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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Critical Medical and Surgical Nursing Journal Jurnal Keperawatan 'Aisyiyah Journal of Innovative and Creativity Jurnal Riset Ilmiah Jurnal Medika: Medika
Rustandi, Budi
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Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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EFEKTIVITAS PROGRAM EDUKASI MANAJEMEN KEBERSIHAN MENSTRUASI TERHADAP PENGETAHUAN DAN PRAKTIK KESEHATAN MENSTRUASI DI SMPN 1 PASEH TAHUN 2026 Elysia, Nadira; Kusmiran, Eny; Ramadhan, Arieni; rustandi, Budi
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.9269

Abstract

Latar Belakang: Manajemen kebersihan menstruasi yang kurang baik pada remaja putri dapat meningkatkan risiko gangguan kesehatan reproduksi sehingga diperlukan edukasi kesehatan untuk meningkatkan pengetahuan dan praktik kesehatan menstruasi. Tujuan penelitian. Penelitian ini bertujuan untuk mengetahui efektivitas program edukasi manajemen kebersihan menstruasi terhadap pengetahuan dan praktik kesehatan menstruasi pada siswi di SMPN 1 Paseh Tahun 2026. Bahan dan metode. Penelitian ini menggunakan desain kuantitatif dengan pendekatan quasi experiment melalui one group pretest-posttest design. Populasi penelitian adalah seluruh siswi kelas VIII SMPN 1 Paseh sebanyak 274 orang, dengan sampel 74 responden yang dipilih menggunakan teknik probability sampling melalui cluster random sampling. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Wilcoxon. Hasil. Sebelum intervensi, tingkat pengetahuan siswi sebagian besar berada pada kategori cukup sebanyak 39 responden (52,7%), dan praktik kesehatan menstruasi sebagian besar juga berada pada kategori cukup sebanyak 38 responden (51,4%). Setelah diberikan program edukasi, tingkat pengetahuan meningkat menjadi kategori baik pada 71 responden (95,9%), sedangkan praktik kesehatan menstruasi meningkat menjadi kategori baik pada 69 responden (93,2%). Hasil uji Wilcoxon menunjukkan terdapat perbedaan yang signifikan pada pengetahuan sebelum dan sesudah edukasi dengan nilai p < 0,001, serta terdapat perbedaan yang signifikan pada praktik kesehatan menstruasi sebelum dan sesudah edukasi dengan nilai p < 0,001. Kesimpulan. Program edukasi manajemen kebersihan menstruasi terbukti efektif dalam meningkatkan pengetahuan dan praktik kesehatan menstruasi siswi di SMPN 1 Paseh Tahun 2026.
ANALISIS ASUHAN KEPERAWATAN PADA PASIEN NY.T DENGAN GANGGUAN SISTEM KARDIOVASKULAR AKIBAT CONGESTIVE HEART FAILURE (CHF) DITANDAI ADANYA EDEMA PARU DENGAN INTERVENSI FISIOTERAPY PURSED LIPS BREATHING DI RUANG ICU RUMAH SAKIT UMUM DAERAH LEMBANG TAHUN 202 Erika, Erika; Istianah, Istianah; Kusmiran, Eny; Rustandi, Budi
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.9288

Abstract

Latar Belakang: Congestive heart failure (CHF) merupakan kondisi jantung dalam memompa darah secara efektif sehingga menyebabkan penumpukan cairan, slaah satunya edema paru yang dapat menimbulkan gangguan pernapasan. Kondisi ini memerlukan penatalaksanaan medis dan keperawatan yang tepat untuk meningkatkan status respirasi pasien. Salah satu intervensi nonfarmakologis yang dapat diberikan adalah teknik pernafasan pursed lips breathing untuk membatu meningkatkan ventilasi dan menurukan sesak nafas. Tujuan : menganalisis penerapan asuhan keperawatan pada pasien dengan gangguan sistem kardiovaskular akibat congestive heart failure (CHF) yang ditandai dengan edema paru melalui intervensi fisioterapi pursed lips breathing. Metode : metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosa keperawatan, perencanaan, implementasi dan evaluasi pada pasien Ny. T di ruang ICU RSUD Lembang tahun 2026. Pengumpulan data dilakukan mellaui observasi, wawancara, pemeriksaan fisik, dan studi dokumentasi. Hasil : penerapan intervensi menunjukan adanya perbaukan kondisi respirasi pasien yang ditandai dengan penurunan keluhan sesak napas, peningktanan saturasi oksigen, serta perbaikan pola pernafasan setelah dilakukan latihan pursed lips breathin. Kesimpulan : intervensi pursed lips breathing dapat memabtu meningkatkan fungsi pernapasan pada pasien CHF yang mengalami edema paru sehingga dapat dijadikan sebagai salah Satu intervensi keperawatan dalam mengatasi gangguan pola nafas.
The Endotracheal Suctioning and Oxygen Saturation in an Intensive Care Patient with Ischemic Stroke and Decreased Consciousness: A Descriptive Case Study Lisnawati, Lisnawati; Octovia Manalu, Lisbet; Istianah, Istianah; Rustandi, Budi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.999

