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Zatri Erlia; Dadang Mashur

Jurnal Ilmu Pendidikan, Politik dan Sosial Indonesia 2024 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

This research was conducted because Sungai Pakning Village, Bengkalis Regency, was one of the areas that experienced land and forest fires that occurred in Riau Province in 2015. So far, peatland management has often failed, both by the government and companies. One of their failures is that they only focus on land restoration and ignore community empowerment. With the independent peat village program created by PT. Pertamina RU II Production, Sungai Pakning, Bengkalis Regency. Among the independent peat village programs, there is an environmental conservation program which has become the center of attention for environmental observers, namely the development of peat forests to manage pineapple products. This research aims to determine the capacity development of the Tunas Makmur Farmer group in managing pineapple products and to find out what are the supporting factors for capacity development in the Tunas Makmur Farmer group in Sungai Pakning, Bengkalis Regency. This research was conducted using a qualitative descriptive method. Data was obtained through interviews and field observations. The results of this research show that the capacity development measure according to Ilato has demonstrated good capacity in aspects of organizational structure, decision making processes, work procedures and mechanisms and inter-organizational relationships. Good capacity development is supported by 1) facilities and infrastructure, which are being developed continuously, 2) good cooperation between various parties or institutions involved in developing the capacity of the Tunas Makmur Farmers Group.

Eka Nuryani; Dadang Mashur

Lembaga Pengembangan Kinerja Dosen 2024 Lembaga Pengembangan Kinerja Dosen

Stunting is a form of nutritional problem in the life cycle that is very important to be considered and addressed immediately, because stunting is a form of growth and development failure caused by chronic malnutrition and repeated infections that require immediate intervention or management. As an effort to accelerate the reduction of stunting in the UPTD Puskesmas Kilan work area, the Supplementary Feeding Program (PMT) was implemented. The purpose of this study was to determine the effectiveness of the stunting reduction acceleration program through the Supplementary Feeding Program (PMT) at UPTD Puskesmas Kilan, Batang Cenaku District, Indragiri Hulu Regency. The theory used in this research is Budiani's (2007) program effectiveness theory with 4 (four) indicators, namely the accuracy of the Program Targets, Program Socialization, Program Objectives, and Program Monitoring. The method used in this research is descriptive qualitative research method, with data collection techniques in the form of observation, interviews, and documentation. The results of this study indicate that the acceleration program to reduce stunting through Supplementary Feeding (PMT) at UPTD Puskesmas Kilan, Batang Cenaku District, Indragiri Hulu Regency has not been effective. There are several inhibiting factors faced, namely the lack of ability of the implementing officers in implementing the program, then the communication factor because the program conveyed to the community has not been able to increase public understanding of the program.

Andi Yasril Ananta Muliyadi; Hamsyah Hamsyah; Muh. Jabir M3; Adnan Adnan

Globe: Publikasi Ilmu Teknik, Teknologi Kebumian, Ilmu Perkapalan 2024 Asosiasi Riset Ilmu Teknik Indonesia

Increased economic growth in the city of Parepare with the presence of buildings around the estuary. In general, the composition of concrete making materials is taken from good materials. The problem encountered in the field is that the quality of concrete in construction decreases due to brackish water, causing structural elements in the construction to become porous. Meanwhile, preventive measures are rarely or never taken. As a result, the construction life is very short. Brackish water is one of the causes of structural failure. This is due to the content of sulfate and chloride ions in water containing salt/salts that react with chemical elements in reinforcing steel resulting in corrosion of the reinforcement. The purpose of the study was to analyse the compressive strength of concrete with a mixture of clean water against the percentage of brackish water with a maintenance age of 7, 14, 21, and 28 days. The results showed that brackish water had an impact on reducing the compressive strength of concrete due to the high chemical content in brackish water such as Sulfate (SO²¯) of 52.5 in brackish water in Kenjeran and 62.5 in brackish water in mangrove. Dissolved Solids (TDS) of 15188 mg/l in kenjeran brackish water and 3436 mg/l in mangrove brackish water. Organic Content (KMnO) of 8.05 mg/l in kenjeran brackish water and 6.69 mg/l in mangrove brackish water is too high, so the chemical content contained in brackish water can damage the compounds in the cement content and decrease the strength of the materials contained in the concrete. In this case it can result in concrete having a very low durability.

