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Asuhan Keperawatan Pada Pasien Dengan Penyakit Jantung Koroner (Pjk) Di Ruang High Care Unit (Hcu) Di Rsud Padang Pariaman Rintan Rahmawati; Debby Silvia Dewi; Mike Asmaria; Hilma Yessi
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.v3i1.1886

Abstract

Based on data from the World Health Organization, cardiovascular disease is the leading cause of death, worldwide, as many as 19.8 million people died from cardiovascular disease and 38% of these deaths were caused by Coronary Heart Disease (CHD). Based on data from the Indonesian Health Survey, Coronary Heart Disease caused death, as much as 0.85% or as many as 765,000 cases. From the survey results, West Sumatra is ranked 10th in the provinces with Coronary Heart Disease with a prevalence of 0.87%. Based on data obtained at Padang Pariaman Regional Hospital, Coronary Heart Disease cases were ranked 15th in 2025 with 56 cases. This case study aims to obtain an overview of the application of nursing care to patients with Coronary Heart Disease, including use, establishing nursing diagnoses, planning nursing, carrying out, implementing, evaluating, acting and documenting. The methods, data collection used in this case study are observation interviews, physical examinations and medical records. This case study was conducted in the HCU room of Padang Pariaman Regional Hospital from February 25 to March 1, 2026. The results of the study obtained nursing problems in the form of ineffective breathing patterns, decreased cardiac output, fatigue, acute pain and the risk of ineffective peripheral perfusion. Nursing problems were resolved on the 5th day with nursing actions provided in the form of airway management, cardiac care, pain management, susigi management and shock prevention. It can be concluded that the treatment of Coronary Heart Disease patients requires medical action and patient awareness in managing lifestyles to improve the quality of nursing care in hospitals. It is hoped that patients and their families can understand the importance of awareness in maintaining a healthy lifestyle to prevent complications due to Coronary Heart Disease.
Asuhan Keperawatan Pada Tn.T Dengan Diagnosa Acute Decompensated Heart Failure (ADHF) Di Ruang Hcu Rsud Padang Pariaman Latifah Aini; Linda Marni; Hilma Yessi; 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.v3i1.1906

Abstract

Acute Decompensated Heart Failure (ADHF) is a cardiovascular emergency characterized by an acute deterioration in heart function that requires immediate treatment. ADHF is a global health issue, with approximately 3 million cases reported annually. In Indonesia, the prevalence of heart disease is 0.85%, while in West Sumatra Province it is 0.87%. Medical record data at Padang Pariaman Regional General Hospital show an increase in ADHF cases, with 100 cases in the past year in the HCU ward. This case study aims to provide an overview of the implementation of nursing care for patients with ADHF. The method used was a case study employing a nursing process approach through observation and interviews, conducted over 5 days from February 25 to March 1, 2026, in the HCU Ward of Padang Pariaman Regional General Hospital on one patient diagnosed with ADHF. The results of the case study revealed five primary nursing problems: decreased cardiac output, ineffective airway clearance, acute pain, activity intolerance, and sleep pattern disturbance. Interventions were implemented over 5 days, focusing on cardiac care, airway management, pain management, energy management, and sleep support. Evaluation showed a gradual improvement in the patient’s condition, with sleep disturbances resolved by day 2, acute pain resolved by day 3 with a pain score of 2, airway clearance resolved by day 4, The decreased cardiac output resolved by day 5, with an oxygen saturation of 98%, and activity intolerance was partially resolved. It is hoped that the patient and family will follow the healthcare providers’ recommendations, maintain a healthy lifestyle, and attend regular follow-up visits at a healthcare facility to prevent recurrence.
Asuhan Keperawatan Medikal Bedah Pada Pasien Dengan Dangue Hemoragic Fever (DHF) Di Ruang Rawat Inap RSUD Prof M,Yamin Pariaman Nadila Nahdatul Huda; 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.v3i1.1950

Abstract

                Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes. DHF remains a major public health problem in Indonesia due to its high incidence rate. This scientific paper aimed to describe the implementation of nursing care for a patient with DHF. The method used was a case study applying the nursing process, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subject of the study was one patient (Ms. N) who was hospitalized for five days in the Internal Medicine Ward of Prof. M. Yamin Hospital, Pariaman. The results revealed four nursing diagnoses: hypovolemia, hyperthermia, risk for bleeding, and risk for nutritional deficit. After comprehensive nursing interventions were provided, the patient's condition improved as evidenced by normal body temperature, increased platelet count, adequate fluid balance, and improved nutritional intake. The study concludes that systematic, comprehensive, and continuous nursing care is effective in improving patient outcomes and accelerating recovery in patients with DHF.