Articles
Benson Therapy Against Pain Scale in Patient with NSTEMI
Setia Aji, Tatang Kurniawan;
Widodo, Taat Agung;
Siwi, Adiratna Sekar
Pena Medika : Jurnal Kesehatan Vol. 13 No. 2 (2023): PENA MEDIKA: JURNAL KESEHATAN
Publisher : Universitas Pekalongan
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DOI: 10.31941/pmjk.v13i2.3129
Unstable Angina Pectoris is an attack of pain or stinging in the chest, one of which is NSTEMI disorder. The number of deaths due to heart attacks is obtained at a very high rate of around 17.7 million per year and 31% of deaths in the world. NSTEMI is a disorder in which there is no unique abnormality in the heart seen from a medical examination. Performing benson therapy on the pain scale in patients with nstemi in the ICU room of Hj. Anna Lasmanah Banjarnegara Hospital. The case study used is descriptive through case studies. NSTEMI patients recorded in medical records at the Hj Anna Lasmanah Banjarnegara Hospital in 2021 were 12 patients, in 2021 there were 27 patients and in 2022 there was an increase to 31 patients. Mr. S experienced left chest pain after nursing care with benson therapy for 3 X 24 hours the pain decreased to mild and disappeared. It is necessary to implement comprehensive nursing care through benson therapy so that it can help patients in overcoming the chest pain they experience
Asuhan Keperawatan Ketidakstabilan Kadar Glukosa Darah Pada NY. W dengan Diabetes Mellitus Tipe II
Wulandari, Nuri;
Khasanah, Suci;
Siwi, Adiratna Sekar
MAHESA : Malahayati Health Student Journal Vol 4, No 1 (2024): Volume 4 Nomor 1 (2024)
Publisher : Universitas Malahayati
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DOI: 10.33024/mahesa.v4i1.12413
ABSTRACT Type 2 diabetes is a condition characterized by hyperglycemia resulting from insulin resistance in the body's cells. Diabetes Mellitus is a serious condition that can be life-threatening and is associated with acute complications of DM that require quick intervention. Blood glucose instability refers to changes in blood glucose levels that lead to an increase or decrease outside the normal range. The risk of blood glucose instability arises because the body cannot effectively use and produce insulin. Providing nursing care to Mrs. W who is experiencing blood glucose instability due to type II diabetes mellitus. The issue of blood glucose instability addressed over 3 days has not been achieved. The author conducted an evaluation after implementing the care actions in accordance with the care plan that had been established. This assessment aims to monitor and assess the progress and level of success of the care actions performed on Mrs. W. The results of the evaluation conducted over 3 days indicate that the blood glucose instability related to insulin resistance has been successfully overcome. Keywords: Diabetes Mellitus, Blood Glucose Levels and Patients ABSTRAK Diabetes tipe 2 merupakan kondisi yang ditandai dengan adanya hiperglikemia yang diakibatkan oleh resistensi insulin dalam sel-sel tubuh. Diabetes Melitus adalah suatu kondisi serius yang bisa membahayakan nyawa dan terkait dengan komplikasi akut dari DM yang memerlukan tindakan cepat. Ketidakstabilan kadar glukosa darah adalah perubahan dalam tingkat glukosa darah yang menyebabkan peningkatan atau penurunan dari rentang normal. Resiko ketidakstabilan kadar glukosa darah timbul karena tubuh tidak dapat menggunakan dan menghasilkan insulin dengan baik. Memberikan asuhan keperawatan kepada Ny. W yang mengalami ketidakstabilan kadar glukosa darah akibat diabetes mellitus tipe II. Penelitian ini menerapkan studi kasus melalui tindakan dengan cara memberikan implementasi perawatan selama 3 hari. Masalah dengan ketidakstabilan glukosa darah yang dilakukan selama 3 hari belum tercapai. Penulis melakukan evaluasi setelah menerapkan tindakan perawatan sesuai dengan rencana perawatan yang telah dibuat. Penilaian ini bertujuan untuk memantau dan menilai perkembangan serta tingkat keberhasilan tindakan perawatan yang telah dilakukan pada Ny. W. Hasil evaluasi yang dilakukan selama 3 hari ketidakstabilan kadar glukosa darah berhubungan dengan resistensi insulin sudah teratasi. Kata Kunci: Diabetes melitus, Kadar Glukosa Darah dan Pasien
Gambaran Kestabilan MAP (Mean Arterial Pressure) dan Heart Rate Pasien Spinal Anestesi Di RSUD dr. R. Goeteng Taroenadibrata Purbalingga
Eka Septia Ningsih;
Tophan Heri Wibowo;
Adiratna Sekar Siwi
