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All Journal Diagnosis: Jurnal Ilmiah Kesehatan Unram Journal of Community Service (UJCS) Kelimutu Nursing Journal
Rifatunnisa
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Journal : kelimutu nursing journal

 1 
ASUHAN KEPERAWATAN ULKUS DIABETES MELITUS : LAPORAN KASUS Nipa, Yohanes; rifatunnisa; Paschalia, Yustina P. M.
Kelimutu Nursing Journal Vol 2 No 2 (2023): Volume 2 Nomor 2 Desember 2023
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v2i2.1420

Abstract

Background Diabetes is a metabolic disease that has specific signs in the form of hyperglycemia. The main complications of DM in Indonesia are neuropathy (13%-78%), microvascular complications (16%-53%) and diabetic foot ulcer complications (7.3%-24%). Peripheral neuropathy causes loss of sensation in the distal areas of the feet, resulting in a high risk of foot ulcers and even amputation. Cases of Diabetes Mellitus (DM) Ulcers really need attention to prevent further complications in the form of amputation. Data related to the prevalence of diabetes mellitus ulcers in Ende Hospital (2023) explains that there are variations in data on diabetic ulcers. The prevalence of diabetic ulcers in Ende Hospital in 2020 was 50 people, in 2021 it was 45 people and in 2022 it was 21 people. The purpose of this research is to be able to carry out nursing care for clients with a medical diagnosis of diabetes mellitus ulcers. The research method used is a case study. The case study taken from Ende Regional Hospital was 1 client with nursing care for a client with a medical diagnosis of diabetes mellitus ulcer. Results: client found problems with tissue integrity disorders, potential for infection collaboration, acute pain, nutritional deficits and knowledge deficits about diabetes mellitus ulcers and their management. The interventions used are based on SIKI: wound care, pain management, nutritional management, health education. The conclusion is that the problems of impaired tissue integrity, potential collaboration of infection, acute pain and nutritional deficits have not been resolved. Total DFUAS scoring was 64 with 90% necrotic and 10% slough. Suggestions: Clients and families are expected to be able to care for diabetic wounds themselves at home after being taught how to care for wounds so that the wounds remain dry and clean and infection does not occur. Clients are expected to carry out routine health control and be disciplined in implementing a diabetes mellitus diet.
PEMBERDAYAAN KADER DAN EDUKASI KEPADA REMAJA PUTRI DALAM UPAYA PENCEGAHAN STUNTING DI DESA BOROKANDA WILAYAH KERJA PUSKESMAS KOTA RATU Cahyani, Sisilia L.; rifatunnisa; Sekunda, Maria S.; Dhoke, Maria F. L.
Kelimutu Nursing Journal Vol 2 No 2 (2023): Volume 2 Nomor 2 Desember 2023
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v2i2.1426

Abstract

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition, especially in the first 1,000 days of life (HPK). It is important to reduce stunting as early as possible to avoid long-term detrimental impacts such as stunting children's growth and development. The aim of this community service is to empower cadres in providing education to young women about preventing stunting in Borokanda Village, Ratu City Health Center Working Area, which includes increasing posyandu cadres' knowledge about Stunting, taking into account reproductive health, parenting patterns, eating patterns, clean and healthy living behavior during the first 1000 days of life. Increasing knowledge of young women about stunting by paying attention to reproductive health, parenting, eating patterns, clean and healthy living behavior during the first 1000 days of life, which is educated by posyandu cadres who have received training on how to provide counseling to young women. This community service activity was carried out through several methods, including: lectures/counseling, booklets, training and mentoring for posyandu cadres in educating young women and the results obtained were an increase in the knowledge of young women with good post test results of 93%.
PENGARUH SUPLEMENTASI PROPOLIS TEKNOLOGI NANO BAGI PENDERITA TUBERKULOSIS DI RSUD ENDE : rifatunnisa; Bedho, Martina; Woga, Raimunda
Kelimutu Nursing Journal Vol 3 No 1 (2024): Volume 3 Nomor 1 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i1.1588

