JIMAD : Jurnal Ilmiah Multidisiplin

Efektivitas Manajemen Cairan Pada Penanganan Syok Hemoragik Akibat Atonia Uteri Di IGD

2026-04-09T02:36:42+00:00

ABSTRACT

Hemorrhagic shock due to uterine atony is a major cause of maternal mortality requiring rapid and effective fluid resuscitation. This study aims to analyze the effectiveness of fluid management in improving hemodynamic status in patients with hemorrhagic shock due to uterine atony in the emergency department. A quasi-experimental design was used involving 60 patients. Parameters measured included blood pressure, heart rate, and urine output before and after fluid therapy. Results showed significant improvement in blood pressure and urine output, along with decreased heart rate (p<0.05). It is concluded that fluid management is effective in stabilizing patients with hemorrhagic shock due to uterine atony.

Keywords: Hemorrhagic Shock, Uterine Atony, Fluid Management, Emergency Care

ABSTRAK

Syok hemoragik akibat atonia uteri merupakan salah satu penyebab utama kematian maternal yang memerlukan penanganan cepat dan tepat, terutama dalam resusitasi cairan. Penelitian ini bertujuan untuk menganalisis efektivitas manajemen cairan dalam meningkatkan kondisi hemodinamik pasien dengan syok hemoragik akibat atonia uteri di Instalasi Gawat Darurat (IGD). Metode penelitian menggunakan pendekatan kuantitatif dengan desain quasi-experimental pada 60 pasien. Parameter yang diukur meliputi tekanan darah, denyut nadi, dan output urin sebelum dan sesudah pemberian cairan. Hasil menunjukkan adanya peningkatan signifikan pada tekanan darah dan output urin serta penurunan denyut nadi (p<0,05). Disimpulkan bahwa manajemen cairan efektif dalam stabilisasi pasien syok hemoragik akibat atonia uteri.

Kata Kunci: Syok Hemoragik, Atonia Uteri, Manajemen Cairan, IGD

Hubungan Ketersediaan Obat Life-Saving dengan Outcome Pasien Trauma di IGD

2026-04-09T02:41:16+00:00

ABSTRACT

Background: Trauma is one of the leading causes of death worldwide, especially among people of productive age. Rapid treatment in the emergency department (ED) greatly determines patient outcomes. One important factor is the availability of life-saving drugs, such as adrenaline, tranexamic acid, antibiotics, opioid analgesics, and intravenous fluids.

Objective: This study aims to determine the relationship between the availability of life-saving drugs and the outcome of trauma patients in the ED.

Methods: This study used an observational analytical design with a cross-sectional approach. The study sample consisted of trauma patients who came to the ED during the study period. The availability of life-saving drugs was measured using a logistics checklist, while patient outcomes were assessed based on initial stabilization status, level of need for further care, and mortality rates. Analysis was performed using the Chi-square test with a 95% confidence level.

Results: The results showed a significant relationship between the availability of life-saving drugs and the outcome of trauma patients (p < 0.05). Patients with quick access to life-saving drugs were more likely to stabilize and survive than patients who did not receive immediate medication.

Conclusion: The availability of life-saving drugs in the ED is closely related to trauma patient outcomes. Optimizing logistics management and emergency pharmacy availability is very important for improving the quality of ED services.

Keywords: Trauma, ED, Life-Saving Drugs, Patient Outcomes

ABSTRAK

Latar Belakang: Trauma merupakan salah satu penyebab utama kematian di dunia, terutama pada usia produktif. Penanganan cepat di Instalasi Gawat Darurat (IGD) sangat menentukan outcome pasien. Salah satu faktor penting adalah ketersediaan obat life-saving, seperti adrenalin, traneksamat, antibiotik, opioid analgesik, dan cairan intravena.
Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara ketersediaan obat life-saving dengan outcome pasien trauma di IGD.

Metode: Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Sampel penelitian adalah pasien trauma yang datang ke IGD dalam periode penelitian. Ketersediaan obat life-saving diukur menggunakan checklist logistik, sedangkan outcome pasien dilihat berdasarkan status stabilisasi awal, tingkat kebutuhan perawatan lanjutan, serta angka mortalitas. Analisis menggunakan uji Chi-square dengan tingkat kepercayaan 95%.

Hasil: Hasil penelitian menunjukkan terdapat hubungan signifikan antara ketersediaan obat life-saving dengan outcome pasien trauma (p < 0,05). Pasien dengan akses cepat terhadap obat-obatan life-saving memiliki kemungkinan lebih besar untuk stabil dan bertahan hidup dibandingkan pasien yang tidak segera mendapat obat.