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 2 (2024): Juni
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi
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DOI: 10.54832/phj.v5i2.551
Giving spinal anesthesia has advantages such as reducing the risk of acute complications which often occur, namely blood pressure instability in the form of a decrease in blood pressure or hypotension. Appropriate and rapid action to reduce blood pressure after administering spinal anesthesia must be taken to avoid complications. Hemodynamic changes occur due to sympathetic vasomotor blockade due to spinal anesthesia. The aim of this research is to determine the stability of Mean Arterial Pressure and heart rate in spinal anesthesia patients at RSUD dr. R Goeteng Taroenadibrata Purbalingga. The type of research carried out is quantitative research with a descriptive design. The approach used during the research was cross sectional. The sampling technique used purposive sampling for 64 patients. The measuring instruments used are a bedsite monitor scale and an observation sheet. Data analysis used univariate tests in the form of frequency distribution tables. The research results showed that the average age was 51.77 years and the most dominant gender was female (53.1%). Most of them had no history of disease (71.9%). Description of the stability of Mean Arterial Pressure in spinal anesthesia patients with an average MAP of 96.16. The heart rate of spinal anesthesia patients was an average of 79.06 beats per minute.
Recognition In Asean Free Trade
Nisa, Lailatul;
Sebayang, Septian Mixrova;
Siwi, Adiratna Sekar
Al Makki Health Informatics Journal Vol. 1 No. 1 (2023): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher
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DOI: 10.57185/hij.v1i1.1
Palliative care is aimed at the patient's recovery process in accepting the illness he is suffering from, and palliative care is to reduce the suffering experienced by the patient. This study aimed to determine nurses' level of knowledge and caring behavior in palliative care. This type of research is quantitative with a cross-sectional approach. The sampling technique uses convenience sampling. The sample of this study is nurses finding 63. The measuring instruments used in this study are Palliative Care Quiz For Nursing (PCQN) and Caring Behaviors Inventory (CBI). Statistical analysis using Spearman rank correlation test. The study results obtained a 2-tailed Sig value of 0.000 (p-value> 0.005), thus indicating a relationship between knowledge and nurse behavior. This research is expected to illustrate Nurse's nursing behavior in providing care to palliative patients.
GAMBARAN PENGETAHUAN DAN SIKAP TENTANG PENANGANAN PERTAMA PADA KASUS KERACUNAN PADA SISWA DI SMP NEGERI 1 MADUKARA BANJARNEGARA
Astuti, Yuria Dwi;
Sumarni, Tri;
Siwi, Adiratna Sekar
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 12 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net
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DOI: 10.5281/zenodo.12589678
Keracunan makanan merupakan salah satu kondisi kegawatdaruratan yang sering ditemui sehari hari dan masih mudah cara penanganannya namun masyarakat masih sering salah dalam penanganannya. Pengetahuan dan sikap merupakan faktor yang mempermudah timbulnya sebuah perilaku Tujuan dari penelitian ini adalah untuk mengetahui pengetahuan dan sikap tentang penanganan pertama pada kasus keracunan pada siswa di SMP Negeri 1 Madukara Banjarnegara. Jenis penelitian kuantitatif yang menggunakan metode deskriptif dan cross sectional sebagai pendekatan. Sampel penelitian siswa kelas VII dan VIII di SMP Negeri 1 Madukara Banjarnegara sebanyak 208 responden yang menggunakan teknik proportionate stratified random sampling. Alat yang digunakan untuk pengumpulan data adalah lembar kuesioner. Analisis data menggunakan distribusi frekuensi. Penelitian ini menunjukkan bahwa sebagian besar memiliki usia 14 tahun (57,7%), memiliki jenis kelamin laki-laki (50,5%) dan tidak pernah mendapatkan informasi terkait keracunan (53,4%). Pengetahuan tentang penanganan pertama pada kasus keracunan sebagian besar dalam kategori cukup (67,8%) dan sikap tentang penanganan pertama pada kasus keracunan sebagian besar dalam kategori positif (53,4%). Kesimpulannya adalah siswa SMP di SMP Negeri 1 Madukara memiliki pengetahuan yang cukup dan sikap yang positif terkait penanganan kasus keracunan.
