dry eye syndrome karena dipengaruhi oleh lamanya terpapar AC, faktor usia, dan hormon.
Penerapan Terapi Bekam Basah terhadap Penurunan Nyeri pada Pasien Hernia Nukleus Pulposus (HNP) NY. N di Klinik Zein Holistic
Hernia Nukleus Pulposus (HNP) atau saraf terjepit adalah salah satu kondisi neurologis yang sering menyebabkan nyeri signifikan pada pasien akibat pergeseran cakram intervertebralis yang menekan saraf tulang belakang. Terapi bekam basah telah digunakan secara luas dalam pengobatan tradisional sebagai intervensi non-farmakologis untuk mengurangi nyeri melalui mekanisme pengeluaran toksin dan perbaikan sirkulasi. Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi bekam basah dalam menurunkan nyeri pada pasien HNP. Penelitian ini menggunakan desain studi kasus dengan satu subjek, seorang pasien perempuan berusia 62 tahun yang mengalami nyeri lutut akibat HNP. Tingkat nyeri diukur menggunakan Visual Analogue Scale (VAS) sebelum dan sesudah intervensi terapi bekam basah. Hasil menunjukkan adanya penurunan intensitas nyeri dari skala 5 (sedang) menjadi skala 3 (ringan) setelah intervensi. Temuan ini mengindikasikan bahwa terapi bekam basah memiliki potensi sebagai metode pengelolaan nyeri yang efektif pada pasien HNP. Kesimpulan dari penelitian ini adalah bahwa terapi bekam basah dapat menjadi pendekatan alternatif yang menjanjikan dalam pengelolaan nyeri, khususnya untuk pasien yang mencari solusi non-farmakologis. Penelitian lebih lanjut dengan desain eksperimental dan jumlah sampel yang lebih besar diperlukan untuk memvalidasi temuan ini.
Penerapan Terapi Dzikir untuk Menurukan Ansietas terhadap Pasien Pre Operative
Kecemasan Pre operative merupakan masalah kesehatan mental yang hampir seluruh pasien yang hendak melakukan operasi mengalaminya. Kecemasan pada saat Pre Operative mempunyai pengaruh yang besar terhadap hasil pembedahan. Beberapa penelitian terbaru telah menyelidiki terdapat hubungan antara kecemasan pra operasi dan morbiditas/kematian. Terapi Dzikir merupakan terapi psikologi non farmakologi yang terbukti efektif untuk mengurangi kecemasan dan telah sering digunakan. Jenis pnelitian ini adalah studi kasus dengan pendekatan proses manajemen asuhan keperawatan dan studi kepustakaan yang berkaitan dengan terapi dzikir dan ansietas. Teknik pengambilan responden yang digunakan adalah purposive sampling dengan teknik pengumpulan data melalui observasi, wawancara dan pemeriksaan fisik. Instrumen penelitian menggunakan kuesioner APAIS untuk mengukur kecemasan Pre-Implementasi dan Post-Implementasi dengan penerapan terapi berupa Dzikir dengan durasi pemberian 10 menit. Pada kasus ini masalah keperawatan yang timbul adalah Ansietas dengan intervensi Teknik menenangkan/Dzikir dimana hasil setelah pemberian terapi kecemasan pasien menurun. Terapi ini sangat berhubugan erat dengan keyakinan pasien maka dari itu peneliti menyarankan inovasi mengenai penguatan mental dan keyakinan pasien sangat diperlukan sebelum pemberian terapi. Berdasarkan hasil penerapan dapat disimpulkan terdapat perbedaan hasil tingkat kecemasan sebelum dan sesudah dilakukannya intervensi terapi Dzikir.
Program Posyandu/Puskesmas Tamalate dalam Menurunkan Kasus Malnutrisi pada Balita di Indonesia
Masalah malnutrisi pada balita, termasuk gizi kurang, stunting, dan wasting, merupakan isu kesehatan serius di Indonesia, khususnya di wilayah Sulawesi Selatan. Puskesmas Tamalate, yang menjadi fasilitas kesehatan tingkat pertama berperan penting dalam penyelenggaraan pelayanan kesehatan masyarakat dengan fokus pada upaya promotif dan preventif, telah melaksanakan berbagai program komprehensif untuk menanggulangi malnutrisi di masyarakat. Program ini meliputi Pemberian Makanan Tambahan (PMT), Pemantauan Status Gizi (PSG), Sweeping Bulan Vitamin A, kunjungan rumah melalui Tim Pendamping Keluarga (TPK), serta edukasi dan penyuluhan gizi. Hasilnya, program-program ini berhasil meningkatkan kesadaran masyarakat terhadap pentingnya gizi, memperbaiki status gizi balita dan ibu hamil, serta menurunkan prevalensi balita gizi kurang dan stunting di wilayah kerja Puskesmas Tamalate. Program-program ini, bersama dengan edukasi gizi yang diberi kepada masyarakat, telah menunjukkan hasil positif dalam menurunkan angka stunting dan wasting. Melalui pendekatan terintegrasi dan kolaboratif, Puskesmas Tamalate berkontribusi pada peningkatan kesehatan ibu dan anak, serta menciptakan masyarakat yang lebih sehat dan berpengetahuan mengenai pentingnya asupan gizi yang baik. Adapun dengan pendekatan kolaboratif antara petugas kesehatan, kader posyandu, dan masyarakat, Puskesmas Tamalate telah berkontribusi signifikan dalam mencapai target Sustainable Development Goals (SDGs) untuk mengurangi angka malnutrisi pada tahun 2030.
