Hilma Yessi
Program Studi D3 Keperawatan, Fakultas Psikologi dan Kesehatan, Universitas Negeri Padang

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Asuhan Keperawatan Pada Pasien degan Congestive Heart Failure (CHF) di Ruang Jantung RSUP.Dr.Mdjamil padang nur hasnah putri; Hilma Yessi; Debby Silvia Dewi; Linda Marni
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1824

Abstract

Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood optimally to meet the body’s metabolic needs, resulting in impaired tissue perfusion and various complications. The World Health Organization states that cardiovascular disease is the leading cause of death worldwide, accounting for approximately 17.9 million deaths each year or about 32% of total global deaths. Based on data from the Kementerian Kesehatan Republik Indonesia in 2023, heart disease remains one of the major health problems in Indonesia with an increasing incidence rate. The purpose of this scientific paper is to provide nursing care for patients with Congestive Heart Failure (CHF), including assessment, nursing diagnoses, interventions, implementation, evaluation, and nursing documentation.The method used in this scientific paper was a case study approach using the nursing process on one patient, Mrs. N, in the cardiac inpatient ward at RSUP Dr. M. Djamil Padang from February 4–8, 2026. Data collection techniques included interviews, observation, physical examination, and documentation studies.The results of nursing care showed an improvement in the patient’s condition after five days of nursing interventions, indicated by improved blood pressure, reduced shortness of breath, decreased pain scale, and increased activity tolerance. It is expected that the patient will be able to perform optimal self-care through adherence to therapy, activity regulation, and the implementation of a healthy lifestyle in order to improve quality of life and prevent recurrence and further complications.  
Asuhan Keperawatan Medikal Bedah Pada Pasien Dengan Pneumonia di Ruangan Paru Rsud Prof.H. Muhammad Yamin, SH Pariaman Siti Nurhafizah; Hilma Yessi; Debby Silvia Dewi; Linda Marni
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1827

Abstract

Pneumonia is a lower respiratory tract infection characterized by cough, shortness of breath, and sputum accumulation. Globally (2024), lower respiratory tract infections caused 2.18 million deaths, the majority of which were caused by the bacterium Streptococcus pneumoniae infection. In Indonesia (2023), there were 56,600 deaths caused by lower respiratory infections (LRI), of which pneumonia among individuals aged ≥60 years accounted for 23,600 deaths. The number of pneumonia cases in West Sumatra in 2022 reached 5,591 cases, while in Pariaman in 2024 there were 947 cases. Meanwhile, at RSUD Prof. H. Muhammad Yamin SH Pariaman in 2025, pneumonia ranked ninth with 89 cases. The purpose of this case study was to provide nursing care for a patient diagnosed with pneumonia. The method used was a six-day case study conducted through interviews, observation, and physical examination from February 10–15, 2026. The results identified six nursing diagnoses: ineffective airway clearance, ineffective breathing pattern, activity intolerance, sleep pattern disturbance, knowledge deficit, and risk of infection. The interventions implemented included airway management, respiratory monitoring, energy management, sleep support, health education, and infection prevention. Evaluation on the fourth day showed that the knowledge deficit had been resolved; on the fifth day, the ineffective breathing pattern, activity intolerance, and sleep pattern disturbance were resolved; and on the sixth day, ineffective airway clearance and risk of infection were fully resolved. Patients are advised to adopt a healthy lifestyle by avoiding exposure to dust, cigarette smoke, and air pollution, as well as consuming a balanced nutritious diet consisting of high-protein foods, vegetables, and fruits, and adhering to prescribed treatment in order to support the healing process and prevent recurrence. Families are expected to play an active role in providing support, including reminding patients to take their medication, refrain from smoking, and helping to maintain a clean and healthy environment.
Asuhan Keperawatan pasien dengan Chronic Kidney Disease (CKD) di Ruangan Interne RSUD Prof. H. Muhammad Yamin, SH Pariaman Riska Julita Putri; Hilma Yessi; Mike Asmaria; Debby Silvia Dewi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1837

Abstract

According to data from the World Health Organization (WHO), the number of Chronic Kidney Disease (CKD) cases in 2021 was recorded at more than 843.6 million. By 2025, this number is expected to reach around 850 million, with approximately 4 million individuals requiring renal replacement therapy. In Indonesia, the prevalence of CKD reaches 638,178 cases. Meanwhile, in West Sumatra, the prevalence is around 0.40% with a total of 13,834 cases. In Prof. H. Muhammad Yamin, SH Pariaman Regional General Hospital, CKD ranked first in 2025 with 335 cases. The purpose of this case study is to understand and apply nursing care to patients with Chronic Kidney Disease (CKD). The method used is a case study with a nursing process approach for one patient, Mr. E in the internal room of Prof. H. Muhammad Yamin, SH Pariaman Regional General Hospital on February 9-13, 2026. The results of the 5-day study showed nursing problems, namely: Hypervolemia, Ineffective Breathing Pattern, Ineffective Peripheral Perfusion, Acute Pain and Risk of Ineffective Renal Perfusion. Interventions and implementations carried out were hypervolemia management, airway management, circulation care, pain management, shock prevention anddisease process education. The author's suggestion is that patients can adopt a healthy lifestyle, such as limiting fluids, limiting foods high in sodium and potassium and routine hemodialysis to the hospital. In conclusion, after nursing care with CKD, the patient's condition showed improvement marked by reduced shortness of breath, edema, fatigue and pain.