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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan JURNAL ILMIAH KESEHATAN KEPERAWATAN JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini Jurnal Keperawatan BSI Jurnal Keperawatan Padjadjaran Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Journal of Nursing Care Jurnal Perawat Indonesia Media Karya Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Jurnal Surya The Indonesian Journal of Health Science Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Jurnal Sains Kesehatan JIKO(Jurnal Ilmiah Keperawatan Orthopedi) Jurnal Mitra Kesehatan Majalah Kesehatan Indonesia Sehat Masada MAHESA : Malahayati Health Student Journal Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Jurnal Keperawatan 'Aisyiyah JOURNAL OF Mental Health Concerns Jurnal Riset Ilmiah Quantum Wellness : Jurnal Ilmu Kesehatan Medical-Surgical Journal of Nursing Research Jurnal Ilmiah Kesehatan Keperawatan Holistik Jurnal Kesehatan JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Sri Hartati Pratiwi
Fakultas Keperawatan Universitas Padjadjaran
Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Effectiveness of Respiratory Muscle Training Interventions in Patients with Spinal Cord Injury; A Literature Review Pratiwi, Sri Hartati; Handayani, Nathasa
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 7 No. 1 (2023): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/nhbrpm78

Abstract

Spinal Cord Injury (SCI) level tinggi dapat menyebabkan gangguan pada pernapasan yang dapat mengancam nyawa pasien. One of the interventions that can be given to individuals with SCI in reducing complications of respiratory problems is Respiratory Muscle Training (RMT). Respiratory Muscle Training (RMT) is a technique that aims to improve the function of the respiratory muscles through specific exercises. This study determined the effectiveness of respiratory muscle training in spinal cord injury patients with respiratory problems. This literature review used several databases such as Google Scholar, Pubmed, Ebsco, Sciencedirect, CINAHL, and SAGE with inclusion criteria Articles published less than five years (2018-2022), English, Full text, Systematic review/meta-analysis/RCT. The results indicate that this RMT intervention's effectiveness on respiratory muscles and lung function depends on the characteristics of SCI patients. There were six articles used for the review of this paper. The results show that this respiratory muscle training intervention's effectiveness impacts respiratory muscles and lung function depending on the characteristics of the spinal cord injury patient himself. Furthermore, the results suggest that this RMT intervention's efficacy on respiratory muscle and lung function depends on the features of the SCI patient
The Overview of Caregiver Burden in Families with Hemodialysis Patient Salsabila, Nada; Pratiwi, Sri Hartati; Emaliyawati, Etika
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3199

Abstract

Chronic renal failure patients undergoing haemodialysis therapy experience various conditions and require long-term care which can cause a burden on the families who care for patients. This family caregiver burden can affect the quality of life of both patients and family caregivers, and also affect the care provided to patients. The purpose of the study was to determine the description of caregiver burden in families with haemodialysis patients. This study is a quantitative descriptive study and the sample was taken using purposive sampling technique (n = 107) with the inclusion criteria of respondents as the main caregiver with family members undergoing haemodialysis therapy at RSUD Sumedang, and physically and mentally healthy. Exclusion criteria in the study were potential respondents who refused to participate and respondents who decided to stop in the middle of the study. The burden of caregivers on the family was measured using the Burden Scale for Family Caregivers Short Scale (BSFC-s) questionnaire with test results, namely r results (0.634) > r table (0.786) as well as Cronbach alpha value of 0.900 which means this questionnaire is valid and reliable. The picture of caregiver burden shows that almost half of family caregivers are in the high category (49.5%) and most experience heavy burden in the physical dimension. The results of this study are expected to be used as a reference for learning and evaluation for nurses, family caregivers, and educational institutions to be able to carry out effective interventions that can be carried out to reduce the burden of care experienced by family caregivers.
Readiness for Hospital Discharge among Family Caregivers of Patients with Chronic Diseases Fauzia, Salwa Ghaida; Kurniawan, Titis; Pratiwi, Sri Hartati; Trisyani, Mira; Pahria, Tuti
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3306