Hubungan Dukungan Sosial Dengan Self Acceptance Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa
Suandika, Made Suandika;
Hidayat, Wiwit Arif;
Siwi, Adiratna Sekar
Citra Delima Scientific journal of Citra Internasional Institute Vol. 7 No. 2 (2024): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional
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DOI: 10.33862/citradelima.v7i2.363
Regardless of physical status, CKD patients need to feel self-acceptance towards themselves. In this study, CKD patients undergoing hemodialysis at RSU Dadi Keluarga Purwokerto will be examined for the relationship between social support and self-acceptance. With a cross-sectional approach, non-probability Accidental Sampling as a sample collection strategy, and the G-power software formula for sampling, this research method uses correlative analysis to collect data from 70 respondents. The Unconditional Self-Acceptance Questionnaire (USAQ) and the Social Support Questionnaire were used in this study. 43 respondents (61.4%) were male and aged between 46 and 65 years were the characteristics of the majority. 13 to 24 months are spent on hemodialysis. 18 respondents (25.7%), whose last education was high school or middle school, respectively 49 respondents (70%) and 35 respondents (50%) had jobs. Based on the results of the independent and dependent variables, good social support was obtained for 51 respondents (72.9%) and moderate self-acceptance for 47 respondents (67.1%). With a p-value of 0.000 (p-value 0.005) and a correlation coefficient of 0.619, the findings of this study indicate a substantial relationship between social support and self-acceptance. This relationship is strong. As a result, in someone who has undergone hemodialysis therapy, social support is closely related to self-acceptance.
Penerapan Senam Anti Stroke pada Penderita Hipertensi di Desa Kaliputih Kecamatan Purwojati
Asri Nur Rahmawati;
Madyo Maryoto;
Adiratna Sekar Siwi
Journal of Community Service and Engagement Vol 1 No 2 (2026): February: Servitia: Journal of Community Service and Engagement
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI
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DOI: 10.65310/m92r3c26
Hypertension, or high blood pressure, is a medical condition that increases the risk of heart disease, stroke, and kidney failure. The prevalence of hypertension in Central Java in 2023 reached 31.4%, which is also estimated to apply to Banyumas. Anti-stroke exercises are one of the preventive measures because they can lower blood pressure, control cholesterol levels, and improve minor disorders in the body. The purpose of this Community Service (PkM) activity is to increase the knowledge and skills of the elderly regarding anti-stroke exercises. The PkM implementation methods included lectures, discussions, as well as pre-tests and post-tests participated in by 19 elderly people. The pre-test results showed that 84% of participants were in the low category and 16% in the sufficient category, while the post-test showed that 89% were in the high category and 11% in the sufficient category. These results indicate an increase in the elderly's knowledge about hypertension and anti-stroke exercises after the activity. The output of the PkM is the publication of an article in an accredited national journal, which is expected to be a reference for education and prevention efforts for hypertension in the elderly..
Implementasi Relaksasi Nafas Dalam untuk Menurunkan Tingkat Kecemasan pada Pasien Pra-Anestesi
Wahyuningsih, Ratih;
Susanto, Amin;
Siwi, Adiratna Sekar
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 2 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani
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DOI: 10.56359/kolaborasi.v6i2.802
Introduction: Anxiety is a psychological problem that often arises in patients before undergoing surgery, especially in the pre-anesthesia phase. This condition can affect physiological responses such as increased heart rate, irregular breathing patterns, and high blood pressure. At Ajibarang Regional General Hospital, most pre-anesthesia patients are known to experience moderate to severe anxiety, while standardized non-pharmacological interventions to address this problem are not yet available. Therefore, an effective and easy-to-implement approach is needed to help reduce patient anxiety before surgery. Objective: Assessing the effectiveness of deep breathing relaxation techniques as a non-pharmacological intervention in reducing anxiety levels in pre-anesthesia patients at Ajibarang Regional General Hospital. Method: The intervention was carried out using deep breathing relaxation techniques through controlled breathing exercises designed to stimulate the parasympathetic nervous system, thereby creating a state of relaxation. The patients' anxiety levels were measured using the APAIS (Amsterdam Preoperative Anxiety and Information Scale) instrument before and after the intervention. A total of 30 pre-anesthesia patients underwent this structured therapy process. Result: The results show a significant decrease in anxiety after administering deep breathing relaxation techniques. A total of 30 participants took part in the activity, predominantly adults (96.7%) and women (66.7%). The majority underwent major surgery (83.3%). Before the intervention, anxiety levels were in the moderate (93.3%) and severe (6.7%) categories. After being given deep breathing relaxation techniques, there was a decrease in anxiety, with 93.3% of respondents in the mild anxiety category and no one experiencing severe anxiety. Conclusion: Deep breathing relaxation techniques have been proven effective in reducing anxiety levels in pre-anesthesia patients at Ajibarang Regional General Hospital. This intervention can be recommended as a simple, safe, and easy-to-implement non-pharmacological procedure as part of preoperative preparation in the pre-anesthesia room.