Hanif Azhar Musyaffa; Mas Rahman Roestan; Evi Sylvia Nurrasjid; Iwa Kustiyawan

Jurnal Ilmu Kesehatan dan Gizi 2024 Pusat Riset dan Inovasi Nasional

Quality risk management is one of the important things in quality control in a pharmaceutical industry. One of the risky activities in the pharmaceutical industry is in storage and distribution. Every activity carried out in the inventory warehouse can potentially cause risks that affect quality including the flow of the storage and distribution process of goods. Based on this, a study was conducted in the form of a risk assessment on the flow of the storage and distribution process of release goods in the inventory warehouse of a pharmaceutical industry in Bandung which aims to determine the level of risk that has the potential for failure. The FMEA (Failure Modes and Effects Analysis) method is a method that can be used to assess the risks that can occur in the flow of the storage and delivery process of goods in the warehouse. This risk assessment is carried out with the stages of risk identification, risk analysis, and risk evaluation using categorization based on the Risk Priority Number (RPN). In this study, 15 risks were obtained with details of 1 low category risk, 7 medium category risks, 6 high category risks, and 1 very high category risk. Therefore, the pharmaceutical industry can immediately determine mitigation steps and take control measures against risks in the high and very high categories to reduce the risk of failure with the hope that the quality, safety and efficacy of the product can be maintained properly

Azzahra, Annisa Maulida

Jurnal Riset Ilmu Farmasi dan Kesehatan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Cross-contamination occurs due to other previously produced products, other rooms or areas producing different products, and particles from machinery or equipment. Quality risk management can be a preventive measure in reducing the potential for cross-contamination that occurs in the pharmaceutical industry. One part of quality risk management is risk assessment. One of the most common and effective methods is the Failure Mode and Effect Analysis (FMEA) method. This risk assessment is carried out using the stages of risk identification, risk analysis, and risk evaluation using categorization based on the Risk Priority Number (RPN). Based on the risk assessment using the FMEA method regarding cross-contamination in the Packaging area in the "XYZ" pharmaceutical industry, it can be concluded that the results of observations and interviews with operators and Packaging Supervisors identified 19 risks which were categorized as low, medium, high, and very high. Based on the results of the risk assessment obtained, the risk of cross-contamination that needs to be controlled is those with an RPN value of 30 ≤ RPN ≤ 60 (medium); 75 ≤ RPN ≤ 100 (high); RPN ≥ 150 (very high). Therefore, the "XYZ" pharmaceutical industry needs to determine and implement risk control measures. By adequately controlling the potential risk of cross-contamination, it will ensure the safety and quality of the products produced.

Maskurniawan Maskurniawan; Yusran Yusran; Burhanuddin Burhanuddin

Jurnal Hukum, Administrasi Publik, dan Ilmu Komunikasi 2024 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Good discipline is a form of action to obey and do something in accordance with values ​​and rules that are believed to be a responsibility, not only companies/government agencies must show good work discipline. Civil servants and non-permanent employees in government agencies are management tools used to improve the quality of decision making and accountability in order to assess the success or failure of implementing activities in accordance with predetermined goals in order to realize the vision and mission of a government agency. In conducting research, the author used a comparative method (comparison). Meanwhile, this method is to help analyze data and facts obtained from respondents, using quantitative analysis methods with statistical formulas. The results of this research show that there is a significant comparison between the work discipline of civil servants and non-permanent employees with a score difference of 1.2. So it can be interpreted that civil servants have greater work discipline than non-permanent employees, even though the results of the questionnaire distribution are both very good.