Abstract

Families often act as informal caregivers for family members who suffer from chronic diseases. Intensive family involvement improved patients’ adherence in performing post-discharge treatment program, hospital readmission, clinical outcomes, and quality of life. To effectively help the patients managing their diseases, the family caregivers required not only understand but also must be ready for helping patients manage their conditions. This study aims to identify the readiness for hospital discharge among family caregivers of patients with chronic diseases. Data were collected from 121 family caregivers recruited consecutively from adult inpatients wards using the respondents’ characteristics questionnaire and Readiness for Hospital Discharge Scale for Family with Adult Patients (RHDS Fam) questionnaire (inter-item correlation = 0.90, and Cronbach alpha 0.89). Descriptive analysis was applied. The results showed that most of family were female (77.7%%), unemployed (69.4%), graduated from senior high school (57.9%), and had no chronic diseases (86.8%). Generally, family caregivers reported high readiness for hospital discharge (7.75 Out of 10). While the coping abilities identified as the readiness domain with highest average score (9.07±1.15), the personal domain identified as the lowest domain (7.07 ±0.68). Higher readiness was showed in the age group of 20-40 years, female, graduated from senior high school, employed, and are the siblings of the patients. It can be concluded that the family caregivers of chronic disease patients are ready to return home and help patients continue their post-discharge treatment program. However, interventions are needed to improve their readiness related to patient’s personal status, particularly those who are male, lower educational background, unemployed, has a relationship as parents of the patients, and has a chronic illness.
Self-Efficacy Levels Among Profession Nursing Students in Performing Basic Clinical Skills Aprilia, Rahmita Nurul; Agustina, Hana Rizmadewi; Pratiwi, Sri Hartati
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3573

Abstract

Nursing profession’s education is responsible for preparing competent graduates ready to face healthcare challenges. A key indicator of this readiness is the self-efficacy of nursing students, which reflects their confidence in applying clinical skills. It is crucial for these students to be prepared to provide safe, high-quality care as they enter the workforce. This study aims to evaluate the self-efficacy levels in clinical skills among students enrolled in the Nursing Profession Study Program at the Faculty of Nursing, Universitas Padjadjaran. This study employed a quantitative descriptive method using a cross-sectional approach. The population in this study amounted to 150 active students of the Nursing Profession Study Program at the Universitas Padjadjaran and the sample was taken using total sampling type. Data was collected using the Clinical Skills Self-Efficacy Scale (CSES) to measure the level of self-efficacy in performing clinical skills with validity test results after translated to Bahasa ranging from 0.415-0.727, and the reliability test results 0.825. Univariate analysis was carried out using descriptive statistics. The results of the study show that students of the Nursing Professional Education Program at the Faculty of Nursing, Universitas Padjadjaran, have a high level of self-efficacy in performing basic clinical skills, with 80 students (53.3%) demonstrating high self-efficacy. Where the percentage of class 46 students who have a high level of self-efficacy is greater than class 47. This is largely due to the experience they have in carrying out clinical procedures. That’s related to the statement one of the main factors that can influence self-efficacy according to Albert Bandura is experience, the experience of someone who is successful in carrying out a task or achieving a goal can increase self-efficacy.
AROMATERAPI LAVENDER UNTUK MENGATASI NYERI PADA PASIEN DENGAN POST OPERASI OPEN FRACTURE CALCANEUS SINISTRA: STUDI KASUS Khairunnisa, Chandra Kirana; Rahayu, Urip; Pratiwi, Sri Hartati
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 3 (2024): SENTRI : Jurnal Riset Ilmiah, Maret 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i3.2356

