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Puspita, Tantri
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Journal : Nursing Case Insight Journal

 1 
Isometric Exercise Intervention for Mrs. E with Uric Acid-Induced Pain Above Normal: A Case Study Hafidh, Aditia; Puspita, Tantri
Nursing Case Insight Journal Vol. 2 No. 3 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/ydmc3m93

Abstract

Elevated uric acid levels, also known as hyperuricemia, is a metabolic condition caused by the accumulation of monosodium urate monohydrate crystals in the joints. This condition often leads to painful gout attacks, characterized by excruciating pain that is recurrent and can cause joint damage over time. The presence of uric acid crystals contributes to inflammation and pain by interacting with phospholipid membranes and serum factors. Pain management for hyperuricemia can involve both pharmacological and non-pharmacological treatments, with one such non-pharmacological approach being isometric exercise. This study aims to analyze family nursing care for a patient with elevated uric acid levels above normal and the effect of isometric exercise in reducing joint pain in Cikondang Village, Tanjung Kemuning, within the working area of UPT Puskesmas Tarogong, Garut Regency. A descriptive case study method was used, which included anamnesis, observation, physical examination, and medical record review. The case study showed that chronic pain, the primary nursing problem in this patient with elevated uric acid levels, was effectively managed through isometric exercise. This was evidenced by a reduction in the patient's pain score from moderate pain (4) to mild pain (1). The isometric exercise intervention significantly reduced joint pain in the patient with elevated uric acid levels.  
Warm Compress for Elderly with Gout Arthritis: Case Study Nurhidayah, Gina; Puspita, Tantri
Nursing Case Insight Journal Vol. 1 No. 01 (2023): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/p3a5m702

Abstract

The disease known as Gouty Arthritis, or simply Gout, is a condition that affects the joints due to an interference in metabolism, particularly the metabolism of purines, leading to high levels of uric acid in the blood. Elevated levels of uric acid can cause the formation of crystals in the joints and surrounding tissues, resulting in severe pain and potential damage to the joints. In the context of caring for elderly patients with Gouty Arthritis, a study involving warm compress therapy was conducted at the Orchid Griya Elderly in Garut Regency. The study utilized a descriptive case study approach, involving history taking, observation, physical examination, and medical notes. The participants were elderly patients with Gouty Arthritis who received warm compress therapy. The results of the study indicated that the main nursing problem, chronic pain, was effectively addressed through warm compress interventions based on Evidence Based Practice. The analysis revealed a decrease in the intensity of gouty arthritis pain with the use of warm compress therapy, suggesting that this approach can effectively increase blood flow to the affected area and accelerate the healing process.
Soaking Feet in Warm Water for Hypertension Patient: Case Study Sri Rezeki, Nandini; Puspita, Tantri
Nursing Case Insight Journal Vol. 1 No. 01 (2023): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/qctsgx19

Abstract

Hypertension or commonly called high blood pressure is an increase in systolic blood pressure above the normal limit, which is more than 140 mmHg and diastolic blood pressure of more than 90 mmHg. Pain is a symptom that arises due to high blood pressure. One of the non-pharmacological therapies that can be used to reduce pain directly and indirectly reduce blood pressure is hydrotherapy. This case study aims to determine the effectiveness of foot soaks using warm water to reduce blood pressure in hypertensive patients. The method used is a descriptive case study by taking anamnesis, observation, physical examination, and medical records. The participant in this study was diagnosed with hypertension sufferers and the blood pressure was measured by a sphygmomanometer. It was found that the client's blood pressure can be overcome by soaking the feet in warm water to lower blood pressure. Provision of hydrotherapy was carried out for 4 days of administration in 1 day 1 time with a duration of 15 minutes effect to lower blood pressure from 170/100 mmHg drops to 140/90 mmHg. Hydrotherapy can be a non-pharmacology intervention from a nurse.
Analysis of Post Episiotomy Nursing Care with Cold Compress Intervention Nurafita, Hera; Yekti Widadi, Sri; Puspita, Tantri; Wahyudin
Nursing Case Insight Journal Vol. 2 No. 1 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/n8rx5y85

Abstract

Postpartum is the time to start after placenta birth until return of reproductive organs to in normal condition or before pregnancy taking place for 6-8 weeks. Service postpartum given to Mother during period from 6 hours to 42 days, because often give rise to rips in the road birth (episiotomy) which can give rise to happen bleeding and infection in the mother postpartum. The objective was to get an idea of the application of therapy compress cold as intervention in patients postpartum spontaneous with problem inconvenience post-partum. A descriptive case study using anamnesis, observation, physical examination, and medical records. The results showed that the case study of post-partum patients spontaneous with discomfort nursing problems post-partum consequence wound episiotomy obtained subjective data and objective data , author​ get problem nursing main inconvenience post-partum intercourse with perineal trauma during labor and birth , proven with exists wound episiotomy degree II . Discomfort caused by injuries​ episiotomy can overcome with use therapy compress cold, this be marked with exists decline scale painful from 5 to 2 after done intervention in 3 days. Therapy compress cold own significant influence​ of postpartum discomfort in post-partum patients spontaneous Birth
Analysis Of Gerontic Nursing Care for Mrs. T With Hypertension Through the Application of Isometric Handgrip Exercise Therapy in The Bougenville Room Of The Satpel Griya Lansia Garut Sopia Fauziah, Mala; Puspita, Tantri
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/83nnrg31