Raoda Usman; Najemiinur Najemiinur; Yudi Rafial Hadi; Supris Musiafir

Jurnal Hukum, Administrasi Publik, dan Ilmu Komunikasi 2024 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Stunting is a condition of failure to grow in children under five whose height is much shorter than the height of children of their age due to malnutrition. Stunting prevention is one of the things that is focused on developing the health of children's growth at an early age is a very important thing to pay attention to. Therefore, one of the causes of stunting can arise from environmental factors as well as from the food consumed, both from the source of nutrition and vitamins. The success of the Stunting Prevention Program can be seen if the Effectiveness of the Program is Effective. Effectiveness is the goal that is to be achieved in the implementation of organizational activities. The word effective is a word adapted from the United Kingdom "effective". This word can be interpreted as something that has been done well and successfully. This study aims to determine the effectiveness of the implementation of the Stunting Prevention Program in Tellulimpoe Village, Majauleng District, Wajo Regency. This research was conducted using the Quantitative method. Data collection techniques are carried out through: observation, questionnaires/questionnaires, documentation. The results of the study show that the Effectiveness of the Implementation of the Stunting Prevention Program in Tellulimpoe Village is Very Good. This is supported by the results of the study which revealed that the Effectiveness of the Stunting Prevention Program is in the Very BaiK category.

Dewi Agustin; Lusi Noviyanti; Sisca Pri Andini; Sakinah Agilia

Journal of Educational Innovation and Public Health 2024 Pusat Riset dan Inovasi Nasional

Stunting problems often occur in children who lack essential nutrients, especially protein, iron and other nutrients needed for optimal growth. Stunting is not only a physical problem that can be seen from short height, but also has serious long-term impacts on children's development. Exclusive breast milk is a primary need for babies, so it will have an impact on the baby's growth and development if it is not provided adequately. Breast milk that is not given exclusively in the first 6 months of a baby's life will have an impact on the maturation process of the immune system, causing the baby to be susceptible to infections (Wasiah, 2019). Bekasi Regency is an industrial area with more than 3.5 million residents and 44.6% of them are women. A total of 523 461 of them are working women who are in the productive age range of 15-49 years. In this age range, many working women are mothers who have to leave their babies and be cared for by someone else and cannot provide exclusive breast milk. The failure to provide exclusive breastfeeding is the driving force behind many cases of stunting in Indonesia. This research is a quantitative analytical research with a cross sectional approach with the respondents being working mothers who have children under five. P value is 0.021 and OR 8,000, so there is a significant relationship between breastfeeding behavior and the incidence of stunting in the Kedungwaringin Community Health Center Working Area. Working mothers with non-exclusive breastfeeding behavior increase the risk of stunting by 8,000 times compared to mothers who breastfeed exclusively.

Tiara Septi Putri Sari; Neti Mustikawati

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Mother's milk (ASI) is a source of food for babies which is useful for the growth and development of babies. Providing breast milk for 6 months to newborns is the gold standard for baby feeding recommended by WHO. Even though breastfeeding is very important for babies, mothers also often experience failure in providing exclusive breastfeeding. This research aims to describe the characteristics and knowledge of mothers regarding exclusive breastfeeding for babies aged 0-6 months at the Doro I Community Health Center. This research is a descriptive quantitative study, data collection uses Cluster Sampling where the sample is grouped based on region (Posyandu) or population location by 65 samples. This research instrument uses a Knowledge Questionnaire about Exclusive Breastfeeding adopted from (Septianingrum, 2018) consisting of 19 questions. For favorable questions the "correct" answer is given a score of 1 and "wrong" is given a score of 0, while for unfavorable questions the "correct" answer is given a score of 0 and "wrong" is given a score of 1. The instrument is valid with a correlation number (r-count) > 0.444 so it is said to be valid while the Cronbach's Alpha value and reliability are 0.984. The data analysis used was univariate in the form of a percentage frequency distribution. The results showed that all mothers of babies aged 0-6 months at the Doro I Community Health Center (Puskesmas) were all respondents (100%) aged 15-49 years, 23 respondents (35.4%) had a high school education, 58 respondents (89.2) did not work and 46 respondents (70.8%) had ever breastfed. Mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all 65 mothers (100%) of respondents have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months. The conclusion obtained is that mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all respondents, 65 mothers (100%) have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months.

Rakhmadi Rahman; Anugrah Dwi Ansarna; Eka Tanduklangi

Merkurius : Jurnal Riset Sistem Informasi dan Teknik Informatika 2024 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

A Disaster Recovery Plan (DRP) is a structured approach that describes how an organization can carry out its operations after an unplanned incident that can result in system failure. Creating strong system resilience requires an IT team with strong experience and understanding as well, and this is the background of this research. This research aims to provide practical guidance in implementing disaster recovery strategies with virtualization, especially the snapshot feature on VMware Workstation to test disaster scenarios and evaluate their recovery effectiveness.