Abstract

Calcaneus merupakan tulang tarsal terbesar dan berfungsi untuk menopang tubuh. Fraktur calcaneus merupakan kejadian yang jarang terjadi sekitar 1-2% dari seluruh fraktur. Fraktur perlu ditangani segera, salah satunya dengan pembedahan yang dapat menimbulkan nyeri setelahnya. Manajemen nyeri yang dapat dilakukan salah satunya yaitu dengan aromaterapi lavender. Penelitian ini bertujuan untuk mengevaluasi penggunaan teknik relaksasi aromaterapi lavender dalam mengurangi nyeri pada pasien post operasi open fracture calcaneus sinistra. Metode penelitian ini merupakan studi kasus deskriptif kualitatif dengan single case design pada pasien post operasi open fracture calcaneus sinistra dan diberikan intervensi teknik relaksasi aromaterapi lavender, kemudian dilakukan evaluasi skala nyeri menggunakan Numeric Pain Scale. Hasil penelitian ini yaitu setelah diberikan intervensi menggunakan terapi relaksasi aromaterapi lavender yang disertai dengan analgesik terdapat penurunan skala nyeri pada pasien dari skala 5 menjadi 3. Kesimpulan studi kasus ini menunjukan bahwa pemberian teknik relaksasi aromaterapi lavender yang disertai analgesic mudah digunakan serta dapat menurunkan skala nyeri pada pasien post operasi open fracture calcaneus sinistra.
Cognitive Disorders in Post-Stroke Patients Pratiwi, Sri Hartati; Sari, Eka Afrima; Mirwanti, Ristina
Majalah Kesehatan Indonesia Vol. 5 No. 1: April 2024
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2024203

Abstract

Blood circulation disorders in post-stroke patients can cause cognitive disorders. Cognitive disorders in post-stroke patients can include memory impairment, difficulty speaking, difficulty understanding things, difficulty communicating, and mood disorders. The presence of cognitive disorders in stroke patients can worsen the patient's post-stroke condition, requiring longer treatment time. This study aimed to identify the level of cognitive disorders in post-stroke patients. This research is a descriptive study to identify dementia in post-stroke patients. The sampling technique was accidental sampling for two weeks at the Neurology Polytechnic and Stroke Clinic at one of the hospitals in Bandung, totaling 83 people. The questionnaire used in this research was the Mini-Mental State Examination (MMSE). The collected data is analyzed and presented using frequency and percentage distributions. The results of this study showed that the majority of post-stroke patients (72.3%) did not experience dementia or did not experience cognitive impairment, 15.66% experienced mild cognitive impairment, and 12.04% experienced severe cognitive impairment. From the results of this study, it can be concluded that some post-stroke patients do not experience cognitive impairment, but some post-stroke patients experience severe cognitive impairment. Cognitive impairment in stroke patients can worsen the patient's condition and increase the length of treatment time. Based on the results of this research, health workers especially nurses, are expected to be able to carry out early assessments and provide particular interventions for post-stroke patients aimed at preventing the worsening of dementia and improving the patient's cognitive abilities. The intervention can be in the form of education, psychological support, and social support in the form of counseling during rehabilitation.
Hipervolemia dan Keletihan pada Pasien Chronic Kidney Disease Stage 5: Sebuah Studi Kasus Sari, Yuyun Kartika; Sari, Eka Afrima; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.10878