Abstract

Background: Patients with ischemic stroke and decreased consciousness are at high risk of ineffective airway clearance due to impaired cough reflex and accumulation of airway secretions. This condition may lead to hypoxemia and further neurological deterioration, requiring appropriate airway management in intensive care settings. Objective: To describe the implementation of endotracheal suctioning as part of nursing care in an intensive care patient with ischemic stroke and decreased consciousness, with particular attention to oxygen saturation and clinical airway status. Methods: A descriptive single-patient case study was conducted in the general intensive care unit. Data were collected through direct observation, physical examination, bedside monitoring, and medical record review. The nursing care process included assessment, diagnosis, planning, implementation, and evaluation. Endotracheal suctioning was performed according to clinical indications and unit protocol, and oxygen saturation was observed before and after suctioning over a five-day period. Results: At baseline, the patient presented with decreased consciousness, retained airway secretions, bilateral rhonchi, weak cough reflex, tachypnea, and oxygen saturation of 92%. Across the five-day observation period, suctioning was followed by short-term improvement in oxygen saturation, with post-procedure values reaching 97–98%, accompanied by reduced secretion burden and clearer breath sounds. By the end of observation, respiratory status was more stable and suctioning was required less frequently. Conclusion: In this case, endotracheal suctioning performed on the basis of clinical indications was associated with improvement in short-term oxygen saturation and airway clearance indicators. These observations should be interpreted within the broader context of comprehensive intensive care and should not be taken as evidence of independent treatment effect. Further studies with stronger designs are needed to evaluate the contribution of suctioning in neurocritical patients
Passive Range of Motion Intervention to Improve Physical Mobility in a Hemorrhagic Stroke Patient After External Ventricular Drainage: A Case Study Komariah, Siti; Fuji Purwanti, Tentry; Rustandi, Budi; Octovia Manalu, Lisbet
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.1005

Abstract

Background: Hemorrhagic stroke is a life-threatening neurological disorder that often leads to significant motor impairment due to intracranial bleeding, elevated intracranial pressure, and disrupted neuromuscular function. Patients in intensive care settings are highly susceptible to complications related to prolonged immobility, including joint stiffness, muscle weakness, atrophy, contractures, impaired circulation, and pressure injuries. Passive Range of Motion (ROM) exercises are commonly applied as a nursing intervention for patients who are unable to perform voluntary movement, aiming to preserve joint mobility and prevent musculoskeletal deterioration. Objective: This case study aimed to describe the implementation of nursing care in a hemorrhagic stroke patient with impaired physical mobility following External Ventricular Drainage (EVD), with a focus on the application and evaluation of passive ROM exercises in the General Intensive Care Unit (GICU). Methods: A descriptive case study design was employed involving a female patient with hemorrhagic stroke who underwent EVD placement. Data were collected through comprehensive nursing assessment, direct observation, interviews, and medical record review. Passive ROM exercises were administered twice daily for 10–15 minutes using controlled movements of the upper and lower extremities. Neurological status, hemodynamic stability, and EVD function were continuously monitored. Results: Over a five-day period, gradual improvement was observed. Muscle strength increased by one grade, joint mobility improved by approximately 10 degrees, and the Glasgow Coma Scale reached 12. No complications related to the intervention or EVD were identified. Conclusion: Passive ROM may be safely incorporated into nursing care for hemorrhagic stroke patients with EVD and may help maintain joint function and reduce immobility-related complications, although outcomes are influenced by multiple clinical factors.
Co-Authors Andini, Fitri Awulia, Putri Elysia, Nadira Erika Erika Fadilah, Santi Nur Fitri Novianti Fuji Purwanti, Tentry Handayani, Rosa Dwi Haryanto, Mokh. Sandi Istianah Istianah Karima, Neila Kusmiran, Eny Kusumawati, R L. Lisnawati Lestari, Neng Nabila Tri Widia Lestari, Pina Lukman, Ardeliea Fitriyanti Manalu, Lisbet Octovia Manumara, Theophylia Melisa Mona, Ai Nduru, Mawati Nurahmi, Saskia Agis Nurdianingsih, Merdiana Octovia Manalu, Lisbet Pitono, Arie J Ramadhan, Arieni Ramadhan, Muhammad Deri Reni Yuliana Rianta, Meili Rizky Gumilang Pahlawan Sandi , Sandi Siti Komariah Sutisna, M. Iqbal Tania, Dwi Tohri, Tonika