Abstract

Hypertension or high blood pressure is a disease of the heart and blood vessels characterized by increased blood pressure. Factors that influence the incidence of hypertension include genetic, racial, regional, socio-cultural and unhealthy lifestyle. This study aims to determine the analysis of nursing care with hypertension through the application of isometric handgrip exercise therapy in the Griya Lansia Garut service unit. The research method used in this study is descriptive qualitative in the form of a case study by conducting nursing care for the elderly which includes assessment, nursing diagnosis, intervention, implementation, and evaluation of nursing carried out on March 3-9, 2025. Based on the results of the assessment, diagnosis, intervention, implementation and evaluation carried out by the researcher, 4 nursing problems were found, namely impaired physical mobility, anxiety, knowledge deficit and risk of falling. Researchers planned mobilization support by implementing Isometric Handgrip Exercise therapy based on Evidence-Based Practice, which aims to lower blood pressure and increase muscle strength. Nursing care was provided for 5 days, including assessment, diagnosis, intervention, implementation, and evaluation. Results showed a decrease in blood pressure from 170/97 mmHg to 154/80 mmHg and an improvement in muscle strength from scale 4 to 5 after the intervention. The study concluded that isometric handgrip exercise therapy is effective in lowering blood pressure and increasing muscle strength in hypertensive elderly patients. Further quantitative research is recommended to examine the long-term effects of this intervention
Analysis of Gerontic Nursing Care on a Patient with Impaired Physical Mobility Using Elastic Band Nur Alfaeni, Nazmah; Puspita, Tantri
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/4vw1jy41

Abstract

Hypertension or high blood pressure is a disease of the heart and blood vessels characterized by increased blood pressure. Factors that influence the incidence of hypertension include genetic, racial, regional, socio-cultural and unhealthy lifestyle. This study aims to determine the analysis of nursing care with hypertension through the application of isometric handgrip exercise therapy in the Griya Lansia Garut service unit. The research method used in this study is descriptive qualitative in the form of a case study by conducting nursing care for the elderly which includes assessment, nursing diagnosis, intervention, implementation, and evaluation of nursing carried out on March 3-9, 2025. Based on the results of the assessment, diagnosis, intervention, implementation and evaluation carried out by the researcher, 4 nursing problems were found, namely impaired physical mobility, anxiety, knowledge deficit and risk of falling. Researchers planned mobilization support by implementing Isometric Handgrip Exercise therapy based on Evidence-Based Practice, which aims to lower blood pressure and increase muscle strength. After 5 days of implementation, blood pressure decreased from 170/97 mmHg to 154/80 mmHg, and muscle strength decreased from 4 to 5. Conclusion: Isometric handgrip exercise therapy has been shown to gradually lower blood pressure and increase hand muscle strength. Recommendation: Quantitative research is recommended to examine the long-term effects of Isometric Handgrip Exercise therapy on blood pressure, muscle strength, and quality of life in the elderly.
The Relationship Between Knowledge About Smoking Hazards and Self-Efficacy for Smoking Cessation Among Vocational High School Students Zidan, Muhammad; Puspita, Tantri; Sugih Permana, Gin Gin
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/s53x4k31

Abstract

This study aimed to analyze the relationship between knowledge about the dangers of smoking and self-efficacy for smoking cessation among adolescents. A descriptive correlational design with a cross-sectional approach was used, involving 203 smoking students at SMKN 4 Garut, Indonesia. Validated and reliable questionnaires were used to measure knowledge and self-efficacy. Results showed that most respondents had good knowledge (61.1%) and high self-efficacy (66%). Spearman’s Rank correlation test revealed a strong positive relationship between knowledge and self-efficacy (r = 0.737, p = 0.001). The study concludes that higher knowledge about smoking hazards is associated with higher self-efficacy for quitting smoking among vocational high school students.
Co-Authors Aeni, Aksha Zamiatun Aghniya Novia Diani Alfiansyah, Rudi Alfiansyah, Rudy Alfiyansah, Rudi Anggun Tri Wahyuni Beladinna Zalfa Zahirah Budhiaji, Purbayanty Cecep Eli Kosasih Dika, Dika Dina Novaliana Gin Gin Sugih Permana Hafidh, Aditia Heryanti Nur’aeni, Silva Juniarti, Neti Lestari, Nabila Ajeng Wiji Muhammad Hadi Sulhan Muhammad Luthfi Alfikri Nafsa Mutmaina, Gina Nur Alfaeni, Nazmah Nurafita, Hera Nurani Ai Erlinawati Nurazizah , Siti Nurhidayah, Gina Putri Nur Aropah Ramadan, Hasim Rilla, Eldessa Vava Saefulrohman, Yana Sopia Fauziah, Mala Sri Rezeki, Nandini sri yekti Widadi Sugiah Sugih Permana, Gin Gin Sulhan, M. Hadi Theresa Riananda Saputra Vava Rilla, Eldessa Wahyudin Wahyudin Wahyudin Widadi, Sri Yekti Windi Windi, Windi Yekti Widadi, Sri Yulia Sofiatin Zidan, Muhammad