Abstract

ABSTRACT Chronic kidney disease leads to a progressive decline in kidney function. A decrease in kidney function leads to water and sodium retention, which subsequently causes hypervolemia. Mr. N came with complaints of shortness of breath to the hospital; the patient has undergone hemodialysis five times. In the process of examination, the presence of peripheral edema, pulmonary edema, and shortness of breath was found to be characterized by rapid and shallow breathing. According to the case, there was a problem of hypervolemia and fatigue in Mr. N. The aim of this study is to explore the application of nursing care in patients with chronic kidney disease stage 5 with hyperbolemia and fatigue. The method used is a case study descriptive of nursing care provision systematically starting from the examination, determination of diagnosis, planning, implementation, and evaluation of nurse care. The course was carried out for three days in a collaborative and independent manner. General interventions performed include hypervolemia management consisting of fluid restriction; edema and jugular venous pressure monitoring; interdialytic weight gain calculation; fluid intake and output control; monitoring of urea and creatinine levels; as well as co-administration of furosemide and hemodialysis. General interventions to overcome fatigue performed by giving semi-fowler positions; deep breathing relaxation; oxygen therapy; transfusion packed red cells, and relaxation foot massage. After the evaluation results were obtained for the problem of hypervolemia showed a decrease in the level of edema in the leg from degree 2 to degree 1, decreased jugular venous pressure, reduced blood pressure, interdialytic weight gain of 3.2%, improvement in the values of urea and creatinine, and a glomerular filtration rate post-hemodialysis of 8.28 ml/min/1.73 m2. As for the problem of fatigue, fatigue decreased from a score of 35 to 29, sickness decreased from a scale of 4 to 3, and breathing frequency was within the normal boundaries, so it can be concluded that the problems of nursing hyperbolemia and fatigue are partially overcome. Keywords: Chronic Kidney Disease, Hypervolemia, Fatigue  ABSTRAK Chronic Kidney Disease mengakibatkan penurunan fungsi ginjal secara progresif. Penurunan fungsi ginjal mengakibatkan retensi air dan natrium yang selanjutnya menimbulkan hipervolemia. Tn.N datang dengan keluhan sesak nafas ke RS, pasien telah menjalani hemodialisis sebanyak 5 kali. Pada proses pengkajian ditemukan adanya edema perifer, edema paru, serta sesak nafas yang ditandai pernafasan cepat dan dangkal. Berdasarkan kasus ditemukan adanya masalah hipervolemia dan keletihan pada Tn.N. Tujuan penelitian ini untuk mengekplorasi penerapan asuhan keperawatan pada pasien chronic kidney disease stage 5 dengan masalah keperawatan hipervolemia dan keletihan. Metode yang digunakan yaitu dengan studi kasus deskriptif pemberian asuhan keperawatan secara sistematis diawali dari pengkajian, penentuan diagnosa, perencanaan, implementasi, dan evaluasi keperawatan. Intervensi dilakukan selama 3 hari secara kolaborasi dan mandiri. Intervensi generalis dilakukan meliputi manajemen hipervolemia yang terdiri atas pembatasan cairan, pemantauan edema dan jugular venous pressure, perhitungan interdialytic weight gain, pemantauan intake dan output cairan, pemantauan kadar ureum dan kreatinin, serta kolaborasi pemberian furosemide, dan tindakan hemodialisis. Adapun intervensi generalis untuk mengatasi keletihan dilakukan dengan pemberian posisi semi fowler, relaksasi nafas dalam, terapi oksigen, transfusi packed red cells, dan relaksasi pijat kaki. Setelah dilakukan evaluasi didapatkan hasil untuk masalah hipervolemia, terdapat penurunan tingkat edema pada kaki dari derajat 2 menjadi derajat 1, penurunan jugular venous pressure, penurunan tekanan darah, interdialytic weight gain 3,2%, perbaikan pada nilai ureum dan kreatinin dengan glomerular filtration rate post-hemodialisis 8,28 ml/min/1,73m2. Adapun untuk masalah keletihan, kelelahan berkurang dari skor 35 menjadi 29, sesak berkurang dari skala 4 menjadi 3, frekuensi nafas dalam batas normal, sehingga dapat disimpulkan masalah keperawatan hipervolemia dan keletihan teratasi sebagian. Kata Kunci: Chronic Kidney Disease, Hipervolemia, Keletihan
Gambaran Pengetahuan Pencegahan Penularan Covid-19 Masyarakat Desa Cintakarya Kecamatan Parigi Pangandaran Heryani, Hesti; Fitris, Siti Yuyun Rahayu; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 4, No 1 (2024): Volume 4 Nomor 1 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i1.12215