Friska Bella Ananda; Hendi Thamrin

Filosofi : Publikasi Ilmu Komunikasi, Desain, Seni Budaya 2024 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

This guidebook is designed to introduce the culinary delights of Pasar Lama Tangerang to young adults aged 17-25 who may have a limited appreciation for culinary heritage due to a lack of informative media about Pasar Lama Tangerang's cuisine. The author has crafted the guidebook to be unique and engaging, providing various types of information. Additionally, the book offers an interactive element for readers, who can participate in a contest scheduled at specific times by placing stickers in the book once they have tried 50 different foods listed. The research methodology employs a qualitative approach, aiming to describe and obtain detailed data from field results, yielding in-depth and contextual insights. This research utilizes data collection methods such as interviews, questionnaires, direct observations of the research site, and literature searches for relevant journals and articles. The design methodology adopts the design thinking approach to find solutions through creative thinking, with iterative processes to address failures and create innovative work. The visual concept of the guidebook features a simple yet modern and cool design, supported by semi-realistic illustrations to enhance its appeal. The guidebook is expected to effectively convey information and broaden readers' knowledge about the culinary offerings of Pasar Lama Tangerang.  

Cici Farhana Ambarwanty Mohtar; Utami Pratyastiti Setyarini; Oksita Asri Widyayanti

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Dengue Hemorrhagic Fever (DHF) is a disease caused by infection with the dengue virus which is transmitted through the bite of the Aedes aegypti mosquito. The main clinical manifestations of this disease can be an increase in body temperature ≥ 38°C for 2 - 7 days, bleeding which is usually preceded by the appearance of red spots (petechiae), headache, joint pain accompanied by leukopenia, lymphadenopathy, thrombocytopenia and hemorrhagic diathesis. Liver dysfunction is one of the consequences of dengue infection that often occurs in patients. The liver is the target organ of the dengue virus which often appears in the form of hepatomegaly and a mild-moderate increase in aminotransferase enzyme levels although jaundice and acute liver failure are rare. Dengue patients have an increase in SGOT and SGPT levels. This study aims to determine whether there is a relationship between dengue IgG levels and SGOT and SGPT in Dengue Hemorrhagic Fever patients at RSU Sinar Kasih Purwokerto. The type of research used is an analytical study with a cross-sectional approach. Sampling was carried out using a consecutive sampling technique. Results were obtained from 100 samples with normal SGOT SGPT examination results, namely 10 patients and high results, namely 90 patients. The results of SGOT and SGPT examinations in dengue IgG positive patients increased >3 times which was included in category B and there was a significant relationship between SGOT and SGPT levels in Dengue IgG positive patients, with a p-value of 0.000, indicating a strong relationship between SGOT levels and SGPT with IgG examination results.

Sri Amalia; Eska Dwi Prajayanti; Sumardi Sumardi

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2024 International Forum of Researchers and Lecturers

Hypertension is a chronic condition characterized by an increase in systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90mmHg in the walls of arterial blood vessels. Hypertension rarely causes symptoms so many do not realize that they have suffered from hypertension. This condition needs more attention, as hypertension can cause a variety of chronic diseases such as strokes, heart failure and even death. Efforts to implement hypertension can basically be done through both pharmacological and non-pharmacological therapies. To find out the results of application of Inner Breath Relief Technique with combination of Dzikir Asmaul Husna against blood pressure in hypertensive patients in RSUD Dr. Soediran Mangun Sumarso. This research design uses case study methods with descriptive research modes. Blood pressure test results after application of deep breath relaxation technique with a combination of dzikir asmaul husna at Tn. I 165/98 mmHg whereas at N. S 194/112 mm Hg due to N.S as a control group. There was a change in blood pressure before and after the application of deep breath relief therapy with the combination of dzikir asmaul husna in Mr. I.