PENERAPAN HEAD UP POSITION 30° PADA PASIEN STROKE NON HEMORAGIK DENGAN PENURUNAN KAPASITAS ADAPTIF INTRAKRANIAL: STUDI KASUS
Ayunika, Viqtanesya;
Siwi, Adiratna Sekar;
Nurya, Nurya
Jurnal Ilmu Keperawatan Vol 14 No 2 (2025): Al-Asalmiya Nursing Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah
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DOI: 10.35328/vmrw0e13
Stroke non hemoragik merupakan salah satu penyebab tingginya angka kesakitan dan kematian, terutama akibat gangguan perfusi serebral dan peningkatan tekanan intrakranial (TIK). Peningkatan TIK dapat menurunkan kapasitas adaptif intrakranial sehingga berdampak pada penurunan kesadaran dan gangguan fungsi neurologis. Salah satu intervensi keperawatan yang efektif dan mudah diterapkan untuk menurunkan TIK adalah posisi head up 30°. Studi kasus ini bertujuan menggambarkan penerapan posisi head up 30° pada pasien Ny. M dengan diagnosis medis stroke non hemoragik dan masalah keperawatan penurunan kapasitas adaptif intrakranial. Penelitian dilakukan di Ruang ICU RSUD Kardinah Tegal pada tanggal 1–3 September 2025 menggunakan metode studi kasus yang meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi keperawatan. Pengumpulan data dilakukan melalui observasi, wawancara, pemeriksaan fisik, dan studi dokumentasi. Intervensi posisi head up 30° diberikan setiap hari dengan pemantauan tanda vital dan tingkat kesadaran. Hasil menunjukkan adanya perbaikan bertahap, ditandai dengan penurunan gelisah, peningkatan GCS dari E2M2V2 menjadi E4M5V2, serta penurunan tekanan darah dari 194/87 mmHg menjadi 147/88 mmHg. Kesimpulan dari studi kasus ini adalah bahwa posisi head up 30° efektif sebagai intervensi nonfarmakologis dalam menurunkan tekanan intrakranial dan memperbaiki perfusi serebral pada pasien stroke non hemoragik.
PENERAPAN SUCTION DALAM ASUHAN KEPERAWATAN PADA PASIEN TBC DENGAN BERSIHAN NAPAS TIDAK EFEKTIF DI RUANG INTENSIVE CARE UNIT (ICU) RSUD KARDINAH TEGAL
Novianti, Rika;
Siwi, Adiratna Sekar;
Nurya
Jurnal Ilmu Keperawatan Vol 14 No 2 (2025): Al-Asalmiya Nursing Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah
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DOI: 10.35328/2ebh2k68
Tuberkulosis (TBC) paru merupakan penyakit infeksi yang hingga kini menjadi salah satu masalah kesehatan utama di Indonesia dengan angka morbiditas dan mortalitas yang tinggi. Salah satu komplikasi yang sering muncul pada pasien TBC di ruang ICU adalah bersihan jalan napas tidak efektif akibat penumpukan sekret. Studi kasus ini bertujuan untuk menggambarkan proses asuhan keperawatan yang diberikan kepada pasien Tn. N dengan diagnosis medis TBC dan masalah keperawatan bersihan jalan napas tidak efektif. Penelitian dilaksanakan pada 1–3 September 2025 menggunakan metode studi kasus yang mencakup pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Intervensi utama yang diberikan adalah suction secara teratur melalui ETT, disertai terapi oksigen, posisi semi-Fowler, dan kolaborasi pemberian obat. Hasil evaluasi menunjukkan adanya perbaikan bertahap selama tiga hari, ditandai dengan penurunan jumlah sekret, peningkatan efektivitas ventilasi, perbaikan pola napas, dan peningkatan saturasi oksigen hingga 100%. Temuan ini menunjukkan bahwa tindakan suction efektif dalam mengatasi bersihan jalan napas tidak efektif pada pasien TBC kritis dan dapat dijadikan evidence-based practice dalam tata laksana keperawatan pasien dengan gangguan pernapasan di ruang intensif.