Abstract

ABSTRACT COVID-19 spreads quickly and one of its prevention is by increasing knowledge about it. This study aims to describe the knowledge of preventing COVID-19 transmission in the community of Cintakarya Village, Parigi Sub-district, Pangandaran District. The population of this quantitative descriptive study was community of Cintakarya Village, Parigi Sub-district, Pangandaran District (N=1,444). The determination of the sample used cluster sampling involving (n=100). The instrument used the Student's Knowledge, Attitudes, and Practices Toward COVID-19 (SKAPCOV-19) questionnaire which had been tested for validity and reliability. The analysis used univariate analysis based on good and bad knowledge criteria as well as sub-variables of etiology, risk group, transmission, and prevention. The results showed that the knowledge was considered good (55%) and poor (45%). Based on sub-variables, the etiology was good (89%) and poor (11%); the risk group was good (62%) and poor (38%); the transmission was good (78%) and poor (22%); and the prevention was good (58%) and poor (42%). It can be concluded that many people have poor knowledge and based on the sub-variable, prevention must be improved. The health workers are suggested to provide education regarding the prevention of COVID-19 with clear sources of information.  Keywords: COVID-19, Community, Prevention, Knowledge, Transmission  ABSTRAK COVID-19 adalah penyakit yang penularannya sangat cepat, salah satu cara untuk mencegahnya dengan meningkatkan pengetahuan terkait COVID-19. Sehingga tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan pencegahan penularan COVID-19 pada masyarakat Desa Cintakarya Kecamatan Parigi Pangandaran. Penelitian ini berbentuk deskriptif kuantitatif. Populasinya masyarakat Desa Cintakarya Kecamatan Parigi Pangandaran (N=1.444). Teknik pengambilan sampel menggunakan cluster sampling dengan jumlah sampel (n=100). Instrumen penelitian menggunakan kuesioner Student’s Knowledge, Attitudes, and Practices Toward COVID-19 (SKAPCOV-19) sudah dinyatakan valid dan reliabel. Hasil penelitian menggunakan analisis univariat berdasarkan kriteria pengetahuan baik dan tidak baik. Kemudian diidentifikasi berdasarkan sub variabel yaitu etilogi, kelompok resiko, penularan, dan pencegahan.  Berdasarkan hasil penelitian pengetahuan baik (55%) dan pengetahuan tidak baik (45%). Berdasarkan sub variabel, etiologi memiliki pengetahuan baik (89%) tidak baik (11%), kelompok resiko memiliki pengetahuan baik (62%) tidak baik (38%), penularan memiliki pengetahuan baik (78%) tidak baik (22%), dan pencegahan memiliki pengetahuan baik (58%) tidak baik (42%).  Kesimpulannya masyarakat yang memiliki pengetahuan tidak baik masih cukup banyak, berdasarkan sub variabel yang perlu ditingkatkan mengenai pencegahan. Saran untuk tenaga kesehatan adalah memberikan edukasi mengenai pencegahan COVID-19 secara terus menerus sehingga sumber informasi yang didapatkan jelas. Kata Kunci: COVID-19, Masyarakat, Pencegahan, Pengetahuan, Penularan 
Penyiapan Pengelolaan Pasca Rawat pada Pasien Stroke Hemoragik dengan Riwayat Peb: Case Report Mutiarasani, Anjani; Kurniawan, Titis; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14077