Yovani Ririsa Sitanggang; Erna Indriastiningsih; Agung Widiyanto Fajar Sutrisno

Manufaktur: Publikasi Sub Rumpun Ilmu Keteknikan Industri 2024 Asosiasi Riset Ilmu Teknik Indonesia

The human resources aspect is the most important thing for companies, especially to achieve organizational goals, because the success or failure of an organization is greatly influenced by human factors as people who carry out the work. One of the targets of human resource management in the organizational management function concerns employee performance issues. Employees at the Sewing Department PT. Pan Brothers Tbk Boyolali has an unstable level of performance, which can affect the achievement of company goals. This research aims to explain the factors that can influence a person's performance, such as leadership style, work culture and physical work environment which can influence employee performance. The sample was obtained using a purposive sampling method, and 47 civil servant respondents were selected as the sample. Meanwhile, the data analysis used in this research includes: data quality testing, classical assumption testing, hypothesis testing and multiple regression analysis. The results of the partial significant test (t statistical test) from the research analysis and discussion show that; transactional leadership style, with a t value of 1,555, this value is smaller than t table 1,669. This explains that the Transactional Leadership variable has no effect on the Employee Performance variable. Work Culture, with a t value of 3,033, this value is greater than t table 1,669. This explains that the Work Culture variable has an influence on the Employee Performance variable. Physical Work Environment, with a t value of 2,467, this value is greater than t table 1,669. This explains that the Physical Work Environment variable has an influence on the Employee Performance variable. Meanwhile, the results of the simultaneous significant test (f test) show that Fcount 5,600 > Ftable 2,751 with a significance value of 0.002. So it can be concluded that the two independent variables, namely Transactional Leadership (X1), Work Culture (X2) and Physical Work Environment (X3) greatly influence the dependent variable, namely Employee Performance (Y) at PT. Pan Brothers, Tbk Boyolali.

Irenna Wanisha; James, Jaymaxcklien Bravyain; Witeno, Jeremy Silas; Mohammad Bakery, Luqmanul Hakim; Samuel, Melvianna +1 more

International Journal of Computer Technology and Science 2024 Asosiasi Riset Teknik Elektro dan Infomatika Indonesia

In the ever-changing digital world, strong security protocols are essential. As a vital line of defence against unwanted access, blockchain uses several verification techniques to boost security. This article investigates the use of blockchain technology to tackle privacy, security, and usability issues. By reducing the dangers associated with conventional centralised systems, blockchain's decentralised and immutable structure offers a secure platform for storing and verifying authentication credentials. This method increases user trust by using smart contracts to guarantee transparent and unchangeable authentication procedures. The suggested blockchain-based method strengthens security and enhances privacy by removing sources of failure and decreasing dependence on outside verification. Furthermore, user-centric design and expedited procedures improve the system's usability by making secure authentication more approachable and less obtrusive. This paper offers a thorough examination of the suggested system, stressing its benefits, possible drawbacks, and directions for future investigation. The results indicate that blockchain technology presents a viable solution to ensure that digital authentication frameworks combine privacy, security, and usability.

Durra Sadrina Hasan; Tamaulina Br. Sembiring

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2024 International Forum of Researchers and Lecturers

An increase in systolic and diastolic blood pressure is known as hypertension.When people are unaware of how to effectively treat their hypertension, the prevalence of high blood pressure (hypertension) can lead to a host of issues.Hypertension, or high blood pressure, is one of the leading causes of death from cardiovascular disease.As many as 26.5% of Indonesian people were hypertensive in 2013. Premature mortality, heart failure, and neurological diseases are all increased by hypertension. Factors related to socioeconomic status, age, and lifestyle can all contribute to the development of hypertension.As we get older, our big blood arteries undergo structural changes that raise cytolic blood pressure and constrict the channel lumen, increasing the chance of developing hypertension.Google Schoolar, published between 2019 and 2021, is utilized in this research.This research aims to better understand hypertension, or high blood pressure.High Blood Pressure (Hypertension) is the subject of this journal's qualitative research, which consists of reading a variety of publications.The general population has accurate information regarding hypertension, according to this journal's findings.  

