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All Journal Wal'afiat Hospital Journal WAL'AFIAT HOSPITAL JOURNAL
Akbar Asfar
Fakultas Kesehatan Masyarakat, Universitas Muslim Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Penerapan Manajemen Nyeri pada Pasien Perioperative dengan Hidronefrosis di RSUD Labuang Baji Kota Makassar Mohamad Fauzan Baso; Akbar Asfar; Rizky Iftitah Alam; Sajekti Tjahjaningrum
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/7ps68p64

Abstract

Hydronephrosis is a dilation of the renal pelvicalyceal system caused by urinary outflow obstruction, which may increase intrarenal pressure and trigger pain. This case report describes non-pharmacological pain management in a Perioperative hydronephrosis patient using deep breathing relaxation in the pre-operative phase and benson relaxation in the post-operative phase. The report followed the nursing process (assessment–diagnosis–intervention–implementation–evaluation). The primary Outcome was pain intensity using a 0–10 Numeric Rating Scale (NRS), complemented by physiological indicators (blood pressure, pulse, respiratory rate, temperature, oxygen saturation) and behavioral responses. In the pre-operative phase, pain decreased from NRS 4 to NRS 2 after deep breathing relaxation, along with improved vital signs. In the post-operative phase, pain decreased from baseline NRS 5 to NRS 3 after a 15-minute benson relaxation session and further to NRS 2 at the next follow-up (≈30 minutes), with a trend toward stabilized vital signs. Given the Perioperative setting, analgesics/anesthesia and the surgical procedure may confound pain Outcomes; therefore, findings are reported descriptively without attributing the changes solely to relaxation techniques. This case suggests that standardized relaxation techniques can be integrated into Perioperative nursing care to support comfort in hydronephrosis patients.
Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Nur Haeni; Sudarman Sudarman; Wan Sulastri Emin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Abstract

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Penerapan Balut Tekan sebagai Strategi Penanganan Awal Perdarahan Vulnus Laceratum di IGD Puskesmas Liwuto Kota Baubau Achmad Rinaldi Erman; Yusrah Taqiyah; Muhajirin Muhajirin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/t3q8k068

Abstract

Laceration wounds (vulnus laceratum) may cause pain and external bleeding, requiring prompt initial management to prevent excessive blood loss. One simple early bleeding control strategy is direct pressure maintained with a pressure dressing. This case report describes the use of a sterile pressure dressing in a male patient (Mr. L) with a left plantar foot wound due to glass injury, accompanied by pain and active bleeding, presenting to the emergency unit of Liwuto Primary Health Center, Baubau. Data were obtained through clinical observation, brief interview, and review of available medical records/procedure sheets. Pain was assessed using the Numeric Rating Scale (NRS), while bleeding outcome was operationalized using bleeding status (active/controlled), dressing status (wet/dry), and time to hemostasis. After sterile pressure dressing application and 4-hour monitoring, pain decreased from NRS 8 to 3, and active bleeding was no longer observed at the 4-hour evaluation. These findings indicate clinical improvement in this case, but interpretation is limited by single-case design (n=1) without controls, incomplete quantitative serial bleeding documentation, and potential confounding from concomitant interventions (e.g., analgesics).
Penerapan Manajemen Nyeri pada Pasien Perioperative dengan Hidronefrosis di RSUD Labuang Baji Kota Makassar Mohamad Fauzan Baso; Akbar Asfar; Rizky Iftitah Alam; Sajekti Tjahjaningrum
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/7ps68p64

Abstract

Hydronephrosis is a dilation of the renal pelvicalyceal system caused by urinary outflow obstruction, which may increase intrarenal pressure and trigger pain. This case report describes non-pharmacological pain management in a Perioperative hydronephrosis patient using deep breathing relaxation in the pre-operative phase and benson relaxation in the post-operative phase. The report followed the nursing process (assessment–diagnosis–intervention–implementation–evaluation). The primary Outcome was pain intensity using a 0–10 Numeric Rating Scale (NRS), complemented by physiological indicators (blood pressure, pulse, respiratory rate, temperature, oxygen saturation) and behavioral responses. In the pre-operative phase, pain decreased from NRS 4 to NRS 2 after deep breathing relaxation, along with improved vital signs. In the post-operative phase, pain decreased from baseline NRS 5 to NRS 3 after a 15-minute benson relaxation session and further to NRS 2 at the next follow-up (≈30 minutes), with a trend toward stabilized vital signs. Given the Perioperative setting, analgesics/anesthesia and the surgical procedure may confound pain Outcomes; therefore, findings are reported descriptively without attributing the changes solely to relaxation techniques. This case suggests that standardized relaxation techniques can be integrated into Perioperative nursing care to support comfort in hydronephrosis patients.
Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Nur Haeni; Sudarman Sudarman; Wan Sulastri Emin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Abstract

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Penerapan Balut Tekan sebagai Strategi Penanganan Awal Perdarahan Vulnus Laceratum di IGD Puskesmas Liwuto Kota Baubau Achmad Rinaldi Erman; Yusrah Taqiyah; Muhajirin Muhajirin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/t3q8k068

Abstract

Laceration wounds (vulnus laceratum) may cause pain and external bleeding, requiring prompt initial management to prevent excessive blood loss. One simple early bleeding control strategy is direct pressure maintained with a pressure dressing. This case report describes the use of a sterile pressure dressing in a male patient (Mr. L) with a left plantar foot wound due to glass injury, accompanied by pain and active bleeding, presenting to the emergency unit of Liwuto Primary Health Center, Baubau. Data were obtained through clinical observation, brief interview, and review of available medical records/procedure sheets. Pain was assessed using the Numeric Rating Scale (NRS), while bleeding outcome was operationalized using bleeding status (active/controlled), dressing status (wet/dry), and time to hemostasis. After sterile pressure dressing application and 4-hour monitoring, pain decreased from NRS 8 to 3, and active bleeding was no longer observed at the 4-hour evaluation. These findings indicate clinical improvement in this case, but interpretation is limited by single-case design (n=1) without controls, incomplete quantitative serial bleeding documentation, and potential confounding from concomitant interventions (e.g., analgesics).
Co-Authors Achmad Rinaldi Erman Mohamad Fauzan Baso Muhajirin Muhajirin Nur Haeni Rizky Iftitah Alam Sajekti Tjahjaningrum Sudarman Sudarman Wan Sulastri Emin Yusrah Taqiyah