Abstract

ABSTRACT Post-hospitalization stroke patients include assessing and preparing patients and families to meet post-treatment needs is important. Aims to explain the needs of post-stroke patients with a history of preeclampsia along with efforts to prepare patients and their families to meet these needs. Case report used Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) and Barthel indeks instruments to identify the post- treatment needs od stroke patients with a history of preeclampsia who were undergoing treatment in the inpantient room of a Regional Hospital in West Java. Educational topics include: ROM (range of motion), personal hygiene, pressure ulcer prevention, and fall risk prevention and danger signs. One month after being discharged from the hospital, the patient has implemented ROM (range of motion), personal hygiene is fulfilled, there is no risk of pressure sores/falls. The Barthel index score one month after discharge from the hospital improved to 6 (severe dependence). Preparations for the postpartum period with a history of PEB are fulfilled by taking regular medication and caring for the baby. Post-treatment education and follow-up are activities that have the potential to be effective in improving the patient's ability to meet post-treatment needs. It is important for hospitals to maintain continuity of care through regular follow-up and coordination with families to ensure that post-treatment needs are met and anticipate complications due to stroke.  Keywords: Case Report, Continue of Care, Post Treatment, , Preeclampsia, Stroke Hemoragic  ABSTRAK Pasca rawat pada pasien stroke meliputi pengkajian dan penyiapan pasien dan keluarga untuk memenuhi kebutuhan pasca rawat merupakan hal yang penting. Bertujuan untuk memaparkan kebutuhan pasien pasca stroke dengan riwayat preeklampsia beserta upaya penyiapan pasien beserta keluarganya untuk memenuhi kebutuhan tersebut. Case study ini dengan instrument Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) dan Barthel indeks digunakan untuk mengidentifikasi kebutuhan pasca rawat pasien stroke dengan riwayat preeklampsia yang menjalani perawatan di Ruang Rawat Inap salah satu RS Daerah di Jawa Barat. Topik edukasi mencakup : ROM (range of motion), personal hygiene, pencegahan dekubitus, dan pencegahan risiko jatuh serta tanda bahaya. Satu bulan setelah keluar dari rumah sakit, pasien telah menerapkan ROM (range of motion), personal hygiene terpenuhi, tidak terdapat risiko dekubitus/jatuh. Skor Barthel indeks satu bulan setelah keluar dari rumah sakit membaik menjadi 6 (ketergantungan berat). Penyiapan pada postpartum dengan Riwayat PEB terpenuhi dengan minum obat rutin dan perawatan bayi. Edukasi dan follow up pasca rawat merupakan kegiatan yang berpotensi efektif memperbaiki kemampuan pasien memenuhi kebutuhan pasca rawat. Menjadi penting bagi rumah sakit untuk menjaga continue of care melalui follow up secara reguler serta koordinasi dengan keluarga untuk menjamin keterpenuhan kebutuhan pasca rawat dan antisipasi komplikasi akibat stroke. Kata Kunci: Case Report, Continue Of Care, Pasca Rawat, Preeklampsia, Stroke Hemoragik
Intervensi Pursed-Lip Breathing dan Posisi High Fowler untuk Mengatasi Gejala Sesak Napas pada Pasien dengan Coronary Artery Disease: Sebuah Studi Kasus Aulia, Hannifa Dwi; Pratiwi, Sri Hartati; Sari, Eka Afrima
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.10894

