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IMPLEMENTASI POSISI SEMI FOWLER PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DENGAN GANGGUAN POLA NAPAS DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Fidia Nurul Khafizah; Nina Fentiana; Ika Ariyanti
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2264

Abstract

Congestive Heart Failure (CHF) is a complex syndrome characterized by impaired ventricular function in pumping blood, leading to symptoms such as shortness of breath. This study aims to describe the implementation of the semi-Fowler's position in CHF patients with ineffective breathing patterns. This research used a descriptive case study design, carried out through nursing care stages including assessment, diagnosis, intervention, implementation, and evaluation, along with observation sheets andphysical examinations. The study was conducted on two respondents at TK II Putri Hijau Hospital, Medan. The results showed an improvement in oxygen saturation (Sp02) in both patients after the semi-Fowler 's position was applied. In the first patient, Sp02 increased from 95% to 97%, while in the second patient, it increased from 94% to 98%. The findings indicate that the semi-Fowler's position helps improve respiratory quality and increase oxygen saturation in CHF patients. This intervention is recommended as an easily implemented non-pharmacological nursing approach for inpatient care. Nurses are encouraged to apply this intervention for CHF patients.
IMPLEMENTASI DISCHARGE PLANNING TENTANG PERSONAL HYGIENE  PADA  PASIEN  STROKE  ISKEMIK DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Novi Arista Widya Astuti; Nina Fentiana; Ika Ariyanti
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2267

Abstract

Ischemic stroke is a serious non-communicable disease worldwide, characterized by functional impairment affecting the brain, such as nerve paralysis caused by a lack of oxygen supply to the brain. This study aims to describe the implementation of discharge planning regarding personal hygiene for ischemic stroke patients. This research used a case study method with a nursing care approach, including assessment, diagnosis. intervention, implementation, and evaluation. Data were collected using observation sheets and questionnaires. The results of this study showed an increase in knowledge regarding discharge planning on personal hygiene in both patients: in the first patient, knowledge level increased from 46% (poor) to 86% (good), and in the second patient, knowledge level increased from 46% (poor) to 86% (good). It can be conclude that discharge planning related to personal hygiene is effective in improving the understanding and ability of families to care for patients at home, thereby helping reduce the risk of complications. It is recommended that families regularly apply personal hygiene practices to prevent complications such as skin infections and body odor