Kesimpulan: Ketersediaan obat life-saving di IGD berhubungan erat dengan outcome pasien trauma. Optimalisasi manajemen logistik dan ketersediaan farmasi emergensi sangat penting untuk meningkatkan kualitas layanan IGD.

Kata Kunci: Trauma, IGD, Obat Life-Saving, Outcome Pasien

Analisis Faktor-Faktor Yang Mempengaruhi Keberhasilan Wirausaha Di Sektor Pertanian

2026-05-08T08:27:32+00:00

ABSTRACT

This study aims to analyze the factors influencing entrepreneurial success in the agricultural sector. The agricultural sector plays a vital role in the community's economy, but the success of agricultural businesses is influenced by various internal and external factors. This study used a quantitative approach with a descriptive-analytical design. Data were collected through questionnaires distributed to agricultural business owners and analyzed using descriptive statistics and simple linear regression.

The results indicate that business capital, education level, business experience, innovation, access to technology, and government support significantly influence entrepreneurial success in the agricultural sector. Innovation and business management skills are the dominant factors determining business development. Furthermore, motivation and the ability to adapt to market changes also influence the sustainability of agricultural businesses.

This study concludes that entrepreneurial success in the agricultural sector is not solely determined by economic factors but also by skills, creativity, and a supportive business environment. Therefore, entrepreneurship training, access to capital, and government policy support are needed to increase the success of agricultural entrepreneurs.

Keywords: Entrepreneurship, Agriculture, Business Success, Innovation, Agricultural Entrepreneurship

Hubungan Pola Makan Dengan Obesitas Pada Anak Sekolah Dasar

2026-06-03T09:42:55+00:00

Childhood obesity remains a significant public health concern worldwide. Unhealthy dietary patterns characterized by excessive consumption of high-calorie, high-fat, and high-sugar foods contribute substantially to the increasing prevalence of obesity among school-aged children. Poor dietary habits developed during childhood may lead to long-term health consequences, including metabolic disorders, cardiovascular diseases, and psychosocial problems. This study aimed to identify the characteristics of respondents, describe dietary patterns and obesity levels, and analyze the relationship between dietary patterns and obesity among elementary school children at SDN Lenteng Agung 03 in 2023. This study employed a quantitative analytic design with a cross-sectional approach. The study involved 34 obese elementary school children selected using a total sampling technique. Dietary pattern data were collected using a structured questionnaire, while obesity status was assessed through anthropometric measurements and Body Mass Index (BMI) calculations. Data were analyzed using descriptive statistics and the Chi-Square test with a significance level of α = 0.05. The findings revealed that most respondents were male (64.7%) with a mean age of 9.97 ± 1.14 years. The majority of respondents had good dietary patterns (67.6%), while 32.4% had poor dietary patterns. Regarding obesity levels, 76.5% were categorized as Obesity Grade I, 14.7% as Obesity Grade II, and 8.8% as Obesity Grade III. The Chi-Square test demonstrated a statistically significant relationship between dietary patterns and obesity levels among elementary school children (p-value = 0.001). There is a significant relationship between dietary patterns and obesity among elementary school children. Children with poor dietary patterns tend to experience more severe obesity levels than those with healthier dietary patterns. Improving healthy eating behaviors is essential in preventing and controlling childhood obesity.

Peran Manajemen Energi terhadap Efisiensi Konsumsi Listrik Rumah Tangga di Indonesia

2026-06-14T13:25:26+00:00

Household electricity consumption in Indonesia continues to increase along with economic growth, urbanization, and the development of digital technology. This condition contributes to a growing burden on the national energy supply system and increases the potential for carbon emissions. This study aims to analyze the role of energy management in improving household electricity consumption efficiency in Indonesia. The research employed a literature review method with a qualitative approach through content analysis, thematic analysis, and comparative analysis. Data were collected from various reputable academic sources, including Scopus, ScienceDirect, Springer, Emerald, IEEE Xplore, Taylor & Francis, SINTA, and Google Scholar. The reviewed literature was limited to journal articles published between 2021 and 2026 and academic books published between 2016 and 2026. The findings indicate that household electricity consumption efficiency can be enhanced through the implementation of smart technologies, such as smart meters, smart home systems, and energy-efficient appliances, supported by behavioral changes through increased energy literacy and environmental awareness. The main challenges include high initial investment costs, limited public technical knowledge, and insufficient supporting regulations. This study concludes that the integration of technology, continuous education, and government policies can improve household energy efficiency without compromising residents' comfort and can serve as a foundation for developing more effective household energy management programs.

Keyword: Energy Management, Energy Efficiency, Households, Energy Consumption.