Abstract

ABSTRACT Coronary artery disease (CAD) is a pathological process characterized by the accumulation of atherosclerotic plaques in the arteries, both obstructive and non-obstructive. CAD often causes chest pain and shortness of breath. However, patients with symptoms of tightness have 4 times higher mortality compared to patients without chest pain. Pursed-lip breathing intervention and a high fowler position can be done to reduce the shortness of breath experienced by CAD patients. The purpose of this study was to determine the effect of pursed-lip breathing nursing intervention and high fowler position on shortness of breath felt by patients with coronary artery disease. This research method was carried out with a case study approach that used a case about coronary artery disease with complaints of shortness of breath in one of the patient in a hospital in Indonesia.  The results of the study obtained were patients complaining of shortness of breath on a scale of 7 out of 10, respiration rate (RR) is 25 breath per minute, SpO2 value of 100% with oxygen 5L/minute, and heard ronkhi lung sounds. Thus, patients are given nursing intervention in the form of pursed-lip breathing and high fowler positions. The results obtained during the three days of treatment were shortness of breath on a scale of 2 out of 10, respiration rate is 18 breath per minute, SpO2 value of 95% without the oxygen therapy, and ronkhi sound is absent. The conclusion is that pursed-lip breathing intervention and high fowler position are effective in patients who experience shortness of breath. Therefore, pursed-lip breathing interventions and high fowler positions can be applied to patients with coronary artery disease who experience symptoms of shortness of breath. Keywords: Pursed-Lip Breathing, High Fowler, Coronary Artery Disease  ABSTRAK Penyakit arteri koroner atau coronary artery disease (CAD) atau penyakit jantung koroner (PJK) adalah proses patologis yang ditandai dengan akumulasi plak aterosklerotik di arteri, baik obstruktif maupun non-obstruktif. PJK sering kali menimbulkan  nyeri pada dada dan sesak napas. Namun, pasien dengan gejala sesak memiliki mortalitas empat kali lebih tinggi dibandingkan dengan pasien tanpa gejala sesak. Intervensi pursed-lip breathing dan posisi high fowler dapat dilakukan untuk mengurangi rasa sesak yang dialami pasien PJK. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh intervensi keperawatan pursed-lip breathing dan posisi high fowler terhadap gejala sesak yang dirasakan oleh pasien dengan penyakit jantung koroner. Penelitian ini dilakukan dengan pendekatan studi kasus yang menggunakan sebuah kasus tentang coronary artery disease dengan keluhan sesak napas pada salah satu pasien di rumah sakit yang ada di Indonesia.  Hasil pengkajian yang didapatkan yaitu pasien mengeluh sesak napas skala 7 dari 10, respiration rate (RR) 25x/menit, saturasi oksigen 100% dengan oksigen 5L/menit, dan terdengar suara ronkhi. Sehingga, pasien diberikan intervensi keperawatan berupa pursed-lip breathing dan posisi high fowler. Hasil yang didapatkan selama tiga hari perawatan, yaitu keluhan sesak napas skala 2 dari 10, respiration rate menjadi 18x/menit, saturasi oksigen 95% tanpa bantuan terapi oksigen. Intervensi pursed-lip breathing dan posisi high fowler efektif diterapkan pada pasien yang mengalami sesak napas. Maka dari itu, intervensi pursed-lip breathing dan posisi high fowler dapat diterapkan pada pasien dengan coronary artery disease yang mengalami gejala sesak napas. Kata Kunci: Pursed-Lip Breathing, High Fowler, Penyakit Jantung Koroner
Co-Authors Ade Rosi Amalia, Fany Andini, Nathania Putri Andri Agustin Anita Setyawati Aprilia, Rahmita Nurul Asri Nurkarimah Aulia, Hannifa Dwi Azizah, Levina Bambang Aditya Nugraha Bambang Aditya Nugraha Chandra Isabella Hostanida Purba Chandra Kirana Khairunnisa Citra Windani Mambang Sari Citra Windani Mambang Sari Dadang Purnama Dahlia, Debie - Dewin Safitri Dwi, Tia Dyah Setyorini Early Octavia Limbong Eka Afrima Sari Eka Afrima Sari Eka Fitri Ningsih ENDAH NESTITI URIP RAHAYU Endah Yuniarti Erwin Ferdiansyah Mursidi Etika Emaliyawati Eva Nurfadila Fajar, Kana Fauzia, Salwa Ghaida Fitri Nurul Khotimah Fitris, Siti Yuyun Rahayu Gantri Septiani Giovanni Maria Gusgus Ghraha Ramdhanie Hamidah . Hana Rizmadewi Agustina Handayani, Nathasa Harun, Hasniatisari Helwiyah Ropi Herman, Regina Heryani, Hesti Hesti Platini Ida Maryati Indah Wahyuni Indra Maulana` Indra Maulana Karina, Grashiva Khairunnisa, Chandra Kirana Khairunnisa, Nisrina Kusman Ibrahim Liya Arista lukman, dede Ma'ripah, Isnan Maria Komariah Maryam, Nina Mira Trisyani Muhammad Ramdhani, Muhammad Musawi, Husein Mutiarasani, Anjani Ni Putu Santhi Dewi Saraswati NUR FITRIANI Nur Fitriani Nurjanah, Ismirani Nurkarimah, Asri Nurrofiqoh, Malihatunnisa Nursalma, Aisyah Nursiswati Nurul Azmi Fauziyah Oktorullah Oktorullah Puspita, Tita Rahmah, Tira Nur Rahmayani, Melly Ria Sitorus Ristina Mirwanti Rohaeti, Sri Elis Rohayanti, Yanti Ryan Hara Permana Salsabila, Nada Salwa, Sayyidah Sandra Pebrianti Santi Mulyani Sari, Yuyun Kartika Seizi Prista Sari Sicilia, Asha Grace Siti Ulfah Rifa’atul Siti Ulfah Rifa’atul Fitri Siti Yuyun Rahayu Fitri Slamet Riyanto Sri Elis Rohaeti Sridiawati, Esy Sutandi, Andi Sya'fa, Siti Noor Tanjung, Rifani Taty Hernawaty Titis Kurniawan Titis Kurniawan Tuti Pahria Urip Rahayu Urip Rahayu Wati, Putri Windiramadhan, Alvian Pristy Yosilistia, Yosilistia Yuli Estiqomah Yusshy Kurnia Yusshy Kurnia Herliani