Ling, Fang Ting; Ng Hui Wen; Tsi Shi Ping; Vivian Bong Chiaw Cin; Yew Wei Yi +1 more

International Journal of Electrical Engineering, Mathematics and Computer Science 2024 Asosiasi Riset Teknik Elektro dan Infomatika Indonesia

The Industrial Internet of Things (IIoT) faces various challenges in ensuring secure communication, authentication, and data integrity due to its distributed nature and evolving threat landscape. To address these issues, this paper proposes the integration of blockchain authentication as a robust solution to enhance security and reliability in IIoT networks. By leveraging Federated Learning with blockchain technology, the proposed solution aims to improve authentication mechanisms by training models across multiple edge devices, increasing fault tolerance, and adaptability while reducing the risk of single points of failure. The use of blockchain technology ensures a tamper-proof and transparent ledger for securely storing authentication data and model updates, enhancing security and integrity in IIoT networks. The results and analysis demonstrate that the integration of Federated Learning and blockchain technology effectively addresses interoperability issues, performance optimization concerns, and security vulnerabilities within IIoT networks, offering a more efficient, secure, and scalable authentication alternative.

Yunni Adiyantari

Modem : Jurnal Informatika dan Sains Teknologi 2024 Asosiasi Profesi Telekomunikasi Dan Informatika Indonesia

This study aims to apply the K-Nearest Neighbors (KNN) algorithm to predict stunting status in young children based on height and weight data. Stunting is a growth failure condition caused by chronic malnutrition that negatively impacts children's physical and mental development. The dataset includes height, weight, and stunting status of children. The results show that the KNN model with k=3 achieved 100% accuracy on the test data. Evaluation using the confusion matrix and classification report indicates perfect precision, recall, and F1-score for each class. Data normalization with StandardScaler improved the model's performance by ensuring all features are on the same scale. The KNN algorithm proves to be a simple yet effective method for predicting stunting, demonstrating significant potential for early detection and health intervention in children. This study recommends using a larger and more diverse dataset, as well as incorporating additional relevant features to enhance model accuracy. Implementing the model in a web or mobile application is also suggested to assist healthcare professionals in the field.

Argi Syahdila Darma; Hermawati Hermawati; Panggah Widodo

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Background: According to the World Health Organization (WHO), in 2018 the incidence of CKD worldwide reached 10% of the population, chronic kidney failure patients undergoing hemodialysis are estimated to reach 1.5 million people worldwide. Chronic kidney failure sufferers who will undergo hemodialysis often experience anxiety. One technique that can overcome the level of anxiety in patients undergoing hemodialysis is distraction technique. The distraction technique that will be given to reduce anxiety is the application of classical music, apart from being able to influence mood, now music is known to have amazing powers both physically, emotionally and spiritually. Objective: To find out the results of implementing classical music therapy for anxiety in patients with chronic kidney failure. who underwent hemodialysis in the ICU Room at Pandan Arang Boyolali Regional Hospital. Method: descriptive case study. To create a picture of classical music therapy nursing care for anxiety in Chronic Kidney Failure patients undergoing hemodialysis in the ICU room at Pandan Arang Hospital, Boyolali Regency. Results: Application of classical music therapy to 2 responses in Mr. A before therapy 4 statements of very severe anxiety after therapy 1 statement of mild symptoms, while for Mr. S before therapy 3 statements of severe anxiety and after therapy 1 statement of mild anxiety. Conclusion: there was a decrease in anxiety in both respondents after classical music therapy.      

Marleza Oktavia; Vincencius Surani; Dheni Koerniawan

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Critical patients are patients who are in the Intensive Care Unit (ICU) because they have lost consciousness, one of the reasons being respiratory failure. In patients with respiratory failure who have an ETT installed and connected to a mechanical ventilation device, there can be a buildup of phlegm/secretions in the bronchi and alveoli area so that the patient's airway can be disrupted, so an effective intervention is suction. In the suction process, hyperoxygenation can be carried out first to maintain oxygen saturation levels within normal limits. To overcome airway clearance in patients who experience ineffective airway clearance nursing problems and describe nursing care. The method used in this research is a case study that describes the nursing care of a patient who had an Endotraceal Tube (ETT) installed who experienced ineffective airway clearance. The results of the assessment of the three patients experienced problems with ineffective airway clearance and hyperoxygenation was carried out in the open suction process to maintain oxygen saturation values ??within normal limits. The results obtained showed changes in oxygen saturation before and after the open suction procedure. It is hoped that the provision of hyperoxygenation intervention in the open suction process can be carried out according to the SOP so that complications do not occur.