Claim Missing Document
Check
Articles

Found 2 Documents
Search

Asuhan Keperawatan pada Tn. K dengan Masalah Sistem Respiratori TB Paru di RSU Royal Prima Medan Ranila Buulolo; Rael Malia Putri Wau; Nurul Amira Tamimi; Juniati Simanjuntak; ⁠Yusni Sianipar; Afeus Halawa
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 4 No. 3 (2026): July : Jurnal Pustaka Nusantara Multidisiplin (ACCEPTED)
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v4i3.1318

Abstract

Tuberkulosis paru merupakan penyakit infeksi menular yang menyerang sistem respiratori dan dapat menimbulkan gangguan oksigenasi, penumpukan sekret, demam, nyeri dada, serta penurunan kondisi umum pasien. Studi kasus ini bertujuan menggambarkan asuhan keperawatan pada Tn. K dengan masalah sistem respiratori akibat tuberkulosis paru di RSU Royal Prima Medan. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, pemantauan tanda vital, pemeriksaan status respiratori, hasil laboratorium, dan dokumentasi keperawatan. Hasil pengkajian menunjukkan pasien mengalami sesak napas berat, batuk berdahak kental kehijauan, flek darah saat batuk, nyeri dada kanan, demam, keringat malam, penurunan berat badan, frekuensi napas 28 kali per menit, suhu 39,2°C, dan SpO₂ 90%. Diagnosis keperawatan yang ditegakkan meliputi gangguan pertukaran gas, bersihan jalan napas tidak efektif, hipertermia, dan nyeri akut. Implementasi dilakukan melalui pemantauan respirasi, posisi semi-Fowler, terapi medis, edukasi kesehatan, dan latihan batuk efektif. Evaluasi menunjukkan peningkatan SpO₂ menjadi 98 sampai 99%, penurunan frekuensi napas, suhu tubuh, serta berkurangnya sputum. Latihan batuk efektif membantu memperbaiki bersihan jalan napas pasien.
Relationship between Physical Changes and Quality of Life in Chronic Kidney Disease Patients Undergoing Hemodialysis at Royal Prima Medan General Hospital in 2024 Nidia Felisia Halawa; Frisandia Gulo; Raka Dwi Anugrah; Creasy Dervin Br Pangaribuan; Ranila Buulolo; Tiarnida Nababan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2483

Abstract

Background: Chronic Kidney Disease (CKD) is a condition that gradually and irreversibly changes the role of the kidneys, resulting in elevated urea and electrolytes and the inability of the body to maintain fluid and electrolyte balance. Hemodialysis (HD) is an effective therapy for kidney failure disease. Physical changes will inevitably occur in CKD patients who are on hemodialysis throughout their lives. Patients undergoing hemodialysis can interfere with the quality of life for those undergoing it, the situation is related to the physical changes experienced by these patients. Objective: The purpose of this study was to determine the Relationship between Physical Changes and Quality of Life in Chronic Kidney Disease Patients Undergoing Hemodialysis at Royal Prima Hospital Medan in 2024. Methods: This study applies a quantitative research model and uses a Cross-Sectional design, where this research is a study that tries to investigate and examine how an event occurs. Results: The results of research that has been conducted on the relationship between physical changes and quality of life in Chronic kidney disease patients undergoing Hemodialysis at Royal Prima Medan Hospital, out of 32 respondents who have been studied with the Pearson Chi-Square test obtained a pvalue = 0.000 <0.05 then Ho is rejected and Ha is accepted. Conclusion: From the results, it can be concluded that there is a relationship between physical changes and quality of life in Chronic Kidney Disease patients undergoing Hemodialysis at RSU Royal Prima Medan in 2024.