Abstract

TB recovery is influenced by a good immune system and drugs and supplements that increase their killing power against Mycobacterium Tuberculosis. One ingredient that can be used as a supplement is propolis. The aim of the research is to prove the effectiveness of propolis with nanoparticle technology as a supplement in curing adult TB. Methodology: This research is an expressive research with a pretest posttest design. The research sample was 7 people with BTA (+) criteria as. The treatment for this research was the administration of TPR propolis (Turkish Propolis Ruqyah) with nano technology at a supplement dose of 1 drop per 10 KgBW. The symptoms felt are observed from the beginning of treatment until after giving therapy at the next control. Sig Value Results. Less than 0.05 is indicated by symptoms of cough accompanied by chest pain (0.031), anorexia (0.031), and decreased weight (0.016). These three symptoms show that there is a significant difference or influence on the symptoms of cough accompanied by chest pain, anorexia, and decreased weight before therapy and after therapy. Meanwhile, the symptoms of fever, malaise and cough with phlegm did not have a significant effect. The results of this study show that TB patients who received OAT therapy accompanied by the provision of nano-technology Propolis supplements were able to reduce the symptoms experienced by patients, namely reducing the symptoms of cough accompanied by chest pain, anorexia, and weight loss did not decrease.
PENGARUH PENGETAHUAN DAN MODIFIKASI LINGKUNGAN RUMAH TERHADAP PENCEGAHAN PENULARAN COVID-19 DI KECAMATAN ENDE TENGAH KABUPATEN ENDE Bedho, Marthina; Woga, Raimunda; Bai, Marieta K. S.; rifatunnisa
Kelimutu Nursing Journal Vol 2 No 1 (2023): Volume 2 Nomor 1 Juni 2023
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v2i1.1229

Abstract

The Covid-19 virus is very easily transmitted, causing very high incidence of morbidity and mortality in the world since 2019. Covid-19 is a new virus that attacks the respiratory system, people are not fully familiar with it, so they still ignore health protocols causing transmission to continue to spread. It's good to prevent transmission starting at home, but with independent isolation at home, transmission of Covid-19 will easily occur from infected patients without symptoms to other family members. Central Ende District, where this research took place, there were 11 people in close contact, 42 people positive for the highest PCR SWAB in Ende Regency, 2 people in isolation at Ende Hospital, while 40 people are self-isolating at home. Family needs special attention in caring for self-isolation patients according to the 5 family tasks in the health sector, namely getting to know and modifying the home environment to prevent Covid-19 transmission. 19. Method. Design uses the Mix method with a cross sectional approach. The sample size is 40 patients in self-isolation at home using total sampling. Retrieval of data using questionnaires, and interviews. Bivariate Analysis: Chi-Square and Multivariate: Logistic Regression Test. Results: There is no influence of family knowledge of the Covid-19 problem on preventing Covid-19 transmission with a bivariate statistical test p-value 0.894 (p> 0.05). There is an effect of modifying the home environment of self-isolation patients on preventing Covid-19 transmission with the results of a bivariate statistical test p-value of 0.049. Conclusion: Modifying the home environment for self-isolation patients in preventing Covid-19 transmission is a health protocol that families must implement by including counseling family members by health center nurses
PEMBERDAYAAN KADER DALAM PENANGANAN HENTI JANTUNG DI DESA GHEO GHOMA KECAMATAN ENDE UTARA KABUPATEN ENDE Sekunda, Maria Salestina; Rifatunnisa; owa, khrispina
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1820

