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All Journal Quantum Wellness : Jurnal Ilmu Kesehatan Jurnal Praba: Jurnal Rumpun Kesehatan Umum
Titis Wening Setyoharsih
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Asuhan Keperawatan Pada Pasien Karsinoma Hepatoseluler Dengan Fenomena Paraneoplastik Hipoglikemia Di Ruang Melati RSUD Banyumas Ayu Nur Annisa; Titis Wening Setyoharsih
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.744

Abstract

Background: Hepatocellular Carcinoma (HCC) is an abnormal cell growth in the liver characterized by increased number of dividing liver cells accompanied by malignant transformation. A common paraneoplastic phenomenon in HCC patients is hypoglycemia, which arises due to hepatic dysfunction impairing gluconeogenesis and glycogenolysis, as well as tumor-mediated IGF-II production. This condition causes hypoglycemia as a primary nursing problem requiring comprehensive nursing care. Objective: To describe the nursing care process for a patient with HCC focusing on blood glucose instability management and knowledge deficit intervention. Methods: This study used a descriptive qualitative method through a case study approach. Data were collected through interview, observation, documentation study, and literature review. Results: Two nursing diagnoses were identified: blood glucose instability related to hepatic dysfunction and knowledge deficit related to lack of information exposure. Nursing interventions performed included hypoglycemia management and disease process education. After 2x24 hours of nursing implementation, both diagnoses were partially resolved, as GDS values remained fluctuating and behavioral change had not been fully achieved. Conclusion: Comprehensive nursing management through routine blood glucose monitoring, dextrose administration, nutritional modification, and health education can improve blood glucose stability and patient knowledge in HCC patients.
Asuhan Keperawatan Pada Ny. R Dengan Gangguan Sistem Kardiovaskular: Congestive Heart Failure (CHF) Dengan Masalah Bersihan Jalan Napas Tidak Efektif Di Ruang Melati RSUD Banyumas Afni Setia Dewi; Titis Wening Setyoharsih
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.753

Abstract

Background: Congestive Heart Failure (CHF) is a condition characterized by the inability of the heart to pump blood optimally, resulting in the accumulation of fluid in the lungs and other organs. This condition frequently causes ineffective airway clearance due to hypersecretion of the airway. Objective: This study aims to describe the comprehensive nursing care provided to Ny. R with Cardiovascular System Disorder: Congestive Heart Failure (CHF) with the main nursing problem of ineffective airway clearance at the Melati Ward of RSUD Banyumas. Method: This study used a descriptive method through a case study approach. Data were collected through interviews, physical examination, observation, and documentation. Results: Two nursing diagnoses were identified: (1) ineffective airway clearance related to airway hypersecretion, and (2) activity intolerance related to an imbalance between oxygen supply and demand. Nursing interventions included airway management and energy management. After two days of implementation (January 27–28, 2026), the first diagnosis was resolved and the second was partially resolved, with continued interventions recommended including monitoring of physical and emotional fatigue, advising bed rest, and monitoring vital signs. Conclusion: Comprehensive nursing care with appropriate interventions can effectively address ineffective airway clearance in CHF patients.
Asuhan Keperawatan Pada Pasien Congestive Heart Failure (CHF) Di Ruang Mawar I RSUD dr. Soeselo Kabupaten Tegal M. Ardes Dwi Saputra; Titis Wening Setyoharsih
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.755

Abstract

Background: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood effectively due to structural or functional disorders, commonly manifesting as dyspnea, fluid retention, and peripheral edema. Globally, cardiovascular disease is the leading cause of death, with CHF affecting more than 55-65 million people worldwide. Objective: To perform comprehensive nursing care on patient Ny. A with cardiovascular system disorder: Congestive Heart Failure (CHF) in the Mawar I Ward of RSUD dr. Soeselo, Tegal Regency. Methods: This study used a descriptive method through a case study approach. Data were collected via interview, observation, and physical examination. Results: Four nursing diagnoses were identified: ineffective breathing pattern, hypervolemia, activity intolerance, and knowledge deficit. Interventions included respiratory monitoring, hypervolemia management, energy management, and health education on disease process. After two days of nursing implementation, three diagnoses were resolved and one (hypervolemia) was partially resolved. Conclusion: Nursing care for Ny. A with CHF was carried out through assessment, nursing diagnosis, intervention, implementation, and evaluation. Continued interventions are recommended, including fluid balance monitoring, diuretic collaboration, and edema and ascites monitoring.
Asuhan Keperawatan pada Pasien dengan Gangguan Sistem Persyarafan: Vertigo di Ruang Mawar 1 RSUD Dr. Soeselo Kabupaten Tegal Hella Maulida Afrilliani; Titis Wening Setyoharsih
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2026): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i2.3145

Abstract

Vertigo is a balance disorder that causes nausea, dizziness, and a spinning sensation. The purpose of this study is to ascertain how complete nursing care is implemented for a patient in the mawar 1 ward of RSUD dr. Soeselo Tegal Regency, who is suffering from vertigo, a nervous system condition. Observation, interviews, and documentation study techniques were employed in this investigation. According to the evaluation results, the patient had three nursing issues: nausea due to elevated intracranial pressure, reduced comfort due to disease symptoms, and knowledge deficiency due to insufficient information. Health education, ginger decoction to ease nausea, and the non-pharmacological brandt-daroff exercise technique to lessen vertigo symptoms were among the interventions. The assessment revealed that the patient's health had improved, as evidenced by a drop in the pain scale from a 5 to a 2, less nausea, and a better comprehension of the illness. In conclusion, it has been demonstrated that nursing care that combines pharmaceutical and non-pharmacological interventions like the brandt-daroff technique improves vertigo patients' conditions.
Co-Authors Afni Setia Dewi Ayu Nur Annisa Hella Maulida Afrilliani M. Ardes Dwi Saputra