Inhalasi Buah Galoba (Hornstedtia Sp.) terhadap Penurunan Ansietas Mencit (Mus Musculus)
Gangguan kecemasan atau ansietas sampai saat ini masih menjadi salah satu bentuk umum gangguan jiwa yang sering terjadi. Inhalasi aromaterapi merupakan teknik pengobatan dengan memanfaatkan sistem olfaksi untuk memberikan efek ansiolitik atau relaksan. Penelitian ini merupakan penelitian eksperimental laboratoris dengan desain pre post test control group design dan pengambilan sampel dilakukan secara acak (simple random sampling). Sebanyak 20 ekor mencit jantan galur balb/c digunakan dalam penelitian ini. Penelitian dilakukan dengan memberikan inhalasi dari aroma buah galoba yang direndam dan ditumbuk. Inhalasi diberikan satu jam setiap hari selama empat belas hari. Hasil uji Statistik two way ANOVA taraf (signifikansi 5%) memperlihatkan tidak adanya perbedaan yang signifikan antara kelompok percobaan. Namun, menunjukan adanya pengaruh penurunan ansietas pada kelompok perlakuan yang diberikan inhalasi galoba rendam lebih baik dibandingkan kelompok perlakuan yang diberikan inhalasi galoba tumbuk. Kesimpulan dari penelitian ini ialah adanya penurunan ansitetas pada kelompok mencit yang diberikan inhalasi buah galoba rendam namun tidak bermakna secara statistik dibandingkan pemberian inhalasi buah galoba tumbuk
Faktor-Faktor yang Mempengaruhi Kunjungan Ulang Pasien Hipertensi Rawat Jalan di Puskesmas Rumah Tiga Tahun 2023
Hipertensi adalah kondisi terjadinya peningkatan abnormal tekanan darah sistolik dan tekanan darah diastolik. Salah satu faktor penting dalam proses pengendalian hipertensi adalah pengobatan. Pengobatan yang tidak rutin dapat menyebabkan kerusakan jantung yang berujung pada kematian mendadak. Tetapi berdasarkan data dari Kementerian Kesehatan tahun 2018, kunjungan ulang pasien hipertensi di Indonesia sangat rendah (12%). Oleh karena itu, tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kunjungan ulang pasien hipertensi. Metode yang digunakan dalam penelitian ini adalah deskriptif kuantitatif dengan desain penelitian cross-sectional. Jumlah sampel pada penelitian ini sebanyak 126 sampel dengan menggunakan teknik total sampling. Hasil penelitian ditemukan pasien yang melakukan kunjungan ulang lebih dari 1x hanya 20,6%, sedangkan yang melakukan kunjungan ulang 1x sebesar 79,4%. Hasil analisis bivariat menggunakan uji chi-squaremendapatkan ada hubungan yang bermakna antara komorbiditas dengan kunjungan ulang (p=0,030). Sedangkan umur (p=0,458), jenis kelamin (p=0,160), status pekerjaan (p=0,685), status tekanan darah (p=0,076), keterjangkauan akses ke pelayanan kesehatan (p=0,409), kepesertaan asuransi kesehatan (p=0,669) dengan kunjungan ulang tidak ada hubungan yang bermakna. Hasil analisis multivariat menggunakan regresi logistik berganda mendapatkan status tekanan darah tingkat 1 (p=0,034) lebih mempengaruhi kunjungan ulang. Oleh karena itu, dapat disimpulkan bahwa faktor yang mempengaruhi kunjungan ulang pasien hipertensi adalah komorbiditas dan status tekanan darah tingkat 1.
Literature Review: Potensi Kurkumin sebagai Agen Anti-Inflamasi pada Wanita Endometriosis
Endometriosis adalah penyakit di mana jaringan mirip dinding rahim tumbuh di luar rahim, menyebabkan peradangan dan jaringan parut. Kurkumin, senyawa aktif dalam kunyit, memiliki potensi besar sebagai pengobatan alternatif. Penelitian ini mengkaji berbagai studi tentang efek anti-inflamasi kurkumin pada endometriosis. Hasil tinjauan menunjukkan bahwa kurkumin dapat menghambat proses peradangan dengan menekan produksi zat-zat peradangan seperti prostaglandin dan TNF-α. Hal ini menunjukkan bahwa Kurkumin dapat membantu mengendalikan pertumbuhan jaringan abnormal pada endometriosis. Selain itu, kurkumin juga memiliki profil keamanan yang baik, dengan efek samping yang minimal dan rentang dosis yang luas, sehingga aman digunakan dalam jangka panjang.