Abstract

The role of cadres is very important in efforts to anticipate and handle hypertension complications such as cardiac arrest. One of the roles of cadres when the elderly experience cardiac arrest is that cadres are able to prevent and treat cardiac arrest by providing basic life support and are able to give advice to the elderly to avoid things that can be at risk of causing sudden death. The Community Service activity was held on May 1-2, 2024 in the Gheoghoma Village office hall and was attended by 11 village cadres and the Head of Gheo Ghoma Village. The method used is education and skills to do basic life support. At the beginning of the activity, a test of cadre knowledge about basic life support was carried out and then simulations and demonstrations were carried out and then closed with a post test. From the results of the activity, data was obtained that most of the cadres had understood and were able to provide basic life support, as evidenced by the results of the answers to the questions given where the respondents had less knowledge than 75% and in the post stage after being given material and demonstrations on the treatment of cardiac arrest, the results of the increase in respondents' knowledge about basic life support were obtained, which was as much as 83%. In addition, in training activities, cadres are able to carry out basic life support using BHD phamptom aids and obtain a score from 0% to 75%. Therefore, it is highly expected that the village management will continue to cooperate with the government, especially the cadres in improving knowledge and other skills in preventing sudden death in the community by conducting continuous training so as to increase knowledge and skills that will have an impact on the prevention and handling of sudden death due to cardiac arrest
Studi kasus Asuhan Keperawatan Pada Pasien Tuberkulosis Paru Di Ruangan Perawatan Khusus (RPK) RSUD Ende rifatunnisa
Kelimutu Nursing Journal Vol 4 No 2 (2025): Volume 4 Nomor 2 Desember 2025
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v4i2.2292

Abstract

Tuberkulosis disebabkan oleh bakteri Mycobakterium tuberculoisis yang penyebarannya melalui udara. Tuberkulosis adalah salah satu penyebab utama kematian sehingga perlu dilakukan program penanggulangan tuberkulosis secara berkesinambungan. Estimasi jumlah orang terdiagnosis tuberkulosis TBC pada tahun 2023 secara global sebanyak 8,2 juta kasus. Tujuan studi kasus penulis mampu menggambarkan pelaksanaan asuhan keperawatan pada pasien dengan diagnosis tuberkulosis paru di RSUD Ende. Metode yang digunakan dalam karya tulis ilmiah ini adalah metode studi kasus dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi keperawatan dan evaluasi keperawatan. Hasil studi kasus pada Tn. A.P ditemukan data: sesak napas, batuk >2 minggu disertai dahak berwarna kuning kental dan sulit dikeluarkan, mual, muntah, keringat tanpa aktivitas, demam sesekali, nafsu makan menurun, berat badan menurun, terdengar suara napas wheezing dan ronchi, pada pemeriksaan sputum ditemukan bakteri Mycobakterium tuberculosis. Masalah keperawatan yang muncul adalah bersihan jalan napas tidak efektif berhubungan dengan hipersekresi jalan napas, pola napas tidaka efektif berhubungan dengan hamabatan upaya napas, defisit nutrisi berhubungan dengan faktor psikologis (keengganan untuk makan), gangguan pola tidur berhubungan dengan kurang kontrol, ketidakpatuhan berhubungan dengan program terapi lama, resiko penyebaran infeksi berhubungan dengan peningkatan paparan organisme patogen lingkungan. Intervensi keperawatan dilakukan berdasarkan masalah keperawatan. Implementasi dilakukan selama 3 hari dan hasil evaluasi ditemukan masalah sebagian teratasi. Disimpulkan bahwa kasus Tn. A.P terdapat kesenjangan antara teori dan kasus yaitu batuk berdarah dan nyeri dada tidak ditemukan. Oleh karena itu tuberkulosis paru sebaiknya patuh terhadap pengobatan serta berbagai upaya pencegahan yang telah diajarkan kepada pasien maupun keluarga.
Co-Authors Bai, Marieta K. S. Bedho, Marthina Cahyani, Sisilia L. Dhoke, Maria F. L. Khrispina Owa Maria Salestina Sekunda Martina Bedho Mutmainna, Amriati Nipa, Yohanes Paschalia, Yustina P. M. PASCHALIA, YUSTINA PACIFICA MARIA Persulessy, Ria Lady Woga, Raimunda